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PRE 2010 DOCSCity of Fridley SUBJECT PERU ®14'746 AT THE TOP OF THE TWINS BUILDING PERM t T NO. COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. L 1 ` � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-560-3450 910-F15 6/12/78 JOB ADDRESS 111 - 6431 Way N. E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 2 Johnson's River Lane SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE William Corcoran 117 Mississippi Place N.E. 561-4835 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER b -Lr' PERMITS REQUIRED FOR WIRIt E LICENSE NO. 6 USE OF BUILDINGfir"IMSIGNS.ND Residential 7 CLASS OF WORK ❑_ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR EI MOVE % 6 DESCRIBE WORK TELEPHONE -ELECTRIC -GAS Etc. Construct a 39' x 38' Dwelling and a 22' x 26' Garage REQUIRED BY LAW 9 CHANGE OF USE FROM TO STIPULATIONS provide combustion air to furnace. Provide City with copies of the truss design and verifying survey by 7/30/78. Owner alerted to check for proper drainage. Provide french drains for both entry's below grade. Provide sod in the front and side yards. Provide a hard surface driveway. SEWER LOCATION: (Approx. 12' Deep) 76' W. of Manhole (W.Inv. 824.50) WYE ELEV: 824.80 TOP OF FOOTING: 827.80 Minimum WATER LOCATION: 12.2' W. of'Zewer Service. DRIVEWAY DEPRESSION (Optional) CY OF MW tM NS GVARr4l�IrR M IS VMS DATA IS FOR �ORMAMN ��Y ftk%S PURPOSE, AND R SHOULD VERIFY ihE INiuyyATiON ON Milt Fg 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 60 DAYS, OR IF CONSTRUCTION R-1 1352+572 37,336 Tota OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 ISTALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $50,160 $25.08 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- $149.34 $400.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE .34 $611.76 SIGN TU OFCTORORAUT IZEDAGENT (DATE) VYHEN PROPER Y VALIDATED TH S IS YOUR PERMIT g4 BLDG INSP DATE SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI A- 14 F,_�.U,,✓ ,1I�I}II;GPU'SAILIk�- Tel. I,Io .-- 7 0'7': AI)DI ON. C�eG� C'OINY. i2 LOZ: YN ;IDE LOT: — SETBACK: 3-f SIDEYArM S : Tsa?;�?.it..-art -ttt ach t_r) t) is fol f 1%•7o Cert.if_icate ; o` Survey of Lot and proposed b,,d.1dinu location drawn on these Certificates. DESCRIPTI01,4 OF BUILDING Depth: Height. 5auar_e Feet: 73,:6-z— Cubic Feet: (3/ 614 F'ron t . Depth: ire i.g ht : Scivare Feet: Cubic Feet:.: Type of c.onstruct.i,)n: Estimated Cost: $5X 004F --- Alt. A Felt. B J* Proposed Dr_ivewaay ttiidt-ls If New Opening Ir Desired —Ad- _ $ $ (SEE j;EVEIZc;E SITE of SHEET) The undersirncd hereby makes, application for a permit for the work herein Specified, agrccing to do all work in, str.l.ct accordance wide the City of Fridley ordinances and rulincgs of the Dcpa.rtment of Buildings, and' hereby declares that all the `acts and., r ei ;-weal-Cations stated in this appliclation arc true and correct. Soe xeverse side for additional infon-riation. DATE Stipulations: &doe Iv dj- Truss �r7f--s i��J f Z)&Z"Fv.�� %!o A o&)W ct j -v4 ZW,,rz_0 7a ,v,d,0f Je 1. Address &J* y 2. Legal 3. Zoning • 4. Lot Width 9d.sZ 5. Building Width. 45/- 5/_6.. 6.. Front Setback 3 0- 7. 7. Total Use 8. 9. Lot -Coverage "22 Easements . 10. Variance, A), 11. Soil �.�% . 12. 13 . ' Contractor _- PhoneG f14chitectainage.ergy Ashraeility Locations ✓. 18..Specials . Driveway opening Txuss Design .. Combustion Air l/ 22 • _ 23. — 24.. 25. R i AKANSON engineers and surveyors NDERSON s�2i42�-0 ASSOCIATES 2665 4th Avenue North Anoka, Minnesota 5WO SURVEYOR'S CERTIFICATE Survey for: MR. WILLIAM CORCORAN j,# q-11 of F-1�1� 6W DOES NOT GUARANTEE M ACCURACY OF VILITY LOCATIONS AND ELEVATIONS. LEGAL DESCRIPTION: iMS DATA IS FOR INFORMATION PURPOSES ONLY AND PERSONS USIN 3 IT SHOULD VERIFY TETE INFORMATION Lot 1, Block 2, Johnson's River Lane AdAtkosaE. Anoka County, Minnesota. Subject to road as shown hereon. ' u w.rV 73 irtG s . Cr 73 c go Frsffle 2. o o &V�90.4 oyal ulstltie Belot call le digging ti } r TELEP�IONE _ ELECTRIC - GAS El,0,. a f' RE0e TEt, u SCALE: LW�0 _ s® DAY NOTICE TO CITY 'El40. � ®IY. REQUIREDREPLACEM NT t -f . �} • REMOdAL AND T rmyEWAY OPENNGS, • Denotes iron monument found O Denotes iron monument set Seo / Z/83 -5 I hereby certify that this survey, plan- or report was prepared by me or under my -direct supervision and that I am a duly Registered Land Surveyor under the laws of the State of Minnesota. 122634 /0/11/77 Reg. No. Date. Job No. 76 � 4 � ew-rf 00 � 'to/ o j�F 1el f -e eke arc S s s 7-/ c--ss,o vJ Z /V (. PF- c®ro2&" ele-, Z�75 A7 L'�;zdt 6 ENERGY EFFICIENCY i STANDARDS CALCULATIONS oes One or two family dwelling 0,& Owner LL1i1ro Co•2Gv2,/1i�l All�`nther � �� Site Address /// Contractor Date Phone LINEAL FT. OF EXPOSED WALL. _ 2q + S.( +"7.L.(.+jL+ 1 + l ® X /2. !_ ft. above grade = ,� 4/ TOTAL EXPOSED WALL AREA SO. Fr. OPAQUE WALL CONSTRUCTION: "U" value x area hull , r x sq. see Detail reference -:a "U" ..' x sq. from "U" x sq. attached sheets "U"_x sq. "U" x sq* nUn x sq. WINDOWS: "U" value x area .Sake & Type l� � � ta-u S. "U" J, x sq. to to "U" x sq, of of "U,4 --x sq. of to _ "U" x sq. DOORS: "U" value x area ft. 12.1. o a /S• 7.3 (U/A) ft. I DP4 n = 7,2'3 (U/A) ft._l ��7 n a J I (U/A) ft. a (U/A) ft. a (U/A) ft. (U/A) ft.. (U/A) ft. /4S_o m "14, 2,V ) f t. a (U/A) ft. _ (U/A) ft. _ (U/A) Make & Type Pyr, o 0 y &(A. "ji S � x sq. ft. 44 . U = Z3. L (U/A) n n �94 Z 0/ o0,% "u" ---%,--Lx sq. ft. 4-0- D l ate . (U/A) t1 tlOF fluff x sq. ft. � � , 2 3 • - l X80 TOTAL (U/A) VALUES �-� • DIVIDED BY TOTAL WALL AREA 16402. AVERAGE "U" .17 or less for 1 & 2 family dwellings .22 or less for all other buildings TOTALS / J 42 sq. ft. 22 k•23[U/A) AVG. "U" ROOF/ CEILING : �� TOTAL AREA: sq. ft. Detail reference !off ��-• ed r�i•'d "U" sq. from "U"- x aq*. attached sheets. "U" x sq. Describe openings "U"' sq* in roof nun x sq. a3� TOTAL (U/A) VALUES DIVID® BY TOTAL ROOF/ CEILING AREA AVERAGE "U" .05 for ventilated roof .10 for all other construction ft.. //® -6. -` 31" (WA) ft. _ (U/A) ft. (U/A)- ft. _ (U/A) ft. _ (U/A) TOTALS Ao 2 sq. ft. 31,46 MA) AVG. "U" C+..":. ail' Film t«..«..• .61 4 \ \• y� •' a l:EB� Ceiling- �7C t 'ar't�..«.•.�. '• ¢ � � .V�• a ' � flag Int.. air film :.«..... •6� • ? _ f up • • `,�•C_ +rsulated roaf/ceiI arca �� a� Total R ° �,�•; • • .Roo fizz, ..••....... '.• Roof' dacicia�-,.«.•... � °- �- t- i-L - IzzsuSa:iaa�:..l...� @ a • at air film 61. ; h ►•- �+ r- a-� -� s •�. r• a- o. a r• a ►•- (7 o 0 3)-vW lAS'Z223ted rccf/ceili= arcs: . Tat r R. = '• ; ``t.. a:.r filer........ «68i. Sidinc iiil v. ai�••. f♦.Wi• l..l..l� ..�Z ,.. w • ••-` . •� - . Total spall f:rm-min= area 1 �% , � a-.. Tbtal. R`' — � a �•� --. • S��a 1.�ifrit. l.N.iNI!