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PRE 2010 DOCSN° 124 6-W-V2 Village of Fridley, Minn. BUILDING PERjM Office of INSPECTOR OF BUILDINGS if Fridley, Minn.,- 6-6-V2 inn., LOCATION OF Block—j9—Addition or Sub -Division of Lot l DESCRIPTION OF BUILDING Front Depb .Height stories "'o Manner of Construction To be used as To be completed !914V w Estimated Costif�% I _ Permit is here to to the building described in the above statement. This permit is granted upon the express condition that the erson to whom it is granted, and his agents, employees and workmen, in all the work done in, around and uufn said .building, or any part thereof, shall conform in all respects to the ordi- nances of Fridley, Minn., regarding the construction, alteration, maintenance, repair and moving of buildings within the city limit$, and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. 4� F � ector of Buildings. i In consider, the above perm above set forth sworn, I hereby true as therein j Subscribed day AGREEMENT AND SWORN STATEMENT of the issue and delivery, to me by the Inspector of Buildings of Fridley of hereby agree to do the proposed work in accordance with the description according to the provisions of the ordinances of Fridley, and, being first duly B and say that the facts stated by me and contained in the above permit are )rn to before me at Fridley, Minnesota, t- ' ' A.D. 19JY4. 0 0 City of Fridley, Minn. BUILDING PERMIT Date: .... .. Y... v .-J ................. owner ....................................... Address ...................................... N® 3773 Builder... ........ ............ Address ............................................. LOCATION OF BUILDING No. : . �. / 3.. Street .......... Part of Lot ............................ . °2 tot' . �o �-��� Block .... .......... Addition or Sub -Division.! . ......... . . • . Corner Lot ............ Inside Lot :f.......... Setback : '`... Sideyard . /.o :P.... .............. DESCRIPTION OF BUILDING To be Used as: "� -1 .3d --b-/ t � ry �- per/ . ... Front ... Depth ........ Height 1. f . � Sq. Ft. d .. Cu. i i .11 .................... Front ........ Depth ..... Height ........ Sq. Ft. ........ Cm Ft. ........ Type of Construction ................... Fst. Cost. ./ Q'p3 .0?. Q. ... To be Completed ................... In consideration of the issuance to me of a permit to construct the building desribed above, I agree to do the proposed work in accordance with the description above set forth and in compliance with all provisions of ordinances of the city of Fridley. 0 In consideration of the payment of a fee of $. !. K7..`� .., permit is hereby granted to ................... ......................... 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 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, plu g, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these ma. Application for Power Plants and Heating, Cooling, Ventilation, Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE 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 ............ &00 each add. 60,000 BTU ....................... 2.00 Replacement of Furnace ............................. 5.00 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 sq. ft. IDR Hot Water ... 8.00 Each add. 200 sq. ft. IDR Steam ...................... 2.50 Each add. 320 sq. ft. IDR Hot Water .................. 2.50 OIL BURNER to 3 gal. per hour ........................ 5.00 $ over 3 gal. per hour—See Fee Schedule G�BURNER (up to 400,000 BTU) ....................... 5.00 $ /oma .�• oi�t3,,d��c1 �•ov �� 3� GAS PIPING (IJp to 3 Fixtures) .......................... 1.50 $ (Add 50c each over 3) AIR CONDITIONING FAN HEATING SYSTEM VENTILATING SYSTEM ALTERATIONS & REPAIRS REMARKS2 See Fee Schedule TOTAL FEE l , S -D rte - Dept. of Bldgs. Phone U 4-7470 i Locallon L5 & 51-7 �- 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. A Fridley, Mmn_ ,G2 !��-g 12-5- , 195 Owner 195— Kind of Building 195— Used as To be completed about l Estimated Cast, Old --(!g Building Permit No. N�l 7 2 3 DESCRIPTION OF WORK HEATING or POWER PLANTS --Steam, Hot Water,(W rm Air} -No Z Trade Name_ // ��-�v `` Size No Capacity /"fk2 Sq. Ft. ED. R BTU H.P. Total Connected Load (/ 4, F.ind of Fue BURNER — Trade Name Size No Capacity Sq. Ft. E.D.R. BTU H.P. SZqd-�- 4WECRON "J gy HEATING COMPANY. wg_ 2936 FOURTH AVE SO. , TA. 15287, 11 POST IM -8-58 Buslnn* VavW $To nse &Q -W- MEAT LOSS CALCULATIONS DEPARTMENT OF BUILDIN MINNEAPOLIS. `Wm Weatherstrips A.S.uide .E. Guid Reference 19_ Construction No. 7 Insulation 't'Jindows Doors f Out. Wall Int. Wall CeilingRoof Floor Kind How Applied Yes—No Yes—No Infiltration Int. wall Glass Fl Room I Lengt Wid Height M, .r . Rnnm 11 en>:th +a Width *-i Height g Windows arii Doors--Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane llghte of crack sq. ft. Width Height No. of Lineal ft. Area No. of pane of pane llghte ofcrack eq. ft. Width Height No. of Lineal ft. I Area No. of Dane of pane lighte of crack sq. ft. as .