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PRE 2010 DOCSC 4 S9qo Number Fixtures � x $2.00 Future Fixtures 3 x $1.50 5_0 New Fixture -Old Open. x $1.50 Catch Basin x $3.25 Water Heater -99,000 BTU x $3.00 3 o o Ground Run Old Bldg. x $3.25 Elec. Water Heater x $2.00 Gas Fitting Fees: 1st 3 Fixtures / x $2.00 — CD (j Additional Fixtures x $ .75 Gas Range -199,000 BTU x $5.00 Repairs & Alterations See Description: Code State Surcharge .50 TOTAL FEE $ The undersigned hereby makes application for a permit for the work herein specifiedo agreeing to do all work in strict accordance with the City Ordinances and rulinj of the Department of Buildings„ and hereby declare that all'the facts and representations stated in this application are true and correct. CITY OF FRIDLEY I, James Lund, general contractor for a single family dwelling 'being built on Lot 8, Block 1, Spring Valley Addition, the same being 1423 - 64th Avenue N.E., Fridley, do hereby accept any responsibility for any water seepage into the basement area which guarantee runs through June 1, 1983. I further relieve the City of Fridley of any responsibility if surface moisture should occur during the above noted time period. The homeowner, as witness below, also agrees to the terms of this statement. ate f GENIPLU CONTRACTOR Application ftr Power Plants and Heating, Cooling, Ventilation. Rehige aflon and Air Conditioning Sydem and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: VINT Q TOTAL Furnace Shell & Duct Work ................ .. $10.00 $ Replacement of Furnace .. 6.00 $ Repairs & Alterations—up to $500.00 6.00 $— - Repairs & Alterations each add. $500.00 3.00 $—_ _-- MECIL WARM AIA Furnace Shell & Duct Work to 120,000 BTU ..... . .. $10.00 $_lam each add. 60,000 BTU .................... .. 3.0t) i Replacement of Furnace .. .. .... 6.00 $ Repairs & Alterations—up to $500.00 6.00 $ Repairs & Alterations each add. $500.00 ... &00 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam $10.00 $ _ __ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water 10.00 Each add. 200 sq. ft. EDR Steam 3,()() Each add. 320 sq. ft. EDR Hot Water 3.00 $ OIL BURNER—to 3 gal. per hour 6.00 S— over 3 gal. per hour -See Fee Schedule GAS BURNER (up to 189,000 BTU) 5.00 over 199,000 BTU See Fee Schedule GAS FITTING FEES. NO RATE TOTAL 1st 3 Fixtures x$ 7.00 $_ .2 d Additional Fixtures x .76 $ Gas Range to 199,000 x$ S-00 $ AIR COIWITIONIIRa FAN HEATING SYSTEM See Foe Schedule VENTILATING SYSTEM $ ALTERATIONS & REPAIRS TOTAL FEE ROUGH (SURG"ARGE $ —,50) FINAL v Dept. of Bldaa. Phaaw 56"M y� Lees f / 3 C yam! City of TWdley: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. Fridley, Minn_ � n Owner V Kind of Buildingi2 Used as 4paze*"�` To be completed about Estimated Cost, Ol8g Ne IS -90d . Building Permit No. Permit No. DESCRIPTION OF WORK HEATING or POWER PLANT --,Steam, Hot Water, Warm Air—No Trade Name �a-�� �] Size No-� 6 / �� Capacity— Sq. Ft. E.D.R- /_ T /660 BTU .P Total Connected Load - �Jh ®� Rind of IN 1:22a,- BURNER — Trade Size Capacity Sq. Ft. E.D.R BTU 131:P. (REMARKS—OVER) SUBJECT PERMIT NO. City of Fridley AT THE TOP OF THE TWINS BUILDING PERMIT i ` cEIP7 NO. COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 1 , NUMBER REV. DATE PAGE OF APPROVED BY = ' �•"1 CITY HALL FRIDLEY 55432 ,•� "'•� 612-560-3450 910-F15 5/23/77 JOB ADDRESS 1423 - 64th Avenue N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 8 1 Spring Valley Addition SHEET 2 PROPERTYOWNER MAIL ADDRESS ZIP PHONE Virgil A. O'Resan 1423 - 64th Avenue N.E. 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 14' x 14' Deck onto dwelling 9 CHANGE OF USE FROM TO STIPULATIONS provide frost footings for all support posts. We d1911019 call 10c21 utilities TELEPHONE • ELECTRIC --GAS Etc. PERMITS REQUIRED f:®R WIR114 REQUIRED BY LAW SEPEROE NEATIK PLUMBING AND SIGNS.. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. Wood 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 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. $300 $.50 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- $7.50 _STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $8.00 IGNATUR CC RAC iso A THORIZEDAGENT iDATEI s WHEN PROP RLY VALIDAT D THIS IS YOUR PERMIT BLDG. INSP l 5-.)3 —� DATE SIGNATU E OWNER IIF O ER'BUILDER) I (DAYE) CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS (NEW, ALTERATIONS, ADDITIONS, OR REPAIRS) OWNER: Address: `1 IV No. . LOT: BUILDER: �)_A �)� � C Address: Tel. No.:— ,"°S % / — 81, V 4o Street: I, U T A R v c L C, BLOCK: ADDITION: CORNER LOT: INSIDE LOT: --' SETBACK: SIDEYARDS: 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: 1:1p_C 1\ . Front: Depth: Square Feet: Cubic Feet: Height: Front: Depth: Height: Square Feet: Cubic Feet: Type of Construction: IX(p " I)('( Estimated Cost: $ 3©o%-� To Be Completed: Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired $ $ (SEE REVERSE SIDE OF SHEET) The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. See reverse si for itional information. DATE: 3 SIGNATURE: ' la LD Stipulations: V 0 City of Fridley suBdEcr PER121. 52 AT THE TOP OF THE TWINS BUILDING PERMIT � RE �y------ _ COMMUNITY DEVELOPMENT DIV. ®/ r � � PROTECTIVE INSPECTION SEC. / CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY �612-580-3450 910-F15 5/31/73 JOB ADDRESS 1423 64th Avenue N E. 1 LEGAL LOT N0. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 8 1 Spring Valley Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE James Lund Construction, Inc. 7709 Woodlawn Drive N.E. 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 X NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct 44' x 24' Dwelling and 20' x 22' Garage 9 CHANGE OF USE FROM TO STIPULATIONS Provide a verifying survey before capping. Provide a hard surface driveway $800.00 paid in escrow and $275.00 paid for SAC charge. SEWER LOCATION: "Y" 131' East of Manhole WATER LOCATION: 11.4' East of Sewer Service Top of Footing: 872.22 Minimum SEPERATE PERMITS REQUIRED FOR ' WIRING, HEATING, PLUMBING AND SIGNS. 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 SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION R-1 1056, 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 $17a072 8.54 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- $48 00 $275.00 STR PERFORMANCE OF CONSTRUCTION. �NORTHE PLAN CHECK FEE TOTAL FEE 1z J $331.54 NA URE OF CONTRACTOR OR ORIZEDAGENT ID Et WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT BLDG INSP sJ DATE SIGNATURE OF OWNER IIF OWNER BUILDERI (DATE) Im R APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA Inc. OWNER'S NAME: James Lund Construction, BUILDER: James Lund Construction, Inc. ADDRESS: ADDRESS: 7709 Woodlawn Drive N.E. Minneapolis, inne o 5432 NO:. 142S STREET: 64 th Ave N. E. LOT:- 8 BLOCK: 1 ADDITION: Spring Valley Addition W-29 CORNER LOT: INSIDE LOT: X SETBACK: 35' SIDEYARD:E-32' Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As; Single Family Dwelling House Front: 440� Depth: 24' Height: Square Feet: 1056 Cubic Feet: Garage (attached)—Front: 20' Depth: 22" Height: Square Feet; 440 Cubic Feet: Type of Construction: frame Estimated Cost:_,$ M To Be Completed: - August 15, 1973 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. s ATE: _ 5/15/73 SIGNATURE: (See Reverse Side For Additional Informat , ) 4 SURVEY FOR; .LAMES LUND COGS a LEGAL IIESCRIPTION; LOT 89 BLOCK SPRING VALLEY ADDITION* WE HEREBY CERTIFY THAT T141S IS A TRUE. AICD CORRECT �� E ENTATIO OF A SNT URVEY OF THE- BOONDAR i ES. OF THE LAND ABOVE DESCR I ®EV ANO or, ; THE LOCATION OF ALL 8UfLDI.NGSi IF ANY,g.' TNEREOftj AND ALL VI Si 9, EMCROACHMENTS9 IF ANY FROM OR OIR1. SAID l.AIdD � AS SURVEYED I��° US THIS 2ND DAY OF MAY. 1973 - 6° __ e a �j I -�/ - 1414,7 '7411n 5 Z C 'e L � 'lvj L' 9--) d 1,21 _,,� 1-7 -�=) 'N ) VI SUBJECTPrit City of Fridley 3 AT THE TOP OF THE TWINS BUILDING PERM I T � RECEIPT NO. • ______ COMMUNITY DEVELOPMENT DIV. y p �O r PROTECTIVE INSPECTION SEC. 1 CITY HALL FRIDLEY 55432 NUMBERREV. DATE PAGE OF APPROVED BY 1.j 612-571-3450 910-F15 5/26/81 JOB ADDRESS 1423 - 64th Avenue N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 8 1 Spring Valley SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Virgil Okeson 1423 - 64th-Avenue N.E. 571-8646 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Heritage Builders 409 Maple Avenue N.E. 922-1757 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW C� ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 221 x 161 Addition to Rear of Dwelling 9 CHANGE OF USE FROM TO STIPULATIONS Provide outside combustion air. Provide a fire alarm. WARM Before digging call local utilities SEPERATE PERMITS REQL"RED FOR WRIN TELEPHONE - ELECTRIC - GAS ft HEATING, PLUMBING AND SIGNS. REQQUIRED BY LAW 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 $11,750 29 $5.88 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- $72.00 NONE STRUCTION OR THE PERFORMANCE . F CONSTRUCTION. PLAN CHECK FEE �( TOTALFEE " �e $18.00 $95.88 'SIGNATURE OF CONTRA WR AUTHORIZED AG )DATE) WHEN PROPERL VALIDATED THIS IS YOUR PERMIT - 6 BLDG INSP f1ATE SIGNATURE OF OWNER (IF OWNER BUILDER) IDATEI CITY OF FRIDLEY APPLICATIOd FOR RES ID[-FITIAL BUILDING PER14ITS New, Alterations, Additions, or Repairs) OWNER: V' AC `L 0 /SES ®ti' BUILDER ADDRESS: J1 Z� 4vc--. N ADDRESS: k-.07 TEL NO: —. 7/ !!-ZCKP TEL HO: �1 — /7s 7 Construction Location ' STREET NO: I y )- 3 STREET: �/ ✓ C -C LOT: 191 BLOCK: l ADDITION. S'®�/•ILJ Corner Lot: Inside Lot: Setback.: Sideyards: Ap,ilicant attach to this form two Certificates of. Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTION OF CONSTRUCTION P 4 a A b w Front: Z �. Depth: l Height: ��1r�2 OF S Squane. Feet: — Cubic Feet: Front: Depth: Height: Square - Feet: Cubic Feet: 4sc 111 1N*1, `. 730 Type of Construction: J�i��`2 C Estimated Cost: $ To Be Clompleted:- Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: $ $ SEE RSVERSE SIDE OF SHEET Mie 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 representz-iti.ons stated in this application are_kiZue and cor ect. �. L _ �/ D�3TF: � SIGNIITUF.'r:: - . Stipulations w O .�/' 0 .! vp v �D rvl-t 4 -A 0 %SllfC7liOA.j h ° /3 ., rF gds SLf9•'.IN� ;►'` LJ* Jr AXY �� a •�qJ� P�L`f �~ �. �f;'' %/��� r�� f., .:355 jA.►Su ats?��``t� roo Gv plywoop Sud x1664 R FG 4 %�rX. 0 WILLIAM A. CARLSON, PR ES. `CERTI I(CA TSE- OF SU7)4'Y 2324 VIEW 1100) STREET &A-2084 55431 LAND SURVEYORS SURVEY FOR: Licensed, Insured & Bonded JAIMES LUND CONSTRUCTION E T p" s"J Rol oibb Y LEGAL DESCRIPTION: LOT i} BLOCK 1g SPRING VALLEY ADDITION. WE HEREBY CERTIFY THAT ON THE 6TH DAY OF JUNE, 19739 WE LOCATED THE BUILDING ON THE ABOVE DESCRIBED PROPERTY AND THAT THE ABOVE REPRESENTATION IS TRUE AND CORRECT. .__.o.e,.v:.....�..d I EG NO® 5948 CITY OF FRIDLEY APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE RESIDENTIAL Furnace Shell and Duct Work, Burner Gas Piping (piping needed with new furnace) Gas Range Gas Dryer Air Conditioning (all sizes) RATE TOTAL $ 20.00 $ $ 10.00 $ 10.00 $ $ $ 10.00 $ All Others/Repairs and Alterations 18 of Value of Appliance or Work COMMERCIAL/INDUSTRIAL 18 of Value of Appliance or Work $ 10.00 $ State Surcharge Reinspection Fee ($15.00) Rough Insp. Date Final Insp. Date Approval for Permit MINIMUM FEE FOR ANY HEATING PERMIT IS $10.00 PLUS $.50 STATE SURCHARGE S .50 Attach stack verification form with replacement furnace permits Effective Aug. 1, 1981 Job Address / ®-'2-3 (e 1�t d ' V �J' a • k I Department of Building% 6431 University Ave. N.E., Fridley, NN 55432 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, Minn. L l _ , 19 NER OW®R ,/L 6X6-SOIV KIND OF BUILDING ®A-- JF 5709Y USED As S% 44 L GC TO BE COMPLETED ABOUT ESTIMATED COST 3 OLD - NEW BUILDING PERMIT NO. PERMIT NO. DESCRIPTION OF FURNACE/BURNER HEATING or POWER PLANTS, Steam, Not Water, Warm Air No. Trade Name Size No. Capacity Sq. Ft. EDR BTU NP 7bta1 Connected Load Kind of Fuel BURNER - Trade Name Capacity Sq. Ft. EDR Company Size No. BTU BP Signed By �„ Tel. No. r 7r m� SUBJECT PERMIT NO. City of Fridley AT THE TOP OF THE TWINS BUILDING PERMIT r IPT NO. COMMUNITY DEVELOPMENT DIV. L ' PROTECTIVE INSPECTION SEC. r 3607 , NUMBER REV GATE PAGE OF APPROVED By CITY HALL FRIDLEY 55432 �'' 612-571-3450 910-F15 JOB ADDRESS 1423 64th AVE NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 8 1 SPRING VALLEY ADDITION SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE VIRGIL OKESON 1423 64th AVE NE FRIDLEY MN 55432 571-8646 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 [�X REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK REROOF TEAR-OFF (25 Sq) 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 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 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 2,000.00 1.00 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- 62.25 FIRE SC. 2.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTAL FEE 65.25 SIGNATURE OF CONTRA/r AUTHO E AGENT / (DATED- WHEN PAOPERL TED THIS IS YOUR PERMIT BLO IN SP / fJATE SIGNATURE OF OWN( I BUILDERi iDATEi NEW. [ l ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: �7 �2'`� 1" 1 Effective 8/1/95 Legal Description: ,a lv c k Sri Owner Name &Address:k e,S 0 Et✓ / �f�3 �•�(A J'bTel. # % Contractor: MN LICENSE # Address: Tel. # Attach to this application, a Certificate of Survey of the U 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: - -5 T 6 EE S® d 1"C7 Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: Estimated Cost: $ , 000 t �� Approx. Completion Date: (Cost: on Back) Driveway b Cu Width Needed: Ft + 6 Ft = Ft $ _ $ DATE: Z APPLICANT: /� Tel. ,# S'� Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: CITY USE ONLY $ Fee Schedule on Reverse Side $ e 0 ® .001 of Permit Valuation (1/10th%) $ 11)0 $.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 [ ] 0 CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES Effective On August 1, 1995 ®ATE SCHEDULE JOB ADDRESS -f-e.// V"`,o �. ,ij/, 4 The undersigned hereby makes application for a permit for the work herein Residential Rate TOTAL specified agreeing to do all work in strict accordance with the City Codes and Furnace Shell and Duct Work, Burner - rulings of the Building Division, and hereby declares that all the facts and Also Replacement Furnace $ 30.00 $ e3® ®a representations stated in this application are true and correct. (Side Vent - Fill Out Back) X s -- 9.0 ,1995 Gas Piping (Needed with new furnace) $10.001 $ _ OWNER �,eeg• i.c , ®l�Esd.✓ �J 7 ( " % � 9 Gas Range $ 10.00 $ BUILDING USED AS '7)u>d- Gas Dryer $ 10.00 $ � . ESTIMATED COST ��� ®• ®-� PERMIT NO. *Air Conditioning - All Sizes $ 25.00 $ ,Z,r All Others/Repairs $Alterations (LIST ON BACK) DESCRIPTION OF FURNACE AND OR BURNER 1% of Value of Appliance or Work $ No. of Heating Units_/_ Circe One (Steam) (Hot Water) arm Air Trade Namel,�1 �,y �,a.��zs Size Commercial/Industrial BTU HP EDR 1.25% of Value of Appliance or Work $ Fuels e,2s - . Total Connected Load State Surcharge $50 Burner Trade Name Size No. BTU HP EDR TOTAL FEE $ s 6-0 R15 7e- 17 z4c� ,Z 7o,v %na Div ;Fd 107 HOMEEN028 7 mAVE. 1 HEATING COMPANY PLYMOUTH, MN 55447 MINIMUM FEE FON ANY HEATING/C001-INGNENT1LATION REFRIGERATION[AIR COfVDITIONING_PERMIT IS $25.00Signed By Tel No._,SGa� PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr Approved B Rough -In Date Final Date *Air Conditioners can not be placed in a side yard without FILL OUT BACK SIDE FOR STACK VERIFICATION ON written permission from adjoining property owner. REPLACEMENT FURNACE rr- :G ��1€Som .. R CHIMNEY AND STACK VERIFICATION rt The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes (Vj� No ( ) 2. Is free from rust or deterioration _ Yes (° No ( ) 3. Has no foreign objects lodged within Yes No ( ) 4. Is securely supported Yes (t No ( ) 5. Meets all current Code requirements for size and total BTU's connected 6. Has total heating BTU's of All other BTU's TOTAL BTU's Remarks List Alterations Being Done:' HOME ENERGY CENTER 15200 25TH AVF- N. #128 HEATING COMPANY PLYMOUTH, MN 55447 r .FJ t Signed By ti- Date Yes (0/ No ( ) 0 s//4 of (A, ©eCEso� HEAT TRANSFER CALCULATIONS HEAT LOSS: + 751 INSIDE + 75 ° INSIDE - 20 OUTSIDE HEAT GAIN: + 95 ° OUTSIDE SQ. FT. COEF. BTU's SQ. FT. COEF. BTU's. 1. GLASS zy-� 90 1.414119 1. GLASS ts. N /—% 25 E/W 75 01-4D S 40 6 elo 2. DOORS 4000/ea. 9D00 2. DOORS 300/ea. dad 3. CEILING 3. CEILING 12" 3 12" 1 9 4 9 2 63/ G D 5 G 8 0® 6 /3 G d 3®moo 3 8 3 4 4. WALLS 4. WALLS 3" 3 4,1 7 ./0 8 3" ZZ fete -Z 3 11/2 10 11/z" 4 5. BSMT 5, PEOPLE 600 Below grade /3G D 5 416,010 Walkout 10 6. APPLIANCES 2500 6. Subtotal 7. Subtotal 7. TOTAL 8. TOTAL oZll�' 8. FURNACE SIZE ?s- M' 9. A/C SIZE 9. FURNACE MODEL 10. �(,eJ7E.� C:��/QObt,C'9_S A/C MODEL 1,t�7C� Li Tr/.BoAd�' ts. GAS90IGH MAKE er _-.G, � , S/ e1 o D ✓ c 7-3` MAKE Model avZ 6"2 L6AlModel Serial . _ / _30 j7-1- Max. i INPUT mss'' h - MAKE CONTROLS THERMOSTAT Heat Plug Valve HOUSE- HEATING TEST RECORD„ ADDRESS1�� - G.1� APT. FLOOR CIo SUBURB. OCCUPANT IZIA Cz c OWNER " HEAT LOSS DATE HTG. INST. Pilot Timing Sgc SOLD BY yG INSTALLED BY _ G 3 Percent CO Electrical Work By o -✓ a - Gas Line By Form 235 TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNIT HTR.OTHER. GAS90IGH MAKE er _-.G, � , S/ e1 o D ✓ c 7-3` MAKE Model avZ 6"2 L6AlModel Serial . _ / _30 j7-1- Max. i INPUT mss'' h - MAKE Model CONVER ON OF BURNER ITU Rating OF FURNACE Vent Size J KIND OF LINER,426_Y�- SIZE NONE Draft Hood Regulator Filters Sizeo2 s�X�C� Y N 6er Chimney Location Inside Outside Chimney Construction Smoke Bomby _ Wiring Draft Test Tag Door Pressure Lighting Inst. Date Tested Z 5 / Company Testing Ae• C. Name of Tester i je ✓!�G C— �b CONTROLS THERMOSTAT Heat Plug Valve Limit Limit Setting Fan Setting Pilot Type c Pilot Make " Pilot Model Pilot Timing Sgc L.W. Cut Off Pressure _ G 3 Percent CO Input CFH Percent OZ 14 Stock Temp. Percent CO G Form 235 Model CONVER ON OF BURNER ITU Rating OF FURNACE Vent Size J KIND OF LINER,426_Y�- SIZE NONE Draft Hood Regulator Filters Sizeo2 s�X�C� Y N 6er Chimney Location Inside Outside Chimney Construction Smoke Bomby _ Wiring Draft Test Tag Door Pressure Lighting Inst. Date Tested Z 5 / Company Testing Ae• C. Name of Tester i je ✓!�G C— �b SUBJE& City of Fridley M22 AT THE TOP OF THE TWINS BUILDING PERMIT 9 COMMUNITY DIV. PROTECTIVE INSPECTION SEC. 572-3504 CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED By 612-571-3450 910-F15 10/11/O1 JOB ADDRESS 1423 64 Avenue NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 8 1 1 Spring Valley Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Virgil Okeson 1423 64 Avenue NE 763-571-8646 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Castlerock Custom Builders 6243 Hollow Lane Lino Lakes MN 55014 612-719-6837 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 Ck NEW ❑ ADDITION O ALTERATION ❑ REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Construct a 28' x.24' 2nd Accessory Building 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. See stipulations on SP #01-09 approval by City Council on Sept 17, 2001. WARov "ING SEPARATE PERMITS Before digging Gall for REQUIRED FOR: su "tili>n, 10 cations WIRING, HEATING 454-0002 PLUMBING AND SIGNS REQUIRED LAW L� 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 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 $13,755 $6.88 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- ON•STRUC STRUCTION I N 0 H PER RMANCE OF CONSTRUCTION $237.25 Fire SC $13.75 PLAN CHECK FEE Lice S $5.0 TO�& FEE 262.88 IGNATURE OF CO V7171TOR OR AUTHORIZED AGENT 10ATEI EN eROP VALID T D THIS IS YOUR PERMIT BL INSP /�/ OATE SIGNATURE OF OW NERiIF OWNERSUILOERI IDATEI NEW (] Effective 1/12001 ADDN [ J CITY OF FRIDLEY (763) 572-3604 Bldg Insp ALTER [ J SINGLE FAMILY AND DUPLEXES R4 AND R-2 BUILDING PERMIT APPLICATION Construction Address: 1,4'7,3 f'`I-taAVE 'FzNb%,'9`1 Legal Description: Owner Name & Address: V i rzaj Mg-tisop4 Tel. # Contractor. CACrLVfzcc'c (-VS t'V%A Gi-05 MN LICENSE# ZOZI g-730* Address: (o2`43 (Joint j L-rO Lt y o L tAr- L;r 5 /tet rj '5,;-01-f 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 29 Width 2 Lf Height ci . N �Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Construction Type: &,q)zqc) L- Estimated Cost: $ /1', 700 /.31 Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: -10-// - o r APPLICANT: ?1>�"y ° N"'S C -r`' Tel. # 4 /Z - 71'? -4137 CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application Permit Fee $ �/, �s Fee Schedule on Reverse Side Fire Surcharge $ S .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $1150 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 $ r,26-2, 8D STIPULATIONS: C,IlYOF FRIDLEY FRIDLEY MUNICIPAL CENTER - 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 - (763) 571-3450 - FAX (763) 571-1287 CITY COUNCIL ACTION TAKEN NOTICE September 20, 2001 Virgil Okeson 1423 64`x' Avenue NE Fridley, MN 55432 Dear Mr. Okeson: On September 17, 2001, the Fridley City Council officially approved your request for a Special Use Permit, SP #01-09, for a second accessory structure (garage), legally described as Lot 8, Block 1, Spring Valley Addition, generally located at 1423 W' Avenue NE. Approval of this special use permit is contingent upon the following stipulations: 1. Staff shall conduct regular inspections of the site. If, at any time, a trail simulating a driveway is present, a hard surface driveway as approved by the City will need to be installed within 90 days. 2. Petitioner shall obtain all necessary permits prior to construction. 3. The structure shall not be used for a home occupation or living area. 4. All vehicles shall be stored on a hard surface as approved by the City. 5. Total square footage of all accessory structures must not exceed 1,400 square feet. 6. Garage shall be architecturally compatible with existing home and finished with a complementary side and color scheme. You have one year from the date of City Council action to initiate construction. If you cannot begin construction in time, you must submit a letter requesting an extension at least three weeks prior to the expiration date. If you I ve any questions regarding the above action, please call me at 763-572-3590. Sinc r ly, _ S o Hickok \Co munity Development Director SH/jt cc: Special Use Permit File mess_-fTe_ - Mary Hintz Action Taken Letter-Okeson Page 2 September 20, 2001 Please review the above, sign the statement below and return one copy to the City of Fridley Planning Department by October 1, 2001. Concur with action taken. C-01-123 WILLIAM A..CARLSON,PRES. CERTIFICATE OF SURVEY 2324 WEST 110th STREET 55431" 1T'm LAND SURVEYORS SURVEY FOR: Licensed, Insured & Bondcd JAMES LUND CONSTRUCT ION kis • r ci S -For SIm►.6 L� ��► to�. V�l 04141 s Mr J r LEGAL DESCRIPTION LOT S, BLOCK 1, SPRING VALLEY ADDITION. 'NE HEREBY CERTIFY THAT ON THE 6TH DAY OF JUNE, 1973, WE LOCATED THE BUILDING ON THE ABOVE DESCRIBED PROPERTY AND "THAT THE ABOVE REPRESENTATION IS TRUE AND CORRECT. VIf4N. RCG. NO. 56-48 9 I I S I I� i I I I i I I � � � ! � i � � I A I � � I j � I I ! i i i i i i i I i �, I i I � i � I � I ! I t i i I i i � I � i I I I i � I I I I I � ' I f i I i � i I I ! I I ' I I ' I � I � � j I j � I 1 i ' ' j i � I I i I I� ' I �I � I � I i _ _ i 1 � i � Ij � i j I ' � � � I I � II I I i i. ' I I i � I I' � �� � i i I I ii I I I � I I I I i i I ' i I i j � I _ I f I I i • I ' � I f I � � I I ( � t I I I 1 I i I i i I I � I I I i I I 1 I I � i 0 I � I i ,. j I � I ' j i i ' �, i i � I + �t I i ! ' I ,i i I I i � i � i � ;' i ! � I I � ' i i; j i � i j ; j l j j�� '� i i I � ' � j � I I I i i { ! ! � I i i i ' i i I � i ' ' I I I � I � I � I i! I � I i I � I I � I I j i ! I I � I I I i � � � i � j I � � I I � I i I 1 � I I i I I i �� � I i I i r ! I + ' Building AND MATERIALS: BUILDING Permit No.: d Inspections Permit Fee RESIDENTIAL APPLICATION See Mack'Page for Fee Schedule Received B 763-572-3604bate 65% of Building Permit Fee CITY OF FRIDLEY Re 4-0-7-97 $ A & .0005 x Permit Valuation Minimum $.50 DATE YOUR E-MAIL ADDRESS 5-1 CTD $5.00 (State Licensed Residential Contractors) SITE ADDRESS $ $1550 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $21 = $ i THIS APPLICANT IS: ❑ OWNER CONTRACTOR $450 Conservation Plan Review PROPERTY OWNER/ NAME: -t L4" Fee Determined by Engineering TENANT ADDRESS: CITY STA IP 5 6 y 3; Total Due PHONE: 1 , Make checks payable to: City of Fridley Attach CONTRACTOR NAME: STATE LICENSE # .EXP DATE �o '�(� SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS: CI STATE=ZIP tf WITH APPLICATION PHONE 2&—"N-Lf-IlAqLFAX d PROPERTY TYPE ❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH XROOF ❑ DRAIN TILE ❑ DECK SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW ❑ ADDITION ❑ MAINTENAACERVAIR ❑ REMODE DESCRIBE WORK BEING DONE: "' .Qo O SIZE OF IMPROVEMENT LENGTH. WIDTH HEIGHT Sq. Ft. ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: G.4 RA4GES . ❑ ATTACHED GARAGE 1. Existing Floor Plan PROPOSED SIZE: ❑ DETACHED GARAGE 2. Proposed floor plan PROPOSED HEIGHT: 3. List of structural members to be used SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl []Soffit ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia and proposed project WINDOWS 2. Two sets ofconstruction plans IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS 3.. Energy Calculations OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE.OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE HASP;ly ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USIN THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ - ' D (3 Q,sOCCUPANCY TYPE Permit Fee $ See Mack'Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge .001 times the total job valuation Surcharge $ A & .0005 x Permit Valuation Minimum $.50 License Surcharge $ 5-1 CTD $5.00 (State Licensed Residential Contractors) SAC Charge $ $1550 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $21 = $ 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 THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSEb 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 worl-�Y\,�11,h'ic�hAreq� \* e�v�►ie1w d approval of plans. 1 [J _/+ (� �/) t1 V�,. 't— � /� -f SIGNATURE OF APPLICANT y�jIW P-JPJ tlil� -) PRINT NAMF. c 1R t�.- D( 1 � �fl 149 {BUJ 7 --1 /—h M07 Building BUILDING Permit N=By: Inspections RESIDENTIAL APPLICATION Received763-572-3604 CITY OF FRIDLEY Dc DATE U ` YOUR E-MAIL ADDRESS 'A_64— SITE ADDRESS 1423 L q" 0 e N' F, THIS APPLICANT IS: OWNER ❑CONTRACTOR PROPERTY OWNER/ NAME: es v TENANT ADDRESS: e CITY e" STATE_kZIP�� PHONE: `i %° �" 57 (e 1 a`J ' S 7-'V-9 — 03 9 % CONTRACTOR NAME:. /N+� STATE LICENSE # EXP DATE SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS: CITY STATE ZIP WITH APPLICATION PHONE FAX PROPERTY TYPE ❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STO S PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHEDWINDOWS 11 BASEMENT FINISH ❑ ROOF DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW ❑ ADDITION ❑ MAINTENANCE/REPAIR ❑ REMODELING yyL✓ DESCRIBE WORK BEING DONE: �� iz doz --2 e SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT Sq. Ft ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES ❑ ATTACHED GARAGE 1. Existing Floor Plan 2. 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: 13 Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structures ❑ Other . ❑ Fascia and proposed project WINDOWS 2. Two sets of construction plans IN EXISTING OPENINGS ❑Yes ❑No LOCATION OFyG,B °® 3. Energy Calculations 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 1SU.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ 0 OCCUPANCY TYPE Permit Fee $ `Z0 _ See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ .001 times the total job valuation Surcharge $_ .0005 x Permit Valuation Minimum $.50 License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $1675 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $21 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ f� . 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 ordinmices and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an applic ion for a rmit 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 ch re evi approval of plans. V" /p v SIGNATURE OF APPLICANT ' ` PRINT NAME U ` C t' DV1f,5 0-11— DATE 7— /D —0,7 Building BUILDING Permit No.:7-L, le Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 Da 'wy 1 2007 CITY OF FRIDLEY DATE / ✓ — / `/ —0 7 YOUR E-MAIL ADDRESS A �ri95lt�� SITE ADDRESS / y oZ 3 `/l/ye y E THIS APPLICANT IS: ❑ OWNER CONTRACTOR PROPERTY OWNER/ NAME: 4AA� IfiA'JG L ®e ADDRESS: %y? G/�l 111le CITY STAT&4,ZIP TENANT PHONE: Jly 3 CONTRACTOR NAME: cJ/9 /� 5/lj� STATE LICENSE # EXP DATE SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS:y6e) S4 U1,4 t� D,� CITY '09ewZF }' STATE ZIP.SSS�3 Z WITH APPLICATION PHONE FAX PROPERTY TYPE AnINGLE 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 TYPE OF WORK: ❑ NEW ❑ ADDITION ❑ MAINTENANCE/REPAIR .REMODELING DESCRIBE WORK BEING DONE: A t/ OA�k)AVZv A/0 -V SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT Sq. Ft. ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES ❑ ATTACHED GARAGE 1. Existing Floor Plan 2. 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 and proposed project WINDOWS 2. Two sets of construction plans IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS 3. Energy Calculations 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 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION.$ya®O° Uy OCCUPANCY TYPE Permit Fee Plan Review See Back Page for Fee Schedule 65% of Building Permit Fee Surcharge $ () .0005 x Permit Valuation Minimum $.50 License Surcharge $ UD $5.00 (State Licensed Residential Contractors) SAC Charge $ $1675 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $21 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due. $ 44 Vn 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 applicatioi/E it 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 w review' d approval of plans. SIGNATURE OF APPLICANT PRINT NAME L�/�4� ��.1VS%C/::: DATE 07 o nc in Needsjonsic for all Your Bu�Id g N0 9618 ,,.fie RIGHT CHOICE LEY, MN. 55432 763-574-9679 LIC UIRE DRNE FRID SHEET 6480 SQ TION PROJECT INFOR 4 p7 No PRO Remodel* Kitchen PROJECT ADDRESSN1n. 55432 1 423 64`h Ave. N.E., Fridley, OWNER' Susan & Vir9il Okeson Ph. 7 63-571-8646 Cell 612-7 59-0397 CONTRACTOR: • JANSICK INC Y JANSICK COACT PERSO574 9679 PH• 7634486 - MOB 612701 _ FAX 763-574-1330 EMAIL ns ck@cOm w counters, new sink and ed: New �bnew flooring. *W ork to be performed - paint, faucet update wiring, Structural changes. Opening in interior wall for archway 40 Building PLUMBING Permit No. -,3= Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY DateILI t-41 an `t,2 7 I DATE //',:2!7 YOUR E-MAIL ADDRESS 0/ 1yr.. l�K e�A"YL CQ•*LC%0.5 1!! SITE ADDRESS J12:5 104-11- f4 ;' THIS APPLICANT IS: OWNER ❑CONTRACTOR PROPERTY NAME: Virfj OWNER/ ADDRESS: IJ C ITY t.