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PRE 2010 DOCSCity of Fridley, Minn. 3207 WELDING PERMIT N°• Date: .. ..... `... Oe ....... Owner........... Builder`::...:.:. ........................... Address 4r1 lfD '�'- .......... Address ........................................ �LOOC•ATION OF BUILDING No. 1�.� 1�. Street ........................ Part of Lot ............................... . Lot ............ Block .................. Addition or Sub -Division ....................................... CornerLot ............ Inside Lot ............ Setback ............ Sideyard ........................... DESCRIPTION OF BUILDING To, 9psda: H Front ........ Depth ........ .............eight ........ Sq. Ft. ........I Cu. Ft.Front Depth Height Sq. Ft Cu, Ft. ........ Type of Construction ................... Est. Cost..................... To be Completed ................... In consideration of the issuance to me of a permit to construct the building desribed ab Ive, I agree to do the proposed work in accordance with the description above set forth and in compliance wi all provisions of ordinances of the city of Fridley. IF In consideration of the payment of a fee of permit is hereby granted to. ..... .. to construct the building or addition as described above. This permit is ted upon t!'le express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings with- in the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. t ,. Building Inspector NOTICE: This permit does not cover the construction, Installation or alteration for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector,for separate permits for these Items. APPRcation for Power Plants and. Heating. Coding, Ventilation, Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: BATE TOTAL, Furnace Shell & Duct Work .......................... 8.00 $ Replacement of Furnace 5.00 $ Repairs & Alterations—up to $500.00 .............. 5.00 $ Repairs & Alterations each add. $500.00 ............... 2.50 $ MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $ each add. 60,000 BTU ........................ 2.00 $ Replacement of Furnace ............................. §.00 $ Repairs & Alterations—up to $500.00 ... :............. 5.00 $ Repairs & Alterations each add. $500.00 .............. 2.50 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. IDR Steam_ ...... 8.00 $ Furnace Shell & Line—to 640® a sq. ft. EDR Hot Water ... 8.00 $� Each add. 200 sq. ft. EDR Steam ...................... 2.50 $ oa Each add. 320 sq. ft. EDR Hot Water .................. 2.50 $ — - OIL BURNER—to 3 gal. per hour ........................ 5.00 $ over 3 gal. per hour -See Fee Schedule GAS BURNER (up to 400,000 BTU) 5.00 $� GA,, FITTING FEES: NO RATE TOTAL 1st 3 Fixtures p x $1.50 $ Additional Fixtures ................. x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ AIR CONDITIONING FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $ ALTERATIONS & REPAIRS TOTAL FSE $ ROUGH FINAL Dept. of Bldgs. Phone SII, 4-7470 City of Fridley: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. Fridley, Minn �'�� 196 Owner Kind of Building 4� Used as To be completed Ol New. Building Permit No. � � Permit No. DESCRIPTION OF WORK HEATING or POWER Hot Water, Warm -A r=.*e Trade Name 4/�a r- � Size No ZOP ® 0 Capa—Sq. Ft. EM.R- /Z-:j:o®® BTU—H.P. Total Connected Load ' /9' 7,67� Kind of Fuel BURNER — Trade Name— Z 2na�s Size No_ L Capacity / Sq. Ft. E.D.R�0 00 0- BTU—H.P. (REMARKS -OVER) Sierned By X 4 2 2M7.59 Business Phone No- (REMARKS-OVER) o .,.42 C HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS Weatherstrips A.S.H.V.E. Construction No. Guide WindowsI Doors Reference Out. Wag Int. Wall Ceiling Roof Floor Yes � e- Yes— 19 1 F1.1 Room Length o Y-- Width /`f Heiaht V1 II Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Width Height No. of Lineal f . Area No. of pane of pane