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AF - 34903� � f 1 C3.ty of Fridley, Minn. BUILDING PERMIT �_� �L�.2�� N° 7046 .:_ � %� ' � i� /� ; > _ . :, r�.:� IIr.. .� ...- :,r._ > , �� _� s. .; IIr _ �' :�i-- - - ✓� ,�! ► C� . _ �: �..,:,�_ x. � :, ;� L CATION OF ui�ci�� 11Ta str+eet �.___ �-�.�.a P s.ot .. � ��Q��� Lot .�-�.—.-._ 8lock - �,� Addition r�8ub-Divleia� � i � Corner Lot _ Inside Lot �� Setback ��� Sideyard � ��= - �% , Sewer E�le�►attoa ���r �''� IIevation �' � � • �� TiOI' eF foo7%�Y� �_ • • � �/ ,�� � - ,` ,� _ �i �j �- � .' i.... � � ��- � I u� � % % � �r - � _ _ . ; �I��/.���,�..... .,,, �% ..- . _ .� : , �� / �� l� �, _ i� � �!�. ..�. ,�. ...�.�� �� .r ///. the propo�d wor�k � faccao�i�3art�ce w�ith the �dd�scrip� abovec�s�et fo�rth�a dU�� or8inanc�es of tve dty oP Fridley. /� „��i ��� , �--�--�� l above I a�¢e to do wlth a'll provlsions of Ia eom�deraiia� oP the p�yment oP a fee of �, permtt is her�by �anted to to c^onatruet the builc'iing or addition aa dacribed above. Thisp� t is �anted upon the egp�reffi condition that thepe�on to whom it is graated and h9s a,gents, �p1�y� an� worl�en� ffi all work dame in, arwmd ead upon said building, or an,q thereo� sl�all ooffiorm in al� �pects to the ordinaaces of �Fridley, M�ta location� oadsl� alteration, meintenane� rePair aad mov7ng of wI� dty limits�a� Bermit maY be r8voked at an3'�ef/ � vigia�a� of a�r oP the provisions of / 1 �' I � �� NOTIC& 'llds � daa �f � ths �, �� �rh�. P�e. 6� �s, �w�er er �raear. B� w� te a� da Boqd� 1�' fer a�puata �/er 16a� �. "° 's .. . 'V M 1 ,i ey_..�rF��_. �.. �=1�_ _. . _ .,;'.� ���N.�'�� �"�'��� e �: .. `Sf. � �T . . ' . " ,'?, "� ,����T�� �E%�' q�p� i��*��� _��'�`t S r�� �'1'+ a. .r ....___ - .a .. _ . . ��..7 iir; _ � r r.- � ;�. -- ' ya r i ri 4S . 1�� .,..'r:` r. .... 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T.3��� et , . f , > . .j •`_,. �- � �:.,�- =, t�� ��i� � .: , . -� 0� 1- ,� . �-,� � Lot � �`. . �Black � � - Ac��it�ia� , c►� :-S�ubd#�ia�,onn: /,�� ��i �'�c -r�r-;���.��� � � - . . _ , �._, r''�. �.. . . e ;, i � ' . . ' T ; , 2; . ,s, r (�6:- Cosiaer �ot : ' " Ineide'.:Loe � � �Setback ����� ; •-, ,5�,$e�±�Y�,�f,�� fi � .��- .�� / -�--�-,+-- - i, .��.. �.....�_ S�WE$ L�LEVA7�ZON F�ATION BLEVATIOI� . � ,, � � e�;�:s�,����- Appli�am�, .,�tta�h, �c�.th�.s .for�pr.Two� ��Gie�f�:8�Q8, O,f ySt�1�%�p..�:�p�.:�t �$�t�d ;psopc�s?�$ build- iug lo���ic�► dici��aa,-rm..tbeee Cert��ficat,es�.. , , i .,. , .. .. :. ,:-��,�{ .. i... : A'... . .. , .. .... ., � . ' ... .,.e` .... � -C:_. . ... i�.. . .. . -,. � ., ! i. :. . t"i' ,:TFlk-i'-b.i.°_s�'°, ' . :.. '�b, . f., f3.' . t'.1� ...�._- ::r . . � DESCRIFiTOAT OF BUILDI�G ,�. ;: �-�,���� r �a�ie� To be used as; "' '° ,, .. .��/��,. ,� ,�� k'; , ' �i...* ,, ` . y1 � � °{1�.7 . , >,�,, p�7']rce ; � t!; 'it.5 i �� � � .���✓{"�� ., .�. v �v :o�� � � -+� ; � �= /�' ` . � � i e°u.�,� �"1�.: �w�rirlU.ii�ris r+..�r.� ��'"i i�l�. , g', . ��- , f3'�"r �� ' ,- � _t -�' - _ _ . R. e r+�..i�..�w�: , . �..._ r ��. i 3 s�t �. � ?�. i ;, � .r• ' . "Ii�a +, i. ; . j�. � s�,�,i� f� , ,�- �rr`R`� y'F.,i,.:�o? "sC' 7a SE`.kL T7 .,, �. . . � .a �� �_ 1 �.: , , . . � � �J z . ', � C � .� : :.,ti� � � . ,"T.�.;f�J >'P�°z�.�;l'i'��G�,:OP,'i1^ _ . �� _ . Froat�� � � o`� �1� - - � � � �pth � ��.�: Hei�ht � ia � .. �... . . . . . ,._ . - ....r�..,,. , � _ , ;�r,', .... . �;•.;,; ..- , }�1. '"� .. d':3 — .. , dte� s,��p t :4 ., .• �• ' . r /y� ,w'� Lj�q��1 c r�'rt?•� l,'T'i� ac� . . .. -� r.�. . ' , .��N'�:eJ! S� . '_1,S..i .>7e� � .�,i+i�' �� � " i�i.rL'Mw�''.' �.' , : . . . ' . �g � � .. 7 . �.. . . f . '� � � �. � r , . ! : ' " . 9S - .,d g ', � � � . . S .. : .' : ..� . � . _ . � ; t, ,, � . Type Of Construc�ion � �� ��- , Est�t�ei £�,?t _;:. _ _�: _� 9 .L f . . . . . 1 ' � e�ai � i � i���Cr 'r..�..f+�` ' . _ _ -___ _ _ !' r .�- �'�+ ' •'�.'. -r5r�'. _ . 1.1J .Os��f,i:.` 1 � i,��l�� To be Coa�pieted : . � � ., r�...!1 � . ...". _. . . � _ �. ...,k ... . . �, e..._., � . �:S .,2��!i��'&j p+.. . �`.,e> Tha undersigae$ � he"re�by ^ makee � appl ' , .° � � ;_, ; <d s �� _, _� a _ S �: ��-� � � � : , , . � icat�.rna fox a. Pesm�.�a.fOr �b.e.::,w9�k ia�r��ta: ��c�fied, agreei� to do ali work in etrict accos�dance with the C2ty of Fri,dleq Ordiaaaces and� rul3ngs, �f,yth�.,D�par�naen�,;,�#; Su�.ldix�gs,,, and,�:herebq. �tec���s�► thaG $�;l;;�he f�cLe sud representatiope sCated ia thia applicatiisa are true �dd: co�reat� ..r� ;: ��� a� � c���� � � � �(Schedule of Fee Coste caa be fouad oa the �� s�.ae� . (� n rr a, s . !