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AF - 36477,..� -w� Villa�e of Fridley, Minn. ,:+�: BITII,DING PE�11"IIT N� 6 3 6 Offic� of INSPEUT4R OF BIIII.�INGS �` , Owner °'�- �,�'-•� � ro �°�"�,°. ° �, ,� „� � a � Architect Fridley, Minn. � aw°'�A�°'4 �4� ">'� � � �.8��a Builder .LOCATION OF BUILDING ° � 0 Na �r� ��. �� `� Street �� - - - - Part of Lot � a Lot �, Bloci� Addition or 8ub-Divieloa DESCRIl'TION OF BUII.DING � ° �'roa t De th � �"� Height Stories ,;�� {, -=�anner of Conetruction. =��-�`-�-�-� � ` -----� t� P a To be used es.,.�'�?'�� .T-#X��"; „'°°;j�Y ¢'r Eatimated Costy� `_.ti '.�'- � � � To be completed �'� � ; r, d . �� ermit ia hereby granted to °'°"�„"'-� � � , . w�,.,- ..�, _ � " v�^�-�x ` �`.�,`�" �"'`. r F� �W the building �:``�`-��' _..,� deacribed in the a'bove ataLement. Tvie parmit ie graated upoa the expresa condition that the person to whom it is granted, aad his agent�, employees and workmen, in all the work done in, around and u�n said building, or any part thereof, ehall conPorm ffi aII respects to the ordi- neaces of Fridiey, Mtnn.. regarding the construction, altera.tion, maint�sance, repalr ana moving of buildinga withia the city �fmits, and this permit may be revoked at any tfine upon violation of aay oP the provleions of said ordinaacea. AGRE�EMENT AND SoVORN STATEMENT In consideration of the issue and delivery to me by the Inspector of Buildings of Fridley, of the above permit, I hereby agree to do the proposed work in accordance with the desexzptaon above set forth and according to the provisions of the ordinances of Fridley, and, being first duly s�vorn, I hereby state and say that the facts stated by me and cont�ined in the above permit are true aas therein stated. Sub�bed and aworn to before me at Fridley, NGnnesota, tbiR �� `s��-�' da,y af ��. ��s �` � A D. 19.� .�� .�� .,�-� � � � �.� . _ r- � � � -�� -, - r —. � �v(�.3'.. �'S$%GEZ �ILOPAT BBiB CHANINEL, PtOAD IKINIVLApOL18, MdNIliESO4A 88482 ��• ��t�, ' �� (,� �'..°.� � �`i , �� , � �-, �� .�-��-- - .� �, �-d G��` Q�.� �� l y � �- I __� � � .. � .�- �'� ., ., .�- �. ��` ,� �-�- .�-� , �� - �� e t - �- .,� �- (' �` . '�� r �� B / " ��^� (� � � �� -�--"" 1 G� r �/' y- � a �� ,� .� �� . c � � � �- 4 . �o- — ' / �Q � � � `� � �� .. f ^'� � /v �` ` .A'� "' _ ' ��-�"'�" ` � �tii //�� . �,�� f 8 �-- ,,�'�`-�-'� ,� � . . , � � � � . _ : , � � ' :. �a° . i� � - �� ,� �P ,�...� �-:-�-Z.� ,�-' � 4g � �� i �2i. ��i{2E$ dl2pLV 6619 CHANNBL 620AD � MIR[RfEAPOL88. lVL7MRllESO'A'A 98492 ' C i �,�:.�Sa,�(�Q�`-� � \ 8��r� � � � 4�� ✓�� R � � � � � — i � �..�.., ,��-�— � � .�.�-��- ��,�°� `�. �� G�, � e > � i .��tj 7Y4� . � '��%%�/ — /�/�/�. � v /IC%� � . . �. 1 � A .� _'�j-a� ��. � ) Fy�� f � �,�, s;� ��.- Cl=f�r� � � �� 'r''�"� ��.-L. -�-- `�-�j . � �� . .� �-�-, � � Q � � `�e,�� , %Gf/l�c"�'"'�". T � �4��%�� " ��i/�/\. , `/%;G%;`� `� . l � p ��% � � � ,�� `-.'�-�� „�!%�P"'�-�-�" ° �� ,/!�/� � � � �%;� � �� (? �- � �(,�,..�-� �-�a—�.�.-�O �� i�= � '�.� ��' �� , �T � G� � � � �`� , , � ,—� . � ;�.� c�—, �y� � �- �� p I� / �� ' cl��.. �s.�z c�rzo� 6678 CHANNEL ROAD MQNMEAPOLIS, ME[�NE303'A 95492 � °„�-,"� � % s� �� . i�� , . ,, �—� � � ,�— ��' `'� s � �% � � j(�' � ' �.�. �� 4 /� �i �,(J I �"" " ` �A�� a�..�� Ld d v _ ��/d �/f� �/ — � ` � , �� 1 / �✓ `i i '1/ 0 ' �,�,�,///��✓`�N�TT,,,...��11 '✓✓ qqq{{{°°°��- .�S�� i °�°"'v � ° P ��// �Ce!!A� 1 F/ .{� q,� M,�._'Y, ��-�0�+�� V �' i � �.�4�.�� ✓ \/I'�•c/ , �� ..�- � ��_ � �� ! ��- � �� .�.. � _ ..�.,. � �� .�� `�� ...,t.�� .,�- �' G� . ��. . ° � � � %�� . � ' ' �� ,� � ; u ., � � ,�-- ° �`-� � �� '�.�" �s. � �� A �- , � � D �� `° '%/��, z �� , .�y `C��P ��.�- �' ,��-°-�- z � i'l � O � � � H c � � H N in J � 0 . � ro � 0 � � a y N H � � H m ro � x H � ro � N � � � � ro o �(� O rJ O H °z M � ro a . � w � � � �A � w °� • � ro � rt d � w C � i a m � N rt N H K � ° � n � w t� m r9-��9H � � ° t� y�� cn cn r ��-+ x n � o ty w °' H H �y-] t7 � @ .-�� z ~ � rt �p � OHNH ��,..aN H f.,m w hy m n Z 7' 1 y v� a rt z �o :� n 7� � o cai m cn c� c� r, w � �o i p' i ]' ��' �v'�'<H �� o p.° p'� n'N tr] �-�3 H c ro 1¢-� � t�i� W� • w 3� R3 � N Y�� o�i� .. �'�.o sa a o°�oro �-+ U, UJ c�i�' �G N m o %Jro 000° � G N 'U O KS �'t a O� O �^�" � o N m Ge H p' H o H� � � cNi � O r�t � H C o N � m O k � W a � �n m r � N (D W � I I I y x m . a xxx � v' i' ttr'- r N N or-�w o 0o rn.a�n: O O O O O O O O O O O O O O O O O O O O tn tn ta tn +n � tn in cn � R _ rAi � � o a � � a � ~ w fD z �' �c z a � m� n N E a � S ro a �w � t��, �,^ � � Vv � m H � rt � z � � o 0 � rt � '" a C � �Z � � �• � N � m � � m a � o � ay� 0 M C Y� t+! . r• � � � � o � � � � � � tn �cn tn in �tn tn tn t� O a � rU. 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Ot w a ro rtt''� x m rs r• m w � N � � w m w�ww J H N w n roon �• m �' m p N ct I-�• (D � m w ¢' ' a t7 rr m � �m o � N k O �C � � a � n rt�E u�i o� w �°-n ° a r x ro � � c w � � r• � r• �.