AF - 36351M
�
3
s
�
�
' N
�
0
�
$
�
�
m
H
.ti%
�
m
O
�
x
Cy" �C'J �' ��''
y x x �
7�0 y
r � �
�
.9 y �
.. 'j �.
°x x x �
v���o
� � � �
� M `j fi�
� .� A
�
�y
�
M
$
c�
H �
� °
�
� �
1
4�
�
�n
M
G� y ,... H
� ¢ `. 'y"
�a � W �
� � � �
fD � c M
o '�7 � vi
N � N
o �
0
O y
O
O
�
(ti" .
k k k O
N �
°o o a �,
tn sn {n �
O
d�
r
m � o c�i
�+" �
w � w, m
� �
�E o �
� �
� �
�
� �
w Q'
a �m
w �'
�
� � �
n
3 ;�C �
i � ' �
y �
C
W
C
'b �A OO �
z�z o
� � = R
rn
O � � �
r � Z p
�n G� � R.
� � bd � �. Od
3 m s � 7, � �
Z z �r�*,+ p �o
� ~
m �
rn
�
�i
ro � ro
�
� �: ,
v_ r
b� �
� �
� �
x x
� � �
� " o
'd w
o � "
�
� � �
O 't3
o ti A
O ,7 y
o �
� � �
�
A
. �
�.
: �:
� :
: �.
. �
� �
°o o°
�n �n
�
�
K
c¢'o y
� z
l�D y
�
'�d
�
z
�
� �
O
�
�
� �
� �
O �
O
�
��
� �
� a
0 0
� �
d d
� �
x �
� �
m
� �
F�l
H
r�
��
e�'i �
�° x
� o
� �
R° �
r �
� �
� �
p��
O �
�
�
pd
�
�
N N � �
cn en o 0
0 0 0 0
tr� sn �n �
�
�
�
x
O
'�
0
�
O �
� �
w
� �
� n
� �
a.
l+l
� � �' � �
� �
� �
� � � � � �
� � " � �
ro�,��
w � a
0 0 � �
� O �
�
� � � � �
� '� �, x
� � O
�, v�►i � � ►+
o : . �
O O . . O
8 ' O
o : : : �y
. : : : G
N � � N �
0 0 0 0 0
sn tn ei► an tw
♦
H � �
t�o ¢• ¢'
oy '"'
O
p
m
K
�
�
�
.•
�
A
Y
x�xry��
"�lf b R� �"
� �� � � �
m �
� � � � y
� � � ~ �
� � o �'
`" R' �
� �' G ao
� �
� � � �
� � � �
.7 b � H
N O . '�
ab' :
c� .
� °p : :
pp o . .
P : : :
N � � � �
� o 0 0
0 0 0 0
� �n O
�
wwu� A
� �'d �
b��� �
� �- �
`� °q w
a
��°*� � m
�
om��• ..
y d��
�. �,
fD o
m� x
¢� O y
fD
"J p '�-. �C
�
y My � .
m bd�'y
b �
"p : ' p p�
n ¢' � b
M���
"• (A f) f:
O " r* A)
pwmo
y R�� p
A�,y�
'7
����
�� ��
Q. � � 'y
o �.r:�
�w��
� �* ri
��N"�'J
�� �
��tD
���
�C�o
M
�R:�
��m
w��
����
D
�
�
D
r
D
�
m
H
_
T
C
r
m
d
b
»
0
oe
�
�
�
�
�
�.
�
�
�
O
�
���
��
0
� 0
.� 0'
� _
�
�
�N-
rt
� �
3
0 �
0.�
A� A
�' �
� •
�
O
Q
�
�
� �
� �
'
�
�
�,��`�
�,��G��
HEAT LOSS CALCULATIONS �:D�,PARTMENT OF BUILDIN6S g�� MINI�
W�,���R�PS A.S.H.V.& TYPE OF CONSTRUCTION INSULATION
Guld�
yy��d� Doon �nna p�}. Wa�1 Int. Wall G111n Roof Floor Kled Gilinp I Wall
a No a No I�- p— Z —3 � ,,,7�ir �
p� ' Room l.�np+hap/�+' Width 11 Fhiqht / FI. Room I.�eqth y Width H•tq
WINDOWS and OORS — CRACKA6E and AREA WINDOWS and DOORS — CRACKA6E ahd I4REA �
��Q o. o L n�a An� �tq No. o L n�a Aroe
Ne. of n� of Wn� U hh of aaeli �q. H. No. of pan� of p�n� it hh o} enek �q. N.
� � �
., ..�.. � Z ��i, ,— 8. L
O I Cosf. I B+u.
lnfil#ratioe p�� °"`
6p. Wall
61a:s
N�4 6cp. W.II Q
��. WaN
il' " or Hoor
Tofial Btu.
R�quirod sq. f4. E. D. R. or :q. ins. W. A. Lead�r aroa
f p� ` I L.�ngth%�� �d+h /ZI
r�-�
H/� p 5 and DOORS — CRACKA6E �nd /oREA
Width H�iqht No. of Lin�l ft. Ana
No. of pans o� pan� li hFs of craek sq. ff.
3� �U y- - `
' Infiltration poo
bcp. WeU
61ass
N�t Exp. Wall
1�. Wall
i' o� Floo�
Total Btu.
�;�i �
Heigh+ �/
0
Co�f. � Btu•
Requirod :q. ft. E. D. o sq. ins. W A. Laadar area
p, m� l�ngth fi/ Wid+h
WINDOWS and DOORS — CRACKA6E and 14REA
idth H�ight No: of Lin�al ft. Area
No. of pen� I of pan� I Ifphts I of eteck I tq. ff.
InRltnfion p�� " � —
Etp. Wall � �:
61au
N�f Exp. Wall �i
Int. Wall
� or Floor ,���
Totel Bfu.
Required sq. ff. E. D. R. or sq. ins. W. A. Leeder area
/! p, I�� Room I Lsngth � J� �dth
WINDOWS and DOORS — CRACKA6E and AREA,
No. IWidth H�iqM No. of Lin�al ff. Area
of pan� of pan� IiqMs I of crock sq. H.
Co�f. Btu.
��
�� �!
Heighf �/
Cosf. Btu.
Windows �
Infiltr�tion p�n
6c Wsll �
�
61aa
N�i 6cp. Wall � �
I�. Wall
m r Hoor
_`^
Total Bfu.
Rsquirod sq. ft. E. D R. or sq. ins. W. A. Leader aree
/ FI. I Room I Leng+h �/ Width / Height /
WINDOWS and DOORS — CRACKA6E end AREA
No. IWidth Heiqht. No. of Linwl N. Area
of Pan� I of pen� Iighh I_ of aack sq. ft.
1 I �
Co�f. Btu. Co�f. Btu.
Windows Wtodows
Infiltrafion p�n Infiltration Doon
Fxp. Wall E:p. Wail
61ast ! S O 61au
N�t 6�p. Wall cj N�+ Exp. Wall � � �
I�. Wall Int. Wall
ilin r Roor � '� �'� i' or Floor ��S
Totai Btu. Totel B+u. �
R�quind sq. R. E. D. R. or sq. ins. W. A. Leeder aree R�quind tq. ff. E. D. R. or sq. ins. W. A. Leede� aroa ��
n-�s ioa[ 3-58 ,�,s f,RAND TOTAL��i��
✓ —
�
�
�
� �
City of Fridley, Minn.
BUILDING PERMIT
N° 6371
Da�: _.�._.�.�.�..--��.�___--_.__._—_
owner: _....�kL..� _.._ Builaer _. _..__.._
- — ._ . f.......__.__ ............._......__.._..._.._._..__
Address_.__._:..._._...._._........____ .__.___�.._..__._.__....._.._ Address _._.._.___._.__....._...___.___.._...._._..__.._.._...____.____.-------_.
xo. � � j' � LOCATI�IV ILDING
�y" ...
_� stt�eet _. -�4�i.eky_aCt,a�� . .... ..�,,.' . Part I.ot ..............._.._.__._____.�..._.._..._ ._.._
Lot _..�....__._....__ Block _.._.___.�._..._._._.._..._._._. Addition or Sub-Divisi� ....1�__. t..�._
♦
Corner Lat ___.._.._._._._ Inside Lot ._.._..........._..._._......_.. Setback __j�.._...`.��...�.._._._ Sideyard _._._.�.d _...__._._...__.._.._....._.._
Sewer Elevatio� .._._._.._.W_.______._._._...__..._,._.._..........__......_ Founda.tion Elevatian
e
DESCRIPTION OF BUILDING
To vsed �
_ ...... Front �� Depth ..� .��.?..._ Height .._� Sq. F'� ���A Cu. Ft �� �
.___._ Front _.� _ Depth �.��.2^ ig�t __� ..Q Sq. F� �� Cu. F� ��
Type oP truction _..._._... _.___. Es� CosY..�...��.-�___.'.-�o be Corripleted _.__._.._._.._.._._ .............__
In co�sideration of the issuance to me of a permit to construct the building described above, I agree to do
th� proposed work in accordance with the description above set forth and in com�� ce with all provisions of
cmiinances oi the city of Fridley. �
--
Ea cansideration of the payment of a fee of �_.��..�..._..__....._.., permit is hereby granted
to construct the building or addition as described above. This permit is granted upon
the expre�s condition that the person to whom it is granted and his agents, employees and workmen, in all work
done in, around and upoa said building, or any part thereof, shall conform in all respects to the ordinances of
FrfdleY� Minnesota regarding location, construction, alteration, maintenance, repa.ir and moving of buildings
w�thin the citY limiLs and this permit may be revoked at any time upa� violation of any of the provisioas of said
ordinanc�es. � _
Buiiding Inspector
NOTI�E:.. °''
Yhts panJf do�s net wwr fh� eon�frueNon, in�qllNton fer wlriny. PluwbiaW Oas h�NinW »wK er wahu 8� sun fo aN
fM luildiao la�p�eloe for a�paratr pwsih hr fha� i�«ws.
� (�
����
� , � .,
Owiaer' B
AP'PLICATION FiOR BUILDINC� PERMIT
'G='PY fJF FRIDLEY, M�S4'i'A �.
�• � /' . �a .r.l� i ' • o
• e _ - _
. � . ... - . .. . ; . ....i4�, .. �...' Jil�✓1ra7�ii:1./iJ�' W�I,',. �V•.LJaYi.i�W .. . - . .�. . . � �.
� . . .. � .,.. . _ , �. � . �_ _, _ . -...
. .,� . ' r
NQ:. . �
� 3#xeet `� 8�t Of L+Qt , �
. _ ; ° .
Lot,�„_
Hlock Add�ition or ;Subdivieion �,_
�r�r�il.�i�1��y4'�.P�� ,... .. .. . . .. . . . . ..
�Corner : Lot Ine ide Lot _ Setback,,,__,�6 ide-Yatd
SEVdER SLEV�I�ION� , ° _ FOUND�ITION E�i�'A�1'Itmt - �
�pPlicant afitactt to thie �o�m' Certificate o� Su�vey of' Lot snd :
propoaed' bui•�d�ing� location: . �
DESCRIPTION OF BUILDING
. .
'�d�' b�e �ueed $e: � . . _.. . . . �
. ... . ,
� �,
,:: � .. . ;: - . .
. Fr�nt,=�Dep� �,...�.,� Hefght
Sq.,Ft. a Cu. Ft. ,
�
Front -� "� 6 Depth �,�� Height '
' . . . . . . ; . . ' ..,. . . .; . ... � .r,... .,. ' �. . . . .. . . . . ; .
.:! _ , . �rq.�' �,.t � . , . CLl • Ft.�
Type of �Consts-vcct�.tm _ . Eetimsted Cost
To be Ec�1e�e� � , .
., The under�.�.gned:. h�,r�bY; mak�s apgli,cation. fo,r a;per:�►1�.::.-fQs. �t,�0. wo�� ,
:.� .
herein $pecifi��� aqr�eing to do al.�; wc�k-� ia stxict accodrdance -witii
the City of; Fridley Ordinances and r�ling o� the Depa�tment Q,€ 8t�ild-
, ings, aua hereby aec�.ares that si2 : the fact$ ar�a representatatozie. .
� etated � in this .aPPliaa*�,on are tru� arsd � .
_;,. .
DATE SIGiJATURE •�
. _ ;. , , . . < . .
�(�Chednl� oF F�e CoBte cari be fvu�d on' tIse R�ver�e ;Si�) F.
, , , � , _,
_ � �
� , .. .. �; . .
,�_ ^ �`.� �
BUILDING PLRMZT FEE SCHEDULE
Section 2: The I�ii�g�cc�or.• o� 8uildinys �ha�ll, before issuing any
permit for the erection of any building or structure, or for any
addition to any existing building or structure, or for any alterations
.or repairs to any exi��ix�g building or ��ructure,.,,upq� application
therefor, require the payment by the applicant far suc'h permit of
fees to the amount , here�i.n belo�w set forth . and in �e .a��er herein
_ _ __ . _,. a
provided to-wits
2.1. For any such permit. -tor° the e�e+��ion of auny fire-praof building,
other than a garaqe, warehouae, factory or grain elevator, or for the
erection. of ar�y fire-�ps,00f addit#.on,�_ for. similar _occupaacy, :tQ aa�y
existiru� buildirig shall be at the rate of $1.40 for each one thousa=sd
cub.ic %et, or fractfon th�roa�, ��uch cubica� .cor�te��-e.
2�.2 .- For any et�ch� permit iar the - erection of any ftre=p=oof 'garage,
warehou�e, , faetoz�r or gra�n elevatQr, or for the ere�tion of-. a�y fire-
pr�oof additiori, tor sin�ilar eseci���cy, to' ariy existing bu3ldii�q shal2
be at .the rate. o� $1.25 �or each o�a,e thousand -cub�c ��ee�, cla�ai��.ed
as "fireproof" by Section 502 of the Minnea�o�.i�. B�ailding Code,
�i0� _
2.3. For any su�h permit fo= the erection of any noa-fir�prQoi build-
ing other than a garage, warehouse, factory or grain elevator, or �ny
non-fireproof -addition, f�ac simi].ar c�ccupancy. to any existing building
_..:P�rmit $1.00 for` eac�► one thousand cubic feet. _ _
. G1�RAGES .
.....__— -
. _ .., . _ _ . ,
2=4. For ariy such permit for the erec�ion o� any non-fi.reproof
garage, �rarehouse,� fnetery c�r �sin elevator, or for the erectic�n of
any non-fireproof addition, for ai�a�e�Llar occupar�cy, to. a� sxistia�q .
but�ding -or for escfi suctr'�?�tldirig or addition. Ninety Cents for each
one thousand cubic feet or fraction thereof, in the cubiaa3. cant�nts
. ._.
° t3r�eo� with a �ninimum of- $4.Oi� .
For��the purpose of com�uting feas ior buildinq permits the cuxiical con-
�e��e of any buildinq or a�ddition to a nniform �ieit�'ht throughout by
. _ ,
�'�t��i�3.y��g t1i� ground area ' cov�ared' fro�n' a poi�t - aix ( 6) ine'hes beivw
the� �o�r" �:ri.ne ` of tb+e b�aes�n� or cellar to the averaqe height of the
upper surface� or to �Ehe �►�er�e� i°►eight of th� roof eurfsce of tii+� main
gable o� a pitched roof.
�-� ��.`5_. ~~�"or repairs or alteratians t6� ari ex�isting structu're, t�e fee
shall be at ; the rate af $3 �;00 ger each 'Five .Hundr,ed Dollars j$5Q0,00)
or :�xaction `thereof in the coat of all �proposed work.
2•6. I� no caso ehall the fe+e charg�d for any petmit as set fortls in
Secti��.�2 abs lese tj�i $4.00.5 � , � /'1 } -.w _ . _ _
�
Y
M
d �
� �
H'iy �
o r
H
� �
: Y
. �
0
�
: �
m
• M
. O
• O
. m
� :
� :
�
�.
�
,
G�
C
N
�
k�
� y
� � � �
W � W �
p� � i� '*1
m `-' � M
� � � av
O k m
o � :
O y
o .
�o
� . .
0
k SC iE
� � �
°o q o �
�, � �.
a
0
, ^ �
���
�
N
�
a
a
z � � z � � z
� � � � � �
��'! ,�, hi
� � � � 'y �i
� � y �.�{.
� � � � � � �
'� �' Ch
� � � ►t
� � ¢ o y y
o p �,° � : n'�i
a N � � : w
R. o � � �
� o : :
� :
�S :
1:� O
DC :S Sd >S >G DC
� �
w n� w �.. � �.•
eNi� °p c�'n °o 0 0 „�a
� � � � � �
rj
N y
0
� O L
e �
O
ci
x
D
�
i
/�
�"�
T
N^
`I
2
m
C
r
m
(1. �
�
� �
. �
1��+ �-
� �
ti
vc
�
�_
�
�
�
�
N
y
�
O
�
O
�
�
�
0
b
M
m
a.
�
�
* • �P W � w �
� � `�
a � �
x ^� �
� �
� m
� � i
O�
a p
O � �
�• �• I
m
� �°
b$
$ �
m � �
a a �
a, °H, �
WATER
�
URINALS
6ATH
tuss
sisiru
SINKS
WASH
TRAYS
DRINK.
FOUNT.
SHWRS.
FLOOR
ORAINS
CATCH
BA51 NS
�uro
WASHER
GAS
APPL
GAS
RANGE
GAS
OPENINGS
w •
Z .
' >
A
_
r p
n
w w �
O' p' n
� �K"•�
b ... a �o
� ° � �
� � �
� � � y
� � �w�°�
w � � �
y ,� p G'
�i A� p, �'
A.�� A
�. � � C'
� �� �, G k
� ��,y �
� ���
,..�
�ay�
w � � �
0 � � K
y w '"'
t,yQ,o�
(p r�. M
� � O
C � .'� A�
� � �
"��' ¢ E �
�� ��
� �x�
m
����
� � �.
���
���
►+ � 'p'1
. �ax'
� � � �
�
A A A
m r•
A
�
°�
�
¢
�
C
�
m
ti d
ni
'� n
� �
a�
R�
O
� �
� �
M o
M�
�, ia
� �
A ��
��
�i
�
�
C +:
dr �
� °'
��
�
R d o' A
0 ro w � �
0
oe
�� �
•
� o �
� m �
n �
4�
V •
�
� o
�
. '
< �
r. `��_� � � �° �°`� h * �� � �
� � � x .� � • _< < _ �.�� a; � �� ,
,e ,_ , _:
� � � . � . � ���� �� ��,
y . �
� ' �" , ' ^ '
, .i� � �_ _ ���; r �,'� � ' ''� �`�
�
, . �: �_ _ �
z � -}" �.
«.�,. ,F` . , � .
,
. s:
. ,. . . �.
, .:r ; . . . ;
. . �, -� .. , ' . ,k {
. . . . . � . .. . . , o.-:
. .. �. ,.�. . . .. . , � , � r ,
� 1���{ � ��i�� � '� � �'
!�xl.S�� �� �,1�
� "
'��j , �:��►��"'��R�'�1"�� ���, ��"�' �
�,�.�
, .��.,�
4 �� --� E��ineers � ' ►u�v�ec�vr�� -�---- :
. ,
�- - ,
¢� =
� � ��r��'���te �� � �.� Q.l�, A�� �►v� ��� ��:� $i � x a
� . r �:
�,����� ��� �� �
��
� :{
.��
. ,
. .. _ . , . . .. � . � � . .. . . � R* ,'Y;
. . .. �4 . . . .. .
' . . - � [ .... ...� . � . . . � .
�v� t3�.33
_ _ .�.� - ,. ,�,
� �
I � ��`�
� .. ,� �
�� I � ,
� .� , #
� �
a. +� �- ; -� � �
�€, � !" +.� � ( ��_ y
1 � T �,, �",� 4�.�+
��i� ������ � ��. . � _ � � ' . . - ". � " -
�y � � � .. � � - .....� .
. ([�� � . . ' ,.. � .
� Ljt.�► �
�
; �;�
; �
y , ";
� . -��3.35-�
�
�
" �Gf�.�.�.� � � t� r.� G !�C i
�
� � ��
� .
, .. . . , _ ,
_. . _ . , ...,,,,., .
°° ; �,.. , �c��c� cr�� �s,� �n{«��t�►�►"t'�
� S� 5� ��f,�����/�
#a�i�rt'�#�.� ��a ,���i�r.�wrlar�urcf �d�o#�in,�'� � �'ii�r � �`� �ir�r�t��;+r� - �;
, ;�+�""�, ` : r���rMf�#�trirar�� ;�",�t'.��r«t�
:. , 3
.� . � , ������ ��.�
.. . � �=:� ��,.
