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PRE 2010 DOCSCity of Fridley CU�1 JPa.CY Permit No. 4T THS TOP OF TME TWINS aq PLUMBING PERMIT APPLICATION tu-------i COM"VNITY DEVEI ENT DIV, i PROTECTIVQ M CTtOM BKPT, CITY HALL MIDI." GWR �....�air j 01$-6109-345Q NUMM RM QU PACE W AMPRIVED 0Y - 1 0 2115/73 1 1 800 Job Address Owner Address Phone C Cont r^ for Address Phone Kind of Building C7 Use 0107,. Comlet1on Date stimate o s t I Plumbing Fixture Rates; NO. RATE TOTAL uI I I I II Number Fixtures ! Future Fixtures x $1.50 o® 3G�IdY2lI i I I , New Fixture -Old Open. x $1.50 Catch Basin x $3.25 Water Heater -99,000 BTU / x $3.00 Jotwl III I—_ j ! •saa�I Ground Run Old Bldg. x $3.25 MNIVa I I I I Elec. Water Heater x $2.00 1� HJlYJI 1 1 I I I O '0 Gas Fitting Fees Ci I I I IOw SNIYaO o a 1st 3 Fixtures x$ 2.00 O o samo VI I I Additional Fixtures., x$ .75wso •INno la d d ,� MNtaa ( I I I Gas Range -199,000 BTU x $5.00 ;U•0 I .s I I I SAYHl� .w HSYM r -y }] Rep Re airs &Alterations RR GI .0 ! See :36NNISI ISI I I� Description; Code ffiNISY9I(�, CJ State Surcharge .50 I I I TOTAL FEE $ oy. SD I� H1YS I I I $ The undersigned hereby makes application for a permit S,YNtaol for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and ruling U of the Department of Buildings, and hereby declare that ��•Y all the facts and representations stated in this w app lirore true and correct. J5 'Signature Date /,-/,-7- 2,5- i�y y� SUBJECT P MIT NO. City of Fridley o 1226 AT THE TOP OF THE TWINS PERMIT, r �IPTNO BUILDING 1 ` _COMMUNITY DEVELOPMENT DIV. U -7 Cj 5 1gB r PROTECTIVE'INSPECTION SEC. / 1 . � CITY HALL FRIDLEY 55432 NUMBER REV. DATEPAGE OF APPROVED BY 612-560-3450 910-F15 8/6/73 JOB ADDRESS 180 - 62nd Way N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 3 1 Potasek Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE A Mattson 6320 Riverview Terrace N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. D W Construction Inc. 8804 Lexington Avenue 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 CX NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBEWORK. Construct 38' x 26' Dwelling and 24' x 24' Garage 9 CHANGE OF USE FROM TO STIPULATIONS Provide a verifying survey before framing. Provide a hard surface driveway Walkway easement O.K. %WROA i t b FOR pN� SIGNS. pLUM61NG EATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. Wood Frame 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 R-1 1065 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 l 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 $20,490 10.25 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- $45.00 275.00 STR N OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE JA $333.25 SIGNAT�REOFCONTR CT RORAUTHORI DAGE (DATE) HE PROPERLY VALIDATE ISI YOUR PMMIT cp jc3NATURE OF OWNER IIF OWNER BUILDER) (DATE) BLDG INSP DATE APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME : /a s �� BUILDER: ADDRESS: q �--Q —_ �a •� — DDRESS: a NO • . / 90 STREET: LOT: 3 BLOCK: f ADDITION:n•� '-1-24U CORNER LOT: INSIDE LOT: L SETBACK:fig' SIDEYARD:�c o Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: Front: Depth: of 6 Height g �O Square Feet • b' `` Cubic Feet: Front:� Depth:_ !�2 Height: / p' Square Feet;_ <,' *�` Cubic Feet: Type of Construction: Estimated Cost: To Be Completed:� The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in sttict 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: (See Reverse Side For Additional Information.) 