�, � a m w wwrt rr � `� w N• o roN`�r� �m a o mR'oa � o n w m I � �. � po w�m�r- �N m a E " ctDi c~r o lN �� xn �D m � �x � N (D tD a��s� , � �"�x r N ra-� 4 m ,LO o rp.rt � rt � N � � � n � ry� �y C z ro�uro � K �� u � �� w• a a r N N '��' � 9. mmm �n � � �r�r 9 � r+ ri' O F-' �" fD (D M �"� 9 a a � � � � a N "� � � w cnr -�-t N N � � t-c � �ro � r � O � � wN rn o Cn � n 6 O = m d o C o r- m tn �r J� J v N y O O O O hy O O U O tn tn tn tn I H O r �rtro k � N � � �ao u� r rn o� � N W m 0 � � n m � N � � y 'D "O � � a -i O z `1l O � � 0 � rn � � � .Z7 � Z n -i O (n a a '-' Z 1-- d � _ � D � � z C/) G� -G � � -i (") li'1 O 3 O � r D z C � Ci < m m � �n � D :� O Z � m -n � � m � D --I 0 z � z d C� � --G O T T �U � r m . � b, � sue�ecr PER City of Fridley o- � 7 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r ; � REC T NO � ; L _ COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. �D Q�� ' /'�'1 � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY �'----� • •�� 612-571-3450 910-F15 9/28j83 � � JOB ADDRESS 6619 Channel Road N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. P't of 46 . Rev. Aud. SUIJ 71'�L� . SHEET 2 PROPERTYOWNER MAILADDRESS 21P PHONE Ester Snow 6619 Channel Road N.E. 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSENO. Twin Cit Insulation 3959 28 A - 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. 8 USE OF BUILDING residential 7 CLASS OF WORK � NEW C3� ADDITION ❑ A�TERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK n ac e y garage an a canopy over wa an stoop 8 CHANGE QF USE FROM TO STIPULATIONS . SEPERATE PERMITS REt�UiRED FOR ��b�i�i�� HEATING, PL11MB1NG A�JQ SI�,9, SEPARATE PERMITS ARE REQUIRED FOR ELECTiiICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIA CONDITIONING. DOd fra� THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN BO 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 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 $6�$25.00 3.4� WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE PROVISIO ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCT OR HE PER ORMANCE OF CONSTRUCTION. 62.50 PLAN CHECK FEE TOTAL FEE 65.91 SIGNATUREOFCON7RACTORORAUTHORI2EDAGENT IDAT¢I WHEN PROPERLY V I TED THIS IS YOUR PERMIT ^ " -�-'� '� _. ��'� SIGNATUREOFOWNER�IFOWNERBUILDERI � IDATEI BLDG�INS%' DATE � CITY af FItIDLCY . Effective Aug. 1, 1981 tiPPLIGI►TIO:� FOft RCSIDL"i�TI/'w I3UILDIi�G PEf'vfITS (��c►�, Alterations, tldditions. or Repairs) �C�'r � C� �'�'� -� �?.��/ %; �;,�� O��NER: � � L ` A � _ l3UI LOER : T—✓�—�r �r �� ADJRESS: �/� � d AODRCSS: �_ f,��— Z.�"� � .� : TEL 110: TEL f20: �C Z / — Z � _� Construction Location STJiI�s'T ATO: �� STItEF.T: � L07': BLOQC : ___ ADAITIO:J: ��(� . ��. S.c..�,�i . '�e7 / Corner Lot: Inside Lot: SetbacY.: Sideyards: Applicant attach to tl�is form two Certificates of Survcy of lot and proposed building locatian dr�wn on certificates to scale. �} }�o�� v� DESCRIPTIO�� OF COi�1STF;iJCT10N ��« �, SZ�o Front: s„�' �� n�o � Squarc Yeet: ' /`1 1�1 ,p Front: �� Square Fent: �� 'a�pe of Construction : ° Rb Be Cbr�pleted: �P�= � Height: � GUbic Feet: �Pth � �� Height: 7� Cvbic I'eet: _ ��Q� f � (E� " '�/ 7�oZ� �C� - . � �� Estimated Cost: $ �y „f �� Alt. A Alt. B Proposed Drivevay Tiidth If New Openinq Is Desised: $ s . . . S�� P.EVFR;E SIDE OF SFIEET ZSie undersioned hereb�► ma3;c� applicaticn for a pencit fcr the �:ork herein specified, agreein3 to co ,all �►ork it� strict accordance ��ith the Ci;.}� of I'ridley Ordii�ances aiid rulings of tl�e Department. of IIuildings, and hereby declares that all tl�e iacts and repres�n�itiens stated :n this applic�:tion�}re true and correct. D.�7'E: _�' �. � — 7� � SIGNATt3I� : Stii,ulations : � �.� �� ;a 1 �� , e � _ y�� _ � - �� The ChieP Building Official shall� bePore issuing permits for the erection of any building or structure, or Por any addition to any ezisting buildiag or atructure or for any alteration or repairs to any euisting building or struciure� upon application therefore� require the payment by the applicaat for such permit of fees to the amount herein below aet forth aad in tbe manner hereia provided to-vit: - .� �1.00 to �500.00 f� =10.00 (Minimum �15.00) �501 to �2,000.00 �10.00 for the first a500 plus �1.50 Por each sdditional �100 or fraetion thereof, to and including �2�000 �2,001 to a25,000 �25�001 to a50,000 �50,001 to �100,000 �32•50 Por the first a2,000 plus �6.00 for eaeh additional �1,000 or Praction thereof� to and includiag �25,000 �170.50 for the first �25,000 plus a4.50 for each additional �1,000 or fraetion thereof, to and including �50,000 �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 and up �433.00 for the first �100,000 plus �2.50 for each additional �1,000 or 9 fraction thereof Plan Check: 25 percent of building permit Pee. Drive�ay Depressioa EseroW: Conerete 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 xide approach xith 6 ineh depth - DriveWay Width plus 6 feet times �15.75 .� � �. �.: .� Permits for eonstruetion vill be issued a minimum oP 24 hours Prom the time oP application to allo�+ Por proper reviex of the proposed structure and of the eonstruction site. A Certificate of Survey of the lot, aho�ing the 2ocation of the toundation onee it has been eonstrueted Will be requfred �efore �roceedina with the Praming. , � . , V . " ° w � � ��; � e��rv . p �� "3'�aTy ��;4 Y� `� '� 'zJ i "(..