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AF - 365091 A$��CATIQN FQ� RE$IP�NTTA�. A�T��ATIQN, Q� ADA�T�aN �UILDING P�RNjTT �ITX OF ��I��Y, MINN�sOT� OWN�R' S NAT�E : BiTILDER : I c i-[A-2� M i L! �Z,Z, � D F�t t 5 ADDRESS : AD�tESB: 1!� �cICE eI'�k P�at�, F►2� �LL� �rx�y . lr I, 4-C�� s��TZ: .�' ►��,lZ,� � Cov r �� .. , Lo�: �I si.oc�: �3 f�AITION: �5R i�,(2 b�41� .,,. , . ... t;(i�R LOT• �PI$� LO'�: �� SETBACK; SO� SIDEYARD: 5� ./21 ��-icaa�t �t�c� �o Ci�� i,a Certificates of Suzvey o� Lat a�d proppsed b�aii+��g �acation d� oa t�ese �ertificates, ��SCFtIPT�ON OF �UILDING � �e i3s�d A� : Qw�11+n� �=-�=3�th• 2c.. �� %'',� �ei.ght- Za �1.7,% � Square �'set;�t�' Cubi,e �'�et; ZZ3Co� C°'kt2:C�� , �rca�fi : ri � Depth ; ZG ` Height • ,C� � Squa��a �eet; ,494 Cubic Feett 494C� �� of Constructiop� FI��ti1� Esti�ated Cost: 3C7 O O '�� +Ro�.g�.qted i `� — t — 7'� �. 7� % � � � �-- . �'he u�d�r�f►igued hereby a�alc�s a�lica�ivu for, a pe�i t fo� th� wo;k lt�trei� �pe�i�l.ed, agxeein� �o do a1.1 i�o7rk in stti.ct accordance with the G#.ty o� F�l.:il�y' t�xd�.�anc�s and s'uii�� f �a Departn�en� qf Bu��di�a, a�td hereby t1�ec7.axe� � all the �acts �d re�resentatione s�ated i� Chis ap�licatian �tt� �Tue 2� cpxreC�, . ��; f �Z— ! � � - 7 Z s zGxaTVa� : � ��.�c� l-�i►-�c-Ga� �S�s It+eev��AS S#.d� �o� Add�i�.ona1 Iniost�ation.) - , . � f .e \ r � . � � ,� r � � ��'' � �� `, , -r= �, � � �,, , , � � ' -r f' ! Q� � , � � � V -� �' � 4 �. �. I � � � % � b � /6 Q;S �i� � ��)/ �� lv BUII�DING P�RMIT F�� S�H�DUL,E � 6� �t�a { � S�CT�q� �, Th� Inepecto� pf a�ildings sk►a11, befoxe i.asuing pextnit� for the sx��ion o� any building ox struct�lre, ox for any addition to any existing ��a#.�ding oz struGture, ox foz any alteration or re�airs to any exi�ting ��ii�.�Lng or stxucture, upan appli�ation therefore, require the paym�en� by the a�-��1i��t fox such per�nit o� �ees Co the amount herein below set fprth $r4d i'n G;n� mannear hex�ein p��vided �a-wi�: UNIFORM BU�LDTNG CODE= �pe 1� 2&�+ -$2. �5 �or each rnne zt►ous�tnd cubic ,�e��, pr fgaction th�xeof. in such cubical con�ents. Type 3& 5-$1,85 �ox aacka ons ��ousand ��b�.c fee�,. A�p�T�ONAL INFO�tMAT�ON Fo� Ch� �uxgpse of �ampu�ing fees for building permits, the cubical contents of any building or addition, ia det�rmined by muitipl��ng the ground area �QV+e�'ed �7�om � poi1�� six (f�) in�hes below the fl.00r line Qf the basement t� tbe C��lar �o the average �eights of the upper surface or to the average- �si,�ht pf �he xo�� ►ux�ace of Che main gab�.e pf a piCched xoof, ��ir� ox ai�exations fia aa existin� structu�re„ t}►e f�e shall. be at the �'�.�� fl� $3.� #�ex e�t+�h five h��3dred dollars i$50Q,00) ox fraction thersof in t.3�� co�s� o� all prqp�sed, Wo�k* ��n ca�se sha�.l �he fee ��ed fo�c a�yr pe�it as set for�� in Se��ion 2 be 3.�st t�tan $S . AQ. w V�R��I�ATIQN oF �t��NAAi'ION �T{?�s P�n�its �or ��txue��on will be issued a a�ini�m of �4 hours f�om the ��1Ne of appiicatiori, �o al�c}w �ox pra�reX review of the pxoposed stxu�t.u4re ,attd �►f �e �structian &ite. ' A C��.�i��i SuxVey o� the ls��, i�#�iting ti� Iocatia�, of �h� foundatioct, o�c+e �.� �a� i�s� �o�s��t,�dw wiil b� �equired be€ore proceedin� wfth �he frat�ip,g. C�RTIF��AT� QF QC�UPAN�Y App��.�a��.a�t fc�z a Ge�r��.�'icat.� u� Qccugancy ahall bs mada �ea {1Q) d�ays pr�ox to �h� �se Qx c�ccupa�� af a�ty at�cture fax which a bu�.ld�.ng pexYai.t has beert i.ssued; �tTtd said s��GKuXe i�t�al1, �ot be used a�€ occupied until a�extificate of Oo�upa�ay ha.� bee� �.�eued, ��/GO City of Fridley, Minn. �� 8 4 7 6431 University Ave. N. E., Minneapolis, Minn. 55432 BUILDING PERMIT Date: _......_.�?�.G�7m�.�� _ 2�,,_.1.2_Z? ..��._..� Owner: _..._.R..iC��d__�,ill��omes.___..____.._.___� Builder _.�.3�►..� Address ------_1_E�00.___�ice_.__�reek_�o�d-_N--,.=��_..____.----._ Address _�a�.�— LOCATION OF BUILDING No. ...._6_140 ............... Street .__.__..Br_iardale__C_ourt_ N.E. ..__�__. Part of Lot Lot .._........._9............_......_ Block ....__.__.__...._._3_._ ............................. Addition or Sub-Division __._.._.Briardale Addition Corner Lot ....................-------.. Inside Lot ----.--•-------.X......-----•-.-----. Setback ....---.5� �_.._.___� Sideyard _�_5 � f�c � n� �e�� Elevation .....__9 09_ -44- - -- - --------------�-�------------�----.......--�---�-----. P�o�G�i��it�dx� �c�v�ii6xi ------ 912 , 44.. Min imum ♦, Wye Top of Fo�ting DESCRIPTION OF BUILDING To be Used as: Dwelling....---��---...- --�-. Front _----43-�.. Depth 26 �----s-`_ 2$�eight .--20_'_----- Sq• Fk 1194' Cu. Ft _�.ara�e.....--�-�------...._........ Front ..------19' Depth _26 �_--- Hei�ht .---10-�----. Sq. Ft _ 494' Cu. F't. 4, 940 Type of Construction _.Ielnad_.Erame._.__._._.__. Est. Cost �2.I.t�2$.,.2.2____._._.. To be Completed Ma� 1973 Stipulations: Provide a verifying survey before capping. Provide a hard surface driveway. Maintain 10 feet at front south corner of dwelling and maintain 25 feet in the rear yard. $333.00 Storm Sewer Escrow needed when water meter is taken out. WATER LOCATION: 9.5' South of Sewer Location: SEW&R LOCATION: 14' North os Sewer Service (Inv. 909.52) In consideration of the issuance to me of a permit to construct the building described above, I agree to do 'khe proposed work in accordance with the description above set forth and in compliance with all provisions oY Ordinances of the city of Fridley. . . !�iL1!�� ,l'.ua�/ � 13.97 State Surcharge In consideration of the payment of a fee of $_.5..�..D�—._._., permit is hereby granted to R� -�G�. ��M ��r Homes __........._..__.._........_ ................................_ to construct the building or addition as described above. This permit is granted upoA the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects •to the ordinances Of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings vyithin the city limits and this permit may be revoked a t any time upon violation of any of the provisions of said ordinances. •%'�1_.Ci'��'�'" `" � _ Buildin8 Inspector naRRFL CT.ARK NOTICE: This permit does nat cover the construction, installation for wiring, plumbing, gas heating, sawer or wafer. Be sun fo sa� the Building Inspector fo� separate permits for these items. � 560-3450 1�� O ��'IG�Le � � ANOKA COUNTY 6431 UNIVERSITY AVENUE �!E December�'�, I972 FRIDLEY, MINNESOTA 55421 TO WHOM IT MAY CONCERN: Whereas the City o�j Fridley has issued a building permit to construct a s truc ture a t (a/�/�) ,(�i?�CZ;� C�C�_,U ��.��'� Whereas the permit is dated prior to January 1, 1973 and tfie City of Fridley did not collect or receive any "Service Availability Charge". Therefore if for any reasan the Metropolitan Counc?1 and or the rletrcpo?itan Sewer Board assess or bill the C ity of Fridley a Service Availability Char�2 Yor this structure or sewer hook up, we the undersigned agree to and will pay the City of Fridley for said charges. %"' � ,, � � � ., //_ W'itness 0 Signa a � � Company / ' / T tle � City of Fridley � 4T TqQ TOP 0' TME TWINO � i `� r rL-'--'--� GOMUIVN�TY OEV[60�MENT OIV, � � � MarECTrvt wt�CT10N Ot�T, �` i r---� ; pTY MA�L fR10�RY ��i L.._.1`.� .J N3-�W-aK0 53-8�-s-915.51 iw�EGT PLUMBIiVG PERf1IT aPPLIC�TI��i� Job Address 61L�0 N. F. Briardal.e Court ner Contractor nd of Building tion Date I � i W I � � � J � i W � !-- � i' �I�� j ' < < � ; �i 3 u I I I 3�Nral I i sr�) I 'lddVl I � a�� I '�SINI I I •saai I •�nNrval I ? I SNISV9I I I � x� H�1V�I � I � C+4 k� I — GC sNwaal I I o� 3 [ «oo,� o _ w= ,O � I saaMw+sl I I 'z S I� b •iNnoi a d I �N�aol I f1C 'a I �� pq sAVall I I q r HsrM .� Z BHN�SI � I sNisv■ Mtva airNi�n waiv�n D�vid P. Lang �1IIINNEG ^.SC�_ Frame 5-10-71� I i II I i _ __�, I � -- ; � i , i, i, � �� o I � � I� '[ � _ II U ' I j 10 � � i ,_i I. I ; I� � I �—�� — i I� i ; I ! i O w I I � i i I �,�a+ ' F+i —i I � � � a � � � � � � � j/- �- 7 �� CL � w B � S � � I I ess e uaress Phone i 3? �J1.4RQiJE � TF AV�NUE se . �PLS., MltJN, es. �� . lo, o0 Plumbing Fixture Rates: N0. RATE TOTAL Number Fi.xtures x $2.00 �_ Future Fixtures x $1.50 New Fixture-Old Open. x $1.50 Catch Bastn x $3.25 Water Heater-99,000 BT[l x $3.00 Ground Run Old Bldg. x$3.25 Elec. Water Heater x$2.00 I Gas Fitting Faes: lst 3 Fixtures x $2.00 Additional Fixtures x $ .75 Gas Range-199,000 BT[J x $5.00 ' � Repairs & Alterations See (Description; Install Grill Code 5.00 IState Surcharge .50 I TOTAL FEE $ 5.50 I !The undersigned hereby makes application for a permit 'for the work herein specified, agreeing to do all work in strict accordance w ith the City Ordinancea and ruling of the Department of Buildinga, and hereby declare that a11'the facts and representations atated in this application are true and correct. _ .�._. .,., � � �;. �::> ,,,�. ,u .�-� � I%-`�.�,=-=°-- � 'Signature �� _ Date �FP'1FC' L C' .i", r t � � N., � . . , 0 Application �or Powa�r Plant�s and H�aHng. Coofing. Yenh'lation. Re�f�iq�ration and Air Conditioning Sxat�n�s and Devic�s PARTIAL RATE SCHEDULE �Rlil.V*'!'Y WARM AIR: PlATG TOT!►E. F1�rnace ShelI & Duct Work . . . . . . . . : . . . . . . . . . . . . . . . . a10.00 � ,,. Replacement oi �rnace . . . . . . .. . .... . .. .. . .. ..... . .. 6.00 � Repairs & Alterations—up to �500.00 . . . . . . . . . . . . . . 6.00 � -- Repairs dc Alterations each add. �500.00 . . . . . . . . . . . . . . 3.00 � I[ECH. WAAM AIR �rnace Shell & Duct Work to 1'0,000 BTU . . . . . . . . . . . .a10.00 # 1Q.00 each add. 80,000 BTIT ....................... 3.W i RePlacement of Fiirnace . ........................... 6.00 � Repairs dz Alterations—up to ;500.00 . . . . . . . . . . . . . . . . . 6.00 � Repairs & Alterations each add. =500.00 . . . . . . . . . . . . . . 3.00 = STEAM or HOT W1lTEA SYSTEB[ Furnace She2l & Lines—to 400 sq. !t. EDR Steam . $10.00 S F�rnace Shell & Line—to 640 sq. ft. EDR Hot Water . 10.00 a Each add. 200 aq. !t. EDR Steam . . . . . . . . . . . . 3.0(1 �_ Each add. 320 sq. it. EDR Hot Water 3.00 � ,i�;�+,�9IL BIIRNER—to 3 gal. per hour . . . .' . . . . . . . . . 6.0� a '...:�y_ over 3 gal. per hour�ee Fee Schedule GAS BURNER (up to 199.000 BTU) . . . . . . . . . . . . . . '. . . . . . . . . 6.0� S �. 00 aver 199,000 BTU See Fe� Seludul� GAS FITTING FEEB: li0 RATE TOTAL lst 3 Fixtures . . . . . . . . . . . . . ... . . . . � xa 200 S 2.On Additional Fixtures . ............... x 96 ; Gas Range to 199,000 . . . . . . . . . . si b 00 ; Aia coxnrrio�xa F11N HEATIliG SYSTE![ VEl�iTILATIlfG SYSTLI�[ ALTERATIOIiB t REPAlRB ROU(3H i'II�TAL c� '"s2 �� 7 7 � SN PN Seh�dal� Dspt. of Bldys. Phon� 580-3430 La,�oa 6140 Briardale �' � J City of Fridley: The undersigned hereby makes application for a permit for the work hereir. specified, agreeing to do ail work in strict accordance with the City Ordinance: and ruling of the Department of Buildings, and hereby declares that aIl the facts and representations stated in this application are true and correct. F`ridley� Minn ;�.�28 �%� . 1& — Owner Richard Miller Hcmea Kind �i Building vsecF as _ re�dsnti9l _ To be completed about 4/20/73 Estimated Cost, a�.a.Qn Oid—New. Building Permit No. Permit No. ��! l DffiCRIPTION OF WORK HF,ATING or FOWF.R. PZ.AN15--3team, I%t Water, Wa�Air—No 1 Trade Name 1�ESTING$OUSE Size No„ ��13% Capacityll0L000 gq, �, E,D.g gT(7 H,p. Total Connected LosdX Kind oi 1�Ue� Ga� BURNER —1Yade Name SAME AS ABOVE Siu No Capadty Sq. !'L E.DR BTU iiP. SAI�ESMAN: John Borry � .50 SURCHGE COPY OF HEAT LOSS ATTACHED. ✓��'��'„c To7'A�. FLE = 17. 50 st � y� �.� �- ✓ a � Buainess Phone No F'RED VGGT & CO, I�EATING & AIR CO�VDITIONING (REMARKS—OVER) 3260 Gorham Av�, • 92g.6767 f� =�ia Park, Minn�sota 55426 w_ � - 'i _ _____�___ ___ __. _ ___._.. _ � . . � . ... `.rj...._.,-_./ S, r�, � .. ._..... v .. _ . � ` i�'F� vG � � r�/-y�� e i:� � f' LQS9 CALC'EJt.AT;QNS ..� __�'..:;�.,�. . -..J � �. r--�,._.. ,� �� . . " � � Weathersttips _ A.S.H. . Conatructiod No. Insulation ' Guide � � Windowa Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How Applied ;' �� s Yes—No Yes—No i 9_ . / Fl.�i��" x��-�<•:_ Room C.ength.-- ' Width -'' Height 'r'�,- / FI.) ,-..�.�> Room L.ength .�-f Width /�,.?_.Height � Windows and Doors—Crackage and Area Windows and Doora--Crackage and Area ; �Vldch Hdght No. ot Lfneal tt. Area " Wldth Helgdt No. ot Llneal tt. Aro� -� ��ppF No. o[ pa �e ot pane lfghts ot crack sp. ft. � V 1 ; No. o[ pans ot Dans - IlBdt� � of crack �q. LL � � � � � � � � � .--�� i i � . ,_7"__ � . , . �� ; �� . � . kA y%.. {f �!��, . � � l � Coef. Bcu Coef. Btu` Inhltratioa ; ;::- =� � � In5ltration �- :f. ,� ,�- Glass - :) � Glass ,�'� �;%.� �' ' �' � Exp. wall � ' , ,;� J ,:�_ , ; i � Exp. wall `, � � • Net exp. waU f�/ `? .:% '`:� Net e: wall �'1 •^ �t, Int. wall Ceiling ,.. ;o ,' ,r; ,� ..a �, Floor �,,,�.. 1'otal Btu. Required sq. k. �.D.R. or aq. ins. W.A. Leader area �' F7•� ��' ,��% _ Room ( Len�ch / -- Widch;,/.z---. Windows and Doors—�Crackage and Area WId:A Helyht t�to. of Llneal It. Area No. o( Dans ot D�ne lithb ot erack p, tt. F� =` . - ,'� rC��- �� .0 .� ti..,.- /�' .�i %— .� � i /"l f„ � �'-� I ; Coef. Btu Infaltratioa ;y ,�._ .�' �? / -� � ,, Crlass ,� .-� �,, T,_,� �tp. wall %5 � i y� , Nec e:p. wa1J -; i, �n -,• ,� �,- � , Int. wall Cei�ing -� %' ,�• � �/,; / �'� (' Floor ,_,,....- ----'".. . Total Btu. �,,., �� ,w_ Required sq. ft. E.D.R. or aq. ins. W.A. Leader area Fl. „�;; �,;' '�.j Rc�am L.ength ,,,�',�__Width / Height `�'�'?�- . Windows and Doors—Crackage and Area - Wldeb Hafght No. ot Lineal tt. Area � Ko. o! pan, ot pane 116htt ot craek �p, tt. �'1".`� ..� � ._ e �. � � �> . ; Coef. Btu � Irt�iltratioa ' - G#�as �� .�, �� ; Exp, wall .;.�. � • � Net exp. wall :> � f Int. wall • Cei(in8 - ;S �. ,��; � �� Floo r - Total Btu. Reqyired aq. ft. E.D.R. or aq. ins. �/.A. Leader area l Fl.I �a�,�.�,; : "f } Ra�,m i (�n�►h ,� -, �v;d►►, r, yVindows and Qoors--Crackage and Area � W1dth Helght No. ot Lfneal !t. Area No, ot Dana ot Dane 11gAU o[ crack �p. [t. ..�.... _.,.._.rt � . � / .. '-.i ! ... �% i � Cotf. Btu �In6ltration � ,, �; -� r � Glae� ! 5� , "7 � n t� Exp. wall i: 2 �� t; r � , �� Nee exp. wa,11 <-� ir,t. wall Ceilins -y�-/ �- / :� Floor �' _�._,,.. Total Btu. � Required sq. ft. E.D.R. ot sq. ins. W.A. l.eader aren � .. 1� ■� P• InZ. •raU F --:- Ce�iing �. °' �.� . � Etoor � ! (� � Total Btu. Required aq. ft. E.D.R. or aq. ins. W.A. I..eader area rt / Fl.l '�: �- Room I�ngth �� Width i' � Heig t� Windows and Doors—Crackage and Area � Wtdth Hetght No. ot Lineal It. Aren ; No. ot Dine o[ Dins 11BhU ot crack �q. tt. . � -� � � / i i �i� �-t� .:� o ! •,_� /..L � f. tu J In5ltration �. � � fi-' .� '7 / rk Glass Exp. wall F. ?� � � Net eap. wall Int. wall Ceiling Floor v Required aq. ft. E.D.R. or sq. ins. W.A. L.eadar area ..� Fl.� �r - Room I Length .._ Width �, Height �''� Wendows and Doors—Crackage and A:ea W(dth Hel¢ht No. ot Llneal ft. Area ��. � No. of D��e ot Dane Itghta ot crack p. tt. �� _ .,�` c�. C� � � `� �;r+;: Coef. Btv Infiltration _ �-� .:--s:..- � � - �. �- ',�... . ;� _.'7� Exp. wall /� . Net exp. wall Int. wall Ceiling Floor � Total Btu. � Required sq. ft. E.D.R, or sq. ins. WA. Leade� area. j' �♦ �, ��------�.� . __ .... � - r.s_ , ci.� -`;�-> . , :;,. Roam i ji..engtn ,,,�_:� CJ►aen ,r �. jraeigni �.� Windows and Doors—Crackage and Area Wldth Hef�ht No. ot L1nea1 [t. Area �� - No. ot pane ot pans ilghq o[ rack �p. !t. .. ��`� ;_ � �� P �- .;j, � �' 1�dE� � -� Coef. Btu Infiltration � y _r yr Glass S fT � .� �3 c ..�: Exp. wall � N; ' Net exp. wall Int. wall Ceiling Floor Total $tu. _C��- --- - __- —�� Required sq. ft. E.D.R. or sq. ins. WA. Leader at�ea _., � � � � tr' `r" •� F � "�� . � ' . . � '� �. , . � 'a: j ' '� � �€A� f.�S9 'CAL.CEJE.ATI�Tisi � � .:. A.S. . , � Weatheratrips Guide � �n�tructioa No. Iniulation �, dows Doon Reference Out. Wall Int. Wall C,eiting Roof F7oor Kind How Applied �� :,1es—No I Yes-1�7o 19_ ,} -�J' El.� ,�: �.,,., ,, , Room � Length �' Width '' Height ,�'" �. Fl.� Room Length Width Height r '? Windows and Doors—Crackage and Area Windows and Doors—Crackage and Area � �Vldth' HeigAt No. ot L1nea1 [t. Area Width Helght No. ot Lfnea7 tL Ares � �. � -' F No. ot pane ot Dgne Ilght• o[ crack aa. It. No. ot Dane o[ Dane ltght� of crack �Q. [t. � :-��i . ••� �r,� r-{. '� � c�- _ . . 1 �! Coef. Btu Coef. Btu " Inhlt�atioa ,�' ' " � Inhltration - Glass �" � � '�' �" Glass Exp. wall �� r'--f ... , Exp. wall : Net exp. wall � � !� .�- Net e:p. wall � Int. wall In�. •aall Ceiling - Ce�iing , Floor --�= �.�, ��? "' `.� I 1-- , FdooT ' Totat Btu. `� Total Btu. Required sq, ft. �.D.R, or aq. ins. W.A. Ltader arta / Required aq. ft. E.D.R. or sq. ins. W.A. �.eadeir area �' � - ;�Zoom� L.ength ��':i Width ,d',� Height ';°'�, �-- Fl. < .::�,�� •� ,.� .. Ft.l .. _.._ Room-� L-zngth ... , .,, , Width """ Windows and Door�--Crackage and Area Windows and Doors—Crackage and Area Wldth HelYht No. ot Llnea7 ft. Are• Width Heleht No. ot Lineai [t. � Area No. ot pane ot pane Ilsbta ot crack p. ft. � No. ot Dane of pane UshU ot crac!c �q. tt. � � i r:�".. fA'r"_..: - 1`l� � �i' J wr' i_ L Coef. Btu Infi�tration , � / ::� _ , f�' �a� � �� 4.J`.� � ✓` Exp. wall .�`,, , �:° r7 , Net exp. wall �.:> r,� f Int. wall Cei�ing Floor °` � .;°. , ,�'✓ ;.,._5 � p Tot�:t Btu. Required sq. ft. E.U.R. or sq. ins. W.A. L.eader area J FI. Room Length �Vidth Height ' � Windowt end Doors—Crackage and Area Wld{� Heighi No. ot Lineal [t. Area No. ot panp ot pa,ne Itght� ot orack �a. ft. ; t l � lnfiltration Glnss Exp. wap Net eap. wa11 . Int. wall � Cei�in8 ,, � Floor �� Total Bw. Required ag. �t. E.D.R. or aq. ins. Q/.A. Leader area Fl. 1�o�m jl.engih Width Windows And Doors—Crac{cage and Area WldtTj Hqf��t No. oL L(neal tt. wrea No. ot yane o( pane 1166U ot cr�ck �Q. tt. Btu In6ltration Glasa Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Reqaired aq. ft. E.D.R. or aq. ins. `�il.A. Leader ete� F1.� Room I Length Widch Heighc Windows and Doors—Crac�age and Area Wldth Hefght No. of LSneal tt. Ares No. ot Dane ot Dane Ilghts ot crack sa. t4 �� - Coef. Bt� lnfiltration y : ° �_ -: "• � ::: k Glass Exp. watl Net exp. wall Int. wall � Ceiling Floor � Coef. Btu *� lnhltration � Glaas �. : Eup. wall � . � Nee exp. watl � � Int. wall � Ceiling � }'loor �"' Tota! Btu. � �: _ Required sq. ft. E.D.R. or aq. ins. W.A. Leader area l VIO� LlY• . .. Required sq. ft. E.D.R. or sq. ins. WA. Leader ar�a -------- — :_ _-- �I.� Room { Length �idch Height . •'�; Windows and Doors—Crackage and Area Wldth HetgRt No. ot Lfneat tt. Are� . . No. ot Dane ot D�ne Ilght• ot crack �a, tt. � _� ` Coef. Btu Infiltration , Glasa Exp. �all Net exp. wall Int. wal) Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Ltader atra . `Y J / �ify of fYidley . �►PP�icarion Ior Plu�g and Csas Fi�ii�q hn�i� Aapt. oi Bldqs. �hon� 9e0-3�50 DESCRIPTION OF WOR1C Lxal�_�.��Q V��/�R D� LC� C ��T Numb�r, Kind and Localion oi flxtur�s N � F � � $�j � 1[ � � a�I � � �3 � 7 � F � �n �; � C � Base � lst 2nd 3rd 4th • Fux�u� Coaa�elba Op�ainQs * I�l�w Fixtur�, Old Op�ninqs 8'� I� v O r' 2 • • WATEN MTII. Z ul � � O � V �� 3 U' �(`! �(� $ / N GAS FLEC. PARTIAL RAT� SCHEDULE S�w�r Ce�spool PLIIMBING FIXTURE RATES: NO. RATE TOTAL Number flxtures . . . . . . . . . . . . . . . . r� x a2.00 E "� Q • (/ � � �ture FSxture C)pening . . . . . . . . . . . x a1•50 5---. New Fixture Olci Opening . . . . . . . . . . . x E1.50 a�__ __ Catch Basin . . . . . . . . . . . . . . . . . . . . x a3.25 a Water Heater 'CJp to 99,000 BTU) . . . . � x 53.00 ; � �� New Ground Run Old Bldg. . . . . . . . . x a3.25 $ Electric Watu H�at�s . . . . . . . . . . . . . . : a2.00 : 3AS FITTING FEES: NO. R111'E ?OTAL lst 3 Fixtures . . . . . • • • • • • . . . . • _-1— x 32.00 ; � �� Additional Fixtures . . . . . . . .... . . . . . x = .7b ;— Gae Ran�e to 199.000 BTU ..... ...... x 55.00 i AEPAIRS i AL1'ERAT10N3—R�i�r to Cod� Descriptlon ......................................._ TO'PAI. !'EE : �_.:,1 � � City of F�idiey: The nndersigned hereby makes application for a permit for the v�ork herei speciiied, agreeang to do all work in strict accordance with the Cit� Qtdinanre and ruling of the Department of Buildings, and hereby declares that alI the tacl and representations stated in this application are true and correM P'ridley, Minn.� �� a „ 19l Owner I C 17i4�,� �►rL Ce�R Kind oi Building ��A�� Used as � re�/ � �. �/ /rf� To be completed about �v�� Estimated Cost, a / �Qd' �� (�l�!!�–New. Buitding Permit No. Psrmit No. �� Signed �. J O�� iS�N �/� � Ca. By IV / � �•rr/` Business Phune No. ' v �' �5�� Rouax FINAL C'f – /6 ' 7 S � �� •, HOUSE HEATING TEST RECORD ,: , ; _ ' , i `, ,,,' . ADDRESS ��` �"�° - APT. FLOOR %" CITY SUBURB OCCUPANT ., +� `,� � � OWNER a' HEAT LOSS DAT� HTG..INST. GAS CO. METER BADGE #_. SOLD BY Y ' � ' '�� ` INSTALLED BY � ' � � Electrieal Work By ' Gas Lins By TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNIT HTR. OTHER ,y: GAS DESIGN CONVERSION MAKE `��`-•-- � ' MAKE OF BURNER Model /� �� ''- -�: � �, � �.' Model $erial Max. BTU Rating INPUT r1 ��1 -� ��'� �" MAKE OF FURNACE Model CONTROLS THERMOSTAT p` f Heat Plug Vent Size f Valve �'' ° T'� KIND OF LINER ' SIZE�NONE Limit � � ` , "` �' � Draft Hood Regulator Limit Seriing j"��•'-'' Filters Size Number Fan Setting ��:.�'�` �� ' Chimney Location (nside �` Outside Pilot Type � � Chimney Construction Pilot Make �'��►'� Pilot Model $moke Bomb Pilot Timing - Draft L.W. Cut Off Door Pressure Prossure -� -='� Percent CO2 �` �,.-' Date Tested �-- f= Input CFH f-=% L° Percent 02 �- � Company Testing -� Staek Temp. �• �f �-' Percenf CO �/•'' Name of Tester � Form 235 �Niring �— Test Tag Lighting Inst. SuBJEC7 c�ty of Fridley ( � 5 �$ 3 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r ; � RECEIPT NO � • COMMUNITY DEVEIOPMENT DIV. ' j L �""-, �� r � � PROTECT�VE INSPECTtON SEC. t � i 'l A� /��1 � CITY HALL FRIDLE� 55432 NUMBER REV DATE PAGE OF APPROVED BV `��J \i �.J 612-571-3450 910-F15 6/16/80 � � JOB ADDRESS 6140 Briardale Court N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED oESCR. g 3 Bri.ardale SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE David Lan 6140 Briardale Court N.E. 571-1634 3 CONTRACTOR MAIL ADDRESS ZIP PHONE UCENSE NO, Patio Villa e 3918 west 49 Str 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING 7 CLASS OF WORK O NEW � ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 23' x 22' Deck 9 CHANGEOFUSEFROM TO STIPULATIONS SEPfiR�TE PERMtTS R�QUIRED �OR �t�� HEATlPIG. PLUMBING AND SlGNS. e�� '�IIMj� �.t � �n;: � ��r�'��C�h.��;,��. �t�i;tf�s ��jfi�� , � �tc, �� W TYPEOFCONST. OCCUPANCYGROUP OCCUPANCYLOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZpNING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONEO FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINEO THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVEFiNING THIS TYPE OF WORK WILL BE COMPLIED c2 700 $1.35 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT Y � DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- �S`�.H.00 TRUCTION OR THE P�iFORMA ' OF CONSTRUCTION. � � / PLAN CHECKFEE TOTALFEE / ; , � ��,��!� ��'. l� �� `� �', � . $ 4.50 $23.85 SiG n7ua OF ONTRACTOR RAUTHOR�ZEDAGEN7 �D Ei WHEN PROPER VALIDATED THIS IS YOUR PERMIT / � %C �L �__ " �� -� y`.. � ��c j� �Ut CK) SiGNATUAE Of pWNER1IF OWNEF7 BUILDER� IDATEI BL�G iNSp �1PTE CI1'Y Of' i=RIDi..CY � • /1(?PLIC/1'i�10id f�OR Rf�SI[)E.f•1'1'I/1l_ LUILDII!(a PCRI�1ITS (tde��r, Altcr�ations, 1ldditian;, oi° R�pairs) OL-; (1LR: ` :,� C: �� . J E3U1 LDER : -t/ 1�!"�� / %LL{� 6j�' AD[)RCSS: l�i �!� � � L6' -:'-- AUURESS: � ��/� ` GL��/ � Tr�. �vo: ,� �S i/ � ,/�..��— �rc� r�o: 9�G - �77� Construciion I_ocation s ra:r�T r.o : sxru;rT: ____ � . __ I,07.': � BLOC-Y.: � -- ADUITI011: ��l/-%�i�%��-- � . Corner x,ot: z�sia� lo�:: SetbacY.: _ Sideyards: Ap�licant. attach to this forrn i�wo Cer�i�ica'�es of Survey of loi� and prop�sed bui.ld:ing location dra�an on ceri�ificates to scale. ��C �� DESCRIPTIO(� Oi= COf�SI-RUCf I0N � �� r• zo n t : �� ..___._ Squar:e I eet :� ____ �y�pt}1: �o? ! Hei_ght: Giib ic 1� c e t: ---- 0 „ �'� ��C��l�. ��-Q� rron�: Depth: Iieight: Square� Feet: C.'ubic T'ee{�: -� %� � '.Cype of Coi�struc4ion: �� stasnai�ed Cost: $ i . ` . i . , • /� � �b Be CY>mplet_ed: C.,,n �� C� _____ Alt. A �11.t. 13 Pro��sed Driveway �aidth If I�ew Ope.zing Is Desired: $� $ . SEE �2EVI;RSE SIDE OF SHFET . 9'he undc�a:signed hereby makes appl_icaLion for a permit for the ti�ork herein specified, agreeing to cic� al.l c.ork in stl�ict accordanc� witti the Cii�y of J.'ridley Ordi�iances and rulings of i�he Del?arir�ie�1L of' I3ui].dings, ciIICI I1C'.YC��7 decla?�es t.hat all the facts and res�r-�seslt:atioiis stated in t.iiis applicatien az��e ue �uid` cax�'ec - , // � nt��xr: � /,� ,�O � sxcu��vr:� : �, i �Z�� '' Sti.�ulations : p.C�. �� r 18.�� . s� , I . 3� a�,�S � 0 � . r�u��_»ii�c r�r_r►��r�r r-rt: sr_��r:nu�_r_� � , :�1.C'1.'7U1� 2. 7')�e 7nr.,��ecLor. of 1.lu.i.J.cla.>>�(�. ::ha).:s_, }�cf.or.c i.r,��u�.ny 1�enn�.Ls foi Lhc cr.acLi�n �r any l�uiJ.c�i.r�� o.� :.ta_uct:ux�c, or. l�o�- ai�y aucli.t.ic.>n L•o ��t�y exi.�Linc1 l�ui]_di_ng or. sLnictua:e, o�' fo�' t.�rry ci].Lcr�:lt..�.o�� or. r.eJ>c�.ir.:, to •ar,y c>:i:,t.in�� }�t.i.i.).�li.»�j or. sLr.uct:urc, 11��GJl aZ��l.icat�.on t.lu�r.csf.or.c, �.e<3ui�_c t-hc r>v�ymenL l�y tl�c ��l.i.c;��nt� for. :;ucli per.ma.L- oi 1'ces Lo. tlie tunount licr.ci.n be.l.ow saL- f.or.Lh at�c� .i.�� Llic ma»ncr. licr.c.i_n ��roviclecl L-o-ti��a.L: � l�l;t�1 COid`�`i'P.�JC7.'TUId : S�.nqJ.c ).'aini].y Ilome:� and G�ir.agc ;: $�! . 00/1, 000 cubic feet. • � J.'7,P,t1 CIII;CK: ?.5 l�rr.ccnt of bu�.J.dincJ J>ermi_L- fee. I�it]:V)��,'�Y llr1'].I.SSIOII: (Concr.eLe, Cur_b �tr_cets Unly) ' � • 111L-ernrit:c� 7�: Tte�noval and 1-ej�l.acernent, of concrei:e curb and � guLter only; Dr_iveF�ay �•�icltli plus 6 fee� x y:�.�.75 R1.L-crnate I3: Removal and rep].acrrnenL- oi' r.oncrete curb anc� . ' � c;ui:Lez and i_nc>ta].J. a 3 fooi: widc appr_oach c•rii_h •. ' . G 5.rich clr.pth; llr�.vrway wiclth plus G feet x$17. i35 dnnr rT or��_� I1�ror��L1 or�. P'or the pizr}x�se of coml�ut��_nq fces iar_ J:�Ul1.C�.111CJ }�er�ni.L-s, the cuba.ca]. coni.ents of any bui.lding or addi�ion, is dcterm�_ned by rnuli:i.pJ_ying the ground ar_ea covered fr_om a point �i>: (6) inclles below 1=he floor li.�ie oi tlie ha.semerit or i�h� cellar to ta�e average lie�_ghts of L-he up1�eL surface or to L-he averac�e lleig2ii� of i:.lie xoot surface oi L-he ;�ain gable of a pitched roo�. For. repzirs or alterations io an exa.sting structure, tlie fee sha11 be ai tJie xate oi $3.00 r�er eacli iive hundrecl doJ_lars -($500.00) or �raction thereof in tlie cost of all p:�oposed caor_k. . � In �no case sha].l the f�� charc�ed for any pea:�nit as :set iorth in Secti.on 2 be less than $7.50 plus $.5U staL-e surcharge. ' ,��FRTFICATION QF FOUNDATJON NO'.PE: Permi{.s �or const-ruction �aill be issued a mini.mtun of ?.4 hours i'�:om tli� time oi a��1_>li.cation to al]_o�v for proper review of tiie pi-oposed structure and of t}ie consti�action sa. �e. 11 Certz_f�cate o� Suivey of tl�c� lot, showing the location of the foundation once a.t lias been coilsiiZict.ed wi11 be required bef�re pr.oceedi�lg witli tlie fz_aming. C r RLr_1 c�.Z� = � ��P�� i�pJ�lica.tio�i for a Certit'icate of Occu��arir.y siia.11 be made teti (10) d��s prior to tlie use o�� ccupancy oL any :;truci=ure i:or wtiicla zi buildiiig pe�7nit ha� been i.ssued; aiid sazd si:s:ucture shalJ_ not be uscd oi- acclipiccl unti.l a Ccri�if�r.ate of Occul�ancy has beeii i_;sued. , _ / � \ , _ _ i � ._ __ _ � Q M � � J �i1 ;� _ _. w� Q � �/ � r'1 � 0 � , � �`: ' ` ,�> . o ►- �a �� O 2 J .J p`' ;1 � N '2; �" t LL% . � `' .. j.:�: �� Q � � , �� N - � a =� f �! - Z �y 'L�I �� j � C�1 � __��V -- �.� s. . � ,i� � _.._ _ ~ 1.,J1. ` . �b } . ----;_ �. �; �, �� I � ��`�' �� ; 4 F4 � a .. ! 'L:��_ �.� �, �` ;� { � � � '� i;;;`, ;i � _ . ._ . _...__ � . � � w �4,. �� - , � ` ��_._._,.�,.�� ,�� _ �_ � ' �'w +y '�2 ,`��-` t ` , � ; � � `a `'�y ii � ti, i, � j � �i t;�:, : V ', t - ' � ; ; �. �,,�, —� � :i --��--;..s . . �,,, • ,� �. :e : i � . � �� -�: � � i i � �V �� : -- .:__ . __ ; I-� \ � � Q SS�� _ ` � -� d � V e � - � - Y `` W ��' - .0 " �c �,` � `�.�`�.. � ?i �_.-- � . ..- -- — � �;�";f' . _ �,, . �` _ . . ,--. � � . _ ... .� • . _,r.:� , �. _. . " _-'- — :a � � /7 � ____ �� _ -..._.___._.�..._�__.._�._... ' � � • � Y� / l/ (� -- � -----�----..__..__.__._..________....�-� i 'c� � ,�.a . ,_ _ . _ , .._ _ . � ��. STATE OF MINNESOTA DEPARTMENT OF HUMAN SERVICES 444 LAFAYETTE ROAD ST. PAUL. MINNESOTA Sd101 � � -�� Date ,` i Zo ng Authorit � � S reet Address - �� City State Zip Code � %�.y�� ,�� '�� DHS-2722 (9-85) PZ-02722-02 � � S �� RE: ZONING NOTIFICATION OF APPLICATION FOR LICENSURE Subject: •� ' �' � Type of License: Name of Day Care � me Ap i� nt Family Day Care S� eet�Addre s � �� roup Family Day Care � - Licensed Capacity %Q % ity State Zip Code Phone No. �j �� _ This is to inform you that we are in receipt licensure under Minnesota Rules, parts 9502.0300 Rule 2), Family Day Care and Group Family Day Care this license is subject to compliance with the Statutes, Sections 245.781 to 245.812 and 252.28, the Public Welfare Licensing Act and the rules of Services. of an application for to 9502.0445 (formerly Standards. Issuance of provisions of Minnesota subdivision 2, known as the Department of Human You should note that under Minnesota Statutes, Section 245.812, Subvision 3, a licensed day care facility serving 12 or fewer persons shall be considered a permitted single family residential use of property for the purposes of zoning. Subdivision 4 of the same section indicates that a licensed day care facility serving from 13 through 16 persons shall be considered a permitted multi-family residential use of property for purposes of zoning. If we do not hear will consider the your local zoning Sincerely, from you within above-mentioned code. � Licensing Worker { Street Address 30 days after receipt of this letter, we day care home to be in compliance with COMMUNITY HEALTH & SOCIAL \SERVICES DEPARTMENT f• CObNTY OF ANOKA COURTHOUSE.FOURTHFLOOR /►NOKA, MINNE60TA E5909 Name of Agency/Organization City State Zip Code AN E�UAL OPPORTUNITY EMPLOYER sue�ecT IT N 0. � City of Fridley � �� ,,� ,, .�, � AT THE TOP OF THE TWINS B� I L D� N G P E R M I T �� r ; � RECEIPT NO. � • COMMUNITY DEVELOPMENT DIV. � �y-------� 3� � r � � PROTECTIVE INSPECTION SEC. � � � , 1 �'��1 � CITY HALL FRIDLE� 55432 NUMBER F�EV DATE PAGE OF APPFOVED B� �'""�"� ,�� 612-571-3450 910-F15 8/23/96 / / lOB ADDRESS 6140 Briardale Court NE t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 9 3 Briardale Addition SHEET 2 PROPERTV OWNER MAIL ADDRESS ZIP PHONE Roger Solz 6140 Briardale Court NE 3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO West hal Roofin 686 141 Lane NW Andover MN 55304 786-7000 3937 4 AFiCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO S ENGINEER MAILADDRESS 21P PHONE LICENSENO 6 USE OF BUILDING Residentail 7 CLASS OF WORK ❑ NEW O ADDITION ❑ ALTERATION X REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WOFK Reroof House & Gara e(24 S Tear-off 9 CHANGEOFUSEFROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPEOFCONST. OCCUPANCYGROUP OCCUPANCVLOAD SEPARATE PERMiTS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OFi AIR CONOITIONING THIS PERMIT BECOMES NUIL AND VOID IF WORK OR CONSTFUCTION ZONING Sd. FT CU FT. AUTHORI2ED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK tS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS A7 ANY TIME AFTEF WORK IS COMMENCED. NO. DWLG. UNITS OFFSTFEET PARKING I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APP�ICATION 1 STALLS GAFAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVEfiNING THIS TYPE OF WORK WI�L BE COMPLIED @ WITH WHETHER SPECIFIEO HEREIN OR NOT. THE GRANTING OF A PERMIT �p1�9HO �.99 DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STqUCTION HE PERFORMANC OF CONSTRUCTION �GZ.ZS Fire SC �1.9H � i' — AN CHECK FEE TOTAL FEE / « $65.22 iGNAtUAE FC N7RACTOAOAAUTH0�7�ZEDAGENT �DATEi WHEN PfiOPERL ALIDA ED THIS IS YOUR PERMIT C� �, > > - O SiGNATUAf.OFpyyNEAi�FOWNERBUI�DERI IDATEI BLDG NS7 � ()LiE NEW ADDN ALTER [] [l [] CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application ConstructionAddress: (� ( �-'� �; � �,- � �,�. �-- c�c<�� (�. �. �- � Legal Description: Owner Name & Address: Contractor: � , „' �. �, r;;� Address: ;�.' �'� J � ,'� ��_ LIVING AREA: GARAGE AREA: DECK AREA: OTHER: c7 c� C ►� ,`j c�� (�- "L— c�-1,� ��-j � D ,f � ; �-: << 1 � �" L. �:�-- ►�� i �� Effective 3/ 1 /96 Tel. # MN LICENSE # � `�7 3 � Tel.# `��'(� 7f�C�U -� � < Att�cli td� ' application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Length Length �-- % e; �-- r C� Comer Lot [] Inside Lot [] Ft. Yd Setback Tyge of Construction: Approx. Completion Date: Width Width Width j = �- �- Height Sq. Ft. Height Sq. Ft. Hgt/Ground Sq. Ft. f—� � _ � �� r :� vw �-�. � �'�- �'� %�L Side Yard Setbacks Estimated Cost: $ � , � (Cost on� Back) Driveway Curb Cut Width Needed: P�:�+ 6 Ft = Ft x$-, _$ DATE: � —:� .j ��jAPPLICANT:��,�t �C�, ( �, o� � Tel. # � v� J� � � Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS : CITY USE ONLY $ (l =� ��J Fee Schedule on Reverse Side $ �, �i� .001 of Permit Valuation (1 / l Oth %) $ � � ' $.50/$1,000 Valuation $ $900 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 [ ] , � ,,__ ° � � $ �='�' ` o� cn 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 thereof, 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 $1,000 or fraction thereof, to and including $50,000 $574.75 for first $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 $1,0()0,000 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 $15.75. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. n SuBJECT City of Fridley _� ;:� �, �� g AT THE TOP OF THE TWINS g U I L D I N G P E R M I T f ; � RECEIPT NO. � • COMMUNITY DEVELOPMENT DIV / / O r � L � PROTECTIVE INSPECTION SEC �/ �� ' � I' CITY HALL FRIDLE� 55432 NUMBE�7 AEV D�1TE PAGE Of APPRO�ED BY �' �' �""'�� ' 612-571-3450 9t0-F�5 10/3/96 / / JOB ADDRESS 6140 Briardale Court NE t IEGAL LOT NO. BLOCK TfiACT OF ADDITION SEE ATTACHED DESCR. (� 3 Briardale Addition SHEET 2 PROPERTY OWNER MAIL ADORES$ ZIP PHONE Roger & Laurie Solz 6140 Briardale Court NE 572-9124 3 CONTRACTOR MAIL ADDRESS ZIP PHONE IICENSE NO K C Winchell Co 5635 Glen Ave Minnetonka MN 55345 934-7710 6872 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE IICENSE NO 5 ENGINEER MAIL ADDRESS ZIP PHONE IICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW O ADDITION ❑ ALTERATION ❑ REPAIR O MOVE ❑ REMOVE X 8 DESCRIBE WORK Kitchen remodel 9 CHANGE OF USE FfiOM TO STIPULA710NS See notations on plan. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY �OAD SEPARATE PERMITS ARE REQUIfiED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THiS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. 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 ANY TIME AFTER WOAK IS COMMENCED. NO. DWLG. UNITS OFFSTqEET PARKING I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW TME SAME TO 8E TRUE AND CORRECT ALl PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TVPE OF WOfiK WILL BE COMPLIED @ WITH WHETHER SPECIFIED HEREIN OF NOT. THE GRANTING OF A PERMIT �LO�OOO �pS.00 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMITFEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR TH PERFOR ANCE OP C NSIRUC 10 , " � 162. ZS Fire SC � LO. OO f�� '/� �.c'�,-t:� PLAN CHECK FEE TOTAL FEE ��``' �� License SC $5.00 $182.25 SIGNATUAE OP CON'RACTOA OFl AUTHOAIZED P.GENT ioarE� WHEN PF70PERLV VALIDATED THIS IS VOUR PERMIT S�GNATURE OF OWNEP �iF OWNEa BWLDER� IDATEi BLDG'�NSP ��°TE NEW ADDN ALTER ll �l [] ConstructionAddress Legal Description: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application O �,/�L r/�n/h � Cez/Z. T--' Effective 3/1/96 �� o� Owner Name & Address: ��v(,�-� � �,9vi� re s'� � Tel. # S7a?- 9/0? �/' Contractor: f� ('. GC.! ��/ Cl/�r`zC_._ �v . MN LICENSE #f (��7 a- Address: � �4 (� �� /J�/C �y1��0, �� . Tel. # �?S 3�� Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: Length DESCRIPTION OF IlVIPROVEMENT Width � Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. O�'HER: _ ��i �Zt�-'�' ��`Ynv�-!r7`� . Corner Lot �] Inside Lot [] Ft. Yd Setback Side Yard Setbacks Type of Construction: _ Estimated Cost: $ /O a�'v -� Approx. Completiori Date: � . lCost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x =$ � DATF: lG' �jl�t(p APPLICANT: ��, ..�- �� Tel. # s3 y� � �� Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: , � �- $ ` �' ' c-o� -o� y $ . ,, �� T $ fl �-; i $ $ $ $ � $ CTTY USE ONLY Fee Schedule on Reverse Side 001 of Permit Valuation (1/lOth%) $.50/$1,000 Valuation $900 per SAC Unit ^ � ! - $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above � $ �� $450.00 Conservation Plan Review Fee DeteRnined 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 tor 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,OQ0 $100,001 to $500,000 $SOO,OOt to $1,000,000 $1,0OO,OG1 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 $2,000 $62.25 for first $2,000 plus $12.50 for each additional $1,000 or fraction thereof, to and including $25,OQ0 $349.75 for first $25,000 plus $9.00 for each additienal $1,000 or fraction thereof, to and including $50,000 $574.75 for first $50,000 plus $6.25 for each additiQnal $1,000 or fraction thereof, to and including $100,000 �887.25 %r first $100,000 plus $5.00 for each additional $1,600 or fraction thereof,.to and including $SOO,ODU � $2887.25 for the first $500,000 plus $4.25 for each adc�itional $1,0�0 or fraction.thereof, to and including $1,000,000 $5012.25 for the first $1,Oa0,OQ0 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. 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( . ,. .i�� - � . � � . .�---- --._.. .�----- ---- ---- ---- - — 7 1 ? � /�� I �,� f�t ( 7/8 �� _ _.. � i; , _ _�. _ �. - - ----- -- , __,_ --_ _..--- 7 . � _ _- �- - -- - ----,�--�-- _ . `� ' <-, � �-� �i ' i �! i , — ._- ----- __._._____ . ,. __- --_ _ _ --- _ _ .�_ ; , -„�`-- _ ___..._ - -•--- -- - . . 1 . � ' - �� :� } CITY OF FRIDLEY INSPECTION DIViSION 6431 University Ave NE Fridley, MN 55432 572-3604 RATE SCHEDULE Residential APPLICATION FOR POWER PLANTS AND HEATING, COOIJNG, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES Furnace Shell and Duct Work, Burner - Also Replacement Furnace (Side Vent - Fill Out Back) Gas Piping (Needed with new furnace, but not replaceme t) Gas Range �U f� c ��'�G�.� Gas Dryer *Air Conditioning - All Sizes All Others/Repairs & Alterations (LIST ON BACI� 1% of Value of Appliance or Work Commercial/I ndustrial 1.25°/a of Value of Appliance or Work Rate $ 30.00 $10.00 $10.00 $10.00 $ 25.00 State Surcharge TOTAL FEE Effective On January 1, 1999 JOB ADDRESS�, / Y U �,C;�► �r,f a% C- �' The undersigned hereby makes application for a permit for the work herein TOTAL specified agreeing to do all work in strict accordance with the City Codes and rulings of the Building Division, and hereby declares that all the facts and $ representations stated in this application are true and correct. I � �� ,1998 Fa $ OWNER < _ �,�_. ; c� S � 17 BUILDING USED AS S; �� V�' %�J ESTIMATED COST �� PERMIT N0. � ��9 $ DESCRIPTION OF FURNACE AND OR BURNER $ No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Trade Name Size No. ' $ $ . .50 � 1� ,� MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr *Air Conditione�s can not be placed in a side yard without written permission from adjoining property owner. BTU HP EDR Fuel .,,� 6 Total Connected Load �-c�� Burner Trade Name Size No. BTU HP EDR , � �� HEATING COMPANY �"'�- d�J-L �-f � Signed By _.=�7' ' Tel No. �s�`-'� 5�� Approved By ��L— Rough-In Date Final Date �' U�/ FILLOUT BACK SIDE FOR STACKVERIFlCATION ON REPLACEMENT FURNACE `� CHIlVINEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1: Has been carefully examined Yes () No () 2. Is free from rust or deterioration 3. Has no foreign objects lodged within 4. Is securely supported 5. Meets all current Code requirer�ents for size and total BTU's connected 6 7. 8. Has total heating BTU'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 Being Done: HEATING CO: Signed By: Date: Yes()No() Yes ( ) No ( ) Yes ( ) No ( ) Yes ( ) No ( ) Yes ( ) No ( ) Yes ( ) No ( ) _ _ CITY OF FRiDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNNERSITY AVE. N.E. FRIDLEY, MN 55432 •(612) 571-3450 • FAX (612) 571-1287 December 30, 1998 Roger Solz 6140 Briardale Ct. NE Fridley, MN 55432 Re: Construction Without Obtaining a Building Permit (Windows/Siding at 6140 Briardale Ct. NE) Dear Mr. Solz: According to Section 106.1 of the 1994 Uniform Building Code as adopted by the City of Fridley, no building or structure regulated by this Code shall be erected, constructed, enlarged, altered, repaired, moved, improved, removed, converted, or demolished unless a separate permit for each building or structure has first been obtained from the Building Official. You have been notified of your need to obtain a building permit and have failed to comply as of today's date. As a result, a special investigation fee will now be added to the permit, equal to the permit fee. The City of Fridley will give you 30 days in which to comply before turning this matter over to the City Attorney for his legal consideration. Please contact me at 572-3603 if you have any questions on this matter. Sincerely, �t/, BARRY R ESCH Building Inspector BR/bk sue�ecT P • City of Fridley 2 8 83 � AT THE TOP OF THE TWINS g U i L D I N G P E R M I T � • RECEIPT NO. � � � ` �___ COMMUNITY OEVELOPMENT DIV. O /�� r � V � PNOTECTiVE INSPECTION SEC � � � i i_-_-�,��"'1�'� CITY HA�L FRIOIE� 55�32 NUMBEA AEV OATE P�GE O� •nnROvEO 8r 1 612-571-3450 9�0-Ft5 1/12/99 � � 108 AODRESS 6140 Briardale Court NE 1 LEGAL LOT NO. BLOCK TRACT OR AODITION SEE ATTACHED DESCR. (� 3 Briardale Addition SNEET 2 PROPERTY OWNER MAIL ADDRESS 21P PMONE Laurie/Roger Solz 6140 Briardale Court NE 3 CONTFACTOR MAIL ADDFESS 21P �HONE LICENSE NO Jansick Inc 6480 S uire Drive NE Fridle MN 554 2 7- 4 AFCMITECT OR DESIGNEfi MAIL ADDRESS ZIP PHONE LICENSE NO 5 ENGINEER MAII ADDiiESS ZIP PHONE LICENSE NO 6 USE Of BUILDING Residential 7 CLASS OF WORK O NEW O ADDITION X ALTERATION ❑ REPAIR � MOVE O REMOVE B DESCRIBE WORK Convert atio door to window/construct a fire lace surround 9 CHANGEOFUSEFROM • TO STIPULATIONS Subject to Building Inspector's requirements. TVPEOfCON$T OCCUPANCVGROUP OCCUPANCvlOAO SEPARATE PERMITS ARE REOUIREO FOR ELECTFiICAL, PLUMBING, MEATING. VENTI�ATING OR Alii CONDITIONING TMIS PERMIT BECOMES NUIL AND VOID IF WORK OF CONSTFUCTION 20NING SO. FT CU FT AUTHORIZED IS NOT COMMENCED WITMIN 60 DAVS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOF A PERIOD OF 120 DAVS AT � ANV TIME AFTER WORK IS COMMENCED NO DWIG. UNITS OFFSTREET PARKING I MEREBV CERTIFY THAT I HAVE REAO AND EXAMINEO THIS APPLICATION 1 STALLS GARAGES AND KNOW TME SAME TO BE TRUE AND CORRECT All PROVISIONS OF LAWS VA�UATION SURTAX AND OROINANCES GOVERNING THIS TVPE OF WORK WILL BE COMPLIEO WITH WHETMER SPECIFIED MEREIN OA NOT. THE GRANTtNG OF A PERMIT 7OO . SO OOES NOT PRESUM TO GIVE AUTMORITV TO VIOIATE OA CANCEL THE pEqMIT FEE SAC CHARGE PROVISIONS OF AN OTHER STATE OR LOCAL LAW REGULATING CON- $26. SO F� e SC �. 7O STRUCTION HE ERFpRMANCE CONSTFUCTION - PLAN CHECK fEE T T L FEE Licens C $ $32.70 �GNaru E CON"AACTOQOpAUTMOQ�ZE •GEti? �DATE� EN A 1 ED THIS IS VOUR PERMIT / /y. S�GNSivaEO�OwaEQ��OWNEABw�OER� iO�TE� �gua �N<p r,r.rf NEW [ ] ADDN [ ] ALTER [ ] ConstructionAddress: � Legal Description: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Effective 1 / 1 /99 � �� ' b Owner Name & Address: �jqc,«Q�C •,1 �,�,� S��Z Tel. # Contractor: _ �el,� s'�c%� �y1e, MN LICENSE # ��/� . Address: � y,� SD � �k � %, �R/D� �r %�iti - Tel. # .� 7�/- 96 7�' LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Construction Type: Attach to this applicatior., a Certific�te of Survey of the lot, with the proposed construction drawn on it to scale. Length Length Length DESCRIPTION OF IMPROVEMENT Width Width Width Height Sq. Ft. Height Sq. Ft. Hgt/Ground Sq. Ft. %�P��f �P S'GO/ i'c4�N!' ! . Estimated Cost: $ �]d 0 , �b (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ � DATE: j/ y' 9 APPLICANT: Tel. #,� ��/- s''� 7% Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS : $ �L.S� $ � %O $ � S� $ $ �• ��; $ $ $ $ � �� CITY USE ONLY Fee Schedule on Reverse Side 001 of Permit Valuation (1/lOth%) $.50/$1,000 Valuation $1050 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 [ ] � BUII.DING 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 appl'ication 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 thereof, 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 $1,000 or fraction thereof, to and including $50,000 $574.75 for first $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 $15.75. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certiiicate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. � s�e�ecT PE . City of Fridley 32098 AT TME TOP OF THE TWINS g � I L D I N G P E R M I T � � RECEIPT NO - � � � � � � • COMMUNITY DEVELOPMENT DIV. `r`"=,("/°�' ?!;,� �; r � y • � PROTECTIVE INSPECTION SEC. �• �� I�"�� "'1 � CITY HALL FRIDLE� SS�J2 NUMBER pEV O�TE P�GE O� AvnilOVED Br �'"""�"� �'' 612-571-3450 910-F15 8�23/O1 � � �oe nooRess 6140 Briardale Court t LEGAL �OT N0. BIOCK TRACT Oii ADOITION SEE AT7ACME0 oescR. 9 3 Briardale Addition SHEET 2 PROPEFTY OWNER MAIL ADORESS ZIP PMONE Lori &Roger Solz, 6140 Briarclale Ct, Fridley, MN 55432 763-572-9124 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Jansick Inc., 6480 Squire Dr, Fridley, MN 55432 763-574-9679 8618 4 ARCHITECT OR DESIGNER MAIL AOORESS ZIP PHONE UCENSE N0 5 ENGINEER MAII ADORESS ZIP PHONE IICENSE NO 6 USE OF BUILDING Residential 7 CIASS OF WOFK �7 NEW ❑ ADDITION O ALTERATION p REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Construct new deck 9 CHANGE OF USE FfiOM TO STIPULATIONS N I N G Note stipulations on plans. Before digging call for ail utility locations 454-0002 ,�'��.�sR�� BY LAW SEPARATE PERMITS REQUIRED FOR: WIRING HEATING PLUMBING� AND SIG�IIS TYPEOFCONST OCCUPANCYGROUP OCCUPANCYLOAD SEPARATE PERMITS ARE REOUIRED FOR EIECTRICAL, PLUMBING. HEATING. VENTILATING OR Alq CONDITIONING THIS PERMIT BECOMES NUIL AND VOID IF WORK OR CONSTRUCTION ZONING S�. FT CU FT AUTHOqIZED IS NOT COMMENCED WITMIN 60 DAYS. OR li CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONEO FOR A PERIOD OF 120 DAYS AT ANV TIME AFTER WORK IS COMMENCED. � NO DWIG. UNITS OfFSTREET PARKiNG I HEREBY CERTIFV THAT I MAVE REAO AND EXAMINED THI$ APPLICATION $TALLS GARAGES AND KNOW THE SAME TO 8E TRUE AND CORRECT A�L PROVISIONS Of �AWS VA�UATION SURTAX AND ORDINANCES GOVERNING TMIS TVPE OF WORK WILL 8E COMPLIED �Z�OSH.00 �1.03 WITM WHETMER SPECIFIED HEREIN OR NOT THE GRANTING Of A VERMIT DOES NOT PRESUME TO GIVE AUTMORITV TO VIOLATE Oii CANCEL THE pEqMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAI LAW REGUTATING CON- @83�2)r F� e SC �Z.O6 $TRUCTION OR TM PERfORMANCE OF CONS�UCTION �' PLAN CHECK E O� AL FEE Licen 5.0 $91.34 YG r E C N"AACTOQOpAUTNOQ�ZEO Etii iD�iE� M P LV V ATED THIS IS UR PERMIT �•�-.3 -D� S�GtiaiUAE O� OwaEQ�i� pwHEQ 9u�tDEQ� �O�TE� OG �a5 ��<<E rvEw [ J ADDN [] ALTER [ ] Effective 1/1/2001 CITY OF FRIDLEY (763) 572-3604 Bldg Insp SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: l� �G/� .� i� /.�/2t�.9L Z- C'�'`- Legal Description: Owner Name & Address: _� O�� f�oy�R° Sv /Z Tei. # 7�3 --5'72 - 9'/Z jr Contractor: __ �%,c�aVSXi� ��1 C MN LICENSE # �� Address: ��i� SC� u i�' P %i2 . Tei. # 7� �- S � ci �� LIVING AREA: GARAGE AREA DECK AREA: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. Length Length Width Width Height Sq. Ft. Hgt/Ground Sq. Ft. � OTHER: ��6 S8• _°` Construction Type: �� l� Estimated Cost: $� • o0 Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: �� 3/ �� APPLICANT: Tel. # 7��- S 7�-967� CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application Permit Fee $�. �-s� Fee Schedule on Reverse Side Fire Surcharge $ . D� .001 of Permit Valuation (1/10th°/o) State Surcharge $ /_ 03 $.50/$1,000 Valuation SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ $1150 per SAC Unit $ � 6v $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 [ ] $ .3 BUII.DING 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 pernut 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 $23.50 $23.50 for first $500 plus $3.05 for each additional $100 or fraction thereof, to and including $2,000 $69.25 for first $2,000 plus $14.00 for each additional $1,000 or fraction thereof, to and including $25,000 $391.25 for first $25,000 plus $10.10 for each additional $1,000 or fraction thereof, to and including $50,000 $643.75 for first $50,000 plus $7.00 for each additional $1,000 or fraction thereof, to and including $100,000 $993.75 for first $100,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $500,000 $3,233.75 for the first $500,000 plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,000,000 $5,608.75 for the first $1,000,000 plus $3.15 for each additional $1,000 or fraction thereof • DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $15.50. Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $23.25. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. ` A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. New Houses Onlv Ja �sic�c Ir�� "7he RlCHT CHOICF for all Your Building Needs" 6480 SQUIRE DRIVE FRIDLEY, M(V. 55432 •(763� 574•9679 • L1C. N0. 8618 CUSTOMER: LORI AND ROGER SOLZ 6140 BRIARDALE CT. NE FRIDLEY, MN. 55432 PH 763-572-9124 PROJECT: NEW DECK WITH FRAME AND FOOTINGS TO HOLC FUTURE PORCH: SCALE 1 /4"=1 '-0" � � �/f�� i� �� `' ��_ � �� SCALE 1 /4 -1 -0 h FOOTING DETAIL / 6 NOTE: FOOTINGS TO BE INSTALLED FOR FUTURE PORCH. 42" " DIA MIN FLARED AT DEPTH BOTTOM. 3' 5'-6" 11' 8� 3� � 3'� 14' � � � � i� � �y� 14' 18" CANT . � . N�� JOIST HANG BOTH ENDS� SCALE 1 /4"=1 '-0" 7V'1 /1 TDCATC� BEAM 2X10 LEDGER LAGGED TO HOUSE FLASHED SCALE 1 /2"= 1 '-0" DECK DETAIL FOR SOLZ DECK 5/4 X 6 RADIUS EDGED CEDAR DECKING �OIST HANGERS BOTH ENDS I LEDGER 2X10 TREAT. LAGGED �� 2X10 RIM OR TWO 5/4 X 6 CEDAR HOUSE GRIPPABLE RAIL "DECK-O-RATOR" STYLE RAIL . 34"-38" RISE $�� 2X12 STRINGERS (GREEN TREATED) 6X6 CEDAR POSTS 2x6 TOP RAIL �� 2X 10 TREATED JOISTS 16" ON CENTER 2X10 RIM(OR 2-5/4X6) 5/4X6 DECKING CEDAR METAL BALUSTERS 2X4 TOP RAIL 12"X42" DEEP FOOTING FLARE AT BOTTOM FLASHING NEXT TO HOUSE 36" MIN AUG-2�-2�@1 14�35 FROM CITY OF FRIDLEY TO 5741330 P.@1�01 , ' �Phd /fenn�n9 r�/!l''t! % P"�JlI �s�s a;g►.�..ey rw, Ai N E. la..d Sy►vty�ny � ' • (` 1 Minwevp.li� � Svils Te�1in9 ��I �`�� / /1 �• M:Mn _ 534�I C�..il ��'i��viwo (/ ( i�isptiow• 7��»p0lA Mun�c�pol Cnqi�.ee.��g E nRi nee rr� ('k Su r V@3►Or$ •r�o Cede 81?' Martgage Loan �urv�ey tor �CNp1a� ��i,�R f"�Q�i1�$ r�� S � � r c9 � 3U.7U 9 B��C m / �_ �. � .� ,. �sd :\ r, ,� c� ,� � � t� r� f �l-�1�qPDA� � CDUR7~ ..,., :; � , _ t =', � f ., '�. . ,� �.� ; - vNI�.�� .,. „ - . • -�' •' �' ��-+. �� ; i 3 8� IAR OA L� TOTAL P.01 � � SuB�ECT � , City of Fridley AT THE TOP Of TME TWINS g U I L D I N G P E R M I T r � . � � � • COMMUNITV OEVELOPMENT DIV. �,.------- r � � PROTECTIVE INSPECTION SEC. i � � � �"'1 � CITY NALL FRIDLE� 55132 NUMBEA pE� �"""�"� �'' 612-571-3450 910-F15 J08 ADDRESS 6140 Briardale Ct NE t LEGAL �OT NO. BIOCK TRACT OR ADOITION oescR. 9 3 Briardale Addition 2 PROPERTY OWNEF MAIL ADORESS Roger Solz, 6140 Briard�le Ct, Fridley, MN 55432 3 CONTRACTOFi MAIL ADORESS Roger Solz (same as above) a ARCMITECT OR DESIGNEfi MAIL ADDRESS O�TE I oAGE O� 7/16/02 � � �ERMIT NO.\ 32795 I PT NO: '�{(.j' �' AVPROVEO BY SEEATTACMEO SHEET ZIP PMONE X�S 651-604-5172 21P PHONE LICENSE NO ZIP PHONE UCENSE NO 5 ENGINEER MAII ADDi±ESS ZIP PMONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WOFK C� NEW ❑ ADDITION O ALTERATION p REPAIR O MOVE O REMOVE 8 DESCRIBE WOfiK Install sw�mming pool 9 CHANGE Of USE FROM STIPULATIONS TO Provide UL or other �istings for pump and water. All ter. pool & fencing requ�rements shall be met prior to final inspection. SEPARATE PERMIT� REQUIRED FOR: WIRING. HEATING. �� Before digging call for all utility locations a�.0002 �tEQU1RE[� R� �,A� _ _.° CONST OCCUPANCV GROUP SEPARATE PERMITS ARE REOUIRED FOF ELECTi;ICAL, PLUMBING, HEATING, VENTI�ATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL ANO VOID IF WORK Oii CONS7RUCTION 20NING AUTHOR12E0 IS NOT COMMENCED WITMIN 60 DAYS. OR If CONSTqUCTION OR WORK IS SUSPENDED OR ABANOONEO FOR A PERIOD OF 120 DAYS A7 ANV TIME AfTER WOFK IS COMMENCEO. NO DWLG. UNITS I MEREBV CERTIfV TMAT I HAVE REAO ANO EXAMINEO TMIS APPLICATION ANO KNOW THE SAME TO BE TRUE AND CORRECT ALl PROVISIONS Of IAWS VALUATION AND ORDINANCES GOVERNING TMIS TYPE OF WORK WILL BE COMP�IED �(F' 200.00 WITH WHETHER SPECIFIEO MEREIN OFi NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTMORITY TO VIOLATE OR CANCEL THE pEqMIT FEE PROVISIONS OF ANY OTHER STATE OR IOCAL �AW REGULATING CON• @ l I l.2,5 STRUCTION OR THE PERFORMANCE OF CONSTRUCTtON '�' \ PLAN CMECK f 5� aE O� CON:FAC OQ Q�urHOQiIEO �GEtii �O�iE� HE PRi � � S�GantUQE � OWtiEQ��F O ui�OER� iD�TE� 8� uv5� 0 FT STA�LS VALI OCCUPANCVLOAO CU FT OfFSTREET PARKING IGnRnGES SURTAX $2.10 SAC CHARGE F�re SC $4.20 TOTA�FEE $117.55 D THIS IS V�U�� MITq � 7 � �V N� II ADDN (] ALTER ( ] CITY OF FRIDLEY Effective 1/1/2002 6431 University Ave NE, Fridley, MN 55432 (763) 572�604 Bldg Insp SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APP�ICATION Construction Address: �� I`-� � L� (' ��` �� c�� Legal Description: Owner Name 8� Address: 1-�0� ;�� Z 6i�o (3 �;�J d� (e (°� Tel. #�� .� --5� 7� Contractor. �►�% «�=s�S MN LICENSE # Address: �� 5 � �� `� Tel. # ,A,�P�2 Uc�� rn�v sS�Zy '��2- -i0000 �J �ttach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. � � LNING AREA: Length GARAGE AREA: Length DECK AREA: Length DESCRIPTION OF IMPROVEMENT Width Height Sq. Fk Width Height Sq. Ft Width HgUGround Sq. Ft OTHER: �� --- __i_ . � `rt—�-� �� S c?�J S t m� Construction Type: Estimated Cost: $ �� % Driveway Curb Cut Wdth Needed: Ft. + 6 Ft = Ft x$ _$ DATE: APPLICANT: Tel. # Call (763) 572-3604 for Pertnit Fees if mailing in application or Fax to 763-571-1287 if using credit card and we will call you for card number. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer IV�ain Charge TOTAL $�.1 ` . $ zl-�O � (�7� b I � $ � � L�� $ $ $ $ $ \ci,c�. �J�J CITY USE ONLY - Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1200 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary ( ] STIPULATIONS: ._��, �� l� j� v� e�� e � v � , � � �� 4 ��,�Z �� s-�� BUII.DING PERNIIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or 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 FEES $23.50 $23.50 for first $500 plus $3.05 for each additional $100 or fraction thereof, to and including $2,000 $69.25 for first $2,000 plus $14.00 for each additional $1,000 or fraction thereof, to and including $25,000 $391.25 for first $25,000 plus $10.10 for each additional $1,000 or fraction thereof, to and including $50,000 $643.75 for first $50,000 plus $7.00 for each additional $1,000 or fraction thereof, to and including $100,000 $993.75 for first $100,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $500,000 $3,233.75 for the first $500,000 plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,000,000 $1,000,001 and up $5,608.75 for the first $1,000,000 plus $3.15 for each additional $1, 000 or fraction thereof DRIVEWAY DEPRESSION_ESCROW (Concrete Curb Streets Only) Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $17.00. 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. • VERIFICATION OF FOUNDATION A Certiticate of Survey of the lot, showing the location of the existing foundation will be required before proceeding with the framing. New Houses Onlv Jul 09 02 03:46p Watsons _ 952 997 6866 _ __ P.2 _____ _ � POOL INSTALLATION AGREEMENT NAME ------ ADDRESS__- CITY - - HOME PHONE_— — POOL SIZE MODEL — — STATE Z�P WORK PHONE.--- SITE SURVEY INFORMATION 1, Approximately how far out of level is the pool site? 2. Are there overhead power lines by pool site? 3. Are utilities underground? 4. Are there any trees or tree stumps within 10' of pooi area? 5. Do you have a septic system? 6. Apprpximately how far is the installation from Watson's? 7. Is there easy access to installation location? inches yes/no yes/no yeslna yes/no ---- —�— yes/no �-- GENERAL AGREEMENT 1. COD shipments are to be paid prior to delivery. Custorner will be responsible for delivery and installation charges should items purchased be returned. 2, It is the customer's responsibility to obtain and pay for zoning and building permits, if needed, and to Check with local authorities for local codes and designate exact {ocation and elevation of unit. 3. Installation work done by Watson's carries a 30 day limited warranty. Delivery and installation warraizties do not change the manufacturer's warranties. All manufacturer's warranties can be handled by Watson's or through the manufacturer directly. 4. Waison's does not do electrical wiring or hook-ups; electrical work is customer's responsibility. initials 5. Watson's is not responsiUle for water loss or replacement for any reason. INS7ALLATION INCLUDES er inch u to 36" 1. Excavating the site up to 8" out of level. Additional excavation cost is $15 p P out of level; payable to the excavator at completion of excavation. Over 36" out of level is by bid only. (see Extras) 2. Providing patio blocks and erecting the pool per manufacturer's specifications to within 1" out of level. 3, Setting the sand bottom and cove as a firm liner cushion. (see Customer's Responsibilities 4. Seating the liner and mounting the skimrner and return jet. see Customer' 5. Insta{ling the pump and filter system without electrical hook-up. ( Responsibilities) p��',��i�� 6. Assembling the deck ladder or safety ladder. �,;�t� A�� `��LO , c�t,,� �a �� \,V�� BUiLDING PERM�above round ol�it ig�y��tie custo er's Most counties and cities require.�building_p-�[Cll.!t for a 9 � I'a. � responsibility to obtain this permit prior to installation. The_�ermit holder s re�� msl . , �j�.-.-- - ---- ._ . _ c�ompliance with all zoning, fencing,_ and electrical requirements, includin fin � i•_� , ti0ns.,T�he" '. customer is acting as contractor. Watson's is the pool subcontractor, and Watsdn r�ust install �(� _` � � ` ! � pool exactly where located on Permit Plot Plan. ,. j �, '�1 , _ - ,, " ; � '� � 1(�„� '1 i �- o_.��,f�7'.. �•+h,t�li `'�-�--L_:Q �,.� �. �'�-_ �_.._.-- � 1 � �� -►�`� � �`�. o '�r �N �� -_ �--- � _� _ r� �.� � 'C. —��=� � t 'V .d � - � �� .�_ � . Jul 09 02 03:46p Watsons 952 997 6866 p.3 _..__. __ . __ __ _ _._ _ CUS70NfER'S RESPONSIBILITIE5 1. Take delivery oi poo� ;r pick ��ool up wiihin 7 days of purchase. 2. l.ocate and flag power. pf�ono, cable lines, septic tanks or field lies where applicable prior to excavation. 3. Mark tf�e pool site an� tilter location prior to excavation in cornpliance with aU zoning requirements. 4. Provide 10 3ccess p<<th where trucks and �xc��vation equipment are needed.. Watson's carn�ot be res��nsible for da�nage done to y�rds, driveways, sidewalks witliin that access path or ar��:�id the pool site. 5. Order �nd pay for fine ��ftson sand, delivered to pool site but not in the pool loca- tion. 7 5' - 3 tons fine mason sand 18' - 4 tons fine mason sand 24'; 15x30' - 6 tons fine rnason sand 27'; 18x33' - 8 tons fine mason sand 30'; 21 x4i' - 10 tons fine mason sand 33' - 10 tons fine mason sand _ _ 6. Pr�vide adequate electric supply, according to State Codes (see Electrical Requirements) 7. There will bc �xcess clirt and%or sand after excavation. It is thc customer's responsi- bility to backfill, s��read. vr rernove excess dirt after the poal is full of water. (see Exti�as) 8. The pool rnust bc backfilled approximately 4 inches. Backfilling over 8 incl�es requires a.positive drai�, usirlg "weep" pipe to direct ground water. 9. Any additionai exca�2iion beyor�d �vhat is reyuired, or if additional worl< is requested of the instailer s;scl� as i�ackfilling, spreading ur moving excess dirt or sand, must be discussed w�th tne exc�vator prior to installation. ___— 10. Check with your loca: c;ounty �nd state codes and provide any �ermits or a�provals needed to insw�e complet� cornpliance with all codes and ordinances. 1 i. Teacf� pool satety to tamily and guests - specifically NO DIVING. 12. Pay inslaller upon cc�mpletion of work for any mileage or excavation charges. 13. Maintain acces� to t^�:seats and components for service purposes. EL�CTRiCAL REQUIREMENTS Tnis sen�ice should be {;rovided ��) :3 quali;ii�d ��lectrician u• acc�.rdsnce with state a�d laced cudes. An c:xtension cord �ees noi meet electrir..al cedes an�j �J:II voi�i rn;inuta ;lwe(6 N'at�enly EXTRAS t.ln,tellatiun beyond a0 miles is S'? p��r mite vne way irom W2tson'S, payab�e tu insialler. 2 In Ihe avertt th�l ihe s�le i�. r.ut-o� �c-rvel Ly n•�vre than 3G". a rei�ining wall an� addilfonai site preparation will be required. bo�h ul ��niCh an� ilOt 2vAd2b1(: IhiUl�yl�.�A'�ISOn's '� Adciilh.�na1 excavaliqn beyu��d �hat is re�;i.i:nd 1or leveli��y �s avaiiaMe by bid uniy. a in �he ::ase wh.:�re excavaiicr• h�s t:ec+n sta:t?d and an ooslructiun is encuuntered vrh�ch ren�i��.� the site u��suilable, lhe follow- mc; op'in•�s m�y LC Sug��e�tc �l: a. The charye to niove tfi�- exi<i��tic•ii s:te is 57:; 1'heie is itio 3+7d�tienai cliarga tor ruuyh yrading back the �i�itia� site. b. In thF event U1e pool site is deic�i�rin�.d tuisuit�Cle, Ihe instafier wdl (ill and rough grade it7e sile back to Ihe appmai- mate original coiitour. Thero is a:�00 snow•up chargQ payable to the excavator at that Ume. 5 Dirl re+noval is NOT av2ilable Ihrough Wa:son's and shall nol b� Watson's respOnsibility. 6. Tree removal is NOT av2ilable Ihrouyh Wclson's and shall �ot be covered under w2rraMy. Ask your s�lesperson 1of Uther options. 7 Damage to pool bottom �)r line� :lue to rocis or nutgrass is �roi cuvered under warranly. Ask your saf�specson br other o{�ti0n5 8 Sand boltom washoul due to imaroper bae�tiliing or failure to posilive cira�n is not covered under warranly. �. Walson's and its �nstallers will gl2dly hehi remove o�:slrucliens lo access �such as fence); huwevo�; neither �.v�ll �ssume any «sponsii;ilily for replaCing 3uCh UbsU'uCtious. 1 have reaU this i��stallatiun <,ycr.e+renl ard I.i'�� unClen,tarC il un0 <<gree lo ils IFrmS Custon�er _. __ .._. _ Uate ---.. - ._......__ _. _._-•- - --- Jul 11 02 11:38a Watsons 952 997 6866 p.2 __ _ _ _ _ _ ��%� i��§' ' Y��.,� Where you find �- - . . . �"��0 Cedar Avenue POOL TABLES...CASUAL FURNITURE...TANNING BEDS... Apple Vailey, MN 55124 BARS....SPAS...GAME ROOM FURNITURE...BAR STOOLS,.. (952) 997-6000 SWIMMING POOLS...ACCESSORIES... SOLD T0: i?o�� S�L-z and much more! .� 1�l � ��zr—r�rz ��r> �� f!�1 Vc:� I �: �� i..}. 0 9 9� 1 �zr�� ,., 6 �v SS `� 3� _ . HOME ��c � �1.� �1�� WORK ro �j C7�-� S%7.�Z i�� INV IC D E SALESPERSON TYP OFTR SACI ,7 0 `�{"�'� vU ==' ,. ��-" 7Y R SKU�1 DESCRIPTION 5��.�. i �_ � 1- .. !�� . �.u� ( �/�^ r+� �c _ � � w� � �L �C' �— _ S �-/-�c r ,-, , n ^�r,-. �_ � C� �1�t/t-• e^ � c. Zi.�'f.�( f-+,i' '_ �CU v .r ! � ��.ct. , % .^,,. , ^ r� �= J�.fc � � '` ��I� �l�r�-bL � �� .h � I (� � _ �1 v �,'r'�-_.J - J ��- .�� L-� -r-� '��f�� -'�%I ��c—+ ��. . � , „_— v�' S`2'-(�--�_ X R �/�C� v� � - -- DATE � f.�� r cacwcc �.� sr � SZ-� �--��v,.� �( 5mv 0�-t= ��-/ AMT. ��;G I i 1: J� GV l� %�`'� �✓`�[ 'tUC.1 L — BAL. �� s� DATE . -„ I-.r � IiL �Y ,�.5��_t ;'l.,�fi Vl1I f il�lG rii� 'r�i;l'If.G FOR 'U� If•:li CA/CK/CC __ � i.. ._ri!'t�I`; , i�LU:�i+iCU GY .4rP..i:;Ab, c L%�1NS tiWU:I?I� i1L'':i• _.. ..:).... !�C _ .:vi.lr.�:�': :Il�� ,�i�i�: i��i::t)�,41iUicJ i=Uii 51';i�.i;:I:i�:G AMT. _, i � i � L•Ji JI' ,_u.�li"r'. ` _... . . �; �I� :P��lii . _vric_i�I��l%. I.�i+i:- BAL. . ..� �� ..�L....f.il.rll. �� ' ,._.� ( �..� � �i. � Z G c- �1 �- �" c� r�' . �� CE � ENTERED UNff pRICE � AMOUNT SUBTOTAL TAX DELIVERY CHARGE TOTAL DEPOSIT ;'S �� + 1 1.., U�� z �, J (i ! 1 L 1� f�i . _..—.. —.. —.. � /t),�,� �,1 �� ,1'a�S �,'� ,�; �„ ,�,�, i �; �� i ,_ i �`��;� � i ,, i ° � '� '� i � i�'�Aj�,, � � �iu� I � � I � � > �' I a " +� I ai /`�� ;�- � � o `„ ' � �O � ii�i�71� I �'� I �'i i�i� I � I /'+"' � I o � .' I ro j z / ^� w r / U � /' 1 fl � 't II O ,1l � �I i � o � = � i �,�� \�+ � � � �1/1. ��% %'\ i,,j �� i M r; �. j�� =c � \� "�� H i�1�_ ' �:3 �.�i , ".i/ � - 7 �III � O )' J � '��. � � 0 / / / � a rc .� � Q O U \ U m j d L v Z � V Z o � ° U W� . \ � G w � _ z rc�, ° �� / / � Y Ot] � OC - W � i > OC (.i i) �1 � L u t� �uilding BUILDING Permit No.: � i�ZZ l� Inspections RESIDENTIAL APPLICATION Rec ' y•�, f�' � 763-572-3604 CITY OF FRIDLEY Date��: � 763-502-4977 FAX EFFECT'IVE 1-1-2010 DATE �� ( t� YOUR E-MAIL ADDRESS SITE ADDRESS ��G ��✓� 1��' GL �° G� THIS APPLICANT IS: ❑ OWNER C�JC�NTRACTOR PROPERTY OWNER/ NAME: C9 e � �, �r Z TENANT qDD�ss:� l�lG Vi °� 4 C �r CiTY v�� F STATE�`t ZIP S� PHONE:_?iv 1� — r l�i- - �%� CONTRACTOR NAME: -2r L. S—�, SUBMIT A COPY OF STATE LICENSE #_ �O .Z 3 7 J �`I EXP DATE YOUR STATE LICENSE � AND CERTIFICATE OF ADDRESS:_j f.ZGG j�dd�u O�� 1 �'� CtTY C�h •�' STATE�S ZIP S_S�l( INSURANCE PHONE 7�v " � ' ��lG FAX PROPERTY TYPE INGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GE/SHED ❑ WINDOWS ❑ BASEMENT FINISH � OOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION ❑ MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: � �/ SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT S FT ROOFING L! ❑ H� SE ONLY NUMBER OF SQUARES �� C3'HOUSE & GARAGE BASEMEN"f REMODELING SUBMIT: I . Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION 1NCLUDING DECKS, ❑ Vin I ADDITIONS & PORCHES SUBMI7' Y ❑Soffit I. Site Plan/Surve showin the existin structures ❑ Aluminum ❑ Trim y g g ❑ Other ❑ Fascia and proposed project. 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS FOR WINDOWS — PROVIDE U-VALUE AND OR FOR NEW OPENINGS-DESCRIBE SIZE OF MANUFACTURE STICKER ON WINDOW. OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL r L� L� J AKL� ISAJL� L VIV V ALUA l lU1V� 11V(:LUll11VCG "1�Hr; CUS"1' UN' LABVK ANll MA7'ERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ OCCUPANCY TYPE Permit Fee Plan Review Fire Surcharge Surchazge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due $ $ �I $ � $ �LK�� $ $ $ $ $ $ U��. 1 i See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $2100 per SAC Unit (Plans to MWCC for determination) �+6ft= ftx$24=$ $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 PERMIT-NOT VALID LJNTIL 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 is not a permit but only an application for a permit and work is not to start without a permit on site; that the work will be in accordance with the approved plan in the case of al or hic uires review and approval of plans SIGNANREOFAPPLICANT � PWNTNAME �� ,V�7`�' DATE �� C(�` G 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 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 FEES $1 to $500 $23.50 (Minimum Fee is $23.50 plus surcharge) $501 to $2,000 $23,50 for ls` $500 plus $3.05 for each additional $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 includin $$25,000 $25,001 to $50,000 $391.25 for 1S` $25,000 plus $]0.10 for each additional $1,000 or fraction, to and includin $50,000 $50,001 to $] 00,000 $643.75 for I S` $50,000 plus $7 for each additional $1,000 or fraction to and includin $ ] 00,000 $100,001 to $500,000 $993.75 for 15' $100,000 plus $5.60 for each additional $1,000 or fraction to and includin $500,000 $500,001 to $1,000,000 $3,233.75 for the 1�` $500,000 plus $4.75 for each additional $1,000 or fraction to and includin $1,000,000 $1,000,001 and up $5,608.75 for the ls` $1,000,000 plus $3.] 5 for each additional $1,000 or fraction 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 proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the existing foundation 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 \ �