(j Yom" Coef. Btu Infiltration Coef. Btu Coef. Btu Infiltration Coef. Btu Infiltration Int. wall Glass Exp. wall Exp. wall Floor _ -2— Q - Glass Net exp. wall Int. wall 2 Int. wall Net exp. wall Exp. wall Ceiling 41, 0 Int. wall .- Floor Floor Net exp. wall Ceiling .9 0 0 '7 eD Int. wall z Ceiling Floor , w a e� Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area / F1.1 _`'° Room I Lengthy Width 7 c--) Height R Windows and Doors--Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane llghte of crack sq. ft. Width Height No. of Lineal ft. Area No. of pane of pane llghte ofcrack eq. ft. 6 147 Aoe 9 .(j Yom" Coef. Btu Infiltration Coef. Btu Coef. Btu Infiltration d Glass end'" Int. wall Glass Exp. wall Exp. wall Floor _ -2— Q - Exp. wall Net exp. wall Int. wall 2 Int. wall Net exp. wall Ceiling 41, 0 Int. wall Floor Floor Ceiling .9 0 0 Floor z Total Btu. I/ s-_2 a Required sq. ft. E.D.R. or sq. ins. W.A. Leader area I JR.1 �. -A Room I Length _ Width .e./ Height d Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane llghte of crack sq. ft. S V Coef. Btu Infiltration Coef. Btu Infiltration Infiltration ®' d Glass Glass Int. wall Exp. wall Exp. wall Floor Net exp. wall Net exp. wall Int. wall e , Int. wall Ceiling Ceiling Floor Floor Floor f' Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area 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 ft. Area No* of pane of pane lights of crack sq. ft. 41/ Coef. Btu Infiltration Coef. Btu Infiltration ®' �� $' e— Glass Int. wall o Exp. wall Floor Net exp. wall Int. wall e , 3 Ceiling Floor �. "PI -1 j Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area u P1 t -V J g b Reem I Lenatlt -. Width7 d Height 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 ft. Area No. ofDane of pane lights of crack eq. ft. 41/ Coef. Btu Infiltration Coef. Btu Infiltration Exp. wall �� s' z Glass Int. wall o Exp. wall Floor Net exp. wall -T 0 Int. wall Ceiling Floor f' .9 0 0 Total Btu. _ f 1V 6 Required sq. ft. E.D.R. or sq. itis. W.A. Leader area F1_1 Rnnm 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. ft. Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area City of Fridley, Minn.. BUILDING PERMIT Date:_.. ""�� _""" Owner: Builder Address .. ^**' Address g //(47 6 8 1 O TION. OF BUILDING SetNo. ................. Part of Lot x.._. .a Lot ....._ _. Block ....:_........... .............. Addition or Sub- ion . Corner Lot ..........--- Inside Lot ................. :_................. IEback.:...... Sideyard t SewerElevation.-----......................_...._....--•---•---....._.....__..........._....................... Fo dation Elevation _ ..... .............. .............. _....... _............ __..... _............... — DESCRIPTION OF BUILDING To yUed j ..._. .. Front .dr��_.�..._.. Depth .� _:._.. Height .��'�...... Sq. Ft.54-j-.. Cu. Ft. qy��+'" �y ...:. ....................... Front _.. Depth ........ eight Sq. Ft. ........... Cu. Ft....................... Type of Construction .,.., Est. Cost .r:_,:..."""" ""`To be Completed ................................................. TN;s T "UTr.URIZ_E VIOLAT- ION OF jai`, F.(; i E LAND COVENANTS AND SUiLDINQ RLYi FdGTIONS. 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 all provisions of ordinances of the city of,Fridley. In consideration o �..' f the payment of a fee of $''''�"'"�� ........ permit is hereby granted to. ..................... _. .....__..._ _ .__:..__.... 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 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 within the city limits and this permit may be revoked at any time upon v1dl?Lt1d—njof any of the provisions of said ordinances. ./� A 17 1 1 Building Inspector NOTICE: This permit does not cover the construction, installation for wiring,, #Iumbiq®, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these hems. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA Owners Name der /1-1, C Address S6, `r3 r—ty .S/. �G Address 41-f- ® 2, u py 9 LOCATION OF BUILDING No. Street �T �/` r t of Lott rot--A3V ),7,/ U Block . Addition or Corner Loth( _Inside Lot set Back Side -Yard SEWER ELEVATION • FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. DESCRIPTION OF BUILDING To be used as: fry Front / Depth 2- Height l �-- Sq. ' Ft. --0 Cu. Ft. 3 a Front Depth Height Sq. Ft. Cu. Ft. Type of Construction W Estimated Cost �- au To be completed -3 0 N A✓� 5 - 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 representa- tions stated in this application are true and correct. DATE % '�9 —C � SIGNATURE YI. (A Schedule of Fee costs can be found on the Reverse Side.) r/ otter s' `' . City of Fridley AT THE TOP OF THE TWINE L ------- COMMUNITY DEVELOPWNT DW, i PROTECTIVE W0ftCT10N SEPT, ---e MY HALL FRIOLRY .MR 53-81,-S-915.51 i1.19,0EGT PLUMBING PERMIT APPLICATION Job Address - - -- - - - - 560 N. E. lith. Street owner Address Phone Walter E. Johnson 560-3806 Contractor Address Phone MIINNEGASCO Z Kind of BuildingUse Frame f�S,, MINN. Re . Completion Date Estimated Cost 10.00 Plumbing Fixture Rates: N0. RATE TOTAL J W — -----' I! Number Fixtures x $2.00 Future Fixtures x $1.50 aoeva� I f I •�' II New Fixture -Old Open. x $1,50 I I _ _ � 'lddY I I i I i O Catch Basin x $3.25 eve I —� Water Heater -99,000 BTU x $3.00 .*Sim I I i� Ground Run Old Bldg, x $3.25 Saa, 'MNIVMI ( I ! I ( I m Elec. Water Heater x I $2.00 SNISve I T ! %Holv]I W I ! w Gas Fitting Fees: iOO SNIYLC I I l 3 o tlO�'�I I a 1st 3 Fixtures x $2.00 O.0 I SaaMONSI I I I I f 1Z � ! Additional Fixtures x $ .75 Itl V 1Nnoil HNING Gas Range -199,000 BTU 1 x $5.00 5.00 i a HSvMl I I I I Repairs be Alterations See "1N19 I Description: Code a� SNISV8 I I I State Surcharge CIM"Am "Surcharge .50,' .50 I I I ! TOTAL FEE $ 5.50 Iuva I ! !The undersigned hereby makes application for a permit 9'YN1i1OI I I , I for the work herein specified$ agreeing to do all work �aairM in strict accordance with the City Ordinances and Tulin I I I, of the Department of Buildings$ and hereby declare that all'the facts and representations stated in this application are true and correct. 7 'Signature IMMEGASr,, Date , sueJEcr RMIT"N City of Fridley 26442AT THE TOP OF THE TWINS BUILDING PERMIT r ` RECEIPT NO. COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. ^� r Oy 1 . , NUMBER REV DATE PAGE OF APPROVED BY I ll I CITY HALL FRIDLEY 55432 A I.J 612-571-3450 910-F15 7/2/98 JOB ADDRESS 5643 4 Street NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 22,23 3 Hamilton's Addition to Mechanicsville SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Dorothy Veris 5643 4 Street NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Leger Roofing 12033 Louisiana Ave N, Champlin, MN 55316 422-1611 20022818 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION Ij REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House (12 Sq) Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the 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 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 @@ $.50 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1,000 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- $34.75 Fire SC $1.00 STRUCTION OR THE PER ORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE License SC $5.00 $41.25 SIGNATURE OF CONTRA rR OR AUTHORIZED AGENT (DATE, WHEN PROPERLY V IDATED BLD INSP THIS IS YOUR PERMITS FATE SIGNATURE OF OWNER IIF OWNER BUIL DERI IDATEI 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: Owner Name & Address: IM Tel. # Contractor: Address: LIVING AREA: GARAGE AREA: DECK AREA: V\ Q MN LICENSE # ZO©Z 0 Tel. #,qZz - / l( Attach to this application, a Certificate of Survey of the f lot, with the proposed construction drawn on it to scale. DESCRIPTION OF EVIPROVEMENT Length Width Height Length Width Height Length Width Hgt/Ground Sq. Ft. Sq. Ft. Sq. Ft. OTHER: Construction Type: Rna -V71 V� c —Estimated Cost: $ Z 5(0 (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = DATE: Z 7 9 APPLICANT: Permit Fee $ �� Fire Surcharge $ State Surcharge $ SAC Charge $ License Surcharge _ $ Driveway Escrow $ Erosion Control $ Park Fee $ Sewer Main Charge $ TOTAL $ �� STIPULATIONS: Ft x $ = $, Tel. # CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1000 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 [ ] SUBJECT PxAMt City of Fridleyi 410 AT THE TOP OF THE TWINS BUILDING PERMIT(I COMMUNITY DEVELOPMENT DIV. f PROTECTIVE INSPECTION SEC. I � NUMBER REv DATE PAGE OF APPROVED BY �'; CITY HALL FRIDLEY 55432 1 612-571-3450 910-F15 9/18/00 JOB ADDRESS 5643 4 Street NE 1 LEGAL ILOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. I Pt 22, 23 3 I Hamilton's Addition to Mechanicsville SHEET I 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Joann Verfi 5643 4 Street NE 763-571-4202 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Window Lite Home Imp. 8400 89 Ave N, Brooklyn Park, MN 55445 425-2227 20039258 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION 57 REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Replace 6 windows in 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 PERMITS REQUIRED FOR: PLUMBING AN SI&S 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $3,406 $1.70 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SA HARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- SC $3.41 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $97.25 re PLAN CHECK FEE OTAL FEE Lice e C $5. 0 $107.36 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEiH lope UR � MIT P O Y VAL�i ED THISZ!') _ S-GNATURE OF OWNEROF OWNER BU4DERi IDATEI / G ip ATE NEW [ ] ADDN [ ] ALTER [ ] CITX OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: �-'v '1` 3 — Legal Description: S/- /L) E- 106131010 Effective 1/1/99 Owner Name & Address: L pyo t a �5- �5"� `f 3 �/ 6�C- A) 6 F11,Tel. # 6-71- -'{zOZ MN LICENSE # X003 9ZTF Contractor: (l� i n d�r� ..: �.e. �.y..Q �Ln,+� . _ Address: $p0 - 7q2 /fn I�1 um PI{.d ,5'S�,S 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 IMPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. Construction Type: 1, cp5 Estimated Cost: $ (Fee Schedule on Back) Driveway Curb Cut Width Needed: DATE: q41 Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee $ Sewer Main Charge 30&.0-0 Ft. + 6 Ft = Ft x $ c r - CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1 / 10th %) $.50/$1,000 Valuation MEIN Tel. # $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 $ ® • it��!/D� .�.���'� � /� Lam— i•�l� Yp- Sl!PWTIONS.or 4 • 3cxo, 5', -- l !?3?7-c. l SUBJECT City of Fridley 32913 AT THE TOP OF THE TWINS BUILDING PERMIT r E RECEIPT NO. 1 \� COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. r E ✓-( CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY 763-571-3450 910-F15 7/22/02 JOB ADDRESS 5643 4 Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. Pt 22,23 3 1 Hamilton's Addition to Mechanicsville SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Joanne Veres 5643 4 Street NE 763-571-4202 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Same d ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 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 Reside house & garage 9 CHANGE OF USE FROM TO STIPULATIONS Per Section 1402, 1997 Uniform Building Code, requires that a weather resistive barrier be placed over exterior sheathing to protect the interior wall covering. Exceptions for this provision would be if sheathing is an approved weatherproof panel or when the siding is an approved weather barrier. Vinyl siding is not a weatherproof covering unless the manufacturer states this in their application guidelines. Call for inspection of wrap before covering. Caulk and flash all exterior openings. 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 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 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 $4,000 $2.00 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 TOTALFEE $19X.25 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI EN P OPER V LIOATEYTIS IS YOUR PE !IT � BL NSR OAtE //'/( Ze S-GNATURE OF OWNEROF OWNER BUILOER- IDATE. l NEW [ ] CITY OF FRIDLEY Effective 1/1/2002 ADDN (J 6431 University Ave NE, Fridley, MN 55432 (763) 5723604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: Legal Description: Owner Name & Address: JD S 51, 4 3 Gj-- e 7 .0.3-5 7 1- 42 c)z, Contractor. 15a 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 Wdth Hgt/Ground Sq. Ft OTHER: e S I& k rc ko LA -S C— � �► ct r Construction Type: \/ I N Estimated Cost: $ 04 Do Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ _ $ DATE: 7 -Z -2--O Z APPLICANT: ate_ S �� Tel. # Call (763) 572-3604 for Permit Fees if mailing in application or Fax to 763-571-1287 if using credit card and we will call you for card number. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge $ 6r) $ 2.00 CITY USE ONLY - Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1200 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined byEngineering Agreement Necessary [ ] Not Necessary [ ] TOTAL $ /03, -25- STIPULATIONS: Building BUILDING Permit No.: fig Inspections RESIDENTIAL APPLICATION Received By:. 