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AF - 44301� � : ,. ,: ; � _ _ ,�, � - F - ` _ - ��i�Q 41� �"P�1�8'�s �]III. ;� .. , . . , z , r_ . _� �> .: - , - . ., „ . , .,: : , � > <. .: � � o: � - , - . � ,- , 3d , ����'-- �� �,� N''°� 3f2 : .� � : ;; :. � � , y : : ' , � - - ' �f:0 4ii ��'3��9.'10$ 4;9�' Y3UfLpIN�iirS ,.' � _ - - = A - ,a�` �° ^ ? �> � - - � , �; ,Uw7q�-; �r � * �� 1�a���t��4 � �! ..r- ��, = , 'a4 r.�� � ],g��► .�� � ,_ � , _ _ . . , • . . .. . . . � = FridIey, l�iinn.,_ � `� :Areb.ifi'e� _ . ` "` - i -B�c�er - _ � `' ; _ � , - ���' i,�CA7�iO1gT f�F �U�7C+DIN� � ����C�� ' ��reet 8 � � � 1Paxi of E�of ` L4t �: B1oCk t, 1�.t3df#�ott_ oi' S1ii�Divlsitis�t � I3 +' �$P��Il� ��+` �U�+Y�I�T�".�r _ ; g'r�nt;,..�,._..; Depih� �eight� stc�r%s�_ 113aiiner oi �onatru��ot���� � - 0 � - Tu be 'used 8s � Ta� Fie csomplezea,C� +� � � "" �� Esttnna� CosE �'� °� - � - t - - =� - - � _ "; � . .: . , ,. - �� ; ; ; ; , ,_ > ,. , . _ , ;_. .;, E F� is -hereby �gi�ant�i ia �' �, � 6 tA_. ������ '' �� . . , "�" ; ,t�e }a�ldin� ` : � �a' � _ sleaeribed�ia tise-.alxive atatemen� -'t� per�iti #s �rante�l .° � upcin _xhe e�press coacli�iaa that the pe�eson to �vhom it is -�ted; and hls agent� emgloyees ..a�nd wor�n� in a11 ,, �. tixe work done in, aa�onnd amd upon eaid i�iildin�, Qr �n9 Pas°� �iaereiaf� �a11 con:Porm; ix�, a11 reape+cta to ihe Q�ti .� n�cces af .F'rid%y, �inn� regasding tl� csoastructiori� alt�raf3on, mai�tenanc�e, �repa� ana �zavin� of- but�s'iings ": _ - , � �vith�i. t't� etty "umtts; a�#a this� p�rmit s�a�r �e revogea a,t aay "iirrie upon vio]�,faton, of aay. ar tlie' provtsiana oP �ata : _ or�iinaaCe�: = �,. T ' f �. �l���,�������?�^ 7n�etor oE; Suiidings,� � :-�£ : � � � A�"'x'REE�'+ -+1°�T'�' �1aiD �"Wf��i�T S'.�'A'1'E�ENT _ -. In co�ta.ider�.tion �� fihe i�sue��d �leliver3r to' me by �he Inspe+etor of` �uilldia�s of Fridley of � t�e above l�ermit, � hereby agree to do. �Tie prog�sed �►ork in �,ccordance �th �he ; descript�n . abov� sei forth �nd aecord'nag. �o t'�e provisions of the ordin�:nces of Fricll.ey, as�d., b�in� fir� dtily ; ' aworn, . I;�ex eby state a�d say. �at :the fact� s��ed by.' mE a�d eo��ecl � t.he abov� ge�it are - �� tt�ue a,�,�biere3� s��ed. _ _ , - - �` - � R . � . _, � . . _ : � - : ;;_ � �' � � �' , �ubse : � �,n�. �vort� fio taefere me a�, F�id�ey, 1�'inn+�o�ta,, �._. *'�� f�- � I`�� 'i ��} _ ' �. _ �,g� � '_.._,._-A..�. �� _- _g., _ . - - _ < _ �;; � � . � � - , . _ � ( _..�.cr�: '` . . �''I�+`iL _ ' � ... � ,. � r;,�?" ; -� � - . �. - . ,���_. . �,�. __ . � _A . , - ��� � 01 a � ' �Ca, � � q � O C a• �� , � 0 A � � � A � � i�► O C -� .0 V � � � � � m o. �a w p o � o O� O� H � P� � A�4 a .$ z � .� � .� � � � I I y � w .q y � .�-i .�-i s�i � a�� ����' � "��'o � y � � � ����� ���� ��� �. � �o�� a���� a e ���� � a ;� � ��� � ���� o� � o �. q .� � ` � � � . ���� �" � � � Y � y Aa � � � N / El? .� � � o � � � � ��°� � � � � � � � o � � a ���� ti o � � � F � 'ii � ,t2 U ti�� O x � E� rj7 O � � � W 3 � � • z A a S�NIN3d0 SV� 3flNdtl sv� �aav sv� a�tsva� o�.nv swisre �.v� SNIYNO aop� •saMtis •�no� -�Niaa � HSVM S%Nt5 ��� � �� s�vNian � ��� 6° m E' d1 � . ������ „ ,. ��I��� ; : ,��`�',a■ • . ��ii�� � - �H��� � I��i\:!1 � , ���ii � ;� W J � W � � W � J H � � \ a � a � .� � � O E �sr �ss v� �sr �r � �LL�'J N O N O N .-i ri .�i M N M � �1 � I I I I I I : ' : : � : : : � � o � : � : ° Pq 0 � �' .N� Y O � � ' a � � � : � a � � � � � � � P4 pq � � � � " � � � e t� � � � � z w� z �� z � � � O E+ � �s co- a�°�, �°r�, °o a,j e-I N � C� �4 C4 °z 9 � : � . o : � o 0 o" N � � .� �� 0 � � ���� � � � � i CV � � 0 � O J va . � . � . H 0 a � � � � c� � � � � � � c � � c O � � �', � � � _] � H �2 � � � Z (� � C� lu O o � U [1 � � ac z u, °o �� a m s } O eN aa c� z �z z° g� �U ac Oa ao Oa � � O� Q . v� a. � Q a�C � � Z Q �U� W Z Z j N � �� � •�' ��z� ts c � O > >. e� � ~ � N ���� ! � � .� ., rn v � c � � � � � � o � � Y V � �, 3 �� z � � • � .��_ � o '+ �a „., s ,,, � � � � N � � � � � � � � _g��� � G � _ � O �Q N � Qi �� �.i� � Y � Q' Y � _ � � � 3 o v_, ��' y +"�+ �a • � � a � m � � 'a � o = ,a,� � as -a :� a� c � m c cn � m o •� � � x� �� �m � 41 = � w N 2 m Q � w � � c� z a J � m I � � O Z F�- g a w a e � , F— N O U � a � � w � o°` ~ � . v3 �r � m � o°, , c�i�, $ o � o 0 0 T r T � � � � } `m � 3 m i � � �.. � � i1 U.. � � � m t � � � � � V � � o ��a m U (6 i � m C � � '�C � �f C.� � m � oc ��R V � � � � � 0 0 0 � � � � � Q ! � c � 'a U a a € � � m � � = a � W � � � o � N � Z � V% � N � � � c � � � m U � � � p d U � ►- _ _ �, m � c�6 Z c � m i `� �� � z Z �-�- � t'L m m � a m Z 0 � N Y � O y •� C O '- ;,, O � � a� o� Q. � � a�i � �� � � a r �� � Y � O U �A Q. va c o � � � > � v E � 0 � V ~ m � � w 5 � � � m � O g � �° � � °� � �C � a l� 0 c 1 t m 0 2 m � > 0 Q. •a O � W � O U W n. � z ��.: � fl £ � L �d a $ o � r �m 5 0 m � ' ti{ c � C � O �+ � O � � � � � � 0 � � 0 Q � U � a U Q Z � LL H z w w g a u� � CHIMNEY AND STACK V$RIFICATION The undersigned hereby verifies that the existing chimney or stack: l. Has been carefully examined Yes (� No () 2. Is free from rust or deterioration Yes (�j No ( j 3. Has no foreign objects lodged within Yes (� No () 4. Is securely supported Yes (�) No () 5. Meets all current Code requirements for size and total BTU's connected Yes (� No () 6. �ias total hea�ir�g -$Tii's of @9 � � - . _ All other BTII' s 7�� W� � � TOTAL BTII' s ! �� . �� . I,ist Alterations Beinq Done: HEATING COMPANY Signed By Date 0 HOUSE HEATING TEST' RECORD �� P � � f '� � ' � ^'- . P j ADDRESS ��"�r' �,� !.�����'`���-'( �-'��� ��°�'� APT..—��FLOOR CITY SUBURB `' i�;`���ft'� OCCUPANT � � OWNER � ' f�'�"��'-�� "�� � ''�'�`- HEAT LOS�, `' f �'F � DATE HT4G. INST. `-" ' f�'� r SaLD BY� r ��'� �� �s..�+�11;�� �l �.6�i6-i � lj =�° ` ' ,�..L '_-�`�--''`�� INSTALIEDa$Y --� �t�i,�"i,� . Elsct►icol Work By �� Goa Lins`B�r��s�'/9°���+ TYPE OF HEAT GA —_ FA T�HW STEAM SPACE HTR. UNIT HTR. OTFtER ., ° GAS DESIGN CONVERSION. � MAKE .���' � '-� �� ~ .MAKE OF BURNER � Model ,c ��. �� � �``� `� �� �`� � F%� f �% Modsl Ssrial � �' �" � �^"���� -`� � �� Maz. BTU Rating INPUT � �"�' " � � � ' MAKE OF FURNACE � Model �CONTROLS %� ,� /� THERMOSTK "�� Heat Plug Vsnt Sise ��� ��,' ° � � � Vclvs � KIND OF IINER '� "��� SIZE � NONE Limit � � �F Oraft Hood ��'�"�-���.�?-�" � Reqularor �'� Limit Setting � Filters Si:e ��..c.`�-,� �Tlumbsr � Fcn Setting 9 `�" Chimnsy Loeation � sids - r.� _ Outaids Pilot Type �`' '�/�� � � -� Q�imney Construetion ������' "�'�y ,T Pilot Moke �'���=''��. ;r�✓ a i PilotModel _��`������r«''�'�'�' _ $mokeBomb �` Wiring � Pilot Timing ` ��', ' ^`Draft �� �Test Tag l`` L.W, Cut Off , Door Pressure � Lightiny Inst. � .�- Prossure � �� Pereent CO� �� Dats Tsstsd �+ r• ��` � �. input CFH '",� �'�:�• Peresnt OZ_� Company Tesfing ..�s"'�� �� Stack Temp. �°� Paresnt CO N Nams oF Tester °: �° Form 235 sua�ecT PE : -_ City of Fridley � 9 5 4 0� AT THE TOP OF TME TW�NS g � I L D I N G P E R M I T r ; � RECEIPT NO. � `y � COMMUNITY OEVELOPMENT OIV. ��� r � � PFiOTECTIVE INSPECTION SEC. � j � � /"'1 � CITY NALI FRIOLE� SS�,i NUMBEF pEV OATE VAGE Oi AVpROVEO BY �°�'� � �'' bt2—s��-3450 s�aF�s 5/24�'99 / / JOB ADDRESS 6611 Ar•thur Street NE 1 LEGAL �OT NO. BLOCK TRACT OR ADOITION SEE ATTACHED DESCIi. 1( 17 1H 3 ak r dd� 1 SMEET 2 PROPERTY OWNEF MAIL ADDRES$ 21P PMONE Gwen Ha en 3 CONTRACTOR MAIL ADDRESS 21P PMONE LICENSE NO Premium R���fx oo i - d ARC►11TECT OR DESIGNER MAIL AOOqESS ZIP PMONE LICENSE NO. S ENGINEER MAII ADDRE33 2�P PMONE LICENSE NO 8 USE OF BUILDING Res�dential 7 CIASS OF WORK � NEW O ADDITION O ALTERATION � REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WOEiK Reroof house (13 S ) Tear-off 9 CNAN(3E OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPE OF CONST OCCUPANCY GROUP OCCUPANCV LOAD SEPARATE PERMITSARE REOUIRED FOii ELECTRICAL. PLUMBING. HEATING. VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOIO IF WORK OR CONSTRUCTION 20NING SO. FT CU FT. AUTHOR12ED IS NOT COMMENCED WITHIN �0 DAYS. OF IF CONSTRUCTION OR WOiiK IS SUSPENOED OR ABANOONED FOR A PERIOD OF 120 DAYS AT ANV TIME AFTER WORK IS COMMENCED. NO DWLG. UNITS OFiSTREET PARK�NG I MEREBY CERTIFY TNAT I MAVE FEAD AND EXAMINEO TMIS APPLICA710N STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING TNIS TYPE OF WORK WILL BE COMPLIED C111(i �.56 WITH WHE7HER SPECIFIED MEiiEIN OF NOT. TNE GRANTING OF A PERMIT 'P OOES NOT PRESUME TO GIVE AUTMORITY TO VIOLATE Ofi CANCEL THE pEpM17 fEE SAC CMAFGE PROV�SIONS OF ANY OTMER STATE OR LOCAL LAW REGUTATING CON- d�(�p . HJ F� e SC � 1. 11 STRUCTION OR THE PERFORM NCE OF CONSTRUCTION .D �+ PLAN CMECK FEE T TA� FEE � ;�y'ej Lice C $5.0 51.52 S�GNATUAEOFCON'FACTOpOpeUTMORiZEDAGENT �O�iE� HE P Y VALI D TMIS 1� PERMIT � V S�GN4TUAE O� OWNEA��F OWNEABWLDEAi �D�iEi B G�NS� f��if �[ ] ADDN [ ] �,�R Il Effective 5/10/99 CITY OF FRIDLEY SINGLE FAMII.Y AND DUPLEXES R-1 AND R-2 � V) BUII.DING PERNIIT APPLICATION �►� �� � 0 Construction Address: L��� �¢'t,[(Ur�- Sr � � Legal Description: /Rp� /_ //�(� Owner Name & Address: ��a��� � �l-�►��� Tel. # Contractor: �/r'��/t����sv� /��i yI/lJ� MN LICENSE # �Q°/%� Address: �o���(� �G�G I J4 G �, / T � ,S S �� Tel. # � �l -.�°f 7.3 LIVING AREA: GARAGE AREA: DECK AREA: OTI�R: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. I.ength Length Length DESCRIPTION OF IMPROVEMENT Width Heighf _ Width Height Width Hgt/Ground Sq. �t. Sq. Ft. Sq. Ft. e �( / b Construction Type:���� ���� ���'�� Estimated Cost: $ Driveway C�rb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: �S ° � APPLICANT: ����.v ����G� Tel. #� %%' � �� Permit Fee Fire Surcharge State S�rcharge SAC Charge License Surcharge Driveway Fscrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ �� �� $ �ll $ �o $ $ ���d`!� $ $ $ $ $ �l-.�"�`- CITY USE ONLY Fee Sched'ule on Reverse Side 001 of Permit Valuation (1/lOth%) $.50/$1,000 Valuation $1050 per SAC Unit $5.00 (State Licensed Residenti�l Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] .� BUII..DING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erecrion of any building or structure, ox for any addidon to any existing building or structure, or for any alteradon or repair to any existing building or structuge9 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,�1 to $50,000 $50,�1 to $100,000 $100,�1 to $500,000 $500,001 to $1,OOD,000 $1,000,001 and up FEES $23.50 $23.50 for first $500 plus $3.05 for each additional $100 or fraction thereof, to and including $2,00� $69.25 for first $2,000 �lus $14. � for each additional $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 $50,000 $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 $500,000 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 Curb 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. 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 co��c�l will � be required before proceeding with the framing.