lights of crack sq. ft. - 9' =;M 7- ;tE Coef. Btu Coef. Btu Infiltration /3411V 1031 a 3 �- Glass a �f Glass Exp. wall i Ceiling O Net exp. wall Floor Int. wall Required sq. ft. E.D.R. or sq. ins ars:._ Ceiling Int. wall Floor Total Btu. 1 73 40 Required sq. ft. E.D.R. or s a e J M I 10 R....... I 1 ...i. / m:.l.L lel 11-:—L. <W Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Width Height No. of Lineal it. Area No. of pane of pane ilghts of crack sq. ft. 02 Z =;M 7- ;tE Coef. Btu Infiltration .03. Glass s Exp. wall G3 Net exp. wall Glass Int. wall i Ceiling O p Floor Total Btu. /7 445 Required sq. ft. E.D.R. or sq. ins ars:._ M.F1.117K.. l- - Room I Lenath .�T-® Width 1A Heiaht Y Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. it. Width Height No. of Lineal it. Area No. of pane of pane ilghts of crack sq. ft. 02 Z =;M 7- ;tE Coef. Btu Infiltration Coef.1 Btu Infiltration6 iW G3 �© Glass Int. wag Ceiling [Exp. wall Floor Net exp. wall Int. wall Ceiling ��Iq , fQ 'v ®® Floor Tbtal Btu. Required sq. ft. E.D.R. or sq. ins. VM. Ems FRIDLEY, MINN. Insulation Kind How Applied ,Q j 91 Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. it. Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. 02 Z Coef. Btu Infiltration Coef. Btu Infiltration % 03 Net exp. wall Glass Int. wag Ceiling Exp. wall Floor Net exp. wag Int. wall Ceiling /O X30.6 Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. -W* Imaldet-area, � { Fl.l Room I Length Width Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. it. Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wag Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area FI.I Room I Length Width Heistht Windows and Doors—Crackage and Area Width Height No. ofLineal ft. Area No. of pane of pane lights of crack w. ft. Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor 7 otal Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area • C� J City of Fridley, Minn.. BUILDING PERMIT Date: _ AUGUST 173 1965 Owner: ANDY VERES Builder SAME Address 56.08 - 4th St. N. E. Address Fridley 21, Minnesota .3c'16,5— No 83'70 LOCATION OF BUILDING No. 5608 street 4th Street N. E. Part of Lot Lott &-12 _ Block 4 Addition or Sub.Division Hamilton's Addn. to Mechanicsville Corner Lot Inside Lot — Setback Sideyard Sewer Elevation _______ Foundation Mevation DESCRIPTION OF BUILDING To be Used as: Front Depth Height Sq. Ft. Front Depth Height Sq. Ft. Type of Construction Est. Cost— $10,000-00 To be Completed Cu. Ft Cu. Ft. REBUILD TO ORIGINAL - STORM DAMAGE REPAIR - Council Approval - August 16, 1965 In consideration of the issuance to me of a permit to construct the building described above I agree to do the proposed work in accordance with the description above set forth and in compliance with a'!1 provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $ 10.00 , permit is hereby granted to ANDY VERES to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work dame in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota location, constmetion, alteration, maintenance, repair and moving of buildings within the city limits ms permit may be revoked at any time upon violation of any of the Provisions of said ordinances. ALLEN G. JENSEN Building Inspector NOTICE: lhia peat don not corer the conatrudioe, hwallation for whine, plumbing, gas beethm sewer or water. Be taro to tee t6 BnlWing bup•dor for nparate permhs for these hems. E?f g.®9 APPLICATION FOR BUILDING PERMIT 0� �\p �'�"t�T�l�( °�'t�Y 4if4�.IJ'. l''�)�i�,• °f� R da�� A� till. r U r ).r)+:}a CIl OF FRIDLEY, MINNESOTA ..''� •bra ° tjr' 1Pd fSC� OWNER'S NAME` BUILDER �c,s ADDRESS ADDRESS �• . . r. !°w.. i (•7�i. t I;.` ilii ( j LOCATION OF BUILDING �: t 3 •_ "'!1)l,ia N0.4 STREET PART OF LOT � � ;�;� • LOT BLOCK ADDITION OR SUBDIVISION CORNER LOT INSIDE Lft..t SETBACK SIDE-TARD�, k • s c.�a SEWER ELEVATION° FOUNDATIONELEi1Ai'bN r Applicant attach to this form Two Certificates of Survey`of %t; `and%`prbp`Deeir'J` 'j building location drawn on these Certificates. �.7 M 170i] x =bESCIiIPTION OF WILDING if, 3'.f,? ld a ilii To be u'sed''as. cont Dept Height_ -61 Sq. Ft. Cu. Ft. Front Depth Height' ((Yl "lid Sq. Ft. Cu. Ft s 7a �. Type of Construction_ Estimated C46�75 To be completed E: p:ci �;rrra cy. The undersigned hereby makes application for a permit for the work -herein V) specified, agreeing to do all work in strict accordance with the City of r, Fridley Ordinances dnd rulings''of the Department of Buildi7t4is a and 'her declares that all the' -facts aM 'representations:stated in -app icatJion are true and correct. - DATE —� (Schedule of Fee Costs can be found on the Reverse Side).04 °!a. .gyp a a � `V APPL ON FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S V 171, J/0' / "�A BUILDER ADDRESS ADDRESS LOCATION OF BUILDING NO.,�` STREET 41 , / '" PART OF LOT LOT BLOCK ADDITION OR SUBDIVISION CORNER LOT INSIDE LOT. SETBACK SIDE -YARD, SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING r To be used as; Front Dept Height Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu.st,% Ft Type of Construction Estimated C T-;; r To be completed 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_ �� SIGNATURE (Schedule of Fee Costs can be found on the Reverse Side). 6 Y- SUBJEtT City of Fridley AT THE TOP OF THE TWINS BUILDING PERMIT r ` RECEIPT NO. COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. .5195"r PROTECTIVE 1 . � NUMBERREV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 ' 612-571-3450 910-F15 9/18/00 JOB ADDRESS 5608 4 Street NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 11,12 4 Hamilton's Addition to Mechanicsville SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Dorothy Veres 5608 4 Street NE 763-571-4202 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Window Lite Home Imp 8400 89 Ave N 4460, Brooklyn Park, MN 55445 425-2227 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 20039258 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Replace two windows within existing openings 9 CHANGE OF USE FROM 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. SEPARATE PERM ffS REQUIRED FOR: UB®�NPLN, AN� S SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD 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 ORWORK 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 ISTALLS 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 $.66 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1,325 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 FEE Licen C $5. 0 7.93 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI HEN PR P ALID TE THIS MIT F S-GNAIURE OF OWNEA,IF OWNER BUILOERI IOATEI r BLO9 INSP IFGATE tb031�111 NEW [ ] Effective 1/1/99 ADDN [ ] CITY OF FRIDLEY ALTER SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: O S Ll Th ST. N C Legal Description: Owner Name & Address: OOROT jj% i V E q ES Tel. # 5-11- L4W Z Contractor: \n It,1 (%OW L 11 MN LICENSE # 00 36,25 Sr Address: g4= sq TN AVC N. 14 Lupo 600ogai Pglu Mtv SY4 1 Tel. # 425-222�- Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF Il"ROVEM ENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Construction Type: W t N pow R E o%.ACE NU -AI o1 Estimated Cost: $_ / J? -. o 0 (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: q II Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee $ Sewer Main Charge TOTAL $ vim% a3 Tel. CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1050 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 [ ] STIPULATIONS:��a/Ga!