` l STATEh!J�LZ 2 - TENANT PHONE: .& 3 ` 5- 7/ - 9k V1 cell CONTRACTOR NAME: STATE LICENSE # EXP DATE SUBMIT A COPY OF YOUR STATE ADDRESS: CITY STATE—ZIP- TATEZIPLICENSE LICENSEWITH PHONE FAX APPLICATION TYPE �SINGLEPERMIT FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: ❑ NEW REPLACEMENT DETAI ED ESC PION OF WORK kevc z7t'2 r-eL L�c4 i �� PER MS 1613.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor ) Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor x.05 = FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) _ BATH SINK/LAV _FLOOR DRAINS SHOWER _ WATER PIPING _ —BATHTUB _ GAS PIPING (vEw cnyiuc&w) _ SWIMMING POOL _ WATER SOFTNER ($35) _ CLOTHES WASHER _ KITCHEN SINK WATER CLOSET BACKFLOW PREV. ($15) _ _ _ DISHWASHER _ LAUNDRY TRAY _WATER HEATER ($35) FOR IRRIGATION WATER METER —OTHER 7 "'zPl.���TF.i,`i ': �� � '.�� :. ..�R.. ....., ua a�� r .� �_ � :.'��� � T� f'" '�a���w'!" •� �,'''... Permit Fee $ Number of fixtures @ $10.00 x $10.00 = $ Surcharge .50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE $ Number of fixtures @ $35.00 x $35.00 = $ State Surcharge = $ .50 Total = $ 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 ord' ances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an Ilication 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 casePf�11 qw ch regVires review and approval of plans. " / G / SIGNATURE OF APPLICAN 1�-� �` %- PRINT NAME ATE / (7 l `C PLS NOTPk.' .. .' Pim �' D i� City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 ►07 Building BUILDING Permit No.: Z Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date: (� 763-502-4977 FAX �y� $ EFFECTIVE 1-1-08 Surcharge G .0005 x Permit Valuation Minimum $.50 DATE Oc(/nn- / YOUR EE--MAEL ADDRESS $ �'. d SITE ADDRESS dS - / THIS APPLICANT IS: ❑ OWNER NTRACTOR Curb Cut Escrow PROPERTY OWNER/ NAME; ft + 6 ft = ft x $21= $ TENANT ADDRESS: 3 lei E- CITY STATNa f2ZIPW 3;�3 $450 Conservation Plan Review PHONE: ,A9-es%/_94, 441 $ NAME: Sewer Main Charge ADDRESS:7 C STA p/L,C `��7 CONTRACTOR SUBMIT A COPY OF -a FAX 436-1- -71:1 PHONE % 4P _ZIP . 9hS-Z YOUR STATE LICENSE / ! STATE LICENSE # 7419' EXP DATE PROPERTY TYPE XfSINGLE FAMILY SIZE ❑ TWO FAmILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGEISHED ❑ WINDOWS ❑ BASEMENT FINISH -210OF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWDANMG POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION �ANCE/REPAIR REMODELING DESCRIBE WORK BEING DONE: B ' S12E OF IMPROVEMENT LENGTH WIDTH HEIGHT SQ FT ROOFING r ❑ HOUSE ONLY NUMBER OF SQUARES \ 13 HOUSE & GARAGE BASEMENT REMODELING SUBMIT: 1. Existing Floor Plan GARAGES ❑ TTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: NPETACHED 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 13 Other [3 Fascia and proposed project. 2. Two sets of construction plans WINDOR'S 3. Energy Calculations IN EXISTING OPENINGS ❑Yes i7No 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: 3 DING T 1997 UBC FEE SCHEDULE) 'OTAL JOB VALUATION $ OCCUPANCY TYPE Permit Fee Jf G� — $ See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge �y� $ .001 times the total job valuation Surcharge $ .0005 x Permit Valuation Minimum $.50 License Surcharge 1-7)L, $ �'. d $5.00 (State Licensed Residential Contractors) SAC Charge $ $1825 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $21= $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge W JI $ Agreement necessary ( ) Non Necessary ( ) Total Due $ Make checks Davable to: City of Fridlev Attach THIS IS AN APPLICATION FOR A PERMrr NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the informatio 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 Vunderstand 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 acro with the appro,,ed p in a of all work which requires view d ap r al of plans. [� SIGNATURE OF APPLIC PRINT NAME � D DATE/' 0