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AF - 34925,a ;° ��1 , ` City of Fridley r- �T �¢ ToP o'.r+c rwaw �'L'�~•-�� GOM1�It�IT� OEVt1.0/NENT OfV. � i MVr�CTWR wM!�CTION OpT, � � �.'- � �IT1► MK.4 ilYpuY �M� ......�.� �J N�-NO•3N0 ► Addxeaa ''�-:� �-�� - �Q/_.�� - - Con��c�o�� I � m .. '� � ;O o '� � 'o,�l �� A� on � 1 � i o ' � i I � � I I � .° I .� f� � �' � ... � � � � r,�c .. PLUMB I�IG PERP1 I T APPL I CAT I t�id s s � (�� ' . y� � __..i __ . __..----- _. _.___. P_lumbing Fixture Ratea; �_ �� T_ � _ , Number Fixture� � X $2.00 �� Future Fixtures �� X $1.50 u� New Fixture-Old Open. x $1.50 . ----�— -..-_.,__. Catch Baatn x $3.25 Water Heater-99,000 BTU , � x 3.00 3 $ Ground Run Old Bldg. x$3.25 � Elec. Water Heater —�� ,��_ x $2.00 Gas Fitting gegs; � lst. 3 �ixture� —= X $2.00 �, 0� Additional Fixturee � X $ .75 Gas Range-199,000 BTU x 5.00 �� __ Reueirs � Alterationa See �scription; Code . .�_._,_ S tate Surchartae . 50 �__ TOTAL FEE $ b "� The uadereigned hereby makea applicatioM fox a permit �or the work herein ap�,cifie�d� agreei�g to do all work . i.m etrict accordance with the City Ordiaaacee and rulin of the Depa�ctment cg 8uiidi.nge� and heseby declare that a�� cta and repreeeata�iona atated in thie aPP� ca��n ar� and correct.� �� 'S i a re te 4 SUBJECT City of Fridley ATTHETOPOFTHETWINS gUILDING PERMIT ;� � �,L _ COMMUNITY DEVELOPMENT DiV. --. r � � PROTECTIVE INSPECTION SEC. �� "'1 � CITY HALL FRIDLEY 55432 NUMBER ""� � ,� 812-580-3450 910-F15 JOB ADDRESS 7892 Alden Way �.E. 1 LfGAL LOT NO. BLOCK TRACT OR ADDITION oesca. 2 4 Pearaon's Crai 2 PROPERTY OWNER MAIL ADDRESS Y011B@� R81111 3 CONTRACTOR MAIL ADDRESS Castle Somes Inc 7613 Central Avenue N.E, 4 ARCHITECTORDES(GNER MAIL�DDRESS 5 ENflINEER MAIL ADDRESS B USEOFBUILDINO �eidentis.l 7 CLASS OF WORK � NEW 0 ADDITION ❑ ALTERATIOPI ❑ REPAIR ❑ MOVE O REMOVE 8�ESCRIBEWORK Construct 26' s SQ' bwelling and 24' x 24' Garage �� RECEIPT NO. � �� 3, REV. DATE PA�E OF APPROYEO BY 7/25�73 � / SEE ATTACHED gwa� Eat�tee 2nd Adda. SHEET ZIP PHONE a�P PHONE LICENSE NO. ZIP PHONE UCENSE NO. ZIP PHOAIE LICENSE NO. 8 CHANGE OF USE FROM TO STIPULATIONS pra�ide a ver3.fying aurney befora eapping. Provida a hard surface driveway. S�IER LQCATION: 74" south of Mt�nhole (Inv. 841.4.0) 'Wye Elev.: 840.66 - Top o� Footing: 843.66 Minimum WATEH LOGATIQN: 8" North of Sewer Service SEPER�ITE PERMITS REQUIRED FOR �NIRING, HEATIN�, PLUMBING I�ND SIGlVS. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATINO, �PE OF CONST. OCCUPANCY GROUP OCCUPANCY VENTILATFNG OR AIR CONDITIONING. WOOd FYB�IB THIS PERMIT BECOMES NULL AND VOID IF WOflK OR CONSTRUCTION ZONlNG SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR If CONSTRUCTION R�1 1412 OR WORK IS SUSPENdED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTRfET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXARAINED THIS APPUCATION �. STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX WITkf W ETHER SPECIFIED EREW'OR NOTOTHE GRANTINO OF AOPERMIT �25l739.S9 1�L..S7 DOES NOT PRESUME TO GIVE AUTMORITY TO VIOLATE �R CANCEL THE pERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATINQ CON- �58 � OO $L�S. OU STRUCTIO R THE PERFORMANCE OF CONSTRUCTION. � PLAN CHECK FEE TOTAL FEE %� � • �- a l - 7 � 5. �� SI6NATURE OF CON7RACTOR fl AUTHOR EO A ENT - (DATEI E- PROPERLY VALIDATE IS YO ��}i �PERM T P r �'3. . cr_�iwr��e��.w.....�r...�w.....�'.......�.w�... ....��. •C1' I _ � ..� . � _ a � m A�'PLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BiJILDING PERMIT CITY OF FRIDLEY, MINNESOTA m OWl�TER' S NAME i��Q � �q i....� BUILDER e_��/P /:"r,�l��--t � L ADDRESS : — ADDRESS :�/ /�3 O/��l�.��.��iRve� A/ iE NO:.�� STREET: � LOT: BLOCK:-- ADDTTION:�qrse�'c i�>�.a�s�e�L-' S fi 71� s 2��c� CORNER I,OT; INSIDE LOT: SETBACK: / ---�— � SIDEYARD: //- �i��,s� ��oa�/c �3 Z a' Applicaat attach to this form �o Certificates of Survey_ of Lot and proposed buildiug location drawa on theae Certificates. DESCRIPTION OF BUILDING TO Be Ueed As; Sotiy/t ��,,,,,�J� �w{(��„�fe ,�/ J 1I io P Froat:__ �(,-_ �P�►: O �eight: / Z hc. Fe 1� � � Square Feet:�6 v� Cubic Feet �.sr.ac � Froat: Depth •_ 2, �/ Height ; . c- �' � � . Square Feet• Cubic Feet: Zj►pe of Constru�tion; �„u ,��,e6„ ��,,,,�,� Estimated Cost; �/ �� To Be Crnapleted: _ /°l — 3 /— � � � �' �/ � � �� - The undexsi�aed hereby makea applicatinn for a permit for the �ork hereiu speeified� a�reein� to do all work in st�ict accordance with the City of Fridley Ordiaa�ncee aad ruli.r�gs of the �partment of Buildings, and hereby declares that all the fact� aad repreaentationa stated in this applicatioa are txue� and correct. L1ATE: . ._� � y� S IGNATUItE : is&e� Re�►erse 3ide �ar Additional Inform,atioa. ) � �'�� II� �� . I�� .__ __,_.�_.. _ _ --. �� l IJ �! — R�' � �� =�'^ � ,� % p `�' � ti� n �r � �BUILDTNG PERNIIT rEE SCHEDULE , SECTION 2. The Inspector of Buildings sha119 before issuing pexmits for the exectioa of aay building or atructure, or fog a.aay a.ddition to �ny existing building or atxucture, or for asty alteration or repairs to any existing building ox stxucture, upon application therefore, require the payment by the applicaat fox such permit of fees to the a.mount hexein below set afoxth and in the manner herein �rwided to-wit: ' U1�TIF�I BUILDING CODEm Type 1, 2& 4�$2.15 fox each one thousand cubic fee�, ar fraction theraof9 in such cubical contents. Z�pe 3& 5-$1.85 for each one thousand cubic feeto � e � ADDITIONAL INFORI��IATION For t1�e purpo�e of camputing fees for building permita, the cubical contents of a�nY building or addition, ia determined by multiplying the ground area covered from a point six (6) inches below the