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PRE 2010 DOCSBUILDING PERMIT Village of Fridley, Mi. N° 2373 Minn.N? Date ........~df !................ t� Owner.. l .r�,�?`1,�,.,11�i-iI�F":3;.�!'� ...... Builder-�C'!`+~ ✓ ....................... Address ..t .�.. X ��++y...10711C... Address ....................... LOtAT ON OF BUILDING No. ...� I. Street ... ..................... Part of Lot ....................... Lot ... Block ... ........ Addition or Sub -Division . �� �.diGf�q .. d..... Corner Lot ....... .... Inside Lot .. 4........ Setback �►i 4`+,f.# . Sideyard .......................... 11 DESCRIPTION OF BUILDING To be Used as: o.Of . .. Front P3110.... Depth . S�r� �. Height �. � � ... Sq. Ft......... Cu. Ft........ . ............... z .. al . Front ........ Depth ........ Height ......... Sq. Ft......... Cu. Ft........ . Type of Construction,x94- 4.".. Est Cost .'42,00-0 .,........ To be Completed e.. l I' 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 village of Fridley. il In consideration!of the payment of a fee of $.I.+tow .. , PermJ is hereby granted to ..... ............ . �,�f,Il,►��I Q,!... to construct the building or addition as described above. This p t is granted upon the express c ditiar# that the person to whom it is granted and his agents, employees an 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 village limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances, r. ... 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. • 0 L J City of Fridley, Minn. BUILDING PERMIT Dates — Nov. 7, 1967 Owner: _ Terry Ferrard Builder Inter City_Blders Address 5608 5th St. N. E. Address 35 Hwy 10 �Io o 7,3 No 9544 LOCATION OF BUILDING No. 5608 Street ____ 5th S t . N. E. Part of Lot Lot 10,11,12_ Block 3 _ Addition or Sub -Division __ Hamiltons Addn. to Mechanicsville Corner Lot ---- Inside Lot .... Setback Sewer Elevation Sideyard Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Garage Front 20' Depth _ 22' Height — 10, Sq. Ft. 440 Cu, Ft. 4+00 Front Depth _ _ Height _ __ Sq. Ft. Cu. Ft. Type of Construction Frame Est. Cost — --- To be Completed $1550.00 In consideration of the issuance to me of a permit to construct theding described above, I agree to do the proposed work in accordance with the description above set forth and mpliance with all provisions of ordinances of the city of Fridley. 4 In consideration of the payment of a fee of $----L. 00 , permit is hereby granted to— Inter City Blders 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 buildiags within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. CLARENCE BELISLE Building Inspector NOTICE: Uls permit doss not cover the construction, installation for whine, plumbing, gas heating, sower or water. Be sure to see the Building hrspeetor for separate permits for these Meme. APPLICATION FOR BUILDING PERMIT CITY OF FRIULEY, MINNESOTA OWNER'S NAME BUILDER .. .T fLC�G/�ts ADDRESS �� a ,� . 116.4-409 S'T'REET �1 ART ' bF Or � to ii iz LOTADDITION OR SUBDIVISION�h,�Ill-I'l-Lo USA4-4, To C0 NEk'LO1k------ �IRSIDEI LOT _SE'MACR SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Two Cestifices o stA•Survey,of Lpt and,pra�aped .building'..Ideation diaiwc!dn these Ce ti°fidgtee ' Front. L� neptb._ Height Ft. Cu. Ft. �00 .Aeptt ,,r...: .Hecht Y Sq. Ft. Type of Constructiraii' 1 A EstimateCost00 To Be Completed p. - G . 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 truce and correct. DATF- (Schedule of Fee Costs can be found on thever a Side). let z;1 SUBJECT P City of Fridley 5 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. • COMMUNITY DEVELOPMENT DIV 16 PROTECTIVE INSPECTION SEC 1 I NUMBER REV DATE PAGE OF APPROVED By 1 1 CITY HALL FRIDLEY 55432 �.J 612-571-3450 910-F15 10/3/95 JOB ADDRESS 5608 5 Street NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 11-12 3 Hamilton's Addn to Mechanicsville SHEET I 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Dennis Jex 5608 5 Street NE 571-8288 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 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Replace windows 9 CHANGE OF USE FROM TO STIPULATIONS Provide smoke detectors as per UBC - adjacent to all sleeping areas and in basement. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD 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 I 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 $1,500 $.75 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 $48.50 Fire SC 1.50 PLAN CHECK FEE TOTAL FEE SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI WHEN PROPEPRY VALIDATED THIS IS YOUR PERMI B G INSP MATE GNA- O NE OWNER BUILDERI IDATEI NEW [ ] Effective 8/1/95 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: — h n Legal Description: Owner Name & Address: hx--nni n Tel. # 5-7 1— ov Zs�)'b 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/Grouund Sq. Ft. OTHER: K) I K )JY)\ -k I QMV1 ACl--7Vt E --AI I C1 K 71-2 y S31q-� Corner Lot [ ] Inside Lot [ ] Type of Construction: Approx. Completion Date: _ Ft. Yd Setback Side Yard Setbacks Estimated Cost: $ 4 t`QjL1 r CIO (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: APPLICANT: Tel. # CITY USE ONLY Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ , 10 Fee Schedule on Reverse Side $ .001 of Permit Valuation (1/10th%) $ , $.50/$1,000 Valuation $ $850 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 [ l a SUBJECT City of Fridley 7'489 AT THE TOP OF THE TWINS BUILDING PERMIT I RECEIPT NO. Ir � • _ COMMUNITY DEVELOPMENT DIV. L PROTECTIVE INSPECTION SEC r NUMBER REV DATE PAGE OF _ APPROVED BY i CITY HALL FRIDLEY 55432 612-571-3450 910-F15 6/19/96 JOB ADDRESS 5608 5 Street NE 1 LEGALLOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 10-12 3 Hamilton's Addition to Mechanicsville SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Dennis Jex 5608 5 Street NE 571-8288 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 6 USE OF BUILDING Residential 7 CLASS OF WORK NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 19'6" x 12' Deck 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD 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 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 @ $1,889 $.94 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTALFEE $62.33 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI WHENPER V�ED THIS IS YOUR PERMIT I/ tel! �V • �Y/ fY — �� f W BLGt INSP — BATE SIGNATURE OF OW R IIF OWNER BUILDERI IDATEI a NEW j ] Effective 3/1/96 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application ConstructionAddress: 5�� -- 7'� 1 �} Legal Description: Owner Name & Address: Tel. # Contractor: MN LICENSE # Address: LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEAHM Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width 12-' HgtlGround ZO a Sq. Ft. Comer Lot [ ] Inside Lot [ ] Type of Construction: Approx. Completion Date: Ft. Yd Setback Driveway Curb Cut Width Needed: DATE: APPLICANT: Side Yard Setbacks Estimated Cost: $ (Cost on Back) Ft. + 6 Ft = Ft x $ Tel. # STIPULATIONS: CITY USE ONLY Permit Fee $,j () Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ m $.50/$1,000 Valuation SAC Charge $ $900 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 $ �2. �3 STIPULATIONS: BOW No---] )IN Ap� - MbL "Ma loop "A WHO WS! %'1 f ■■ ■ 9 SUBJECT P City of Fridley 2 8 5 39 AT THE TOP OF THE TWINS BUILDING PERMIT %572 NC O _ _ MMUNITY DEVELOPMENT DIV. r L PROTECTIVE INSPECTION SEC CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910-F15 111/5/98 JOB ADDRESS 5608 5th Street NE 1LEGAL LOT NQt • 10 BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 11,12 3 Hamiltons Addition to Mechanicsville SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Dennis Jex 571-8288 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Owner 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 O NEW O ADDITION O ALTERATION f;k REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Replace windows and sheet rock 9 CHANGEOFUSEFROM TO STIPULATIONS Install smoke detectors to meet the State Building Code - in each sleeping room and on each level of house. 