AF - 34972�
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C �ity of Fridley, Minn.
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LO TION F BUILDING
No. J r Street � .�, o • �° P Iaot
Lot �.� Slock Adait[a� or Sutb-Divisian
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Corner Lot � Inside Lot � Setback _�.�. Sideyard ��,%..---=��r
9ewer Elevattam Foundation IIevatton
DESCRIPTION OF BUILDING
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In c�o�slderation oP the issueacae to me of a permit to construct the buildin8 described above I a�+ee to do
ti�e propcsed work in acxordance with the descntption above set forth and in c�mpliance wlth a'!1 provlsions of
orriinanaes of the dty oP Fridley.
In �deratt� oY ths paYment of a fee oP $��'� , Permit is h�ebY �aanzted tfl
to c:�natruct the building' or addition ea d�cribed above. Thfs� t is granted uE�
the � o�ndition that thepe�on to whom it is gianted aad his ageuts, emPloyees anc� worl�en, fn all work.
daus fn, asound and upon said l�liin�, or anypart thereof, shall c��nform in all r�pects to the or8inaac�es of
�d1eY, ffi�n�ffi loc:a'F1on, c�amstruct�on, alteration, mata repair aad moviag of buildin�s
wlthin the dLy ]imils��a� permit may be revoked at any time upa� of a�► of the Prov3a�t�s og �id
a�9naacea. �'� �y /�
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aonc�
1Y. � aes. �t �e �6s c�n�ae, �m �er �ea n�e. 6�• �. •e�ru � .n�s.. a. .ms to ...
�a 8� i�e [or s�pual� pamtb � tMa I�.
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.APPti1CATI0N I+� �iiTLDI1�G . PERIKIT
GI�9i OF, F�t�Y� 1�'i�SOTA_.
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OWI�G�t' S NA19E
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ADAP.�SS �'S S°I, ` - ` � AUAR�SS .
LOGATION OF BUtLD�
Noe St�rest �X�u..�� P�rt Qf Lot
- � . . rr ... . _ � r . ,
Lot '� Block � Add�Cioz� or Subdiniaion�.A� ���C��
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Cc+raa�r Loe ,�Ins�.de Lot= Sekback ''a� � Side-Yarcy, � � _ � 0 �
SEWLR I�d.EVATI0B1 FQUNDATION ELE9ATi0i�
Applicant,attach to thi.e form Two �ertificates.of Sus�rey uf Lot and prop�ed build-
ing location drawn oa`these Certificatea. ..
DESCRIPTI�A1 OF BDILDING
To be used as:
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Fsont yrO Depth ,2. � Heigh+� �O
. ... � �� �� . . ��� _ .. . . . �1�� . ' . .
Sq. �t.- 10 �i'o Cu. Ft.
. °"�Yont Depth Height
�Sq. Ft. 3 � �u. Ft.
Tgpe of ConstrucCiot�. � � �' ' _ Fs.ti�amated Cost �. �, O O E�
. . �A��! i�����ll � _,. . ' . .
To be Comp].eterl �
'I'3se undersigned here�y makea appli�a�ion for a permik for the vaork herein epecifi�d,
agree�ng to do all cao.k in strict accordance witls �he City of Fridley Ordi.nancee aad
xulings o£ the Degartmsnt.of Buildiags,.and l�ereby d��laree that.all the facte aad
repreeentations etated in this agplication are true aad corre�t, �
(Schednle of Fee Co�ts can be fouad oa tbe 8everse Sidej.
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BUTLDING PL�T I�BE SC`�BDULS
Section 2. The In�pector of°Build�n�is shall, befare ieeuing aay pesmit for
�he erect�ton of aay bui.ldi.�g or,_structure, or for any addition ta aay e�c3.'st-
ing building or struaCnre;"or for`-say'alteratioas or repaire to anq exia�ing
building or etructure,.u�oa application therefor, require the paymeat by the
appl3cant for such pesmit of fees �e the amouut- herein below set forth and
in the �anner hereia prov�ided to-wit:
2.i. For -anq euch permit Eo�.�be,erectioa o�,any fise-proof building, othex.
than -g` gar�gs�, war-ehou��, tact�ory or glraia- eYevaCO�t,. or--for the erectioa � of
any fire-proof addition. iar simi.lar occupaacy, to aay enisting building.
s�iail be �t the rate of $a..40 �.�ox each oue th�uaand cubic feet, or fraction
thereot� in such cubical contents. �
2.2. For any �such perm�.t�- for t&e erection of anq iire-proe�f g8z8ge� �wa=ehouse�
�factory or graia elavatoz, or for the,erection of any fire-proof eddit3oa,
- --�or siffii3-as accupa��,, to anq �xxistiing buildiag shal� -be� at the rate af �1.25
for each on� thousand cubic €eet, class�fied as °1firepsoo�".bq Section 502 of
-the-Minneapolie Building Cod�:-
HOUSES . � _ .