floor line of the basement o= ti�e cellar ta the average heights of the upper surface or to the average heigl�t of the roof surface of the main gable of a pitched roof. For repairs or alterations to an existing structuxe, the fee shall be at the rate af $3.00 per each five hundred dollars ($500.00) or fraction thexeof in the cast of a1J. propoaed work. Tu no aase ahall the fee charged for any permit as set €orth in Section 2 be lese thaA $5.00, , V�RIFICATION OF FOUNDATION I3pTE; Permits for eonstxuction will be issued a mini�eum of 24 houra from the tia� af applica�ion, to allow for proper xeview of the proposed structtx�e sud of tl�e coastruction sitep A Certified Survey of the lot, �howing the 1o�atioa of the foundation, once it hae beea co�tstructed, will be required before proceedint� with the framing. CERTIFICATE OF OCC�iFANCY Appli.aatiou for a Cextificate of Occupancy shall me made ten (10) da.ys prior C4 the use ox occupancy af any structure for whicfi a bui.lding penait has been iasued; and said e�xucture shall aot be usecl or occupied until a Cextificate of Occupancy hae beeu issued. r �y kscv� is,•.�;.lil,Y:�L*1f4] ''t"— •�° y ,a n�i��i� :' � . ' �..z .?a � b� ' � ' �n.- A n .tr 1 .. ai��dOh �wi/i/s • '��J-;i`: �: -�'- �.n �y• • y ,� "��-=e� �� .tri-�9".5�t> 'X._ � r 5" � '`� '`� � �? M }�,- dr� `, "q `. ,^, L •v ' S ^_.� i`S. '.� � �'� S. .',,'4L � g � ;'� � .^t � � . • ,.(� ".?�' t �� ti i.'i�� , � e, '��f��.��e'�� I�y-�.3 ��y' jj��,, •. �,�^�` t 4,, � .G 4..-��rE °i ��3��diAS�i1C°'ry w� �� i��Myri�,:�srr .;ct � .,' d' �V�lLt\�i��i� - � y ��a. > ,r t �y� ,��i�1 �a a . r "�i g �' 1 :e � �,' . 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O a � � a. g M � � R� R� $ � � �� 8'C� � � � ° � � � �� a � � c,�: �.. . � � g : 8 � � � ' Q w p� p► �; o ssssg � � � � � . � a w � � � �� R� R� � � �� .�� " o a � � � � � � » �,�� : � g � g : : w v, a� e � ssgg� � � � t ' � � 1 �. �.� � �� a "w��. � ��_ ' o��.� � �s� �.�y� V►� �r 0 � � � � ��' �. • � ~� � m �� i � � ! � � �� , a E� �� »e AM � �Q� 7 ��o � � •. q � � �� D '� r � f1'1 n � g � � �. � � c . ��r'�• �u� �� ; � �� HEAT LOS$, CALCULATIONS H EATIIVG � AIF� CE��IIDITIONING CO. MINNEAPOLIS, MINN. Wea�therstrips A.S.H.V.E. Constr�tion No. Insulation Windows Doors Guide Out. Wall Int. Wall Ceiling Roof Floor Kirxi HowApplied Reference Yes—No Yes—No �g FI �� Room Length Width � Height FI ��C'�� Room Length �°� Width Height Windows and Doors—Crackage and Area Windows and Doors—Crackage and Area No. Widrh Height No. of Lineal ft. Area Width Height No. of Lineal ft. Area of ane of pane lights of crac gq. ft. NO' of ane ot pane lights of creck $4• ft. e�� ,� � � � D 3 � � �' Coef B tu Coef B tu Infiltration �9' �/ ,�� Infiltration �� Q'�� - Glass Exp. wall�� Net exp, wall � Int. walL �� Ceiling � �� Floor Total Btu. Required 3q. ft. E.D.R. or sq. ins. W.A. Leader area FI� � Room Length WidtF Window and Doors—Crackage and Area No. Width Height No. of Lineai ft. Area of pane of pane liohts of crack sq. f1 � z� � / � /� �� G lass Exp. wa I I � Net.exp. wall Fnt. wall Ceiling ' Floor iotal Btu. R�uired sq. ft. E.D.R. or sq. ins. W.A. Leader area FI / � Room Length � Widthl� Height Windows and Doors—Crackage and Area No, Width Height No. of Lineal ft. Area of a e of p li hts of crack sq. ft. ` � �� .Z. Slf� � Infiltration G lass Exp. we l I ° Net.exp. wall Int. wall Ceiling �. Floor � B tu iotal Btu. i Required Sq. ft. E.D.R. or sq. ins. W.A. Leader area � FI � Room Length � Width � Height Windows and Doors—Crackage and Area No. _W�dth_ Height No. of Lineal ft. Area � Infiltration Giass Exp. wall Nsi exp__w�l l Int. wall. Ceiling � S � Floor Total Btu Required Sq. ft. E.D.R. or sq. ins. W.A. Leader area Infi Itration � G lass Exp. wa I I � Net exp. wal I Int. walt � Ceiling f�� Floor Totei at�. Required Sq. ft. E.D.R. or sq. ins. W.A. Leader area FI. ��' Room Length Width Windows and Doors—Crackage and Area No. W�dth Heieht No. of Lineal ft. Area of pane of pane lights of creck sq. f o� �� '�p e B tu , Infiltration 's � Glass ��r Exp. wall � � Net exp. brall Int. wall. � � � Ceiling � F loor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area � /, — �� — Height B tu i J—v �O � �' � � � :� � tu . • i�' ,�' _" "7GUN'G� HEAT LOSS CALCULATIONS H EATIIVG � AIF�- CQ�VDITIONING CO. MINNEAPOLIS, MINN. We�therstrips A.S.H.V.E. Construction No. Insulation Windows Doors Guide Out. Wall Int. Wall Ceiling Roof Floor Kirxl HowApplied Reference Yes-No Yes-No �g FI. ��' Room Length Width Height � FI. �` Room Length �� Width� Height Windows and Doors—Crackage antl Area Windows and Doors—Crackage and Area No. �Nldth Height No. of Lineal ft. Area Width Height No. of Lineal ft. Area of pape of p� lights of crack eq. ft. NO' of oane of oane liahts of crack sa. h. Infi Iiration G lass �p. Weii 3 Net.exp. wall Int. wall Ceiling /!� F loor Total Btu. / I7� - � � - B tU F1.47/ Room Length Width � Height Windows and Doors—Crackage and Area No. �Width Height No.`of L�neal ft. Area � Infiltration G lass Exp. wa I I Net.exp. wall Fnt. wal l - — - -- - - - Ceiling � Floor iotal Btu. B tu �i � �f� �� Hoom Length �� Width Height Windows and Doors—Crackage and Area No. Width Height No.. of Lineal ft. Area B tu Infiltration G lass Exp. wall � iVet exp.1aa11- Int. wall. Cei I ing Floor �( �� Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Coef B tu Infiltration G lass Exp. wa I I Net exp. wal l - - - - Int. wall Ceiling � � �� Floor Total Btu. � R�uired sq. ft. E.D.R. or sq. ins. W.A. Leader area ?FI. Room Lengtl� Wic)th Height Windows and Doors—Crackage and Area Na, Width Height No. of Lineal ft. Area of ane of pane lights of crack sq. h. � � � ` � � � / � / � � .