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AF - 35740I ,J Date Owner Addres � City of Fridley, Minn. u BUILDING PERMIT N° 3 31'7 .....�. -..L��.:.:�:� ............... -'� �) �% ` /�/ � '�:�"• 44�" . . � : . . . �:4 .%:4�.-:�, . . Builder . . . . . . . . . . 4Y:{':�!!L`L!t!'' . . . . . . . . . . . . . . . . . . s........� ............................ Address ............................................. � LO�CATIO�1 OF BUILDING No. � . ! . � � . Street . . ��"."` '�-: . . � .�� . . �r:r . . . . . . . . . . . . . . Part of Lot . . . . . . . . . . . . . . . . . . . . . . . Lot . . . . .� .� . . Block . . . . . �. . . . . . . . . . Addition or Sub-Divisio�� C. :��. /:5 . . �<< � � . /t.�-: : /�: �Fr . . .- �� ' 1 ✓ Corner Lot . . . . . . . . . . . . Inside Lot . . . . �. . . . . . Setback . . .�� . � . . . . Sideyard . �.'��.': . . . �. � :'. . . . . . . . . . DESCRIPTION OF BUILDING To be Used as: j�4 `.��. � t'�! . . . . . . . Front . . ��. . Depth . �: . :� . . Height . . . J. . . . Sq. F't. � `. .L � . Gii. Ft�. �. Z . � � ont ........ Depth ........ Height .... Sq. F't. ........ G�. Ft. .................... �� .�.�. ........ Zj�pe of Construction '. . '�:�: /!�r,t.-. . . . . . I�st. Cost.!��'.,. .�. ti . �:' . . . . . . . . To be Completed . � �, ��.�_: . . . . . . . . . ",% JC�-u- �;� / � , �� -;��t;T ��Z�<.-, . ,'' . , J � In consideration of the issuance to me of a permit to construct the building desribed above, I agree to do the proposed work in accordance with the description above set forth and in compliance with all provisions of ordinances of the city of Fridley. . - \ �l��' f ,r�' ' ' ' ' ' '-� '� , �C. . � /. . .��fl.► . ( .�,. . . . . . . . . � L �; � �� , In consideration of the payment of a fee of $. . . . . . . s � . , permit is hereby granted to '. . .�: � �� . . � . .1�:��'� � <-� ^ ....... .. .. .. .... ........ to construct the building or addition as described above. This permit is �nted upon the express condition that the person to whom it is granted and his agents, employees and worlunen, 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 with- in the city limits and this permit may be revoked at any time upon violation of any of the provisions of said �rAinancac_ �/��' I� �/ / .�.�=��'Y..�.,r` Z S-.�G �uilding Inspector NOTICE: This permit does not cover the construction, installation or alteration for wiring, p(umbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these items. � �� 1 0 Application for Power Rlants and He�ating, Cooling, Ventilatian, Refrigeration and Air Canditianing Syste�ms and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work . . . . . . . . . . . . . . . . . . . . . . . . 8.00 $ Replacement of Furnace . . . . . 5.00 $ Repairs & Alterations—up to $500.00 . . . . . 5.00 $ Repairs & Alterations each add. $500.00 . . . . . . . . . . . . 2.50 $ MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU .. ... each add. 60,000 BTU . . ........... .......... Replacement of Furnace ............................ Repairs & Alterations—up to $500.00 . . . . . . Repairs & Alterations each add. $500.00 .............. 8.00 $ � � 0 U a.00 � 5.00 $ 5.00 $ 2.50 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam 8.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water 8.00 $ Each add. 200 sq. ft. EDR Steam 2.50 $ Each add. 320 sq. ft. EDR Hot Water . . . . . . . . . . . . . . . . . 2.50 $ OIL �LTRN��—to 3 gal. per hour .. 5.00 v— over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 400,000 BTU) . . . . . . . 5.00 $ ;�, �'C Gan.S FITTIFdG FE�S: NO RATF. TOTAL lst 3 Fixtures ........ .. x $1.50 $ �_,!1 �_ Additional Fixtures ........ x .50 $ Gas Range to 200,000 BTU x 2.00 $ AIR CONDITIONING FAN HEATIPiG SYSTEM VENTILATING SYSTEM ALTERATIONS & REPAIRS REMARKS: $ See Fee Schedule $ TOTAL FEE $ % `�� Dept. of Bldgs. Phone SU 4-7470 �-- � ' !�/ ofi-�' yL ;/��/ - Location ! �- �� d. i . ��, J/ � City of Fridley: 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. � � '� ✓ t% , 195— � . � � /� � � Owner —��-- �� L",�ar _� .--- -- 195— ��L�� Kind of Building _��i� — 195— Used as - ,s'.�6,c'� .C��« -- To be completed about � " �J > � � �° Estimated Cost, $_ � U �? ,�—New. Building Permit No. — �-��j DESCRIPTION OF WORK HEATING or POWER PLANTS—Steam, Hot Water, Warm Air—No. -� �'w Trade Name Fif'�� ,�� y�� Size No. � � D� J Capacity Sq. Ft. E.D.R. f� ��B'I"U H.P. Total Connected Load C� �'� �� L_ /'� � Kind of Fuel C� - _ BURNER — Trade Name_ ��,�� . Size No. �� E/lf, y Capacity Sq. Ft. E.D.R. BT'U H.P. ",7 � Signed � B� 'is < � 11 pOST t nn-t 2-sa Business Phone No.� __�_4 �1 C� </ • � . D46 � .....,:,6 , , HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS FRIDLEY, IVIINN. Weatherstrips A.S.H.V.E. Construction No. Insulation Guide Windows I Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How Applied Yes—No Yes—No 19_ Fl Room � Length Width Height `� / FI. . Z Room Length Width �� Height �1 Windows and Doors—Crackage and Area Windows and Doors—Crackage and Area �Vldth Height No. ot Llneal [t. Area Width Height No. ot Llneal it. Area No. o[ pane of Dane lights o[ crack eq. [t. No. of Dane of pane Iighta o[ crack ea. ft. 7' � � �J D `a 3 C� / ,� � / 6 '�- / .. / f �- �i �� S- �7 / �- Coef. Btu Infiltration � v �-� �) Glass U �'� - U Exp. wall Net exp. wall ( a /6 6�' Int. wall Ceiling � '.t) / r,-�l t Floor j C Total Btu. 5 Required sq. ft. E.D.R. or sq. ins. W.A. Leader area �� Room � Length /� Width /� Height Windows an Doors—Crackage and Area Wldth Hetght No. oL Llneal Lt. Area No. ot pane ot pane li¢hte of crack sq. ft. � � �- �� 3 y �-y co�f. Infiltration /3 yd Glass � � -� Exp. wall � Net exp. wall � p Int. wall Cei�ing � C Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl. Room � Length / 2- Width / Wm ows and Doora—Crac�age and Area Wldth Helght No. ot Llneal tt. Area No. ot pane ot Dane Ilghte of crack eq. ft. <./� ` �. �L� �Y � ..�'y.y i -� / � � � r � � -z'�' 6^ G' /�' Coef. Infiltration � � -y� Glaas Exp. wall Net exp. wall Int. wall Cei�ing 1� loor Tbtal Btu. � Btu �� I Height Btu "� f O0 �S- 'Y. /�L /� 'QO � '� U ji� %(I h-D / —�� i f� ��F sq. ft. E.D.R. or sq. ins. W.A. l.eader area ! Inbltration Glaaa Exp. wa�� Net ezp. wall Int. wall Ceiling Floor Total Btu. Coef. Btu �3 � _ ZL� r � � � �� .O . /a �� /O 5 Oc± �- d / .a,.-n Required sq. ft. E.D.R. or sq. ins. W.A. Leader area / FI.� � � Room � L.ength l� Width / Windows and Doors—Crackage and Area Width Helght No. of Lineal It. Area No. of Dane o[ Dane Ilghte of crack eQ. tt. � �� } �.- i 7 �-�- Infiltration /' ,a � b-L Glass - �1 � G � Exp. wall " Net exp. wall 6' i G G� Gi Int. wall Ceiling c� / a /�i d � Floor �Ci '? �' yG� Total Btu. U G Cr Required sq. ft. E.D.R. or sq. ins. W.A. Leader area ' F7.� �, �. �s Room I Length � Width /� Height d% Windows and Doors—Crackage and Area Wtdlh Helght No. ot Llneal [t. Area No. ot pane ot pane Ilghts ot crack sa. [t. -�- h- G � � � C / '`� G'-�l /7 /9 �D Coef. Btu Inhltration y� . � --� Glass �, c �y Exp. wall .