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AF - 34254
�..� : . _ � .- _ � , �3;;:s��. ; ., � 3,': � : , — �: _;,.- . .� _ . . , , 6 �, _ � , � � � _ �' � �� :; . .�, ,. �,, : , . _ - , ...... , � ��it��' 0� ����� M�LII. �, � . ' �.� _ , � �. - . . � = �: � _ '� ���°� ���i��� �� �� -..�� w ��: ����: � ;;; No �86 � � � � - . -� �.; ., � t� �� ����ro� �� ��nvG� _ ;: , � ��?� , �f�� . . . _ _ _ ._ �' ��R ZYE.. �{ F -:. i �_ ,. __ .' ,: .�. - '. � 1 ,:: . �' : - ... . ". r • ' ° ..." ,�� 1 .:�• _ c�� . � '; �, L� L ' ' .. .�i=^'Y?'?.i��� � '� � �� .I� .. .. - �. �� : - ��' �CVIIBi - tire. . � ArChiteet_` Frid'-�Y, Minn., ��` ` � � 19.� ' - Builder � �'Y - _ _ , „ . •,_ : _ �t � �. � � ` L(.1CATI0 CiF ,BUILDING � � _� <a _ '�,,,, � "` -� �� - , , . �, � : � No.� �� �tree _ ' Part of d.ot - . s �' . B�OCk Addition Or 8ub-Diet�on . • �n., � � ,. ��, ,- . .�_ , _ _ _ , , . .,�. ... .. . . . . a � t ::; . . . _ . ... :i � �. � � si�..�SVaLU'+�LV�."tl�- �� $Va.1�i�a1�t�.7'. �... � . . ...- . ,.� :.: ,_' ._ -�- �'ront�� DePtb�� Height,_.�� Stories� Maaaer of Gonstruction �� Yo '��,�� � �. Ta 'l� used as � To be complai '~�t.ed Co�t_�'���� _ � t f �� � � �; ��� �,� �'`�'"� � �, i ' , : � -_ , , � - , �� -„` Permit ie he by granted to t '�° � [;�""'i";.�4��.,,�� ' tiie �uildin �+ described in the ahovs siatement. This rmit is pe gratttad upon<�{he espress couditioa f�at the on to whom it is - �; �'aater�, and his agents, employees and worl�en, ia a11 " tha �¢ark done in, .�round aa@ upon d building, or as�y part thereo� sha11 i�nPorm ia a11 �especta to the. ordi- ; � , n�nce� o� I+`rldley, 1ldiant., seg�arding the cpnstruction, alfi.�r�t�on, maintenance, repa3r and maving vR buildiage , ; " �.. ..,: -�wtfi.hia, the city Iim�it�, �nd-thi� permit may be revoked at any time upon violation af aay of the pro�ione of said ; OrdfriRttCBe. s � _ ���.. .� � : . . or or su�a�gs. :; . � ,� : AGRE�T A1diD SVi�C}RN �TATE�NT ' ;�':'Nd"E1VT � � � � ��� : In consid�tion af_�� issue arad deIivery to me by t�e Iuspector of �uildings of'�'ri�ie� of w� � the abovs perm�.tk �}�iereby agree ten do the prs�possr� work in accordax�ce �vith the �escription : � . � -�,-;; � aboee set A� =and accordiag to the provisions of th� ordinances of �'ridIsy, and, b�ing fis�st ciul�r , ., n 'ri swo `. ereby state and ea,y that the fac�s sta�ed by me and e nfi�ined in �e a ve pex�nit a,re < -as thereia �sta,ted. n - � �I � ` �" .� � _ ,'� � _ ,� <•w.�.,�,,,6: - ` _ �, SuT�scribed and sworn, to before me at Fr-idley, Minnes ,_ �L,; da,y o'�� ` , �� A S. �_ _ � � - �;; � —� 1,�+ 19 � � ��� � � � � � � - � �t. � � ;� - �x - .,, .,. �_ �3 �,:- v�: . , ��;�: , � - � . ., . , y __ _ _, . _; ; : , , , � ,.: _ _ ��, : �� _ .�� — ,�;�` _ �,�; �:.- _ . .. _ . .� �, .., _� t . � n _ _._ �.- �� ______ �_ � .. � � �ity of Fridley, Minn. ` C 1 1I ' ' I � ��,, - , _ �� �� " � = - ,� � � �,, ,. , .. �..,, �=.r�:�, � s� . _, <�,//-�%._% � �,�-,-::��� - .