�::' �41&' �1 J SuejECT City of Fridley =118 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. ______ COMMUNITY DEVELOPMENT DIV. r L PROTECTIVE INSPECTION SEC. �® 1972-3604 NUMBER REV DATE PAGE Of APPROVED BY CITY HALL FRIDLEY 55432 ��� 612-571-3450 910-F15 6/1/01 JOB ADDRESS 5608 4 Street NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 11-12 4 Hamilton's Addn to Mechanicsville SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Dorothy Veres 5608 4 Street NE 763-586-0592 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Window Lite Home Improvement 8400 89 Ave N Brookl3m Park, MN 55445 20039258 e ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 763-391-8314 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Replace six 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. Permit Inspection Cards Will Be Mailed To Homeowner To Post 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 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 k ISTALLS 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 @ $1.74 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $3,485 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC ARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- F SC $3.48 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION `1'97.25 e PLAN CHECK FEE T TAL FEE Licen C $5. $107.47 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI HE P VALI ED THIS IS YOUR PE IT S.GNATURE OF OWNERI6 OWNER BUILDER) IDATEI L INSO GATE NEW [ ] VU 0o I v�7 ffective 1/1/99 ADDN [ ] (5('aY5 CITY OF FRIDLEY ALTER [ ] SINGLE FANMY AND DUPLEXES R- - BUILDING PERMIT APPLICATION ConstructionAddress: Legal Description: Owner Name & Address: �o ®�l Eu.► (%Q, �^ p �, Tel. # 'Y 3 - Contractor: %� I /l a �n f ,L Q U GL �B dLi P GS�'Jy�D MN LICENSE # Address: $�``{DD — g� !4v �5Tel. # q6 3 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF EMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: `dConstruction Type: t5o (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: APPLICANT: &' Tel. # Permit Fee $�� Fire Surcharge $ o State Surcharge $ , SAC Charge $ License Surcharge $ Driveway Escrow $ Erosion Control $ Park Fee $ Sewer Main Charge $ CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1050 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 [ ] TOTAL $ 17, STIPULATIONS: ' SUBJECT PER City of Fridley 2 5 610 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. a: -------COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC *7Sr I I I,� CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED By L 612-571-3450 910415 5/3/02 f JOB ADDRESS 5608 4 Street NE I LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DEscR. 11,12 4 Hamilton) s Addn to Mechanicsville SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Dorothy Veres 5608 4 Street NE 763-586-0592 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Window Lite Home Improvements 8400 89 Ave N STE 460, Brooklyn Park, MN 55445 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 20039258 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION l3 REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Replace three windows within existing openings 9 CHANGE OF USE FROM 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. Permit Inspection Cards Will Be Mailed To Homeowner To Post 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 ISTALLS 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 $1,900 $.95 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 TOTALF E License $5.00 $ .05 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT iDATEP EN ROP L VALIDATED T IS IS YOURPERMIT 6� SIGNATURE OF OWNER JF OWNER BU0.DERi iOATEI ­9L G INSP OAiE 0 NEW [ ] V�7 r— 00 I - '7Y QS Effective 1/1/99 ADDN [ ] ��#�YG CITY OF FRIDLEY �j (� ALTER [ ] S LE�ANHLYAND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: /VE Legal Description: Owner Name &Address: �� v 0 V� Y '� Tel. #r`7& 3 11NIC)NA, IT �811M9 lfflPwemeHis Contractor: Crosstown North Business Ctr. # 4 MN LICENSE # P.)(/ -0o - Address: u0 e 460 -8400 -89th Ave. North Tel. # Ewak yn-P-ar-k MN 66446 - Attach to this application, a Certificate of Survey of the -7ac lot, with the proposed construction drawn on it to scale. 07 ` Au DESCRIPTION OF EMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Construction Type: u Estimated Cost: $ (Fee ' Schedul a on Back) Driveway Curb Cut Width Needed: a (742-3,) 3 '? / - APPLICANT: Tel. # &516 Ft. + 6 Ft = Ft x $ DATE: / -)t-/-OL TOTAL $ U� STIPULATIONS:Tcrl--o % CITY USE ONLY Permit Fee $ , cl Fee Schedule on Reverse Side Fire Surcharge $ 1A0 .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $1050 per SAC Unit License Surcharge $ 6, 06) $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 $ U� STIPULATIONS:Tcrl--o % CITY OF FRIDLEY PERMIT N .: 2004-01338 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 DATE ISSUED: 08/16/2004 (763) 572-3604 FAX: (763) 571-1287 ADDRESS : 5608 4 ST NE PIN : 233024310054 LEGAL DESC : UNAVAILABLE : LOT BLOCK PERMIT TYPE : BUILDING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOW/DOOR REPL VALUATION : $ 3,887.00 NOTE: PROVIDE SMOKE DETECTORS IN ALL SLEEPING ROOMS AND ON ALL LEVELS OF THE DWELLING PER R317 OF THE 2000 INTERNATIONAL RESIDENTIAL CODE. CAULK AND FLASH ALL EXTERIOR OPENINGS. REPLACE 3 WINDOWS WITHIN EXISTING OPENINGS. STATE LICENSED CONTRACTOR 1 APPLICANT BUILDING PERMIT FEE 97.25 SEARS HOME IMPROVEMENT PRODUCTS FIRE SURCHARGE 3.89 1824 FLORIDA CENTRAL PKWY STATE SURCHARGE, VALUE 1.94 LONGWOOD, FL 32760- LICENSE SURCHARGE 5.00 TOTAL 108.08 OWNER VERES ANDY & DOROTHY 5608 4TH ST NE FRIDLEY, MN 55432 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or the provisions of any other state or local law regulat' g c ri!&rfortnpnq9of construction. App is VDate-$!KLOY Bldg Ins4d" Da gU6� SEPARATE PERMITS REQ FOR WORK, OTHER THAN DESCRIBED ABOVE. NEW [ ] CITY OF FRIDLEY Effective 4/1/2004 ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax BUILDING PERMIT APPLICATION Construction Address: �w kffl-at Aj E- . Legal Description: .1 40s,91Z Owner Name & Address: Tel. # Contractor. MN LICENSE # Res ;wo 96 017 Address: a- W Tel. # 2 637;53 Attach to this application, a Certificate of Surrey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. 3 '� Construction Ty p : Estimated Cost: * Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: 8'--y APPLICANT Tel. # %63-� �� -7-7q,5' Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will call you for card number. Permit Fee Plan Review Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge TOTAL CITY USE ONLY - Fee Schedule on Reverse Side $ 65% of Permit Fee $ o .001 of Permit Valuation (1/10th%) $ $.50/$1,000 Valuation $ $1350 per SAC Unit $ . 0 0 $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 [ ] $ 1 d �j . �� STIPULATIONS: Building BUILDING Permit No.: '0 �3/� Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date Rec'd: DATE SITE ADDRESS YOUR E-MAIL ADDRESS THIS APPLICANT IS: ❑OWNER YVONTRACTOR PROPERTY OWNER/ NAME: —JudiW ty C�/ TENANT ADDRESS: 56-08 T %5- CITY CONTRACTOR NAME: / L�/ �A—Z�I�zl V 1 IC/ v` vvw� SUBMIT A COPY OF LICENSE STATE LICEN ADDRESS: # E o ATE `ITY STA IP YOUR STATE ® ( G WITH APPLICATION PHONE5l ❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE PROPERTY TYPE ❑ TWO FAMILY/NEW CONSTRUCTION STO S PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED INI)OWS DRAIN TILE ❑ BASEMENT FINISH ❑ ROOF ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW ❑ ADDITION ❑ MAINTENA>IEIREPAJR ❑ REMOD Lzoa�WE DESCRIBE WORK BEING DONE: kuAlr SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT Sq. Ft. NUMBER OF SQUARES GARAGES PROPOSED SIZE: PROPOSED HEIGHT: SIDING ❑ Vinyl ❑ Aluminum ❑ Other U HOUSE ONLY ❑ HOUSE & GARAGE ❑ ATTACHED GARAGE ❑ DETACHED GARAGE ❑Soffit ❑ Trim ❑ Fascia BASEMENT REMODELING SUBMIT: 1. Existing Floor Plan 2. Proposed floor plan 3. List of structural members to be used FOR NEW CONSTRUCTION INCLUDING DECKS, ADDITIONS. & PORCHES SUBMIT: I. Site Plan/Survey showing the existing structures and proposed project. 