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PRE 2010 DOCS01 SUBJECT PERMIT NO. City of Fridley 15.338- AT THE TOP OF THE TWINS B U I L ®I N G P E R M I T r EIPT NO. COMMUNITY DEVELOPMENT DIV. r I PROTECTIVE INSPECTION SEC. I � I L CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 7 16 79 JOB ADDRESS 5828 - 21� Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DES. 8,9 23 Hyde Park SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Sandra Stepaniak 5828 - 21x Street N.E. 571-4804 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Res identia 1 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK Construct a 221 x 22' Detached Garage 9 CHANGE OF USE FROM TO STIPULATIONS wm6 Provide a hard surface driv�ay. GM ,� g ed lout witleg tCM pt1�7 ELrME REWRE® BY LAW S�EPERATE PERMITS nao"" RED FOR Y�IR HEATING, PLUMBING AND SIGNS. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. Wood Frame ZONING SQ. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT 484 4840 ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION I STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $4,059.45 $2.03 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $19.36 PLAN CHECK FEE TOTALFEE $21.39 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) WHPROPERLl Vii IDA TH IS YOUR PpEpRMIT'�'/p'� SIGNATURE OF OW N ER (IF OWNE UILDERI (DATE) )NSP DATE 01 CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS (New, Alterations, Additions, or Repairs) OWNER: s Banc) c 0. 5 T a�Y,: a k ADDRESS: 5 $ g a s1. A) - BUILDER: - se -1 ADDRESS: TEL NO: 5-7/ - y g0 y TEL NO: Construction Location STREET NO:lq2 2T STREET: LOT: 19L 2 BLOCK: Q 3 ADDITION: Corner Lot: Inside Lot: it Setback: Sideyards: Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTION OF CONSTRUCTION Front: Depth:I�ff Height: 5 +Vtze l Square. Feet : Cubic Feet: ` ? 0 Front: Depth: Height: Square - Feet: Cubic Feet: Type of Construction: Estimated Cost: $ 1,000 4, ®s9, 4, To Be Completed: Foa\ 22 T' %Exi s f1 *? Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: 10.Q. $ $ SEE REVERSE SIDE OF SHEET The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. DATE: �1�/ SIGNATURE: Stipulations: G SUBJECT PE17 City ®f Fridley 4 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. CSI r � � PROTECTIVE CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY L 612-571-3450 910-F15 4/20/84 JOB ADDRESS .50828 - 2h Street N. E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 819 23. HYDE PARK SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Judy Konsela 5828 - 2ji Street N.E. 571-5618 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSE NO. Panelcraft Inc. 2309 Snelling Avenue South, Mpls. 721-6628 4 ARCHITECT OR DESIGNER MAILADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW 0 ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 4' x 12' Sunroom Addition 9 CHANGE OF USE FROM TO ST(PU LATION S SEPERAiE PERMITS RE FOR VViR�i�G '-iEATING. Pi t ��. P� Ir ANI-)tlIRE� ' IG,NS I H k`45 Before digging calf jaco-P u;�jl-j cgs TELEPHONE e ELEOTM,;G = GAS t : REQUIRED BY LAW TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $2,500 $1.25 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $38.50 None STRUCTION OR THEPERFO OF CONSTRUCTION. PLAN CHECK FEE $ 9.63 TOTALFEE $49.38 K�41e� "� FCONTRACT RORAUTHORIZEDAGENT (DATE)WHEN PROPERLY V ATED THIS IS YOUR PERMIT .�.6•BLDG INSP DATE SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) NEW [ ] City of Fridley ADDN. [ ] �R-1 AND R2I ALTER. [ ] Building Permit Application Construction Address:��"� Legal Description: Property Contractc Addre. Effective 4/1/84 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Corner Lot [ ] Inside Lot [ ] Ft. Yd. Setback __ Side Yard Setback 0<-0Type of Construction: 1� Y1 ��fll'�'\ Estimated Cost: $`� Approx. Completion Date: Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: See Back Page for Explanation DATE: �'�v a APPLICANT: Tel.