� �,� a � ~ �` ,u�_ �'c. y p O' 'a a 1� 4 BUII.DII�G PERMIT F8E SCHEDDLE Section 2. The ingpector of $uildings sha}.1, before isauing aay permit for , tbe erectioa of any building or structure, or for aay addition to aaq �iat- in� buildin� os stsv�'�ure, or �or anq alter�Cfons or repaire to any esistia,g .building or e�ructure, upon application therefor, require the paymenC by th� applicant fo; auch permi.t of fees ta the amount heraia below aet forth and �xc� tli� ,manne= herr�in �r�ded to-wit: _ ._.- . _. _- . _ _ _ _, _ _- -- 2.1. �'or �pp suc� p�=�q�t for _ the erection o.f any fire-proof building, ot4er �han__�. gasa,�e,, �ar�hcusa; factory or-�raia eleva�or,� or for the erection o� aaq fire-prooi additia►, for sim3lar occapaacy, to any euiatiag build3n� ahall be at ti►e rate of $1.40 for each aae thousand cubic feet, or fractioa tbereof, in such cubical��conC2a�s. �� _ �.2. ' Fdir �iiay �uch , p�riai�_ior'��-r:�i� �i�ctiad of. any. f3re�pr.00f @,�erage, rasrehouse,.: factory er gr,aia e�evator, or for the erection of �ny fire-proof ed�,tion, , fo�.. s.intika� c���g�ucp, '-�CO � any dxiet'i�$ buildiag sha�L be ae the rate o€ $1.25 foir eacl� oae thausand cu61c £e�t, clasaified �as "fireproof" by Sectioa �502 of :o _�he ° Mi.atii���.��:� ��B��:ldi�obg C�le. _ . , ,-• ; : . . HOUSES � .�..� : :; _ ,. , , . _ - 2�3,: "i��r aaij► ��t��h per�i'e' fo� fise� er�etfon 4bi'jai�y non=fireproof buildiag ather than a garage, �arehouse, factory or`�rsiln ei�evator, or aaq noa-fireproof addition, for similar occupancy, to any eni�tiag building - permit $1.00 for each oae thousand cubic feet. GARAGES _.__ 2_4_, For anq suc� germit for tl�e ,e„rection of any nou-fiseprQa� ga�aga, .- _ w�e�iAus�,�� fa�tory.._�r. =gra�n eievato�,. _or. for' the erectio� of- anq nou-fis•e��ruof addit3,�►, #os�--similar occupancy, te eaq esistia� building or for esch such � _,_ _-.- bn3.l,diag. �or _�ddg-tion =_ niaety ceats (-$0-.90) for- each oae thauaand cubic feet or fr��C�ton thereof,, in the cubica]. conteats thereof with a mini�on �f $4.00..- .,. _ ,__�_. .�_ � - - � For the purpose of camputia� £ee� for building �ermite, the c�bical coatents _ of ,any_ buil$�ag or additiaa Co a�i,form beight� throughout by �Ltig�ying the � Sround area covered from a point eix (6) iaches bel�it� the floor line ef ;th� _basement.:or ce118i '�t"o"the a�rera�e height.�of.the -upper surface or to tbe average height of the r�of surface of �he �nai� �able of � pitched roof. _ __ ._ . _. , _ 6: . . , , . 2.5. For repa3rs or alterations to aa eaciat� structu�ce, the fee aha11 be a tt he rate of $3.00 per each Five guadred Dol2ars (g500.00) or fractioa ; N=��er+�o� ia tbe cbst of� all 'proposed � work. . �f :_ _�: �. -; _ _ - - . . . ; 2;` ��In no c��e ah�ill tbe fe��char�e�:_,for..an�-�pe�mit�:� aet fo*th' �n Section 2 be 1eae. thaa $r+.00. , �� � _ , , ; � .. .,: • � °„- (� � � -� � � �� . ��-. . _�,,, 1�►�Iii�TT)ER Fi�TGiNEERiNt� Co.,INC. ENGf NEERS AND SUR'V�.YORS �.NO avavev��m So��s �'esT�NCi GIVIL 6r MNNICIt�AL @NOIN@6RINO - �,.ANp DI.ANN1Al6 6418-SI'�TM AVENVE N. ' MINNEAPOLIS .Tf,MINN. �� �KE ?- 31'n3T � � . � � �'� � �; ��i► �i'i � 4 (F. �i IN A"�'1! `'' . . � . - �' .. � , f . R�� -�r• I� � *4i � �.i:na n� e•r'r'-.n:;_ s.2�' _S s'. •�..'�,Ae�:.-� �u.-.- \ � . ��� \ . 0 \ , �• � . � ?`�� � \ � � b•` .S�%��� �►�+7'4J LoT 2 8��. 5�P��R��a�l� �R�o�v��� -�srA���� �.�°��� N. � WE HERE9Y CERTIFY 7NAT THIS IS A TRUE AND CL?RRECT REPRESENTAT�ON OF A StifRVEY oF n�►E Bo�7NDARIES oF THE . 1.IW0 R�yC DESCRI�ED AMI� OFTNE LoCATtON OF ALL �llll�lNGS, IF ANY, T►tEREON, AWD aLL v►S19LE ENCROAtNMfNTS,_ - -- =— ------- - _--- �_�_. _ -T� — _ .. _-_ __ _.,, _. __- - -_ -'�-'wY;��� �°'° sN°—`�o'"°' MINDER ENGINEER�NG CO., INC. Cl1TED TM�S ' or.Y aF .��'ernbe c �.o:,�s� eN 1�Eag av Yoa.s � �j --^=i 'r`" � • .�A�P�1__� .� „ � . ,�s�g ,. • � � � � � � � � � � � : o : � ' M . y :o . � . m °y�: t' : � • \ � m � � � � � � � � � � � �� � • o � o � °o : o . . � � . 0 � � � N ►�+ � O O O � � � O � ��� � � � z � � x � z � 8 � �, 8 � �' � G� � � �- � �b:°�� � O � � A � a � • N . �y . � O . p . � � . �� . . 0 : � : : : : 0 �a oa aa aa x�a � W LV W t+ ►+ ►�+ � t�71 p C�i� O O O � � � H y � � ��j!I il '`��'�'�1 t�, ��� '� I1,1 D �"� r � m N n �ii v � m a � °� � � 0 � � � � � � � � �, � � � � � = ■���� � _ ....1 � :. ���� � � ����� � ' �B►�� � ■..�1 ����� `a � r+ M � �a. n. � � � �� o...., . ,. �. :°� e�ns` . x �� ``` � W/s�1 :' L+l r�t[5 DRINK. � �((]] FOUN'1'. � � � .