� Z. c��s Coef B tu Infiltration � � � Glass � � � Exp. wa I I � j` Net exp. wall � � ini. wall -- Ceiling Floor /�'(/.�� S /� �L�- � Total Btu. Required Sq. ft. E.D.R. or sq. ins. W.A. Leader area �Fly� „�f Room Length � Width � � Height Windows and Doors—Crackage and Area No. �Width^ Height No.Lof L�neal ft. Area Infiltration G lass �� Exp. wall � �� Net e�€p. vva41 Int. wall. Ce i I i ng Floor � ` � Total Btu. Required $q. ft. E.D.R. or sq. ins. W.A. Leader area B tu HOUSE HEATING TEST RECORD D�O�g8 ADDRE55 7892 Aldau ��p APT. FLOOR CITY SUBURB �"idl@v , occu Pa�4Q'harmxed Y.�an OWN E R Y es HEAT LOSS SOLD BY Electrieal Work By TYPE OF HEAT GA DATE HTG. INST. FA _3_HW GAS C0. METER BADGE � INSTALLED BY Sed�ek H . Gaa Line By � p STEAM SPACE HTR. GAS DESIGN MAKE 1Pilliameon MAKE OF BURNER_ ►�dei Cllg--03 �,�,d,i Ssrial 73� a� Max. BTU Rating — INPUT �8��—�_• MAKE OF FURNACE Nlodel UNIT HTR. OTHER CONVERSION CONTROLS THERAAOSTAT �� Heat Plug Vent Size �n Valve ��• �g� KIND OF LINER �1�. SIZE t�NONE Limit M�g- T,4�37A Draft Hood 4�art�l.eA7 R��a�� M8.7L�.�'el 3�g.-� Limit Setting ��B � Filters Size�� 4�� lumber 1 �'+leetrenie Fan Setting �-�8�� Chimney Loeation Inside Y�'� Outside Pilot Type �'OIIpl@ Chimrrey Construetion �' e'�Llb�Ht08 Pilot Make Pilot Modsl Smoke Bomb Wiring Pflot Timing �6 S�OIIde Draft �g Test Tag Y� L.W. Cut Off Door Pressure Lightirtg Inst. YM Pressure 4' `��'C' • Pereent CO2 8� � Date Tssted 11/ 7�-' 4 Input CFH 149 Pereent 0 7� Compony Testing 1181% 5 �. f+ 2 Staek Temp. S��f Pereent CO �� Name of Tester Form 235 SUBJECT P City of Fridley � 13372 AT THE TOP OF THE TWINS B U I L D I N G P E R M I� � � RECEIPT NO. � `L � COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. � 1 . , �( ! �"'�1 � CITY HALL FRIDLEY 55432 NUMBER REV. QATE � PAGE OF APPROVED BY •«�� ,`� 812-580-3450 910-F15 2 2 �6 � � �pe AooRess �g92 Alden Way N.E. 1 LE(3AL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 4 Pearson Craigway Es�tes SHEET 2 PROPERTYOWNER MAILADDRESS , ZIP ' PHONE Ypusef Kahn 7892 A1den Way N.E. 3 CONTRACTOH MAIL ADDRESS ZIP PHONE LICENSE NO. Rottlund Company, Inc. P.O. Box 32082, F'ridley 4 ARCHJTEC70R DESI(iNER MAIL ADDRESS ZIP PHONE UCENSE NO. 5 ENQINEEH MAlLAD6RESS 21P PHONE UCENSENO. 8 USE OF 8U14DINCi Re91tl@Y2'�la�. 7 CLASS OF WORK ❑ NEW � ADDITION �I ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK � Basement Finishing 9 CHANOE OF USE FROM TO • STIPULATIONS Smoke detector to be insta.11ed . SEP€RATE PERMdTS RE4�l�lfdEp �ipR ��Rft��, P�EAT�NG, PLI�I��ItVG �1�� SlGIWS. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBINti, HEATINfi, TMPE OF CONST. OCCUPANCY (iROUP OCCUPANCY LOAD VENTILATINti OR AIR CONDITIONINO. THI3 PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCEp WITHIN 80 DAY5, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FQR A PERIOD OF 120 QAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. D1NLG. UNITS OFFSTREET PARKItdG I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES APID KNOW THE SAME TO BE TRUE AND CORRECT. ALl PROYISIONS OF LAWS VALUATION SURTAX Wtl H WHETHER SPECIF EDN EREINIOR NOTOTHE ORANTING OF AOPERMIT S$� OOO .�`Z. SO DOES NOT PRESUME TO GIVE AUTHORITY T VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STA E OA L AL LAW RE(iULATING CON- STRUCTION OR THE P ORM E OF IVSTRUCTION. $30.00 PLAN GHECK FEE TOTAL FEE � .t.��'•,�-% � $32.50 SiGNAr OFCONraACrOa AUTHORIZEDA(3ENT lDATE� WHEN PROPERLY VALIDATEO THIS IS YOUR PERMIT a.� ��f.,�� 2-� -� � _� SIGNATURE OF OWNEH IIF OWNER BUILDERI (DATEI BLOG, INSP pATE AP.pLICATION FOR RESIDENTIAL, ALTERATION, OR AllDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER' S NAME :� �6u�S e F �� i� R/ BUILDER: �� /rB �7��G.�i r{ �'U- Tdy�, ADDRESS : 7��Z- .0 Lde.V ��A y/1� � ADDRES S:�� /3 o J( :3 2 a S� 2� NO :.7 �.� S TREET :,� C r(�.� e,c�.d Y �i/• _F LOT: Z BLOCK: y ADDITION:��bvsey CrA��y.o�{--�,>`�e�•��, CORNER LOTs INSIDE LOT:�_SETBACK.. SIDEYARD: Applicant atCach to t�iis foxcn'�wa,Certificates.of Suxvey of Lot and proposed buildin� location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As :,�,�Se.�n ��- r- �r�,sA Front: Depth: Height: Square Feet: • Gubic �ee�: Front: Depth: Height: Square Feet; Cubie Feet: �ype of Construction: �,0�(eMP.rT ��.iri6,� Estimated Cost: $�s'oaa. o a To Be Completed: �,pr e� �o _ � q7 �_ The undexsigned hereby makes applicatinn for a permit�for th.e work herein specified, agreeing to do a11 work in stric� accordance with the City o�E Fridley Ordinances and rulings of the Department of Buildings, and hereby declaxes that all the facts and representati.ons stated in this application are true and correct. �� /Tt�>`�` %vs� � �:� .T�� DATE:� — 2 - %� SIGNATUREs �� ° (See Reverse Side For Additional Information.) / - �✓`?0��. � %f�-�d /L I U � � 6•tJS % �4-LC.� l� ��.�� S� � �a . s� ,�� _ BUILDING PERMIT FEE SCHEDULE SECTION 2. The Inspector of Buildings shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or stxucture, or for any alteratian or repairs to any e�isting building or stxucture, 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 hexein provided to-wit: UNIFORM BUILDING COD�: �ype 1, 2& 4-$2.15 iox each one thousand cubic feet, or fraction thereof, in such cubical contents. Type 3& 5-$1.85 for each one thousand cubic feet. ADDITIONAL INFORMATION For the purpose of computing fees for building permits, the cubical contents of any buildi.ng or addition, is determined by multiplying the ground area covexed from a point six (6) inches below the floor line of the basemen�t ox the cellax to the average heights of the upper surface or to the average.