763-572-3604 CITY OF FRIDLEY na te Rec'd: DATE �`®� YOUR E-MAIL ADDRESS SITE ADDRESS _ THIS APPLICANT IS: OWNER ❑CONTRACTOR PROPERTY OWNER/ NAME: J5 A n r, k, f ADDRESS: —* CITY E t L EA STA _ZIP�� TENANT PHONE: CONTRACTOR NAME: STATE LICENSE # EXP DATE SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS: CITY STATE ZIP WITH APPLICATION PHONE FAX PROPERTY TYPE MINGLE FAmmyn EW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ,V7WINDOWS ❑ BASEMENT FINISH ❑ ROOF. ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW ❑ ADDITION ❑ MAINTENANCEIREPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: L � coi ri 16L C !F SIZE OF IMPROVEMENT C LENGTH WIDTH HEIGHT Sq. Ft. ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES ❑ ATTACHED GARAGE 1. 2. Existing Floor Plan Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffit ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia ZL and proposed project WINDOWS ✓��,�( L� l 2. Two sets of construction plans IN EXISTING OPENINGS Yes ❑No LOCATION OF WINDOWS DESCRIBE 3. Energy Calculations OR FOR NEW OPENINGS SIZE OF r OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USIN TMJ997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ OCCUPANCY TYPE Permit Fee $ �� - "/� See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Surcharge $ (.0005) times the total job valuation — Minimum $.50 Fire Surcharge $ .001 x Permit Valuation (1/10%) License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $1450 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $20 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ ® Fee Determined by Engineering Sewer Main Charge _$ Agreement necessary ( ) Non Necessary ( ) Total Due Make checks payable to: City of Fridley Attach Stipulations 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 Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all work which requires review and approval of plans. SIGNATURE OF 0"'J'OF iL /� A , ED")v WE 0 0 (e43 41't" --s t /L6 li 0 vio mr, Ilan . . . . . . . . ... Vol PC 0- ff�ML L 54e 43 4�-S t ME _1w lot LM Building BUILDING Permit No.:_?1fhb10 12 Inspections RESIDENTIAL APPLICATION Received By: NW 763-572-3604 $ CITY OF FRIDLEY Date RPETO 8 20 763-502-497©7 FAX EFFECTIVE 1-1-08 DATE 9 —8 —Ps YOUR E-MAIL ADDRESS SITE ADDRESS 5613 "� ` *L- St � E F 2 k Z LL b m 1O 5S 4 RA THIS APPLICANT IS: I&OWNER ❑CONTRACTOR PROPERTY OWNER/ NAME: Jo A h 5 [veres ADDRESS: S�oLF3 1 St CITY LE -n STATE M ZIP 551i3Z TENANT PHONE: ?&3 -5-71-4w2- NAME: ADDRESS: CITY STATE ZIP CONTRACTOR SUBMIT A COPY OF PHONE FAX YOUR STATE LICENSE STATE LICENSE # EXP DATE PROPERTY TYPE INGLE FAMILY EW CONSTRUCTION SIZE ❑ TW EW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK 19 SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION ❑ MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: CI -1 LID ©O S k JO- I SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SQ FT ROOFING ❑ HOUSE ONLY BASEMENT REMODELING SUBMIT: NUMBER OF SQUARES ❑ HOUSE & GARAGE 1, Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used, PROPOSED HEIGHT: FOR NEW CONSTRUCTION INCLUDING DECKS, SEDWG ADDITIONS & PORCHES SUBMIT: Vinyl ❑Soffit 1. Site Plan/Survey showing the existing structures ❑ Aluminum ❑ Trim and proposed project. 140ther ❑ Fascia 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS OR FOR NEW OPENINGS -DESCRIBE SIZE OF 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 THE 1997 UBC FEE SCHEDULE) TOTAL JOB VALUATION $ 19 2, 10 O 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 $ 3;aZ $ 1� $ 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) $1825 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$21 =$- $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks Pavable 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 Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit on site; that the work will be in accordance with the approved plan in the case of all work which requires review and approval of plans. SIGNATURE OF APPLICANT Q�,_ S PRINT NAME & A" r. S, VC V tt S DATE _8"a APPROVED BY DATE $ - (o. (� 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) $1825 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$21 =$- $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks Pavable 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 Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit on site; that the work will be in accordance with the approved plan in the case of all work which requires review and approval of plans. SIGNATURE OF APPLICANT Q�,_ S PRINT NAME & A" r. S, VC V tt S DATE _8"a APPROVED BY DATE