� yQ Net exp. wall / O "-z G` Int. wall Ceiling /� d � G Floor j 4 j°--�� Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader arca � � City of Fridley, 1Vlinn. BUII�DING PERMIT N°• 3 31'7 �-- �t2: . . . . . �. . . . . . . �. Y. ` : . . . . . . . . . . . . . . . � � Own�r . . . . . . . �. . . . . . • . . Builder . . . . . . . . . . �.�!��(,1'3!(.�l� ;� . : . . . . . . . . . . . . . . . Address........ ............................. Address ............................................. � � � � w L4�C�TION OF BUILDINC No. . . . . . �� Street . . . . : ' � `� : . . . �. �s . � . . . . . . . . . . . . . . Part of Lot . . . . . . . . . . . . .. . . . . . . Lot . . . . � .� . Btock . . . . . y'. . . . . . . . . . Addition or Sub-Dfvision��4�"�:7�' : . ��`!�"�— ! . . . . . � y� � r C�er Lot . . . . . . . . . . . . Inside Lot . . . . Y . . . . Setback . . � �. . . Sideyard . � �. . . Df. ` !. . . . . . . . . . DESCR(P7[ON OF BU[LDING To be Used as: Q� �/�,�'C!: K'�i . . . . . . . Front . .�� . Depth . � � . Height . . . � . . . Sq. Ft. �`. � G�. F`�. �. .� O � ... �nt ........ Depth ....... Iieight .. Sq. Ft. ........ C�. Ft. ........ �.�+ .p.� . Type of Construction . . . . . . . . . . . �et. Co�t.�� .��. . . . . . . . To be Completed . � �o . . . . . . . . . ��(, � � e�� %�,�' ��j � f'�� ".p'"fi�(� .. U . , In consideration of tihe issa�ance to me o! a permit to construct the building desribed above, I agree to do � the propased work in accordance with the description above set forth and in compliance witih all provisions of ordinances of the city of Fridley. Q � . .. ... ..!r.ti . ....... c ...... ��o In cansideration of the payment of a fee o! $. . . . . . . t� . , pe t is hereby granted . . . . . . . . . � ��+��Y� W�,�, w . .. .. .. .. .. .. .. . . . . . . . .. . to construct the building or addition als describeri above. This permit is �ranted upon ' the express condition that the person to whozn it is �anted and his agents, employees and worl�nen, in all work done in, around and upon said building, or any part tl�ereof, shall conform in all respects to the ordinances of Fridley, Minnesota. regaxding location, construction, alteration, maintenar�ce, repair and moving of buildings with- in the city limits and this permit may be revoked at amy time upon xIolation of any of the provisions of said ordinances. _ r� � �Y • �j .,1�-,�_,,�G:�fi �uildin� Inspector NOTICE: This permit does not cover the constructton, inataliation or alteration for wi�iny, umbiny, pas heating, sewer or water. Be sure to see the Buildinp Inspector for separate permits for th, ttema. �,,... - �4 , � �� , R � � Ap�iccrtion f�or Pawer Pfants ar�d He�ating, Coo�ing. Ve��tilation. Refrigeratian m�d Air Conditianing Sysfiems nrtd Derices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work . . . . . . . . . . . . . . . . . . . . . . . . . . 8.00 $ Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 .................. 5.00 $ Repairs & Alterations each add. $500.00 . . . . . . . . . . . . . . . 2.50 $ MECH. WARM AIR Furnace Shell & IJuct Work to 120,OQ0 BTiJ . . . . . . . . . . . . each add. 60,000 BTU ......... ............ R.eplacement of Fixrnace ............................ Repairs & Alterations—up to $500.00 . . . . . . . . . . . . . . . . . Repairs & Alterations each add. $500.00 .............. s.00 $ � o v a.00 � 5.00 $ 5.00 $ 2.50 $ 3TEAM ar HOT WATER SYSTEM Furnace 5hell & Lines--ta 400 sq. ft. FDR Steam ...... 8.00 $ Furnace Sheli & Line—to 640 sq. ft. EDR Hot Water ... 8.00 $ Each add. 200 sq. ft. EDR Steam . . . . . . . . . . . . . . . . . . . . . . 2.50 $ Each add. 320 sq, ft. EDR Hot Water . . . . . . . . . . . . . . . . . . 2.50 $ OIL BURNER—to 3 gal. per hour . . . . . . . . . . . . . . . . . . . . . . . . 5.00 $ over 3 gal, per hour—See Fee Schedule GAS BURNER (up to 400,000 BTLT) . . . . . . . . . . . . . . . . . . . . . . . 5.00 $ �'�; m� GAS FITTING FEES: NO RATE TOTAL lst 3 Fixtures . . . . . . . . . . . . . . . . . . . . . . x $1.50 $ � �� L'� Additional F`ixtures . . . . . . . . . . . . . . . . . x .50 $ Gas Range to 20a,000 BTU . . . . . . . , . . . x 2.00 $ AIR CONDITIONING � FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $ ALTERATIONS Sc REPAIRS TOTAL FEE $_,C� REMARKS: Dept. of Bldgs. Phone $U 4-7470 .._� _ o� J/ � Location "C.� �T �- � .fi/.�'�✓ e.��G ;/ �� City of Fridley: The undersigned hereby makes application for a permit for the work herein specified, agreeing to da 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, 1Vfinn. 5� � � �'��/ , 195— Owner � e — 195— Kind of Building './�� 195— Used as f��,�r..Q�� To be completed about �-' �� ` 9 Q o Estimated Cost, $ " � CJ � � ,�--New. Building Permit No. �� J DE$CRIPTION OF WORK HEATING or POWER PI.ANTS�team, Hot Water, Warm Air—No. �7'w Trade Name r -E p��p�,�,L Size No. � O �,L, � Capacity Sq. Ft. E.D.R. C' ��$TLT g.P. Total Connected Load Ci �?� /- � Kind of Fuel�_ ' � , BiIRNER — Trade Name ��„� 6 Size Na /� e/Lf . Capacity Sq. Ft. E.D.R. BTLJ H,p, Sign - By ._, 11 pOST t M-t 2-58 Business Phone No•� � S� �'Z - (/ -_ _ � - � . Dd6 z,.;�:?`�� s , . ; I�IEAT LOSS C�LCULATIONS DEPARTNIENT OF BUILDINGS FRIDLEY, �ll'INN. Weatherstrips A.S.H.V.E. Construction No. Insulation Guide Windows I Doors Reference Out. Wall Int. Wall Ceiling Roof F7oor Kind How Yes—No Yes—No 19— Room � Length Width Height ! Fl Room Length - Width Windows and Doors—Crackage and Area Windows and Doors—Crackage and Area �Vidth Height No. o[ Lineal ft. Area Width � Height No. oL Lineal ft. Ares No. � ot pane ot pane Ifghts ot crack eq. ft. No. ot pane ot pane lights ot crack sQ. ft. �- � h- fl � � O / h- / 6 �- / / � �� .- i7 i-�- co�f. stu Infiltration � v .� � l� Glass Q G Exp. wall Net exp. wall � 6 /( 6 v Int. wall Ceiling - a -D / O Floor � Total Btu. ' 0 Required sq. ft. E.D.R. or aq. ina. W.A. l.eader area Room I Length /-�Width / �. Height � ' Windows an Doors--Crackage and Area Wldi.h Hetght No. oL Lineal [t. Area iVO. ot Dane o[ pane llshts ot crack sp. tt. �s/ � � J c Coef. Btu Infiltration � ya � ,(. �.taas .� ExP. wall Net exp. wall / p � Int. wall Ceiling •O / p Floor Total Btw Required sq. ft. E.D.R. or aq. ins. W.A. Leader area fl. Room � Length /��Width / Height � Win ws and Doors—Crackage and Area Width Helght No. oL L1nea1 [t. Area No. of pane o[ pane Ilshts ot crack sQ. ft. `Y ' 'y. �.-D �'�r.- � ,�-.� . / � -/ ` 5— J.� O �= �, , ' /� Coef. Btu In6ltration g • j/-� Giaaa 4- . O-0 Exp. wall � �let exp. wall /�U / D � Q O Int. wall Ceilin8 lj,fl V �l� 5/'Q� Floor D / -�-� 7bta� Btu. :� � Required :q. ft. E.D.R. or aq. ins. W.A. Leader area ( caf. Bc� Infiltration � 1> Glaaa �d - 5- G Exp. wall - -p Nec e:p. wall � Int. wall Ceiling 'S- � /-O � Q v Floor O / Total Btu. Required aq. ft. E.D.R. or aq. ins. W.A. Leader area / FI.� Room ( Length /� Width / d Height Windows and Doora--Crackage and Area Width Helght No. ot Lineal ft. Area No. of pane of Dane Il`ht� ot crack sa. tt. / � `L �Yl) '�- � 7 i Infiltration Glaaa Exp. wall Net ezp. wall Int. wali Ceiling Floor 'I'otal Btu. k. E.D.R. or aq. ina. VU.A. Leader area Windowa and Doors—Crackage and Area Width Helght No. of Linsal [t. Ares No. ot psne ot pane tights ot crack W. tt. h-D �- / � G � .