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AF - 37747City of Fridley, Minn. 6d31 IJniv<�rnih� Ave. N.l?., Minneapolis, Minn. 55432 � C� 1 BUILDING PERMIT Date: ._ __ May_..9.�.._19Z2.._.._.._._-----_—.____..'_�.`.-.-._ owner: ______QasY1.Q....�ob�1..�...He.m�_s.�__iz�c_.......__� Ruilder _..._S1m�.._..___..__ — Address 6279 U..niv_e.rsity__Ayenue_N_,.�,...._.. adeiress _.._S_a.me _..__._._._.__.___. _ LOCATION OF BUILDING'�. No. _. 7613........_. Strect __Centxal._Apenue„N,_E, _,.__, _ .._....... Part oP Lot Lot _.._.. 24 ____... Block _._._ 2 .____ ......_ Addition or Sub-Division _.__M2atlnw.mo.o.�_TPYiarg rli tlon Corner Lot .._....._ ...._... Inside Lot _........._. _X..........._._. Setback .. ......3i�__._.__._._ SideYard —_�.�. t 14' s'aG/� E�e�at�on _ sa6.69 ---- _ ......... �d`���'i6�a/��✓aE�i/.___...890.69 {Aparox. ) DESCRIPTIOIV OF To be Used as: � Dwelling _..._....._ F�ont 36.�...__ DePth __48_�.___ Hcight _l�_�.__._.. S4. FG 1440' Cu. Ft 1y280� G8Ldg8._..... __.......... Front __Z.�l.�..>.. Depth _.Z.�t.�___ lHeight ._�Q.�.__. Sq. Ft. _._S.%ST_�_ Cu. Ft. �fLQ� Type of Construction �.. �.��e--�on-S1$b--� Est. Cost _.g 33� �ODD� --���--- To be Completed ___..4e�....,.�. 1972 (22,�45.00) Permit issued subject to following requirements: 1. Provide 1 hour fire rated door be een garage and house. 2. Provide central air conditioning. 3. Provide carpeting. 4. rovide all appliances. 5. Provide landscaping. 6. Provide a hard surface driveway. 7. rovide 6'6" x 10'10" mesh in all first floor slabs. 8. Verification survey needed befor proceeding with framing. 9. Provide 211 casement windows. 10. Provide perimeter heatin and air circulation. 11. Provide wood sash patio unit. 12. Designate makk which mddel wi11 be built. 13. All notations in red on plans to be followed. SEWER LOCATION:137.5' N. of Manhole (76th & Meadowmoor Terr.) WATER LOCATION: 151' N, of M H, 13.5' N. of Sewer Service In consideration of the issuan�me of a permit to cons t the building described above, I agree to do the proposed work in accordancc with the description above se f rth and in compliance with all provisions o! �Ordinances of the city of Fridley. �— � _ . .E�_��� .2������—(,`,� 11.48 State Surcharge In consideration of the payment of a fee of $._._43..-Q�_..__....._., pernvt is hereby granted to.�astle Mobile Homes ___.__.._._..__.. _.__.__.._..._._...... to.construct the building or addition as described above. This permit is granted upoa the express conditinn ihat the.person to whom it is granted and his agents, employees and worktnen, in all work done in, aroimd and upon said Uuilding, or any part thcreof, shall rnnfonn in all respects �to the ordinances oF Fridley, Minnesota regartfiag loo. tion, construction, alteration, maintenance, repair and moving of buildiags yyithin thc city ]imits and tNffi permit may be revoked at any time u�on violation of any of the provisions of said ordinances. � ,a �� �7 ���' ���"-�'��6"''-'�`�`"-! BuildinS ItlspecWi' CLARENCE BELISLE NOTICE: Thia permit doaf nof cover the conahucfion� inflallation /vt wiring, plumhing� gaf he�ting� s�w�f or wabr. B� �un to w fha Building Inspanor for separefe permifs for Ihaae items. l� � � � r�PYLICATION FOR R�SIllENT1AL, ALTERATION, OR AllllITION BUILllING PERMII� CITY OF FRIDLEY, MINNESOTA // /j/� //�y c'.1� /�' 1 OWNER'S NAME: (�_� : t�t' /•�o.�� I�!%� l� SUILDER:( :�; ! �r /�c�, I; ��r7r S�I.iL ADDRESS:��.���%I/cl�Jr"�Si�f�-��'_ ADDRESS:���%%-(.fvieuc�.t��i AvQ� NO:. J-I� STREET: �_,ti�i t�F%L f�t/�/LCc �, LOT: Z/ BL(�K: Z- ADDITION:/Y�e�.�'�C1�%?„�j� T✓.��< <.� CORNER LOT: INSIDE LOT:_�SETBACK: ��S SIDEYARD: ,5 �- �</� Applicant attach to this form T4ao Certificates of Survey of Lot and proposed building location drawn on these Certificates. To Be Used As: DESCRIP"IION �F HUILDING Front:_3 � Depth: �>�d Height: Square Feet✓�{yCi Cubic Feet: Front: ,`��(( llepth: LC� Height: Square Feet; 5%� Cubic Feet: .— Type of Construction: f���.,,� p; �(�G Estimated Cost:�Sb���-, ��CY'>-"" To Be Completed: ������ 2,_ The undersigned hereby makes application for a pennit for the work heYein specified, agreeing to do all work in sttict accordance with the City of Fridley Ordinances and xvlings of the Department of Buildings, and heieby declares that all the facts and representations stat�� in t i�,l��i ation are true and correct. �� •„4y tc�2 ��� �`` �_ ,7 �� � , i DATE: �j��� _ SIGNATIJRE: � ��� �"rd-[t'7 (See Reverse Side For Additional Information.) i, ( • : � � t �..� /c' ✓ ""� BUILllING PL'R�IT FEE SCHEllUL� SECTION 2. The Inspector of Buildings shall, before issuing pexmits for ti�e erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repairs to any existing building or structure, upon application therefore, require the paymert b:������ applicant for such pe�it of fees to the amount herei*i beia�a aet ::e-�-r!-. ,�--_c: the manner herein prwided to-wit: UNIFORM BiJILDING CODE: 1�pe 1, 2& 4-$2.15 for each one tnousand cubic feet, ur fraction tliereof, in such cubical contents. Type 1& 5-$1.85 f,�x� °ach one thousand cub�c feet. ADDITIOtiAL IXFORh1ATI0N For the purpose of computing fees for building permits, the cubical contents of any building or addition, is detezmined by multiplying the ground area cuvered from a point six (6) inches belo�a the floor lin� o£ the basemr.,nt .r r.he cellar to [he average hei�hLS ,�P the uppez surf�ce or to the average ._��kt of the zoof ;urface oi the main gable of a ritched roof. For repairs or alteratiuns to an cr:iiting s[.-ucture, the Lee shall be at th:� rate of $3.00 per each five hundred dollars ($500.00) or fYaction thereof in i the cost of all proposed work. In no case shall the fee charged for any permit as set Yorth in Section 2 be less than $5.00, �ERIFICATION OF FOUNDA1lOh :IOTE: 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 Certified Survey of the lot, showing the location of the foundation, once it has been constructed, wi11 be required before proceedinQ with the framing. CERTIFICA7'E OF OCCUPANCY Application for a Certificate of Occupancy shall be made ten (10) days prior to the use or occupancy of any structure for which a building permit has been issued; and said structure shall not be used or eccupied until a Certificate of Occupancy has been issued. Authority From City Engineer City EnQineer UBC-Sec. 106 Page 23 UBC-Sec. 106 Page 233 UBC-Sec. 106 Page 233 UBC-Sec. 106 Page 233 Tel. Conv, with State Bldg. Insp. Building Insp RECOt41ENDATIONS FOR CONDITIONS TO BE MET PRIOR TO PERMITS BEInG ISSUED IN MEADOWMOOR ADDITION 1. Lot by lot determination by`�ngineering Department of water table and drainage requirements. 2. Proof of ownership of lot to satisfaction of City. 3. Material descriptions be revised as follows: a. Foundations- Footing concrete mix from 2,000 to 3,000 lbs. p.s.i. or submit engineer approved data. b. Exterior walls: 1. Wood frame from standard or better Fir to Group 3(UBC). 2. Sheathing - impregnated � inch to nail base, ridgid board or equivalent. c. Floor framing - From standard or better to Group 2(UBC) to meet span table 25T d. Subflooring - 2 inch CD to be stamped 16_ e f Partition framing - standard or better Fir to Group 3(UBC) on bearing walls. Windows - Glider-Malta to be upgraded to manufacturer quarantee minimum of 10 years. g. Misc. -�k10 - 11 roof trusses. Submit specification sheet. 4. Comply to a11 notations in red on plans by resubmitting revised plans. r �/ �� �� 7 � �Q , � � r-�- City of Fridley, Minu. fi431 l'uiivcr,vity Ave. N.I?., Minnenpolie, Y]inn. 55432 BUILDING PERMIT Date: ........... J�me_2II�__14-Z2-------_.._....._.._.._..._..__._.........._..._ Owner: __Castle._Mohile_Hnmes_.Inc�......__......__..._ Builder Aaaress 6279 .Univers.ity_..Auenue_N.E._____... naaress �.ame............____.._..—.----- LOCATION OF BUILDING No. ._ 7613 __„_ Street ._ Central A.�enue N E, _,______ part of i.ot _._____ �i�� 11523 Lot .__.. 29 _._..___ Block _.._. .2._ ... . . .. Addition or Sub-Division _.Meadot,�nnx....Terrace�dditi011_ Corner Lot .__.... .._.._ Inside L.ot _.___ X .___.._ Setback .. _ 35 �__._____. Sideyard .—._._�.� .� 7 9� �¢yG¢rElevation_ _.$$_f?.64 .._._.. __.._ ..._....�1(>�i�ic�a�t�q{�/RFy�iGtit%i��i__.MiIL...3.� abn��e water tahla Wye Top of Footi�g (Water Talbe - 895.00 (Approx.) DESCRIPTION OF BUILDING To be Used as: BSmt, 1008 GG —Rael].i.ng .__ Fronc .__.42_'_.. nencn ._._25�_. fIeight ....._Z.O.�..._ Sq. Ft. ._SQS_� eti. Ft 2Il7y}�4 .....G8Yag9 .__.....__... . Front ��_�_._.. Depth .�.Z_�...._._.. Height _.__l.O_�___ S4. Ft. ....._4.��t�_ Cu. FG _i�-fl�-1Q.� Type of Construction _ W.00d Fxame-. ----_ Est. Cost ___$19J979 --------- To be Completed __�g,_ j;L72 Stipulations; Provide a hard surface driveway and a verifying survey before capping, Provide landscaping. Provide 211 casement windows. All notations in red on plans to be followed. WATER LOCATION: 13.5' N. of Sewer SEWER LOCATION: 137.5' N. of Manhole In consideration of the issuance to me of a permit to construc e building described above, I agree to do the proposed work in accordance with the description above set r and in �ompliance witlyet}i-In►visi oP Ordinances of the city of Fridley. � //�1 / / �' L In consideration of the payment of a fee of $___..4$� 00 .,___, permit is hereby granted to.._�act 1 a M�T�; 1 A upmes --_-___._ ___..__ to construct the building or addition as described ahove. This permit is granted upoII the express condition that the person to whom it is granted and his agents, emp]oyees and workmen, in all woxk done in, around and uPOn said building, or any part thernof, shall conforin in all respects�to the ordinanCes oY Fridley, Minnesota regarding location, construclion, alteration, maintenance, repair and moving of buildiags within the city limits and this permit may be revol<ed at any time upon violation of any of the pmvisions of said ordinances. � �<C..�c�t.�_.. _ _ dinBInspector CLARENCE BELISLE � NOTICE: This permit does nof <ever 1he �onatr�clion, insfallafion far wiring. plvm6ing, gas heating� sews� or wat��. M fun b fN � ths B�ilding Inspeetor for separate permits for eheee items. APP],ICATION FOR RllSIDINTIAL, ALTERATION, OR .4llllITION BUILDING PERMI�1' CITY OF FRIDLI:1', h1INhE50'I'A OWNER'S NAME:�,jST�����I/ N�IkFti �l,r BUILDER: Jaj,.n �p q � ADDRESS:���/ n�UO-`,�7, i. '��' ADDRESS• �`...��y1nr , N0: ''/�_ S'I'REET : C E R��P A I /-I Li Q �. � LOT:�BLOCK: � ADDITION:��EG_(�•14��/{-7G'U(t TL'(�Rf1[r A��r� i �� CORNER LOT: INSZDE LOT:�_SETBACK: S SIDEYARD:� Applicant attach to this foxm 1Wo Certificates of Survey of Lot and proposed building location drawn on these Certificates. llESCIZIP"I'ION �JF BUILllING To Be Used As: � t.)P����j � Front: ��, �pth: � S~ Height ,",, � Square Feet:� O..S '��, Cubic Feet: ' -� �y �,ccai Front: %. �„ Depth: 2 2 Height: � Square Feet; �r�S�/ Cubic Feet: � i , i T�pe of Constiuction: � �%, ' �- �iz f-� Estimated Cost: $�y "�/ 7d� r� � To Be Completed: � � " "�', The undersigned hereby makes application for a pexmit for the work heYein specified, agreeing to do all work in stiict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. � � � � �" DATE : y.� � �' � f;' •i_ S IGNATURE • / % =': -� �~ � (See Reverse Side For Additional Infonnation.) 7 D C� _ . Cj"% % -� .9S � J , y i � ,�� � t� t � � � . �, � !, �� �' �' --f BUILDING PERMIT FEE SCHEllULE SECTION 2. The Inspector of Buildings shall, before issuing pexmits for ::r�c erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repairs to any e�cistin� building or structure, upon application therefore, require the payme-�.r. `. .� applicant for such pemiit of fees to the amounl� herein be1�y+ a... - -. the manner }ierein provided to-wit: i;NIFORM BUILDING CODE: Type 1, 2& 4-$2.15 for each one thousand cubic Eeet, or fraction thereuf, in such cubical contents. Type 3& 5-$1.85 ;�r �: rh ore thnilsand cubi_c feet. AUUI T I Oti':11. I tiFORD1AT I ON For the purpose of computing fees for building permits, the cubical contents of any building or addition, is detexmined by multiplying the ground area covered from a point six (6) inches Uelow the floor linr of the basemcn[ or the cellar to the average heights :�: rhe upper surface or to the average ieight of the roof surface oi [he main gable of a pitched roof. For repairs or �lteratiuns to .i� :.i�,.i�_in„ _,!-.�u�.�ux�<�, t-n �F>. ^; i;l .. rate of $3.00 per each five hunc�-<< ��..1 1. ,-� n�.,;uj o ,. __ �,"� the cost of a11 proposed worl:. In no case shall the fee charged 1or any pe�xmic as set i.orth in Sectiou L. 1e�s than $5.00. VERIFICATI01' OF FOUND,41IOi\ « NOTE: Permits for constructiou will be issued a minimum of 24 hours from thc time of application, to allow for proper review of the proposed structure an�_ of the construction site. A Certified Survey of the lot, showing the location of the foundation, once. i� has been constructed, will be required before proceedinQ with the framing. CERTIFIC.aTI: OF OCCUPA�CY Application for a Certificate of Occupancy shall be made ten (10) days prior to the use or occupancy of any structure for which a building permit has been issued; and said structure shall not be used or eccupied until a Certificate of Occupancy has Ueen issued. I i 1 / � i �% '' �. ," `� ,l � �, �/�� �. ,. „ V � , ( i �-� f ; ,� 1 �/ 'l +l' � � �/ � . , - � �,.._ � d ... � � � � a y . �..� i .... oA�..0 .. .. r..... ."\ � W y L i`� li. �,. .. .� i ---- t�;/�nc,:; •.> t .'.'c,.�v�J�r� — , _:: � � .. � ... _ � ; '... ;;` .. 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' � O/ C-1 %%, �i�� v �JJy�' — '�%!,'/C � 6 _ < , %.. _ �� - -. - � � � � %,j OO ��i'�':�'lJ h . r � � .. a SPEED LEYTE6:, TU _ Eoo'r.l:cepu,b� Ca: iiier, Gssess�.:c _ Fkorn_ _ 1;uildir..Q. Snspection_De;�artment _ . .. . Sl�".'��T "1; A' �o.F°ili1�5 LC'7.I1�°, ��'OlC.C:l _ . �,.__Lco _ .._ __- _ . _. ___ . _.. .__ . _ MESSAGE DATE T��na_?Q__ 19 72_ Y? case voici Luilci�Y: �e:::iCS :`11�427 .or i�13 C:s:tral i�venue ::.;'s. and �r11,42� foY_ -___ ___7G27 Ce::Lral Avei�ue .:.L. Tf:e a::mex ias uccided uot tn build tHeae hauses Et_this t3::e_,-___ ;:%il,�t^_7, =enit Ynid $,3.4n -: $1i_4D Surch�roc--_$7.SD ;ield £cr nrecacaing-c2iaryes �_$4G_95-_ *-ra^s_er �o i:e-� , er��i�. �°n r.- . ._ .:. r � n r. r e7� �. 4. � ....:i�y:L�.�.r.i�l-_L :'.�3-i�_ ti':3.!�Q.. y�._.':.J .,ai�',arge - y7. ., _�ld f��s .7YJC0351i:R_LLAY�{L'3.`� . —.�.:G_ Zic.�..LflF i:J 1'�.ei7 j:::'i:11C. j ' d _ _ _ __ 51 I �/ � . `l�.� o(���! _ -_ _ .___ C;dcn ��/-'n�:�,;� _ . _ . . . _ .___ _____,� __—_—•. ._•_ -___ �._ ___. . ___ . .___ .. . _ . .__. _. . ___.__ ..-.__. _ _-__ i � R E P L Y DATE !9_ ._ _�o�o --. _-- - � — -- - � - - ---- � --- - � - -- - . .. $IGNcC__ ... __ C���� . � . „ a,,,. . .�� � ., - - -- ---- -- .._---.. 669 KlLitill IC�N[] COMI'n�'�F. C �V.:I � P•.. �. [. ��_ 5�. 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A � 1 S � � � � 0 �� a � � � � � � U � � � � M tr. y �r i � ? os � 30 ri O� ��` � � FS i: IC A � ri . oE e a z � n � u I ` Q � 4 � „ p L y dL � � � � A w � �t%�C t:E ��p� � C � � ° � -� �' ° �p c �' < c � � • L o � � • � p � Q � 'G � q ^ O � � � m C � 6 �,�m ,", � x � �, ,� �=o� � � Y S V A � '� O F Z 9 q � P� 3°p n � C � _ b � o'f � n q � L p ���� y b �c � N A �: u; r ` I 0 ; 3 6 �U W � ro p � X 7 � \ r� C' . • I 8 �prt Y G O � � F � U ..� 6 � 1 � 0 Z �. z iL m C L � �� 3 d Z a O W J � � W U N w H � J i-- � a v � V1 e �y j � � m � � c < < �� � 0 0 `. � Fy,� M I I M N M N�yy�� M N �► f? �( O � N Nf� O � O ` c1 M M � M M M M � � M� Y/ K �t �e N' M N r M M M I I I I I I I Z �� • • m . m c ' C ? F . � � < ;, c z w $ m O R K 7 v ? ,ry ie � M r �` k � � = a x z � z Fj b 0. : � : ' : $ r : 9 . � � . . v . ` O � ; � _� . w � C � e0 � ,� c � w m 'jv, � � 4. " V ly, V _ s s � z U i Z 1�. F �q < � � -. L , K, . � . � , . , d . . . . N +� : . . . W . . . .c �:�� : . . u � . . w :- . . . y � C:. d Y c. . . � � y , ' RI u oC � : • � �ra . � � • : � ai +> . o �„ � " � �� : 3 � �yp � � Q • '� O w � d < � � � � � K Gy� 0. 1 �_ , Wa�tharly 8lectric 307 Jackaon Slk Siver, Minnetota Dear s�r�t � �. `-� C J Nwamber 9, 1972 55330 j 1/ Res Permit Shortages For 761� Cencrsl Avenue and 7627 Cantral Avenua The folloaing is due for tha elactsical pezmits foz esch of the abwe addraesea; LB/mh Service outlatr 50-60 Sockate 10-20 Pt�snace Air Cond. Diapoeal Diehwaeher Range/Ovan Amnunt Paid $6.00 10.50 4.00 4.00 4.25 3.00 3.00 1.00 $35.75 16.00 AMOUNT AJE F08 EACH ADDRHSS �19.75 L80NARD SICHIdILLBR Elactrical Inapector ^�, City of Fridley �T TII( TOP O� TN( TWINy b'---'--� GOM�UMITYDEV[LOMENTDIV. r,L"�"��If�Jr, PERf1IT APPLICATI�J�J � MaT[Crivl ws�lC7pp 0{�r. �_ ; Ctin ��� s��Ol[r �Ni .. �J MY�W'�MO MJ�r01 erv e�ts .us ... Job Address VWIICL � � ,r �r,. , —r Contractbr `_ �j �? , m et .� �/ ' �• . . , Ad� A c �� �.�,i) � z I W � �I � ' �I �� �� = i � I W -�--i---i I I : � � 3 " I I I I _� v I�aoe�ru� r--.- II te I c"j I I � II � I _ c ��advl i � I � �� O I. i ..�; � � � .�,I i —,— � , J61M I "6tl(]ll � I ' MNIVN � I I� �. ?I 6NISY6I I�i 1�� II� I�� H�iv� I I �. "' 1' i I „�. I x i:. l - G,.. vwivac ,� I' I 'I eoi � � �ooi. G 3°I —� al r� •- � � d: O yI5tl3MOM$ I I I .�^ � � � I I !� F+ C I 'ir�no� � b LNItlO mv U S V1 � 6AYtlll w q .. ws�M �Hian Yl1�M .� fh �IIII'I�. - --I � � � U �� v � II� �I I � .r'7. � I � B � I � � I � � � I I • CJ I� � qo� v � tA .ym. c6 ` th `�V �i'�i � % .S �2r��_I� ��. ress p �' ;. ress �p /-�Ci-+� 1 r F i i�;a.r �'-� , Plumbing Fixture Rates; N0. Number Fixtures Future Fixtures New Fixture-Old Open. Catch Bastn Water Heater-99,000 BTU Ground Run Old Bldg. Elec. Wxter Heater Gas Ficting Fees: lst 3 Fixtures Additional Fixtures ' Gas Range-199�000 BTU ! Repairs & Alterations �I Description: s � ���� 8U0 e. . e �-r-�� ^r . RATE TOTAL �: $2.00 � x $1.50 x $1.50 x $3.25 x $3.00 x $3.25 x $2.00 x $2.00 x $ .75 x $5.00 See Code IState Surcharrte ,50 TOTAL FEE $ The undersigned hereby makea application for a permit �for the work herein specified, agreeing to do all work I Iin strict accordance with the City Ordinances and rulinui of the Department of Buildinge, and hereby declare that � all'the facte and representationa etated in thie application are true and correct. J .�_� /7 ' � / ' ' , c�i.�__r..�_ l� , .._ _ _ 1 � HOUSE HEATING TEST RECORD D-19R63 ADDRESS 7613 CenfSa.l Ave, T��, APT. — FLOOR CITY. SUBURB '�idley OCCUPnH7 Castle Homea Officee oWNeR Caetle Horoea.lnc, HEAT LOSS DATE HTG. INST. GAS CO. METER BADGE # SOLD BY .—.— INSTALLED BY SedgwiCk Htg, Elecirical Work By Gos Line 8y �� �� TYPE OF HEAT GA FA X HW STEAM SPACE HTR. UNIT HTR. —OTHER GAS DESIGN CONVERSION MAKE William9on MAKE OF BURNER Modsl 1117-1� i Model Serial 723�i787 Max. BTU Rating INPUT 100�000 13tll HT.. ... MAKE OF FURNACE Model _ . . .__ CONTROLS THERMOSTAT �?7 Heat Pl�g _ ___ _-- Vent Size —.. ?�� Valve ��.H. VROOC_ _ KIND OF LINER al�ly_ SIZE sn NONE limit _ RO�lB}laN___, ,__ i�.F'1, iJQp _ Draft Hood __-_ _. veTt��`i_�_ Regulaior COT1CC91@(� Limit SaHing __ 2,��_ __ __ __. _ Filten Size �6"X25" Number 1 Fon $etting —�Q�L���f . ._ ___ Chimney Locotion Insids.�eA_....—_Outside Pilot Type _ CO11FIle ..__ _. .. Chimney Construction l�if �81kICEtOs Pilot Make -- .- _-- Pilot Model ._ —... Smoke Bomb . Wiring P�lor 7�m��y 63 Seconda Drafe OK Ts:r Taa Yea L.W. Cut OFf Door Prossure Li9heing Inat. YQ8 � �__Proasure `}.1 �.C'. psrcsnfCOZ�-- Dote Tested __ _._ 2 24 73 Input CFH .. — 1�0o Pereene 0� 7_T��� Company Tasting � � / fllHlf.i pa $rock Temp. 42O f Percent CO ����� Name of Tester _��r.� Form 235 � City of Fridley qT THE TOP OF THE TWIN$ r . � . __ _. COMMUNI�V DEVELOPMENT DIV r ; �' PiiOTECTNE INSPECTION $EC � � ' "1 � CITV MALL FRIDIE� 55Q2 t----�' ' ,•� 612-571-3450 Si,H�ECr BUILDING PERMIT NUMBEA NEV OI.TE ��GE O� 910-F15 8/28/90 � � ioenooaess 7613 Central Avenue N.E. 1 LEGAL LOT NO BLOCK TRACTOR AODITION DESGR. Z9 2 Meadowmoor Terrace Addition 2 PROPERTY OWNER MAI� ApORE$5 z Tim Dryer 7613 Central Avenue N.E. 3 GONTRALTOR MHILADORE55 ���� —L� _ ' Beers Construction 4208 - 6th Street N.E., euaama Hei a ARCHITECTORDESIGNER MAILADDFESS � MAIL fi USEOFBUILDING Residential ] CLASSOFWORK G NEW G ADDITION 8 DESCPIBE WORK Reroof Raelling (20 Squares) 9 CNANGEOFUSEFROM ❑ ALTERATION ro 20531 RECEIPT NQ. � �s0% s�PROVEO B� SEEATTACHED SNEET PNONE 786-8175 PMONE LICENSE NO MN 55421 788-759: GMONE LICENSE NC ZIP PHONE IICENSE NO Gk REPAIR ❑ MOVE ❑ REMOVE STIPULATIONS Roof can be 2nd laycs but not 3rd. Install ridged galvanized valleys. On all new roofs or tear-offs antl replacement roofs, State Code requires that 2 layers of 15 Ib. telt, mapped tegether, be installed to a point 24 inches up from exter�or wall line� or the use of other aparoved underlayment membr�ne. SE�ARATE PEAMItS ARE AEOUIRED FOR ELECTRICAL. PWMBING. HEATING. VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULI /+N� VOID IF WORN OR CONSTRUCTION ZONING AUTHORIZED IS NOT COMMENCED WITMIN 60 �AYS. OR IF CONSTRUCTION OA WORK IS SUSPENDED OA ABANDONED FOF A PERIOD OF /20 DAVS AT ANV TIME AFTEF WORk IS GOMMENCEO NO DWLG. UNITS 1 HEREOV CERTIFV TMAt 1 MAVE HEAD ANp EXAMINED THIS APPIICATION 1 ANDKNOWTHESAMETOBETRUEANOCOFFECT ALLPROVISIONSOFLAW$ VAWATION ANO OFDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIEO $1�000. WITH WHEiHEA SOECiFlED HEREIN OA NOT THE GRANt�NG OF A PERMIT �OES NOT PRESUME TO GWE AUTHORITY TO VIOLATE OF CANCEL THE pERMITFEE PROVISIONS OF ANY OTMER STATE OR LOCAL LAW REGULATiNG CON- $ZS.00 STRUCTION OR THE oERFpRMANCE Of GONSTRl1C110N .i//^ '� ' G /' PLANGHECKFEE 1 /�i%� Q ��� g�/ 5¢,r.<�u OFC��+'apC�O40at�rrOaiZF�>GE�v! iD�TE� _ WHEN R O�iE �CCUPANCVGROUP OGGUYArvGVI SO.FT CU.FT. OFFSTREET PARKING STAL�S GPRAGES $URTAX $.5� $ACCMARGE TOTALFEE qLY V U A TN IS OUA PERMIT r�w � 7 Effective s/i6/90 ADflN [ ] R-1 AND R-2 ALTER [ ] Buitding Pietmit Application Construction Address : % cp /� ��� e C�. /7 T/�,� �i(l.� N_ � Ie�al Description: ow�,er rra� & �: nne -�-N.RS Ti�,t� �. # '7�61�-$17S Contractor: � e.ev'S Go n5� rvc.'�k. �.� Tel. # 7�� 7,S'�J� � ... � fti Attach to this application, a Certificate of Survey of the lot, with the propo�-.�ed construction drawn � it to scale. DFSCRIPPION OF Ii�ROVFS�TP LIVING ARIIi: IPrnth Width Height Sq. Ft. ��q 5�;, J I�s (�,R�,GE ARF.F�: 7P*+�*h Width Heic�t Sq. Ft. � DECR �RF.A: Lerx3th Width Hgt/Glnxuid _ Sq. Ft. ���a'iiC IC�°Q/1.A� �.c.��..� �.^..•.n en�.l t1S�..�� �+',%ivn�-��,SC 5�.;..�Ir_S' Corner Lot [] Inside I�t [] Ft. Yd Setback Side Yaxd Setbacks Type of Constsuction: Estimated Cost: $ Approx. C�q�letion Date: Pmposed Driveway Width If New Opening Is Desired: Ft. $ $ Width + 6' See Hack Fage n�: �E-�.- 9G �Pr��ar: ���e�.,�- �t. � 7�s�- ?�i/ Petm].t Fee $ 2� �- C: Fire S�urhan7e $ State St1m2�at�ge S � S�; SAC C2��e $ Driveway Fscrow $ Park Fee $ sewer Main charge $ w;;,�`-± STZP[7IATIONS: S �5� `� < .�. 3 S �� �� `' CITY IISE �II,Y Fee Schedule on Reveise Side .00l x F�smit valuation (1/loth $) $.50/$1,000 Valuation $600 per SAC Unit Alt. "A" or Alt. "B" AUove Fee Determined by E7�cJ�ru�cJ Ag��c�ent N�xY L) Not N�ssa�Y L] :,� . � • �-� � � _ � ��. � Zhe Quef Building Official shall, before issuing permits for the erection of any building or structuze, or for arry addition to any existing building or strvcturn, or for any alteration or repair to any existing building or structure, upon application therefore, i�equire the payment by the applicant for such permit of fees to the amount herein belv,� set forth and in the manner herein provided tA-wit: 'It7I'AL �/AIiJE $1 to $500 $501 to $2,000 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,001 to $500,000 a�. $15 (Miniimnn Fee is $15 plus surrharge) $15 for first $500 plus $2 for each additional $100 or fraction thereof, to and including $2,000 $45 for fizst $2,000 plus $9 for each additional $1,000 or fraction thereof, to and including $25,000 $252 for first $25,000 plus $6.50 for each additional $1,000 or fraction thereof, to and includiixJ $50,000 $414.50 for first $50,000 plus $4.50 for each additional $1,000 or fraction thereof, to and including $100,000 $639.50 for fizst $100,000 plus $3.50 for each additional $1,000 or fraction thereof, to azxl includinq $500,000 $500,001 to $1,000,000 $2039.50 for the fizst $500,000 plus $3 for each additional $1,000 or fraction thereof, to and includinq $1,000,000 $1,OOG,001 and up $3539.50 for the first $1,000,000 plus $2 for each additional $1,000 or fraction thereof DRIVEWAY DEPR�SSION �SCLd7fP (Concrete C�rb Stx�eets On1Y) Alternate "A": Removal and replacement of curb and gutter only - DrivEway width plus 6 feet times $13.50. Alternate "B": Removal and replacement of curb ancl gutter arx3 install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $15.75. VE2IF"ICATION OF Fl�L4�II]ATION Permits for constniction will be issued a miniminn of 24 houis fran the time of application to allaa for proper review of the pro�a-.�ed structure and of the wnstruction site. A Certificate of S�rvey of the lot, showing the location of the fmuriation once it has it has been constructed will be required before proceeding with the fiaming. •�� � � � � � �1 -, O T � � ` v\\1 C J v v � �( � CJ '� J :J � L ( �� � �� Z ;/-` � � v � W Q � ZW�I 0 � � 0 � Z (�"� `Q � r � J � � � W (n � ~ rW.� V N � � — ? (,7 G F- Z � = O O � �- Z p < Z �o Z � J Q a w Z �i a O Z a p C �' O a � w Z (7 O � Qw U � J a z a o a � 7 � Z r� F- U w � u � � Z � Z j N N } Q � � w >, � � ^ � � � � � C � Z m � ti ? � N r� C n �O O� T L� � � � .J ~ m a � 2 Ul�Dti� [-. � W J ..�. 0 w 2 U � WL r a C CI w Z � 0 C W � � � Z � J � m I � O z F- C W G �J I � I �I � H � 0 U � w H C � H v; w � J U � /. � � v3 w a � `m � � ' > o I C v Z � � Eu cc GJ O ti N J y � � v I w U � � C C C I C � U � ti U a a. � I '� _ .� �� � � C ' � � = Z `c � � � � o � �- z�m� �._/ ,� s�r s3 v> � O O O O O ic O O O O O � o 0 0 0 �ri m '. .-, .-. c� bv � ts� =a �? d U C �p � C m � C w � � N m C N � t6 � -C (O ? � 0 3 0" m � ti — � � � � C . a � � d N � N V j z S] � � �a a� m - a� C V � � d a� m � �a � i p N N � N � � ti Q C7 N cn a m C C 0 a� ` :- m i a C � Q O w vr U C7 (.7 ¢ � il I W C Z I Ui ' ti � I � S � F- � � 7 - � e� m � Y U Q m z 0 H � J Y v N � O � � O N V � c ¢ � dS a � Q f6 0 � � 7 � ti � � N � L p O � Q ~ �_ � � N � � a' m L � s O �n U � O � [0 � U d � � c� " � � � A � � O � 3�� 'r� U � C J /� � C � ,! 1 L+ m `c, �v � ti � V i T J � �U � `J C ti � � F G C ¢ � � _ i O Q U � N +' N L ti �I G � .0 C C C G � ` � C s 3 o N � � , � �. C tG _ C T O � ' d � �� O C � N +� � rJ � � _ N v C � N C � d C � � � � C � � U � � � a�i Z m m � ` � L C _ � W ���� � 0 � I nI � �� >O > C N C � � a +�. Q � O 3 � m C � \ �c m � 'u o a d � �� � N U� d � m -� w � w � � N C� < m � � o � ^�^ Vv Q�{'� ` T`-1 v I � �I � OI �N �� v� I �� I� �. i W1 a c� Zi ZI �� f � ��I co ¢ � � _ O 0 n V � W W IL z O U W a � Z w _ WI U G Zi C � �. H� d � � N � C C � c C > 0 c a � � 0 � � i � � � 3 T � o "G « N m a C � � � N � U � C Q C N � � a �- �a o E c ° R � U C' � O � �N C � a � � � C �' o c L .`�.- Q i 3 THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNED „���. i. i. ��. �: e�� •��c ��� a �: � ��. When ���p a� PY�<t;�pSy�ran P, the undersigned hereby verifies ihat the venting has been examined and is free from rust, detenoration, obstructions, �-- and is securely supported and firestopped where required. - Yes No O The venting system is plasSdPVC and meets all current codes and manufacturer — speafications including sizing, length, number of elbows and termination. es (\�' No O The undersigned also verifies that the repiacement unit is a listed assembly and meets the current codes and manufacturers spe�cations. This does indude AGA-GAMA Category I Central Fumace Venting Tables for fan � assisted and natural dreft appiiances. es (;) No () ThQ PYIC}If1� comh� �ston air is sized and installed to meet the current codes '<� and manufacturers specifications. es (' No O Wh2ft fEqui�Ed t0 inc+all a new comhuctinn air it will be s�ed and installed , to meet the current codes and manufacturers specifications. Yes (' No O When '�nstallinp � �PL= �Pnsnp ��+� C+PT, the undersigned hereby verifies that it is a listed assembly and meets the curzent codes and manufaciurers spedfications. This does indude AGA-GAMA Category I Cerrtral Fumace � Venting Tables for fan assisied and natural draft appiiances. Yes (' No () Is the common vent and vent connedors sized and installed correctly after an appliance has been removed from the common vent and vented 7` sepa2tely as per current codes. es ( o() Tnniian�e Ty�nP and Si�P/Comman VPnt and Vent Connectnr Information Appliance #1 Typa� ��% BTU Input �' �'� Fan Assisted or Nat �-��� �1�- Appliance #2 Type ' BTU Input -- C ��( _% Fan Assisted or Nat . r� Z•i� � Appiiance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input 1 D . G Common Vent Type T- �, Vent Height Diameter � inches Appliance #1 Vent Connector Height ft Length ft Diameter in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type __ • � ;e ��. �- ..- HEATING CO: � Signed By: �� r \ ( . -' - ; s�e�ec+ PERMIT NO. � c�ty of Fridley 2 b� 8 2 . A„�ETOPOF,�E.W,NS gUILDING PERMIT RE�E�PTNo � � . .___ GOMMUNITY DEVEl07MEN� DIV r i �' � PROTECTIVE INSPECTION $EC 'Sl%/,`� � ✓ it � ' /"'1 ' CITV HALL FRIOLE�' S5A2 NOMBER AEV p1TE >�GF O� �VVROVED BY 4-°-�'� ,'' 612-577-3450 9t0-F�5 7/7/98 / / �oe nooRess 7613 Central Avenue NE t LEGAL LOT NO BLOCK TRACT OR ADDI110N SEE ATT�CHED oesca Zq Z Meadowmoor Terrace SMEET 2 PROPERTYOWNER MAILADDRE55 ZIG VMONE Tim Dwyer 7613 Central Avenue NE 786-8175 9 CONTPAGTOR MAII ADDRESS Z�P PMONE LICENSE NO Contractors Plus 7197 17 St N, Oakdale, MN 55128 735-3283 4239 d ARCHITECTORDESIGNER MAILADDRESS ZIP PHONE LICENSENO 5 ENGINEER MAILADDPE55 ZIP PHONE LICENSENO 6 USE OF BUI�OING Residential 7 CLASSOFWORK Q NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE O REMOVE % e oescaiee woaK Reroof House & Gara e(23 S) Tear-off 9 CHANGE OF USE FHOM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPEOFCONST OCCUPANCYGROUP OCCU:'ANC�LO/.D SEPAFl.TE PERMITS l RE REOUIRED iOR ELECTRICAL, �LUMBING. NEATING. VENTI�ATING OR AIR CONDI�IONING TNIS PEAMIT BECOME$ NULL /ND VOID ff WORK OR GONSTRUCTION ZONING SO.FT CU fT AUTMOR12ED i5 NOT COMMENCED WITMIN 60 OAVS. OR IF CONSTRUCTION OA WORK I$ SUSFENDEO OR ABANDONED FOR A PER100 OF 120 DAY$ AT ANV TIME AFTEfi WORK I$ COMMENCEO NO OWLG UNITS OFFSTREET PFRNING I HEPEBY CERTIFV TNAT I MAVE AEAD AND E%AMINED THIS APPLIGATION 1 STqlLS GARAGES ANO KNOW THE SP.ME TO BE TRUE AND CORRECi ALL PROVISIpNSOF LAW$ yq��qilON $URTA% nN� OADINANCES GOVERNING THIS TYPE OF WORK WILL 8E COMPLIED WiTN WHETFIER $PEC�FIED MEREIN OR NOT TME GRANTING OF A PEHMIT �1 � 918 $. 96 DOES NOT PRESUME TO GiVE PUTHOFITY TO VIOIATE OR CANCEL TME pEFMi1FEE $ACCHARGE PROVISIONS OF ANY OTHER $TATE OR �OCA� LAW REGULATING CON� p62.ZS Flre SC �I.IZ $TRUGTION OR THE PERFORMANCE OF CONSTRUCTiON �P PLAN CHEGKFEE TOiA EE k � �_ License S 5.00 .13 I���Nnq;aEO�LOm"anC�OAOaaU��OAQEDSGEN� iOAiF ry p OP AUOA D �S IS VOUA PEAMiT y�GNn�oafO�OWNfa �[OWNEABW�DFA� �OUE� Bl �NSO 'Iw� NEW ADDN ALTER [l [] [l ConstructionAddress: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING P�RMIT APPLICATION ./3 Effective 1/1/98 ,; :(�"� ,�, �� l I.egal Description: , ,: , Owner Name & Address: /,�r /[ / 3 Cr: i �� l A� r�,�' ��/ Tel. N- Contractor: � ' �, ! -, f��l, � : MN LICENSE!/ `/Z 3 i Address: e i'� �� i i"� � 1 lii ��. k><. ! e ��i ", S� � �-� Tel. M(,/1 i1 s s� n s Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: GARAGE AREA: DECK AREA: OTFIER: DESCRIPTION OF ID4PROVEMENT I.ength Width Length Width L,eng[h Width k�� � Ir� . c��i s,.�� Height Sq. Ft. _ Height Sq. Ft. _ _ HgdGround _ Sq. Ft. _ �_ s� �,., , �r , �13 S � �-�t � �� , o Construction Type: fy {,� Estimated Cosr. $ 3 c ��we-- ���� (Fee Schedule on Back) Driveway Curb Cut Width Needed: _Ft. + 6 Ft =_Ft x$ _$ DA1'E: / - i : � Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: APPLICANT: _ r� s�,�l Y' c.� � a Tel. #1; /� - 7� S- 3 2 � 3 CITY USE ONLY / $ -�- �` Fee Schedule on Reverse Side $ l. �i� .001 of Permit Valuation (1/10[h%) $ , J� $.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 [ ] Not Necessary [ ] � � D. l � BUILDING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of eny 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-wi[: TOTAL VALUE $1 to $500 $501 to $2,000 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,001 to $500,000 $500,001 to $1,000,000 $1,000,001 and up FEES $21 (Minimum Fee is $21 plus surcharge) $21 for first $500 plus $2.75 for each additional $100 or fraction thereof, to and including $2,000 $62.25 for first $2,000 plus $12.50 for each additional $1,000 or fraction thereof, to and including $25,000 $349.75 for first $25,000 plus $9.00 for each additional $1,000 or fraction thereof, to and including $50,000 $574.75 for'first $50,000 plus $6.25 for each additional $1,000 or fraction thereof, to and including $100,000 $887.25 for first $100,000 plus $5.00 for each additional $1,000 or fraction thereof,to and inc(uding $500,000 $2887.25 for the firs[ $500,000 plus $4.25 for each additional $1,000 or fraction thereof, to and including $1,000,000 $5012.25 for the first $1,000,000 plus $2.75 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50. Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $15.75. VERIF'ICATION OF FOUNDATION Permiu for conswction will be issued a minimum of 24 hours from the time of application to aliow 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. Bu'ilding BU 1 LDI NG Pe��,ur No.:��� Inspections RESIDENTIAL APPLICATION Re�e��zd s�`��_ �bs-s�z-36o4 CITY OF FRIDLEY �a�e Rz��a i°���' � 763-502-4977 FAX i;rtrcnvi; i i-os c ^ �� / r��re �'�/_1 (7f5 i�a ne-nt�n.�nnaFSS_�i2t'� ��C.-7 �� i�_t�7�UD1��0!"7 si��e annertis — � E' �— —Cc � i�� �Z� t ��— — — --- — — — — T7IItiAIPLN'4A'I'IS- ❑��ll'VEK jdt'�iN7R4t"ftlR PROPERTYOWNER/ ��n�, '��,,� . wY�'•' /�1. ._-- _ �— ren a�vr u>���„ _ Z)b1� 1��, �� �ri � ��k_z� S3� � �L�IJ'ITI� � I�C �/ ST.\ PH(1NF.'. '�i' 7 .��L'i _ �I %� _ �an�: / [�he.-i 9.-+�,rs .<�_ic_— — CONTRACTOR a�>„�,,._/��i,-�;c c,D�� v c, - cin- � 4 �__s-r.a,�e�k�5�s3�� st��nnrrncc�E�voE F„��„E 76 3 %� �/ �.� �ZE �— i 3�C' v�,uh srnTe i tcrNSr• �7—_! N5-6 eas .ST.\'IEI.1�-'E�tiE= �C%J �Oi /L___ _ _F\FI).\IE_ �3��� PROPERTY TYPE ❑ swa.e F�Mn,v;Nr;w coNSrauc'noN size ❑ l WO PAMILY�NEW CONSTRUCTION ti'IORIF.S PERMIT TYPE Ja'-�uuiriny ❑�;.vt�ae Srieu ❑ �n�uu��:e ❑ N.\SE�IENT FINISH ❑ RU(iF ❑ UK.{�N'[II.F' ❑ UP�'F ❑ ti1DIi�Y: ❑ � iINFR ❑ tiR�.l��lti P� N �L TYPEOFWORK: ❑t�e�cnunn_�'uvsie�-c77nt� jY�[>DI77uv -�j��� �U ❑\I UN"I'C!J_\1JCG REI'aD2 ❑ RE]U>DICI I!JG 1 DF.SCNIIIH WORK BF.ING DONL �L((:� 3 SC4fG"� _ /�G _ �✓�-� � _ �C �� Ct= ��CC _ I � �/ 5]/P�A�I�IPNOAF:�IIiNi ��K��.S� 15J1qTH � 1llDTF1� �7 HF,IIiHl' S�FC�/� RI111FI.VG ❑ Hi �I'SF � �h11 H:\SET�.N7' RF�IOPGLM�i SIrEi�OT. NI �A�iPk ��P Vp1 i aBFS _ ❑ W�I �SE..0 G.UL4t,N L Ec�sting Fla�r Plan 1�\K-1GHti ❑ ATf_\t'HED t; aRAGF .. Propmed Ih�or plan PRUPutI U S V_f� ❑ DE'C4� 71FI1 t i.4lt.\u'[ 3. List nl slruciural membecs lo be useA PROPfUt D I IIJGI I'1 tilUl�l: ��� '' •. C C �1 �%Gk�1��� � %`�5 OR Nk� W (ONtiTBU(.TION INCLIIDlN( DI.CKS. ❑lm�l ❑ti,ftii � �� �� � >DDIINlV1&IN�K�HESIIR��I�. f=�el< �-lF � I \ilePlanbm mv.ho��m�lheevxlmu..[m�iurcn ❑ .Vnnunum ❑ Tn . ' ❑� p6o ❑ Pox:la and pruposcd prol�'�t. - � 2. Twoselsofcons[ruc�fonplans 1\'I�UORti 1 PnergyCalculationc IAPSItiTI���i�FFNINtIti �l'c� �Nn LOCAIIONOFWINDUWti OR POR NEW OPIININGS-UFSCRBf� SI71f OF OPIfNINGCIIAN(II;Sdc - - � � - - "fYYE OF WINUUW"I'(1 HE INS'fALLGU NL'MBHR OF W'ININIW ti .41.L Fh:E5:1Rk: BAtiEU O!V VAL0:�7'IOV, IVCLUDI�f.'f11E COtiT OF LABOR AND INATER4�Lti: TOTAL JOB VALUATION Pernii� I'ee Plun Rcview Pire Surcharge Surchargc License Surcharge SAC Charge Curb Cut Escrow Erosion Confrol ParA Fcc Se�cer Main Charge a $ $ $ (UtiING C'�UU ��BC FF,F: S('IIh;DI�l..4:) `� (� ncri See L3ac4. Pagc for Pec Schedule 65% ol' lluilding Permit Fce .OUI times the total jnb valuation .ppp5 � Pcrmit Valua�iun Minimum $.50 $S.pU (State I.icensed Residenlial Conlractors) $1825 per SAC Unit (Plans to MWCC lor determination) ft+61t= fl�S21=5 $SSp �onserva[ion Plan Rcview I�ee Determined by Gnginecring Agrecmant nccessary ( ) Non Necessary- ( ) THIti IS AN APPLICATION FUR A PEItMI'f-NO'I' VALID UNTIL PR(KEStiED I h � hc a� pk lirr � I uilJiuY panul inJ I aelau �cl I¢ IL' 1 lL� in�ou�uilion al - i,� �omplat m I xama[c�. 11 il th �� orA � ill l e in onforman.e w ilL Ihe �rtJman�e� anJ unle< ot ILe 1 ih o( Pndk� an.l �citl� Ihr \lum�.ola � �ion 1'uJc Ilul 1 unJ �nWnJ ILin n n+1 a pennil M1n� nh an appG' il�on Inr a pennil anJ ��ork i' noi 10 .Iari �� i0wnl a pertnit on sire'. that the wurA will be in accord�� �he appwved plan in Ihe ca.vu ot ail wnrA which reyuires review and ap�pr[oval nf plans. SI(�NATiJi:L ��P AI'[7Jl:A ----� FI:INf NAMIi 7�i3�n //Ci n r r DATE ��9�'� .AF'PK(��VF.0 BY � NCPfE�. �SfiPAi2ATF' PF.RA�t'PS ARE REOUIKED F� �R PLir�IHG. 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HEINEN 7 763-2635569 No Paue I of 1 search for 0 https://secure.dolistate.mn_usilicensingilicensin�,.aspx 5/l9/^_008 Building Inspections 763-572-3604 763-502-4977 FAX DATE �� � ��/ SITE ADDRESS - ? U BUILDING RESIDENTIAL APPLICATION THIS APPLICANT IS�. ❑ ONRJER PROPERTY OWNER/ TENANT CONTRACTOR SU6�1IT A COPY OF 1`OUR STATE LICENSE AND CERTIFICAIT OF 1NSURANC6 CITY OF FRIDLEY EFFECTIVF 7-I='010 YOI:R E-M.41L ADURBSS I /'� �i %� �'°" ��C /���� r ✓' PHONE: %� 7 �H �S� � � NAM11F- Pi ji e�, . 7i'L�7 rS '7 G STATE LICENSE k. G �S �J Y EXP D ADDRESS�. �G� �7 �7 �� � L /. ✓�— CITY, PHONF. �> / G'� ���5�� FAX %�i 5 PROPERTY TYPE �❑ SINGLE FAMILY/NEW CONSTRUCTION ❑ TW'O FAMII.I'��EW CONS"iRUCTION PERMIT TYPE � ��DITION ❑ G.4RAG ❑ BASEMENT FINISH ❑ ROOF ❑ DECK ❑ SIDI?JG TYPE OF WORK: DESCRIBE W'ORK BEfNG ROOFING NUMBER OF SQUARF.S _ G.4R4GES PROPOSED SIZE: PROPOSED HEIGHT�. _ _ SIDING ❑ \+inyl O Aluminum ❑ O[her ❑ NEN' HOME CONSTRUCTION ❑ .4DDIT10N ❑ MAID]TENANCE.�REPAIR J3'RFMODEL: __ '�i9 o c �'_ G. ,_i) !h�- C C1.� � W7NDO�VS M EXISTMG OP23NINGS�Yes ONo OR FOR NEW OPF.�INGS-DESCRBE S¢E OF OPENRJG CHANGES d Tl'PE OF WIKDOW TO BE WSTALLED ❑ HOUSE ONLY ❑ HOUSE & GARAGE ❑ ATTACHED GARAGE ❑ DETACHED G.4RAGE ❑Saffit ❑ Trim ❑ Fascia ❑ DRa1N TILE ❑ OTHER S WIDTH HEIGHT LOC'A"TION Oy WINDOV.S Tc"�� � KCMBHR OF \4'IhDOR'S � Permit N Received By: i'(� � �C��,d'��L Q 1 2��� C C-1 STA � FT BASEh1ENT REMODELfK�G SURMIT�. I. ErisGng Floor Plan 2. Proposed Floor pian 3. Ust of svucNral members to be used FOR NEW CONSTRUCTION INCLUDING DECKS, ADDITIONS & PORCHES SUBMIT: 1. Site Plan/Survey showing Ihe existing sWCmres and proposed projec[. 2. TwosetsofconsWCtionplans 3, Energy Calculations FOR W fNDO\4'S — PROVIDE U-VALUE AND MANUFACTURE STICKER ON WINDOW. ALL FEES ARE BASED ON VALUATION, INCI.UDING THE COST OF LABOR AND MATERIALS: , (USIQ7�„T�F�-1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION ; Permit Fee Plan Review Fire Surcharge Surchar�e License Surcharge SAC Charee Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge i $ See Back Page for Fee Schedule 65°0 of Building Permit Fee .001 times the to[aljob valuatioo .0005 x Permit Valuation Minimum $5.00 $5.00 (State Licensed Residential Contractors) 52100 per SAC Unit (Plans to MWCC for de[ertnination) ft-6ft= ftxS24=S $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks pavable to: Citv of Fridlev Attach THIS IS AN APPUCATION FOR A PGRMIT-NOT VALID UNTIL PROCESSED 1 hereby apply for a buildin� permit and 1 acknowledge that the information above is complete and accurate; that Ihe work will be in conformance with the ordinances an odes of the Ciry of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application r a ermit and work is not to start �vithout a permit on site; that the work will be in accordance with the approved plan in the case of ichYequires revie�v and approval of s. SIGNATUREOFAPPLICANT�—f—� PRMTS:IA4F��t'1 ��>-�6'-1 DA7E � � ��� 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 applica�t 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. Ne�v Houses Onlv City of Fridley Building Inspections Department 6431 University Avenue NE Fridley, MN 55432 763-572-3604 Fax: 763-502-4977