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PRE 2010 DOCSn ApplUmOn for Power Phints and Cooling. Vendlafto. Refteraflon and Air Conditioning Syst and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE 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 $ CH. WARM AIR [� Furnace Shell & Duct Work to 120,000 BTU ............ $10.00 $ " l each add. 60,000 BTU ....................... 3.00 $ Replacement of Furnace ............................. 6.00 $ Repairs & Alterations—up to $500.00 ................. 6.00 $ Repairs & Alterations each add. $500.00 .............. 3.00 $ STEAM or HOT WATER SYSTEM Furnace Shell & lines—to 400 sq. ft. EDR Steam .$10.00 $ Furnace Shell & Line—to 640 sq. ft. IDR Hot Water .. 10.00 $ Each add. 200 sq. ft. EDR Steam .... ................. 3.00 $ Each add. 320 sq. ft. EDR Hot Water . . ........ ... 3.00 $ OIL BURNER—to 3 gal. per hour ... . ` ... ... .. ..... 6.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 198,000 BTU) ........ :......... .. 5.00 $�"' ` over 199,000 BTU See Fee Schedule GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures x$ 2.00 $ Additional Fixtures .................. x .75 $ Gas Range to 199.000 .......... s$ 5.00 $ AIR CONDITIONING, FAN HEATING SYSTEM VENTILATING SYSTEM ALTERATIONS & REPAIRS See'Fee Schedule TOTAL FEE $�^ e Dept. of Bld9a. Phone 880.3480 City of Fridley: The undersigned hereby makes application for a permit for the work hereir. specified, agreeing to do all work in strict accordance with the City Ordinance: and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. p � Fridley, ._Ly Owner Kind of Building + Used as 1 '� To be completed about � •..• _ _ Estimated Cost, $ C'//603 ®• 0_ Old—New. Building Permit No. Permit No. DESCRIPTION OF WORN HEATING or POWER PLANTS --.Steam, Hot Water, Warm Air—Na_ 1 Trade IS )cis Total Connected Load .T4 2 %67b VW �Kind of BURNER — Trade Name Size No Capacii Sq. Ft. E.D.R- BTU H.P. FINAL (REMARKS -OVER) e'_Vv�•-6P >�-�10 HEAT LOSS CALCULATIONS Q,,,% r7 A Weatherstrips A.S. E. Guidee Reference 19_ Construction No. Insulation Wi down I Doors Out. Wall Ilnt. Wall I Ceiling I Roof I Floor Kind How Applied Yei —No Yes—No Ill. Room I Length2 :?,k.Width,2A Windows and cora—Cmckage and Area Height Fl. 1 LrRoomjLength j3Widthje,4ieight Windows and'Doors---Crackage and Area WidthHeight No. of Lineal ft. Area No. of pane of pane lights of crack sq, h. No. Width of pane Height of pane No. of lights Lineal ft. of crack Area sq. M Coef Btu Coef Btu Infiltration Glass Exp. wall Infiltration ,p Glass Exp. wall =1:5 Net exp. wallh Net exp. wall ( D D Int. wall Int. wall Ceiling Floor T— r '� Ceiling Floor 1, Q Total Btu. Total Btu. Required s . ff s . ins: W.A. Lo I -Required sq. ft E.D.R. or ea. ins. W.A. Leader area FI. -Room""l Length I Width O Height F1. m Length Width Height Windows and Doom—Crackage and Area Windowa and b6o rackage Width He t No. of No. of pane of pane lights Coef Btu and Area Cod Btu No. oWid Pam Height of pane No. lights Lineal ft. of crack Area sq. ft. Lineal M. of crack , Area eq. K Infiltration n ltration `"' Glass 4 1 Glass Exp. wall Exp. wall Net exp. wall Net exp. wall Int. wall t. wall Ceiling �_ Floor Total Btu. •�eiling Aoor otal Btu. *Required --� Required sq. ft ., or aq. inn. W.A. Leader area sq. ft E.D.R. ors . ins. W.A. Leader area Fl.oCjyjMo 'Length Width Height Fl. Room