� /.`� i 9 �-D — Infiltration Glaas Exp. wall Nec exp. wall Int. wal) Ceiling Floor Total Btu. �ra •� �� 2 G 09 a - 6� f) a /� a D � � ycs .Qad . � Height � Coef. Btu �/t3 � c/�� u�. ft. E.D.R. or aq. ins. W.A. Leader area i i � —v ---.-- .��i� � T� ` n-s6' Z,r:�;�„6 y • � HEAT LOSS C�ILCULATIONS DEPART�INENT OP BUILDINGS FRIDLEY,'MINN. Weatherstrips A.S.H.V.E. Construction No. Insulation Guide Windows I Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How ApFlied Yes—No Yes—No 19— ° Fl.� - Room � Length - Width -' Height � Fl.� Room L.ength Width Height Windows and Doors—Crackage and Area Windows and Doors—Crackage aad Area � ��Vldth Hefght No. o[ Lineal [t. Area � Wldth Heig6t No. o[ Liaeat tt. Area No. ot pane of pane lighta ot crack sq. tt. No. ot Dane ot Dane Ifghts o[ crack sa. tt. �i Coe£ Btu Inhltration x Glaas X Exp. wall rr�t �Xp. Wau Int. wall Ceiling p - Floor 3 r Total Bta , � Required sq. ft. E.D.R. or aq. ina. W.A. Leader area . F7.� Room Length Width Height ' Windows and Doors—Crackage and Area � Wldth Helght No. o[ Llneal tt. Area No. of pane ot Dene tlehts o[ crack sq. tt. _ ��L�i_ V Coef. �xp. wall / �let exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or aq. ina. W.A. Leader area E'l. Room � Length Width Windows and Doors—Crackage and Area Width Hetght No. oL Llneal tt. Ares No. ot pane ot Dgne Ifghts ot crack sa. tt. � In6ltration falaaa ExP. wall Nec exp. wall 1nt. wall Ceiling COtf.' Bill Tbtal Btu. Required sq. ft. E.D.R. or sq. ina. W.A. Lea�r area Glaaa Eap. wall Net eap. wall Int. wall Ceiling Floor Total Btu. Required aq. h. E.D.R. or aq. ins. W.A. L.eader area Ft.� Room ( Length VUidth Windows and Doora—Crackage and Area Wldth Helght No. oL Lineai [t. Area No. ot Dane ot pane Ilghts ot crack ea. ft. Infiltration G1aaa Exp. wall Net ezp. wall Int. wall � Ceiling ' Floor ' ?otal Btu. Required aq. k. E.D.R. or aq. ina. W.A. Leader area 'I F7.� Room I Length Width Windowa and Doora—Crac�age and Area �Width Hefsht No. ot Lfneal ft. Area No. ot nane ot oaoe Ileht� of crack �a. tt. Infiltration Glaaa F�cp. waU Nec exp. watl Int. wall, Ceiling Floor Total Btu. Required sq. k. E.D.R. or sq. ina. Q/.A. l,eader area 1 � � Btu Bill �� . . `',� City of Fridley Ap�pl�c�ation for P'l�tnbing anc� Gas Fitting Rermit Depf. of Bldgs. Pkaae SU 4-7 DE3CRIPTION OF WORK j r� �--� Number, Kiad and I.ocatioa of Fixtures L��o F� f' � � w � '� � rn �[ F p� '� = cn w m Z • :k WATER HTR. O < O Z ~ m ? Z �} Z� �i O Q HQ z� v� a�^ Z �n w V� I�+ U 7 eao H � in 3� o� � N I�L �p U� a� 3 � 4 � z aU' O F N GAS ELEC. Base l lst °f- 2nd 3rd 4th • Future Connection Openings I C°nne�ted' with Sewer * New Fixfure, Old Opeaings Ce��l � PARTIAL RATE SCHEDULE PLUMBING F'IXTURE RATESe NO. RATE TOTAL Number Fixtures ......................� x $1.50 $ � � Future Fixture Opening ................ x 1.20 $!� �� New Fixture Old Opening . . . . . . . . . . . . . . x 1.00 $ Catch Basin ............................ x 3.25 $ Water Heater (Up ta 200,000 B7'IT) ...... x 2.Q0 $� �� New Ground Run Old Bldg . . . . . . . . . . . . . x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL lst 3 Fixtures .........................._�_ x $1.50 $�� Additional Fixtures .................... x .50 $ Gas Range to 20q000 BTiT ... ... .. ...... x 2.00 � REPAIRS & ALTERATIONS—Refer to Code I}escription ............................................... ` TO'PAL F'EE pr� � � � City of �idley: 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 ofrBuildings, and hereby declares �hat all the facts and representations stated in this applicatian are true and correct. Fridley, 1Vfinn 18— Owner � , 19— Kind of Building � , 19— Used as - � l.�v To be completed about �fr+., � l'/ S' j _ G Estimated Cosi, $ /S�U � J�_ �d—New. Building Permit No ��/ Sq� � By � Business Phone No ��" - 6�� Y Connectian Permit No . ....................................................... � '' % 'J� ° ,,�j� `� �(�v • Water Sewer 11 1 M-8-58 � Meter Deposit sua�ecr PERMIT NO. City of Fridley 4'752 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r � � RECEIPT NO. � • COMMUNITY DEVELOPMENT DIV. ' j L �"�' , 1 � � PROTECTIVE INSPECTION SEC. 1 � i---- � ��;,� CITY HALL FRIDLEY 55432 NUMBER REV. � DATE PAGE OF APPROVED BY�� Z J � 612-560-3450 910-F15 6/15/78 � � JOB ADDRESS 6425 A�le $�S�2.t N.E. 1 LEGAL LOT NO. BLOCK TRACt OR ADDITION SEE ATTACHED DESCR. N� 24 2 Moore Lake Highlands SHEET 2 PROPERTY OWNER MAIL ADDRE3S ' ZIP PHONE Toon Egan 6425` Able Street N.E. 3 CONTRACTOR MAILADDRESS Z�P PHONE UCENSENO. Hogar Construction 1061 - 109th Avenue N.E. 755-6600 A ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. 6 USE OF BUILDING Re si den ti al 7 CLASS OF WORK f� NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 24`.x 24` Detachsd gaxage 9 CHANGE QF USE FROM TO STTPULATIONS provide a hard surface driveway. Maintain mini.mtun of 3 feet from property line. �� Before di�gin� call {ocai utiii#ies TELEPHOttE • ELfC'�ltlC - GAS Etc� 5�l�TE �t�lrts RE�Ura�o FaR ��N�, REQUIRED BY LAW NE��'iNG, PLUM�tNG AND SfGNS. .,�- SEPARATE PERMITS ARE REQUIRED FAR ELECTRICAI, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GFOUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONINCa. WOOC� Frd.1112 THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTIOM ZONING SQ. FT. CU: FT. AUTHQRIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONEO FOR A PERIOD Of 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKIMG I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION �- STALLS GARAGES ANO KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPUED $4�170 $2.Q8 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTMORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR �OCAL LAW REGULATING CON- STRUCTION O THE PERFORMAN E F CONSTFUCTION. � 523.�-4 NONE. PLAN CHECK FEE TOTAL F E W �0-� S_�� X $25.12 SIGNATUREO CONTRACTORORAUTHORIZE GENT IDATEI �/�/ �EN PROP LY VAUDATED THIS IS YOU PERM{T `� ` `^-� v ��✓ / SIGNATUREOFOWNERIIFOWNERBUILDERI IDATEy � LDG.iNSP RATE CITY Q�� r1ZIl)LC`( ' AP('LIC��7IOi� f"Of� RESIll[_i�TI/1L �UILDI�JG ('�IZNIITS , � (��d�w, f1�T�rzn�rlo��s, �l?UIi1U(JS, Of2 �C:PI�IIZS) � � • / , . . . oc,�►2�R: i ��_ � �I �a,,.� ' r�vrLUr�{: o � � . . Adclress . � 5%Z S /�� N � nadress r Q � �Q `� �� U� � , �-- . �'e3 . IQo . : �7 K S � C� ` O � , T TIo, ; Strect. . LOT: �D�+Z� jl( Z TiIACY.: Z- 11nDI'I'IUr1: ��/'D/% ��f�K � H��C�h ��4�/ � S, 7 -------u CORI�tL•'R LOT: INSIDE LOT: � SLTPIICY.: SIULYI�RDS: A1�plicarL- attach 'L-o t-his form Zl��o �er;�ificates of Survey of LoL- and proposcd • bui.lding location dra�m Un these Ce.x�tificates. . DESCRIPTI-0Pd OF BUILDIhG , To Be Used I�s: � • � I'xont: 2`1 Depth: Z�� ' Height: �C� _ ' Squ�xe Feet: _ _ Cubic Feet: _ __ Fxont: � Depth: � Height: � Square Feet: Cubic Feei:: � Type of Construction: ��'IC> ��Okv`-- � E�i.a-matied Cost: $ L��{�- 5r� To Be CompZeted: ! Alt. A Alt. B Proposed Driveway �4`idth If Neca Opening Is Desired $ $ i (S�� 12�VERSE SIDE OF SHEET) The undersigned hereby makes application for a peymit for the work lierein specified, agreeing to do 711 �4ozl�: in strict accordance with tti� City o£ Fxidley Urdinances and rul_ings of. the.Dc��artmcaZt of l�uil�ings, �t�d liereby deelares that all tlze �acts ai�d representaL-ic�ns stated in t.his applicai_ioil axe true and correct. See revei-se side fc�r aclditiona i.nf: iation. � ` a D?