2. Two sets of construction plans WINDOWS3. Energy Calculations IN EXISTING OPENINGS A,Yes❑No LOCATION 0 WWS OR FOR NEW OPENINGS -DESCRIBE SIZE OF LK�DONv OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING T$,E 997UX.0 FEE SCHEDULE) TOTAL JOB VALUATION $ OCCUPANCY TYPE Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due $ 17 $ $ g, $ See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $1550 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$20=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks payable to: City of Fridley Attach THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of dley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application f r a permit and is to start without a permit; that the Z�Ax accordance with the approved plan in the case of all req uir iew d val of plans. �� `7e /% TE � � SIGNATURE OF APP C PRINT NAME Lt ` l� Building $ BUILDING Permit No.: Inspections $ RESIDENTIAL APPLICATION Received By: 763-572-3604 $ , S Date RFECDAUG 31 ire Surcharge $ CITY OF FRIDLEY .001 x Permit Valuation (1/10%) icense Surcharge DATE U /' YOUR E-MAIL 1'D 4 15 4 t IdIr }oru S. t 0 iYi �ADDRESS SITE ADDRESS 7 o ' ru f- I� (s $ THIS APPLICANT IS: ❑ OWNER CONTRACTOR :urb Cut Escrow PROPERTY OWNER/ NAME: Juttvt 5 ft + 6 ft = ft x $20 = $ TENANT ADDRESS: 666% (i ♦^ 5f A16 CITY Fri 01ly STATE—ZIP SS �l 3 7 $450 Conservation Plan Review PHONE: -1 (13 l 1;9 6 • D Iq Q 7 $ CONTRACTOR NAME:_ fHD At- Home Services, Inc. .JO d i 4D F(d c f J b n[ s $ STATE Lx 2690 Cumberland Pkwy, Ste 300 952 13 V5 _ G 0 y -7 SUBNIIT A COPY OF Cumberland Office Park Y 2 •0 3 YOUR STATE LICENSE ADDRESS CITY STATE ZIP WITH APPLICATION PHONE Atlanta, GA 30339-3913 ❑ SINGLE Lic# 20268257 Ph. 763/542-8826 _ PROPERTY TYPE ❑ TWO FA .ORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED IS WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW ❑ ADDITION ANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: W n dow lrr vl n u mi n 1A J irr I f i D(z 6D,11) 1114 >IZE OF IMPROVEMENT LENGTH WIDTH HEIGHT Sq. Ft. :OOFING ❑ HOUSE ONLY 4UMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: TARAGES ❑ ATTACHED GARAGE 1. Existing Floor Plan 'ROPOSED SIZE: ❑ DETACHED GARAGE 2. Proposed floor plan `ROPOSED HEIGHT: 3. List of structural members to be used TIDING FOR NEW CONSTRUCTION INCLUDING DECKS, I Vinyl ❑Soffit ADDITIONS. & PORCHES SUBMIT: I Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structures I Other ❑ Fascia and proposed project WINDOWS 2. Two sets of construction plans V EXISTING OPENINGS Nes ❑No LOCAWN OF WINDOWS 3. Energy Calculations IR FOR NEW OPENINGS -DESCRIBE SIZE OF [ died >PENING CHANGES & 'YPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING TIM 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $a q OCCUPANCY TYPE 'ermit Fee $ 3 Ej i) See Back Page for Fee Schedule Ian Review $ 65% of Building.Permit Fee urcharge $ , S (.0005) times the total job valuation — Minimum $.50 ire Surcharge $ 63 .001 x Permit Valuation (1/10%) icense Surcharge $ .5, 0v $5.00 (State Licensed Residential Contractors) AC Charge $ $1450 per SAC Unit (Plans to MWCC for determination) :urb Cut Escrow $ ft + 6 ft = ft x $20 = $ rosion Control $ $450 Conservation Plan Review ark Fee $ Fee Determined by Engineering ewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) 'otal Due $ Y 2 •0 3 Make checks vavable to: Citv of Fridlev Attach Stipulations THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in mformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a :rmit but only an application for a permit and wort is not to start without a permit; that the work will be in accordance with the approved [an in the case of all work which requires revi a approval of plans. GNATURE OF APPLICANT �G� PRINT NAME DATE P7