� , „ _ . . J�. . � :.- � � G i�� ,/:. .'� ,, -- , -�I�� ��; _�I�, �� .�, . � , . ..�.. � ,, . �..;.� _ � �. , � , .� , :; : - .�i,. �� �., , :� ��� _� � � : , ,�, �� .�, � _ DESCRIPTION OF BUILDING T U � Front � mePtt► e�— Height .L.L�_ Sq. F'G Cu. Ft �pth � t._.�� Sq. Ft Cu. P't. Type oP Conatru ��_. F�k � "—To be Completed In cansideratlon of the issuance to me of a permit to �ct the building de�rlbed abo�►e I a�ree to do the proposed work ffi accArdance with the descripl3on above set forth and in complfance with a'11 provisiona of OTdiIIBIIC@8 Of th@ d1.y Of Flldley. `//�� � e - - - --A — In ca�nalderation of the payment oP a fee ot � , perrmit fa herebY �ranted to to camatruct the builSin�' or additton as de�crYbed ab�ve. Thisp�rmi t ia granted up� the exPr� condition that thepe�oa to whom it iss graated sad his agents, emplo�yeea an� worlQnen, in aIl work 8one fn, around and up� �id tit�liing, or any� thereo� ahail conform in all �pects to the ordinaaces of FridleY. Minn�ta local3on, aoaru�tructCon, alteratton, maintenaace, repair and moving of builaings wlthin the d limita a� tru o�� ty' permtt may be r�vaked at �� vtolai� of a�► of the P��ons oP sa�d ri I�ospectOr NOTICE4 'llds p�t doa eo1 � da �, � tor vr�, plombles, 0as Ma9eg, a�r� er �ratsr. B� aNa to aN �a BWldieg 1� tor apuata p�m6� 1'er tMa Ra�. �..�� r�s� ��� „ �o�� ��� �� � � m �PPLICATIOAT FOR °BUILDIl�TG P� Cl2°Y OF FRIDLEY, MINI�TESO� . . . . , , . .. � . - . . . 1; t:. ��. . , . owner.� �ame ^ w�l�i� v. �a9 Bu33.des �S - c�rts����4� �� ��'w �ddress • 7344 Ab�le �.E. Fr�.d1e3►. Adtlress 4504 Lqndals Ave. lYa: MpLs� . . � , - � LO 'L'14TI��N -l�F :$UII,�ING - � 1�0. 734�5 StTest� Abr 1e N.Es - Part of Lot `� i�ot � - � � �Block �' � Addition or,. �b.,D3.v, Sh�Ffer's Sub. �1 ,,,,( .. . _ �no�a County '. - Corner I�-t,�.Inaide Lot� t Ba�k $ide�Yard .; 3� ELB'�1�TION � , FOIINDATION �TAT�ON Applicant attach to tPais form Certi�icate of Svxwey of Lot �d pro�sed bui:lding loca.tion,.: . . , °<<, . . . . � , � . 'DESCRTP�'i41� �� BU]xIIi1�G ' To be used ass � � ' ` - • Ga�a�e Front 18 Depth „�2,2,_ Height... �_.�,,�;::,_� _..... �.� _,� Sq. Ft. Cu. P`t. � . � • Front Depth � He�ht � . Sq. F't. - — - - Cu. Ft. . _ __ _ _ T�rpe.of Con$truction �� Estimated Cost $1160.00 � To be csompleted _� �►s s oon :�as poss ib le . -- �+�w �. �...��^ �r.� � The underaigned hereby makee= applica�3on for a pera�i.t for the work h�e3.a -speeifi�s agree3.ng io' do all work in �triet aceord�nce with the Git� :Ordinances and � rul�.n� of the Department of Buildin a, and hereby declarea that all the faats and represent,a- t,�.ons stated 3n this a,ppl�cation are �true and correc�. • DATE ^� t_ 7 ,. 