Loading...
AF - 35669i . _ #��� �8 '�" '?�" �°� �`� wa��� � �-aG fs� -. -� �-� _ T j . : ��'a'Y . ���.: ! � � �� � �A�e a� �! I'�t�8�'� ,. � i , , - - � V �is.L.1.1 l�r ��� ��D�te. .. .� .� "'�`��.. -.. .. � £ � , - �vmer , .. .�... � I�ui].der fst[�EC�T�SS . , .� .'� �G1TL'SS ';; � ����.�1M QI"' .. ��l itTo ,�,+ ,r! " �'� Siree�� : ,��s .� . ._. :'�s� �. � . , . , �s Lt�t ,� . , s SIQek ; .:'� ., 1�dditi;T1� tfr �uih-�?i G�ne� �a� %zte Lcst' � 1 �e�baclt, ' �•�" � t��S���P`�r�o�, �� i� T�s �e usec� � _ - ,: � : , � , Fr�snt '��` !� D�pth . � .�.. H�eight r . - - F��nt . .-. . ; Degth. �. �3e�hs R`ype oF Ca�siaruc�ion �� � : � .., � �".st CvS�`' .;. � . � :,�f?� � � �� ; ��. , ,�I��`� •� � �� . �" � : .�4.."�f�` .� .. . . � _ r L�11�1� `Er a : �"a�t a� t . �, � . � visiort . ,��r: � .g� a< � - � � � . , Side�rs� �: e�.,�. :z ;� t,.�i�CfIPIG " = �' �'�.' �.o �. Cu. Ft: : � , . . . Sq: :F'�. .,:. . . ' Cu. �'i. . .. . - ; r- � - . � �'�o be Com�Icted :, , . � ` � � . ` In eon,sid�s�tzoii +nf fihe issuanc� � �e �f a: A�i� �o construct i�Ze- #i�c3�ig � c%scril�d, abi�i� � �the �res�sed atork in a�rcl�niee �it�i the deserigticrn ab�ue s� fcirth and in c�n�iliaz►ce �vi�# ;� s �orciinartc�s of-� vil%.ge r�i.�'r�d1e� . ��° - 9v'. � _ " _ ._ : .. . t' � . � -. � r .�'� � ! r � ♦ � • • � _ „ , �r � �� = Yll "GRi�IS�L�S8,�1EQf1 �?� , fi�l� .I�&�riQ�2�' O� $ �� tl� �. . F � .�t P81.�i]1� I�' �718TE�� ���E�, t#1 + � ��, _, , , . : � - � �� a� _ , .. . '` 9"� ` �a cons�t '�ie buiicii�g �r adc�ftit� a� d�d a�ve.` �.`hi:s f�erm�it £ ��the a.a�ire�s �oridi#on 'Eha� �te gerson i� vQYioin �t 3s `�rs�ted a�td Ytii� �g�nts, `e�nglti3� �itrl worlsi - sV �one iz� ;araautzd an� _�n ,said=liuuildin�,. or atiy part: t�t�eo� si'��17. t���rtta �n �1. �.to "�ti �'k�idley,. A+�n���a �egarfi%g loc��f�, �ns�uetlfl�i. �lieratior�: m�t�tein�. xepai,r �d �tc�a� qi ,��#n t�ie vill�ge 3izi�its �td:'thiS�P�.�Y ��eirokei�:at a�y'i3�me t� violati�a�'ot �ny �f fi�e p� � �` �i� prtiiii�iC�. � � •,: ry °' 1E " � �, . �.�►. �t a � , I1 - T;' ...�..=-;�;: � IY��I`ItC�£ = �� - � - � �,��� ; � .; � , �' Thie perml� oto�s t�ot caver he cotMatr�tc�t►n,. in9ta#lation tsr� atteratiDn' for -" . Ir►�, plr�m6ing ,� <`seurer,o� �+atert .�Q s►��� to:s e Bulldtng ir���eator far se�a��ie �ee�infts �he�e.:itein�":: �{ _ a '�'""""�"""". ,.�..,_,. _ . �.J� _ .. _._ .. . ,�._ __ �. - r.. . _ _ .. . � .. �"'�� ._ war� - �S �i v�Fi- P ,sid ' � � y �, O O � r � N o���,� 3 � �� �� � �'���y' < �' o �. � s' C � �• � � �. L c�o�� �b � ���o� � � � �, � � �`�„ aY. F'o' Q � �°���� c�o co � � A' �o���' �, �0 a � a � 1�1��,� ��« � �s o� b �0' b O y (p r� �! �, � � o��. -� �. � � �, �: � ��'��+. ` C A �• �M ��'� a (0 � �' � � �' �. ��� �� s� ��.�.� o � �� � �`�q o y��r. 'tl �,, co � r.� �� �� � � N � � �• � � �.���� �. � � � �� �� `.1+0 � � i ' ���� �� � ,bbA ���A o��� ���� � R'o,�'H. � b`���i � '� � � � � R� y ������ � o' �: � � � � �, � �, �. � r. o �,��. � y���• � �� � ���'�� �' � � � � s �tl � �R � � � 0 � a � � � � a m � � � I � I � y � � a � � O o b � � � � � � � O a co O � � d �� � � � � �' � R �. A � iZ � • � � n � a �. ,� � o � � � A o �, � �A+ � �0 O ' G �' � � � � N � �' � � . �.. � � ~ Q. � ,� �� �. . ( \ � y � � � � y � Z Q O � � � � �. Q. � � A m � S � i N m rt � � c � _. � � . � � � � � � � � � a � � � ;' � O , 0 ' a O "0 � , � � � � H � �� � � 3 a, � �' � � � A' � a � y �� �. � � � 0 0 ■ � � �� cr v� � �1 •Q ' �� �� °' �\ �. }D C7 � � `p e '1 ..�p � �l � � y M x = ' _ �l Y '�' C I a►- �. ►� n p r. n � i n rt �' � R � o L n n n i r� 1 � � M .�+ r `fl n o o n c � � �p u ►-� Cl M r �7 , 7r `7 �t �+ � r� � 1, � .� � ry yyy111 o r o � � :i O L�' o V � ~ � � � Cl� P o C y '9 • n • o r n % s a n o n .- n� •�c �n Iv. • } C L7 h • ' o o n 7 e� n n ►-� r o t-. S ti K n � n . c y� I . p° ° � � �c : ' 'n n � n � � o o � "� ' [rl C "' o � to C � S Q S P O•� .'a � o:� �Pa-s oo � i . n �~ oo ' ' o rp r w o r'- -v o � a � I K uf H n r � 0 7� •� t� —i i p C � � O O �G N �r n o i . �, � o yer . � - � � p _ ty C . H �j � ' ' C � p - . ' -� e C7 S � � m t- � r� e z c I s o r i `� - ' � f�7 i o x x x x fc • x X x x X�c. % � u H II N N Y t4 �/1 N M 4/1 F-� �iA N sA N Y! ` � r.a tn O Y t� tn �.n .J O a.n tn N wl u t•• � ' A O O C O O - O O b O O O O O O � ; O O O O O O O O O O O O O O � I � � u . � h O Y m sn .n � 3 Y 1-t 7 '� i M � � o i � t��.' `7 w O ,� � � �I O 'Q � � � � M I � ' y b r I c I � � � I_ z a � . � - I N - ' I. H _ a H ' . . . .� I M � - ..1 0 I • _ 1 . t" /-i Z N �o � � , 1'� o .� � � �n N tn V/ an N N V! "'� 0 "j � r O C ci K Z N 'D � R 0 — � � -�- U -r- S ti , N Vj� � S fs n n / � o` G t M � . ►- o � ,e s = � : o � O • ' Li ' O �t p r � a a • �_ � o � � � o rt r- � � - � r - _ � �a � �D n O � a 0 c�. _ r n S _ 2 cn a o rr L �t � n O M H C X r en o N � � M L� O � - _ � � o � ° :. Q 3 T� 'S7 C � a � r rc �n .7 O r H r% ; ° ° n `n � " O _ t�+1 �-�3 �i � • ' � � (�A ,�U . o rN- o y • � _ : �-' � � o o" - • pz n� � ._ • N - o � � .0 � O . IN . F"1 � � � � m � rn C� � Q �� H f•l � o � _ . V'J • . Ii - o _ : Stctic� l:.Z �t C)o�cts � Urlruls � Dath 7Vbs . ,,� -� iL251/ti B �- • � Sinks • � O t+asb Trays �; Drinkinq. Fountains Shrr�er3 Floor nrai �3 t.C�l Basins ,�utor:.atic , Nashcr Grs Agpl. Hisc. Fixt G85 F�'-I)O G Othe�C A - S v O q � G R f� O ►�' O +S e n . :i � p �r q� - a rn- m� O ' � o P. a H t- r* `D Cf '� r� ►t � � � K Y � a c►� : o r* a O Y Y- G �� 3 d a�r, � � G Y "7 7 O a� O ! K R o v F- " o j � � ¢ t 6 O F o's r u+ r- r� � C � O e � `C G � ° � r" e G � a r O� F'��y] p O � � a � t"r _ O Q f* � 1"� �.d � a m o a � � 'i7 � R V 6 CT o � n M o •c � C�J� o �r¢ � x ' > > r x O �-C ` '+ � F� ..� . o 0 ►s _ R r. n A d r a ac 'a y - a n t� �o �. �... o c r► r o F Y � q � �C r 4 o p _ ' � ^ R � � � "s +-� , J r. �'J r 0 � 7 m n � f- - .+ � s �'► 1-' � � n n F,' 'a � ° � - � r- o G 'D � n R d o � P O � K � .+ c r, a �- �C o ►� O R � ¢ro .. o- n .