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AF - 36237� d � � � � r o 'j p � : w O . � . m . h : o � a . � � : � : � ' i�i! � � � N � � � � � � � � � � p � � � � o � � m � � . o • o • O . O . O . � . . 0 � � � � µ � O O P � 89 ifl � H < y G � �� t� � � z� � z� z z 8 � n � � � '� (7 n'� �' h j N �}' � � � � � � � �� rl : O � � � � ¢ � '�° ,�b � O : � � : � N . . w o : �' °° : ¢ � � � . U4 0 . . . . : bd : : : : : � : : : : x ia 5: iC iE �e >C W N W f-+ r+ � � ji p CN7� O O O i,�.S„� {f! ifl �f! {!i �fl ff! �J %% H H . � � � � � � � � � m � n 2 m C r m , .. ...�� : �� . � � � ■■■� �- �: ■�� .==. '�° 8 I � M � 0 � � o � x c �' � � �. �. � � x � � � � �, � d O �c '� �i � �-+ Q m i�+ ► �� \ � ¢. o�a• � � � � oa � �yy g F � h ' � � z � � � � � ° � � b � _ `� �`17 WATER [].OSETS URINAIS �� 1 e�siNs SINKS WASH TRAYS ORINK. FOUNT. sf+wwRS. � �.00rt DRAINS CATCH BASINS nuro �/A$HER GAS MPL GAS WINGE GAS OPENINGS � i Z • � H s A m ,�T � p �S � ro � aa.tD � �� `° � �� y � ��m � R+ � Q y � � � �� , o� � � �� oy�° p �' � o � a o p � � � y � � � A7 � �� o�x� ��AK n� . ��A � � y � � ir'i A � pp � fD A � �, � �� n �ro aM R� � M p � M � �, i� � � w � �. , � �� f� � � C" G i�. °- � ro � � » � O M � � �� o � � g 'o �,a p A � �� co �- i� � Ci.ty of Fridley, 1Vlinn. i�, . � � , � � , . �� .- - -;� — ��,:, - ," — — . . �, „ • • � , - � ��.. _a � : /' .�.�� l � - 'i : �r .s. — �.. LOCATION L 1 G - . No. Stceet p� t � j�— Bl� - � Addition or Sub-Divisian Coraer Lot ._ �Inside Lot t Setback --.�'�� Side3�ai.'d —�,� �,� Sewer IIevation � ._._ Fouadation IIevation �, DESCRIPTiON OF BUILDING T Used � � � Front _.;��Depth ��`_°�rm Height -��. S4• Ft. � Cu. F't � t Depth FT� t.��.� Sq. F't. (;u, Ft, 7�►�e of Constructfo �..N.... F�t. ��__ ��o be Completed � In consideral3on oP the issuance to me of a germft to construct the building described a�ve, I agree to do th� proposed work fn accardance with the d+�script3on above set forth and in comp.liance with all proviaions of ortlinances oP the dty oP Fridley. �"► �,/� �`"� -- Ia consideratioa of the paymeat oP a fee of $ ��, pernzit 3s hereby granted to to construct the buflding or addition as deacribed al�ove. Thia rmit is granted u�n the expr�s condition that the persfln to whom it ia granted and his agents, employees an�worlunen, in all work done in, around and upon said builaing, or an,y� thereof, sY�all conPorm in all reapects to the ordinancx� of �'�id1eY, Minnesota se�arding location, conatru on, alteration, maintenance, repair and moving of bufldings �� dtY ]fmits and thia permit may be revoked at any time upon vio on any of the provisions of said � �1 NOTIC� '19�b permi� does eot eowr ths eo�trueHoe, testaUaltae hr rrtrieg, Phael+ie9. gas hatloe, sswe� e� walsr. B� wre to se� t6a &rildfng lesp�eter for ap�rab p�rmNa hr thas hxea. - a L, APPLICATION FOR BUILUING PERMIT CI7.`Y OF FRTDLEXi MINiQESOxA � 1 I � .�' .r.�_.._� 1 1 / / � %/ � ��=- �� 1 1 • �r � / � � � _ 1% 11 � Y / LOCATIOPI OF BUILDING �O• Street Part of Lot Loe � B].ock / Additioa or Subdivision ��,a Coraer Lot 1� Inside Lot` getback �.,�' � Side Yard �y' ° SEWER �LEVATION FOUNDATION ELEVATION Applicant aCtach to this form 7,'wo Certificates oE Survey of Lot and proposed build- ing location drawa on these Certificates. To be used as; DESCRIPTION OF BTJILDING Front Depth Height Sq. Ft. Cu. Ft. Front Depth Aeight Sq. Ft. Cu. Ft. Type of Construction ��,�/ � Estimated Cost To be Completed The undersigned hereby makea application for a permit for the work herein specified, agreeing to do all work ia strict accordance raith the Citq of Fridley Ordinances an�l rulings of the Department of Buildings, and herebq declares that a11 the facta and representatioas stated in this application are true and correct. DATE � �"- �. j SIGNATLTRE (scl,edule of Fee Costs can be found on the Reyerse Side). f � t - �'"� _ - ;,, � , . � d . � 1 .