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AF - 35160sua�ecT P IT NO. City of Fridley � 0 184 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T s � ' RECEIPT NO. � i L_ COMMUNITY DEVELOPMENT DIV. � / r � � PROTECTIVE INSPECTION SEC. d� 1 . , `•.N � ��'�h � CITY HALL FRIDLEY 5$432 NUb1BER REV. DATE PAGE OF APPROVEO 8Y L , � 612-571-3450 910-F15 6/2/86 � � JOB ADDRESS 6651 Ashton Avenue N. E. 1 LEGAL �OT NO. BLOCK TRACT OR ADDITION DESCR. 3 7 Edge�,�ater Gardens SHEEttACFIED 2 PROPERTY OWNER MAIL ADORES$ ZIP PHONE Brandon Construction 311 �unrise Lane, C.haplin, 1�T 55316 867-1845 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSENO. $3IDIL • 4 ARCHITECT OR DESIdNER MAIL ADDRE38 21P PHONE LICENSE NO. 5 EN(31NEER MAILADDRESS ZIP PHONE LICENSENO. 8 USE OF BUILDINO � R@3].d2ri't7.3�. 7 CLASS OF WORK � NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR � MOVE O REMOVE 8 DESCRIBE WORK Constxuct a 43� x 23� Dwelling and a 22'� x 22' Garage � 8 CHANOE OF USE FROM TO STIPULATIONS Provide a haxd surface driveway. Provide sod in the front and side yards. Provide City with copy of verifying survey before capping. SEE ENGINEERING FOR SEGiER & WATER LOCA�IONS: �������� SEPARATE PERMIiS REQUIRED Ft�� Befor� di WIRING, I�E�#ilN�, pLU1�1�lIV� ;��� �p�NS. �1°g ���� �0�� �tilit�es I'EtEPHONE - EL� � . � �� �tc. REQ��RE�`'` �� LAVV SEPARATE PERMITS ARE FEQUIRED FOR ELECTRICAL, PLUMBINCi. HEATINO, �PE OF CONST. OCCUPANCY OROUP OCCUPANCY LOAD VENTILATING OH AIR CONDITIONINO. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONINO SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCEO WITHIN 80 DAYS, OR IF CONSTRUCTION OR WOHK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK 13 COMMENCED. � NO. OWLO. UNITS OFFSTREET PARKING I HEREBY CEHTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION I. STALLS (3ARAGES AND KNOW THE SAME TO BE THUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX ANO.ORDINANCES QOVERNING THIS TYPE OF WORK WILL BE COMPLIED $69,300 $34.65 WITH WHETHER SPECIPIED HEREIN OR NOT. THE GRANTIN(3 OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING coN- $343.00 $475.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN GHECK FEE TOTAL FEE ' , �/' �- ,� �� $ 85.75 $938.40 SiGNaTUREOFp TRn TOR. A�T ORiZEDn6ENT �DATE� WHEN PROPERL ALIDATED THIS IS YOU PERMIT B° ��, � �b SIGNATURE OF OWNER IIF OWNER,BUILDEHI IDATEI BLDG iNSP nAT �-�+ �' -�.� , `� !� ��i � u., ; �ii � � 1.=�, � � � � �u �1..r+i � ,w ,y� � i> � ` � ' +! � � �! �i! �.:y �.:� � � k 1� 3F 1� � iE�, , EXI a�ii�� i--�O V S E LoCA'CtON • � Fo Fz E3RANVON O , N Sa�►�� ;~_ �ko' W Z W' Q Z F� 2 � Q �' i Lo T 3, ANOtc,q _�' � a0 s F � 0 2 ZS • Cous�cRUC-t�oN /o/i%% � . I I $LOCK 7� C OuN�'� , EDGE WATER M�u�ESOTa. GAR D E N 5� � v �� u �r '� Y r � v � � � � � � � � 1 � ? � � � o 1 a I � < '�A V � DP�ZO P'Q1 //'GIl /1i0l� tJHrBh ��D Lt a.d I hereby certify tF�t this survey, pNan pNat, prclimirrary plat or report �vas pre�rared t�y me or under my direct supervision and that I:un a duly Registered Land Surveyor under the laws of the Srate of Minnesota. �p ` /�8�2.. �J�h�.° 3� /�d�P 4��68 - 25A �Q /�G %� Re�. No. Date Job No. Book No. �li � �� � �. � o � � � Q D � � � � Q � CERTIFICATE OF SURVEY �o� �o�don �Is,oenson 35 � r�b �r� �e /4�001��Eosf 26. 33 i ti — 4 � � o �' � 4� �� a /42.00 / 7T � �, Ci / , ,.� �h�b Lot 3, Block 7, EDGEWATER GARDENS, Anoka County, Minnesota. J .e F � � � � % . r, z e � � I t� �qS; , h�. R' � O � i'� r,�t ��" N 1 . �� � � Scale: 1" � 30' o Denotes I ron Bearin s Are Assumed • We hereby certify that this is a true and correct representation of a survey of `— " i�D�s,r the boundaries of the above described land and of the location of all buildings, i if any, thereor� and all visible encroachment� if any, from or on said land. LAND SURVEYORS, INC. � �,�►eved tn�s �/�'� c�y ot• SPOtern6e� �sAs. � � ��� kAinn. Req. No. /o"� 7 ?801 Sunnysid� Road & Hwy.10 Land Sur►� yor Minneapolis, Minnesota 55432 ,bb No. 2� S'Z eook - P�e 3-2� Tel: (612) ?86-6�9 � e k I i1�� �. �� [] City of Fridley Effective 4/1/86 ADDN. [ ] R-1 AND R-2 pLTER. [ ] Building Permit Applieation �S ( Construction Address: "'�'�'` �l'�To� �C NE �� �LG Le�al Description:�`� � �tn� � ��"�'�- ���5 Owner Name & Address: ..��Q�"�°N �ST12cJC,�icw°� Tel. � cantractor: ���%� Co,.� i Ru�. i�c� t��. Te1. � 8�7- <<��$ Address: � 1 � � NR�E t�v� � �PUN �„M1U ;SS'?! (� Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it ta seale. DESCRIPTION OF IMPROYEMENT ��,� LIYING AREA: Length 4•� Width . ��� Height Sq. Ft. r�o��+ GARAGE AREA: Length �_ Width � a Height Sq. Ft. d!-� 4 DECg AHEA: Length � Width -l-�-- Hgt/Ground Sq. Ft. � OTHER: Corner Lot [] Inside Lot [� Ft. Yd. Setback 3� Side Yard Setback �� Tpt,� �e.�i 2 Type of Construction: �ti^91� ��'^��-� ����r� Estimated Cost: $ c� �1 � Approx. Completion Date: /'��i t��' ��� v Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation DATE: a3 � APPLICANT: ` / el. 4�67 ��S CITY IISE ONLY Permit Fee Plan Check State Surcharge SAC Charge Park Fee Se�er Main Charge TOTAI. STIPULATIONS: � 343.od $ gs.%s $ 34. (�� � 4'��.00t $ � $ � $ ��•� Fee Sehedule on Reverse Side 25� of Building Permit Fee $.50/$1,000 Valuation $475 per SAC Unit Fee Determined by Engineerin� Agreement Necessary [ ] Not Necessary [ ' .� � BIIII.DING PERMIT FEE SCHEDtTLE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existiag building or structure, or for any alteration or repair to any existing building or struature� 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 Yaluation $1.00 to $500.00 �501.00 to 32�000.00 $2,001.00 to $25,000.00 Fees $10.00 (Minimum Fee is $15.00) $10.00 for the first $500 plus $1.50 for eaeh addiiional �100 or fraction thereof, to and including $2,000. $32•50 for the first $2,000 plus $6.00 for eaeh 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 eaeh additional $1,000 or fraction 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 thereof, to and including $100,000. $100,001.00 and up $433.00 for the first $100�000 plus $2.50 for each additional $1,000 or fraction thereof. DRIVEiIAY DEPRESSION ESCRO�i (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 approaeh With 6 inch depth - DriveWay xidth 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 revie�r of the proposed strueture and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation onee it has been constructed will be required before proceeding,�►ith the framing. ���3�a 5(7� pb 4 — a�x 3 ,?,g3, � o � .00 3��.0� ,� �„ 13 . � x 43 ' �i a� /� x t� .,� L � ?g9� t�.o1 �. P. t�.,.. a y X y 3�! o'3Z fi �z x��..: ►yy � 4 X c. '_ s�. � � � �� � o .. a � Z.� �► �L �.�� ca�. zz�c zz � c�, � � �z.a � z '�, g9�. �`ir ,� �S� y(.t�►S� 5,4��'��� _ .e°1 � � � �li � � � , O �V . .? � � $ Z . � !�. . Z Q CERTIFI�ATE C�F SURVEY � ro� � � Go�aron Aspenson � � . rd ��� � , ,�, Lot 3, Block ?, EDGEkATER GARDEAS, Anoka Cbunt}�. Minnesota. . '� � � � Sc�le: 1" • 30' ' o Oenotes I ron � Bearings Are Assumea w� h�«b1► pAd�r fh�t tha n� nw �d ea�t n0�ntnt�t�o� o� i wry�v � tM Ooundaru� of tAt �rt d�1�cr�bed Ip�d u�d o1 tA� lotatwn of �u Owid�nq �� a��. tMnorl a� �I rKibh Mt�o�chtnantt i� �y.lran a on w�a i+�� n. w�we tha //''v dw ot_ a �n6e� t� �� ,�y Ma�n. Ilp NO /09 3 t a�s s� r« �oe No. ?In•ft �, . ►.�r _ 9-� 4` � � �c � �� Y S O � �� 4� N a i I ' � � - - - •_. _ � yIlD1�'EST ' W►!�D SURVEYORS. C�iC. � I � ! . � 4601 Sunnyaidr Road �,Hwy.10 �I Minnespotis. Minneso'ta 55432 i � Tel: (6121786•6909 ' � " � , EX':IEi�IOit EPl'VEIAPE AVE[�AGE ��J �� Ctfi�f!'UT,� `i'ION �.r��i�.ru.riuw�.w .�.rw�..er�.r.���� V II� �Ypl� sz� �nnx�ss CpIv71tAC�R R2W•✓DOa Go�vSO • DAT�� 1� 2.Z ;�h PAOPJE X. 2. `�. U� u� d. 8� �� � �� i. k. �� D�atermiile workin$ �quuxe ioota�e cf' eaah. 7b tal expo�ed �ra11 �re�...... 19 �!. 3S sq. �t. x,�� 21,� a�S �iwu r�ir���q r��r r• � ����� iai� i a�* 7�w ■ 7.b iae�l rocf�aei lir� orea. .. .. .. /.�? ,4 �.,., eq. f t. x„��� Z7 � 0 � Zb t�.l e�:kjo�d wwf,..11 area above� floor I i5 2 'Ib tal wall window a��e�a,. . . .. ......... . ..... .... ... .. ...... .. • .,.r....�,..�7,�1.� �'.�.,.� 'lbte,l doat� �EltL���������������•�����R�������}��*l�����������a��r....irr��.���s+��� ��i�rki� elidinE; door araa..•���• .����•�ri��������������••����slaw�i�*iiiw���...r�r.�n 7b tal �`lrep lao e �rall area. . . ... . . . . . . • .. . • • • • . . . . . . . • . . • .,. � . � •,,.,,.,,..,,-�. Z%i�r�. 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't �Y{y j r �� y '� � , � t � ,� yg . � s �{k' .. . , �. ' . n f ' _' .'� t �"� dL. ,� � �et' e�,�6F �{Fpa �9 �..:.1 :t � �'� .. � ��'r„ ��� . �&• '+ . .. '.s jr.a:a,y>�_. �� � � � a; � � � . ' , .. .. � .. � � �: �., � � �.'�..: i ' . ' .. . ` � . � � � , �,'5,��• t» � . . . , . . � '� 8 a . . . - . . , . ....a r : . � , . r .�...., _,....._.�...... __ _ - . _ _ — - "��IOC��a!t'.' H�"� �: � � . �. CEIIZNG ��i.AM� �-In�erio� Ai.:c �Ylu1 2�}" �e�t�o�k 3-",�u' Soft Wacx� & 6�" �tl. 4-&5c�y.or A�r �Y 1� Zb�.l R Total U 0 . p �� �,�.�-�:�■ r�W �►�� ��� �� � 1►�-� ■ d• , �' / 3 „� 2 3 � �,..,� � � _ •;}�,. �� - � �ae�n- .R. x � :�1 •45 31• � �2_. a97 .0� 1��� Ineulation 1-SnteMar A9.r FY1m �r°' �teetrook 3�•l��' Zn�latioa ��il��s � � F!'R Tat�,L II Frr��ue W� 3.1 .��.��. . 1••Intc� ior P.ir �Y Ln • � 2 " Shpetxoalc •4S p 3- �' �� 11eod 6.88 �- ,%32" I�Yberbd. Sh�a,tJlirig . 2.06 5-7116�� 1►2ed. 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' ;'� � � •' �• . 1 �` t� A�,.�.. � ,,,y..' � `� �.� ' + iYt.,•a . �Y .!� i� �' .,.f ` � R �i�'t � �MII� � � ;. �ae� �•4� �� � 5.55 ' 1 �� ro{. � ' `�� } �R � b . � � � �,, 3 `� ., P'' �.33• .�... ,� � p q , � i���, ��a ��1�.• .. � , 24x� � : ' 6.66 ; e.00 : � 2��2qJ �6 ` 10.00 . 2&clb' . � 6.22 � � 2�� ,� 7 •?7 � , ?:�x�i# 9• 33 ����6 . 11. 66 . � ,: � r� r .� II+�.�T l� 36 ]��!4� • ��� ��� '��� - �q� �e� i�p � b. �� � ��� 4.�� �� ' 5.q1 � � ' �� � . � �t�' 9.7�8 ,�,� Q �.'�7 . , : : � �r �l . �.59 � ': � . ���� , �. . .6 ' . 7���� :; �„ _ �•�� � ` > . � "H�;. � �,., ��a%. i .1r, , ` � . �.k. M � � y j � . � �. . t��� ��� .� � � . . ., . �1d. ��•:�� . .' ' � . � . • ; .:t � `i'• .���•• I • . � .. � ' i .:.�. . m(,3��+4 n�w. II� 32�1�. ��+�`� ��i���� ;6� �^D �t � T."1 /// L I�� �� �V �A � �0��0 � �4f 3�b q8x16 4�x � ���t/�6 . "Y 7.^'. . ; :� �� *��� L� T �, a� 7/�.1�" ` �� � ` +� , . 1�. ' � � �. � [:µ � . •� �b ,�. ' lp� �� '.� ; , , • �3.3� ' 8��..� iA/�V4: • l���' • ^ 15.q�i,q '. � ��7{��...1 4 r.l', . '.. ' . . �.�..i� � ,,. . . .;. , . . 13.l3 � . �.6. bd � , 1fJ. bi . . 13. �3:" : 1M6.�� �.. �111V �� .S. . i � l J � A4, � '�9,.t, p�: �:. � . !' :.f .� . .. � . ���:�� ��t .: . ��.ti ' a}�. � � ',:[,;.7! , . � �*� °'y�.�+* F 'i' ,�74 '�'�' ° � �, ,�� ,'. ,�'' �' �• .ikn. �', • _ . � . �'' .. �i: • . . ' � a •d�'� . . . _�,�. %r�� � . }.: � t ,� � { 11�j�M �,t :::�. .•h . ��Tr . , , � � . �., . :.j4 . `- f ' �.. ,� .4.. �l. ' ., � ` �s r � a t TN'�, '� 't.. p 1' b � �- f.� 1,.��}� � . .',�, , i ., . .�x,s,�r .��. � , . .... :� . x k-'`g � a.i ... . lf ��. �t ''� • ,a ..� '°� _ �.,1 ! I �F FRiDLEY CIVIC CENTER • 6331 UNIVERSITY AVE. N.E. FRIDLEY, MINNESOTA 55432 • PHONE (612) 571-34i0 September 25, 1986 Brandon Cons tructio n 311 Sunrise Lane Champlin, NIId 55316 Re: Final Inspection at 6651 Ashton Avenue N.E., Fridley Dear Sirs: A final inspection was conducted on September 24, 1986 of the above address and the following items were noted which must be completed before the structure can be finaled out: 1. Post address numbers on structure by October 3, 1986. 2. Provide City with copy of verifying survey by Oct,ober 3, 1986. We will expect the above items to be completed by the scheduled date when a reinsgection will be conducted to determine compliance. If you have any questions on these itens, please feel free ta contact me at 571-3450. Sincerely, L G. CLARK Chief Building Official DGC/mh � D m � -` Z• (D � � o m � � n .o O N �D Z . .� � � m o � m � � � A� � N O � O � -a = (Q• n � � Q o j v �, � � � � � � � N � � � 0 � m� � r O D m -�+ � � � � ��.Q � � � � m -�,. m � � � o �i � S �o ! � � o � �� � z O Z � � w � � m � Q \ � � D � � �� Z C� O �~ fll � ►- Cn � Z T � 1 � +� m � � 7 � v� � � � a � � � N � o � o � m � � � o � � � a m � � A � O 0 � � O o � � � � � o �, D N� � f2� � � A � m '� o �'. � o � o � � r -i O Z D c� � D � � � N N ° ° n Q. m � r; -. cfl o �D � �' ca� I � m � in tfl � � o 0 � � � � Z� t� • tfl t� tfl tfl � �� 0 J � _ � Z/� L! � Az � ---I � m z � 0 � � � N �0 d I� ao ao C� .� 1 iu � � _m ■ �• � m Z 0 m � � ��.�z m =u o � O �Z= � � �� � 1p � 0 � �°�� � .� 2 � 'D O � � �. � �. o � � � 7 n � � a � � o �' 3 a o o = 7O ' o w m � n� � D � � m -_�-1 �� v 0 � -•. � a ld m � � --� O � � c s � c � m v � � � 4 ^� � � � � � °1 � � I � � � y D c y � � a. � ��,'� � � � � � � � Z ?o � <° � m Q � � a � � � Q � C ,...; O � � S � A � �p `° � � A c � OD c m �°.. �i • � t� tfl o ,�' � g � � � � � O 4 '- d m 2 -a 3 � � � � ���_ � � �' � � ^• � u� o � `�° cQ ���� �. � � Q a a��� fl. �; o o .� ? v��, °D 3 N p tu ? O m� � � ,�- � � �. � � � � � -� A � (�D ,n.�. � �'��� -•�� m �o 0 0 m � m pu � 1 N � m ���� � � � o n: ? � �.� �o � � � . co n m � n � sv °Q, �' � n. v�, � V � � a � � t� 2 m v c m O � � � � � � VI � '�^ � � I � � � W `� C � � -n 'A Z m � �o �� � w � � fD Z Z � m -D rn n � O z 0 < m � 7�C7 � � C rna --y_-� � O � Z � � � D � � Z � � � � � � � Z � Z � � � � � � � Z �� v� �� n C Z � � Z � � z m � � <' m O � w � c � � ca � v CHIMNEY AND S�'ACK VERIFICATION The undersigned hereby verifies that the existing clumney or stack: 1. Has been cazefuliy examin�d Yes (�) No () � _._ 2. Is free from n�st or deterioration Yes () No {) 3. Has no foreign objects lodged within Yes () No () 4. Is securely suPP�� Yes () No {) 5. Meets all current Code requirements for size and total BTU's connected Yes () No {) 6 Has total heating BTU's of All other BTLT's TOTAL BTU's 7. Has a liner been provided for water heater Yes () No () 8. Has combustion air been provided for water heater Yes () No () Remarks: . � List ALTERATIONS Being Done- HEATING CO: Signed By: Date: B � # 1 sue�eer PER NO. c�ty of Fr�al�y � �, 57�-���� TME TWINS Bu ILDIN� PERMIT 2 8 5 8 � , � REC � • CQMMUMITY DEVELOPM�NT DIV. � �� � VV �•...�� ' � r � � PROTECTIVE INSPECTIQN SEC. t . � (_-_. `��" ,'; CITY MALL FRIDLE� �S1.�i NUMBEP pH� DATH PAGE Oi APPRpVEO BY L �� 612-57�-34bp 9�aF�s il/16/98 / / JOB ADDRESS � 6651 Ashton Avenue NE t LEGAL LOT NO. BLOCK TpACT OR AODITION SEE ATTACNED DESCR. 3 7 Ed ewater Gardens SNEET 2 PROPERTY,OWNER MAILAOQRE$� ZIP PMONE Richard Cracraft 3 CONTRACTOR MAIL ADDRESS �P PMONE IICENSE NO Exterior Desi n Service 6 M o 4 AiiCNITECT OR DESI(iNER MAI AODRESS IIP PMONE LICENSE NO. S ENGINEER MAIL ADDRE$S 21P PMONE LICENSE NO 8 USE OF BUILDINCi Residential 7 CLASS OF WOtiK � qEPA1R O MOVE O REMOVE O NEW O ADDITION � ALTERATION 8 OESCRIBE WORK Reroof house and ara e 21 S Tear-off 9 CNAN(iE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. SEPARATE PERMITS ARE REOUIREO POR ELECTRICAL, PLUM81Nti. FIEATING. �P O CON T. OCCUPANCY (iROUP OCCUPANCV LOAp VENTILATING OR AIR CONDITIONIN�3 THIS PERMIT BECOMES NULL AND VOIO IF WQRK OR CONSTRUCTIO�Y 20NING SQ. FT CU. fT. AUTHORIZED IS NOT COMMENCED V�IITHIN 80 OAYS. OR IF CONSTRUCTION OR WOiiK IS SUSPENDED OR ABANQONEO FOR A PERIQO OF ti0 OAY$ A7 ' ANY TIME AFTER WORK IS COMMENCED. ' NO. DWLG. UNITS OffSTREET PARKING I HEREBY CERTIFV TMAT I HAYE iiEAD ANO QXAMIN�O TM�S APPGICATION S7ALLS GAAAGES ANO KNOW TME SAME TO BE TRUE AND CO�iRECT. ALL PiiOVI310NS Of LAWS yp�UATION SURTAX AND ORDINANCES GOVERNING THIS TYPE Of WqRK WILL QE COMP4)EG W17M WMETMER SPECIFIEO HEREIN Oii NOT. TNE GRANTING OF A PERMIT 1799 . 9O ES NOT PRESUME TO GIVE AUTMORITV TO yIOLATE OR GAf�CEL TNB pEqMIT FEE SAC CHARGE VISION OF ANY OTNER STATE OR LOCAL LAW REGULATING CON- S UCTIO R TME PERfORMANCE OF CONSTRUCTION 56.75 F3re SC �1.$O PLAN CM�CK fEE TOTAL FEE 1�`�� �� License SC 5 0 64.45 S�GNATUpEO� ON•i1ACTOpOp4UTMOp�2E04GENT �O�T�� WMEN PROPE VALIOATED THIS IS VOUR PERMIT P 9 � S�GNATUNEO�OWNEA���OWNERBUIIDEIi� �OATE� . ' B� �NSp' � 06tE NEW � ' I � ADDN [ ) ALTER [ ] ConstructionAddress: _ Legal Description: Owner Name & Address: Contractor: ��/ _pr�'c Address: � �� � CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION - ��c5�j l`Oq ��� /��. d/�� L `�' C�va�7� �S) S�rv; � � �,r.= Effective 1/1/98 ��� � � �� "\ � i�r py. ✓�N Tel. �/ MN LICENSE � � � � Tel. � V'� %/ •3 � � � Attach to this application, a Certificate of Surv�y of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IlVIPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: , �� �� Construction Type: � �'Zt Fstimated �ost: $ � � (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ � DATE: �—�� APPLICANT: Tel. � C� 7/- �� a- c� CITY USE ONLY Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Fscrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: � ��- �S� $ /- v� $ 9� $ $ S - ��C� $ $ $ $ $ �' -° �� Fee Schedule on Reverse Side .001 of Pemnit Valuation (1/lOth%) $.50/$1,000 Valuation $1000 per S�C Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ) Not Necessary [ ] � . �a •�uiui� a� �in� �utpaa�o�d aao�aq paamba.� aq titn� pa��n�suo� uaaq s� �t s� �t a�uo uoilepuno� ay� �o uoi���oi ayl �tnnnoqs `�oi a� �o �an.�ns �o a���gi�a� d •a�is uoi��na�suo� a� 3o pu� a.�n��nps pasodo�d a� 3o n�atna.z aado�d �03 nnoij� o� uoT���tidd� �o aun� a� cuo� s.�nou �,Z �o umuxtutcu � panssT aq iiinn uot��nx�sao� io3 s��ad l�iOIZ�QI�il103 30 l�IOI,L��I3I?I�A 'SL'Si$ sau� �aa� 9 snjd �pinn ��n�anuQ -�dap q�ut 9�inc� q��o�dd� apinn loo� £� ii�sut pu� ia��n� pu� qan� 30 �uauia��ida.� pu� �nouxa21 :,,g„ ai�ua�Id 'OS'£i$ sauit� �aa3 9 snld �ptnn �f�nnanilQ - �Iuo .za��n� pu� qin� �o �uauia��idas pue j�nouxa2I ���du a��a�id (�iu0 siaauS q�T� ala��uo�) AAO?I�S3 I�tOISS�d�Q 1��M�AI2IQ 3oa.�acg uoil��.z� .�o ppp`j$ I�uoi�ipp� u��a .�03 SL'Z$ Snid 000`000`i$ �s�.3 au1 �03 SZ'ZiOS$ dn P� I�`(�0`t$ 000`000`i$ �utpni�ui pu� o� `3oa.�ac� uoT��r..� ao ppp`T$ j�uopipp� q��a .�03 SZ'�b$ Snid 000`OOS$ �sa� a� .zo3 SZ'L88Z$ p(�`ppS$ �uipnl�uT pu� o� `3oaiatp uoi��� �o ppp`I$ ieuoqipp� q��a ao3 00'S$ Snid 000`OOi$ �s�� �03 SZ'L88$ ppp`ppi$ �utpni�ui pue o� `3oa�a� uot���.� ao ppp` i$ j�uoi�ipp� q��a .�03 SZ'9$ Snid 000`OS$ ls.z� .�o� SL'1�LS$ �`OS$ �uipni�uT pue o� `�oaiay� uoi��� ao 000`I$ I�uoi�ipp� q��a .�03 00'6$ Snid OOQ`SZ$ �si� .�o� SL'6ti£$ 0(�`SZ$ �uipni�ut pu� o� `�oa.�a� uoi���a3 ao 000`I$ I�uotitpp� t���a io� OS'ZI$ snid �p°Z$ �s.�g so� SZ'Z9$ ppp`z$ �uipni�ui ptt� o� `3oa.zac� uot���� �o (}OI$ i�uotlipp� q��a ao3 SL'Z$ Snid OOS$ ls.z� .�03 IZ$ (a�.reu�ns snid iZ$ sT aa3 uznu�nny� iZ$ 53�3 000`000`i$ °� I00`t�S$ 000`OOS$ o� i00`(�I$ 000`OOI$ o� IQO`OS$ � 000`OS$ ol T00`SZ$ 000`SZ$ o� Tt�`Z$ 000`Z$ ' o� i0S$ OOS$ a� I$ i �fl'INA 'I�'.LO.L :1iM-o� papinoid utaiaq iauueut aqx ui pu� �o� �as n�oiaq uTa�au �unoute a� o� saa� 30 �tuuad u�ns ao3 �u��Tidd� a� �q �uaut��d a� annba.� `a�o3aaaql uor��iidd� uodn `am��na�s .�o �uipimq �uilsixa �u� o� n�da.z .�o uoT��.��li� �u� .�o� .�o `a.�n��n.z�s ao �uTpImq �ui�sixa �u� o� uoi�ipp� �Cu� .�o� ao `a.�nl�n.�s .�o �urpimq �Cu� �o uop�aia aq� io3 s�iuuad �umsst a�o3aq `ii�s i�t�,�p �utp�ng �a�� a� �zna�xas �� �rn�x�a �rua�ung �* y � � � o � � rn �O o �• � z � A � �' � m � � � pl � N O �D S �, 'o �Z' cfl cQ'i � a °' �_ � � N �� � � Q � � m ?' �� � � m .o . �� < � � �v � ` �m n � m � 7�C c � � z I � o � � 0 z � cQ m �. � z `D— Z � � v � � �� �`. � �• �'� �� � �� � I_ _ � � 8 Az � � ai�� n. ��` O � �i ^ co a C c � �� � � Z � � � i_n 1 m � �, C � � A � � � � �� � ; �' Z _� _ -o z 0 � �o �� O N 3 03 �' A � � � m a O C 'a .-� -a m � A m O 0 7�" �Q o �- w � �� o �, D � a f� � � A � � � O � o � �� "'� O Z � .!S t� t� ���o m Q — �p O Z� �� c � � -� � c� o � � � � o � � � °' �' � O � �' �' � o � � � �. � � .7. a � �. � 0 � c� � N � � � � c � N N � a v �o ���� e� °' a Q: -�$ � �; a � �° ��� � �� � � � � � � � �. � � O � � � ����� O �� � � ��v � A � �� 1 I i� is� J S g tf! EA i�A g g g � � tt� ts� � tfl O � m � � v � � �� �v � � �o � � 0 �JC/ l/�• S Z � c m v � � ��r � � f`' 2 � � -� � � m i4 �p � c lD y � �' °' �' � �: ? � o��� � � 3 n: � �- �� o � � v o � sy'°=' � No��- � � o m v � � � ' Q � o � � � � � � ���� r► a- o 0 ��$-� fl. � � � o��� � �, � o � ��m c� A � � � � � -� Q. fA m � j 7 Q. � � _ � Cr �1 W g rn � � � � . � � n � a � � � ? � � � � � � � �� � N � Z Z m� � Z v s � � O m Z �a � 0 Z Z Z� � � � O � v� �� o� zN z� � �n v �� �� z �� rvr�g ` C c� Z �� � � z � m 0 � � � : t0 t0 � CHIlVIIVEY AND STACB VERIFICATION The undersigned hereby verifies that tlie existing chimney or stack: 1. 2. �3. 4. 5. 6 7. � Has been carefiilly examined Is free from n�st or deterioration Has no foreign objects lodged within Is securelY �PP�� Meets all �urrent Code requirements for size and total BTU's connected Has total heating BTiJ's of All other BTU's TOTAL BTU's Has a liner been provided for water heater Has combustion air been provided for water heater Remarks: . List ALTERATIONS Beins Done: HEATING CO: Signed By: Date: Yes ( �) No ( ) Yes ( ) No < ) Yes ( ) No ( j Yes ( ) No { ) Yes ( ) No ( ) Yes ( ) No ( ) Yes ( ) No ( ) c) 0 � � C � _-I O Z D � � � r r � m � � � v m O 'D m � c n � n -a O Z � � D Z v D W r m rn ,D n � O Z m z --1 z O O Z D n � � v m � � m � C .-� A 3 � � r � � m m � � l3 � o a � � �tD � �O � � �D �, 2 c� � '� 7 � � oZ c�Do '"' O � �O V c � o .o m i � � -, a � �, � °� D �A W Q � --I m � z. � D 'n tn �° � z � � m a � W ,.�< � S � � J � • °c � � � � b v � m -n m � r Z v ° �: � J t�, � , � � � � � � -� � � � � �� � d � °° °�p° °� 01 N Ol ,.. 0 N a' � � � � � N� N � ,D � � � -� Q '71 �D o � � 2 2 � � d W � � � � � � fD .d-► .�. 0�1 � � N• � N �. C � � � c�u m��: �� y y cn N � � � cc �� 9 c�u Z m cQ (�D y .��-► � � � � � � �. � � � � � � � c � m � � v � � Z ., (�I I I I I I I I I � ������������ CJt O d O V O� V�l V C7f A V 0 0 0 0 o a o 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 -o c � � Z 4� n O � D � �O P� � � !$ n � � � m 3 � a C� w .. � a c G � m z 3 =i a m C � a �I a � -� r C � W Z � -�i C � m � m � � � m � D r > > �' ? p a a � � W � m 2 � = D. � y y � f�i .Z1 O � � � �, � � � n � � � b � N W o � (a A � °: o o� � a t a�'c w 3 �1 n 5 � � a sy�� � � � � � oyi ? � v Z .� -a d v, -a v_ � g -��' � g��= Z � � � � � � a ° co a m � 1`� � � � � � � f�/! ' :� ,� °. g o \ rt � "�' � O �. _ � -+ _ w: . o _ su ����._ �.� �.-, � � -�, o = �Q � V � � E wQ-�: m cn � C N � � �,,� Z cD � � � � � D c�D z m a � � r a -� O a � O � '� r c 3 � Z � Z O � N � Z � � m � 3 � w � c b. c �. G � THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNiNG APPLIANCES OR THE APPLICATION WILL BE RETURNED (`O ��j�(�(,'� ��AIT CnNNEGT�R AND C�MBl1�TIC�N �!►IR RIFICATInN When � la in� an eYistin; �ran _, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obsbuctions, and is sec�rely supported and firestopped where required. Yes ( l No () The venting system is plasticJPVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes ( 1 No () The undersigned also verfies that the replacement unit is a listed assembly and meets the current c.odes and manufacturer's spe 'cifications. This does indude AGA-GAMA Category I Central Fumace Venting Tables for fan assisted and.natural draft_appiiances. The PY�11�:eme ��e� sir is sized and installed to meet the current codes and manufadurers speaflcations. When required to in�n a r�w cor�,e�,�en airi it wi11 be si�ed and installed to meet ti�e current codes and manufacturers speafications. vj(j�gn jp�allin0 a new v�t�tinA�y,�, the undersigned hereby verifies that it is a listed assembiy and meets the current codes and manufadurer's sp�ifications. This does indude AGA-GAMA Category I Central Fumace Verrting Tables for fan assisted and natural draft appliances. is the common ver�t and vent connectors sized and installed correcNy after an appliance has been removed from the common vent and vented separately as per current codes. Yes ( ) No ( ) Yes ( ) No ( ) Yes( ) No( ) Yes ( ) No ( ) Yes( )No( ) Aneli-r nce T;y� ��d Si�s�mmen Vent and Ver�t Conn�er Infermatien AppUance #1 Type BTU Input Fan Assisted or Nat AppGance #2 Type BTU Input Fan Assisted or Nat AppGance #3 Type BTU Input Fan Assisted or Nat - - - —��tal�4�pl�an�--- - - -- --- �'o#�I-�-lnput - - - - - -- — - Common Vent Type Verrt Height Diameter inches AppGance #1 Vent Connedor Height ft Length ft Diameter in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type � r r • � .:- � •�- HEATING CO: �9n� gy; Date :