}ft�� / � fl:� � � � �'� �f` �5w� �J,�f,. �� ' �` `~� �� I i #,, s��„� ,� � �� h CITY OF FRIDLEY 8431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 55432 TELEPHONE ( 612)571-3450 ' � � �=� November 22 1 8 w:4,�,"�`tr �s� ► 9 3 ��s�s.-� �� e°� Mr. Virgil Rodi TWin City Insulation 3959 - 28th Avenue South Minneapolis, IrA1 55u06 Re: Garage � Home Improvement at 6619 Channel Road N.E., Fridley Dear Mr. Rodi: We Were requested to make a final inspection of the new garage and other home improvement made at 6610 Channel Road N.E. On November 22, 1983, the inspection Was made and it Was noted that the following items �ere ineomplete or unsatisfactory: �� 1. The door betWeen the house and ner� garage must be a fire door. 2. The roof and siding are incomplete; be sure to flash over the uindoxs and doors. 3. Install a beam (2 - 2 x 8's) over the post and under the new overhang on both the aest and south portions. 4. The painting is incomplete; be sure to paint joints on overhead garage door. When these items are complete, please call our office for a reinspection. If you have any questions on these items, please feel free to contact me. Sincerely, DARREL G. CLARK Chief Building Official DGC/mh CC : Ms . Es ter Snow n '' : � 0 I �7� �� (�� c��c�� ,e� L... le � �? � 7� � � 7�c� �S � � ��5 �� _ ��c��_tc5l�_ �� _`- . ___ -- -- ---,__------------ -- � ��E -- -------- � _ � ---- — _ _ _ __ _ -. .�__ _ -----_----- _�.�._� – I �'� Z��'D• G � I T r�l�,�'' `-- . �1�D p 15��;�f. _ _ --- --- ------ .. _. . _ __ � --- - - - - - - _ ------ __ _ _ �"-7.r��T� �� --- - - -�^-- I � i � Q V � % - � � � - . � -�-� - ��'eQL� (I,LI� � ��,OII - - ;; � , � ', - ll __- ; ��,_ . �, i� ; { „ � �"� �- ------' -- t �; Y � � � �� _�.� � �/ /.- / ,� --..� �, ; . . ,�..� ..,,>`: s . �fi=,:' :� .,; � . :�. ;.:. � / CIVIC CENTER • 6431 UNIVERSITY AVE. N.E.. FRIDLEY, MINNESOTA 55432 • PHONE i612) 571-3450 April 11, 1984 Mr. Virgil Rodi Ztain City Insulation 3959 - 28th Avenue South Minneapolis, MN 55406 , Re: Garage and Home Imprwesaent at 6619 Channel Road N.E., Fridley Dear Mr. Rodi: We were requested to reinspect Mrs. Snow's improv�nents at 6619 Channel Road N.E. Z'he project was inspected on April 5, 1984 and it was noted that the following itens were incomplete or unsatisfactory: 1. Paint the overhead door, including the joints. 2. Co�nplete the roofing on the canopy over walk. 3. Plug small opening between garage foundation and house on the front of the garage. 4. Repai.r new garage roof at ridge where it meets the house roof. 5. Replace the missing roof sheathing where the electric service was. � 6. Repair the alinninum covering on soffit, near post closest to garage. When these items are complete, please call our office for a reinspection. if you have any questions on these itens, please feel free to contact me at 571-3450. Sincerely, DARREL G. CLARK Chief Building Official CC: Mrs. Snaw Sears Hame.Improvement 2700 Winter Street Mpls. , MN 55413 :i�N ` !.J �//� (p`: S '9 �p 9t-.� ' Minnesota Well and Boring WELL OR BORING L ATION U MINNESOTA DEPARTMENT OF HEALTH Sealing No. H � 2� �� County Name WELL AND BO�ING SEALING RECORD M��esota u�+q�e No. �� Minnesota Statutes. Chapter 1031 or W-series No. � (Leave blank d not knowN Township Name Township No. Range No. Section No. Fraction (sm. � Ig.) Date Sealed Approximate Date Well �� i� �� ,4��J4�4 �� ,q�� orBoringConstructed �g��s� Num n al Street A re s or Fir Nu b n�i City of WeII or Boring Location �� - �� `� ��'�' Depth 8efore Sealing ft. Original Depth ft. Show exact locatfon of well or bonng Sketch map of well or boring � Static Water Level ccurate in section gnd with "X". - ^ location. showing property lines. � N � ,�`+°� roads, and buildings. r ❑ Approximate i i � i_ `=�' �. �Ar � � � -i- -�- -� ,� � i � i � �q }s �?�^' L.A�ingle Aquifer ❑ Multiaquifer ft. below above Iand sudace -i- - � - +- - -� 'A CASING TYPE W i i � i E c� --, �." � � � i G+r', —I— —1— —t— 'I— i i � i � - teel ❑ Plastic ❑ Tile ❑ Other n mile � i _ i_ _� i_ -i i i i S � � Screen from �� to �� ft. Open Hole from to ft. � �'"�� '�; �_�- OBSTRUCTION/DEBRIS/FILL. � ❑ ObsWction ❑ Debris ❑ Fill PROPERTY OWNER'S NAME ��a�. � � Type of debns/obstruction Mailing Address if difterent than property address indicated above. � � y;y [g j}��j��t Obstruction/Debris/Fill removed? ❑ Yes ❑ No - 'Yi � .L 7 �Y$ f�7�i�8'ds.'i�t�S Ti��S.� - PUMP �� . . �emoved ❑ Not Present ❑ Other CASING GEOLOGICAL MATERIAL COLOR HARDNESS OF �OM TO FORMATION Diameter Depth Set in aversize hole? Annular space initially grouted? If not known, indicate estimated formation log (rom nearby well or boring. � in. from � to � 6� ft. ❑ Yes �No ❑ Yes ❑ No ❑ Unknovm �� • � ��,� ��,� ��_�s ,$ in. from to ft. ❑ Yes ❑ Na ❑ Yes ❑ Na ❑ Unknown n- � � � �, ��'� �� ,� � ,� � � ,� , in. from to ft. ❑ Yes ❑ No ❑ Yes ❑ Na ❑ Unknovm � 2 METHOD USED TO SEAL ANNULAR SPACE BETWEEN 2 CASINGS, OR CASING AND BORE HOLE: � �� ,� , - � � � � ,� �lo Annular Space Exists �� , � � ❑ Annular space grouted wiih tremie pipe ❑ Casing PerforatioNRemoval in. from to ft. ❑ Perforated ❑ Removed in. from to ft. ❑ Perforated ❑ Removed Type of perforator ❑ Olher GROUTING MATERIAL Grouting material ��s�� from �� to �� ft. yards � bags from to ft. yards bags REMARKS, SOURCE OF DATA, DIFFICULTIES IN SEALING ��.