- height of the xoof suxface of the main gable of a pitched roof. For repaixs or alterations to an existing stxucture, the fee sha11 be at the rate of $3.00 per each five hundred dollars ($500.00) ox iraction thereof in the cost of all proposed work. �,� Tn no case sha11 the fee charged fox anq pernait as set forth in Section 2 be less than $5.00. � VERIFICATION OF FOUNDATION NOTEs Pexmits for eonstruction will be issued a mini.mum of 24 hours from the ti.me of application, to allow for proper review of the pxoposed stxuctuxe and " of th� construction site. A Certified 3urvey of the 1ot, sho�t�ing the location of Che foundation, once it haa been cons�xucted, wi11 be requixed before proceeding with the fxaming. CERTIFICATE OF OCCUPANCY Application for a Certi£icate of Occupancy shall be made ten (10) days pxior Co the use or occupancy of any structure �or which a building pexmit has been i�sued; and said structure shall not be used or occup3.ed until a Certificate of Occupancy has been issued. �t c; �� •�, H � "ro O � 0 0 �� o �'0„ ��°" ' � � x s � s � y � e �K r : �.. � � �p °q s .+ �{fj ' � � ~ � Y H p �'f 0 �oI � '�l � � � p q � � � M �,�, � � O S � � �tir w �p a � • o �. � �l , ' NO r � r � � � 6 '� � M ' � M � x $ ° � � � : � .°� � �°s � � a ,g M �° e � o C .'� � � � �.e � � a m .� � � � a . M H � ~ �� o0 � r � �� •• i"a� . � - .' �- � � � � .y m n x � �' . 0 8 � � • m � • x x x K K x�� tc � �c. tt M 0 Y M f0 �s �s M F�+ N �! M tA o► � N W O /+ 4� N Y� �1 O W iA !�t Af W ' • • • • • . . • • • O O O O O - O O O O o O O O O �-! 00 O O O O O O 00 O O O O �J � � m� � m � � � � q� � � � � O • w t" 0 ;� � �� . � � � � � . � � p w �o • � p ro . t ' � � y �V � (,n 'd . r �i M v a � . � . �� : � - . � � , • . � v . � . ' o - . • �. � : ^ A +� K �+ •� storie� . �, �x a a e. r� �I - •1 � � � C�OgCb � � . � � ' i1l�flai! B b' ' � � satb �bs K ° � . � �s,� a � ~' ' Sinks � � 1-+ SJasb Ttays .�� . ... ��_ . � p ��ttslls Floor 8 ?� CBtrCh 0 0 a w �r - p �R � M . � � � � � . �� r � M - O y � azS o �� . .- � �' � �. � H � • � � � �� w . o� . ��-' o� : � � i �:I� . � , � . +� } \ \ �' � �.� • w � �. �� ..� � O vl' FF-�+, - Hasins � Antamatie wasi�er r Gas Agpl. � � Mieo. Fixt p Z Gas R�98 O .� cr.iter � O ep► � � � & ... s Z w a • z ta cs � a :; � . � ��,� � 7�S• a � � . .� � h�ro �o �' Z oro�Q� �4J � Q o r w�sg � m a R W W� , m � ��p m A O� O � p !{ M� MF+M �sm �O OO � M � .�°i s m p` � � ♦ � � � ; �'�: � C7 � � p Ya. ° x �'�a � �� . ��x� . Y � µ � � � S M K � _ ' . � ~ua a a m � � � _ ,-v �d�b . � � r • �'� � ��°s� p, � er p e� O � s r ? M • �� . . s �., .�e-� � � � a R �i %r I � a � � � �1� City of Fridley AT THE TOP OF TME TWINS i� � � � ; L �� COMMUNITY OE�ELOPlNENT DIY. r � �� PIiOTECTIVE INSPECTION SEC. ` "_'� � "' �'� CIFY MAL� FRIOLEV 'SS4�2 L 612-571-3460 JOB ADORESS �g92 ALDEN WAY NE t LEGAL LOTNO. BLOCK TpAC' �U ILDiN� PERMIT 91Q-F15 DESCR. � 2 4 Pearson's Ci 2 PROPERTY OWNER MAIL ADDRF$,R Irfan Rhan 3 CONTRACTOR MAIL ADDRESS Westurn Roofing 9700 13th Ave. 4 ARCMITECT OR DESIGNEii MA1 ADDIiE88 S EN(iINEER MAIL ADDRESS 8 USE OF BUILOIN(i Residential 7 CLASS OF WORK � ' O NEW O ADDITION 8 OESCpIBE WORK 9 CHANOE OF USE STIPULATIONS REV OATE I PA 9/15/99 � Pf R 3021i RE T NO. �� o� �nvpovEO er / Esta�tes 2nd Addn. 21P PMONE 369-6342 Z�P PF10NE 41 541-0304 21P PMONE PMONE SEE ATTACMED SHEET LICENSE NO 155566 LICENSE NO. LICENSE NO O ALTERATION � REPAIR O MOVE O REMOVE Underlayment must comply with the State Building Code. SEPARATE PERMITS ARE i;E0U1RE0 FOR ELECTRICAL. PlUM81NG, NEATINCi. TMP� �F VENTILATING OR AIR CONOITIONING. THIS PERMIT BECOMES NULL ANO VOID If WORK OR CpNSTFiU�T10N 20NIN(3 AUTHORIZED IS NOT COMMENCED Y�1ITHIN 80 OAYS, OR If CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED fpR A PERIOD OF 120 DAYS A7 ANV TIME AFTER WORK IS COMMENCED. NO. OW I NEREBY CERTIfY THAT t MAVE READ AND QXAMIN�D THIS APPLICA71pN ANO KNOW TNE SAME TO BE TRUE ANO COFRECT. ALL PROVISION$ OF LAW$ p�UATI AND ORDINANCES GOVERNING THIS TVPE OF WpRK WILL BE COMPIIED @ WI7M WNETMER SPECIFIEO NEREIN OR NOT. THE GRANTING OF A PERMIT �p2S84 DOES NOT PRESUME TO GIVE AUTMORITY TO VIOIATE OR CANCEL TME pE MIT I PROVISIONS OF ANY OTHEfi STATE OR LOCAL LAW REGUTATIN(i CON- STRUC710 OR TME PERfO MANCE OF CONSTNUCTION 8,3, �i a � /�— PLAN Ct � y� Lice GNATUpEO�CON'aACTQAORAU�NOp�ZEDA6ENT ID� E� S�GN4TUNE OF OWNEAi�� OWNE�78U4D@Ai IO�TE� � i �� . �x.wrwncT c3ROUP OCGUPANCY LOAO 30. fT CU FT UNITS pfFSTREET PARKING STALIS GARAGES SURTAX � 1.44 SAC CNARGE Fi SC 2.88 E TO L FEE /� 1 �I AU TMIS 1$�/�J��T � 7'i �� ADDN ALTER Effective 5/10/99 [ ] CITY OF FRIDLEY [] SINGLE FAMII.Y AND DUPLEXES R-1 AND R 2 BUII,DING PERMIT APPLICATION Constivction Address: � Legal Description: _ Owner Name & Address: Contract� Address: LIVING AREA: Gt�RAGE AREA: DECK AREA: OTHER: \ � � � � 1 Tel. # 3(�vT°/ _(�3�2- MN LICENSE � Z��S� �_Tel. # y� -- - - . he lot, with the .proposed construction drawn on it to..scale. DESCRIPTION OF IlVIPRO�NIENT Length Width Length Width Width Height Sq. Ft. Height Sq. Ft. Sq. Ft. 3��4 ►, , � construcaon'rype• Esti�mar,ect cost: � �f 8c'� �-'' Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ . DATE: � APPLICANT: p 5 Tel. # �-f � U 36 CITY USE ONLY � Permit Fee $ ��. o?� Fee Schedule on Reverse Side Fire S�rcharge $ ��n .001 of Permit Valuation (1/lOth%) State Surcharge $ /, �/�/ $.50/$1,000 Valuation SAC Chazge $ $1050 per SAC Unit License 5urcharge $ �, l�C3 ,. $5.(m .