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CITY QF FRIDLEY
A?PLICATIO�! FQR PLU�'3ING PoKA UAS �ITiING FErZ'�4IT
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(�) = r^.:ts:e Co:L�ectioz 0; e^ir.g Co[inected with Se�wer
;!i = t _:: :ix=lre, Old C�eaing Wates
PAP,TIAL RATE SCHEDULE
PiU�:3I\G F?XTURE RATES: A'0. Rt�TE
..��� Fi�t�es �� x S3.40
c^.a=..re ::x:,.re Gber.:r.g �_ x $2.00
*.:e� : ix�::ze, Old Openinq x 52.00
:.:at�. 3as:.. x $5.00
:�ater :est__ - to 9?.OQO SiV �_ x 55.00
=��,�G� n_J to 199,000 BTU x$10.00
Hater So.ter.er x $7.00
�e� Gzoc:d ::a Old &uildinq x 5�.00
E3ectric kater Y.eater x 55.00
- w�S zj?TI\G FE:.S:
lst 3 fixtures � x 53.00
A3C:tioza: Fix tures x S2.00
Gas n::.ge a 199, 000 ET'J x ST0.00
'' �:.�a��s � �L���.�Tro�s
First S100.G� 55.0�
eae:: a�. Si00.00 or fraction S2.00
State Surcharge
TOTAL FEE
�-r'T:��PE�.ZOti FE�
ir•� ���
:.-.�. '�
Water
Fieater
TOTAL
$ lB.CX�
S .60
$
$
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$
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Job Address �j '�
Dep�rtnent of Euildings
City of. FriZley
Tel. #571-3450
i
(�� �' S%`� j�Gz�:� ��
The undersi.gned hereby nakes apolicatioa Por a pe^it for �he �+ork heze°a
specif.ied agreeing to do all work in strict accordance with t'�e City Co@es
and rulings of the Depart:.ent of Buildir.gs, and hereby declares t:at a21
the facC:t uiid reprosontationa statod in this upplication aze true ar.d ccrroct
� Q
Fridley, Mn. %d J�. � G% , 13��
0,`r7N�R �//``+ ��� C�.C� C'`S �/� �N- C
ICIND OF BUTI.�ING ��C �---� �'
USED AS � � 5
TO SE CO2�I,ETED ABOUT p� r/�^ g�
ESTIMATED COST � / 6 °
OLD - NEW ILDTNG PERvST NO. PER:4IT h0. C� 7(� �
Co�pany t L� � S y� �c nF C� �- r
Signe3 Sy �'-�--�
Tel. hU. �'�0^��l �
RO'J�ii INSP.
Date
FINAL INS?.
Date
APPRO�'AL FOR PER"^.Z2 C�/V
�
24INIPISJM FEE FOR ANY PLUN.SIICG PERiIT IS S7.50 pLUS 5.50 STATE SU:iC'rL1c2GE
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SUBJECT MI .
City �of Fridley� 016� ����'
AT THE TOP OF THE TWINS B U I L D I N G P E R M( T
f
i �
, � T NO.
� ' L _____ COMMUNITY DEVEIOPMENT DIV.
r � � PROTECTIVE INSPECTION SEC.
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� � �/'��1, � CITY HALL FRIDLE� 55432 NUMBER REV. DATE PAGE OF APPROVEO BV
� """"�" �� 612-571-3450 g�0-F15
].1/18/80 � �
JOB ADDRESS �584 Able 5treet N.E.
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. Pt. of 1 3 Shaffer's Subdivision #1 SHEET
2 PROPERTYOWNER MAILADDRESS ZIP PHONE
Chuck Westling 2523 Woodcrest Drive, New Brighton, MN 786-4445
3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO.
Iniestling Construction Same
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE IICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
..�i 1�!, rj
ti.
6 USEOFBUILDING I�� ~ ��A���,� �
tYj �
Residential � `�T1�� '' ��=
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION P��I S�� MO �F���QVE
X �..,�s�
8 DESCRIBE WORK
� � � �
9 CHANGEQFUSEFROM TO
STIPULATIONS provide a hard surface driveway. Provide City with copy of verifying
survey before capping. Provide sod in the front and side yards. Owner will
grant 25 foot triangular easement at intersection. Driveway escrow wi11 be
collected next spring if curb cut is necessary.
SENTER IACATION: 20' S. of M.H. (WYE �iLY) Inv. 882.93
WYE ELEVATION: 882.72 TOP OF FOO'rING: 885.72 Minimum
��X� .� ����� � �
WATER IACATI�I: MUST BE TAPPED
, � ervice available fran 76th Avenue Also. Before digging cali loca! uti(iiie�
,�� � �� Fr�t�t� �� �,�.�; ; TELEPHOlVE - E1ECiRIC - GAS Etc.
ncc�ac�r o� urizmr LOCAiiQ►,ISR �„ ,��� _ R�QU�IRED 8Y L,AV1�
'ttNS DATA IS fQ{t INPORMAiK?N PU(',PGS�; U;,,;`t ,.
� V�C fi SH4ULD VERiFY iNE INFC7��iviAT' '�+
ONf 1ME
TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICA�, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING. WOOC� FrdTCte
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT 1056 + 440 25, 520 Total
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES
AND KNOW THE SAME TO BE TfiUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $43, 2'00 �21.60
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE
PROVISIONS F ANY OTHER STATE OR LOCAL LAW REGULATING CON-
S�CTI R. THE PERFORMANCE OF CONSTRUCTION. $�.OZ.O$ $425.00
PLAN CHECK FEE TOTAL FEE
t� 25.52 574.20
S�GNATUREOFCONTRACTORORAUTHORIZEDAGENT IDATEI WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT
_ �_ � g4 �x�x-�l�v � ( O
SiGNATURE OF OWNER�If OWNER BU�LDERi - IDR E� 1 t BLDG iNSP f1A7E
ENERGX COIJS�RV�TION SUPPLEMENT TO BUZLDIrIG PEFtMIT APPLICATION
pLANNING AND INSP�:CTION DF.Pi�RTMENT
CITY OI' FR.IDI�I:Y' � 2�7It?I`I�SOT11
Tl.is suppl�ment is pravided to assist t-he app].icant in computing EXTERIOR ENVELOPE
AVERAGE "U" FACTOR IATI'ORf9ATION. This information is required so the BUTI,DING
OFFICIAL can determine that submitted plans comply with the ENERGY CONSEItVATION .
T7ESIGN CRITERI� of the STT�TE BUTLDING CODE (Section 6000). zt is the APPLICANT'S
responsibility to accurately compute the data; reflect the proper DESIG�d CRITERIA
in the p]_ans; submit prcduct specifications, if needed to support the "R" and "U"
factors used; and to assure construction is per approved plans.
3UB LOCATION : _�� ? , � /g C � �L vT / . ) .
OWNERfC.ONTRACTOR: ��ST � i iJ � �,O N�TR.ucJ" f Q�
Ai�URESS: �.�7- �j 11.� 000 G/1FS'r` � . PHONE: % �lo � ��Y .1� _,_-,..-
/�-� l.rlt - X , V, rf ! o � � ._ _
A. Determine thp Total F�posed Wall Area as follows:
�.
�.
3.
4.
5.
6.
�.
Total wal]. window area
To tal door area �
Total sliding glass door area
'J'otal f_ireplace wa1J_ arc«
To �al wall fram� ng area (average .10 �}
Total net wall area above floor(average 90�)
Total rim joist area
Subto ta�: "'� �al expo�ea �vall area above f:oor
8. Total foundation window area
9. Total net foundation area above grade
Subtotal: Total exposed foundation area
GRAND `I'OTAL EXPOSED WALZ AREA
4 /, %
...� %• �
�! D
�p
i17�, �
� D q' � .
°! I , I
/ d, �
/ S�If.Y
1 -�i ,, 3 . 'I
B. Multiply.the GRAND TOTAL EXPOSED WAT.,L AREA X.17 =
C. Determine the Tatal Exposed Roof/Ceiling Area as follows:
10. Tota1 skylight ar�sa
11. Total roof/cei].in.g framing area (10 �)
12. Total net insulated root/cei.lino area
GRAND TOT�L EXPOSED P.00F/CEILING AREA
N �
� �a .S, +�
.� ��, •�
� �, �r �
D. Multiply the GR�P1D i'GTAIa EXPOSrD ROOF/CEILING AREA X.05 =
r
I -j / .�c'a,�:.:�y �
� 9• � �� r, �a,F» i
r S `�. G
It�m I 1. 2 G.. �J
Item II �y � �
�,. Determine the "U" value of each sec�ment (1-9) an� multiply by the area as
follows:
1. G� /, �% g ��U�� � � �/�° = Z 3 . � � �
2 . _.._. � � � � � � X „��U �� , / 2� � �° _ � . � 3 � _� �_ -
3. �(3 y, nUn `. j,� _ 2O � —
4. ,J A X „U�� N A - � r�' __
5. ,�� � � ��U�� , ��� _ �2.9�i1
5 . �� �','1 g „U,� o S� _ = y 'j . '1 '1 '%
7. °l � . ! g „U�� , ��'� l = S�. 55'�
8. �t�, � x ��U,� ,��! � _ ��. oo :� .
9, , �t �, �y X ��U�� . �I � � = l� �, b 3 0
ADll 1— 9 FOR TOTAL WI�LL SEGR]ENTS — ITEM III ( S� �, t t. (
F. Determine the "U" value of each segment (10-12) and multiply by the area as
follows:
10 . N � X "L'"
l l. ( a S. .r _ X "U"
12. ____-�_-�a. y x ��U��
�
;, � �
, � � �.
ADD 10-12 FOR TOTAL ROOF/CEILING S�GMENTS
_ ^_� � �i,� �
� E �'� A ff �
ITEP4 IV � 7. ��'�
G. If Item III is the sar,ie as, or less than Item I, you have met the intent
of State Ruil�3in, Cod.e 6000 (c) 2.
H. If I�tem IV is the same as, or less than Item II, you have met the intent
of Si:�te Building Code 6006 (c) 1.
I. Adc1 Ttem I J- 2 j. ,�i + Item II S�"�• � _ '�- 7�• �
J. Add Item I1 I � i�,��, + Item IV 2 1, �' � S = ��,��i�ir
Ko If tlie su�n of Items III and IV are less than Items I and II, you have met the
intent of the Code for toi=al envelope system.
The undersigned, as applicant �or a buildzng permit, hereby affirms the above
infoimation has been prepared and subm5_tted by tii.mself or under hi> direction,
ht=reby acknowledges the information to be correct anci accurate; and hereby
p.resents the information witli required plans in suppor-� cf �Lhe building permit
application.
}3�: • � �+�5't,,�.� �% ( If V°..,�.�mt�° ` . DATE : I I - I � - r
x tT" C�
,�
CITY Oi= FiZIDI..EY �
Af'PLIC(1TIOi�! FOR f?ESIDLi�{Tllli_ E3llILDIilG PERl�1ITS
� (fdew, Al Lerations, lldditions, or Repairs)
�.J�--
Ot°1P�1ER: � (-� �� �� l.C.���ST� , � �, E3UILDER. - �:1�} � S i �.�rJG � �a�s r� uc.•ri-u�
AD�RFSS �,. � 23 _ �eo>>�w�sr�� 11DDRESS: 2�z-'� (�..i�r�c�c�c2as� �2 .
� PJ �:,� f°� .z �� i-i r, N i I�'� v
TEL �0: �7� � — t-/ y `� � TEL td0: '1 k� - `� � �F ��
� Construction Location '
. • � �? �I , --
- ST ��T NO. �� . STREF.T: �P c.� �� tv�, �
� �� i,t,T � t= � ' . - ti y � ...a m l: . :, F
LOT: i� ,� BLOCIC: �j ADDI`.PION : Srl Fa F F:� rz ` 5 S v�'� . P� v. 1 ��.+� v.� „ rte'r«rs�
��Gavc_ sSr C.sA+�— �3,�
Corner Lot: � Inside Lot: SetbacY: '�''�- 3-�,• �siSideyards: if,ti _,q
Ap�licant attach to this form two Certi��cates of Survey o� lot and
proposed building location dra�on on certificates ta scale,
DESCRIPTIOI� OF CONSTRUCTIOPZ -
��� �; s F I'ront: `� � pepth: �,- `�" Height: � �
Squa�e. �'cet: ��5� Ciibic Feet: CI
� � �•� Front: -�- �- Depth: �- `� xeiglit: �C � 6
� squar.e• i'eet: �-(�� u Cubic Feet: �i ��V
Type of Co�lstruction: `�'t-�v�� EstimaL-ed Cos�: $ •�LZ ��
7b B� Cbmpl�.ted: �" 1 h,2 t ��( �( l. r_.-. -_�.l
' � Al�. .A..:•J Alt. B
L1a1► i,� -�,,� K� �� wp,d,� oCibsr titvr S P� ��.d __ _.
0
Proposed Dzive�•iay S9idth Tf rdew Opening Is Des:i._red: �=s°-��°_� °-` $��'�R4�
SE� REVERS�: SIDE OE' SHF�,T
7.'lie undez signed hereby make� applicaticn for a pern�zt fcr the �.�ork hex'ein specified,
ac�recing i�o do .all wozk iri s�trict accordance F�ith the City of I'ridley Ordinances and
ruli.ngs of i:l�e Depart�ient of Buil.clings, and hereby declares that all the iacts and
repr.ese�� i��ti.ons statE�c1 �� tha.s application a e true and correct.
� � � � � G'� , �
n.����: t�- ` 1' src��ru�; : � V- l,�v�_.
Sti�ulations:
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N_ - - 5 91
0�
CITY OF FRIDLEY v. �4 i��
Date
PUBLIC WORKS DEPARTMENT
TAPPING APPLICATION AND PERNIIT
FOR INSTALLATION OF WATER & SEWFR SERVICE
I) This form to be com leted before a tap is made to any eaisting water or
sewer line.� EX. �, �j 0 � �, �
Lot�l�lock `3 Addition ��f�F��iS �u.t,8. /
Address '!�?� �.g.L� �.7�.��
Owner Zr �
Plumb�r �) i ��5?� � i�'l �-C.�{ ��U � � L.
CHARGES TO BE PAID BEFORE TAP IS MADE — WHERE
ASSESSMENT HAS NOT BEEN LEVIED AGAINST PROPERTY
II) Water & sewer connection permit must be registered before this Tapping
Permit can be issued.
City supplies all material and labor for 1" or under water tap. Con-
tractor supplies all material and labor for water tap over 1", and all
sewer taps.
WATER TAP:
SEWER TAP:
Materials Used: $ ��� � �
Street Patch: �: $ l�D • C� D
a:►,.:1,� e° . � �,...:
Street Patch: � : $
III) If this property has not paid a full Lateral Charge for its share of the
water and sewer system, additional charges will be placed against it.
This will be in addition to the normal connection and tapping permits,
meter deposits, etc. �pTp�, $ a��,• � � %�
Water
ASSESSMENTS TO BE LEVIED: Lateral:
Clerks
Supt. o
Sewer Lateral:
TOTAL ASSESSMENT:
$
$ /33 '7. �ls�'
M/P 3/76 White P.W. Canary Finance Pink Prop. Owner Goldenrod Plumber
czrY or F��z���_[Y
Af'f'L.I(:n�rzo'1 f'OR (;l:SIU["i�lTI/11_ (3U]LDIiIG f'G(LjITS
(t�et�r, /'�1 �er��Li�ns, n�ia;t;o�,s> or Rc�airs)
� at�rcicri: � N�-� '���5 ,- � : ,� ;� ___.__.
. -�- .
tiD�Rf�ss�: `2� 2� �� o� � r�� s�s .�1J�2
TEL�tO: ���' `� `i ��
�� � ����
L'UILDE�P.: - � ��"� � . �.� � :��r-� S j .
li � UR L- S S: ---'� �=,e,.�- `.
TGL td0: } ` F
� Construction Location '
- s�rz�T ,rro : � � � �+ sa:��k:T: �� L �" �
z.o��: c BLOC�:: � �nz�rzo�r: �� ��r� � S 1 s'� �i� t�
Corner Lot: � Insicle l�ot: SetbacY: Sideyards:
Ap�licant attach to i:his form two Certificates af: Survey of lot and
proposed building location drawn on certificates to scale.
DFSCRIPTIOid OF COt��S7F;UCTION -
� � I'ron�: � Depth: Height:
Squa�e. �eet: Gitbic Feet:
k �'ont : DePtl� : I�eiglzt:
Squaz:e� Fe�t: Glxbic I'eet:
Type of Co_isLruction:
Estimated Cost: $
7.b Fe Oor,�pleted:
. . � }llt. A Alt. B
Proposed Dzive�•�ay �vidth 1f New Opening Is Desired. ( � $' $
. . S�L Rc.VE:I2SF� SIDr OF SHEET
�.iie undez si�?ned hereby ma3cea applic�-�i�i.cn for a permit fcr the �:nrk herein specified,
agreeing to c?a ,all work iti strict accard«nce �•rith t2ie Cit}� of �'ridle}- Ordii�ances aiid
xtiliiigs of tlze I�e�>�lrtnteiii. of J3iiil.dinc�s, and hereby declares that all tlie Lacts and
rcyi:escnt<it;i.ei�s stated wn this applic�:ti�n are true and correc�.
n� �rr : � p r- f'� �- � � S 7 GN11TU F:"r: : � �-- L� d �/�/
5t:i��ul��iioi�s :
� � ` x. �i3 . S� ; ��q �. o o . .
C�x t � i , ,v <o � � � U � o uC � — (� �}- N Ts �eA,i
�
CITY OF .FRIDLEY
aPPLICATION FOR POWER PLANTS AND HEATIN6, COQLING, VENTTLATION, REFRIGERA7ION AND
I�IR CONDITIONING SYSTEMS :AND DEVICES
' PARTII�L RATE SCHEDULE
t .
GRAVITY WARM AIR: RATE TOTAL Job Address
E'urnace Shell & Duct Work $12.00 $
' Replacement of Furnace 7.00 $ '
Repairs & A2teratinns-up to $500.00 7.00 $ DeFartment of Buildings, 6431 University Ave. N.E., Fridley, MN 55432
4.00 $ C:ty of Fridley
Reoairs & Alterations each add. $500.00 Tf•1. #571-3450
AIECHANiCAL �NARM AIR:
�urnace Shell & Luct Work to 100,000 BTU
each add.'S0,000 BTU
* Replacement of Furx�ace - to 100, 000 BTU
Repairs & Alterations-up to $500.00
Repairs & Alt.erations each add. $500.00
STFr'4�i OR HOT WAPER SYSTF.Id :
Boiler & T_,ines up to 1�0,000 BTU
eacii addn. 50, 000 BTU
Boiler only up to ].00,000 BTU
each addn. 50,000 BTU
$12.00 $��
4.00 $
7. 00 $
7.00 $
4.00 $
S12.00 S
9.00 $
7.00 $
5.00 $
:OIL BURNER- to 3 gal, per hour $1p.00
each add. 3 gal. per hour 1C1.00
GAS BURNE R- £rom 100,�00 BTU to 199,999 BTU $1U.00
(over 199,999 BTU see Fee Schedule)
cr,s FrT�rztic r�ES:
lst 3 r'ixtures x$ 3.00
A3�iitional Fixtures x $ 1.00
Gas Range to 199,OOQ BTU x$1C1.00
AIR CONUITr�NjNG
FAN HEATING SYSTEbIS See Fee schedule
VENTILATING SYSTEbIS
ALTERATIONS F, REPA.IRS
ROUGFI INSP.
Date
FINAI,, INSP. ���t/� �I
Date
AP�RUVIaI; FOlt PERMIT ����.��
State Surcharge
TOTAL FEE
REINSPECTION FEE
( $10. 00)
$
$
$��)
$
s,�,
$
S
S
S
S
S
$� (.�
N:INIMC3M FEE FOR ANY HEATING P$?tMIT IS $7.50 PLUS $.50 STATE SL•RCHARGE
*Attached stack verification form
The u.,::CZ.;i.y„ea iierc-b;- makes application for a pai,uit tur t;.e: wcr?: herein
specified agreeing to do all work in strict accordance with the Ci�y Codes
and rulings of the Department of Buildings, and hereby declares that all the
facts and representations sY.ated in this application ase true and correct.
Fridley, rlinn. y , 19��
OWNER -
r
KIND OF BOILDING �-'"
iJSED AS
TO BE COMPLETED ABOUT
ESTIMATED COST �/ 7/,�/ ,
OLD - pt�W BUILD�AG PERMIT NO.
PERMIT NO. _��
DESCRIPTYOb1 OF FURNACE/BURNER
HEATING or POW R P S, Stea:n, Hot Water, Wazm Air- No. ,�
Trade Name Size No. _ � �
CapaCity Sq. Ft. EDR BTU � �i HP
Total Cannected Loa Kind of Fuel
BURNER - Trade Name Size No.
C�ipacity Sq. Ft. EDR BTU HP
- i
Company
r
` - ., .. Siqned By r
. . _ :-?:, r�i. No. '/ �f'�— / /�J i�
A;i�.;, _.
7584 Able St. NE
Fridley, MN 55432
July 30, 1981
Building Department
City of Fridley
6431 University Ave. NE
Fridley, MN 55432
Attention: Mr. Darrel Clark
Dear Mr. Clark,
I have recently purchased the house at the above address from
Chuck Westring. As indicated in the building permit and
refexenced in your inspection on July 13, the side and front
yards are to be finished with sod. Since travel plans in August
and the potential hot, dry weather make it difficult to properly
care for a lawn at thi,s time, I would like to delay this project
until Septeznber or eaxly October.
I have spoken to personnel in your office earlier this week and
look forward to your response on this matter.
Sincerely,
(,l, . ��.`-
mes W. Finkowski
CITY OF FRIDLEY
6431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 55432
TELEPHONE ( 612)571-3450
1981
W. Finkowski.
7584 Able Street N.E.
Fridley, MN 55432
Re: Providing Sod for the Front and Side Yards at 7584 Able Street N.E.
Dear Mr. Finkowski:
We have received your letter of July 30, 1981 requesting that the above
noted sod be rescheduled for ccQnpletion by early Oct�ber, 1981. We will
agree to this completion schedule and will plan to reinspect the site
on or about Octr�ber 12, 1981 to detexmine ccenpliance.
If you have any further questions on this matter, please feel free to
contact me at 571-3450.
Sincerely,
DARREL G. CLARK
Chief Building Officia.l
DGC/mh
sue�ecT P
City of Fridley 19791
AT THE TOP OF THE TWINS B U 1 L D I N G P E R M 1 T
r
; � RECEIPT NO.
� • COMMUNITY DEVELOPMENT OIV.
f � �: ----- � :� I �`�
� � PROTECTIVE INSPECTION SEC.
1 � �
� � �"�'1 � CITY HALL FRIDIEY 55432 NUMBER REV. bATE PAGE Of APPROVED BY
�'---•� � ,'� 612-571-3450 910-F15 2/6/89 / �
JOB ADDRESS ']SH4 AJ��2 Street N. E.
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. P't. 1 3 Shaffer's Sub. #1 SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Linda Baumann 7584 Able Stxeet N.E. 780-8263
3 CONTRACTOR MAIL ADORESS ZIP PHONE IICENSE NO.
Skyway Quality Homes 7458 Hayes Street N.E., Fridley 784-5464
4 ARCHITECT OR DESIGNER MAIL ADDFlESS ZIP PHONE LICENSE NO.
5 ENGINEER MAII ADDRESS ZIP PHONE IICENSE NO.
6 USE OF BUiIDING
Residential
7 CLASS OF WORK
� NEW ❑ ADDITION C� ALTERATION � REPAIR O MOVE O REMOVE
8 DESCRIBE WORK
Frame basement only - owner to finish.
9 CkANGE OF USE FROM TO
STIPULATIONS
Install combustion air to �urnace, Install fire/smoke detectors on each
level of dwelling. See plan for sti�ulations.
SEPARATE PERMi�'S REQUIRED FOR
WERtNG, 1-�EATlNG, PL{J11�JBING �A1VD SlGNS,
SEPARATE PERMITS ARE REQUTAED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING.
7HlS PEfiMIT BECOMES NULL AND VOID IF WOAK OR CONSTRUCTION ZONING SQ. F7. CU. FT.
AU7HORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OFi ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATlON SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WIlL BE COMPLIED
WlTH WHE7HER SPECIFIED NEREIN OR NOT. THE GRANTING OF A PERMIT S3 �OOO $1. SO
OOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE
PROYISIONS OF ANY OTHER STATE OR LOCAL lAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCT�ON. $S4.00
PLAN CHECKFEE TOTALFEE
$55.50
. SIGNATURE OF CON'RACTOR OR AUTHORIZED AGENT IDATEI �.. � EN PRO E Y ID D THIS IS YOUR PERMIT
a_6,-
`_ SiGNATURE OF OWNER IIF QWNER BUILDEF�1 IDATEI BLDG �NSP nATE
r�v t 7
ADDN [ 7
ALTER [�l
Gbnstructian Addr�
r �� Descriptiaz
City of Fridley
R-1 AND R-2
�,; � cling Permit Appl ication
EEfective 5/L88
Owner Na¢ne & Address: �r/ L�.v.O� ,�3� ii rn�.v.c/ Tel. #��� -�2�.�
�ritr actor : SX�/�/'•4 Y /.� v� �� 7 f- D m! S '1'p,],. #�7� /-S/�' %
Address :%YS 8" ��Yf s S-f- ��P�i'J L�. �`-.
Attach to this appl ication, a Certif icate af S�arvey of the
lat, with the proposoed oonstruction drawn on it to scale.
L1E.SQtIPPION OF IM�'ROVII�TP
LIVIrIG AREA: Length Wi.dth 8eight st�. Ft.
GARAGE ARF,A: Length Width Height 9;�. Ft.
D�CR ARFA-
�C.K
�� IJ. I �1;
Length widkh Hgt /Gro�ma St�. It.
_ �!?�� �ijt f ' �.c. s : T �r]-rJ1 /.Utv C.C�c9'�-L S - � GtJ1v � ,�t� TC� �..c�iS�
Gbrner Lot � Inside Lat [] Ft. Yd Setback
Type of (bnstruction: Gt/d�.�i
Approx. Comple�tion Date:
Proposed Driveway Width If Ne�w Opening Is Desired:
_ Side Yard Setbacks
O�
Estimated Cost : S 3oO'O '
Width + 6'
L�TE : 02 �c�' � APpL IC�Nr : �
Permi.t Flee
- State Surchazge
SAC Charge
Driveway E�craw
Park Fee
Sewer Main C�arge
�+om�
3�IPULI�I�IS:
�'�' i p
.3� �,�
0
(�.TY DSE �Y
S
Alt. A Alt. B
S
See Back Page
Tel. �T - �f'��
S �'`� OD F�ee Schec�].e on Reverse Side
S /, �n 5.50/51,000 Valuation
$ ��SS,58b per SPyC Unit
$ Al� �" or Alt. '�" Above
S F�e Determired by F�giryeering
S Agreenent I3eoessary [] Nat Neoessary [ l
$ :� S. SC�
SuBJECT
City of Fridley 2 6 9 3
AT TME TOP OF THE TWINS g U I L D I N G P E R M I T
f
1 1
1 l •
� • COMMUNITY DEVELOPMENT DIV. � /
1 � y � PROTECTIVE INSPECTION SEC. �1 7l�
1 � ( �J
1 � �
� /"'1 � CITY HA�I. FRIDLE� SS432 NUMBEii REV DATE PAGE OP AP�qOVEO BV �
�""'�' �'' 612-571-3450 910-F15 7/31/98 / /
J08 ADDRESS
7584 Able St NE
t LEGAL �OT NO. BIOCK TRACT OR ADD1T10N SEE ATTACNED
�esca. part of L t 1 3 Shaffer's Sub. ��1 SHEET
2 PFOPERTY OWNER MAIL ADORESS 21P PHONE
Art Stubfors 780-9809
3 CONTqACTOF MAIL ADDRESS Z�P PHONE LICENSE NO.
Midwest Sidin and Roofin 18979 Gladstone Blvd Ma le Grove 55311 416-4804
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PMONE LICENSE NO.
2001�2�%
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO
6 USE OF BUILDING
Residential
7 CLASS OF WOHK
� NEW ❑ ADDITION ❑ ALTERATION � REPAIR ❑ MOVE O REMOVE
8 DESCRIBE WORK
Reroof house and ara e 22 S) Tear-off
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with State Building Code.
TYPEOFCONST. OCCUPANCYGROUP OCCUPANCVLOAD
SEPARATE PEiiMITS ARE REOUIRED FOR ELECTRIGAL, PIUMBING, HEATING,
VENTILATING OR AIR CONOITIONING.
TH�S PERMIT BECOMES NUIL AND VOtO If WORK OR CONSTRUCTION ZONING SO. FT. CU. FT.
AUTHORI2ED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED fOq A PERIOD OF 120 OAYS AT
ANY TIME AFTER W K IS CO ENCED. NO. OWLG. UNITS OFFSTREET PARKING
I HEREBY CERTI V TH T I E 0 AND EXAMINEO THIS APPLICATION STAIIS GARAGES
AND KNOW TH SAM O E A D ORRECT. ALL PROVISIONS OF �AWS yp�UATION SURTAX
AND ORDINA ES G I T IS YPE OF WORK WILL BE COMPLIED
WITH WHET F SPE F ER N NOT. THE GF;ANTING Of A PERMIT 1834 �.92
DOES NOT RESUM IV AU ORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE
PqOVISlO OF AN T ST T OR LOCAL LAW REGULATING CON-
STRUCTI OR TH E F.-G43NSTRUCTION 59.5Q Fire SC �1.83
?J PIAN CHECK FEE OTAL FEE
� J/ Lice C 5 0 67 . 25
S�G UAEOFCON'RACTOAOA 7HOFl�ZEDAGENT IDATE� HE P �V VA TED THIS �YO PER �
� r� � G
L J
S�GNATURE OF OWNEAi�f OWNEA BU�LOEAi iDAiE� +• � DG iti itiTE
' NEW � �
ADDiV [ ] CTTY OF FRIDLEY
ALTER [ J SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress: / � � � � � 5 / � - � � .
Legal Description:
Owner Name & Address:
,
Contract
Address:
r�-
Jr�-
�
Effective 1/1/98
3� 1�
��� �
Tel. # � g� � l � 6 °/
MN LICENSE # 2 D D i� Z��
'� ���`�/ el. �# �%�� `�� d ��
� -� ��%/
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF Il1�IIPROVEMENT
LIVING AREA: Length Width Height
GARAGE �AREA: - Length Width Height
DECK AREA: Length Width Hgt/Ground
Sq. Ft.
Sq. Ft.
Sq. Ft.
OTHER: •
� � 2Z . �� a � .
Construction Type: �LI/� � � � Estimated Cost: $ ( ��,�
�
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = x$ _$
�2 � �,� ____.___ �� r � �a
DATE: J APPLICANT: Tel. # � y
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
,
CITY USE ONLY
$ �%��l Fee Schedule on Reverse Side
$ � �� .001 of Permit Valuation (1/lOth%)
$ �- $.50/$1,000 Valuation
$ - $100Q per SAC Unit
� $ S -��% $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 [ J
$
� �. ��"
.. •
.