. _, �
�. : - �k. �: �
�,�� 8�
� � � �� � ,� � � � � � �� ������
� , � :, � �
, � , .,.�
., . , , , . � .:
� . , . �
� ..,
�
,
-- ��Ea m -- � _ :
' `r
�
� /"�
y City of Fridley, Minn, w
BUILDING PERMIT
N°
i
6412
Date: ---*�•--..� ` �� __.._. .._._....._
�r: — � '� Builder _ _
.__ _ ._ ... ... .........t..---.._.-----......._...._...__._.___._._..�
Addt�e�ss .._.__..._:.__._.__._.._._ _....._..__.w.._.._.._..___._.__.._._._ Address _.___..._..._�......-------___
,.. � ��� � LOCATI�V - P- ��G
.
Na ..�I�_� .. Sts+eet ._ . .. .._._ . ����_ F . . ._.y Part Lot _..._._...__.___._....._ _.._...__._.._._._
Lot .._..�.�_.......__ Block _.._____...�...._...._.__....._ Additian or Sub-Divisi� .�,��� ..._._.��_� _ .�..,_...
� �/ /
Corner I.ot .__...__...._..__ Inaide Lot _.__._._..._...._._.._..... S.etback . ..�...._._..._...... Sideyard ._..._. �� .�._..._.___.._.�.
Sewer Elevatian __._.�..._._.__._.._._...._.�..__.._.._....__...._..__ Foundation Etevation
� DESCRIPTION OF BUILDING
To vaed �
�t �� Depth � . Height � .��.__ Sq. F'� ! � S�
�... `....Cl�_ Depth _ .... I%ight .1_.�__ Sq. Ft. - -��
� . �( . � <�! �
Z�pe of ction _..___ _...__ ._ Y.. Es� .�• ,�Q.,� �..._.�..."'�o be Completed __.
Cu. Ft ��...�L..�
Cu. F� _��
In co�sideration of the issuance to me of a permit to construct the building described above, I agree to do
th� propoeed work in accordance with the description above set forth and in compliance with all provisions of
omdinances of the city of FridleY• _ �
In cansiderati� of the payment of a fee of ��.�2�-�.', permit is hereby granted to�.�__ ._.....�
to co�struct the building or addition as described above. This permit is granted upon
the express condition that the person to whom it is granted and his agents, employees and workmen, in all work
done in, araund and upon said building, or any part thereof, shall conform in all respects to the ordinances of
FridleY, Minnesota regarding location, construction, alteration, ma.intenance, repair and moving of buildin�s
wfthin the dtY liasits and this permit may be revoked at any time upon violatioan of any of the provisiana of said
ordinanc�es. f'1
,�-�^�^
� NOTICE:
?hb p�ewM doa not eowr N� eonshaeNoo, in�allNton fo� vrirtno. Pw��W 0� ti�. �wK x wN�r. d� wn to sN
fM luildinY ��doe for a�Pw+h P�e�eils for /h�a It�ms.
.�� � �� � �� ��
� e�.��
v
APP'LIC�ATION FOR .BUILDING PERMIT
CM"Y �OF FB.TDLEY, MINiQE30TA
OWNiR' S NAME BUILDER �C�! vS . Ge.�t �u.d�-rJ ���,�,�c�.�.�
�/ . �.
ADDRESS - 4 _, i ��ARSSSIv,.S�G4 . ,�...c�c,c�_� • /Y�' •
IiOCATION OF BUILDING
No. , ,; SG � Stre�t ,p��„y,,d,�, ��.,r,,� Part of Lot
Lot ,� Block �l Addition or Subdivisian�r,,�,v �.��
Cor�'er Lof��Inside Lot X. Setback ,3.5' ` Side-Ys�d /d `
SEWER ELEVAI'�ON� FOUNDATION ELSVATION
Applicant attach to this�form Twa Certificates af Survey of:Lo�.and proposed build-
ing iocation drawn on these G`ertificates.
DESCRiPTI�N OF BUILDIIQG
To be used as:
Franz Depth Height
Sq• Ft,. Cu. Ft..
, Front Depth Height
S
Sq. Pt. . Cu. Ft. '
Type of Construction ��T" �_Estimated Coet
To be Completed _ �
The undersigned her�by makes application for a permit,fox the work herein specified,
agreeing to do all work in strict accordance with the Citq of Fridley Ordinances and
rulings of the Department of Buildings,;sud �ereby declares-that a]�1 Che facts and
repreaentations stated in this application are true and correct.
DAT'k� � �2� - / !?C3 SIGNATIiRE
(schedule of Fee Costs caa be found on the Reverse Side).
. • , ^ � , ,. -- � - "
c
_ __ _ _ __
BUILDING PEItMTT F8E SCHSDULE
Section 2. The Inspector of Buildinge shall, before issuit�g any permit for
�he erection of any building or structure, or for any addition to any exist-
ing building or etructuxe, or For any alterationa or repairs to any e:�isting
building or structure, upoa agplicatiou therefor, require the payment by the
applicant for such permit vf feea to the amounC herein below set forth and
in the manner herein provided, to-wit;
2.1. For any such permit for Che erection of any fire-proof building, other
than a g�rsge� wareh�se, �actory or grain elevator, or for the erectioa of
any fire-proof addition, for similar occupancy, to any existing building
shall be at the rate of $1.40 for each o�e thousand cubic feet, or fraction
thereof, in such cubica2 contients. `
2.2. For any auch permit for the erection of anq fire-proof garage, warelrouse,
factory or graia elevator, or for the erectioa of any fire-proof addition,
for similar occupancy, to any existing buildiag ahall be at the rete of $1.25
for each oae thousand cubic feet, clasaified as "fireproof" by Section 502 of
the Min�eapolis Bu3ld�ng Gode.
ROUSBS
2..3. For anq such permit for the erection of aaq non-fireproof building other
than a garage, warehouse, factory or grain elevator, or any non-fireproof
addition, for similar occupancq, to any esiating building - germit $1.00 for
each one thou8and cubic feet.
GARAGES
2.�5. For any such permit for the erection Qf any non-fireproof garage,
w�rehouse, factory or grain elevatar, or fvr the erection of anq aon-fireproof
addir.�.os,�, for similar xcupancy, to any exieting building or for each auch
��idiug or addition --ninety cents �$0.90) for each one thousand cubic feet
or fraction thereof, in the cubical caatents thereof with a minimum of $4.OQ.
For the purpose of co�putiag fees for buildiag permits, the cubical contents
of any building or addition to-a �niform height throughout by multiplying the
ground area coy�ered from a point six (6) iaches below the floor,line o� the
basemeat or cellar to the average he�:ghC of the upper surface or to the
average height of_ the roof surface of the maia gable of a pitched roof.
2.5. For repairs or alterationa to an existing structure, the fee shall be
at the rate of $3.00 per each Five flundred Dollars ($500.00) or frsction
thereof in the cost of all propoaed work.
2.6. In no case shell the fee.chargad f.or any permit as set forth in
Sectian 2 be lesa than $4.00.
� ` � , _ �`� r. .
� � � , �
�. .. . .
r4 . . , . ,
,
. . a .
� ,
. ; .
�:;> . :
,, . . _ ,
��.: r .;
z,� . . � . � . � .
r
� � ;#'.� . � . . .
t�tk . . . � . � � . . . . . .
ra � �� . � . ����'��7..i�.G• .. .
�{.�md_�i��pi�; . M;,a„�e�„�s 2!,
� �'�'►"�` E��t1'�����1��3, 1�l�. '�'�°�
�.. = � �� , .w�xf��66
�� -- Ert�ineers �' Sur v�r�ors --�--
������a�:�te e� s�r� �.: 0. �,. A�O� �t�c�� 8����� �
�.. _ � �
�
� � � � � � ��
� -�
� � �
�
t .� - �3 3.33 -- �
'¢ 1..._ 1.�
s .
$ - � �, .�
���E� ��
� �
� �� .
x ; '� ave �Ar d f <—
�a � � -- �
4 � � - � �.� . � ` � . .
�; � `o' . '� �j � / �T`� °i� �
, � V
ti t �''
x t
-v� — �'' �r R,r', e. �-�I
M�j�,� 1*.'3�y' y— ,G.
�"` �'� /iause^ �
=i- �
�� � `� - --•- .3s.i- - °- �
- �- e - - ,� � .
� -�33.�5 -
3 � � . . , � _ . . _ . . .
3 � �
� `
a� J � , . �� . . . .
�, �k . . . . . .
6 �'�
��� 7 M y��� . - . . _ . . . .
�,�� � �(7 T. �j y t.., �3► L t�,°, 1
y x .. �.ww.rw........r. . w�.. . . . .
� � !� N C� � �
�f �
��s. '
�, � A.r► a u a c c�� T�t ���t �1E.'S+�'"�" A►
, �.
� �: _
" � r. 'i . . . . � . . � . .
r5� jT ��`�
y. +
� � � ��� � +� li I � i'� �olai�7" �:L'�t �1 � ��' � �� �MIr � a�1ld, I�
, �iin�P����M�ir'rif'�,cs�rerw�,�tar�fiE e��r�dSc,+¢'ar�t.�'ir►��►��. � �t A�.,.„. d�
� �� � ++l+Q�. �!�y�rr� ��
4e F a ': at.. � . .. .. . .� � ... : . � _7i.lf,M�l� �����'.�' � � .'...
. � �►r'�/' .
�1 % �
; «
�, �:
�z�
a �' � ' .
,:
� � —
,- ,� ,-±r...�-�;�'- � <
— _ — _ - s .�. ;� -
_ _
_ � > x:. _
, .
,
_„ �.. � • �
. �,'
� � �
� P�'�f . _' . . . � . . . � � ? . .
. . . . . . �� .. . Y �. ._ , .. . ..
SUBJECT P
City of Fridley 16 2 61 �
AT THE TOP OF THE TWINS g U I L D i N G P E R M I T
r
� � O.
� �
' ' COMMUNITY DEVELOPMENT DIV. ��
� �y__'_'_', �
r j � PROTECTIVE INSPECTION SEC.
�
� �
i
� � ��"1 � CITY HALL FRIDLEV 55432 NUMBER REV. DATE PAGE OF APPROVED BV
�----� • •�' 612-571-3450 910-F15 6/26/81 / /
JOB ADORESS 6564 Channel R�oad N. E.
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. 3 �. D011 � S Z21C� A�f�l.'tlOri SHEET
2 PROPERTYOWNER MAILADDRESS ZIP PHONE
Roy Boone 6564 Channel Road N.E. 571-9073
3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSENO.
Satne
4 ARCHITECTORDESIGNER MAILADDRESS ZIP PHONE LICENSENO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUIIDING
Residential
7 CLASS OF WORK
❑ NEW �x ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
S DESCRIBE WORK
Construct a 24' _x 2Q' Addi.tion to Draelling .
9 CHANGE OF USE FROM TO
STIPULATIONS
H �,
�RA �'� A�R � W�►RNi��
ATt�y�� P��� TS REGtilt��r g�ote dtggin� ca�t iocai ut�1��s
�N� ANfl St��y �� �t� t�.Et�ror�� • ��.�C�R�c - �s ��.
S.
REQUIREfl BY 1.A�V
SEPARATE P�RMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
VENTI�ATING OR AIR CONDITIONING. �pOd F�'dT�e
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WOFiK 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 $4,536 �S`2.2%
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHAfiGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR PERFORMANCE OF CONSTRUCTION. $1�� iO
PLAN CHECK FEE TOTAL FEE
$21.47
iGN OFCONTRACT Oa HORIZEDAGENT i0 rE� WHEN PROPERLY VAL�DATED THIS I�UR PERMIT
S� N URE� WNERUF�OWNEP BUILDER� ID EI � BLDG �NSP � � �7E �
u
CITY OF FftIOLCY •
APPLIC/ITTQ:�! FOft f:�SIOLi��1TI11i_ C3UILDIi�G PERi�ITTS
(tJe��i, Alter��tions, lldditions, or Rcpairs)
4tdI�ER: �c'3N�� E3UILDER: - ���-L,� � •
tIDDRESS: .,.��G�/,��a�r.,c�z.� /�,J� /1DDRCSS: � ,
TEL h0: _�.5�%/—�c124 c,�wt �- TEL t�d0: ' .
. S33 ���c� t..t.;t�,�..� .
' Cons�:ruction Location ` �
. sT�T rio : �� s7���T: _��p.v.��z �r� /�[�
x�o�.�: � � sLOC�c : ___�___ 1,�nzTZOrr : �O�J �S �'�/.o�e�o� r-i rr�
Corner Lat: Inside Lot: Set}aack: Sideyards:
Ap�licant attach to this form two Certificates of Survey of lot and
proposed building location drawn on certificates to scale.
DESCRIPTIOiv OF COt•JSTRUCTION - �
,�Q.�/r/4/✓' I'zont: ,2� � Depth: � Q Height: �
� - ' �
' Square. k'eet: Qahic Feet: Z
; -- ,. .
. �ront: De�th: Height:
Square• FePt: Ctibic I'eet: �, t' �o
�Qx9. � �53� ��� .����- � � -�
�
Type of Construction: �� y Estimated Cost: $
, . _____
3b Be Oor.�pleted: . -
` . . Alt. A Al�. B
Proposed �rive��ay Width Yf New Opening Is Desired: $' $
. ., SE� R,�V�RS�: SIDE OF SHEET
�ie undexsianed hereby makes applic�ticn for a permit fcr the �:nrk� herein specified,
agreeing to c?o ,a�.2 work in stra.ct accordance �•�ith the City of I'ridley Ordinances and
ruliiags o€ i:lie Department of Buil.dings, and her declares that all tlie iacts and
rcpresen t�-�tieiis stateci �i this application e t �e and cor t.
D.3TE: ����=-� SIGN7ITUI'�::
Sf:i��ula tions : �
�, __ .
�,,,p•s.�.:� l " I , ad
S �? � ai
��,1���
. �
� _ .
0
�
:;I,C'i'x01�� 2. 7.'l�� 7n•.:��ecL•c�r. of' 13��S.lc�i�i�j ;::hn).1, hcl.'ox�c: i.r, .uz►icJ a�ennit� f�r t:hc arccL•i.on
uf: �uiy bu�.l.�l.i.n�� ar :,t:ruct:ure, ��- fa�: c�ii�� .zdQi.i:i�,n !:o any cr,a.;;L•.i.n�� l�tiilding or :>tzucL•ur.�:,
. i»- !:c»� c��iy �iT.t.��rc�tic,ii �r. r.cl,air.s Lo •a»y c.:S.:t:inc� l,ui.l.di,�r.:1 or sL-�:ucture, u��c,n ar�pla.c:ati.on
�iJir.�:�:f.or.c, r.c:qu.i.re t�h� Z�t�ymci,t: l�y t1�e ar,p].i.car�i: fo�- sucl� ��cr.mS.L• n!' fee:, to tlic a�nount
hrrc.in }�cJ.c�t•� �c:L• �or.th �iiicl S.0 Llic i��anne�: ��cicin X,rov.idccl L•o-t.•:i.L•: .
?dl:I�J COt��;�1'I;UC'�IUIJ: uing).c l.'ami).y ilor�zes anc3 Gar.aqes: ; 4.00/].,O�Q cul�xc tear. •
3.'I�I:2� C:it}•:CI:: ?.5 i�cr.ccr�i: of l�u�.�cling �,cr.mit fce.
UitTVl:t•'11Y llLL'P.i:SSIOI•:: (Cpncrctq C1irb SL-rcets Only) '•
' Itl.tcrn<1t:e nc ]tc.�novai anci rcF�1.��xcement of conczete curb and
c�uLtcr o�11y; l�riveway: z•�idt}i pZus 6 feeL• x$13. �0
A].tcrnate B: Rn_moval and replacem�•nt of concrete curb �nd
.• guttex' and install a 3 iooL- ��ide approach a�ii-h -'
.� 6 inch ctepth; Driveway aridth �plus G feet x.$1�..7�
� ' � �DDIilCI��/1L It�i=0R�y1/iTI0�1
� Tor the purl�se oi co:nputi.ng Lees for building permits,� the cubica3_ coi:tents of any
bui.Idi_n� or_ addition, is dei:cr:niiied hy rnuli:iptyulg ';he ground area covered fro:n a
. p�i.nt six (6) inches belo�� ttze floor ]_ine oi' tlie basemeni: or th� cellar to tiie .
-average heic�hts af thc •upper sur_face or to the average iieight of the roof. surf:ace
ot tiie ;aain gable of a pitched roof . '
Fox repaixs or a).terations to an existing stn2cture, the fee shall be at the sate
�..of $3.00 �ier. eacli five hundred dollars �� ($500.00) or fraction '2.izere�f a.n the cost
oi all proposecl wor.k. .
In •no aase sha�.l the fee cIiargec for any pennit as set iorth a.n Sectian 2 be less �
ti�n $7. 50 plus $. S0 state surcliarge, s � . -
. _ � y�RrFrcnTlo� o� r-�u;�n�rior� . _ .
' NOTE: Pennits �or construction ��ill be issued a minim� af 24 hours from t-iie time
c�f ap�lication to a�.loiv for pro�?er review of t}ie proposed si:ructure �nd of the
cons��itction site. �
..
A Certificate of Survey of the lot, sho�,ring the location of the foundation once it
has been cons�nictcd ti*a.11 be required before �roceedinq with the iraming.
.�P`ri��cnzE oF ���uP�n�cl - '
� hp�licati.on �'or a Certificate oi occuZ�ancy shzll be made ten (10) days prior to the
use or occuraiicy of any structure for �aliich a 1�uilcli.iig pen;►it Izas been issuec3, and
said struct:uxe slial]. Jiot l�e used or. occupied t:i�L-il a Cert�.fica�e or Occuj�Zncy has
been xssued.
0
. . � •.
�
.!
�
� ' � . . r- . . . . • .
' � � • � .
. � •
.
. .... . . . .... . . .. . . .. . . . . . . •
�
Land Plo�min9
l,a�►d Surveyii�
So�/s Tes1r'n9
- CvN fi A�1�'crpal
£n�ineer�n9
:/ ¢ ./
6s�s.; ��hrioy ;�S ,v�.
_ tiJi��neaPo/i 2/,
� � V � 1 V � � Y'� � � � � � � V. �!�inneso%
SUnsef 4 6066
En ineers � Survec�o�s
9
����3��c�t� �� ����� �o� ' �. �. l�r� �� r�4 �� �� %�,; � e � 2
. �
;V� c 4
�+
i'
f �
�
.� .
�
� �
�
l
5v1L� 1"° �D�
t1,
`
C�
�
��
,
ia
I N
4Y
0
�
:�
c_�
�
C
n '�
t_ / i
Ir- r Y" • `� Y
i�
y--*_-
�.=
�
o `,:
-�-- -- -- —
�
_�
G
:'. Z
- 3 �. ; , -
2a� ,� ,
�
j� � �RrFf e�
�
�y � s f r /
r�Am�
/�euSe^
-- _.— --%a,—..
`�')3. �7 "
���y
�
1
� •
�
J
d0
1
,— I _ _^ . _ ..�s�„t - _� ' ,
�
. z
• �:�
L0� %t � � :"� t:�� �:_ i
.____. � ..� - , ._ __. — __.._ __.._ ____
� C� O N' � M' ' ""__A.� ��_� � � � �: � _� J _
A N � : A G .."'.. L 1 :1t T �' !�,i � 'V •i = � a --r' .�,
a
�
�
�
r�
�1�
`-7
L
7
i
�
U
/ hr�by ca�i�'y th�i� fhis �s o hr�e a•�d mrra�f ���sentofiav� o�'o scrvrtf �'t/x b+sw�do�ts �'flAe uda,r a�crbed land, ao�d
c�'�fZ /avfiw� gl'ol/ trurlSrn9s , fl�v�on , ar�d/ risib/c rnrrooJimrnfs ,�1'o+y ,{�rn or an sad lanr/. As .wrreyed � me fhrs _ cby
9(' _n: �:, � � ,� A.D r�.
... SUBURBAN ENGlNEER1NG, ING.
Endrn[e/"S F1 Su�'rt�v/'J
� �� '� . ��,. :�'��= _ �.
_y .
r-- .. -
. ��� . --- � � �
� - - -.
SuB�ECT
City of Fridley
AT THE TOP Of TME TWINS g � I l D I N G P E R M I T
r
� �
COMMUNITV OEVELOPMENT OIV.
r � ~ �� � PROTECTIVE INSPECTION SEC.
� �
i . .
� � �"'1 � CITY NA4L fR10LE� 551J2 NUMBEt1 pEv
�""�' �'� 612-571-3450 910-Ft5
�oe nooaess 6564 Channel Road NE
1 IEGAL ��T NO. BLOCK TfiACT OR AODITION
DESCR. 3 1 Don's 2nd Addition
2 PFOPERTY OWNER MA�L AODRESS
Dave Jaeger
3 CONTRACTOR MAIL ADDRESS
Elite Roofing � C�onst. Inc. PO Box 432 Cottag
4 ARCMITECT Oii OESIGNEIi MAIL AODRESS
5 ENGINEER MAIL ADORESS
8 USE OF BUILDING
Residential
7 CIASS OF WORK
D�TE P�GE O:
8/6/99 / /
ZIP
30013
�
R IPT NO.
� ! ��
AGPROVEO BY
SEE ATTACHED
SHEET
PHONE
6c5��290-1875
PHONE LICENSE NO
-459-7538 2(l(l]52(1�
PHONE LICENSE NO.
PHONE LICENSE NO
❑ NEW ❑ ADDITION ❑ ALTERATION �Q8 REPAIR O MOVE O REMOVE
8 DESCRIBE WORK
Reroof house and garage (36 Sal Tear-off
9 CHANGE Of USE FROM
STIPULATIONS
TO
Underlayment must comply with the State Building� Code.
SEPARATE PERMITS ARE RE�UIRED fOF EL�CTii1CAL, PLUMBING, HEATING,
VENTIIATING Ofi AIR CONOITIONING.
TMIS PERMIT BECOMES NUIL AND VOID IF WORK OR CONSTRUCTION ZONING
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONEO fOF A PERI00 OF 120 OAYS AT
ANV 71ME AFTER WORK IS COMMENCED. NO OWIG. UN17S
I HEAEBY CERTIFV THAT I MAVE READ ANO EXAMINEO THI$ APPLICATION
AND KNOW TME SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS Of �AWS VALUATION
ANO ORDINANCES GOVERNING THIS TVPE OF WORK WILI BE COMPLIED �3146
WITM WMETHER SPECIFIED MEREIN Ofi NOT. THE GRANTING Of A PERMIT
DOES NOT PRESUME TO GIVE AUTMORt7Y TO VIOLATE OR CANCEI TME pEqMIT FEE
PROVISIONS OF ANV OTMER STATE OR LOCAI LAW REGUTATING CON- d,
RUCTION OR THE PERfOiiMANCE OF CONSTRUCTION y19%. ZS
/ PLAN CNECK fE
�( lO� P� Licen S
� SiG TUAE O� CON"AA(;TOA O AUTNOQIZED AGENT iO�iE� MEN f
/ .
v�
S�GNS7UqEO�OWNEp��FOWNENBUiLDEA� �DATE� B� �NSD
OCCUPANCYGROUP OCCUPANCYLOAO
SQ. fT CU FT
OFfSTREET PARKING
STALLS GARAGES
SURTA%
$1.57
SAC CNARGE
Fire SC $3.15
TOTA EE
5. 6.97
r i pTE i5. PE ir
i �
/ f�pfE �
� ._ �
NEW [ ] Effective 5/10/99 �
ADDN [] CITY OF FRIDLEY t
ALTER [] SINGLE FAMII,Y AND DUPLEXES R-1 AND R-2 �
BUILDING PERMIT APPLICATION �(� ��
t�c
Construction Address: (:Q �C� y G' {-/q_� ,� �( RaQ�
Legal Description: ,,, � �
Owner Name & Address: � �� � � �a�.� � . ,� � S--��y � H4 „ � � � � �� � TeL # � s-1- a q � - z g � s—
Contractor: � f, z�e b�C,,.,, .a- �„K S 7� ��, ,� 2.,�.� MN LICENSE # d�� I s Z a v
Address: ii .� .� o� �i 3 Z �'o`{�a G e r�i�vc .S S G/� Tel. #� S' I- Y� 9�- � sr 3 8
Attach to this application,. a Certificate of Survey of the
lot, with the proposed.:construction drawn �� it to scale.
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTI�R:
Construction Type:
Length
Length
Driveway G�rb Cut Width Needed:
DESCRIPTION OF IMPROVEMENT
Width Height Sq. Ft.
Width Heigh± Sq. Ft.
Width Hgt/Ground Sq. Ft. _
Z�� r��o S'l'i , l�� O��
Estimated Cost: $ ��-7 �O
Ft. + 6 Ft = Ft x$
_$
DATE: � lo � � APPLICANT: � � 1 _ _ Tel. #. � S f - �/5^ 9 -7 S' 3Sr
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License_Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIl'ULATIONS:
$ � � �.�,
$ ° . /Sr
�
$ l� S %
$
$ � _D O
$
$
$
$
$ v� -
CITY USE ONLY
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/lOth%)
$.50/$1,000 Valuation
$1050 per SAC Unit
$5.00 (State; Lice�sed Residential Contractors)
Alt. "A" or Alt. "B" Above
$450.00 Conservation Plan Review
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
BUILDING PERMIT FEE SCHEDULE
The Chief Building Official shall, before issuing pernuts for the erection of any building or structure, or for any
addition to..any existing bui�ding 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:
$1
TOTAL VALUE
to $500
$501 to $2,OQE)� ,
$2,001 to $25,000
$25,001 to $50,000
$50,001 to $100,000
$100,001 to $500,000
$500,001 to $1,000,000
$1,000,001 and up
FEES
$23.50
$23.50 for first $500 plus $3.05 for each additional $lUf} Qr ,:.
fractian thereof, to and including $2,000
$69.25 for first $2,000 plus $14.00 for each additional $1,000
or fraction thereof, to and including $25,000
$391.25 for first $25,000 plus $10.10 for each additional $1,000
or fraction thereof, to and including $50,000
$643.75 for first $50,000 plus $7.00 for each additional
$1,000 or fraction thereof, to and including $100,000
$993.75 for fust $100,OQ0 plus $5.60 for each additional
$1,000 or fraction thereof, to and including $500,000
$3,233.75 for the first $500,000 plus $4.75 for each additional
$1,000 or fraction thereof, to and including $1,000,000
$5,608.75 for the first $1,000,000 plus $3.15 for each additional
$1,000 or fraction thereof
DRIVEWAY DEPRESSION ESCROW
(Concrete Curb Streets Only)
Altemate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $15.50.
Altemate "B".: Removal a�>replacement of curb and gutter and instali a 3 foot wide
approach with 6 inch depth - Driveway width plus 6 feet times $23.25.
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.
�a
rr -s
�
�a
� r:
3 �
O v'
� n
..w fl1
��
0
�S '�
a�
°-• a
�• m
��
QC <p
� �
O �
� �
: Q
�c �
��
� �
a
�
r-r
�
rn
�
�
� .
rn
�
z
T
F7l
i+1
�
A
+.t
�
S
�
_ �
�0��0'd
n
x
�k �
r`b�'
vl
1
c
�
�
J
� z.
� a
"}
�
�
V
t�,
�
1
\� �
.
. \�
L880�09ZS9
.
O �
m
a �
� �
r„n �
rn �
a�
00
�D
�iA
G
�
�o
•- �� a
� �� � O
� `°
o, e+. -.
< 5° �' �
�, •., � �
:
c�e ii $. m
� �. � �,
y �` 'ts Ro
� °-'- fli >
�A .+
� �p �
W O,� ��-►,
c
o � 3
O y
.-.
Q � C'
� �
�
2
a
A
�
�
n � Ci � y � AN
tn v7 N O 3�
� O ?1 � .-.. � m !o
� j Zs_ � � c� .'«
� � � ; o�v � � �''� ='
� � < � `i '
� ���3�,
Oq � Q ",� � �
� rt a T � 0
��-�c
N ���� �
�n � � � m �
m e � ?r
y �v �
A �
�D �
bq tA �9 4A �9
rJ o O O O �
o °o o °o o �
RD
EA +}f b9 64 6�► �n y!
�o
: � �'
�
�
�v�,��; ��° ���� v c '
� � � � � r_ ,
�� �
� ,n � '� � O i
�, o �. �' -i � •_ �' 2
� � W� `-^ � � !� p L)
.�• C
� ��� � A tn
y c��. � f- � � I
�. Oq � � � �
— �-�_,� ce G - � �
_ � a � � � tR
�.
� porr _-
.+ <. °' 3
S N
��� N � V' Q► � C7 O
� � � �, oy =,
�
� Q y � � O �
1 = �
O b� n� O� CD
�
W � � �
rn � a tJ� e""D �
c� a�' o N' o- cn r,
4 n°~ ° r ni r'
�m�m z Qm��
�i 3 � m � 0� ��a..
� ¢? � � x
p
��,��: »
�
;� °'��o <
� °—' "s .:: �
� � S
7 ��
cA A � •.•
� O� '�C O e;
� .n�r C7 x pi
N ��
C1 -
a N � �s
' � 3
al Jl3-1Q I 2i� �0 Jll I� woa�
�
N
0'
�
O
m
�
�
0
�
1
^V
�
;�
�.
I�
I�
n
�
-Ai
�
�
�
�
�
!C
\
�
r
`^ �1 Ef� c�
:a�s�;w=+
� � � �
�� � �
w�� �
��� �
a'",, a "�
N N Z
2�
rn '�
t�'1
A
-�
Z
�
{
�
y O
'ip 2
�
i
w�
�O
� Z
O
��
� O
Z�
� �
c�
�' s
�
Z
A�
O�
va�
� 9�
�
�.. z �
°� `z�
Z
� N A
�
� � �
�p N2
O �
� o�
I� A �
I NO
a
S
� m
�a
n
� �
� �
�
� �
C
�
� �
Np
O
z�:�� a00�-9i-a3a
�r ; , � � ��-
se•d �dlol
tiVla,l7 VI K�l. N �
�
THE BELOW MUST BE F� LLLED IN WHEN REPL,4CING �lIF..L Bt�2NlN� APPLIANCES OR THE
APF'UCATION WILL BE t�ETURNED �
�n nc�, the undersb,�ned hel�by veri8es �tat the
v�rKing hes been examine and is free from nast, ciet�erioratlort, obabuqlons,
and I� securely supported nd lfreatopped where r�d. Yes�t ) Nc O
The vsr1� sy�#em �s pta.s clPVC and mests an cun+�nt c�odeS end mar�ufscturer
sPecifi�ons indudin� si , I�p�, number of elbo�w� �d �enr�atbn. YQS C) No ()
�
'1'1��iindersigrtsd also ver
� M�Cb the cufP9M CM
it�dude AGA-GAMA GAte
�is�d ar� natural draR
w •
. � Th� �
and manutactur�s �
1Nhon r+¢qu�red m iosCalla
to meet the cument oodes
t thaA fhe re�acenlent t�'iR � a listed asserttbly
and mart�r�er'S s�lioru. 7his do�es
I I Cenaal Fumace Ventinp Tables for tan
is sized �nd Installed io meet �e current codes
it.,1t+N'dl bs Sited end inat�lled
ma�nufaaurors specl��tiwns.
When io�ng�„p� �, �tl1e urxie�i�ted hor�by verifles fhat
it Is a Iissted �ssembly and eet$ tho auRent c�ades �and manufact�re�'s
specifications. This doss i e AGA-QAMA C,at�Qory I Car�al Fumao�
V�ntin� Tabies for tan aas 4 end natural draR applianoea.
Is the common vent and
�+ �pp�ia��e h�s be� �
sep�r�etaly as per wrrsnt
Ap�pNanoa �1 Type -
L�� sh� Apptieinoe A�2 Yy�e r
Appli�nos #3 Type ,
r�� APP�iances
Common Vgnt TypQ
App►ience #1 Yerot
Apptianca #2 Vsnt
APPtianca #3 Vent
HEATING CO: f' f �. �,.
�a �r: ,
ca�nectors siz4d and insfalled caft�ac�ly �fter
xl from the comrr�ort �nant at�d v�nted
Yes� ) No ( )
YesXO No ( )
Yes�) No ( �
Yes�' ) No ( )
Yesl�) No ( )
� BT'll Inpu f c� G �C'1 Fan A�sis�d o� Nat _��
BTU Input o rr+octi Fan aa�d or Nat,,,�r��
� Btu n�t F� �Assis�ed or Nat �'
Put Zo 2�0
� VentHei�ht�� piam�r �'� inches
-�� �9� -..—.R b+Arneter _„`_.fn Type
,_"ft Len�dt r� p;am�r � Ty� —�
--.--_it LenBd� �,�ft Dlameter._...�� 'rype
�,
/I
u•��,'
t�aee ; � Z.o o z
£0�£0 ' d L880Z09159 � Ol � �-+� .. � � ._ . .
.
�
,
To: Ma.� �
F�: -��� - s� � �� :
Phone:
Rea -� �
❑ U�gent ��or
V �
640 Grand Avenua
Sk Paul, MN 55105
Phone: 659-228-9200
Fax: 651-602-0887
Fro�,: �h�,�re�
bate. ��."'� "
P�,�: 1- I hr�Gud,u
CC:
O Ple� Comrn�nt ❑ Pless� R�ply ❑ Ploes� Rorycle
r
�{��I��P�R��i� 1
\
� w�ac Q., �h rn� �,v►�i�- o�.�1i'r��x. �..
12-l�t -�� � 5?P� Gl��t ��C R cG N��
T ' -�y
�-Fu �e� �Yti s w rtati .� DIo ��c
' �� . . � �
r
C�n� I �`l�o � �� Ce. - �.� �'te�.o�,�� ��ea�. �(,�,(.. .
_ � ��I��
� � -- zz�- �zD