(State Li�nsed Residenti�l Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ Park Fee Sewer Main Charge TOTAL STIPLTL.ATIONS: $450.00 Conservation Plan Review $ Fee Determined by Engineering $ Agreement Necessary [ ] Not Necessary [ ] $ �S �e- � .. BUII.DING PERNIIT FEE SCHEDULE The Chief Building Official shall, before issuing pernoits for the erection of any building or structure, or for any addition to any existing building or stivcture,.o��vr. any alteration or repair to any existing building or structure, upon application therefore, require the payment b�: the applic.a�t:.for such permit of fees to the amount herein below set forth and in the manner herein providecl tawit: � TOTAL VALUE $1 to $500 ' $501 to $2,00� •� �.. . $2,001 to $25,f�0 ` $25,001 to $50,0� $50,�1 to $�00;000 $100,001 to $5�,0� $500,001 to, $1,OOO,Q00 $1,OW,(�1 and up M�I��•v $23.50 $23.SO..for first$300 plus=$3:.05 for each additional $100 or fraction therea�-to. and including $2,OOQ. $69.25 f�� first $2,000 plus.$14.00 for each additioa�al $1,000 or fraction thereof, to and including $25,000 $391.25 for first $25,000 plus $10.10 for each additional $1,000 or fraction thereof, to and including $50,� � $643.75 for first $SO,OUO plus $?.� for e�ch additional $1,000 or fraction thereof, to and including $100,000 $993.75 for first $10�,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $500,000 $3,233.75 for the first $5(�,(�0 plus $4.75 for each additional $1,(m0 or fraction thereof, to and including $1,�0,0� $5,608.75 for the first $1,000,000 plus $3.15 for each additional $1,000 or fraction. thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $15.50. Alternate "B": P:eiriov�i and replacxment ��-and gutter_�d�nstall a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $23.25. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of S�rvey of the lot, showing the location of the foundation once it has it has been construct�d will be required before proceeding with the framing. Building Inspections 763-572-36d4 . v� SITE ADDRESS � THIS APPLICANT IS: PROPERTY OWNER/ TENANT BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY Permit � - - - , : �L�.�.7 � '- � + � YOUR E-MAIL ADDRESS � CA 1r 1 W Ci.1o�� Gf71�'1� 1 eJC$t es'1�s � 610�fi c"� � w � OWNER �CONTRACTOR PHONE:'%�'�^ �I " �O 1 C� � 7'��P�� . CONTRACTOR NpME _�1 v� i4r1 � �. � w�� c+ SUBMIT A COPY OF STATE LICENSE #�� p� DATE �'°� �' ^�'1 YoUR STATE LICENSE AnnxESS: n ri<k,�„ N�^ crr�r WITH APPLICATION � l a � � B�� n� STATEVM�r&IP ��13'� PHONE 7(e� ��v� � `�' � � FAX ��'ii� � '7S �1 � `� � l S PROPERTY TYPE xnvEw PERMIT TYPE ❑ BASEMENT FINISH ❑ ROOF B'6ECK 0 SIDING 0 SWDvINI �rYrE oF woxx: 0 DRAIN 1'ILE ❑ 01'E�R DESCRIBE WORK BEING DONE: [ e►-� S-i � ia�..� 1 5' 9C 13 a G� �� OC etio °� 9t � L� � r v� E,�'�' � f°.S SIZE OF a SQUARC"S GARAGES PROPOSID SIZE: PROPOSED HEIGHT: SIDING O Vinyl 0 Alwninum O Other WINDOWS IN IXISTING OPENINGS OYes ONo OR FOR NEW OPENINGS-DESCRIBE SIZE OF OPENIlVG CHANGES 8c TYPE OF WINDOW TO BE INSTALLED _ LENGTH 1 � ` WIDTH� HEIGHT a avv�au vava.. a � � � 0 HOUSE & GARAGE BASEMENT REMODELING SUBMiT• O ATTACHED GARAGE 1' �� 001 p� ❑ DETACf�D GARAGE 2. Proposed floor plan 3. List of strucdual members to l� us�d OSoffit ❑ Trim ❑ FaSCia LACA1'ION OF WINDOWS NUMBER OF FOR NEW CONSTRUCTIOM INCLUDDVG DECKS, ADDITIOAiS. 8c PORCi�S SUBIvIlT: 1. Site Pian/Survey showing the existing swcwres � ProP� ProJ� 2. Two sets of construction plans 3. Energy Calculatim�s ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: TOTAL JOB VALUATION G� 18 ��C FEE S �DU�LECY TYPE Pernut Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge $ E� $ $ $ �. $ See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $1550 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$21=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks aavable to: Citv of Fridlev Attach THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCES5ED I hereby apply for a building pennit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an applicatio for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all worl�l ich requires�eyiew and approval of plans. SIGNATURE OF APPLICAN'!t �'�2I I ��fd' PRIIVT Nw►v�lVVleS iYi � 1� t v� C�.r� DATE_ (�,° �"�� Page 2- Building Residential Applica.tion BUII.DING PERMIT FEE SCHEDULE , The Chief Building Official sha11, before issuing permits for the erection of any building or sttucture, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set � forth and in the manner herein provided to-wit: VERIFICATION OF FOUNDATION Permits for consixuction will be issued a minimum of 24 hours from the time of application to allow for proper review of proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the existing founda.tion will be required before proceeding with the framing. . New Houses Onlv City of Fridley Building Inspections Department 6431 Urriversity Avenue NE Fridley, MN 55432 763-572-3604 Fax: 763-502-4977 ' n #� �'28Z3 '�ca . . � � �1512�0� �!'� - � R ` �� 1'a�@ th�s $�teet fid'�1�� BUlk�lt� ��1�riaf$ d�k t0 putChaSe yo�t� m�. �� Yau s�e� a Z level dec� u�th: '------ -- � _.._�.is a s��ii � e�a� ing s e an Pressure Tr�ated Framing Ma�erial . op�s �Cw i�nre s�l�� for �ar �k. 6 z 6 �ramming Posts �� x fi" Pr�ssure Treated Dedc Boards Poured Footing� 12" Tul� 4' deep -�y, :�:�;:��: Pr�mium Green Comk� Drive S� _.. .� Galvanized Framing Fastene� i � _ °` � i ` i,�' i� `' Han��a� sele�ions: 36" T Handraii to Jaist �!o Posts. Railing 2"x2"x42" Pr�ssure. Treated: Sp�ndles; Beveled 1 5l4z6 Pressure Treat�! Plai.n Handrail #rom �� I�eyr� �� m�r� a � . �e d�rrot rar� �__---- �k �,�, -� �,S�S r�r�� -�I '��Ou�n�d -� `a� �N �b�ti. ��p. ��3`� �dJ • �� ,� �� a�e � �� ;! � ��1vvh►�sz.—ho�1 S � 3�3`� � �:I �� c � �!a►- t�F A��. 6., �', L4 s�!;. ��,� l `. �` �� —� �� REVIEVaIED °`�; FOR CQDE ��, (T� �S � in � pk�e are � �1� �1 � � r� � NCE Iliustration in�nd� , gener�l c�ck:siYe and sha�. g p In p co�� . Some opt�ans selected r�ay i�ot #� �hoam for �� clar�y. _� . T's cost for mat+�ria�s �timated in this de�i n�h o'ons: 1�1.�.�3 . ��Y 9 �►�,� �.��,��. ��,��, ��, ��,��,��,��.� �iSE ' : 34�� P�� . P� . .. tl� M �� ; M�k , l� �� e.�n N � � � a Pos#:�r�dg�m pi .o�n �h�et �Desi n#:��1� . 9 , . Posts` 1'6" � T I �,�, . _ _._...�•- • .. ; I 6" � �, �,6w � � �� ;�:x ��' -i ��s �-: i�" v L C'��-. �' � �� . �� o�. .� � � .�,.,. ��. .c �� w � -� � ��a . �� .� � �� . �� . � �"� . . � � � �. .� � w. �.l�s , . , '. _. �-r� b -- : `7X �-s �s� - � . �k I. . _ . 1 L�youtdim�sion sh�ts a►e in�.� a t�nstruc�a� �cl: No�all op�s.��l are sho�rt, D��i�� n #:1Z823 9 . * � � Take tl�� st�tfia �re Levei 1: 1� 9�' off the ground Horizointal Declang 2" z 8" Jo�tt�s � x eams 40 PSF Dec c ve oad ----. _ Leve� 2: 3' x 3' 10' off,the�rau�d: Ha�zo�f De�ang 2� x 8" Joists 2" x 8" Bearr�s ,l �� 4Q pSF Deck Liv� Load d�k �:.�cfu� yo�r m�a#�rials. * ` � � c� � � K � ��' 6151240� Toda 's cost f�r �naterials es�mated i� �is desi n�h o'ons: 161 �.93 ��:��,��.�� , �� ,��,��,��,�.� �SE `� : .13�2. l �� Joist L�OUtfcr Ya�r Deck. • The S�a� � 1l�' :1' - , ��'� . C �__ __�.---_--= �� A 12'9" � D�8 (�en Ti�ted B 14'9° . 1x8 Gree�_Ire�t� c � �79o-�t� � cr�, Tr�ted D 15' �. Gr�n T�! Ja��to �:on 16° cer�: ,�sfo t� lxi� ftam ths I�eru�t jo�st t�r�s. . Jo��'l�! to b�rtsr�i 3-1I2" (1�lj �tvart�� t�i�. ri �: tt�n jo�to be fac�-r��to � 8� le�ers va�i 3�r1�' i'�'1 ��.��. t� Y�aar� � e�irr�t�; tu� rrot sii�t. 'rg atld tit�uj n�t ba. r�uired a �— , , , �,�� , ... ��j� N�f� ��S . - _. Uv� � �. 1 I� ' � �; � ;; � ,. �: �� 1 :� � .�..._� � ��. A A � ` -��-� I� � I? � �� ,� �� :; ��. �� -� : �� s� � � -- _.�-__ _: -�. :� - �..� � -� � �- � :�[_ . ----:-�_.__ �� -- �� . � �� .. �� . � �. �� $ � `� � �. . �� . �,� ��S � �� . _ g �� z �� -:� � � Layo�t dirr�nsio� sh� are ir�en�! � a constr�on aid. Not a�l. options �� are sf�wn, � � Jcist l.ayoutfor YOUt :�c �- a+� d�� . � �i�:'�i �� ._ . - - - - -- �_:___---- ..��_.._- -- . _ __ A " 2�" 2x8 Gr� ireat�9 ; B � 2z8 Gr�t �'reaterl C �9° 2�8 Gr�r► Tre�ed . Joi� to k�. on 1�' c�s. ,�to �t��ai� ro �ms.u�n �-�r� C�� ar� n�s. Rim �s to !� #ace�t�d to joi�s & iec�ers �tt 3-1 t7' (t �ij �l�etl t�s: Y.t�g ��tr�, !w# rrotsh�n. 81oc1dng arrralbri�lg#tg �y be:r�iire� t�r�w.l�al c�. _.:;:. i ; , ' E : I I �� .� .� � +S ;� � �� r`� : � �� ; � �� , ��=�� ; ��- � � � �� . .I - � .. .�.��:�� ° � -�. �� _ --------��---._ __ �� Rim�aist � $. Rim�t �� . � � ,��- Q � �.� �� . �� -� .�� . �� .� � � _^_._ ; i.ayo�tdimensio� sh� a� ir�b� � a�ns�a� aa�. I�ta�l op�ons s��i a�sho�n, � � � � r > � v � W � � v �� d U � � ^� 3 i.� � � J s � � � � � � M , � � � f� �:.t� c dr� G. � � � � .�CD �� -�-� J -� j 9"0 �� S � � ,� V � � _.l �3 , � n P i5� � 9 .� v � > � � :; --�- �- �` S � -Q � � � L �. � c� � .�— �� : � �/ ` =s _X �... I � I S� S de � :� � � , � , • ., ) N'�r D a � .1 J J � � + 3 � � � � i �� v �� --VL � - e • I_ ' �'� �� . � �� • �� e� �HtV� �� " HIG�IW�Y 1� � NIC�LLEi �4V�'N(1� _ � �lJ14tVSV1LL�, 1�1JlUIVE'SOi� p • { ��°��7° �C�f �� t�if� Fc'�1�°'T'�� a,� I . i . �� . � . � �� y .. 4 � �' � ' f '` � �°' , , !. � '� ��. . . % �`� ' . ° . `�,ri' '�,� . . E � C7'„�� . , . . .. .. .. ' ' �, � , . ' � • \ • r � , • -�1+'Zp' ' `��Jo � . � ' �� ! � . . y . . �� ` -�� . 2�� Qc�� a ' F-, `\ � � i ' r � � �✓� � . . . ' ' (y A3 �� 1(�� '�'. Y a� � 1 3 i ?� 4� . >;ll, yO a \ ti � \ �. .,�1. ., �o � �� e �� ` �d ' � r � � 0 �� .__. (r ,. � ��... .�< ,i�.. �'� i. s � . � '� ' , , ' - �� , :i _". '. � ! • i �. 1I � � : �, � � � r L' / . // , ' . + ., , ' .� P i�� • 1 ( . r �' � 1 . ' w i 1 I hereby certify�thnt t}tis ��1�n, Fpecifiuitiom, �x � repc�rt was prepnreci by me «r t�ndrr my d.i�•c�-4 i � super�•isiun nx��l ti�Ft 1 a�,i a e3u1y tie;�i�terc�c� � Prc�fe�ic�tinl t?i�;*ic��•er w�uer the ls�we <tf thr ; • Sts�te f A1in�� .,�� .Fi � • � :•P�eC�'�' �� , l.s��r�a' � � � . . • �� /il:R� ��1%• 'iiwds".:"'pj' .��. 1 . � ' � • ` 1 Building Inspections 763-572-36 DATE� SITE ADDRESS � � THIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YUURSTATE LICENSE WITH_ APPLICATION PERMIT TYPE TYPE OF WORK: PLUMBING RESIDENTIAL APPLICATION CITY OF FRIDLEY YOUR � OWNER ADDRESS: Pernut No.: Received By: Date Rec'd: �� ( " � t1 i—�..r�.�_..�d_:— -- - . . ._ ,�1)t`'lii�.�'`"� 1.:. .s�. �S�TGLE FAMILY o r�w DETAILED DESCRIPTION OF WORK O TWO FANIII.Y @�pLa,cs�rr ❑ TOWNHOUSE PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cflst up to $SOO.OQ, wluchever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor ) Labor cost under $304 =$15.00. Labor cost between $300 to $500 = cost of labor x.OS = FOR PROJECTS WHERE LABOR EXCEEDS $SQO, FEES ARE BASID ON $10.00 PER FIXT'[JRE, EXCEPT WFiERE NdTED. FfXTURES: (INDICATE TOTAL NUMBER OF EACH BELOV� BATH SINK/LAV FLOOR DR.AINS SHOVJER WATER PIPING BATHTUB GAS PIPING (n�o ct7rtrC�vs� SWIMNIlNQ POOL � WATER SOFTNER ($35) CLOTHES WASHER HITCHEN SINK WATER CLOSET BACKFLOW PREV. ($15) _ DISHWASHER _ LAUNDRY TRAY WATER HEATER ($35) FOR IRRIGATION _ WATER MEPER _ OTHER Permit Fee TOTAL DUE �b Number of fixtures @ $10.00 x $10.00 = $ .50 Number of fixtures @ $15.00 x $15.00 = $. �� Number of fixtures @$35.00 _� x$35.00 =$. State Surcharge = 9 Tota1= $ THIS IS AN APPLICATION FOR A PERNIIT NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Consiruction Codes; that I understand this is not a permit but only an ap ' tion for a permit ci wor ' t to start without a permit; that the work will be in accordan with the approved plan in the case f all wb,�Ch revie d approval of ans. � SIGNATURE OF APPLI N ATE ` . .. ..... _ � .. .. .. ... . . . .. �. .... . . m �.. . ,. . �;. x��`:�� ' � � � City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 �� '�J '� Building Inspections 763-�9e2-s604 DATE 7 •- Z'i �Li � SITE ADDRESS %� 2 %� 1 �Cw► THIS APPLICANT LS: ❑ PROPERTY OWNER/ TENAI�TT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATTON � PROPERTY TYPE PERIVIIT TYPE TYPE OF WORK: BUILDING RESIDENTIAL AP'PLICATION CITY OF FRIDLEY YOUR E-MAIL ADDRESS _ ,n __ , , . . . ,i,� � ,� ,. / STATE WCENSE PHONE � E3� DATE � BASEMENT FINISH 0 ROOF � DECK O SIDING ❑ SW�vIIviING POOL DESCRIBE WORK BEING SIZE OF IMPROVEMENT Permit Received By: � Date Rec'd: ? �-�n 8S�— lI l t� �FS o wlrtnows ❑ DRAIN TILE �01Y-IER ;I� `t- A �TH HEIGHT ' $Sc � � �53� Ft ROOFIlVG ❑ HOUSE ONLY NUMBIIt OF SQUARES � HOUSE 8c GARAGE BASENIENT REMODELII�iG SUBNII7': G RA O ATTACf�D GARAGE 1. Exisdng Floor Plan PROPOSID S1ZE: ❑ DETACHED GARAGE Z• ProPosed fl�r plan PROPOSID HEIGHT: 3. List of structural members to be �d SIDIIVG FOR NEW CONSTRUCTIOAi INCLUDING DECKS, 0 Vinyl �Soffit ADDITIONS. & PORCHE,S SUBMTf: ❑ Aluminum ❑ Trim I. Site Plan/Survey showing the existing struct�res ❑ Oth� ❑ Fascia and pmposed projecx. R'IIV�wS 2. Two sets of conswction plans IN Ei�STMC3 OPEMNOS �Yes ONo LACATION OF WINDOWS 3. Energy Calculadons OR FOR NEW OPENINGS-DESCRIDE SIZE OF OPENIIJG CHANGES & TYPE OF WIIVDOW TO BE INSTALLED NUMBER OF WD�TDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ (o� !/ — OCCUPANCY_ TYPE Pennit Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curb Cut F•scrow Erosion Control Patk Fee Sewer Main Charge $ �/D_ S $ �', (� $ $ $ .$ $ See Back Page for Fee Schedule 65% of BuildSng Permit Fee .001 times the total job valuation .Od05 x Permit Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $1550 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$21=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks navable to: Citv of Fridlev Attach THIS IS AN APPLICATION FOR A PERMIT NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I aclmowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all work wluch requires review and approval of plans. SIGNAT[JRE OF APPLICANT PRINT NAME C�"'�C�E L-� L$�IN� DATE Page 2- Building Residential Applica.tion � . �, BUILDING PERMIT FEE SCHEDULE � The Chief Building Official shall, before issuing permits for the erection of any building or siructure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon applica.tion therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to-wit: VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of applic,a�on to allow for proper review of proposed structure and of the construction site. A Certificate of Survey of the lot, showing the loca.tion of the existing foundation will be required before proceeding with the framing. New Houses Onlv City of Fridley Building Insgections Department 6431 University Avenue NE Fridley, MN 55432 763-572-3604 Fax: 763-502-4977 ��-�e�------------------�--� I f o- I � � � I I i I � �-------------------� i ( � RESIDENCE ❑F SHAWN AND TRFAN KHAN ( � � � � � I ( 7892 ALDEN WAY � I � I FRIDLEY MN, 554zS I � � + � � ( � C�NSTRUCTI❑N BY: � � ( � � CHALEE DENNIS ❑� � , I � MAHALD CONTRACTING I I I I BLOCIMINGTC]N MN ( I ' � 61z 227 0804 I i � I DRAWINGS BY; I � � I STACY DENNIS ❑F @ DESIGN i � � I 1064-1 SMETANA RD � � � � 320 � I � � MINNETONKA MN 55343 + ( � ' 61�-296-2250 , I f�--------------------� I l THE EXTENT ❑F THE CONSTRUCTION WILL BE AS I � FOLLOWS; I I �XISTZNG STRUCTURE WZLL REMAIN THE SAME, HALF � I WALL BETWEEN KITCHEN AREA AND LIVING AREA WILL � f BE REM�VED; I NEW D❑�RS; WINDOWS; CABINETRY AND FLO�RING WILL I I BE ADDED I ADDITI�NAL LIGHTING WILL BE ADDED. I 1 I � I � + � I � I �----------------------------J .�.,..... � i � i �� ° ��° _��_ ��v _ L-�' � 1------------ �J 1 • � r ► t l From: City oP Fridley To: 85�-447-2836 Page; 4t5 Date: 7131/200611:11:22 AM Building MECHANICAL P�it No.:_ Inspections RESI�ENTIAL A�'PLICATI�N Received By: 763-572-3fi�4 �'jTY OF FRIDLEY Date Rec'ct:_ '�- ��' STCE ADDRESS _� � THIS AppLICANT IS: PROPERTY OtiYA�ER/ TENAI� T CONTRACTOR SUBMIT A COPY OF YOURSTATE LICENSE WITH t1PPiICATION PERMIT TYPE TYPE OF �1%ORK: ❑ owwrr�x PH�JKE: CO1��ANY &A'IATL .4DDRESS �1�{�(l�T2 � �±C l l�l � '� �_r.` G STA �OT"fACT FERSON: I'Y> � ICp ( J��-�� _ _ STATE LICENSE #_ EXP DATE ��[� ADDRESS: � S� o�.t � OiN�'4ilA RD _CITY R.�� l.�C.CQ_ ST PHGT��'=�1�- °37-%0�--- — FA7i ��Pli ��" d�—°�o— _ _ .. _. __.. _.._ �51I�GLE FAMILY ❑ T�VO Ft1MILY ❑ I+BI� ❑ REPLACEME'dT DETAII,ED DESCRIPTIc.�N OF W�RI� < _l � TOWNHOUSE �ALTERAT10i�1REA40DEL PER MS 16B.�i65 the �rmit fee ie a minimum of $15.00 or 5°l0 oi the to�l cost up to $508.00; whichever is �reater, for the improvamen� installation or replacamerrt of a residential iixture, axcluding the �a�tures. (This ah�,ild reflact only the coat of la6or ) Labor coat under $300 =$15.UU. Labor cast between $300 tu $�Ot� = cost of labor x.US = FOR PROJECTS WE�RE LABOR EXCB�S $500, FEES r1RE BASED ON $10.00 PER FATURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EAGH BELOVt� fiquipmeru InslaUed R4FCi: ` MQAEL: _ _____ SI7EIRTL' AiFG: � MGDEL: A3FG: MGDEL: A.'C $25.00 FIREPLACE (GA31$15.00 �AIIt TO AIIt EXCHANC�EER $15 �FIREFLACE (WOOD} S35.U0 BOII.ER $33.00 FURNACE $35.06 �CF�INEY LINER $10.00 GAS DRYER S1tt.U0 DUCf WORK $10.00 �GAS PTPIATCi $10.00 s[z�e�ru SIZEBTU 4A3 �ZAKC}F/OVEN $1Q.0� _ Iv�EW C4AS t�RII.L $10.00 _ C3AS UNTf HTR SIO.OU --PObL FIEATIIt 533.40 VENTII.ATGR $i.'