Length Width Height Windows Ad Doors—Crackage and Area Windows and Doors--Crackage and Area Width Height No. of Lineal ft. Area Width Haight No. of Lineal ft. Area of pane o lights of crack sg. ft. No. of pane of pace lights of crack eq. ft Coef Btu nfiltration of to No, Infiltration Glass 1_7Glass Exp. wall Exp. wall IL _74 Net exp. wall L Net exp. wall Int. wall Int. wall 9 z' Ceiling_ Ceiling Floor �" oor �- Total Btu. oral Btu. Required eg! ft E.D.R. or eq. ins. W.A. Leader area Required sq. ft E.D.R. or sq. ins. W.A. Leader area Z. City, of Fridley, Minn. -11446 6431 University Ave. N. E., Minneapolis, Minn. 55432 BUILDING PERMIT Date. Ma19 , 1972 Off. De Gardner Builder Same Address 7950 East River Road Address 7950 East River Roa LOCATION OF BUILDING Na 11 Street- 6 6 2 Way N.E. Part of Lot Lot 11 Block 3 Addition or Sub -Division Edgewater Gardens Corner Lot $ inside Lot Setback Sideyard 62' W. of M.H. Water Location 10 of Sewer Sever n Founfatl on evati & rvicd Wye Elev. ser op o 0o ng pprox DESCRIPTION OF BUILDING To be Used as: Upper 988 Dwelling Front 26'Depth38' Height 20' Lower 988 Sq. Ft. cu. Ft. Garage Front 22' Depth 24 Height 10 Sq. Ft. _ 528 Cu. F•t. 5280 Type of Construction Wood frame FAt Cost 30,609. To be Completed 1 year Provide verification survey Provide hard surface driveway designate garage door header In consideration of the issuance to me of a lmmit to construct the building des bed above, I agree to do the proposed work in accordance with the description above set forth d comp ' ' ce with all provisions of Ordinances of the city of Fridley. 15.31 State Surch ge In consideration of the payment of a fee of $ 4 7.00 , permit is hereby granted to . DeGardner to construct the building or addition as described above. This permit is granted upon, the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects -to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings anthee. city limits and this permit may be revoked at any time upon violation of any of the provisions of said .A NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to we the Building Inspector for separate permits for these hems. i APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING P,tRMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME : U'�! CQ­d/Jesl' BUILDER : C -7V fU' r ADDRESS:_ �9 50 1J - ADDRESS: NO:. STREET • LOT: BLOCK: ADDITION: e_:74euuo4 v CQ We /lJ, CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD; Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING T Be Used As: f � Front • a2(0 Depth • Height • 0?4 • /, ��. Square Feet Cubic Feet: Front: —Depth: Height: /0 Square Feet, ;' Cubic Feet; Type of Construction: WO-OCQ_%JA(Z4 V�Estimated Cost11 ; $ P To Be Completed: � The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in stfict 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 rrec . DATE: SIGNATURE• Aor (See Reverse Side For Additional Information) G' ` ' Ifl j Al I j`,. 31, lel'l � ruts i1Jj v Alel N 31, tv N ��w�rz L.oc�-reo�J esse�� ��,5 V. X3 8. F.Oo 7-1,oV(, (,0)4f ctqplogo x ` s ltl�q ear° T I L47 p1t) /D 0 'sg- eVIC De Gardner Realty 7950 East River Road Fridley, Minn. 55432 Phone 786-1220 i / j, s. /..LA. AGREE TO THE PROPOSAL OF THE 16 FOOT SIDE YARD OF DE GARDNER CONSTRUCTION ON LOT 11, BLOCK 3, EDGEWATER GARDENS THIS DAY OF MAY 25th 1972. � 2 PARTIAL RATE SCHEDULE PLOI►t1slATtQ FI1[TUldlt RATES- NO. RATE TOTAL /� 0 Number Fixtures ........ ........ r City of Fridley Future Fixture Opening ....:...... x DESCRIPTION ®i WORE Dept. of Bldgs. Phone 980-3430 - � Number. Kind and LocaBon of 7Utuw" . Water heater "Up to 99.000 BTU) .... �_ x 83.00 $ WATEU City of Fridley: x 83.25 S ; ~ i� ffi to GAS ELMThe g� o undersigned hereby makes application for a permit for the work htreir s GAS FITTING FEES- speciffied, agreeing to do all work in strict accordance with the CitJ Ordinance Base (79 / % and ruling of the Department of Buildings. and hereby declares that all the fact' Additlonal Fixtures ............... x 8 .75 : and representations stated in this applicatio are true and correct Gas Range to 199,000 BTU ....... ®.... !st Fri Mina .50 2nd 3rd _ 4E Bey, Owner Description . .. . o .. . .. .... ... ... ..... 4th Kind of Building TOTAL TEE • ruture Conavedon Openings BMW • Now 111 •, 014 Opoaings Q used as To be completed about PARTIAL RATE SCHEDULE PLOI►t1slATtQ FI1[TUldlt RATES- NO. RATE TOTAL /� 0 Number Fixtures ........ ........ _..—.l._. x 8200 : 81.50 Future Fixture Opening ....:...... x New Fixture Olaf Opening .......... x 81.50 t Catch Basin .................... x 83.25 i Water heater "Up to 99.000 BTU) .... �_ x 83.00 $ New Ground Rues Old Bldg. ........ x 83.25 S Electric Wet•r Hooter .............. a 82.00 = GAS FITTING FEES- NO. RATE TOTAL lat 3 Fixtures • • ............. x 8200 i 00 Additlonal Fixtures ............... x 8 .75 : Gas Range to 199,000 BTU ....... ®.... x 85.00 $ State Surcharge $ .50 LTERATIONS•f®s to Cads REPAIRS & A�—R _ Description . .. . o .. . .. .... ... ... ..... . ...... . ..... r ......_ TOTAL TEE Estimated Cost. $ Old New. uilding Permit ROUGH H�wwyy gna•y �pp** ^I. .T,.t.... a, '�y{y--.•n!i��+ !}!y [Q{: S.^n.�,;-e.?... pp�..gygp �.,:y ��?. .nw{',�.J^4Pie� p���r �v.�.'.Scr •4,�s,•-'�7pr.+�.pg �►'�{�A Y`t�o'�e d7lps SY'¢`7i `s'� • `aJ G3 �a:� 6 }qSy.. .a to �'r.o6�•Cl 4ew.:rd iv��q Y(�V�d•C ah�w�� @@�'��*�neo.�C o��a :brtiD L'id 3G� L'a':sr.i�:�,vid•4i�6�'t:8 F�'� AI`dT '�ti aL EiHod.o � 3 i++sc L' ivy( PARTIAL RATE SCHIEDW E GRASiM WAP34 }UR: Rrrhaate. TOTAL rurnace Shell & Duct Work 310.00 Replserment of ihrrnar•e 6.00 $ P•rpairs & .411erat:ons— up to 5500.00 600 Repairs & Alt -orations each. add. 5500.00 3W $ wzcm wARA4 AIR T�Lrnace Shell & Duct Worcs to 224,040 BTU .$1000 $ e=h add. 60,044 BTU 30) $ RcDIAzeme^. of F•arnace 6.00 5 Repairs & Alterations --up to $500.00 6.00 $ Repairs & Alterations each add. $500.00 3.00 $ STEAM ox HOT MATER SYSTEM{ F.rrnace Shell & Lines --to 400 sq. ft FDR Stetter @30.00 3 Furnace Shell & Lint—to 640 sq ft. EDR Hot Water 1000 S. Each Add 203 sq. n EDR Steam 3 on $ Each add. 320 sq. ft EDR Hot Water 3.00 S OIL BDRlte_F.—to 3 gal. per hour 6.03 5._,.r over 3 gal. per hour ---See ree Schedule GAS BURNER (up to 1-99.000 BTU) 5.00 5 over 193.000 B'L'it See Foo Ukodulo GAS IF 11ING FEIi 5- ASO RATE TOTAL 1st 3 F,xtures x© 200 S Additional Fixtures _ x .75 Gas Range m 1M.000 x$ $.00 g _ StateSu c%ge .50 F'�i.T�, F �.'iq. Ma �Si;I�Y-i'�m /� TIM [ iLc' 17.X 10 flTJ • 4.' 3 V AL.