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City of Fridley SUBJECT P_ IT n W76604 0.4 AT THE TOP OF THE TWINS BUILDING PERMIT Rf I PT '_ COMMUNITY DEVELOPMENT DIV. Lu 3 r PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 NUMBER TREV DATE PAGE OF APPROVED BY 612-571-3450 910-F15 5/28/82 JOB ADDRESS 431 - 63rd Avenue N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 21 1 Alice Wall Addition SHEET 2 PROPERTYOWNER MAIL ADDRESS ZIP PHONE Brad Billman 6390 - 7th Street N.E.• 572-8873 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS SEPERA!rt PERMITS OAOR I r HEATING, PLUMBING AND SIGN& 8 USE OF BUILDING Residential 7 CLASS OF WORK NEW ❑ ADDITION ❑ ALTERATION ElREPAIR ❑ MOVE ElREMOVE X 8 DESCRIBE WORK Construct a 26' x 46' Dwelling and a 30' x 26' Garage 9 CHANGE OF USE FROM TO STIPULATIONS Minimum • op of basement floor elevation: 846.5 Minimum walkout or opening to structure elevation: 8.51.0 Provide a hard surface driveway. Provide sod in the front and side yards. Provide the City with copy of verifying survey before capping. STOP BOX: 103' N.W. of Hydrant, 99'7" N.W. of Manhole SEWER SERVICE: 2' East of Water "Y" Elev: 843.24 Minimum Top of Footing: 846.24 WARNMG :hE City OF 1RUXEY 0015 NOT GUA>�utMT& '>g'P. ii'E �" C - viyClke ACCURACY OI' UT4n LOCATIONS AND ELEVA1,t,' �fl.��{�i�l�iwourc-,GAS�t�� n°vPURPOSES �Y LAW P SONS AuSM RI s� i o"t+o�►� REQ�l1 �� ON THE SITE SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. Wood Frame THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION 1259 + 717 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 $64,200 $32.10 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 TOTAL FEE $82.00 $867.10 SIGN URE OF TRACT OR T RIZED AGENT (DATE) WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT�.l, sv� vaj V BLDG iNSP SAT SIGNATURE NEK(IF OWN BUILDERi (DATE) 49� e7CAL5 V =100' AU, 07OA9106412 0AF2SO ON A---=UMEP- VATUM IRRY S. JOHNSON COMPANIES I,11IC. 401 WEST 79TH*STREPrT BLOOMINGTON. MINN6LSOTA 55420 PHONE 16121 884-5341' 120.01 —AE -*XT - CERTIFICATE OF SURVEY U2.04 8 FORMALL CO2 -2 Jr 31.07 4 A 0 120.01- 0 A 1 ®1 1 0 a AfY TjAAT.-TAle7Ile7 A -rtzuF- Y e'r 26.84 9�UIZVF-Y - &F -TRE. e;,aut49AJZlF_dC�. OF L�.C>-Tt:p 128018-23, 51-oc-K 1, of-n4F- -ALICE WALL ks A9Pi H95FplM COUNSTYP MJMMae70TAj -ASTl"cu'oe�F-AJv"F-P tom(-ME114117 Cith DAf a; OF R0vF-mF"-V-, 1916- I-T-Vcaaa NOT FRUVORT w gl 27.84 'TD '7AOW z 89*59'33"W MFLMT-�,/ IF AIA-,( N I 12GLOO 10 4 40 1 1 23 AAlMl 15 IA14509 go, 50145 If . --LANP 11*89059*3ew J 120.01 - - 4 . 0 4 z w w U) 0 2: 0 of 13 0 n 25 CS 120.01 0 0 0 14 0 - 0 0 3.8'r 15 Naga"" 12 om 0 474.19 X29656,33"w e0.00 16 --94.19 75.00 A I - ID N 620119*33*w mG-15 60 0 23 22 cl 2 on .01 0 zs d 20 ;,an 19 "10 pa I md I V 0; A-SOOZS43 lei' L a 11 16— 0 ct PS2040 IL31.20, 3*0-1 75.00 75.00 75.;D 0L L2=" 76.00 GaIT 0 664..53.,- N891D59 Wu W 6 3. R D.. ( k ap- t/ �l 9 % ICS, w, tfj �L�� X43, 2 CITY OF FRIDLEY Effective Aug. 1, 1961 S APPLICATION FOR RESIDENTIAL BUILDING PEFU41TS (New, Alterations, Additions, or Repairs) OWNER: 6cVA-K Q)(' ADDRESS: 2-L S-f— TEL A0: ,5^% 2—� BUILDER: Sc't --;`-Lc '- ADDRESS: TEL NO: °�/O/ – (1-34 +Cps"t-ruction Location - STRMT NO: 'STREET: Q , F LOT: 2-(- BLOCK:. ADDITION: Aki C_ C IALLL Corner Lot: Inside Lot: 6-4 Setback: 35 Sideyards: Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTION OF CONSTRUCTION Front: Depth: o Height: Z6 Sqd e t: Cubic Feet: Front: 3 f Square- Feet: Type of Construction: wo®p '�-, e Depth: Zc Height: it) ib Be Completed: V[ &y 4 4 . _ Cubic Feet: Estimated Cost: $ v op r A) 1'.) t,^ 2 Alt. A Al t. B Proposed Driveway Width If New Opening Is Desired: $ $ SEE REVERSE SIDE OF SHEET . Tire undersigned hereby makes application for a permit for the cork- herein specified, agreeing to do,all work in strict accordance with the City of Fridley Ordinances and rulings of the Delwirtment of Buildings, and hereby declares that all the facts and representations stated in this application are tie and correct., DATE: M -L SIGNATUM: Stipulations: PJA�n� d0 eek s0(i ly ap.o® 5A C.. 4 25, 00 _ M I,J Tv P oc- LC v. _ m a , WAyL®UT cis �JI A.)C "� � ', $'� `` �6'�' ,', t 1wN• .a,-n.'