5I(e J6 / - pecl J, lJ & 14's& R 0 EXHIBIT "A" Land Planning ' 68%S-Hi9hnoy '`GS NE. Land Surveyii y Mirnr¢v�a/�sl2, SoilsTesh;r9 ENGIN FE R I` V 01+9 INC. Aliiinccv/o Owl b- Municipal ' . SUlsef d 606ri i En)beeerirry E/jQineers .SUC'Veyon, Ot 1.7h"3v Y L, S C H c WAY N -c 4 Iron n 190 u � � �l;lily L•a �er��r�� `S' ;.r c� t- 41 tieF AI -401C 1 hereby cerAly' tW fhis is a Irue and correct represenfaiion OP survey elke bounderies of the abore drscr;& d land, and ot'%frc lecgfion ol'all burldinys , lhersan , a �d all risih/e ew-ovchwenfs , i,! voy. {revs or a7 soul /and. As surveyed by are this • `_ clay A D ��-`�`• SUB URBAN ENG/NEERING , INC. r 6n9;ncers Fi• Sur;veyonw . r .t o) 1'1�f ��"" gy m,,. �lv -u--.� / "2 3 Fro .d d G� �}'T� Lc�Tro�✓ „ /.2 er 4 r R SUBJECT City of Fridley 3 311 AT THE TOP OF THE TWINS BUILDING PERMIT Ir • _ _ COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. 1 , ; NUMBER REVDATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 4/25/95 JOB ADDRESS 180 62 Way NE 1 LEGAL LOT NO, BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 1 Potasek's Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Sybil Bottnett 180 62 Way NE 571-2400 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. American Remodeling 3700 Annapolis In, Plymouth MN 55447 553-0020 2406 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE NO r�LICENSE 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION j ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Replace windows with vinyl 9 CHANGE OF USE FROM TO STIPULATIONS ANY REPLACEMENT BEDROOM WINDOWS MUST MEET STATE EGRESS 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 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 I 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 $3,995 $2.00 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- SC $4.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $63.00 Fire PLAN CHECK FEE TOTALFEE License SC $5.00 1 $74.00 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IOATEI WHEN PROPE RL"ALI DATED THIS IS YOUR PERMIT BL _ INS�a SIGNATURE OF OWNER OF OWNER BUILDER) (DATE) / - — Effective 1/1193' -- ADDN [ ] CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2( 2 ALTER [ l Building Permit Application Construction Address: Legal Description: Tel. Owner Name & Address: �I P r MN LICENSE #'600,9 4106 Contractor. a `�/, Tel. � .� Address: ® � � .�� , �• '�.� O�� `�'W / 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. T OTHER: Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: Estimated Cost. Approxe Completion Date: (cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ CITY USE ONLY Tei. # 1L— 0 Per Fee $ Fee Schedule on Reverse Side Fire Surcharge $ �,! .001 of Permit Valuation (1/10th%) State Surcharge $ • s $.50/$1,000 Valuation SAC Charge $ $750 per SAC Unit _ License Surcharge $ $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Art. "A" or Alt. "B" Above Paris Fee - $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ l TOTAL STIPULATIONS: SUBJECT PE k City of Fridley 3 8 AT THE TOP OF THE TWINS BUILDING PERMIT r ` RE IPT NO. COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. r � � NUMBERREV DATE PAGE OF APPROVED BY "'� CITY HALL FRIDLEY 55432 L 612-571-3450 910415 7/18/00 JOB ADDRESS 180 62nd Way NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 1 Potasek's Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Marvin $ Sybil Bohnett 180 - 62nd Way NE 572-0317 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Lake State Remodelers 6248 Lakeland No. #206, Brooklyn Park, MN 55428 763-533-1544 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 20047291 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK O NEW ❑ ADDITION ❑ ALTERATION CN REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Tear Off and Reroof House and Garage 27 sq 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. 