•' ~ cr Ca- /to c .. • ail'' fi� r!sl..s• •IT �... � � • Total rtet • ,-;11 a -•'a A) r1 9 f Tatar R 4t �Zy ` •• R _ -jam, M'_ r CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FINING PERMIT Job Address I I / — Department of Buildings City of Fridley Tel. #571-3450 The undersigned hereby makes application for a permit for the vork 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. , 19 OWNER 4L/)jgr KIND OF BUILDING WCi®cQ ��/IC YYl9� USED AS •V/ r 0 TO BE COMPLETED ABOUT /`/7/c`Y PARTIAL RATE SCHEDULE y. N ESTIMATED COST PLUABING FIXTURE RATES: N0. u . OLD - NEW BUILDING PERMIT NO. PERMIT NO. a _ x Water 01 A e x $2.00 $ u C .ci m cl •$ 41Ci ro. U W Heater Catch Basin L .i f° $ e1 Water Heater - to 99,000 BTU N .i* vJ 3 N N x CL 4 Water Softener x Le .°+ u m New Ground Run Old Building .c+ $5.00 t c Electric Water Heater x u doe Date ci d 1st 3 fixtures `L x '$3.00 $ 3.0 ' Date Additional Fixtures x $1.00 $ O Gas Range to 199,000 BTU _ J x SS0.00 $ � APPROVAL FOR PERMIT l • REPAIRS & ALTERATIONS vyi 7u m First $100.00 U) $5.00 U. U) 4 uwa3 $2.00 S MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 p= $.50 STATS SMMUM o as lee TOTAL FEE S s7 • Sb '. REINSPECTION FEE , (S10.00) 1st 2nd 3rd 4 tb (R) = Future Connection Opening Connected with Sewer M - New Fixture, Old Opening Water Job Address I I / — Department of Buildings City of Fridley Tel. #571-3450 The undersigned hereby makes application for a permit for the vork 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. , 19 OWNER 4L/)jgr KIND OF BUILDING WCi®cQ ��/IC YYl9� USED AS •V/ r TO BE COMPLETED ABOUT /`/7/c`Y PARTIAL RATE SCHEDULE ESTIMATED COST PLUABING FIXTURE RATES: N0. RATE TOTAL OLD - NEW BUILDING PERMIT NO. PERMIT NO. Number Fixtures _ x $3.00 $-B.00 Future Fixture Opening x $2.00 $ Company New Fixture, Old Opening x $2.00 •$ Signed By Catch Basin x $5.00 $ Water Heater - to 99,000 BTU _ I x $5.00 $ �,� Tel. No. ��i ✓- �/��'. S� 100,000 BTU to 199,000 BTU x $10.00 Water Softener x $7.00 $ New Ground Run Old Building x $5.00 $ ROUGH INSP.. Electric Water Heater x $5.00 $ Date GAS FITTING FEES: 1st 3 fixtures `L x '$3.00 $ 3.0 ' Date Additional Fixtures x $1.00 $ O Gas Range to 199,000 BTU _ J x SS0.00 $ � APPROVAL FOR PERMIT l • REPAIRS & ALTERATIONS First $100.00 $5.00 $ , each add. $100.00 or fraction $2.00 S MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 p= $.50 STATS SMMUM State Surcharge $ .50 TOTAL FEE S s7 • Sb '. REINSPECTION FEE , (S10.00) CITY OF FRIDLEY APPLICATION FOR POWER FLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Job Address - 2 Furnace Shell & Duct Work $12.00 $ * Replacement of Furnace 7.00 $ Repairs & Alterations -up to $500.00 7.00 $ Department of Buildings Repairs & Alterations each add. $500.00 4.00 $ City of Fridley Tel. #571-3450 MECHANICAL WARM AIR: Furnace Shell-& Duct Work to 100,000 BTU each add. 50,000 BTU *Replacement of Furnace Repairs & Alterations -up to $500.00 Repairs & Alterations each add. $500.00 STEAM 0 'HOT WATERS STEM Boiler Linesupto 100,000 BTU each addn. 50,000 BTU Boiler only up to 100,000 BTU each addn: 50,000 BTU OIL BURNER- to 3 gal. per hour each add. 3 gal. per hour GAS BURNER- from 100,000 BTU to 199,999 BTU (over .199,999 BTU see Fee Schedule) The undersigned hereby makes application for a permit for the work herein $12.00 $ specified agreeing to do all work in strict accordance with the City Codes 4.00 $ and rulings of the Department of Buildings, and hereby declares that all the 7.00 $ facts and representations stated in this application are true and correct. 