� �ooe p' � ORAINS - GTQi Q 9I�SINS . � �vro � WASHER ,, OM � GAS _.. �PPL . �-. . ` -� OPENINGS � � Z � �n > � A � ' '� �a� � � ��� � � W � � �- FA (p o� � � ����' �. o � � � � a �. � � ,a: . � ���� � � � �� � � ��` �� j p �� o 1 � � d � � .� �� M �� � y1 �o � a � �� � � i� � � °� ti ��.�� � �.. � � ��a � � � A�� I"� 3`� � � �: • � � n � � � � � y d 4 a � m t � � � S M � � � �ro � �4 ° � �� � V � V O � �� • �j � � � � br o �� .o : � . � : g i � ► i . �s • . • C" ' �� : 0 � � � � � �� � f° � m �0 � � � w 8 � � � � "..i �� n~ ��� ������ � ���� �� �� � : ��� � °� � � . 2S . : � a S : '� � : a �' : a � • 4° � : . „ $ . : . : : . � � _ • . � . . • • . . i .. . . . . • • . . _ • . . • . . . . . 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S'. o� a i�>. �" � �'� � � � � a � � _ � �' � r � �a' � N � r w �~-I � � " o ~ 7 � o ��i z � � a o �" W p�t �"" � � r�i� o a m G M ro � �� o r rr 2' �C p, n o n r K�c �t' h! r m r o 9' � w n a � �� o„ a�o �.* ... x o ° M � �c m � K � M � � o � � ''x'� � � . °o �u `° � cn"n � �°-� g °' ,� ° �° m � � oy., o� a o• o� ►� 1° � o� n• o o � o4q ►- w m w �' n. a o a tn yy � r o°o w�° �-�-1 �� � cn .-' m � � . �� � w � � � . • .--� , � � . N n I n O � � � , ' � � a �c x ac. x x x x sc x x x x N - N ' !9 tA tA N tq t// Y N N tN N N � O !-' W ' t!� N� V O N� Vt N N td 0 0 0 ' o 0 0 0 0 0 0 0 o H 0 0 0 0 0 0 00 0 0 0 0 �p . .� N N N if► Vl N fA N tA ff! N N � H O � a r N N N lJ� 00 00 N tA N N � � O r � � _ '° - � � � N N hA �0 .RI � a t � � � � . _ � � 0 � .N . � q • • V . � O � � . N . o , . � . � • � , ' . y:: . .`g` •• , � � r � w � rt E � K �� Storiea I Closets . Orinals � eat!► �bs Bssins " �sinks � � � i+�ish Trays �00.. Drinkinq � ' Fountains � G Showers . ' ` � Fioor ,Dr ' Catch sasi� � a Automatic "o ��asher - r Gas Appl. A, • "'' Misc. Fixt p , Z Gas Ranqe 0 • 7O Other � C � m � m 3 --~d R t�D � �� r �o �t - Z e M G7 O . "n a z ty � . . . . n ty � N � ° y' � � H �p.o ��ro °v ~ � � � �y� o � m c ►"�a � � o ��t a � A �1 hJ Q t� r F NM3 � 47 � ° � [ �o � n.a r�� �e .. • � t� H m m a K 4t ►�- " m m•• H u", y�'� �i 7`' p' ,°a A a o m�A � r y e� H N K w 5 .c � ..-. z � � � �. b�''r�w r � �_� ' c� � �y n co �c � O� � H '� � �b ° � w � . � � � � ►ms o `� f0 H � �► g � o ' ' � o ��� . ~ a�� ° 8� m m��� � x �. � c m "c � � � ►°, K �, � • •c vz .` ' m x'�' � � a Km � � °�►�'� n . W ' � . � F� O. m P ' � '� F'� K fF � .7W A 'J �. m • � M � M ' ~ '�O � O D� . � � � . �� _�) ! q t�j � A � •> •� x � �t d b, n � . O. . 7 � w �G a � o c► � `7 , � o w M ' � O A rt O . i . M� Y 7r �t �I � . � � s o : . �t t • � � ►. p ¢ r � , �o � �. � x • ` $ ra� I � y • . • . • � � . . � b �►"� �'�� � �1z a a.�'x� ? y' � t r* � �' m►+ a� '� `� 'n tf�°it m � t`�i � 6a � f/� � � O' M `j r� O V► O aC IA X� � ~ p, � W F+ � W � 1+� H O G O.• tD 0� r+ M ►q � �o � b* �µ � � � a � oo°„ �� � � � � o� M � it � � K � M m 1 r N� � .C�7 . O '� p� N � P. O� p fp b'1 � +o W � K o o �. � M N �y � F+ :� p � `Q � -'�") F� a $ O� � y r � o� N�' � � � ,� � :'� �y t� � • N �� o � . �� � � o � rn � � ac x ee ec ae ee x x x ae x se • fA • N . iq fN N fA N . N Vl N 1-� W flf N t/+ N M N N O !'� W ' t11 . V1 V O Vl V1 N N W C • ca o 0 0 0 0 0 0 0 0 0 0 0 o H O G O O O O O Q� O O O O O O Gq . � . , N ip N tA tA � N id N fA il! � N m tl► � N N � 0 .� o . n 0 � � � .� a � � v . � �• � A W A ro � ' � � � � � �� .� io � y � � H � � o o • � K �, a StoCics ��, x a w e �, a e x � Closets L �t C � UL'�.Jld1S % � . � � �th � � � . �g� O a y Sinks � � Wash Trays y N. Drinkinq i4 � " Fountains showers , � Floor Dr � Catch � Basins � • Aut�natic n' Washer .� �` Gas Appl. � t1iSC. F3.xit � a� Gas RarigH � E � K ' other � � m rt� • n � K �i � � � � � � � � g t� �M � c� � c H � y z Q � Q � , � , � w � ,k � ~ � � °' . � � K . \ � �.+ M � � � � � / � � ^ U � . . • mmm HA � �i Q►� FW+�h� C ro� rm n rw� t�nro �C�mW � 1 ►Mt R O�D � m� m A�O m M�m � �'C� n o w p' � ���� � �� o � m ���� (� M � ro .°s a " '.Y : �.rti� l '� .-o~.� °n - ���w'rK•o �rmo� . � N 9���M . .\, ��Oa , �v r tir rd � � A � � . O ef � � . �� M� 1�+ � �f � I � � �� . � m O A . 4 r��g m � ��� � �, 8 ~�° � � �� ' . � v v r .. -��i O z '11 - O � � � n � � w � � s d . � b � H � ..�.yi . � ' � . "Q m • • � • u 0 �� �� � � EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION ray c s. a�i s or�: �,���4c/L �U�/� �Y��i.a��2 nA� �-f � �. � 7 � .,_ . . _ sa� AnD�ss : � � f� �(. /J�.� ��4 y pxo� : ��7 / — ! v?-C� --� co�rrxP,cTOa: � � '�� � - �� a � � �`�'�-�- . �tenni.ne working square footage of each l. Total exposed wall area...... `�� �O sq. ft. x .17 = � • Z� 2. Toal roof/ceiling axea ...... �-�(� sq. ft. x .05 - 7.btal exposed wa.�l area above floor =_ a. Total w in •axea....... ........................ b. To�al oo a��a---- ................................. c. Total s ss��� o area ..... ............... . d. To fireplace wa ea ............................. e. Totai ng area (average 10�a).. ............ f. 7'otal rim joist area .................................. � g. wall�area above floor .:........................ h. wall area. above floor .......................... i. wall area above floor .......................... j. wall area above floor .......................... Total exposed�foundation area = k' k. Total foundation window axea ........................... l. Total net foundation axea above grade ................. .3� �' .a'�C ,,� .. .��'e� ' �i' • Determine "U" value of each wall segment ' (e.g. window, door, each separate wall section) a. 3� X"U" ,� = 1%i g b. � �, � � x "uN . . �''S = � � /, g� C. X °U� _ d. X "U" _ e. �a� 1�S X ��U„ . / L = �i %� f. G Z X nutt , aG = .' Z g. 3 � e ..�� X �Un , o � _ . � ° , y> h. X "U" _ i. X "U" - 7• g pU� � k. t X "U" _ 1 g nv�� � a . . • 3 . . . .. . .. . . . . . . . . . . . . . .� . . . . . . . Total a �i I '7 d I � �� ,'�� � Z��p lb 0 If item #3 is the same as, or less than item #1, yon have met the intent of SBC 6006 (c) 2. �r./� - Fe ....� ._ � � Euter3.ar Envelope Average "U" Computation Page 2 of 4 � 4 a Total exposed roof/ceiling area = m. Total skyl:ight area ............ ............... n. Total roof/ceiling framing area (average 10�)... o. Tota], net insulated roof/ceiling area........... Determine "U" value for each roof/ceiling segiaent Ia. X nU„ _ . A. X °� - O. X nUn = 4 ........................... Total = If total of #4 is the same as, or less than #2, you have met the intent of SBG 6006 (c� l. � � . Alternate Building Envelope Design To utilize the tot�l envelope system metY�od, the values established by the sum of items #3 and #4 shall not-be greater than the sum of items #1 and #2. l. + 2. _ 3. + 4. _ v� � �� .� . ,;,�, � . � � / � � (/ � n� ° WALL SECTIONS d30TE: Use 10� of opaque wall area for fxame construction FIG. �1 FRAtiE t�tAT.T. � ` .w -` L.l •� � � y :t `•' �i � ♦ ESG. �3 . �. «-.' � � - 4 � � ` s � . . o . � . . °. . � •., � • � . � r - h � Page 3 of 4 Construction R-Value l. Interior air film 0.68 .2. 3. ' , 4. 5. 6. F:xter�r air f ilm 0. �.7 Total 1. Interior air film 0.68 2. 3. 4. 5. 6. E�cterior air film 0.17 'ibtal 1. Interior air film 0.68 2. ' 3. 4. 5. ' 6. E�cterior air f ilm 0.1? Total ��51 �� 1. Interior air f ilm � 0. 68 I L.°l ' 2. •� - .. - 3. 4. 5. 6. Exterior air tilm Q•lT Total . � � , , � �s . • �-- • . • e. � � � �� � t � ..����� � . , � � � V _` �,�� /��� N , •� � `� � , . • � . • • ��( �' � � • � ' � � �il -- . _. - � _ � b - . tll ' • ' ' ' ` � � �. = �r� . � � _ � , { � . --- • .^ �r FIG: #4 t!t t� ' '• p � ' . � --- � -.� . ir r :;. . . � � — X ,� ��� • • • �u/l( .� I[t � l�� =. . � NOTT�: Indicate type, "?t"'value, depth and �� ,placement of insulation. __ � : � 3- � ¢ ROOF/CEILING r��"�+ . : � � . " � � l; � /! -� � � ,-�. /f � , , , �� ,�, �'�il;��'� . � � ��.. . i � rj ` � l i� i� . . �._♦ . . . . w. . Vented Page 4 of 4 � Construction I�Value l. Interi,or air film 0.61 2. 3. 4. Exterior air f ilm (still) 0.61 ' � t�l .-�, �� ... . .. ,, . Heat flo�a • up � � � � � �'IG. #5 • , . � - . . , . -� - - `'`J "`�,% �..% -�Td% . • Hent flou up . ••venxed � . - ." . .FIG. #6 �.. _ . . . � � . : • . t _ . ! _ �, 1 ._". . i � r 0 ' a1Vlti—YL►7JC.y • � . . • .. ,~' � • '.Heat • � � � . U . . : . •. . , � : • • ' £lcw ap . _ . • ; , .� . . . , . �r,. �7 • . , � . . l. Interior air film 0.61 2. � 3. � 4. Exterior air film (still) 0.61 Total l. Inside air film 0.61 2. 3. 4. g. �u�side air film 0.17 Total Note: Use additional sheets if more space is needed for details and calculations � .� susdecr RMIT NO. City of Fridley :� 13842 AT THE TOP OF THE TWINS g U I L D I N G P E R M! T i � EIPT COMMUWITY DEVELOPMENT DIV. r� � v � PROTECTIVE INSRECTIQN SEC. �� � _ . � � -- , � . , � � /���1 � CITY HALL � FRIDLEY 55432 NUMBER REV. DATE . PAGE OF APPROVED BY �..�J�•� '� s,x-sea�aso s�aF�s l0/25/76 / / JOB ADDRESS �g60 Alden Way N.E. • 1 LEGAI �OT NO. dLOCK TRACT OR ADDITION SEE ATTACHEO DE3CR. Z 5 Pearson's Craigway 2nd SHEET 2 PAOPERTYOWNER MAILADDRESS ZIP PHONE Paul Burkholder 7860 Alden �lay N.E.r F'ridley � 571-1020 3 CONTRACTOR MAIL ADDRESS �P PHONE LICENSB NQ. Same 4 ARCHITECT OR DESIdNER MAIL ADDRESS ZIP PHONE UCENSE NO. 5 EN(iINfER MAILADpRESS ZIP PHONE UCENSENO. B USE OF BUILDINd Resident3al 7 CLASS OF WORK ❑ NEW C� AODITION ❑ ALTERATION ❑ REPAiA ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK � � ' T�� � Ganstruct a 20' x 24' Addition to Garage �I R�GIi�tOtNG CURB 9 CHANQE OF USE fROM T� •AT �Rii��viraY A�N�N�4a STIPUU►TIONS p�y�,� ��s joist design before cappa.ng. Provide vapc�r- barr�.er in the ceil3ng. � R�elease fram neighbo�'waived as additioa see�ms to be more than t��i.ce flie required di.stance €rom tlie proper�y line. �l���� �� �� Ig 1��� �1 Ut`t�i�.S �t�PlIONE - ElECTRIC - GA5 Etc: s�.p�A� P�NIrTS R�1� F� ��r�, RfC��11R�D BY L41i1/ ��aT���, PLU1�,81Nt� ai�o ��n,s� SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBINf3, HEATINO, TMPE OF CONST. O�CUPANCY GROUP OCCUPANCY LOAU VENTILATING OR AIR CONDITIQNINti. THIS PERMIT BEC011AES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONEO FOR A PERIOD OF 120 DAYS AT R j, ANY TIME AFTER WORK IS COMMENCED. NO. DWL(3. UNITS OFFSTREET PARKING i HEREBY CER7IFY THAT I HAVE READ AND EXAMIN�D THIS APPLICATION STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS yALUATION SURTAX , ANQ DI IdGES (iOVEHNtN� THIS TYPE OF WORK WILL BE COMPLIED. WlT WH ER SPECIFIED HEREIN OR NOT. THE ORANTING OF A PERMIT $�-2�000 $C').00 DO S NOT ESUME TO OIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE P VISIONS F ANY O STAT OR LOCAL LAW REGULATING CON- ST UCTI R TH§� R O AN E OF CON RU TION. � $6�.OQ // PLAN CHECK FEE TOTAL FEE ��\ $72 . 00 16NA REOFCON ACTOR AUTHORIZEDA6ENT IDATE) €N PROPERLY �V i ATED'THI IS YOU�i, j� T �� ' �(/ a , � � -- SIGNATUREOFOWNERIIFOWNERBUILDERI I�ATEI BLOG.INSP �ATE � � !�_ _ _ ` - CITY UF FCZiDLEY APPLICATION FOR� RESIDENTIAL BUILDIPJG PEt?�1ITS iNEW, ALTERATIONS, ADDi7I0NS, OR REPAIRS) � OWNER' S 1VAME : ��l (. �U��� �i�-��uTLDLR: ��� C� /� �fz K� o�� c_ 12 AnDRESS :, � �C�J � �C� L'�1/ �✓��/ ADDR�5S : `%�CvO �� ��E �f '" '— /�ZC� U�i� TEL. NO_: � � / NO :. !O b V STRT�T : C�.,�-CX�/�l � LOT : . BLOCK : ,�� � : �r�'{2S6IJS � }�,(1�1�'l/ o�Iv� CORNER LOT: INSTDE LOT: SETBACR: SIDEYARD: Applicant at�ach to this foxYn �tao Cextificates o£ Survev of Lot and proposed bui.lding locati.on drawn on these Cextificates. DESCRIPTION OF BUILDIIvG • To Be Used As : � \��D� �/O� Fxont: 2v Depth: Ly Height: � Square Feet: j Gubic Feet• ��� a FxonC • �-� Deptih : 3 � Height • = � �'' Squaxe Feet; �O � � Cubic Feet: � � � � Esti,inated Cost• ��-�'" /�i'?-�t- Type of Construct3.on: • $ . `To B� ompleted: /i ���1 �� 1�4� , ��'� The ders�.�ned hereby makes applicativn for a permit for the work herein s eif ied, agzeeing to do all �aorlc in stxict accordance �aith the City of �, xi.dley Ordinances and rulings of the Department of Buildings, and hereby � declares that all the facts and repxese tio s stated i.n this application are true and correct. � ^ ��, ^ n v / J /I \ ' DATE: � � � �� � S � (See Reverse Side Fox Additional Informa�ion.7 � �� �� /�X `= ��,� � � /� �'.��` ��, '- = �. ' , � � � � '�'�°r�a- c. 0 3 �� . ,° / ,�� , r C)� S u u r Y p(Y1U 2 iz I H'�i� )``�'cd� j`�r��� ��c..�� � S T. P S .E3 cc �..ua IYI W i,..,'7�=-✓J -S7�,pGt ��?�� S �,) �,QC'J � ✓� � T�2 �-`, 5 . -r ��$T A� 5l�w� BE�o�cE c.aA��'� � d � �. ���u t c�JPe� E��� � �.J T� C�E�c...J� . . � » � . BUILDING PERMIT FEr SCHEDULE SECTION 2. The Inspector of Buildings shall, before issuing pe�nits fox,the erection of any building or structure, ox for any addition to any existing building or stxucture, or for any alteration or repairs to any existing building ox 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: NEW CONSTRtJC�ION: Si,ng],e Family Homes and Garages: $4.00/1000 cubic feet PLAN CHECK: 25 percent of building permit fee. ADDITIONAL INFORMATION For the purpose of computing fees for building permits, the cubical contents of any building or addition, is determined by multiplying the ground area covered �rom a point si.x (6) inches below the floor line of the basement or the cellar to the average heights of the upper surface or to the average:� �height of the roof surface of the main gable of a pitched roof. � For repairs or alterations�to an existing structure, the fee shall be at the rate of $3.00 per each five hundred dollars ($500.00) ox fraction thereof in the cost of all proposed work. In ao case shall the fee charged for any permit as set forth in Section 2 be less than $7.50. VERIFICATION OF FOUNDATION NOTE: Permits for eonstruction will be issued a minimum of 24 hours from the time of application, to allow for proper review of the proposed s�ructure and of the construction site. A Certified Survey of the lot, showing the location of the foundation, once it has been constructed, will be required befoxe proceedint� with the framing. CERTIFICATE OF OCCUPANCY Application for a Certificate of Occupancy sha],1 be made ten (10) days prior to the use or occupancy of any structure for which a building permit has been issued; and said structure shall not be used or occupied until a Certificate of Occupaucy has been issued. y=4 �� SUBJECT City of Fridley o-; � j� � AT THE TOP OF THE TWINS B U I L D I N G P E R M I T r ; ;, NO. � • COMMUNITY DEVELOPMENT DIV. / ��� � i �L �_���_, r � � PROTECTIVE INSPECTION SEC. 1 ; � `----� ��'���;,, CITY HALL FRIDLE`1 55432 NUMBER REV. DATE PAGE OP APPROVEO BY i 612-571-3450 910-F15 9/14/84 / / JOB ADDRESS �g60 Alden W8y AT.E. i LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHEO DESCR. 2 5 Pearson's Crai.gway Estates �I1C1 ACIf�YI. SHEET 2 PROPERTYOWN�F MAILADDRESS ZIP PHONE Steve Klaers 7860 Alden Way N.E. 571-5818 3 CONTRACiOieRS MAIL ADDRESS Z�P PHONE LICENSE NO. z Squi� Construction 9410 Ch�rry Iane, Hamel, r@�T 55340 � 420-2729 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS Z�P PHONE LICENSENO. B USE OF BUILDING RE31t�8ri#:].8�. 7 CLASS OF WOflK ❑ NEW ❑ ADDITION 0 ALTERATION � REPAIR ❑ MOVE � REMOVE % 8 DESCRIBE WORK S� Inter or throca�t Adciitian. Second Floor 9 CHANOE OF USE FROM TO S�IPULATIOIdS power vent bathrooan i.£ no windornr provided. Provide fire alarm in hallway laading to bedroc�ts. � TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT, AUTHORIZED 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 OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION �. STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX ANO OROINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT y�B�OOO $�•OO DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE' pERMIT.FEE SACCMARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- TRUCTION OR THE PERFORMA E OF CONSTRUCTION. y�`�H.r'JO LAN CHECK FEE TOTAL FEE � s � $/2�5� NATUHEOFCONT C'r0 FlA HoRiZEDn N IDarE� �WHEN PROPERLY ATED THIS IS YOUR P•RMIT SIGNATURE OF OWNER IIF OWNE UILDERI IDATEI i a BLOG �NSP �A _�r e� _ � . .�. >; : �-� ���Y� �: ������ � �_ _ -- . �,� . � _ _ :�..�.�� �:���: -_ _ � . : ^. �.r,��`� . `� . `�� ` ����� ���"��, � ���` ' - �-. - � _ l�� i � - � ���' ` �4 _ ,�w�. � � � t_:�. �!'���++�; �/f+ti' �''�'� -:�� r� _ _ :� t : - _ _ �`�� = ��; ��- - � ,. y . _ =-h. ,.- , . , , . ; � :. ° -, � - • ae Nh�i [ ] ADDN. [ ] pLTER. D� Constructioa Address: Legal Description:_ Owner Name & Address: Contraetor:---=� Addreas: 9'Y,F City of Fridley �R-1 APD R-2 Building Permit Applioation S�. �•e u rso n�� C r� �� w ow� � Attach to this application, a Certificate of Survey of the lot, With the proposed eonstruetion drawn on it to seale. DESCRIPTIOH OF II�lPaOYBMENT Effective 4/1/8�t � ��,`�,��. Tel. # � `✓�' � Te�. � ��2?Z j LIVING AREA: Length width Height Sq. Ft. QARAQE AHEA: Length Width Height Sq. Ft. DECB AREA: Length Width Hgt/Cround Sq. Ft. _ ' /il �" o�a: _.��...���.--���L7��D � Corner Lot [] Inside Lot [] Ft. Yd. Setback Side Yard Setback Type of Construction: Estimated Cost: $ � Approx. Completion Date: ��"• � Alt. A Alt B Proposed DriveWay Width If New Opening Is Desired: $ � , See Back Page for Explanation DATE: - � APPLICANT: Permit Fee Plan Cheok State Surcharge SAC Charge Park Fee Serrer !�lsin Charge TaTAL ����� CIT7f �• � � � $ $ .�. � � �Q Tel. �.���Z%�2—/ QSE ONI.Y Fee Schedule on Reverse Side 25i6 af Building Permit Fee �.50/$1,000 Yaluation $425 per SAC Unit Fee Determined by Engineering Agreement Neeessary [ ] Not Neaessary [ ] STIPULATIONS: . �!_ �i�y�.. /�!'J"�"�`� � �'v � � � �. - • � � f• m BII�.DI1� PERMIT FEE SCHEDULE The ChieP Buildiag Official shall, before iasuing permits for the erection of any building or structure, or Por any addition to any existing building or structure, or for any alteration or repair to any euisting building or structure, upon applicatio n therefore, require the papmeat by the appliaant for sueh permit of Pees to the amount herein beloW set forth and in the maaner herein provided to-wit: Total Yaluation Fees a1.00 to �500.00 $10.00 (Minimum Fee is $15.00) �501.00 to $2,000.00 $10.00 Por the first �500 plus $1.50 for each additional �100 or fraetion thereof, to and ineluding $2,000. �2�001.00 to $25,000.00 �32•50 for the first $2,000 plus $6.00 for each additional $1,000 or fraction thereof, to and ineluding $25,000. $25,001.00 to $50,000.00 $170.50 for the first $25,000 plus $4.50 for each additional $1,000 or Praetion thereof, to and inaluding $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 fraetion thereof, to and ineluding �100,000. $100,001.00 and up $�433.00 for the first $100,000 plus $2.50 for eaeh additional #1,000 or fraction thereof. DRIYEYAY DBPR�.SSION ESCROfi (Conerete Curb Streets Onlq) Alternate "A": Removal and replaeement 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 $15.75 VSRIFICATION OF FOUNDATION Permits Por construction Will be issued a minimum of 24 hours from the time of applieation to a11oW for proper revieW of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation onee it has been eonstructed Will be required before proceeding With the framing. OOO✓ �1.�� 3 2a•., '3Z.� �o 4,�C �' ��,'� . �...�, ���-�� ��� �T� �lD-�� T�� _ _ _ _ _ � � C � � � �� �' C - ��-t- _ - v� `� � �� � .-�� . �`.J �'., � �;--���� , �,�� d � �jc���� �� � sue.rECr RMIT NO. '=" City of Fridley 1_0 7 4 AT TME TOP OF TME TWINS g U I L D I N G P E R M I T i� � t � �v ����� � COMMUNITY OEVELOPMENT DIV. n� r � � PROTECTIVE INSPECTION SEC. �� 1 = . � �"'1 � CITY MALL FRIDLE� SS�132 NuMeiR pEV O�TE PAGE Oi NOVED Br �----�' �•' 612-571-3450 910-F1S 6/20/00 / / J08 ADDiiESS 7860 Alden Way NE 1 LEGAI LOT NO. BLOCK TRACT OR ADDITION SEE ATTACNEO oescp. 2 5 Pearson's Craigway Estates, 2nd Addition s�EET 2 PROPERTY OWNER MAII ADORES$ ZIP PMONE Steve Rlaers 7860 Alden Way NE 571-5818 3 CONTRACTOR MAIL ADORESS ZIP PMONE LICENSE NO Owner 4 ARCNITECT OR DESIGNER MAIL ADDRESS ZIP PMONE LICENSE NO. S ENti1NEER MAIL ADDRESS 2IP PMONE LICENSE NO 8 USE OF BUILDINti Residential 7 CLASS Of WOFiK O NEW O ADOITION O ALTERATION � REPAIR � MOVE O REMOVE 8 OESCRIBE WORK Reroof / Tear Off 16 Squares 9 CNANGE OF USE FqOM TO STIPULATIONS Underlayment must comply with the State Building Code. SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBIN(i, NEATING, TYPE OF CONST. OCCUPANCY (ii ROUP OCCUPANCY LOAO VENTILATING OR AIR CONDITIONING TMIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONIN(i SQ. fT CU. FT. AUTMOR12ED IS NOT COMMENCED WITHIN 80 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENOED OR ABANDONEO FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO DWLG. UNITS OFFSTREET PARKING I MEiiEBY CEiiTIFY THAT 1 HAVE READ ANO EXAMINEO THIS APPLICATION 1 STALIS GARAGES ANO KNOW TNE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS yp�VAT10N SURTAX AND ORDINANCES GOVERNING TNIS TYPE Of WOiiK WILL BE COMPLIED WITM WMETMER SPECIfIEO MEiiEIN OR NOT. TNE l3RANTING Of A PERMIT $1,398.00 .7Q DOES NOT pRESUME TO GIVE AUTMORITY TO VIOLATE OFi CANCEL THE pERMIT FEE SAC CMARGE PROVISIONS OF ANV OTMER STATE Oii LOCAL LAW REGULATING CON• STRUCTI N OR THE PERfORMANCE Of CONSTRUCTION ,5�.9,rj Fire .5�'i I.�F PLAN CMECK FEE T AL FEE �G 4 AE O� CO • CTOp ON 4UTMOp�2E0 AGENT IOATE� pq pERLY ATEO IS YO PERMIT G '� �"� �... '�/� � f�� /v 5� YTUNE O� OWNEA��� OWNEpBWIDEN� iOAiE� e� NSp q6tE .� �- -�� [ l ADDN [] �u.�R II Construction Address: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R 2 BUILDING PERMIT APPLICATION i t � i �� Effective 1/1/2000 (763) 572-3604 Bldg Insp �� u ��' M` _�l Legal Description: �.J Owner Name & Address: S� EC�C' /� G�9-C—�- S Tel. # S'7 /— S—c�'J �' Contractor. _ Se.G � MN LICENSE # Address: Tel. # LMNG AREA: GARAGE AREA: DECK AREA: Attach to this application, a Certificate. of Survey :of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft Length � Width Height Sq. Ft Length Width Hgt/Ground Sq. Ft OTHER: !�3 98. �° Construction Ty�: �`--c.�a,n d1,�� �� Estima#ed Cost � � Driveway Cu Cut Width Needed: Ft + F= Ft x =$ DATE: � � �/ APPLICANT: , 7 i'" ��'% (� CITY USE ONLY - Call (763) 572�604 for Permit Fees tf mailing in application Permit Fee $__�t�. 9✓r Fee Schedule on Reverse Side Fire Surcharge $ /.'�U .001 of Permit Valuation (1/10th%) State Surcharge $ . 7U $.50/$1,000 Valuation SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee $ $1100 per SAC Unit $ $5.00 (State Licensed Residential Contraators) $ Alt. "A" or Alt. "B" Above $ $450.00 Conservation Plan Review $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [] Not N�ecessary [] TOTAL STIPULATIONS: $ 3 0�' BIJILDING PERNIIT FEE SCHCDULE � - . .� The Chief Building Official shall, before issuing permits for the ere�tion of any building or savcture, or for any addition to any elcisting building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the paymeut by the applicant for such permit of fees to the amount herein below set forth and in the manner lierein provided to-wit: � TOTAL �ALUE $1 to $500 $501 to $2,000 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,�0 $100,001� to $5(m,000 $SOU,001 to $1,C100,000 $1,000,001 and up FEF.,S $23.50 $23.50 for first $500 plus $3.05 for each additional $100 or fraction thereof, to and includiag :$2,000 $69.25 for first $2,000 plus $14.00 for each additional $1,000 or fracrion thereof, to and including $25,000 $391.25 for first $Z5,000 plus $10.10 for each additional $1,000 or fraction thereof, to and including $50,000 $643.75 for first $50,000 plus $7.00 for each additional $1,000 or fraction thereof, to and including $100,000 $993.75 for first $IOO,OOO plus $5.60 for each additional $1,000 or fraction thereof, to and including $500,000 $3,233.75 for t�e first $500,000 plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,000,000 $5,608.75 for the first $1,000,000 plus $3.15 for each additional $1,000 or fraction thereof , DRIVEWAY DEPRESSION ESCROW (Concrete G�rb Streets Only) ` . Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $15.50. Alternate "B °: Removal� and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $23.25. VER�ICATION OF FOUNDATION Permits for construcdon will be issu� a minimum of 1A� hours from the time of application � allo�v for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the founda�ion oi�ce it has it has been co�� �ill be required before proceeding with the framing. New Houses Onlv :.� :�' CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, NIN 55432 ►63) 572-3604 FAX: (763) 571-1287 ADDRESS : 7860 ALDEN WAY NE PIN : 033024340043 LEGAL DESC : PEARSONS CRAIGWAY ESTATES 2 : LOT 2 BLOCK 5 PERNIIT NO.: 2004-00300 � � (j�� � DATE ISSUED: 03/05/2004 PERNIIT TYPE : ELECTRICAL � PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION VALUATION . NOTE: ELECTRICAL PERMIT BECOMES VOID 12 MONTHS AFTER PERNIIT ISSUE DATE. MASTER BEDROOM REMODEL # INSPECTIONS APPLICANT K1NG ELECTRIC INC PO BOX 296 CIRCLE PINES, MN 55014 OWNER KLAERS VICKI L& STEVE R 7860 ALDEN WAY NE FRIDLEY, MN 55432 2 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time afl;er work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of worl� will be complied with whether specified herein or no� The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or locallaw regulating construction or the performance of construction. Applicant Date Bldg Insp Date STATE SURCHARGE, ELEC FLAT ELEC PERNIIT FEE - MIl�T (RESn TOTAL PAID WITH CHECK # 10500 SEPARATE PERNIITS REQUIItED FOR WORK OTI�R THAN DESCRIBED ABOVE. 0.50 40.00 40.50 � m � c � � d co �D w 0 � � � � o � 'O O � � -� 2 � � O c � -n O Z � T O t� O .'Ai c � o o m= 1 � � DD v � -° !n � D ' z �v -r-I m � Z � D v v < a o�o � � 0 c � � � v � � � d v °� m � d CW1 p�j p�j ` C C C N N W c�D � N � v' u, m m m� �?� � p� 0 � � � � � C T N � � �. C � � (�p � � N � � � � N � -� � ' $ � � � '<' r � N. c�n �° c�n � � co �' � � cu Z 7 p�j N 'p -� N � � � � � .., N _ �°—. � 'Tt � � 3 � � � � c m �• � a � m N �.�. ... 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NOTE: COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A INSTALL 2ND FLOOR WATER CLOSET, BATH TUB, SHOWER AND TWO SINKS # ELEC WATER HEATERS 0 VALUE OF FIXTURE/APPLIANCE 0 # NEW FIXTURES (EXIST OPENINGS) 0 # GAS WATER HEATERS 0 # GAS DRYERS 0 # GAS RANGES 0 # OF NEW FIXTURES 5 # WATER TRMT APPLIANCES 0 APPLICANT PLBG PERMIT MINIMUM FEE 0.00 WALSH PLUMBING INC PLBG FIXTLTRES (NEW OPENINGS) 35.00 9711 6 ST NE PLBG FIXTURES (EXIST OPENIIVGS) 0.00 BLAINE, MN 55434-1309 WATER TREATMENT APPLIANCE 0.00 (763) 784-6156 WATER HEATER - ELEC 0.00 WATER HEATER - GAS 0.00 GAS RANGE FEE 0.00 OWNER GAS DRYER FEE 0.00 KLAERS VICKI L& STEVE R PLBG REPAIli/ALTERATIONS 0.00 7860 ALDEN WAY NE STATE SURCHARGE, PLBG FLAT 0.50 FRIDLEY, MN 55432 TOTAL 35.50 PAID WITH CHECK # 11290 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced I hereby certify that I have read and examined this application and �ow the same to be true and correct. All provisions of laws and ordinances governing t1�is type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law r�u.l�t' co ction or the performaace of construction. Applicant D Bldg D � SEPARATE PERMITS REQUIltED FOR WORK OTI�R THAN DESCRIBED ABOVE. a� o ��a