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AF - 36539City of Fridley, Minn. 6431 Univeraiiy Ave. N. E., Minneapolis, Minn. 55432 BUILDING PERMIT DAte: -- At,g��sr 16� 19Z�_ �syj �---- .11 E O � % �....._._ _..... �VIIP.YI — T�inra•,rrl T�Rvl 1 o Builder _...�i-c��d•--��-1-].ax---�cue�-------•--��---...—.— ,Addresa __._.__...__._ ..._______._._..—�_._.___. Address _...1.6QQ_.B�.��._�a:.��...$o�.s�---�L..E-•-----.---- LOCATION OF BUILDING Na - b 1� 0 Street �._�.iax.d.a.le_.C,nux.t._N..E..----• ............................ Part of Lot Lot lsi Block _.___......__3_�_._._......__. Addition or Sub-Division ___._.._Briarrla.le...$ddi.tia�_...__..�._�._ Corner Lot ...__X_.__.�.._ Inside Lot ��_—.._._.-------. Setback -----...-•--•.---_-•------------ Sideyard ----.-----..----------._._._._._...._...._._...______ i��'4� IIevatian _....._.._�_.___._.....___--------.___.._�.___, �'ai?n?c�i�1?Ll�?a?t�o3�?..------------....._...-------.___. ._......_____.._..._.._. �Ive Ton of Footin� DESCRIPTION OF BUILDING To be Used as: lh�, 1 1 i n ._.�._._ Front �2 �.. Depth _2..2.�.= �2.� � Height .....�.Q �...__ Sq. F� .._._1.Q� 1� Cu. Ft ._�.�.�-.�.� � �=�3g� _._._ Front _�_��.� Depth _. 2.�_ Height .__l� �__.. Sq. Ft. _.-------�t1.$ � G�t. Ft --- 41•$.Q.� Type of Construction ._..I�I�?.Q.d..��.�1� .___.___ Es� Cost ......��0�.1,E0_�00_._______.. To be Completed ..._�?..._mont�s __.__� Stipulations: Provide a hard surface driveway. Provide a verifying survey before capping. Th� builder holds the City harmless for any problems that could arise from drainage qS� standing water. Also that the build ��,.` is responsible to the homeowner for y problems that could arise from rainag�� cond�.�he �� n� `�,ponsibl��ak'ng th� homeow�qe�are of se � ` s � � � '�2 �0l��iv �}C �'. St� w��P �}+�.ri1'�. •Q In consideration of the issuance to me of a permit to construct the building described above, I agree to do 'ihe proposed work in accordance with the description above set forth and in compliance 'th all provisions oP Ordinances of the city of Fridley. _—��_��_---�� — 10.10 State Surcharge In consideration of the payment of a fee of $__5.L_...45._.._._.., pexmit is hereby granted to._. Richard. Mi11eY Homes _ to construct the building or addition as described above. This permit is granted upori 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 confoxzn in all respects •to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings oxdinances. city limits and this permit may be revoked�a_t� time upon violation of any of the provisions of said Building Inspecto� NOTICE: This permit does not eaver the construction, installation fo� wiring, plumbing, gas heating, sawer or watar. Be sur� to sw ths Building Inspector for separafe permits for these itemz. ' s / APPLICA�ION POR RESIDENTIAL, ��T�RAT�O�, OR Allll�TION BUILD�NG P�R1yIT CITY OF FRIDLEY, MINNESOTA OWrIF,R�S NAME: ! /[JG(.'14�,� / � Lr�l %3��LL` BUILDER: �/L�f/g�',l� /�/LC.C� ��l)/�'��S � � �,nnx�ss • an�ss : l� oc� �� e�r�,�-,�c�,40 NQ • . �`�! � STREET T�OT ; � BLOCK : � ADDITION t �/�� D� �-� CORNER LOT: %( INSIDE LOT: SETBACK: SIDEXARps ...,..r�.......,.. Applicant attach to this fomn Ttao Certificates of Survey of Lot and propoaed building location drawn on these Certificates. ➢ESCRIPTION OF BUILDING �o Be Used As: !�� i •� � [�G�L/NC7 Fzont: � Depth: c�;�'—�' Height: �� Square Feet: �d %� Cubic Feet: � � `�� .�i /3 ,�A{�c ` ' Front • � Depth • �� / Height: %CS , �. Square Feet ;�� ' Cubic Feet : �f l�� . .. „a �pe qf Construction: �i(1Clc�(� �/�Iq✓+��" Estimated Coet: $ -) 'r' � ,`_ (T —�=_;.-• ,e � �, � ■, Q To Be Campleted: t-� -��-�-- � � � The undersigned hereby makea application for a peia►it for tk�e wqxk �exe;�� specified, agreeing to do all work in sttict accordance with the C�.C�► p� Fri,d].ey Ordinancea and svlinga of the Department of Buildings, and he�ebY declaree that all the facts and repreaentations stated in thie appll�a��ox� are true and correct. �AT� : / � � �� S IGNAT[JRE • G �G (See Reverae Side For Additionai Information.) .,.r-- � �, � .l " t `--'' �- ? �°'`,.i'r' � �- � J ;.• �:....:� � � — BUILDING PERMIT FEE SCHE�ULE SECTION 2. The Inspector of Buildings shall, before issuing permits fox th� erection of any building or structure, or f�r any addition �o any existin� building or structure, or for any alteration or repairs to any ex�sting building or structure, upon application therefore, require the paymen� by t�� applicant for such permit of fees to the amount herein below set fo�� and i� the manner herein prw ided to-wit: UNIFORM BUILDING CODE: Type 1, 2& 4-$2.15 for each one thousand cubfc �eet, ox fraction thereof, in such cubical contents. Type 3& 5-$�.85 fox each one thousand cubic feet. ADDITIONAL INFORMATION For the purpose of computing feee for building permite, the cubical contents of any building or additian, ia determined by multiplying the ground area covered from a point six (6) inches below the floor line of the basement ' or the cellar to the average heights of the upper surface or to the average� height of the roof surface of the main gable of a pitched roof. �or repairs or alterations to an existing structure, the fee shall be at tt�e rate of $3.00 per.each five hundred dollars ($500.00) or fraction thereof in the cost of all proposed work. In no case shall the fee charged for any permit as set forth in Sect�.a� 2 be less than $5.00. VERIFICATION OF FOUNDATION �ipT�; Permits for construction will be issued a minimum of 24 hours fropa the� time of application, to allow for proper review of the proposed structure a�d of the conatruction site. A Certified Survey of the lot, ehowing the location of the foundat�pt�� p�Q� �� haa been constructed, will be requized befor,e proceeding with the framing* CERTIFICATE OF OCCUPANCY Application for a Certificate. of Occupancy ehall be made ten (10) days �ax�.q7� to the use or occupancy of any structure for which a building percnit has 1��A isaued; and said structure shall not be used or occup�ed until a Certifica�� of Occupancy has been issued. RICHARD MILLER INC. ;'"-'; � a e �� ; '; �� t � � `: �. � °�} S �.: _ � _ � � {MAGINEERS August 17, 1972 Mr. Nasim P1. Qureshi, P.E. City Engineer - Director of Planning City of Fridley 6431 University Avenue N. E. Fridley, Minnesota 55421 � � Dear Mr. Qureshi: . In accordance with our telephone conversation we agree as follo►vs: To substitute Lots 12 and 18, Block 3 for Lot 14, Block 3 as a temporary retention basin, as provided in our agreement with the City of Fridley dated April 17, 1?72. l�Je have the understanding between us that when another lot is sold in this now six lot area, we will again discuss this temporary retention basin to determine which exact lots will be used if the need for a temporary retention basin becomes evident before the permanent outfall is condemmed. We agree to hold the City of Fridley harmless from any claim or cause of action, with respect to the owners of Lot 14, Block 3, arising ' because of the substitution of Lot 14 for Lots 12 and 18 as above described. -, Sanc� rely, ' . , , ./ 1`.ri , � y • r �.�.._:..f..-•-�v� -��i--. 4.. . . _ _.. ... _...�._... L.,��_.-�±'':"'`.,' ` ` ;Richard N. P�iller � / RNM:cf � . .. 1600 -f�ICE CREEK ROAD, MINNEAPOLIS, MINNESOTA 55432, AREA CODE 612-633-74(�4 0 � \ Application �or Pow�r Pta�ts and Haa�ing, Cootiag, Yenfitotion� R�ig�ration and �; . . . Air Condie�on�ng Spste�ns ond Demc�s �/ PARTIAL RATE SCHEDULE C:AAV?'A'Y WARM AIR: R!l'!'� 'PO'P1�1I. fl�rnace ShelI dc Dact Work . . . . . . . . . . . . . . . . . . . . . . . . . $10.00 � Replacement oi fl�rnace .. . . . . . . . .. .. ... . . . . .... .. . . . 6.00 ; Repairs & Alteraiions—up to ;500.00 . . . . . . 6.00 $ --- Repairs k Alterations each add. ;500.00 . . . . . . . . . 3.00 ; lRECH. WARM 11IR F`umace Shell & Duct Work to 1'0,000 BT[T . . . .�. . . . . . .$10.00 ;_,��—� each add. 60,000 BTtT ....................... 3.W i RePlacement ot Furnace .._ .......................... 6.00 � Repairs dL Alterations—up to ;500.00 . . . . . . . . . . . . . . . . 6.00 � Repairs & Alterations each add. �500.00 . . . . . . . . . . . . . . 3.00 ; STEAM o: HOT WATER SYSTEb[ Furnace Shell & Lines—to 400 sq. ft. EDR Stesm . $1Q.�JQ � EL.rnace Shell & Lin�-to B40 sq. ft. EDR Hot Water .. 10.00 a Each add. 200 aq. ft. EDR Steam . . . . . . . . . . . . . . . a.00 �_ . Each add. 320 sq. ft. EDR Hot Water . . . . . . . . . . . . 3.00 5 OIL BIIR1�iER—to 3 Sal. per hour . 6.00 � — over 3 gal. per hour�ee Fee Schedule GAS BURNER (up to 199.000 BTiA . . . . . . . . . . . . . '. . . . . . . . 5.04 ;�'! over 299,000 BTU See Fe� Seludul� Gl►3 FITTING FEEB: NO RATE TOTAL lst 3 Fixtures . . . . . . . . . . . . . . . . . . . . x� 200 S �, G� Additional Fixtures . ............... x .76 ; Gas Range to 199,000 ... z= �00 = nept. o� Bia9.. rh�. seo-�o � ,( 0�� / ^ �D La.��,.� � % �D ��h�a,C! �. City of F�idley: The undersigned hereby makes appfication for a permit for the work hereir. specified, agreeing to do ali work in strict accordance with the City Ordinance: and ruling oi the Department of BuiIdings, and hereby declares that aI} the facts and representations stated in this application are true nd correct. Fridley� Minn � , 1�7 � Owner ��%'/.� C.di i��C��c�i� _ ��7'2..E'�- Kind �i Building `��!r?1 L'� Use� as , -� . �.�e.'� 1'o be completed about ��`'��- 7� Estimated Cost, ��' Old—New. Building Permit No. Permit No. �� DffiCAIPTION OF WORg HEATING or POWEB PLANTS—Steam, Hot Water, Warm Air—No- ,/ < f7 Trade l�iam �� '-� �-c' � ' Size No��-�-� n Capacity f Sq. F`t. E.D.R BTU Ii.P. Total Connected Load �� < — Rind oi P't:e BUR.NER — Trade Nam - � ��J ��-�e No CaPaatY 39. !'t. E.D.R BTU H.P. �.IR COItDITI0IQ1fG �— F11N HEATII�G SYSTElt SN � F» �jch�dnL �� -y- �" 1i'£MTILATING 8Y8TE!( �'` `'`'�� f /�� 11LTERATIOIiS � REP1lIRS TOTA% FEE _/7� �� G�,�•� Si � ROU(3H %K�� L/O'� � FINliL �' � � 7 � �h'�-�� ,, `� (REMARKS-OVER) �� \ ss' — —� - Business Phone No FRED VOGT & CO. iIEIITING i AIR CONDITIONING �uo a«�.. �,� � i1�-6767 �w c«i h� �...a sss�s I � J �a Y 9 .F ' , ... ' � .'.� '1 r y�.�,.c 1 . ;�;'.,. ' 4i �' .? �:� a.:d�y ir� t � r a.at� oii R� i, "bf.'�1P,,.`Y , i '� 4 � T ,s � � jJ M��l.r ' �� s'' �� l t� a` I � v%� ��fr.#s ^'F'`rf f �,}� e�i €i , �` t � � Eb ..0 . � ,. �r� Y � -Y � � +t 4�� ti ?s.x y� ��l..as�.� �:�.�s.��l�� - 1 . � .S T• �'_ 3_ '.�.'�;7�� .�Yj� k.,r�. � �; =4n } b �� i -..' _ . t � F , # F ,�Weath�istaigs - A c�a'�" . .. .-� � Conatruct'to�► P�o�� . ` •k f�:•} Y5 y,.:.