7.00 $ / 6 4.00 $ idley, Minn. OWNER $12.00 $ 0 G KIND OF BUILDING 4.00 $ 7.00 $ USED AS `y 6.00 $ TO BE COMPLETED ABOUT $10.00 $ 10.00 $ - ESTIMATED COST _ 29 $10.00 $� ♦ DOLD ONEW BUILDING PERMIT NO. PERMIT NO. GAS FITTING FEES: 1st 3 Fixtures 3, 00 Additional Fixtures a6 $ 1100 Gas Range to 199,000 BTU x $10,00 AIR CONDITIONING FAN HEATING SYSTEMS See Fee Schedule VENTILATING SYSTEMS ALTERATIONS 4 REPAIRS Stake Surcharge TOTAL FEE ROUGH INSP. REINSPECTION FEE Date (.$10.00) FINAL INSP, Date APPROVAL FOR PERMIT 3 00 $ 1 DESCRIPTION CF FURNACE/BURNER $ O � $ ��i HEATING or POWER PLANTS, Stt/eam, HoDII-It, Warm Air- No. $� Trade Name a,r��.._il��it� Size No. $ --- - - //mss $ Capacity Sq. Ft. EDR _ BTU14!S,-. HP J g $ s0 Total Connected load Kind of Fueelm Z i BURNER - Trade Name Size No. G Capacity ,T Sq. Vt. EDR BTL' HP Companyalft e2 Signed By 4�ne Tel. No, 14INIMUM FEE FOR ANY HEATING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE *Attached stack verification form SUBJECT P City of Fridley 2 3 6 2 4 AT THE TOP OF THE TWINS BUILDING PERMIT f 1 1 � l • COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC �� r I NUMBER REV DATE PAGE OF APPROVED BY /--n CITY HALL FRIDLEY 55432 "'j 612-571-3450 910-F15 8/11/95 JOB ADDRESS 111 64 1/2 Way I LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 2 Johnson's River Lane SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Jim Chandonnet 111 64 1/22 Way NE 571-2414 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 O ALTERATION JD REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof (14 Sq) 2nd Layer 9 CHANGE OF USE FROM TO STIPULATIONS Roofing can be the 2nd layer but not the 3rd. 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 I STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED @ $.50 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $840 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- Fire SC $.32 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $32.00 PLAN CHEC FEE TOTAL FEE $32.82 SIGNATURE IDATEI N P OP LY ALI TED THIS IS YOUR PERMIT%�%L31 =RACTOAUTHORIZEJ�AGENT SIGNATURE OF OWNER OF OWNER BU DERI IDATEI BLDG INS qAT NEW ADDN [ ] CITY OF FRIDLEY ALTER (] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: — le Legal Description: Owner Name & Address: Ti In 'i k//.q Effective 8/l/95 306 IWO Tel. # S%/< o? G Contractor: .5 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 LIVI'NG AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: z Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: Estimated Cost: $ (4sa X 68, Approx. Completion Date: 84 (Cost on Back) Driveway Curb Cut Width Needed: + 6 Ft=F F $ _ $ DATE:=�v� APPLICANT: Tel. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: CITY USE ONLY $ Aja ® 0 Fee Schedule on Reverse Side $ 3a .001 of Permit Valuation (1 / 10th %) $ ` $.50/$1,000 Valuation $ $850 per SAC Unit $ ------$5.00 (State Licensed Residential Contractors) $ Alt. "A" or Alt. "B" Above $ $450.00 Conservation Plan Review $ Fee Determined by Engineering $ & Agreement Necessary [ ] Not Necessary [ ] 0 SUBJECT City of Fridley(0-33420 AT THE TOP OF THE TWINS BUILDING PERMIT r I i _____ COMMUNITY DEVELOPMENT DIV. VV RE(M r PROTECTIVE INSPECTION SEC. 1 � NUMBER REV DATE PAGE OF APPROVED BY ! CITY HALL FRIDLEY 55432 763-571-3450 910-F15 4/10/03 JOB ADDRESS 111 64 1/2 Way NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DEscR. 