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AF - 35142� � � ��: .. �_� Caity of Fridley, Minn. BUILDING PERMIT �� 9� N° 7165 � i , :: " '� . . . � � � � �� : � . .� � ,._ , � � . :, _�._ �- /� - _� ��' /�� L�CATIO'�� LD�NG x� ..�!�i� ,�..�Si�Eet .: �..�lsn ��1%� � r � � �i/' Oi LOt � -�,�---. 81�5 � �tton or Sub-Diviaia� .�g ��r��j�..— Co�tner Lot IneSde Lot Setbaek � Sideyarrl -�-6 � SevVer IIevatt� ��• 6� � Eisvatton —��,ra �O d DESCRIPTION , � ✓ .��.�1 ,,, ._, :�� . � �� `.j � � , �'J t I�Pth i%fght SQ. Ft. CU. Ft. � Type of Construc�t[a� � F�t. Cost�.�� To be Completed OUTSIDE APPEARRNCE OTH OT oER��1LI�li� 5 di'�T O� AFPi�OVED VARIFiNCE I�V �LOCK. In c�sideratlon of the fesuancae to me of a permit to construct the crdinanc�s� the�dt�y o Fry�y with the d�crlption above set for�st s /I 1 to do �s of � In c�deraitan of the Pspment oP a fee of �.�� , permit ia herebY granted t� to construct the buildiag� or addition as desc�ibed above. Thia t ia granted upa� �spre� oondition that the�pe�n to whom it is granted and his agents, employ►e� an�w�rl�en, in all work in, arouad and upon said Isuildin�, or any� thereo� shall c�o�form in aII r�pecta to the orolinances of wi the�lin ita a� ��, ��astruction, alteration, maintenanc� rePair aad moving of buil �� Permit ma�' be re,woked at any time upaat vtolattan of aay of the P�� of� a�. �S � NOTIC6 Tld� pa�t doa �f w� tl�s �e, ��, P�. �� , ss�ra� �� B� a� to ns ' d� � 1�' h► p�tl� Pumhs /or fMa h�. -.. � _ -_4 y a ,y�,� � �� y � �� - , . . , ' F_ -. . .� . ; .' . . � �� . ,� �i _ _ . � - _ i� , . .}, , . ` . _ . �. , - I �� . . 6�T,S�l� � ,�c,E ' �i ��`.+�',j : . : - � M��S�1, � . �� ,tt��! �1E�i��.�l�`.�r, ��f�. �� ' . c�1 � �pQ� �. , , . , ,su�t ��0�6- ' . �q,'�� . --- En �neer� . � - ,�UrvPcJ4r�S -�-- �r .� � _ � � . i� � � ` � �+�e�r#��cat�e �►� �s�s�1t �,�� t�`� _ �rt� �i�s . ,; f = . II.. . .� .. . _. r . . y ,. • - . 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Area � 1�/f Wldth Hetgdt No. Na o as e lighta ot cra eq. tt. Y No. of ne ot llg] � n � L' s y-� �e Btu l�ltratios -' � ,., v.,�, � ^ _ In6ltration �R �' ~ � � Glasa , Eatp. wall r- f` �._ Fap. wall =° Net eap. wall A� � r �, �— .:- -- ,, I � �u Net eap. wap Ceil'mg � Int. wall _ �� f Ceiling / � • t, g T Y. _ �» � °r - 1'ot Btu. E.R. or aq. ins. W.A. l.eader area � �arn�t�►rous. �. Imnlatron Haw ��lCa '• °° Reqwr sq. E. .R. or aq. ina. W.A. der area F7• m � Leagth Width,� r�'""Height � , F�, . ;� ,�Room f Length id , �i�dowa sad Doors—Crackage a d Area �' Windows and Doora—Cracka Idth Hel�bt No. ot Llaeal tt. Area ,'rj $C 8Ad �IGd I!Ia ns ot Ughte ot crack �� Wl�ith Helght No. ot Lfneal tt. Area sa. t ` t V No. ot qhe ot ne ltghte of crac eQ. tt. `v � �•' 4� 4 J p.: % ( .- C / � tu a��a 4 � r "`- Infiltration � ��y'' ' Glaaa � ^� 4� . ''r ' � Exp. Well � � w� � Net e:p. wall �nt. �� Int. wall ��r —� Ceiling .r Floor � �i f; r eq. k. .R. or - a! Tot Btu. sq. ina. W.A, ader area Room � I.eugth �—Width Height e W'mdsN+� and Doori—.Crackage and Area ' t6 Mtht Na oL L(aeal tt. pres � ot Ilshb ot cra sq, tt. � No. � i � ft. D.R. or aq. ins. WA. der area V m I L,ength —i�idth Hei�t and Doors—Crackage aad Area HefgAt Na o! Llaeal tL Are� �� ne Itght� ot c�a p. (�, � � In6lcration Gla�e FsP• wa11 � Net ezp. wap Io� waN � ' ` a �w e,+-, +4 }� �d�'�t�� . � A� �� '�� ' - ---- - - - - ° - ._ _" , . " - _ - - -'�.�rz i �w-s . i�I �E!5 �° � ' i7. - . .�_ � I�A�° �S CAI.CUTATIONS DEPARTMENT .; OF BUIL.DINGS �� Gwde Conatruction IVo. .a�Owe� Doora Referenu Out. Wall Int. Wall Ceiling Roof F7oor Kind 0 19_ F1. m L.eagth idth Height �,� R�� indawe aad ra—Crackage and Area Windows and D�rs—Cr� VYldth Height No. ot Lineal tt. Area �! Wldth Helght No. o • ot lfght of crack sq. tt. � No. ot Dgne o[ Dane Ilg1 waq aq. h. E.D.R. or aq. ins. W.A. Leader area Room LenBth Width Height � aQd Doora—Crackage and Area AtA s1Spt No. ot Llaeal tt. Area rans ot paps tl�hte ot erack eq. ft, Coef. � Btu Mra9 k. E.D.R. or eq. ina. W.A. Leader arca � t�� w;ath H�i�he a� Roors—Craekage and Area B� ,� Infiltration = Clasa Exp. wall ? Net eap. wall _ Int. wall :�, Ceiling _ Floor Total Btu. MINNFAPOI.i3. Iasulation g"lOiY Width and Area aeal ft Arq CfBC$ W. �t. Required sq, k. E.D.R. or sq. iaa. W.A. Leader area F�.� �� ► �� w�a� Windows and Doors—Cracl�age aad Ana Nidth Hetght No. of Llneal !t. Aret No. ot pane ot pane ]lshts o[ crack w. tt. � � � � � � 1�1 Infiltration Glasa Eup. wall Net ezp. wa1l Int. wall Ceiling Floor Tota1 Btu. , Required aq. ft. E.D.R. or . ina. WA. Lea�r ares r�.� �� u� w� Windowa aad Doora---Crackage and Area � . Width Hei�ht Na o[ Llneal tt, �a; N0. ot yane o! pane lf�Ats ot erack q. !t, - `.� , ? tt `_ p � . .,,�� a � �d �, s � Ia6ltcatioa , y Glue - FsP• wa�t1 ;, ; }..:.; Net ea�. waN _ . Int waU Ceiliag Floor � e � � �� l7fy�y1� a ab:� "esy�. v...i� ! � 3r� .y,y� � .;� i _ � . . . . �� . . . �� 4YI�I.q'Iili ' � �� . � g�� it � p � : x :r ' M : M : o : � . � � : � � : � • � � N � � � � � � � � � �, � � � .. o � o � o :. o . . Q : : � � � � � N ►�+ � O O O � �O � �. � . t�q 3C � z� � z� x x � �' �, m � 4] � � � e � O � � � � � �� : o � � 'd Q'' o a ,� � � a �, : � �' : aJ o : : •• 04 � . . . . O : bd : ' : ' : � : : : : � aa �a x �e ae �a W N W ►+ �+ � � e�ii p e�i� o 0 0 r� i� � � � � � O. Q yy �i o C' O A x � � � � � 0 � \ � .� D � 1"' � m �^ l I m C r m ...�1 : .�.' � : �..�1 : : ��i►�� ' ,: ��, . ■��■� �� $ � O � p � � a �, � a � � � � a P �� S � w g � �. � � � O � � m � 0 .� '�r � \, WATER � UR�NALS e�rr+ � �� SINKS W,� ranrs DRINK. FOUNT. sHwas. FLOOR DRAINS GTCFI BJ�SiNS M1T0 WAStiER G0.S MPL. GAS � � OPENINGS 'e • z . � � � � � �a� � � �' � � �� , � � � �� .� � � �� b � �,� , � �� o- �.� t ��op � �, o � � ti O• i'� m '4 W � ag � ��M �� $ � i�"' r. A � .�� 3 `� � K � �' � �� ao Q � &� � � M � � � � � � O � � n � � m G. G 0. � m � � � M � � � Ri � � a A A e w— � � � d � � � � �! � � � W (�i tx � � � p � � �' � : � � � : . � o . : g . � � : : � � . . . � � : : : � : � : � • m �'A 0 � i� � N 1r � O O O � O � � � � � � x� � x� x x � � � � � � � � � � � � � �J : O � � � �� a o : � �- : t�*� � O . � � � � � . �� . . � . . . . . � . . . . � P{ P! k �! i4 Sd W LV W r+ F+ � ;�I C�7� p C�i� O O O � i/! Sii {A 4fl HJ H H � O Q x � � r � � m � � m C r m O � � � 8 � � � � , ....1 : �� ; �...�:{ � � ■■■■� �: , ■B�M �: ;: .■..� ��f� � � 8� WATFR C105ETS URINALS snrw rues a�rs SINKS wnst+ TRAYS ORINK. FOUNT. SF11NR5. FLOOR DRAtNS GTCFI BASINS Auro WASFiER GAS APPL G/lS RIINGE GAS OPENiNGS a • 2 • � � � A n � H � �S �' a, a`°. ¢ � a' a' �, � � � � � �� o� oa c+ ,,a, a � � �� . � o �A a g � ��. `� � � ��°� I K � �� p � � �� ' �� o- �� p�mo � � p � � � � � � �a ce � �R, � � (7 � � A �� °s �� o � � � � �� I � � 3 '3 � � � C7 �' N � � � � a0 �� &°� p � M �M � � � -� � � � n � 0 m � � '� d o. ° � � � � M � � � � � � � o � � � �p �� 0 N � � � v1 '"d e� �� ,, / r J� � �� ., ' p :� i C � '�4 �� i. '� . � ��- � ,. e t= � v 4. Name of Violator: 7. Nsture of Complaint; S. Covplaia�t rec�iv�d by; H E A L T A C 0 M P L A i N T CITY OF FRIDIFY, MINt�IESOTA . aaareaa: S. Addresa: . Co�laint Rsf�rred to; � `' a , �� d � � � .. 3. Phon� No. J � 6. Phoue No. q� 1� . D�te 11. Iteport of Actioa Takea; (Specify date of actioa) � —/o— 7/ � �'�.d o-.r+.e- _ �-�-�0,�, ' �� -, _ � � ./t-e--� --�- �--� ..� � _ � :�-h .E �.,,� - � �,._,...�.� � - 12. R�port 1� by: �,� �G 7 6 �� . . D�ta � . � ,\ «� ` �'� + - °� .:e.i;a�4 a � �;,�;�s,a �',ta_' . ,:i�?;'a .e, '�� i�` ��r � d* ��`i� �.:�� i ��A� :�Jif�� f�l�' �� YYag�r_ ��/�• 1� ��}T �f � '� f� #� �� A � �p�,i� ��- ��,� 1 � 8�3��$i� �� I� ��E � '1�� ' ��f � �+► _ '�9 �i�� +13#��.� '!�� i +��.�'� t'i�l� ��'C�r ��$ �i.B� 'i�t� is �i� 8�g �r �1+c�►. t �i�l �r �� J�_. �e. '�y' a� �nt+� � � a�r�1 � �:. - '� !r€�a�t �i� � ha� '4� ��a�.i�► �?�� t� �j r��r, � jl�i� �c& �t� �� tr� � �ia�e �t �s 8% �s�.ct� �&. � Z'� � +b� �ca�r�de� � � ;�c�ad to +�b� � z�� ic �s �.�, c� 3 � t� �� 3�� er at�d ��a �� a� s� �� er� !� � ��+�tt�,� gez�age � �� a�� a� cs�ra. �� a��t pi.e�+� a� �� e �$ri � lr�F �Yllras�'� s � � �� i � �� '� - � �t� �t �ir $ 'I�l�� tb� �.�. C� g��i� �� a"t4d� n t � �4. ��i�l+� �a� � E� '� �+%. � �! +� ,��+� � � 3�e� �v be� s�t�� s_ �. 7��F� �� e� 1�.1�. �r � t�s �a a� � t�► �! m� tt�i�. �s,� t�t p� 'r��r� �ti►g�S.�d . 't�ia�n¢'+� s� &� ��t� - r�� e�ts3�ue�re 'by �+ �+s�s ��s � � ac�t��r �i+�,, � 6,itr� �� e�a � s�tt� �g�i�� _� ��i► �� .8. crmae�et. A��u, � da+ - � ,�t�g+� �h� �� _ to �e s�� ti�o�. ��S 3. � : Pu�li� �1�h �c��a► a�� 1 � /� � ii 1 , � , AGREEMENT • L � s' � �d� � f }��` �`�. �(� / � - � Y, lx..�i , owner o£ the property � located at 7�ace �n�'� � s'f I�% V. �'�df� hane no objection to the City allowing the construcfia.on of a ��Q /',Qq.� to be locat:ed at `%� / °� ��' T/� ,J ,.� ,y�' //fj%_ without the requixed certificate of survey that the City ordir.arily requires for �11 new construction. Witness : .� .,.� '� $.: : � -�.�r. _ �� - — �� _-- _ � _ � ��v�! �/'7�'%a a S�iU � �n �`cl% Address �� te � . � � ' � �" � - �.,. _ , . �`' _�..._ . _____ _. - ' ,� • f- . sus�ecT pE . c�ty of Fr�aiey 135�7 ' ` AT THE TOP OF THE TWINS g U I L D I N G P E R M I T ' PT � � • COMMUNITY DEVELOPMENT DIV. �/ • � � j Y ��, r � � PROTECTIVE INSPECTION SEC. p 1 ; � � � �"�'1 � CITY HALL FRIDLEV � SS432 NUMBER - REV. DATE � PAOE � OF APPROVED BY �.---�' '•� e�z-ssa�o 910-F15 6/8/76 � � JOB ADDRESS �612 Arthur 5txeet N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATfAGHEO oescR. g 1� Meadowmaor Terrace SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE Gregory Rline 7612 Arthur St�eet N.E. 3 CONTRACTOR MAIL ADpRESS 21P PHONE UCENSE NO. Mi1es Garages 4500 Lyndale Avenue 4 ARCHITECTOADESIGNER MAILADdRESS ZIP PHONE LICENSENO. 5 ENQINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BU�LDINO 7 CLASSOFWORK �7 NEW ❑ ADDITION ❑ ALTERATION O REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK cion�truct ne�,t 26 x 24 detachsd ara e 8 CHANGE QF USE FAOM TO • STtPULATIONS l. Secure release from neighbor pr�or �o ,�uriag foot3.ng - sta� 4 1/2' from property line. r-IMPORTA 2. Do �aot build on eas�ment. ��-�+ 1�OTIFY THE FRIQt,E1r ENG 3. Pmvi.de a hard su:�face dri.ve, DMSlON REGqRpJNG �� . � REMOYAL AND R�PLAC�ME . . :. AT �E39G4Y ��F�;�� ;SEPE�tA`�E �PERi�tTS REt�Uil�D; �' ;'�R#�t�, M�AT��V�, PLU'l�ING AN�i. �GlVS,. SEPARATE PERM�TS ARE REAUIRED FOR ELECTRICAL. PLUMBING, HEATINO, TMPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATINO OR AIR CONDITIONINO. d fr� THtS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION. ZONIN(i SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN � DAYS, OR IF CONSTRUCT�ON 62,4 C �2�rO OR WORK IS SUSPENDED OR ABANDONED FOR A PERI00 OF 120 DAYS AT ANY TIME AFTER WORK IS-0OMMENCED. NO. DWLG. UNiTS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF IAWS VALUATION SURTAX W TH WHETHER P CIFIED ERHIN'O NOT.OTHE GRANTINO OF A� ERMIT $4�617.SO 2.30 DOES NOT PRESUME TO GIVE AUTHORiTY TO VIQLATE OR CANCEL THE pERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LACAL LAW AEGULATING CON- ZZ.00 STRUCTION OR THE PERFOAMANCE OF CON T CTtON. � PLAN CHECK FEE TOTAL FEE �' � � 14. 30 4 � aa uaeo ONTRA ROi% THORI AGENT �n e� HEN PROPERLY VAUD HIS IS YOU' E IT .,� U � ' CO i'J � , SI6NATUREOFOWN FIIFOWNERBUILDERI � � IDATEI BLDG.INSP pATE � . .. .b�� . , , _.'� ..;.."�'' \ �9� APPLICATION FOR RESIDENTIAL, ALTERATI4N, OR AllllITION BUILDING PERMTT CITY OF FRIDLEY, MINNESOTA OWNER.' S NA1KE : � / l �t�e, BUILDER:��.E�i,z. / �� ADDRESS : � ADDRESS : 5—U U ,�� NO•. STREET: LOT: �_BLOCK:_ / ADDITION: /� e�/�fj�� CORNER LOT: INSIDE LOT: C/ SETBACK: SIDEYARD: Applicant attach to this form Zfiao Certificates of SuxveY of Lot and proposed buiiding location drawn on these Cer�ificates. � HESCRIPTION OF BUILDING To �_Be Used As : .s .��'9'�'' Front : °� � Depth : o He3ght : Square Feet: 6 0��! Cubic Feet• ��`�v Frant: Depth: Height• Square Feet; G�L Cubic Feet: �►pe of Construction: _��.,,�,�¢� Estimated Cost: - v To Be Completed : -� �� ( �� 7 � The undersigned hereby makes applicativn for a pexmit for the work herein specified, agreeing to do a11 work in strict accordance with the City of Fridleq Ordinances and xulings of the Departmen� of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. DATE: (Se Reverse Side For Additio� /�.oti / � . �-re � f�� r '• SIGNATURE: , �Zw�� al Info ion.) 0 � ��i��-�-�� s S�Ee.�.e.�E � �f�sE �� c� 6dr�- t'�. o� T� ��x�.�'� J�cdT�a � — �s7°•�V �� IiC /�I vT �l�.� � ,o d� �/� z � BUILDING PERMI.T 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 structure, or for any altexation or r.epairs 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: U1�TIFORM BUILDING CODE: Type 1, 2& 4-$2.15 for each one thousand cubic feet, or fraction thereof, in such cubical contents. Type 3& 5-$1.85 for ea,ch one thousand cubic feet. ADDITIONAL INFORMATION For the purpose of computing fees for building permits, the nubical contents of any building or addition, is determined by multiplying the ground area covered from a point six (6) inches below the floox line of the basement or the cellar to the average heights of the upper surface or to the average� •height of the roof surface of the main gable of a pitched roof. For repairs or alterations to an existing stx�u.cture, the fee shall be, at the rate of $3.00 per each five hundred dollars ($500.00) or fraction thereof in the cost of all proposed work. In no case shall the fee charged for any pexmit as set forth in Section 2 be less than $5.00. VERIFICATION OF FOUNDATION NOTE: Permits for eonstruction wi.11 be issued a minimum of 24 hours fxom �Che time of application, to allow for proper review of the proposed structure and of the construction site. A Cextified Suxvey of Che lot, showing the location of the foundation, once it ha� been constructed, will be required before proceeding with the framing. CERTIFICATE OF OCCUPANCY Application for a CerCificaCe of Occupancy shall be made ten (10) days pxior to the use or occupancy of any structure for which a building permit has been issued; and said stxucture shall not be used or occupied until a Certifica�e of Occupancy has been issued. R � ,.,., �n�,-. .. _ �- �' - - ' � . .. '_' , � ' '_ m -r.-cs° r 'r �. . s . , . ,� _ � �� s �Oih��dlb7tR(� �-��#!�''�� d.�iA'�lt� . . . A�I�ID'��i�. , ,�1�S�s,� ��1N�Lr��iri�� r�1�:. "�°� , : , t�M! � M��, .��-�d� , �, �r�� -� En ineers � .��rv��/ors -- .� � . �'i�i�''��'.i�'��.' �Q� �'li��! �`�1� �� '!�'� ��?l�l�l�'�` t�,�s��.T�(�"��. : � `°�`"�� - - - � � � nr a R 7'� ., . , . �, I � �"rr- '/ � i ��, 26� � I r I .� LOT 8 � 116,31 1�6 3t a0 � �' W � � � � �+ � � � �C � . oD�NOT�'S /�?ON �� ,E`NOT�S UT/L/TY � I.�4A/N�G.E` ,�'",qS,�"I�l�'NT" . -: .. ,�oT S I � � ; �'�. o��____/y��oo��QO� �� : rov�v�-y o� ��vvxA , / h� �fi�'y 1Ywi �Qbr� n a b� and mrrecf r��.s�r�f'afim� o�'a s�rvey: �'f be► �s �fi� Qbs�p d��d l�, �nd o��e /�ca�ii a�oU dr�ildrir�,s , fhreen , wx�f dl risrd�►e r.r��raerinn,�r/3 , r,6',�, �'rn» �r a,►sai� l�d. As .un'�e r�811�g;;�,.,.� �(' " iEB. A.O. r9�L?. � � �; � . . �G►8tJi2B�1lI ENG��VE,�dI�G, iIVC., � � ��rreers fr .fw-� r.s � p,,� _ �� SCAt,� � � 4O " � �=' , c�� . _ �� 08 C SUBJECT P Q, City of Fridley � 180 S 6 � AT THE TOP OF THE TWINS g U I L D I N G P E R M I T � Z RE . COMMUNITY DEVELOPMENT DIV. I � ��.•---- � ( � r � � PROTECTIVE INSPECTION SEC. i � � 1 = � l � ��i � CITY HALL FRIOLEY 55432 NUMBER REV. DATE PAGE OF APPROVEO BY �----� • •'' 612-571-3450 s�aF�5 6/25/85 / / , JOB ADDRESS 7612 AC.�lll� ��C�@.t N. E. 1 LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACFIED DESCR. $ ], NjgBC�pWlq(?Or TP.rx�C@ SHEET 2 PROPERTY OWNER MAIL AODRES$ ZIP PNONE Gregory & Patricia Kline 7612 Arthur St�eet N.E. 786-4191 3 CONTRACTOR MAIL ADDRESS YIP PHONE LICENSE NO. Satm@ 4 ApCHITECTORDESi(iNER MAILADDRES8 ZIP PHONE LICENSENO. 5 EN(iINEER MAILAODRESS ZIP PHONE LICENSENO. 8 USE OF BUILDINO � RE33.C12I1't7.�,�. 7 CLASS OF WORK �'J NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ M.OVE ❑ REMOVE 8 DESCRIBE WORK Construct a 16' x 32R Abo�e Ground S�ri$1�i.ru,� �ol (12,7� ga].lon�,�. 9 CHANdEOFUSEFROM TO STIPULATIONS See letter dated 6C25/85 �cax stipulations. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBINO. HEATINO, �PE OF CONST. OCCUPANCY (iROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR COId3TRUCTION ZONINO S0. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPEIdOED OR ABANDONEO FOR A PERIOD OF 120 OAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GAHAGES AND KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES (iOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT �q' / QQQ $2 *�' DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMITFEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REOUTATING COIV- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $4�� SO. PLAN CHECK FEE TOT�ArL FEE y��i�?a Jr�. SIGNATU FCONTRACTOHORAUTHORZEDAGENT �DATEI �� WHEN PROPERL VALIDATED THIS IS YOUR PERMIT �'-as-/9lj + Si NATUREOFpWNER OWNE iLDERi � �DATEi BLDG �NSP � nAT p� [] City of Fridley Effeetive 4/1/84 ADDN. [ l R-1 AHD R-2 pLTER. [ 7 Building Permit Applieation Construction Address: 7�/� /4�� 1�•E Legal Description: LoT 8' ALocK � r�E�s�ow�oort ��ycE __ Owner Name & Address: ��E�oQy E* p�Q�ciA A K�i�✓6 76/� A�enN2.s3'. N•F Tel. # a� °Yl�i Contractor: S�rrE Tel. � Address• Attach to this application, a Certificate of Survey of the lot, With the proposed construction draWn on it to scale. DESCaIPTI08 OF II�lPxOYEMENT LIVING AREA: Length Width Height Sq. Ft. QARAGE AEEA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. �— OTHER: /(o � 1C 3�- �i6o�F c$ 2.0�•�o s�,•*��wc ('o oc Corner Lot [] Inside Lot QC] Ft. Yd. Setback Side Yard Setbaek J OQ Type of Construction: ��nc- � S�z Estimated Cost: $'�%,DD � Approx. Completion Date: / hoN�rl Alt. A Alt B Proposed DriveWay Width If NeW Opening Is Desired: � $ See Back Page for Explanation DATE: S�NE SY- /9�f APPLICANT: �"�� s� /��---=- Tel. � 7.�-��4� CITY QSE ONLY Permit Fee $ '7�i•� Fee Sohedule on Reverse Side Plan Cheek $ `�� 25$ of Building Permit Fee State Surcharge $ �� $•50/$1,000 Valuation 3AC Charge $ $425 per SAC Unit Park Fee $ Fee Determined by Engineering Sever lrlain Charge $ �� GI / �7� Agreement Necessary [ ] Not Neeessary [ ] t0 . e� V STIPULATiONS: o ,�. , BIIILDING PERMIT FEE SCHBDOLE The Chief Building OfPieial shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upoa applicatio n therefore, require the payment by the applieant for sueh permit of fees to the amount herein beloW set Portb and in the manner herein provided to-Wit: Total Valuation a1.00 to �500.00 Fees $10.00 (Minimum Fee is $15.00) $501.00 to $2,000.00 $10.00 for the first $500 plus $1.50 for each additiottal �1Q0 or fraction thereof, to and ineluding $2,000. $2,001.00 to $25,000.00 $25,001.00 to $50,000.00 �32•50 for the first $2,000 plus $6.00 for each additional $1,000 or fraetion thereof, to and including $25,000. $170.50 for the first $25,000 plus $4.50 for eaeh additional $1,000 or fract3on thereof, to and including $50,000. $50,001.00 to $100,000.00 $283.00 for the first $50,000 plus $3.00 for eaeh additional $1,000 or fraction ther-eof, to and � ' ineluding $i00,000. $100,001.00 and up $433.00 for the first $100,000 plus $2.50 for each additional $1,000 or Praction thereof. DRIYEiTAY 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 eurb and gutter and install a 3 foot wide� approach With 6 inch depth - Driveway width plus 6 feet times $15.75 VERIFICATION OF FOIINDATION Permits for construction will be issued a minimum of 24 hours from the time of application to a11oW for proper revieW of the proposed structure and of the eonstruction site. A Certificate of Survey of the lot, shoWing the location of the foundation once it has been eonstrueted will be required before proceeding with the framing. �, � �� 0 �<� hy -, _ � CITYOF FRIDLEY CNIC CENTFR • tr131 UNIVERSITY AVE. N.E. FRIDLEY, MWNESOTA 55432 • pHONE (61'_1 571-3-1iO June 25, 1985 Mr. � Mrs. Gregory Kline 7612 Arthur Street N.E. Fridley, NAI 55432 Re: Swimming Pool Construction at 7612 Arthur Street N.E. Dear Mr. i Hrs. Kline: This letter is to make clear this department's require.�ents for the snrimming pool construction at the above address. 1. As indicated, one (1) skimmer approved by the National Sani tation Foundation uill be provided. 2. As indicated, tWO (2} inlets of approved design for fresh and/or repurified uater �rill be provided. 3• The filter and pump shall be approved by the N. S. F. and be of sufficient capacity to provide a minimum turnover of at least two (2) times in 24 hours. This department recommends a turnover rate of 6- 8 hours. �. A deck of at least three (3) feet wide, measured from the pool watErs edge, shall be provided which extends ca�pletely around all private residential pool�. Above ground private residential pools may be provided xith decking of a minimua size of 4 feet by 4 feet at pool entry points and provided that such decking has the approval of the City. , 5. Fencing or other effective means including but not limited to w alls or buildings, acceptable to the City, sha11 be provided to positively control all access to public and private residential swimming pools. Fencing shall meet the following criteria: (a) ,The fencing sha11 prevent the eatrance of childrer. and be xithout hand or - foot holds that Would enable a person to climb over it. (b) The fencing shall be at least 6 feet high and entrances aha11 be equipped with self-closiag and self-latching gates capable of being locked. (c) Self-closing and self-latching devices shall be placed at the top of the gate or otherwise inaccessible to s�all children. (d) The opening betWeen the bottom of the fence and tbe ground or other surface sh all be not more than four inches. - dune 25, 1985 Mr. & Mrs. Gregory Bline Re: 7612 Mthur Street N. E. 6. An automatic ahlorinator should be provided With a suitable test kit. Page 2 7. All electrical and plumbing installations shall be inspected and approved by the City Inspection Departmettt. 8. All rnrerhead electrical lines must be a minimum of 10 feet horiz ontally from the pool surPaee, and 18 feet straight 1 ine distance from the waters edge. An alternative is to bury said lines. 9. The pool fill spout must be protected by a vacuum breaker or sir-gapped. 10. Suitable safety equipment to inelude but not limited to a ring buoy and rope that is 1-1/2 times the pool diameter and ahepherds crook pole must be provided and maintained with the pool at all times. Furthermore, these sud ariy other requirements must meet the provisions of the Fridley City Code, Seetion 115, S�imming Pools. The building permit is approved contingent on final inspections and approval of the City. If ariy questions or problems arise fram this letter, please Peel free to contaet me at 571-3�50. Sincerely, DARRII. G. Q.ARR Chief Building Official DGC/mh 0 1 .................................._...._... . . . : : : � : : : : � : � : �Pt�O� �POUJFf�-I�AK° � . . . . . . . - - • . . . PUMP AND MOTOA 1NITH.HAIR ANO LINT POT . . . . . . . - Ciear. see-thra lid to . . . . . ' . . . . . ry�,,, four.-poinL � . - - . . P�ectsioM balanced . ' " � ' ' ' determine when to clean " � ' ' ' Y • � � � � strainer basket . � � �� ' " " � � impeller for highest • � � - - Mti-syphon rotor . . . . . .� !id sealing. . � : : � . . . . .pumping efflcFerlcy �nd - . . " signifltantly reduces ' � �' �� longer moRo� be�ring Ufe. � � � � _ . t, � Single tiarbed I /� ' hose . . .A Qoughboy exclustue � aack flow fr.om pool when � �-` _� ' adapter for positive :. _ removing Fnterlocking � '�'� � - � �a� � - � � ' Pump�sea) insulator ' . strafner poC iid � � � , . . . . . . . . . . . . . . . . . . . . . . . . � w.,.,✓ a�- � . . - - • - - . . _ protects pump against • • • • - - • � • � � - � ' _ � • - • • • • extreme heat if pump .....__......._ . ... ...... runsdry ..... . . . Single-bar6ed 1'h': hose . • adapter for posltive �� .. Patented shaft slee�•e design ' ' ' ' � � � hose seal • ........• - tnsulates motor shafi . . . . . . . ' . . : �,•,^,�� fromwater ��;'�.' ,,�F �. �' .�'� � • � • • � • - . . . . � . i '* � - A ` p_ � Thermall�� protected, high � °""� ;' i� .- efficient, cool operating . . . . L,arge capec(ty strainer� . . =� � '� ��t . r � - motor for longer tife `�� Protectfve motor cover • •• _ " r �' can easily be removed for ' I � accessibility and sero•ice �Yinlerising drain plug in — ,ti _. � pump arn1 strainer pot �'�� ➢ �� . . . . . . . - - �xs : �f_ ` . Strainer•pot sllp Qts inGo �:"; �� . pump and is securcd with stalntess steet screws to prevenl rotation , � `;.;y-. �� _ Vained diffuser housing �i;.; � equalizes (nternal forces �n,�; ; io eactend motor life '�`�=' " ' Stafnlcss steel pump seai " '- .� � � �• �a Z ^ N N �� Flow-thru air venttlat on � for cool running motor Motor (s elPVated 4 irtches above ground in a high : Impact base . . _ : : " SeT( priming, double � insulated, ttiermally . protected 19�h . ModelltumAer Morsepo�rer ieza-oo � n.r. ie�s•oo � n.r. 1628-00 1 M.P. N � 24�li I I sT _ 'h � � -j � :' -_ �� Stainless steel hardware Comes tomplete with a 25 foot, I6 gauge. outdoor electrical cord. • Includes safety ground :�� 3 pRo,�c �w,�� c k Doughboy as manufacturer reserves the right to revise, change or modify construction of Doughboys family products, or any part thereof, without incurring any obligation to make like changes on products previously manufactured. Your authorized dealer is: •'� p�j� �gb� �" MfiMB6R w ^ IrrA • � � ,� o o�oou : � �i a 000i �bsriTw� DOUGHBOY RECREATIOI�IAL 10959 Jersey Bivd., Rancho Cucamonga, CA 91730-0959 DB 184-018 _ � �- .. -- - - _-- - - �. "the original portable pool" ooUo�ooU� �o� SIZC SURFACE APPROX EXP. APPROX. �GG •,•/ OVAL MODFd. ARPA GAL. GAL. SMP. � �,s,�`'J csQ. �r., cnr. car. wnr. 24' x 16' x 48" 4646-92 325 9,150 10,230 625 Ibs. LNCIad 110�0 sz• x is• X as•• �s�s-sz aso lz,�oo is,oso s�s ibs. ro.rw�nw�on 40' x 16' x 48" 4606-92 574 16,240 19,870 1,100 Ibs. "�dtr"e'"` 4f' x 21' x 48" �611-92 756 21,270 26,270 1,150 Ibs. �� • Special Doughboy virgin vinyl fumiula for optimized wear and ultraviolet ra� resistance • Embossed for extra skid and slip protection • E�pandable Duraflex liners allow for optional deep swim area l5 Year Ufmited Warranty on 20 Mi! Fxpandable Liner • ��: �� : :: �� '� �:: :�-� l � , �: -;_: ;�c•7�:::;•s•c:;y:�•;�;::'•�;� : ;: . . _ _ :: . , , =�y-, . :: abo�e ground pools are designed for swimming and wading. DO not jump or dive, severe personal injury may resuli 24��X16� =- � - . � _—__ ��X 1 s� ' �_ __. ; _ _ _ _� -- _ _ . _ /J � /i/ " �--��,-�_ _ _. _�� .� -�.��. - � -- � - -� - � -� --- J - - �� . . , -,., ��,�.�;; �?* --; � ; : . .. � - r9 _ 0 .. �.. , . � .._ . . r ...s. .. . .:.. �..,. . . . . .� N,..>s.. n.._ �:.��°':. .�+, �.rss::.; s-, r ,-e�4�:: ,�• A ;�Y- . - . _-..._�_. l e Ian1 �'ls��„n:� laL+ .�.r�ey+n,� Sod� k,±aW tr.n/ l. 4dnx:}at! (!A7 .rY?: yl�j ! , � l�'� .��-��2 6B7S %Igii,� KS uE M9�r�•'a �1. ENGINEERING, INC. �'��'° slf�ur! � e0r+ti -- En9rneers E Survec�o�s — ces�i�icate o� susve, �o: oC? � � , �� . � -- • -- � I��`,�� '. � . � aw I � �: Lvi (J �`�..__ � ��r �� fi0.� �%U1X01✓SK/ AND �N/fS , - � NORTH � �— j i � � . � �� ?t tr � ' � I I ' , 1 � - �� _ ^ 1' 0 3; �. � c(` � W UJ � � cf� � � � � � Q � � � �AENOTES /�E'�'N — — — DENUTES !!T�[/TY � ORA//1fAG.E EASEMENT . �OT � �8�. OC/� � �ADD!✓/'�ODR TRRAC,� ______ �% CAG/q(TY G�' ANl�il'A ll�o►sby c�r�r�'y 11►�ot N,�s K o Irus a►.d mrrtci nr�sartofian o��'a .s�r.�sy �'1�r d�nabr�ivs �l'Air adsR ebwbrd lod,end ef'Nr /as�er, arel� !�e,�Nea�> . fl�inrir, . rd d/ r.s�d�lt aorr�oorinnenls , if�, �i ar rn srd �irid As �r�e�eal � inr IJ�s - dkl � _, f�..�_ _�._ a o r�� /8 UR 8AN ENG�NEERING , 1NC. E�rneers fi S�rr�yora V��E / �'�/O, 7/ /� ,' � • ,� ! ' � �-lr -- - - - s _ _ , � � « `r �`"`� - - � sue�etr PE c�ty of Fr�aiey 26 34 7 AT THE TOP OP TFIE TWINS g U I L D I N G P E R M I T r ; � RECEIPT NO. � `y � COMMUNITY OEVELOPMENT DIV. . � e � � r � � PROTECTIVE INSPECTION SEC. r�J 1 � , • � � /'�'1 � CITY NALL FRIDLEV �432 NUMBER REV OATE PAGE Of APPNOVED 8Y �...__1l.' �•� 612-571-34b0 910-F18 6/25/98 � � J08 ADDRESS 7612 Arthur Street NE 1 LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE AttACHEO OESCR. $ 1 Meadowmoor Terrace SHEET 2 PROPERTY OWNER MAIL AODRES$ 21P PHONE Gregory R1ine 7612 Arthur Street NE 786-4191 3 CONTRACTeOR MAIL ADDRESS 21P PMONE LICENSE NO. Same 4 ARCFIITECT OR OESI(iNER MAIL ADDRESS 21P PNONE LICENSE NO. S EN(i1NEER MAIL ADDRESS IIP PMONE LICENSE NO. 8 USE OF BUILDINti Residential 7 CLASS OF WORK ❑ NEW O AODITION ❑ ALTERATION �] REPAIR O MOVE O REMOVE 8 DESCRIBE WOpK Reroof House & Garage (23 Sq) Tear-off 9 CNANQE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. SEPARATE PEHMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, NEATINO, �PE OF CON3T. OCCUPANCY dpOUP OCCUPANCV LOAD VENTILATING OR AIR CONDITIONINCi. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION 20NINti SQ. FT. CU. FT. AUTHORI2ED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDEO OR ABANDONEO FOR A PERI00 OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWIG. U ITS OFFSTFiEET PARKING I HEREBY CERTIFY THAT I HAVE iiEAD AND EXAMINED THIS APPLICATION 1 STALLS GARAGES ANO KNOW TFIE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAW3 yALWATION SURTAX AND OROINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. TNE GRANTING OF A PERMIT �1 s 918 �. 96 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pEq�1T FEE SAC CNARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW RE(3ULATING CON- STRUCTION OR THE PERfORMANCE Of CONSTRUCTION. �GL.LS Fire SC �1.92 PLAN CFIECK FEE TOTA� FEE � $65.13 SiG A OF CON'PACTOR OR AUTMORIZE ENr IOATE� WNEN PqOPERLY ALIDATED TNIS IS YOUIi PERMIT , � �J �� S� ATUR qpi OWN BUILDER� IDATEI _ Bl �NSP qaTE NEW ADDN ALTER [l [l [l ConstructionAddress : CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Effective 1/1/98 �t� �' �D�j �j�(� � Legal Description: Owner Name & Add7ess: ��. �,��,' n,� Tel. # f, /�Z 7 S Co �f 9� Contractor: _� � / � MN LICENSE � Address: .�� %,1 �" il, � v� � T, i?/,� Tel. � Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IlVIPROVEI�IENT LIVING AREA: Length � Width o2 (� Height Sq. Ft. GARAGE AREA: Length .�(� Width � Height Sq. Ft. DECB AREA: Length Width � Hgt/Ground Sq. Ft. 01'HER: ��',Cr�O-� ;�D e� .s �� .n r�, c Q o7 3 S� .�ea� e,�,�` Construction Type: R. e., (�oo� Estimated Cost: $_,,,� ��1� ' v (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$, _$ DATE: f'�J`�- � APPLICANT: �(` �ege r �/ ��.� i� Tel. ��/a 7B l9 /l 9�� CITY USE ONLY � Permit Fee $ o? � S Fee 5chedule on Reverse Side Fire Surcharge $ %� �� .001 of Permit Valuation (1/lOth%) State Surcharge $ � �rr $.50/$1,� Valuation SAC Charge $ $1000 per SAC Unit License Surchazge $ $5.(� (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control Park Fee Sewer Main Charge TOTAL . STIPULATIONS: $ $450.� Conservation Plan Review $ Fee Determined by Engineering $ $ � �• �..3 Agreement Necessary [ ] Not Necessary [ ] BUII.DING PERNIIT FEE SCHEDULE The Cluef Building Official shall, before issuing permits for the erecdon of �ny building or structure, 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: TOTAL VALUE $i to $500 $501 to $2,000 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,001 to $500,000 $500,�1 to $1,�0,000 $1,�,001 and up FEES $21 (Minimum Fee is $21 plus surcharge) $21 for first $500 plus $2.75 for each additional $100 or fraction thereof, to and including $2,0� $62.25 for first $2,000 plus $12.50 for each additional $1,�0 or fraction thereof, to and including $25,000 $349.75 for first $25,000 plus $9.� for each additional $1,0� or fraction thereof, to and including $50,� $574.75 for °first $50,000 plus $6.25 for each additional $1,000 or fraction thereof, to and including $100,OW $887.25 for first $100,0� plus $S.W for each additional $1,000 or fraction thereof, to and including $500,000 $2887.25 for the first $500,000 plus $4.25 for each additional $1,000 or fraction thereof, to and including $1,�,000 $5012:25 for the first $1,�0,�0 plus $2.75 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 $13.50. Alternate B: Removal and replacement of curb and gutter and install a 3 foot wide " n approach with 6 inch depth - Driveway width plus 6 feet times $15.75. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. _ � p �, Building Inspections 763-572-3604 763-502-4977 FAX BUII.DING RESIDENTIAL APPLICATION CITY OF F.RIDLEY Permit R��a s; , nn� S'' �— 8� YOUR E-MAII. ADARESS 9 v`�c� e 1<.1 � n� C� /YI S� , Co �►�1 srrE Annx�.ss 7f41 �7 /� rTh � �-- �% /7J � . � THIS APPLICANT IS: � OWNER �CONTRACfOR � PROPERTY OWNER/ TENANT CONTRACTOR SUBNIIT A COPY OF YOUR STATE LICENSE TYPE PERMIT TYPE nnn�ss: �, l� /�1rr-� r ST /UE crr�t �r �' PHONE:?Co 3 - %�(o'_ y� cj� S�� ADDRESS: CITY STATE Z� PHONE gpg STATE LICENSE # EXP DATE �I SINGLE FAI�IILY/NEW CONSTRUCTION O TWO FAMII,Y/NEW CONSTRU(.'TION ❑ BASENffi�iT FINISH �1tOOF ❑ DECK ❑ SIDING 0 SWIlVINNIQJGPOOL TYPE OF WORK: O NEW HOME CONSTRUCTION O ADDTflON �MAII�'fEI�TANCE/REPAIR ❑ REMODELING DESCRIBE WORR BEING DONE: E5'P SIZE OF IlVIPROVENffiVT �(`,� �� B�$Y� O HOUSE ONLY NUMBER OF SQUARES �� HOUSE & GARAGE GARAGES ❑ ATTACf�D GARAGE PROPOSED SIZE: ❑ DETACHED GARAGE PROPOSED HEIC�IT: �IDIATG o v,oyi ❑ ni�,� 0 Other oso�sc � Trim 0 Fascie ❑ DRAIN TII.E � O'ITffit R�II�IDO�VS y IN E�IISTIIdG OPIIVINGS �Yes �No LOCAITON OF WIIJDOWS II3TII OR FOR NEW OPENINGS-DESCRIBE SIZE OF OPENIl�TG CHANGES 8t TYPE OF WIIdDOW TO BE INSTALLED NUMBER OF WIIVDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR SING THC 1997 UBC FEE SCHEDiJI.E) TOTALJOB VALUATTON S °� Oci• nrrr�rrnsrrr� Permit Fee Plan Review Fire Surcharge Surchazge License Surchatge SAC Charge Curb Cut Escrow j Erosion Control Park Fee Sewer Main Chatge Total Dae Ff $ASEIVffi�Tf REMODII.ING SUB_M�T• 1. F�g FlootPlan 2. Propaged floor plan 3. List of shuctmal merpbeas to be us� FOR NEW CONSIRUGTIOAT INCLUDING DECRS, ADDITIONS 8c PORCI�S SUBMiT• i. sae r�s��y �g rn� � �� P� P�.T� 2. Two s�s of c�o�udaon plare 3. Eneagy Caha�letions $�3 �S See Back Page for Fee Schedule $ 65% of Building Permit Fee $ o� - Z .001 times ttie total job valuation $ .0005 x Permit Valuation Minimum $.50 $ $5.00 (State Licensed Residential Cont�actors) $ $1825 per SAC U�iE (Pl�s to MWCC for determination) $ ft+6ft= ftx$21=$ $ $450 Conservation Plan Review $ Fee Detertnined by Engineering $ Agreement ne�ssary ( ) Non Necessary ( ) $ ��l .� Mnke checks payable to: City of Frldley Attac� THIS LS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL, PROCESSID I hereby appiy for a building permit and I acimowledga that tl� info�on above is comg►laie az►d acx�e; t�t the work will be in conformeace with � ord�nces and cades of the City of Fridley sud with the 1VImn 'on Cades; I u�decstand this is not a pe�mit t�t only m� application for a permit a� work is �t to stazt without a p�'mit on site; that Hre vrork will be in �e appro cese of all work which requires review and approval of plang. SIGNATURE OF APPLI PRiNT NAME !' �o�` t/ L �/) DATE S- /'� S APPROYEDBY _ r✓�� ,,....,,�E_-.�i /h� � ' , �- �• �. �_ -, '�' ,, ��! � �' �- -- � ` • ` ' �� • � ` � : ' � • �. � �'.`� � � �-��' � +�1 # � � - � R �'j� : .