+ o o r S � � � p R •a n rr o � 7' � � o o . _ e r. n � � '- . M t�'- W M �* � R 7 7 n � � o N � 0 � D MQ ' 9 O �. o fD r• 'O "' o `� a � r• r• � � w r• n m � � d O� t � 0 c N 0 c e� Q O� n � � a ro M 0 � � rr m n � < rD � � N 0 � 0 � z �o � a n � er � C � 3 d ff fD N r� cz UI N N � o� H� C+J .'i1 SU �C n �� �� �' z � ro � � H W y � � 0 0 y �n n � �O 9 O � '��C m � � �� ro w o o � a� �' � o�o o ro ro M � ro � fD �• a t a rt � � e �o ° � ro a �" w ry�D ~ w � z � i � k zpg� o �] 5 fD M � � � x °' � ao � � � ro fD a � � �, � � � n � � � � R � Z I � � M M '��1 �° a �C R µ M S(�� QI N f+� N �E ` �C m a � � � � � ro �c „ x � i ~ O � • '0 � p \ � No z � w � � ro �D 0 � w � � !D m � r � 0 0 � N rt w � fD W N � n ? � w � i/► f/! i/� �o � °r 0 t � � C M � c� M � � � � H 0 � � n � � � L� M n � r c�o z �M f�lJ r] 'd H ro � � w � lD M O M �i' C �: � � H ff o °� � � H � �� � � 0 I � � \v I � y 0 � � � � � � � . r K tl° ° o M� a a� w r 7d o �D a � MM � m � a �a ~ mty�+� N. O fT � �M � h M O 7 ri 0� � � r 0 0 0 � c� c� �i v1 � v� m mrom �n o � � a � � � � w M � �w �� r � O F�+ M �' � � aa n � �� M �rt � � � O � h �x ' N �t/� N t/1 0 0 0 0 � . . . . y 0 0 0 o t� 0 0 0 0 Vl i/! iA N fA N y O � � � `� i� d� � w � � n c. � z �'K°•� � a � w � c a�°'� M � f�D m W N 'Xi fp M ID .^ryJ � f�D � 7 W �mw �, � µ � O �k � m�°e w 0 � � � �/�� � � o �8 � /� ► a 1�+ � M 7C' �O p•�, � `�C 7 C w r ` n W 7 I+ �c �'am a F� N- ft R a� ��wa a m n � �wwo W � (I i'1 V rt m � �o ��o�° i c a �e c�u �r � � at''� fD W M �rf 1] tt O C � 7 �1 � 0 � m n� ? W d O rr �C iP ' K�p W pp 7' � Q � P� M I� � A � � � � � N Fn+� fD ~K w a O M�t V� M 9 ~KK lJ� N M o� � F+� r Fa+� W � s a w r � < � M m w � < m � M M a r m k "y N �P w N 0 cr w a n � ta W � � i�A � m N xm C rC m y � � r i� D � 0 z �'1 O � '� O f m � a � � � z c'� --i O tA 2 a az --I O o a = n �� �� �� m� t") 3 O y r Z � C � t� < m m o-�r � C7 m � � � O z � m � � � m .� � � 0 z � a ei c--� � 0 T T � d r m -�G m -„ � � n � < m a f�D n, � t0 � � CHIMtJEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack; 1. Has been carefully examined Yes �' 2. Is free from rust or deterioration Yes (� 3. Has no foreign objects lodged within Yes �f 4. Is securely supported _ Yes � 5. Meets all current Code requirements for size and total BTU connected 6. Has To tal hea ti ng BTU' s of ��� ��� Al l other BTU' s ��o ��� TOTAL ������ Rema rk s ��/ � � LO �� �--%��/� No ( ) No ( ) No ( ) No ( ) Yes (�j No ( ) Canpany ���i�//� �'"C � /�� — ----- — -- - - -- _. � _- -- S i g ne d By ���—�- Da te �� ��� �'� � sue�ecr p City of Fridley � ;� � 2�-� � AT THE TOP OF THE TWINS g U I L D i N G P E R M I T i� ' � R T NO � `y ______ COMMUNITY OEVELOPMENT OIV. r � � PROTECTIVE INSPECTION SEC. !7 / � . ' ��. ( � � i i--_- �,��'�'i,,; CITY HALL FRIDLE� 55432 NUMBER AEV DATE PAGE OF pPpqOVED Br L J` 612-571-3450 910-Ft5 6/6/95 / / JOB ADDRESS 6211 Carol Drive NE 1 l EGAL LOT NO. BLOCK TRACT OR ADOITION SEE ATTACHED DESCR. S 3 Shorewood SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Rathleen Gilman 6211 Carol Drive NE 571-0352 3 CONTRACTOR MAIL ADDF;ESS Z�P PHONE UCENSE NO Same d 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 C� ADDITION p ALTERATION O REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WOHK Construct a 12' x 10' Addition to rear of building 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. W�R[�I�IG �efore diggfng call for aii utility locatfons 454•0002 REQUIRED BY LAIN SEPARATE PERMITS ARE HEOUIREO FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD 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 OH 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 OR NOT. THE GRANTING OF A PERMIT �2�9�FO �],./{] DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PEFIFORMANCE OF CONSTRUCTION. �Jr�4.0� Fire .5'�'i �2.9�} PLAN CHECK FEE TOTAL FEE $58.41 q/ Si TUAE OF CON'RACTOR O au NOAl2E GENT (DATEi HEN PROPER VALIDATED THIS IS YOUR PERMIT a� ` �e Si TURE OF OWNEFl ��F OW ER BU�LOEA1 IDATEI BLD �NSP f�NT NEW ADDN ALTER [l [l [l CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application ConsiructionAddress: �; � Legal Description: __���� Owner Name & Address: � Contractor: � � / ,�' Effective 1 / 1 /95 ��1� � Tel. #�'��/ - a��.s�Z— MN LICENSE # Address: � � � � Tel. # SQ � � > Attach to this appHcation, a Certificate of Survey of the lot, with the proposed construction drawa on it to scale. LIVING AREA: GARAGE AREA: DECK AREA: OTHER: DESCRIPTION OF IMPROVEMENT Length � Width /o � Height � Sq. F#. � v Length Width Height Sq. Ft. Length Width HgtlGround Sq. Ft. Corner L.�t [] Inside Lot [ j Ft. Yd Setback Side Yard Setbacks Type of Construction: c, J p�, �1 ���, �,� Estimated Cost: $�� F1 e o.,�� Approx. Completion Date: � �r� /, i ��� k'a y, � ' � %�� � (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: / �-- s - J �APPLICANT: Tel. # �- �J o _3 s-,� Permit Fee Fire Swcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosioa Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: e s $ � y. $ _,L�'f $ /��� $ $ $ $ $ $ $ y/ �ITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation {1/lOth%) $.50!$1,OD0 Valuation $850 per SAC Unit $5.00 (State Licens� Residendal Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review F� Dete,rmined by Engineering Agreement Necessary [ ] Not Necessary [ ] i;ui�.l)IN(: }>i:RMI'[' FEL' SCHEDULr_ 'I'hc Chi�t� 13uilding Otticial shall, tx:forc issuing perrnits for thc ercction of any building or structurc, c>r ti�r Iitly a�lcfitic>r� tt� any cxisting building or structure, or for any altcratioa or rcpair to any cxisting (�uiliiing c»- s�ructurc, u�n a{�plication t��erefore, reqaire ttte naymcnt by d�e applicant for such Irermit c�f tecs t<� ttie aniount hercin tfeibw set f<�rtl� and ia the maaner i�erein pmvidcxi to-�vit: "1'O"I'A L V A I.11 l: � 1 to $500 $SO1 to $2,000 $2,001 to $25,000 �25;001 to $50,000 � $SO,OQ1 to �100,000 $100,001 to $500,000 $500,001 to $I,000,000� - $i,000,001 artd up r-r_��s $15 (Minin�um Fce is $15 plus surcharge) $15 for fizst $SQO ptus $L for each additioaal $1(}0 or fraceion thereof, to and including $2,000 � $45 for first �2,000 ptvs $9 for �each additioual $1;Q00 or fraction �xeof, to and iucluding $25,000 � $252 �for first $25,000 ptns $6.50 far each additional $1;000 or fraction thea�oof, tA. and inclading $50,000 '- $414_50 far first $50,000 plus $4S0 for each additional $1,OOQ or fradion fi�ereof, t�o and includinEg $100,0(?0 $639.50 for €irst -$100,000 plus- $3_50 for each additional� � $1,OOt1 or fractioa dteroo� to and including $SU0,000 - $2A39.50 