1 2 Johnsons River Lane SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE James Chandonnet 111 64 1/2 Way NE 763-571-2414 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 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION Ck REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reside House & Garage 9 CHANGE OF USE FROM TO STIPULATIONS Per Section 1402, 1997 Uniform Building Code, requires that a weather resistive barrier be placed over exterior sheathing to protect the interior wall covering. Exceptions for this provision would be if,-sheathing is an approved weatherproof panel or when the siding is an approved`*her barrier. Vinyl siding is not a weatherproof covering unless the manitfacturer. states this in their application. guidelines. Call for inspection of wrag'''before',.covering. Caulk and flash all exterior openings.L.u_ f SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 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 $2,100 $1.05 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- $83.25 Fire SC $2.10 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE FEE YIOTAL 86.40 Oc CON' TOR OR sur IZED AGENT IDATEI H P P RLY VALID ED THIS IS Y R P RMIT S. ATU O� N RiIi OWN RBUILDERI IDATE. OG INS DATE 0 NEW [ ] CITY OF FRIDLEY Effective 1/1/2003 ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax BUILDING PERMIT APPLICATION Construction Address: "7 Gv —zy�— Legal Description: Owner Name & Address: �i�1�7 �� /� �/� Tel #74X--57"211— Contractor: MN LICENSE # Address: Tel. # LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Width Hgt/Ground Sq. Ft. Construction Type: Estimated Cost: $ Driveway Curb Cut Width Needed: + 6 Ft = Ft x = DATE: r d"3 -APPLICANT: Tel. Call (763) 572-3604 for Permit Fees if call you for card number. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge TOTAL $ 64 - /® in application. Fax to 763-571-1287 if using credit card and we will CITY USE ONLY - Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1275 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 SUBJECT City of Fridley 33502 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. >r _____ COMMUNITY DEVELOPMENT DIV.�� PROTECTIVE INSPECTION SEC. r � � NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 763-571-3450 910-F15 5/9/03 JOB ADDRESS 111 64 1/2 Way NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. j 2 1 Johnson's River Lane SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE James Chandonnet 111 64 1/2 Way NE 763-571-2414 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 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Remove existing 10' x 16' deck; Construct a 10' x 10' deck 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. f y ffiiF� 80for® digging; call for S0 utility locations 4WO02 REQUIRED' R Y I_ %A SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING. HEATING. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU FT AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 ISTALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED @ $.62 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT `P1,L40 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- Fie SC $1.24 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $47.90 PLAN CHEC TO AL FEE $49.7 �GNATSlR OF CON 7bfACjfOA OR AUTHORIZE A[ a_E T (DATE, H PR D T S YOU �VALI r r SDG INSP E GNATU O Ao OWNER BUILDERi IDATEI 0 NEW [ ] CITY OF FRIDLEY Effective 1/1/2003 ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax / BUILDING PERMIT APPLICATION Construction Address: / Legal Description: 1,04 bl& 00 Owner Name & Address: �✓ e �3 /�•� �ti�c* Tel. #7,(- -3 --5-71 Contractor. _�5� 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 DECK AREA: Length � Width %P i OTHER: 1�'[�sdls� Ll � /eq % Height Sq. Ft. Hgt/Ground 1 Sq. Ft. /O ZP e 4--_ vi es -r- n,,0 5, 4fA Construction Type: Estimated Cost: $ Driveway Curb Cut Width Needed: Ft. + 6 Ft = t x $ _ $ r DATE: APPLICANT' Tel. # Call (763) 572-3604 for Permit Fees if ailing in application. Fax to 763-571-1287 if using credit card and we will call you for card number. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge TOTAL $ / CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1275 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 [ ] _ HAKANSON engineers and surveyors 1VDERSON AASSOC 8121427-,r4W 266.5 4th Avenue North Anoka, Minnesota 55W3 Survey for: SURVEYOR'S CERTIFICA MR. WILLIAM CORCORAN LEGAL DESCRIPTION: Lot 1;*Block 2, -Johnson's River Lane Addition Anoka County, Minnesota. Subject to road as shown hereon. SCALE: I ?/ • • Denotes,iron monument foundA, `t. O Denotes iron monument set I hereby certif or under my diy that this survey, a vy, plan or report was Prepared Surveyor under the sulaws of that I am a a me the State of Minnesota�y Registered Land 12263 lo%/�7 Reg • no.. Date .SA2.0/ Job No. � 4 1 `i 0 -u Q 1p A . 0 CI I Y OF I MULL:) 11'4::,l 'I i. 1101,4 tnV 6431 University Ave NE I-ridley. MN 55432 (763)572-3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTI IRFC T(1 aF InlcTet I Gn nK1 cnr'u Ci L-11ect1ve Un Jan 1. 2UO2 PLUMBING FIXTURE RATES: New Fixtures Old Opening. New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater -Electric Water Heater - Gas"' Gas Range" Gas Dryer** Back Flow Preventer Required ( )Yes () Nc Type NO. RATE TOTAL $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 $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 ///-_/ / (-." Yn, , A ).j � The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the city odes and rulings of the Building Division. and hereby declares that all the facts and representations stated in this application are true and correct. I �► Owner Building Used As Estimated Cost j — PERMIT NO. -_J �/ PLUMBING COMPANY �)r- SIGNED BY — TEL NO,�o.S/— �y FAX# —� Approved By Rough -In Date Final Date -50: MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $20:00. $. �� PLUS THE $.50 STATE SURCHARGE � _ _ .A COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFOrON BACK SIDE 4A ; THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNED When ran-- lin—g an axictine f irannathe 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 existing rnmhuetinn air is sized and installed to meet the current codes and manufacturers specifications. Yes () No ( ) When required to install a new cnrnhi action air. it will be sized and installed to meet the current codes and manufacturers specifications. Yes () No ( ) When installing a naw 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. Apolianre Ty pa and SizeJCommon Vent and Vent Yes( )No( ) Connector information 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 HeightDiameter_ 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: