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AF - 36576City of Fridley, Minn. 6431 University Ave. N. E., Minneapolis, Minn. 55432 BUILDING PERMIT Date: - Dec????bea- 27 a 1972 p��; _$i�,��d Miller Homes g�der Same �d�� 1600 Rice Creek Roady_Fridley�_ Address _...Same _� ___...___._._...._.._..__.__._._. � 11914 - \ LOCATION OF BUILDING No. 1650 Street _.._Briardale__�iiE Road N.E-'-------.--------------- Part of Lot ..._._......_...__._.__._._..._..,, Lot 1 Biock _...___.3 ._..._....._._.__.... Addition or Sub-Division ._._ Briardale Addition Corner Lot .� _ Inside Lot �__.Xr.�_..�_ Setback ----_.___35.'_._.__._---_ Sideyard ......_5.�__&__l� �__.___�_� �� IIevatian 2QZ..fi.Z---- �o�(���(t/�dnl �d�i'16� ---_..2i 0_x_�.7..._.M�.n imum _._�....__ Wye Top of Footing DESCRIPTION OF BUILDING To be Used as: 1056' _DwPlling Front _!±�'_._. Depth �2!+'_ Height ...._.20�.__ Sq. Ft. __._960'___ �. F�, 24 686 Total ._ _�.___ �gf' _._.__._ Front 19 �$�� Depth 22 �._ Hei�ht .._.--10-�---• Sq. Ft. .-----_.433_'. Cu. Ft. 4 330' ----._..�........_ Type of Constxuction �_T^I.00d_,.Frame �, Est, Cost ...�30�749__.._._,._.____.____. To be Completed _._June� _1973 r Stipula.tions; Provide a hard surface driveway. Provide a verifying survey before capping. Patio walkout is 8" ab�ve garage floor, elevation to be set to provide drainage for rear dining room windows. WATER LOCATION: Stop box 36' East of Hydrant. 41 feet S.E. of Ma.nhole SEWER LOCATION: 8' & West of Manhole In consideration of the issuance to me of a permit to construct the building described above, I agree to do 'ibe proposed work in accordance with the deseription above set forth and in compliance with all provisions oE Ordinances of the city of Fridley. . �ks�s:��L.�'��_C--�,� 15.37 � tate Surcharge In consideration of the payment of a fee of $�.8g.._.—.__., permit is hereby granted to_._.$icharr� Mi 1 1 ar gomes to construct the building or addition as described above. This permit is granted upoii the express condition that the person to whom it is granted and his agents, employees and workmen, in all work'" done in, around and upon said building, or any part thereof, shall conform in all respects •to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings yyithin the city limits and this permit may be revoked a t any time upon violation of any of the provisions of said ordinances. ��'�'�"� ����2�'/�___� Building InspectOr DARREL CLAR.K ;I NOTICE: This psrmit does nof cover the construefion, installation for wiring, plumbing, gas heafing, sewer or water, Bs sur� to sp ths Building Inspecto� for separafe permifs for these itemz. e � ►a.+d rio�R,„o s/�("// ��Ill �� •�rs H�wAJr PN. �i N.l. ldnd iv►v�y�n9 t • • ( M�nn�opolif, s,��. T.►���! (' !� (!If'Pll1� � ��il�'. M�„�. ss�si ��v�l E�qin����n� � �� f�l�'I�ow• l��-�0�• Mun�c�pal E�yinee.�nq En�ineere ic Surveyorn Ar�o Cod� 612 t i f i c at e o f S u r v e f or ?i�-�+'�'V �Yf iL� C-� /70�'�1�+5 C�r Y ,�� l � NOR�'N BR/ARDAL� RDAD N.E R-161JQ c )��7 — - ---C._._ ,O � -p^ / ; i o_ , "�_ � ►� �Nrn.�Q Q 0 U .,o-,� ,�8 '�E �� I ,a� �`TI2St►7I I O I N�' I' 1 1 '° s �o � . .�-r- � , r �a_ �. . . 5 N.� .� � .� � �r � ��. n -15.00 , �� I 3� I DA l.E � � C �y � �Qnoiti tron monum�nt �.n0 Cl OV11 I- -- --� ��no�t� �rou�o�a t U�i�i�V EagQmQn� � � 1►�reb� c�.�ily ti�af 1hi• i• e�r�• onJ �tN�ft� r����n�etien e/ r wr��r •1 �h• bev�d�ri�s �( �b• s�o�• d��cribed lond, on� •f tA� i�cetio� �1 •II ►�ildi s, th�.��n, and all visibl• �nc�oocArn�wt�, ii o�, /��T M M ssid lawd. A� tu�w�y�� br r�t Il�i► roy of �� qc�f j A.D. 10?L_ 1►nc�, _ � � � ie� . .:�cnic�, �� SURU��AN EN�i1NEi�INO, INC. Enyin�o►f SYr��r�It b�: � c Q �� i�- i,.—�,---- G n 5�=w����� ,� ,� � � �ij �=_ > �� G r-_ ;; �.�,. ,- ,�� rL�_�i �%�7 �� / -f-� �� o r= r�� o-= r�,� �, �r� �,�,, ,, �� j/. c� / a,� 7 , S l-_- i� ✓' r F- ��� �� I I. S (iV (= 5 Y. a� ��- o N 3 �� j l�� �, p �' .�� ,:� - � D �� 7CJ � t ,, r ' �- ', 3 G � (� /-� 5 � �li' S, c. G�= � r- �-� y ��. �,� , �. , 1 . AP���C�TIQ� FQ� RESIpE�T�A�, A�T�R,ATIQN, QR ADpITTON B�ILDING P�RNjIT GITY OF F�I���Y� MINN�SOT� UW�iFR' S NAME : BLTILDER :, icNA K'� � i i1�% i�( OM ES w • ADDRESS : Aa�tESS : /(d� � i�E C�iZEF�L � �"�9�, ��.iDL�/ � 3�,,,l�� � S'iR��i l� (c'_ i�i2 �.� 1L K,Od � ,.....,_ .^ .,,. . Lc�r; BLOCK; � AAA�TZONs �r2 iA 12 �/�-L� .... . �R LOT : �N� � LO'� :, �C X , S ETBACK i 3 5� S I DEYpRD : S� (� ± ��i�� �#.�c}� to th� �+QSat�i,o Certificates of Suzvey of Lot az�d proppaed �ii+��g �acatifln dr#� va #�e�+e �ertificates � — fl�SCRIPT�ON OF $UIL�ING � �� ii��d ,4� : �w���;�� �_ �� I�+th: Z.4� AeiBht: Z�� /�-J �- sqv�a�ce a���; 9� o cu�� ��ec: f�- � y, �-��� iv��� ��(-2.4t�� �rca��: /�`l`� / Depth; 2Z.� Hei.ghtt �tD� �. , �qua�e �'eet; c/ � Cubic Feet: ��7 5��.�C? �T vv (� �►#�a o� �onstruc�i�A� ��fK� Estiaated Cost • �-'>��� %/�/', $ ,,,,(�8 �c� �+ �l��.�t�cls ,�4--�—�3 . � 7�►et u�td+ar�pigxted hereby a�alces ap�lica�ivit €or, a per�ni.t for the wo;k hsreit� •pe�l,�ied, agxeain$ tp do a�L T�Q3rk in sttict accordance with �tte C�.ty of F�'l.dl�y' t�xd�asices �4 �[uli�a �f the Depar4�nen* of Bu��din�a, � he�reby ��.az+e� ��, a�l �h� �acts �t r��resentations s�ated i� �his appli,catian �� �rue a�d caxrec�, . 1�A,'�Fa; e c 2l I� 7�. S�GNATGT�E : �.�lcaR� ���?�+�G�'�lc'. �. .. � ��fo �+�v�;.� S�.d� Fo� Add#.R�,onal Infos�ation,> ? . . �; ; �,. ,� � � f" ; .l��z.< <� �ti� � ��.��� �� ��� �� � r'� � �t-��' ' , � � �� � � c� �� ,Q.t..�� . S � ? u? ,(..�. �� G`� -(-� d�' '� ,�. �E R, LI'v � �t.'1 .C.�f9' �.�+�"" �� � .�'�v �ee> ,Q-�-� � �% �� � '� Cl.t�'La. • -! -�� t^�'L l�-� G�-��"t'`'-yl �.�t'-r'� ) ,�-��� ,- %', ��-�"�-� ='-� � � , l; � �UI�AIN� P�RMIT F�� S�H�pULE ���T�QN �. 'i'he Inepecto� pf auildings s�al�, befoxe �asuing perniit� for the ex���ion of a�y building oX s�ructure, ox for any addition to any s�isting ��i1di�,g ox struGture, ox fo� any alteration or xe�airs to any exi��ing ��1�i�ing or stzuct�re, upo� �ppl��ation therefore, require the payme�t by the �:�,? i��t fpr such per�mit o� fses Lro the amount herein below set fprth ari;d �.n ��� man�ex hexein px�QVided �a-wit: UI+IIFORM BU�LIIING CODE; Type 1� 2& 4-$2.I5 �or each oxte thous�nd cubic ,����, p� fxaction thexeof, in suah eubical con�ents. �pe 3& 5-$�.�85 fox� e�ac.la one, �k�ousand �ub�c feet. A�D�TI�I�AL INF��MAT�ON Fo� tkte QuxgASe of Campu�img fees for building permits, the cubical contents of any building or addition, i8 dete�rmined by mul�iply�.n� the �raund area $aq,e�Ceci ��cNm a poi�t� s�x (f�) inches below the floor line of the basement p� t.�e Ce3-la� to the average heights of the upper surface or tp the averag�- �i,gt#t �f �e �oo� �u�face a� the mai� gable c�f a pi�.ched xoo�, ���irs ox al���ca�ioms �u an. existin� stn�.tuxe, t3ie f�e shall be a;� the ���e fl# $3.�� �x e�t+�h five hµRdred dollars ($�OO�OQ) wr fra�Cion th�r�of in t„}�� co�� o� all prc�pc�sed wo�k� �� caise sha�l Ch� fee cha���d fox amy pex�it as set forth �.n Saation 2 be 3.�is t,.�an $5.04, � V�R����AT�QN �� ���7NAA'iION �IG�1 Psxmits �ox ��ts��tct�o� will be issued a tsi.�i�mum of �4 hvurs f�am the .�� o� ap�licaticsr►, �o �t2�ow �ox pra�rez review of the pxapo��c� s�ru�ture �id p� �e �stxuction Si�e. ' �����.�.�i:pd Su�t�'ey o� fi.he �-a�, �x�ing t� locat�.a�, of Ith� foundatiott, Qz:c+� �.� �a,� ix�� �o�s��t�d„ will b�e �ec�uired be€ore proceedin�, wi�h th� �r�i�g, C�R�TFICA'i� QF O��iJPAN�Y A��li�a�ian �¢x a�e���.�i�at..e a� Occupancy ahall bs mada �en (1Q) day� pxi.ox to �h� �se px accupa�� af �ny atrtxcture �ar which a, build,�.ng pernti,t has been issued; �d s�id s�ruGKtt�e i�ha11, �ot be used aa occup3ed until a Certificate o� Q�a�upaz�cy ha� been �.ssu�d. C 560-3450 l�c�t o ��i d �e � � ANOKA COUNTY 6431 UNIVERSITY AVENUE NE December°�1, 1972 FRIDLEY, MINNESOTA 55421 TO WHOM IT MAY CONCERN: Whereas the City of Fridley has is ued a building permit to construct a structure at /�,S" ,�/1����2�c> �QG/. Whereas the permit is dated prior to January 1, 1973 and tfie City of Fridley did not collect or receive any "Service Availability Charge". Therefore if for any reason the Metropolitan Counc'1 and or the rletropo?itan Sewer Board assess or bill the City af Fridley a Servica Availability Charoz for this structure or sewer hook up, we the undersi�ned a�ree to and will pay the City of Fridley for said charges. ��� Witness T tle 0 � City of Fridley r •, T►,� ToP o� TNE rwu+a ; �. r �'L"--'--� COMwUNtT� DEVi1,.0/MENT DIV, � � � rROTICTIVR rl�/iCTWN O<►T, �l 1 r"'� i pTl� MALI iRi�Ri ���Q 4.�_.1`.� ..! N3' �s0' 3N0 53-81 -879. ol iu��[GT Job Address 1650 N. �'. �ri�.rdale Ave. ner q Gerow Contractor Kind of Building Tr3me omp etion Date ;-15-?!� I � I W I I I i I I I WI I I a _,, '� �� I � i j--- � I ' iI I ; � ( ; i i � a�Nra � � � i I s�� I i II I � I I � I 'lddYl � I --I —� �I av� I I � � �x�� I � II '751NI I I I � II — II i •saoi � � j �I •enNival I I I I � � -- �, � � � •U a � a I SNISYBI I i � I � %� H�lY�� � I I � I � I yy � aa i:. I � � sNivaal I I I I � C� 0 G tl001� o � O•o I saa,woHsl ` f I I I � oa� ► I I � b 'ltinoel I ( I I PC'O �Niaa I I � .a pq sevall I I I I � (,�� H$VM — z °H"�sl I I I I I � � d � s � � iNIfY� �ani Mtva airNirn Y71YM � � � � • � 0 �l � eFl eo �v /C� - 3�' - >�� ,;�� �--1�- �� t, I! II I 1! � PLl1MnIiJ� PERf1IT QPPLICI�TI,�i1 1 ress adress pr �3� NIAFcQUE i TF AV�NUE se � MPLS., MINN. ftes. one ��� � l�;stimatea (;ost 20.00 Plumbing Fixture Rates: N0. RATE TOTAL Number Fixtures x $2.00 �_ Future Fixtures x $1.50 New Fixture-Old Open. x $1.50 Catch Bastn x $3.25 Water Heater-99,000 BTU x $3.00 Ground Run Old Bldg. x$3.25 Elec. Water Heater x $2,00 Gas Fitting Fees: j i � lst 3 Fixtures x $2.00 � Additional Fixtures x $ .75 j Gas Range-199,000 BT[7 x$5.00 ! i �Repairs & Alterations IDescription; `�onnect Range & �ode 10.00 I � � State Surcharge Class �`A��`' Surci�ar"e ���.. .50 i I TOTAL FEE $ 10.50 I !The undersigned hereby makes application for a permit 'for the work herein specified, agreeing to do all work in strict accordance with the City Qrdinancea and ruling of the Department of Buildinga, and hereby declare that all'the facta and representationa stated in this application. �r r,p and co�r ect +:../ l.Rf,:�� p� �z�,•,►� � 'Sienature ' nare ! . t . III 7 RICMAAD MLL.LER INC. i; ` • � � �. � . � : . . � . s_ .. . . . .. . . �- inlX- i4 Li - . . :IMAGINEERS June 20, 1973 Fridley City Council City of Fridley 6431 University Avenue N.E. Fridley, Minnesota Gentlemen: 0 I would like to request a 90 day extension on 17 building permits for the following addresses. These houses are all located in Briardale Subdivision. 1616 Rice Creek Road 1650 Briardale Road ' 1620 Rice Cr�ek F;oad 6151 6enjamin S�reet 1605 Woodside Court 6141 Benjamin Street 1619 Woodside Court 6131 BenJ amin Street 1629 Woodside Court 1601 61st Avenue N.E. 1603 Briardale Road 1611 61st Avenue N.E. 1613 Briardale Road 1621 �lst Avenue N.E. , 1623 Briardale Road ���� ��st Avenue N:E: Iam requesting this extension as there was a lengthly delay in originally processing these permits and at the time I felt this would not create a problem. However, there is now a�hortage of ready mix concret2 and concrete blocks and many of the builders have been put on certain rations of these materials. Tf�erefore, it appears that an extension will be necessary. I hope that you have had an opportunity to drive through Briardale. I am personally very proud of the houses we have built here and I hope that you feel they are a credi� to the community. Thank you for your consideration. • Si nr�"�e yy , ;�i�hard N. Miller :cs . , L . 786-1600 16Q0 RICE CREEK ROAD, MINNEAPOLIS, MINNESOTA 55432, AREA COQE 612-�.8� r ♦ .. � � ; � . .,� '� °'J�� ` � i I App�cation 4�a''ow�r Ploitfs and HtaMng, Cooling, Yentilation� R�ig�ral�ion aed Air Conditioning SrstNns and Devic�s PARTIAL RATE SCHEDULE GRi! V*TY WARM AIR: �� ?��, lh�raace Shell & Iwct Work . . . . . a10.00 � Replacement of F1�rnace . . 6.� � Repairs & Alterations--np to =500.00 g.pp ;___ _ ___ Repairs d� Alterations each add. =500.00 , g.pp �_ ___ _____ MECH. WAR� AIR FLrnace Shell dt Duct Work to 170,000 BT[J .. ..$10.00 ; 10 . 0 0 each add. 60,000 BTU . . . . . . . . . . . . . . . . . . . 3. W i RepLcemeat of F1�rnace 6.00 ; Repairs d� Alterations--up to ;500.00 g,pp = Repairs & Alteratioas each add. =500.00 3.00 i STEAM or HOT WATER SYSTEM F�rnace Shev & Lines—to 400 sq. tt. F.DR Stesm t20.00 $_____.—_ FLrnace Shell & Line--to 640 sq. ft. EDR Hot Water 20.00 a_. Each add. 200 sq. ft. EDR Steam $,0O �... _._ ___ _ Each add. 320 sq. ft. EDR Hot Water 3.pp = - OIL BIIRNER—to 3 gal. per hour over 3 gal, per hour�ee Fee Schedule GAS BURNER tup to 199,000 BTU) over 199,000 BT[J See F�. Se}udul� GAS FITTING FEEB: lst 3 FSxtures Additional F3atures Gas Range to 199,000 1UA COlIDITi0I�I11G FAN HEATII(G BYSTPJ! vExriLAnxc aYSr�t ALTERATIOIfa � REPAIRS xoUaH �rru, 9��3-�5 6.OU S -- b.00 s 5. 0 � NO AJ►TE T07AL - Xa 20o a 2. 0 0 _ x .76 i - :i 6.0� _ — i17.00 .-.—__ s« F« s`�a�. .—TO aurcharge � rozaz. � ;� � 7,50 SALESP�I: John Borry #4620B heat loss attachec'. D�nt. oE Hldys. Phon. S60_349p L�� 1650 Bri� r_dale R�l. � � � City oi il�ldley: The undersi�ed hereby makes appllcation for a permit for the worlc hereir specified, agreeing to do all work in strict accordance with the City Ordinance: and ruling of the Depar�tment of Buildings, and hereby declares that aIl tbe facts and representations stated in this application are true and cortect. �idley, Mian 3- 5- 7 4 lg _ Richarc'. M � ller Fiomes —� Owner _ - Kind of Buildin f rame g --- rJsea as ___ _r_eSldential_ 4-30-74 To he completed about ____.______ Estimated Cost, �_ 10 8 2. � � ._ ___ Old—New. Building Permit No. _ p•rmit No._ ���%_ DFSCAIPTIOIf OF WOR][ HEATING or POWLB PLAN'15--.Steam, i%t Water, Warm Air—No Trade Name �"�estinghouse FGUB-110P Size No 1 Capacity= M Sq. Ft. E.D.R BTU gp Total connectea Load 6 5, 8 4 7 �� oi 1�'ue� HURNER — Trade Natne same 3S above �u No Capa«ty (RfMARKS—OVER) Sq. �'t. EDR g� R,p S�, ' �G� Bs rl��B V r' , i; �IEATING & AIR CONDI �ri��"� '. BL15�I1lSS p�10i1! NO 3'�Rn ��rFum Ave. • 929-670' f j, [pujt Parly Mmnesota 55025 . • � ,� �/ . / ,/� li ... *; � . � ,..... . ..�.m.....� ._.-., . .,,.o,,,,� � //T�'',*�f'.!_:�. � -�.�--C-�S..-' � - . � r � �'Y i�f, � � .. �fFAT LdS3 CALCtJLATlON9 � �"'� � :1 ° . , , , </- ,,'' h .`;_� k• �.��« , ,� Weatherserips i4' •••� Con�tructioa No. ' Insulation � Guide Windows I Doon Reference Out. Wall Int. Wnll Ceiling Roof F7oor Kind How AE � Yea— o es— 0 19_ �.. Fl•� �� . � ;� Room Length ,,� Width G" Height � °z F(.� ,-� " .,t ;h, Room Length /,r Width /' Windows and Doors—Crackage and Area Windows arid Doors—Crackage nad Area � �Vldth Helsht No. ot Llneal tt. Are� i.f3 Wtdth Hel�ht No. ot Linul tt. Ana , No. ot pane ot Dane II�At• ot czack �q, tt. � p-� �' No. o[ pane ot Dane Ifsht• ot cnek �C. t[. �, i r � /�-, ��' � � c- � j �:.i J �;� ` .:�; S � � ; �, � __ Coef. Btu Ca In6ltratioa �.,� � �� � Glase j ;' f'� �._ Exp. wall ,�.,�L' Net exp. wa11 ,• � � y.. Int. wall : Ceiling - l�r Z ' Floor - Total Bcu. � ::� l � ,y. ' Required �q. ft. E.D.R, or aq, in�. W.A. L.eader area �' Fl.� '�-;';:=-,(' i�! Room � Leo�tb Width f Height ��' �--- Windowt end Doors-�Craokese and Area , Wfdth Hel�ht No, q Llneal ft. Area � No. ot Dan• ot D�ne Il�ht� ot crack �p. ft. ,.��. :: :^,, �� � / � r ! / /_ Coef. Btu In6ltration = �' �. ; 5 S'1 Glaas � � -,� +'. e°� F.�cp. wall ,;.�:� ' �G p Net exp. wAll M Int. wall Ceiling -f / � ;�' Floor Total Btu. Required :q, ft. E.D.R. or a. ins. W.A. I.eader area Fl. /?., �;;_. �. "., . Room l.ength �:± Width e�, Windowa and Doors—C�ack�ge and Area Wldth H�I�ht Nq, ot:.., :.Ltneal [t. Area No. ot Dans of D�ne ItsKt• ot crack sq. [t. : 4 . %' ' �- ;� I .. . � ,.,. , � � � � � Coef. Btu In(�Itration ��t ,_,_- _ � �, . . Glas� . Eup. wsll ;�'�� � Net e:p. wall 'r: ;-, Int. wall Ceiling _.;t. ; .. ,�;t_, Floor _...._ . � �otal Btu. "` � ' Required sq. fc. E.D.R. oT sq. ins. W.A. l.eader area ° Fl. � . '% Room ( LengFh ' ! Width �• Windows and Doors—�rackege and Area Wldth Hal��t ..�jo.-ot -Llmeai ft. � Arca No. o[ Dan• of Dans !� ht� ot crack �Q. tt. � " �'✓ `_� � Infiltration - ?-"�" ,� � Glass . ' �i Exp. waU � - Net e:p. wall ^ Int. waU - Ceiling -.�c a) -: r./ ! Floor Tota) Btu. Required sq. ft. E.D.R. or �q. ins. W.A. L.eader are Coef ' 't .° �, "" _:-, �. ,, t�'� � Infiltration Glaas Exp. wall /d � Net exp. wall Int. �rall Ce��i�g Floor Total Btu. � G� Required aq. ft. E.D.R. or aq. ina. W.A. Leader area � Fl.l -�:•„o.-; „�; Room I Length Width ' Window� and Doors—Crac�age and Area Wldth Hel�ht No. of Lineal Lt. Area No. ot Dans o[ D�ns ll�ht• ot crack �a. [t. � _, �. •� l� 1.1. � .� G� _ _1 I Inhltration � ( Glaas Exp. wall ~.`" f Net exp. wall Int. wall -%-% . -.--_ Ceili'ng .,�' !�� j Floor Total Btu. . ....,... � ,,.. Btu / _ t1g � � 1 �� � ��' 3� J �, 7� /�^�, r� . Required aq. ft. ED.R. or sq. ina. W.A. L.eader area / Fl.� 7, .�_�_ - Room ( Length /(> Width / U Height �'� Windows and Doors---Crackage and Area ' Wldth Hel�ht No. of L1ne�l tt.. Ar�a -� - - No. ot Dane ot yane tl�ht• of rack �Q. !t. f, _ , r c:-t � � � ir _1 f "at ' /�, . . .. .! � �- c ,.� _ �' . ., o � ti .. . Coef. Btu Infiltration ,!� �r• � Glaa� - - �- � r . Exp. wall .;r' S ' � Net ezp. wall ,- � Int. wall Ceiling - ,j ,, _ F�o01' r �" � j 4''-Lj ' Tota) $tu. : ; , Required sq. ft. E.D.R. or :q. ins. W.A. Leader area / F7.� ',�.1, .... ,-�, . Room I Length / '::' Width / Height,^' �: Windows and Doora—Crackage and Area � Wldth Helsht No. oL Lineal [t. Aret . .,j:� No. ��of pane ot pane Il�ht• ot crack �Q. tQ � .�.,�. - ��' -- - ' ,� ` - U ;F : a�, Btu _ _ Coef. �':�Infiltration 6;z- • ., _ _ ,. . 'f �^,�,7 , Glass y,- � � � P / Exp. wall ' ,� �S� Net exp. wall � Int. wall �� , ,J +� Ceiling Floor f � ., —�•- �? G �7� ,E' �`. Total $tu. ° Required sq. ft. E.D.R. or sq. ins. �1�k. L.eader area % Btu . ;J ,J 4:t : � . HEAT LbS3 CALCtnA�I0N9 Weaiheratrips Guide � �nstruction No. Windows I Doora Reference Out. Well Int. Wall Ceiling Roof Floor Yes—No Yes—No 19_ Fl.� , ; :•t - ;';,,,..,�oom Length ,�� �' Width ,� �' Height �.� Windows and Doors—Crackage and Area Windows and C �. �Vldth He1QAt No. ot Llneal It. Area Wldth He No. ot psne ot D�n• light• of crack �Q. tt. No. o[ pans o[ � ,�. f;= "' 1 r� - . _:.�r �'x .., : . � t ��' i �_ Coef. Bta Inbltration ��,�. r� Glaas `; //_ �", .. _: Exp. wall ,, ' d Net eap, wall Int. wall Ceiling ' lp (� . Floor _ : Totat Btu. : Req;:�red aq. ft. E.D.R. or aq. ins. W.A. Leader area F7.�..,.,�, ' Room ( L.ength / / Width -rj Wittdowe a►.;# Doors---Crackage and Area Idth He.-ht No. ot Lfneal ft. Area No. ot psn• ot pane Ifshu of crack sa. ft. .-, H�;ghc�;� �� Coef. Btu InhltrattOp �7 ��_ /� �^ „ . Glaas s"� � E:p. wall ,�,? ' ;�-<f� ` � Net exp. �val) � �°;,_ Int. wa11 Ceiling �' ' J Floor Total Bro. L Required �q, ft. E.D.R. or sq. ins. W.A. l.eader area / 1 FI. %"'1,.� � Room Lengch ;., Width.! =5 . He Windowt and Doors—Ctackage and Area .� Wl { H�I�At No. ot Llneal tt. Are• � No. nf Dbn• ot pans Il�hb ot crack �q. [t. 4- �!-*v ! ;^ / S''4 it � Y' � ! 5 `',� Coef, Bcu Infiltretion „��" :�'; � � - Glaas �, Eup. wAU =� ' (-'a • c� Net esp, wall � ' �.�. F-. Int. wall Ceiling 1 � ��� ., '-;j Floor Total Btu� ' ) � � .:� Required aq. ft. E.D.�t. or �q. ins. W.A. L,eader area T— n'', FI. �-; , ; r� Room � Length r' �� Width -? ,.: Height �' �; Wind�ws and'Doors—Crackage and Area , ICth Hel[ht No, ot Lineal [t. Area No. ot pans o[ pans Il�ht• ot crack �q. tt. '� r — �� � :L..' !!� G'� � �"� � � . 1' � E µlr�a`. � ' � - . . �,' .... Coef. Btu In6ltration i ��; ;�., ,:� , ,� �r� Glaa� l��n . � �s.., ) � Exp. wall .. � , '�.',, � � � - _�_� Net exp. wall j F.:; '�' f= - U ' Int. waU �';!, � �' , �- Ceiling Floor --' =,' ;j �; „�° ,;, ;; (,� Total Btu. � Required aq. ft. E.D.R. or aq. ins. W.A. l.eader area . � �:,., _ , I Infiitration Glass Exp. wall Net ezp. wall Int. • rall Ce��irig Floor Total Btu. � Kind Room Lenf ors—Crack� . Insulation ' � • How Appl;ec w�a�h e and Area :.la�at !L Ar�• ot crack �0. tt. Required sq. ft. E.D.R. or sq. ina. W.A. Leader area FI.I Room I L.ength Width Windows and Doors—Cractiage and Area r Wldth Hel`ht � No. oL Lfn�tl tt. Are• No. � of nans of nans Ifrht� ot crack �c. ft. .�— In6ltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required aq. ft. E.D.R. or aq. ina. W.A. Leader ares FI.� Room I Length Width Windowa and Doors—Crackage and Area Wtdth Heleht No. ot Linaal It. Ar�a No. ot Dane ot vane Iliht• ot cr�ck �a. !t. Btu He�ght .� P , ,�� Coef. Btu Infiltration Glass Exp. wall Net ezp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. WA. l.eader area � F7.� Room I L.ength Width Height Windows and Doors—Crackage and Area Width Heleht No, ot Llneal tt. Ara• No. � ot yane of pane Il�hb ot crack W. t0. � �' ��!; � ;1 _�� ! Coef. Btu Infiltration � Glass Exp. wall Net exp. wall ' Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. WA. Leader area _ _ U' Ci4y of �idley � �►PPlication for Plu�nbieg and Gas Fh�q hn�it Dapt. of Bldqs. Phon� S60•3�90 - DESCRIPTION OF WOR1C L�� /% JC'�-f /2��������-. ��� Ydumb�r, Kind and Loca!!on oi Fixlur�s <« L� �� N a � Y � !;� � s� � � �� o� Base / / � P Ist 2nd 3rd 4th • Fv�tur� Coaa�clbs O�niaps * ti�w Fixtur�, Oid Op�ain�s � I� � I V i I� � I6 � Il! a� IV O I / I N I G STE� KTEC. S�w�s � �� n PARTIAL RAT� SCHEDULE PLVMSING FIXTURE RATE3: NO. AATE TOTAL Number Fixtures . . . . . . . . . . . . . . . . � x a2.00 E . U � F��ture Fixture Opening . . . . . . . . . . . x a1.50 S -. New Fixture Old Opening. ....... .. . x E1.50 E_--_ Catch Basin . . . . . . . . . . . . . . . . . . . . x a3.25 S Water Heater 'C,'p to 99,000 BTU1. ••• � x 53.00 S • v� New Ground Run Old Bldg. . . . . . . . . x �3.25 $ Electrk Wat�s H�atar . . . . . . . . . . . . . . s E2.00 = :.AS FITTING FEE$: NO. RATE TOTAL lst 3 Fixtures . . . . . . . . . . • . . . . • _�— x 52.00 ; °'?• D � Additional Fixtures . ... . . . ..... . . . . . x = .?b ;-- Gas Ran�e to 199,000 BTU . . ... . . . . .. x �F.00 i REPAIRS � ALTERATIOIfb--A�l�r to Cod� DescripUon . . . . . . . . . . . .. . .. . . .... . .... . . . .. . ..... _ TO'PAL !'EE ; °Z�' � City of FYidley: The undersigned hereby makes application for a permit for the vrork herei specified, agreeing to do all work in strict accordance with the Cits Qrdinance and niliag of the Department oi Buildings, and hereby declues that ali the tact and representations stated in this appllcation are true and corcect P'ridleY. Minn �.�'1 /��i �/� %7 „ 19_J owner %�iG'J'?��'i/i'l% �/II�G�=� Kind ot Building � ��� ��% Used as t�G✓ %= �� <�'� To be completed about ���%� � / l ��c� ; C�� Estimated Cost, a Aid--New. Buitding PPrmit No. Psrmit No. Signed 1 %� /'�i�/-� � �,�U��%31�G �t � gy �i�::� Z�'/c"��� /_1`• ,^ G�'�r - - -� susiness Phune No. -S 6�"" ys � C' ROUGH FINAL ,� �� �`�' 53-81_� -S-915. 51 �ity of Fridley �,��?���:��:o �� ��°:�,� �d �� � 8"�� ���� Aept. of BldQs. Phon� 5�90-3490 �- - DE3CRIPTION OF WORR 1E50 N. F„ Briardale Road Idumbar, Kind and Location oi Fixtures ���°° -- N �� � t�} f� � � .I3 a � S F � � � � o � Base ln In 2nd 3rd 4th _, • Fuxuz� Conn�clioa Op+ainqs t !�I•w Fixlur�, Old O�nings N � t N � Z N ��` Z O Z gZ � O IV �<� () � U a U V Gr WATEN MI1. � � f N GAS FLEC. S�w�r � ���� � PARTIAL RAT� SCHEOULE PLIIMSING FIXTURE RATES: NO. RATE TOTAL Number Fixtures . . . . . . . . . . . . . . . . x $2.00 5 Ftiture FSxture Opening . . . . . . . . . . . x �1.50 S—_. New Fixture Old Opening. . . . . : . . . . x $1.50 �.____ Catch Basin . . . . . . . . . . . . . . . . . . . . x 33.25 a Water Heater '.Up to 99,000 BTU1 ...• x 33.00 a New Ground Run Old Bldg. . . . . . . . . x $3.25 $ Elsctric Wat�r H�at�r. . . . . . . . . . . . s $2.00 s :.AS FITTING FEEB: NO. R11TE TOTAL Ist3Fixtures •.•.•••••••••••••• xS2.00 ; Additional P'ixtures . . . . . . ..... . . . . . x = .7b : Gas Range to 199.000 BTU ...... ...... � z a5.00 6 City oi Fridley: The undersigned hereby makes application tor a permit tor thc Rork herei specified, agreeing to do all work in strict accordance with the CiL,j Ordinancr and ruling of the Department of Buildings, and hereby declares that alI the tacl and representations stated in this applicatiofl are true and conect 6 -17 -?1, FYidley, Minn 19_ Owner �l. Joe Gerou Kind ot Building Frame Res. Used as To be completed about 6-2Z�–��i Estimated Cost, a 10.00 Old--�4+%�WC3�3uitding Permit No. P�rmit No. �� be� '1 ., , r,,� ,,..,..4 � ,r-=� Signed ,�.�����:��_ �� • *�, gy *�'i�"Ix��r `�"�' - - Business Phune No ROUOFi FINAL � - � � � �= REPAIRS tc 11LTER11T10N8—R•!•r to Cod .50 State Surcharge Install G�s �rill 5.00 Description . . . . . . . . . . .. . . . . . . . .... . . . . .. . . . . ... . ... ., ._ � mr�►i. � : 5. 50 � Cidss `�'�?� �uri;iaar�e .�u e��, � ��a�ay _ . A��li�c�*��� ��a� Plcr���ts� �� �� �°,���� P����� Aept. of Bld�t. Phon� 5�0-3 DESCAIPTI027 O; VJOI;:: • � ✓� Numbar, Kin3 and Locetiea o1 Ftxlures I'O�� U WATF4 �r■. City o1 �-idley: a'r^ J' N � ? • • o I; /75 � s� � � I� � z� � g�'< � 5� 7� 7�;7 � r N c�s ncc. The undersigned hereby makes aDplication tor a permit tor th� vrork heni ( J > N �; . O w r � V < 3 � U U n � U __� • specified, agreein; to do a1 work in strict accordance with the Cit� Ordinana Bsse __ and ruling of Lhe Departr:�sent of Building, and hereby declares that aIl the faci -- and representations siated in this applicatien are true and correct 1 st --- / �/ �� 2nd Fr.dlev, Miun , 19_ 3rd 4:h • Fvhu• Coanoc:.5oa �ni.�sgs � N�w Fixturo, OId Op�ainqs -�� �-- ��'� ,- J !� witfi P�RTIAL R,47E S�HcDULE S�ss�r � Ccsapool (–j Owner Kind of Building Used as To be completed��out Estimated Cost,� ��-' � �✓�� Old—New. Buiiding Permit No. P�rmit No. �� ��� �� FLIIMBING FIXTUR£ R11TE5: YtO. AATE TOTAL � Number Ftixtures . . . . . . . . . . . . . . . . x $2.00 $ Signed v Ftiture FSxture O�;cning . . .. . . . . . . . x 31.50 S—_. By � New Fixture Old Opening.... .: .. .. . x 51.50 E_--..-- Busin��ss P'hur:e No ��-� _`S`� ��� Catch Bas�n . . . . . . . . . . . . . . . . . . . . x 53.25 S Watcr Iieater '.l.'p to 59,000 BTU� .••• x 53.00 S • tiew Ground Run Old 82dg. ........ x�3.25 $ ROUGH , El�ctric �Vat�r H�atas. . . . . . . . . . . . s $2.00 S FINAL � � l' % � �AS FITTI2iG F£E3: NO. RA'I'E TQT71L !st 3 Fixtures . . . • • • • . • • • • • . • • . • x 52.00 ; � Additional F'Ixtures .. . . . .. . .. .... x 3 .75 = . Gaa R:.n�e to 199.000 BTU ..,.. ..... . x 35.00 4 _� �- O O R�EPAIRS k ALTERA A1�3—Aa!•r !o Cod• .50 State Surcharge . DeErription . . . . . . . . . . .. . . . . . . . ... . . . ... . . . . ... . ... . � �� � Tarwi. � a •� f `5 � � 0 / HOUSE HEATING TEST RECORD 1 .%r t% � �' , ,. , • ADDRESS �, �����-/r .."��_�'� � APT. FLOOR CITY SUBURB-� OCCUPANT � �� � OWNER HEAT LOSS DAT H G INST. GAS C0. METER BADCs� # SOLD BY �. �'l1'�_ INSTALLED BY -••� �t %r!-� Eleetrieal ork By Gas Line By �==.r�'1-'K.� TYPE OF HEAT GA FA �` HW STEAM SPACE HTR. , � GAS DE IGN MAKE . �, - � MAKE OF BURNER _ Model � ''� �` Model Serial �" � �, Max. BTU Rating — INPUT I! �. MAKE OF FURNACE Model CONTROLS THERMOSi� _���eat Plug Va Ive �� �lI�.BLI,c� /� - t�„� f� Limit J�.j��.r�� Limit Setting � �� fl Fan $etting �� � "� �L� Pilot TYpe / �,,,Z�6� Pilot Make � �„��` UNIT HTR. OTHER CONVERSION �r Vent Size , : KIND OF LIN,�R_C,. " � "� SIZE�—NONE Draff Hood � 1' -�' �� �'��� Regularor Fi Iters Size Number Chimney Loeation Inside �- Outside Chimney Construction � �°�'t� �� F�� Pilot Model Smoke Bomb Wiring Pilot Timing �� ��� Draft � Test Tag L.W. Cut Off Door Pressure Lighting Inst. {`' Pressure ��—Percent CO2 W� Date Tested l` �,_ Input CFH �� Percent 02 Company Testing Staek Temp. �� (g �—Percent CO Name of Tester Form 235 sus�ECT PERMiT AiL�-- City of Fridley �� 15 9 2 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r � RECEIP O. � • COMMUNITY DEVELOPMENT DIV. ' ; L'�'���-, /'� r � � PFOTECTIVE INSPECTION SEC. ��� � � ' A� ����1 � CITY HALL FRIDLE� 5S43Z NUMBER REV. DATE PAGE OF APPf70VED BY ` ��.'J �.i �.J 612-571-3450 910-F15 9/9/80 � � JOB ADDRESS 1650 Briardale Road N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 3 Briardale Addition SHEET 2 PROPERTY OWNER MAI� ADDRESS ZIP PHONE Joe Gerow 1650 Briardale Road N.E. 3 CONTFACTOR MAILADDRESS ZIP PHONE LICENSENO. Sundown Properties 4509 Hei hts Drive 571-8979 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PNONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK Construct a 10' x 24' Second Stor Room Addit'on ' ' 9 CHANGEOFUSEFROM TO STIPULATIONS SEP�RA� PEi�M�TS #�EQti�tEi� �,p� 1�ItR1N4 H�A�'JN�, �'l.�J�VIi4i� �1�'fl S��S i�►A�RNI�tG 8etere d�gging c��� ��� util�ties tElEPMONE • EtECT�tC . GAS Etc. REQUlRED gY �w TYPEOFCONST. OCCUPANCYGROUP OCCUPANCYLOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. fT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAVS, 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 OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION ]_ STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OF NOT. THE GRANTING OF A PERMIT S�-4� OOO $4.OS DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHAfiGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OFi THE PERFORM NCE OF CONSTRUCTION. $SZ.00 NONE ' �� � PLAN CHECK FEE TOTAL FEE i % l-- ���'/-l�% % � ,�� � $12. 75 67 .83 GNni aEOFCONt nCroaoaAUTHOaizEOncENT �oa7E� * WHEN PROPERLY VALIDATED THIS IS VOUR PERMIT �' ��_C X ��Q_2..�� � �� SiGNaTUREOfOWNERUFOWNEROUiIDER� iDATE� �BLDG iti5p �FTE _ t i C1Tl` 0�= �=iZIDLEY • � APPI_IC;/1'I�IO'•! FOiZ Rf=SIDE.i'�TI/tL �UILDIi�G PERi�T�rS � (�de��r, F�l Ler��tion�, IlC1CIltlUllS, or Repairs) � /,� A � ; G;��I3rR: _��- ,���� �UILDER: ��C��� �(i �G , ; � AU�RESS: �� .� � � �_� �%I-, IIDDRCSS: ������ /��� �� _ TEL i�0: TEL (�0: ,S� ��� �%r � % STit��' NO: �� J �� STREf:�: Construction Location L_� P ��� � � � t L07': % BLOG�:: �� I�DDITIOI3 : -�� I� I f�rt d� l%� �_ �-, �� � IJ Corner Lot: Inside Lot: � Setback: Sideyards: _ I�pplicant at�ach to tliis form tcao Certificates of Survey of lot and pro�sed building location dra��*n on certificates to scale. DESCRIPTIO�� OF C�i�1STRUCTIOfJ � -- --- � � ������y � I'ront: �a � Trpth: � �J�'J %'G�� � � ��G% �i �''t- q _ � ,� S uar.e Feet - o`� y� C1�bic Feet: /� // � G- /l / k ��,�� !� / � � Front: �`� Depth: �� ` i� ' ���� f/ L� � Squai-e r'eet: � Cubic Peet: _ '� �fs Fieight: � � I� � J H eight: i�Tpe of Construciion: ��r� /``"��d "�� Estimated Cost: $/% ���� . • �` 2b Be Cbr,�pleted: _ �V l,G� � ���� � Alt. A R1t. B - � Pro�sed Drive�•�ay �did.th If Pdew Opening Is Desired: $ $ SE� �wV-ERSF' SiDE OF SHEET �ile und�sicned he�_eby ma}�e� apg��_c�t�_cn for a pern�it f.cr the t:�rl: he.rein specified, agreei_ng to c�� .all. work in strxct accordance �•�ith tl:e City of T'ridley Ordiiiances aiid rulirlg� of tlle Departnter.t. of 731iildisigs, and hereby declUres that all tlie tacts and repr_esencai�i.ons statE�c1 �� this upplicatian are true and •orrecL-. i �� _ � J � `l /�`��i�� � �-�� ��l-C� D,�TE: � SIGNI1TUFtL : . St:ipulations: �.X2o = $o x 8.81 _ 7�J $� /a �l a � � �t�u �0 3�i .2 -7 chl �1. �N 1�1y�� "` ���� �� . �.���' �- . S/. v d . . �� '�a. �� . �Y " `/. o� 3 ��'� (._rcrti'��� . ______-----------'"'� . � /U�- �-� �ul�.vt�l� t'Ef�f�1J r r-t:� >c�irnut � S7:C;'.i'IOId ?.. 7.'1�� 7:»•:cpccto�' of )3uilGir,cJr, �:hril.l., bcforc �.;st.�9.�ig Z�ca�niL-� for i.he crcci..i.on c>f �xny l�uiJ_c1:i.r,cJ ar ��i_�-uct:urc, or. fc�r �in�� adci�.t:i��n �:o a►iy cr,i�ti>>c� Luilcling OL S'L'Y.'tIC:tw:e, cix' i:oz� ur��y ci.l.t.crr.it�ion or r_cZ���i.r•:; t�o •��.ny c�:a.r;L"lIIC( }JU).�.C�I.Jl j or. sL-r.uctul-c, L1J�GJ7 ar�J�li.cat:i.o�i Llzc.:���f.�or�c, r.equirc th�� L�r►ymci,t. }�y tlic ar�Z�7.i.can!: ioz- such }�er.mi.L- oi' fec:� Lo tl�e arn�unt- hcr_i�.in be].oe� seL for.Ui atic� S_u tlic �nanricz hcrein p�:ovicica to-t�rit: • J13:19 COI�:��1'I:UC7.'IOI1: Sing].e 1'ami.].y Ilomes and Gar.ac�es: ;:4.00/]_,OO�J cubic fect.. • P7,1�`v Cli):C1:: ?.�> ���icerit: af- btu.l�liny }?ermii� fee. UIZIVI:I•'111' lll:l'Ri:SStOi•:: (Concretc, Curb Strccts Only) � ' A].i:eriiai.e A: 1tc'_IllOVc71. at�d re��Iacement or concrete cur.b and quL-L-er only; Driv�way �•tic2tii plus 6 feet x 1:�,$�75 R1.L-ernate B_ Removal and r_eplacement of cancrete curb and . � gutter and install a 3 f:ooi� �•�ide approach �aiL-h �' ' , 6 inch depth; Driveway width plus 6 feet �: $17.85 � � .�_i r o�in�. r r`►r= r��r�l o� J.�or the purp�se of compui:ing fees for_ building permits, i.11e cubi_caJ_ co::tents of any bua_ld�..ng or addi�ion, is deter.mined by rnultip_lyalig i:he ground area covered f-ro:n a , pai.�i� si>: (G) inches below the flool- ).ine of the basement or th� cellar to t2ie aver.agc heights of the upper_ surface or to the average heiqht of the rco.` �urface oi i�he ;�ain gabte of a pitched roo�. �'vr. re��-�i.rs or alterations t�o an existing sti--uctur_e, tne fee shall be a_t the xata o� $3 . 00 x�er. each fivc l�undrect dollars �� ($500.00) or fraction L-her�af in t}ie cost of all praposed wor.Y. . I�i �no` case s}ia�.l ih� fee cliarc3ec'. for any penn5.t as set forth �.n Section 2 be less than $7.50 plus $.50 state suxcharge. • RrFrc��rzov oF r-au;�n����or� 0 NOTE: Per:na.ts ror constz-ucL-ion ���ill be issued a minimu.�n uL- 24 hours f-rom tlie tim� oi appli.cation to �].l_ow for proper rcview of the proposed structure and o� the . construction si.te. � Certificate of SuiveJ of tlie lot, sho�,�ing the location of t2ie foundation oilce a.t lias been coi�s�nict:ed �.Till be r�quired before pr.oceedirlq �ai.th the �.:aminq. �=PiTIFI�TE OF O�CUPA��CY ' I�I?plication for a Certificat:c ot Occupzncy shall be mad� ten (10) ciays prior t.o the use or occugancy of any sL-L-ucture for �ahich a kiuilci_i_ng permit l.as been zssued; and �air.t struct_u.re ;�131�_ ]10C L)C used oi- occt�picd tui�i.� a Ceri�i.ficate o� OccuZ�:incy }�as ` bcen �ssuc.ci. 0 .� � . . � , �, � . �. � � � JI " r� � M ��� �� _ .,, � i � �� r e+ c � � � � � .� � a �� `�I n ��xv� u s+ "' n c o: •�. 7� 'o 0 �I�f ; �I���� � v � :� ='=i I 4 I { -:•"'- y , f p� � .-=� i ' I � i �=. ` I � i I I CITY OF FRIJLEY �i?PLICATIOy FOR �LilN31NG /1ND uAS FITTIN6 PET�MIT � x v Water Job Ad3ress /(O�./ �✓ /i�/17�V�/� � '� u, � tieater I �I = c�i � c� s+ Departr.ient of Euildings � �:�I � �u� N � �n � City uf Pridley v � � � � '-�'�, � p as 'lec Tel. #571-3450 �, ({? _: �=1=e Corlec:ioa O: eair.a � Coanected with �� (*i = .��� ?ixture, Old Ope�ing Pk°TIAL RATE SCHEDULE ?L'J�:3I\G �ZXTL'RE R,�TES: A'0. RATE , ...._ ;� Fi: �..res x S3. �0 ..._� _ c i.x _..re Coen:r.g x $2. OG :��:: :?x��se, Old Opening x $2.00 �:�.. 3:__.. x $5.00 ::��__ :es___ - to 99,000 BTU x 55.00 _.,,,,'JG� B:J to 199,000 STU x $10.00 S+ate: So: te: �r x $7. 00 ::ex G=o�-fl �.:a Old builc'�'�r.g x $S.GO �iectric nate� Y.eater x 55.00 G�S : ? ;TI\G FE�S: lst 3 .`ixtares x $3.00 ;,,a.3i�°cza2 Fir.tures x 51..00 Gss �v:.ge :0 159,00� E'i^J x $10.0� :sr?a:RS € �LTER.aTIOXs Firs �$1:i0. GO SS. 0a ea�: �fld. Sj00.00 or fraction 52.00 State Surcharqe TOTA:. Fi:E Se�aer Water TOTAL 5��2 � d O S $ S S S S S S S S S S�� S $ .50 S �G The undersi.qned hereby nakes apolicatioa for a oe^it for t:e wozk ::er�z specif.ied agreeing to do all work in strict accosflance w_th the Ci:y Co�es and rulings of the Depart:.ent of Buildir.gs, and here5y declares t`at a12 thc facL:� and reproscntations stated in t:�is applicatioa azc true ar.d ccrz�:L Fridley, Mn. L.C%// . � , 14� 0'aN�R XIND OF BliIL7ING Vv O d C/ ,�Qir�► �'� :JSE� AS TO BE COt�iE:ED ABOU'P �1% �� � � / �� ESTIMAT�D COST �DQ� �� OL - NEW BUILDING PERvIT N0. 2ER:dZT NO. �'� Company /� G � ! �'i, � i ►'t�� Signed By 1�!3.�'� �-w� - C� � Tel. 2CO. c� Co � ^ d�3 "'1 ROL'G:i INSP. Date FINAL IhSP. �� ` `'� ' �f '' Date APPRQVAL FOR PER"�ZT ��l'��E� 1tIN3MUM FEE FOR 7aP7Y PLUN.BZNG P�R"!IT IS S7-50 pL7S $.50 STA:E SU.^k^'.-L1R.r,� � : a^Witi°?AC�iG� rE� ' -� ir•, -- ��T Building BUILDING Permit No.^ C� --� / Inspections RESIDENTIAL APPLICATION Received By: � 763-572-3604 CITY OF FRIDLEY vate Rec'd: �� �' �<<� 763-502-4977 FAX EFFECTIVE I-I-2010 DATE l�7C T % J v���� U YOUR E-MAIL ADDRESS SITEADDRESS // S�� ;�/��E'�(_��/li� i,�inP.�y ��% THIS APPLICANT IS: ❑ OWNER �CONTRACTOR PROPERTY OWNER/ NAME: ��T 17�]n/ , Ii -7 ./ TENANT ADDRESS: /�OS(� %�JLin,��jaqL� CITY �2/ j.X�y STATE„M/V ZIP TJ .3c� PHONE: � / � �l� �,� C%L�� CONTRACTOR NAME: 7 ' �X �tl� d/�s 1:�i/C� SUBMIT A COPY OF STATE LICENSE # v'��D �%U , EXP DATE D,3 '�I '��'-�%I YOUR STATE LICENSE �-� AND CERTIFICATE OF ADDRESS: ;��SD iv i! % r� J�v` N. E CITY /I �l1,Dp i:�C;iL'' STATE '�'1+ ZIP S_�`i INSURANCE PHONE � �o� � �" FAX PROPERTY TYPE � SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE � ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH �ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION �MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: �� !?� �S%�UC'%L%.�� -' /7%aIiIET) �/-1,e%1 � SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT S FT ROOFING ❑ HOUSE ONLY BASEMENT REMODELING SUBMIT: NUMBER OF SQUARES � �HOUSE & GARAGE 1. Existing Floor Plan GARAGES �ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl OSoffit ADDITIONS & PORCHES SUBMIT: ❑ Aluminum ❑ Trim 1• Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia and proposed project. 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF W[NDOWS FOR WINDOWS - PROVIDE U-VALUE AND OR FOR NEW OPENINGS-DESCRIBE SIZE OF MANUFACTURE STICKER ON WINDOW. OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATIUN, INCLUll1NG "1'HN: CU5'1' UN' LAKUK ANll MA 1 r:K1ALJ: (USING THE 1997 U.B.0 FEE SCHEDULE) 'OTAL JOB VALUATION $ OCCUPANCY TYPE Permit Fee $ ,�� See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ ; .00I times the total job valuation Surcharge $ — .0005 x Permit Valuation Minimum $.50 License Surcharge $ �, c:�> $5.00 (State Licensed Residential Contractors) SAC Charge $ $2100 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft+ 6 ft= ft x$24 =$ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary () Non Necessary () Total Due $ //>> , j� Make checks payable to: City of Fridley Attach THIS [S AN APPLICATION FOR A PERMIT-NOT VAL[D UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but on(y an application for a permit and work is not to start without a permit on site; that the work will be in accordance with the approved plan in the case of all whi h requ�re eview and approval of plans. SIGNATtJRE OF APPLICA T �/u�i��,l`G y' PRINT NAME=�� �/?E/�, �''�� DATE �� ��y "�-��� MECHANICAL 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 $]00 or fraction, to and includin $2,000 $2,001 to $25,000 $69.25 for 1$` $2,000 plus $14 for each additional $I,000 or fraction, to and includin $$25,000 $25,001 to $50,000 $391.25 for 1�` $25,000 plus $10.10 for each additional $1,000 or fraction, to and includin $50,000 $50,001 to $100,000 $643.75 for 1S` $50,000 plus $7 for each additional $],000 or fraction to and includin $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 includin $500,000 $500,001 to $1,000,000 $3,233.75 for the IS` $500,000 plus $4.75 for each additional $1,000 or fraction to and includin $1,000,000 $1,000,001 and up $5,608.75 for the ls` $I,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