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AF - 36526; , , ,. - � �''►. City of Fridley, Min.n.. 6431 University Ave. N. E., Minneapolis, Minn. 55432 BUILDING PERMIT Date: December 29, 1972 �ex; Richard Miller Homes Builder S ame -- � -�9 ' ,Ad�.ess 1600 Rice Creek Road N.E.____��_ Address .....__S_ame__. __ ...._.__..___._.._._____,_�__ LOCATION OF BUILDING No. 617 0 Street �___B r i a r d a 1 e_ C o u r t__N . E._ ............................. .. ... Part of Lot -.----.-----.---------------__._.._._..._.__. Lot 12 _ Block _.___3 ._._�._........_....._...__ Addition or Sub-Division ._.__._Briarda_le .Addition_ ____� • --.._ Tnside Lot _.___?� .._.-----.---_.__ Setback --.----._..._3 5. � .............._. Sideyard •.-.-.--1 � �---& 5 � ___.�.._..—..____ Corner Lot .r . ,�vb�EiiIIevatian �9�.�.2...�.__..__..._...._..___._ _ �`'b�a'a��6fi/�'�6altfd�._----4.1-�.--,.2.5._.M�nimum _.._---._.__.._ Wye Top of Footing DESCRIPTION OF BUILDING To be Used as: Dwelling ._._ Front 40 � Depth 26 � Height --.--��-�-----.. Sq. Ft. .----1040 � Cu. Ft ._.. 2.0�.800' ,Sarag,P _...... Front ?�_� Depth ?�__ Height .----10 �-----• Sq. Ft. -�---�440_' Cu. F� ----4_,,,_400' Type of Construction _... Wood_Frame �__ �� Cost �$34,.220 ` June 1973 _ ___.... To be Completed _..__._....__..__.z_._ Stipulatinns: Provide a hard surface driveway. Provide a verifying survey before capping. Storm sewer escrow of $288.00 due when water meter is taken out. t- ,,: ,�".' No�.o F'Ot QR�IN�.0 3t�M� S_�t- �� WATER LOCATION: Stopbox 9' North of Sewer. SEWER LOCATION: "Y" 33' South of Manhole SEPERATE PER�I�ITS REQUI4�D r=QR tf�IRli�� e& above, I agree to do npliance with all provisions oP In consideration of the issuance to me ihe proposed work in accordance with the Ordinances of the city of Fridley. �c l t �.'_� _ 17.11 State Surcharge In consideration of the payment of a fee of $ .�5 . 00�._.___� permit is hereby granted to_._...Richard Mil ler Homes _._.__._..._____..._ ............._._.....__ to construct the building or addition as described above. This permit is granted upoil the eacpress 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 Is'ridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings yYithin the city limits and this permit may be revoked any time ' lation of any of the provisions of said o�cdiiiances. _ �! .__— Building InspectoP DARREL CLARK NOTlCE: This permit does nof cove� fhe consfruefion, insfallafion fo� wiring, plumbing, gas heating, sewer or water. Be sur� fo sw ths Building Inspector for separate permits for theae items. . ' s � `.'�' � �= �� _� � 560-3450 c�t o �h� �Ce � � ANOKA COUNTY 6431 UNIVERSITY AVENUE NE December�; 1972 FRIDLEY, MINNESOTA 55421 TO WHOM IT MAY CONCERN: Whereas the City �o2f Fridley has issued a building permit to construct a s truc ture a t �/ ��Q �i�(.�.-� �� ( L� ��cs-c L�� Whereas tfie permit is dated prior to January 1, 1973 and the City of Fridley did not collect or receive any "Service Availability Charge". Therefore if for any reason the Metropolitan Council and or the rietropo?itan Sewer Board assess or bill the City of Fridley a Servica Availability Charoe For this structure �r sewer hook up, we the undersigned agree to and will pay the City of Fridley for said charges. ' � � .!�� %�_ /i_ � rr� Witness Signa �' T tla - /'/ � i � AP��e��rz�a�1 �aF� R��v��u�rx��, A�T��A'r�Q�v, QR, AD�?ITION �UILDIIVG P'�RMT�' ��TY oF FRIAi��Ye MINN��OTA► OWNER' S NA1ME c BUILDER z��c k,4 (�D M� L� �� u G� M�� ADDRESS: A,DI�tESB: i(�00 �ic� C2�EIc �AaD '��pi.EY ' T� �o:;. �e�7C� s��s �3rzlagp,4t� �u�-t' �,_.__.._ �, Lo'�;, �Z BLOCKt 3 A�AI�IONa,�2iA.2DA�L �R LOT : INS �AE LOT .� X�C ,, S$TBACK g 3 S � S I DEYpRD : �0�5 � ��.i,c�po� �,t.�ac}� �Q �� +�aa.�„ic? Certificates of SuYVey of I.stt at�d proppsed bni, i+��g 1�ca t ion dr#i� oa t�ese � art i f icates .! � A��I�IPT�ON OF BUILDING �a �e Ua� A� : ,Q wg I I�►�J �i ,�� De�th : Z.� � He i�h t: zU � Squaxe �'�et�,^ /C�40 Cub� �'�et; ZU,� �'�, , C;.a �.4�E , �'ra�t: �D � Depth; ZG � Hei�ht: / U i Squa�e �'eet; ¢4v Cubic Feeti 4-40U �� of CoAStructi�� AM� Estimated �ost: $ 3c� GY�O � �, �.. � �c� �a �Rc�pl��+sd s ,,,,,(� --1--73 �'ltFs u�;�d+�rxRigxted hereby �ces a�licativrt for, a pe��t for th� wo�k h�arein �gepi�ied, a$�eein� tt� @o a�1 �oar% in sttict accoxdance with the C�.ty o� F�'l.t�l� A�d�.uances a�d aCu�i�t �f tl�a Departmen� qf Bu��din�e, �d hexeby �s�axe� �, al-�. �het �acta �d ��resantations s*ated i�t �his appl�catian �� u.e att�d cvxrec tt . �►�„ �cc� ZG; 1�,ZZ � GrtA • � � ,T . . � E . �. I Z'tJA� • �•c� „ � � � . �8� �t+�e��ie S�c�e Fo� Add�R�.�ona1 Iniostq�ation.) � , ,, r . . � � , �,;. . - �, -.�.e..�,.. ,. � ' �. t � � BUII�DIN� P�RMIT F�� SGH�IIUL,E ��C�TQ�T �, The Inepectax pf $ui,ldings sk�all, befoxe i.asui�ng pennit� for xhe ��.on o� any building px structure, ox for any addition to any �is��.ng ��i�diag ox structure, ox fo� any alteration or re�airs to any e�c�.s�ing ��:�ii�.�L� or stx�ucture, upa� appl,i�ation therefore, require the paymen� by the a�.��.i��t fp� such per�nit o� fees �o the a.a�ount herein below set �prth ar�d �.n �;n� max��ac haxeir� pr4vided to*wi.z: UI±TIFORM �UzLDING CODEt �Pe I� 2& 4- $2.15 for each one �housa�n,d cubic ,fee�, p� f�actian thexeaf, in such cubical con�ents. Type 3& 5-$�,85 �ox �C,p� ons thousand �uh�c fee�,. A�D�TIOIa1AL �NFO�tMAT�ON Fca� the �u�poBe of �ampu�ing �ees for building permits, the cubical contents of any building or addition, i� detesxmined by multiplyi.n� the ground area �a�e��. ��'om � poittC ��x (4j in�hes below the floor iine of the basement � Che 4��lar Co the average heights of the upper surface or to the average� �i$tit c�f �he �oof �►u�face o� ttte main gabl.� c�f a piGched xoo�, ��ag�i�rs ax ai��xations ta an existing s�rucL-ure, �}►e f�e shal� be a� the �'a�e of $3.�� e�r e.��h five ht�Adred dollaxs i$�O�,OU) oz� fraction thex�of in �,P� CO$� O� �� }?xQ�lQSEC� S+/O��w I� � ca�� sha�l Ithe fse ��d fo�c a�y pe�it as set fo��h in Se,�fi�.ar� 2 b� 3.�t th�n $3 . A[1. � V�R��ATiCIN OF ��NDAi'ION �TQT�� Ps7Cmits �or �c�'ustxu��ion will be issued a a�ini.mu� of 24 i�ours f�am �he �� o$ applicati.ox�, �a a��cYw �ox prQge� review of �he p�COposs�i s�xu�tuxe �rid �� e �st�uGtian �i�e. �# Ce��.�,�ieD�� Su7C'Y�y Qf �he 1��' ��iitg ii� �oeatf� of �h� �oundaticr�t, Q�Ce �� ha� 3�s� r.A�.s��t�d„ wii� b� x'equ�.xed befare proceedin�, w�.�h �h� fr�niug, C�R'TTFI�A�'� QF QC��lPA�V�Y A�li,�&tian fs� a Ge�acti.�3.cat� �� Qccupancy shal� bs mads �ex� (1t�) day� px�ox �o �he �tse px +�c�upaxtG�► a� ,stty s�rEZC�ure for which � bui.ld�.ng �enuit has beert irsued; �td s�,�.d s�r�ctu7'e �'�al�, �►ot be used a� �ccupied until a C�xtificate af pQ�ugaz�cy ha� bee� �.�eu�d. �/ �ity of Fridley - �►PP�ication 1� Plu�nbi�q aed Csas R1ii�q hr�it Dept. of Bldqs. Pho� 9�0•3490 � D£SCSIPTION OF WORlC Niumb�r, Kiad wd Location of Fixlures ;�i � Is�l � I � I��lo�i � I��I��I��I��I�$ Base lrt 2nd � 3rd 4th _� � � � � � � • Pv.tus� Cona�e!!oa Op�niaqs t N�w Fixtu:s, Old Op�ninQs PARTIAL RAT� SCHEDULE WATEN WTII. • • ► N GAS FLEC. s....: Csrspool PLIIMBING FIXTURE AATE3: NO. RATE TOTAL Number Fixtures . . . . . . . . . . . . . . . . � x a2.00 E � , 0� Ftiture F'ixture Opening . . . . . . . . . . . � x �1.50 3 °�• O � New Fixture Old Opening . . . . . . . . . . . x a1.50 5--- Catch Basin . . . . . . . . . . . . . . . . . . . . � x a3.25 a Water Heater .'.�'p to 99,000 BTU1 .•.. � x a3.00 i �" U� New Ground Run Old Bldg. . . . . . . . . x a3.25 $ Elacti3c Wat�r ii�at�r . . . . . . . . . . . . . . : :2.00 s 3A3 FITTING FEES: NO. R11TE TOTAL lst 3 Fixtures • • . • • • • • • • • • • • • • � x 52.00 ; °�_ C7 b Additional Fi:tures .. . . . ...... . . . . . Gaa Ran�e to 195.000 BTU . . .... . . . . . x = .75 ; x SS.OU t � City of PYidley: The undersigned hereby makes appllcation tor a permit for the work herei specified, agreeing to do all work in strict accordance with the Cit,� Ordinance and ruling of the Department of Buildinga. and hereby declares that ali the tacl and representations stated in Lhis application are true and rnrrect , P�idley, Minn � � � 19�` Owner �% �C'/7�.Q� ,�'I / `'(�� Kind of Building / ��'7�� . usea as _ ��2 /%�(^r �i/CG �. .T�� G' To be completed about __� Estimated Cost, � % � C� �� (r�d—New. Bui2ding Permit No. Psrmit No. � Signed �% (%��' ��/�� T By i . Business Phune No. ��Y/ �-�� ROU�3H FINAL �' � � % J� REPAIRS 8� ALTERATIOIfb—R�l�s !o Cod� �U ,��y.LCA�-�� Description . . . . . . . . . . . . . . . . . . ... . . . . . . . .. . ... . ... . ; TOTAI. P'EE � °�� • Sb 53 -°! � -s-915. 51 �i4y of Fridi�y �,,,�'��ic�� ;�°r�� d �� F'��t Ae�pt. of Bl�ys. Phoa� 360-3950 - DESCAIPTYON OF WORK �� 17p rT, r, �ri3rd_a1e �ourt . Numbar, Kind an� Loca2fon oi flx2uzes p N � I � U' WATFN MII. � �[ tp N N y� Y � / O� � � � � � � o Z � Z o � u Z � I� � S F � �;: o� � �'4o I�� < 3 V� u� �$ ► N c�s r�[C. cn •' Base ist 2nd 3rd 4th _ • Futur� ConaocliQa OpsainQs i N•w Fix�ur�. Old O�ninqs ta�l PARTIAL RAT� S�HEDULE S�w�r � Ccsspool � PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures . . . . . . . . . . . . . . . . x $2.00 a Future Ftixture O��ening . . . . . . . . . . . � x 31.50 a---. New Fixture Old Opening. . . . . : .. . . . x �1.50 a_--_- Catc`� Basin . . . . . . . . . . . . . . . . . . . . x 53.25 a Water Heater 'Up to 99,000 E3TU� .... x 53.00 $ New Ground Run Old Bldg. . . . . . . . . x �3.25 $ Elactric Wat�s H�at�z. . . . . . . . . . . . s a2.00 S :.115 FIT'fINC FEES: NO. RA?E TOTAL 1st3Fixtures •••••••••••••••••• xS2.00 = Additional Flxtures . . . . . . ..... . . . . . x = .7b ; c� x�e to i9s.000 szv ..... ...... 1 X�.00 a 5. o0 City o1 Fridley: The undersigned hereby makes application !or a permit for the vrork herei specified, agreeing to do all work in strict accordance with the Cit� Ordinancc and ruling of the Department oi Buildings, and hereby declares that a3I the tact and representations stated in this applicatios are true and correct P�idley, Minn 7-2} �! 19� owner ftichard Mi_ll�r FIomes Inc, Kind of Building Fr3me Res. Used as To be completed about 7-30-7� Estimated Cost, � ln, 00 C��1ew. Buitding Permit No. P�rmt o. `�'°?�-� Signed � ' ' By MINNEGASCQ - Business Phune No ROUGH FINAL / � -/' 7 .S� REPIITRS �C 11LTERATIOKB—R.t•s so Cod• .50 State Surcharge Descriptlon ......................�...................._ • T'OTAL FEE _.� Class "A"' ;Surcharge .50¢ � � _._ _._ _ �; �,�'�?�.:��. -� '�''� *�� .f_. �,�A �� :a �+� .�..�a e��.�.. _��3 �ti.3 :t'�:., c��:.� � :.�,. s� �ai;a•.� ��:�'�:�� .�ffi � . e�=��.�'-�$�o ��0 � • �� F�� PAa�Tt�L RAT� St;�-e�Q�i9�.E aR��r v�a��u �,�a: �aa►�� ro�r�. P`srnace sh.:t �c T.3asc4 !'�ork ... .�10.00 � Replac�ment of Pixmare 6.00 � Repair� & Altcrations—up to $504.00 g ;�p �, Repairs & Aiterations each add. 5500.00 . 3 W � 1$L'i:ii. WA3�,�I iv2R Flunace Shetl dr �sct Work to 130,Od0 BTU c�t: �aa. �o,ao�o s'rtl .. ...... RepLcrment ai Furnace Reyairs Ec Alteratior�s�—up to 3500.00 Rzpairs dc Alteratioas each add. =500.00 a�oo� a lo.00 3.W ; 6.00 $ 6.00 � ' 3.00 $ ST�IM or HOT WA'TER fI'YE�T�i F12rr:ace She2I Sc Lines—to 460 sq. it �'.DR Steem t20.� j F�znace Shell & Line�--to 640 sq. ft. EDR Hot Water I0.00 S. Each add 20Q sQ. tt. EnR Steam �.0(t = Each add. 320 sq. !t. EDR Hot Water 3.00 5 OIL BIIRNiER—ta 3 gal. per hour 6.00 S, over 3 gal. per hour—See P'ee Schedule cAS av��a CuD ro i�,o�ao s�v1 6.00 = 5. 0 0 o�r 199.0� i3'fL1 �e� Fw Sc�ssdu]• GJlB FI7'TINC F"L'E3: 1�00 RATE T07AL Ist 3 F�xturrs __ �g Zpp s 2. �� Additional F3xtures __ x .73 3--. -- Gas Range t0 IS'8.�1 z� b.0� _ — a3:t Co�ITi��3tGti FA2S K+�.'�YT.1�£i II� :'�Y� Q�TId.A�G E48T� AI. T�I�ATi�3�'8 �: R�hI4tS Ri)tTaH i'1i�11L �� - / � n�:. 6� �id�. �a,. �ao-�o L,�� 6170 Briardale � , ^ity o! ,'[�ridley: The undersigned hereby makes application for a permit for the work Dereir specified. agreeing to dc ail work in strict accordance with the Citq Qrdinanc� and ruling of the Depai tm�nt of Buildings, and nereby declsr�s that aIl the f� and repres?ntatiuns statrd in this applicatioa are true and correct. F�idley, Minn 5-22-74 1� � c�npT Richard Miller Homes f rame Kind of Building Usec3 aa rE?S1C�22'1tl c�1 ' To be completed about. �, 5—�� _ Estimated Casr, S 5 4 8.(10 Old—New. Building Permit No. _—__ _ p�=mit No. 7 �ffiCAIP?IOA OI' W01tg F�ATING or POWER P'I.AIVT`5—St�ans, F%t ''�ater, Wsrm Air—No Trade Name Lennox s�� xoG12Q3-11C� Capacity_.110M .-- �. � �D.R HTU HP Total Connected Load 5 3, 2 9 7 � ot �� gas suRxEx — T�raae xampsame as above �u rto State Surcharge .50 Ca�dty �. !t. �.D gTU g� � �e Fw Se�e��ad� j,- � �� $ 17 . 5 0 FRED VOGT b CO� g�,�y_ • HEATIN6 !i NR COI�DITIOM�N6 �160 Qo�hr� AwY ��1 � . Sr, louis iark. lIM�1! i'�2� � � p�O.. ._ SALRSMAN: John Borry #4659B heat loss attached (NlRARRf-.01IER) 4�-'�"�.._--� � _ . i; . . ._ � _. . � NEAT LOSS CALCUL.ATIONS ? V4'�atherstrips A'S' ' Con�truction No. Ineulntion � ____ _ Guide ; Windows_ I Doon Reference Out. Wall Int. Wall Ceiling Roof Eloor Kind How Applied .{ Y�S--!�o Y�s—No 19_ FI • Room Length _ .- -, Width / �? Height;� ` ' Fl.� Room Length % ' >- Width�'..< Height -,. Window� and Doon—Crackage and Area Windows and Doors--Cracicage and Atea � W� �;h HeiR�� No. ot Llneal ft. Are• �VIAth Helght No. o[ L�nenl ft Are• No. of pane of Pnne Ilghta ot drack �Q ft. ' No. o[ pane of pane Iight■ o[ cnck ■0. [[. — _� . - .. . � , . . � .,: i .. ._. _— % . , I � � _. _� co�f �nfi�tratiou � ,'1 Glas� � ��7 Exp. wall ` : ' � Ntt �xp. wall Int, wall (�ei�inq Ql�oi i�otal Bt�. Required sq. ft. E.D.R. or aq. ins. W.A. Leader area � F1.� Room � Length Width � W'indows and Doors--Crackage and Area �µ'tA:h HeisA{ No. of Llneal ft. Are• Nn. f pane o! D�ne IIiAt• o( crsck ea. ft. � - _ � : � � _ : ,- H��gh� `` - _�` COtE. BiU Infiltra?ion C,Easa --- - -F.xp. wall ' _ _ - - - ---- � Net exp. wall __ � Inl. wall C�ilmg- I �„�,� Total �31u. R�q��«d sq. ft. E.D.R. or aq. ine. W.A. Lead�r area �" Fi � � Room l.ength Width Height Windowe and Doors--Crac�age and Area --�_��'IAth Hel6ht No. o[ I.Ine�l tt. Ar�a —No. {1– �t Dann n( pane Il�hl• o[ crack •p tl. 1 '_— I � �. 1_ Coef. Btu Infiltration Glae� . �cp. wall : _ Net exp. wall `Int. wa�� Ceiling F loor Total Btu. Ed�quired sq. ft. E.D.R. or •q. ins. W.A. Leader area � F?.j Room � Length Width Hright __ u'+n�ows and Doors--Cracicage and Arca «'Idin N•I�ht No of Lineal ft. Are4 No. ��f pxne� o[ Dane Il�ht� ot onck �a fl. Coef. Btu In�iltrahon —.--- - Glaae Exp_wall . Net cxp. wa{� - Int. wall Ceiling _ Floor Total Btu. Required �q. ft. E.D.R. or aq. ins. W.A. Leader ar�a / I Coef. Btu Infiitration ' " Cs�ass ' Fxp. wa�� : - , Nct exp. wall I�t. • rall Ce��inq - - Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area • FI.I Room ( Length Width Windows and Doors—Crac�age and Area , 4�'Idth Helght No. ot Llnenl [L Aren ' No. of pane o[ pane 116ht• ot crac!c eq. [t. Infiltration Glase- - • Exp. wa�� , Net exp. wall - Int. wall Cei�inR–` - FI�� Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area ' Fl.� : Room I Length ,� • Width _ Height "' Windows and Doori—Crac�age and Area Wldth H�I�hi No. ot Llne�l ft. Area No nf Dane ot p�ne 11`ht• o[ crack •p. tt. i' _ � Coef. Btu Infiltration Glass ., � - Exp. wall Net exp. wall ' ' Int. waU - Ceiling Floor - Total Btu. Required sq. ft. E.D.R. or sa. ins. WA. Leader arca ----_ --- — Fl.� Room I Length Width Height Windows and Doors—Crackage and Area W'Idth Hel�ht No. o[ Llne�l [t. Arta Na ot D►ne ot psns Il�ht� ot crack �p. [[. I . . . � CoeF. Infiltration '. Glass -. Exp. wall - , , Net eap. wall _ Int. wall Ceilinq Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. WA. L.eader arca Btu ---- - — ------- - ------ ---- -- •-------� . � HEAT LOSS CALCUL.ATtONS W�atherstrips A.S.H.V. , �nstruction No. [n�ulation Guide 1�'indow�_ (_ Doore Reference Out. Wali Int. WAII Ceiling Roof Floor_ Kind How Y'es--No Yes—No 19_ `� ;_FL� � Room Length Width Height II FI.� Room � L.ength Width � _ Windowa and Doors--Crackage and Area � Windows and Doors—Crac{�age and Area rI �ci�iih H�igni No ot Llneal ([. Area W'Idth He�Q�t No. of Llneal ft. Are• ,� .'40. I��f pnne n( Pwne IlLhl� o[ cr�r k�� fl. No.�nt Dane o( pane Iight■ ot cnck •O. [[. Coef. � Btu Infiltration Gla3s f.xp. wall � Net exp. wall � � . i � �Int. wal) " " Cei�ing �l �or �.. , Total Btu. . R�qu�rrd sq. ft. E.D.R. or sq. in�. W.A. L,eader area % Il.�--- —. Room � Length Width ." '� Height — Wir,dows and Doors—Crackage and Arca WIAih Hel�ht No. o[ Llneal [t. Are• =ln. ��t pzne of n�ne Il�ht• of crsck sQ. ft. - i �I � -_�.� co�f In6lttation � Glass F�p. wall • `' ' , ,, �et exp. wall Int. wal� _ CPIIifl�j Floor � j, c� Total Btu. Requircd sy. ft. E.D.R. or sq. in�. W.A. Leader are � Fl.i Room Length Width Windows and Doors---Cracicage and Area �R'ldtA H�l�ht No. ot Lfneal tt. Area ho, t pane ot oane 11�M� o[ crack •Q. tt. Btu .. . H � . I . �, - a �� H��ghc Coef.� Btu Infiltration � Glata Enp. wa�� Net ezp. wall Int. wa�� Cesling Floor Total Btu. •Required sq. ft. E.D.R. or iq. in�. W.A. Leader area Ff. Rnom � Length� Width W'indows and Doori—Crac{�age and Area � R'Idtn Ha1�At No. ot Lineal [L Are� Na nt psne oC Dane Il�ht• o! cr�ck �a. tt. Height Coef. Btu In6ltration Glaia Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Heighc Coef.l Btu Infiltration Glass Exp. wall Net exp. wall Int. •✓all Ce,��ng Floor Total Btu. Reyuir�d sq. ft. E.D.R. or sq. ins. W.A. L.eader area FI.I Room I Length Width Windows and Doors—Crackage and Area t�'Idth Hetght No. of Llnenl lt. Arcs Na ot o�ne ot O��e Ilght• ot crac!c eq. tt. �nfi�[ration Glass Exp. wall Net exp. wal) Int. wall ,� Ceiling Floor �Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. L.eader area Fl.� Room I Length Width Windows and Doori—Crackage and Area No. � of par e ot Dane II[ht• ot crtek ar tt. Heighe Coef.� Btu In6ltration GIas3 Exp. wall Net exp. wall Int. wall Cei�ing `loor Total Btu. Requ�r�d sy. fe. E.D.R. or sq. �n:. W.A. Le,d�r arca -- ---- __ - Fl.� Room I Length Width Windows and Doora--Crackage and Area No. o[ p� e ot Oane I Il�ht• ol crack artt. Height • Coef. Btu Infiltration Glas� Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. WA. L.eader arca — _____— .- _ —__ _ . __ - --- - � , HOUSE HEATING TEST RECORD ' �.�.. J ' �/ ; ADDRE55 � / �<� '�,. r.,r � f!:7 d�=1_ /.A . ,�ii"° �`�'�� C APT. FLOOR�CITY SUBURB�^ OCCUPANT��f�-��"' '� �%� `��' . OWNER HEAT LO55 � DAT HTG�. rINST. GAS CO. METER BADGE SOLD BY 1� ,,.':- ' ;� ..�r'�� IC C7�' . INSTALL,ED BY %� .l.� '" =/ :,�s"� �' .. Eleetrical Work By Gas Line By r/ �� TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNIT HTR. OTHER GAS DESIGN CONVERSION MAKE '��~'�°"�"'°��'"°`-�- MAKE OF BURNER Model � / :d,.Q.� "//+�� Model ' $erial Max. BTU Rating ' INPUT MAKE OF FURNACE ,� Model � `� CONTROLS � ., THERMOSTAT Heat Plug Vent Sizc ,,� Valve ��'�- -'�� KIND OF LINER �+-��'�/i/� �✓ SIZE J NONE Limit '�-�'`"��'+�'�'y�'�' f` Draft Hood ��y ��- Regularor +a''+ Limit SeNing ,J"�/�`x ' � Filters Size , �N ber Fan Setting "' � Chimney Locotion Inside._�� Outside Pilot Type �• � Chimney Consfruction �'��f'''�' �`r' Pilot Make �� Pilot Model """' Smoke Bomb Wiring �'%�� Pilot Timing �-�-� Draft �� Test Tag %�� LW. Cut Off • Door Prossure Lighting Inst. �^''� Pressuro '�' � PercentCO �'� Date Tested �' '"� � Input CFH ��✓ � PercenT 02 �- y Company Tes+��a I" �•� y` `�''� � Z r ,. Stack Temp. �� Percent CO G`� Name of Tester /f�' '" ' Form 235 �d' �y O YB PZ�l � . U � . ANOY.A COUNTY 560-3454 6431 UNIYERSITY AVENUE NE FRIDLEY, Mtt�(NESOTA 55421 August 6, 1975 � Richard Miller Homes - 1600 Rice Creek Road Fridley, Minnesota 55432 70 Briarda 6171 Benjamin � Re: Verifying Survey for 6181 Beniamin ' � 1408 West Danube . Gentlemen: 1629 Woodside Court � Please be advised that of this date, we have not received a verifying . survey for the above captioned house. We would appreciate it very much if you would get this survey into our office no later than September 1, 1975. . ' Thank you for your cooperation in this matter. Yours very truly, . � . � � ef�� - • . DARREL CLARK ` . Community Development Administrator � � DC/cs 0 sue�ecr / P IT N O. City of Fridley _ 15 6 3 0 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r � � , � R . � • COMMUNITY DEVELOPMENT DIV. � � L___��', r i � PROTECTIVE INSPECTION SEC. �� O/� � � � , � /��1 � CITY HAL� FRIDLEV 55432 NUMBER REV DATE PAGE OF APPROVED B� � """'�� ,�� 612-571-3450 910-F15 / / 3/24/80 JOB ADDRESS 6170 Briardale Court N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION DESCR. 12 3 Briardale Addition 2 PROPERTY OWNER MAIL ADDRESS Nick Mavrogenis 6170 Briardale Court N.E. 3 CONTRACTOR MAIL ADDRESS Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS 5 ENGINEER MAIL ADDRESS 6 USE OF BUILDING 7 CLASS OF WORK 8 DESCRIBE WORK 9 CHANGE QF USE FROM STIPULATIONS ��17 ZIP SEEATTACHED SHEET PHONE 571- 83 50 PHONE LICENSE NO. PHONE LICENSE NO. PHONE LICENSE NO. ❑ NEW O ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE TO Install fire alarm in lower level SEPERATE PERMlTS RE(1t.i1H�p FOR WIRIfl�G� �EATING, PLUM6{NG qit}p g1GNS, TYPE OF CONST. OCCUPANCY GROUP OCCUPAn:''� I.OAD SEPARATE PERMITS ARE REQUIRED FOF ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. 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 ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STAL�� AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION AND ORDINANCES GOVERNING THIS TYPE Of WORK WI�L BE COMPLIED $%OO WITH WHETHEfi SPECIFIED HEREIN OR NOT. THE GFANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OA CANCEL THE pERM1T FEE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- �� "]� SO STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. OFFSTREET PARKING IGARAGES SURTAX $ . 50 SAC CHARGE PLAN CHECKFEE TOTALFEE $s. �� 9GNn7uaE0FCON�anCTOaORn�7HOaiZE�nGErvi iDnTEi WHEN PROPERLY VALIDATED HIS IS YOUR PERMIT � — �/ , �^ 1 �)l/ / = % ''l � /Yr! �ti'�`-sl �'� r s a'rt �, ��i � �� d ' Q,'L' c . �� ` --�� S�iC�NATt1RF (1F nWNERiIF OWNER BUI ERI IDATEI PI f]f. IfvSP r1G CITY OF f=RIULEY � Ai'!'LI.C/!'I�I.O'�� f-(lR f;��SI[)[:i�; i�J!`�I_ {;!J1L(1Ii;G ('CRi��lI7S • � . (idet�r, i�lte►�,�tiuns, /�CI�1L10t1S, or l;e��a�rs) ObJftEi�: �ic�. /t/1�-1 V!2 v ��•,� 1 S L'1)I LDEI? :-�G�'-`�. �� ; ADD?ESS: �/% u ,ts%z)/a !2 b� �r c= 1 11DD(�CSS: TEL i��0: �S7 /- S.3 5 v TEL IdO: CO1lStrUCt1011 i_OCdt1011 STIt��T Iv0 :�)%�2.` S`� 121;�:T: �%Z �/i iZ 1' i� L 1_ �-- �% L07': � s� F�LOC"i'.: �_ ADllITIC�I1: `1 �_��__,. C,orner Lot: � Insicle Lot: SctbacJ:: Sideyards: �PPlicant at�tacli to this �oi-�:i two Cer�iiicates of Survcy of lot and 1?roposed builciing locatio�i dratan on certii-icates i�o scale, D�"SCRIPTIC�i� OF COfvST}�:UCTI01�� ]?ront: Squa�e �'eet: Dcpth : Height: Cubic I'cet: Pr�nt : Uepth : Height: Square I'eet: Cubi.c Pe�t: Type of Coi�struction: ' Estimated Cost: $ '�1 �C�,UG � Be Cbzupleted: Proposed Diiveway Width If Neca Openinc( is Desired: ' A1i. A Alt. B $' $ SE� l�Et�ERSE SIDE OF SHF.�T �.iie undc:�_signed ]i��-eby makes application for a pe�tit �oz_ tl�e Y�rk herea.n speciiied, a�.r.eeinq to do al.l. t;�ork iiz �tri.ct ��c,co.r.c?�zce �oit:li ttie �ity of ].'ridley Ordinances and rul_ii�gs of t.li<� Dep�itimenL- c�� I3uil.a:inc3s, �i�c3. hereby declar.es i_.}iat all i�lle tacts and .rcz��esentatio�is statecl i.n L-his applicat.ioil az�e true and correcto / �-�,�,�� D:�TE: � �,} �jU�IG-T� � � � S1:GN11TUIa�: �� 1ir v�v�z-v .--�� S - r r � .�t].�7111c�t1C�;1 � ; (7��, �U ,.�- �`�f � v c- � ` ,r � . I�—' " � ��-r C�t,�itn,,,� -C"'\ '�'t�9-�- �,. . . ruJ� r�;�a� i��r,��r r rr� rr,�sr_;�i��r _ ;�1;C;'.C7.Ol] 'l.. 'J.9ie :1:1�r;�>�:;c.:t:c>7' ot: 1t�1�.J.cl.:iJi�ir; ::h��.J.]., ),r,i:o;:e 3_:,s,ttiiic� ��c_�»niL�.; fo�_. t.lie cr.cct:i_on c��: ��ny ).�u�.1.�1.i.t,cJ or. :�t7_uc:t:t�'�:c, c�::' f�i>r. �_�ny ,�cici�.t:i.r�n Lo �l�,y c::.i.:.t:.i_�u7 l�uilui.�ic� oz' :�Lr.ucLur.e, , uY' i.`c>>� rx:1� <�.l.t:c�r�.ii_.i.a�i c�: ):c�a>ti:i.r.�, tc� •t�r,�,� ��:.i.::L.i�n!:J }..;>>.:lcli�i:� c�r. st:�:ucf:t�:-r_, �a�,�c:t� ap�7].ic�tLiotl 1.]ir:r:cLc>r.c, 1'cyn:ire tlzc� }��i;�;nc�if: l:,y ti�c ri}�p].a c�uit: S.v:.� s,�ic:li �:�cr.iniL oL' 1.'cc�:, L-o tlic �-unount hc�'e.in }�clo�� :.ct: for_i_], ��icl i.�i L-lic ��,�>>;;�ci- hcrcin ;�z-c�v:ic.7c�i L-o•-w:.t:: • l�l:l•J CO;7`�7'I�:UC'J.'IOt]: :�inciJ_c l?;:,rii.a.y 1fo�ie:� unc] Gciracfc>: ;4..0:)/?,�(3Q cubic fect. . 7?LI:1� (:1J];C}:: ?.�i j�:�)"CCtlt olf htl:i.�c;�.)��) }�ci:ttu.t. J:CC. UIt:LVEl�7T,X l)L'1'I?L'��?UI•I: (Conci-c�i:c, nu�i:� :�t�_`c:t:�, Unly} ' • � r�]_Lcrn�it=e I,: I;c3��.�va.L anri rc�l�].acer��rit of conczete curU and �ititi�ci: o�i].y; J�1-�.vcw.iy a�iclth. plus G fecL- x y:�5o?5 hlic�rn��.i-.c 't?: Itc»l0`.1i1�. �1I7C� re��).ac�e;ne�;t. oL concrete curb and . � quttcx aiicl i_�i:�t:a�.l a:i fa�L i-:ide ap��roach �•rith �' ' . G a.�;cli cic�}�Ui; I)ri.vc;�l��a� �aidtli }�lus G fcet: �: $17. £i5 • _r'a,1?�� i1 l_0 I•,� �� [�1:?_f_0_!-'u1f;_L_T_� ^� Foi: the: pur.lx>se of co;nput-.ing i�es �'o.r_ bu�.7.�li.nc.� �.��Z1'tl].�;, i:lie cubical. cont:ents of any bui.ldi.nq or �iddi_t_ion, �_.> dct.enni_ned }�;> >r:u:lt:i.p]_y �nq i3ic cjround area covei-ed from a. J�a:i.�it :;i>: (6) i.nclic��; be].o;•r -Uie iloor 7_ine of. tnc� b��.serne��t or the cellar to ihe averagc� licigllts ai +.1ic upper sur.iar.e c:;: i.o the avcrage lieiPub of ihe r_aof surface of tlie ;aain g�ble of a pitched ?'oo�. I'or_ re��airs or alteratio:ls to an e�.isst.ir�g siruci�ur_e, the fee shall be at ttie r.ate o� r3.00 rei eac;i �ive 11ut7d�ed dol].�z�=s ��;$500.OU) or �raction thereo� in the cc�st ot al_1 proposed wor}c. . ' Tn �no r.ase shal.l the ie� charc�ect for �L�;T permit as �et forih in Section 2 be less tl�ari 4 7. 50 p].us $. 50 st_ate �urcharge. ' �! i R 1 F 1 C n,ZT (� \ Q}=_ FS� �1 C��J�I� . IT 01� NO`t�la: Per_r;its �or construct.iciz ��ill b� is>ued i?. 71111117?lll?il of �4 �1QL11:S irom tlie time oi' �a}>��lication to allo�ti* �or p_ro�er ze��iew of_ L-he pro�>o�ed stru.ci.ure �nd of ihe cora�;truci._ion sit:e. 1'� Ceri�i.ficaL-e o� Survey o� t-l�e �.ot., s,io�,,�5.ng the .locat-ion o� the �oundation onc� i� lia ��een coi�si�ruc�ed �,�ill be xec1uil-ed hef:a�-e p�-ocecdi.i�c� �aitli �he �raming. � Ii�L� ��_11L��[__�S �sL' L� � C1' llp�?)_icatioi� �or a CerLi�ic.�te oi' Oceuuancy shall be madc� teri (1.0) days prior ta t}�e u�c oZ: occu��:inc}l o� any st-.z�ctul:�e io�- �:�l�icli a huilclii�c� }>e�in•�ii has l>een issued; and saicl �:Lruc:t.ure :�l�al.l iioi: ue u�ed_ or. eccu�?i.ed u�it�.l a �et-t.:�ficate of Occu��ancy has becn zssucd. � /� t � � rI � � � � �.�: .� �� ,� -��- , �,� i � ;: _ _�_ _ ,� �� -� I -� �� i�� ,,��,-' , � / , � .,� � � , � � �.-��- >> ��-� � � __ _�___ __ _. � �. � sva�ecr PER __ City of Fridley -; �:� � t �� AT THE TOP OF THE TWINS g U I L D I N G P E R M I T f � � , � TPT N O . � COMMUNITY DEVELOPMENT DIV � �y-------� (l� r � � PROTECTIVE INSPECTION SEC � � , J � � ' ' �� CITV HALL FRIDIE� SSd32 NUMBEF AEV DATE 7AGE OF APPROVED B� �'"'"�"� ��' 612-571-3450 9t 0-F t 5 3/ 17 / 95 � � JOB ADDRESS 6170 Briardale Court NE � LEGA� LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 12 3 Briardale Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS 21P PHONE Nick Mavrogenis 6170 Briardale Court NE 3 CONTAACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Gladstone's Window & Door Store 1870 En lish St, Ma lewood MN 55109 774-8455 4 ARCHITECT OR DESIGNER MAIL ADORESS ZtP PHONE LICENSE NO 5 ENGINEER MAIL ADDFESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION D REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK Replace windows in family room and living room 9 CHANGEOFUSEFROM TO STIPULATIONS Any bedroom windows replaced must meet the State Egress Code. TYPEOFCONST OCCUPANCVGROUP OCCUPANCYLOAD SEPARATE PERMITS ARE FiEdUIRED 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 ABANDONEO FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WOqK IS COMMENCEO NO. DWLG. UNITS OFFSTREET PARKING I HEAEBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TVPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT �3 � 3OO L SO DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF ANV OTHER STATE OR LOCAI LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION �F)3.00 Fire SC 3.00 �� PLAN CHECK FEE TOTAL FEE ` icense SC 5.00 72.50 S�GNATUFlEOFCON'FACTOROAAU O EDnGE TE� HE PA ERL ALI D THIS IS VOUR PERMIT -� �� C��.� � a -- SiGNATUAE OF OWNEA i�F OWNEA BUILDERi iDATEi BIDG �NS ��FTE NEW ADDN ALTER [l fl [1 Construction Address Legal Description: C[TY OF FRiDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Bui(ding Permit Application C�� ( �D J3r��,�- v��-� C �_ Owner Name & Address: �l�; � C lL �J+2,� c',-�-�i �S Tel. #_ Contractor: - �,�� :� S c�J � �i ��-� � nc��'Z S�!�-� MN LICENSE # Address: � � ? o �� L � � ` µ S '- ' Tel. # _ Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: GARAGE AREA: DECK AREA: OTHER: DESCRIPTION OF IMPROVEMENT Length Width Height Length Width Height Eftiective 1 / 1 /95 �1 )-�3� � 21 r �-� -1 1 z f - ��i > > Sq. Ft. _ Sq. Ft. Length Width Hgt/Ground Sq. Ft. l�U 1 v� �'J o-`i �'�v�C�.'.,.r .i 1(��'0-�'v� t � y� o�: ti t L i✓ � v✓Cr lLoo. � �orner Lot [] Inside Lot [] Ft. Yd Setback Type of Construction: Approx. Completion Date: Side Yard Setbacks Estimated Cost: $ � � �� G` �� (Cost on BackJ Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: ,5 % 7-`'15 APPLICANT: Tel. # —1 7 `i ' �`� � � Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STiPULATIONS: $ (�i �. �"� $ � C �;; $ /- � c $ $ s � �� $ $ $ $ � $ �• �' CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1 / l Oth %) $_50/$1,000 Valuation $850 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 [ ) �;uii.u�rvc� t'I:ILMI'1' i�ri: scrrr_r�t�r_r_ I tu- (;l�i;:t i{uilciin}; Ulticial sh<'�II, (x;lorc itisuing perrni�s tor thc crc;ction of any huilding or stn�cturc, ��r tur any a�lclilic�n lu any cxistin�; hui(din�• or sttucturc, or fo� any altcration or rcJ�air lo any cxistin�; l�uililinp; <�r s�ruc[urc, u�n at��lica[iori ihcrcfore, rcyuirc tt�c �aymcnt by thc aj��licant for such �crmit <>f I�c� tc> thc: a�i�c�unt hcrcin hclbw sct Ic>rth and in thc manncr licrcin ��rc�victc;cl to-wit. �rU�rn�_ vn(_ut: � l tc� $S00 i501 to �2,000 �2,001 zo �25,000 �25;001 to �50,000 �50,001 �o �100,000 �100,001 to �500,000 . 11 11 • . 111 f1i $1,000,001 and up r�r_��s $1S (Minimum rcc is $15 plus surcharge) $15 for first $S00 plus $2 for each additional $100 or fraction theroof, to and including $2,000 $45 for first $2,000 ptus $9 for each additional $1;000 or fraction thereof, to and inciuding �25,000 � $252 �for first $25,000 plus $6_SQ for each additional $1,000 or fractio❑ thereof, to. and including $SQ,000 $414_50 for fust $50,Ot10 pius $4_50 for each additional $1,000 or fracbion �ereof, to and including $100,000 $539_50 for fust -$100,000 pius� $3_50 for each additional� $1,000 or fraction thereof, to and including -$500,000 $2039.50 for �e fust $500,000 plus $3 for each additional $1,000 or fraction thereof, to and inctuding $1,000,000 �3539_50 for the fust $1,000,0�0 plus $2 for each additioual $1,000 or fraction �thereof - DR[VEWAY DEPRESS[ON ESCROW (Concrete Cur�b Streets Oniy) Aiternate "A": Removal and replacecnent of curb and gutter only - Driveway width plus 6 feet times S13_S0. Alternate "Q": Re�noval and replacement of curb and gutter and install a 3 foot �vide approach with 6 inch depth - Driveway width plus G feet times $15_75_ ' VLR[rICA"['ION Or FOUNDAT[ON Permi�s for cor�sl►uclion wii! be issuod a minimum of 24 hours from the time of ap�lication to alfow for ��ro�er rcvic;�v of tfic ��ror�oscd structurc and of [hc coasiruction sitc_ A Ccrtiiic;aic oC Survcy of tlie lol, showing the iocation of tlic foundation oncc it h�e it has heen construcic:�i will hc requirccl befi��c (�roceecling with lhe fia�ning. CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572— 3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR Effective On January 1, 1997 � �� Water Sath Wash Drink. Fioor Catch' Auto. Gas ' Gas Misc. Water Heater Stories Closet' Urinal Tub :' Shower Sink Tray Fount. Drain Basin ` Washer Appl. Range �ixt. ' Gas Elec Basement Floor 1 Floor 2 Floor 3 Floor 4 PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater —Electric Water Heater — Gas** � Gas Range** Gas Dryer** Back Flow Preventer Required ()Yes () No Type $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 $15.00 JOB ADDRESS �/ 6 �J ,c� L�� Cu��-.� The undersigned hereby makes application for a permit for the work herein 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. � / , 1998 Owner �%C. ��-�`��v �.��/ S s7/ - � 35�U Building Used As__��v�p ��/�ylf—� Estimated Cost S�a��G°11� PERMIT NO. (�� '�_ PLUMBING COMPA Y v�//N�k'► � � OCr-' � _ Pl n Reinspection Fee $42.00/Hr SIGNED BY ALL OTHERS AND/OR REPAIRS AND ALTERATIONS // 1.5°� of Value of Fixture or Appliance `��tl� State Surcharge TOTAL FEE $ .50 $ �0�� Approved By � Rough—In Date TEL N0. �� Final DateC ^ PERMIT IS �20.00 **COMBUS110N AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6—A. MINIMUM SIZE 9 SGl INCHES. SuB�ECT City of Fridley AT THE TOP OF TME TWINS g � i L D I N G P E R M I T r � . � ► � • COMMUNITY DEVELOPMENT DIV. � � �.---^--� r � � PROTECTIVE INSPECTION SEC i � i-__'�'��"'1,'� CITY MAIL FRIOLE� SS�J2 NUMBER pEv L 763-571-3450 910-F15 �oe nooaess 6170 Briardale Court NE 1 LEGA� LOT N0. BLOCK TFACT OR ADDITION DESCR. 12, 3 Briardale Additior, 2 PROPERTV OWNER MAII ADDRES$ Nick Mavroger�is 6170 Briardale Court NE 3 CONTRACTOR MAIL ADDRESS Amek Cc�nstruction �nc 9555 3ames Ave S, STE 228, B � ARCHITECT OR DESIGNEF MAI� AODRESS 5 ENGINEER MAtL ADDFiESS 6 USE OF BUILDING Res�dential 7 CIASS OF WORK ❑ NEW ❑ ADDITION O ALTERATION 8 DESCRIBE WORK Reroof House & Garage (24 Sq) Tear-off 9 CMANGE OF USE FROM STIPULATIONS TO D�TE I PAGE O� 11/4/02 / / �MiT Na:-- 33233 RECEIPT NO. �jO� AiVROVEO BY SEEATTACHED SHEET 612-703-4589 ZIP PMONE LICENSE NO �ton NN 55431 ZIP PHONE UCENSE NO 952-888-1202 201644 ZIP PHONE IICENSE NO q, REPAIR p MOVE O REMOVE X U^der�ayment must comply with the State Bui�ding Code. TYPE Of CONST SEPARATE PERMITS ARE REOUIRED FOFi ELECTRICA�, PLUMBING, MEATING, VENTI�ATING OFi AIF CONDITIONING TMIS PERMIT BECOMES NUIL AND VOID IF WORK OR CONSTRUCTION ZpNING AUTHOAIZED IS NOT GOMMENCED WITHIN 60 OAYS. OR IF CONSTRUCTION OA WORK IS SUSPENDE� OR ABANDONEO FOR A PERIOD Of 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED NO DWIG. UNITS I HEREBY CERTIfV THAT I HAVE READ AND EXAMINEO TMIS APPLICATION 1 AND KNOW TME SAME TO BE TRUE AND COfiRECi. ALL PROVISIONS OF �AWS VALUATION AND ORDiNANCES GOVEiiNING THIS TYPE OF WORK WILL BE COMPLIED �� 778 WITH WHETHER SPECIFIED HEREIN OR NOT TME GRANTING OF A PERMIT �� DOES NOT PRESUME TO GIVE AUTMORITY TO VIOIATE OR CANCEL TME pEqMITfEE PROVISIONS OF ANV OTHEi; ST . AW REGULATING CON- $83.25 TR pR THE P Rf NCE OF CONSTq CTION PLAN CHECK f E � �� Lice e C CON'aAT,TOqOA AUTMOp�ZED eG S�GN<TUAE O� OWNEA iiF OWNEA BU�LDEAi �� OCCUPANCVGROUP IOCCUPANCVLOAD SO.F7 CU iT STA�LS $5. 0 LV VA�1 GFSTREET PARKING IGARAGES URTAI( $1.39 AC CHARGE Fire SC $2.78 OTAL FEE $92.4� THiS 15 VOUR PERMiT -//'S "�� liLl{ NEW ADDN ALTER () CITY OF FRIDLEY EffecGve 1/1/2002 �] 6431 University Ave NE, Fridley, MN 55432 (763) 572,3604 Bldg Insp [ j SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Cohstruction Address: � � ! � � ,J Y � � s �1 �� ► /v �- Legal Description: ��IP +- � �T�r o�� C� � -r�� Owner Name 8 dd�ess: ��° r �I , �� ,� �-, ;� c� Tel. #��a � 7�� -�/S�r9' Contractor. �n� (� �, �s� ��-�� v, r'.-�c- �, MN UCENSE # l 5�y�� LIVING AREA: GARAGE AREA: DECK AREA: OTHER: T_. .�� ,� � , �-i� �a. � � l'. L %Y) Tel. # �l S�fj- / �� .� S� / -o Attach to this application, a Certificate of Survey � the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Wdth Height Sq. Ft. Length Width Height Sq. Ft. Length Width HgUGround Sq. Ft / (� � , -t"�i E_� `r' � /?d1��-��'iEC - �G'1 �.L �7^. � ��// ' 1 Construction Type� — f �� Estimated Cost: $ '� ,� � <��r� Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: �I - I - G �� APPUCANT: � - TeL #(� �b'fr -/� �� Call (763) 572-3604 for Pertnit Fees if mailing in application or Fax to 763-571-128T if using credit card and we will call you for ca�d number. CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL $ c�� S $ � - %`� �` � �- �� 1 $ , $ � � �--�� $ $ $ $ $ �� < 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: BUILDING PERMIT F�� SCHLDULL' 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 tl�e applicant for sucli 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 tirst $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 Certificate of Survey of the lot, sliowing the location of the existing foundation will be required before proceeding with the framing. New Houses Onlv � MAR-3-20�6 01:28P FROM: � • ��oa � Ui�d.Jtl�� .rispectipns 7�3-�72-3�d� �n T0:7635711287 P:2�2 •�.s� va�� :,,: �. i�� yl��:-Cc-tl�� .��'i��;.�..�.� ��—��a�it Nc+ ' � � j � Reccived By: � �5��1�+ �`�TT`�AL AP�L�CA�'IC)ri1 l�a�o Rcc'd: � ��r a� :�� •ai� SfI'£ ,QDbRES� �...... . [Q 1 ► U _ � '�.. _ ' n3ts �A.PPLICANT tS: l� o�'� ��TR�+CI'Uk _.--...�.-, . . ��..�...� ....__...�_ �/� ,!!r S W� _ . —.._.� PitO�'��T'Y �:p,r,�; . - _,.�rt. �W _ 51'A'i��a� OyV3�1Efi1 ,. ,.. ..__ �, ADDR�SS .'� ---�' T�IVANI gH0!,TE�_�(�1-:.'� 7/- 5357� ,-•,---� ,T.._._.-. �— .. CUNT�LfDK cofvir,v.Yr��' Kline Corp �— (`C)NTACT �'ERSPN� _ DBA� Practical Systems $L`BM{Y A COPY OF �.ATE !,�c�s� R� dak aoad '..._ �—. �oU�t s`ra'r� � 4342B Shady sr�t� �aP LtGEN5F 1+�°!T� .r,p��ss:^., .. _ Hapkins, MN 55343 ,apP�.tcA7tau � �or� � 952-933-1868 ��' �'�'RlYIIT TYP�: TYPE UF WORK: �iNGI-F f•AMfLY' l� TVJ4 rpJy([;,Z• O Tt�W!�TKOUSE CJ ]�eV�' ❑ R�PLACEtvIF•A�T �I'ERATidN/RP,1�{AAEl- i��.�rA�r.Fa DFS�r�o� or w�w. � . ��.!��—. p�,K NjS 168.665 tUe permit fe�t is a ntinimum o�' $a 5,aa or s°�A a( tl�e tqta! cast np to SSl10.00, v►�ichevr,t is �atoT, f�' th� ir'lprGY�n�nt, ir.stallati�n or rUplacement of a residencial iixzure, excluding ti�e £Lrnu{s_ (n�is should re�le�t only the eost of labor ) � � � x .OS Q �/j1� — Labor eost �ncici �3ad = E1 S.tifl, Lab°f tx►st bE'r++�'ees'' $3U0 to 550U ^ cosT uf iabof � C� Wx�rc� r•Pr�. �'��s: {zrralC.sra T4T:u., FOk PF.UIFx. i S R'i'lERB i.f►�i�R EXC;EF�S i5�, ��•S AR� 8.45 W"D J'� si 0 W PER f L3CiiiRE,� �� 512FJA�fU �. GZ � t� autPE� OF Er,CH $�.av�? r,�c I�t t s;u�lcd � � l+40D�,t.,: ' 5iLEB'!'t; �_.. _� E�i�tocn � t.SGDt:i.� �.--.-..-..." h�'<'� T � � � Sl�GB7U �� r�G: MODEI: ^.t—�-.- G.�S RANGFJbVEl� 510.00 : PJC �25.00 FTR�'LACL (Gas) 315.00 ��w OwS GF,�1. �16.Oo '� ,�t TO AIIt EXCKAt�iGEER SiS filZEPLAC:t` (WOOD} S�S,OU GAS U'NIT H'IR 514.00 �„� kc)i1.C;R S�5 Ob ,�FIJF21,4Ck 535.OQ '�J+c]DL HL• AT�k S35 00 �CF�I�L�t�Y Lit+'�t Sl0,lf0 _ GA9 DN5''r:lt S1 o G11 �YP�17'iL.aY4R 515.00 � �C4�4S PtPiNG 520.00 �r �DUGT K OFtiC SI0.00 . J �..' t x''.�"'t��'' �`f� D.(i4 = 5� �� ,�, : � ;��, '��:,..a. .�, ;n,. . ' x S1 � � � ^ N«cr�ber of fs�ct�es Q+ �10.b� _ _ ,—...._. � pasmit �ee � � Nar.�ber of fixtures � a 15.00 r a � � 5.00 � $ � "� '�L � Surcher�c � 5 �_.._��4 7•lumbrr af fDCt�'es (W, $'25.P0 �. x �t.�,UO � $�_,.,^.... 7'OTAL DUE — ---^ Number of fixtures Q�35 _Ob _. x$35.4Q s�,�.._ S�ate Surcitargy'� ��.._..._?.�, Tatal M $ " > '. T}{�S IS AN APFI.1CATlC1N F4R A YEit.MlT,NOi V A! 1D lJNifL PROCESS�3 I. he.reby appl;+ for a building ��rrait and 1 acknawfcdgn that ths information abcrve is cor.�p1°�ke snd a�ourate; that the woric will be in confc,nnanoe v��i� the ordina�rxs and cadcs o�chff d4 �Yn k�is u}� o s�rt�W�ithnuMa pe n�it � at th wIO k w�l bc�[n acco�dantC w thlihe n o t a p � n n i c b a t o a l y a a a p p�= c B�►�� f o r a p e approved pt� in the case �o +� wa�j�` hich r s revien�• At�d rotf�l o f p s. �� .' l �f I,. �� ..r.,...c R iII i� ��L[.�3�/ _DATE ._... S1�iNpTUR[ OF �� .n iht. : r r qnn,= t-,- •�� -- Ci�v a# �`ridley Suil�ing 1ns��cti�ns Depart�nent 64a 1 Univers+ty Avciiur N�, FTidley, MN 554;�2 Jfi3-572-35t►4 F',�;X: 76�-5Q?-497� �S�TT�S".�a�. '�.5r•d .��M� r,�lf�?-,� y�. r,�1:�: WLI�.� Building ' BUILDING Permit No.: � ��J Inspections ' RESIDENTIAL APPLICATION Received By: i 763-572-3604 CITY OF FRIDLEY Date Rec'd:� �'+ ��' 763-502-4977 FAX EFFECTIVE 1-1-08 DATE C� � J`� -�9 YOUR E-MAIL ADDRESS S[TEADDRESS �'V (CJ J.�Y�i:�u/L i Li� lV 4- THIS APPLICANT IS: ❑ OWNER '�CONTRACTOR PROPERTY OWNER/ NAME ;c. ir!1 Gt.1/1r' ^ rL i> TENANT ,qDDRESS: C/ �Z> �� i""�r ci�t -2 �-'_� N � CITY �r� � STATE N?A/ ZIP S� % � = — PHONE: 7��•- S—�� .SS,s� NAME: 1'� ' c._. ,, l'ti , CONTRACTOR ADDRESS: � t> � �C t ? � CITY , *� • � STAT�ZIP ��e -� SUBMIT A COPY OF pHONE �G� 3-- Z��`� `� J� FAX YOUR STATE LICENSE � STATE LICENSE # �� =% ?? �� EXP DATE PROPERTY TYPE �SINGLE FAM[LYMEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE � �DITION ❑ GARAGE/SHED ❑ w�1�tDOws ❑ BASEMENT FINISH 0 ROOF ❑ DRAIN TILE �:pECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION O MA(NTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEMG DONE: f / � SIZE OF [MPROVEMENT LENGTH - i WIDTH lG HEIGHT S FT % �-�� ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT 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: FOR NEW CONSTRUCTION INCLUD[NG DECKS, SIDING ❑ Vinyl ❑Soffit ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum ❑ Trim 1. Site Plan/Survey showing the exis[ing structures ❑ Other ❑ Fascia and proposed project. 2. Two sets of construction plans WINDOWS 3. Energy Calculations 1N EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS OR FOR NEW OPENINGS-DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL N'�;�;5 AK�: 13A�tiN:ll U1V VALUA"11U1V, 1NCLUUlN(i 1H� CUJ7 VN LAIfVK AIVU IV1AlL't(lALJ: �,- .l (US�j� HE 1997/ U-BC FEE SCHEDULE) TOTAL JOB VALUATION �-' ��SC�' ��-!J 3�G, �7C0 OCCUPANCY TYPE Permit Fee $ iQ� • l � See Back Page for Fee Schedule Plan Review $ ?�Gj , b� 65% of Building Permit Fee Fire Surcharge $ .001 times the total job valuation Surcharge $ .0005 x Permit Valuation Minimum $.50 License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $1825 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft+ 6 ft= ft x$21 =$ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary () Non Necessary () Total Due $ � Make checks payable to: City of Fridley Attach Sti THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNT[L PROCESSED 1 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 Constniction 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 accord ,-�i � tkte approved plan in the case of all work which requireS �Cview and approval of plans. � , SIGNATURE OF APPLICANT -r��-t"��' �`�^ �`�, PRINT NAME I ' � _ ` r'�� . �� l f ; � � ` � DATE � �� ,' " � APPROVED BY � ��; /, PLU EI�IBINCG DATE _�`� CAL ANI� MECHANICAI: WORK 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 151$500 plus $3.05 for each additional $100 or fraction, to and includin $2,000 $2,001 to $25,000 $69.25 for 15` $2,000 plus $14 for each additional $1,000 or fraction, to and includin $$25,000 $25,001 to $50,000 $391.25 for ls` $25,000 plus $10.10 for each additiona] $1,000 or fraction, to and includin $50,000 $50,001 to $100,000 $643.75 for ls` $50,000 plus $7 for each additional $1,000 or fraction to and including $100,000 $100,001 to $500,000 $993.75 for 151$100,000 plus $5.60 for each additional $1,000 or fraction to and includina $500,000 $500,001 to $1,000,000 $3,233.75 for the 15t $500,000 plus $4.75 for each additional $1,000 or fraction to and includina $1,000,000 $1,000,001 and up $5,608.75 for the 151$1,000,000 plus $3.15 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 .:- EVIE!.; � F RCC�� -1PLIR�N�'r �t3LD�,' � Y s�e�;t ;r ;. �, � � �� Vvti tu� �� , I�r� �I � t S '� ` �� -�-�c (1 w� � � � V l � `� � � v�r�►S � (�ts� �. �UN _ 1j� 5 �� s� l � ��5 ��x�'v�c� c-�� `�-�-�� (�s � 60" 42 36" tall rail with glass panels 36" tall picket rai I down steps. -�� %1� �,�, � � � -----� �,..�---�,n�t�� 2Lt� ` � �N �� 6x6 gt post Galv conection . --, �.vi �� r � � �c wtS � � � � V � 1J�1 _� !v � � � /� � � (� �J �v � � � �' � _Q _. ..r _ � � � Nl T � V U � � /� � � � � � � � i _� ._ . � N � � � � '� _ � d N � � � � o o -� L s } � c ai v u �� o cs �o � � 0 � x N. � � � .� . � �N� .3 ,� s.. . �,�,� M I� �`-'-+ C �V1 � .� � � � � � � (/� �" `�� M : �_ • � � l � �Q �, � �� V' � ' � V,ts� $ +r - . , �_..- ._ . �� .� ��,�Y�,�;' . �`�,t"�t�+�' I �`+�'�' �,pnS� �rY��i� S�t'cls Tlr�t+r�� w�� «��,;�,r��„�� M�n�c�y3r�1 fre��»rerirt9 � /� � l ` �% ��d�� T ��/'4 � ��i • �� f� En�„rineers � 3uz'�rery'ora� � eR7s H��hwpY wo.bs�1.E. Mi�sn�apafia� Minn. SSf$3 rre«p�►+�nd �sa-�►t�a� pr�a Cads bi`� i �,� �,/ o f �i u r�v e f a r �4;..-::a,��> >'Y1 �,�� =-k ,,�°'7`��. �� r t x�' i c a t�t Y __� Y_._..__ _ ..--. � ; ! �.____ � � 1 �.J� � \ �� c� � f � - f ' . ,, ! � 1 �. 5�--.� f .: z -~� _r,',�".�'.-°J' `� ^ i 2 � � :7 ( � .�,t� i ._ _._ . _�� ' .__..___..G , �i �� I r�._ ,- • -----_�. 1� 3 4-� � 1----___ i �} � �. � 't�... /� I N , r � "1 �J � � � ..... . .___� .___' �„ ��,�s �: � 4 � �" • � s� i f � , r-:_—�— � �ti ., G ��. . 2, �, a' � � , , +� ` } , �� ' `•' �_,; ,� _ , ; cs f � � � " , ��. � 7 4 �a. � 1. �. .t}. ... _ ... �?<.. !3� 4�� , , i "I «: _.� t. _ __ __ k. 1 � P � � � �' � � _� �; 7:-� � �' �; � � � ' Y � � 6� � � i° � \ �. , E ___ ...._.___�� o;:� t � '(�i�l . �� a�►��l� � � � f � � �� . � � i j� ° 1Jvn��S �r�n mv�um�nt �n�KQ l�t)U�lf� . ; ,�} (� 'j ji j [ i : .^-_ _. _ _� iJ@flJ�@S �Jr'QcC1��Q E �✓1`tlt�� I.OSQrr1�YVT �� i�Srrrby c�rlil�y 4hpt thii rs o 4ru• nrid tarrec� rt�►rrc�nention o� a �vrvRy e� Ihe bau+vdo►+ss of ►1vt a�ttyw ' tAsxcribrd f�nd, and of ttrr laeation of �nll f►atildin} s, ths��n�rn� and nfJ visibi• rnc�onri�mrnts, il ony� 1r0� Ot � sGiti Pr,rr�f, il� turv�eyird bY a►+e tlrir� dar o! ,r7:t �:�:t�w.._..A,tl. 1077_. � --w�- .�.--- r,��. ��c�; Li.f��t� � � � �rWtIJR�AiV ENt31NEERiNt3, iNC. ��y��tr♦ iurvty�rs �y �. � �-��-�---.- ��nga� u�� u ��an��o �d . .. .... �w a ilt'L $ p� + pe�C138� � �uilding _?zspections i b3-�72-3604 >ATE —1 ( / /� iTE ADDRESS � 'NIS APPLICANT IS: �❑ � BUILDING Permit 1\TO.: RESIDENTIAL APPLICATION Received By: t� ` CITY OF FRIDLEY Date Rec'�Cro APR 1 YOUR E-MAIL ADDRESS o d �s a� e l cl r r O 11 � 5•�' �� r( Q r- � lC C�`` 1�C.� ❑ OWNER �CONTR.ACTOR 'R��t ERTY OWNER/ N,�: TENANT �D�ss: CONTRACTOR SUBMIT A COPY OF Y(pT�R STATE LICENSE VJITH APPLICATION PROPERTY TYP� PERMIT TYPE TYPE OF WORK: QYroOt CITY PHONE:_ aT I. 3 1 S�_ I-�' 3 5_� Pella Windows & Doors N�E:— 15300- 25th Avenue N.- Suite 100 STATE LIC P1j�Tri0Ui11, MN 55447 .a�DxESS: �63/ 745-1400 PHONE License# 20165884 ,� c,1.TrT C ❑TWOFA� Q ADDITION ❑ GARAGE/SHED ❑ BASEMENT FINISH ❑ ROOF ❑ DECK ❑ SIDING ❑ SWIMMING POOL �SCRIBE WORK BEING DONE: :?E OF IMPROVEMENT -)OFING _�?viBER OF SQUARES _ ARAGES '.OPOSED SIZE: :OPOSED HEIGHT: ?�1NG Vinyl Aluminum Other ANCE/REPAIR ❑ REMODELING I or,-f��o �odr � l �., INDOWS EXISTING OPENINGS �Yes �No '. FOR NEW OP£NINGS-DESCRIBE SIZE OF '�:NING CHANGES & :�E OF WINDOW TO BE INSTALLED LENGTH ❑ HOUSE ONLY ❑ HOUSE & GARAGE ❑ ATTACHED GARAGE ❑ DETACHED GARAGE ❑Soffit ❑ Trim ❑ Fascia CITY 4✓ WINDOWS ❑ DRAIN TILE ❑ OTHER LOCATION �F W�ND�WS I• y'lp, iC j►e r�dDM �-pf��r,l1� ^ � J�,�� NUMBER OF ATE_ZIP� 3 .� ATE ZIP HEIGHT �A��Sq.Ft. BASEMENT REMODELING SUBMIT: I. Existing Floor Plan 2. Proposed floor plan 3. List of structural members to be used FOR NEW CONSTRUCTION INCLUDING DECKS, ADDITIONS. & PORCHES SUBMIT: 1. Site Plan/Survey showing the existing strvctures and proposed project 2. Two sets of construction plans 3. Energy Calculations ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THF. 1997 U.B.0 FEE SCHEDULE) . TOTAL JOB VALUATION $�� OCCUPANCY TYPE ;rmit Fee � � an Review � rcharge :�e Surcharge cense Surcharge ? C Charge irb Cut Escrow osion Control rk Fee wer Main Charge ,tal Due $ lS3.�'� $ $ 3. t►O $ 7.�0 $ 'S.o� $ $ $ $ $ $ / �4,uS See Back Page for Fee Schedule 65% of Building Permit Fee (.0005) times the total job valuation — Minimum $.50 .001 x Permit Valuation (1/10%) $5.00 (State Licensed Residential Contractors) $1450 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$20=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks pavable to: City of Fridley Attach THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED ons �ereby apply for a building permit and I aclrnowledge that the information above is complete and accurate; that the work will be in nformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a �nit 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 _n in the case of all work which requires review an a proval ofplans. /' INATURE OF APPLICANT _ � �/ � � PRINT NAME �� J C / 1 � � ) L� DATE `� ( � � [ � � 010 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 e�isting building or structure, or for �ry al�-eration or repair to any existing building or structure, upon application therefore, require the �wyment by tr� applicant for such permit of fees to the amount herein below set forth and in the ma.nner herein provided to-wit: TOTAL VALUE FEES $1 to $500 $23.50 (Minimum Fee is $23.5.0 p1°�s surchazgej- $501 to $2,000 $23,50 for ls` $500 plus $3.05 for each additional $? 00 or fraction, to and including $2,000 $2,001 to $25,000 $69.25 for ls` $2,000 plus $14 for each additional $1,000 or fraction, to and including $$25,000 $25,001 to $50,000 $391.25 for 15t $25,000 plus $10.10 for each additional $1,000 or fraction, to and inciudir�g $50,000 $50,001 to $100,000 $643.75 for 151$50,000 plus $7 for each additional $1,000 or fraction to and � inc]uding $100,000 $100,001 to $500,000 $993.75 for ls` $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 additional $1,000 or fraction to and including $1,000,000 $1,000,001 and up $5,608.75 for the ls` $1,000,000 plus $3.15 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 -572-3 604 Fax: 763-502-4977