2.3. For aay au�h pera►ie for the erection� of gaq non-fi�reproof bui�.ding o�her
than a ga,xage, ware►house, facCory or grain elevator, or any noa-fireproof
addi�tion,-for similar occupancy, to anp esietiag building - permit $1.00 fox
each oae thousand cubic feet. ._
GARAGES
2,4. For anq_suc�i permit for.�he erection of a�ny noa-fireproof ga=age,
warahouse, €ectcry o� -grain `eleva�-ar; �-or fQr the � erectioa of aay non-fize�rroaf
additi�, for�oaimilar occupancq, to anq ea3$ting building or for �ach s�ach
�i-lrlfn,� or . add3:tion -�inety cent� ($0 -90)' foi each oae thousand cu�ic feet
or fraction thereof, in the, cubical caatenta th�reof with a minim�tm of $4.00.-
For the putpose of co�aputia� fees for bu9.ldip� g�rmits, the cubical ca�rteats
. of . any buiidiag or additian to �a uniform ii�ighE throughQUt by �lt9.plying ti�e
grouad erea covered fr� a point eix`(6) inches below the floor line of lthe
b�sement or c$11ar't�=the�avera�e h�ight of the upper eurface or to the
average he3ght of the roof surface of the main gable of a p�tched roof.
2,5. For repairs or alteratioas to an existiag structure, tbe fee shall be
at the rate of $3.00 ger each give s�ar�a �a,x$re ($S00_OOj or frectien
thereof 'ia t�ie aost of all proposed` work.
2.6. In no case ehall the fBQ.`�har�Ad��or 8ny p�rmi� es Bet forth in
� Sectiaa 2 be leati� th�n $4.ctd.
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� HEAT LOSS CALCULATIONS DEPARTMENT OF INSPECTIONS
Weatherstrips A.S.H.V.E, Construction No.
Guide
Windows Doors Reference Oat. Wall InG Wall Ceiling Roof F7oor Kind
NIINNFAPOLIS. MINAT.
Insulation
How
Yes—No Yes—N� 19_
� Room � Length / Width / Height �' .� Room Length ,/� Width
Windows an oors—Crackage and Area Windows and Doors—Crackage and Area
�Vldth elght No. p[ Lineal Y. Area Wldth Helg'ht No. ot Ltneal it Aras
No. ot Dane o[ pa�e lfBhte of crack ea. tt. No. ot Dgne of pane liBhte of crsck eQ. fA
� � � � � �� �
� � f
� ' 1� �
� � %' � Coef. Btu
Infiltration �°,1 �� ,� !�► �► Infiltration
Glass �v� � � ,�j� Glasa
Eup. wall E�p. waj]
Net exp. wall � �"i'� �`� .�i�' O ti Net eap. wall
Int. wall Int. wall
Ceiling .'fi+lo� j '� Z9 Ceiling
Floar Floor
Total Btu: +�'•'�, o�•�' Total Btu:
Required sq. $. E.D.R. or sq. ins. W.A. Leader area Required sq. k. E.D.R. or sq. ins. WA. L.eader area
.� Room � Length jp Width /� Height Room (].,engtIi /� Width Height
Windows and Doora—Crackage and Area Windows and D�rs—Crackage and Area -
Wldth Height No. of Llneal [t. Area Wldth HelBht No. o! Llneai It: Aree
No. ot paae ot pane tlghte of crack sQ. fA No. of pane of pane lights ot crsck sq. tf»
sj/ / �'e � 1 i '� G /G� '�° % �fo � �`
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_ _ _ _ _ - -- .:, :
Coef. Bcu
In6ltration � � i�' O
Glaas 'i' � �" 3" �"9
�
Eap. waq ��
Net exp. wall / .j�s / G1
Int. wall
Ceiling �p / +i � � �=
Floor
� Total Btu.
Required sq. k. E.D.R. or aq. ins. W.A. �.eader area
Room � Length /+�. Width �
Windows and Doors—Crackage and Area
Wldth 8eigbt No. o! Lineal !t. Area
No. ot psne ot Dane Ilghte ot crack eq. St.
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:oef. Btu
'�$% � f /'�'$I
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�aa !/"�
� :7!d�l�
In6ltrarion I
�SbS �
Eap. wall ' �
Net eup. waU
Int. wall
Ceiling �
Floor
Total$tu.
Requ'ued sq. ft. E.D.R. or aq. ias. QI.A. L.eader area
Bcu
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d �
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� !'id�+
Coef. Btu
In6ltration % � � �
Glaaa
Fap. wall
Net esp. walt
Int. wall
Ceiling
Floor
Total Btu.
-�-7
d
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Required . .R. or aq. ins. W.A. Leader area
.� Room I Length . Width Height
Windowa and D�rs—Crackage and Ar,ea
Wldth Helght No. o! Llneal it. Area
Na of pane ot pane IiBbte o[ erack ea. tt
,�r e� 1e '"L�,i i�li � � _ - -
il�v '"�`. J +�
/ ?w�
Coef. Btu
�SSS
Eap. wall
Net exp. wall
Int. wall
Ceiling
Floor
T'otal Btu.
f�
Required sq. ft. E.D.R. or sq. ins. WA. Leader arra
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. , Perm�t' Fee � ..... . ........ '-'
�° APPLICATION FOR MECHANICAL WARM AIR _HEATING PERMIT `�
__. , _. . e _. , No, � .
l�a.te of i�eccacn,ee... •• ----- - . ...... . -, 196.. .Loea,ti;on.--. .�... .. .. ...- . • -•---- ......
