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AF - 36362� �1 � � �, _� �� Of F�.a�ey, �. BUILDING PERIVIIT Date: � � � � � /� �� 'L.x�aod,{��1/ BWl� 9 �VQn@ii � `� � "F Add�..ess Address N° 6409 `��1 LOCAT,� O-�NG No. ��!.�Ld1,.� street ..._. � �.� �° Part�of�ot � �_ gl� Addition or Sub-Division ._.._ �t --� Corner Lat _ Inside Lot '� S�tback .�..�.—� - Sideyard ��---� -- gewer IIevatqon ..._ Foundation IIevation � DESCRIPTION OF BUILDIPIG T U � �7 61 ��y� �� Frnnt ��. Depth Height �[ o Sq. F't. Cu. F't t 1�.�. Depth I�eig� � Stl• Ft Cu. Ft �a"-'' 4� 7j�e of truction '�� F�t � � �'—'�'�o be Completed In consideration of the isauancae to me of a permft to construct the building described above, I agree to do th� proposed work in acc;ordance with the description above set forth 3n compliance with all provisions of or8inances of the dty of Fridley. . ,!� .�� / . �� i In camafderation of the payment of a fee of $.�� ,�t is hereby granted to to cronstruct the building or additioa as d�eribed above. Thia permit is granted uPon 'the expresa con�iition that theperaon to whom it 3s granted and hia agents, employees and workmea, in all work dane in, around and upon said building, or any �art thereof, st►all conform in all respects to the ordinanc�s of FridleY� Mianesota regardiu� location, construchon, alteration, maintenance, repair and moving of bufldinga within the dty ]imits and thia pernnit may be revoked at any time upon violai3on of any of the P�� of eaid ordinanc�es. /'°� A �l /"'� Building Inapector NOflC� 'I� psndt doss ao� earsr t6s eoestwcH�, I�utaOa�toe fe� wirlag, plumbh�g, Ba 6aedeg, sewar er waMr. Bs wre fo ies tla &ti(dine la�eto� for apvaN pormhs M� 16as itsms. Ea � � V 0 APFLICA.TION FOR BUILDING PLRMLT CITY QF FRIDLEY, MtNNESOTA OWN�?li° S NAME BUTLDER�� ADDRESS � ADDRESS ��`�e, T��,v � �1��C" LOGATION OF BOILDING �o. � ,�'��E,� Street �_��,��E-='-= =PaxC of Lot LoC. � Block / Addit3on or Subdivision D ��'�-�0 r� � G��-�-s'r� Corae�- Lot In�ide I,ot � Setback �S' �� Sicie Yarc� SEWER ELEVATION FOUPTDATION ELEVATION Appllcant �tCach td this ftlrm Two Certificates of Survey of Lot and propoaed build- ing location drawn on these Certificatea. To be used as: DESCRIP'T�ON bF ��LDING Fraat Depth Height Sq. Ft, Cu. Ft. Front Depth Aeight Sq. Ft. Cu. Ft. �ype oi Construction �� Estimated Cost To be Completed The und�rsigned hereby makes application for a permit for the work herein specified, agreeing to do all work in stricC accordance with the Citq of Fridley Oidinances and. rulings of the Department of Build3.ags, and hereby declares that a11 ehe facts and repreaentations stated in this application are true and correct. DA�.'E �r%eu.�-f✓ �?�° — �3 gIGNATi1RE .. (sek�edule vf Fee Costs caa be found on the Reverse Side). d s- ' �� M S • s 0 e BUILDING PEItMIT FEE SCHEDULE SeGtion 2. �"he Inapector of Buildinge ehall, befose issuing �ny permit for ��ie erect3.on o£ any buildiag or structure, or fcr any additioti to anq exise- �ag building or structure, or for any alCerations or repairs to any e�is�iag building or atructure, upon agplication therefor, require the paymeat by the applicant for�such permit of fees to the amount herein below �et £orth r�nd in the maaner hereia provided to-wit; 2.1. For any such permit for the erection o.f any fire-proof building, other than a g�.rage� wa�ehouae, factory os grain elevator, or for the erecti.on of any fire-proof addition, for aimilar occupancy, to any existing building shall be at the rate oi $1.40 for each one thousaad cubic feet, or fract�on thereof, ia such cubical contents. 2.2. For any such permi.t for the esect3on of anq fire-proof g�rage, warehouse, f�ctory or grain elevator, or for the erection oi any fire-proof add3tioa, �or similar eccugancy, to aaq existing building shali be at the r�te of $1.25 for each one thousand cubic feet, class�.fied as 01fireproof" by Section 502 of the Miuneapolia Building Code. �'OUSF�S . 2.3. �oY any such permiC far the erectioa of any non�-iireproof buildi�g o�hes than a garage, warehouse, factory or grain elevator, or any non-fireproof additioa, for similar occupaucy, to any euisting building - permit $1.00 for each one thous�nd cubic feet. �AIdAC�ES Z.�r. T�'or any such permit for the erection of anq aon-fireproofr garage, warehouse, factory or grain elevator, or for the erectioa af any aon-f�ixe�rv�f �.dditi�, £or similar occupancy, to auy eu3.sting building or for esch such . ��.1d3ng or addition - niaety cents ($0.90) for each one thousaad cu�ic feet or fraction thereof, ia Che cubical contents thereof with a miniu�tm of $4.OU. For the purpose of compueiag feea for building permits, the cub3cal conteats of any� building or.addition to a uniform hei�ht throughout by �Ltiplging tYze g�ound area covered from a point sin (6) fnches below the floos line of t�e basement or cellar to the aver�ge height of the upper eurface or ta the average height of the roof eurface of the main gable of a p9.tched roof. 2.5. For repaira or alteraCion� to an existin� structure, the fee ahall be at the rate of $3.00 per each Five Hund=ed Dollars ($500,00) or fr�ction thereof 3a the cost of a11 prop�,sed work. 2.6. Ia no case shall the fe� chargad �or anr per�,tt ,ae set forth in Sectian 2 be leas than $4_Ot7. � � R Q. ,_ /"�, � , . >s � 2 '; Lartd Plonnrn9 [ond St�r'vet�i� �'/S-Hirfhn� +�ts N.E, Minn�a�ao/rs z!, .��'STst�,9 EN G I NEE R I N G, I N C. ��°� Llvil fr Muniripal SUnt¢t4-6066 . i �9�� -- En9►ineers � SurvecJors ces�t�,�sca�fe o�. �u�s�re ��: n .�.. ��.R�c�� u�LO�� c� 5GA4E 0 � � �i� � � ��t� �. P �`` i . �3 � � 1"s �+0�• � � � 1 � � a ��. � � � .�"1 � ~ � � � � 6 7 La} `� ��1a��. � D � �.�� -- ��.3► — � — l�3.33 — � �� . � �� oI � /�� a � � -4 A w o tC A G t.� � r•.► °'�' �� t�/61 N A1 +�. S o'{`,�, i � � . �.++� � � � � � ll5agbr� �. � fA� �.s o�s ad aorr�cf �.se�fa�'ia�n c�'o suw�rf qi'� barmdor�s �('� a�,� d�rs:l�d Iad, an�r! nf'H�.► tawl�vr q�'adI e�rddi�s, iler�a,, aaddJ »irE�e o�a»wJimalfs ,��'my, �irrr, �r anta�d lt�d. As strrvtyed 6tJ nae N� do� '� ��e��^ A��' SUBURBAN EIVG/NEERING, /JVC. �`�"— — _--- --=- errs fr Suar rs � � � ' — �� _� =� �_ �� : � - _. - --- - - _-� - - --y-�� --- - -- _. � zn �-: - - - - �• - _ .�f � �°.�'�' � 2 - � � - �� .�...�..�.ti � . , — ` �-- , y- �, M � � 3 s � 1 < � � N � � � (A :Y p � � � x � M � x z � y r � o � y � � x x x � � � � o � � � � ��n � � U1 ' � � � o � � � m � � � i � � CO � m w a m � ��Y'� � S� ?a � � � � � � � .� m m --� � � r � � � r� y w a �- �� a °u � � � � � M o N N k � O �O ' O � . � . . � : : ae x k � N � 0 0 0 � � � � � • O � H f� �' � .. � � � f� a �' �� a �. yOd � G � ro � � oe � � � � �. 0 �P O O O 0 0 � � 0 0 � _� H m �. � �, _ � "�. r �� a� � � � � ¢ a. � � � a w N � p o 0 w � °J � � �� ,� � � d d � " � � � 0 o x � � � y �,�, � � � � � N . � . ; �: . y . , c�p . . . I � : : : � � : : : ' � � : : : � � . . . , � z � ►�! O � � �� a N � x � O m '� � � R° y � � � � � � � �°o � � � � � � N N � � °o 0 0 °o °o v� tn �s �» rs� O � � � � �m R o � O � M O � at�1 � z � �� . � y � � � � �. 0 m �, 0 W � � � � � ,� � � �• �• � � � R° R° � � � � � � o � � � � � �' p�', R° � o �o� Q �'r � � g "w' A,� � �o a, � : G �• EA C . . �C O � . , o o . . . � o : : : � N � � N � o °o °o °a °o vs w v► a+ . � o y � � � n y F��b O � � ° �� g I I\ � M �° b � b � S � � m � � � � � `° � � R� R� �, � � � � o ►��- � `� " " R° �, �� . � � o a � � � R, en . . cn . . o�i Q � : O $ . . G . . $ : : : � � � � � en o c o 0 0 0 0 en �n a► O t" �� %o+ w � ,��. � � �" rCs y � W v�i O4 � �o�� a �* �' �p fD �D w ti � o��"' y d°� � �� o ��°� � a��c �� vi ~' H �+ b Fn'�� :�y� i�' �Vi f�'� n o�- �m -��,aw� op ��~ H m� �b a�� o �* � � � ti ;��c�D ��Q� �7 M �� D Gy. mp� �� D � � � m � 2 m C 1"' m d M M � � � � a � a V O � � �. � �' O � �� 0 � 0.� �'. d 0 = �. e� �o �' � �h 0 � o.:° v< e' �'. � � 0 � �o � � �• D � O. �`�e��°' � .. �--! `l �t �l �S�Q C°��.� �c/L ---- n.ss �, ...42 HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS�;�,� '�- ��f FRIDLEY, MINN. Weatherstnps A.S.H.V.E. Conatruction No. i Guide In�ulation Windows Doors Reference Out. Waq Int. Wall Ceiling Roof F1oor Kind How Applied Y No I e No 19._ F1•j Room � Length �� Width %� Height Fl.� Room Length l Width �! Height � f Windows an Doors—Crackage and Area Windows and Doors—Crackage and Area �Vidth Helght No. o[ Llnea! f, pres Wldth Height No. ot Lineal it Area No. ot pane ot pane Ilghtn ot crack aq. tt. No. of pane o[ pane Ilghte of crack aQ. ft. �' % / •I� � 3 G �3 � / S, 1 . � '� lQ Coef. Btu Coef. Btn In5ltration � � ,. Glass � � S� Exp. wall �, Net exp, wall _ � �� Int. wall Ceiling D � Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. (,eader area F1•� oom � Length Width „��' Height Windows and Doors—Crackage and Area Wldth Helght No. oL Ltneal [t. Aeea No. o[ pane ot pane Ilghts ot crack sq. ft � �� a � . � �� f �n a..e� . P_ ... . _ COef. Btll IA61tJ8t10II � �� Glaaa ► at'"5 Exp. wall � �, Net exp. wall ' /� 0 0 Int. wall Cei�ing p !0 0( 0 � Floor . Total Btu. Required sq. ft. E.D.R. or aq. ins. W.A. L.eader area �• Room � Length `�-f'� Width l,�' Height � Windows and Doors—Cracl�age and Area Wldth Aelght No. oL Lineal ft. Ares No. ot psne ot Dane Ilghts ot crack eq. ft. � � �2 a2 � ! /s a7 �_ I� Infiltration � � Glasa , Exp. wal! Net exp. wall � � Int. wall Ceiling ��''� ` Floor Tbtal Btu. Required aq. ft. E.D.R. or aq. ins. W.A. Leader area In6ltratioa Calaas Eap. wall Net ea�. wall Iat. wall Ceiling IFloor � Total Btu. � Required sq. k. E.D.R. or aq. ins. W.A. Leader area FI.I /'�oom ( Length j�2 �' Width /;l � 1Vindows and Doors—Crackage and Atea Wldth HefBht No. oL Lineal It. Area No. ot yane of pane 1lgAts of crack ea. tL � Infiltration Calaas Exp. wall l�'�Q �D �f �d ' �� Net eap. wall � `� Int. wall Ceiling �� Floor 7'otal6tw _ :1--� Required aq. ft. E.D.R. or aq. ins, W.A. l.eader area 1�.� �� t�� , e Widrh , H��h� �-� Windows and Doora—Crackage and Area �_��/� Wtflth Helght No. of Ltneal ft. Area �LJ No. o! pane ot pane Itghts ot crack �Q. tQ �. ,�e2. ��' / ?..9� � >f_ _n Btu , �'D Infiltration � Glass • Eap. wa11 �_ Net eap. wall In� wall ;C 0 Ceiling Floor � 3p G 'focal Bcu. Required aq. k. E.D.R. or aq. ins. WA. Leader area 1� Btu { � M d y � � � �r L2 p � : w : 7i � M M O 0 m � ' � � � • <p iA G � N 3 � �i �a � y �. �. � � � w � p � �p �' O � y� � N � . o • o � . o � o � o . : � : : � � . x � i4 � p� N � � O p p �] 69 4A {A l� H 0 G� � 1'�1 � � � � � � � � z x ��c� y� � � � to � .� O m � � ►� iC � " � � � � � ai p ; p �o ¢ O m f'�,`ti oa ,�� : y �. N � . � o� o : �� : � p � . p : . . . : � . : : : : � : : : : � >4 k DC pC �S pS W N w � � �= ao � P C�7� O O O � �A {fl -6H {fl 4fl {A � � O e �� O ci x � � � � D � r � --1 m y^ l I _ m C r m � � O �. � �' 8 a ° p ro � y e�+ � � � � �' �. g � � � I �x • � W N 1r � 'R', p, � m � � fD � �� O � A. p � � I �� i �A 8 M � m � c� � .. ., � �� \ � �. ��`� � , \ (; �. �. . �� , �� ,� � �� . � � ►��.. � � �+ mi• � K WATER � URINALS eam n,es e�stt� SiNKS W�, �� DRINK. FOUNT, sHwRS. ROOR DRqINS UTCFI BASINS nuro wns�n �� MPL GAS RANGE �� OPENINGS 'A • 2 ! N D m �� n A Q. � � � � ��r� o , � � �, y � � �� om5'�. y � O � � � � a �' � � o � �'�� ro° �, m � � b � �� m� �� o��m �p�mo � R. n p o � a-�, fD i3' y ��w � �� ti �� m `� � ► o0 �. � � ;, d � H � � a� rx &� p � M � �� m � W •� � 0• � � � � � � � �� ..� � � �V ii �- � '.�" � � yµ � W � � �. � � � � fio � +► Z+. � �o � � ~ ~ m � � � I� � 3 � �� ' � ; ��. SUBJECT c�ty of Fridley AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r � � � � � `� _ COMMUNITY DEVELOPMENT DIV. r j � PROTECTIVE INSPECTION SEC. i� ` � .---� ��"" �,� CITY HALL FRIDLEY 55432 NUMBEa aEV. DATE i si 2-56o-3aso g10-F15 �+%20�73 JOB ADDRESS 6580 Chan,n,el Road N.E, 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION DESCR. 2 1 � Don's Second 2 PROPERTYOWNER MAILADDRESS Z�p Charles E. Johnson 6580 Channel Road N.E; 3 CONTRACTOR MAILADDRESS Z�p 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIp 5 ENGINEER MAILADDRESS Z�p B USE OF BUILDING 7 CLASS OF WORK � NEW C� ADDITION ❑ ALTERATION ❑ REPAIR 8 DESCRIBE WORK 9 CHANGE OF USE FROM TO STI PU LATIONS SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUP/ VENTILATING OR AIR CONDITIONING. WOOC�. �Y'm THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. 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 AFTEA WORK IS COMMENCED. NO. DWLG. UNITS I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION AND ORDINANCES GOVERNING THIS TYPE OF WOpK WI�L BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMITFEE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. � y$C .00 SIGNATUREOFCON RACTORORAUT qIZE AGENT �DATEI j(�(HE�ROPERLY VA � : �=yZ�-� � � 0 7� � � - - P ---�_ �102 NO. � PAGE OF IAPPROVED BY � � PHONE PHONE PHONE SEEATTACHED SHEET LICENSE NO. LICENSE NO. LICENSE NO. ❑ MOVE O REMOVE ROUP OCCUPANCYLOAD CU. FT. OFFSTREET PARKING IGARAGES SURTAX IARGE FEE , $6 .54 IS OUR'PERMIT '� • _4 20173 I " A % _ _ _ _ - . _, ` . _. . . �..� - - - -_ _- . _ _ _ �` =:�_..-. - -_�, . . .cllrlfilP?N�{_` ��?"`e"'°'° �� :qu1�� " - �_ e � , e , �'�� ;�, �� ' � �utniti�'Y 3HT �C? GnT =��tC TA /�t� Try �+y �� { � I ! ' 6; .' ..VVI 1 "I��vf �"! �' � 1 ..�.��Q '��7��C��U��y3� 'di{{�i��Ti�0.1 �b..e "'�l, 9. ,.� +_ P: :i��? VIC3fT3�42M1 �HIT�aF��t. � � '� ��,.��' � ; ; t . r � . 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YaA� ,lk3CJ AG 3TAT2 R3-,.t�i "o '+�} � i<tIdI1'JR9 i �.'E�� i'.C1i7��dR'TG'49(3� �(� 3:lMr+t,RFir 7��4 �tyT ff!? �t.�T'�Uni2'" ��a }��L?L -- 33�`'�:l ti�`!AA.i'+' , �_ . _._. - . ._ _.M^ _ �--- - - - _ __ -- 1��23'cf�y4i (_r:fi.?�C13JAb" �J3d��t7��{W'�` v?3!?iY,� �j' , .s}ar��Fl, , ,s; t �' �, _ � �i � .\ f i � $i� . �1� � . w�'y? � � _ • t '� '�, �`vJI _ �� -+��-,"^� �..-�q�r��t � . �_ _ t. _ � - _ .e . �.�`�i.=.a � � � � � : ��-'° : ' �e::d._. ,.t�2N-]mf1.Ji � . . ��13T+'i+11 � . . iT.f1 3. ..��1� . _.7��`� �r y _��e ..�. t AF.��z��Ti�� R �E�IP��F��A �LT�R,�TI��, Q� AAA�TION ��I�DT�G ��RM�T ��T� �F P�T��e ��NN��QT� 4?W�' S I� : �!-G��..�,� -`�/%ff"p` .��J�u�L�EA s S� G�� ,ADi�E9S °�.S�E�' �'/j��/L�G�� /1,��; g � . t . �t��.�,�'✓��'�,� �'.�S ��m�ets'�-� �� /l�t �,. � LOC ; � �l� S � • � � l ��zo�� .� � -....,�..,... ��R LQT; �� TAT;R � S�7.'BACKg SI]DEY�tiD: � �.il� ��e� ��+pv�.,� CertiEicates of SuYVe�,,,r of Lc�k a�,d �rop�a��sl �.�.�� cati,o� $� 4�a �� C@rtifiCateSs ��1��PTI�N OF $iJIi,i9ING '� � ti�e� ,A� : � ," ;:.'� ��-�..c ��,��(.�..�......, f�' ,��: �' �i;�ht• /cJ .�,._,..� � o � 4` � ��a7�e �'�� '�;-- enbia� ��3 s��..�s e � � � ..�rn,. �'rcnt� : Dep�h ; iiei�ht ; $qua�s �'�et; Cubic Feett �/�'�9a�� ``� �� °� �o��trxue�t�.�� _ ��ti�ared �os�:�,�; �o� �c� � t�i��cd 8 .. � , �,� � � /� ?� � /� O � 7� `� d ��d here�y �e+� a��.cat.atrnt �or, a pe�.t �a� tlte w��k 4��reia� #P�t,�'� a�eeis� � du a�� A�€ �.n s��.c� accosda�zce with� �irs G�.� af ��d�� 't��$ �d ua�.� aP� �e Ae#�as-ta�ten� �f Bu��d�u��, � �e�eby �s7ta�� a�.l �h� ��cts �d ��rea�tai�3.a�s ��ated i� t��s ap�I�,�atioxa � � as�$ cvrrecl�.,,, . �`�'a� ;S��NATO�: � 1t�y � B�t�r �og A�td�#,i,oaa� Infox�pation..� �� ' � �i/� � �j G lv—e ie � .2 c � / � - .�-- + � � iz � -p � / � , (J ' S' �' 8 %� �P � -.� N� � " <� ° /� _ - , � �+ ��c' �� v �� `� . /�� / �o,� ' � � P f � � -BUI�AIN� P�RMIT F�� H��ULE �F,��Q� �. �h� IAepec�o� P� $u�ldi�$� s�al�, befox� iasui�g permit� for �he ��on o� any bu�lding �� racture, ox for any addition to any �aeis�i�� d�.� ox s��cu��re, or f4� any alteraLio� o� xe�airs �o any ex��ti�g ��,��,� o� stx�c�uxe, upoa �pP��ation th�ref�se, require tbe pa�e�t by �hs ��p��t €Q� �u�h P@�� p� ��a � tbe a�tount herein below set fax�h �� =1� ��,� n��n�� he�x�e�.� p�av�.ded� �o�ix: tTI��OR� �U�LDTNG t:ODE t 1j'Pe �� Z& G-$2 .15 �or each a�ae �haus�d cubic �e�C, t�� ac�kian the�re4�, i.n �t�cl� cubical con�ents, 1`ype �&�-$�..85 fox +��bi ons C�o�sand �xb�c �ee�s , . A�D � T�fll�iA� � NFi�1�tA�' I ON Fv� 1��, �uxpp�e of ��mpu�� eea for building pe�nita, the cubi.cal con�ents o$ atiy building or addition, i$ det�rcai�ed by mui��.plyi.n� �he �;�ound area �Qy�,�,d, �pat � poi�� s�x f�i j ine�hes below the f 1��x line o� the b�sement �,+ �#e ��la� �a t�he average �eights of the uppez surface or to the avera��•! �,�3� �� e goc�� e�x'�ace o� the maiA gah�e p� a pitched xoof. .� �4�.x� a� al��g��.otxs � an existin� s��eF �a� f�e shall i�e �t� t�� c�,�� n� $�,?�0 g� �+� f�,v� h�tdared dollars� ($�OU4Ut3) � f.�t�an �h�r�of i.rt �,� c+a�� ,��.�. �a�v�sed woxi�,. ��o cat�e asha�l �� +�s fo� a�g pe�i� as se� ��. �.n S�fi�.pn 2 be �-� �an �3.�. �� '��I�ATi�aN oF ��iJNA�Ti(iN �� c�3.ts �+�x +��s�t�te�Q� wi��. be �.�$ued a ��.� Q� �4 �+ours ��a� �e � a€ Ap�licat�.csr►, �Q �►�.�aw �ox Fra�ex aeview af �he pxApo�ad a��,u�tt�z� �d �g �e �x�tsz�u��ion &i�e. ' � �C��%�d �usv�y o� �iig l�t„ �� ocati� �� r1�� awac�ati�a, o�c� �� r,c�e��t.�sd�, wii� �a g$+�uir�d bef��e nroceeding w��a �hs� fr�i�, , C�RT'TF��A'�� QF ��PAN�Y ��.i.�.��.c�a �c�x a��tt� c+� Qacug�aacy �ha�l�. bs mad� �� !(iQa �7�� px�o� �a th� ��e pz +�c�upa�cy o� ang �c�e for whiah a build�.� �e�ti� haa b�en 3.ssuec�; � sa3.d st�.te{�tiK'e� �iiai� not ba u�se� a� OCCt1��6(i until a Cs�tificate of A��up,a�y ha� b� �saoesi�, � , � „ _.•Y . � . _ - .. ._ . .. _ _ .. � , � A. ..�.- e- . . . _ . . . ,. . . . • . � � • . . � . '� . • . .. . . . � . e . • - � . - r . �I, ,C.� ��'�i � � L%�J� o�amer of the property located at � _,� i�� a�� have no ob jection to the City . a19.o�ring the canstruction of a ��-�t ��rre✓ to be located at ' �S?�o C',<f��rv�-� �� ,�P/� without the required certificate of survey that the City ordinarilq requires for all new construction. . •'s ..:` . • • � � �e Signed . ` : � � �' �' � , _ � ” • Addres s - • ' �'/��+�J � /� �/ I � a\"'-a� / ' 'G� � "` •. l � � Wi ess —T– Date .. � . .� . � � . 4 . • �. . • ' 0 . � _ � � • � � � �: � . _ �� t .y � .I � - . . . � . � - k la� ' ! '". . R �'�; , � . ; , ,;: : � �,r' � v; -- - $� '' --- - _ . ,_ = �, .�� . �. � . � r_ .._ .: . __.. �� - �� , � � �` �� : , � r� �. � y .. q �}'t ' . . � � Y� F{� d .'� I n4 t � '� , � ':'. . . �. ' S�i �1 + ,�, � ' � - -�' -� �" .�: � � 1 ,� � � �.. ��. �!" , ��. ., � �. „ 1. � �; � ,, _ 0 , �: �, --- � ------ - - -- . - - -- - � ,� � `�, �� p � �,� � ��. � �. ". ' .. P '.:..:__„ _ � � ' � . � �� . , � 1� � � � 1 �"i�i.. . . ° . � � � �' � � � � � � i � � � � I � � � ' . � �. �} . .. . . � . �« � + j . � �" �. � j �' ; , � � � � .�... . .. .. . .' � . . . _ . . . _ . . � � ' .. � ��.�� .� � . .�:.� Y ' . . YI ;:. � . . .. . . � � � . ' `�� .. ' �T�, .� � . . ': , ■ � � ' ' ' . / � . ...' . � q G� t�'` i : �, . �� , _� . � � � , �� . p� , �s"��:: �. ��. ..,�., .. _ � � _ r , .. _. _ , ta .. � � �,�� ' ��' � U 1 � � I� � . 9 1` M � 4 ,. ,V. , �',__ . M � �t G �� :_ N .. .$ j;. -��' . . .. r; � ,� r 4 'k ��8. . � � .- ... � � �., � � � �i �� a �! �� ti��o� .� K;�, �� C � .� � � ;.' �� . �� _ �� , � : _� '-�` `.�"�.�' - - � ! ; �'. - �'"' �'' ;� � Q . � � � : � ► � ! - � � �_{ � � ;4`� � I � � � � � � , � .� � � . � ,� s � � � � � � �� : � . ': i � . . I� � �� . � . �, ' � . � r�.. �=�:.�r - � � • , r �. ` ,�l/S r/�C�. � [ Dt+�GQ'�`r� � D�►��. � -_ ��.�� , F' � _ k �( � ! � � .a�l � � r ,�' . , ' � r . � ` ' � . � �y t � 1 . �� a'.�,� . '. . .. ,. . .. . . . �{ ' f 1 i i w � � t , _ 6 � � �� ` � �' � �: 0 -w� i , : � , � ; {��P.� � � �� , y �� ;�, � >�/� x � q e� � t � ��. W j � ,�`. hr�! � � , 1 P' � d f �� . __. � �:,. � ��., - � ;. 1 � N � I � P/ . �; °._ � � � /��'��o� ��, ;' F � '� ; ��,�sN� Y�� r � ^ 4 . 6 e . ��: � : SUBJECT City of Fridley AT THE TOP OF THE TWINS g U I L D I N G P E R M I T ;� ; �L _ COMMUNITY DEVELOPMENT DIV. r j � PROTECTIVE INSPECTION SEC. , ; � l-__-� ��"" �,� CITY HALL FRIDLEY 55432 tvuMBER i 612-571-3450 910-F15 JOB ADDRESS 6580 Channel Rd. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION DESCR. 2 � Don's 2nd Add 2 PROPERTYOWNER MAILADDRESS REV DATE 9/16/80 J GUN I NqGTOR MAIL ADDRESS ZIP Same 4 ARCHITECTORDESIGNER MAfLADDRESS ZIP 5 ENGINEER MAILADDRESS Z�p 8 USE OF BUILDING RP�1-�2(� t� a � 7 CLASS OF WORK ❑ NEW [H ADDITION ❑ ALTERATION ❑ REPAIR 8 DESCRIBE WORK Deck Enclosure 9 CHANGE QF USE FROM STIPULATIONS TO SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. VENTILATING OR AIR CONDITIONING. W�d THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING 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 I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT O.00 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pEfiM1T FEE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. 7. rjO OF � SQ. STALLS P . ° 15932 l� � � PAGE OF APPROVED BY / / SEEATTACHED SHEET PHONE 71-8869 PHONE LICENSE NO. PHONE LICENSE NO. PHONE LICENSE NO. ❑ MOVE ❑ REMOVE GROUP OCCUPANCYLOAD CU. FT. OFFSTREET PARKING IGARAGES SURTAX K rtt TOTAL FEE 8.�� EN P OP Y LID ED THIS IS YOUR PERM T i �� i INSP �ATE \� t !/ i �..�;! �� - ` - - � f � �+ � ��_' � / � � _,3 �6 , � `---- -- m �� Y1[ � ` ' � � � � � � r - r" � -- ---- ' l� � ) � � � h � C r c ± � �� ti n - - � x' `� u� e � ` �� ti � � f.�..�..-�_ _' __.'_�. . .'_' .�.n _...______ ..._.._.._ __� .]; `2_r�� .� _ .. _ ' ' � �� 1 • �� .� � _ � � ._��-�� I ' . '_ ^ • _ ' _' "_ L ' ' _ _ .� �—' ' _ � ' ' I t I , �� ; � _ _ __ � _ ' r - - - - - - - r• _' .' __ . - . � r � _ _ _ ... - - - - � � � \1 � �� -- _'"_�:---- - -- --- � � . ;' T , ?�. o �, , : . v �" G_ �,--- -- ---.-----------i� Ji'.f � � ' �;.;-;- - - - � i�'1 �, --- ---- -- - -- ,p, 4, • , b • (i '- - ° - - - - - -� , - - - - - - - - � ' ' � � . i' � ' � � � ' l- I' � - - ' - - - -' � - - - - t� 1�' i' - - - - � i, , , � � � � r -- - - -� - -j , - - - - - ' - - - - � �� ' I � . ____ � I ; � - --�—�,' � � � L b � ,,� �� +�, •1 � �a �, cti � C'� ,a j' � �J � � ( � � � � , �_ � � � ' �' � - ' � „' ; � o' � - � . �, ; � • � � � �, I. i �� ' j ; �� ;� , , � �:. •• � CITY 0�' FRIDLEY - �.. APPLIC/lTIOid FOft P,ESIDEi+lTIA� �'UILDI�lG .PEF2t�7T7S (Pdecv, Alt�rations, Additions, or Repairs) at�rr�iEa: _�' `,�/�r,s� � �6 s .��I��.�� «.,�/ ADDRESS: �S�p �'��.�� =� �� TE 1. �I O : � ��-� �'�� — -�. l3UI LDER : . . t1DDRESS: - � '� ,-� TEL tdQ: • � Consi:ruetion Location • STi2�Ex NO : � �� STREET: ( � %�l--/v/pi t�� J� ��1 `� LCJT: �° BLOCK: �^ 13DDITiON: o° �l�� " � ��.� � ` � �.a.�,�`��-- � Corn�r Lot: Tnsicle Lot: � SetbacY.: Sideyards: ApPlicant atr�.ch to this form two Certif.icates of Stixvey of lot and prop�sed building location drawn on cert.i.ficates to scale. DESCRIPTIOtd OF COP�STRUCTION • ��;CJ �� ,��"�'�I'ront: Dep�h: iieight: Squa�e. k'eet: � � �" Cubic Feet: r'ront e Denth : H eight: Square• FePt: � Cubic Feet: �(� Type o� Construction: �� Estimai:.ed Cost: $ �� ' . � , Zb Be �mplet�d: _ /� ` � ° �<� �� ' .:1' . _ Alt. A Alt. B Proposed priveV�ay Wi.dth If New Ogening Is Desired: $' $ , . . SE� Rr^.VEFLS�,' STDE OF SHEET �►ie undersigned hereby make� applicati.on for a permit fcr the �4�ork� herein speci�ied, agreeing to do .all work in s-trict accordance c•rith the City of I'ridley Ordinanees ancl rulings of �i:lze De�artment of Buildings, and hereby declares that all the facts and rep�:esen�ata.on stated zn �hxs applica - n � , D�iTE: i� '��P ��,f�� SIGN7ITUF.E : � Sti�ulai:ions : I�'s - � �(,J'� � ° �v � J� ' , �DU � __ F IIUILDI(JG f'CRMIT (=EC: SCi�EDULE� . al��'.CI�13 2. �'z'h� 7ns�?ect�or_ of 13uildin�J ,..hr�].Z, bcforc: i. �,ui��g pcainiL•s far lhe ,crecLion c,f ar�y }�u�.l.d:in�� ar �.:i.ruct:urc, �r. �'a�: any �aa�.�:a.�n L-o a�jy cr.i:;Li.,�� buildinc1 or strucL-w:e, ci�- fo��, ai,y a�.i:eratioit ar_ repair.:s L•o •any c;:i.�L.1.11C� }JU)_�.CI],Il�j ar sL•�-ucturc, upon a�pl�cation th�:?:�i'or.c, xequire Ui� Pa}�me��i: 1�y t]ie apz�l.i.cani: L•oz- sucl� per.mi.L- o� fces to tlie arnount hcxc�in }�eJ.o�•� set ior.th and in the mannen c�rein ��a:avided L•o-��ra.t; • NE14 COIISTI:UC`�IOI1: Sinq]_e lamil.y Ilome:� and Gar.ac�es: ;��1.00/1,00� cubic �ecti. PLT�t� CIII:Ci:: 2.5 i�ercer�t: of l�u;.lc�incJ }_�ezmit �ee. . URl'VE�;11�' ll�PP1:S5XOI•I: (Concretq Curb Strcets Only} ' • Altcrnat.e I�,: Rc:mova]. az�d rep]:ac�ment of concrete cur.b and qutL-er only; Driveway widtli plus 6 feet x�:$ 5.75 Alternate II: Remaval and replacement of concrete curb and . . ' + _ gutter and inst�ll a 3 t�L- wide approach ��ith �' ' . 6��ch depth; Driveway v�idth �plus 6 ieet x$17.85 � . . ADDI T I O�/�L _I Ni=0Ri�11T I ON For the purrose o� compu�ing iees for_ buzlding permit�, L-he cubi.ca]. cor.tents of any buiZdinq ar: addi�ion, is dci:ermined by multipl�ing the ground area covered from.a �oa.nt ss.x {6) inches below ihe iloor l_ine of the basement ar th� cellar to the avexage heiqhts of the upper surface or to the average height af �.h� roof. sur%ace ,oi tl�.e main gable of a pitched roof . .. For. re�a�xs br a].terations to an existing strlicture, the fee shall be a� the rate oi �3.00 xier each £ivc hundred do].lars �� ($500.00) or fraction 1:Z1G'2:t?Of a.n the cost. oi all groposed wark. . . � Tn •no case sha3.l the fee cliarged for any pexm�.t as set iox�h i.n 5ectian 2 be less � than $7.50 plus $.50 state suxcharge. ' � � VERIFICATIC?N OF F�UP�IDA7IOj� � ' NOTE: Pexmits �or construcL-ion will be issued a minimtun c,f 24 hours from the time ot a�plication to a].low for proper review of ihe pro,posed stxucture and of the . cons�ruction si.te. A Ceri�ificate of Surve� of the lo�, showinq the location of the foundation onee it has been cons�nic�ed �.Till be required k,e£ore pr.oceediizq �•r5.th the �r�ting. CERT I F I CA�E OE O�G UP/�NCY ' I�PpJ.icati.an for a Certificate of Occ�i��ancy shall be made ten (ZO) days prior i.o the use o� occupsncy of any si:ructure for sahich a k.�uildi�lg pexmit has been i.ssued; and saia struc.i:uxe sliall iiot 3�e used oz- occupied uriii.l a Ccrt�.ficate of Occupancy h�s becn xssued. v � _ - •. , ' � . . ! ' '. � sue�ecr ' PERMIT N City of Fridley � �24 ATTHETOPOPTHETWINS gUILDING PERMIT r � � COMMUNITY DEVELOPMENT DIV. � LV � • r j � PROTECTIVE INSPECTION SEC. � _ , �� y l.-__� ��,,� CITY HALL FRIDLE� 55432 NUMBER REV. DATE PAGE OF APPqOVEO BV i� 612-571-3450 910-F15 10/24/88 � � JOB ADDRESS 6580 Channel Roac1 N, E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION DESCR. 2 1 Don' s 2nd Addition 2 PROPERTY OWNER MAIL ADDRESS Charles Johnson 6580 Cha.nnel Road N.E. 3 CONTRACTOR MAILADDRESS Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS 5 ENGINEER MAIL A ZIP ZIP SEE ATTACHED SHEET PHONE 571�8869 PHONE LICENSE NO. PHONE LICENSE NO. PHONE LICENSE NO. 8 USE OF BUILDIN(3 . Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION � REPAIR 0 MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House/Garage; Replace fxqnt eaYe 9 CHAN(iE OF USE FflOM STIPULATIONS TO Roof can be the 2nd laxer but not the 3rd� SEPARATE PERMITS ARE REOUIRED FOFi ELECTRICAL, PLUMBING, HEATING, �PE OF CONST. VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING 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 I HEREBY CERTIFY THAT I HAVE READ AND EXAMINEO THIS APPLICATION �- AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION AND ,ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED 2 OOQ WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $! DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $45.00 SIGNATURE OF CON i RACTOR OR AUTHORIZED AGENT IDATEI � c �IGNATURE OF OWNER iIF OWNER BUILDERi IOATEI oGGUPANCY GROUP OCCUPANCY LOAD SQ. FT. CU. FT. OFFSTREET PARKING STALLS GARAGES SURTAX �Z40Q SAC CHARGE TOTALFEE $46a�� RLY VALIDATED THIS IS YOUR PERMIT � / ' na�e5 I�al I ] ADDN I ] ALTER [� Gonstruction Adc7ress Legal Description City of Fridley R-1 A1�ID R-2 AlID Building Permit Application s-�O c'f%4ti �✓t� � c�� "� �-J s�,.J t EEfective 5/L88 G�..�� • - % 1� � �� Owr�er NaQne & Address: /i�� c�3 ,�' J`� ��,,s d,� T�. # s7/ �86 � �ntractor: �'�zz�' �. # Adc3ress: Attach to this appl ication, a Certif icate af Sl,irvey of the lat, with the proposoed oonstructia� dra�vn on it to scale. L�ES(R�ION OF' INII�RWII�� r•�'1vG AREA: Length Widkh Height St�. Ft. �': �; H r �' - . � a�,«; t �'� - . �Jy:l�l� , � � . Width �eight &i- Ft. W9.dth Hgt /GiOLIIId S�. I't. �c-�!/� c� �,�oa�% �71�= O�rner Lot [] Inside Lot L�CI Ft. Yd Setback Side Yard Setbacks �pe of (bnstructian: f��i/l/�i9�T- �i��(�isi Fstimated Cost: S �,��o Or Appro� Completion Date: Al� A Alt. 8 Proposed Driveway �didth If New Opening Is Desired: $ $ Width + 6' See Back Page I]ATE : �� O APPLICANr: Tel. � 7/ 8b CLTY DSE G�Y Pe=mit I��ee State Surct�irge SAC Qiarge Driveway Fscrow Park F�ee Sewer �in (�iarge �O�L STIFUI�IOIiiS: S �. ��(:,, $ � L�. C � $ S S $ S '`i�-. ��/� F�ee Sche�].e on Reverse Side 5.501�1,A00 Valuatia�n $550 per SAC Unit Al� '�° or At� "B° Above �e Determined by Engir�eering Aqr'e�er�t Ne�aessary [] Nak Neoessary i] � � � � � �� : I� . � �, ��v�4 ��i �M:I�!I_ J� The C9�ief Building Official shall, before issuing permits for the erection of any building or �ructure, or for any �3diti� 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 suc� permit of fees to the amount herein below set forth and in the manner herein prwided to-wit: �os� v�vE $1 to 5500 5501 to �2,000 $ 2, 001 to $25, 000 525,001 to 550,000 0 S15 tMinimun ��ee is S15 plus surcharge ) S15 for first 5500 pl� �2 for each additional 5100 or f raction thereaf, to and ir�luding �2,000 S45 for f irst $2,000 plus $9 for each additional 51,000 or fraction thereof, to and including $25,000 $252 for first 525,000 plu� 56.50 for e�ch additioa�a]. $1,000 or fraction thereof, to and including 550,000 �50,001 to 5100,000 5414.50 for first 550,000 plus �4.50 for each ac�ditianal $1,000 or fraction thereof, to and ir�c].uding 5100,000 5100,001 to 5500,000 5639.50 for first �100,000 plus $3.50 for each additiona]. �1,000 or fraction tlier�of, to and including 5500,000 $500,001 to $1,000,000 $2039.50 for the first $500,000 plus S3 for each additional $1,000 or fraction thereof, to and including $1,000,000 �1,000,001 a�d up $3539.50 for the first 51,000,000 plus $2 for each additional 51,000 or fraction thereof DRIVEf�Y_ DEPRESSION E9CT�('�1 (Concrete Curb Streets Only) Alternate "A": Renvval and replaaement o� wrb and gutter o�ly - Driveway width plus 5 feet times �13.50. Alternate "B°: Renwal �c] replaoement of curb and gutter and install � 3 foot wide approach with 6 inch depth - Driveway wicith plus 6 feet times �15.75. l�i; :� ; M•� •' q� Il� R-; M�i� Permits for construction will be issued a minimtun of 24 hours f rom the time of application to allaw for proper review of the proposed structure and of tl�e o�nstruction site. A Certif icat,e of �uvey of the lat, shawing the location of the foundation once it has been oonstrt�cted will be required before prooeeding with the fr�aing. .T.. � R P N � � .1°w. � 0 � N d 17 R < � i � � r+ O � 0 0 � � W � � 3 e�+ -y� c � d n A N . � � w � D � W µ m � �' � 0 n ° � � � �' wb � � � � m w K W � a � � � c r► �'a� N (A M N � o�H b h0 �°z N n� x �� ! � H fi N a � cn O 0 r � � ' W O M �C .; b �+! p0 _ e � ? -_ F'� � i o ro b M ro � M � m trtp � � P� C � � � r'I M m a a w � Fn,- � � µ c� z � � � � � � M a �► � m a z � s b � � � � � �, � � � � � . � � � Qn � � � K �µ. M �C µ � � � � � o � � � � ' � � ' .'tl � r � ' � � � � � � �0 'V �� A 1+- `J m �o � w "J� � � N � � 0 0 v y y s � r� � � � n x W � N N N Q ' �° � � � � � O m f� C y n � H O ��+1 v � O, O � �� c , c ' O h+ �� ron � � t�+ N f° v M y �O H �O �b! � �., n � � K DS' n O t�il � d � � O 0 � �i 1 � � � r N W f+ K �O A O M � w cm rt a� � fD 'L1 W MM � b� � ro� � �a m� w m� m �� .. rt O � �' m N � O 0 0 0�+ W� R C C N o� m�'o aa K K c�q � �'� �p K � y w � �� o� E� b pi � � � � �g � n rr �� X .. � . . 'V► V► N tq ►-� r ►-� n� O O o 0 . . . . 0 0 0 0 O O O p � t�! � � � � � � �.s � 1 �� 0 .� C �o �' � 00 C M Z ~ n n w� ��'`� �* � w `a�� + M qe O aa � a �M M�W Pi K �I�+�� b't M� W D�M �m� $' ��° �b�M ,� ' ��g�� m m � ~ � W ��+7 �rt~ m r a a►°e� a � r x �p µ K .'� µ '� 1.. M � �w0�°r � n � N •'7 M ►• ,C b m ;' e �a a o � � w °8 �' z R?N � t'7 ��b : �� K m O. µ � N � � � S M � �mm� �Z �In+�� U� . � 1'f �C '�RN' N � � ��m I �� 0 v � 0 � � N S � R'1 � r c� a -�I O z � O � 0 � m � a5 � z �� N Z o a -a zb zD �� . y �m"1 f7 3 O N � d � m m < � � � m � � � 0 z � m � � � rn a �-1 O 2 a a v � � 0 T T � d m -< m � m � �. < N � � 0 m CHIMfJEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack; 1. Has been carefully examined Yes (,) 2. Is free from rust or deterioration Yes () 3. Has no foreign objects lodged within Yes () 4. Is securely supported Yes () 5. Meets all current Code requir�nents for size and total BTU connected � 6. Has To ta 1 hea ti ng BTU' s of All other BTU's TOTAL Rema rk s No ( ) No ( ) No ( ) No ( ) Yes ( ) No ( ) Com pa ny Signed By Da te 4 a SUBJECT IT N O. City oi Fridley � � � � 4 `� AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r i � � � COMMUNITY DEVELOPMENT DIV RECEIPT NO. � • , �L ------, l �� r � � PROTECTIVE INSPECTION SEC � 1 � 1 i--__�� "' �'� CITY HALL FRIDLE� 55432 NUMBER REV onrE PAGE oF APPROV o er i 612-571-3450 9t0-Ft5 4/2/96 / / JOB ADDRESS 6580 Channel Road NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCFi. 2 1 Don's 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS 21P PHONE Thomas/Nanc Korte 6580 Channel Road NE 5- 257 3 CONTRACTOR MAIL ADDRESS Z�F PHONE IICENSE NO. Same d ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO 6 USE OF BUILDING Residential 7 CLASS OF WORK O NEW ❑ ADDITION Xp ALTERATION O REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Convert 3 Season Porch to Livin Area Deck 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. SEPARATE PERMITS AHE REQUIFED 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 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 WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORREC7. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED @ WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT `Y4'fOOO �Z.00 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. �BJ.ZS Fire SC $4.00 PLAN CHECK FEE TOTAL FEE $93.25 Si� ATUREOFCON'RACTOROH THOAi2EDAGENT iDarEi WHEN PqOPERL ALIDATED THIS IS YOUR PERMIT " �� ,e �'� " .�� _ .�- _ cJ -e,�d� �f _ �,' �� S�GNnTU OF OWNEA �IF OWNER BU�LDE�7� iDAT •i 4� g�,0 �NSP qp7E r�w ADDN ALTER Cl [l � ConstructionAddress : Legal Description: Effective .31.�� ` ' CITY OF FRIDLEY /�; `� � SINGLE FAMILY AND DUPLEXES R 1 AND R-2 °� ! . /�� y e �� ,1 I Building Permit Application �/� q'�� J t� 1 �� _ n n�.� � �� -�-�, � I� �,�3�- �_ _ _ ! Owner Name & Address: � �a.s G - � N It�cx.7 �� f`�2 Tel. #_ �%�- � � j '7 Contractor: � e � NIN LICENSE # Address: �z �� Tel. # LIVING AREA: GARAGE AREA: DECB AREA: OTHER: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IlYIPROVEMENT Lengrth Width Height Length Width Height Length Width Hgt/Ground , �nt�� s ��,� 3 �sezs�,� �<r.,i— to l�u�,�.� Sq. Ft. Sq. Ft. Sq. Ft. Corner Lot [] Inside Lot [] Ft. Yd Setback Side Yazd Setbacks Type of Construction: Estimated Cost: $� dQ � d% Approx. Completion Date: (Cost on Back) Driveway C�rb Cut Width Needed: Ft. 6 Ft = Ft $ -$ DATE:3 � -, �(Q APPLICANT: � � Tel. #,� i �iI - �'/ a-J�`% Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Cha.rge TOTAL STIPULATIONS: $ 7 � � �� $_ �� $ $ �----- $ $ $ $ $ � ,�°� � . 3. :��' CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.50/$1,000 Valuation $9(� 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 [ ] BUII,DING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any e�sting 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 provid� to-wit: TOTAL VALUE $1 to $500 $501 to $2,000 $2,001 to $25,000 $25,001 to $50,000 $SO,OOi to $100,000 $100,001 to $5(}0,000 $500,001 to $1,000,000 $1,000,001 and up FEF..S $21 (Minimum Fee is $21 plus surchatge) $21 for first $5(� plus $2.75 for each additional$100 or fraction thereof, to and including $2,Oi� $62.25 for first $2,� plus $12.50 for each additional $1,000 or fraction thereof, to and including $25,000 $349.75 for first $25,(�0 plus $9.00 for each additional $1,OQ0 or fraction thereof, to and including $50,000 $574.75 for first $50,�0 plus $6.25 for each additional $1,(�0 or fraction thereof, to and including $100,000 $887.25 for first $1�,(}00 plus $5.00 for each additional $1,400 or fraction thereof, to and including $500,000 $2887.25 for the first $500,000 plus $4.25 for each a�iditional $1,(}00 or fraction thereof, to and including $i,000,000 $5012.25 for the first $1,OQO,OOU plus $2.75 for each additional $1,000 or fraction thereof DItIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alterna.te "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. VERIFICATION OF FOUI�IDATION 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 founda.tion once it has it has been constructed will be required before proceeding with the framing. , -P OD �� r. ?. '_`;\ �, W � � O N CN � W � W .O O} � E��`' � � �� b � � � � � � , `� ��. � � ti� 16' � 5'd s� R'R d'r, :. 16' 7'6 �P W •• � � W '� N N j Q � CJ1 '1J � �b V 1 w � � � 'r �, � � r�� fi .�,,_ �� . � � �� ,��; `. � �=' `� `-v � �� ` - �M � � � �� , �� : _--� - � �- =.� � �. �� S r'� � � _ , `.�� +i�7i" `�'t',i �� ;�� e,' - ��,�� -�.- i i 1 a * � c�. �� ' - ._ o� � -� . � c--- "� ��. 4 � � �` � 4�+ 1 i . 0 Or �J� , � �, � ;' � , ; �� ,� j f� -o �� ! _ A�eo . 4 O "b . _ . . . . . . . .. . . . _ `� � i . N'+ r. y .+ � o p � o=. � v � ra < � m `^ � �+ ^�„� '�'� � - �•�l a o� . . .. _ . . . .._. . .. . p � o . .. . .. . . . ..... . . .. . _.... ..,<. . _.. . .. .�,.. , .. .. ...._._ _ 4i . .. � . _ _ ./ � � [a A . . � . . �. _ . � � � . . :� . .. . _. .. . ..... .. _._...... - . - .'- _..____ _..., �..... _. . '- ' -. _.._. ..:.. ... ..:__ >......�:__ o �.� '� _ ......�...-°-_,� ..... . . .�.._._... . . _ .. .. .�., .. ..., . .� . _.. . _. ��r •�:�. , �� `. � ..., ..,'� �..,.._.�.r �. lf' . . - , �r r . . . . � .�.. ,... '.,. �.:: S ..: :�.:� ..-, � -. .,_...., o . , r .. . .�. .. .�-: . .:; . . ,. �. :-.. .�.� ... .... ._...t.` .. . �." : .,..: �_. . ' . + , � ' � � . � ., �� CITY OF FRIDLE PERMIT NO.: 2004-02019 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 DATE ISSUED: 10/29/2004 � � (763) 572-3604 FAX: (763) 571-1287 ADDRESS : 6580 CHANNEL RD NE PIN : 133024240041 LEGAL DESC : DONS 2ND ADD : LOT 2 BLOCK 1 PERMTT TYPE : BUILDING PROPERTY TYPE : RESIDENTIAL CON5TRUCTION TYPE : ROOFING VALUATION : $ 3,339.00 NOTE: UNDERLAYMENT AS PER STATE BUILDING CODE. REROOF HOUSE & GARAGE (29 SQ) TEAR OFF. STATE LICENSED CONTRACTOR 1 APPLICANT BUILDING PERMIT FEE 97.25 JOSEPH FRANZEN CONST 20473983 FIRE SURCHARGE 3.34 7700 TYLER ST STATE SURCHARGE, VALUE 1.67 SPRING LAKE PARK, MN 55432 LICENSE SURCHARGE 5.00 TOTAL 107.26 OWNER KORTE THOMAS G& NANCY B 6580 CHANNEL RD NE FRIDLEY, MN 55432 AGREEMENT AND SWORN 5TATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presu�r►e to give authority to violate or cancel the provisions of ' y other state or local law regulating� constru tion or the pe rm of constructig� Applicant G. Date /O/ Bldg Insp D SEPARATE PERMITS REQ IRED FOR WORK OTHER THAN DESCRIBED ABOVE. NEW ADDN ALTER a f e [ j CITY OF FRIDLEY Effective 4/1/2004 [] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp [] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax BUILDING PERMIT APPLICATION Construction Address: �� L �/ �% e� �d/^ w ' / � Legai Description: ' Ovmer Name & Address: �� 2 e� e%�I /�� S�`vJ �— Tel. � Contractor. �S ��i ��z 2 ea� Co�. S' � MN LICENSE # _ � . A_ Tel. Attach to this application, a Certificate of Survey of the bt, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT iiS'�—°�o[ yo o �/73 9�s� 1--51'�/ � / �} � LMNG AREA: Length Width Height Sq. Ft. o�� GARAGE AREA: Length Width Height Sq. Ft DECK AREA: a OTHER: ��j • Width A Sq. Ft Constru�tion Type: �� ` � � Estimated Cost: �l ��J � Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x$ _$ ' DATE: l� APPLICANT: Tel. �i /� o'�o f y� Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will call you for card number. Permit Fee Plan Review Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge TOTAL CITY USE ONLY - $ �/ �� Fee Schedule on Reverse Side $ —� 65% of Permit Fee $ �,� .001 of Permit Valuation (1/10th%) $ �- �% $.50/$1,000 Valuation $ $1350 per SAC Unit .$ S� C%U $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 [ J $ lV' `l •�5� STIPULATIONS: BUILDING PERMIT FEE SCHEDULE The Chief Building O�cial shall, before issuing permits for the erection of any building or structure, or �or any addition to any existing building or structure, or for any alteration or repair to any existing b�ilding c� structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to-wit: TOTAL VALUE $1 to $5� $501 to $2,000 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,001 to $5�,000 $500,001 to $1,0�,0� $1,000,001 and up FEES $23.50 $23.50 for first $500 plus $3.05 for each additional $100 or fraction 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,(�0 plus $10.10 for each addidonal $1,000 or fraction thereof, to and including $50,000 $643.75 for first $50,000 plus $7.00 for each additional $1,�0 or fraction thereof, to and including $100,0� $993.75 for first $100,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $500,000 $3,233.75 for the first $500,�0 plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,000,0� $5,608.75 for the first $1,000,000 plus $3.15 for each additional $1,000 or fraction thereof CURB CUT ESCROW (Concrete Curb Streets Only) Removal and replacement of curb and gutter only - driveway width plus 6 feet, times the annually determined rate Pernuts 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. VERIFICATION OF FOUNDATION A Certificate of Survey of the lot, showing the location of the existing foundation will be required before proceeding with the framing. New Houses Onlv FROM :City o4' Fridley Buslding �napectians 7�� ! ��3bU� �� TMS A}'l7.iCAN'P LR: ��u� y �� sv��'r n capY o� Yt)lTR 3TA'd'& I.ICENS� 1N11'H . 1lPPLiG�'�[ON PER1V�'I"rYF'� FAX N0. :7635711267 Dec. 05 2005 11:34AM P2 N.C�CI�NI�A� �tES�EN'�'I.4.�.• �"�L��.'I'I�J�1 �� Q� ��. ��. , ��sR� . . , �. ,�� , . ,�i�r i �. �i► ' Yi.'`: � � .� f' .�L�l�7��.� "�'� '—� - . � •s ,�,I''. .., I: ��.. . �� tw':Afw�7 ! � ' =`�� `� �� ,i-��-�/;� _ � , - �., �...�. �� M9[.Y D TWO FJ►Mtl.Y iYP� OF WO� � A �y1+ �G'Gt�'r �� D�TAILED D�9CRIPTXON OF �'dORK ■ r� �:�i.i� •. �'_+'. ■ . r:�; : �t� � ' :h . � � it � � �i��l�� _ �� , ., r. � � ,;, ,. , �n� �� ,i � ; ��;�_ ��,� �� l�i MS i GB.b6s the p�rmiit fe� �S a mi�imnm �a�' �15.!D@ or a�a a�' �h� tatai �t ap to :f�.Ot� wtudsev�r ��r, for tba improve�ert. ��altatton ar repla�mert af a r�ident9ai tfxtur�, �cclud;ng �e 6x�'es. ('fhla should tegleck o�ly tho coat of labot ) L�r cbat tp�der $3Q0 p�15.A0. Labor coat b�we,en $344 ta $SQD a cflst of labor � x.05 �- FQR PROJBG'I'S Wk1ER6 IAFDR EJ(4'EI?DS SSt�. gEE.R ARS SA3ED 4N 510.00 PE�t FIXTUftE. EXCiiI'T WHBR� A[a'LE). �7�'S: �?ICATB TGPCAL N�lM18FR OF BA�H DBI.t?W) °-' � �' °��(� ",0�'� MOA� r • �� S1ZF/�1vr--�' , Byu�t Inshdled . A+�: �' �ar M4D�,; 9/�' � M�CI: �-� ' -- Mt�4: ��, ��"' —�-- �qg RAN08/OVEtV 1�.0@ �A/G S�7.S.0o .�itt�f►CE (�A9} Sl 5,00 _,A[R TO AiR SXCFiAN�i�ER S15 FIRBPLACL (W�a) $35.OQ � U�dIT iTii! S10�a0 _SpII,ER �#5.00 �97RNACE S3S,� tiI8AT8R b3S�0 CH1NI�iEYL9V&ltSIR00 � �asnRxt�ca�aoa � �"'nr rrr an�tr c�nnn 4AS !'tP1Nfl S[0 QD Y�VTB.ATOR SlSA9 $urcharge TOTA�. DUE �� Ntimber of ��$] Od1D x SI0.00 �� — Nualber Qf 5dctur� {t� �l�.114 _ x �15.OQ = $ ___ - - — Num'b�' of ffici�ces (t� $'15.1u1 x�25.00 = S�_,. hfumbar o� �c�u�a {� $35.1)0 „'� x$3S.OQ R S�„� Si�to Sur�h�e � $� Totet � $,,._.,,�_ �r�ns �s nrt a��ccr►�rto� �ox n r��avar v�,tau� vrrrt� �toc�ass+� I h+ot�6Y ePP�t' for a buildiag pormit �nd I�aiawledge tJ��t t�a infomnettan above is campi�e aud �c�ato: thgt the wark� witl be fm confoa�anca �rtt?a tho ordinenoes ea�d codos of the City of 1Ftidloy and with the l��esota�Cor►s�� : that I und�'at�►d t1� � not a permh '�ut oaiy an ap�icaHoa fc�r a per�nit esd vvo i� not tv start wlt6out a permi� that ti�e w4rk will be ;b� ac�ord�tsa a� the a�rovad pla� �n tha case �f �t wat� wiiich re�quir� �w,�a°d appr�vel af p1p�n�. A_ I 1 � �I(BVATtJk� f�' APFLICAJ�T C.'��j' O� F1`�d�� Build�ng I��pections :D�par��pcnt 6�4� 1 Llnivers�ty Ave�aue 1�iE, rridl�y, M.�I 5543� . '763-572-3bQ4 �AX: 763-SOZ�4977 FRQM :City af Fridley FAX N0. :7635711297 Beo. 05 2�5 11:35PoM P3 .,.• . i�QUlitEa IM�ORMA►T1C1N NEEDED TO PROG�SS P�RMIT S RESiDENT1AL PEFt11�1T APRI.ICATf4N HVAG j� NEW HOMESlAU�1'�'10NS E7CISTIMG HOME �] �AK�-LIP AIR . .�_ +� ; r • i L.�_ _ u. 1. Combustion �ir (S�e note belo�►} . a. C)il or salid i�c� Il�C Gbapter 7 widi NA�T Amr�dmea� b. N'atu�rai Gas or �ropwaeJ�QC Chap�ex 3 wit'b� MN' Ame�dm� 2. A+J�kO-u� .Air (Se�e aota bela�,►) . a. IlV�C Cb�apt� 5 with M�T Ax�oo��ndma� 3. Vea�t�a$ a. Q�as app]ie�c.� Il�GC C�.tap�i' S with iv�.l�i Ana� b. Fuel atherr tUaa gas'�MC Chaptear 8 witi� N,1�T ,Ame�m,ea�t� i _ � _ � � � ►� � � i � �� . HEf��. �41� �iG lbbiLD,� �8t� �' �OQIYl a. R�brad o�a nes�► co�on IlvJlC 1346.03}.2 , 5. 'Venti�aiaon . -- , — - a. �'�rN�T ergy ar7�7Z--- - - 6. l�t �esi.p�a, k'�r �G 1 �6.0643.� a. A(xA M�a113 . � �TO'�; CeaaterpoiGax Ene�y l�ie.c��nf+� Cod+� Gu�d�in.es sQ�+a�re may be a�ed �ox coXnbus�iion a�a� ma� u�► a�tr c�l�u��t�oras 0