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. OWLG. 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 $2 360.00 $1.18 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT s DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS ANY OTHER STATE OR LOCAL LAW REGULATING CON. $83.25 Flr SC $2.36 STR CTION THE PERFORMANCE OF CONSTRUCTION l'®0 PLAN CHECK FEE TOT FEE l Licens $5.,0 1.79 SIG RE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI EN R PE Y ALIO E HIS IS�QUP IT - S-GNATURE OF OWNERi6 OWNER BUILDERI IDATE I Bl -NSP elA�E (i��Jr � Prepaid Plan Check $ Effective 1/1/2000 Estimated Cost $ CITY OF FRIDLEY (612) 572-3604 Receipt # R-3, COMMERCIAL & INDUSTRIAL BUILDING PERMIT APPLICATION Construction Address " Zoning Legal c f C/n6) VU -9,1 Owner & Addressbb2k:LE HI Tel# ( ) CONTRACTOR & ADDRESS Tel# (( )stl Architect Reg.# Engineer J Reg.# BUILDING CONSTRUCTION TYPE OF WORK [] New [] Addition [] teration -De ribe_,/��)�'rY („ � r � d-y� OFC. AREA: Length Width Height Sq. Ft. WHSE AREA: Length Width Height Sq. Ft. OTHER AREA: Length Width Height Sq. Ft. APPLICANT Tel # Date VALUATION Sq. Ft. x $ Cost/Sq. Ft. = Valuation $ Sq. Ft. x $ Cost/Sq. Ft. = Valuation $ ) _ Sq. Ft. x $ Cost/Sq. Ft. = Valuation $ ) TOTAL VALUE Building Use Construction Type Occupancy Group Air Conditioning []Yes []No Fire Protection Provided []Yes []No Performance Bond Amount $ See Reverse for Schedule Received []Yes a Permit Fee Fire Surcharge -/,0 c State Surcharge $ Erosion Control $ Park Fee $ Spec. Assessments $ Driveway Escrow $ TOTAL $ PERMIT FEES See Fee Schedule on Reverse Side In Excess of Prepaid Amount - See Reverse Side .001 x Permit Valuation (1/10th %) $.50/$1,000 Valuation (See Sched. for > $1 Million) $1100 per SAC Unit (Plans to MWCC for determination) $450.00 Conservation Plan Review Fee Determined By Engineering Agreement Necessary [] Not Necessary [] feet x $15.50/foot ATTACK STIPULATIONS SUSJE& City of Fridley 15 9" AT THE TOP OF THE TWINS BUILDING PERMIT �f3 r NO. wCOMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. m 50 12�� 1 . � CITY HALL FRIDLEY 55I$2 NUMBER pEv DATE PAGE OF APPROVED BY L 612-571-3450 910415 9/11/01 JOB ADDRESS 180 62 Way NE I LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 1 Potasek's Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Marvin/Sybil Bohnett 180 62 Way NE 572-0317 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Lake State Remodelers 6248 Lakeland N #206, Brooklyn Park, MN 55428 533-1544 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 20047291 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO B USE OF BUILDING Residential 7 CLASS OF WORK O NEW ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 12' x 13' Deck 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. N I N G Before digging call for SEPARATE PERMITS all utility locations REQUIRED FOR: 454-0002 REQUIRED BY LAW PLUMBING ANDnSIGNS 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 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1,794 $.9U DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL TME PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $63.15, SC $1.79 STRUCTI THE PERFORMANCE OF CONSTRUCTION IFire PLAN CHECK FEE TOTAL FEE Licer e $5.0 $70 4 SIGNATURE OF CDN'RACTOR OR AUTHORIZED AGENT IDATEI HEN ROPER V (DATED THI I$ Y P IT /7�c BLC INSo - riATE SIGNATURE OF OWNEROF OWNER BUILOERI IDATEI Prepaid Plan Check $ Effective 1/1/2000 Estimated Cost $ CITY OF FRIDLEY (612) 572-3604 Receipt # -- ', COMMERCIAL & INDUSTRIAL BUILDING PERMIT APPLICATION Construction Address �)b_(Ox� UA U ()a)• Zoning Legal CONTRACTOR & ADDRESS Architect Reg.# Engineer Reg.# BUILDING CONSTRUCTION TYPE OF WORK [] New [] Addition [] Alteration -Describe ` / 16-6 OFC. AREA: Length Width Height Sq. Ft. WHSE AREA: Length Width Height Sq. Ft. OTHER AREA: h Width Height Sq. Ft. APPLICANTOf 7 Tel # .6 57 /�� 4 Date _ " 1a / VALIIATION Sq. Ft. x $ Cost/Sq. Ft. = Valuation $ } �f Sq. Ft. x $ Cost/Sq. Ft. = Valuation $ ) = a Sq. Ft. x $ Cost/Sq. Ft. = Valuation $ ) TOTAL VALUE Building Use Construction Type Occupancy Group Air Conditioning [] Yes [] No Fire Protection Provided [] Yes [] No Performance Bond Amount $ See Reverse for Schedule Received []Yes Permit Fee $ 3 1S Q*WtMeck $ /, % Fire Surcharge �$ 9 State Surcharge"A$ SAC Charge .00 $ Park Fee $ Spec. Assessments $ Driveway Escrow $_ TOTAL $ , PERMIT FEES See Fee Schedule on Reverse Side In Excess of Prepaid Amount - See Reverse Side .001 x Permit Valuation (1/10th %) $.50/$1,000 Valuation (See Sched. for > $1 Million) $1100 per SAC Unit (Plans to MWCC for determination) $450.00 Conservation Plan Review Fee Determined By Engineering Agreement Necessary [] Not Necessary [] feet x $15.50/foot ATTACH STIPULATIONS k-e 54 -ate f e V,,,, 60/l.0 (.. HoosL 4 0' SOP � xk O& 0/,q jo &sk �°s�i- 000� +0 S-PPOI { 4.1 r turf�wa I IS Fo Off) -. S7 --. - �o�s►. z�1oG.-� �, 14 or �•� .vas/.r VIOJS,e/_t`OyJKdT�I J•n � �Do�:.c` i O u r{ V 0 �) S /lj t/ ��r X 40 JMP (oX to Cs, 1- �05 s w-,Ikclo x T MAx 34- 3 8 !l+ rvi Ax S E ' O el ' PLAN APPROVED I PA } JECT TO FIELD 7. I SP ION BL ECTOR !"'/�f/N '�� • SIZ � RA Wc 3 A/ Sovv /7oec MIAl eW 4WS^) 17 H '1 .23 q �3S tJJ Land Planning Land Surveying Soils Testing Civil Engineering Municipal Engineering Mortgage M c 25 0 a C e!!f"Wer/t/wjl 6875 Highway No.65 N.E. Minneapolis,�v'l2yf1•nee4,4iy., Vnc. Minn. 55432 Telephone 784-6066 Engineers & Surveyors 'Area Code 612 Loan Survey for DAN. condrution Inc, 62W° WAq N.E. Srn� 650 F 2a) �? ` G4RRGE r 9.0 � 14J CDncrJQ 96 �; Foundu}ion On� Ru�orr i4+� Iq1� gal r7 38 C G � y tl 114 Gt11SemQ�1� This is a true and correct representation of a survey of the boundaries of the land above described and of the location of all -buildings, if any, thereon, and all visible encroachments, if any, from or on said land. This survey is made only in connection with a mortgage loan now being placed on the property and no liability is assumed except to the holder of such mortgage or any otherinterest' acquired by the reason of such mortgage. At is understood and agreedn monuments have been placed for the purpose of establishing lot lines or boundary corners. Dated this 11LA day of AQW41 A. D. 19A. SUBURBAN ' ENGINEERING, INC. ��16 Engine" Su!vi_ by Lw � d L d..-- 6 Q�. M loan SUBJECT P City of Fridley 32395 AT THE TOP OF THE TWINS BUILDING PERMIT r � ECEIPT NO. COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. r PROTECTIVE 1 . � CITY HALL FRIDLEY 55432 NUMBEi1 REv DATE PAGE OF APPROVED By 612-571-3450 910-FIS 1/16/02 JOB ADDRESS LXX 180 62nd Ave NE 1 LEGAL LOT NO. BLOCKACT TR OR ADDITION SEE ATTACHED DESCR. 3 1 Potasek's Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS zip PHONE Marvin & Sybil Bohnett, 180 62nd Ave NE Fridley, MN 55432 763-572-0317 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Lake State Remodelers, 6248 Lakeland Ave N, #206, Brooklyn Park, MN 55428 20047291 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE (CENSE NO 763-533-1544 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Dwelling 7 CLASS OF WORK ❑ % NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Siding & windows 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 to 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 the application guidelines. Call for inspection of wrap before covering. 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. Caulking and flashing for all exterior openings. Pearm4 p• t In SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING TYPE OF CONST. OCCUPA_I�CLjf�R �� e'�� CY LOAD RRYYpp�111!! Ai e ie THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION ZONING (a n �On1�O11�� ■B9®6�� 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 $14,000.00 $7.00 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 $237.25 $14.00 Fire SC PLAN CHECK FEE TOTAL FEE 5.00 c nse 1$263.25 SIGN A TURE OF CONTRACTOR OR AUTHORIZED AGE NT IOATE- EN ROP ALIDATE THIS IS Y UR PERMIT Bl -NSP -JrMATE SIGNATURE OF OVVNER,IF OWNER BUILDER( (DATE- NEW [ ] Effective 1/1/2000 ADDN [ j CITY OF FRIDLEY (763) 572-3604 Bldg Insp ALTER [-] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: 1 W , Legal Description: Owner Name & Address�,�� Qk-. t T-��.,, LJ=bAM— Tel. A IU. Aln` ►vr��l' J Contractor: MN LICENSE # Address:( OAE:� Lljj aj)!�l.' _ po*zkl' 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: Construction Type: Estimated Cost: $ l �l.coo Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: ��` APPLICANT. e CITY USE ONLY - Call (763) 572-3604 for Permit Fees if m ing in application Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge .001 of Permit Valuation (1/10th%) State Surcharge $ 0' $.50/$1,000 Valuation SAC Charge $ $1100 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 $� STIPULATIONS: �jl�!//U� � D�� '_�'�� 1��•.�`�.9� �- 111/ / % Gl CO.CCyi� /c/.cl�- A'`�� !�•�s'��/i�/.U'�r /� r CITrbF FRIDLEY INSPECTION DIViSION `6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE Residential Rate TOTAL Furnace Shell and Duct Work, Burner - Also Replacement Furnace $ 30.00 $_36. Od (Side Vent - Fill Out Back) Gas Piping (Needed with new furnace, $ 10.00 $ but not replacement) Gas Range $ 10.00 $ Gas Dryer $ 10.00 $ *Air Conditioning - All Sizes $ 25.00 $ All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work $ Commercial/ Industrial 1.25% of Value of Appliance or Work $ State Surcharge $ .50 TOTAL FEE $ .S—Q MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $47.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. JOB ADDRESS NO — G a rA � OWNER �l1 � k �n� ► ► o� Effective On January 1, 200( . E. BUILDING USED A$ 1) W 2 Yl C, ESTIMATED COST 0 00 • d PERMIT NO. DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units_ Circle One (Steam) (Hot Water) Warm Ai Trade Name Ca dZRiP a2J Size No. SOolc� HP EDR Fuel Total Connected Load Burner Trade Name Size No. BTU HP EDR The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes an rulings of the Building Division, and hereby declares that all the facts and f t51fiJJJV& '%sCapplication are true and correct. 9928 Bluebird St. N.W. DATE �3 O a-) Coon Rapids, MN 55433 HEA111WW-2199 Signed A Approved By /2_'!T Rough -In Date TEL # _:�2 6 3 —1 S Y -a 197 Final Date �/� COMMON VENT VENT CONNECTOR AND COMBUST 74& 1e" � - ION AIR VERIFICATION -" � 1 , 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 10No( ) The venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes( ) 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( ) l The existing combustion air is sized and installed to meet the current codes and manufacturer's specifications. Yes No( ) When required to install a new combustion air, it will be sized and installed To meet the current codes and manufacturers specifications. Yes-�Y'11'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. YeV) No Appliance Type and Size/Common Vent and Vent Connector Information Appliance #1 TypeRtr4 BTU Input FW R Fan Assisted or Nat Appliance #Z Type r w BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances 2 Total Btu Input a Common Vent Type �li/1 � ® Vent Height ' Diameter S inches Appliance #1 Vent Connector Height ft Length ft Diameter m Type l� Appliance #Z Vent Connector HeightLen ft Diameter e `' �ft – Length — j n T yP Appliance #3 Vent Connector Height ft Length ft Diameter in Type ALTERATIONS: (Describe) HEATING CO: UU- Signed By: Date : �J —) 0_AJ JAN.18.2006 9:05AM vj1CGUIRE& SONS Mp FRom :City of Fridley ~ FAX NO. 'w9Pe '7635711 s'- M5 .� NO. 624 P.2/2 Jan. 17 2006 12'.27PM P2 IDA � rs .sem Building PLUMBING Fm7nitNo, Inspections RESEDENTIAL APPLICATION R"ve . sy; 763-572-3604 MY OF FRIDLEY Dow R=1d: DATE, ' i - OLP YOUR E• -AMO. APPRISE , Il t r.a rem S(TRAUMMS–laR(ALM 1117 .---ate —" THIS AFMC:Wt IS! D OW;= TRACTOR a awvaa a ■ TOWNEWENANT AEORESS• t�x1d UAY N� Cv Ft40 L*)r STATE&W z s�•/3z CONTRACTOR NAME;(W�Ul0 SUSMIT A COPY OF STATR UCENS11 Ss. vsw-. PM w DAFT _(„k - YOM STATE ADDR.BSS;tc05 LICkNfiTs WITH P110M 45;- !& 4(0 -9 --lo ` FAX_qa gk31 , ` P>E'RMrT TYPE XENcLE FAMILY o TWO FAMY l3 TOWNMUSE TYPE OF WORM I ❑ NEW D?`IYAlLED DPSGRIFT'IOl`1 of WORTS .. w4k - PER MS 168.665 the pIimlt fi„ a is a minimum of Si 6.00 or 5% of the total cost up to $500,00, whichever iS grans, for The lmprovenellt, itis 11 km or replacement of a midadal &cuvre, excluding the des. (This should reflect only the cost of labor) Layer cost wider 5300 - $15.001 Libor cost between $300 to $500 - coat of labor x.05 - FOS, MMCTS WOW L OOR KCC'E= $100, FM'5 ARE BASED ON S1 O.M PTA. FIXTMP.. MCCEPT WIMM XOTSD. RXTUX 9; MMiCATS. TOTAL NUMM OF EACH BFa. UWi •,_._ DATE Sl1VIAAv .._FLOOR DRAMS _ S1 OWER _ WATER PIPING _ BATFMO GAS PIPING P= cm jjMM? $W1Mb aN0 POOL. SoFrM (w) CLOTT-M, WASHM _ UrCHEN SINKW,ATRA _ CVXT-T —WATER _ INACIS> -OW PREV. 015) _ DMHWASIMR —1,AUNDRY TRAY _ WATER HSATPR ") FOR MMOATION — WATl;R MLTLR 0 , OTHM Number Ot =MM $ PU.UU M MUMU - Number of Axamcs $15.00 x 515.00 6 S Number of fixtume $35.00 x $35.00 - S „ stir. Surcharge - S^..: D Total c % FOR A P MIT' = VALID U1NTIi MOMSSED I hereby apply for a building permit and 1 acknowledge that the in£atrnarion above Is complete end accurate; Char the wn* will be in conformance wide the ordinanocs and codes of the City of Fridley and with the 'Nim esota Construction Codes; that I understand this is not a permit but only an applici tion for a permit and work is not to Start without a permit; that the work will be in accm6noe with the approved plan in the case of 9 work v4licb requires review, and approval of pim. SIGNATURE OF APPLICANT w Lehiell NAIviL "W �,Q City of Fridley Building Inspections Department 6431 University ,Avenue PATE, Ndley, MM 55432 763-572-3604 FAX 763.502-4977 Building Inspections 763-572-3604 BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY DATE 2-Z)— L9 YOUR E-MAIL ADDRESS SITE ADDRESS nrs0 & L pQ ry hJ 155 43 2 THIS APPLICANT IS: ❑ OWNER PTCONTRACTOR Permit Received By: Date Rec'd: PROPERTY OWNER/ NAME: ! , v v i 'x5 u lc ADDRESS: I ZI) (o a. r ^�r� 1a3ca r( CITYtri ✓ l•2w STATEW4N ]P.5, q�- TENANT PHONE: el L 3- 5 `72 \ 1 CONTRACTOR NAME: Sd•r .' 4 5 CJ'--tV-V cNiL'%% STATE LICENSE #S #S 1�C - Z Ol'�'� -Lo-1 EXP DATE 3 13 i - z oo S SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS: k el 05 -79~ F's`JG n) CITY t" fd e N1,0,4 STAT3rhVkIP 3> > WITH APPLICATION PHONE - L0 V-01 O FAX _ 41 le - 13 PROPERTY TYPE 0 SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING OTHER ❑ SWIMMING POOL ort TYPE OF WORK: ❑ NEW ❑ ADDITION ❑ MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: SIZE OF M'ROVEMENT LENGTH Z WIDTH 9 3 HEIGHT __,2 0C Sq. Ft. S G� ROOFING ❑ HOUSE NLY NUMBER OF SQUARES ❑ HO &GARAGE BASEMENT REMODELING SUBMIT: 1. Existing Floor Plan GARAGES TTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: emING FOR NEW CONSTRUCTION INCLUDING DECKS, Vmyl Soffit ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum RrTrim 1. Site Plan/Survey showing the existing structures ❑ Other (rFascia and proposed project. 2. Two sets of construction plans WINDOWS 3 Calculations IN EXISTING OPENIN S ❑Yes ❑No LOCATION OF WINDOWS_7 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 L OR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHED —7 TOTAL JOB VALUATION $ '-'0— = ' t�CCUPANCY TYPE Fee 15:? eD!G_ Plan Reviewrj�� Fire Surcharge Surcharge 3 License Surcharge Zi 0 SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due _ 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 ( ) SI/ $oi(OR 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 APPLICANT PRINT NAME �� ! 1 �°� �� DATE 2--2-1-0(o • �'�cj� �f2- c.'J w �l 55u3z� ti so A.) bor4l & /'/:�Joxf Idewn 00�/ - EXISTING ELECTRICAL i / F rfh-iN lf�" i «AUGHT FOR STEPS 1i I EXISTING DECK UP STEPS TO BE LEFT ALONE 9 N CENTER i12 L. VZ HEETIPJG WINDOWS �Y -s vval>- -c. TRUS 5 PITCHZ iAq`' a.` ER \ 1 f iviEA pAutt-le Ofd %� 4 i THREE SEASON TO BE BIUL- OVER EXISTING DECK FRAM PLYWOOD OVER EXISTING FLOOR, TWO BY FOUR EXTERIOR WALLS 16" TO BE RMS INDOOR OUTDOOR C PET ON FLOOR VIN (DING TO CH D FACIA TO BE CEDER ALL TRIM EXTERIOR BOARD' TO BE CEDAR 112' SHEETING ON ROOF Sl;ILN GLES TO MATCH HOUSE (P2 Y\D m 90 c2AI �-- cv�a��► s�-�/�� lArl y� ._ -fit REVI WED COWLANCE 71'' V- LV LV WIlk �4 JA ) _ f Uta f �� /F04 i ZX to (Y. 1. L.P_cldZ �10Js! �OJKan.�IJ� Y Too�:�t i / vo OI�� 2 00 0 — S4 J V' — � •'d;0., x 4 z'' ��va ,� s ZXlZ �•t SLQr,�f'Ir c�S / �ou�� // d 1A �+`•" 'L o VE XaIA 00 34-- 3 8 tl+ ✓� el j PLAN APPROVED , 17 7►, 2. PA �( , 1ECT TO FIELD I SPE ION BL E TOR c% } ~ -2o' PcD6sF C D c k ( br'c � �:1 Land Planning Land Surveying Soils Testing Civil Engineering Municipal Engineering Mortgage s= 0 a Bili(" r, It lffjI 6875 Highway ne N.E. �, � . � Minneapolis, x'11./'%If�(.��/f11� ��'!1('• Minn. SS432 (% Telephone 784-6066 'Area Code 614 Engineers & Surveyors Loan Surveyfor DoW bndruCton Inc, G2Nv WAS( N.E. 0.5% 24C 18.7± c�? GQRpGE N 9.0 ;83! 14.0 9�0 � Concro�e Blas Founds}ion On� C.RUGucT 14 ; i91 C4 3Q.0 I r 0 rLj I y Ljk-.*� i�..r7 U f ► li i EalemeAl This is o Prue and correct representation of o survey of the boundaries of the land above described and of the location of all buildings, if any, thereon, and all visible encroachments, If any, from or on said land. This survey is made only in connection with a mortgage loan now being placed on the property and no liability is assumed except to the holder of such mortgage or any other interest acquired by the reason of such mortgage. It is understood and agreed n monuments have been placed for the purpose of establishing lot lines or boundary corners. Dated this�A day of,f.U;l A. D. 19A. SUBURBAN ENGINEERING, INC. En ine s — 1jZ Surve %