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AF - 34851,� _ .. _ _ .. . .. City of Fridley, Minn. BUILDING PERMIT �v� sls7 ��: `� � � �- ` � o�: ' r,� � .�-�°"� �. ,,� � r B�a� � - Address 1 N OF BUILDING Na ' Sireet, :•• r , � .,_ Part Lot - '_ Bl�k Additivn or Sub-Divlsi �" �•�° �:_� .,. Coraer Lot Inaide Lot �.��"`. Setback �� S --•�� . 3ewer IIevat4on Foundation IIevati� DESCRIPTION OF BUILDING � �v . � � �� '� ' - ' �`ront � �A� � ��t —� Skl• F't �� Cu. FL ..�� t �P� ,� � I�dght _�� Sq' Ft' .��.� Cu' Ft' �tii � �Pe o ct[on- � Est._C�'.�a� � w',,v�-�,. �' =��-- T� k Caaapl�ted In consideration of the .issuancae to me of a perrnit to consEruct the b8ildin� described above I a�nee to do �o�inaaces� t�d� � with the d�script3on above set forFh aad in compliauoe with a�l provisfons of �' " . In con�derat[on of the payment of a fee oP $_ �'(c�.��`�—! —y Permit 3s herai►Y granted to to conatruct t.�e builaing� or additton as d�crlbed above. Thisper� t is granted upoai the eaPreas c�ondition that thepe�on to whom it is grarited and his agents, employees anc� worlmiea, fn all work done fn, arouad and upon said buildin$ or anY part thereo� shall conform in all respects to the ordinanc�s of Frld1eY. B�inaesota glac�atlon, construct4on, alteration, maiatenance, reAair and mavin� of buil�in�s ordinan� d�► ]imits��i� ttiis permit maq be revoked at any tirne upon v,�offi�ioa of a�► oP the provis�tons of sa�d �� Nonc� 'Itds pe�h aoes not eewr t6. eeesho�ioe, �Nm /er wu�, �ml+lew �+� �. •� er vrtlrr. e. we. to se. dn Boddtee Imp�dor fe� aW►+h � Por 1�a h� _ _� __ ` ` � �T� y. .� � �` ` �� `.� _ � j`�: __ ti.�- re- : �. --- -��+R � , � ._ _ � ! __ ; . -., , . ,,�� , : _ r� /� . n , ', � _ • ' . ` _41�u� 'Ul.�� , Telephone 421-6340 � �' �� . v�SSO� a��s� o�e. � LAND SUR�fEYO�S - __ Anaka, Minrresotc CERTt�'ICATE O� 3URYEYe � . _ Robert L. Glaes : 7R7- 12S»74 i'j' . �PLIT - F _ �TUC'GO i '�:'� �' ,��i��i �. ci3rJ' : � �_ . 'r'� : Q�iO'�'LS �,� . � _ A i30�1g . �_a��.'. �': V f. � �' : . ; . �.1. . � . . . . .. .. � � , . . . -.. .:.. . ' .-_.�.._ � -_--_-�-_.-�;-.—�,-...,._°.s.--- --_'""^'-�--': _ __ _ " _ __ ' -_ - -::' . . - ' . - . ' .. . - __. . __ _' . _ _ .:� — . _. , .. . �_ ' - �� iti. � � ,. ' ..: ~�. a �, ' t� .� p t,l .1 . � j� . 4 � : -E � a � ;) � �- 0 _: �r. � Z � ^ .� � --- � � � . �� - � . _ / (11 r � �� _ -I$1.5$= ' �{� .� . � ,f , �- � - , - --- � , _ - r - �:: ('''g_' F ; � ` -�.. -.�..� �.� r.___s _� _._..c� .��- _� � . _ �e -- - _ ��. � 7422 - r -�� - - �--- � :�� . � Loi #� �. B7.�ck � � � Shaffers .Is�. S�zbdivis�on � . Anoka GQUnt�r, M�nnesota ' _ ,` � HER�Y CERflFY TNAT THIS iS A'fRUB AND tORRECT REPRES9�RATION pF -A Sl1RYEY OP THE 80UNQARIE� OF THE. ABflVE ' DESCWBED LAND. AND. THE LOCATION OP ALL BUtLDIN�rS. THEREON, AND All YI�°�NCROACHAAETITS.IF ANY, FROM OR ON SAID LAND. _ _ , as su� er �+s n�ns 19 �h cAY oF .... � ep t emb e r a.u. � 9..�.2:. : N. C. H0111M ANQ A8 � ATE C. �- D SURVEY6ltS _ _, . v-/ � r :� ,. So- d. e.: �► � f a � G✓'� _ ,�,"� ... ....... ...,a.........� ........�-...... ......... �:�� _ �,...�.�... , ................ � _ ; •� . ��r.ac�zo� �o� su�u�c �� cz�r oF �ain�Y, ra�soTA � .Owner's Name . - _ Bu�ider . , Address Address� � � . . ° LOCATION OI� SUILDINO r No.• Stre�t' ' Part of Lot Lot Block� Addition or Subdivisioa � �oraer Lot,��In�3de Lot ` S�tback Side-Yard SEtdB�t $LEi1ATI0N ` FOUNDATION �ZEVATION �_ , Applicant attach to Cbis form Two Certificates of Survep of Lot aad proposed buildin$ location drawa on thest Certificatea. , DESCRIP'TION OF BU�DII�G To be used aa: �. ` , � � 1 � �e, Froat Depthw eight � Sq. Ft, Cu. Ft. , . � Ftitonr` "� Depth 1 L Height �� . �. �:..�.� , ' �Q. Ft. � Cu. Ft. ' Type of CoustrucCion Sstimated Coet � To be `Conapl�ted .... ' . " The undersigned hereby makes'application'for s`perm�tt for the work herein - specified, e�reeing to do all �aork in stri�t accordance w�th the City of Fridley Ordinances and rulfrigs of'fihe Department of Buildin�s, aad hereby declarea that all the facts and represent io s stated in this application �are true aad .aorrect, " , � �� .�� // . , � . � � (Schedule of Fee Costs can be found on the Rev�rse 9ide). • .�,, n � � �_.� �O�LD� PE�MtT F�E SCHBBUL� Sectiqn 2, �he tn�peceo�r o� Buiiain�s sha11, before i�euing any permit for the erection of any bdildiag or atructure, os for any addition to aay exiet- i.n� bu3.ldin� or struc�ure, or.for any alCeratioas or repaire to anq.e�is�ing - building or�s�ructure, upon-applfca�ion tberefor; require tbe payme�t by the appl�.cant for such perm3;C of feea to the amount her�ia below eet forth and ia tt�e m�aner he"rein provided to-wit: � __ . .. . 2"1• For any such permit fpr,t�ae:e�ect�.on vf anq fire-proof building, other than a gara�e� warehous�, factory or grain elevaror, or for the erectioa of anq fixe-p�oo� additian. for similar occupaacy, to aay exi�ting building . shall be et the rate o£`$1,T►��for each one thousaad cubic feet. or fraction thereof, in such cubical contenta�.. . , 2.2. �'or auq a�ach permit for x�,e Erection af any fire-proof garage. warehouee, factorq or grairi elevaCor,� or for the er�ction of aap fire-proof additian, for simiiaa occupaacy,,to �ny exiating buildiag shall be at Ch� raCe of�$1�25 for each one thousand cubic feet, classified as P'f�ieproof1t by Sectioa 502 of the M�i..nneapolie Suilding .C�de. _ . SOUS�S 2.3. For any aucb permit for the erectioa of �ay noa-fireproof buildiu� other thau a garage, warehouse, factory or graia elevator, or any noa-fireproof additian, for eimilar occupeacy, to any exietiag buildiag - permit $1.00 for each oae thou$aad cubtc�feet. • GARAGFS � �� . 2� For any s�ch,permit,fer the erectiaa of anq aon-fireproof garage, w�r�hou��, factorq cr °��aia elevator, or for� t�ie erec�ion of siaq noa-fireproof additioa, for e.i�nilas occupaacq, to any;;euisting building or �or each such � l�uildirig or �ddition - rii�e�p �ce�tits ($0.90) for each one thousand cubic feet or fxaction the�eof,.in:the cubical conteats thereof with-a minimuon of.$4.00, �or the purpase of computing fees for building permits,�the� cubical coatents of anq tiu3ldtng��or addi�i�a �o a��uuiform t�eight throughout by multiplyin� the ground area coqered from a�qitat�aiu:�6) inchsa below the:£loor line of the basemeat or cellar to th,a a�verage t�eight of .tb�Q upner :surface or to the average hei�ht;of the roof surface of the main gab�e of a pitched roof. 2.5. For repaira or alteratioas to au eniating structure, the fee shall be at the rate of $3.00 per each Fiv� Eundred Dollars ($500.00) or fraction t�ereof fn the coet of all progosed wark. 2s6. In no case ahall the fee char�ed for any permit as �et forth ia Section 2 be lees than,$4.Q0. ., ' � �. �. . a (� �"�1 ' ,.� , ; . � � � d � � a � � � � � w � � � o � p � � . M N � : � �. : 0 • � � : . : � � : : . O . . . • � . . . � : � � . � � � � : � � � O Q Q � H 1 � �y � � a e � m � � � � ��'� �zx e � � � � c� � � � � � � � o. �' � � � � � � � � ¢ p ' � � • � W . � � . . Q� O . �4 ; . � � . . . � � : . : : � . . . . : � : : . : 0 pd 1: a: a: 6C a4 W L� W f+ ►+ � � C�A p C�71 o O O � tta t�s v� ss vs N � Q � � �i � �"� O a x a � r � m � � m C r m � � o i � � 8 a o n b � � � a � "' m � � � � I ,� . � y � �- bd x �J � a w � � St�Y� � g WATER � � CL106ETS � �� 0 � � � eA4� � � ( � $�:'� � � WASN TRAYS � � 8 M �� ' x �� ° W � . � � � � � � � � o � � w a c�. tA hp�p � � ORUVK. FOLNT. 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Z. � � � � � a. � . �� ° � o� � �� °� �� .� 00 b � �' b � b o- �� p ��' o � � p .a, o ,� i�' � � M ¢ a. OD W � O.� �� ~ . �� o ��' A � rs 3 `� � b � � � $r G �� a� � �� p � M � �v m � � � n � m � � � � � � � � � , � � b� N o � � � � �.` . AT�I��TION OF: i�'�----- -- TO .____._.� �_ C � 1 e ' SUBJECT �� c DATE ��.i � l � � 7 , / /U.� :�► � , � / �� _ P _� � �1 • �� "►`!�� :,w . � i �� r ..��.1 .�.►.�._.. ,�l .w� .�, . I � _ �4.aL..� ' .' � _.�l..�i _. ___� I, �� - � .►�.� �I ..� , � . . / � - � , � �L� � ��.___� _: . � i / / '_ i I �� I r .� i � i . / _ i. _.� _ 1 _... ti��/. �t�`I�� `�� / ` / � � � % � �. ! . . . , _— .� -- J I ;� _-- DATE. � � � � � 9l � SIGNATU REPLIER'S COPY —�ETAIId FOR YOUR FILES 0 y' _ � � �� y '' AI'P�YGAT�ON F� P�T TO iPARK9 QOCCUp'Y9 fl� � It is heteby reqaested t6�t (T) �We� be issu4ed a houae trailes permit in co�plieince with Ci�apter 41, City Caie of Fridley, Fti�egota, 1963 by reasea of the f�llawieg; �, �- 8. DTaa�e .�d Ae��t addlc�r� s bo �r�bip of trailert ' � , a, Descriptiaa oi� trsilet - Alak,e a�d �isea i��` .�..�....� � . • do I��e aad add�s� of w�aes q�d �here taailer ie pac�se,d/to be _ eo lesi� Of time tr8iler f o tlae oi treiles � be atored o� accapied ' r' r , ga �i�tare of adjoinia� p�cogexty cwaers gsaatia� approvais 0 , 0 .�- — , ho �aeiga of tra 1�4r au pg poe pr �cL� - attach plat pian of p��tY: • io Where traiiet ia to be occupied, ci� I�hat realtionabip. if eny, betweea tzailes �vaer and land awnes�? , Q2� all (3� l��iciiities fo�e �e�age diepoeai, �ater and electricf.ty? %S � (4� Bmplcyiment of applicant? _ ` , � Q�� t�laether appiica�t is canstrnctie� 6o�e in ares4 . T�►e applicatioa, when preseut�d to the �ity (�ail, ehall sho� the reca�a- datian of the Zoaing Admiaietrator and/or Buildie� In�pector. .. Pleaae fiad attac6�d cbeck i� t6e a�w�t of (�50�0 for garking) (�25.00 for oc�upyiag➢ a howe tsailero �� 6 �, . �-�-N�=� . I� / , / � 9 � �/ i,/;i,ii ��G� .. /' ..i t :�, �.'�1i /►'�!i► . a , � ♦ s i , s ; i ; . f .'� �,.�� I c ,P1 . " -� R - � � � _ � i _ � ��. _ ^�'4�!� . ._ - _ _ _ _ _. ,. ///�!/� f ��/�o _"__.____ . . .__. _ . m�_�i�.�ro_._.. ♦ �$ �!' _ � -_ . . . _ . . . .. �� . . ___ __ ._. ___ ___ . �' f- - � • . _ _. .__ ._.. (�' _.�[.!� -`�Y-�- ..� .._. . ... _ _ . _ . ._. .. .. _ �-� �� s� �-�� j• , �. , ,� �� - _ _ �� , ._ � �?r��.e� __��11 G%� s -- — — — _ _ .. _ � , i � '(/`� - / �61P � d Q G�'�Ge-r,�t � � ��1 �.� �� . � �� . �� '7 ��o G2� ,�. � �. c�o .-� Q�� ..� � ,� .�%� � -s�� S� � � � � �-� � �� .�- � -�. ��. � a�. �,��. � �;,,�.� _ . • ___ _ �._ ____ __ __ __ -- _�.� ___...�� . _ _... _ __ __- j - � _.,, - - . . _ . _. _ _., _ _ . _ _--�- -- - _ ,__ _ . - -_----_- _ : . � a ,� � - -=----_- _ 1 ,p • � � ' --_- D� � ( • � n ! r • • (J �1•' C• ��O��:C�� 1,4�1t,� S��L;�� '`� Telephone 421-63�0 . v� � c e. � . _. - - -- AND --SURVEYORS - _- - --- ` _. - • � Aneka, Minnesato ' � CERT�FldATE� O� S+�FtVEY: No�art L. G1ass . 7�7- 1�ra7n • . j SPI.iT — F' . , STVCGU .r � �� ' 4-4 . r'o 5 �� ' ' � DFr,1oY�,s _ _ � - I 51. � - � rRo►�s �_ � _ � . - � �, , � � �1 . � � . � �� i , �; r � F- � � - � � ; ��_ � _ � � _ W d � ,� _�_ � -�`'� _ �. :� �, , � , :� � � � �: �� o �. �� .,� z � � �� /o� � �`� �� . �� . � o �t . W . _t t:�� • J . ' " ' {� ...� ,� �� . 9 � ��(� • � � � ' , . � T'T. �Ci , �� ` . �� '" `�' � ' �� ^ �-. .tt -•� ��, � \ � ,� ._,� . . " _ t r - - - - -- -- —i - - ' ., .. ' d . � , < � r, � "` 4'7' � � �"� OF a SURVEY OP THE BOUNE�ARIES OF TH"r �.80YE ' � e� �•�. �••1'Cl 'lt7J3.E ENrR7AC�H�4tyT5. IF AKY, FRO!.� .OR'JN 5'.!] ' RE�ULAR.COUNCIL 1NEETING OF �ECEMBER l, 1969 PAGE 11 __ � TRAIL'ER PE�►4IT APPLICATION,.. LYMAN Mr. & Mrs. Lyman Parr are fire in their home. MOTION by Councilman 5her. one year for N1r, and Mrs. Council�an Liebl. Upon a tem declared the motion c� CONSIDERATTON OF ORDERING F7 FOR 1970: 7424_ ABLE STREET N,�E. :• a trailer ,permit for one year due to a to.approve tha trailer permit for a period o£ n Parr, 7424 Able Street N.E. Seconded by e vote, a11 doti.ng aye, Mayor Harris Pro TREET LIGHTING PROGRAM It was pointed out that the�lighti.ng�on Osboxne Road is so�newhat difficult due to the fact that the street of Spring Lake Park are staggered in relation to Fridley's. MOTIqN by Councilman Liebl o coneur with the reco�nnendation oP the City Engineer and approve the.fi st phase o� the five year stxeet lighting progxamo Seconded by Counc lman Sheridan. Upon a voice vote, all voting aye, Nlayor Harri� Pro tem d clared the motion carried. ��• d0 PARKING SIGN5 ON 5600 AND 57 POLK STI�EET a The City Manager repQrted t�at both the•Chief of Police and the �i,ty:Eng�.neex reviewed this street and a ee that no parking signs are needed. Counci]man Sheridan pointed out that a the north end of Polk Sicreet above Lynde Drive th�re are some private home and the no parking should not extend past tlheir ha�ees. MOTION by CounciLnan Sherid to authorize erecti.on of no paz�king signs south of. Lynde Drive in the 5600 lock on Polk Street and above Lynde Dr%ve in.tYie 5700 block except at th� no tYi end where tIiere are private haa�tes. Seconded by Councilman Liehl. Upon.� voice vote, al]. voting aye, Mayor Harris Pro ten� declared the motion carried� bISCUSSIOl�i OF INSUR�INCE BID NOTICE: The Finance Director explai ed that this it�n is before the Council to determine if the Council wishes to co tinue with �the present carrier or readvertise for� � bids.--The�spe�cifications f r bidding are�all prepared. Councilman Harris conaaented that he felt that the Council has set a desirable precadent in going out for bids every year. H� did not feel that it should be at the whun of the,Council to go for bids ometimes and sometiunes not. The.Finance Director said that they would not ne an insurance advisor for the preparation of the specifications as they are irtually the same as last year, but he advised that the•�advisor be used in the ulation of the results of the bids. Councilman Lieb� asked how much it wou d cost. The Finance Director said that the advi$or was about $70 last ear, but should not cost that much this y�ar because the specifications �re ready., MOTION by Councilman 5heri to advertise for bids for workmen's compensation insurance. Seconded by Cou cilman Liebl. Upon a voice vote, all voting aye, Mayor Harris Pro tem declared the motion carried. . �'=RF.�UTAR COUNCTZ PJIEETING OF DECEM��R 1, 1969 9 PAGE 12 :.DISCUSSi01�1 REGARDING N.S.S.S.D. LINE THROUGH FRIDLEY SERVICIAIG BROOKLYN PARK: Councilman Harris explained that this routing is at the request of the Metro- politan Council to serve Bxooklyn Park, Maple Grove and other_areas to the west through the north - south interceptor. The contract wi11 be let at the next N.S.S.S.D. meeting December 9, 1969. � ' The City Engineer said that the reason this is�being brought before the Council is that a portion of 69th Way between East River Road and Hickory Drive will � be completely torn up. This section of street was originally in the 1970 street improvement program but was deleted at the request of �the people. He �-woulcl suggest calling thes� people together and explain to them that they will be having their street ��oi�n '�i� and now would be the time to have it imp�oved - as there will be swne cr�it ' rT�ie them from N e 5. S. S. D. The� property owners : would.then pay only for the curb and gutter and a top mat, and the street base work would be paid for by N.S.S.S.D. The City Engineer said.that there were 4 lots which is about 250' o£ stxeet. The probleaa was brought out on - whether to aredit only the individual lots abutting 69th Way, or to credit the. �entire project with that.part that N.S.S.S.D. would be paying for. � M�TION by Councilman Sheridan to authorize notification of the peop].e on these 4 lots to come to the next public hearing Meeting and instruct the City Engineer to prepare.figures for presentation to the people both by crediting the amount paid by N.S.S.S.D. to the individuals, and by crediting the amount paid to the overall project. Seconded by Councilman Liebl. Upon a voice vote, all voting aye, Mayor Harris Pr.o tem declared the motion carried. DI3CUSSION RF�ARDING HOOKING UP ADDITIO�iAL CITY AREAS TO N.S.S.S.D. SYSTEM: Nlr. Comstock, of Comstock and Davis, Inc., Consulting Engineers came forward and completely explained a proposal for dividing the City into service areas for co�[uiection onto N.S.S.�.D. lines or the Minneagolis sys�em. He distributed �'a eopy o� the.plan and a.map to each Council Member. After saane discussion � on the plan Cbuncilman 8�rris asked how much �he City could get in Federal grants and the Citp Manager answered he thouqiit �.bout 50�. Mr. Cotnstock said that the Metropolitan Sewer Board has askecl the N.S.S.S.D. to outline areas now being served by N.S.S.S.D. and also the proposed service areas for the future. Counci]man Harris conmtented that he thought the plans�should be formulated while the N.S.S.S.D. is still in existance. Councilman Liebl asked if l�r. Co�stock could foresee a^y problems in the south end of the City since it is older and Mr. Comstock answered no, there is sufficient capacity. Councilm�n Sheridan pointed out that the Council does not know for sure if the Metropolitan Sewer Board will accept these plans without any actual physical connection. N1r. C�stock said that the Metropolitan Sewer Boa�d wanted N.S.S.S:D. to de.termine the boundary lines by the Sth of Deceaaber for the areas going into the �T.S.S,S.D. lines and into the Minneapolis system. It is txue that there would be a great deal more flexi.bility were all of the City in one servide area. Councilman Liebl asked Mr. Camstock if he felt that there will be ar�y internal. problems if thi.s proposal is adopted, and Mr. Comstock replied ,no, as far. as the interceptors are concerned. There may be m9uior � problems with_the lateials. Counciiman Sheri,cian said that he felt that this - proposal shrntld be adopted with the indication that it is based on information we presen.tly have,.then if there is a change latera a portion of the plan could � withdrawn. Mr. Ca�stock said that if this proposal is adogted by � DEPARTMENT HEAD �MCI 5. CITY ENGINEER (Coatinued) �� -7- DECEMBER 3, 19b9 N. Cauncil discussed NSSSD l�.ne throngh Fridley serving Brooklyn Park. It was determined that property owners be c�dtified within the assessment area and be advised to atttend Coancil Meeting when Council considers ordering in improvement o� 69th Way in the 1970 program Action Needed: Send out notif�.cations. Place on Agenda December 8, 1959. 0. Council discussed hooking up additioaal City areas to NSSSD system. Council concurred with Comstock amd Davis report with reference to service area. There are to be suggested service areas, based on information available at present time. Also, indi�ating potential hookaps to NSSSD. The Council directed Comstock and Dav�.s to prepare plans and specifications for the ' hookup. to NSSSD of areas 1, 5, 6, 7 to NSSSD. . � P. T Q• Council passed Resolution concurring with suggested changes in.Master Use Agreement, but desire the resolution be held pending dismissal of court case on REC charges, • Action Needed; Hold reso�.ution until Attorney notifies the case has been dismissed or Council takes further action. Council received bids and awarded contract for Street 1969-10 (Seal , Coating) to Allied Blacktop Company with a bid�of $13,56�a.00. . . y Action Needed; Notify Allied of award and complete administration of contract. Cou�cil approved granting a temQora�y house trailer permit to �Ir. Lymann Parr 7424 Able Street N. E. Mr. Parr to procure signature of owner of property of one residence as he has only renters signature. Also, Mr. parr to submit a plat of where trailer will be loc�ted on the lot. Trailer temporary permit for 12 montkas. • • Action.Needed: Issue permit as muthorized, with stipulation. R. Council passeS resolution�regardin� street right-of-wa�y, Lot 28, Block A, Riverview Heights Addifion. • Action Needed: Forward s�.gned resolutiun to �ounty. ; . Fire Dama.ge Report by the Bui�.ding Inspector - 7424 Able Street N.E., Fridle�, Minnesota 1. Basement Closet: (Apparenicly where fire started) �- .. A. Replace charred studs� joists, door frame and walls. B. Replace rear door, fr�.me�studs and trimmers. Also, frame and door at hallway. 2. Kitchen: , A. Remove cabiaets to re�lace 3oists, subfloor and overlay. 3. Bedroom adiaeent to kitch�n: A. Open up walls to repl�,ce charred plates and studs. B. Open up floor to checl� and replace joists, subfloor aud overlay as needed. 4. Exterior: A. Replace roof veats as needed. B. Replace joists and de�king on sundeck. 5. CALL FOR ROUGH IN IlVSPE�TION PRIOR TO COVERING UP ANY PORTION IN BURNED ARE�i. e C CE BELISLE Building Inspector November 28, 1969 � �._ APPLICAT�4AT FOR BIIILDING PF�MIT CITY (�F FRIDLEY, MINNE�OTA . � . OWN�i'S NAME �� BIIILD�. ��=�-u��iLj� ADDRFaS �- �Z � ADDR�S �� %� LOCAT�ON OF BIIILDING . N0. STREET L�.' BLOCK '� ADDITION OR SIIBDIVISION � �,S�wL-. � , CORNER LOT INSI�E LOT�_SETBACK SIDE7C9RD�_ � SEWIIi ELEVATIOld TOP OF FOOTING Applicaat attaoh to this fc�rm Two Certificatea of 3urvey of Lot and propoaed building location drawn on these Certifioates. � DE�CRIPTION OF BfTILDING � A To Be IIeed As: �� Front � Depth Height Square fee �_ Cubia Feet Front Depth Height Square fee Cubic Feet � Type of Conatruotion �— Eetimated Cost�_�� To Be Completed ��/>` � The undereigned hereby makee application for a permit for the work herein epecified, agreei.ng to do all work i.n etrict accordanae with the City of Fridl,ey Ordin�e.nces d rulin�a of the Department of Buildinge, and hereby declaxea that al the facts and representatione stated in thie appliastion are true d correcte DATE �� .� / �SiGNATURE :(Schedule of Fee Costs can be found on the Reverse Side.) NOTE: A Certified Survey�of the lot, showing the 7location of the foundation, once it has been nonstxuct�d, wi11 be required before proceedin�z with tche framingo � � (�°`� � � r � � � � w ♦ a � .0 . � �.i BIIILDING P�T�FEE SC�IILE SECTION 2. The Inepector of Buildix�e shall, before is�uing permite , for the erection of any building or structure, or for any ad.dition to any existing ��tructure or build�.ng,.or for any alteration or repairs to aay egieting buildirig or structure, upon application therefore, require the payment by the applicant for auch permit of feea to the amount herein below set forth and in the manner herein provided to-wit: IIniform Building Codee Type 1, 2, & 4-�1075 for each one thoueand cubic feet, or fraction thereof, in such cubical caon.tents. Type 3& 5- $1e50 for each one thousand cubic feeto For the purpose of computi.rrg fees for buildin� permits, the cubical ez�ntenta of any �builtling'��'�addition to a uniform heigirt 'thraughout �y multiplying the ground area aovered from a point six (6) inchea below the floor line of the basement or the cellax to the average height.of the upper eurface or to the average hei�ht of the roof surf�,ce of the ma.in gable of a pitched roof. For repairs or alterations to an exiating st:ructure, the fee ehall be at the rate of $3.00 per each five hundred dollaxe ($500.00) or fraction thereof in the cost of all proposed work. In no caee sha.11 the fee cha.rged for axay permit ae set forth in Section 2 be less than $5.00. 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DATE �"""� � ,�� 612-571-3450 910-F15 6/11/80 108 ADDRESS �424 Able Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION DfSCR. G 4 SY�affer's Subdivision #1 2 PROPERTY OWNER MAIL ADDRESS ZIP Lyman Parr 7424 Able 5treet N.E. 786-1840 3 CONTRACTOR MAIL ADORESS ZIP Williams Cons�t�uCtion 9031 Portland Avenue 5outh 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP 5 EN(ilfdEER MAILADDRESS ZI PAGE OF � � 15775 ECEIPT NO � q�e3 APPROVED BY SEE ATTACHED SHEET PHONE LICENSE NO. 881-7491 PHONE LICENSE NO. PHONE LICENSE NO. 8 USE OF BUILDIN(3 �Sl,a@Il't:1.81 7 CLASS OF WORK 0 NEW � ADDITION � ALTERATION O REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Cbnstruct a 20' 6° x.12' . Porch Addi.t3.,�n 9 CHANOE QF USE FROM TO STIPULATIOPIS Cflntractor is �ot licensed with the City. Check on insurance to make sure it w311 cover all work. � e: l��'��a �llt��,H�6 ��, ��"'� �� ,��. t��. �c�c•c�s � �`•�, ��`� REQUlRED �Y�;LA1�V ,�'��t�'+ �,��t�►, �,��1 . �� SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBIN(i, HEATINO, �PE OF CONST. OCCUP/ VENTILATING OR AIR CONDITIONINO. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. AUTHORIZED IS NOT COMMENCED WITHIN BO 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 I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION �. STALLS AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION AND ORDINANCES CiOVERNING THIS TYPE OF WORK WILL BE COMPLIED �g, 200 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMITFEE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. S6O.00 SIGNATUHE OF CONTRACTOR OR AUTHOR ENT �OATEI � � i�� A.�„ _ ��/J 4�� - �' �' _ (3ROUP OCCUPANCY LOAD CU. FT. TREET PARKING GARAGES AX $4.60 TOTAL F E $6�.60 D _THIS IS YOU _ .�..,.. . . ..�.�_ . .. . ,. _ CITY �F FitIDL�Y •� • ARPLICt1T�0i'J f'OR RESIDCNTIIIL QUILDIP�G PFf��1ITS (tJeVr, Alter��tions, Addii:ions, ar IZepairsj . 04JIdElt: � ) AQDRGSS: � � / Tr:� rta: . . . . .. _. ...,�,.�.,,. s � t � � � .: / .1 ii.�ll �? i ' � � ' � � � iI/1 i ��i /" .:� / � � � � i ' Construction Location . � �� • STRF�T NO: Z% STRE�T: � � / .._�._. `..� ..��'�,�,�� " 6/� Z,pT: TiI,OCK: ADDITION : � � J%/�D /� J t' /� Carner Lot: � Inside, Lot: �_ Setback: Si.deyards: ApPli.cant attach to Lhis form two Certiticates of Survey of lot and ' proposed build:ing �.ocation dra�,rn on certificates to scale. pESCR�PTIOtJ OF CONSTRUCTION •� � f � l Q �� Fxont: �� /� Depth: �_1� Hea.ght: _ • Squa�e. Fee�: C�ibic I'eet: Front: Depth: Height: Sguare• Feet: Cubia Feet: Type af Construction : 1%� � Estimated Cost: $ �� xb lBe Cbmpleted: � �%7 � �� . A1t. A Alt. B Proposed Driv�way �didth If New Opening is Desired: $� $ ' , . SEE REVERSE SIDE OF SHEET� 1�ie undersigned hereby makes appl.ication for a pexmit ior the �aork� here3n specified. agreeing to do all worl: in st�ict accordance with the City of Fridley Ordinances and XUI.1.IlC�'� oT �he Depart�nent of l3uildings, and hereby declares that all the facts and representatio�is stated in this application are true and corr�ct. • , J DhT�: l��/ / � SxGNIaTU12E s _,�� T- S�ipulations: • � �v .�U �. �� : ��- ��' �. �� . � -, . IIUl Ll)l IJG rcRr�l�r r-i�� sc�i�:nu�_�� . :;1:C'�i01J 2. '�t9ie 7,i::��ecL-or. of 13iti.7.clin!�:� ::h��).�., bctor.c i.:� .uing �,�e»ni.L•� for L•he erc:cLion ot any ).�ui7.cliny ar. :�Lruct:ure, or. fax al�y acldi.LS.�n t;o �-�c,y er.ist3.�lc� k�ua.ldi.ny nr sLructure, . ar �or. any �zlt�:rat.ion or. rcl�air.:� to •any cr.a.�,ting }�ui.3.di.�tc3 or sL•r.ucturc, llJ,)G1] aZ�plic:ati.an 'L•her.efor.c, rec�uir,c Uie paymenL• by thc c1],�J,�a.�Cillll: i0Y' :;UC:�1 permiL o� tees to. Che amount hcrc:in bc:l.ow seL- f•ozlh and i.n �hc manncn c�rein provicicc3 L•o-vriL•: � t�I;VT GOtaSTP.UCxI�N: Sing].o l.'ami].y IJomes� and Gar.agcs: $4.00/1t000 CL1ba.0 �ect. QiJ�t1 C1il:CY.: 25 perccnti oL bui.ldi.ng J�er.mit tee. . Dlt]:V�t•JAY UTI'RL•'SSIOI�: (Concretq Curb' StrecLs Only) � ' • Alt-crn.zi:e l�: Reinoval and rer�lacemenL- ot cancrete curb and guL-ter only; Driveway wicltii plus 6 feet x Y�,5.e75 .. 71l.ternate }3: Remova�. and replac�meni. of c�ncreL-c curb and . ' gutter and i.nsta7.J. a 3 fooL- wide approach wi.i:h ' . G aazch depth; DrS.ved�ay width plus G fee� r. $17.85 . �, . ,../�DDITT(iI�/1L INt=OR��/11'IaN For the purpose oi campuL-ing i'ees ioX building pexmits, tiie cubica7. contents of any buildinq ar addition, is dcL-ermi_ned by mu1L-iplying i:he gr.ound azea covered irom a . paa.nt siy (G) inches beloca ihe floox la.ne of the basement or th� cellar to the avcrage heights oi the upper surface or to the averac�e height of the roof surface o� the raain gab].e of a pitched raof. � For rep�irs or a].terations to an existis�g s�ructure, L-he fee shal7. be at the rate o� $3.00 Per each five hundred dollars�($500.00) or fractian thereof in the COSt ot a].1 proposed work. . . In •no case sha].Z ihe fee charged for any pexmit as set i'orth a.n Section 2 be ].ess � t�.an $7.50 p].us $.50 state surcliarge. � � �(ERTFICATI��! OF FOU. DATIOt� NOTE: Permits For construcL-ion �aill. be i.ssued a mini.mimn of 29: hours tr.om tlie t,ime o� application ta allow €or pro,per review of ti�e proposed sta:ucture and oi the coi�structian si.te. A Cer�.if�cate o£ Suxvey o� the lot, shocaing the locaiion o£ the foundation once it has been constnicted will be rec�uired before proceedinc� wi�.h the frami.ng. • � CERT I F�C..1�TC OF O�.CtlPANCY �• �. ' App�.ica�ion �'o�: a Certificate oi Oceupancy shall be made ten (10) days p�iox to the use or �ccupanc�► ot any sL-ructuLe �or wliich a• buil.di2ig �exmit ha� been xssued; and s�,id structure slia].J. no� be used or occupied until a. Certiticate. oi Occupancy has been xssued. . � � . .. 0 . � �� . �. ��oiu.G�i C�InC� c.��°SOC°iC�.��' �-��. � - , . LAi�lD SURYEYORS � Anoka, Minnesotc� GERTfFlCAT� OF SUi2YEY: Robert L. �1as� i t • . -. .:� . � Tele�hone 421-6340 7g7- 1�5-7� DENO`�'@S � Il�4a°dS . Shaff�--r:? lst . S•lt :!vi si �n . Ano'�� Cn�xnr,y, Myn►z�aot� ' 1 i � � � �' a °� : t- � � i. 1 MEREBY CERTIFY THAT THIS i5 A TRUE ANO CORR.ECT RfPRfSE1JTATIpN OF A SUFVEY OE 7HE BQUNDARlES OP THE ABOVE DESCRIBEO 1.AiVD, AND iME IOCATION OF Att BU�IDIt�tGS, 1HEREON, AND ALl Vi5184E Et�CROACHMEfdTS, IF ANY. PRO�A OR ON SAID IAND. W � d� � � � AS SU&VEYED BY ME TNIS �' ��;h,,. DAY Of ..., �,.`,t � t i'''t` r` 1� A.D 19 F' .. .... ................................................... .... �.. i ' N. C. HOIUM AND ASSQ IATE�,-iNC. -- L�D SUF:VEYORS '��.•• � � � °' � ► t � .- � :' ; ('� .d � ' \ /. �(-''"''i;�:�.. �a � � SUBJECT P City of Fridley 9 6 514 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T � ;, ,� . � �v �_�� COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. �� 1 ` � � �/��1 � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OP APPROVED BY �"'""� � �� 612-571-3450 910-F15 4/7/82 / / JOB ADDRESS 7424 Able S'trP.@'t N.E. t LEGAL LOT NO. BLOCK TRACT OR ADDITION � SEE ATTACHEO DESCR. 6 4 Shaffer 3. callb. #3. SHEET 2 PROPERTY OWNER MAIL ADDRESS 21P 7 PHOy�o Lyman Parr 7424 Able Street N.E. t36 �. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Donner ROOfing �CONTRAC'i�DR NOT LICENSED �O DO WORK IN CITY) 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING RES].CZ@Yl't113�. 7 CLASS OF WORK ❑ MEW ❑ ADDITION C� ALTERATION O REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof Dwelli.ng� 9 CHANGEOFUSEFROM TO STIPULATIONS Roof can be 2nd roof but not 3rd rorof. Install ridged galvanized valleys as neecled. . . SEPARATE PERMITS ARE REQUIRED FOfl ELECTRICAL, PLUMBING, HEATINd, TYPE OF CONST. OCCUPANCY OROUP OCCUPANCY LOAD VENTILATING OR AIA CONDITIONING. �Ph�'t THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON3TRUCTION ZONING 3Q. FT. CU. FT. AUTHORI2ED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTtiEET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINEO THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOYERNING THIS TYPE OF WORK WILL BE COMPLIED �`]_�QOO y�`.SO WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOIATE OR CANCEL THE pERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $17.SO STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE ��.8. 00 SIGNATUREOFCONTRACTORORAUTHORIZEDA6ENT �DATEI WHEN PROPER Y YALIDATED THIS IS YOUR PERMIT I �p�. I NAT EOFOWNERIIFOW RBUILDERI IDATEI BLDG INSP ATE 0�lNER: ADDRES; TEL NO CITY Of FRIDLCY Effective Aug. 1, 1981 APPLIGIITI�'�! FO�i RESIDEiJTI/ti_ BU1LQIt1G PL•ftirlITS (Nc�r, Alterations, Additions, or Repairs.) Constructi I3UI LDER : AODRCSS: TEL t�0: ocation STJiITT NO: STItEET: LOT: ., HLOCK: ` � ADAITION: �� Corner Lat: �� Insii3e Lots `�� Setback: _ I Sideyards: ___-________ Ap�licant attach to this form two Certificates of Suzvey of lot and proposed building location drawn on certificates to scale. DESCRIPTIOtJ OF COhJSTRUCTIOP� Front: Depth: 8eight: SquaLe.Feets Qtbic Feet: _ Front: De,�pth: Heiqht: Square� FePt: Cubic I'eet: Rype of Constructi . — Estivaated Costs $� �,/% 'lb Be Oor.,pleted: Alt. A Alt. 8 Proposed Drive��ay Wiclth if New Openinq Is Desired: �' $ , . .. SE� REVER;E SID£ OF SHEET Tlie undersigned hereby make� application for a permit for the ��ork� hexein specified, agreeinq to do ,all work ir� strict accordance ��ith the City of I'ridley Ordinances razd ruli»g� of tlle De�klrtment of Duilc3inqs, nnd hereby declares that all the facts and represr�tations stated in this application are txue and correct. D1lTE: '� � SIGNATUi�: Stipulations: • � �7.��' -v � � � 1 �'- � ��s� BUILDING PERN�IT F�EE SCHEDULE The Inspector of buildinqs shall, before issuing permits for the erection of any building or structure, or for any addition to any bxisting building or structure, or for any alter�ation or��repairs to any existinq buildinq or structure, upon application therefore, requ3re the payment by the appl3cant f or such permit of iees to the amount herein below set forth and in the manner herein provided to-wit: TOTAL VALOATI0�1 Sl.00 to Ssoo.00 ssoi to s2,000 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $100, 001 ar�d up FEES $10.00 Minimum Fee $15.00 plus surcharge $10.00 for the first $500 plus $1.50 for each additional $100 or fraction thereof, to and including $2,000 532.50 for the first $2,000 plus $6.00 for each additional $�,000 or fraction thereof, to and including $25,000 $170.50 for the first $25,000 plus $4.50 for each additional $1,000 or fraction thereof, to and including $50,000 $283.00 for the first $50, 000 plus $3. 00 for each additional $1,000 or fraction thereof, to and includinq $100,000 $443.00 for the first $100, 000 plus $2. 50 for each additional $1,000 or fraction thereof PLAN CHECK: 25 percent of building pexmit fee Dd2IV�WAY DEPRESSION ES(�tOW: Concrete (urb Streets �ly Alternate "A": Removeal and replacement of curb and gutter only Driveway width plus 6 feet x$13.50 Alternate "H": R�nova]. and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth Driveway width plus 6 f eet x$15. 75 VERIFICATION OF FOUNDATI�OI�T Permits for construction will be issued a minimwa of 24 hours fraan the time of application to allow for proper review of the proposed s tructure and of the constxu ction site. A Certificate of Survey of the lot, shawing the location of the foundation once it has been canstructed will be required before proceeding with the framing. ... -. �� s� � ��4 ��, ; �. ��:; � ix q i �-N '.}_�:(t.','.. CITYOF FRIDLE.Y �'I�� lC CEti TER • 6431 UNIVERSITY AVE. N.E. FR[DLEY, MINNESOTA 55432 • PHONE (612) 571-3450 August 4, 19&7 Resident 74�4 Able Street F�'1CilE'y, ri: 554.�2 � RE: Non�oanglianoe of the Fric'�ey City Code at 74�4 Able Street. Dear Resi c'�rit : On July 30, 1987 it was oonfiIIned by an on-site inspectian that the property at 7424 Able Street N. E. does r�ot meet the minim�an standards necessary to main*ain_ a pleasant and prosperous suburban environment. While major code z�;�ir�::c•r.�s are sa�isfied, the follawing item does not comply with the performan: e standarcls of the City Code; 1. Uncut grass at front and rear yards. Y�::r i��rr,ec:i�:t� action to oorrect this situation would be a great improvement for your property and the entire oo�m�mity as well. An inspection will be conc�icted or, or about August 14, 1987 to determine ao�nplianoe. If you have any questions or oonoerns, please feel free to oontact me at the Fridley Civic Center, 571�3450. Sinoerely, Lisa Campbell Code Enf or oe�nent i�C,�]mn C-87 346 cc: Ed Chies 4 _ . M sue�ecr PER . c�ty of Fridley 2 7 3 0 5 AT THE TOP OF TME TWINS g U 1 L D I N G P E R M I T � � � RECEIPT NO. � • COMMUNITY OEVELOPMENT OIV. � �� v ��.�•-, r � � PROTECTIVE INSPECTION SEC. � 1 i � � /��'1 � CITY HALL FRIDCE� �432 NUMBER REV. DATH PA6E OF AVPROVEO BY �----�• •,, 612—s��-3a50 910-F1S 8/19/98 / / JOB AODRESS �424 Able Street NE i LEGAL LOT NO. BLOCK TRACT Ofi ADDITION SEE ATTACNED DESCR. 6 4 Shaffer's lst Subdivision SHEET 2 PROPERTY OWNER MAIL AOORES$ 21P PMONE Clifford Sackett 3 CONTRACTOR MAIL ADDRESS 21P PNONE LICENSE NO. J M Bru eman 3600 Labore d 4 ARCHITECT OR DE81(iNER MAIL ADDRESS 21P PNONE LICENSE NO. 5 ENGINEER MAILADORESS IIP PMONE LICENSENO. 8 USE OF BUILDINO Residential 7 CLA33 OF WORK O NEW O ADDITION ❑ ALTERATION � REPAIR p MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and ara e(26 S 2nd la er roof 9 CHANdE Of USE FROM TO STIPULATIONS Roofing can be 2nd layer but not 3rd SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PIUMBINd, HEATINO, �PE OF CON3T. OCCUPANCY CiROUP OCCUPANCV LOAD VENTILATING OR AIR CONOITIONING. THIS PERMIT BECOMES NULL AND VOIO IF WORK OR CONSTRUCTION 20NIN(3 SO. FT. CU. FT. AUTHORI2E0 IS NOT COMMENCEO WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OH ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. 01NLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINEO THIS APPLICATION STALLS (iARAGES ANO KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS Of LAWS VALUATION SURTAX AND ORDINANCES GOYERNING TNIS TYPE OF WORK WILL BE COMPLIED WITH WHETHEfi SPECIFIED HEIiEIN Ofi NOT. TFIE f3RANTING Of A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL TFIE pEfiMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW RE�ULATIN(i CON- STpUCT10N R THE PE FORMANCE OF CONSTRUCTION. ,i PLAN CHECK FEE TOT FEE , 'I' License 5.0 .43 51 AT E C TRACTORORAUTMORI2EDAGENT 1DATE1 EN R P VALIO TI'�IS IS UR PE IT ` /7 �. / S�GNATURE OF OWNER �IF OWNER BUILDENI IOAiE� Bl �NSP qaTE NEW" "[ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [] SINGLE FAMII.Y AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: �i y�a? � � �� /1/ �°_ Legal Description: Owner Name & Address: � , � � ' Tel. # ��; - �p.�S'J Contractor: �� ,�� MN LICENSE # `; 3�5� Address: ��,��'�-�l��s�-�%��,A�� Tel. � �� -S�'��/ Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: GARAGE AREA: DECK AREA: OTHER: DESCRIPTION OF IlVIPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Len�th Width H�t/Ground Sa. Ft. Construction Type: Estimated Cost: $ � �.�-� %�� (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: g j �' Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ ��,1�� $ � �� $ �� t $ $ � C� $ $ $ $ $ �� Tel. # 5��;; -,C-/ s�f CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.50/$1,Ot� 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 [ ] 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 $5� $501 to $2,000 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $1(�,0� $1Q0,�1 to $500,000 $500,�1 to $1,0�,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 $1,0� or fraction thereof, to and including $25,(�0 $349.75 for first $25,000 plus $9.� for each additional $1,400 or fraction thereof, to and including $50,000 $574.75 for first .$50,� plus $6.25 for each additional $1, 0� or fraction thereof, to and including $100, 000 $887.25 for first $100,000 plus $5.(� 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, 000 or fraction thereof, to and including $1, 000,000 $5012.25 for the first $1,0(�,000 plus $2.75 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Altemate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50. Altemate "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 $15.75. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of 5urvey of the lot, showing the location of the foundation once it has it has been constructed will be required before praceeding with the framing. � sue�etT . PERMIT NO. c�ty of Fr�a��y 2 9118 AT TME TOP OF TME TW�NS B U I L 1,� I N� � E R� I T r � � RECEIPT NO. � �v �� COMMUNITY DEVELOPNI�NT DIV. �� f � � PROTECTIVE INSPECTION SEC. � i ., , `--_-� ��,•� CITY MAII FRIOLE� �� NU4�E. REV OATE PA6E O� APPROYED BY ` 612-5��-3a5o s�aF�s 3/31/99 / / JOB ADORESS 7424 Able Street NE t LEGAL �OT NO. BLOCK ! tRACT OR OOITION SEE ATTACNED OESCR. Fj 4 Shaffer's lst Subdivision SMEET 2 PROPERTY OWNEq MA4L AOpR�$�. 21P PMONE Clifford Sackett 7424 Able Street NE 783-1035 3 CONTRACTOR AAAIL ADORESS 21P PNONE LICENSE NO Minnesota Rusco Inc 9901 Smetana Drive, Minnetonka, MN 55343 935-9669 4 ARCMITECT OR DESIGNEii MAI ADORESS IIP PMONE LICENSE NO. 2173 S ENGINEER MAIL AQDRESS . 21P PNONE UCENSE NO 8 USE OF BUILDINCi Res dential 7 CLASS OF WORK ' ❑ NEW � ADDITION D ALTERATIpN � REPAIR O MOVE O REMOVE 8 DESCRIBE WOfiK Re lace windows, entr door• alter one window opening 9 CNANGEOfU3EFROM TO STIPULATIONS Provide smoke detectors in all sleeping rooms and on all levels of the i per Section 310.9.1.2 of the 1994 Uniform Building Code. CONSTRUCTION WORK HOURS: 7:00 am to 9:00 pm, Monday thru Friday; 9:00 am to 9:00 pm on Saturday; No work on Sunday. Pe�jt ��spection Cards To WIII �e �iailed � � Hom�owner To Post SEPARATE PERMITS ARE REGUIREO FOR EIECTRICAL, PLUMBING, MEATING, TYPE OF CO T. OCCUPANCY GROUP OCCUPANCV LOAD VENTILATING OR AIR CONOITIONIN<i. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUGTION ZONINd SO. fT CU fT AUTNORI2ED IS NOT COMMENCED Vt{ITHIN 80 OAYS. OR IF CONSTpUCTION OR WORK IS SUSPENDEO OR ABANDONEO fOR A PERIOD OF 120 pAYS A7 ANY TIME AFTER WORK IS COMMENCED. NO. DYY�G. UNITS OffSTREET PARKING I HEREBY CERTIFY TMAT I HAVE READ ANO QXAIY�IN�D THIS APPLICA71pN 1 STALLS GARAGES ANO KNOW TME SAME TO BE TRUE ANO CORREC7. ALL PROVISIONS Of LpW9 Vp�U TION SUqTA% AND ORDINANCES GOVERNING TMIS TYPE OF W(�RK WILI �E COMP�IEQ WITH WMETHER SPECIfIED MEREIN OR NOT. TME GRANTING OF A PERMIT �6 � 859 � �3.'4'3 OOES NOT PqESUME TO GIVE AUTMORITY TO VIOLATE OR CANCEL TFIE pEWMITfEE SAC ARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REQULATINO CON- STqUCTION OR TME PERFORMANCE OF CONSTRUCTION �1�4.75 Fire .5�.' �6.86 P�AN CMECK f� T TAL FEE Lice SC .00 $140.04 - S�GN4TUpEO�CON:RACTOpOp4UTMOp12EDeGENT IOATE� wM P �� TNI$ I$ Up PE 1 � � r3 d S�GN4TU�iEO�OWNEA��OWNEA8U1l0ERi �OAT � � � p6TE lwel: � . a �EP-19-1996 iv�w 11 ADDN [ ) ALTER ( ] .� ,, .t 1��23 CITY OF FRIDLEY CT!`Y O�' FRiALEY SIlVGi.E FAMILX AND DUPL,EXES R-I AND R-2 Buildin,g �'ermit App�ication Constru�tionAddress: %S/'� N�' 612 571 1c87 P.01�02 Effective 3!1/96 I�� a �� Legal Description: Qvcmer l�ame & Address: :,�'o� o� � � Tel. #�-/O�S Contractor: , i o� �i. � /rYC�, MN �CEN'SE # �/'7 � Add�ress: �l>/ �� q ' � • r �.• - � cV Tel. # lo � %� - %'��0 9 Attach to tbis application, � Certificate of Survey of the �� J'�/oZel� 1ot, with the prppos�ed consriv.�tion drawn on xt ta scale. DESCRIPI'�ON OF IlVIP1tOVEMENT L�V�NG AREA: %ngth Width �Ieight � Sq. Ft: GA.�tA�E AYtEA: Y,engih R�dth ��eig� Sq. Ft. � DECK AR�A: %ngth Width —�'" Q1'�R: �� , Sq. Ft. � � o ��:�� ce��.�o�.vc��.tu�S Coxner Lot [ j�side Lot [] Ft. Xd Setback __ Side Yard Setbacks 'Tyge of Constructio�: �sdmat�d Cost: $ _ L.�S° Approx. Cti�pietat�n Date: �_ 9 �j . .. — (�'ost on Back) . I�riveway C�rb C�t W�dih N��; t, + _ = x� � DATE: � .�d q AP�'LICAI�TT`• Te1. # 9'�- 2��,� � 'ermit Fee � 1Te SUtC�� tate�Surchazge �AC Chazge .icense Surcharge �rivevcray Escrow :rosipn CoutroI 'ark Fee ewer Main Charge � �f . 7 � $ ', � $� . $ � yV (/ $ $ rr vEO �r �ee S�hedule p� �teverse Side .00l Of Peririit'VaIuat�On {Y/lOth%) $.SO!$1,0� Valuation $900 per SAC Unit $S'� ($L� j.1CCI1SCd �Sl(18M1� COIItiBCtOrS) Ali. "A" or Ah. "B" Above $450.00 Consez�vation 1'lan Review $ Fee Tleteinuned by Bngineering $ Agreeme�at Necessary [ l Not Necessary [ l � . TOTAL $ /��. o c� --a Y/O� 0' /.�! ��E�I�J�'�d/.r-- F1�4, IONS:i� ��12 l� T� - ��a�� ,�.�� -- �Y�z�—�.� ?,�`-�G��/-��f�—S�. _ 3/0. ". /. Z �99�G/.3. �. .y - .� ��.�!'�T/ " ��t-L �'� �� /�� t�,� �-- �-� `�'� � � `�o o��--�-�5 /!-O .��C%2.,�J� �� r ��L `� � � � �� m -_ � d �SEP-19-19�6 14�23 CITY �F FRIDLEY �UII.A�NG P��tM� k�E SCHF:DULE r�1? S71 1��? P.02i�c The Chief Building O�cial shall, before issui«g pezrn�its for the ere�tion o� any buildimg or structuze, Qr for any addition to any existing buildin� or structure, or for any alteration o�r uepair to any existir�g buitdin,� or st�uctuze, upon appl�cat�om therefore, r�uire the payment by the applicant for such permit of fees to the amount herein below set forth and i�q the manner herein pravided to-wit: �'QTAL dALiJE $1 to $50Q $SQl to $2,000 $2,001 to $25,0� $25,001 to $50,000 ,$SQ,OQl to $100,Q00 $1�,001 to $5�,000 �JWsilll� � .��INU $1,000,001 and up 1��5 $21 (Minimum Fee is $21 plus sur��harge) $21 for first $S� pius $2.75 for each addidonal$10(} or fr�ction thexeaf, ta aad ivacludiag $2,U� $62.25 for first $2,000 plus $12.50 for each additional $i,000 or fiaactian th�reaf, to and i�� $25,000 $349.75 for first $25,000 pius $9.OQ for each additional $1,000 or fraction thereof, to a� including $50,000 $574.75 for fust, $50,�0 plus $5,.25 for each additional $1,000 or fraction thereof, to a�,d i�luding $100,000 $887.25 for firsi $i00,� plus $5.� fo�c eacb� adclitional $1,OOQ or. iractioa th�r�f, .to and i�c�udi�g $SOU,�CI $2887.25 far the 5rst $500,�0 plus $4.ZS for each additiorr�l $1,�0 or fraction thereof, to aumd i�cludin,g $1,OQ0,0� $5012.25 for the first $1,OOU,� plus $2.75 �or �ch additional $1.,U00 ox fxac�ion the�r�f 3bll�l['VIE'aVA7i �EP�7�SSIUN E.SC130�41 (Concrete G�rb Streets OnIy) Alt,�rnate "A": Removal aad xeplacement af curb and gutter only - briv�way width pius 6 feet times $13.50. Alternate "B": Rcmoval and. replacem�ent of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $15.75. VERgTCATYON dF FOUNriATiON Penmits �or consauction will be issued a minimurn of 24 hours from the tinae af applxcat�on to a��ow for proper �revxew of the proposed structure and of the constivction site. A Certificate of Survey of the lot, showing the locatio� of the foundation once it has it has be�en constzucted wiIl be required before �roceeding with the framing:•�� ' . ,� � Tl7THL F.02 Su6�ECr , City of Fridley 3 3 214 AT THE TOP OF TNE TWINS g � I L D I N G P E R M I T i • � � � ; v _ COMMUNITY OEVELOPMENT OIV. �� ! � � PROTECTIVE INSPECTION SEC. `-__.� ��'�' �'� CITY HALL FRIOLEV ',i,f' 132 NUMBEN NEV OATE PAGE Oi APPROVED Br ` 763-571-3450 s�aF�s 10/25/02 � � �oe nooRess 7424 Able Street NE 1 LEGAL ��T NO. BLOCK TRACT OR ADOITION SEE ATTACMEO oescA. 6 4 Shaffer's Zst Addition SMEET 2 PROPERTY OWNEF MAIL AODRES$ 21P PMONE Cliff & Elizabeth Sackett 7424 Ahle Street NE 763-783-1035 3 CONTRACTOR MAII AODRE33 IIP PMONE IICENSE NO Advance Aluminum Supply 7701 Mai.n St, FridTay, MN 55432 763-427-3833 7983 4 ARCMITECT OR DESIGNER MAII AODRESS ZIP PMONE LICENSE NO. S ENGINEER MAII ADDRESS ZIP PNONE IICENSE NO 8 USE OF BUILDINa Residential 7 CLASS OF WORK O NEW ❑ ADDITION ❑ ALTERATION C� REPAIR � MOYE O REMOVE 8 OESCRIBE WORK , Replace windows within e�isting openings; replace garage door 9 CHANOE OF USE FROM TO STIPULATIONS Provide smoke detectors in all sleeping rooms and on all leveis of the dwelling pQr Section 310.9.1.2 of the 1997 Uniform Bui3di�g Code. CauZk and flash aZ� exterior open�ngs. permit Inspection Cards WPill te �Aailetl To Homeowner To Post SEPARATE PERMITS AqE fiEOUIREO FOR ELECTiiICAL. PLUMBING, MEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAO VENTILATING OR AIR CONOITIONING. THIS PERMIT BECOMES NULL ANO VOID IF WORK OR CONSTpUCTION 20NING SQ. FT CU fT. AUTMORIZEO IS NOT COMMENCED WITHIN 80 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONEO FOR A PERIOD OF 12p DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO DWLG. UNITS OFFSTpEET PARKING I MEFEBY CEqTifY THAT 1 MAVE REAO AND EXAMINEO TMIS APPLICA710N 1 STALLS GARAGES ANO KNOW TME SAME TO BE TRUE AND CORREC7. ALL PROVISIONS OF �AWS yp�UAT10N SURTAX ANO OROINANCES GOVERNING THIS TYPE OF WOqK WILL BE COMPLIED WITM WMETHER SPECIFIEO MEREIN OR NOT. TME GRANTING OF A pERM1T $11,909 �S.9S DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL TNE pEqMtT FEE SAC CMARGE PROVISIONS OF ANY OTMER S7ATE OR LOCAL LAW REGULATING CON- @ STqUCT10N OR 7HE PERfOHMANCE Of CONSTRUCTION y�2�9.25 Fire .5�,' �11.91 PLAN CNECK FEE TOTAL FEE L�ce se SC $5.00 $232.11 $�GNATUpEO�CON•AACTOAOFAUTMOA�2EOAGENT io�rE� HEN PROPERLY VALIOATEO THIS IS VOU PER IT __ o oti S�GN4TUAE O� OWNEN�ii OWNEpBU4DEp� - IDATE� Bl �NSo qatE N� [ ] ADDN ALTER Effective 5/10/99 [ l CITY OF FRIDLEY [ l SINGLE FAMII,Y AND DUPLEXES R-1 AND R 2 BUII,DING PERNIIT APPLICATION Consttuction Address: _� �2`i ��j� �C', °�o�' � I� � ��''aC�,12�A , � il 'rJ� � Legal Description: � Owner Name & Address: �,\ ��' �- EI;Z b�1n �c e,fit' Tel. � �1(�3 � �1�� - ►03 S Contractor: _�d,�J�(`Q ��('y�"��j� MN LICENSE # �� Address: �1+'� (� � ��fl � • �'i'' �[�,� � � ��1'1 ��? Tel. # '� � - 2� —� �. �i Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: GARAGE AREA: DECS AREA: OTHER: � . , .f, :�, . * � �. .. .� . � .� �M Length � Width Height Length Width Height Length Width HgtlGround Sq. Ft. Sq. Ft. Sq. Ft. Construction Type:�lCi�Q`�!�y�Q�' '�� Estimated Cost: $_ ( �� Qj Q� • Q Q � � �p0�, � �`�' �' - Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ . na�: ! C� 2Z D� arr�carrr: Q�� _� 1� �� Tel. ��1(a3 -�{Z`� - 3�3�3 Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPLTI.ATIONS: $ aoQ.2� $ !1�°1( $ 5��5 CITY USE ONLY Fee Schedule on Reverse Side .001 af Permit �aluation (1/lOth%) $.50I$1,000 Valuation $ $1050 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 Necessazy [ ] $ �3a- I i �� , � 0 ! e su6�[Cr c�ty of Fr�a�ey AT TNE TOP OF THE TWINS g � I L D I N G P E R M I T i� � � � • COMMUNITY OEVELOPMENT DIV. f � v � PROTECTIVE INSPECTION SEC. i._--� ��"' �'� CITY NALL FRIOLEV SS132 NuMeEp NEV O�TB �' 763-571-3450 s�aF�s 12/29/03 108 AODRESS �424 Able Street NE t LEGAL ��T NO. BLOCK TRACT OR AODITION oescR. 6 4 Shaffer's lst Subdivision 2 PROPERTY OWNEFi MAIL ADONES$ ZIP Clifford & Elizabeth Sackett 7424 Able Street NE 3 CONTRACTOR MAIL AOORESS ZIF Minnesota Rusco Inc 5558 Smetana Dr, Minnetonka., NIN 55343 e ARCMITECT OR DESIGNER MAIL ADDRE83 21P S ENGINEER MAII 8 USE OF BUILOINd Residential 7 CLASS OF WORK O NEW ❑ ADDITION O ALTERATION � REPAIR 9 DESCRIBE WORK Replace three entry doors within esistint� ovenin�s 9 CHANGE OF USE FROM lZ•7 / ' 34062 NO. � ` V� O� ��aOVEO Br / SEE ATTACMED SMEET 763-783-1035 PMONE LICENSE NO 952-935-9669 2173 PMONE LICENSE NO. PMONE LICENSE NO O MOVE ❑ REMOVE STIPULATIONS Provi.de 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. Cau1k and flash all exterior openings. , � r i3 d � ': t �;t . M�y - �:: d "' o-� � '�; � �; ' '' r � . .� � �_ � 7V SEPARATE PERMITS ARE REOUIqED FOR ELECTRICAL, PLUMBING, MEATING, nrt vr �vnsr. oGCUw VENTILATING OR AIR CONDITIONING. TMIS PERMIT BECOMES NULL ANO VOID If WORK OR CONSTRUCTION 20NING SO. FT AUTMOR12ED IS NOT COMMENCEO WITHIN 80 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OF ABANDONEO FOR A PERIOO Of 120 OAYS AT ANY TIME AfTEN WORK IS COMMENCEO. NO. DWLG. UNITS I HEREBY CERTIFV TNAT I MAVE READ ANO EXAMINED TMIS APPLICATION 1 STA�LS AND KNOW TME SAME TO BE TRUE AND CORRECT. ALL PROViSIONS Of LAWS VALUATION ANO ORDINANCES GOVERNING THIS TYPE Of WORK WILL BE COMP�IED WITH WNETMER SPECIFIEO HEiiEIN OA NOT. TME GRANTINa OF A pERMIT �6�887 DOES NOT PRESUME TO GIVE AUTMORITY TO VIOLATE OR CANCEL TME pERMIT FEE PROVISIONS OF ANV OTMER STATE OR LOCAL LAW REGULA7IN(i CON- STRUCTION OR TNE PERFpRMANCE O: CONSTRUCTION $139.LS S�GNATURE O� CON: NGCTOp OR AUTMOp�2E0 �GENT IDIiTE� iDA/Ei stt * GARAGES $3.44 4C CMARGE Fire SC $6.89 �TA� FEE �154.58 LOAO NEW ADDN ALTER � � CITYOF FRIDL�ID �EC 2��pQ� Effective 1h/2003 [] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg insp [] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax BUILDING PERMIT APPLICATION Construction Address: Legal Description: � Owner Name & Address: Contractor: /�'1� �5s�3Z '/d3 • /0.�5- Address: 5�58 �/Yip �Cl.�i.. ��'I,!/Ue� � t-�l%�.I%/7.P�7� 553 y3 Tel. # g5Z • 935' QILPIQ � Attach to this application, a Certificate of Survey of ttl�� Z Q� 9s�/y lot, with the proposed construction drawn on it to scale. LNING AREA: GARAGE AREA: DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. DECK AREA: Length OTHER: �dth Hgt/Ground Sq. Ft. i . . -�- - - �• - - Construction Type: �Q /�� Estimated Cost: $ �Q , 8a !' a o Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: ' 2l Z3 3 APPLICANT: IV Tel. #��%��`� �/� Cail (763) 572-3604 for Permit Fees if maiiing in applicati �aC�c �763-571-1287 if using credit card and we will call you for card number. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge $ . � $ - � � $ �� D(5 $ $ $ � CITY USE ONLY - Fee Schedule on Reverse Side � � �� . .001 of Permit Valuation (1/10th/o) $:50/$1,?00 Valuation � $1275 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] � TOTAL $ <d �• � STIPLILATIONS� � - .. * � D �: � � o v � � a � o �,' � N � . -a o � � n � � o � � p d � O �• � �• n� rnv " m .� a .� �. m °' �� o fD � � � Q . � r+ ? 0 c r. a � v 0 < � a � � � 0 C OR s � � � r+ N '?1 � � � � .+ N _ �� _ � rn z N -v m � O Z � m m t� - �P - V , O O � _ -. � � ov -, _ � � "'' m � � fV � � °, � c N . . .. .... D +.�. N� � n . ,. . .�. . . o . . -� 0 � � O D r � m rn � � � � c � � N � N t� � �� :.. -i"'�; tn��' -. �� m � m � a, ,�- �. � , �' m °'►. � �4 �'. �`°�a�a y W fD, fD � c. � n. � c a o `-�° a � n, Q. �•go� .+<_°'� �' v_�' s� � � O N a � �� .Q�.� A N .�+• �. � �. � � � � d � A � m a � -� � � o 0 = n� °- °' m � °'.o � � N � � a � � � � � � o .�+ ? ...�, "s � O � �� ' r+ � � � � fD i�i � � � � � � O � d � fD G1 N t�D a> > � .-. � � D D c�i n�i � N c y �e W o' 4N` � 3 �q � � �n v� �n o � a; � .. m � � r+' p :U v,.� o� eo `G O `-: °. � � ,� � -o, cn m � �, vV, v ` � -^ � �� a m � v w N3�•-n ci c� � � -� m pq m o� N°—' " W Z m � � �� p- ^< fAD m V, 01 v, � � o-� �' ,=+m �`� — a � �v'� m c '"'°-� pq � � r*m � -I I �'D"� '�� . n- ' � m .r N < „y* � �, , _. o. .m �:-�. �-* Q- . . .� w m z '� � •±°•: : D . . � Q. _ .r�., p n.'_ . po ' z (� sv.D '�: ,�` , ,m. rn m d (n .. . .. ;'�Q O A : , � , �.� ,N... .. , .�..�,t�,,� t+ ,^:..v , � � p� N N� W fD � C '--� o.-� 3 cu . c�, �. r O _� o. , , ..... :,� �:��.,:•�: .. m. z ""` v , O N . � � W � �c- � � � � � -�-I � . � O O � '�D Z Z � n � � v � 0 ifl fA ' fA' : . �69 N r--� r-� r-+ (J1 O O O °o °o °o °o Efi 4f1 b9 . � • ,. b.. :� �' ; ,_ �-�;o' d . C= m CQo c�n cu -,, � � �� a � Z �O�w � d �� N � 2 -0 O. � C� � n n � O � � � � (p CD r-�i� ^ !n fp � ►v a cn o m r N' c� o �rn�� a � 0 � � _ ° � r+ � v � D �79 W O °o °� c� � � � . � .o . ...��, .�`. ::m �� C� a �� ° z v � c � o � D .� �.� � � �� . � � � m . � � --I Z O ` � � -o� �Z. fii Z 1�1 .� � O �� O �' Z� Z� v .� as �z .,za ..,. vz �v - o�= � ,Zm W Z -��i n �Z � �� n cn m � N o N Z J A � � v< v "' z � �� n 06 y O � Z t�9 M M c� � n <� � c. w � c N rt � N v �"'1 H � � _ _ . THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNiNG APPLIANCES OR THE APPUCATION WILL BE RETURNED C�MMAN VFNT' NT .nNNF .TnR AND _nMBIISTInI` AIR �! RIFI ATlnl� When ��(3�-j^Q an r�Yietin0 �ra� e, the undersigned he�eby. verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes ( 1 No (_ ) The venting system is plasticlPVC and meets all current codes and manufacturer speafications inGuding sizing, length, number of elbows anci termination. The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturers specifications. This does include AGA-GAMA Category I Central Fumace Venting Tables for fan assisted and natural draft appliances. The eYi�n�� er�,e��.,n 9ir is sized and installed to meet the current codes and manufacturer's specifications. V�1811 li@qUlr@d t01n�a11 g new r_emb��c�ien air�,it yyj�� b@ SI'L@d a�d if1S�ll@d to meet the current codes and manufacturer's specifications. Yes �(1� No ( ) � _, Yes ( ) No ( ) Yes �) No ( ) %� Yes ( ) No ( ) WhB� jpS�II�DQ a new ventfn�uc pm, the undersigned hereby verifies that it is�a listed assembly and meets the current codes and manufacturer's specifications. This does inGude AGA-GAMA Category I Central Fumace Venting Tables for fan assisted and natural draft appliances. Yes () No () Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. Yes () No () �.. .� .�- .�. .��.. -� .�. -� .��- . . ..��. .� Appiiance #1 Type BTU Input Fan Assisted or Appliance #2 Type k�/k�- BTU input —�� Fan Assisted or Appliance #3 Type BTU Input Fan Assisted or Nat Total Appiiances Total Btu Input Common Vent Type � � Vent Height �; Diameter S inches AppGance #1 Vent Connector Height ft Length ft Diameter in Type Appliance #2 Vent Connector Height�ft Length 3 ft Diameter�in Type � Appliance #3 Vent Connector Height ft Length ft Diameter in Type w !� U dQ tiI (�}-c.� l� �ll� V�'T �b � V �— o N �I Z � �iC c� � �OO�e Le. � HEATING CO: �c� 1��2 (�p��e�oQ.s i,�. Signed By: � Date : '7`%tA� City of Fridley Building Inspections Dept. Ph: 763-572-3604 FAX: 763-579-1287 6431 Universityr Ave NE Fridley MN 55432 Mechanical -Pen„�� Residential Application 1� ° 1�d� � City of Fridley See B�ck Side For Required Informa#ion Date 5• aa'G�i The applicant is: (c Property Owne� Address: City: ` Phone: ��. � - Contractor Company 1 Contact Pe City: !9� Phone: .1�,� ��/��t�� Ceil: Site Address: l ; one) Owner Fax: of Work (circle one): New Detailed Description of work: 3, 6a Fax: — MN Bond# & Exa Date AlteratioNRemodel Equipment Instalfed: MFG: Modeh Size/BTU: MFG: Modei: SizeJBTU: MFG: Model: Size/BTU: Please check all that apply: _Fireplace (gas) $15.00 _New Gas Griil $10.00 A/C $25.00 _Fireplace (wood) $35.00 Gas Unit HTR $10.00 Air to Air exchanger $15.00 _Fumace $35.00 _Pool Heater $35.00 _Boiler $35.00 _Gas Dryer $10.00 Ventilator $15.00 _Chimney Liner $10.00 � _Gas Piping $10.00 _Duct Work $10.00 _ _ Gas Ranqe/Oven $10:00 Permit Fee Surcharge Total Due $_ �� (Total from above-Minimum fee $35.00) � 0.50 ___$ �.� Make check pavable to Citv of Fridlev This is an application for a permit- not valid unti� processed I hereby apply for a machanical 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 Ftidley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in case of all work which requires review and approval of plans. Signature of Approval Inspector Signature: Date:,✓r �d- , Date: i Please Note: Separate permits are required for Building, Plumbing, and Electrical work Revised 6/14/2005 REQUIRED INFORMATION NEEDED TO PROCESS PERMIT RESIDENTIAL PERMIT APPLICATION HVAC [� NEW HOMES/ADDITIONS ❑ EXISTING HOME ❑ MAKE-UP AIR REQUIRED FOR NEWIEXISTING HOMES 1. Combustion Air (See note below) a. Oil or solid fuel IMC Chapter 7 with MN Amendments b. Natural Gas or Propane/IF�C Chapter 3 with MN Amendments 2. Make-up Air (See note below) a. IMC Chapter 5 with MN Amendments 3. Venting a. Gas appliances IFGC Chapter 5 wifih MN Amenclments b. Fuel other than gas IMC Cha.pter 8 with MN Amendments REQUIRED FOR NEW HOMES 4. Hea.t loss & cooling load per room a. Required on new construction IMC 1346.0312 5. Ventilation a. Per MN Energy Code 767Q or 7672 6. Duct Design Per IMC 1346.0603.? a. ACCA Manual D NOTE: Centerpoint Energy M�chanical Code Guidelines software may be used for combustion and make up air calculations a