�T�: � I � � � `-' STGtQATU3:�.: Stipulations: t:J ��. �� '�- • �:�•�..; ' c�n-e.��:Q�..- ��-�°�-= -�� -- � _ -� �� -� _ . �,�%�.�-e. G `� � �G� , � , �:.� � � /�iz�c.t� Z 3. �y �� Zo g � ' ��,/ Z BUIL_DIf�G PERt�IIT FEE SCi�EDULE SECTION 2. TYie Inspector of Buildings shall, before issuing permits far the erection of any bvilding or structure, or ior any additi�n to any existing buzlding or structure, or for any alteration or repairs to any existing building or structure, upon application therefore, reauire the payment by the applicant for such permit of fees to the amourrt herein below set forth and in the manner herein pravided ta-cvit: NEW CONSTRUCTION: Single Family Homes and Garages: $4.00/1,000 cubic feet. PLAN CHECK: 25 percent of building permit fee. DRIVEWAY DEPRESSION: (Concrete Curb Streets Only) AlternaL-e A: Removal and replacement of concrete curb and gutter only; Driveway width plus 6 feet x$14.50 Alternate B: Removal and replacement of concrete curb and � gutter and install a 3 foot wide approach with 6 inch depth; Drivew�ay width plus 6 feet x$17.20 :11 � � ► �' : �l For the purpose of computing fees for building permits, tne cubical contents of any building or addition, is determined by multiplying the ground area covered from a point six (6) inches below the floor line of the basement or th� cellar to the average heights of the upper surface ar to the average height of the roof surface of the main gable of a pitched roof. For repairs or alterations to an existing structure, the fee shall be at the rate of $3.00 per each five hundred dollars ($500.00) or fraction thereof in the cost of all proposed work. In no case shall the fee charged for any permit as set forth in Ssction 2 be,less than $7.50 plus $.50 state surcharge. VERIFICATION OF FOUND TION NOTE; Permits for construction will be issued a minimum of 24 hours from the time of applicat�on to allow for proper review of the proposed structure and of the construction site. A Certifieate of Survey of the lot, showing the location of the foundation once it has been constructed will be required before proceeding with the framing. _CCRTIFICATE QF �CCUPANCY Application for a Certificate of Occup:ancy shall be made ten (10) days prior to the use or occupancy af any structure for which a building permit has been i�sued, and said structure shall not be used or occupied until a Certificate of Occupancy has been issued. . ° � � j . _ �� . . .. . . . .. . . r . �. .. . - W � � � '3 OGA R �+�.. CONSTRUCTION, INC. 1061 109th Ave., N. E. CEMENT WORK ORDER MINNEAPOLIS MN 55434 755•6600 � -- -.- Date -% _ -�� __ , City ".-' '.,: ,��'1 . Garage Side c-; � X�'-''`-' X�'` Apron A'ddress � `.,� _ � �- r �' �� %�� <:r- � __. � Name �' � �>; n/ � Telephone - Office ' �' - � � +,..;. �T�<.- _ c. F Permit Obtained By , � �� Permit Number Date Promised � Salesman , ;� Cement Man � . � � `TY Cement Supplier `�"' ` a Detached � Wiremesh I� Attached ❑ 112" Rods �� Conduit Pipe Overhead Door Size.�,.°°; �a� Offset n�f� ��=��n �,T ;� Service Door Location r-�, v �TT_--� r Old Garage Removal By * �` �`• � ' = O'Id Cement Removal By * -' �� -` � k � * i D�iveway Size r =. � -� �- � ,� r� + _� Blox Size and Location ° * * �` Waterproof •x :� � � Backfill - -•—� Fill Supplier ''" Excavation By :E ��: W --°=� Gradual Steep �, Grade Flat Slope �-�;' Slope__ _.. PLOT PLAN DETAIL ' �� .. _ i�,., _ _,_._. , ::�: __�.� _ �:,, _ _ _ . . _____ __ _ _ . r�'_ � � � : . ''V�` _ . 'EF�`�? . . . , . ;- ( ' • v r-� -i�-� (� � - ._ , . .� . . .. . i� ..,. _ .. . , . . . €, � ; i t ! ; � + . � � t � ", i"� '� � t" ,�_f:, i �.r:�t�,.�'. .'�� .[.�. . . � � I ! eP' � � . . ` �". I. . , � i � � s O�t�'s: F:. . « . . . . . . � � ,� � �� ,�, � �; � _ : v r' \ ^ r... . .r�.�'.� � ,.��'.,,�7 . , . . �:.. a . ._: _ ., . �' E1 _ �'� r ��;p. �,, __ __ ? ,f� j __ . _ _ ___._ � !. t l ��`I 1 �� I � {� . 9. i � 1 � i ; , • . ' ; • �_'i��-�� V � �+.1....., HOUSE HEATING TEST RECORD ADDRESS �� h �� 1i� �• �,,,��'"� APT. FLOOR C17Y SUBURB 7� � OCCUPANT �� " OWNER C HEAT LOSS D E TG. 1NST. ,._ SOLD BY INSTALLED BY �,�, ''�.�' Electricol Work By Gas Line By �„� �� TYPE OF HEAT GA FA HW STEAM SPACE HTR, t1NIT HTR. OTHER . AS D IGN CONVERSION MAKE MAKE OF BURNER Model Model Seria! / � Max. BTU Roting INPt1T,� MAKE OF FURNAGE Model THERMOSTAT r Heat Plug Va (ve Limit ' Limit Sstting Fan Setting '� j _ - �!i�L��''V �/:ri��. . a I I � �� Ve�t Size KIND OF LINER SIZE E� NONE Draft Hood Reguluror Fi Iters Size Number Chimney Loeation Ins' utside Chimney Constroetion ��—�b��,�� . � —F Pitot Model Smoke Bomb Wiring Pilot Timing �,�� '' Droft Test Tag , L.W. Cut Off Door Pressure Lighting Inst. �_ Pressure� �✓ TPercent CO2 Date Tested Input CFH--��I.,[ Pereent 0� , Company Testing Stack Temp. �� Percent CO .—.-�,�! Name of Tester � Form 235 v � � � � � � J- � ,� N -�- _� � -t' � � y 4 � C� � � .1� T '�' �i v �, � IA . o � � �� _ � � 1%; Z N a � � ,i' � y j � � � � W � A- -I- 3 o y � v ? Q � � � � .-� � Y � � � , �� Y t� �_ Z � � � � y � ..�}� 1�'° � � '�(. 2 7' �,,�2i��.fl � � vJ � v 2 � J � �� J f� � � �� i i ! i \^ i� � �! � \ \� �� . � n � � � � � � � z � v � � � W �� 1 � � J J � � � � � ,o .� ,� , � � � �-b � :, � � ` �'► � t � � � � �b _ ' � � � � � � � � q � ,� � � � v � � � � `9 " . , � ,� � �. � � J y � � �' � � � � � � � y v � ,, �-t, �,,; �' �z � �� j' ,� � � � ; �� ' � � �O`�' �� , z'`° ` � ,�! p., � � �� ' � 1 N .� .�, �� I i � � ti � � � ; ; ; : I ; { � SUBJECT � . P • c�ty of Fridley 2 0 3 2 6 AT THE TOP OF THE TWINS gU I L D I N G P E R M I T r � � . � � � � COMMUNITY DEVEIOPMENT DIV. /_ y r � �' � PROTECTIVE INSPECTtON SEC. �CG�D / � � � � � /'�'1 � CITY HALL FRIOLE� SS43P NUMBEF REV. OATE PAGE Of APPROVEO BV �""�'� �'� 612-571-3450 9t0-Ft5 5/1/90 / � JOB ADDRESS 6425 Alale Street N.Et t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. N z 24 2 MOQ�@ Lkae Higiilands s"EET 2 PROPERTV OWNER MAIL ADDRES$ ZIP PHONE Tom/Gloria Egan 6425 Able S'treet N.E, 571-2727 3 CONTRACTOR MAILA�DRESS Z�P PHONE UCENSE NO. Twintown Remodelers 16Q11 WBst A�renue S' E Prior L e - 4 ARCHITECT OR DESIGNER MAIL ADQRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAI� AODRESS Z�P PHONE LICENSE NO. 6 USE OF BUIIDING Residential 7 CLASS OF WORK ❑ NEW �7 ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 �ESCRIBE WORK Construct a 16� x 24r Addition to �arage . 