Jylinneccpoi�, Minn .. ..... . ... . . .. .., .196..:
Iscspeotor of Buitdin��s _
TI�e und�et�i�ned hereby m,a.k.es apptica�ion for cc permit for the is�tccticitior�, o,tterati,os� or repair of
a heutin�, air eo�ditionin�,s or ve►��tiZcctin� sysiesn, device ar equ.ipsrc�nt, us hereire apecifiecZ, a�%reeira� to tlo
cctl• sicch z��ork.in �trict acuo�dance wiiEh the City Orclinccnce� ancl rulist�%s of tlze Dep�crtrrc�r�,t of Irc�pecti,ans
and the �peei�lieatinn,s �et farth in thi� app�iecLtion "a:s tzpproverl.and filed in the Depdrtrrt�sat Qf I�„spec�io�2s.
� Ourner:...._......-- •-• .. ... .. ......:. ................. .».: .. ..... .- ----.._....lddres� o� Ozar�r.
Kind vf Buildis��.. �....._.....•-- --� . _.. .$ow decupi•ed . _ ...._... . _.. ..........
` Worlo to be et�rted .... .....:. ........• ------------------, 196._,... Work to be completed:..........,...-- --, 196.�._ '.:
..:
' Estimuted Cost �`-•--.,. � --------- •------•- -- --�----. . ......4:.....=d ld — Nezu Buildin�s �'ers�zit .No...:� ._� ..:... ...:..... ......:....
DESCWPTI!QN OF WQRIC ._ _ .
;.`: . Mote: Ineert the .word 6utall, add, aher, m►epaU. : aaerdU�g to. wbieh is to be doee.. Umler "Ramarb," Remize remowis, if arry. �ul.
aherations io equlpmeM, `
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. Citp of Fridley, Minn. _
�� �7�-
BUILDING PERIVIIT No 720�
n ��-
nate: _ � =. 4/ �- � � �
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Ov¢ners Bt�lder
Addr� Address
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L TION BUILDIIdG
Na ����'� street � �..� -��: Part of Z.ot
Iat 81ock Adaiti� or aai
Corner Lot Ina4de Lot �� Setback Sideyard �2-
Sewer Elevatton F tion IIevai3on
DESCRIPTION OF BUILDING
¢ �. �� ��
_._. �t .��-� ne� ��t �L� sq. Ft. c�. Ft.
t ne�tn xes�r,��— sq. Ft. cu. Ft.
Type of Constru Est. C�.���� - To be Co�pleted
In ca�icieration oP the 9esuanc� to me of a permit to construct the b desc�3bed above I a�ree to do
the prapo�ed work in a�x�lance with the d�scrlption above set Po�th aad ia wlth a�l p�ovisions �
v�inancea � the dtq of Fridle� . /I
In co�sideraii� of the �yment oP a fee oi $� , permit is hereby granbed to
to �et the builaiag or addition as descrlbed abov� This �er�ait is �antsd uEwa
�e expre� crondition that thepereon to whom it is �anted aad hfs agettts, �ploy� and worlQnen, 9a all work.
dame in, around and upoa said buildtn�, or as�y theneo� shall oonfa�m in all respects to the o�cdineac�s of
Fridley� Minnesota re13a�� Bermft m�aq be ��at aq�► time nPon� � of � Provlsions � ea�d
within the dty ]iffits and �
aa�nanc�. e�
��
NOTIC&
16b � doa mve � t6s w�frnall�, � 1'or �rr�, PI�, oo �. aMnr ar rrat�r. B� wrs te sM
Na Bopdieg le� ter � p�s hr thw N�
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. � r � � . CTTI� ; QF F$IDI,EF. � I�IIITRLSdTA � , � o�,
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.r.iar���e �!-''� �'S 1�- -°� • ''�'i' �//l��f ' `'$ •�—���� �Z".�`!� .�. fI� //'s _ 1x��,_� L
.. . . .. , . . . } . . , _ , , , . .. ''r F : . , _ . . ,.. ... ,. ..i.' � ,. . � _ / =.. �, C- . .. . ' � .. . ..-.
r:. ,.� ., . .��, � . .
: � � : � _ _ . . L,�CAi`YOA1✓ OP' BIJI[.u?,�G ' � .
. � .. ,t Fe . . . .... . ,--- . _ �. ��, .
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No, „�� �� S���t � _�� i� � AS ,y,- ,<��a��.�;of L�o /P
i r .r�..�r:� 'i•r.r.+�:�' �r � _.��. s', `:� - .n_
f � • r • • , , . r . , � �
�ot ' ' :�Block . - Ad�,��ox} ;or 1S,►ubd,�vislon . - �. � -:;� , � -
�:_.�:..,
..: ��..r ��• i �s: .� ._ "•,. . .,. �. � � r•'. i��t�� �r�'' .y' �
" .�s'. 1' � . 1. .. . �� " P ' ' Y,i '-
Cosaer Lot�Iaside Lot��Setback . �idetYardR ✓•''��. , ; , � : _
S�R ELEVATION FODNDATION ELEi1A1T01� � � n�:��r5����� �
Ap.�lie�t, �►t�aee�, ��.�:•tisie:. form T�ro.. Csrtificate�, of -Su��ve�, _o�: Lo� Qa�d p�:�po�8ct buLid-
ing� locati�' di�awn F aa the�� Cei�t�.fiaat�� , . ._ �, � �, ��. '-
. � .� � . �, , . . . . •' . , ,o� � r`:� �
.. "'. �t �;� , .�_ .. . � � ' � , . :: . f' . , f.... . . .. � . i �,.:� ��.' _...a r _! . �. . .,�. .L _ . ' ?° •�
��� . � ,� :. _ :!'+:; ;i_!� i� _.<lC� c� . .....
a�sc��tor� o� so��c
To be uaed as : -� r -._�
•:.(�.- . , � ..c'. f I' ,... � � ` I" _d_11 ���` � ��try� i�RIy� �I� ` l�i � 'd�
. . . _ .. ... "�-=}--_�+,-�.R—i�-ir�-:.-e+�—R�-�� -i..—���tlt''� �, "��.�.''��,.J:�Y.. �l4' .
j� i_ � 7�' c� G�'i' J �tn �/j�� �:a. �.'h T ��'ki� y ��_ t;� .;'.
1. „! � - ' . ��_ .��fj{ �_ .(i: ••��l♦ ��ii� �., ��� F., I�
A a
,i . ��t ^` � . .i. .-.�, ,,.. . �... �3�d�F i:..►:�R T�- _
- �:. . . ,�.3. . _ . , s � - :v .,� . � . ��'• j . � . .. . _ =:,_1_S l.�` C.s.. :':, i:'4
�� :y,.
. .. ' �'ront • �� Depth � y Haigiit
,.l .�. '?' �h`7' .._ . ...'P1,�C'.rti. '�1.� : �'.,_ . -J-YF,� , .. .. {/ ' r' J i'1�°�
� - i �,:, �_ '�::� �« �; r^y'i � •;e` ; !i
. ._ - c1 yw« �' .V�'1' FY � 1 ��� � r{ RF: � I`➢
r � � . . . . , r . . . . ... . ' 1 ' S . . �.1 Y.��� . i 4 A�II�}%} ' w��� ��`�� � $ �1�YfY�ii+�� i�ir'�r�
. . 2 � � , . i . ,� ,'z r�.�, C _..:.}`g �� Sa'F�,'+ `)
Tqpe of Cou��ructign� �'��x�� � � ��t�p�tte� �q�� �� _���� a =��i �,�
� � . .z. �. !, i I� ^ �r" rrr Y ,.�e`. r. � -
r � - ; :r^ ` � ` . ; ,. `� ' i� , c � _ _. c�_ _ L � . . .
TO be Co�pleted' �' � . _ . , . .. . . . , . • .. . ,. ..
_ ., � . . ... . . —��T.. ., . ;r:-T y „ ��i . . . in� '}�" . _, ,.,, . ^ :._ .. �i.i?. ..'� .... }t. -;. '�`.�`" 1.
, . , , ,� ," � ,t.i y ~
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The uitdersigned `her`eby'makes applicaE�t�pa ,fQr � ,,pe�rm4� Eq,r, �he�;wor:la �,�zea.�..��cified,
agreeing to do all work in etrict accor"daace �ritb"tha City of Fridley Ordinances and
ruiin�s ,. qf r;th�.:D�partme�t, c►f RBµ�t;]�di,�8 �. , �4d .�erebq, �e�c]E,�r� t1�t �1 ��he �a�t� and
represenEatio�s etated' ia thi� aPPlicatioa are trt�..a�tc1„cq�rr�,��th -_�� _. :;�=.t_Q�.:�
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�(Schedule of Fee Coets caa be fouad on the Beverse Side)t
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BUILDING P'EIt1�T F8B S�EDULE
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Sectfon 2. The �aspectcs oP Buildiags shall,Abefore iasuing �.y .�e�►it for
the.erecti�n of anp,building,o� atructure, or, for aay ad�it�on tp aa� exist-
'ing building a� strucCure, or foY any alt�r+�ti'oas or rep�iTe to auy $xistiag
.building or seructure, upon application therefor, require the� �a.� by Che
applicant for such permit of feea ta the amoimt bereia bela� set �orth and
�ii the maaa�s i��.�ia p�ov�tded to-wiC:
•- � - . a. �,�. �-- •
_._ _ � . - 5:.. - -,:.; .. -_,��- • _< , � . .__,
2.1� �'o�; aa� ai�ch °��� for the.,erecti�a,:a# �y f'�s�e•prbQf l�u��d�:��� �ther
. -.t � _�.garage��, y��r�Hraus�,,-#actory ,or- graia,°�"1e�tc� :br� `f`a�=�th� �r�a�ion. �f
anq fi�!e-proof gcidition. for aimilar occupancy, to aay exieting building
shall be at the rate of f1.40,��or, each one_th�and cubic feet, or tractioa
thereof, in such cubical content�.''
__- � a 2� �'For � an�r. su�h permi� -�or. :�t�� erectiou- of any- �£ire-proaf gar�ge,- �ehoua�
factory or �raia elevator., or for the erection of auy fire-proaf �dditioa,
__ fa�c__siaAi,la� occupancyi` 'eo 'any egietin� bu�:Id�ng sha�l- tre at `tbe rate of $1.25
for eac�r ona thousand aubic feet claseified as "firep�oof" by Sectiao 502 of
; �the M�.xu%ipalis $uild � ' -. � . �
i�g Cale, . _. � ,
flOII�ES _. .�. �.. ° . , ,. , . _ , , F,
: 2.3: '`' �For �ny su�h �ermit" for the� `erectiot� of anp aon fiieproof liuild3ng otbe=
`� than a Sarage, warehouse, factory or graia�e�evato�, or'an� non-fireproof
additioa, for similar occugancy, to any existiag building - permit R1.00 fos �
each oae thoneaud cubic feat.
. . � . �;- -,
�S
2 4._ For any.such ��t,for the e�e�tioa of any non-fireprc�of ga e„
._._.�__ wa�reho�se,'' �acxo�y.-,o�-.�rain 'alevator,� -o� for �the erection�-o€ any n6��i�e�is�+8of
�-�or-aimilar occa�ancy, ��.eny exi.�tiag building or for each such
_�� ,r�-��3��_.-oic��e��it�.oa `-nainety ce��s �$0.90) for esch one thousand cubic feet
or fraetion thereof, ia the cubical coateats thereof with a miaian�mn of $4.00.•
. � .. ..x _,..�_._ . u., _�_ . _ ._ � _ . . _ ._ .. .�
For tha purpose of ccmoput3ng fee�=for building perm9.Es, the cubical coatests
:,.,.:•��o€�_.�uy.b..uilsliag ar �iddition to ,a .uri�.fvrm hefgti� throu�hout bY �LtiPiying the -
��ot�d ar�ea covered from a poiat ei� �(6) iachea below the floor_liae of.thg
d__� �bae�ade��.: ��'�:c�l.�ai �o'CSe- 8verage tieight -c€ tii�' uppe�-°�urface or to � tbe �.' .�
avera�e heigbt of the r�of surface of the m�i� ga�-�,e o� a�9,tched roof.
�.._ _.. . �. _..._ - :,, . >; -•
_ _ _. .. _... ..
2.5. For repaira or alteratioas to ea exiatiag structu�e, the fee shall be
at the rate of $3.00 per each Five 8nadred A�11ars (�500,00) or fsactioa
- :'therpo�' f#� tfie cost oi� -a11' progosed wbrk. _ .,
�.., -6� „ . .,�r ... .. . _ . . . . . . . _ _. . . . . ..
- .2',� °, , `�'a �no� ca�e siti�].1 the �ee�:c3iarged.,fo� �aY-Permi� -a� eet for�h ia °` "
� Sectiaa .2 be le��.. t�aa $4,�;:-; . _ _
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City of Fridley, Minn.
BUILDING PERMIT
��: June 23, 1967
,.3��/�
�11� 93��
�: Harr�y Ma.tthies g�� A. B. C. Blacktop Co.
� 6650 Anoka. St. N. E. p� 1308 Main St. N. ,E.
LOCATION OF BUILDING
No. 665 0 s�t Anoka. St . Part oP Lot
Lot 5 _ Block 1 Addition or Sub-Divieian Rice Cre�k $..��4?����
Carner Lot ._ Inside Lot Setback ......_... Sideyard
Sewer Elevatioa — Foundatioa IIevation
To be vsed as:
DESCRIPTION OP BUILDING
Front Depth Hei�ht Sq. Ft. Cu. F't
Front Depth Height Sq. Ft Cq. P't.
Zj►pe of Ca�struction �'�halt Drive �, �$34S . QO To be Completed �TU? ji 10� 1967
In cro�sSderation of the issuance to me of a perrnit to construct the buildfng described above I a�ree to do
��dinant�es�of the dt�y o Fridle�y, with the description above ¢et 1f � in complianca with af 1 pro�►Iaiona of
/1 �o
in con�deratton of the �yment of a fee of $ 5. 00 , p�{t is hereby �aated to A. B. Ca
B acktoQ Co. to oonstrttct the builain� or addition as d�r'ibed above. Thi���{ t is �ranted upoa
the exPre� condition that thepe�on to whom it is gi�aated aad his agents, e�nploye� ead worlm�en, ffi ell arork.
dane fn, around and upon said it�liing� or any��rt thereo$ shall oonPorm ia aII r�pects to tbe o�iaaaces oT
FridleY, Minn�ota n� loc:al3� eaas�tructton, alteration, maintenaac�, repair eitd maving of b�
wlthin the dty limits��s�ind�this perazit may be revoked at a�► ttme nPon violatton of aay of the provlaions oE
ordinances.
CLARENCE BELISLE � �
aonc�
1�k ps� aa� aoe �r t� ��, � tor �aa P�e. 6•• he�g, aw� er .rats�. e. au. 1�s a.
t6a BnqdL� I�r te� apmaN pa�Na /o� � iMna.
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINI�IESOTA
OWNER'S NAME tf A R��I I� 1�'TTT, ft /�S BUILDER �" -�. �_��/� C�T 0d° L� 0-
annx�ss �o (� O— l-} Yl! 0 l°� f�- � i ` ADDRESS /3 0$- �� r� S? . h/- �_
LOCATION OF BUILDING
N0. �y � S v STREET ��'1110 I� �'}- PART OF LOT �
LOT � BLOCK / ADDITION 4R SUBDIVIS�ON� �h ��t%�t C��'.2� .
CORNER LOT INSIDE LOT SETBACK SIDE-YARD
SEWER ELEVATION TOP OF FOOTING
Applicant attach to this form two certificates of survey of lot and proposed
building location drawn on these tiwo certificates.
DESCTPT�ON OF B'UILDiNG
�o be Used as:
� -� Front . Depth � $eight _ __
Type of Construction
To Be Completed
Sq. Ft. � Cu. Ft.
Front �
Sq. Ft .
��L7 ��i �1 C G
�. �i ��7� � Ci �
Depth
Height
�
Cu. Ft.
Esti.mated Cost � �5 � �
The undersigned hereby makes application £or a germit.for the work herein specified,
agreeing to do all work in strict accordance with the Citp of Fridley Qrdinances
and rul,ing of the Department of Buildings, and hereby declares that all the fact.s
and representation.s stated in this application are true and correct.
DATE o ' SIGNATURE � - � � C• �rj .
(Schedu e of Fee Costs can be found on the Reverse Side).
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BUILDING PERMIT FEE SCHEDULE
SECTION 2. The Inspector of Buildings shall, before issuing permits for the
erection of any building of structure, or for any addition to any existing
buildi.ng;or structure, or for any alteration or repairs to any existing building
or s.tructure, upon application therefore, require the payment by the applicant
for such germit of fees to the amount harein below set forth an.d in the manner
herein grovided to-wit:
Ur_iform Building Code: Type 1,2, � 4- $1.75 for each one thousand cubic feet, or
fraction thereof, in such cubical contents. Type 3& 5-$1.50 for each �
one thousand cubic feet.
For the gurpose of. computing fees-:'�or building permits,.the cubir_al contents of
any building or addition to a uniform height throughout by multipluing the ground
area covered from a point six (6) inches below the floor line of the basement or
ceZlar to the average height 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 ($5U0.00)�or fraction thereof
in the cost of all proposed work.
In no case shall �the fee charged for any permit as set forth in� Section 2 be
less than $5.00.
NSSSD Connection Charges based on location- Area 1 or 2.
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SUBJECT P
City of Fridley _ 18430
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
� � �.
� `� � COMMUNITY DEVELOPMENT DIV. O ��
�_,
r � � PROTECTIVE INSPECTION SEC.
1 . ,
`--_- A �r'�';,� CITY HALL FRIDLEV 5$432 NUNIBER REV. OATE PAGE OP APPHOVED BY
L ''" 612-571-3450 910-F15 5/16/86 / /
JOB ADDRESS 6650 Anoka Street N. E.
1 LEGAL LOT NO. BIOCK TRACT OH ADO�TION SEE ATTACHED
DESCR. rj ]. R'LCE Creek S�chool Addition SHEET
2 PROPERTY OWNER MAIL ADDRES$ ZIP PHONE
Gerald Appliri 6650 Anoka Street N.E.
3 CONTRACTOR MAILADDRESS ZIP PHONE UCENSENO.
Western Remodelers 252� West Larpenteur Avenue ' 645-�1411
4 ARCHITECT OR DESIONER MAIL ADDRESS ZIP PHONE LICENSE NO.
S ENdINEER MAILADDRESS ZIP PHONE LICENSENO.
8 USE OF BUILDINO '
Residential
7 CLASS OF WORK
O NEW ❑ ADDITION ❑ ALTERATION � REPAIR O MOVE ❑ REMOVE
%
8 DESCRIBE WORK
�.tlTY17.ri'l�Yl '�S�
9 CHANCiE OF USE FROM TO
STIPULATIONS
SEPARATE PERMITS ARE REOUIREO FOR ELECTRICAL, PLUMBINd, HEATIN(i, �PE OF CONST. OCCUPANCY dROUP OCCUPANCY LOAD
VENTIIATING OH AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONIN(3 SQ. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION
OR WOHK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED. • NO. DWId. 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 PROVISION6 OF LAWS VALUATION SURTAX
AND.ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE QRANTING OF A PERMIT �$5►OOO �y`2.J�O
OOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OF CANCEL THE pEFiM1T FEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REOULATING CON-
TRUCTION OR PERFO MANCE OF CONSTRUCTION. $5O. r'JO
PLAN CHECK FEE TOTAL F
� $��.00
iG TURE FCONTRACTORORAUTMORIZE AOENT IDAT � c WHEN PiiOPER V LIDATE THIS IS YOUR ERMIT
SiGNATURE OF OWNEP tIF OWNER BUILOERI IDAT�1 BLDG INSP _f ���
p� [] City of Fridley Effeetive �/1/86
ADDN. [ ] R-1 AAD R-2
pLTER. [�1 Building Permit Applieation
Construction Address
Legal Description:_
Owner Name & Address
Contractor:��
Address: � � �' �
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
IL�7
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�L, T�l. � ��� ""� ��
Z . Tel . 4 � � � r
Attach to this appl3cation, a Certifieate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF Il�IPROYEMENT
Length Width Height Sq. Ft.
Length J. Width _ Height Sq. Ft. ,
Length _r Width ________. Hgt/Ground Sq. Ft. __
Corner Lot [] Inside Lot [] Ft. Yd. Setbaek _ Side Yard Setback
Type of Construction: ���-�� �� v� -��L�ated Cost: $�� �
Approx. Completion Date: � ^ l�� " � �
Alt. A Alt B
Proposed Driveway Width If New Opening Is Desired: $ee Back Page for Explanation
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DATE: � ���� APPLICAN Tel. � � ^�� I (
Permit Fee
Plan Check
State Surcharge
SAC Charge
Park Fee
Sewer Main Charge
TOTAI.
STIPULATIONS:
CITY IISE ONLY
� �� � S� Fee Schedule on Reverse Side
� 25% of Building Permit Fee
$ �-� a $.50/$1,000 Yaluation
� $475 per 3AC Unit
$ Fee Determined by Engineering
$ Agreement Necessary [ ] Not NeQessary [ ]
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BIIII.DING PERMIT FEE SCHEDIILE
The Chief Building Official shall, before issuing permits for the erection of any
building or structure, or for any addition to any existing building or structure, or
fcr any alteration or repair to any existing,building or strueture, upon application
therefore, require the payment by the appliaant for sueh �rmit of fees to the amount
herein below set forth and in the manner herein provided to-Wit:
Total Valuation
Fees
$1.00 to $500.00 $10.00 (Minimum Fee is $15.00)
$'S01.00 to $2,000.00 $10.00 for the first $500 plus $1.50 for each
add3tional $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
including $25,000.
$25,001.00 to $50,000.00 $170.50 for the first $25,000 plus $�1.50 for each
additional $1,000 or fraction thereof, to and
including $50,000.
$50,001.00 to $100,000.00
$100,001.00 and up
$283.�0 for the first�$50,000 plus $3.00 for each
additional $1,000 or fraction thereof, to and
ineluding $100,000.
$�33.00 for the first $100,000 plus $2.50 for each
additional $1,000 or fraction thereof.
DRIYEiiAY DEPRESSION ESCROii
(Concrete Curb Streets Only)
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
approach with 6 inch depth - DriveWay width plus 6 feet times $15.75
qERIFICATION OF FOONDATION
Permits for construction Will be issued a minimum of 24 hours from the time of
application to allow for proper revieu of the proposed structure and of the
construetion site.
A Certificate of Survey of the lot, showing the location of the foundation onee it
has been eonstructed will be required before proceeding with the framing.
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SuB�lEti
c�ty of Fridley
.
AT THE TOP OF TNE TWINS g U I L D I N G P E R M I T
„
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r � � PROTECTIVE INSPECTION SEC.
1 . �
i--_-� ��"' �.� CITY NALL FRIOLE� lkf�32 NuMBER NEV W►TB
� 763-571-3450 s�aF�s 7/15/03
JOB ADDRESS 6650 Anoka Street NE
t LECaAL �OT NO. BLOCK TRACT Oq ADOITION
oescR. 5 1 Rice Creek School Addition
4 PiiOPERTY OWNEF MAIL AODRES$ ZIP
Gerald Appli:n� 6650 Anoka Street NE
3 CONTRACTOR MAII ADORESS �P
Western Remode�ers 2520 Larpenteur Ave, �auderdale, MN
4 ARCNITECT OR DESIGNER MAIL AODFiE83 Z�P
S ENGINEER
8 USE OF BUILDING
Residential
7 CLASS OF WORK
MAIL
O NEW O ADDITION O ALTERATION � REPAIR
B DESCRIBE WOqK
Reside House; aluminum trim
9 CHANt3E OF USE FROM
TO
/
33702
R .
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or �vvnovEO Br
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SEE ATTACNEO
SMEET
PMONE LICENSE NO
�13 651-645-1411
PMONE LICENSE NO.
3847
PNONE LICENSE NO
O MOVE O REMOVE
STIPUlAT10NS
Per Section 1402, 1997 Uniform Building Code, requ�Lres that a weather resistive
barrier be placed over egterior sheathing to protect the interior wa11 covering.
E$ceptions for th�s provision would be if sheuthing is an approved weatherprocf
pa�ei or when the sidiag is an approved weather barrier. Vi�yl siding is �ot
a weatherproof coveri�g unless the manufacturer states this in their application
guidelines. Cal? for inspection of wrap before coveri3g or take pictures. Caulk
�nd flash alI exterior openings.
�ermit rnspect�on C�rds
W�II � a�led
To H�����r��r T� P�st
TYPEOFCONST. OCCUPANCY pROUP OCCUPANCV
SEPARATE PERMITS ARE REOUIRED FOR EIECTRICAL. PLUMBIN(i, MEATING,
VENTILATING OR Alq CONDITIONIN(i
THIS PERMiT BECOMES NULL AND VOIO IF WORK OR CONSTRUCTION 20NING
AUTHORIZEO IS NOT COMMENCED WITMIN 80 DAYS. OR IF CONSTRUCTION
OA WORK IS SUSPENOEO OR ABANDONEO FOR A PERIOO OF 120 OAYS AT
ANY TIME AfTER WORK IS COMMENCEO. NO DWIG. l
I HEREBY CERTIfY THAT I MAVE READ ANO E%AMINEO TMIS APPLICA710N 1
AND KNOW TME SAME TO BE TRUE AND CORREC7. ALL PROVISIONS OF lAW$ yp�UATION
AND pRDINANCES GOVERNING THIS TYPE Of WORK WILL 8E COMPLIED
WI7H WMETMER SPECIfIED HEREIN Oq NOT. TME GRANTING OF A PERMIT �7s9OO
DOES NOT PRESUME TO GIVE AUTMORITY TO VIOLATE OR CANCEL THE pEp��T iEE
PROVISIONS OF ANY OTMER STATE OR LOCAL LAW REGULATING CON-
STqUCTION Ofi TME PERfORMANCE OF CONSTRUCTION �IS3.ZS
S�GNAiUpE O� CON'AACTOp Oii pUTMOp�2E0 OGENT
4
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SQ. f T
STALLS
SC $5.00
CU FT.
IfiSTREET PARKING
IGAfiAGES
iURTAX
$3.95
iAC CMARGE
Fire SC $7.90
'OTAI FEE
$170.10
I TMtS �S YO p PEF A17
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ADDN [j
At.�R Il
CITY OF FRIDLEY Effective 1/1/2002
6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
Construction Address: � G, � � �
s
Legal Description: � L �
Owner Name & Address: ° Tel. #
Contractor. M �� �ISE # � C � � � y �l
Address: . �� ��Tel. # �— �, 5f'1 � �% %
LMNG AREA:
GARAGE AREA:
DECK AREA:
OTHER:
1�
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
Length
Width
Width
Height
Hgt/Ground
Sq. Ft
Sq. Ft
l
�
Construction Type: � , Estimated Cost: $ % �4 �
�_ ��
Driveway Curb Cut Width Needed: � F�. + 6 Ft = Ft x$ _$
DATE: " u" O APPL�CANT: Tel. #��I"" G yis � 1�� �
Call (763) 572-3604 for Permit Fees if mailing in application or Fax to 763-571-1287 if using credit card and we will
call you for card number.
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
$ I aj � . ��
$ �, 9�
� ?_�
$
$ .�- 6C)
�
$
�
$
$ J� p°:. / C�
CITY USE ONLY -
Fee Schedule on Reverse Side
.001 of Perm� Valuation (1/10th%)
`�
$.50/$1,000 Valuation
$1200 per SAC Unit
$5.00 (State Licensed Residential Contractors)
Alt. "A" or Alt. "B° Above
$450.00 Conservation Plan Review
Fee Determined by Engineering �
Agreement Necessary [ ] Not Necessary [ ]
STIPUI.ATIONS:
�
BUII.DING PERNIIT FEE SCHEDULE
The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any
addition to any existing building or stcucture, or for any alteration or repair to any existing building or structure,
upon application therefore, require the payment by the applicant for such permit of fees to the amount herein
below set forth and in the manner herein provided to-wit:
TOTAL VALUE
$1 to $500
$501 to $2,000
$2,001 to $25,000
$25,001 to $50,0�
$50,001 to $100,W0
$100,001 to $5�,(�l0
$500,001 to $1,0�,�
$1,000,001 and up
FEES
$23.50
$23.50 for first $500 plus $3.05 for each additional $1(� or
fraction thereof, to and including $2,�
$69.25 for first $2,000 plus $14.00 for each additional$1,0�
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 $50,000
$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 $100,000 plus $5.60 for each additional
$1,000 or fraction thereof, to and including $500,000
$3,233.75 for the first $500,0� plus $4.75 for each additional
$1,000 or fraction thereof, to and including $1,0�,0�
$5,608.75 for the first $1,0�,000 plus $3.15 fur each additional
$1,�0 or fraction thereof
DRIVEWAY DEPRE.SSION ESCROW
(£-c�aerete GG�ttrb Streets O�a�y) - -- - - -
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.
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 Survey of the lot, showing the location of the foundation once it has it has been constructed will
be required before proceeding with the frazning. New Houses Onlv
r