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AF - 36480City of Fridley, Minn. BUILDING PERMIT �vA so�v Date: �""' . - : „�: Owner: ��` �' � ' Bu3lder , ,+F' Address Addrese � . LO �0�. �U�DING � No. � stseet � � � � part Lot �' Lot ' _ Block ,, Addition or Sub-Divfadon Corner Lot � Inside Lot _..._. �' Setback _�,�-�„`--� ' SideYa�rd -�y,. �—�1' Sewer IIevation .____.._ .� Foimdation IIevation � DESCRIPTION OF BUILDING - T , U • �' ,'_, , '' ' Front .�� Depth � Height .�� S4• k'��' Cu. P't. �� P` � ro n t, __._ Dep t h T Te i¢ h t S q. F� Gw, Ft, Type oP Constructto . � : .�� F�at, Cost ��r�._.__�o be Connpleted In consideration of the fssuance to me of a permit to construct the buildiu� described above, I agree to do th� proposed work in accordance with the description above set forth and in compliance with all provIsfons of or8inanc�s of the dty of Fridley. � In consideration oP the payment of a fee of $��, permft fa hereby granted to to construct the building or addition as descrYbed above. Thispe rmit is granted upon the express crondition that the person to whom it is grented and hia agents, einployees and workmen, in all work dane in, around and upon said building, or any part thereof, si�all conform in all respects to the ordinancee� of FridleY, Minnesota regarding local3on, construction, alteratlon, maintenance, repair and moving of buildinga �� dts► 73mits and this pera�it may be revoked at any tim�upon viola on of aay of the provisiona of said �' �� NOTICE: Tbb pqrmh doa em eover fhs coestrneM�, t�utaUallon /ee rrl�in0. Tfinnbiny, �n hat6��, s�vwr or rrat�r. 8� sun to aM Nn BuiMir� lesp�etor fo� p� p�rmhs Por t6a� ftNm. ;;�: �-+� °.s /"�, ,� � �. � 4_ APPLICATION FQ1t BUII►bIRiG PERNST CITY OF FRTDLEY, MINNTS�A Ou�er's Name Builder Address Addrea� LOGATION OF BUiLDINt� 1Vo. �� Street �t of Lot Lot Block` Addition or Suhdivision ��L�7 s�Corner Lo �Tnside� Lot �etback Side-Yard /� , �EWSR ELEVATION FOUI�AATIOIV ELEVATION Applicant attach to this form Two Certificatea of Survey o£ Lot aad proposed building location drawn on �hese Certi£icates. DESCRIPTION OF BUILDING To e used as: � ' / Front Depth__�,��fleight � Sq. Ft, �,�%� C+u. Ft. � Fxont Depth Height Sq. Ft. � Cu, Ft. ^ � �� Type o� Construction Eati.ma.Ced Cost ,��j �� "� To be Completed The undereigaed hereby makas`ap�licatioa for s permit.for the iaork herein specified, a�reeing Co do all �work in strict accordarice with the City of Fridley Ordiaances and rulings of t�ie Departmeat of Buildia�s, and hereby declarea that a11 the facts �nd representations st ted in th�application �re true a�d correct . �� ,' j�° DATE �,--s �.— � Ji SIGNATURE (Schedule of Fee Costs can be found on the Reverse 3ide �,- � a /'1 �--� � �U$.DxNG �t�T FEE SGHEDULE 5ection 2. Th� yIISpector of Buildings sha11, before isauin � the erect3on of any building or structure, or for any additioa �op8�t for �n� buildfng or strucCure, or for �ny alterations or repaira to an ex buildin� or atructure, upon a Y en3et- �Ppl�icant for such PPlication tlzerefor, require the gaymeat by�ti�e p��t d� ��es t;�:.the aaiount hereia below set forth aad �� he ��ne'r� here�n prov3ded to-rait; _?.1, For anq such .. ��BII a 8�8 e Pe�it for �he erection of auy fire-proof buildin � � s�arehouse, factory or graia elevstor, or ior the erectioatofr �y fire-proof addition, for.sitii3.1gr occupaacy, ta any existiag buildi shall be �t the rate of $�.40 for each one thousand cubic feet thereof, in such cubical contents, Ag . _ . : or fractioa 2�2. For any such permit for �he erection of an factory or-gra,in-elevator, or for the erect3oa of �°�Proof ga�age, warehouse, for similar occupency� to 8Ay eX�$t�n� build�,n $� y fire-proof addition, for e8c1� one thousand cubiG geet, classified as '� g� be gt ��e rate of $1.25 the 1�2inne$po�,ie Buildiug Code. fizeProof b _ . y Section 502 of Ha__ us�s . 2•3. For any such permit for the erection of any noa-¢ire than a garage, warehouse adciition, for similar occu 8nc �� ar �raia �levator, or anprao�.b��d�� other each one thous� cubic teet� y' tO 8�� Rietin� buildin g �ir��r�� ' ps�t $1.00 for GARAGES 2.4. For any such .. _ _ . Pe��_for the ere�tio� of anY aon-fireproof ga�gge� warehouse, €ectory or graia elevator, or for th� etectio� of a additioa, for.simiiar occu building or addition •_ �P�cy, to ��' exfet3ng buildin �Y a��Q� or fract�io� thereof, innthe� ubical coa�teints t g or for each auch . ($0.90) for each oae �i��saud cubic feet . hereof with a minimum of �.00, For the purpose of zampu��n . of anp buildia g fees for.building Permit8, the cubical contauts 8 or sddition to a un3form height throughout b ground area covered from a poittt six � ba�Qmeg� or �ellar to"the average height of the u Y�ltiplying the i) iuches below the flaor line of �the average height of the roo� surface of the main pper e�rFace or to the 2�5: l�or re a �` gable of a p�tched roof. P 3.r� or a��erations to at the rate of au exis�i� structure, Che fee sha11 be thereof $n the cost oof aZlBproFivz Huadred Dollars ($,5p0.00) or frection Posed work. 2•6� In no case sha11 the fee ch$r Qd for Section.2 be.less th�,n ,fi4.00� � �'Y Permit as set forth in I \ ^ • . =b � � land Pla�min9 lwid Surveyin� ,., .Seils �estin� Crvr'� fr Mrmic�p�al En9irteerin9 __ 6B'/S-H�hway +GS �E. � Minrrevfeo/s 2/, EN�G i NE�R I NG, -I NC. �;n��f� ' SUnset4-60&b � , -- En�ineers � Sur v��ars -- ,, , ces�%�scate o � ��. � �: � �r4 % �,. � .:� �' <�JC� �t'A l�� -�" �'l�t� p��"�'°�s'�, � � T � -� .. ��, A ' � i ��` :� fd �•�,• ; �Rm�+ i�,r �,, �, � e.. _ �/ ,�, �. � C,> : � . , .'l.... ). ��,f L/vt(• Gt %� F S�Y Et y�� ,�� 9 � i-C;:�' �l. V / F NO . �_. ..f.. &�. � � .� .� °°' , 0 1. '°-� .. � _ � � � �� . � � � � ��f�.o'�,`'r � I : .) � ' y c b- �� r �� k:r o . 4�`y V �� ti � � �' a � 0 r - .� a %O•� � -.. . °.. a'� !� '"L,d �� `� � ?i�.� -- _ � _-�..r._._.._ � � �� '�m �+ � � � �Uf�l �i7 !�'Z tI { 1 G 7� �.:� �}'r�C,�(�'>'�'1�"u" 1�AtzAk�. �'ao.�, ��•�'fs,�,,� �ba�dy ctrfi�y fbaflJn►'s �'s o fru� ord mrr�rcf representotuan o�('o suwetf y�'ifa� �� q�'�Aee aGoa,t desrr+�b�d Id►d,an� �� ai�'�l d�, �, aada►I risr�e ma�avdin�.00fs , ��'ay, �sn ar a�.foid /maci. As srr�-veyed � nee � d�y � �,.,��r c_, � � � '',�'. _ SUBURBAN ENG/NEERJNG, lNt. Enqine�-s fr sra-r�Ors ?_� � � �e � � � `� � � � ' � �� . �°°.� ��' r. .-�.�� s,�.. � — , �.a - �� ...�..�� ...� � a� _ J J� •�- � — � M d � � � b r rx y p � . � : o : I :m . m ~ 0 � 0 ' � ' � • '� � o. N � � la p� ►+ � tn � W � �t4 p �� g' � � m N � . o . o � o � : o.. �:: �:: � � � � � � � O Q p � 6! V! H H � � � � � � � °' � � � n � � �' � � �" ^��' � � � r� y N m�� y � � : o � � �, � o � � ° ° '� `° � nyi ��: � �� o� � � ��:�:: � . . . . . � . . . . ; � : : : : `o �a �e x �e �e k � W N W I-+ �-+ � �% C7� O C�71 O O O � H3 �A ifl i°i! {f� {A � � � � � � � e �+ 0 a o ° D � � � m � _ m C r m � . �� : ..., :: i�� = �'■.i�� ,: ��ii 0 � m b � 8„ � ❑ x o ° � a y � � x z � � � � � � � � e � � oa � a m i � �� : � �. �� d � $� � � � p�q O � � A P� `� ° y h �'1 ro � � �O r. � WATER � URINALS �� ►►� SINKS W�, �� ORINK. FOUNT. sHwRS. FLOOR DRAINS GTCFI BASINS �uro watr�en GAS MPL GAS RANGE GA$ OPENINGS 11 • 2 • � H j m F m n A aa� � � � � ��ap� � � �� Rp. � �� :� o � �' ... u �o � � � Q, �' cp � O y R. 3 .p�� a, � p, G `C � � O � � � i�'i b � �� ►�� m o � mo �a�� a° H �� A� A ¢��. ��'� ��y �� m�� oo ��' � „ � �� M w� A � � � p � M 1.�0 � � � � �i �� , � � � � � � � � � � � � w� a � M {�' � � p '�'` w � �' � �. �� 0 � � A �' �i �, A A O `7 I�Ill�liii�� i 3� �. ��. � , 0 � x tyn x � � � y � � N y '� O '�i `�' H y � � O � � � M � �t� � � �; 3 � � ��1 � �n ra O � k" � m � � � � � M c�a� y � ¢' �* � �¢ W t� � � M N �--' � �i O �,�, � V1 � � m o � o � o° v�i : O . � • . � : : � �o- ,� �e o N � °o o q � �sa �n �n '� �O �r � o �, r � � 7a � � c° � 'd . " � w o � " °: oa 0 23 '� O y � �' �� O � � . m . • � . • � . • � . ; �: a: � : � � � 0 0 tn P � � 0 0 -� . � � � � �� m cu � � .Qi ,��+ �R�• V1 � �i o Q m cu y �-+ k.."' � � ,��a R° R° � ',� � � � � � � � � � 0 tD O Q � � � � � � w . ;Q ry ' � � . v V : � � : o � ; � � : � : N � � � 0 0 °o °o � � �• � �. � ' ��`� � �x �� s � � m � .� � �,�� A �� m � �' �' : c� � ��n �' f�' R° � m ��h��'� �� A� m � (y !'i �i A7 A% � Rp � 0 0 �� o o� d,��, � �, Q `�+ `._ � �, w � � °o � '�m � � � �, �Ct . ►! �' '� . H p, � ' � O LL ,Fro ; � p. ��„ : � � � cn . ; � " Qo : : ea � . : O • Q �p . . a 0 � o ! : : � $ : : : N��N� o °o °o o° o° vs tfa � 0 � � N � � � � en c o 0 0 0 o v � O t" D /� '�'' P" � m y _ T C r m . �� r�i '.' . � _ � � �� ,iL 3' �o �y. � � � � c� � � p�� m o sv �f w py v�, � 0 a t7 '� A r ty . � � � R. � � o" GfD. R� � ¢ a � � � � � � ;pp � [� o `+ y� � 7" m � � O� ''3 � G � r��a p Q~ pE� � �i G H � �@' Q fA !� , � � � �� '11 � ,� Q� GL ti � � � � � � � 0 � � � � � �, e " N- � ti bd � c�o � w ow� �� C' L� � � � �, o � ° � �� w �. �a � � �, � � � � ,� `� g � d� °� k� g � �, ° � � � �� °� ,� ' I ��p b U] tQ p;Q r% \f pp�`d � � . � � � � � ef , � � �p � �pwry � V � ' e b � �. � � � m �� ro � � � � o � � ��'� I � � �,�� . , p' 7" E� v, t� n' � t��o ° � M � °p p� �' EZ. I O ��p +� �4'yp� \l i '7 0 \ � f�D R. � � I � � y � y � I � "' m��8 � `°� m� � � � � t°a W �', "; I Q,� � � o � � a.�� o �� , � � � �y z :� �!" �` ' ° m w /"� � ,� �' �� m � o � �, Q c�. f , `� � � � VU m �' � � � � � � �� €k 5' ��' -�-� � Je, _ � ' I � ' —�- a � ,� c� � �`, ' __ _ ___ � D•s6 ...� ,4a �p �l �"a.�'i2.� ��y�%j �°, � �. `p.. r F�� HEAT LOSS CALCULATIONS DEPARTNIENT OF BUILDINGS � fRIDLEY, MINIV. Weatherstrips A.S.H.V.E, Coastruction No. Guide Insulation Windows I Doors Reference Out. Wall Int. Wall Ceiling Roof F1oor Kind How Applied Yes—No Yes—No 19_ F1•� i j°° �`� Room � Length Width /� Height � Fl.� ° Room Length � Width � Height Windows and Doors—Crackage and Area Windows and oors—Crackage aad Area �Vldth Helght No. ot L1nea1 tt. Area Wldth Helght No. ot Llneal fA Area No. ot pane o[ pane Ifghte of crack eq. ft. No. of pane ot Dane Ifghte ot crack sa. tt. I � � �� . ��aC � O'` � � P9t� � �� 'v � �� ✓ � `� � ��' � M Coef. Btu Inhltration � � p �f• Btu Infiltration � � � . Glass �� S� � D Glaas v�� 5' / Eap. wall � Esp. wall . Net exp. wall �.(� / .'�1� � Net eap. wall Int. wall � � � � � Int. wall Ceiling ` � � � �� Ceiling �?� I� �� Floor ��" / S S Floor �� Total Btu. Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Required sq. ft. E.D.R. or sq. ins. W.A. Leader area ,f' F7•� � Room � Length Width /�. Height ,� �,� ,�� Room � Length Width `� Height ° Windows and Doors—Crackage and Area u/indows and Doors—Crackage and Area Wid'th Hetght No. ot Ltneat [t. Area No. ot Dana ot pane llghte o[ crack eQ. tt. Wldth Hetght No. o! Lineal ft. Area No. of ysne of pane llghts of crack eQ. Lt. �� 1 �� l� �. � � ��° 1�, � � � co�f. B� Ia6ltracion • �� Giass � � t� ; Exp. wall p S,S � Net exp, wall � � � � � Int. wall - Ceiling ,� � � � Floor - Total Btu. r� �� % �i �l Required sq. ft. E.D.R. or sq. ins, W.A. Leader area Fl. Room � Length Width '` Windows an Doors—Crackage and Area Wldth Height No. oL Llneal ft. Ares No. ot pene ot pane Ilghte at crack sq. ft. a� L � � � � � � � `�'� Q2 � C Inhltration � � s Glaas Exp. wall Nec eap. wall Int. wa11 Ceiling � loor Tbtal Btu. �� [LJ � � ft. E.D.R. or aq, ins. W.A. L.eader area � Infiltration Glaas Eap. wall �_� ��w Net eap. wall � b Int. wall Ceiling � � j � � � Floor v � ` � �t / (°�' Total Btu. Required aq. ft. E.D.R. or aq. ins. W.A. L.eader area � Fl•� Room I Length Width Height Windows and Doora—Crackage and Area Wfdth Height No. ot Ltneal tt. Area No. oL paae ot nane Ilghts ot crack ea. tt BtU � � Inhltration � Glass Exp. wall �19 � II Net exp. Int. wall Ceiling Floor Total Btu. uired aq. k. E.D.R. or sq, ins. W.A. L.eader area �� Btu I � ;� �Y • ,� �`yA� (a' C? t� � �� . e6•��. n.s6 .., .,4z ✓l �> HEAT LOSS CALCULATIONS DEPARTMENT OP BUILDINGS Weatherstrips A.S.H.V.E. Construction No. Guide Windows I Doors Reference Out. Wall Int. Wall Ceiling Roof F7oor Kind Yes—No Yes—No 19_ ,� F1•�.�$ ° �� Room � Length / Width / j Height FI.� Room � Leagth Windows and Do C k FRIDLEY, MIN101. Insulation How Width Heu ors— rac age and Area Windows and Doors—Crackage and Area �Yidth Helght No. o[ Llneat ft, Area No. o[ pane o[ pane Iighta ot crack ep. [t. Wldth Helght No. ot Lineal ft. / No. o[ pane ot pane Ifghte of crack e� _`� ;�� %P .1 �� C� - Coef. Btu InGitration � �� e Glass A � � � Exxp. Well � Net exp. wall 5/ �� Int. wall Ceiling �+� e � � Floor Total Btu. � � i Required sq. ft. E.D.R. or sq. ins. W.A. Leader area � F7•� �a �� Room � Length �Width � Height Windows and Doors—Crackage and Area Wldth Helght No. o[ Lineal f� Area No. ot pane of pane ]lghte ot crack eq. ft. � � � l6 � l� d� In6ltration j � Glass � Exp. wall Net exp. wall � S Int. wall Ceiling � Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. L.eader area �F7. `' Room � Length � Width Windows and Doors—Crackage and Area Wldth Helght No. ot Llneal tt. Area No. ot yane of pane Iighte ot crack eq. 1t. .�_ Inhltration Glaaa Exp. wall Net exp. wall Int. wall Ceiling Floor Tbta! Btu. / �� sq. ft. E.D.R. or sq. ins. W.A. Leader area � Infiltration Glass Fap. wall Net eap. wall Int. wall Ceiling Floor 1'otal Btu. c�f.l Bc� Required sq. ft. E.D.R. or aq. ins. W.A. Leader area F7•I Room ( I.ensth Width 1Nindows and Doora—Crackage and Area Wldth Helght No. oL Llneal tt. Area No. ot yane of pane lighte of crack ea. [t Btu Coef. E � Infiltration � C: � Glass Exp. wall �-- �% % � Net eap. wall Int. wall � Ceiling Floor / � � Total Btu. Requued aq. ft. E.D.R. or aq. ins. WA. l.eader area '� F7•� Room I Length Width Heighc Windowa and Doora—Crackage and Area Wiflth Helght No. ot Llneal Lt. Ar s __ No. oL pane ot Dane Itghts of crack ..w. �L w� Btu 3� E� Infiltration Calass F�p. wall Net eap. w I� Int. wall � , Ceiling Floor Total Btu. Required aq. k. E.D.R. or sq, ins. WA. I.eader Btu � � � �� / City of Fridley, inn i�T° 9 8 5 0 BUILDING PERMIT DB�: Ju1y %0, 1968 °� pwner: James Wedan B��r Same Addres$ 6620 Channel Road A� Same LOCATION OF BUILDING No. 6620 S�t � Channel Road � � p� og �t �t� si of Parcel 1430 Brookview Addn. -- �� Addition or Sub-Div9sion .� C°r°e�' Lot — Ittafde Lot Setback _...__... Sideyard Sewer Elevatian _____� ._ Foundation IIevation DESCRIPTION OF BUILDING To be Used as: Garage �t � 24' �p� 24' H��t 10' �� 576 �� 5760 — - pati o Front _�_ Depth 24 � ��gbt ,M 10 � �. � 288 � � 2880 Z�e of Construction — Fr ,nP Est Cost �_�22.�0 __.. To be Completed In cons�tderation oP the issuance to me of a permit to construct the building descrlbed above I agi,ee to do the proposed work in accordance with the description above set forth and ia compliance with af], provisfons of oratnances or the dty of r�rialey. �� 1�% In conafderation of the �yment of a fee of $ � 3'�� , permit is hereby granted to James Wedan to construct the building or addition as described above. Thiap�rm� t ia granted tlpon the exAr�s condition that the person to whom it is graated and hia agents, employees an� worl�nen, �tn all wrork done in, around and u�n said building, or anypar� thereo� shall oonform itt all respects to the orclinances aP FridleY, Minnesota regard9ng location, conatruction, alteration, maintenance� repair and moviu� of buildin�s within the dty ]Smits and this permit may be revoked at ar�y time upon violation of aay of the Prov9siona of ss�d ordinancea _ Official` B�S � n NOTIC� 'i9ds psemb does aot eovsr ths eonstene![on, 1eshllallon �e� vrtring, plumblee, gu 6uNng, sevw� or watar. B� sun io a� tha Bntldle� Iospeetor fe� aparat� permhs Po� fhsa hsms. � � ��. ,�i�l �/ - �� 9��e� Al'I3LICATZ4I�T FOB Bt1ILD�NG PER1+�T . „. �- �ili► OF �DLEY, �1�ITY�.ITE iOTA , � �� _ . .. . .. . -dWNER'' Sa'NAl�1E �%�'/`9�� •' �i�'�D'�ti . � BUZZDER �� ,�- - - . . ..♦ I=l� •� t l � . . .�:�nn�ss �G�d .�'�.�•�,r��l ,�� _ � �p�s� � _ .._._ . ,'.1 ' }, . � . . . . . , ' . ; .. . :: -- . . � '°'�' _ : . � �o , . ' L��xoN� oF atn�barac .� , �vo. Eo� z° s�� 1�� T� 12 r� c �""' . .. � �s�_- ��oc � �/�y' � � Ani��zorr oR � susnzvts�or� >� � � i � � .. • .. �' ; _�S'E� : T'." , . CORT3�R LOT 711�SIDE LaT � SE1`BACK� '�_�SiDE'�A13t? _,�� SEWFR E�'.,EVAT.ION TOP OF FOOT$NG . ..� :Ap��ic�sft ��ttacYi �o � th�ts'�oi�nt'"�'w�i'�efet3ficates cf; 5uryey., of ,Lot , aad proposed � ' buildin�• �locatio�' dra�ci o� `tla�s� Cer��:cates `' � " " �� . . - . . ,� _ • . _ � :: a'. .. ., � . . . <� : � � , , '` ' � DL��PTION OF'�B'UTLDiNG' � � � - . � . . . . .tE, . . „ . . . _ . To 8e iJsed As s •�` 3� . �fl,@�� -�. . �� =��osiC � �___�___. DepCti �'�.' Height / c� . , � :. •. � . , . . ----�---y.. . . -.._� , . . . _ . . * ,.' . � Square 'feeC ` �'%� � ' � Cubic � Feet �^'� � ,,. �� .�,d�,.� � D , . . .. �`r'�tiht . f2' . . Depth" .,Zfi/ ��' ::•:: ��eight �';o . — - � �=F�--�.. r � Square feee �� Cubic ,Ee�t � �� <' : . , • ... ,, : ; .. , , ,;- . . . '� t Tqpe of Cdnstructian �ft,Qi9Gt Eetimated Cast ��O O, � To Be Campleted The undersigned hereby makes applicatioa for a permit for the wark herein specified, e�greeiag Co do all work in striet accordence with the CiCy of Fridley Ordinances aad rulings of the Dep�rtment of Buildiags, and herebp declares that all the facts aad represent�tions stated in this applicatfon are true and corzect. DATE�_ _ .^ _ ,_SIGNATURE �' �� ---�----_ ,�--_--.. _ ....�_.._ (Schednle of Fee Costa can be £oun °�oa the 8everse 5ide). ��2 �� 3 a� � . ,_ : , � � 9 -- � • � , ` BUILDINO PERMIT FEE SCi�EDULE .&ECTI�1 2_�, The-_Inspe��or o.f Buildings shaii, b�fore::3�_au�ng� �ermits for Che er�ctiox� of.��y ixuil,d.��g or stxucture, ar for�any add�tian �o any •��esi�sting structure o�t �dilding, or f�r any alteration or.. repaira to anq existiag buildi�eg.^wc structure, upon applicati.ou th��e�ore, require the' •�the•papmeat.by the applicant for s�eh pes�tit of Laes *o the amou�t �erein below set foxth and ie'��the ai�nrier heria provided to-wit: . . Uni�form Buildia�.� Code: Tg�e 1, 2, 6 4- $1.75 °for each one. tt►ousand cubic feee, er. £raati;a� ,tli�re�f,' �•in •such cubical contents. Type 3 6 5.- .$1.50 for Each one � theusand cubic feet . . , ..,�a'i ,., � ' � � . � .. . . .. -> . . ; :''.. . . _ Fsr the� �us�oae ef c�puting -fees f�►r b�ild�tng_ petmits'; - the cubic$1 eonteats ef an�+,.burilding o��gd�i�ioa t�;aM �xni,�ora� �ieight thr�righoiit by '' miultiplyiag the gsouad��"co�er'�d�fr4m a point sis (6) inches below the floa line •f Che basement or the cellar te,the,��verage height of the u er surfaee _ o� to t�e avera�e height°.e� �e roof euzface o t e main gable,o� a pitched roof . • _ ` FBr repairs or alteraCions Co aa existiagi.,s.��'ructure, the fee ehall be at the rate of,$3.0� per each�five hundred�•dolYars ($500.00) or fraction theseof . in..,�he cost of' sil pioposed work. . . � Ia ao • aase .aha��,l the fee charg�d Eor anq per�it as. set forth. in, Sec��.on 2 be less than $S . A0. : .. . . . .. . . . . . .. . ... _ .._ . _ . ,.• i NSSSD C�nnect3ou,C,harges basad..oa Ioea�iea- Area L or 2. . . . 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Drinking ,q b'ounL•ains Showcrs � Floor Drai � Catch p Bssins aA�tamatic £ 4lasher �" Gas Apl�l. � Misc. Fixt � y ' Gas Itange r�r � �° n Other w x � m co a w .+ r � n � H Q � � � � � � � � d � � � � � � � C � " d z c� c� � � M � � � O � � I o w! d ° m i� � b � HI O i N N \7�l 1 � F� � � °p'o� %�:�rv °e �tl u� eo 1D � o"' a � r w� v+ r+� � �a"'� i�n�r � p �� tKn At�.O a . M p� I�D � � �C � � � � � � � 0 ow 7 a � LxT1 �n � a a � O � K M O 'C ��~W � �� K n M K m 'd �►°°-� � c r• r '.�C a' � A e'� . ►- a y w p, 7 f� t F�- .� rt i!] I� O :Y .t p J W � K M p � n K F., � a o m N r � li. 'd 1 n n w � � r� � j 00 I-� � � E M � w � � � N A � o f� A n � �• r�.�. ~ 'b7 a `C h' I� , R '' ° � „�'��„ N � W 1 � � � ��Tl FJ a v � r � D "'i O L T O � �D � n ._.. C7 � G � O , n z ty T � G'f � d y r m -r� -< � _, � c� "� m � � sue�ecr PER c�ty of Fridley 2 2 6 ATTHETOPOFTHETWINS g�ILDING PERMIT � i � O. i � � • COMMUNITY DEVELOPMENT DIV. � i ti: ------� �� o� r � � PROTECTIVE INSPECTION SEC. ' i ' � �"�1 � CITY HALL FRIDLEY 55432 NUMBER 1iEY. DATE PAGE OF APPROVED BV �""� � �'� 612-571-3450 810-F15 10/6/93 / / JOB ADDRESS 6620 Channe 1 Rd NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED oesca. Pt 29 Brookview Addition SHEET 2 PROPERTYOWNER MAILADDRHSS 21P PHONE Bill McClo�key 6620 Channel Road NE 574-9�61 3 CONTRACTOH MAIL ADORESS ZIP PHONE LICENSE NO. B& B Roo�a.nc� Services 6760 Ma.dison St NE Fridle 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OP BUILDING Residenti.a,l 7 CLASS OF WORK ❑ NEW � ADDITION ❑ ALTERATION C�C REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroc�� Ga�age (12 Squares) Tear-off 9 CHANGEOFUSEFROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIHED FOR ELECTRICAL, PLUMBING, HEAT�NG, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON3TRUCTION ZONING Sf]. 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 �- STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS ypLUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $1 �200 $. GO WITN WHETHER SPECIFIEO HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NAT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pEqMIT FEE SAC CHARGE PROVI ONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $29. OO Fire SC $l, ZO STRU ION OR THE PERFORM E OF CO STRUCTION- PLAN CHECK FEE TOTAL FEE �/J o j � License SC $5. 00 $35. 80 • SIGNATURE OF CON i RACTOR OR AUTHORIZED A ENT ( ATE� 1/dH OPE VALIDATED THIS IS YOUR PERMIT - ��--�� SiGNATUREOFOWNERiIFOWNERBUILDERi �DATE� g G p DnTE NEW ADDN �.� t] Il [l CITY OF FItIDLEY SINGLE FAMILY AND DUPL�ICES R-1 AND R-2 Building Permit Application Construction A�ress: LO�D Z� t�' ��/��/I �. � L-- 1�.6� Legal Description: (� f� � l�%fC° /� �� C�- �%� r/�S� Effective 5i26193 Uwner Name 8c Addre.cs: 1� r�� .S.�C � y Tel. ��7 -�l Corrtractor: �!� � D o�f 1rt ��/ � C� s MN LICENSE # D��o� °Z- Address: � 7�l'� ,��%/'..�?JY/ � ,�. Tel. # .5 7��0 2 �� Attach to tlus application, a Certificate of Survey of the 1�, with die proposed c�s�on drawn on it to s�a1e. DESCRIPTI�N OF IMPROVEMENT LIVING AREA: Length 'oVidth Hcight Sq. F�. GARAGE AREA: Le�gth �� Wit�h .� 2 � Height �. Ft. �¢�/� �� DECK AR.EA: Length Width HgtlGround �. Ft. OTHER: % � 09 S��i�- %r� � - D �/= Corner I.ot [ l LQSide i�ot [) Ft_ Yd Setbac� �i� Y� Set�cks Type of Construction: Fstimated Co�: $ `'� Ol� � Approx. Completion Datte: (Cast � Back) Driveway Curb Cut Width Neeci�: Ft. + 6 Ft = Ft x$ _$ DATE: ��' �� APPLICANT: � �/� �(�v� ��l C�s .� �d2 U i C z Tel. # ..5 �%�D Z �/� P�nnit �ee Fire Surcharge �� $ /� �_ _M. ' � _�!- - Fee Sch�lule on Reverse Side .001 of Permit Valuation (I/i�h3o) State Surcharge $ < (v 0 $.50/$i,U00 Valuation SAC Charge � $750 per SAC Unit License Surcharge $ S� $5.00 (State Licensed Residential Contractors) Driveway Escrow Erosion Control Park Fee Sewer Main Charge TUTAL � S $ $ �� Alt "A" or Alt. "B ° Alaarve Conse�vation Plan Review $450.()0 Fee D�termined by Engineening Agreetaerrt Necessary j� Not Ne�e.csary [ j STIPULATIONS: � BUII,DiNG PERMIT FEE SCHEDULE 'The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for arry additioa to any existing bnilding or structure, or for any alterdtion or regair 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 s� forth and in the manner here�n provided to-wit TOTAL VALUE $1 to $500 $501 to $2,OQ0 $2,001 to $25,000 $25;001 to $50,000 - . $50,001 to $100,000 $1Q0,001 to $5�,000 $500,001 to $1,000,� $1�,OOQ,001 and up FEES $15 (Minimum Fe� is $15 plus surcharge) $15 for first $SUO plus $2 for each additional $100 or fraction thereof, to and including $2,000 $45 for first $2,000 plus $9 for each additional $i;000 or fraction thereof, to and including $ZS,Q00 $252 for first $25,�0 pl�s $6.50 for each additional $1,000 or fra.ction thereof, to and including $50,000 $414.50 for first $50,0� plus $4.50 for each additional $1,000 or fraction thereof, to aad including $100,000 �39.50 for first $i�,000 plus $3.50 for each additional $1,000 or fraction thereof, to and including $500,000 $2039.50 for the iust $500,000 plus $3 for each additronal $1,Q00 or fraction thereof, to and iacluding $1,000,� $3539.50 for the first Sl,�,(�0 plus $2 for each additional $1,000 or fiactioa �thereof - DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Altemate "A°: Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50. Alternate "B" : Removal and replacement of c,urb and gutter aad install a 3 foot wide . approach with 6 inch depth - Driveway width plus 6 feet times $15.75. VERIFICATION OF FOUNDATION Permits for coashuction 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 constiuction 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 proceed.ing with the framing. �� _ D m � -' Z � o � � m ��' -_�-I , O � (�D � • -, z � � m o � m 3 � � A� � N n, `o m o 5� -� _ �' � � � Q o �' � � m � � a � � � � c� � � Q � S O � � �, �� O C � m -� � � � O �r� � -Z-i T. °- C � W � rn � � I � o < � m � � D � _i m O Z � Z � �' su � � m �_ � m � C � n v � �? m �' � Z � C � "T7 m m O � �� - Z � _ G � IC � C �rn r �` G � � � n � cfl � N n. m Z 0 � � � � � -i O Z 2 � Z � V � Az -G � .� � � � � �` � � O � --i �' D �D r � c m � cQ (D 1 0 .s D L� G� G� D m c o� � p � cn'n oi vp'i o� a � � p � � p � � � � n � ° o <� q m � z3• a� �� w �C 7 r« -� m tfl � pi ? N C � N (D � Z (CD lD � �l m� o p-o„ �' m�. 3 A, D' o c D �,• � fl.. I�� -�'i � Q° D �- -n � C7 � � ai �' D - �,' � � � �' O � �. 2 � �m ., N• �' � � m m o� c�Dn m W�D o O O � � � n �' r , �� rn � �` ° r- � c � � � � � � � m. O � � D c� � �� y-,� o ;.�i J � � � � � � -` �p C A� � � O Z � � � N � � � � � I ='' � o � � m � n � 0 0 � � � m � � � N� � (p fl' Cn � o°m `D � m Z m � o 0 o �' o �] � .] � m � � � A � � � � � CIl O O O O � °o °o o° °o °o �' m � � � � t� ��.J � � � O �1 � r � � � m W � � � � -� -� Q � � c� �• � rn � N � � � j � � _ ° °- m �1 --« � � � C O N � �p� m O m � � ��.m � � c C� -�i D � n, � �- � � � a� � m v o � o � � � � `` Z s�n =3 � o' O � s� ? o c�n 'rt \ �� c � V! � �'Q.� z � � s �� Z � � o' � �• �� m �. w m ,II' a� o' m � � m � � D -D r" � O O 0 � , 1 � m A�—, � m p � \ Q N � m � /� 1 � 1 0 � � � ��' O � � � C � � � o Z � ? m � m � n m � �� o v � a � � � �' ___, m � � n. u�i � - p V � �� °� _ t2 � � r v Q � n m � �� ? O .t' Z � 7t � C�71 .� � N D tD Z Z � m -D rn n � � z 0 < � � � � � � rn D � O Q Z Z D � 0 � D � � �C) O � Z � o � � Z o .� z �, Z D, � O � � � --1 0 � � � � Z rn D � � � � °m � S � � �� Z cmi� G� Z � � � � � O � Z m � `� � � <" m O � � � � c � � � ? � � cD V CHIIVIl�IEY AND STACS VERIFICATION The undersigned hereby verifies that the �es�ing chimney or stack: 1. Has be�n cazefully examinsd � Yes (�) No () �` 2. Is free fiom n�st or deterioration Yes () No {) 3. Has no foreign objects lodged within Yes () No {) 4. Is securely support� Yes () No () 5. Meets all current Code requirements for size and total BTU's conne�ted Yes () No () 6 Has total heating BTU's of All other BTiJ's TOTAL BTU's 7. Has a liner baen provided for water heater Yes () No () 8. Has combustion air been provided for water heater Yes () No () Remarks: List ALTERATIONS Being Done: HEATING CO: Signed By: Date: . ' ' � SUBJE�T . � , City of Fridley 2 9 065 AT TME TOP OF TME TWINS g� � � D I N G P E R M I T ;, ,� . � `� __��__ COMMUNITY DEVELOPM�NT OIV. �� % r � � PROTECTIVE INSPECTION SEC. �� 1 �, i (, -__• : ��'��,-� CITY NALL FRIOLE� SS4a2 NUMB@il REV OAT6 � PAGE Oi APPROVED BY L l\ 612-571-3450 910-F15 3/25/99 / / J08 ADDRESS 6620 Channel Road NE t LEGAL �OT NO. BLOCK TfiACT OR AODiTION SEE ATTACHED oescR. pt 29 Brookview Addition SFIEET 2 PROPERTY OWNER MA4L ADOR�S� 21P PHONE Joann McClosky 6620 Channel Road NE 574-9961 3 CONTRACTOR MAIL ADORESS 21P PHONE LICENSE NO Town & Countr Roofin 7910 12 Ave S Bloomin ton MN 55425 854-9365 4 AqCHITECTORDESIGNER MAILADDRESS IIP PMONE LICENSENO. 20091282 5 ENGINEER MAIL ADDFiE$S , 21P PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION D ALTERATION [a, REPAIR p MOVE O REMOVE X 8 DESCRIBE WORK Reroof House & Gara e 27 S Tear-off 9 CHANOE OF USE FROM TO STIPULATIONS � Underlayment must comply with the State Building Code. CONSTRUCTION WORK HOURS: 7:00 am to 9:00 pm, Monday thru Friday; 9:00 am to 9:00 pm on Saturday; No work on Sunday. SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYP� OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING THIS PEFiM1T BECOMES NUIL AND VOID IF WORK OR CpNSTFUCTION 20NING SQ. fT CU FT. AUTHOHIZED �S NOT COMMENCEO V�IITMIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONE� fOR A PERIOD OF 12p OAYS A7 ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PAqKING i MEREBY CEi;TIFV THAT I HAYE READ AND EXAMIN�O THIS APP�,ICA710N 1 STA�LS GARAGES AND KNOW THE SAME TO BE TRUE ANO CORRECT. A�L PROVISIONS Of LAWS yp�UATION SUR7AX AND OROINANCES GOVERNING TMIS TYPE OF WQHK WILI QE COMPLIEO WITH WHETHER SPECIFIED HEREIN Ofi NOT. THE GRANTING OF A PERMIT �2�313 $1.IC DOES NOT PRESUME TO GIVE AUTMOiiITY TO V�OLA7E OR CAMCEL THE pEfiMIT fEE SAC CMARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON• 74.75 ire �2..31 STRUCTION OR TME PERf ANCE OF C STRUCTION � P�AN CHECK FEE TOTAI E � � Licens C $5.00 $83.22 S�GN4TUAE OF N'RACTOA OA AUTM0�7i D OGENT IOAT � EN P P IDAT , IS IS VOUR P RMIT _ � � � SiGNATU�7E O� OWNEA��i OWtiEaBUiIDER� iOATE� . � � BLO �N$P ' � qpTE Mar-19-99 11:23A NEW ( ] ADDN [ ] AI.TER t 1 ConscructionAddress: � Legal Aescri�tion: � Qwner Name & Aciclress: Contractor: ' c,�: r� Address: '7 g / I� , LiVING AREA: GARAGE AREA: DECK AREA: QTHER: CITY OF FRIDLEY SIIVGLE FAMILY AND DUPLEXES R-1 AND R-2 BUII.DING P�RMIT APPLICATION �� r±� � P.10 Effective 1/1/98 / ao� � � �� TeL # J��%�" 99(0 � r MN LICENSE # o�1JC� `- I� Tel. � �,5�' �� S Attach to this applicativn, a Certi�cate �f S�rvey of the lot, with the proposed construeti�n d�awn �n it to scalc. Length Length Length DESCRIPTION ON iMPROVEMENT Width Wicith Width Heighc Heigh� HgVGround Sq. Ft. Sq. Ft. Sq. Ft. �,7 0� . Construction Type: � "'�i Fstimated Cost: $ !� C� fFee Sehedule on Back) Uriveway Curb Cu[ Width Needed: t. + 6 Ft = Ft x$ _$ � DAT�: �CI �� APPLICAN'I': �— Tel. ��$� � �� Permit Fee Fire Suc�charge State Surcharge SAC Charge License Surcharge Driveway Fscrow Erosion Control Park Fce Sewcr Main Charge TOTAL STTPULATIONS: � ? �� $ $ ./ $ $ �-� $ $ $ $ $ �3,� � CTTY USE ONLY Fee Schedule on lteverse Side .001 of Petmit Valuation (1/lOth%) $.SO!$1,040 Valuation $1a00 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conserva�ion Plan Review ree Determined by Engineering Agreement Necessary [ ] Not Ne�essary [ ] Building Inspections 763-572-3604 DATE � �(� 'v `E' SITE ADDRESS _ ( C iP � THIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION PROPERTY TYPE PERMIT TYPE TYPE OF WORK: BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY YOUR E-MAIL ADDRESS GjNr1�l��. � � L 0 OWNER j�CONTRACTOR rtaav�: 1..� r! i� YYI c.0 o s�'1 � L nnDt�ss: l� lo �-o �� l� PHONE: "�� .S� � 4� � 9 4�o,/ Pernut No.: Received. By: Date Rec'd: � � STAT�IP� � NAME: 'iWINCiY��Ci• STATE LICENSE # ,TTIOL�A�MIS� DATE ❑ TWO F ❑ BASEMENT FINISH � ROOF ❑ DECK O SIDING ❑ SWARvIING DESCRIBE WORK BEING SIZE OF IMPROVEMENT NUMBER OF SQUARES _ GARAGES PROPOSED SIZE: PROPOSED HEIGHT: SIDING ❑ Viny! ❑ Aluminum ❑ Other WINDOWS IN EXISTING OPENINGS ❑Yes ONo OR FOR NEW OPEMNGS-DESCRIBE S1ZE OF OPENING CHANGES & TYPE OF WD�IDOW TO BE INSTALLED� ❑ REIvIODELIl�IG i oif%: �a� LENGTH O HOUSE ONLY O HOUSE & GARAGE ❑ ATfACHED GARAC�E ❑ DETACHED GARAGE OSoffit ❑ Trim O Fascia • � • �• j � �� ' y� STATE ZIP ❑ DRAIN TILE ❑ OTI-�R WIDTH HEIGHT Ft. AASEMENT REMODELING SUBMIT• 1. Existing Floor Plan 2. Proposed floor plan 3. List of structural members to be used FOR NEW CONSTRUC7TON INCLUDING DECKS, A,DDITIONS. & PORCHES SUHMIT: 1. Site PlanlSurvey showing the existing structu and proposed project 2. Two sets of construction plans 3. Energy Calculations ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOS VtOI.UATI�N S�e� �7, �t OCCiJPANCY TYPE Permit Fee $ L�. S. '� �° See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Surcharge $ j: (.0005) times the total job valuation — Minunum $.50 Fire Surchazge $ (�.rTD .001 x Pemtit Valuation (1/10°/a) License Surcharge $ �.� � $5.00 (State Licensed Residential Contractors) SAC Chazge $ $1450 per SAC Unit (Plans to MWCC for determination) Curb� Cut Escrow $ ft+ 6 ft= ft x$20 =$ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Chazge $ Agreement necessary () Non Necessary () Total Dne $ {`?� ,:2 � Make checks payable to: City of Fridley Attach Stipulations THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I aclrnowledge that the information above is complete and accwate; that the work will be conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is no permit but only an applicadon a pe and work is not to start without a permit; that the work will be in accordance with•the appror plan in the case of all work w q' s revi and approval of plans. SIGNATURE OF APPLICANT PRINTNAME /�a/�I`7� ��''�✓� DATE � c�a '�� I Page 2- Building Residential Application BUILDING PERNIIT FEE SCHEDULE The Chief Building O�cial sha11, 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 applicaat for such permit of fees to the amount herein below set forth and in the manner herein provided to-wit: � VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the existing foundation will be required before proceeding with the framing. New Houses Onlv - — -- -- --- - --- --- - ity o Fn ey --- - - ----- -- - Building Inspections Department 6431 University Avenue NE Fridley, MN 55432 763-572-3604 Fax: 763-502-4977 MAR-14-2006 01:51P FROM: • Z � 3�tid Inspectians '1f3-572-3604 � srr� an� � �rns ,�tac� �s� 4WN� �� gUSlWT A C�1PY CfF �rov� srarE L�c�sE wm; AFPLiCA7'IO�i T�:7635711287 P:2�3 ��,�A:N�C.4� R.�S��''r`I.�L A.FP�ICA'I`�Cl� C�i�' �D�` F�.D��Y' .,c�ax�s _ �flI W�€I �Zi i�l� 9�c-��-8�� petnl� 1iNC��v� ��°�6/. Re�xived By: DateRec�d: j f D' ... �, ow� �o�+crc�R �: �°�t�' � �rArE,�.za, crr�r� - �� s�x�: � � _ - �,��;�� Kline Cvrp• �-r�cr p�r� ,�, DBA' Practi�al Systems sra��'��+.� 43428 Shady �ak Fta�d � HO�kk1tYS, 1V�� JrJ�� _S7'ATE�ZIP�.�- nnnN�.cs:� 952-933r186$ PH� _ ! , SWGI.E�FMAti.11 �nvRF�.MiLt� ��nT �r��. � � Q t�EW O RtsPLAG�Iv�hi ' TYPE OF WORK: ^�—^ bETAIi.�b DESC�IPT3t7N 4F WORk� �I�-� . 1 O TOWt�10Uli6 �,�.r�rior��a+apr�. it fe� is e miaitna�n oi S'15.Ob or SNe oi t5a tatnl e�t ap to 5500.1�0, whidac"� is �� for rl�e i�i. MS 158.665 iha 1� tha iixnu es. {'f�is shosld �eii+r.�t only tha ca�t oi labor ) isn�ovr.mant� iASt+tilleUOn or sepLtttment Of 3 Ttsidancl�l i�xiurt, e7t�udii►g �_ x .OS � �'� �abpr oasa undee 5300 � S15.t7�t. Labor +ppst b�vee� �300 to SSOD = cost crf l�bor ��: ��n� mr.,� FbR FkOJ�"� ��'� ��+ �500. FEES ARE �.A5� d�' rt o.W PER FlXT13ltE. �CC�E'1' wl�5 NO i'ET7s� � �Qt,{7�F EACE18ELOWI MODtl.; �,�L�'��{ g�y� �utled �G- � t�ODi:I.; , - 5Il�JB7'�7 �.-�- MF+C''' ,,,.��" MUD�1.: � t�G: �.�. CiA$ RANGFIL�YF�ti t1fl.40 �� ,� ,�,CFIRFFLACt tGAS) Sl 5.00 "�I�,W CiA3 ORii.L S1Q.00 �x�tAC� {wt�p) s�s.ou �'.s ctNli' Kl'R s�o.00 �,CR�rtya�Excw4r��s�s =,�.�,c�s3s,00 �'�c,o1.,�►reus�s.00 8�11.ER 535,00 �t.5 DRYER 3f 0.40 �r�.AlOR SLi_n0 �"��Y LWFR S1a00 �� P�� SlA.oD DUGT WORK ,��4-� �r�•�•ew� � i a ; � Surchsr�a 'P(�TAL U13� �, � • a��uv�mti � - -- - - i X s��.W " � %CCd' =�,e ., Numbe� �f f�ctvrts (aj3IQ.00 �--�-�- S � �- S� . Nuniber of fixcures � $1S.iI0 „� x S15.OQ � � � &� ��" Nurak�r o!' fixtures (d,! 5�.5,00 �,�, x S�S.QO "' �_,_� � = y� Numbcr af fixtures (r� $35.OQ � x �35_00 °'S State Swxitatg�.�� Tn � �-��, c � Tl� L5 AN /lPPL1CAt1C�1 FOR A YERM1T-h►C1T VA!.ID UtJTlL pRf�CESSED f henbY $P?1" for a bui1Q�$ fx�t e7td 1�ckaow[r,dge that tl�e infotmauoa gbAvc is cflmplet�e aad sc�tw�te; �Ht�I undtrs� d thiS is • . Cazibn far e. it and ,+'ork is no! tc, su+tt +withoW s ptxmit; tt��! t6e worlc wili ba iA ac�ordance ,,nth thc COI�fOl��C1� 1tt1� LitC �1T� �P�s Btld G�CS�� thC Cllj+ Ot �"t�dley and witts t3tt MIi�eSOta �Co�ssCUC�'ton C cs; �� permtt bat oa1Y ea aPP � fey i�r si�d appra�a] df p}�s. y� . �.,tlrq�ed plan }i C�ei' c'as' �f a13 t�roili 'N�hn:b� rec�u __ _ _ .. . ..r.�i �A w Jn. �d L1� {IKL-.._D/�iE � % ' � ��- SlGNATURE oP id �i : i i � r�� •�� City af Fridley $w�ldin� lns�ections Dep�artment . 6�31 Univ�g�ity Av�t�uo NE, �'tidl�y, MN 5543Z 7fi3-57Z-36U4 FA�C: 7b3-sa�-49�� G�T Ta':.'?G � ' �� : �k� �ra t�,:1� fa r-� a �:� : wCu� Building Inspections 763-572-3604 DATE� STTE ADDRESS _ THIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR SUBM[T A COPY OF YOUR STATE LICENSE WITH PERMIT TYPE TYPE OF WORK: PLUMBING RESIDENTIAL APPLICATION CITY OF FRIDLEY YOUR E-MAII. ADDRESS �� - ❑ OWNER �CONTRACTOR NAME: � V ��.��._ nDDxES�• � e� �- �� S� b crr5 PHONE�� ' � � f NAME• � � d11� 1lB�� STATE LICENSE # .� °�%� EXP DATE ADDRES�S: ` i° (f CTI PHnNF�/s�'/ / �� C�� FAX �INGLE FAMII,Y ❑ TWO FAMILY ❑ NgVy �REPLACEMENT DETAILED DESCRIPTION OF WORK _�P IGC.�zw.s ❑ TOWNHOUSE u �e� r�' v� Permit No.: Received By:� D��a�AN ,� STATE ZIP�3�- ATE�ZIP�O PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fiactures. (This should reflect only the cost of labor ) Labor cost under $300� �1� Labor cost between $300 to $500 = cost of labor x.OS = FOR PROJECTS WI�RE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL �BAER OF EACH BELOVI� TH SINK/LAV _FLOOR DRAINS _ SHOWER _ WATER PIPING � BATHTUB _ GAS PIPING (n� crrrtrcovsE) _ SWIMA�IING POOL _ WATER SOFTNER ($35) CLOTHES WASHER KTI'CHEN SINK WATER CLOSET _ BACKFLOW PREV. ($15) DISHWASHER LAUNDRY TRAY WATER HEATER ($35) FOR IItRIGATION — WATER METER _ OTHER Permit Fee TOTAL DUE Number of fixtures @ $10.00 x $10.00 = $ Number of fixtures @ $15.00 x $15.00 = $ Number of fixtures @ $35.00 x $35.00 = $ State Surcharge = $ .50 Tota1= $ THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an applic ' for a p 't an ' not t start without a permit; that the work will be in accordance with the approved plan in the case of w rk whi re i�es i proval of plans ��/� /�� SIGNATURE OF APPLICANT PRINT NAME DATE � City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 �uilding Tn.spections 763-572-3604 �ATE s;� a.tt�D�ss _ THIS APPLICANT IS: 14 ! c� L��n PRO'PERTY OWNER! TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION PROFERTY TYPIE PERMIT TYPE �E oF woxx: BUILDING RESIDENTIAL APPLICATION CITY OF FRII�LEY YOUR E-MAI � a � n.� ! � � OWNER gjCONTRACTOR ocnn c � � �ss: L � 2 d� a n n,c F� ?6�l S74• �1^L Permit No.: � - -. : �.`��'� �� i o d; S A c l �lt.�'.�. o/1,� s. � o� N,,�: I'HD At- Home Services, Inc. sTa.� Lic 2690 Cumberland Pkwy, Ste 300 ,�nDx�ss Cumberland Office Park PHONE Atlanta, GA 30339-3913 ❑ sING� Lic# 20268257 Ph. 763/542-8826 ❑ TWO FA � _ . QADDITION 0 BASEMENT FINISH ❑ DECK DESCRIBE BJORK BEING �IZE OF Il��PRflVEMENT :OOFING �iUMBER OF SQiJARES tARAGES 'ROPOSED SIZE: 'ROPOSED HEIGHT: yIDING � Vinyl 7 Alutninum 7 Other w ❑ ROOF ❑ SIDING ❑ SWIIvIMIIJG POOL ❑ ADDITION PAIR ❑ REMODELING 1 c�u �,.S f`c A Ct L,! � LENGTH ❑ HOUSE ONLY O HOUSE & GARAGE ❑ ATTACHED GARAGE � DETACf�D GARAGE OSoffit ❑ Trim ❑ Fascia ��3� ey� CITY STATE ZIP. �9,wIISDOws ❑ DRAIN TILE ❑ OTHER S �/I 0 V l WIDTFi h�INDOWS Id EXLSTING OPENINGS�L Yes QNo L.C?C TION OF WS / �R FOR NEW OP�NINGS-DESCRIBE S�ZE OF �le S�1!'ttJ1� �(/!t t�'1i ��a' ��` y �PENING CHANGES & � . -I'PE OF WII�IDOW TO BE INSTALLED B�� NUMBER OF �VII�IDOWS � VD/ BASEA�NT REMODELING SUBMIT: 1. Existir►g Floor Plan 2. Proposed floor plan 3. List of struchual members to be used F� FOR NEVJ CANSTRUCTION INCLUDING DECKS, ADAITIONS. & PORCHES SUBMTT: 1. Site PladSurvey showing the existing strucbues and proposed project 2. Two sets of conshuctiot� plans 3. Energy Calculations ALL FEES ARL BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERiALS: (USING THE 1997 U.B.0 FEE SCHEDUI:.E) TOTAL JOB VALUATTON $ oZ L 4/ OCCUPANCY TYPE ' �rmit Fee ' 'lan Review >urcharge ire Surcharge icense Surcharge '.4C Charge :urb Cut Escrow ;rosion Control 'ark Fee °wer Main Charge "otal Due $ $ / 35 $ ��G4 $ S. c, u $ $ $ $ $ See Back Page for Fee Schedule 6S% of Building Permit Fee (A00� times the tatal job valuation — Minimum $.50 .001 x Permit Valuation (1/10%) $5.00 (State Licensed Residential Contractors) $1450 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$20=$ $450 Conservation Plan Review Fee Determined hy Engineering Agreement necessary ( ) Non Necessary ( ) Make checks navable to: Citv of FridIev Attach THIS IS AN APPLICATION FOR A PERMI'P-NOT VALID UNTII. PROCESSED hereby apply for a building permit and I aclmowledge that the information above is complete and accurate; that the work will be in �nformance with the ordinances and codes of the City of Fridley and with the Minnesota. Construction Codes; that I understand this is not a °.rmit but only an application for a pemut d work is not to start without a permit; that the work will be in accordance with the approved lan in the case of all work which re u' es re 'e andapprovat o€plans. IGNATURE OF APPLICANf PRINT NAME / � , ` S C ! /.J J � � DATE `�� `7' �! � Page 2- Building Resideniial Application BUILDING PERNIIT FEE SCHEDULE `I'he Chief Bui.lcTin.g Official shall, before issui.ng permits for the erec�ion of any building or .stru.cture, or for any ad�ii.tion to any e�i.sting bu.ilding or s#ructure, or for �a�ry al�ration or repair to any e�sting buiiding or siructure, upon application therefore, require the payment by th� applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to-wit: TOTAL VALUE FEES $1 to $500 � � $23.50 (Minimum Fee is $23.5.0 gl-us surchazgej- $501 to $2,000 $23,50 for 1�` $500 plus $3.05 for each additional $100 or firactian, to and inclndin $2,000 $2,001 to $25,OQ0 $69.25 for 1� $2,000 plus $14 for each additional$1,000 or fraction, to and includin $$25,000 $25,001 to $50,000 $39125 for l�` $25,000 plus $10.10 for ea.ch a.dditional $1,000 or fraction, to and includin $50,000 $50,001 to $100,000 $643.75 for 1�` $50,000 plus $'i for each a.dditional $1,000 or fraction to and includin $100,000 $100,001 to $500,000 $993.75 for 1�` $100,000 plvs $5.60 for ea.ch additional$1,000 or fraction to and including $500,000 $500,001 to $1,000,000 $3,233.75 for the 1� $SOQ,000 plus $4.75 for each ad.ditionai $1,000 or fraction to and including $1,000,000 $1,000,001 and up $5,608.75 for the 1�` $1,000,000 plus $3.15 for each additional $1,000 or fraction VERIFICATION OF FOUNDATION Permits for constru.ction will be issued a min;mum of 24 hours from the time of application to allow for proper review of proposed structure and of the conslruction site. A Certi.ficate of Survey of the lot, showin.g the location of the e�.sting foundation wil.l be required. before proceeding with the framing. New Hou.ses Onlv City of Fridley Building Inspections Departrnent 6431 University Avenue NE Fridley, MN 55432 763-572-3604 Fax: 763-502-4977 ___i