�,� ��g�'�p�Mai'' ,t� CF'�,�j,Y �zl��j��^�� , :. , .." j '� . � � -.' �..�' t' � :�� 7' _ v .�,. . 72 �indows � Qcors . '�eference Out =l�ia{� �at:l�JaU C,eilu�g ` = Roof Floo; K�n� � =y " '� �u`i�rA�Iied' { ,� ;�� r, : C�s—Na Yes—No 19_ . r r � ,�` � � , � � �a� � ,,:� . :; :�:�:? �,�� d u +,. �•� 1��i'.�� Roo� Length`' /2. �S/idth'/9' Height �'� / FI•� ,IJ��,tr✓ �3.aa�a Letf�thi` ,.��' Y_�'�'��'- .H�tg��',��'-� s,- ;: 1�/indnws and Doo:s--Crackaa� and Area ��IDC�• ° Grlinaaasrs snd Daors=-Cracdage sa��•:te�, '° c�;r ��;:'e4r`-• � �Y:dth Heeg�t No. ot i.taeal !t - wres � � �%'� � . � ' Wtdtg Hel¢!�L_ No..ot�� '�.Ent�.41 Yt� [ea:' �� , c �;- No. ot oaae ot paae il6hta oteraek ay. ft. No. ot Dane o! Dana llbhfa` oP crceft.._ e� Ye:"• �ti ,� �r" + Y � t � � . c ta. .,. v ! ^ � � �v i 1�a � : . - � � a� �'� �' � � s� -� �r� y _ `�� . � . �-S - • � . , � ..f. � � -� Y = Y S�i.'�q}'�=.1� y gi - - . - . . � . ' _ . .� .. • . . . � .. ?.�. ' Y y - � � _ T'- � , �''r�'s�fA {,��. Coef. Bcu . _ • - �' ��` %ce�, 7 �:b:� Inbltratioa " � -_ � /`. �� rcGB lnfiitration ,�y ; � - 3�� 5'.i`�?= ' �; �. Glass - , � :.'Sr� yCY� Gla�s . . , . ' - ='�; ;� ' '�' '� , �p� � s, £.acp: wall � ' - ' ` � � � / -,. E�cp. wa�l � �,' ' - ��-�' ' �' �',�- r Net ex�. wall �� ' 3 �l?. ` -�'i Net e:p. waU � s` �t�� `� _ � r�'p : Int. wall - ,,5�� / � S OSS ` Int. • �all - � t " � ' Y '' � - ,� jta� �Ceiling . � . .,. r . K, Y, ` ^� 3 � � . Ce�,ing - ,e �, FIODT ZZ I`'c� FIOOi ��/� . ��,RS ,J�-� �- n� C.'� i�f� Total $tu. - : Total Scu. . '' _ �' 3�?� 5 ��'€ Required sq. h. E.U.R. or sq. ias. �T.A. L.eadzr aTea� Required sq. ft. E.D.R. or sql�ias. �.A: �asit�'area � r#,;' � �'I �%i///��-i iLOOIII � L.e�.� � lv ��Width � Hei�hc �%a ..^ [i��i � l.C►itl"' . . � _��es��fi�iL�;:' :.y �nl�j ��, t(r`�'" Yy�' ' / FI.� s�DU.�(:'I%' " �lindaws aud_I�;s-=Cracl�age and Aaea " . ; Windo�vs and Doais=CracYsza�t and'1�� :°.; '>� :' �° " q ` £. ,� 1S 4dth HelgLt Ka o! Ltneat dt, Area .�Iidth Helght No. oL • Llneai fY: �Azes:' `" r'��"' ��s 4�; Na oL gaoa tof �aae Yi�hts of eraek eQ, f� � � � � - r��re � �- � No. ot yaae of pana ifs�<a -o! cra.cs�� a�� fi. 1 ,� � 3: e. w } a I ��' <</ I y 4. „ �,K.S , ,,- + � s�,� � �� . . ., . . .Y' ( 1 ''y2L � .� � . . . . . ' - �t�? 3 �t #. . . . . ... ' �" . � . . . _ . ,.. . . ' '� .�A . F}:,a1,F`a ^Sf I'. Coef. �tu - . � �f. � •xa � . :Infileratian . g - �'� _ > ?t3 3G'K/< In�iltration •�' ��=J- f. : ,, 5 r , Q ,��:- - > Glasa - _ - ' �/ _':l� zc>O Glaas ` ,:-'' .; Z��`. . b- Ezp. vrall � � - F�cp. wall - _ :� i_.. ' - �. < r Net e�p. wall � .%9' : , /B Net e:p. waU : . � s � , �;,r �.=.�� : �} : ,Int. waIl � f.�a 23 � s- SaT Int. walI �h= ''t� 'f-, : aa� ../" . � - s � i� Ceiiing ' . : , Celling : .� : - ' `* - t° R �-,�y ,�, � :., Floor . �i ,S' %3?7 Floar . . ` ;; ?.G �'. J��?"�� K��; ..Totat Etd:. _ � . � _ r: . . . : 2v� Tota! Btu. ; : ,. . : ' x :5 : l��f�'��Y; Required sq. k. �.D.�2. 9z sq. ias. �I.A. Leader area � Required aq. ft. E.D.i�. os e9. tns. �I.A. I�u�es �,,ay '°'> f F1.! �r=�: .� �' F�m I.�a�h � _ �iidcls Z Hei�},i � .� = i � Fl.� �� '.aesm ! I.en�th _/� �'Ji�:h� �,/ � H��t.� � . l��Jinc}ow�s and ��rs=-�rac�sa�e and Arza 3s r � �/ ' ' �/in�ows �ad Daor$—Crac�a�;c gn��rta_ -1 ` ," +`` � r, V1kGta HeSS�i Pi�. nt Lfneal tL Area �� V!ldth He1ghL : 17a 01. LlnE2b:L" -AiA9c t` �M tr ; v. ;: � Na. ot psr.a o[Daae 3ig3ta � of cracK �aq. L� � . -. 0 � r�zq: £t _ L .� �°••`-'i+.� °{ .. �- ,, � : No. ot sne ot Dnna - 11�7sts at crack }: - G -� S� >'�.� _ . 'Yc� ; �f _ , j r � � �,� . -� � �•, ��, � .z~� �—� • �.�� f�' � f � . .. _ r. � ? � 1 �: �'�' ° . ..� ��'4 r t .. ,, ; , - *•: �� °J � ��• �� ` r�= < < �: , , �, .,� � ��.:` ';.. . . . . _ .. = : .., . p . : x� , COCf. piU ` r� § i �Cf ��5�`€s ;Dc$Itration � . �-! - / 3�' - Infiltration _ _ � G.tass , <�j _ / /�� `=✓� ` ;� ..3� �l,,,��°'� ,� - . . � � . .56 �- �. c��iG�'� . � 4ldSi : . . `-�, f-_;",e. //'- r �. f �� f�� i ''�1Sj3. tYE� z t,+' - �� ' F.1t�.'WII�i eZ S �°. _ - . �. Ec $ - �� T f ` t 4 A 1W�t ��. waD � �ty � / Z G� � Nee e:p. wail � !%�" � ` . /G��^'� [�t. �rail ;. , Int. Yrali - - ; , . , r � r +. Ceiling , , , ' `� "< : . Cei�ing .:�' J.S�� cs��: ' � Ftoor _ ��.*-s � ' Tot�) Btu. - � . .- , - �:-' Y � � ; j 2 ✓ � Floor t , � � } , _ : ,�, � < , : �'sOF� T'otal Btu. : , 5 ': �' :` � � � •,. .. -; �, :,� s t+ i - �-�... fi�� , EZeci��ire�d sq. ft. E�.l�. �r ��, sns. �.A. I�adcr aras . Required sq. ft. E,i9.�i. os s�. �s Cl 4:��c',.z �,sea � �� • r- i;:7%c-'/'� �C�RT � �Y;� .- : �tt�t�1 � Height �° � ' '��"_„""" . ' Fl.� �'�t.�e1✓a E�aom � I:��gt�i ;,�" ` �Jt�ih /`� : ��:��ie �''""' A ? =�liadows and �cass-�sa��3� aad Ar�a � Q • ,. _. " '�Im�ows and [?�r.�---�eaz��e; a;��d--Ar..a : % n _�,- '' T- � ,� C�:tatn ,Hes�C;'�- ^:c. ot Lincal ec. � Area . � .�- � . � Wldlh H t ht_ No. ot. �.IJr�cat L,. -.A{aa z��`w�"�a '' '"No, of pane � of garrs �- � I7y�le ot crack aq. Lt, - . � � �`� � � � Q S � = No. ot pana �of C�Fe'- iSByta •:� af pF2ck <s�.�%t ' S � k k __�.j � _y --�'� '�� `" = :��` '� - - „ ._T.' - . � �. s ��": `r � -v .. - - . - . _. � _ .— - �'�� '� _ � �-� E ♦ _��.�,� • �� . . .. � . . . . "d' "^�4�- w a . , ��'� � - 3 t,','r y�Y' _ . °; *i . , .. . � .. � , � . Coef. Btu . , , I , ` t � lnfiltration .. : �� '� ', eQ�f '� ; �a'&�i c G,lass . r� /�� Infiltration�Y c,t5� ,,. ,, $ '�l��'�. 1 <� � � �s n �.� - _ Glass :, , ,��'�,� �;� ; E�p. wati ; _n' ✓�''�`?�"�' �"O • Eap. wall � ' , . 4 , - � s a .. A�'ee e�p. vrall ,�/ 9 �. Net eAp. wall ; . ' Ine. wsll �'�2 t ��c,�{ Int. waU .. ; ,�::t; 4 � Ceiling � �' Ceiling ` `s ` .��'�s. cT .- �,! � '. N loor � ; ; . { �? � t. � !% s "�/..�c� Floor .`: • , � _• � ��O�d� �1t1. � � � � ` t� i � ; - : � ; ; 35`' Z , ' Total Btu. ` - , . � ; 3 � � ; , �:, ` `� �n�� Requireci aq. fY. E.D.R. a�� aq. ins. �I.A. I.eader area � ; � : Required sq ft. E D R. �pr sq tns �1J.t�:1„bad�r�e�� + �-F,. � � t . 1 .f ' � '[ Nf _,-� ��4, ,.,.'.''� . .� ...�• ..- :� �- �y��5��i. . ; � ,. ! �+— _" __ . q . _� F. . ' — _: . . ..._ ... . . __'�__.— '___ __ .� '- — —. -- ._.�— xf- . ��:ai".4..., _ _ ( �.�,�; 1 ��f� +� d ` ✓� I[ _ .. � . { } " t,.• ' � ! 3,.�5 S.} r1 '� �a 1 � � � d'` t = r � . -..:: s � ' F� ad� � y� pt . �' s� � � � ,�^� . � C � F P' r.•, g��.� �1 � � ' i( / . f : 1 C,.✓ '� 1. T�Yv�+ ��ltL/1\J �' .- a.�.5 . P� i- 1 fa., 4`h 4 A`y.�C,t§.a fJ�+ Yn ��,,�f - Y ^v .s� f ;' )��'o�a` +;{�« }� ��.Gdt�l�tStl7pS , Ei.S.H.� �. , , � .. COASQi�iCilOA RIO.' �` ' `, F � �El�{b;s�4fQ � - � Cauic3.s "; . � �� ,;, �;�- � �: � �ndows � Dcan _ !$aference Out. �(sU Int. �/all Ceilma ':-`; :; Roof . � Floor :, t` ` .�iiid =' .. r I��ga;r �'� es—I:o t Yes=No 19 r �; 4 ,_''� ; ' Fi.� � ; �`/t�G.�. Rco�sjL�ngttA.. � _ �elidth � Hei�ht `� �,°' 2 Fl.� R� �', R�a� Y�aVtb'' �;"T4°��ia� %E t t�lindows and Doors-erackagc aud Area - . �°Jindows and Doaas--Ctat�ag� �at�,�e.z� ';-�� ';;� • .,_ �ti'ldch HeiSht � ,PIo, ot LSaeal Yt: ; Area � Widtb Helaht _�� Nio. of Lfnes9-FL�� •tare3�._, �t' No: ot pane o! pane :ig�3e oL crack aQ. tL 1 - NO. Ot PanO Ot Den9 r llShU o! ccscL'-.' c8: fL -`_ '," 1' - =�J .s� `�,S- yi�� ' � � :��' 9 . ,. � _ .. . . ' ' . . . - � ' . . ?,:s � .� �`� C '�. - .. . ... � ' . �. . . � � - .,3 A (, f�s Z�' ' 1" .. . Coef. Bcu .. G: In�iltratioa ' -= � _ �- ` 3� �O tnFiltration : o� `n- � ; �y Glaas r/ c,� .� X'O ' ' .�: Glasa' � r . �,:� Fxp. wall � � , � �, -=� � ``" E.�p. wall 2 Z ' 1 ' l�et eAp. waIl - . � � ., :. �'. �'� 9 �✓ Nec eAp. waU � `::�� ft� lnt. �aa1i . , <;. � TAt. ' ✓8u : r S ! � �; Cei!'sn� � �.-�j •�f.'l�v P- Ce��ing ' �{; Floor - . -. Floor , , � I,r � •Y 1L, f� ,,..'.'.' ��.� � � � �, ' � �� TOid� BtII. .� �-> .. .: :: � . � . � , �� - . � . : � . ,. �'" � � . _.. � .. ~ . 7�.4� 5�.°i �.r, � �.a � �.. • .. Total Btu. � . , . _ :, .. ti. -? >� R�Lir� sq. fc. E.D.R. os sq. ias. Cs�.A. Leader area ;�: R ned �;��.A:'I:sa��-axea .`.- ` r;, � �' equ' aq. fG £.D.R oi :sq. tata. _< 2 FI.I f�� . i: �U, P�o� t L.Cn�tl�, � Z �lid�h � S Hei�he d='.. �, �� Fl,l � . U� ::- I3com ( l..es�h �°� �� l.a��= !t� ; I-�e:� 3�,�" :�II1SLlOWS BIIt� L�@OiS--�idC�BE aIIa AYC8 .: .� i' rt s; ��; t / Z=?� �lindows aQd Doois-Crackage a�d P�ea � > ' Wfdth �Ie1gDC da� o! Llneal tt. � Are� � ��„_— . � . . .� l � '` �. , if „� �� No. of Dane aY pana ' F:g'ta of ersek eQ. tt. f'% fi/ � V��dth Hetg6t No. of. L4acaj f�t: , Art3 ' si,a� .�p; -%•- No. ot pane ot pane lighla of ctaek `:�,. ft: F ^`' �,w x ry �„ a f : .� i�� '~ � � 4..�'! J � . � �j J . ' r. � �.)� ��, � �. �f3 � �]i� i �� cy � 6 . . . .. . /, �b ' � .s . . . . . .. . . . . _ _ k .fy�..V �_. l•.L } `1 _ ' . .. � �... .. . . . �7.' � . - � _ . � . . . ... .. � � , . � . . . .. . - � -i V - f .}e � ,' ; , .: ; Catf. -` �tt� . .. , f . a; � �ef. �� : � � .b.. , i: 1n61tratioa � y .3� � � � Iafiltration = _ ' ` . ' � �= .`� �' s�s4 - -�r,.� � .,; � Gl�s_+ ,:,: ��.-, - ° t . � _ t`� Glass �" ,�J ca� � Ea}�. �vali _ -� . , _.,� _ 1 ? Eap. wall � �t s frF%:% : # x Net eap. �wall ?. y SS /i� 1Vet exp. wall f, �,� �,'�p,.; � Int. wall , � - - T[I�. W8�1 .' :; y,_ t:d �' Y° n.:,� ° . Ceiling /�r"b -��:u� : Ceilin8 ' /fa ` _ -t . �� { Flnor ; ' . , ^' '� �..-;�- "`� ,�u'��. ,• _ - = Floor . _ _` ;'� � ' i.' ..f b .d t t �y Total Btu. ' • y b :. Total Btu. - ;: ` ,, ,, Y �r ..1 ?� �e Required sq. ft. E.D.�. 6F SQ, ins. �l.[�. i.eadta area _ � , f .� � r f F7. .. r`_ �-t;-� �ca�8 � _' Required sq: ft. E.D.i�. oi sq. ins A.A...�:e�,der`a�ea ;;�� ,E.z-, i� S�idtA i E�eiaht g�' : i,. �Fl.� �.�� L; ' icauill.�nIIeh r ;:, �1►as�i /�= Tr�s�ht'�'�; : "-.,��in�o�rz an� I3c�rs--erar.�age aad Atea Windows and Dooia--Craclsa�;e a�d:i4rea ; '_ • rt `� �- '�+i�iL tie�ai Na ef Ltneal Lt. . Area � - � Wtdth Helght � No. of LSneal,4f: ..Are3- .. y�� ;� No. o[ pann rt IIane 12gLta ot erack ca. tt No. of pane ot paao itghts ot c:¢c:cc .�y et; % #- k "- 2 i : � -� i ' a �-i i � r=�; _ � : � . . . .; . . - _.. , - . �. . .. " "r. ., r' �4a( r � _ . . -!�� -�-i - K i�;� . � . .. � . .. . �' . � .� i '. .. - , . . .. . � ' .. . .. . . -- ' � �Ti �+j-.,�r � L ,�� ... � ' . . � .. : A. J� ' � �xf �g? .. . . . ,�x s:l. Y ;�l , _ Cocf. Btu _ ., ,�£� � �r � � �, , `I�ltaatioa • �r,� , �,,-3 c� ' - - , �-'Ot�. : �t'�t r , � � Inhltratioa � C1a�ss , � % a � ,•�i je�- c�ass ; ;', t � , ,;" , �G��. iQadl �-' 1 - . � . � � . . . . � � [.7Lgi. �'Vd[i . . . , . h.. 1�y �'� � a t {�� ._ ;y � �N� k$�D. 6Y$� � d� � 1�2i C$p. WJB�� -i r c:: t s 3, ; • .,�, 7 � : dnt. vvai! � • . In� wali . �' yt` � - :' k ` Cei�ing _ � , .. �` � ' ; � f _� c�" Ceiling . - �.�_ �` �':�. _�c�'' P- ' �loor : _.....,-, Floor . i i - '� , :: Total Btu. '� �. yi�f Total Btu. . � ' `� ' '� t • %�{�4 � _' �$cQuircd sq. ft. E.D.�Y. oz ac�. ins. �'l.A. �,eaG�r area. Requi:ed sq ft. E.D.R..or sq irts: `�°1.1�.`Le.��^r s,ra , ` 2 �1. ,�;� �� , R«�� l.ene h �°J;dth ' g- HeiQht �_°- . , � � : t �- � « Fl.� ` �"�'' F3�na I L.ea�th a:. �`Jtt�tti s� I-C ��ist � � �linc�oxs and �car-Cr�c�a�e_and.Area,-�._: _._.: . . . . _ --_._ .-.- _-- �3lindows aad-�`ocr-�racLa�e �nr�Are��,•; ' it'�dth he;ghY 2Yo. qt i.7aeat ti. Area ' �`Y ti k� No. � of p�na of pana ii�hts ot crack eq. (L � 'wldth Helght � �' No, ot � Linea!_f:,� ..qsc3 � k � _.- {�" �'� ,�k ` �i ,.,.,, �. . �-r-a.,. �_-.�:•..,.. ._.,c,.. ,.,_,,, � NO. of . . . . -�.��. . -.�...,,.,.... _.__.. ..< . `. Dano - ot Daae ��. itghts � at crtek �aa. fc.� �:��<< � y;�.,i z �,�;. � _ � - . . . . � -- - -�r � . .. - -- � . . � . ; ; � �� . � � . . . , . . .. � - � z- r^ p,..�. �„_ ,,;;;��,.�„��. i - _ _ . . . ,� � 4, c .,.:. - . .. . . - - �4� r� . ' . . . � ' ' . {� . ` . . . � � ... � .�'�. `' C.i � Coef. Btu � � ` � L. J �n�t]tration ,C-�� , x �� Coef. '�2�t �OC70 In6ltration • F.. , Glass r;. Euqs. ��all Glass � � u�;: � � �let exp. �, �"~ Exp. wall Y - lt�t. �vr►jl wa!! .�- F �� , Nst exp. wall � r�'� _� � � Ceiling Int. wall ,:: _ � I � o' Ceiling -� `=� Floor _ �- .. �,; ' .,. � '� Eloor � ' • � ' _ . Y � ri � 1. �OiO� QZ11. �� ,. . , � � � Total Bcu. . : . . _ t � }. , ,a ReguiPed sq. fi. £.D.R. or ��. ins. it%./�. Leade� area, � .• - .- ' ` ` .i �! S Required sq. ft. E.D.R� o� sq. u►s., �TlA. L�acjer`��rea . ` ' �, �; h �; •:.� . „r, t � _ t ''i � . . . . , 4'. E .4 ` S ' � 6p",i- . ' '. _ _ . . ..— .,. _ .. . . . , . . — _ _ , d' i..'`� � � �ify of Fridley - �►PP�icdion 1� Plu�nbieq aed Gas Fi�ii�q hn�it Dspt. of Bldqs. Phon� 590-3490 DESCHIPTION OF WOAI[ Idumb�r, Kind and Locatfoa o! Fixtur�s Base 2nd 3rd 4th • Fu�ur� Coan�e!!oa Op�niaQs * ti�w Fixtur�, Old Op�niays PARTIAL RATE SCHEDULE S�w�s � PLIIMSING FIXTURE RATES: ,NO. RATE TOTAL i' "' � Number Fixtures . . . . . . . . . . . . . . . . 1r x 32.00 $ �, Future Ftixture Opening . . . . . . . . . . . -- x 31.50 S ��- �' � New Fixture Old Opening . . . . . . . . . . . x 51.50 E--- Catch Basin . . . . . . . . . . . . . . . . . . . . x a3.25 3 Water Heater ;Up to 99,000 BTU) .... �� x 53.00 $ \' ` � New Ground Run Old Bldg. . . . . . . . . x a3.25 $ El�ctrie W�t�r H�at�r . . . . . . . . . . . . . . s :2.00 = �AS FITTING FEES: NO. RIITE 'fOTAL lst 3 Fixtures . . . . . . . . . . • . . . . • —� x s2.00 ; -� � � � Additional Fl:tures .. . . . ....... . . . Gas Ran�e to 199.000 BTU . . .... . . . . .. REPAIRS � 1►LTERATIOtf�--R�f�r !o Cod� x ; .?b ; x 55.00 i '' � Description . . . . . . . . . . .. . . . . . . . ... . . ... . . . . .... . ... . ._ TOTAL FEE : ,�? C� . .J (j � . � �I� .S/ . �,�C City of P�idley: � G The undersigned hereby makes application tor a permit for the �sozk herei specified� agreeing to do all work in sMct accordance with the Cit1 Qrdinance and niliag of the Department of Buildinga, and hereby declues that ali the taM and representations stated in this applicatioo ate true and correct Fridley, Mian �� „ 191Z Q . Owner LI ! �/y%��% /�'� / �L�� Kind of Building - / R'�K�t Used as ��✓ �� To be completed about � G� j Estimated Cost, � I �f6J, � � -, �-, A�]!l--New. Building Permit No. Permit No. �' �k' i�� Signed � �%� �� VA'l ��✓�C' V . By �• Business Phune No. J � ROUGH FtN�►i, � �" 73 � HOUSE HEATING TEST RECORD ADDRESS APT. FLOOR CITY SUBURB OCCUPANT OWNER z HEAT LOSS DATE HTG. INST. GAS CO. METER BADGE # � SOLD BY j �"' INSTALLED BY "�` �'• Electrieal Work By Gas Line By ` ' TYPE OF HEAT GA FA �•° r HW STEAM SPACE HTR. UNIT HTR. OTHER GAS DESIGN MAKE � MAKE OF BURNER Model r"k't �=�', Model Serial Max. BTU Rating �' INPUT . MAKE OF FURNACE Model CONTROLS THERMOSTAT �"'' Heat Plug Valve Limit Limit Setting Fan Setting Pilot Type ' Pilot Make Pilor Model Pilot Timing -- L.W. Cut Off Vent Size KIND OF LINER DrafT Hood Filters Size — Chimney Loeation Chimney Construetion $moke Bomb Draft Door Pressure CONVERSION SIZE �' .� NONE Regulator Inside Outside ,� Wiring Test Tag—� Lighting Inst. — Pressure Percent CO2 r��' Date Tested J Input CFH Percent 02 { Company Testing �"' 'j Stack Temp. ` Percent CO " Nome of Tester Form 235 sue�ecT PER T c�ty of Fridley °- 15 3 7 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r ; � RECEIPT NO. � • COMMUNITY DEVELOPMENT DIV. /( ' ' j L'-'��', ( � F+ l � r � � PROTECTIVE INSPECTION SEC. � � t A� r-��1 � CITV HA�L FRIDLEY 55432 NUMBEFl REV DATE PAGE OF APPROVED BY � _�_.J �.i �.J 612-571-3450 910-F15 g�'7�'79 / / JOB ADDRESS 6190 Briardale Court N. E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. ]_[� 3 Briardale SHEET 2 PROPERTY OWNER MAIL AODRESS ZIP PHONE Howard LaBelle 6190 Briardale Court N.E. 571-9125 3 CONTRACTOR MAILADDRESS Z�P PHONE LICENSENO. Vinewood Builders 1508 Ferndale Avenue N.E. 571-0311 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW O ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK Construct a 20' x 6' Addition to rear of dwelling 9 CHANGEOFUSEFROM TO STIPULATIONS SEPERlITE PERMlTS REQUIRE4 FOR WIRf� N�A�IINf. PIUMBING AN� 'SlGN.S. w��G B�� t c�ft lo�r�t u,l�ities TElE�HONE. Et£C{f�;C - r,;��:; Ef�, ��ou��c �� z�,w TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR 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 FOF A PERIOD OF 120 OAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWIG. UNITS OFFSTREET PARKING I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $3,050 $1. S3 WITH WHETHEF SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIO�ATE OF CANCEL THE pERMITFEE SACCHARGE PROVISIO OF ANY OTHER ST TE OR LOCAL LAW REGULATING CON- $21.00 STRUCTI N F THE PERFORM CE OF CONSTFUCTION. \� � PLAN CHECK FEE TOTAL FEE � � $ 5.25 $27.78 ATUREOFCONTRA i0a0a THORIZEDAGENT , IDA � WHEN PROPERLY V IDATED THIS IS YOUR PERMIT C_./�./ SiGNA7URE OF OWNER UF OWNER BUiLDERi iDATEI DG iNSP ��FT - y CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDIP�G PERMITS (New, Alterati'ons, Additions, or Rep irs) ,� � OWNER: �� s��'��- BUILDER: , j �f � e � /u c ADDRESS: �7 �� %a��- ��' ��"�ADDRESS: �-S� � •T��.,.�c�. �`'„ e TEL iVO: � ��—�/�� TEL N0: �� /� � �� STREET NO: • � e' � STREET: L07': � � BLOCK: — Construction Location /.�.I� V �•GG,Z. 4"� -� A� � ADDITION: �� Corner Lot: Inside Lot: Setback: Sideyards: Applicant attach to this form two Certificates of Surv�y of lot and proposed building location drawn on certificates to scale. DESCRIPTIO(d OF CONSTRUCTION � . �i �1 Front: Depth: �v Height: Squane Feet : / �'`�' Front: Clxbic Feet: Depth: H eight: Square Feet: C�.ibic Feet: � Type of Construction: �,�e��z.�, f Estimated Cost: $ � �� -��C�S� � Zb Be O�mpleted: �� Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: $ $ SEE REVERSE SIDF OF SHEET The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application� true an d correct. , � ., / DATE : � � � � � � S I GNATLI RE : 0�--�+*� ''� Stipulations : Gs� '� ! �o� p �' �, �a � � i.�3 ��, � � � �t ° � � BUtLDIIJG PERf�1IT FEt SCHEDULE S�CTION 2. 'i'he In:;pectar oi }3uilding:; shall, before issuing pennits for the erection of any building or structure, or for any addition to any existing buildiny or structure, or for any alteration or repairs to any existing bui.ldi.i�g or structure, upon application thcreiore, require the paymenL- by the applicant for such permit of £ees to t-lie amount herein below set forth and i.n the manner herein provided to-wiL-: • NLW CONSTRUCTION: Single Family iiomes and Garages: $4.00/1,000 cubic feet. PLAN CIiECK: 7.5 percc�nt of building permit fee. DRIV�47AY llEPRESSIOPd: (Concrete Curb Streets Only) ' Alternate A: Removal and replacement of concrete curb and gutter only; Driveway width plus 6 feet x��,�,�5 Alternate B: Removal and replacement of concrete curb and . guttear and install a 3 foot wide approach with �� 6 inch depth; Driveway width plus 6 feet x$17.85 ADDITIQNAL INFOR�TION For the purpose of computing fees for building permits, the cubical contents of any building or addition, is determined by multiplying the ground area covered from a point six (6) inches below the floor line of the basement or th� cellar to the average heights of the upper surface or to the average height of the roof surface of ihe riain gable of a pitched roof . For repairs or alterations to an existing structure, the fee shall be at the rate oi $3.00 Per each five hundred dollars ($500.00) or fraction thereof in the cost of all proposed work. In�no case shall the fee charged for any pexmit as set forth in Secl�ion 2 be less tlian $7.50 plus $.50 state suxcharge. ' L�IaI:��:ii.� � � ►1 � NOTE: Perniits for construction will be issued a mini:minn of 24 hours from the time oi appl.ication to allow for-proper review of the proposed structure and of the construction site. A Certi�icate of Survey of the lot, showing the location of the foundation once it has been constructed will be required before proceeding with the framing. C :—_ �_ .':1 Application for a Certificate of Occupancy shall be made ten (10) days prior to the use or occupancy of any structure for which a building permit has been issued; and said structure shall not be used or occupied until a Certificate of.Occupanr.y has been issued. _ � - � : a �-�6�� c�� — � �`%� �,�.� � ---- �j ".'��---� � ry � � ,¢"1-�--G� . /G'C� J�� °�'�`" �"� �( � � e � r�, i � . � I ►.�r � � �C ?>=� ��'� �:,��(�o'�' G�-� � 0 ,/�,�,� �-o.. f� Q,,L��s•� , , / i,,, � P r � � � � SuBJECT City of Fridley AT THE TOP OF THE TWINS g � I L D I N G P E R M I T ( f 1 1 � � � COMMUNITY DEVELOPMENT DIV. r � ~ � PROTECTIVE INSPECTION SEC. i � 1 � l--_-�,��;•, CITY HAL� FRIDLE� SS132 NUMBER NEV OATE PAGE Of i 612-571-3450 910-F15 10/17/97 / / J08 ADDRESS 6190 Briardale Court NE 1 LEGAL LOT NO. BLOCK TRACT OR AODITION DESCR. Z�F 3 Briardale Addition 2 PROPERTY OWNER MAIL ADDRESS Howard LaBelle 6190 Briardale Court NE 3 CONTRACTOR MAIL ADDf;ESS Same 4 AfiCHITECT OR DESIGNER MAIL ADORESS 5 ENGINEER 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW MAIL ADDRESS ZIP ZIP ZIP �5E12 � RECEIPT NO. ��...+ I J APPROVED BV SEE ATTACHED SHEET PHONE 571-9125 PHONE LICENSE NO PHONE LICENSE NO. PHONE IICENSE NO � ADDITION ❑ ALTERATION �7 REPAIR O MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House & Garage (22 Sq) Tear-off 9 CHANGE OF USE FROM STIPULATIONS TO Underlayment must comply with the State Building Code. TYPE OF CONST. SEPARATE PERMITS ARE FEOUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING AUTHORIZED IS NOT COMMENCED WITHIN 60 DAVS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOii A PERIOO OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS I HEREBY CERTIFV THAT I HAVE READ AND EXAMINEO ?HIS APPLICATION 1 AND KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS VALUATION AND OROINANCES GOVERNING THIS TVPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT �1,834 DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pERM1T FEE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING coN- �59. SO STRUCTION OR THE PERFORMANCE Of CONSTRUCTION S�GNATURE OF CON'RACTOR OR AUTNORIZED AGENT IOATEI �u�% �a�� iGNATUREOFpWNEA�i:OWNERBU4DERi � iDATEi OCCUPANCVGROUP OCCUPANCVLOAD SO. FT. CU. FT OFFSTREET PARKING STAILS GARAGES SUFiTAX $.92 ire Sc $1.83 A� FEE $62.25 iIS IS VOUR PERM� /�y/�r . qF7E N L�� nD�N ALTLI� (I (1 (J ' CI'CY OF H'IZIULLI' � S(1V(GLL FAiY1ILY AND UUPLE�ES R-1 Al\TD R-2 f3UILDING PERMIT APPL[CATION ConstructionAddress: �'�9D /�,�i��s�,lE' CT �,�l�,�F ��v Legal Description: rrr��, vli9� �,o -� a s � � a-� Owner Name & Address: �eJL��.��jfp'�-�l� Tel. # y�/r�'j��i� Contractor: MN LICENSE # Address: LIVING AREA: GARAGE AREA: DECK AREA: oT�x: Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed constn�ction drawn on it to scale. DESCRIPTION OF IMPROVEAZE\T'T Length �'idth ��i��t S�. Ft. L.ength Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. 1 �� f�ri�ts� ��°��- �� f'1' �,E�.� O�� Construction Type: Estimated Cost: $ �"� '> j� � (Fee Schedule on Back) Driveway C�.ub Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: Q- / 7- y 7 APPLICANT: � �'�G�� Tel. # y'�i -��-� Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge �riveway Escrow Erosion Control Yark Fee '�ewer Main Ctiarge �ro�r� �. ��r�t�vl.n�r�o��s: $ � `/. -�`` ! G j $ i.��, � %.� $ $ $ $ � $ i � � � �.�� CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.50/$1,000 Valuation $950 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Att_ "I3" Above $450.00 Conservation Plan Review Fee Determined by Engineerin� Agreement Necessary [ ] Not Necessary [ ] (tU1i,U1NG ('(�;[1:�1I'I' I�EE SCHEUC'[,t�; "l�lie (,Il1Cf I3UIICIIR� Oft�icial shall, bcfor� issuing pem�its for tfic crc:ction ol any building or structure, or 1<�r any addition to any existing buildin� or stnicture, or for any alteration or repair to any cxisting buildin� or structure, uPon application tl�erefore, require the payment by the applicant for such Permit of fees to the amoi�nt herein below set forth and in the manner herein provided to-�vit: TOTAL VALUE $1 to $500 $501 to $2,000 �?,001 to �2�,000 �25,001 to $50,000 ��Q,001 ta $100,�J� $100,001 to $500,000 $500,001 to $1,000,000 $1,000,001 and up FEES $21 (Minimum Fee is $21 plus surcl�arge) $21 for first $500 plus $2.75 for each additional $100 or fraction thereof, to and including $2,000 S62.25 for firsi S2,000 plus $12_50 Tor each additional �i.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 $�0,000 �574.75 for firsi $50,000 plus $6.25 for each additionai �1,000 or fraction thereof, to and including $1p0,000 $887.25 for first $100,000 plus $S_00 for each addifion�l $1,000 or fraction thereof,.to and including $500,000 $2887.25 for the first $500,000 pius $4:25 for each .addifional . $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 ESCRO�'Y (Concrete C�rb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Drive�vay width plus 6 feet fimes $13:50. Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approac}1 �vitll 6 inch depth - Driveway width plus 6 feet tiines $15.7�. VER[FICATION OF FOUNDATION 'c;i-mits tor construction will be issued a minimum of 24 hours from the time of a�plication to allow �or �ro��r :;�•ie�� uf the ��r��osed stiucture and of the construction site. ��:�crtil�ii:at� c�t Surv�v <�1 tlle l�t, sl�owin<, the location of the f�undation ��nce it has it has hc�n c�nsir-uc=c::i �: j,_ r�yuir-�•ci 1��1��,rt ;�,„�._c:��din�� iti� ih� I�r�imin�. � � ��. :.,; ,�� : �r,�' _Y . . j �4 � �� i + ! i.' 11( _ �J . � � ». • ,�.'�" �+ � 4 t1,I� f . � l � i . r �, i 1 a -` / ♦ � �`�� •` C� l 9U �� <�` �J rl �� ' 7` �C� � �� G�� -� �--� l l - �� ; ;1{;. �►. < , - / ) �� /y� /�� r��e��C� _°� �� -�� l�° �i ;1 ..- ��'. "✓' . . u `�� 3�'-.e • � , .�► _ t� �� L�; _ �''� �. ��r.�- .� � a �� , - �. � .�� ;�-4 ., .� _ �,��:�� , � , , 'ti� .�:� � , a 1� .�,R_ 1` 1 , +`` � �, � �' , � � � : � � � Y , ';� •. � , �: n � � y� jp�y� �� ;� � 1 o 1�� /;J�/��'J�7L� ��C� � � � �eJ� <� � //- i��, . ��-� �.,; w.:,��>� sue�ecT PERMIT R . c�ty of Fridley 310 5 AT THE TOP OF TME TWINS g U i L D I N G P E R M I T r ' ` RECEIPT NO. � � � ` ____ COMMUN�TY DEVELOPMENT OIV. � ��S r � � � PROTECTIVE INSPECTION SEC � � � � � � �"'1 � CITY HALL iR10LE� 55132 NUMBER pEV O�iF v�GF OF �nvpOVEO Br �""�� ' 612-571-3450 9t0-F�5 6/12/00 � � J08 AODRES�i9O BRIARDALE CT.NE t LEGAL �OT NO. BIOCK TRACT OR ADOITION SEE ATTACHEO oesca. 14 3 Briardale Addition SHEET 2 PROPERTY OWNEfi MAIL AODRESS ZIP PHONE Howard LaBelle 6190 Briardale Court NE Fridle 571-9125 3 CONTFACTOR MAIL ADORESS ZIP PHONE IICENSE NO Same � ARCHITECT OR DESIGNER MAIL AODRESS Z�P PMONE UCENSE NO 5 ENGINEER MAIL AODRESS ZIP PHONE IICENSE NO 6 USE OF BUI�DING Residential 7 CLASS OF WORK O NEW O ADDITION �1 ALTERATION ❑ REPAIR O MOVE O REMOVE 8 DESCRIBE WORK 27'8" x 18'4" Deck (Treated Cedar) 9 CHANGEOFUSEFROM TO STIPULATIONS Stipulations - See attached plan. �� S RE�RAiE PERMITS �� i�� a�l� �ar UIRED FpR_ �ii t�i ��i��a p� M� QINGG� N nN� 454-0002 d s�slus ��tN�� Y ��4W TYPEOFCONST OCCUPANCYGROUP OCCUPANCV�OAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, MEATING, VENTI�ATING OR AIR CONOITIONING TMIS PEAMIT BECOMES NULL ANO 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 ABANOONED FOR A PERIOD OF 120 DAVS AT ANY TIME AFTER WOfiK IS COMMENCED. NO DWLG. UNITS OFFSTREET PARKING 1 I MEREBY CERTIFV THAT I MAVE READ ANO EXAMINED TMIS APPLICATION STA�LS GAfiAGE$ ANO KNOW THE SAME TO BE TRUE ANO CORRECT ALL PROVISIONS Of LAWS yqLUAT10N SURTAX AND ORDINANCES GOVEi;NING TMIS TVPE OF WORK WILI BE COMPLIEO WITH WMETMER SPECIFIED MEREIN Ofi NOT TME GRANTING OF A PERMIT �4 � 700. OO �2 . 3S DOES NOT PRESUME TO GIVE AUTNORITY TO VIOLATE OA CANCEL THE pEqMtT FEE SAC CMARGE PROVISIONS OF ANY OTHEFi STATE OR LOCAL LAW REGULATING CON- STqUCTION OR TME �ERFORMANCE OF CONSTRUCTION �111. ZS F1T SC .�4. %O P�AN CHECK FEE TOT � FEE 1 8.30 ' $�GN4TURE O� CONCPACTOp OR �UT�+Op�2ED �GENt �O�rE� EN PR P � VALID TE TNIS IS V Up PERMIT �� a /1�oa �� $�GNAIUAEO�OWNEQ��OWNEABUiIDERi iDATE� BLO ��So � ��E � •.� NEW [ ] Effective 1/1/2000 AD�N [] CITY OF FRIDLEY (763) 572-3604 Bldg Insp ALTER [] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMITAPPLICATION �� 1� �r� �/� l �►_ 1J � Construction Address: ��a f�.�,�� 1= � Legal Description: Owner Name & Address: /S�r��,�,�.�d�'�� __ Tel. # Contractor: �� MN LICENSE # Address: .f� /9U �.�/I3,�'-�`d.� u� Tel. # �o/� � S`�l -9/3y� LIVING 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. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: OTHER: Length �? 7�� Width f�' Y`� Hgt/Ground �" Sq. Ft. �d�v �a�x� �D Construction Type: T'��d /'�r%-L' Estimated Cost: $_� �d� -� Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: �o'>'Q'd APPLICANT: � . ��'v��— Tel. #/a��S7� ��3_�— CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application Permit Fee $ ll �✓� Fee Schedule on Reverse Side Fire Surcharge $ f ��D .001 of Permit Valuation (1/10th%) State Surcharge $ ,�2'�...3 S' $.50/$1,000 Valuation SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ $1100 per SAC Unit $ $5.00 (State Licensed Residential Contractors) $ Alt. "A" or Alt. "B" Above $ $, $ � 8.�'� $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 pernuts 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 $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 C�rb Streets Only) Alternate "A": Removal and replacement oi 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 Pernuts 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 �, � trl . � U � �. ,� :� � U � ' �� I � � � T �I I c � --�1 ! -. �' � � �� v �' Ot� CT� OC� � k s D O/ S ^ �G�\ S � . � � - � � d y � .J v � �,r �J � J �� J � c.. � cQ �y y /J 'V r1 �o � � ,- 1 � � /� � V �J � � , ` � , � �, � � . � ° � �1 2 J. � � ( � � � � � 1, (/ ' f v � � � �Q � i— � i�� (�.. / � ��r `�°l — c� �� , � \� , 1. ' lc� � `',, � „ �' '` Z Q ., ` v ` � q L' I �J i � ♦ � � � � � � Q � � CITY OF FRIDLEY INSPECTION DIViSION 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE Resider�tial Furnace Shell and Duct Work, Burner — Also Replacement Furnace (Side Vent — Fill Out Back) Gas Piping (Needed with new furnace, but not replacement) Gas Range . Gas Dryer *AirConditioning — All Sizes All Others/Repairs & Alterations (LIST ON BAC� 1% of Value of Appliance or Work Commercial/I ndustrial 1.25% of Value of Appliance or Work Rate TOTAL $ 30.00 $ $10.00 $ $10.00 $ $10.00 $ $ 25.00 State Surcharge TOTAL FEE Effective On January 1, 1999 JOBADDRESS �-� � `� � ^�.�i1 QYC:�C��,' �� • The undersigned hereby makes application fcr a�ermit forthe woiic herein specified agreeing to do all work in strict accordance with the Ciry Codes and rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. / � �a ;�- �G�G� I � OWNER i �' �� ;+' ` 1-C� l.0 �.-C`3i_�-_�— �., BUILDING USED AS ESTIMATED COST / ��__� � l\. �, 4, PERMIT N0. i �-' _e' � ` ` $ DESCRIPTIOM OF FURNACE i4ND OR BURNER $ No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Trade Name Sizs No. BTU HP EDR $ Fuel Total Connected Load $ .50 $�o S_SZ� MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining properry owner. Burner Trade Name BTU � Size No. EDR - , �-,. HEATING COMPANY ' �' C� .� �, s�� rl� l-� .% � Signed By .-�,�-c ( Tel No.��, _�"" �� -"1.� L-(r Approved By Rough—In Date Final Da� 1��,��' ��i �CK SIDE FOR S ACK VERIFlCATION ON REPLACEMENT FURNACE �S t(:� �l�s �s�-� ,��f� F_�--:�� , d � :- �� 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 cunent Code requirements for size and total BTU's connected 6 Has total heating BTU's of All other BTU's TOTAL BTU's Yes ( ) No ( ) Yes ( ) �To ( ) Yes ( ) No ( ) Yes ( ) No ( ) 7. Has a liner been provided for water heater Yes () No () 8. Has combustion air been provided for water heater Yes () No () Remarks: List ALTERATIONS Bein�Done: HEATING CO: Signed By: Date: