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AF - 36455C� • • City of Fridley, Minn. BUILDING PERMIT Date: _._...�.Ma� 21, 1969_..._....___.....___......______.._..._. � ��7�� -sS Sb �E�.� �5/`%'�,.3a- N° 10242 p�r; _.__Dr_._.. Pavl Wi 11 iams _____�__� Rodney B il lman Inc . .. Builder _.._.___.._.. ._..__._..........._.._._..._..._.._...._..__.._........._._..__ Address ...._.._..._...._._..___._.___....._....�..._..__._. . Addreas 151 Silver Laiae Road ........__..._._..._____. _ _.___..._..._.._.__.._..____._.._.__._.._._..___._.__...._...._......_._. New Brighton, Minnesota LOCATION OP BUILDING No. ._1601.._..__...._ Street ._.._.....__Berne Road._.__.._._._._._.------•-••-•-- -•• ---_..... Part of I.ot ..__....__.._....._..._.._ --. .. ... �..__.16_...__.._.._..._ glock ._.._..._...�__. 1._._.._.._. Addition or Sub-Divisfan .....__.�I�:sbruck 5 th Addn . , i i Corner Lot ...__...-------._.._ Inside Lot _._.._..X.....----•------•.---..... Setback ....._.45 -••---_..._........... Sideyard _..._1 �.W__�8 _.__..._.__...— Sewer Elevation ._._......_._.._961_.. 91.._..._..._...._.__.._......_. __. _. _ .---.---__2(2..4...9.]..._...�..�Approx ..�.� Top of Footing DESCRIPTION OF BUILDING To be Used as: ___.._D�e 11 ing.._._..__ Front __.!+6 � ..�. Depth ._.._.. 24 � Height ._._� � �._.. Sq. Fk � _.� �a�ag.�..._......__..._ Front __.__24.�.. Depth _.21 .6 �_ Height ....._ld� - Sq. Ft. 651 Type of Construction _..__...---Frame.__.___..._.___. Es� Cost .........$45, 000..._..._......_ To be ComPleted � � _ 40, 682 � � `_6510 WATER LUCATI01�[ 62' East pf Manhole SEWER LOCATION -- 52' East of Manhol� In consideration of the issuance to me of a permit to construct building described above, I agree to do th� proposed work in accordance with the description above set fa and in compliance with all pravisions of ordinances of the city of FridleY• !v� / 00.00 Sewer Connection In consfideration of the payment of a fee of �._.._..61�00 , T Rodney Billman , pern►it is hereby granted to._._ ._.__,........_.._._.._....___.._._.._..____. to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom ft is granted and his agents, employees and workmen, in all work dane in, around and upon said building, or any part thereaf, shall conform in all respects to the ordinances oR Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildin� within the city limits and tivs permit may be revoked at any time�upon violation of of the provisiona of said ordinances. r ��:� 7arence Belisle NOTICE: 'Ihis p�if do�s not eowr th� eons�rueNon, in�ailaHon io� wiriny, plumbfno. oas h�afiao, aw�r er wahr. d� wn to sN 1h� duildia0 In�p�ero� h� apara» p�nnits fo� th�» thms. i APPi�I�AT?QIl� � OR. BUILTiIN"- PEftMTiT � yTY 0� FRIDLEY 9 MI?�Ti�ESOTA ,�-, ' �� Q��E£ °S �V.Al�!��j��-�--v r�-�.�8?JIL�?ER .�a,Cz..�.�c �� A.�DRESS A��R��S /..f''� �jj%l��2��i�1��i�� '�?��cy..._ `:�y�� i�a�-�,.�. �Z/h� LC�'kT.�(�N OF BUIi:'��T�< � , T�� o j��= �S.�REE�:' �: , r �-* ,,,�. 4:� � 4�. .a� LO'T BL•OCK / A�7DITIC7N 0� �LTE��,I/Vi�Q.�T �� ! . � � �� 4L�2c . ;;:;R�'r�, LGT �---I�;:�S�E :L,C�rI' y�- SE'TBAi�ir a"'�`_ �I?�E�ARD /� � y,c,,a„ SE�v�ER ELE`iA'�iC`1`ri i0? 0�` z'0:�'�I?��:� Ap�.l�car.t �,�„ach to this °c.��r. 'I'�,=c �''v�tiii�at2ti c��" Surdey of ?,ot a�LL p�o�io�F.,� bui��^.�° 1.o�.atio��r c'�a�.�:x or� i;h��•� �'F.�ti�°i��.t�s� =��S�s�i.Tr-"I'.i O.11T Ci BLTTI9D;I�T(: ��ti�� 10 Be us�c. A�: _� - ��i.�� -�� '�-`3�`_ �°eGl' � l ' > �rc�r, ., �� th Height � � .. j � /��'P II�'�/ y � I / � /� ✓C' � � ` 1 � uare eF�+ c Z.6c �ubic �'ert � s � ,�e�� s:.L�.�.,c. .�o,�Z..g. �1 �,>.:.% a . !� � ,_ i' ti. , �'x°ont � � � D�pth �� ' �. _ Height / �`°� . d _ � � .,��.�,_ � �ro, (,., r . �qu�.�e �"Eet �.: `�> / �abic Fee�; � f ,':�� '1',ype oi �orst�uction ,,,,�� _ Esta�nated �;oi� � �-�� . —�� To Be Completed " � / Th� u.ndersig2a.e� hereb,y mak�s application fo� a permit fox^ the �ork he�ei� specii°ic,d9 agx°eeir�g to �o all wurk i.n strict ac�ordancP �aith th� �it.y o.i Fx°zdley Or�ina.rlc:;s �nd� rulin.gs oi thc D�partcient o� B�ail.dit2g�, and h��b,y d�EClares that ali. tk�e :f�cts ana �°�p�e�ertations stat�:d i..n � � �hi� ap�? icatzon a.re true a.da�. cc�.rec�to /��-�� ,/�,/� � - DATE�j .� S/ � �i��TAT(TRF! , � � / �. 4 (Sch��.ul�: o�° Fe� Costs c�ar be ioulZd on t e eve�s� �icie� ) � .r� � ,+� s _. "'� � _+i.. t;_� �1�. s.. ,M,/` ,� �„* ��, �. r, ,� �_ .P' s Y� ' ��,.'. . �'. �. �2� � R �..,,j .,,,�5 �.}.. � . L �,.. :. ' 4.� 1 ! •�a++-� � Cr' �� . • � t �� d e^ �� a �..� w N ti� � t t `.3. � , / r� a %., ; �,�.�, � - • . . .. BUII�DI2�G PERM�T �'EE S�HEDLTLE SECTIO�T 2 o The I.n�peetor oi l�uildings . hall 9 beio�e issuing perr�its for the e.��ection oi an,y builczing or �tructure, oY io�° any ad�ition to a�.y ,t �xisting stx°ueture or buii�i�g, or f°or any �.lte�atiora or �epairs to �.ny 1` existi.ng bui��.ing o� structu�e9 u�o.� a��.i��.t�o�i theref�:��, �Pquir� the � payczent b,y t:�iE a�p�ie�,.nt for �uch permit oi fees to the amount he•rei.� '`� below �et f"orth and i.r� th� ma:�.ner he�ei�. �x�cvid.ecl to�wit: Uni�'orm Builc�ing Cod�o T,ype 1 9 2, & 4 W$1 �75 fo� each ox�e thou�a:6Zd. cubzc feet, or fractlo.n thereoi9 in stzch cubical c:onte.ntao Type 3 8� 5� $1 a 50 for each one thou: at�a cubic f'eet a For the purpose o�' computing fees f°or bui?�ing permits, the cubical conte.nts of any buil�i.ng or �,dditio.n to a unziorm height th�°oughout by multiplying the ground area covered from a point six (6) i.nches below +he floor line of the basement or the ceilar� to the aver�,ge height of the upper �urface or to the average height oi the rooi suriace oi the main gable oi a pitched roofo Fo� repairs ex° alteratio.r.s to an existing structu.��°e, th� fee shall be at the �ate of $3<00 per each five hundz�ed dollars ($500�00� or iraction thereoi irz the cost of a11 proposed �aorko In no case shall tY:e �ee chargec� ior any permit �.s s�t forth i� Section 2 be less than �5�OOo NSSSD Co.nnPction Chas�ge� based on loe�.taon �- Area 1 or 2 0 � , , • " - • N° 4955 �� Permit for LUM�ING AIVD GAS F ING �� N.B. When work covered by this permit is ready, the Plumbing Ordinance requires that request for ( Pe�t3 C' �� inspection shail be phoned in to the plumbing Inspector, 560-3450 giving number of this permit., F� � � DESCRIPTION OF WORS Number, I{ind and Location of Fixtures Cit�I o{ Fridle l'� ,19 � % F J -'�-�"° y F; W � N = N W WATER HTR. ✓ / � Stories F � Z = N y Z Y N�' Z Z � 0 Z V Z Z N V '� � 0 1- 67 N Q � O O Q F N CC tll N p, M Z �. Q J � a� a Z 6 C � O 2 J K ¢< Q 0 x Q �. Q Q GAS ELEC. 3 U 7 (� �- Ol N 3 f- ❑ LL (� LL p U f0 � J i LL 'U Q U' K Basement �_ � �! Owner � � �� et � D I I /� ce ,� /� ,�c��:t..�� i Location 2nd � � � �, � � �1�� 3rd � Kind of Building 4th � Connected with Sewer-Cesspool Gas Piping for Openings Permission is hereby granted +�'�-�-��/�-� �`' � '' to do the plumbing and gas fitting in the building described in the statement he o attached, upon the express condition that the person to whom this permit is granted, and his agents, employees and workmen, in the plumbing or gas fitting of said building shall conform in all respects to ordinances of the City of Fridley, and this permit may be revoked at any time upon the violation of any of the prouisions of said ordinances. By Order Of The Inspecior Of Buildings Rouglaing in Inspection Date I nspector. Final Inspection Inspector. . .. a z 1 NI-6-65-V Used as To be Completed �� , 19 � 9 Estimated Cost $ !� °'�' � Old-New. Building Permit No. '�� a Date , a _ �� -�',�% Inspector of Buildings. Original . � PERMIi for Power �an an H - ts d eat�ng, Caot ing, Ventilafion. Refrigeration and Air Canditioning Systems and Devices DE,SCRIPTION OF W4RK No. of / Heating Plants '-n�� to be nstalled Ztered—repaired Make , Size _ �� ✓ �o � ; Oil fired ; Coal fired ; Gas �'rred '?� ; Gas Auticarixation No. Remarks � � �-C�- �� bC c�..� ��rC�S . �1+ �� "�-�-�--�-� a o�"� 'r'�i� ApproUed by. Final Inspc-ction 19` Inspector P�� No F� $ �8 , � ' �C $8so 4582 Of�ice of the inspector of Buildings City of Fridley City of Fridley, Minn.�� s, 19 �.�' Owner �� d"'� «. Location f � a / �ir�-a- /l �-�-i Kind of Buildin� °�"`'-�—"'''t?—'' - - How Occupied R -�'n Work to be Cornmenced 9� �� ,19� To be Completed �� f ,19 G�' Estimated Cost, �Jld-New, Building Permit No. Permission is hereby granted to �-�-�; �'� ' to ins�all—erect—use the material and devices described in th.e above statement. This permit is granted upon the express condition that the person to whom it is granted, and his agents, employees and workmen, in all the work done and rnaterials used under this permit, and in the operation of the devices herein mentioned shall conform in all respects to the ordinances of the City of Fridley relating to or governing tlae work to be done and tice operation of the devices herein named, and to the specifications set forth in the approved application for this permit on file in the ofj'ice of the Inspector of Buildings. ' •. ' �'�-��y+ �' _ , Inspector of Buildings a a 2M l 1.67 V sua�ecr PERMIT City of Fridley 230 AT THE TOP OF THE TWINS g U i L D I N G P E R M I T r � � CEIPT NO. � 1 y__��_ COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. �� I � � � /'�'i � CITY HALL FRIDLEV 55432 NUMBER REV. DATE PAGE OF APPROVEO �BY � ""� � ,'� 612-560-3450 910-F15 7/13/73 � � JOB ADDRESS 1601 Berne Road N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 16 1 Innsbruck 5th Addition sH�er 2 PROPERTY OWNER MAIL ADDRESS 21P PHONE Mr. Paul Williams 1601 Berne Road N.E. 3 CONTRACTOR MAIL ADDRESS Z�P PHONE UCENSE NO. Paul Aurand 1741 East Count Road C St. Paul 55109 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP pHONE IICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK �l NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct 14' Octagon Gazebo 9 CHANGE QF USE FROM TO STIPULATIONS UIREp FOR U�tRING• TE pERMITS R �p S�GNS ��- �, PLUMBING A �1,� TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAO SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTI�ATING OR AIR CONDITIONING. RedWOOCl THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT R�1 ANY TIME AFTER WORK IS COMMENCED. 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 LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT �1�SOO .%S DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE PROVISIONS F ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTI O THE P FORM OF Z`ONSTRUCTION $9 .00 PLAN CHECK FEE T07A1 FEE %� $9.75 SIGNATUREOF �NTRACTORORAUTHORIZEDAGENT IDATEI WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT : . � /�G �� /� � � SiGNATURE OF pWNEFIIF OWNER BUILDEfiI IDATEI BLDG iNSP I]ATE i � ApPLICATION FOR RESIDENTIAL, ALTERATION, OR AllDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER' S NAME :��i�z /;,s � ��Z��i1ILDER: � � � ADDRESS : ��C1 � /1%i� ,�J %� ADDRESS • ° ,----, ��2c�.� .S S /o� �r�,� '� NO:. ��Ci � STREET:_ �� JYC3Q C'Q LOT: lo BLOCK: � ADDITION• u,�� j �' CORNER LOT: INSIDE LOT: �' SETBACK: SIDEYARD: Applicant attach to this fonn Tt,ro Certificates of Survey of Lot and proposed building location drawn on these Certificates. �ESCRIPTION OF BUILDING To Be Uaed As : ,�� u�,� Front: Depth• Height• Square Feet: Cubic Feet• Front• Depth• Height• Squara Feet; Cubic Feet: '�l Type of Construction; %�-�c��C�O�.�, Estimated Cost;� %OC� � To Be Completed: p The undersigned hereby makes applicativn for a permit for the work herein speeified� agreeing to do all work in stiict accordance witih the City of Fridley Qrdinances and rulings of the Department of Buildings, and hereby declares that all the facts and representatians stated in this application are true and coxrect. AATE: �� I�� SIGNATIJRE: , (See Revexse Side Fax Additional Information.) � _� � �-%.C�� C�. ;�� '�� n, , � r � �. -- . �tr� �,�I N� p�� : �� . � ��c�i�:l�z�L� SECTION 2. The Inspector of Buildings �t�a11, before issuing permits for the erection of any building or structure, ox for any addition to any existing building or stxucture, or for any alteration or repairs to any existing building or stx'ucture, upon applicatic�n thc�refare� require the payment by the applicant for such permit of fees to r_1ic. ��ino.�nt herein below set forth and in the manner herein provided to-wit: UNIFORM BUILDING CODE: Type l, 2& 4�$�.15 :�ar �ach one thousand cubic feet, or fraction thereof, in such cubical c�ntents. Type 3& 5-$1.85 for each one thousand cubie feet. ADllITIONAL I�FORT�I�T�ON For the purpose of camputing fees for building permits, the cubical contents of any building or addition, is determined by mu2tiplying the ground area covered from a point six (6) inches below the floor line of the basement or tl�e cellar to the average heights of the uppex• surf�ce or to the average heigl�t o� the roof surface of the main gable of a pitched roof. For repairs ox alterations to an existing structure, the fee shall be at the rate o� $3,00 per each five hundred dollars ($500.00) or fraction thereof in the cost of a11 proposed work. In no case shall the fee charged for any permit as set f�rth in Section 2 be l�ss than $5.00. VERIFICATION OF FOUNDATION NOTE; Permits for eonstxuction will be issued a minimum of 24 hours frac�► the time o� applicatio�, t� allaw for proper xeview of the proposed st�zcture a�d of the construction sate. A Certified Survey of the lot, showin� the location of the foundation, once it has taeen construeted, will be required ber�re proceeding with the €raming. CERTIFICATE OF OC't,b`:"�`�NCY Application �or a Certifieate of Occupancy shali ��e made ten (10) days prior to the use ar occupancy o€ any structure for whic� a building permit has been issued; and said s�ructure shall not be used or occupied until a Certificate of Occupancy has bee� issued. r ,� Land Plonnin9 C . 6875 •Nr fhwoy '�GS ,VE. Land Sur�reyii� Mmniev�ls 32. �,�sTest„�9 . EN G I NEE R I N G, � I N C. .�',��°'° CIVI � �r A�WIKlPO� .�i�llSt'f Q 6��ti E,� j��e�� -- En ineers � Survec1ors �� 9 cert��zc�te o!� � /�� r-., /'> , �. �C.. . 3 . �. ��.: Su�� 1,� �~ ~",'�/' • • '�i Y ' � � 9 J i / ^! 1 /`'// . ` �"% �: f. i'.% �::•. ,y' '` f,-!r -� , � J� `�� f � �{ �i-;;�; r °�'�� <r,:; .`/'!� s= - • " - C - B , f r- --- ' c... <� � -%f • �t�, � � � ;",y .;., _ , �•'!a � `'�-�. i —" '" .a � `f .- �.''.`_s; �--- '- .. �',?.. '!' '�`�''`` `.� ' �1! �--�_ c1` �e„ �r : ��4c'6, �l � `Q�,�,,r �`- :,• v _,s. j � � �`'��cr%n af ,q� �' " � �� " "-L % � � �"�f'�° / 'i�� . �c � p�� . `_ , � _ 1 ii �s � r -�� _ P "t-�'�" � C'j ,� � ! _ �. ' �'_, � � _� J ' _ �- � --_ . o C, : , ;; ; _ : + � . ; - -. ; a / , � �3 ` 1 c; - - � � _ � No f � �-•rt c- r�- 1 � %^ � � , � � I ._ � •_' ,, ''.i � - z •' : ' � .� • �`� �4 a�r, �a�c�,��l ; ' _ ; � '� �a 2��,r- . : I . r _ . . � _ ; ' ; : . � ' ,o , ; f .� ; � _. , _ . , ; _�. , /'',r --- �: ' / _ _ . - ..._. _ � _� ` ------ {.. +J �c .n ,�� " f . . _, f� � ;�i; '� i.� � C t� , t-. , Lot 16, Block 1, Zr.nsbruck 5th Addition, Anoka County, rtinnesota except that part lying tiortherly of the followinR described line: Conrencin� at a point on ttie i�ortnerly line of Lot I6, said point bein� 48.54 feet Westerly of the \ortheast corner of saic Lot 16; thence Souchwesterly to an angle point on [iie tiortherly line of I_ot 18, said Slock 1, said angle point being 34.2b feet Easterly of the tiorthw�est corner of Lot 18, said Block l and there terminatinQ. /fr�ebeJ ctrf��'y ffiof fh�s is a�rue dnd co�rrtcf rePresenfol'ivn o�0 5Ur'✓EL/ Qf �IC �ndOries a�'�l�e aba►r afcsc.Y6�d �ond.a�d aF'�fx /ecofion cf 'al! burkl�n9s ,lhcreon , ar�al/ ►rsrb/e Urcrnvchmenfs ,!�'aac�, {�rn or �n-said /vnd. As sv�veyed by me fius --' �- d�� o�' �-m� � , . a-a �J., � . , SUB U28AN fN6INEE2/NG . INC. £a inee�s E� S�n'reuors � , .�a - ,' • � � � � i f' • _ � �s� . ,/,;. 0 City of Fridley :, 57�_��T"E TW�"S gU ILDiNG PERMI � � COMMUNITY OEVELOPMENT OIV. � j V �� , . j � � PROTECTIVE INSPECTION SEC. � , � � �"'1 � CITY NA�L FRIOIE� SS132 NUMBER �""�� ,'' 612-571-3450 9t0-Ft5 lOB ADDRESS 1601 Berne Road nEV O�iE 11/12/98 t IEGAL �OT NO. BLOCK TRACT OR ADOITION oesca. 16 1 Innsbruck 5th Addition 2 PROPERTY OWNER MAIL AQDRESS Ken Olson 3 CONTRACTOR MAIL ADORESS Perform Contracting of MN 4336 Otter Lk Rd. White � ARCHITECT OR DESIGNER MAI� ADDRESS 5 ENGINEEFi MAII ADORESS Residential 7 CIASS OF WORK ❑ NEW 8 DESCRIBE WORK Reroof house and gar 9 CHANGE OF USE FROM STIPULATIONS ZIP PAGE OF � / PHONE i53-5 PMONE PMONE �'FiMIT NO. 28562 �iEi, T NO. �� 7 7 AvPROVEO 8� SEE AT7ACNE0 SNEET LICENSE NO 2010594: 110ENSE NO. IICENSE NO D ADDITION O ALTERATION � REPAIR ❑ MOVE O REMOVE 16 Sq) Tear-off TO Underlayment must comply with the State Building Code. 7YPE Of CO SEPARATE PERMITS ARE REOUIREO FOR EIECTRICAL, PLUMBING. MEATING. VENTI�ATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOIO IF WOfiK OR CONSTqUCTION 20NING AUTHORI2ED �S NOT COMMENCED WITHIN 60 DAYS. OR �F CONSTpUCTION OR WOAK IS SUSPENDED OR ABANDONED FOA A PERIOD OF 120 OAYS A7 ANY TIME AFTER WORK IS COMMENCEO NO DWLG I MEREBY CERTIFV THAT I MAVE REAO AND EXAMINEO THIS APP�ICA710N AND KNOW TME SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS Of LAWS VALUATION AND OFiDfNANCES GOVEfiNIMG 7NIS TVPE OF WOftK WI�L 8E COMPLIEO WITH WHETHEii SPECIFIED HEREIN OA NOT. THE GRANTING OF A PERMIT $1371 OOES NOT PqESUME TO GIVE AUTMOFITY TO VIOLATE OR CANCEL THE pEFM1T FEE PROVISIONS OF ANY OTHER STATE OR LOCAI LAW REGULAIING CON- STRUCTiON OR THE PERF RMANCE CONSTRUCTION ��}S.7S /� PLAN CNEC % Lice $�GN4iUQE CONCaACT Op�Uifl 1 DOGENt IDATEi S�GN4TUqE OF OWNEQ i�� OWNEp BUI�OHp� �D�tE� w� n IST. OCCUPANCY GROUP SQ. fT UNITS OFfSTI S7ALLS SURTA $.69 SAC Ch Fire PEE TpTal C 5. $ 2 N P P LID TE SP OCCUPANCYLOAO CU f T. f PARKING GARAGES 1,37 IT NEW ' ¢ ] Effective 1/1/98 ADDN [ J CITY OF FRIDLEY ALTER [] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 �''� � J BUILDING PERMIT APPLICATION �M� �1 ° � �� v l 3�� J ConstructionAddress: ( � • Legal Description: Owner Name & Address: ,.� E�t1 ��Sa,til Tel. # Contractor: �er� tFo d r�^' con�-�-- �� o� !'� 1'u . MN LICENSE # a o(o SSy 3 Address: yj�Co �/e� �.��ce �� ,,_ iS, L, Tel. ��53 `" S1S�1 LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT I,ength W idth Height Length Width Height Length Width Hgt/Ground �� Sq. Ft. Sq. Ft. Sq. Ft. U � /�'�/ o-o Construction Type: %A.r oF.F I1-�- Qoa� Estimated Cost: $�:�7 ��-�'�"—' (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: L/- /,2 — i S`� APPLICANT, � � Tel. #� 7S- S�sa, CITY USE ONLY Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STLPULATIONS: � L .S S" $ /,� % $ �,� � $ $ .5 � Dd $ $ $ $ $ 5� d/ Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.50/$1,OQ0 Valuation $1000 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 [ ] BUILDING PERMIT 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 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 ; $1 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 $500,001 to $1,000,000 $1,000,001 and up FEES $21 (Minimum Fee is $21 plus surcharge) $21 for first $500 plus $2.75 for each additional $100 or fraction th�reof, to and including $2,000 $62.25 for first $2,000 plus $12.50 for each additional $1,000 or fraction thereof, to and including $25,000 $349.75 for first $25,000 plus $9.00 for each additional $I,000 or fraction thereof, to and including $50,000 $574.75 for iirst $50,000 plus $6.25 for each additional $1,000 or fraction thereof, to and including $100,000 $887.25 for first $100,000 plus $5.00 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, 000 $5012.25 for the first $1,000,000 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 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. . -� City of Fridley Building Inspections Dept. Ph: 763-572-3604 FAX: 763-571-1287 Fr dley MN 55432ve NE RCC'D A P R 2 0 2001 Mechanicai Permit# �� CQt I Residential Application City of Fridley See Back Side For Required Iniormation Date 4- l9 • 0'7 Site Address: I(001 Bcr� Qd h16 applicant is: (cirlce one) Owner �ontracto� �erty Owner. Tnw� � 'i"'vaa� � �rEfsa» ress: l �ol Ber►�t Qd N6 : Fr+ctile� State: Mn1 Zip: 5542► ne: 'Ib3--�-AZ�-t Cell: l0�2•30b-�Ii� Fax: N/A Contractor Information Company Name: Subu,�bow ,�4i,. Ce►,d,;-he,,w,�.. Contact Person: _�ri sa�d ra Fra nc.h Address: 17_90-� psbcyne Rd IV� City: F' ' a State: M N Zip: 55432 Phone: ']�03- � -bl Oo CeIL -uas -2� •�o-t2 Fax: �G3 -�84 - 4bqr4 Email:lCrisandr•C�su.bw�l�►►�+au• -__ � cow. MN Bond# & Exp Date Type of Work (circle one): New ( Replacement� Alteration/Remodel Detailed Description of work: r,e.rno vC oQd �nac.c � lts.�2au a�f r Equipment Installed: MFG: r� Mode1:39SBAv0�0oSp Size/BTU: 80�000 MFG: Model: Size/BTU: MFG: Model: Size/BTU: Please check all that apply: Fireplace (gas) $15.00 New Gas Grill $10.00 _A/C $25.00 Fireplace (wood) $35.00 _Gas Unit HTR $10.00 Air to Air exchanger $15.00 �Furnace $35.00 Pool Heater $35.00 Boiler $35.00 Gas Dryer $10.00 _Ventilator $15.00 _Chimney Liner $10.00 _Gas Piping $10.00 Duct Work $10.00 Gas Ran�ae/Oven $10.00 Permit Fee $ 35. �� Minimum fee $15 or 5% of cost of improvement Surcharge � 0.50 whichever is greater + surcharge Total Due $ 35. 50 Make check payable to City of Fridley This is an application for a permit- not valid until processed I hereby apply for a mechanical permit and I aclmowledge that the information above is complete and accurate; that the work will be in cor�fortnance with the ordinances and codes of the City of Fridley and with the Minnesote Construction Codes; that I understand this is not a permit but only an application for a pertnit and work is not to start without e permit; that the work will be in accordance with the approved plan in case of all work which requires review and epproval of plans. Signature of Applicant� , Date: 4! 9 D Approval Inspector Signature: Date: ?.o d 7 Please Note: Separate permits are required for Building, Plumbing, and Electrical work Revised 6/14/2005 .�`�� Building PLUMBING Permit No.: Inspections RESIDENTIAL APPLICATION Received sy� 763-572-3604 CITY OF FRIDLEY Da�' ': UN 8 20 7 DATE �(j' a�o -(7� YOUR E-MAIL ADDRESS SITEADDRESS ��_�`��(nt_ St THIS APPLICANT IS: 0 OWNER IxCONTRACTOR PROPERTY NAME: M[�'�SC�r� OWNER/ pDDRESS: I�9o� L�P.�'n� �i� CITY STATE ZIP TENANT PHONE: CONTRACTOR NAME: � I SUBMIT A COPY OF STATE LICENSE # 00�3$� �i�'� EXP DATE a,�.C_, 3I C`tl YOUR STATE ADDRESS:��I(pq Z:wrc„� �V� CITY ' a STATEi1' ZIP SS:3)� I LICEi�1SE v�iITH YHONE ��o►- O�"`�-�(orx'� _ FAX R9�I- ,X17 A� Pi.ICri rIt3N �� -'-' PERMIT TYPE �SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: � NEW �REPLACEMENT DETAILED DESCRIPTION OF WORK � PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor ) Labor cost under $300 =$15.Q0. Labor cost between $300 to $500 = cost of labor x.OS = FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) BATH SINK/LAV FLOOR DRAINS SHOWER WATER PIPING BATHTUB GAS PIPING �� crrrLres,vss) SWIMMING POOL WATER SOFTNER ($35) CLOTHES WA3HER � KITCHEN SINK � WATER CLOSET BACKFLOW PREV. ($15) i DISHWASHER _ LAUNDRY TRAY _WATER HEATER ($35) FOR IRRIGATION _ WATER METER _ OTHER �� ;,� � "` Permit Fee $ Number of fxtures @$10.00 x$10.00 =$ Surchar e .50 Number of fixtures @$15.00 x$15.00 =$ TOTAL DIJE $_______.___ I�,TUmber of i:Ktures `na,. $35.(?0 x$35.00 =$ State Surcharge = $ .50 Tota1= $ THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Pridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of 1 work which uires review and approval of plans. SIGNATURE OF APPLICANT PRINT NAME �C�U� �P� ( DATET O�1fl'01 � `..r�'�'P✓�'�'�" Y', �' ..�r#��+�'. _ '�' ,.�'' :' .¢.� ?� -� �k,�� City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley,l�1N 55432 763-572-3604 FAX: 763-502-4977 Suilding . � Inspections 763-572=3604 DATE ! 1, _�"S I_G!� SITE ADDRESS l (r9 D BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY THIS APPLICANi' IS: � OWNER PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE VJITH APPLICATION Permit No� 7-W Received By: U% Date Rec'd: `I 71" YOUR E-MAIL ADDRESS SQh�'fvl/ C �,�I��',�('p..ST �%� f— �v FHONE: �t1�I :3�7�'-3b 99 STATE LICENSE 1t_r�0 � J�{ 'J�� ) EXP DATE 3 3' i ADDRESS: �O �� t II�r� % Ii H ��° CITY, PHONE PROPERTY TYPE � ❑ PERNIIT TYPE � TYPE OF WORK: FAX ❑ BASEMENT FII�TISH ❑ ROOF ❑ DECK ❑ SIDING �f Kr�'I^G �►� �1 ❑ SWIMMING PC � NEW ❑ DITION � MAD�TENAt3CF/REPAIR �MODELING ❑ DR.AIN TILE ❑ 07'HER STATF�! IP SS �. � AT�ZIRSSJ�? % DESCRIBE WORK BEING DONE: �rr.,��,,�e J � �� ,di i� / � �ritG% �l/;G�-ai� LTv�� SIZE OF IlvIl'ROVEMENT ',��-i-�^�g,- Q�� LENGTH WIDTH HEIGHT __ __ Sq. Ft. NUMBER OF SQUARES _ GARAGES PROPOS£D SIZE: PROPOSED HEIGH7': S�IDING O Vinyl O Aluminum ' � Other . WINDOWS IN EXISTING OPENINGS ❑Y� �No OR FOR NEW OPENINGS-DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED 0 HOUSE ONLY ❑ HOUSE & GARAGE ❑ ATTACHED GARAGE ❑ DETACHED GARAGE ❑Soffit � Trim ❑ Fascia LOCATION OF WINDOWS NUMBER BASEMENT REMODELING SUBMIT: 1. Existing Floor Plan 2. Proposed floor plan 3. List of structural members to be used FOR NEW CONSTRUCTtON iNCLUDMG DECKS, ADDITIONS. 8c PORCHES SUBMIT: 1. Site Plan/Survey showing the existing structures and proposed project 2. Two sets of construction plans 3. Energy Catculations ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 �EE SCHEDULE) TOTAL JOB VALUATION $_y ou, c��n — OCCUPANCY� TYPE Permit Fee Plan Review Fire Surchazge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Pazk Fee Sewer Main Charge Total Due __ $ �y-�.-�5 � 3','Shc • 79 $ �/O� DO $ 2�, Oc� $ �5, �Y) $ $ $ $ $ See Back Page for Fee Schedule 65% of Building Permit Fee � .001 times the tota.l job valuation .0005 x Permit Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $1675 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$21=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks aavable to: Citv of Fridlev Attach THiS IS AN APPLICATION FOR A PERMTf-NOT VALID UNTIL PROCESSED I hereby appty for a building permit and I aclrnowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approyed plan in the case of all work which requires revi w and approval of plans. SIGNATURE OF APPLICANT ��y��U��;�f��1�_I PRINT NAMETA�� A��nn✓ � DATE �%/��/a ,i Page 2- Building Residential Application , BUILDING PERMIT 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 structure, or for any alteration or repair to any existing building or stru.cture, 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 FEES $1 to $500 $23.50 (Minimum Fee is $23.50 plus surcharge) $541 to $2,000 $23,50 for 1�` $SOU plus $3.05 for each addirional $100 or fraction, to and includin $2,000 $2,001 to $25,000 $69.25 for 1�` $2,000 plus $14 for each additional $1,000 or fraction, to and including $$25,OQ0 ' $25,001 to $50,000 $391.25 for 1� $25,000 ptus $10.10 for ea.ch additional $1,000 or fi-action, to and includin $50,000 $50,001 to $100,000 $643.75 for 1�` $50,040 plus $7 for each addirional $1,000 or fraction to and 1I1CLLid.ln $10�,0�� $100,001 to $SQ0,000 $993.75 for 1� $100,000 plus $5.60 for each additional $1,000 or fraction to and including $500,000 $500,001 to $1,000,000 $3,233.75 for the 1�` $500,000 plus $4.75 for each addirional $1,000 or fraction to and inctudin $1,OOO,U00 $1,000,001 and up $5,608.75 for the 1� $1,000,000 plus $3.15 for each addiiaonal $1,000 or fraction VERIFICATION OF FOUNDATION Permits for construction will be issued a min;mum of 24 hours from the time of application to a11aw for proper review of proposed structure and of the construction site. A Certificate of Survey of the lot, showing the locati.on of the existing found.ation will be required before proceeding with the framing. New Houses Onlv City of Fridley Building Inspections Department 6431 University Avenue NE Fridley, MN 55432 763-572-3604 Fax: 763-502-4977 BO�SE'� Double 1-3/4" x 14" VERSA-LAMO 2.0 3100 SP BC CALCO 9.5 Design Report - US 1 span � No cantilevers � 0/12 slope Build 91 File Name: BC CALC Project Job Name: MATTSON RESIDENCE Description: FB01 Address: 1601 BERNE ST. Specifier: Ciry, State, Zip: FRIDLEY, MN Designer: Jason Myers Customer: LAMPERTS - APPLE VALLEY Company: Boise Code reports: ESR-1040 Misc: SANTANNI Floor Beam\FB01 Tuesday, July 10, 2007 12:07 BO 61 LL 3960 lbs LL 3960 Ibs DL 1104 Ibs DL 1104 Ibs Total of Horizontal Design Spans = i 6-06-00 Load Summary Live Dead Snow VYnd Roof Live Tag Description Load Type Ref. Sta�t End 100°/a 90% 115% 133% 125% Trib. 1 Standard Load Unf. Area (psfl Left 00-00-00 16-06-00 40 10 12-00-00 Load Controls Summary Value %Allowable Duration Case Span Locatlon Pos. Moment 20888 ft-fbs 71.9°l0 100°l0 1 1- Internal End Shear 4303 Ibs 462% 100% 1 1- Left Total Load Defl. U310 (0.639") 77.5% 1 1 Live Load Defl. U396 (0.5") 90.9% 1 1 Max Defl. 0.639" 63.9% 1 1 Span / Depth 14.1 n/a 0 1 Notes Design meets Code minimum (U240) Total load deflection criteria. Design meets Code minimum (U360) Live load deflection criteria. Design meets arbitrary (1") Maximum load deflection criteria. Minimum bearing length ior BO is 1-7/8". Minimum bearing length for 61 is 1-7/8". Entered/Displayed Horizontal Span Length(s) = Clear Span + 1/2 min. end bearing + 1/2 intermediate bearing Connection Diagram � b d a • �• � c I �L . a minimum = 2" c= 10" b minimum = 3" d= 12" Member has no side loads. Connectors are: 16d Common Nails Page 1 of 1 Disclosure Completeness and accuracy of input must be verified by anyone who would rely on output as evidence of suitability for particular application. Output here based on building code-accepted design properties and analysis methods. Installation of BOISE engineered wood products must be in accordance with current Installation Guide and applicable building codes. 70 obtain Installation Guide or ask questions, please call (888)234-0056 before installation. BC CALC�, BC FRAMER� , AJSTM, ALLJOIST� , BC RIM 80ARDT'" BCI� , BOISE GLULAMTM, SIMPLE FRAMING SYSTEM� , VERSA-LAM�, VERSA-RIM PLUS� , VERSA-RIM�, VERSA-STRAND�, VERSA-STUD� are trademarks of Boise Wood Products, L.L.C. _ _ � WV $ui�ding MECHANICAL PermitrTo.� 7-pI3�- Inspections RESIDENTIAL APPLICATION Received By: �Z 763-572-3604 CITY OF FRIDLEY �C� DATE •V" 1 YOUR E-MAIL ADDRESS SIT'E ADDRESS � THIS APPLICANT IS: CI OWNER ONTRACTOR PROPERTY NAME: OWNER/ ADDRESS:,��J� ��, � _ CITY $TATE�IP�� TENANT PHONE: CONTRACTOR COMPANY NAME: CONTACT PERSON: �,•,� , e. e•e an v�n SUBMIT A COPY OF �79-�-c,II��O �n`�`�'uti�� YOURSTATE STATELICENSE# �,n_:>..tzo�rTu�n MN$�'I��1'E LICBNSE WITH ADDRESS: CITY STATE ZIP APPLICATION pHONE -� FAX U�I •�!1�' U`11� PERMIT TYPE ��GLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE �F WORK' � �W � �PLACEMENT �LTERATION/REMODEL DETAII,ED DESCRIPTION OF WORK PER MS 16B.6b5 the permit fee is a minimum of $13.00 or 5% of the total cost up to $500.00, whichever xs greater, for the improvement, installation or replacement of a residential fixture, excluding the filctures. (This should reflect only the cost of labor ) Labor cost under $300 =$15.00. Labor cost between $300 to $500 = cost of labor x.OS = FOR PR03ECTS Wi�RE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOV� Equipment Installed MFG: MODEL: SIZEBTU MFG: MODEL: SIZEBTU MFG: MODEL: SIZE/BTU A/C $25.00 FIREPLACE (GAS) $I5.00 GAS RANGEIOVEN $10.00 AIR TO AIR EXCHANGEER $15 _FIREPLACE (WOOD) $35.00 Nh'W GAS GRILL $10.00 BOILER $35.00 FURNACE $35.00 GAS UNIT HTR $10.00 CHIMNEY LINER $10.00 _GAS DRYER $10.00 POOL HEATER $35.00 DUCT WORK $10.00 GAS PIPING $10.00 VEN'IILATOR 515.00 ERMIT FEE PROJECTS FOR IJNDER $500 PERMIT PEE FOR PROJECTS OVER $500 Permit Fee $ Number of fixtures @$10.00 x$10.00 =$ Surcharge $ .50 Number of fixtures @$15.00 x$ I5.00 =$ TOTAL DITE $��.� Number of fixtures @$25.00 x$25.00 =$ Number of fixtures @ $35.00 x $35.00 = $ State Surcharge = $ .50 Tota1= $ THIS IS AN APPLICATION FOR A PERMIT-NOT VALID iJN'IIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this 'ss not a permit but only an ap lication for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case o 11 work which requires revi w and approval of plans. SIGNATURE OF APPLICANT PRINT NAME� �DATE �� V 1 PLEASE NOTE: SEPARATE PE TS ARE RE UIRED FOR BLTILDING, ELECTRICAL AND MECHANICAL WORK City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 , , City of Fridley Residential Mechanical Application Page 2 REQUIRED INFORMATION NEEDED TO PROCESS PERNIIT RESIDENTIAL PERMIT APPLICATION HVAC ❑ NEW HOMES/ADDITIONS � EXISTING HOME ❑ MAI�E-UP AIR REQUIRED FOR NEW/EXISTING HOMES 1. Combustion Air (See note below) a. Oil or solid fuel IMC Chapter 7 with MN Amendments b. Natural Gas or Propane/IFGC Chapter 3 with MN Amendments 2. Make-up Air (See note below) a. IMC Chapter 5 with MN Amendments 3. Venting a. Gas appliances IFGC Chapter 5 with MN Amendments b. Fuel other than gas IMC Chapter 8 with MN Amendments REQUIRED FOR NEW HOMES �. Heat loss & cooling load per room a. Required on new construction IMC 1346.0312 5. Ventilation a. Per MN Energy Code 7670 or 7672 6. Duct Design Per IMC 1346.0603.2 a. ACCA Manual D NOTE: Centerpoint Energ,y Mechanical Code Guidelines software may be used for combustion and make-up air calculations.