19�3 • SIGNATtqRE. •��'�� �/ -��� - �� • (g Soh'�du1e of Fee co�ta can be fouud`on the Rsverse Side.). r -'' -�, P\ � ` f 1 � � � � ..o M ,,,� BUILDING PERMIT F1�E SCI�iTLE Sect�.oa 2. The Inspector of �i3ldin�a sha].1, before iesuing au� permit Yor the ereotion of au,y bn�.].din� or structure� or �or a�,y addition to any existing building or atructure, or fo� an� alterations or repaire to ar�y existing bu3lding or atructure, upon appl3cation therefor, require the ��ment by the applicant for such permit of fees tA the amount.;herein �l.ow - set forth an+d : in tlle _ manner herein provided to�rit s, ._ .. . � , , ° V2.1. �'or eu3r� such *permit for the erection of .aqy fire-�r�oP building� other � �_ #.ha�a e, gara�e, werehouse, factory or grain eleeator, or for the erection of e� f3reproo , occu�ac�,�to a�y exi�ting 1aii.l,ding . shall be at the rate of �]..l,A for each one thousand cubic fe�t�� �#o�-- — -thereof, 3.n such cubical contents. a.2. For aa�y auch permit for the erection of a� fireproof garage, mere- `i�ause, factory. or grain elevator, or for the ereci►i.on of sny FireprAOf � `addition for'� s�milar occupancy, to ar� existing build3ng ahall ts+e at tha rate af �1.25 for each one thousand cubic fest, claasiPied as "fireprooi" by 3ect3on 502 of the Ni$nneapoiis $uilding Code. HO_. US�S 2.3. For ar� auch perm3.t for the erection of other tha.n a garage, �.rehouse� factory or grain f3reproof addition, for simil.er occupancy, to Permi.t �'7..� for each one thouse,ud cubic feet. �� any nor�fireproo�' building elevator, or a,ny norr- any exiating buitdin�. 2.4. For e�r such permit for the erection of any no�fireproaf gara�e, warehouee, faatory qr gra3n elevator, or for the erection oF any non- �ireproof addit3.on, for simi.lar occupanc�r, to a.ny exiating buildin� er �_�such build �_or add3.tion. Ninety Gents for each one thousand cubic feet or� i�action thereo�, 3n�tFe� cu.Ti- c � t�ereof--wi�h-�-- minimum of �,..00. � ;; For the pt�rpo�e of computin� fees for buiid3ng perm3ts the cubical conte,nts of ar�y buildin� or add3tion to a uniform height throughout by mu3t3pZy3ag the �round area covered from a point six.(6) iaches below the t"loor line o€ the ba�emea� or cellar to the a�verage height of the upper surfece or to the aeerage-height of the roof.,surface of the main gable of a pitched roof. 2.5. For �ep�irs-or altera�3�i�ts ��n exiating atructure, the fee shall be at the rate of �3.Q0 for �e�.ch F3.ve Hundred Dollars ($5�.00), or f�sction thareof in f.he c;oat of .�Il proposed work.� 2,6. In no case shall the fea charged for aqp perm3.t as set forth in Sect3on 2 be less thau $1�.00. -. n �,� �- - � -- r'1 "� ��` r ' � , _ .. . .� ._ .N� ,� � , ,, .x ,. _ . ��- -. 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I� a�� x i��� � .1:� �.�� �t�'� �, : � . z ��`�� �': � �� r ;� ��', � * - °� � � , _ �; � '� �.�. ��+`� _' �� °-� ,��F �� — , ¢ ,�- �t��� -+�t�a,t���+ � � � ���, ° � „��� `�� _ � - ' ' �_ i �, �F ..- r _ � ���` d�� `s .- ,�¢t� :� � -$: �n' .+:i . � . ac .� � S� � . . ��RNU�e�� ,j _ _ x _ '� _ -..� ,� - �'' ?,. __ .( ��<i t " �.� -� �. - . '`. ! . .. ._ .�'� . E _ �'- r - � ' �., - x" _�{ ' - � �„�r '«_ °�'" .. . `�$ ° � ' .. . n ; "s'} i°fr _ 4 �� ; � . , `. _ _. . . . . . .-, .. .. f =..° .::. .' ig,,.� � r .�..� . .i.. .. '_" f`. _ " ,� _ � :: � .., " . . q � _ .��.. >'4,y, ,N#�' � - � �7'i'-_ : } � n' ' �� ``� ��'_`�. `JF7M[���0�1�1 ' _ . . ' _ . . _ � �.: � _ . . . .-.- . - . .'" t� � ` ' ...__ _�� . .jZ ` _ . ,. • . -' . ._ '. . . . . �'� r'.S'. _:,� _ _ .-". ' ' � . : . , . . ... _ _ . _ � +&--.- - . - _ "�_� ........ .. * . -��.. . - .F� ._, ... _ _..:. - �i' ._' -. . . . . - '. � , ' � _ . � ��� . . _ " - _ - . . . ..�_ .. - .. - . .. , _ . _ . . , _. _ - . _ .. . . - . . . -:. . '. . _ - _ _ � _ , . . . _ � . , . .,- ... _ '., -, _ . ♦ _ ?! - � . r . . ._.�y .. .. � - _ .... _ �.0 . . . . �r.'.. _.,. .,. � ., „_ . . .�. e -. . .... � ..-, . .. . - sue�ecr PER IT City of Fridley � 0 9 8 3 8 6 ' ` AT THE TOP OF THE TWINS g U I L D I N G P E R M I T R EIPT NO. r i LL ���.•�� COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. � O�� � � 1 = � � /'��1 � CITY HALL FRIDLE� SS432 NUbIBER iIEV. DATE PAGE OF APPROVED BY �•---�• •,, 612-571-3abo s1aF1s 4/18/86 � � JOB ADDRESS 7344 Able Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 12 4 Shaffer's 5nb. #1 SMEET 2 PROPERTYOWNER MAILADDRES$ ZIP PHONE Dennis �nTelch 7344 ABle Street N. E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. C& M Builders 4536 Jeffersan St..N.E. ls 55421 572-]:148 4 ARCHITECT OR OESI(iNER MAIL ADDRESS ZIP PHONE UCENSE NO. 5 ENa1NEER MAILADDRE33 ZIP PHONE LICENSENO. 8 USE OF BUILDINd � Df�1el.�.lYKJ 7 CLA33 OF WORK O NEW O ADDITION � ALTERATION 0 REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WOFiK R,eroo� Dhtelling 9 CHANOEQFUSEFROM TO � STIPULATIONS g,paf can be the 2nd layer but not the 3rd. Install ridged galvanized valleys. SEPARATE PEHMITS ARE REQUIRED FOR ELECTRICAL, PLUMBINd, HEATING, TMPE OF CONST. OCCUPANCY (iROUP OCCUPANCY LOAO VENTILATING OR AIR CONDITIONINQ. THIS PERMIT BECOMES N,ULL AND VOID IF WORK OR CONSTRUCTION ZONING S�. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANOONEO FOR A PERIOD OF 120 DAY3 AT ANY TIME AFTER WORK IS COMMENCED. � NO. OWL(i. UNITS OFF3TREET PARKING I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS APPLICATION �. STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND'CORRECT. ALL PROVISIONS OF LAWS VALUA N SURTA% AND,ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED ��IOOO WITH WHETHER SPECIFIED MEREIN OR NOT. THE GRANTING OF A PERMIT $.SO DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF ANY O ER ATE OR LOCAL LAW REGULATING CON- RUCTI R THE PE CE O C STRUCTION. y��.%. SO � �� �� PLAN CHECK FEE TOTAL FEE �% sis.00 SIGNATUREOFCONTRACTORORAUTHORIZEDAGENT (DATEI WHEN PROPERLY ALIDATED THIS IS YOUR PERMIT SIGNATUREOFOWNER�IFOWNERBUILDERI IDATEI BLDG INSP np E � NEW [ ] ADDN. [ ] pLTER. [ ] Construction Address: Legal Description City of Fridley Effective 4/1/86 �R-1 AND R-2 � Building Permit Applieation Owner Name & Address: �� W-'��� Tel. � Contraetor: i�O�-�M ���-.W�� Tel. � Address: � 5'J �o �-QN�.d-�+i �� • ,y %��21/� j���-' �s� � Z I Attach to this application, a Certificate of Survey of the lot, with the proposed construction draWn on it to seale. DESCRIPTION OF IMPROYEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Corner Lot [] Inside Lot [] Ft. Yd. Setback Side Yard Setback Type of Construction: ►l�sc. � Estimated Cost: $ �000 �� Approx. Completion Date: � �U-�� Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation � ��� � /� /' o � // DATE : �r' ArlL ICANT : ���� �J Tel .� s 7 2� �� CITY IISE ONLY Permit Fee $ ��• ��% Fee Schedule on Reverse Side Plan Check $ 25� of Building Permit Fee State Surcharge $ �� �•50/$1,000 Valuation SAC Charge $ $475 PQr SAC Unit Park Fee $ Fee Determined by Engineeriag Sewer Main Charge $ Agreement Neeessary [ ] Not Necessary [ ] TOTAL STIPULATIONS: • � ��, ";I���,•��1 `�y.�i�. � �. � d BIIII.DING PERMIT FEE SCHEDIILE The ChieP Building Official shall, before issuing permits for the erection of any building or structure, or for any add3tion to any existing building or structure, or for any alteration or repair to any existin� building or structure, upon application therefore, require the payment by the applieant far such permit of fees to the amount herein below set forth and in the manner herein provided to-wit: Total Yaluation $1.00 to $500.00 $501.00 to $2,000.00 $2,001.00 to $25,000.00 $25,001.00 to $50,000.00 Fees $10.00 (Minimum Fee is $15.00) $10.00 for the first $500 plus $1.50 for each additional $100 or fraction thereof, to and including $2,000. $32•50 for the first $2,000 plus $6.00 for each additional $1,000 or fraction thereof, to and including $25,000. $170.50 for the first $25,000 plus $u.50 for eaeh additional $1,000 or fraction thereof, to and including $50,000. $50,001.00 to $100,000.00 $283.00 for the first $50,000 plus $3.00 for each additional $1,000 or fraction thereof, to and including $100,000. $100,001.00 and up $433.00 for the first $100,000 plus $2.50 for each additional $1,000 or fraction thereof. DRI11EfiAY DEPRESSION ESCROii (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 approaeh With 6 inch depth - Driveway Width plus 6 feet times $15.75 VERIFICATION OF FOIINDATION Permits for eonstruction Will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed strueture and of the construction site. A CertiPicate of Survey of the lot, shoWing the location of the foundation once it has beea constructed will be required before proceeding With the framing. s-� � � Build�ng Inspections 763-572-3604 763-502-4977 FAX DATE 7 / J'l SITE ADDRESS � THIS APPLICANT IS: PROPERTY OV TENANT : -��-1�-��tl�' I�SII)EI�TTIAI� APPLICATIOl\I CI'TY OF FRIl)LEY EFFEC['IVE 1-1-08 YOUR E-MA[L ADDRESS �l� ��� � E _ ❑ OWNER �CONTRACTOR NAME: L��%" � /QGt ej �1l,t ADDRESS: Z �� G Cl/�• � /. PHONE: 'I (o, '% � � — l �% �� Permit No.: J���'� Received By: i" l � Date Rec'd: S�� I CITY /C�/.�y STATE �'LZIF� � Y 3� � coNTT�.�,c roR ,�nxFSS: �?� ,.�osr � G�'� � 5f �v4� crr�r S�`� G��l srA�rn.y`��3 SUBNIIT A COPY OF pHONE `�i��1 �' �`�' ?7 g� FAX -4�'.i �i — 3 r6 �-eZ YOUR STATE LICENSE �.ATE LICENSE # � � � g � I � � EXP DATE ! � � PROPERTY TYPE PERIVIIT TYPE �S[NGLE FAM(LY ❑ TWO FAMILYlIVEW CONSTRUCTION n ennrrrni.� n nwo wr 0 BASEMENf FINISH �ROOF , ❑ DECK ❑ SIDING O SWIMMMG POOL SiZE STORIES TYPE OF WORK: I❑ NEW PIOME CONSTRUCT[ON ❑ ADDITION �SAIIdTENANCFJREPAIR ❑ REMODELING DESCRIBE WORK BEflVG ROOFING MIMBER OF SQUARES � GARAGES PROFOSED S1ZE: PROPOSED E�IGFiT: SIDING ❑ Vinyl ❑ Aluminum ❑ Other wn+mows IN IXISTMG OPENINGS ❑Yes �AIo OR FOR NEW OPENINGS-DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WIIdDOW TO BE IlVSTALLED �HOUSE ONLY ❑ HOUSE & GARAGE ❑ ATTACHID GARAGE 0 DEI'ACEIED GARAGE ❑ DRAM TILE ❑ OTHER HEIGHT � BASEMENT REMODELMG SUBMIT: !. Existing Floor Plan 2. Propose.d floor plan 3. List of strucOiral members to be used FORNEW CONS'fEtUG1TON INCLUDING DECKS, OSofft ADDTfIONS. 8c PORCF�S SUBMff: � T� l. Site Plan/Survey showing the enisting structares ❑ F�cia � P�oP�� Pro1� 2. Two sets of construdion plans 3. Energy Calculations LOCATION OF WINDOWS I�Lilu��:ZiT� ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR A1W MATERiALS: SING T'HE 1997 UBC FEE SCREDULE) TOTAL JOB VALUATION $ I�1 �' OCCUPANCY TYPE Permit Fee Ptan Review Fae Surcharge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due $ �-/�. o`' $ ��== $ �" � � $ 5.�� $ S $ $ See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $1825 per SAC Unit (Plans to MWCC for determination) $+6ft= ftx$21=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Nlake checks payable to: City of Fridiey Attach THIS IS AN APPLICATION FOR A PERMIT-NOT YALID UNTIL PROCESSED 1 hereby appty for a buildiag ' aad I actmowledge informatian above is compl�e and accurate; that the wodc will be in conformance with the ordinances and codes of the City of Fridley and with Minnesota C aion es; thaz [ undas�nd this is not a permit but oniy an applic�ion for a penr►it and wark is not to start without a permit on site; tl�at the work witl ia sccordance tb the ved plan in the caqe of all worh which requires review and appmvat of plans. l SIGNATURE OF APP IC NT PRINT NAME /a�/� 2��� fT DATES �/ � APPROVED BY � DATE � ' Page 2- Building Residential Application BUILDING 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: • � VERIFICATION OF �OtJNDATION Pemuts for construction will be issued a minimum of 24 houzs from the time of applica.tion to allow for proper review of proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location.of the existing foundation will be required before proceeding with the firaming. New Houses Oniv City of Fridley Building Inspections Department 6431 University Avenue NE Fridley, MN 55432 ' 763-572-3604 Faz: 763-502-4977 a �3uilding Inspections 763-572-3604 763-502-4977 F. STI'E ADDRESS � THIS APPLICANT IS: PROPERTY OWNER/ TENANT MECHANICAL RESIDENTIAL APPLICATION CITY OF FRIDLEY YOUR E-MAIL ADDRESS 0 OWNER �CONTRACTOR Pemnit No. � - - � : z .��. �.�� � . �� � � � il I� i , CONTRACTOR COMPANYNAME: ROY,�I YC)111 I-I�'BTIAIr! o r�n^� �A�.. SUBNIITACOPYOF CONTACTPERSON: ��20 - S5jh AV€(��JC Ai^n�-� � YOURSTATE STATELICENSE# BF�OOKLYN PA�'�I��.r�r�,� LICENSE WITH �D�ss: 763-424-�3�3 ci� STATE ztr APPLICATION pHONE FAX PERMIT TYPE TYPE OF WORK: �ISINGLE FAMILY ❑ TWO FAMILY ✓` S�NEW ❑ REPLACEMENT v� DETAILED DESCRIPTION OF WORK � TOWNHOUSE � ALTERATIONlREMODEL 0 FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOVI� PROVIDE HEAT LOSS CALC'S PER MAN J 2006 HRAE HANDB�K. � Equipment Installed MFG� l�_ MODEL: �� SIZE/BTU MFG: � MODEL: �A"�O� SIZE/BTU OO MFG: MODEL: ,�A/C $25.00 _FIREPLACE (GAS) $15.W _AIR TO AIR EXCHANGEER $IS FIREPLACE (WOOD) $35.00 _BOILER $35.00 �URNACE $35.00 _CHIMNEY LINER $10.00 _GAS DRYER $10.00 DUCT WORK $10.00 GAS PIPING $10.00 _ SIZE/BTU _GAS RANGElOVEN $]0.00 _NEW GAS GRILL $10.00 _GAS UNTf HTR $10.00 _POOL HEATER $35.00 VENTILATOR $15.00 �11�'it?CTQ�i1XtUi@S QC $iQ.� R $1�.{�Q � $ ' -- : AT11t�tt�'o�flXture�.��iS.itD %$15.�=$ AI�r af�xtures'Q $25�{}�? x $ZS.t)tl►= $ ' N� oifi�t�ares ,�a ��5.� � � .� �3� Oti � � �� °`` ' �, � �� �:�, . � ���; ;�, - 3�te S�rc�arge � `� ` - $��� � ��f1�V�JM FEE �40.�) Tatat � $ �Q�� THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a pernut and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all ich ir re pproval of plans. SIGNATURE OF APPLICANT PRINT NAME ��� .; 31Cl�41VUJT]I DATE ��� I� v DA � City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 AA/tNUAL J: 7th �tl. 1 NBtne �t rppm Entire Houso whole house 2 LengtM bf dtpoete�t w8fl 1Z0�0 R 120.0 tt 3 RoOm dlrlfa118bns 28.0 X 36,0 R a ce�s • co�tt.Opgon e.o e a s.o R r�esu� IYPE 0� HTM Area Load (Btuh? Area Lo�A (Btuhj Area Area QcPaSURE NO. H1g Cig (tt� Htg Clg (tl� Htg Clg httg Clg Htg Clq S GroeB 81ZC 8,1 2.1 860 "'"' "" flBO "•" "" "" "" "" "" Exposed 414C 8.9 1.3 Z72 •••• •••• 27z •••• •••• •••• «« .... .... 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O ..« .... .,.. ,... ,... F�11Q I�SV�C�1 .... p .... .... � .... .... .... .... .... �a aut r�s ae o.... o o.... o ..,. .... 1 B TOta1108s R i St14 "" 42881 '"" """ 42861 •"" "'"* '^' "" '"" 18 hft g8if18: �COpI@ (� 900 4"�"" 12a0 4's`r 1200 "" "" .... ....• .... .... 17 $ubtDt RSH Qeif!•� ..�2�18 1� "" � ""' 218601 "" ' ""' 21 810 "" "" "" "" LESS WQBff18l COQ�flQ •••• �•r� Q r,r� .... Q. �..a �... nin u�n l@is Uanster .... ..., Q .... .... p .... .... .... ..» I!wwtiww � w� mn Q w� w. � �.. .rN �..` «w „v`n»'tl 1s otia�n o°/ � o o� o � N« � 19 Totel Hy�inR(17+1�•PLF 7.d0 "" 21861 1.06 "" 21881 """ -:..; "" 20 Nr �ulred (dm) '" 1158 t 1 S8 ""' 1188 1158 ^� ""