�r 1 / e BUILDZNG PERMIT FEE SCHEDULE Section 2. The Inspector of Bui�dings shall, before issuing any permit for th� erect3on of aay building or structure, or for any addition to aay exise- inu bui.lding or strucCure, or fer any alteratfons or repairs to any e�istcing building or stcructure, upoa agplication therefos, requira the paymen� by �he applicant for such permit of fees �� tlne aanount herein below set forth and in �he maaner herein provided ta-wit: 2.1. For any auch permit for �he erection o,� any fire-proof building, other �han a�ara�e� warehouae, factory or gsain alevator, or for the erect�on of any fire-proof addition, for similar occupaacy, to any existing buildiri� ahall be at the rate of $1.40 for each,one thousand cubic feet, or �rac�io� �hereof, in such cubical contenta. ' 2.2. For any such.permit for the erectioa� of any fire=proof garage, warehouse, factory or grain elevator, or for the erection of any fire-proaf addition, �or similar occupancy, to any exist3ng building shaZl be at the rate of �1.25 for each one thousand cubic feet, clas�ified as °'fireproof" by Section 502 of the Mi�neepolis Building Code. �OUS�S 2.3. For aay such permit for the erection of any non-fireproof buildiag other thaa a garage, warehouse, factory or grain elevator, or any noa-fiYeproof addition, for similar occupancy, to any existing building - permit $1.00 for each one thousand cubic feet. GARAGES 2.[}. For any such permit for the erection of any non-fireproofc gara�e, wGrehouse, factory or grain elevator, Qr for the erec�ion of any non-fiseg�oof �ddit�o�,., £or s3milar occupancy, to aay existing building or for each such building or �.ddition - ninety cents ($0.90) for each one thousand cubac feet or fraction thereof, in the cubical contents thareof with a mini�n of $4.00-. For the purpose of compu�3ag fees for building permite, the cubical conteats of eny building og additioa to a uniform height throughout by multiplyin� the g�round area cov�ered from a poiat six (6j inches below the floor line of the basement,or cellar to the average height of the upper aurface or to the ava�age height of the roof surface of the main gable of a p�.tched roof. 2.5. For repairs or altesations to an exisrcing structure, the fee sha.11 be at iche rate of $3.00 per each Five Sundred Dollars ($500.,00} or frection th�:reof in the cost of all progased work. 2.6. In no case shall the fee char�ed for ,auy permd.t as set forth in Section 2 be less than $4.00. /� ' -'� . _ � `� . \ �� _ _.� ��_ - .. ., � _ - �, � : � �+ � � _�, .R ,v, _ . ,. , tond Plannin � • 6B7'S-Ni�h,ror� ft'S NE. Ls�td.S'urwet�rt� t Mirrr�aPv/s ZI, �',STf¢;�9 ENGINEERtNG� 1NG. �n�°fa �i'vi� fr A�1�niap�ot � ° sUnset4-6a66 r E��s — Enc�ineers � Survec�ors --�— ce�ta,��cate o� s��e �ar D:�. �eNC��r��c� +��od�� T a - � II � c� ' t ' '� -- f 3 3, 4 i �� ! � _ �� , � � '' � � � "� -- � ' �, , ...a c� ,� m l �' � - � � I Q � — - '____ d' f �-�- . � � � H �S� � Scnl� 1"��0' °D �.�, ; _ t Cy1" � �� , � � � I�� ' - - ��`� � `� '' � � 'r � F 1--1-� � ' �,� � � � � � p 1� s,�rc ro s , �� -- 113. 4`� --r -� °�� .� T� i 4� M1551�� °� �� T��E�" P�.�. � , �.OT Z , �,L�C1� i r��i�'� ��►� ,�� ANO KA COIJ N°Y° `Y M iP,{R{�..°cQ'1 xa+ / lrrl�by �. lbvf ��c o frr�a a�d aorrtcf reprre.sertfof'�n o�'o sr�rvtt� y�11� b�nd��r� gi'�e d�e�rt cCsu+�Lied la�, mx/ I �lara/mn q/'o!1 drs�ldm�s,�.�+sar�, aadatl rrs,r6�le �cr�orlimenfs,��ar�. �ii a� ansaid /�ao� As wrrerJed �n� 1b�_ d� � lLf�� a.o_�,. SUBURBAIV ENGJNEEflIIVG, INC. � �!�ers 6� sur��or� � � � . �; ,� � � �� ,,.. �.�v_ .._.__ �� . �✓ �' I . ?�� A '.__' ' _ - �, � Y * � - �� , e.,. � � z � ; > � � � < � 0 �i: x aA � � � � � � p co . I r � y M � y x p � � � O � O M y M � � M, � � � � � � � � M � " �° y� �n � � o � � � 0 � 4s sn � � e � � w a � y � M ¢ W M• �_;� k � .. tn o ',�. � N � � ti a � . Q g � : O • �:: � : � � � x oa �e ,e o � t.� r °c o q � ts t�i ts� "� 0 .� r b0 � e�% � � � N � � � � � M x � �+- 0 1� O 0 0 0 O � � 0 O tsa ,1 � � � � P1 � 0 O r � � � C � � I w oa W �� A .'3° �'! o � �o � � m � . f�D � �. �: �� : � 0 O � � � � O �Fyf� � � � }� � � 67 A7 � n M ,¢¢. a � � x � � o 0 0 � � � c s� R° R° � h � �' �' � � � � � � o��o� �*' o �, � � � ' ra M � � � : : � � � � x �' . . o � . . �,. : : � � . . y . N � � � 0 0 °o °o 4n vs s�r �» � � � `� O M � � t� � � z � � � Cgg � � � � � O � � m � � � �° ,� ,� � � � � � �� m w ro pa'. � p p � � � F} O 0 m � fD o o� �' � : � �' a � ' � a, � : G �• o . . � S . : o • O .° � : : � N � � N � o °o 0 0° °o �n {n v� rw �n � � H Q � O O y � N ¢' R' � n w O �"! i� � � � � S y ~ � � � V1 (�p � m R° R° ; �n y �9"�� o " �y �' g° �, �; r+ �* � � ( � � � � � P' � � � ¢ �, : : cn . . � o : : o $ . . Op . • O : . . N � � � � en o 0 0 q O O p �n O � �� aa� � ��;H o � �� m p° �! � p �� a � � � �o Ew.t � �. �, !4 yd�� o ��o � p�� CSpG�C er � O �~'H DG° �� y w ki � py `�. �,�.t �o �' t�. � p '7 y O M �� a��.� ��+� ��f¢DM `•-r � � � �`C � �ti ��hG' � � � �� D � r � � m � 2 m C m d b �pi. � T � � b � V A V O 'o '�� 7i � �' 0 � S! O � � 0 D Q � Ri" �_ �� ' d � � � `� :� � � �'. D � � � � � � � ��- 1 � __.. _. ._- _4 - _ :i __ '.� --__ - ^� � � O� D,� "2 5 - a HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINCS �� • ' Weatherstrips A.S.H.V.E. Construction No. Insulation Guide ''i�V'ndows oors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How Applied � No I es No 19— / S r Fl.� �� y Room � Length ,5 G Width � Height �_ ! F7.� t� • Room Length y Width /O Height %� Windows and Doors—Crackage and Area Windows and Doors—Crackage and Area �Vldth He�ght No. of Lfneal It. Area Wldth HelBbt No. oi Lineal tt Area No. ot pane of pane IlBhte o[ crack eq. ft. No. of pane ot pane lighte of crack eq. ft. .� 2� � � � L � � �- / � _ �- L Coef. Btu Infiltration 3 3 8 � � �.. Glass Z(. L � /��o O Eap. wall Net eap. wall �,' �4 `� j� �� Ie.w,�, � , -°� �0 a�° '�0 0 Ceiling Floor / �'�, � �q, Total Btu. $5 St % Required sq. ft. E.D.R. or sq. ins. W.A. Leader area ��f '��' / Fl.�� Room � Length L Width Height �� Windows and Doors—Crackage and Area W1dth Height No. ot Lineal ft. Area No. of pane ot pane Ifghte o[ crack eq. Lt. z e � �, c e 3 �- � � � Coef. Btu Infiltration � /p 6 Glaaa ! ��+ �D �B Fap. wall ' Net esp. wall ' � � ' '' � wall 6 Z �' ,� Ceiling Floor /p � Total Btu. ,j' , Required sq. ft. E.D.R. or aq. ina. W.A. Leader area O° ��.�, � Fl• �r«,e � Room � Length ' Width //^ Height 7� Windows an Doors—Crackage and Area Wfdth Helght No. oL Lineal ft. Ares No. ot Dane ot psae llghts ot crack eq. tt. a �� /$ BL In6ltration � i � Glaas � � � - Exp. wall ' Net eap. wall i i�t wall / � Ceiling Hloor /D `i `� Total Btu. Required sq. ft. E.D.R. or eq. ins. w.A. Leader area Infiltration Glass E.Sp, wall Net exp. wall k�t. wall Ceiling Floor 0 � �� m� ��— '�� 0�� _� Required sq. ft. E.D.R. oe sq. ins. W.A. Leader area �// ; � Fl.l �� 1 Room ( LenSth �f Width Windows and Doors—Crackage aad Area Width Height No. of Lineal ft. Area No. of Dane of pane 1lghte of crack eH• tt � .� y ,� � � � Infiltration Glass Exp. wall Net esp. wall �at. wall �� Ceiling Floor /� 3 ��'' Total Btu. �7L / Required aq. ft. E.D.R. or sq. ins. WA. Leader area so' •�a'� / F1.� Room I Length Width Heash�� Windowa and Doora—Crackage and Area Width He►ght No. ot Ltneal Lt Area No. ot pane o4 pane Ilghte ot crack ea. fL. � 2'¢ ` f� Y Btu 'c/ � Infiltration �� Gl�ss �p. Wau � Net exp. wall r 3.S �Lut. wau Ceiling �� Floor �e �°' 'fotal Btu. �� ,; � , :� �� ft. E.D.R. or sq. ins. WA. Leader area a� � � a D�S6 z 5 „ EiEAT LOSS CALCULATIONS DEPARTMENT OF BiJ1LDINGS IVIINNEAPOLIS, MINN. �' Weathcrstripa �►•S.H.V.E, Construction No. Insulation Guide �` dows I ors Reference Out. Wall Int. Wall Ceiling Roo# F1oor Kind __ How Applied g No e No 19_ �Z Fl•� �,s� Room Length Width Height �� Fl.� ,� .� 1 Room Length Width Hei Windows and Doors—Crackage and Area Windows and Doors—Crackage and Area �Vldth Helght No. ot Llneal f. Ares Wldth Helght No. 01 Llneal ft. Area No. ot pane o[ pane l�ghta ot crack eq, ft. No. of pane ot pane lighte of crack eq. ft. �./ � . �� .3 ��. � � � � �S'D L l� 'a� Coef. Btu Coef. Infil ' Btu trahoa � � Infiltration / ` �agg ��S a ff caass > �� L o Eap. wall F�p. wall Net exp. waU A�/A �� Net exp. wall � / 6 Int. wall Int. wall Ceiling � i Y � � � Ceiling Floor �� Zy� Floor Total Btu. S�70 Total Btu. ,ajl �% Required sq. ft. E.D.R. or sq. ins. W.A. Leader area D�^-,�� Recryired sq. ft. E.D.R. or sq. ins. W.A. Leader area (,' �AQw � 2F7•� A A�� p Room ( Length /p Width �� Height �, �,� c y Room j Length Width Height Windows and Doors—Crackage and Area Wiadows and Doors—Crackage and Area Wldth Hefght No. ot Lineal Lt. Area Wldth Hefght - No. oL Lineat tt. Area No. ot pane ot pane lighte of crack eq. ft. No. ot pane of pane lighta ot crack ap. tt � � /� 7� � � �� ' �a � � In6ltration p ,/ s�� Glaaa � � � o�tt,� Eap. wall Net esp. wall / ' e / / ,(, �� Int, wall Ceiling / t � � Z � �'� Floor 1'otal Btu. � Required sq, f� E.D.R. or aq. ins. W.A. Leader area �• �� . Fl. Et�+u Room � Length �, o Width� HeightB?� Windows and oors—Crackage and Area Width Heig6t No. ol Linesl tt. Ares No. of pane ot Dane llghte ot crack ea. tt Coef. Btu InGltration / � 6 G188a / D � - Exp. wall ` Net exp. waD � / G `O Int, wall Ceiling � � � l�loor Tota! Btu. z � �� Required aq. ft. E.D.R. or aq. ine. W.A. L,eader area ��p�� Infiltration Glass � Eap. wall � Net esp, wall Int. wall 3� ll S � 9 6� /t �� / / f /7'/ __ Ceiling - - � �� B z �a�/ � Floor ' Total Btu. �7, p I Required sq. ft. E.D.R. or aq. ins. W.A. Leader area p'/� � ;Z. F1.� Room I Length � Width / Height� Windows and Doors—Crackage and Area Width Height No. o! Llneal !t. Area No. of pene ot pane lighte ot crack eQ. Lt y 3Y /� �.1. Infiltration Glass Eap. wall Net eap. wall Int. wall Ceiling Floor 'fotal Btu. Coef. Btu l �'1 b // C lGl /l �l �2e1 ,. iy�� aq. ft. E.D.R, or sq. ins. W.A. Leader area � .. D,,� 2 8 I�EAT LOSS CALCULATIONS DEPARTA�IENT OF BiJ1LDINGS 1VIINNEAPOLIS, NIINN. �" Weatherstrips �•S.H.V.E, Construction No. Insulation �;+ _ Guide ' dows I ors Re�erence Out. Wall 1nt. Wall Ceiling Roof Floor Kind e:s No es No 19_ i- Fl.� Room Length Width Height Fl.� Room � Length Width Windows and Doors—Crackage and Area Windows and Doors—Crackage and Area 1Vldth Hefght No. of Lfneal f. Area Wldth Helght No. ot Lfneal fL Area No. of pane of pane Ilghte oL crack - aq, ft. No. of pane of pane llghte � ot crack eq. tt. How Btu Infiltration / Glass � Exp. wall Net exp. wall � � Int. wall Ceiling � Floor Total Btu. � Required sq. ft. E.D.R. or sq. ins. W.A. I,..eader area a,�,�Qp� �/'�,�� ENr� �m ( j,epgth Widt �� Height / 't0 Windows and Doors--Crackage and Area Width Height No. ot Linea! tt. Area No. ot pane ot pane lignte ot crack eq, tt. �oi7 / L � S Coef. Btu In6lcration � g 0 � Glaaa � � ` � Cp Eup. wall Net esp. wall ° � 3 Iat. wall Ceiling � �� s�� Floor Total Btu. � Required sq. k. E.D.R. or aq. ina. W.A. Leader area '� �� Fl. Room � Length Width Height Windows and Doors—Crackage and Area Width Hefght No. ot Llaeal tt. Area _ No. of ysne ot pane llghts ot crack eq. ft. In6ltration S R ��a � �p. Wau ' Net eap. wall _ Int. wall Ceilin Floor Total Btu. ft. E.D.R. or aq. ina. W.A. Leader area Bttl Infiltration Glass Eap. wall Net eap. wall Int. wall Ceiling Floor Total Btu. �� - �� IRequired sq. ft. E.D.R. or sq. ihs. W.A. l.eader area F1.I Room � Length Width Windows and Doors=Crackage and Area Wldth Height No. ot Lineal [t. Area No. ot pane ot pane lights ot crack sa. [L Infiltration � ,o z. �p. Weu Net exp, wall � _ � � Int. wall � (, � �° Ceiling . � �,�.. , �► �r j�yg� Floor Total Btu. Required aq. ft. E.D.R. or sq. ins. W.A. I.eader area Fl.� Room I Length Width Heaght Windowa and Doora—Crackage and Area Wtdth Helght No. ot L1nea1 Lt Area No. ot pane ot p4ne Itghte of crack eQ. !t Infiltration GI83S °' [J � / � � �p. Wa�i - � Nec exP. wall �- �')'LF.� � ,� Int. wall Ceiling Floor Z'otal Btu. Required aq. ft. E.D,R, or sq. ins. W.A. Leader area BtU � sue�ECr PERMIT City of Fridley � 13058 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T • i � � � RECEI O. COMMUNITY DEVELOPMENT DIV. a �� r � L � PROTECTIVE INSPECTION SEC. !j� 1 ; � � L---- ��'��;'� CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY � � � 612-560-3450 910-F15 6-27-75 � � JOB ADDRESS 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 7 ]. D�N � S� 2NU ADDITION SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE 30HIV A. FOGER�Y 6500 CHANNEL ROAD N.E. FRIDLEY MINNESOTA 3 CONTRACTOR MAIL ADDRESS 21P PHONE LICENSE NO. 4 ARCHITECTORDESIGNER MAILADDRESS ZIP PHONE LICENSENO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. 6 USE OF BUILDING 7 CLASS OF WORK ❑ NEW �,] ADDITION 0 ALTERATION ❑ REPAIR ❑ MOVE � REMOVE 8 DESCRIBE WORK ADDITION TO HOUSE 20 x 24 ADDITION TO GARP.GE 14 x 20 9 CHANGEQFUSEFROM TO STIPULATIONS �` ��R1►� PERMITS �tEQC11RE't�� R WIRtt�G, C u�C � t�' „ ��G, Pl.tUfAl�1NG A�UD ��NS. CO , TROAC ��y. �NISION SAF . . DO NO'C PIANS � WI OUT AP. WQRNING THING IN THIS A�R �f pL�Y. PRO�AL OF THE C �, cali locat utilitieg Before digging , TELEPHONE - ELEC�RIC - GAS E��. �EQUIRED $Y LAW SEPARATE PERMITS ARE REQUIRED 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 S�. 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 CERTIFY THAT 1 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 GOVERNINO THIS TYPE OF WORK WILL BE COMPLIED. WITH WHETHER SPECIFIED HEFiE1N OR NOT. THE GRANTING OF A PERMIT ( OOO 3.00 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATf OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON— STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. 3Fi.00 PLAN CHECKFEE TOTALFEE g 39.00 SiGN ruR oF r TOR aUrHORiZED ENr 1DATE)r W EN PRO L V L DAT THIS IS YOUR PERMIT / / �� _� _ �� 7�1 SIGN T REOFOWNERUFOWNE UILDERI IDATE DG iNSP DATE w.��. � e � ' , ` � / \� n / / �-,.-�.- : ; = .�. ma.�.._,�s� ��s..� _. . . � �e.se_� __s�.. � _ ._ . „� ._ n�+'{��;9;,.��' � � � �, . .� ,�.a _ . � � ' �� i � � �;� ��: �``� '� �.�.� ��a_�; �,.�°:; I e � ��f`�� a � � � E ��:^a��r = ;r_ 3�� ;;� 3r�- �ra , ,'� �� .�_ _ � � � 6�� -� � � � �'`� " � � � �. �`� ! ��- : . �'s$1'" z'�i,t _�i:1 �ti ? 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J�$ ... � PA!JiI'i _SvU �T�� :+�:FtY.H•� �3 , �� h� �� ' �. -. . �ti$ Jt1A'fl�p�,=%�'�,�2 y� �� •�A t!!p}��'�'°`'T�tq aq iayt211f , ,Y�;�� _ '��1 �NiT 6?a � �'Zd+�' 3tfi � 19►:?Nlti�. � ��. � � .,,-: y�r, - ._t . j '- '�_ . . ".� — �...^s---.- . . � ��:��.----- .�� si- �;� e��:+-�i,'av�Aana.��i+�, � � *� ` ` � �"'_ °� . . . . .. . \� . y�,� ,�� `�.._.f `'0. +ti �j+�ka i� . � -'",. ...,.�Ste �.. _ . --.. �'TN'u\ � -l`�_ .. - i_ � �..,,�:16k�.; 3 ��..l.V.r; 3q\t,�i'� � _ _� . � - �ar - �. � -�,- _ � �APFL��liTION FOR R�:SIDL'�TIAL.� ALTL'Rf1TI0N, OIt AllllITTON.I3UILDIti�G P�ItAiIi CITY OF �FRIDLEY, hiINNESOTA • N . � � o��R� S N�� : J� � . � y �UZZV��.:� � ,�. � ��-� . � ADDRESS • �o�bo (��doeL !C� � AnDxESS : �'��r � _ 0 �� a�. Iv0 : e Cv�� D STR�ET : C�'e°��` � e- �� . . . . r �/� /��p/. �/' a .r. LOT:_ � BLOCK; I ADDITIOI� : �� ,a� ° '� CO�iNER LOT : INS IDE LOT : SETBACF: o SIDF'YAP.D e Applicant attacr� �� this for:r Tcao Ce�tificates of Suxvev . of Lo� and: pxopose ' building location drawn on these Certificates. ~ . �o Be Used As : � �o�r�� D v � DESCRIP'TION OF BUILDING Front : 0?6 X 2� Degth � � Height < Square Feet : �8'v Cubic . Feat o ,�ci�o k f (��-�� Front : � �'� �� L�epth : Height : �Square Feet9 02�'� Cubic Feet: 7Lj�pe of�Construc�ione ��"a� � Es�i.mated Cost: $��_��,t� To Be Compieted; ��ai�/ �S p�a��6.�e The undexsigned hereby makes applicati�on for a-permit fox �he work herein specified, agreein� to do all worlc in stzict accord.ance with the Ci.ty of FxidlCy Ordinances and rulings of the Department of Buildings, and hereby declares tlia�. all the facts and representations stated in tha.s application are true and corxect. . � ��DATE o � 1 `�� SIGNATUitE : � � • � .. (See I;everse Side Eor Ad�li�ional Infa�nation,)' •. � �c�� e�� . . � � �� ` ��`� 3 ..-- � �` �� . �,, � --' . . , • . � AGREEMENT I� �Y Y� �� "�� , owner of the �, property located at ��' f,�� , �,�� have no obj ection to the City allowing the constructibn of a• ��1r �� ,� f to be located at ��p� C��,y��,�jj � without the required certificate of survey that the Ci.ty ordinarily requi.res for all new construction. � . � Wit' s �� ` � . Signature ' , � � 1 �C/ l v ,/r a � . ACZC�Y'eSS a � � �' � d�� Date n i4 A . i � • . I � � Y a ► r � . � �� i � �. � � � � � � � � � 4 .� w � G� � � � � � �j � � a Ri � � �� • AJ � � � � � � � � a � � &'� � `� A � J � � C �d � � r..v fl � � � 5 � � Q � � � � �� •�. � E 0 � y �r w � � � � � � p�il� � � �/ M� Q � a N � � $ � ��.«� ( � � C11 � i ►� O � � C � � � O � � 0 � � 0 � � � I � � � Q $ M � � "�1 m a n 7. oi � � � n 0 O �eJ M � � � b �'-. � - �. ..q�p fi S `3� y o � t�� a a A� x. '° A � O � S O O t� �'�' "' � � �� _ � � � � �• �» r � y � � � � 9 " � ? ~ :U 70 0 ' �2 � o x�,�s� � h � � O � � � � 4 ra m A � � . r� � i�: b d k� � � E � �� n ti � � � � d p � � � 0 �A ►J V � � V � !A M N H u� � � � ' �S� Gti � � � 0 � 0 . � � ' � � .� � � v �e y � � � ' � � . _ ,`�, � � �..� �.� � .� � � R� f� g��,n � f� •. �� y, >. y .- � '� � ~ � � ro o � �" � � ' o " � � r � a r �o.�g� ; o �� -n � � � � ; � � � �► n �j � � � � v` � o � ? °0 '" � �' � � a,, s S a° E-� « � �•� � $ � � : � � 8 � 8 : � g � tn � P1� � � . � M � � q4 yr� � W O! Gf 4:� O W O. � Of Q.�"' 8°8$�� i388id M!f► M M M � 4O M � � I o M ' � a x d 3 m .� L � 3 �pF� � � 7 � d � S. ro C� � � � � 7. � a �- i (v^� � n/ � lV � � � I� � � � 0 � ��u n a � a °'' � � ^ -, c. � o �, � M � �ay,� � a CTi � y y � 'i � a x ~ .. � . C. 7 �-- ;:, N a� � ^ A � � m y�� Q n �� y. � � � � ... �� t� d� a Y �� N y x'Gl � � y t7 �. � � ��_.� � C: � d p n y .�n+ b � � Oi �. � d��~�Q ' tir p, rf .'7 rJ O » ..� ao ��n� v � � A t�� p�,��i � '��,�� {p- � ry �N'� a~ � � o � �. s. t. �. A1- M N( • � �`I'1. A t+ i � � � � � ClJ �i. �� -'� �� ,� � w �� R� �� . � y ��'�j aa ;. "� ;.3 � �� r:1. ;� L .e a- � 9w„'b Ra� �j � p., �:3� 0 '� �:~ t `�� o�.L r. p �� M` ��/ w; ca �3 �� °� � �� b 6rl E'! :t.;: �� s '� �i ;� .� � :� 0.11. �7 �.� �.a 1�v� � � r , , r � ,� %P S. . _s; _ . . i'�i', f ,, /'r / �w/,•_. _ ...�:�l/� �'� .,�1,.,_.......,r,.i'' i�lfa/ ,:. •. / � - ; �,� , 'tit�' �' a ,�1, F�-r !!{/� •�� ,�. .lt:, y�, t v ��f �� e �:. r j(. J, ;. P �'��.1 . : � ! r -I .r f V`. + d� ��'i'� �� s�� ..,��'� 8431 UNIVERSITY AdENUE N.E., FRIDLEY, MINNESOTIi 55432 , TELEPNONE (612)5T1�3qS0 , `� ° � �-� , ,_ _� `�tI�UT�:�.,�. , : � ��k, 7, �� _�', �,: �,:,,� ,,,,., , 0 OBSTRUCTIO�vT: �'r r� �.p ��r,��' {:� -_ � _ > G . �'� . P� . �^ � • . ._ _ �. `-�1.. �.., -_ - � �/� , � Lot Block Addition � �� ,�� -� ��"�� Pi-aperty O�ti��er-.,d3ress ��4/`�Ayr ��A �� .— Y.: �.�'t �. �°,� — R�CA� OF CO��II.r,;IC.r1TIt�IvT�: L �f/��'77 � 2. . 3. 4. S. b. 7. 0 �I .� , � � �--� � =;a :� C1lY OF FRIDLE.Y CI�'1C CENTGR • 6-131 l:�l\'ERSITI' AVE. N.E. t=RIDLEI', :�fIti1ESOTA 55.��? • PfiOrE: t612) 57�-;a$p April 15, 1987 John A. Fboerty 6500 Channel Road Fiidley, rN 55432 Dear Mr. Fboerty: A,�87-78 �e City has reoeived a petition for an extenc3ed "No Parking Zone" in your area. '�e resident at 6548 Q�armel Road requested that the City post "No Parking" along the west side of (hannel Road abutting his property. " k*e would like to take the opportunity at this time to inquire as to any interest on your part to have parking restricted all tr�e way to N.ississippi 5treet along the west side of (�annel Raad. Zhis restriction, would also a�ly to you and your visitors as well. Enclosed is a map illustrating existing "No Parking bebween sic�s" posted in your area. Please cnntact us regarding your thoughts on this "No Parking" issue in your neighborhood. You can call me at 571-3450 or write to the above addr ess. Very truly yours, � �� C _ /��Z�r � Y 1 . Q �V. Fbravetz ' Y� �gineering Ac�inistration �v� � � c ��_ �s 6 �� 0 [. . � �. _ .� 1 _g � re �°�S/� � � / S ,��r� . � �Y �Z1� • � C� ` L y� L/!G�' . -. Joir�.f S'%ii!ae��I� � " �CHANNEL ROAO . � —"4�-� , y:� • ,� ..�. .�.a, ' .� '�.;.- . b�0�. =...: : : -. 6846:6830 68 t �: _ � � • .. . G�' . �� G� 10 �� • �, V � � il�sr , �' � � � , : Cn+'� ' �s4' t O T4 . . �•� � ` ��11 - ? ,.:zqi��qc� �a4i�G��%� ~�� 731 t '4�` � � �8 �9 • � `� � 2,3 24 - . 613�� 1 . 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E. 6581 � J • ., _ ,� - � �1'�a i1_��? � �i� � Q"a� �— � �: .��ar � � � 1 � t � S � — �.. ' �as� �� . . , �� a`�J p�.o, � � . „ : ` =� � — u — � �.; 7 ►r� . 3� � � �s� � . . � . �� 3a � �� #�" :, ,. - ;'PA �,,• a�� e r� WO D � , _ �} : � �1 �i (9� I'� !o ,fi -•� i::.<<SOl �s. �I` — •11R[r_. i. .s • i, , .�_.. � �� .� , _ t� D ' .. Q. ? ,,�� S�! ' / ►w,r 12s! /1� _ir /�t3 6— . :.�. :., . � . . . :.:-. .� � . � � S�� .� j y.��+,•• �-� r� r i - -.•� ';,., 3 t .♦ •,� � . a.�� i i� . v# f Ii .J��y. . sue�ecT P R M . � City of Fridley 19010 AT THE TOP OF THE TVtIINS g U I L D I N G P E R M I T � S � CEIPT NO L _ COMMUNITY DEVELOPMENT DIV. / r � � PROTECTIVE INSPECTION SEC. p� ��/`� � .1 , ' 1 /"'1 � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY �"""'� � �'� 612-571-3450 910-F15 6/15/87 � � 108 ADDRESS 6500 Channel Road N. E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. % 1. DOri� S 2nd Addi,tion SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Tom Benjaulin 6500 Channel Road N.E. 572-8735 3 CON7RACTOR MAIL ADDRESS ZIP PHONE UCENSE NO- Franzen Construction 4250 - 5th Street N.E. , Col�i.a Iisi:ghts 788-4071 4 ARCHITECTORDESIGNER MAILADDRESS ZIP PHONE LICENSENO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW O ADDITION �1 ALTERATION � REPAIR p MOVE ❑ REMOVE 8 DESCRIBE WORK Interior Remodeling 9 CHANGE 0� USE FROM TO STI PU LATIO N S 4 SEPARATE PERM#fiS``�R�Q(��I��p FOR 1�'IRiIVG, MEATIiVG, PLUNIBING ,qND S1GNS. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. �OOfl �1'�2 THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZpNING SQ. FT. CU. FT. AUTHORI2ED 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 OFFBTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION �- STAI.LS 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 $� �300 , $3. C�J WITH WHETHER SPECIFIEO HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE PR�VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- R CTIO OR THE PERFORMANCE OF CONSTRUCTION. S6H. 5O PLAN CHECKfEE TOTALFEE �-/�-�-I $72.15 SIGNATUREOF NiRACTORORAUTHO 12EDAGENT IDATEt WHEN PROPERLY V LI ATED THIS IS YOUR P RMIT SfGNATUREOFOWNERIIFOWNERBUILDEPI IDATEI BLDG iNSP f�p7E � NEw I l ADDN. I 7 pLTER. f�? � y Construction Address:� �� City of Fridley R-1 AND R-2 Building Permit Applieation Effeetive 4/1/86 Legal Description: " ' - ' � Tel . � � ' ` ]„_.� Owner Name & Address : ��°� ' '��IUZ�� [ Tel. � - G� Contraetor . �� , 5�' ... � � ? Address • � '� �� `' `"� LIVING AREA: GARAGE AREA: DECR AREAs OTHER: Attaeh to this application, a Certificate of Survey of the lot, with the proposed construetion drawn on it to scale. DESCRIPTIOH OF II'�PBOVEMENT Length Width __ Height Sq. Ft. Length _ Width Height Sq. Ft. _ _ Length _ Width _ �St/Ground Sq. Ft. � Ft. Yd. Setbaek Side Yard Setback Corner Lot [� Inside Lot [] - �.� Type o f Cons tru e t i o n: .� r��, Q C� P I Estimated Cost: $ �� Approx. Completion Date: -, �� l�7 Alt. A Alt B Proposed DriveWay Width If New Opening Is Desired: See Baek P�ge for Explanation DATE: %' �5 ' � � APPLICANT : t�� F f� — Tel . # �- 7�� '�7j�� CITY IISE ONLY ,�-- Permit Fee $�� Fee Schedule on Reverse Side Plan Check $ °"�°� 25� of Building Permit Fee State Surcharge $ �� $.50/$1,000 Valuation SAC Charge $ � $ 525 per SAC Unit Park Fee $ � Fee Determined bq Engineering Sewer Main Charge $ � Agreement Necessary [ ] Not Necessary [ ] TOTAL $ " � STIPULATIONS: -� _ , o � 3� `� -�o G� ��a SCI 6 �� 3� t o � m� 6� J f BUII.DING PERMIT FEE SCHSDIILE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing buildi,ng or strueture, or for any alteration or repair to any existing building or structure, upon applicatio n therefore, require the payment by the applicant for such permit of fees to the amount herein beloia set forth and in the manner herein provided to-wit: Total Yaluation Fees $1.00 to �500.00 $10.00 (Minimum Fee is $15.00) $501.00 to $2,000.00 $10.00 for the first $500 plus $1.50 for each additional $100 or fraction thereof, to and ineluding $2,000. $2,001.00. to $25,000.00 $32.50 for the first $2,000 plus $6.00 for each additional $1,000 or fraetion thereof, to and inaluding $25,000. $25,001.00 to $50,000.00 $170.50 for the first $25,000 plus $4.50 for eaeh additional $1�000 or fraetion thereof, to and ineluding $50,000. $50,001.00 to $100,000.00 $283.00 for the first $50,000 plus $3.00 for each additional $1,000 or fraction thereof, to and including $100,000. $100,001.00 and up $433•00 for the first $100,000 plus $2.50 for eaeh additional $1,OOp or fraction thereof. DRIVEiiAY DEPRESSION ESCROi�I (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 approaeh with 6 inch depth - Driveway Width plus 6 feet times $15.75 VERIFICATIQA OF FOUNDATION . Permits for construction will be issued a minimum of 2�1 hours from the time of application to allow for proper revieW of the proposed structure and of the construetion site. A Certificate of Survey of the lot, showing the loeation of the foundation onee it has been c�nstructed will be required before proceeding with the framing. a 5 5 y�� CtTYOF FIZIDLEY CIViC CENTER • 6431 UNNERSITY AVE. N.E. FRIDLEY, MINNESOTA 55432 • PHONE (612) 571-3450 J uly 15, 1987 '�omas and Marilyn Be.nj anin 6500 Chanrrel Road Fridl�, MV 55432 RE: Non-Compl ianoe of the FricIl.ey City O�de at 6500 Channel Road N. E. Dear Mr. . and Mrs. Berrj anin: On July 15, 1987 it was oonf irmed b� an orrsite inspection that the property at 6500 Charu�el Raad N.E. does not meet the minimun standards necessary to m,aintain a gleasant and prosperous suburban errvironment. While major code requirenents are satisfied, the follvwing item does not comply with the perf ormanoe standarc� of the City Qode : 1. An ob�truction due to the graath of vegetation between the driveways. City Code requires that the vegetation within 10 feet of a driveway acoess not exoeed 30 inches. Please renwe all vegetation exceeding 30 inches in this area, except for the large oak trees. Your i�diate action to oorrect this situation would be a great improvement for your property and the entire v�mmtmity as well. An inspection will be conducted on or about July 27, 1987 to det�rmine oomplianoe. If you have ary questions or oonaerns, please feel free to oontact me at the Frin'ley Civic Center, 571-3450. Sinverely, Lisa C�npbell Code Enforoement LC/lmti C-87-312 SUBJECT IT NO. City of Fridley 2 6� 3 4 ' ' , AT THE TOP OF THE TWINS g U I L D I�1 G P E R M I T EIPT NO. r � � � i y__�___; COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. P..�� ` � � /'�'1 � CITY HALL FRIDLE� SS432 NUMBER i1EV DATE PAGE OF AVPROVEO BY �---•� � ,'� 612-571-3460 910-F15 7/27/98 � � JOB ADDRESS 6500 Channel Rd. 1 LEGAL ��T NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. � 1 Don's 2nd Addition SHEET 2 PFOPERTY OWNER MAIL ADDHES$ ZIP PHONE Ma.ril n Ben'iman 3 CONTRACTOR MAII ADDRESS ZIP PHONE UCENSE NO. Lennander Co 523 Central A e 425-2227 Fax:42 - 2 a ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PMONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK � NEW ❑ ADDITION ❑ ALTERATION � REPAIR p MOVE � REMOVE 8 DESCRIBE WORK Residing 8 CHANOE pF USE FROM TO STIPULATIONS Call for building wrap inspection before covering. SEPARATE PERMITS ARE FiEQU1RED FOR ELECTRICAL, PLUMBING. HEATINO, TYPE OF CONST. OCCUPANCY dROUP OCCUPANCY LOAD VENTI�ATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION 20NING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OA WOHK IS SUSPENOED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CEHTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STA�LS GAFAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TVPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT �►�L�FO L.IZ DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL TNE pEpM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFOHMANCE OF CONSTHUCTION. $99. ]5 Fire SC �F. Z�F PI.AN CHECK FEE T TAL FEE Licens C 5. 111.11 SIGNATURE OF CONiRACTOti OR AUTMORIIEO AGENT IDATE� H PR V VA� A D THIS I� R pERM1T Il t �/ � �' S�GNATUREOFOWNERUiOWNERBUILDERI iDATE� �- DG tNS ��aTE NEW �ADDN ALTER [ ] CITY OF FRIDLEY SINGLE FAMII.Y AND DUPLEXE,S R-1 AND R-2 BUILDING PERMIT APPLICATION Effective 1 / 1 /97 ��`� 3 a� ��l ConstructionAddress:�� G�,ii ��-/ ��- i,egal Descriprion: Owner Name & Address: r Tel. # '� %� -�%�T Contractor: � � � e'l � I'� C� �r ° MN LICENSE # ��D � �c� �� Address: ��3 C �P � �I�GZ. % � l� P � � . Tel. - Attach to this application, a Certificate of S�urvey of �/� �� lot, with the proposed construction drawn on it to e. LIVING AREA: � GARAGE AREA: DECB AREA: OTHER: DESCRIPTION OF IlVIPROVIIIZEN'i' � Length Width Height Length Width Height Length Width Hgt/Ground Sq. Ft. 5q. Ft. Sq. Ft. Construction Type' $ '�� 7`C� , O� Est.imated Cost: (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ , DATE: `% � APPLICANT: Tel. # �o% - ��i Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: r� (%"!i =��r.�%/ /: .Aio'i' �.-� - __ . � �, fi!f' � �.�. ,:�-_�� CITY USE ONLY Fee Schedule on Iteverse Side .001 of Permit Valuation (1/lOth%) $.50/$1,�0 Valuation , • $950 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.04 Conservation Plan Review Fee Determined by Engiaeering Agreement Necessary [ ] Not Necessary [ ] ��s �� ,!. Building Inspections 763-57Z-3604 SITE ADDRESS �i THI3 APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION PERMIT TYPE MECHANICAL RESIDENTIAL APPLICATION CITY OF FRIDLEY O OWNER NAME:� ADDRESS: PHOIdE: COMPANY NAME:, CONTACT PERSON: STATE LICEN� ADDRESS: �id�C ��-a �3II�GLE FANIILY YOUR E-MAII. ADDRESS � TWO FAMILY TYPE OF WORK: I� NEw �►CE[+�m�rc DETAILED DESCRIPTION OF WORK � l� lb� IC CTfY� ��aa.-e�'��r � _ E7CP DATE � CI1'Y� ; s.� ,� , r�� — �� . � TOWNHOUSE p ALTIItATION/REMODII, Permit No.: Received By_ �� PER MS 16B.665 the permit fee is a minimum of $15.Q0 or 5% of t]ie total cost up to $500.00, wluchever is greater, for the improvement, installation or r�placement of a r�idential fixture, excluding the fixtures. (This should reflect only the cost of labor ) Labor oost under $300 =$15.00. L,abor cost between $300 to $500 = cost of labor • x.OS = FOR PROdECTS WHERE LABOR EXCEIDS $500, FEBS ARE BASED ON $10.00 PER FDCfIJRE, EXCEPT WfIERE NOTED. FDCfURES: (INDICATE TOTAL NUMBER OF EACH BELOR� � �o"'��-'a F�quiPment I�lled MFG: �� MODEL: .=C� "� SIZF/BTU � �G; MODEL: SIZFJBN MFG: MODEL: SIZFJBTU A/C $25.00 FIREPLACE (GAS) $14.� GAS RANGF/OVEN $10.00 AIR TO AIIt EXCHANGEER $15 FII2EPLACE (WOOD) $35.00 NEW GAS GRILL $10.00 �OILIIt $35.00 FURNACE $35.� GAS UNlT HTR $10.00 CHIIVIlVEY LINER $10.� GAS DRYER $10.� POOL HEATER $35.00 nnrrwnRx�t�� GASPIPIIVG$10.� , _VIIVTILATOR$IS.� �__,. _ Permit Fee $ •�b Number of fixtures @$10.00 x$10.00 =$ Surcharge $ .50 Number of fixhu�es @ $15.Q0 x $15.00 = $ TOTAL DUE $��.� Number of fixtures @$25.00 x$25.00 =$ Number of fixtures @ $35.00 x $35.00 = $ State Surcharge = $ .50 Tota1= $ 1`HIS IS AN APPLICAITON FOR A PIItNIIT NOT VALID UNTiL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is compiete and accurate; that the work will be in conformance with the ordinanc�s and cades of the City of Fridley and with tlie Minnesota Construction Codes; that I understand tlus is not a permit but only an applic�tion for a permit and work is not to start without a permi� that the work will be in accordance with the approved plan in the case of aU wo� which requir� review and approval of plans. ,. w SIGNATURE OF APPLICAN'T ,� ! V�? City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 City of Fridley Residential Mechanical Application Page 2 REQUIRED INFORMATION NTEEDED TO PROCESS PERNIIT RESIDENTIAL PERNIIT APpLICATION HVAC ❑ NEW HOMES/ADDITIONS ❑ EXISTING HOME ❑ MAI�E-UP AIR REOUIRED FOR NEW/EXISTING HOMES 1. Combustion Air (See note be��w) - a. Oil or solid fuel IMC Chapter 7 with MN Amendments b. Natural Gas or Propane/�GC Chapter 3 with MN Amendments 2. Make-up Air (See note �low) a. IMC Chapter 5 with MN Amendments 3. Venting a. Gas appliances IFGC Chapter 5 with MN Amendments b. Fuel other tha.n 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 __—____b: Ducesign�r IM��0�0� --- _ — - ---- — -- -- - a. ACCA Manual D � � NOTE: Centerpoint Energ,y Mechanical Code Guidelines software may be us� for combustion and make-np air calcnlations.