9 CHANGE OF USE FROM TO STIPULATIONS P�.a�ide a hard s�r�ace driveway, S�ee plan notations , TYPEOFCONST. OCCUPANCYGROUP OCCUPANCVIOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTHICAL, PLUMBING, HEATING, VENTILATING OR Alfi CONpITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK Oii CONSTRUCTION ZONING SO. FT. CU. FL AUTHORI2ED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 OAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEiiEBY CERTIFY THAT I HAVE READ AND EXAMINEO THIS APPLICATION 1 STA�LS 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 COMPUED $5,713 $2.SC WITH WHETHER SPECiFIED HEREIN OF NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHAFGE PROVISI OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $81.00 STRUC O OR THE PERFORMANCE OF STRUCTION. �� PIAN CHECK fEE TOTAI FEE X � .-� . ( q0 $83.86 L� � SIGNATUREOFCONTi7ACTORORAUTMORIZEDAGENT 1 ATEI . V1/H N PROPE LY D i E HIS IS YOUR PEiiM1Tt t � / � �V SiGNATURE OF OWNEA ��F O�NNER BUILDERI iDATE� � BLDG iNSD OFTE I�1 �� . _�� R-1 AND R-2 Buildirig Permit Application Construction Address : � �' v2 � � �j �4'_ � � . �`1,j, � . Effective 1/1/90 Legal Description: � � & �: ��. �- Gi��;�- �� -� �. #��i-��a� Contractor: _ �w �,+�1 �'a �•.► �-e ,�• G �-e � e ,� S Tel . # ��% — � �F G � Address: _-1 !� � t r U1 � Sfi �,,.� S� �'/< <�:�c. �-.q � `'1/I �.- 5 5 3 7�-- Attach to this application, a Certificate of Survey of the lot, with the proposed oo�nstxuction drawn on it to scale. DFSCRIPT'toi�T oF LIPII�IG AREA: Length Width Height Sq. Ft. GARAGE AREA: Lerigth �(�� Width �� Height � Sq. Ft. 38'�� D�CR AREA: Length Width Hgt/Graund Sq. Ft. OR'f�iit: Corner Iat [ J Inside Z,�t [X ] Ft . Yd Setback 1-f- 3 Side Yarrl Setbacks 3� of Construction: �',� `� t- �YPe l-�►r_n�.� /,�� I � o�.- Fstimated cost: $ �'i I 3.52 Approx. Oanpletion Date: �g �� Pro� Driv�way Width If Neia Openir�g Is Desired: Ft. $ $ r,Width + 6' See Back Page L1ATE: S �G� APPLICANT: SG��'�+ Z�el. #�i�f7-ia�"� `'� Permit Fee $_ g I, OC� V State Surcharge $_ o`� ��. ✓ SAC Chan�e $ _ Driveway Escraw $ Park Fee $ Sewer Main Criarge $ � � �33 . g6 srz�x.r�oNS : CITY OSE O�II,Y Fee Schedule on R�ve,zse Side $.50/$1,000 Valuation $600 per SAC Unit Alt. "A" or AZt. "B" Abave Fee Determined bY �gineerirx� Agreement NecessarY L] Not NeoessaYY L � �� 3�sY �� ±�� ..,. ��+c�4•� y� �«;��+.:il�+� The Chief Building Official shall, before issuing permits for the erec,�tion of any buildix�g or structure, or for ar►y addition to any existing building or structure, or for any alteration or repair to ariy existing buildirig or structure, upcm application therefore, require the paym�xit by the applicant for such permit of fees to the amount herein belvw set forth and in the manner herein pravided t-.o-wit: Z+OTAL VAI.IJE $1 to $500 $501 to $2,000 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,001 to $500,000 �� $15 (Minitm�n Fee is $15 plus surch�arge) $15 for fisst $500 plus $2 for each additional $100 or fraction thereof, to and inclwding $2,000 $45 for first $2,000 plus $9 for each additional $1,000 or fraction thereof, to and including $25,000 $252 for first $25,000 plus $6.50 for each additional $1,000 or fraction thereof, to ar�d includirig $50, 000 $414.50 for first $50,000 plus $4.50 for each ac�ditional $1,000 or fraction thereof, to and including $100,000 $639.50 for first $100,000 plus $3.50 for each additional $1,000 or fraction thereof, to and includirig $500,000 $500,001 to $1,000,000 $2039.50 for the first $500,000 plus $3 for each additional $1,000 or fraction thereof, to and including $1,000,000 $1,000,001 and up $3539.50 for the first $1,000,000 plus $2 for each additional $1,000 or fraction thereof DRIVEl�PAY DFPRESSI�1 � (Concrete Gtiz�b Streets dn1Y) Alternate "A": Rennwal and replacement of curb and guttex only - Drive�aay width plus 6 feet t].mes $13.50. Alternate "B": Removal and replac�ment of curb ar�d gutter ar�d install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $15.75. ' �+� �� v; � •i • ��j1i�i��• y�_ �; Permits for construction will be issued a miniYrnnn of 24 haurs frcan the time of application to allaw for proper review of the propo�..,ed structure and of the aonstruction site. A Certificate of Survey of the lot, shcxair�g the location of the fo��r�dation once it has it has been constructed will be required before proceeding with the framing. J(}i�� .i. Etlr'A;ti (:'O. 15� ;;f L.t3Y' ;0'vFN't)E:, 5T i'Zi'i '„{�1�w: "� (EET TE:iGF'HC)!+tE: fi4�i'i-4��if! �AL.€: t {A�diN_ ::',. . __ ___ _._. _. I�` �'�Jr°; ,.. .. �.r . �� .i, � �I.J � r.:,,. , C?� PROPERTY OF .__.�.' � , ._.__..__.__._____ _..____.____..,_.._.._.�._._._ .___ --�..._ _._.._��_______._.____._ , � r { f� � �. ,..,. � f �� j� r ,r t. !"' � /..• f _',�,r. .t'��i � .....!' "` _�.._ ......_......_..___....-,.�.-... . irx�r►or� . _ �. _ . 1 _ s� _. _ ,-. --- --__--_ , , , , , • i . �a +,,,r. :- .- s ,-' ,-( -� t�""`,"� i E'� t' �` �.' Y_ _ ; , � / .. �:- '� ; - r• �.�i��E.� A.r1 �L�.�S . a �� .� . 1 _..f .. _. . .. � an.* . _ __ u...:" ,r . _� . .e-. _.... . .. - ---r.._ .� ...L.�;:.., ...� n.. ._._. ..-, .,. f . � � � . . ; � �� /-% -�,,I..�.;� .'��; "�/. _ `� 1,'7 , . .�.. � ...�__.....--.... -- . _.�_.� _ .... ....r . .. � -'— - - --._...._ ._._..�-.-_..�.__�......_.._�_�_.._._......_._..__.__�__..�...,.._ ...�. . __y ._ . ... �4f ,+ " K �y .�..'�ts .�. . I + _ _ _ _ ''' 7 � ;. , :s f +,. — — _; .yt . - _.__�. _ _ ._ _�._ , . • i ; { k, � ' i �� ,� y ; �� , �Y�y �' r.," �� , {� �P I�A . �.. I� �� x � � ; �. .�y�, ' tR r , U r�y�,��"" �' J 1 . _ � � �4 � z� t� ��y� �t�e F. . � � {P th; I :1 Z i -v i �I�[- � �- ;:.' �. - _ . . _ _ _____ _ .. _.,..__ _t� �. - � c� � i 4 ; ; �:. .. . , , � j ,. r' � Yy,.' 1�1 � {�:o . � a� � 2 ,s"'';L �.. '� � � ' � r 1fI�..�'t'a:;.is"/,%, r ! � �. � .�...- '" y rr�tz.Fa' ro1 i � � 1 i'' �� —� � q� � � p� � � / . .. ... � _ _.f'. r ^ ...,__ ...._.... ..,....._.. .. . " .,.... _...-._.-...._.._.. t «�= .:�: . __ . __ .Y..� . , � �`'� g , , � ... �'� i' �d�� • � " � �;� s �>,..� . �b � " � � � � t � . � �.: � F.�.. ° �x' { .. ' . l �M . . 1 � . i 2 . .. :� �, . . � . . i . ' . I �a ! � �� . ' � � ; . . , r �.w -_...�_ __ _.. � _� . _.__.�_ _� � � � �� a � — � � �: 1 i �, ; 4 �.' � 1 f � i i . i � ,,.. : `_ �---- - _ _.__ _ . ( _. _ _. __ - _. . - . �- CERTIFICATE OF IACATION OF BUILDING CERTIFICATE OF SUAVEY I hersby certify th�t on _ �_.__ � 19 .,_ `=_.. I hereby certify that on _ ^.L'�:_%____� 19 ?�^� this survey, plan, or report was prepared by t��e or under my thi9 survey, plan, or report waa prepased by me a� andor my direct euperviaion and ehat I em a duly� Regi�tered Land Sur- direct supervieion and that I am a duly Regisc�red I.�nd veycx nnder the Lw, p! the Stete of Minnorot.a. Surveyor under the [ewe of t�e State of Minneqotq.. � - . '` R � ,. , , •, ,.........�__„_.: . . z 4 '` � � �+ ,„.. � � J C',ary Rkan, Rry,stned t.andluney�w.°N�� ia9:w � . . .I+.hn ! R,rae�, qep?sie.s'f ! rer9'iueresiw . - . " "'�-, A'�wrN i (:.►nr Me�reGa� ��; ,.. ..... � M � � � � � � O k N i � ,► � x 0 %� � �i � �' � i � v , 9 �08 a�o�N� ` �J �� ^� i'l"�/V�3NS �1 } �1759 x i� �. �� •o„ Sz � xY s3.G� do1 ��`c-Z �rv r �r�3a Qaarr,c�,r xo� „�''t � �' d a � �33H� ..Oi/ a,� � �%b'�S � �o ��s ,- � 0 M � O � � � � � �� ll � � � � W � � d � � i i 1 �_ I 1 . . . , Q---� �rr�r w �.s - �---Z ,, o -, r i �---- ------� i I Q a � j �� Z i i r�� ; � 0. .n '� � �� w ..�'n� .'lS � 0 � � � � .� / CITY OF FRIDLEY APPLICATION FOR POWi:R PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE RESIDEIdTIAL . Furnace Shell and Duct Work, Burner Gas Pipinq (pipinq needed with nei+ furnace) Gas Ranqe Gas Dryer Air Conditioning (all sizes� All Others/Repairs and Alterations 18 of Value of Appliance or Work RATE $ 2O.OQ $ 10.00 $ 1a.00 $ 10.00 TOTAL S � $ $ $ $ 10.00 $ CQMMERCIAL/INDUSTRIAL 18 of Value of Appliance or Work State Surcharge TOTAL 1riE Reinspection Fee ($15.00) Rough Insp. Date Final Insp. �� Date Approval for Permit -�yY\4--- 0 /�""iDd MINIMUM FEE FOR ANY HEATING PERMIT IS $�'0� PLUS $.50 STATE SURCHARGE Effective Aug, 1, 2981 Job Address � � � S - ��L`''�P � • U � ' � Department of Buildfnqs, 6432 University* Ave. N.E., Fridley, MN 55432 Cfty of Fridley Tel. Y571-3450 The undersiqned hereby mak�s application for a pezmit for the r+ork herein specified aqreeiag to do all work in strict accordance with the City Codes and rulinqs of the Departmen� of Buildinqs, and hezeby declares that all the facts and representations stated in this application are true and correct. � F'ridley. Minn. �o�- V � � , 19 % � OiiNER $ - KIND OF S. $ .50 $�(7�U� S� ,,5�� Attach stack verification £o=m with replacment furnace peanits USED AS �ITG�( _k�.1 TO • BE OOI�LETED A8� `'— � U�� ESTIMATED COST `3/�(Q /% � '� OLD NEf�l BUILDING PSRMIT N0. PERMIT NO. �� DESCRIPTION OF FURNACE/BURNER --_.- HEATING or POfiER PLANTS, Steam, Hot Water, arm Air- No. / Trade Name / �i Size No. i%��i�¢ �- 7S Capacity Sq. Ft. EDR BTU -�O�'U HP Total Connected Load nd of Fuel �' BURNER - Trade Name Size No. Capacity Sq. Ft. EDR BTU HP �_ Canpany ` �"t-- Signed Sy _ � Tel. No. � � � —�T g � -v . sue�ecr PERIu11INQ_ City of Fridley 2 � � 2 � AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r � ` IPT NO. � ; y _�� COMMUNITY �EVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. 1 � � � /"�1 � CITY HALI FRIOLEV SS�3Z NUMBER REV � DATE PAGE Of APPROVED B� �"'""�' �'' 612-571-3450 910-F15 8/12/98 � / JOB ADDRESS �� 642 r t IEGAI �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 24 2 Moore Lake Hi hlands SHEET 2 PROPERTY OWNEii MAIL ADDRESS 21P PHONE Gloria Ea an -2 27 3 CONTRACTOR MAIL ADDRESS ZIP PHONE IICENSE NO. En lund Roofin - d ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PMONE IICENSE NO. 5 ENGINEER MAII ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING R enti 1 7 CLASS OF WORK ❑ NEW � ADDITION ❑ ALTERATION � AEPAIR ❑ MOVE O REMOVE 8 DESCRIBE WOFK o - - 1 r 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with State Building Code. • H��3$3t�� Roofing can be 2nd layer but not 3rd. TYPE OF CONS1. OCCUPANCY GROUP OCCUPANCV LOAO SEPARATE PERMITS ARE REQUIREO FOR EIECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONOITIONING. THIS PERMIT BECOMES NULI AND VOID IF WORK OR CONSTRUCTION 20NING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR If CONSTqUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. OWLG. UNITS OFFSTREET PARKING 1 HEREBY CERTIFV THAT I HAVE READ AND EXAMINEO THIS APPLICATION STAL�S GARAGES AND KNOW THE SAME TO BE THUE AND CORRECT. ALL PqOVIS10NS Of LAWS yALUATION SUFTAX AND OROINANCES GOVERNING TMIS TYPE OF WORK Wlll BE COMPLIED WITH WNETHER SPECIFIED HEREIN OR NOT. TNE GRANTING Of A PERMIT 1 . 99 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CMARGE PROVISI F ANY OTHER STATE O LOCA LAW REGULATING CON- STR ION O TNE PERF NCE CON UCTION. F1Ye SC I..99 � • � PLAN CHECKFEE TOTA EE SIG CON�FACT RAUTMOiiIZ DAGENT � IDATEI OPE ALIDA HIS IS UR P MI � w � S�GNATURE OF OWNEP �IF O�NNER BU�LDEA1 iDATE� BlD �NS� qp7E NEW ADDN ALTER [] [l [] CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-Z BUILDING PERMIT APPLICATION ConstructionAddress: �p �l 2 � � �- � �� Effective 1 / 1 /98 1 �� 1 q, � Legal Description: Owner Name & Address: {�, ,4 A Tel. # _ � %/- Z �Z "7 �� Contractor: �-- ►J�i ��._ \ ,.�� a .� ��, s�u. r�,,,. _ MN LICENSE # Address: Tl� Attaeh to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT . # ��Z - 2� z� _ LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: I.ength Width Height Sq. Ft. DECK AREA: Len th Width Hgt/Ground Sq. Ft. OTHER: �' _ %__ -'�� E �� 0 0 l � g� � Construction Type: ��(X7� Estimated Cost: $ 1O�y� (Fee Schedul e on Back) 1 g�3 Driveway Cur b Cut Wi d t h Needed: Ft. + 6 Ft = Ft x$ _$ DATE: - �( Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge � �a.�s_ � 1. 99 � , �'9 $ $ $ $ $ $ CITY USE ONLY Tel. # �Z- Fee Schedule on Reverse Side .001 of Permit Valuation (1 / l Oth %) $.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 [ ] TOTAL $ � 5�. � / �S. U4 C.l� �S � STIPULATIONS: 1C��-�3 . , , BUILDING PERMIT FEE SCHEDULE The Chief Building Of�cial shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to-wit: TOTAL VALUE $1 to $500 $501 to $2,000 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,001 to $500,000 $500,001 to $1,Q00,000 $1, 000, 001 and up FEES $21 (Minimum Fee is $21 plus surcharge) $21 for first $500 plus $2.75 for each additional $100 or fraction thereof, to and including $2,�0 $62.25 for first $2,000 plus $12.50 for each additional $1,000 or fraction thereof, to and including $25,000 $349.75 for first $25,000 plus $9.00 for each additional $1,000 or fraction thereof, to and including $50,000 $574.75 for first $50,000 plus $6.25 for each aciditional $1,000 or fraction thereof, to and including $100,0� $887.25 for �rst $100,000 plus $5.00 for each additional $1,000 or fraction thereof, to and including $500,000 $2887.25 for the first $500,000 plus $4.25 for each additional $1,OOQ or fraction thereof, to and including $1, 000,000 $5012.25 for the first $1,000,000 plus $2.75 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alternate "A" : Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50. Alternate "B": Removal and repiacement of curb and gutter and install a 3 foot wide ,� approach with 6 inch depth - Driveway width plus 6 feet times $15.75. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. . . . .. sua�ECr c�ty of Fridley A7 THE TOP OF TME TWINS B U I L D 1�� P E� M I T � � � � � � • COMMUNITY DEVEIOPMENT DIV. � LV ��'�� r � •� PROTECTIVE INSPECTION SEC. 1 � � � �"'1 � GTV HAII FRIOLE� SS�32 NUMBER pEV D�TE �'""�'� ,'' 612-571-3450 910-F15 1/25/99 �oe nooRess 6425 Able Streefi NE t LEGAL LOT NO. BLOGK tRACT OR ADOITION OESCR. 2/{ 2 Moore Lake Highlands 2 PAOPEiiTY OWNER MAIL AQ08ES$ Z�P Gloria Eagan 6425 Able Street NE 3 CONTRACTOR MAIL ADORESS Z�P T W Remodeling Inc 9323 Magnolia Ln N, Maple Grove, MN 55369 1 ARCHITECT OR OESIGNER MAIL ADDFESS Z�P 5 ENGINEER MAII ADDRESS Residential 7 CIASS OF WORK O NEW Q ADDITION O ALTERATIpN fXl REPAIR 8 OESCRIBE WORK Construct 4' x 6' Canopy over side stoop 9 CHANGE OF USE fROM STIPULATIONS See notations on plan. v�GE OF / � p�tiM1T NO" 28867 �...._.___ _._�._..._.. RECEIPT NO. �3 � �bvnOVED Br SEE ATTACMED SMEET PMONE PHONE LICENSE NO 425-9073 1489 PMONE UCENSENO. PHONE LICENSE NO O MOVE O REMOVE �� 8efb�e diggir�g c;!! ��r ��ty hr..<:r,�s aii ut�,� lt,:.,,:��..,, �54-O�J?_ REQUIRE� QY L��i SEPARATE PERMITS ARE REOUIRED fOR EIECTRICAL, PLUMBING. MEATING. VENTIIATING OR AIF CONOITIONING. , TNIS PERMIT BECOMES NULL ANO VOIO IF WQRK OR CONSTRUGTION zONING AUTHORIZEO IS NOT COMMENCEO V�1ITHIN 60 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OF ABANDONEO FOR A PERIOD OF 120 DAYS A7 ANY TIME AfTER WORK IS COMMENCED. NO DWIG. UNITS 1 HEREBY CERTIFV THAT 1 HAYE READ ANO QXAAqIN�O TM�S APP�,ICATION ], ANO KNOW TME SAME TO BE TRUE ANO CORRECT. ALL PfiOVI$IONS Of LAWS VALUATION AND ORpINANCES GOVERNING iH1S TVPE Of WQRK WI�L QE GOMPUED WITH WHETHER SPECIFIED HEREIN Op NOT. THE GRANTING OF A pEqM1T �2,?,600 DOES NOT ARESUME TO G1VE AUTMORITY TO VIOLATE OR CAMCEI TME pERMIT FEE PROVISIONS Of ANV OTHER STATE OR LOCAL LAW REGULATING CON- STR CTION THE PERFORMANCE Of CONSTRUCTION �']�}.;]S ��' � P�AN CNECK FEE Lice C S�GN�TU�7E O� CON'AACTOA Op �UTM0�7�ZE0 �GENT 10ATE� w u DOI S�GNSiUAE O� OWNEQ��F OwNEpBw�DEA� ' �O�iEi � r OCCUPnNCr�ono CU FT. OfFSTREET PARKING STALIS GAfiAGES SURTAI( $1.30 SAC CMAR E Fire $2.60 TOTAL E 5. 3.65 ji U T S IS VO R PERM �l� Gi' /�=1� NEW [ J Effective 1/ 1/99 � ADDN [ ] CITY OF FRIDLEY ALTER [] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 � BUILDING PERMIT APPLICATION �;� (� fi � �� ConstructionAddress: __�p �/� � ��/� ,5 � I,rgal Description: Owner Name & Address: ��o r,'.g �,g..�/ Tel. #�' � � Contractor: �� ,v , �2� o � � L�tiC� ..,7-� L.. MN LICENSE # l �{�5 Address: 4i''3� � �-o �:g G r-� i� Tel. #�/'�S =�'07 3 LIVING AREA: GARAGE AREA: Attach to this application, � Certificate of Survey of the lot, with the proposed construction drawn on it to scale. Length Length DESCRIPTION OF Il�ROVEMENT Width Height Sq. Ft. Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: , � ,�� .� ST �J-� 5�,�4 � �S� L. � Construction Type: � Estimated Cost: $ �. CP OC� � � (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: ( Z � `� °I APPLICANT: � � Tel. # �Z� - �o � 3 Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control $�-y��— $ �� n � $ , $ $ � �d $ � CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.50/$1,000 Valuation $1050 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [] Not Necessary [] � TOTAL $ �. S STIPULATIONS: 0 BUII.DING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to-wit; TOTAL VALUE $1 to $500 $501 to $2,000 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $100, 041 to $500, 000 $500,001 to $1,000,000 $1,000,001 and up FEES $21 (Minimum Fee is $21 plus surcharge) $21 for first $500 plus $2.75 for each additional $100 or fraction thereof, to and including $2,000 $62.25 for first $2,000 plus $12.50 for each additional $1, 000 or fraction thereof, to and including $25,000 $349.75 for first $25,000 plus $9.00 for each additional $1,000 or fraction thereof, to and including $50,000 $574.�75 for first $50,000 plus $6.25 for each additional $1,000 or fraction thereof, to and including $100, 000 $887.25 for first $100,000 plus $5.00 for each additiona.l $1,000 or fraction thereof, to and including $500,000 $2887.25 for the first $500,000 plus $4.25 for each additional $1,000 or fraction thereof, to and including $1,000,000 $5012.25 for the first $1,000,000 plus $2.75 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSIQN ESCROW (Concrete Curb Streets Only) Alternate "A" : Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50. Alternate "B" : Removal and replacement of curb and gutter and install a 3 foot wide � approach with 6 inch depth - Driveway width plus 6 feet times $15.75. VERIFICATIOl� OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. � A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. � 0 EK� sr �...1 �o�� ; . � �N st --i- � ero�.� i � �- ; �#�� sr�� * j a� � �.St� t'Z.a,� i� �-o w�.A.— � 5- �,�,•t,z... �4-5� �, r�-c-� S7f r�� -Z X (P �' 1 �v � � O . G (1.�t-�-�-n.-S 2 K g ��s z �$ ��5� �� l�r�-",�.-ci�-r� ov'�✓ ��s r-, Sffi^�j y5 , H. � r, �� '� Z' �co t��-i�.e,,r�—�- GXL CQ�A-r�- Pa� • Lioc,T 'I-a 5'��I° o r mc-T�K� 1.°SP�c_ P44'�'� ��r�. ��C: ST'+ Co r�c.rrvr'E 5 Tar��' � i� �� i �.�--- E x� sY;.� � �� ;� "� �; e !ol v�-�i o � ��. �o s rf /� ✓ G L o r R �'p.-�.�-/ � SlZS � �-- s T - _ �,�s` -�� f�s �-c� ��4�ys �i� , ,- r � „ ., ra _ �� . . , ,� �� .. .p: _: `'�. � JOHN J..RYAN CO. 1596 SELBY AVENUE. ST. PAUL 56104 , ' �0 FEET TELEPHONE: 6468866 , : , _; PLAT OF SURVEY .� ��, --. _ - - �'1� OF � """' '� '� — . t r°µ •��, / �� / �'� ' . . . � ' � � - G �ou.a�s 7� � ./1/ f� ,� �.c!G1` 2� �/r?� 2 /%%'c�o�� ',��'�.,��a.�-�.�,�_1�� o �� s� . Y �:t; : kh 1�: � . . . � . _ . . . . �,,' � + r t. �+ � +� i . .� . . .. . . . . . , p ' ��. `I { { �� . � ,,s-a, � �.� ,,,� ' C,�,. �: f `�� "' . ! . 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I hasby cercify cl�.4.oa � .s� . �" �. ��;,r � � 4.a i� �r=RN CC 11�M' %I�i C�l�! lli�Vlj�r �A� QF R�;IOI'��7►M�fnnJ"�^"�, ,":� ,,r�.. ."t r �+,;�'�� Y .a��, , �:g�,, d�e� sup�ryi�jpll at�d C6ai r adl �',, r L�Mt.,. c� }.. ,� �� " '' � � � 3urv�or uader t!�'�aw� ot � � ot ' � .a'" r�.t M �P�,.. t� . . �� ' � ° � �f. � - . � , . . �. , .., � � , � � r. ! .,� . -� _ :-.�.......�' � �:.; .... . , _ . .. .— —�._ ... ,. sue�eci PER1ufIT7�t0 �..�.....�... _ City of Fridley 3 i 7 9 9 AT THE TOP OF TNE TWINS �� J � L D i� 1 G P E R M I T r � � RECEI�T"NU. � � 572-3C04 • COMMUNITY OEVELOP��NT DIV. ��// ' j V ""' r � � PROTECTIVE INSPECTION SEC. � � l-__-�; �"' �'� CITY HAIL fRIOLE� SS�32 NUMBEA pEV O�TE vAGE OF APVROVEO B� L 612-571-3450 910-F15 5/4/Ol f � �oe nooaess 6425 Able Street NE � t LEGAL �07 NO. BLOCK 7fiACT OR ADDITION SEE ATTACMEO oesca. 24 2 Moore Lake Highlands SHEET 2 PROPERTY OWNER MAIL ADpRE$$ Z�P PMONE Gloria Egan 6425 Able Street NE 763-571-2727 3 CON7RACTOF MAIL ADDRESS ZIP PHONE UCENSE NO T W Remodeling Inc 9323 Magnolia Lane N, Maple Grove, MN 55369 T63-425-9073 1 ARCHITECT OR DESIGNER MAIt, AODRESS ' 21P PHONE UCENSE NO. 1489 5 ENGINEER MAIL AOORESS ZIP PHONE LICENSE NO 6 USE OF BUIIDING Residential - 7 CIASSOF WORK : _., , O NEW C� ADDITION O ALTERATION ❑ REPAIR p MOVE O REMOVE 8 DESCRIBE WOfiK Construct a 20' x 10' Porch Addition 9 CMANGEOFUSEfROM TO STIPULATIONS See notations on plan. Submit truss specifications for approval. Provide smoke detectors in all sleeping rooms and on all levels of the dwelling per Section 310.9.1.2 of the 1997 Uniform Building Code. Caulk and flash all exterior openings. '` TYP OF CO ST. OCCUPANCV GROUP OCCUPANCV LOAO SEPARATE PERMITS ARE FEOUIRED FOp ELECTii1CAL, PLUMBING, MEATING. VENTILATING OR AIR CONOITIONING THIS PERMIT BECOMES NUIL AN0 VOID IF WORK OR CpNSTRUCTIOM 20NING SO. FT CU fT. AUTHORIZEO IS NOT COMMENCED NfITHIW 60 DAYS. Ofi IF CONSTRUCTION � OR WORK IS SUSPENDED OR ABANQONEQ FOR A PERlQO OF 12Q pAYS A7 ANV TIME AfTER WORK IS COMMENCED. ' NO DWLG. UNITS OfFSTREET PARKING I HEREBY CERTIFY THAT I MAVE READ ANO �XAM�N�O THIS APPLICA7IQN 1 STALLS GARAGES AND KNOW TME SAME TO BE TF1UE ANO COARECT. ALL PROVISIONS Of �MWS VALUATION SURTAX ANO ORpINANCES GOVERNING THIS 7VPE OF WpRK WI�L Q� COMP�IEO WITH WHETNER SPECIFIED MEREIN Ofi NOT. THE GRANTING Of A PERMIT �6�404 �3.20 DOES NOT PRESUME TO GIVE AUTMORITV 70 VIOLATE OR CAMCEL THE PEqMIT FEE SAC CNARGE PROVISIONS Of ANV OTHER STATE OR LOCAL LAW FEGUTATING coN- �139.25 Fire SC �6.