� �� a��,�� from to ft. yards bags �:� �:a �� a�:a: �`� � ��T�� t � � �� from to ft. yards bags UNSEALED WELLS AND BORINGS �� '�$� Other unsealed weil or boring on property? ❑ Yes �lo ��'��' �"��' � ' LICENSED OR REGISTERED CONTRACTOR CERTIFlCATION �� This well or bonng was sealed in accordance with Minnesota Rules, Chapter 4725. The information contained in this report is true to the best of my knowledge. �' � � �.�- ��l�i�� I��, �t�l�> 'I�,��,� ContrAC'R'aT�h�ss Name 4<� +, 1 Lrcense or Registration No. � 4 � � (� ,�.t. - ��. �i .. � <> �, � �� ' ° �`�°�'�'/ � �� '� ��°° •� Aufhorized Represe tative Signature �_�`� Date LOCAL COP1P H � � � � � 4� �� ,�� #I�� F��`�� . Name ol Person Sealing Well or Boring HE-01434-01 sue�ecr FERKA1T N0. City of Fridley �� o ', , � AT THE 70P OF THE TWINS B U I L D I N G P E R M I T '' r _—�_ � � � � RECEIPT NO. � • COMMUNITY DEVELOPMENT OIV. � � �: ------� � s��/ r � � PROTECTIVE INSPECTION SEC. / �P � � i � � �"'t � CITY HALL FRIDLE� 55432 NUMBER pEV onrE once oF APPqOVEO B� �'"""�� ' 612-571-3450 910-Ft5 6/19J96 � � JOB ADDRESS 6619 Channel Road NE t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHEO DESCR. Pt (}(�' 2nd Rev �lUd. .Sllb ��21 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Stanley Berquist 6619 Channel Road NE 571-3232 3 CONTRACTOR MAIL ADDRESS ZIP PHONE UCENSE NO. Allstar Sun Spaces Inc 1926 H 13 E, Burnsville MN 55337 895-8700 20060249 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW � ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WOHK Construct a 20' x 12' 3 Season Porch 9 CHANGE OF USE FROM TO STIPULATIONS See notations on platt. WARN�IIG Before digglne c�� for e�� uti�ity loca�ons REQUIRED 6Y LAW S�PARq7`E pERMl7`S RE WIRIAIG, HEqT11VG, PLUA gjN�� F�� AND SIGNS; TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WOf1K IS SUSPENDED OR ABANDONED FOR A PERI00 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 OW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND DINANCES GOVERNING THIS TYPE OF WORK WIL� BE COMPLIED @ WITH HETHER SPECIFIED HER IN OR NOT. THE GRANTING OF A PERMIT `P6,196 $3. ZO DOES NOT PRESUME TO GIVE T ORITY TO IOLATE OR CANCEL THE pEFM1T FEE SAC CHARGE PROV IONS OF ANY OTHER S OR LOCAL AW REGULATING CON- STRU TION OR TH ER RMA E OF CONSTR TION. �I.24.7.5 Fire .5�.' �6.2� PLAN CHECK FEE TOTAL FEE � ° License SC $5.00 $139.05 �GNATUi7EOF ' AC ORAUTHOA�2EOAGENT IOATEi WHEN PFOPER VALID TED THIS IS YO R PERMIT � 6 S�G TURE OF NER iiF OW A BUILDERI IDATEI BL G�NSP OaTE t NEW ADDN ALTER �l [l [] ConstructionAddress: �� Legal Description: � Owner Nam & Addr Contractor: Address: � � Z (o LIVING AREA: GARAGE AREA: DECB AREA: OTHER: a CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Appiication ` ' � � Effective 3/1/96 �� I�,� , V- �i` . . �� .�b �� 1 �� Tel. # - �JZ3 MN LICENSE # �� Attach to this application, a Certificaxe of 5urvey of the lot, with the proposed construction drawn on it to scale. DESCRIP'rION OF IlVIPROVEMENT �ng� Width Height Length Width Height Length Width Hgt/Ground �s�.�-�. � � � � �, Sq. Ft. Sq. Ft. Sq. Ft. _ .�. � /�� Comer Lot [] Inside t[] Ft. Yd Setback Side Yazd Setbacks � 9 ZS 1 � �D� Tj�C O� C011StrliCtlOII: � EStlIriS� COSi: � Approx. Completion Date: �c+ - Z 7�� , (Cost on Back) Drivewa Curb Cut Width Needed: Ft, + 6 Ft = Ft x DATE: � I � � APPLICAN Q�, — ��y �� o�Y � Permit Fee $ ��y� Fee Schedule on Reverse Side Fire S�archarge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: � .001 of Permit Valuation (1/lOth%) $��G r ( $.50/$1,000 Valuation $ $900 per SAC Unit $ �. �� $5.00 (Sta.te Licensed Residentiai Contractors) $ Alt. "A" or Alt. "B" Above $ $450.00 Conservation Plan Review $ Fee Determined by Engineering $ Agreement Necessary [ ] Not Necessary [ ] /3 . � � �ti�• • � ± �UII..DING PERNIIT 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 provided to-wit: ` TOTAL VALUE $1 to $500 $501 to $2,000 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $10U,000 $100,001 to $500,000 �: $500,001 to $1,000,0� $1,000,001 and up FEES $21 (Minimum Fee is $21 plus surcharge) $21 for first $500 plus $2.75 for each additional $100 or fraction thereof, to and including $2,000 $62. 25 for first $2, 000 plus $12. 50 for each additional $1, 000 or fraction thereof, to and including $25,000 s $349.75 for first $25,000 plus $9.� for each additional $1,000 or fraction thereof, to and including $50,000 $574.75 for first $50,000 plus $6.25 for each additional $1,OQ0 or fraction thereof, to and including $100,� $887.25 for first $100,000 plus $5.00 for each additional $1,000 or fraction thereof, to and including $5�,000 $2887.25 for the first $500,000 plus $4.25 for each addirional $1,�D or fraction thereof, to and including $1,000,000 $5012.25 �'or the first $1,000,000 plus $2.75 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Ciirb Streets Only) � Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50. Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $15 .75 . VERITICATION OF FOUNDATION Permits for eonstruction 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, shawing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. � a + 5 0 e ' � tV in � M N � L 0 � �� N � �� M � '� N O� Q O- �� CV � Qi' N � Ln C � � -�--� � � � O N � M � � � � � N M acZN L. � � M � � r� mU �� N CCO'i� �CULI..CU � � m B°< e� .p 0�i �� ' O � �^ � �� orn � '��n�n c�a � �°- �� g � � m � `c� �- � N Rf U � O Z � � �h 1 ` � � d U a� �v C � C O N '� C 7 O � x I-- "�p vi v� co � a x;� c �o�NN��''��X�`,-�...� �c o= �—.- E_ - n 3 E � o � X � � .-. O CV n1 � � � � � C c� � `� C �� a � �"' tii:�:..�(v ��E"" o �L�v�,a3��aoo� �... O � � C �� C V.�.. � w N '�' �p � C � � ;� (O 3:o.�..n m 3� c 3�... cv;S,t a � N m � � ^ ,� O m p ,.,, � a. N� E� C E�� C1' 0. O C� C V �c o� v p� E m c.°c c�nW � o;� � c U � _ � a.., Q m w t.. , ,�, � � � ... � � �C � 'II � - ' � � r"' � N � ` C C � '� � � � '� CV a. � �'L d O � 4��1. d C� af fn LL 'N�' � C� �� V V � U t%� y Z0 3�dd .� � � � � r N N A �, � C� 00 u S3�bdS N�S ��1S7�t� � 0 � c'�i ai 0 a�°i . � a�i Q' ,: ,n � ;� ?� — — .c .t] d� m t`/1 t � '� � � m � � 'fl � � L N�3 c E � �'� o� � O tA � o��'�� Of� �o��p�� m q) Z7 •- 'fl � r- � u! ,� � [L1 � � � � � � •- ..... C ci3�...38°'n-�ai°' �vicq�ai��a�i�c � p� U O�� C V� � N � Q.0 �L ` � C () �.... � � �..+ � p J � 'D W > O� O.�. +� 'C Q1 � e- nT � � � � V � � m X � � � � � � 0 � � 0 � O��. t� C� C d y 'G [p - `- � N � " � � v� m '� .0 O ... � N tfl O 0�'p �'� lt' � a. C3 M.. C� C � E � a O O C N� Gi �.0 00 N> m� m W"' �-.� r- � p "" ` > �.+ � y � y�� 0 U E.� (b 'S f0 �� lf � � 7 � � N � � ( � � � �� a � � � � �� •� � N O r�l N I ESZ8S68ZI9 8b�S0 966�/ZZ/E9 N U � ' 'd .,� � a � M •�a� � r-I N � � � � � N � � I �'1 .� �%'1 e-I NU Nt� � � � � � .-i •rl N � � w � « r� �Y t� � �� ,�, U ia a° , � r� � ��. P o ° � ;� � a� � � r� �� . �� b �� g � �� N M tp O �. �"° � � O O � � N � � � � ' P U H • a 03/12/1996 05:aa 6128958153 a��maR SUN SPACES PAGE 03 m TY� . A�'SIIST�HLE:_Ii�NGER = 6063-T5 ALIIMTNUM TYP. ROOF PANEL FLASHER 6063-T5 ALUMTNUM � � _ � s d • ° .. ° � d o � d b � � } r , , d ° � b ° � �` � a �, Q � o � 4 Z D� ! D ` #8X1/2" TEK SCREW TYP- ROOF PANEL TYPICAL ROOF PANEL WALL MOUI�TING 1• REET sa�a2 \� �a #14x.3" Lr1G � SCREW @ 16"O-C ExzsTZNc STRUCTIIRE 12A 16 `3/10/1996 23:09 6128958153 A�L�7AR SUN SPACES PAGE 02 JUt•i. !T, '96 PI7� 4� HE7U.1hID ENGIP�tEER.I^tG Q.1 �� Planning Enginsering Surveying ,�,p��.� 23, 1�96 Mr. Kenith Dunbraok �oyc� Manufe�cturing co�npany saoo wo�t i6�,st str.et C1wv�lAnd, Ohio Qg242 Re; T�et Yteport �rom Laboratoly No. 3PT�90zo�, Project No. 827-96Q98, cAated OCt. 5, ].989 Dear Hr.. Dunbroak, Aaccrding to kha abovs re�erenced report, the ultimate �trangth of the paneLs t.�a�ted ar� as followe� e PANEt � MAXIHUH LOI,D (YSF) 1 95 lA 110 22► 14 0 3A ]� g 0 The above �aaximum loads exceed minimum live loads of 30 �nd �4o PSF u��el in the unifcrm buil�iing coQe �or the� ��t� �f Nina��sot�a. " S csr 1 , � � ��.. Retrtdall C. Nedlund, P.E. M�t R�g. No. 19576 �: �sisr�� '�'� * � PROFEBSlQ�, � �, EB�HIt�R ��::_ 1967$ .•�� ofi 9201 Easl Biaomington F�ee�way, Bloominptun, t�11n�s�ota 55420, Telephone (612) 888•0289 � , 03/12/1996 01:03 6128958153 HLLSTAR SUN SPACES PAGE 04 Double 2x spline. See Jiu!10-102 for spfine conneCtion & fostening informotion. ` ��0 �, o N,Z ` ` a ,�,�� ocC�. Edge plating L!'� P,�6 P moteriol 2x p 6.91 lumbe� or enQineered equol. Typ at ali edges of i'loor as�embly See deta�i JMID--1 Q� DETAIL NOTES: 1. Apply dornp proofing io the unders�de surface oi the panel, Support io be continuous w/ a min.,..beoring wid.th of 3" Typ �t ends of ponels ond ot in{ermediot� beoring ppints 2. P1oCe a polyethylene sheet �opor barrier to the ground surface underneo�h the ponel s�►'ucture, 3. Provide vdequote veniiletion to the spoc� between th? ponel st�ucture ond the ground below. 4. Panels to be ot�oched to all beoring locations using the 8" Insul—Deck Screws provided by Joyce Monut, ot 12" O.C. MAX. 5. Apply o 7�16" thick OSB (or a materiol equal in performance to resist poin{ loads) subfloor perpend�cular to the top of the floor ponels. ISO�IETRIC PLAN Scale: N.T.S. u�adated s-23-95 INSUL--DECK Floor Panel TiTLE: N0. Floor F'anel Connection JMIp-103 93/12/1996 01:03 6128958153 AL�ST�R SUN SPACES PAGE 03 t . . . . ��g MAX, SPAN 1HIS CONDITION 6—g/16" (R24)--12, 1 7/ 1 6" Pane( Seal continuous. ' Double 2x spline. ----J Insul—Deck Floor Ponel. Plote & Spline adhesive eaei� �`de, top �c �o��om, Apply 7/16" subfloor or equal moteriol perpendicular to panels. SECTION�PLAN Scale: 3"=1 ' F��ten with 8d nQils or 14 �a. 1 1 /2" stoples @ 3 ' o.c. � 1 x finis.h edge plate or aproved equal exterior finish Damp proof underside surface of panel. Updvted 6-23-95 INSUL--DECK Floor Panel ITLE: , Edg� Plating N0. JMID-102 03/12/1996 01:63 6128958153 ALL�TUR SUN SPACES PAGE 02 _ � �� M�h: �SPAN THIS C NDITlO 6.-9�16" (R24)--12' 1 7/ 1 6" & Spline adhesive each side, top & bottom. SECTIO�I�PLAN Scale: 3"=1' 3' 1 7/16" �3d Nai�s c� �� 1 � o.c. two rows, staggered. Plate & Spline adhesive. Fosten with 8d nails or 14 ga. 1 1/2" staples C� 3" o.c. Darnp proof underside surface of panel. Updoted 5-2fi-95 INSUL—DECK Floor Panel E: Spline Connection N0. Doub.le 2x JMID-101 03I12/1996 92:23 6128958153 C �f � ALLSTAR SUN SPACES . � / / PAGE 03 ' EXTSTING 'STRUCTUR� � ' ! ` �� ., _. --�-�---- - - TYP. ROOF PAMEL FLASHER 6063—TS ALUMINLiM TYP . ROOF PAI�TEL TYPICAL ROOF P,ANEL TO OVERHANG MOUNTING e 0 �14x3"lg LAG SCREW @16"C—C i i TYP. ADJ. HANGER' 6063—TS �ALUI�INUI�1 • i #8x1/2"lg '�ER SCREW � i• �� Sd 7 42 � L� . 16 ' �' 03/12/1996 02:23 6128958153 0 j �o i � 1 ) Oi 4" TYP . ` d THK. a o �r ° ° 4 Q�� Included in report 827-96098 SPT90�07 Occober 5, 1989 C ALLSTAR SUN SPACES �12 x 1-i/� ovAL HD. 410 5.S. SCREW 2#/FT� POLYSTYRENE CORE BONDED TO SKIId W/S'hTI�T ADHESIVE / #18324 a a o a � r 0 .o , Q ^, a d . � . m r a ' r a� a c � e v R Q b a D t a , . PAGE 04 �• REE1 aa, ea .030 Ti3K�. ALUM. S�IN #3105 FE174 TYP . TOP AND BOTTOM TOP MULLIOi� �#6063 T5 AI EXTRUSZON ' } 3'•TYP• SINGLE PANEL L�IDTH . ASTM E?2-60 1t00P PANEL TEST RESUZTS CEST MAXIMUM ?ANEL THI�. WIDTH S AN LOAD SF 1 4" 9' �5' 95 2 4" 3' 15' 110 3 q�� 3' ]. 5' 140 4 9" 3° • 15' 150 CLIMATE MASTER ROOF PANEL .:. k'`'�?�E : �.e'`�,�.��°_:r�. .._{ %,,••- �•' :c: •a::h: 0;..• �ti , �.:� . _..... ._.•:.}.f;'�y !! . ...: z: � �.. �� a+, �. �^';� �ti"..G�:��.r^�vl.:.w.�...�._� ��c:'1.^x�� .. s i. r�:t tf.:il:l:•�i.:� �i� t ,. : .: i! �.,:. �, . . �:;,,:.�. ,.._.�• .:��-•�r, �s;+ � .;�,,:��z- : a�l� j} �i: ^. _rr��: • '�,�S Y�,�:�.'r` ...-s�:_ . v . � ,o % �a .4 � � 4 �. ' HOTTOM MULLIC #6063 Ts ai.vr � EXTRUSION t 1 'N6�n�iu��. 24 ��.�`'`p.�E �F ��''•. ► ��: •�.•....�Oy�,�� i �• s• � +e ��'JACK THOMA5 �,�"_ ; ROSEMAN, JR. S : e ►_ E•aia3i �_ ' � • �%� - '0��;r�af."'`1•''r . � f � � 03/12/1996 02:23 6128958153 TYP. FASCIA 6063—TS ALIIMINIIM ALLSTAR SUN SPACES �8x�/2" TER SCREW TYP. ALL PLACES C36'� MAX C—C TYP. WALL HEADER 6063=TS �Urszx� ADJ. PzTCH TFP. WALL PANEL JOTNT CONSTAUCTION CROSS SECTION PAGE 95 �� a ' e 5400 wES7 �5�s� STAEE� CLEVELAND. OHIO aa1a2 ; 15 2�.� 1 03/12/1996 02:23 612895@153 ALLSTAR SUN SPACES PAGE 06 POLYSTYRENE INSULATION A'"'�- ' � VIEW A-A 4 v p S � a a° U � � =� ' � `� d t1 Ca r� � � � 6 �� v L• � ) `+9 '' - � a � � I � f I S � 7 �. -. 1 � �. .� � � � ' :i 1 � . � � b p Q \ � � A ',I i �t L`�"J � CONCRFTE FooTZNG OR WOODEN DECK 24�� e-C SP �g �� Sd00 wEST 161st STREE7 CLEYELAMD. O►t�0 a41a2 TYPICAL "U" CHANNEL BASE 6fl63-T5 ALUMINUM VIEW SFiOWN W/0 �CNEEWALL PANEL '+ 'TYP. VERTICAI; � "'I" ,HEHM 6063-TS ALUMZNUM �96 �� MAX C-C �14x1-1/2" �AG SCREW W/LEAD ANCHOR OR 1/4X 1-1/2"lg TAP-IT NYLON ANCHOR I �� I�I� I 1�.I.�1 LTJ TYPICAL KNEE WALL FOUNAATYON CONSTRiJCTI0IV . 6 ° � 16 03/12/1996 02:23 6128958153 ALLSTAR SUN SPACES PAGE 07 0 ( . `. ( #14x1-1�2" lg. ' '� LAG SCREW W/ANCHOR OR TAP—IT W/NYLOIV ANCH.OR TYP . LIP CHAI�iNEL 6063—T5 ALUMINUM - TYP. W�NG PANEL 'YP. HORIZONTAL"I" BEAM �063-T5 ALQI�INUM #8x1/2"�g. TEI� SCREW TYP . ALI, PLACES �:� 3 6'� C— C P$TIO DOOR TXP. PATIO DQOR SILL 6063—TS ALUMINIIM TYP."U" CHANNEL BASE 6063—T5 ALUMINIIM � CONCRETE FOOTING OR WOOD DECK TYPICAL PAT30 DOOR WALL C�tOSS SECTION N REET �aaaZ '� , ��, � 03I12/1996 02:23 612895@153 ALLSTAR SUN SPACES PAGE 08 TYPICAL KNEEWALL W/POLYSTYRENE INSULATION � a r t�.ta�+ �. v t�iv r. a� c v.� +, 6063—TS ALUMINUM CONCRETE FOOTING TYP. "U" CHANNEL � BASE 6063—T5 ALL1I�. �g.`Q � 5400 WEST 161st STREET C�EVELANO, OHiO a4142 �rxP. PATZ� DOOR SILL(AD.: 6063—TS AL�l. VIEW A—A �8x1/2"lg TEK SGREW @ 24" MAX C—C Lf'� `'`— .:I4x1-1/2" LP.G SCREtid W/LEAD A,NCfiOR OR ' T�P—IT w'/1VYLOltT ANCFiOR TFPICAL CORNER POST FOUIVDATION . KNEE WALL AND/OR GLA,SS WALL -7 � � 16 � � � SuBJECT City of Fridley AT THE TOP OF THE TWINS g U I L D I N G P E R M I � i � ; i v�_�� COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. � ; l--__� f"'�� CITY HALL FRIDLE� 88432 NUMBER i 612-571-3450 910-F15 JOB ADDRESS 6619 Channel Road NE 1 LEGAL LOT NO. BIOCK TRACT OR ADDITION oesca. pt.4G(780) Second Rev 2 PROPERTY OWNER MAIL ADDRES$ Stan Berquist 3 CONTRACTOR MAILADDRESS _ Seal Guard Svstems Inc. 9199 Central Av 4 ARCHITECT OR OESIGNER MAIL ADDRESS 5 ENGINEER MAIL ADDRESS 6 USE OF BUILDING Residential 7 CLASS OF WORK REV DATE PAGE OF 9/3/9R � � „ .r�cnmi � rvV. _., � 27560� _ _R�.��IP�Nfi'� �� APPROVED BY SEE ATTACHEO SHEET ZIP PHONE LICENSE NO. �,c�4 �i�—n�no 9009�hRR ZIP PNONE LICENSE NO. Z�P PHONE LICENSE NO. ❑ NEW ❑ ADOITION O ALTERATION �] REPAIR ❑ MOVE O REMOVE 8 OESCRIBE WORK Reroof house and earave Tcar_nFf• RocaiAn ..,�„a,,._.. �,..r,.. 9 CHANdE OF USE FROM STIPULATIONS TO Underlaym.ent must comply with the State Building Code. Call for building wrap inspection before covering. SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL. PLUMBING, HEATING, �PE OF VENTILATING OR Alii CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONINCi AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENOED OR ABANDONEO FOR A PERIOD OF 120 DAYS AT ANV TIME AFTER WORK IS COMMENCED. NO. DW I HEREBY CERTIFV TNAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATI AND ORDINANCES GOVERNING 7HIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 59 DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pERMIT i PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. � 7 � SIGNATUAE OF CON7RACTOR OR AUTMOAl2ED AGENT IDATEt iGNATURE OF OWNER i�F OWNER BUILDERi iDATEi OCCUPANCY GROUP OCCUPANCV LOAD SQ. FT. CU. fT. OFFSTREET PARKING STALLS GARAGES SURTAX 2.90 SAC CHAqGE Fire SC 5.92 TOTAL EE .07 ALIDAT HIS I UR P �,. �'.. .. � rrEw ADDN° ALTER �� rw �� Il constructionAddress: Legal Description: _ - CITY�-OF FRIDLEY . SINGLE FAMII,Y AND Di)pI,EXES R 1 AND R 2 BUILDING PERMIT APPLICATION 0 Effective 1!1/98 �0 �� s►� � � Owner Name & Address:� �(' � �-- i1 r el. �� I- v� � Contractor: �� J C-� ,� r( J l� i� ii�,� MN LICENSE �# o`�� 3�0 �� Address: I q9 C.�er�-� r�. �� N�� . i�,-e� �� i Tel. �� j�� o'�%� Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. � LI'�Il`7� AR�A� _ _ GARAGE AREA: DECS AREA: 01'HER: DESCRII'TION OF IMPR4VEMENT -�n� --- - -�Vidfh - Height - _ _Sq. Ft. -- _ Length Width Height � Sq. Ft. Lengrth Width HgtlGround Sq. Ft. � Construction Type:�-� i['� D_ . �� j� 1� � y � ry.� Estimated Cost: $_ �� J /� � `� ��' Y� �� °��✓' �� (Fee Schedul e on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ -$ DATE: �e� APPLICANT: r � ��1� C� Tel. # / I�] -�%� Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATiONS: ■ $ '� $_ !� -�°2..m � � o� � $ $ .-G"j . � $ $ $ $ - ,/, � CITY USE ONLY Fee Schedule on Reverse Side .001 of Pernait Valuation (1/lOth%) $.5�/�1,� `%�1k1t10II $1000 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.Q0 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] � BUILDING PERNiIT FEE SCHEDiTLE " _ The Cluef Building O�cial shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to-wit: TOTAL VALUE $1 to $500 $501 to $2,Q00 $2,001 to �25,000 $25,001 to $50,000 $50,�1 to $100,000 $1�,001 to $SOQ,O� $500,(301 to $1,000,000 $1,000,001 and up �� $21 (Minimum Fee is $21 plus surcharge) $21 for first $500 plus $2.75 for each additional $100 or fraction thereof, to and including $2,000 � $62.25 for first $2,000 plus $12.50 for each additional $1,000 or fraction thereof, to and including $25,000 __ $349.75 for first $25,0(� plus $y.(tJ tur each additional $1,000 or fraction thereof, to and including $50,000 $574.75 for first $50,000 plus $6.25 for each additional $1,000 or fraction thereof, to and including $100,000 $887.25 for first $1�,0� plus $5.00 for each additional $1,000 or fraction thereof, to and including $500,0(1U $2887.25 for the first $SOO,Q00 plus $4.2� for each additional $1,000 or fraction thereof, to and including $1,000,000 1 $5012.25 for the first $1,000,000 plus $2.75 for each additional $1, 000 or fraction thereof DRIVEWAY DEPRESSION ESCROW — - - - - - - - �Conct� �arh Str�ts O�ly1- - ---- --- - - - - -- _- Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50. Alternate "B" : Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $15 .75. 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. <. " CITY OF FRIDLEY 6431 U1�TIVERSITy AyENUE NE FRIDLEY, MN 55432 (763) 572-3604 FAX• (763) 571-1287 ADDRESS PIN LEGAL DESC PERMIT TYPE PROPERTY TYPE COle1STRUCTION TYPE # FURNACES REPRINTED ON 1/12/2006 : 6619 CHANNEL RD NE : 133024240014 : UNAVAILABLE : LOT BLOCK : HEATING : RESIDENTIAL : X ALTERATION APPLICANT DEPENDABLE INDOOR AIR QUALITY INC 2619 COON RAPIDS BLVD NW COON RAPIDS, MN 55433-3900 (763) 757-5040 OWNER BERQUIST STANLEY J 6619 CHANNEL RD NE FRIDLEY, MN 55432 1 o �o� ,� �� AGREEMENT AND SWORN STATEMENT 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 wor� will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. Applicant D� Bldg Insp Date PERMIT NO.: 2006-00019 DATE ISSUED: 01/04/2006 FURNACE SHELL/DUCT WORK STATE SURCHARGE, MECH FLAT TOTAL PAID WITH CHECK # 71722 SEPARATE PERNIITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 35.00 0.50 35.50 r_. _. �� Building In.spec�i�r.� 7. 63m572�3604 DATE Sl'fE iiDDRESS THIS APPLICAIVT IS: FI$43P�:RTY ��T�R/ TENANT SUBMTf t4 CQPY OF YOUR 57'ATE LICENSE V►�'T�i APPLICATIOAI �ERN[Tf TYPE �� j Cl�� /� �C /� 7 _ � T'GLilli� ivV� ^ l� s�'j � J.t').l \.1 L'"1L � �� o��:� .� Received By: � �' Co�'e�aY 1a�: c�rn'ACr P�soN: ��_ 1� ► � !J� �i� E-MAII. ADARES5 D� R�°a.: a� ztp s°rA�tac�s�� 2�1� COON �A6'IDS :�rA�u �/•�/•.� nnp�ss: C�ON RAPiDS. Mf� 5543� � s��°r� z� PHONE � � I " �� FAX �,. � I � �.S •rrpE oF woxx: � ° �' FAMILY 0 T1A►O FAA�Y DETAILEI3I3ESCRIP'lIC1I� ��' WO1tIC 0 TO�UNHOi1SE o a�..T�n�c�wxE�o��.. PER ARS i�.66� ihe �nrt f�:e � a ca�i�i�o�tea ��'S�S.tTit 0r S% Qf �� t�tal cost up to 5590 00, wtd�bever is �reater, for the improve,naent, installation or replaceme�t of a residential fixture, excIuding the fixtures. (Tbis shouid refleci oniy the c.ost of labor ) I.abor eosi �nde�r $�40 = �1�.00. L.�bor c�mst �twmee� $300 to $St�? _ �ost of la�ox x .05 = f� FOR PROJECTS WHIILE IABOR EXCEIDS �. FEE.S A1tE BASED OTI S1Q.� PFR FDCTIJRE, EXCEPT' Wf�RE N01FA. FDCTIJRES: (WDICATE TOTAL 1�U�9S&R OF EACai 8&fAW� FqtriPment I�falled . tvT�G: 1YIt3D�L• ST�E.ld3ii7 IV1�G: MODII.: SiZPlBTIl �(',; MODIEL: STLEtBTU I�'.�25.t30 FiKEPLACE (GAS) $t5.� GAS RAAiG�JOYEN $18.00 AIR Tt? AIIt EXCHANGEER S1S FIltEPLACE (i�+�SD) S3S.f� A�J GH� C3€2ILL $l0.fa! BOILER �35.� �—�/��URt'�[ACE S3i.� 6AS UM9` HTR S10d� Cf-IIivfldEY LIAIER St0.� GAS i?RYER $I0.00 POOT. IiFr�TER �ii5.� D�tCI' L+VO� �lQ�! —GAS PTPTAIG 510.� 'VEN1II..A.TUR SiS_iMi Pemut Fee � -- - Number of fixtures (aa7� �10.00 x �10.00 = � �'e�azge .5 Num�r of fi�ctuxes �a �15.00 x�15.tTti = S 7'OTAL DUE S ATum�r o1Fl�nclures (a; 525.00 x$2.5.00 = S Numlxr of fixtures �a $35.Oa x S35.t� _� Staie Surcharge = $ .SO ToYal = S TEit� I� AN APPLICATION FOR � PEitIVIIT idOT VALID UNftL PRO�ESSED I hereby aPP�Y for a building permit and I aclm�wletige thaz d�e infomnation above is complete and accurate; that the worls will be in confarm�aee with t�►e ordinanc�s and codes of the City of Fridley �n 'th #he Nfinnesata-C�nstruction Codes; t�at I tmder�tand this is not a penmii bu4 �nly an applir.�ti for a pertnit ansi euor�c is nc�t iihoui a pcmaat; t6at the work �ritl be in accordance with tl�e approved plan in the c�se of �tt o whicb requ`�,s -�Iri�w and ap rov of glan� J � . � . .�. � , _ . ,� ,.. , , _ _ SIGA3Ai'IiRE OP � l�` � �ity �f I°ri+dley Building Ins�ect�ons Departmen4 ii1�.i � `IfliVeTS1fV AV�IIll� I��. �'I1C�$Ys � SJr�3Z . y �� .. _�. .�"-' :.. `- � �... � � . ��.I; ! 1 �.; '�� .._. _ �� _ - �E�tt�Et�`��i.. PE��ii �lPLOC�,'T1�1o9 a##O/e4� � matc�-u�.�� ' NEVI► HC)MES/,Af3DiT1t3N5 D ��STING HOlVtE ❑ i -'- � ' !� " � ` ��- 1. �om%t�s�o� �r (Se� note beDvwj . �,.,. Qil or solid fuel ]MG Chapter 7 wi.th AI�N Amendments b. Nafiarai Gas or Propan�llFGC Gha�,t�rr 3�at� N� �►�'iendments � �. Mak�.tap �Aia' (Ses note belaw) a. IM[C Chapter 5 uri.th N.� Asraendments 3. 'tlez�� a, Gas a�pliances IFCG Chapter 5�it'� I�T Amend�vo.ents b. �uel otl��a- tban gas II�C (;h�t�r 8 wiib MN A��dr.�e�ts .__,�, -. i �- . �' 4. Hea�f los� & coolin� load per room � g,�uired on new con�ction Il�C 1346.0312 5. i�enlalation _ a Per Ml�t g�ergy Code 7670 or 7672 5. �uct Design Per �C 1346.0603.2 �. ACCA I�i�� l� �Tt�'�'�: ��nterp��t ��e� �echa�xi�� c�d� G�� be �sed f�t° �oar�bushc�n and xnak� up air calculations Bt�ilding Inspcctions 763-572-3Gd4 763�502-4977 FAX nnTe_�1,� _ l� srTea�n�ESS�j,� TFlis Apnr,�GANT I5; PRQPERTY OWiVER/ T�NAPVT CONTItACTOR SUBMtr a GOAY or• YC)UR STATE Lit:ENSF„ $OND AND CERTrrit;ATr. �r INSCJRANC� PERMIT TXpE TYFE QF WpRK: From: 7637535125 Page: 2/2 Date: 6l2J2010 4:36:19 PM �'LUM�ING �SIDENT'�AL A��'�,IC,c�,TI��T �ITX U�' k�tIDLEY A ❑ nWNER P�rmit No.: x��a $y: bate Rec'd: A�nRBSS: CITY STA�i�� z�p ?HI�NF; — Nn�e: _ � �L �,�z Si'ATF. LICCNSE if d� r /�"'� EXP DAT� L�' —,'�.�'' %^�— STATF BOT1D N — • ------ l f ,� .^ • - ^- . _ EXp DATF _I� " .�J I � �� PHONF. /(p.3y St GLE FAMII.Y ❑ New DETAf�,�D D�SCRIPTTC)N OF WQRK ❑ �rwa FAnn�Lv FAx d rrawwt�tausR .—. �i i . �..r �--• FFES AR .F. BASEb 47N $]0.00 PF.R, F[7('I�c1RF, EXCEPT WF{ERE Nc�TEL�. FIXTLI.RC5: (rnI�jCA'rE TpTAL NUMRER Q� F.ACIa BEit7W), MINIMUM rEr $35.50, -- 8AT1-I SINKJLAV F�I.QpR DRAINS _ SHOWE[i _ BATHTUB � GAS PtrTnra (NE�n CTfY l.rC) _, SW[��NG POOL WATER PIFiNG _. C�,OTHES wASfdER Kt'tCHEN 51NK WATEtt CLOS�r WA'tER SOFTNFR (S35) _ I71SH WASHN R _ LAUNnR.Y'I'Rqy � Wn.�.�R H�, ` BACKNI..t7W AREV. {$15) :,�, -�;: Nur»ber af fixt�rr' ' ��:@:��1�ifJ0.�- �� $3iX.�l N�1iT1�1'. .�. ; 1 i] O £� . XCk11C�. �: i�� .�. �, � a ::� �:�.�' : � . .a .� �_ . . � •'r�...:» .�i. . '�:j :`�7 : iYu m ber�af . �Q� �s` � {�(' "i�'�.. .+�i�.' .. �,y, �y� y�, ..Y u W�/��'• � �1. �:�... . . ��5� � . :• .. �'� • Stat .S ' ; 'i'.•�<,�:'.�';'.':•�;,"::;., • '. ,•�,'. . e wrc�+'�'`.� ' ..,::,. �..; -:: . . . .. .. ,. ,.,, .:. .. � ...... : . • . "•:;,L'�.. ,,,s ; MTN'IM�IJN.� `"' $��: , � �� . . �.. �� ..ATER ($35) _„_ WA7'ER M$TCR °��$�;.._u � .. ';,:: '•1�.'. .'.i.. _ . : j" .'i,_. �;{�6 � i�'�w, ::��. ,"7' � 7 �' $ ,�`'% ..y., . ' __ _ ',.".�u � •.= :`—��.:�:�. .'�:r`.:,,�, •��F ^, � � � .� ..'f'. J'-•!. �. n�� , }h�', ..� ` rr' ' �.�ti' . 1y 1 i'^1'v1�,'' ,�t� '4.��: : sy'(: !:�" - .,a,. �`� i�. : �.; ;;��.� i.• '' `-��•�''•`•`�� •�L:KM1 . "'.^ji.t�, :S•" inA�".. ::y!i �t' "'l,�', �i:1,:.••, .� � . :a,,. ' �: � . :;;:?:::�;; .:;;: ?:�::. •�,,.;� „�', .,`, ., � �;� �� ,,�>: y��_..� ........ .. �.A.... �..I��,'� . ' .. .... . .... . .�: FOR IRRIC;ATTON _ 077-(ER .� .; :.::: ;;,.; ;':�. iry':Fl.��.r•. �. , , : �1' �ti�� . . .. , ,: .;.: — I'^. � �• . � �F- .�1�'+ _ rt' j' �^ i.i'� "� � �'• .�� . '!I:�• 'F'L� � . f. �.'�r%�. �'S :�,�.,�.' .,.,. •�.4 '�,, •� �"�'•.••� , . S, . �0�.' �:.�?'" � • • .. .. :�:..,'. :'';::;• , . :, . r:.�•-" Yw. rr"'.;`"� .' • . . ' '.V • . . THIS fS AN APPi..TCAT[QN FOR A PERMIT-iYOT V/.1UI] 1JjJT�L Pi�jQGES:iFp , i hercby apply for a piumbing permit and I acknowledge that the information above is compiete and accurate; that the work wil! b� ;n canfarmance with the ordinances and codes of the City of Fridley and with the Minncsota Construction Codes; that l anderst�nd this is n�,t a permit but only an appiieation tat a perm;t and work is not to start withaut a pernnit on site; that the work wi11 be in ar,cordance With thC 3�]prOVCd �3IaR !1t t}te C ofall work w ieh rec�uir�� evicw and apprpva[ of i ns. S�GNA7'l7RF, OF APPWCANT PRTNT NAME�� C.a'�.'� �nTE {�/ �� 'fiT.�.e�esY.Xf'r.m�>_..rr�,�, w, .�...�w...�._...___ _ City vf �'�-idl�y �aild�ng ��tspe�ctions Dep��me�t 6431 Uruver.sity Avenue NE, Fnidlcy, MN 55432 763-572-3604 ��x: �r�s-sa�-�97� v � � � � �� i � 1 . .�. r��`°) d � � �� _ l O