for the first $�?0,000 ptas $3 far each addirional $1,OQ0 or fractioa there�f, to and including $i,000,000 $3539_50 for ttze first $1,000,000 plus $2 for each additionat $1,i�0 or fradion thereof - DRiYEWAY DEPRESSION ESCROW (Concrete Curb Sbreets Only) Alternate "A": Removal and replacem�t of curi� and gut� only - Driveway width plus 6 feet times �13_50_ Alternate ° Q": Removal and replacement of curb and gubta- and install a 3 foot wide approach with 6 inch deptli - Driveway width plus 6 feet times $15_75. VLRIF[CA'C(ON OF FOUNDATION Permits for constniction will l�e issued a minimum of 24 houcs from the time oF application to allow for proper revicw of ti�e pro�scxi stnucture and of the construction site_ A Certitic:itc of Survey of ttie lot, shvwing the loc�ttion of the foundation once it ha.e it has becn constructeci will t�e re;yuirui i�efc�re proceoding with the framing_ t ��� s_ . ____- � - � . . ; --- --- ---- ---------- -- -----------------------�--- --------_ ; ; -- ---- --------- -- - -------------- ------------------ �----_____--- -------- _ . ; I ._'_"_"�.—___._.—" �__'- 3 _.'__'___ � _.____"'__'_'—'_'___""__""'_"__."'_ � p � ___�, ` �er � . _._,_.._ �:tiwr J ----- --------- --- �-__-- .: ------1� r' P � ��u o� � __"_"i"� . _ J % ej S ��� . , � —_� `_' ; — -- - ----- _--- ---�� --- -------- i � . -- ---- ..-... - -'--- - - -'—' - -- _.._- -- ---'F-- � ._ . _ ___'_.__.___ ._ —_'_ __ _'_ _'_.__'___._�.. t � --.. --- ------ ---->- ! -- — — _—,--�-� � _ � E � � ---------------------- T�_._ � 1 � j t _ � , � ik � .i 1� � I a�' ' % /�� � `.a , � � � ,� , � � _ ..` �• . ---.._� . � _ � -- ._' , _ . _ ._ �,. - �-: ._ .. ... �,a.,'s�:R�._ 6�_sPo�e;:�� �� � — - ------- - - - wtr�G; 5 ;� � �-- ---------_._---T-� ....._ . _'-' _'___ . _ ; � '"__""__'_____.'_ ��� �_� �� ���� � � - ►�. i��� � ��', � � s�� e�.� . �.. �.:. — ---- 8 �� ti7le-t,�--�_�"_ ___- ----------- ---_---- - ,/ \ -_ _1,.� _" �Y' � �_. .__�..-i-__--4/-s���. �_ _"___"_"__"-___._ _" _ t 1V s� - --- .. -I � �F- - ----- � -- � e� �'4°.Nt�d'1 '�[ �, ��--------_. -- --- _- . -- ------ `.� ry e -�v � 7'. `,� �� '� h e !�- C �i _ -- ---- -- - -- ; --- — - __ _ __._ ------------- ,\ _—_----- -- -- _ '�--____--- _ ___ ---- - /! � � --- -- . . _ � �� � � _ �i_, �e�...._��� i � - , -�---�---------- . -�.'-�E.---� O ��'- - _ �-�, --'�F-- - y�� l.o �_�_s, �.�z�'--�+---- � X .'t � ,'� �. _�cr.s_���`_��/ �_ \ L1 --------- - ---- ---_ -�- --- - - � �'t��-- � _ �yf�y�� �--�-- . (�,� t < < +� ---- �,-:�- - �--1!-. 7 l �� � � , •�� �� � �-'-- ------._. �° � -��;�--�._ ------- , ____ _ � . _ - --------------- ---- � �. t � '. ; tr��;}� 1 > ----��--r — __------- .� � r'1 t~ � � G3 �_ .� 's � � CC, �j� � ;:�:�; z�Y � 1 � � � �r ------ _ - - ��EV�w�GC_�u A�@EI '��''�cl�;�t'.�---- ----- - --- - _ �!-m�_�'_ ------ _ �-- - - -- - - __ - -- �/�� l�: %.� �o � ���� 3��'i �, �x � � s r��.d: -�t�o� . -- -- __ _- ----------- - -- - -- - ---- --- - ------_ /-ST4r �__ —� +� �--- P« � -� --- -- _� _ -- - __- -__ _ __._ i,h G P 1 � w p m d �jr e e�c/ - - — --,�- � o � e��_+�f�-- ----. ._ — � , - ---- - -- -- - . . . , . , . . -- -, � � -- r•�!�t�_���as_f4�'%v�..----- - -- --.---__ — -- - ----------- ---- � �� � 1� 1 3 ��`.t /�Sr �` ���' L ----.- ---= -- - 1 --- - j---- -- y '�, - f - - ------------ --- � , 4 ��� _------- -- � —�"r,,i ,' ----_._-----�- --- —__ . . . _----- — --. __._-------------------------- � � it r �.t ,±���bc�� �� L c,��� cc� h �� . � '! �1- �"-� �' tY WG e +�' o� ir- ------ - �� - �- ---- . . . ��� x /a." . .�h �`,~�q �e � .�� } �� � c� - � � � �� � � ��� �uali5��1,.�� 5�';� �' ` l'�c� c� (,a9'�'e M i7o� a� � �--�� �� t�9_,` �-.!__; �; So? i�r,� '� � ; ; jC ►S �' i ��J � !.!a?: ��' r + — ____�1..� _ __� � € :; ✓ i � ! t J 1oG � � t���� `� � � � `a..r ` ..__- +-�---=-- f i � _ �"���- _ �► �°��,� �'����---- a ,� '� � �d � � �°t� — , ------- -------- 5 ' ', i f � a �. , {'' �� �� � t� - - d°-�i � � - `' `' �--�� � , f - -'-- --- _ °' , � -- --� i %% /! __��+ ; , _ ____ , ----.r-�-.___ � ------ ---- -- __ - �� e' 'r \ t i f�'^�, Y � � .i � � ,.� �i�� �r� � 6 �� � � ` / , i ' � +F �. � , i ,,,, � � / �y, a � � : . - . _: . _ =� ��. ;.� . � � �,, � # -n--", �. �-� �. � �=� 0 7: lJ� I� , � 2P`�� t� �� � �� °�'+`�:�i� �__. ��^ .� �G�. ! _ ��'-J� � .e �:l% � _,$:�� �t�` � ...��o ��, •�, �L_ Q_ • ` "' . ,., . �. _. � �r� { Ci' � 6 .�r �... '7i�, �� B� - ,.�' � G�` '�' ��"`� .c�.L,! �t ! � Y�„ �■�■■f��w�s.�■ . � �/ �;' �wt�1'// JL.f -��� �`.'� � �" d«� l � `�;� � � r'`� ______� - . = / �::� c_ �3 c�� „ . :..R i , ���� �� X �G� � ! ; � _- ____, a :_ -,_ �7.�r��-��'�� . � __ ��, ���� � �,, ,. "� ��G�'��� ���� � I` � I,/U�' /�.�°.""`d� �7`�"`.�- � � �� M 1 � ' � �� .1` � ��I� ,4 � n� �j � ♦ , `t', � .....iJ ! �4't,i-C� l-</ �l��ll ��<r I • 's: � ' IG�.' K Cl G" ��e aL' •`G1 �f � Y. D i 1 ,� ` , t� a, c� . _ ._._ _ `�� Y ���.(� � f � � � %i'c u y.( v/-> e �L-, ��� � �__ _ :._ _ - ------- - --^�... _ � � ,a�.�-._.�,_ -- —�_ _ _ n __ __ - _ _. _ _ _ . , _ _ _ . .� �% � � � _:. . . . . , ri�s ;al _�t .. s _ .:,, cy _ _ ^G � �� L' � t� !L' ,' i-� t y �. , - � Q - � .i'�� ' ( '!a � \ ! m n 1 -t---•f—�.`—�._�_ ..."__. _._�..__�.._..-..�..�.�..�. _. � , . } i a�� � � : ' a; r i � � " .—.�� � � � � G�l 'l.e� � '� ,� �� � `�C.' �^ a�± it � � -1 �- .. sa _ _ � ��,>_ � _ _ - - - , , �,�.�. �e ��, � � - � s ; , �:: �. . . __ __._ _ _. - -- . _ � _ -- . - _._.� .: . . - — ---- __ _- - --- — ---------- - �----- � � . '� ��- � . .� r , �_ � � . . -. ' -�-- � . - - - - -- - -. - -�-. -- - __--- --- , , � --- _ _ - - __ , , . ..,.�_�_:..' � _�.__ - - � ` � c�� F' � � �.� � � �� � � C�a�k��a��' dac�(���, ���eac.. Ce���.� , __ - , ; � ;�, ,����� .,��'���`;Q��►�+� �' . _ _ : . ; . - . . � _ .. ___, --�- - -- -- 7'a� ``t.J _�(!-�C�'.'f " c���e lU; �! _ . _ _ � -- - --__ _T _�__ - -- , . , � � . - ` � � �.",� - - t Q —_ _ _ ---- �� -- -- ----- r �� : _ _ --_�.. _—� .-- -- - - � � _ _____ _ �� s:___ .._.:�__._- � , . _ , --- _ , ,. -- � , _ _- - --- ----- - -- -- - . >' . .�,:���,=._..�_._ _ d �' s�-----�--- --- - - ---- __� --- - - __ --__ --- r- � --- -- —_�_ __� y��� _ .._ __ _..--- -- _--- --_ __- - -- -- ..,e... _ ,�,. f � ._�. �. _ : ._.. _ . _ - -- F _ .. � � ___ __ _ _- - - -- - - -- --------�--__ _ ---- , � -- - --..