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 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 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 $625 $.50 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 $26.50 Fire SC $.62 PLAN CHECK FEE TOT/ F E $ .62 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IOATE, E P H� V L1D T D HIS IS PERMI V 1 / ! IT i1 S-GNATURE OF OWNERSIF OWNE BUILDERi 1DATEi BAG INSD gAtE 9 NEW ADDN [ ] ALTER [ ] ConstructionAddress: Legal Description: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION .azo v 5 s -Tr., 5- - Y1, Effective 1/1/98 < Mki -3�s13Z Owner Name & Address: S Tel. # S---� - 8� Contractor: Address: MN LICENSE # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Tel. # LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: W I NDbLQS StUAtJ� Construction Type: 1��) stimated Cost: $ Cp Z5 (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: P - -5�" � y APPLICANT: �� Tel. # Permit Fee $ Fire Surcharge $ , State Surcharge $ • tjy SAC Charge $ License Surcharge $ Driveway Escrow $ Erosion Control $ Park Fee $ Sewer Main Charge $ TOTAL STIPULATIONS: 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 P MIT NO. City of Fridley 30285 AT THE TOP OF THE TWINS BUILDING PERMIT r T , 'RECIEIM—NO. COMMUNITY DEVELOPMENT DIV. , j PROTECTIVE INSPECTION SEC, 1 1/C,Jt�/ 067 1 NUMBER REV DATE ,23/9 TE PAGE Of APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 JOB ADDRESS 5608 5th Street 1VE 1 LEGAL LOT NOp t 10, BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. . 11.12 3 Addition tcl Mechanicsville SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Kelly Jex - 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Midwest Roofing & Siding 18979 Gladstone - 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 O NEW 0 ADDITION 0 ALTERATION x® REPAIR 0 MOVE 0 REMOVE 8 DESCRIBE WORK Re -roof house and garageTeggr-off 9 CHANGEOFUSEFROM TO STIPULATIONS Underlayment must comply with the State Building Code. Permit Inspection Cards Will Be Mailed To Homeowner To Post 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 'HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 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 $1923 .96 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 69.25 Fine SC $1.92 PLAN CHECK FEE FEE Licens 5 00/ 1;7 7. 13 SIGNATURE OF CON'RACTOR OR AUTHORIZED AGENT IDATEI NEN ROP VALID D THIS 1R PERMI / IO S-GNATURE OF OWNEAoF OWNER BUILDER, IOATEi BL IN$ r AiE NEWT ] Effective 5/10/99 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FA 13LY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION b� Oo Construction Address: -th S -L 0& J n Legal Description: 911 - I lt)� Owner Name & Address: E V S & D �? S+-'? 51d Tel. # S71— 2 Contractor:M-Awezi( 1 MN LICENSE #0001 W-7 � Address:bjn(-f'EJMJ[ Tel. # Attach to this application, a Certificate of Survey of --- n lot, with the proposed construction drawn on it to scale. DESCRLPTI TON OF IPORROVE,�NT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground S . Ft. OTHER: 2 aC - baL4Q �UCLQ'a--Construction Type: %timated Cost: $ 1/ Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE:Tj!�APPLICANT:(JM AWTel. # ill& CITY USE ONLY Permit Fee $ Z-�Fee Schedule on Reverse Side Fire Surcharge $ q9- .001 of Permit Valuation (1/10th%) State Surcharge $ o ' (p $.50/$1,000 Valuation SAC Charge $ $1050 per SAC Unit License Surcharge $ 5.00 $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 $ STIPULATIONS: /� SUBJECT P City of Fridley 3033 1 AT THE TOP OF THE TWINS ? BUILDING PERMIT r : RVUEFOTT NO. 1.0 COMMUNITY DEVELOPMENT DIV. tr ______ d � PROTECTIVE INSPECTION SEC I "'S CITY HALL FRIDLEY 55432 NUMBED REV DATE PAGE OF APPROVED BY 612-571-3450 9�o-F15 10/1/99 10B ADDRESS 5608 5th Street NE I LEGALLOT NO.pt . 10 BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 11-12 1 3 Hamiltons Addition to Mechanicsville SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Dennis Jex 5-71-8288 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Owner a 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 O ADDITION O ALTERATION MR REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Window replacement 9 CHANGE OF USE FROM TO STIPULATIONS Provide smoke detectors in all sleeping rooms and on all levels of the house. 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 1 HAVE READ AND EXAMINED THIS APPLICATION 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 $1000 $.50 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $38.75 F SC 1.00 PLAN CHECK F FEE ;TrAL 40.25 ,SIGN ynnATURE OF CON 7RACTORORAUTHORIZED AGENT � iDATEi � Jr HE P Y VAU THISIS YOUR PER1T SGN4 TUBE O� OW NE A.1 OWNER BUILDER. iDATEi SLAG INS QA I NEW[ Effective 5/10/99 ADDN [ ] CITY OF FRIDLEY ®#' ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 r j BUELDING PERMIT APPLICATION Construction Address: 5 (6,C'B — �s� Z Legal Description: Owner Name & Address: IJP) S Tel. # Contractor: IvlX 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 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:1 t�� (0 N W(ALWE&Pstimated Cost: $ 1 DODO . Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ DATE: G l APPLICANT: Tel. Tel. # Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee E5 S� 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 STIPULATIONS: Building PLUMBING Permit NoMJUL720(9 Inspections RESIDENTIAL APPLICATION Received 763-572-3604 CITY OF FRIDLEY Date% ' � 763-502-4977 FAX EFFECTIVE 2-19-09 FDAT0723/09YOURS-MAILADDRESS wnelson�larsonplumbing.com DRESS 5608 5th St NE THIS APPLICANT IS: 0 OWNER 09CONTRACTOR PROPERTY NAME: Dennis Jex OWNER/ ADDRESS. -_5608 5th St NE TENANTCITY Fridley STATE NZIP 5 PHONE: 763-205-4270 CONTRACTOR NAME: Larson Plumbin Inc SUBMIT A COPY OF YOUR STATE STATE LICENSE * 58757 ( 3341) EXP DATE LICENSE, BOND AND STATE BOND # EXPDATE CERTIFICATE OF ADDRESS: 3095162nd Lane NW CITY Andover STATE MN ZIP 55304 INSURANCE PHONE 768-427-7680 FAX 763-427-9448 PERMIT TYPE IN SINGLE FAMILY 0 TWO FAMILY O TOWNHOUSE TYPE OF WORK: 0 NEW 19 REPLACEMENT DETAILED DESCRIPTION OF WORK Replace Water Heater FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER: OF EACH BELOW). MINIMUM FEE $35.50. BATH SINKILAV FLOOR DRAINS SHOWER WATER PIPING _—BATHTUB _GAS PIPING (NEED CITY LIC) —SWIMMING POOL _ WATER SOFTNER($ _CLOTHES WASHER _KITCHEN SINK WATER CLOSET _ BACKFLOW PREV. $I ) DISHWASHER_LAUNDRY TRAY WATER HEATER ($35) FOR IRRIGATION WATER METER _OTHER . + x .:'�• :d•� :�'%i,"Y�`,a,+-, . .:•, f,�"sl > N.: SC�'"s ,,s�G .�`• , i��. Y,• r•(n�' i>,i. o kj S'ig 4t. F c y i-':Y,S'�"Yt iS. -•� ^ i r., `' Yr.T�'sFax ;c bYd-LS.+ :-S ,.r;4. •dye"' 4(•.�:2's.- �..;yC ': Jg::. ti„` M + "� 6 ;�' j re�.n ✓,. .i .G'�"�����ti't4 �<t',a4i'7i. Ti".i •.'� ,�+"4r :1> 3un i't ,t 7 �`a°r•-?•.:.i, i t �� �.� h. sof r '!• y v<, iii ,a.�S tnh '��'d •w'�_.}4%(,, ..? 'I':: :av(''�; , `C.+¢'� �'•"'i3,Ctrud/Jt�- k' •y.:F'r h`r' 71R+ f its_':)' ' a,;t_{'.�'e C.Le�Jr ! 1• C -.�. "M: �,. .4+� 4rrrS74�i l `r`�'),s .,-yi rfy F`,. �: k' ?�T' . •.`��.� -W , t: C; i ih :;'' da ['Y� ala �{, int i �`. 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';� t `�5r k �+ n r �. °<.b X n4.*,• .. s. �'• .t• t �k�+ .b :iy.. . <r.�, � ay' �i'�t1tl: A-b`.P i*'�.,yP��`c .C.3}. y ,�, / .;.. ,y C ,tl i .. <.+�i x p� "fSG�'^.'•',�-. THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a plumbing 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 ' the case of4H-work which requires review and approval of plans.. n SIGNATURE OF APPLICAN PRINT NAME M LC� a -e ( 9' nV OL (t Y-tJ L6ATE 07/23/09 �• } ?O E i `l~ ' l l S. A �1 . YJ t ir31 Z"91`UY%,D NGs:Ei,EC TC L A �C t` '• � r 1 �Nv City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, DAN 55432 763-572-3604 FAX: 763-502-4977