=_A77jC;,3 & IIEPA n TOTAL a= j Zoe_ AL Dept. of 131490. M -on* ISW-um /11 /1 // i= City of Mdley: The nridersig;ned hereby makes application for a permit for the work herds specified agr•.rtng to de; all work ,n strict accordance with the City Ord:rance:v and riling of the Department pf P.uildings, and hereby declares that all the farm and represPntatluns stated in this app'ucation are "e "e�aad correct ct Fridley, Mian e is, Owner A0A Kind of Building Used a• To be Corr Estimated Cost, $®v Dd aPermit No.New. Building Perrrut No. _.__ __ _ D=CRLFM02T OF WOE HEATING or POWER FLANME Stezza, Piet Waits, Warm Air—No Trade Name Size Ata Capacity— — Sq. Ft. E.D.R BTU H2 Total Connected Loed Kind of Puel BURNER — Tn?de Na* Si :e No CaNcl Sq. rL ED.R D= 1� (2='%11gs—orva) RAY N. WELTER HEATING CO. Strom 4637 Chicano Ave, Minneapolis, Minnesota 55407 137 PEI SUBJECT1T n �~ City of Fridley F2— 19 4 8 AT THE TOP OF THE TWINS BUILDING PERMIT _ r ECEIPT NO. COMMUNITY DEVELOPMENT DIV. y r PROTECTIVE INSPECTION SEC. `.-_. J-,,� CITY HALL FRIDLEY 55432 L NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 5/19/88 JOB ADDRESS 11 - 66331 Way N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 11 3 Edgewater Gardens SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Richard/Gail Janezich 11 - 6632 XKN Way N.E. 574-7442 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 32' x 16' Swimming Pool with Decking Around Pool (12,250 Gallons) 9 CHANGEOFUSEFROM TO STIPULATIONS See letter dated 5/18/88 with stipulations. Electrical service may have to be altered or installed underground. gG !►l�.G��,'� REQUIRED FOR SEPARATE PERMITS �' ��.c�� � WIRING, HEAT9NG, PLUMOING AND SIGNS. 't+ 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 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 •5'200 $2.60 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 -l. QQ STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. r PAN CHECK FEE a. TOTjEE O ((77 S UFLE OF CO ACT AUTHORIZED AGENT - (DATE) WHEN PROPERLY V,14NDATED THIS IS YOUR PE MIT BLDG MSP DAT SiGNATURE OF OWNER U NER BUILDER) DATE( PEI NEW I ] AMM :[] a ,d, ALTER, -'V ] w , �r Construction Address: City of Fridley R-1 AND R-2 Building Permit Application 4C Effective 5/1/88 Legal Description: 1,07- /1 BA Cc 3 (�e wa7'ev- �aI-An5 Owner Name & Address:0411 ` --cae zic/i Tel. # 6"711-7 IN 2 - Contractor X:'Ann'S PooLS FxWiJa -fig Mf-Aii'n Tel. # Address: ArR rn BLO ider5 ? ? C - y 5§ pa u ®�L S%re, 7Y� — 5�,3 Attach to this application, a Certif icate of Survey of the lot, with the proposoed construction drawn on it to scale. qlj�j• r r • r • • D. 1 D �I1 Width Height Width Height Width Hgt/Ground f) --v. - .- - 1_4-t a _....J• Sg. Ft. Sg. Ft. Sg. Ft. &r 32 -X 1& , Ca, �) -1 Tv c�-� �� Oorner Lot [ Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks V Type of Construction: Pna L Abe �:&p, o0 Estimated Cost: 5 %� Approx. Completion Date: MU4, 0!� i I G1 Proposed Driveway Width If New Opening Is Desired: $_ Width + 6' Alt. A Alt. B See Back Page DATE: Jam -//v "ff APPLICW: • Tel. # ,5-7q-,; ,/ q 7. Mrf 9SE ONLY Permit Flee State Surcharge SAC Charge Driveway Escrow Park Fee Sewer Main Charge TOTAL Free Schedule on Reverse Side 5.50/51,000 Valuation $550 per SAC Unit Alt. "A" or Alt. "B" Above Flee Determined by Engineering Agreement Necessary I ] Not Necessary [ ] 6200 { 07 r CITYOF FRIDLEY CIVIC CENTER - 6431 UNIVERSITY AVE. N.E. FRIDLEY, MINNESOTA 55432 - PHONE (612) 571-3450 May 181 1988 Mr. Richard Janezich 11 - 66 1/2 Way N.E. Fridley, M1J - 55432 Re: Swimming Pool Construction at 11 - 66 1/2 Way N.E., Fridley Dear Mr. Janezich: This letter is to make clear this department's requirements for the swimming pool construction at the above address. 1. As indicated, one (1) skimmer approved by the National Sanitation Foundation will be provided. 2. As indicated, one (1) inlet of approved design for fresh and/or repurified water will be provided. 3. The filter and pump shall be approved by the N.S.F. and be of sufficient capacity to provide a minimum turnover of at least two (2) times in 24 hours. This department recommends a turnover rate of 6 - 8 hours. 4. A deck of at least three (3) feet wide, measured from the pool waters edge, shall be provided which extends completely around all private residential pools. Above ground private residential pools may be provided with decking of a minimum size of 4 feet by 4 feet at pool entry points and provided that such decking has the approval of the City. 5. Fencing or other effective means including but not limited to walls or buildings, acceptable to the City, shall be provided to positively control all access to public and private residential swimming pools. Fencing shall meet the following criteria: (a) The fencing shall prevent the entrance of children and be without hand or foot holds that would enable a person to climb over it. (b) The fencing shall be at least 6 feet high and entrances shall be equipped with self-closing and self -latching gates capable of being locked. (c) Self-closing and self -latching devices shall be placed at the top of the gate or otherwise inaccessible to small children. (d) The opening between the bottom of the fence and the ground or other surface shall be not more than four inches. May 18, 1988 Mr. Richardd Janezich Re: ll - 66 1/2 Way N. E. page 2 6. An automatic chlorinator should be provided with a suitable test kit. 7. All electrical and plumbing installations shall be inspected and approved by the City Inspection Department. 8. All overhead electrical lines must be a minimum of 10 feet horizontally from the pool surface, and 18 feet straight line distance from the waters edge. An alternative is to bury said lines. 9. The pool fill spout must be protected by a vacuum breaker or air -gapped. 10. Suitable safety equipment to include but not limited to a ring buoy and rope that is 1-1/2 times the pool diameter and shepherds crook pole must be provided and maintained with the pool at all times. Furthermore, these and any other requirements must meet the provisions of the Fridley City Code, Section 115, Swimming Pools. The building permit is approved contingent on final inspections and approval of the City. If any questions or problems arise from this letter, please feel free to contact me at 571-3450. Sincerely, DARREL G. CLARK Chief Building Official DGC/mh 01 SUBJECT RMITNO. - City of Fridley 26237 WI AT THE TOP OF THE TNS BUILDING PERMIT r E� may_._.___, COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. r � � 1 I NUMBER REV DATE PAGE Of APPROVED BY i CITY HALL FRIDLEY 55432 L 612-571-3450 910-F15 6/15/98 JOB ADDRESS 11 66 1/2 Way NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 11 3 1 Edgewater Gardens SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Tabor & Sons Inc 3716 St Francis Blvd, Anoka., MN 55303 789-1902 20014248 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 JJ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House & Garage (21 