- - _ __- ,. - -- - - - ... � a� � `�" i� �: � i �"� -- . ;, ------- - ------- � '.�.�.� e ( ! ` .._ . ____./_ _ ' . .:.:._ . . .j� _ � — __'—. _.�._ __--_ '__ _ ' — _ . g _ . . ._ - : a.e'°�.,,,e� t F: _ � � . _._._ ._..�.__.'___'___""_v _'�_.._._—.._ .—"'_ � . , �—_.__ _�,�_ � _ _ — _ . _ _' . _,_ _. , .. _ � � - .. � . _ _�—^ / � a �. � : s .�� � f . -�•� � t�C� .., ?. ' . A , , .� _ __'__�_ _.__., _..� _ ., - '_ __ _' _ _ ____ __ __gy` . .__—�– r E • � A7�N.--.�-,,,�c . _ � _..__-i� - -- �---- - — - � � -- --- _ Y '� � L� f i � � ---�.�'-`-� ran+'.+a . '___' ___-- 4—m�r�.+a s �`�; 1 ! � • '�� R�E,Aj X ���� � �O(I r� t3 �a�°� E .%? ---�------ -- —=' �`=_� .��. � � • `'� ` � � %,� ` - �, - :_��.�-�---- ; �� .�- :� , . _ _ _ ---- -- �`14 �. -�i - , ., .. ., ._ � r :- .. �� �. . ' ... � � _ .. __....r. _ �. ``�t . " ' _'_"'_—__ __��_� _...,._. .�,_�,___...._,_ . -�� . ��,'`�' _ � . _ �s ' , . . _ _ J �� __^ ,._.o. -. �s\ •,'� - .. . t - . . '. -- - — . — — — - � .,y, , . . - _ � c _.. �. ,.- _ ,. . _ . . . - _ . . _ . _ . p � ' �.- � � .. _ .. _ .. . •'i ,. • .. � . . :.-.. _ . � - _ �.._� ------ ... -� '��- ...- ' - ---' ' -- ---- � -- ; � -� :-_ - , -��-- :: _ � _ ,_ . .�-�,�I�S� ��: t � . _ . _ - . � - `. � - -� � -- - -------- - __ ! <�' °'w ��.� e��dv� aa �' 4�r ; � -- � � R`a� � Q,Pe� g - , �s ,� ; --- ---� — -----�---�d ��" , �_�- _� � � � _" _^`�. �_ -- ' � u�' � u T , '� Rovq h r���.t at�� � 1' �' ___ �_ . --------- — �--� ��,-� � -- ----- --- �� � y � w ..B _ '��y-�—P�3�6 �:. -- , OV t 3 � � i t. . q . . �� ., -:=' `'�� �_ � -r .r ' r� ~ � _.. - �I�.%� '� '~,''�. �� , /' � .._ ` „. ---- __ ------ ,�'�vu. �d� _�a�.t�-- ---- �.. _ _ �� ---- --- — - �--- ,� `o - --___.__ , -.. -- --- ------ ---- - -- ---�------__ ------- __ _ ------� i-- --- . E --- --- — - - — r. . i . � - . . � � . . • + , � . --- . --------�--- ---- --1_ ----- a : ; ------- -- . — - Y- j i . ' . . .__.._..__ _ � i� i . . .. _ - �--¢+- __'.�....__.._.. _'._'___.._.- :.-. ... ,.i.,,.,...�_e._.._....._.- 1 : 1 . _---- _ _.. __-.... -- --- — __--- ---- 7 -------- ---- ------- � � ,� -- -- -______��� w� �L-. -�----------- [ i ;� ;j ;� -r=- � ��" y�- , , ��/.� " .. C v �— � f , Y� ��,� / �.�i _ i � , , .�� �� > . -- -_ _---- ----- j`�'``- -_� � .�..V..� _,....._.__ .._....._�__., - ------- -------------t-- __---- ---- -- -- -- __ ___ S � "_ _' _ � j. t '__ _'." _'_ _"'_ f .___. " _ . "'_"_'.' __ _'.._.-.'__' .`" _'-_ "-_ _.__'._ _.___"_' ___. ___"'".'__'"_..__ -_ ___'_' _ _..___ __-'__ '_"_'____"___- i � f� , E i -- ` ' _-._._..q- -- �-- - � F ---- ----- . i � , � _�..-- --- ' : --- --- -�-s --------'----------- -*------------------ i i ' ' � ---- _------------------ ----------- { -- --- - - -_, - - - - ---------- $-- j- ---- --- � + --- _... ----- - --- - ---- -- ---- __ - - --- - - _ _--------- - -- - - _ - 1---- - _"y""'�'°'°: ' - ----- - --- - • ; -- �- - -- ---� --- ---`. ' .. � . � � , _ • --- -- - ... �.. I i-- -- f � . 1 ' ��� i � 1 i�.�. Q � "' Y^r""R ' i s-^� 0 I i 1 . _ `.-.:._..___._ -_ �� : i , ., j `.� i .._.... . �;.._-'_-__.. __.'__"-_'_"..... ` � ` � �_�_ % ! "'__ 1 � �_...__-_ l, ; �1_..__. ---- _ � � _ `� �-- � � m n 3 0 �a ?: � � � � o � 3 � Q o o m �� � A �� � 3 � � N O � � � � � ;. Q � S 0 �. m �'—' �� �o m � z� c "' �, v z "� �o c� � rn � D n � � � D � O Z � z �o rn Z � -o n � O z � < � �. � � � � Q. w � o ��., , c � s I S v m � l_�D z � o � � m � _ � n � d� � � 3 d ° � � c' o � - f � � C � � � � �� � `°a � � �S $ rt - � t° � m JN��� _. � � p � � � o � � 0 � O � � � D � r � c '17 .,� m s � � � i � ) � _;, � I. � � , _ D � z � n 0 � m z � cW � � �'r a � z � m _ "O � � z 0 m� v � �..► G 0 �. � �w m � °-� � � �. � � �' D �� a p'*• � � � N o � �� -i � Z ��n �� 0 � � 0 0 -n a� -+ z C C Q p cD - � o � _ tk 3 � � o �� o c 4 N _ �� � O A su � n O •o � � �. � " .-' � � � �.A�1 � � 3 Qoo.�. �o - _ 0 a�i � -� 3 � � 0 � a � 0 � � f[t t N m � � � � � � w m m m � � O � q �N��� ����� �_���� z��" m,�3� ,`��.��.a. Q ="- „ v �-�� .� o � �. s c � � �oo�o � A � c` � W _ � � �... i � � � � � cNn o 0 0 0 � O O O O O � m � tfl � {n m � � � m v � � N� W G �Y � rn � � -i Z O 00 C v � � c � m v � � z m aa � � �0 � � N —� N (� n• � ro � � 3 � p:��' v, �w�.� �,s.�� � �� � Q�o� . � aoK. a v��i � � � = o � � Sn T` y a ��-a � � � �� �n• � � � � � � A. � .��-r � p p -� -S i � m m m � � � � � a. „ �g��� s-. s� � o .`-�' �-' m s s � � n �; ,� g � o � n � � � Q � N � 12 N (� � � � � rn L � � e a v � m � � � � \ � N p: W -1 �.► �•(� w� � � �Z�� �� v N � � zZ rn � � rn � O Z v < T `�p ?o r mn a � -� �o z,i Z � v � D O � � n� v �° _' Z z� z� � -�G v �n = -i �� � � an rnp �r �� rn z -_i � � � � � �(�� � r�-� O ��i � � _ �� c � � � �� � � �Y �. � � � � � �, � r 1 ., � 1 _� ()o1�I()�� � � OH � � �� :��a :�g paa�is =0� JAIIZ��H :a Q ?g S1�I IZ �Z . � :s�.reu�ag .�aq aaxens �03 PaPinoid uaaq s� goqsnqmo� s�g -g 3�'�3i� �EAA .TO� �piAO.Id IIA2(l .T3IIi� E SL'j� [, S�nig �ioi S�n�g sa�o iiK �o S�f1,Lg �IIA��i i��� �H 9 () oH ()�� paa�auQa� s�nig 1�0� pue azis ao3 s�uama.nnbaa apo� �ua.rm� � s3aay� ' S i ) �I�i � ) �� pa�oddns �Jam�as sI �� () ol�I i)�� IITL13TM ��pOj S��2�(�O II�TAZO� OII SEH '£ () oN ()�� noqr.�oua�ap ao �sn.� iuo.� aa.� sY 'Z ( ) ol�i � ) �� paunu�a �IIn3a.ie� uaaq sEg � j :���s io �auwiq� �u�spra a� �� sai3uan �Cqa.�aq pau�isiapun a�s � LLd� 3RI�A �I J. QI�Id �� NiIH� SUBJECT P�TMI I NO. � City of Fridley � � � � � � ' , AT THE TOP OP THE TWINS g U I L D I N G P E R M I T �\'' � ' � RECEIPT NO. ' • COMMUNITY DEVELOPMENT DIV. � ; V ����� , �� �� r � � PROTECTIVE INSPECTION SEC. � , i l_-_- ��'��;-� CITY HALL FRIDLE� SS432 NUMBER REV DATE PAGE OF APPROVED BV i �� 612-571-3450 910-Ft5 Sj22/96 � � JOB ADDRESS 6211 Carol Drive NE t LEGAL �OT NO. BLOCK TRACT OR AODITION SEE ATTACHED oescR. 5 3 Shorewood SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Jim Gilman 6211 CArol Drive NE 571-0352 3 CONTRACTOR MAIL AODRESS ZIP PHONE LICENSE NO D& D Home Improvement Inc 7401 Central Avenue NE, Fridley, MN 55432 784-7543 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 4840 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW O ADDITION ❑ ALTERATION ❑ REPAIR O MOVE � REMOVE X 8 DESCRIBE WORK Reroof (16 Sq) Tear-off; Vin 1 siding and trim 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. SEPARATE PERMITS ARE REOUIREO FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD 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 OFFSTREET PARKING I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GAHAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS yALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED @ WITH WHETHER SPECIFIED HEREIN OF NOT. THE GRANTING OF A PERMIT WJr,960 �Z.98 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMITFEE SACCHARGE PROVISION OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCT N R THE PERFO ANCE OF CONSTRUCTION. �LIZ.ZS Fire SC �5.9�7 PLAN CHECKFEE TOTALFEE ' � � License SC $5.00 $126.19 SIGNpTUAEOFCON'FACTORORAUTHOFIZEDAGENT IDA EI WHEN PqOPE VALI ATED THIS IS VOUR PERM17 - � �� � -S = --�� SiGNaTURE OP OWNER iiF OWNER BUIlOERi �OATEi BL G�NSP qa7E ti r�w ADDN ALTER C] Il �l ConstructionAddress: Legal Description: 0 CITY OF FRIDLEY SINGLE FAMII.Y AND DUPLEXES R-1 AND R-2 Building Permit Application Effective 3/ 1 /96 � � � � Owner Name & Address: ��, �� �,��,��1 . Tel. # ��°°��'� Contractor: _D & D Home Improvement , Inc MN LICENSE # a R 4 n Add1'ess: 7401 Central Ave NE Fridley, MN 55432 Tel. � 784=7543 Attach to this application, a Certificate of Survey of the lot, with the proposed constiuction drawn on it to scale. LIVING AREA: GARAGE AREA: DECK AREA: OTHER: DESCRIPTION OF IlViPROVEMENT Length Width Height Length Width Height Length Width Hgt/Ground Sq. Ft. Sq. Ft. Sq. Ft. Corner Lot [] Inside Lot [] Ft. Yd Setback Side Yard Setbacks , Type of Construction: ��i!/� 1��` r�r� Estimated Cost: $ .S �� �r(� Approx. Completion Date: � �� �����(� / s° ,�f °�' �� L'i L � .(Cost on Back) �'d'� t°�a�i'—�'��,�� Driveway Curb G�t Width Ne�ied: Ft. + Ft = Ft x$ _$ DATE: , ,�' APPLICANT: . �� Tel. # ��� ��� Permit Fee Fire Surcharge State Surcharge SAC Chazge License 5urcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ // � ��� � J I�- � �1. s�'� $ $ �' � -� �� $ $ $ $ $ ��� �� CITY USE ONLY Fee Schedule on Reverse Side .(�1 of Permit Valuation (1/lOth%) $.50/$1,000 Valuation $9� per SAC Unit $5.� (State Licensed Residential Cornractors) Alt. "A" or Alt. "B" Above $450.(� Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] � SUBJECT c�ty of Fridley AT THE TOP OF THE TWINS g U I L D I N G P E R f�ll I i � � t ; �L _ COMMUNI7Y DEVELOPMENT OIV. r � � PROTECTIVE INSPECTION SEC. l� = i �-__� ��"' ��� CITY HALL FRIDLE� 55432 NUMBER qev i bl 2-571-3460 910-F15 JOB ADORESS 6211 Carol Dr NE t LEGAL LOT NO. BLOCK TRACT OR ADDITION DESCH. ,5 3 Shorewood 2 PROPERTY OWNER MAIL ADORES$ Jim Gilman Same 3 CONTRACTOR MAILADDRESS _ Steven R Lee 9465 Irving Ave N Brookl n Park 4 ARCHITECT OR DESIGNER MAIL ADDRESS 5 ENGINEER MAILADDRESS 8 USE OF BUILDING Residential 7 CLASS OF WORK DATE PAGE Of 9/14/98 / / ZIP ZIP 571 PHONE F-1198 PHONE PMONE 27744 � � er SEE ATTACHEO SHEET LICENSE NO. 5�8 LICENSE NO. LICENSE NO. ❑ NEW ❑ ADDITION O ALTERATION � REPAIR ❑. MOVE O REMOVE 8 DESCRIBE WORK ___ Reroof house & garaee (20SO1 Tear—nff 9 CHANOE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. SEPARATE PERMITSARE REDUIRED FOR ELECTRICAL, PLUMBING, HEATING, ��rtvr ��rvs�. ocGUPI VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTpUCTION ZONING SQ. FT. AUTHORI2ED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED fOR A PERI00 OF /20 DAYS AT ANY TIME AFTEfi WORK IS COMMENCED. NO. OWLG. UNITS I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS yqLUATION AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $1�]1G,.00 WIPH WHETHER SPECIfIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pEHMIT FEE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. �SG.7S PLAN CHECK FEE 9'� �i �'p Licens SC $5 °SiGNATURE OF CON7RACTOR OR AUTNORIZED AGENT 1DATEi �., .,,.,.� ... IDATEI IP OCCUPANCVLOAD CU. FT. STREET PARKING IGAFiAGES ITAX $.86 CHARGE Fire SC $1.71 / EE$64.32 0 NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION �� �� G�� ConstructionAddress: � �, � 1 � �,.� � j' � � � � Legal Description: Owner Name & Address: ��'� � �- , ° / r� � � Tel. � .S %/ — 'o � �02 Contractor: _ � %-e�� �. � � MN LICEN5E # s 7-r`� Address: � � � � ,� Y- v � �, � �v�, ���',, klyc,��el. # _ ��. �/— G% % Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF Il�ZPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: v�� �°�_ Construction Type: �-e-0-j- ��- Y-�.►r�-- Estimated Cost: $ � J�%/� (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: �°�/ % /e'�APPLICANT• � 9 � Tel. # �� �/' � >% 9.G Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ �-`7� $ �. % 1 $ �o $ $ S: �� $ $ $ $ � � CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valua.tion (1/lOth%) $.50/$1,000 Valuation $1000 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ J Not Necessary [] � - - BUII.DING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon 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 $SO,OOQ $50,001 to $100,000 $100,001 to $500,000 $500,001 to $1,000,000 $1,000,001 and up FEES $21 (Minimum Fee is $21 plus surcharge) $21 for first $500 plus $2.75 for each additional $100 or fraction thereof, to and including $2,000 $62.25 for first $2,000 plus $12.50 for each additional $1,000 or fraction thereof, to and including $25,000 $349.75 for first $25,000 plus $9.00 for each additional $1,000 or fraction thereof, to and including $50,000 $574.75 for first $50,000 plus $6.25 for each additional $1,000 or fraction thereof, to and including $1Q0,000 $887.25 for first $100,000 plus $5.00 for each additional $1,000 or fraction thereof, to and including $500,000 $2887.25 for the first $500,000 plus $4.25 for each additional $1,000 or fraction thereof, to and including $1,OOO,Q00 $5012.25 for the first $1,000,000 plus $2.75 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alternate "A" : Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50. Altemate "B" : Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet tunes $15.75. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing._ � � D rr � � O � � cu Q: � _r 3 0 N � N � � N � n � � O � 3 � � fl. � 0 �•-a �• � �R � a °_' � _. v° � � `� o- O � � � f� Q . � �-ti s 0 c � � m z � 'D m � O z �'1 m m � � V O 0 � 2 � -� �'? _ -o °a � � � � � Z a �Q �- � 0o I� c� � � , o � 0 C � � � v � C�D � m r � � � _• �n � N � � a��i � N � I i� a �A � 0 z � � � C'� z H C7 H H C'] --� O D r � m m � � m � c A S fl1 � m � o �3 � �D °, �. � � m n. O � D � � � a�' � m 0 � 0 � D `�o- o� O O 3 G� � N � c m � a O � � N. "0 �jo �� a � � o � � O �� H � r � -� O Z m D c� � D n O � a � Ot7. D � N� m � � � N � t�D � L� G� D�� � N y � N fl1 � /� .� �i .i � -p Cn tD �p � � �� � � � ci � �� < � m � � � (�p � � Q . > > O. � T .-� Q � �--� � —c v �O� �- � S � � � � = oo � o � � � � �� � � v � � � � -` � m � � � '� �9 �9 N �"� �""' !--' :Ai cn o 0 0 0 a° o° °o °o o° � m fA f�1 E!i Efl t� E� t�i t�9 Va � 0 � 'v, p � 0 v � m CT9 V� �i �' 1 1 y � v � � � � � n � m� cp'� a �o n,� N �.i. N y ����. y � �, fD N � � d .-r OLl � � � o � a oa Q Q. �•oo� r._<c'� �" N p) y �. O N � � H �' Q. � 'Q r�i� �• � f�. O � n ,�.t. � � A =. ma�-h � A p O c � � � m � �-a m j N � � fl- ''� � � � � � o •�+ � �, � � � o CD =�-rt ,n-a � N �' fD C7 � � �G O N O � � Q ? N � p. N C_�D � � � C W � m -. � N a m Z 01 c�D 2 � N � z 0 0 � � W '-'� z ���,o _ C � o � � � � m � O4 C � N _ o � C) � A C7 � O 0 � � � tp m ..�+ ^ m � a- cn m .� 01 �rl � � fl. o z � O � _ 0 � N N v � -t � D v m � � D -� m � C) O � -i � � m � � --1 Z O . ..°�.� �.v '3., ��. � C r � z � c � m � .� � m N n _ m v c r m O �- � O W m D � � `� � t� � G] H r a z � V � I O W . � N � N r� F�-� c� � 0 �� � tn�rnn NO.W""� F-+ � � � � � � � � • � Z fp Z7 �� � w < �-G N cD Z Z � m � m C� � O z � < � D O � z � r �� r� � 1� Z m .� � O �� O� Z� Z � v� a� �Z ON ZD v_z .� v o= Zm Z � '� z �� �n rn� 3�r N Z Z -� vrn vZ �� �a NO z � m n < m O � � ` � � � C O(� � � � t--� � N O p C o 0 COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing furance, the undersigned hereby verifles that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes () No () The venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes () iVo () The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturer's specfications. This does include AGA-GAMA Category I Central Fumace Venting Tables for fan assisted and natural draft appliances. The existinq combustion air is sized and installed to meet the cuRent codes and manufacturer's specifications. When required to install a new combustion air, it will be sized and installed To meet the current codes and manufacturer's specifications. • Yes ( ) No ( ) Yes ( ) No ( ) Yes ( ) No ( ) When installina a new venting system, the undersigned hereby verifles that it is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Fumace Venting Tables for fan assisted and natural draft appliances. Yes () No () Is the common vent and vent connectors sized and installed cor�ectly after an appliance has been removed from the common vent and vented separat�ly as per current codes. Yes () No () Appliance TVpe and Size/Common Vent and Vent Connector Information Appliance #1 Type BTU Input Fan Assisted or Nat Appliance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input Common Vent Type Vent Height Diameter inches -- - Appliance #1 Vent Connector HeighY ft Length fi Deameter in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Conne�tor Height ft Length ft Diameter in Type ALTERATIONS• (Describe) HEATING CO: RON'S MECHANICAL, INC. Signed By: Date : � � Building Inspections 763-572-3604 763-502-4977 FAX DATE �J f�L� �� U tj STTE ADDRESS � % � , THIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE PROPERTY TYPE PERMIT TYPE TYPE OF DESCRIBE WORK BEING D( SIZE OF IMPROVEMENT � ROOFING NUMBER OF SQUARES _ GARAGES PROPOSED SIZE: PROPOSED HEIGHT: IDING ❑ Vinyl ❑ Alwninwn ❑ Other ❑ OWNER BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY EFFECTNE 1-1-08 PHONE�� STATE LICENSE # YOUR E-MAIL .-. SINGLE FAMII.Y/NEW CONSTRUCTION TWO FAMII,Y/NEW CONSTRUCi'ION /1DDITION ❑ GARAG BASEMENT FRdISH ❑ ROOF DECK ❑ SIDING ❑ SWIlVIl�1 ❑ NEW HOME CONSTRUCI'ION ❑ MAINTINANCFJREPAIIt ❑ HOUSE ONLY ❑ HOUSE & GARAGE ❑ ATTACHED GARAGE � DETACf�D GARAGE Permit No.: Received By: _ ■�[!��:�� � if� �• ��i r.sir..T����r��«ri�r.i _�1 : . ; r, �R��. Y , �� � / � �.\ �' � � , 1 � J,i� ••I i � � ■ �• ■ �• � I ■• ��� ��� • � .�� � i��� � � [�1 ♦� .� .r�l/� i. � � /� ���� � � ��►�I �� if�a i� I � a �►„` � u�:1�1! � :� � � I � � • .� � . ' .�� �. ir� � . � � � . � � �- � � :. , FOR NEW CONSTRUCTION INCLUDING DECKS, ❑Soffit ADDTITONS. & PORCi�S SUBMTf• ❑ T� 1. Site Plan/Survey showing the existing structures ❑ Fascia and proposed project. 2. Two sets of construction lans P WINDOWS 3. Energy Calculations IN EXISTING OPENINGS OYes �No CATION O � OWS OR FOR NEW OPENINGS-DESCRIBE SIZ F(Z� �� )� OPENING CHANGES & ��Pnew e e'!Js w1 ij Q� j1� Yj ' ��Q'ii 1(��CIJ �'Pif I/rn TYPE OF WINDOW TO BE INSTALLED NUMBER OF IrT�OWS 1 � ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (U G'I'HE 1997 UBC FEE SCHEDULE) TOTAL JOB VALUATION $ �. CX� OCCUPANCY TYPE Permit Fee o� .'� See Back Page for Fee Schedule Plan Review $ ��. q 65% of Building Permit Fee Fire Surcharge $ •0 .001 times the total job valuation Surcharge $ �'�. �� .0005 x Permit Valuation Minimum $.50 License Surchazge $ •� $5.00 (State Licensed Residential Conlractors) SAC Chazge $ $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 Chazge $ Agreement necessary () Non Necessary () Total Due $ `�,. Make checks payable to: City of Fridlev Attach THIS IS AN APPLICATION FOR A PERNIIT-NOT VALID UNTII, PROCESSED I hereby apply for a building permit and I acknowledge that the infonnation 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• 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 cordance ' pro 1 in tha case of all ork which uires review and a roval of lans. SIGNATURE OF APP IC NAME��U t�� �e) d'�� ��ATE �� APPROVED BY DA' � � i I I � � �•!�. .. •�Y i � ifi '4 , � �Q?. i� : ��� �a . • � � 862.820.8543 •�,o..� 4501 Minnetonke 8fvd. Sutte 300 St. Louis Patk� MN 55498 -.. --- —!�" ar�iefdd�E�n.com ���c s � za. „� '¢ y x 4��7% �� � � `�� iie'� .it�t,i 't' n�ni 'O�'H � [E��� �/�i/(j�t.' � . �� � � ��'`� � !`+b � iG t� �. �,x . • N � ,,,__... �*VT��.tDFt,, a Go w �ivS+�t.,y�• S e !9�L..�hp�,i,b iyt�aa�' '� �.s f� N �r� �4 / C i 1 _ �� J/� .,..�,..� r . . �' �y � . � t , ►, � *��:�� ��� ---*-<2�� r,{�+a �r.�+rf.ti. ��G. ---•iiZ �!'�'t'if`�,G. _ .�.�.T..C��. Y� � � �r y � Swr wG- � �4 Gf��.Vf�/� a.� t�.��/ �S�a� �. trr w���' c.t.�c,�y�.�+crt�e.. � t� yz,, ��-t . Kisha Delain & Charles Schmidt 6211 Caro! Drive NE �r���eY, MN 55432 Wd bS��1��£ 800Z/8/S �al�a Z/Z :a6�d Z9ZLLZ6ZS6 :wo�� u L. Marlow � ' � �� �. � ►J (.U�i, {` 1/�`i ,,,�/� S� • �. This is the egress windowr sectlon we forgot to send with the plans for the project at: Kisha Delain and Charles Schmidt 6211 Carol Dr NE Fridley, MN 55432 Please put with the other information that we sent. i`hank you! Amanda Marlow Busfness Development Manager Direct Line 612.435.7086 Orfleld Design & Construction, lnc. 4Sd1 Minnetonka Blvd. - Suite 300 Saint louis Park, MN 55416 952.920.6543 952.927.7262 fax wvuw.orFieiddesi .ca�n 1 Wd bS�Bti�£ 800Z/S/S �el�a ZJb :a6�d Z9ZLLZ6ZS6 :wo�� � � ! . � � � I 1 i City of Fridley Project for Kisha Delain & Charles Schmidt 6211 Carol Drive NE Fridley MN Building residential application question #3 list of structural members to be used. We are not changing or altering any structural members Wall framing as follows. 2x4 pressure treated plates (floor) 2x4 pressure treated to masonry (walls) 2x4 hem�r wall studs and top plates. 1%" foil faces thermax walls Sincerely Yours. Ron O�eld Page 2- Building Residential Application BUII�DING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to-wit: 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 Faz: 763-502-4977 d����7 `�x7 = y� 3�x �� � -�.��� -�Zx`� �'`i� . �� � � �� 2'O'I S�da �% k1 b, dd( � � , � �' - --- - . ------ - , � �,. i . , :�'ii � . ._ ... . r.::. _. . _ I -_ . _. . ... -,,.-�C--�,., ' :a ' t,l � � � -- _ �` � :I � � .{ :' �' � . � � ,d �� 1 dy i i �� �R �� ._ j� � � � '� � I � � ' - 9C -=� I' '- - � — `'t �' O � <' �'" � � � � � �� � i � � �.�, � ((��.. % ' ;� � i� - ���� - . y i �� � "I��.�� - �_ I' � +--r :� T (L � ` � ! � �� i -i -O .j� � �° , '��i i . j(Ki � —� i. t �� M ..,r . ._. . i �r ( . i i � ! � � � � � ��. � _ _ � �., ��� �� � � �� � � —;�----- �� � ,, � o �-- � ., � � 1;�, - � � � :: r � �i � . :;� : (s� ^ ' � � � ( � _ � � '_.� ' � � , _ ��a�� � �; - , � ,�p ' � - �- - •.� ' � :!� � 96d 8��� , -�; -� � a' - -. - �' � , _ � N _ � �� I �� . � � --� ; �b� � ' '' � , � ��� � - _ —� I ; I a � r.! �� '` _ � , � c I �`= b _ .�4°;.a� � o -r ��$. D - � i I �. I .� '� r � , ��� ° 1 I.; �_ �- `�; ' I � � i;� - �� :, _ � , � - i -�� � � "� �� 8 ,' :, 1 i ` �.� � � �� j�ua ���2 ��! 1 ' ' I �� �� �N �� I s � � � � �. a T I ' . � � �1 �/', f��' , a, ' S� 7a4 f, ' Q m , j I > ��� . . �I � r n m H n m v�. i i rn f j � _ � 1 i1: � * �E, � l � I �; � � ' L � p � —� � � � � � `� -�`(J . ��� �� g � � � � � ��� � , -�i : ���s �- �- � � ,�,�� m ��:�, t�- � �, �- � ��-� m - �' -�� � �a � � �' � a V3N�oOn�� �� � � � � cm ''�m'' �O � I'` r� � ��) rr1... � �=°.�g���l pP� 1 � � �,s,�� , , � m�m�oz���o V' �, � �-.... rQ'h � +�► G� a o '�i S fmi� � � 07 � � � ` W � . y� ��C/l� •� C� � � w �iZ�i G1�m � fDA � � j�•�j — � (C' I �� �—� W � Z � l-� � � m tvg8�n� m� ��� � ��� ' � -C 3 N � y � � � � � y .. , C � � rn • ,�=1 V � � � � � � 2008 Orfield Design & Construction, Inc. These plans were prepazed by Orfiel�gn & o � onslauction, Inc. ("Orfield'� and aze subject to copyright as a pictorial; grapluc, or sculptural work. � z ��y remain the property of Orfield and may not be submitted to or used by any othet entity without n��specific written consent by and/or payment to Orfield. Any unauthorized use of these plans will resu�t , Ga copyright infringement and entitle Orfield to payment for all design time and any legai fees or costs it incurs in connection therewitU. L ' i i' I i.! I ' ' 4 � i �' ! '. �'� i. � 1 � � i �.� �,� ''a R �. . _ _ - g�1�.�r,o . _._:. --- --_.____.__-3��1�;7�_. � a � �� N f�" A ��NJ 3x . . . � Q t0 O � � m '' m I� :A _' . . _ �_ • . � . ODO �w.����%q O Z . . . . m��moza�° ci . ,. a`"'''•` � w`�"� � D . W�n °�tZo�, c�Nm 01 m ' ' . . . � ? � t�j� Z R° If1 � Z . . . �g � � a n � � 3 N � � 1 N y � � � � � 2008 Orfield Design & Construction, Inc. These plans were prepazed by Orfield Design & ^� � Consh�uction, Inc. ("Orfield'� and are subject to copyright as a pictorial, graphic, or sculptural work. �c °z They remain the. properiy of Orfield and may not be submitted to or used by any other entity without nspecific written oonsent by and/or payment to Orfield. Any unauthorized use of these plans will-result � � in copyright infringement and entitle Orfield to payment for all design time and any legal fees or costs � it incurs in connection thetewith. - � ���f1 � =_ , .� - � j , , t � � r � � � �` � , t--: ::, . 0 , �\ ,� ,,� , , . , t ;. ; � � - \ � � • � �. --� �, ,: -� =� �- ��"{�. � '!� � � 2008 Orfield Desi�Construci . - -- - - - ----- — --- — Constructian, Inc. (` O and aze subject to copyright as a pictorial, grapluc, or sculptural work. They remain the prop of Orfield and may not be submittecl to or used by any other entity without � j\=I/r` :� specific written consen d/or payment to Orfield Any unauthorized use of these plans will result ; ; in copyright infringem d entifle Orfield to payment for all design time and any legal fees or costs it incurs in connection therewith . � R From• 952 929 4779 Page: 1/2 Date: 8/1l200810:03:32 AM '.V1/ LUVV/ L111 1{i��Jl lY4 W WIII WII�IVLNVV1Vt1 ill�\ t\V� �JyJ(� �J(�LI 171�I 1� VU� Y , 1 . • ' • . . • ' . ' � �% ; �.' � •� � , `� '0�M^ •� MfY iP M 7i' W�' �tl �1 d+ +�' �''w . •YU �i 7Y � �: , • ,. . • ' • �'� 281II•W�sh(ng�fott Ave. 1V Mfnneapolls,•1iAN 56A�'�'1 Phohe 6'12-z87-9�1'IU Fnx �'12-287-9'i`i�..' . • . . . • . , . . . �YLLD� .. � r `�r � � � � . • , . . . . . � �n: �, -�� ,�3t�1 � ���.�.�.~4�`�� �� 1aT�: . "�7t�o �- �""c�v1 �'� 9' '�' . . ,� Firo�t: . , � . Pag�s u�.c�uding ca�er page: � p�. �tL: • ����.�1�—� � �� � 0 � i i � i � � 0 �Tt� -- - - — � � " 852.520.8543 . �rrow �o. 4501 AAinnetonka Blvd. Suite 300 3t. Lauis Park, MN 55416 -- --- _www arti�fddeslgn.com _ �. �,��c s� � � ��f yX ¢'7�e I��rSr�lcc. l°.T. 2.YQ Ga) iu►� -�nvarron. , • ffi1��f a.,ne..iG J/9�d' ;��5� wayeow , ��� � ��� � ���r�� ' ' � ' ;G �a w t�F. �.x . ��?. i ' '/�r � �,s�'t" I�VT+d��•t oHt., „� N +�M19� '�d ' '� 1 �""` ..'iiy+�si� , Il � LO w� l� t��-� G^�'SS �eN ;, _ A�.�'`+a�nv /�t�aa� 5r-1�.s.�u l��l�,,c , --:�.,�. ,�, / • .�'+ � ..a •J , . ` ' a . / � � � � --y'y'��t�.+�r�.x 1,Y` �' , ` � 2Jr� r%k+r.ra�rtr�c. st�wj.�,,�,, ' 1',� s�f'��%. i ' ' ,EG � a y � _ . .. z s�z -.p..... �..�....r ,��� 1 ( �� W� � �}�5�� G+:.�. f»» �JJNdA�7 +�✓ GL49�W��, � � ! 'i y I +�-�6.�„L . Kisha Delain & Charies Schmidt 6211 Carot Drive NE Fridley, MN 55432 Wd 1�S�8b�£ 800Z/8/S :a��o Z/Z :a6�d Z9ZLLZ6ZS6 :wa� Building MECHANICAL Pernut No.: Inspections RESIDENTIAL APPLICATION Received By� 763-572-3604 CITY OF FRIDLEY va a�AY � 5 � 763-502-4977 FAX �cTn�,-,-0s �� DATE �' °°I ° � � YOUR E-MAII. ADDRESS srrE.�nDxESS � D� 1��'RV� d!I � THIS APPLICANT IS: 0 OWNER ,I�ONTRACfOR ' PROPERTY N,�: OWNER/ pDDRESS: O� CITY STATE ZIP TENANT PHONE: �I n�— cG`°] I CONTRACTOR COMI'ANY NAME: � NOTE: SEPARATE C1TY CONTACT PERSON: � � �� . LICENSES ARE STATE LICENSE # EXP DATE REQUIRED FOR GAS �DRESS: ��C$Q l� GY�► I C�j,YY� i��(�� CTfY ,��" '. �[S .[ r� STATE�ZIP S5� AND HVAC. f °� �i d� SUBMTf COPY OF BOND PHONE ����� —/I,����� FAX ��Af- ��" d' I�Groi' AND INSURANCE PERMIT TYPE SINGLE FAMILY � TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: � NEW ❑ REPLACEMENT ALTERATION/REMODEL DE AILE DESCRIPTION OF W RK 'ei �1 PER MS 16B.665 the pernvt fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the improvement, installation or replacement of a residenrial fixture, excluding the fixtures. (This should reflect only the cost of labor ) OR Labor cost under $300 =$15.00. Labor cost between $300 to $500 = cost of ]abor x.OS = FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOV� Equipment Installed MFG: MODEL: SIZEJBTU MFG: MODEL: SIZFIBTU MFG: MODEL: SIZFlBTU _A/C $25.00 FIREPLACE (GAS) $15.00 GAS RANGF/OVEN $10.00 _AIR TO AIIt EXCHANGEER $IS _FIREPLACE (WQOD) $35.00 NEW GAS GRILL $10.00 _BOII.ER $35.00 _F[JRNACE $35.00 _GAS UNTT HTR $10.00 CHIMNEY LINER $10.00 _GAS DRYER $10.00 POOL HEATER $35.00 �DUCT WORK $10.00 GAS PII'ING $10.00 � VENTILATOR $15.00 „ , — PERMIT�FEE PKbJECTS' FOR UNDER $SUO ` ; � , .. ;; .' = PER],VIIT �'EE FOR PROJEG"i'S QVER $500`- Pernvt Fee $ Number of fixtures @$ I 0.00 � x$10.00 =$ i��� G Surchazge $ .50 Number of fixtures @ $15.00 � x $15.00 = $ 15 . 00 TOTAL DLJE $ OR Number of fixtures @$25.00 x$25.00 =$ Number of fixtures @ $35.00 x $35.00 = $ State Surcharge = $ 50 MINIMIJM $15.50 MINIMUM $15.50 Tota1= $� THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNfII. PROCESSED I hereby apply for a mechanical permit and I acknowledge that the infonnation above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a�it; that the work will Ue ' accor � with the approved plan in the case of all work which requues review and approval of plans. ��I�1�� � � ,���1I�DATE� SIGNA OF I A PRINT NAME , APPROVED B DA'T� PLEASE NQ :` SE TE PERIVIITS ARE RE LJIItED FOR BUiI,DING„ELECTRICAL;AND 1tiIECHAATICAT: WORK :': "� City of Fridley Building Iaspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 City of Fridley Residen�ial Mechanical Application Page 2 REQUIRED INFORMATION NEEDED TO PROCESS PERMIT RESIDENTIAL PERNIIT APPLICATION HVAC ❑ NEW HOMES/ADDITIONS �°EXISTING HOME ❑ MAKE-UP AIR R�OUIRED FOR NEW/EXISTING HOMES 1. Combustion Air (See note below) a. Oil or solid fuel IMC Chapter 7 with MN Amendments b. Natural Gas or Propane/IFGC Chapter 3 with MN Amendments 2. Make-up Air (See note below) a. IMC Chapter 5 with MN Amendments 3. Venting a. Gas appliances IFGC Chapter 5 with MN Amendments b. Fuel other than gas IMC Chapter 8 with MN Amendments REOUIRED FOR NEW HOMES 4. Heat loss & cooling load per room a. Required on new construction IMC 1346.0312 5. Ventilation a. Per MN Energy Code 7670 or 7672 6. Duct Design Per IMC 1346.0603.2 a. ACCA Manual D NOTE: Centerpoint Energy Mechanical Code Guidelines software may be used for combustion and make-up air calculations. Building PLUMBING Permit rto.: �% �b� Inspections RESIDENTIAL APPLICATION xeceived By: 763-572-3604 CITY OF FRIDLEY 763-502-4977 FAX �°�� EFFECTIVE 1-1-OS DATE (O `%"` D 6 YOUR E-MAIL ADDRESS ��//1 I Gt ..i �� 4"ri I � � o�� STTEADDRESS 6 2.l l e��, / 7�R.. /v� �' THIS APPLICANT IS: ❑ OWNER �ONTRACTOR PROPERTY NAME: G%1w'4.j G,n c�. C! i OWNER/ „�D�SS: 6 z, � C'.�-a � j�� NL�' crrY �,t,r�c,y STATf�ZIP �s� TENANT PHONE: CONTRACI'OR N,�: / �J yr� SUBNIIT A COPY OF STATE LICENSE # S/ 3� P EXP DATE l Z' d'Y YOUR STATE LICENSE, BOND AND STATE BOND # / y G 3 a 8' S/ EXP DATE � Z.. '°� CERT'IFICATE OF ADDRESS: /% 7 y G�h9'? �'GG G! CITY W/ L/�- STATE�ZIP S�T'�/?J INSURANCE �-j 7� 3 S7 y o Fa�c r� S'� 77'3 �7b PHONE PERMIT TYPE SINGLE FAMILY _❑ TWO FAMII.,Y ❑ TOWNHOUSE TYPE OF WORK: � �' ��P�CEMENT DETAILED DESCRIPTTON OF WORK �{.G,�,,,,,,,G,,,..�%',��i.�,�rta,,•� /�G.�r �_ PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor ) Labor cost under $300 =$15.00. Labor cost between $300 to $500 = cost of labor x.OS = plus .50 surcharge OR FOR PROJECTS WHERE LABOR EXCEEDS $SOO,yF�ES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL ��M� ER OF EACH BELOVi�. MINIMUM FEE $�.50. / BATH SINK/LAV _FLOOR DRAINS SHOWER WATER PIPING � BATHTUB GAS PIPING (NEED CITY LIC) SWIMbIING POOL WATER SOFTNER ($35) _ CLOTHES WASHER KTI'CHEN SINK � WATER CLOSET BACKFLOW PREV. ($15) _ DISHWASHER _ LAUNDRY TRAY WATER HEATER ($35) FOR IRRIGATION _ WATER METER _ OTHER ����: .: ?, .,. � G�� � : � ����. �.......: `� �� � �' .x,. � <, ... . � ___�__ __ .. , x ..�.F______ . ..,_= x, > ....... ... . ... . . _ . ,4 .3 ..'.,3... �:.___ ` Permit Fee $ Number of fixtures @$10.00 x$10.00 =$ 3�� , c�t� Surch e .50 Number of fixtures @$15.00 x$15.00 =$ TOTAL DUE $ OR Number of fixtures @$35.00 x$35.00 =$ State Surcharge = $ .50 b�1IMUM $15.50 $15.50 Tota1= $ .� THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a plumbing permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit on site; that the work will be in accordance with the approved plan in the case o k which requires review and approval of plans. SIGNATURE PLIC � PRINT NAME C/G�i`�G ����'�s DATE ��/'� �a APPROVED BY DATE -- � - � �� � �. �� � � �� , <<�. ... _.-, ���, City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977