�F� RUCTIO Y^ TME PERFORMANCE OP CONSTRUCTION � � P�AN GMEGK fEE TOTA� E � a License C $5.00 53.85 �GN�TUpE OF CON'AA(;TOQ OQ �UTHOQ�2E0 AGENT � tEi EN PROP � lY �l10ATED T IS IS Y/O�UR� PERMIT � /' V �—��{n,.. � S�GN4TUQE O� OWNEQ��F QWNEp BWIDEA� � � � �OATEi . -� �� g� ��NS� f � � ' qc�E N EW [ ] Effective 1 /1 /2001 ADDN [� , CITY OF FRIDLEY (763) 572-3604 Bldg Insp ALTER [] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: �o �iZ � ��e- 5 I Legal Description: Owner Name & Address: �lor� n� �,qpl��1 ►J Tel. # 7G3-S�/-�� Contractor: �>►-�ai� �" � MN LICENSE # / y$9 Address: no � A � °� v� Tel. #��3 -�/t s- 9�'73 ��,.�i j (012.- 7S�i- i y-�°j ce-l1 � Attach to this application, a Certifcate o Survey of the �_� s8 lot, with the proposed construction drawn on it to scalel �s �� y DES RIPTION F IMPROVEMENT � �� Cv wt��s 1 � f LIVING AREA: Lengfh �� Wdth 1 o Height `� Sq. Ft. �fl GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: C��S�r-2uc t'� l G�S O�C1 .GtJ'P � '�C��r�� Construction Type: k?��c. A--�� Estimated Cost: $�-�;-6�-�`=�� Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x� _ DATE: � / o / APPLICANT: ,�� T . # 6 �Z- �sg-/`+�7� � C�l/ CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: Call (763) 572-3604 for Permit Fees if mailing in application $�� Fee Schedule on Reverse Side $ i ` ; .001 of Permit Valuation (1/10th%) $�_:_...�;.��?_._. $-5Q/$1,OQ0 Vatuation $ / $1150 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 [ J Not Necessary [] � ! � �� , x BUII.DING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing pernuts for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to-wit: TOTAL VALUE $1 to $500 $SO1 to $2,000 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,U01 to $500,000 $500,001 to $1,000,000 $1,000,001 and up FEES $23.50 $23.50 for first $500 plus $3.05 for each additional $100 or fraction thereof, to and including $2,000 $69.25 for first $2;000 plus $14.00 for each additional $1,000 or fracticn thereof, to and �rcluding $25;000 $391.25 for first $25,000 plus $10.10 for each additional$1,000 or fraction thereof, to and including $50,000 $643.75 for first $50,000 plus $7.00 for each additional $1,000 or fraction thereof, to and including $100,000 _ $993.75 for %rst $100,000 plus $5.60,for each additional - $1,000 or fraction thereof, to and including $500,000 $3,233.75 for the f�rst $500,000 plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,000,0� $5,608.75 for the first $1,000,000 plus $3.15 for each additional $1,000 or fraction thereof DRIVEWAY DEPRES5ION ESCROW (,C�ncrete C:urb StrePis Onlyl Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus b feet times $15.50. Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $23.25. VERIFICATION OF FOUNDATION Pernuts for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the constxuction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. New Houses Onlv ��..r-----1 ^~� ; , ; I � ; � , : , ; , . � , , , � � , , _ . _ _ . _ _ - --. _ _ _-_ _ _ __ --- --- - _ _ --- . - -_ _. , , ; . I � , , , , ; ; ; ' . � � , ; , , . , � : , , :_ . _ . . _ � - - -- - - - - -- --- - - _ __ , _ ' ' ' , . , .___ . __ _-. _ ._.._ . ._. ---_ __.---- , . . _ : __ ..�....��-�--, _ . . . � ! Thi� Ptan Mwst ' EN6{NEERED TRUSS DESIGNS , ; .. ; _ _ _ . _ _, _ _ _ , : � Qe Maintained:` And : AND LA�ld1�7S SHAIL BE MADE .- , � � : _ _ _ ._._ A��essible On' The 1 AVAlLABLE ON �FH�-J�� SIT� _ ' ' �� V _.��/�� _�' '� . Construc#i�an Sjte !' Fp.R iHE. FRAMfNG CN�!'�- � �"." t.�� _ _ _ _ : _ _ __ . __ . : __ �� . ' '; ! T � Gt/, i2� rrov � Gri ti_c� S�G _ : !�L or�'.¢ �iR�/h� . . ' . ; _ `� ; , _ : . __ ' � � 7r,3•�3_ .y,ag.�.oG;;a '_ Giv � ; � -S� ; _ _ :G y�-r_.9�3�F_ _ % _:___ . __ . __ � � � _ _ ' - -- ___ �n,�,ol� G'•�r.�e �i�ri s'S3G� _ ; Fr.�J/� m.� s'�Y3Z ; � ; . ; ,, : , 7G3--_ �y. _S_-- 90_ z3' __ : ` ; ; _ __ _ __ _- --. , ` � _ -- -- - - ------ _ _ . _ � '--- - . 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Z" F o �,,,,�; ; �: _. _ _ --�., _� �c,fr� __ ---- �»�}�+-1e ►� —'r---`- i - f_ Su«� BI?ir31�..,"j- � � , ; � � — ` ,-- ; , , : ' '- --- . i Vlfu�dows to be Mar� Integrity tuats with standard ins�ated �ass and star�ard screer�s and hardwar�. �� ` New concxete floor with sump basket, draintile and pump discharged fo badc yard. � � install2 small retaining wails an walk area. wP , Existing house � Existing basement door to remain for access into porch. -- ��, c� c�v � � � d� 2 x 4 wa� 1 G' o� cerrte� with 12" /�"��! }. asb waN �ting. vrttyl sic,�g and aluminum ovefiangs to match 9ara9e. Manufact�ued fi�sses 24" � cerrter whh t!2" osb roof sheat�ng and 3 rows ice and water �ard. �'30 fe� and sE�e to match � CU /LlGtS ��'C��W' --��' �a��C � . � 'C , /Ll��t,/ l.�" �iV�'�Cld� �Ut9 � Ex�sting I�td i landing; area to remain. �idt.;' Iil ,�,.. � dOHN J. RYAN CO. � 1595 SELBV AVENUE, ST. PAUL 56104 SC/�LE: /INCH ✓� FEET TELEPHONE:848�88G8 : :..��.,,of� � ��-, , �: ::. PLAT OF SURVEY _ _ --_ O� PROPERTY OF TCtt�� ,�% ��',�'� LOCATION �'�.�—�'� �fJ�f' .:�lL�� _ .r��!f?�/°1,/ /�'�"/1!?r1• - -- T/ � il/nr�i1 %_ cf��t '�;_'1� .k ��.�2�� DESCRIBEO li►� fOLLOWS _ �` %:�..��7�._-�`_Z�L f u o'._'�"2�-z"' . _.LI�� ' � � �"' ��; � �- �� , _ . �d ��' � ! �,�.t k . � . . . � '.� F . � �� • z�y� .' • � . . . � � �, -r< � . � � � � �.. ! e �� . . � . ' P� y `, , I I � __ �e "ti�'' � 1 -�—�--� . . ��. _ , � � � ��4-= � �`� �• �1 �• `�` ;� (� f i �' �l ?. �� f � . . �, �' � � � �. . �� ' �� " r i ; , . - � -tc ' �4z' . - • G �� `r� , �� 4� � %� v ` _._.__,___.__ _ ._�- - lri��% �...- �7� .' ' � _p�' a�� ' g �i � �v£g�i� � /T�`! �� !A`_o�! H� . - y ��;�� _�..__. .,,..,� f I,�a� `�P � ��' �'f. � - � �� . 1 � � � � � I �itl��li x!/J. ! �. .�.o.F.' �1 h � �' ' I ,�� 1 � ' i ; (r. „ . _.. _ _. _. _ _�r � J i-. � .. . _ . ___._._"_. . .. 1 ...._ _ .,�. __. _. _--�___.1._ _ is,� � __. _ �" "° � � i . , :�= � :':`� � � # ,.. . t� � . � , ► r,. . . ��: � -, '�, . . . _ ; r, ._... . , , . � ` £ . I ; '. ` j� ; � i--- -., . - - _.. . _. . . ..__ .- - .--, ' _ .�..� '� ; CEiiTIFICATE OF LOCATION OF BUILDING . A I ber.by attily tb•i on .',,. ,�' � 19 .Lr�_ . t,pi� w,rvey� plan. or e+�poet wu pr.par.d by me or uadsr my . n tiut I am �. t�r�d L�nd Sur- „`� �� Liw� tM Stat� ot M� f�,�,7,�, , , , � .----r . _,,.-` � ___ ,1" ' ._ I `o_ N � . . . r- � i,a' ;.I I � - . . _J.._�. . _. ._. "'"._' .. ._...� __. ..._.....,. ._.�—_-i . . CERTIFICATE OF SURYEY I Mreby cortify that on �`-`' � Z 19,.�r.[._� � ti�I� surveY. Plaa� � report was prepared by uss at nndse m�r •�} dite�t supsr.vi�ioa and ehat,/I am � duly� . L�nd Surveyor under the'Ipws ot �%•Stat� ot '�. �. y ? '' . ,._� � ��!..�.5'�.�l.s.�� .,... �. , � ;, R } � , ,� 1