.00 PermitFee $__��. C�O j I�;umber of fi�;tures (,a�, $10A0 x$1C�.U0 =$ Surcharge � 50 Number of fixtures (a� $15.t�0 � x�15.00i =$ TOTAL DiJEi $_�� I Numbar of frtures (a� $25.00 _ x$25.t10 =$ Number of fixrares (u� $35.00 x $35.0� _ $ State Surchar�e ° $ .50 � Tota1= $ THIS IS AM AY?LICATIOI�I FOR A PE�'.IT•NGT �'ALID �TNTIL PROCES5ED I hareby apply for s building pernut and I acl ga t the information above is complate and accurate; that the work will be in conformance tvith the ordanencas an of the City of ridley and with the Minnsaota Conshuction Codes: that I understend this is not a permit but orily an app i' n for pe ', ia not to start without a permit; that the work w�ll be in accordance with the approved plan in the work w ch re ew and approval af ; 1� s. SIGNATCRtE UF APPLICAI��1' _ PR1NT NA. e�� DATE�' '� ��_, Cit� of Fridley Building Inspections Department 6431 L1ni��ersity Avenue NE, Fridley, MN 55432 ?63-�72-360� F 4X: 763-SU2-4977 1 Building Inspec�ions 763-572-3604 z� SITE ADDRESS _ TEIIS APPLICANT IS: PROPERTY OWNERi TEN!►11TT MECHANICAL RESIDENTIAL APPLICATION CITY OF FRIDLEY YOUR E-MF►IL ADDRESS ■ • .i.��. Permit No.. Rer,�ived By: � Date Rec'd: I ` � �� N,4A�: . ADDRFSS: CITY STATE ZIP PHONE: CONTRACTOR I Co1.�nNY � SUBMIT A COPY OF ��ACT PERSON: Y� "' ` YOUR STATE STATE LICENSE � �'�i `Pl�l E7�' DATE i Z^ 3, '�' _ I�=? � LICENSE WTTH ADDRESS: �� iN �C9� �( CITY �iLOa JM� `1� STATE� APPLICATTON PH�� `Z � � �%/L(� FAX PERNIIT TYPE TYPE OF WORK: DETAII.ED FAA�IILY ❑ TWO FANIILY �w O x�tL.aCEn�r ( 0 TOWNHOUSE p ALTERATION/REMODEL [TON OF WORK Y/�� 'S GFw� �°rt- �K- 'TaP '�' ��3 C..la� t*g2- I.� �vfLtc.L PER MS 16B.665 the permit fee is a minimnm of $15.40 or 5% of the total cost np to $500.00, whichever is greater, for the impmvexnent, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor ) Labor cast under $300 °$15.00. Labor cost between $300 to $5� = cost of labor x.OS ° FOR PROJECCS WI�tE LABOR EXCEEDS $500, FEF.S ARE BASID ON $10.00 PER FiXTUKfi, EXCEPT WF�RE NOTID. F'DCfURFS: (II`IDICATE TOTAL NUNBER OF EACH BELOV� SIZElBTU Equipment Instalied . MFG: MODEL: • �; MODEL: STZFJBTV MFG; MODEL: �CGAS RANGE/OVEt�I 510.00 A/C SL5.00 FIREPLACE (GAS) $15.� ('�NER► GAS GItII.L $10.00 AIR TO AIR EXCHANGEER $15 FTREPLACE (W�D) $35.00 � GAS UIQTf HTR $10.� BOILER $35.00 • _FIJRNACE $3i.� CHWWEY L1NER $10.� GAS DRXER $10.00 POOL HFATER $35.00 DUG? WORK $1Q00 _GAS PIPING $] 0.00 ��R 515.00 . r _ — -.- _. ___ _.. _. _ _ . Permit Fee $ Number of fixt�ues @$10.00 x 10.0 = Surcharge $ .50 Number of fixh�res @ $15.00 x $15.00 = $ TOTAL DUE $ Number of fixtures @$25.Q0 x$25.00 =$ Number of fixtures @ $35.00 x $35.00 ° $ State Surchazge � $ 50 Total = $� TFIIS 1S AN APPLICATION FOR A PERNIIT NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the A�innesota �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 pemnit; that the work will be in accordance with the approved plan in the case of all work w' uires review and approval of pla�s. SIGNATURE OF APPLICANT � �� PRR�T NAME ��-� �T ��L DATE 7f Z Z�O� City of Fridley Building Inspections Depariment . 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 F.AX: 763-502-4977 �.• REQUIRED iNFORMATION NEEDED TO PROCESS PERMIT RESIDENTIAL PERMIT AP'PLICATION HVAC �] NEW HO�lfES/ADDI�IONS ❑ EXISTlNG HOME ❑ MAKE-UP AIR REQUIRED FOR NEVVY/EX�STtNG HOMES 1. Combustion Air (See note below) • a. Oil or solid fuel IMC Cha�ter 7 with MN Amendments b. Naiural Gas or PropanelJFGC Chapter 3 with MN Amendmen.ts • 2, Mak.e up Air (See note below) a. IMC Cha�ter 5 with ARN Amen.dments 3. Venting � Gas appliances IFGC Chapter 5 with MN Amendments b. Fuel other tbaa gas IMC Gha.P�er 8 with MN Anien.dments REQUIRED FOR NEW HOMES 4. Heat loss & cooling load per room a. Required on new conshv.ction ]MC 1346.0312 5. Ventilation . a. Per MN Energy Cod.e 7670 or 7672 . (, �uct Design Per IMC 1346.0603.2 a. ACCA Manual D NOTE: Cente oint Energ� Mechanical Code Guidelines soft�vare may be used for � F � • coml�ustion and make up ai� calculations : � Building PLUMBING Inspections RESIDENTIAL APPLICATION 763-572-3604 CITy OF FRIDLEY DATE YOUR E-MAIL ADDRESS SITE ADDRESS _ THIS APPLICAIVT IS: PROPERTY OWNER/ TENANf PHONE: CONTRACTOR O OWNER OCONTRACTOR �vlc�L SUBIVIIT A COPY OF STATE LICEAiSE #_ �S"'/� !7/j EXP DATE /Z -j �'O YOUR STATE ADDRESS: °�� (,J � ��y_�� LICENSE WITH PHONE �Z- '�'Z al "' �lY� FAX �.SYZ' �� %� ' i APPLICATION PERMIT TYPE �rE oF woRx: �INGLE FAMILY ❑ NEW OF WORK O TWO FANIILY �PLACEMENT V Permit No.• Received By: Date Rec'd: "I � 9 ° l.=� ❑ TOWNHOUSE �x �r�� — � � i PER MS 16B.665 the permit fee is a minimum of $15A0 or 5% of the total cost up to $500.QQ,whichever is geeat�r, for the --- _.-improxement, installation or replacement of a residenrial fixriue, excluding the fixtures. (This should-�eflect qnly_the-eost of labor ) Labor cost under $300 =$15.00. Labor cost between $300 to $500 = cost of labor x.OS = F 3.':r �E�P.��TSWfiERE i�UR fiX�EHS`�?"��iARE BASED ON $10.� PER FIXTLFR�, �}FGE�'F:. ' ,a;Bi��DI�A� TQ'Ftlb :-- NUNBER OF EACH BELOVi� Z BATH SINK/LAV FLOOR DRAINS SHOWER WATER PIPING Z BATHTUB GAS PIPING (n�o ctrruc�rvsE) SWINIII4ING POOL c WATER SOFi'NER ($35) _ CLO'fI�S WASHER � KITCHEN SINK ,� WATER CLOSET � BACKFLOW PREV. ($15) _ DISHWASHER _ LAUNDRY TRAY WATER HEATER ($35) FOR gtRIGATION _ WATER METER OTHER Fee TOTAL DUE Number of fixtures @ $10.00 � x $10.00 = $ .50 Number of fixtures @ $15.00 � x $15.00 = $ Number of fixhares @ $35.00 ( x $35.00 = $ State Surchazge = 9 Tota1= $ THIS IS AN APPLICATION FOR A PERNIlT NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I aclmowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construcrion Codes; that I understand this is not a permit but only an application for a t and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all work whi uires review and approval of pl SIGNATURE OF APPLICANT PRINT NAME �. (��"�+�� DATE d�'Z 2'Q6 City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977