�� CITUSE ONLY Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge TOTAL STIPULATIONS: Fee Schedule on Reverse Side 25% of Building Permit Fee $•50/$1,000 Valuation $425 per SAC Unit Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] n; ss v_ k a. t., -z•, s�„Nvn -t. `-,'s7^k -;._� 1ST y �%k}c ''�`` '�� a.. an 10 SECTIONAL ELEVATION 10[ pp%p�A Allyp OOrM[C71pN - fU f1N[7 rn � 41cc [�ou.D��l.i GTArtw I KIM CRITERIAs I,IVt L0A0 40 PIP DOW ALLOWADLE KFLECTM. liwD LOAD 40 Per IIP MAIN NEMKRS Line DESIGN LIVE KCONDfRT Mcw its Li W LOAD 10 PS F . IICWVERT FROM TUT. 00% IN FOR S►AMe OTH94 THAN THOSE SHONMs I-USEPROPER INTERPOLATNNI On E -USE NEXT MOST CONKRVAT" COMFISt/IATtN1 im. r i it x 40 NOTE :., ETC. INDICATES ISOLATED FOOTING pip. KL SAM N0. G FOR FOOTING SCHEDYL[ FASCIA SEAM SPIN$ t a NOW tMNS .—CZ�'rICAL wTT7hCk [M0 —Z_ t• a� a• .�rm 39.7 1• ' 1• 1. t L 0 If •• M -f N-11 If •s 0• If•t N y 7 2414 N 44 L O 17-6 17.0 r h -f• 17.f O t<•• t. ■ 24 ••0 ri r 1 -1 t. t. i - :. r IV 19.7 •� [ r ! 4•1 [ L 0 17-1 17.1 17.1 17.1• q-! N r •f411 "O 06.60 if -f 0 N•f N -f 0 N -f N L t4 4-1 24 L 4 2'*1 A-t H r 21 17:3 241O J If • -1 r M-1 p•1 N•1 Q P37I7�T'1� ALLAN 1,80 lcan BuildingProducts CARR SMITH s ASSOCIAT ALUMINUM FREE .STANDING CONSULTING ENGINEERS CANOPY ivision of Akan AMMninwn Corporation M I A M 1, FLORIDA North Para Awr•alwarrar.OUr 44401 ALLAN '•' ��SOX BEAM �Ar lffp aurlln ��.� CSACARR SMITH AND ASSOCIATES ENGINEERS e ARCHITECTS . PLANNERS October 21, 1983 Panel craft of Mi nrresota, Inc. 2309 Snelling Avenue Minneapolis, Minnesota 55404 Attn: Mr. Hank Jansen Gentlemen: IL At the request of Mr. Pat Vale of Alcan Aluminum, I am enclosing a copy of E. Carr Smith's Professional Engineering Registration Stamp for the State of Minnesota. If we can be of further assistance, please let us know. Sincerely, Ann Daugherty Executive Vice President AD/If Enclosure cc: Mr. Hubert Graham Alcan Aluminum P. 0. Box 7288 Charlotte, N.' C. 2821, • I hereby certih! ',11 -It tris p13n: speciti- cation, or repk;rl was --pared by me cr under my direct suix, .cion and that I am a duly Ra;;istered Professional En;ineer under the laws of the.State of Minnesota. Registration No. 14900 123 ALMERIA AVENUE • PHONE: 305-442-0035 • -R GERALD T. COYNE 3W BRUNSWICK AVE. S. 6MINN.LNO.N VALEY, M REGT 1 INDUSTRIAL — JUDICIAL COMMERCIAL — TOPOGRAPHICAL CITY LOTS — PUTTING LOT SURVEYS COMPANY LAND SURVEYORS WjgyWT"" UNDUR 1 AWS 02P 6TATZ 07 IUN"380TA lis. Minnesota 55428 580-3093 7601 •73rd Ave. No Minneapolis. 13untgars t�pr#tficu 3ANDY STEP1ENIAK i --/3eg 4 >-- - -.4r Lots 8 and 9► Block 23. HYDE PARK represents ton o4 a survey I t^e boufrom oories 0' the f on said land. sj� We hereby cert�f f that this is a true ll b correct rep described lend end the IOCet"on of sII builldiMarChs'�e encroachmerrs. I a 19 7— q -- n d 44% a.., of RAYMOND A. PRASCH b9a IDAHO AVE. N. BROOKLYN PARK IN MINN. REG. . 0411 INVOICE NO,$1$b• 1 F. 6. N0. SCALE I" :. O DENOTES IRON 0 J r I ■�.BUR VEYS COMPANY W • _ — — — — — — — — — — — I I I g �G Nv1,- QNFio �`JWu1 J F of � c9 ✓� � Y � I I w r Ov n; � c9 ✓� � Y � I I CL I w J N x j4 EC a � � I . * U %1 Lo is 0 SUBJECT City ®f Fridley C" 2 6 5 0 4+ AT THE TOP OF THE TWINS BUILDING EMI T � + RECEIPT NO. COMMUNITY DEVELOPMENT DIV. ~ PROTECTIVE INSPECTION SEC. /[L r NUMBER REV GATE PAGE OF APPROVED BY i CITY HALL FRIDLEY 55432 612-571-3450 910-F15 7-9-98 JOB ADDRESS 5828 2 1/2 Street 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 8,9 23 Hyde Park SHEET 2 PROPERLYW ER MAIL ADDRESS �Konsela ZIP PHONE Judit�i 2043 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Disanto Const, 26103 Verdin St, Isanti 55040, 444-0024 20069323,E 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO, 8 USE OF B}JILDING Residential 7 CLASS OF WORK NEW 0 ADDITION O ALTERATION CR REPAIR 0 MOVE 0 REMOVE 8 DESCRIBE WORK Reroof House & Garage (18 Sq) - Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED. FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION I STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $1501 $.75 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $ STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOT L FEE License SC $ 58.5 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT 1 ATEI WHEN PR 1A 1 D THI YO YOUR PERMIT BLDG INSP 10MATE SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI 0 NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION !� ConstructionAddress Legal Description: T Owner Name & Address: Tel. # Contractor: ® 'c � s s MN LICENSE # ®d 3 3 Address: ve-�2�. w rS �s� w ; Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: GARAGE AREA: DECK AREA: OTHER: DESCRIPTION OF Il"ROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Construction Type: '?p -0 Estimated Cost: $, (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ /6-6/ DATE: � 6APPLICA' NT: �//�� Tel. # e/ ? c!' STIPULATIONS: CITY USE ONLY Permit Fee $�> �S� Fee Schedule on Reverse Side Fire Surcharge $ �- .001 of Permit Valuation (1/10th%) . State Surcharge $ �� $.50/$1,000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ ®- 90 STIPULATIONS: .N II b t1' SUBJECT MIT NO. City of Fridley IPW 31777 AT THE TOP OF THE TWINS BUILDING PERMIT r CEI • __ __ COMMUNITY DEVELOPMENT DIV. y _ PROTECTIVE INSPECTION SEC. 57-®460 /J� �9�5■('�, 1Cq-3 9 j � � 6J cs fJ I , NUMBER REV DATE PAGE OF APPROVED By _ 1 CITY HALL FRIDLEY 55132 �'' 612-571-3450 910-F15 4/30/01 JOB ADDRESS 5828 2 1/2 Street NE I LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 8,9 23 Hyde Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Andre Quanstrom 5828 2 1/2 Street NE 612-490-2593 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Superior Construction Services 9702 85 Ave N, Ma 1e Grove, MN 55369 7231 a ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 763-424-9434 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK O NEW O ADDITION 0 ALTERATION Ej REPAIR 0 MOVE O REMOVE 8 DESCRIBE WORK Replace windows within existing openings 9 CHANGEOFUSEFROM TO STIPULATIONS Provide smoke detectors in all sleeping rooms and on all levels of the dwelling per Section 310.9.1.2 of the 1997 Uniform Building Code. Caulk and flash all exterior openings SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING. HEATING. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. ' NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $3,000 $1.50 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $83.25 Fire SC $3.00 S RUC ON OR TME P RFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTAL FEE Licen $5.00 $X- 75 SIGN ATUREOFCON TRACTOR ORAUTHORIZE DAGE Nr IDATEi EN ROPE LIDAT I$I$ RMITD) _ / S-GNATURE OF OWNER.If OWNER BUILDER, iDATE, 8k4G 14SP - qa .N II b t1' NEW [ ] Effective 1/1/2001 ADDN [ ] CITY OF FRIDLEY (763) 672-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: " 6;lt �T` C� Legal Description: Owner Name & Address: XaDvu- Q�-*7mav"' Tel. # Utz -y10 �°( 3 Contractor: 6v Qcx.�,z' :51J MN LICENSE # -�Sc -12- Address: 12-Address: 0(102 tea'`y3 - Tel. # -no-�s- H'zg-9 t4 3 LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft Length Width Length Width Height Sq. Ft. Hgt/Ground Sq. Ft Construction Type: QjeW ►600--�,s Estimated Cost: $ 3,bob cD Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ _ $ DATE: W SC)0 1 APPLICANT: G ZI„,. Tel. # G%q CITY USE ONLY - Call (763) 672-3604 for Permit Fees If mailing in application Permit Fee $ y-zs— Fee Schedule on Reverse Side Fire Surcharge $ 3.00 .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $1150 per SAC Unit License Surcharge $ S $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A” or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ 9--)�' STIPULATIONS: SUBJECT City of Fridley 31846 AT THE TOP OF THE TWINS B U I L D i N Q PERMIT r RECEIPT NO. COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. �� -3604 �� i NUMBER REV DATE PAGE OF APPROVED BY r ---j CITY HALL FRIDLEY 55432 612-571-3450 910415 5/23/01 JOB ADDRESS 5828 2 1/2 Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 8,9 23 Hyde Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Andrea Quarnstrom 5828 2 1/2 Street NE 612-490-2593 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO B USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION] ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Alter bathroom 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. SEPARATE PERMITS REQUIRED FOR. PLUMBINd ANDnSIG SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING. HEATING. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 12Q DAYS AT ANY TIME AFTER WORK IS COMMENCED. ' NO DWLG. UNITS OFFSTREET PARKING 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $500 $'50 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE T L FEE $24.50 SrGNATURE OF CON' TOR OR AUTMORi2E0 AGENT IOATEr VA ED THIS IS YOUR PERMIT O �,.,� �- OK C7HAEPrKY 8 G rN5 - QA1E SIGNATURE OF OWNERirF OWNER SU4DERr rDATEr NEW [] ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: 59 DF Y2 5f- N E - Effective 1/1/2001 (763) 572-3604 Bldg Insp MN S'�c3 D, 0'/rGIL Legal Description: "W Owner Name & Address: few Tel. # (o f 2 Contractor: MN LICENSE # Address: Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: 6a,+t,000�rn Construction Type: rck M -1n ►'l w Estimated Cost: $ Soc Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ -=$ DATE: 5 r 2-3- b ` APPLICANT: Tel. # CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge II[Qr_1I STIPULATIONS: Call (763) 572-3604 for Permit Fees if mailing in application $ �3, Fee Schedule on Reverse Side $ , 3 .001 of Permit Valuation (1/10th%) $ , �5"0 $.50/$1,000 Valuation $ $1150 per SAC Unit $ $5.00 (State Licensed Residential Contractors) $ Alt. "A" or Alt. "B" Above $ $450.00 Conservation Plan Review $ Fee Determined by Engineering $ Agreement Necessary [ ] Not Necessary [ ] 0 wwg; ---------------- ---------- PLAN LAN APP R O V ED SUBJECT TO FIELD INSPECTION 0 CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432: 763-572-3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT RNA O1l. Kn MAD= nc MYTI IPPQ Tr) RF INSTAI I Pn nN EACH FLOOR Effective On Jan 1, 2001 PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS New Fixtures -3 $ 7.00L ®� The undersigned hereby makes application for a permit for the work herein Old Opening, New Fixture _y_ $ 4.00 specified agreeing to do all work in strict accordance with the city codes Beer Dispenser $ 5.00 and rulings of the Building Division, and hereby declares that all the facts Blow Off Basin $ 7.00 and representations stated in this application are true and correct. Catch Basin $ 7.00 20 L Rain Water Leader $ 7.00 Sump/Receiving Tank $ 7.00 ater Treating.A e $10.00 Owner 11L �` U �-� vi, S WPPlianc Water Heater -Electric $ 7.00 Water Heater - Gas** $10.00 Building Used Aske Gas Range** $10.00 � Gas Dryer** $10.00 Estimated Cost PERMIT NO. Back Flow Preventer Required ( )Yes () No Type $15.00 PLUMBING COMPANY Y- tji, ��/'TEL Reins ection Fee $47.00/Hr SIGNED BY �- N0. P ,1 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS "V 1.5% of Value of Fixture or Appliance Approved B Rough -In Date Final Date State Surcharge $ .50 MINIMUM FE NY PLUMBINGIGAS ERMIT IS $20.0 TOTAL FEE $ �' PLUS THE 150 STATE SURCHARGE COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE i COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing furance, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes () No ( ) The venting system is plastic/PVC:and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes O No ( ) The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes .and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes () No ( ) The existing combustion air is sized and installed to meet the current codes and man ufacturer's'specifications. Yes( ) No( ) When required to install a new combustion air, it will be sized and installed to meet the current codes and manufacturer's specifications. Yes () No When installing a new venting system, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes () No ( ) Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. Yes ( } No ( ) Appliance Type and Size/Common Vent and Vent Connector Information Appliance #1 Type BTU Input Fan Assisted or Nat Appliance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input Common Vent Type Vent Height Diameter inches Appliance #1 Vent Connector Height ft Length ft Diameter in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type ALTERATIONS: (Describe) HEATING CO: Signed By: Date