�g�.trd k9N`ll °[�'.y't-$q 4•'JJ V T ti R EXTERIOR' El+OtiELQP A " COMM +. OWNER w SITE ADDRESS ' j xa+14 �. CONTRACTOR `� .+�3•►rc°� j ...-.DRi Determine -working square footage o eat ' �6- t 1. Totalexposedwall area • P P�014.,► a' yla r�f ' 2 Total roocei.ng- area t s f/il} 4, Tota], exposed wall. area $'ove f1Qor a. Total wall window area;°,°°.• M,r F, b. Tctal door a'rea..........: .«..........`�O.A...... ; ' c. Total sliding glass door area. a d. Total fireplace wall area.. " k< '. e. Total wall framing area (average l4/) . • � . s , . ;� , ." f. Total net wall area above f1oo=. .. ....,.• .•. ° ; y { g 'Total rim joist area ...... *' • Tota { 9 1 exposed foundatioglarea h. Total . foundation window area ., ..'• • , ; �. • • •I R' `i, Total n9t,foundatio area above', grade..'': ; , • e , `' 1 , Determine "U" value of each wall segment. y a•' �_ X IITT 11 37 } y x A bo . 10,0 X11�Z; I c X IOU of t0 � a: •..rr tJ { ♦}`. e / �di Q® X flu of `(�,J}, f�... 5�r '! /�'� _ ,��j X of It h • 4 6 iX flu it 10 'ISM *t77 z '` V 3e , 1 k`qi, �; T - yd.�Y .tA�'� 5 ��, r li - _1 . , � .. w... W' �f,. �..... � ... � . ... sYG;I:; 1 ry ,a .�• F •. ...ce'.�.d sw; kY�"�5'1 'd.'Ys.�2 ys3 A„T .. t .' ,� s ..e -2- If item #3 on previous page -is the same as, or less than item #1, you have met the intent of SBC 6006(c)2.. Total exposed roof/ceiling area j Total skylight area.. s • .. .s.- k. Total roof/ceiling framing area (average 100A) --12--(n 1. Total net insulated roof/ceiling area........ Determine "U" value for each roof/ce.iling segment. jX "U of k. X llu 11 , WL X flu 11 ��• y 4.......... ......................Tota 1 If total of #4 above is the same as, or less than #2, you have met the intent of, SBC 6006 (C) 1. Alternate Building Envelope Des$.an f �P To utilize the total envelope system method, the values estab'li4srhed by the sum of items #3 and #4 shall not be greater than the sum of items #1 and #2. 3. r i . - �". A; CITY OF FRIDLEY APPLICATION FOR PL(1NBING AND GAS FITTING PERMIT RATE SCHEDULE PLUMBING FIXTURE RATES: New Fi:turea Future Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Hydraulic Valve Sump or Receiving Tank Water Treating Appliance Hot Water Heater Gas Range Gas Dryer NO. • —L ALL OTHERS AND/OR REPAIRS AND ALTERATIONS It of Value of Fixture or Appliance Reinspection Fee $ ($15.00) RATE $ 5.00 $ 3.50 S 1.50 $ 4.00 $ 5.00 $ 5.00 $ 5.00 $ 5.00 $ 5.00 $ 7.00 $ 5.00 $ 10.00 $ 10.00 State Surcharge TOTAL FEE TOTAL $ '2' a a $ %U"S- O mtteccive Aug. 1, t`Jal Job Address l / �d� Department of Buildings City of Fridley Tel. #571-3450 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 and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct Fridley, Mn. i S , 19 d"'4— OWNER - 1 I C_ ; - A N RIND OF BUILDING 'Q -, '- USED AS �i✓ 6 t .94' v%., - / r_ TO BE COMPLETED ABOUT 7'UT / / / & -, ESTIMATED COST c7JCP '::' • v v OLD - NEW BUILDING PERMIT NO. PERMIT NO. 8a -go company —,&,/—A/ V Signed By 1 Tel. No. ROUGH INSP. Date FINAL INSP. C9 ' 2- 2 - Date Date APPROVAL FOR PERMIT �® I MINIMUM FEE FOR ANY PLUMBING PERMIT IS $10.00 PLUS THE $.50 STATE SURCHARGE m a, m a m M u � w a b' water -0 49 0.aa ae+ m w c e14 w Heater � w s ci m gb u m A N N 3 a 1� t , 1st 2nd 3rd 4th (R) . Future Connection Opening Connected with Sewer (*) = New Fixture, Old Opening Water RATE SCHEDULE PLUMBING FIXTURE RATES: New Fi:turea Future Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Hydraulic Valve Sump or Receiving Tank Water Treating Appliance Hot Water Heater Gas Range Gas Dryer NO. • —L ALL OTHERS AND/OR REPAIRS AND ALTERATIONS It of Value of Fixture or Appliance Reinspection Fee $ ($15.00) RATE $ 5.00 $ 3.50 S 1.50 $ 4.00 $ 5.00 $ 5.00 $ 5.00 $ 5.00 $ 5.00 $ 7.00 $ 5.00 $ 10.00 $ 10.00 State Surcharge TOTAL FEE TOTAL $ '2' a a $ %U"S- O mtteccive Aug. 1, t`Jal Job Address l / �d� Department of Buildings City of Fridley Tel. #571-3450 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 and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct Fridley, Mn. i S , 19 d"'4— OWNER - 1 I C_ ; - A N RIND OF BUILDING 'Q -, '- USED AS �i✓ 6 t .94' v%., - / r_ TO BE COMPLETED ABOUT 7'UT / / / & -, ESTIMATED COST c7JCP '::' • v v OLD - NEW BUILDING PERMIT NO. PERMIT NO. 8a -go company —,&,/—A/ V Signed By 1 Tel. No. ROUGH INSP. Date FINAL INSP. C9 ' 2- 2 - Date Date APPROVAL FOR PERMIT �® I MINIMUM FEE FOR ANY PLUMBING PERMIT IS $10.00 PLUS THE $.50 STATE SURCHARGE CITY OF FRIDLEY 6431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 55432 TELEPHONE ( 612)571-3450 U®, September 17, 1982 Rodney Billman, Inc. 151 Silver Lake Road New Brighton, MN 55112 Re: Final Inspection at 431 - 63rd Avenue N.E., Fridley, MN Dear Sirs: The following items were noted during the final inspection on September 13, 1982 and must be completed before the structure can be finaled: 1. Provide sod in the front and side yards. 2. Post the address numbers on the structure. 3. Install all handrails where needed. We will expect the above items to be completed and a reinspection called for before occupancy. If you have any questions on these items, please contact me at 571-3450. Sincerely, DARREL G. CLARK Chief Building Official DGC/mh SUBJECTIT NO. City of Fridley 2 6 2 6 3 AT THE TOP OF THE TWINS BUILDING PERMIT r NO. ____ _ COMMUNITY DEVELOPMENT DIV. v r I - PROTECTIVE INSPECTION SEC. 492-7-7 I NUMBER REV DATE PAGE Of APPROVED BV i CITY HALL FRIDLEY 55432 IL --"A' '-'j 612-571-3450 910-F15 6/16/98 JOB ADDRESS 431 63 Avenue NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 21 1 Alice Wall Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Ronald Brown 431 63 Avenue NE 572-3794 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same a 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 REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Reroof House & Garage (29 Sq) Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. 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 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 $1.21 WITH WHETHER SPECIFIED HE N OR NOT. THE GRANTING OF A PERMIT $2,418 DOES NOT PR ME TO GI AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS Y OT TATE OR LOCAL LAW REGULATING CON- $74.75 Fire SC $2.42 STRUCTIO P OR c F gNSTRUCTION. PLAN CHECK FEE TOT FEE 1$?t.38 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI EN ROP �c IWP BLD "INSP ALIDAT THIS IS YOUR PERMIT r r 01PATE SIGNATURE OF OW NER OF OWNER BUILDER) 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: /BGdr`/ Tel. Contractor: A:'O"_e MN LICENSE # Address: Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Construction Type: Estimated Cost: $ STIPULATIONS: (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = F $ _ $ DATE: APPLICANT: el. CITY USE ONLY Permit Fee $ 0 '75 Fee Schedule on Reverse Side Fire Surcharge $ 'V .001 of Permit Valuation (1/10th%) State Surcharge $ j ► I $.50/$1,000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ STIPULATIONS: SUBJECT PER City of Fridley 27755 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. RE �• COMMUNITY DEVELOPMENT DIV. LV ------ � PROTECTIVE INSPECTION SEC. �jCyE/I r (a!/�✓�� 1 . � NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 9/14/98 JOB ADDRESS 431 63rd Ave NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 21 1 Alice Wall Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Ron Brown Same 55432 572-3794 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Owner Same 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 Q REPAIR ❑ MOVE d REMOVE 8 DESCRIBE WORK Rif Reside 9 CHANGE OF USE FROM TO STIPULATIONS Call for building wrap inspection before covering. 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 1 HEREBY CERTIFY THAT I 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 $1,500.00 $.75 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AU HORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF Y OTHER E OR LOCAL LAW REGULATING CON- STRUCTION O PE A E OF CO TRUCTION. $48.50 Fire SC $1.50 // PLAN CHECK FEE TOTAL FEE $50.75 . O CT R R71Z,OAGENT IDATEI SIG J10 EN ROPE B G NSP LIpATED THI S YO R PERMIT r OATE SIGNATURF 0WNER IIF OWNER BUILDER! MATE) NEW [ ] 5- Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY / ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: ��/ (o -451V 'a"�f Legal Description: Owner Name & Address: "Ii -J, Y31 4, 3 su< Tel. # `3 ?f , Contractor: sry 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 IlAPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: STIPULATIONS: Construction Type: Estimated Cost: $ 1�-eO (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = $ _ $ DATE: / 0PAPPLICANT: GT/ /%�-✓�--_-� Tel. #—,1577,Z - 3 ?f 7' CITY USE ONLY �. Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ egg® $.50/$1,000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ STIPULATIONS: sueJEcr City of Fridley 73E 3 6 AT THE TOP OF THE TWINS BUILDING PERMIT t RECEIPT NO. `y ______ COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 1 NUMBER REV DATE PAGE OF APPROVED BY i I CITY HALL FRIDLEY 55432 j 763-571-3450 910-F15 11/4/02 JOB ADDRESS 431 63 Avenue NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 21 1 1 1 Alice Wall Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Ronald Brown 431 63 Avenue NE 763-572-3794 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Same a 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 WORN O NEW Ci ADDITION O ALTERATION ❑ REPAIR O MOVE ❑ REMOVE B DESCRIBE WORK Construct a 30' x 8' Garage Addition and a 34' x 27.5' 2nd Story Addition 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. Submit a "MinnCheck" program for addition insulation as soon as possible. 010 WARnING IL I Before digging call for all utility locations 454.0002 RFOUIRED Bir LAVH 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 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 73,243 $36.62 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO E AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS A O R STATE OR LOCAL LAW REGULATING CON- STRUCT ION T P ORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTAL FEE 921.61 u O AUTHORIZED AGENT ROP VALID ED THIS IS YOUR PERMI ZI �er!� BLO INS ! DATE GGNT A TU RE OF OW NER iIF OW NER BUILDER. IOATEI NEW [ ] CITY OF FRIDLEY Effective 1/12002 ADON (] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 B'ilp Insp ALTER [) SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: Legal Description: 16 %t c -f WJV V� 61,9 e,& Owner Name & Address: O W44JA) ,"Ow Tel #3 5� 7 7- -379c/ Contractor. ©W A-i'e 4 MN LICENSE # Address: S o -+t -P 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 . �Z Height Sq. FL 93 5� G � �' 0 GARAGE AREA: Length d g � Width � Height � Sq. Ft. 2 I(D� DECK AREA: Length Width HgtIGround Sq. Ft. OTHER: Construction Type: Estimated Cost: $ "2Br 69z9 6 Driveway Curb Cut Width Needed: Ft. + 6 t = $ =$ DATE: /0 �� `y Z APPLICANT: G/l/ Tell# o? (e lr'-15' 2 y - 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. CITY USE ONLY - Permit Fee Fee Schedule on Reverse Side Fire Surcharge $ -73. -P4/ .001 of Permit Valuation (1/10th%) State Surcharge $ 3(Q. (02 $.50/$1,000 Valuation SAC Charge $ $1200 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 [ J TOTAL $ �J / 'l I STIPULATIONS: GI I Y OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 (763) 572-3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR Effective On Jan 1, 2002 PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures �� $ 7.00 �� .yU Old Opening, New Fixture $ 4.00 Beer Dispenser $ 5.00 Blow Off Basin $ 7.00 Catch Basin $ 7.00 Rain Water Leader $ 7.00 Sump/Receiving Tank $ 7.00 Water Treating Appliance $10.00 Water Heater -Electric $ 7.00 Water Heater - Gas** $10.00 Gas Range** $10.00 Gas Dryer** $10.00 Back Flow Preventer Required ( )Yes () No Type $15.00 Reinspection Fee $47.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance State Surcharge TOTAL FEE JOB ADDRESS 43 ` - V -3 <::4 Ve-, AAL— 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 and rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. 6"'. o� , 200-A,. Owner RUN 6,Ouj&) Building Used As Estimated Cost 3030-"'- PERMIT N0: �� PLUMBING COMPANY <!�NN 6" P`f`'° 6` SIGNED FAX # -XII 616 1 Approved Byt) `� Rough -In Date 50 3MINIMUM FEE kR ANY PLUMBINGI $ PLUS THE $.50 STATE SURCHARGE TEL N0.763 Final Date :RMIT IS $20.0n C� COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNED ,COIhMON VENT. VENT .ONNFCTOR AND .OMRUSTION AIR VERIFICATION When renlaring an PYictin_g f,rance, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes( :) No( ) The venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes( ) No() The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes( ) No( ) The erne .emh uetinn air is sized and installed to meet the current codes and manufacturer's specifications. Yes( ) No( ) When required to install a new_emh ,-n inn air. it will be sized and installed to meet the current codes and manufacturer's specifications. Yes( ) No( ) When jpstallIpg a new venting nystem, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes( ) No( ) Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. Yes( )No( ) Appliance #1 Type BTU Input Fan Assisted or Nat Appliance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input Common Vent Type Vent Height Diameter inches Appliance #1 Vent Connector Height ft Length ft Diameter in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type HEATING CO: Signed By: Date: CITY OF FRIDLEY INSPECTION DIViSION Effective On January 1, 2002 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, (763) 572.3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS !Z 5/ (� 3 A'4�f— "Vq— RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner - Also Replacement Furnace (Side Vent - Fill Out Back) Gas Piping (Needed with new furnace, but not replacement) Gas Range Gas Dryer *Air Conditioning - All Sizes All Others/Repairs & Alterations (LIST ON BACK) j�% of Value of Appliance or Work u ejf w e'Z�/97o /l Commercial/Industrial 1.25 jo of Value of Appliance or Work Rate $ 30.00 $ 10.00 $ 10.00 $ 10.00 $ 25.00 State Surcharge TOTAL FEE 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. la Z.✓'rJ TOTAL BUILDING USED AS S Fd ESTIMATED COST 5-0-0 . w PERMIT NO. DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) $ Trade Name Size No. BTU 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 $ 50 rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. DATE /2 - �(y `o Z HEATING C Signed TEL# FAX # Approved By Rough -In Date Final Dat X14 THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNED nQMMQNVFNT.VFNTr-QNNFnTQR AND .OMR11STION AIR VFRIFICATION When re In acing an Laxostong furance, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes () No ( ) The venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes( ) No( ) The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturers specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes( ) No( ) The axesting cnmh ,stinn air is sized and installed to meet the current codes and manufacturers specifications. Yes( ) No( ) When required to install a new cnmh nstinn amt will be sized and installed to meet the current codes and manufacturers specifications. Yes( ) No( ) When installing a new venting syStam, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturers specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes( ) No( ) Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. Yes( )No( ) Appliance Tvee and S17P1Cnmmnn Vent and Vant CnnnactnrVan Infnnfna inn Appliance #1 Type BTU Input Fan Assisted or Nat Appliance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input Common Vent Type Vent Height Diameter inches Appliance #1 Vent Connector Height ft Length ft Diameter in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type HEATING CO: Signed By: Date :