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 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $1,315 $.66 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $45.75 Fire SC $1.32 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOT FEE LicenS $5.0 $52.73 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI ENRO VALID B G INSP THIS IS YPUR ERMI oATE SIGNATURE OF OWNERUF OWNER BUILDERI IDATEI 01 W14111 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION I ConstructionAddre Legal Description: Effective 1/1/98 _BID0 c;?&,;) 3 `7 Owner Name &Address: 2Tel. # 5-j y- / Contract Address: ENSE # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: Length GARAGE AREA: Length DECK AREA: Length OTHER: DESCRIPTION OF IMPROVEMENT Width Height Width Height Width Hgt/Gro d � � A a / Sq. Ft. Sq. Ft. Sq. Ft. -0/ 4'0W-d6CC- Construction Type: Estimated Cost: $ _�f O l (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: fe /�' c/ APPLICANT: L/D d �L�/7 Tel. # Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control 6a Park Fee $ Sewer Main Charge TOTAL STIPULATIONS: $ CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1000 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 571-36U4 VAX: 17631571-1L8"/ ADDRESS : 1166 1/2 WAY NE PIN : 153024140013 LEGAL DESC : EDGEWATER GARDENS : LOT 11 BLOCK 3 PERMIT TYPE : BUILDING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOW/DOOR REPL PERMI NO.: 204-00899 DATE ISSUED: 06/14/2004 VALUATION : $ 5,445.00 NOTE: PROVIDE SMOKE DETECTORS IN ALL SLEEPING ROOMS AND ON ALL LEVELS OF THE DWELLING PER R317 OF THE 2000 INTERNATIONAL RESIDENTIAL CODE. CAULK AND FLASH ALL EXTERIOR OPENINGS.. REPLACE 8 WINDOWS WITHIN EXISTING OPENINGS. STATE LICENSED CONTRACTOR 1 APPLICANT NORLING EXTERIORS INC (20098700) 34179 WAY NE FRIDLEY, MN 55432 (763)784-8936 OWNER WHALEN DONALD J & DEANNE M 1166 1/2 WAY NE FRIDLEY, MN 55432 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulat' instruction or the performance of construction. 12 App C o Date urwa •1 i Bldg Ins Dat `l BUILDING PERMIT FEE 125.25 FIRE SURCHARGE 5.45 STATE SURCHARGE, VALUE 2.72 LICENSE SURCHARGE 5.00 TOTAL 138.42 PAID WITH CHECK # 6216 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. NEW [ ] CITY OF FRIDLEY C 3.259 Effective 4/1/2004 ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [ j SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax BUILDING PERMIT APPLICATION ,,-��y-��� Construction Address:�WAY f1 O Legal Description: Owner Name & Address: r�r� Q �� e- a 1.2-`-' _Tel. #�7b3� 7 Contractor. I UZ FO'_ L -0'-e `"r 102, - MN LICENSE #'bC , ZC)0(3 `'{ 70b Address: 3 A ° 771'why-► e'j t4lt,)< 55432 Tel. � 1 Attach to this application, a Certificate of Survey of the (�7 LS, 7 24 -993L, 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 Hg round Sq. Ft i 1 ��a� l USTIA1� OTHER: flov► �l e u n� `TIZi YYl Construction Type: t� � �'`^ Estimated Cost: $- 5,44151o� Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ —=$ DATE: L © APPLICANTS C ' , Tel. # Z3c 9 Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will call you for card number. Permit Fee Plan Review Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge CITY USE ONLY - Fee Schedule on Reverse Side 65% of Permit Fee .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1350 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] TOTAL $ 13 STIPULATIONS: