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AF - 37002.� � Date Owner �� BUILDING PERMIT ^ Village of Fridley, Minn. No 2��� . ��.?.y�.1�iS$ ............. . . . . . .�. .. .. Builder .... ...................... .� .�. Address .�.�.!. �.�.. ♦r ... Address ......................................... '��:. LOCAT[ON O BUILDING � � No. . ./.�.�`� . . . . . . Street . . . . . . . . . . . . . . . . . . . . . Pax� of Lot � �� �� � �����,��"'. ) l`;,� � � � � --�!- � Lot ..�%��........ Block ................ Addition or Sub-Division ....' . . _ .. -.. - :.—;..-.. .-;.—_ � � �i� � � Corner Lot . . . . . . . . . . . . Inside Lot . . . Setback . . . . . . . . . . . . Sideyard . . . . . � . . �,,, , , , , DES�RtPTION OF BUILDING To be Used as: . . . �.i%�.. �. Q,.. Front . � .� Depth a. �'f. . . Height . . . .. .. .. Sq. F't. . �� Cu. Ft. . . . . . . . . . . . . . . . .. . . . . .. .. . . . Front . .. . . . . . Depth . . . . . . . . Height . . . . . . . . . Sq. Ft. . . . . . . . . Cu. Ft. . . . . . . . . Type of Construction . �11, � �J71�. . Est Cost . .�, :s�� �: . f� Q . . . . . . To be Completed . .�. �n.d�, . . . . . . �< I� cor�sider�tian of tke issuanee to me of a permit to construct the building described above, I agree to do the proposed work in accordance with the description above set forth and in compliance with all provisions of orc�inances oi the village of Fridley. ideration of the payment oE a fee of $.4%.%�°�, permit is hereby granted to ,,.,,, .•••• .. to construct the build3ng or ad dition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and worlunen, in all work done in, around ancl utpon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Mini�esot�, regarding location, construction, alteration, am nance, repair and moving of buildings with- in the village limits �nd this permit may be revoked at any e upo violat on of e provisions of sa.id ordinances. _ . .�%�j.�. - . . . . . . . . . . . . . .�,��g ��r _ y � NOTICE: — This permit does not cover the construction, instaliation or alteration for wiring, plumt sewer or water. Be sure to aee the Bullding Inspe�tor fo� separate permtts for these items, heating, r�dn rG�- �n � �-~'��j.�� � � y � � C c' � i.i � � M H z�x� ui � 4� O � � � � � � � � � �: '� � � � � --•�-- � � � � � o $&. � � _� � �� r �+ � � N (n � ia �' � � p � � Y � �; � y f�A � � b'� �� ��h'� �p �, k Ly+1 R � � ��+ o i� � N � o � � � o � : o . � : : I I I � N �4 �4 � � � O O p � {!3 {fl {iS � [ry � �� r � o0 b �� eb � � � � � � � �D � Z �v m t�i� � �� � � v� r � � � I� � 0 � � � � � � � 0 0 0 0 0 � � O O � l� � O r � � aG C � y O w oa °' � � m � M � � 0 � � � � �. �: �: p' : �: a � zy � R � b � . .� 0 �� 1" `uA -�� 'Y �. �� �� w C O f/9 � ro x M 0 �° � w � � � � � � O m �y � W � � � w N � � y O O G G � � � R° R° �b � � � � � g��.� � o�oo� �� :�,� �� •�� : : � � : : o � . . � � : � � � . . y . t.� n� ao w t,7� G� C G O O O O �fl if! :fl �69 0 � � � � � � 0 � o � � ° � � m � � I w g �,1�� � � � � � � � � � � � � � � R° �° Sp � � � ����'G� � id �' � R° `.d 0 0 � � � � o � � � � � � � m � : y o ,��''. � .: Q � �. � � o : ' ° S � : : o � � : : � tv er cn p� pp O O O S O {fl {-/� �/J {f! a � � � p ►�i t�b � � � . y � � �� ��. �+ r ►+ I I � � ����5 � b � � � � � m � � ��°� �� �. m � � o � � � � � w � � o � � � � � � ° � a, ° : . � � . . � . . �•°: : g $ : : S : : : N w � � � C7� C O C O O O Q � � 0 � aa� � � '�o b y v� � � � m � �w �� � o ���� � � aa � y � � W�p � �n� �D �1� p G`4 ��� �. �w y � ���� � � w� a��i m �iR.�p �� a,o ►! �,�a� �`� �ro � a.� �� ���y ���� �.� � ��o ��� �o �. 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Ceiling Ceiling - Floor Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area -- - th Width Height Windows and Doors—Crackage and Area -�---_�___ Wldth Helght No. ot Lineal ft. Area No. oP pane o[ pane 1lghte of crack eq. ft. �- O �' � �-+ m � �4 � ' � - � �, � �r � ,r �,�''' � � � � .a �� `� ,. �+E�i � �' `L .3�?. � B. � Coef. Btu Cnlass Exp. wall Net exp. wall Int. wall Ceiling Floor ?otal Btu. 0 — Required sq. ft. E.D.R. or sq. ins. W.A. Leader area � oom Windows and Doors—( Wldth Height 1 No. of pane o[ pane 1 � Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling 1� loor Total Btu. Width Height and Area neal tt. Area 'crack ea.ft. � 1 ft. E.D.R. or sq. ins. W.A. l.eader area Bm '��P'r� �`e� ��� Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl.l Room ( Length Width Windows and Doora—Crackage and Area �Wldth HelBbt No. oL L1nea1 [t. Area No. of nane oP nane 11Rhte of crack ea. Yt. 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N cn ��cn t� oo w cn ca w� o °o °o o° o° o °o °o °o t!d {A fA � � EA :fl 0 � 0 IV 4 � a � � � � � � �� � ��� w aa� � y �i'�� M y��� � � �o���. � o ��� �a � d°� � � �, �� o ��°� � � p � �� � ��y � � ���ro y� a�- -'C1 o��� p�t�o ��Op � �� �o ti t �� �b � � ��� 1 �m �y � n � e�+KfD ��Q` 8 �7 M a-� �. r+ �D � � I� � � � D � i � � m �^ ` � m C m a d » � `� ro 0 � a � a V O � � • � � � �• � 7 � � � � .� ._ �O ��- a° �w A � �� � � • �. �i 70 � d i � �� �� � \°� � sua�ecr PER c�ty of Fridley � 41 �o` AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r � � RECEIPT NO. COMMUNITY DEVELOPMENT OIV. r � ~ � PROTECTIVE INSPECTION SEC. �� °� i � � � /"'1 � CITY HALL FRIDLEv SS4$2 NUMBER i1EV DATE PAGE OF APPROVED Bv �"""� � ��' 612-571-3450 9�0-F15 10/17/96 / / JOB ADDRESS 6725 Channel Road NE t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED oescR. 4-R Second Revised Aud. Sub. �F21 SHEET 2 PROPERTV OWNER MAIL ADDRESS ZIP PHONE Paul Vik 6725 Channel Road NE 571-7768 3 CONTRACTOR MAILADDf;ESS Z�P PHONE LICENSENO D& D Home Im rovement Inc 7401 Central Ave NE, Fridle MN 55432 784-7543 4 AFiCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 4840 5 ENGINEER MAllAODRESS ZIP PHONE LICENSENO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION p ALTERATION � REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reside House 9 CHANGE OF USE FHOM TO STIPULATIONS SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTHUCTION ZONING SO. FT CU. fT AUTHORI2ED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WOHK IS SUSPENDED OR ABANDONED FOFi 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 KNOW THE SAME TO BE TRUE AND CORREC7. ALL PROVISIONS OF LAWS VALUATION SUfiTAX AND ORDINANCES GOVERNING THIS TYPE OF WOfiK WIIL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT �L, 990 � 1. SO DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCT OR THE PERFOR NCE OF CONSTRUCTION. �]�{. %rj Fire .5�,' �2.99 PLAN CHECK FEE T TAL FEE `� ( Lic se C .00 $84.24 IG A UAEO ON'RACTOFlORAUTHOAIZEDAGENT DAT 1 Pfj LY VALID THIS IS YOUR PERMIT �--� /�-� ' � S�GNnTUAEOFOWNEA��FOWNERBU4DER� �DATE� LDG � � qpiE NEW ADDN ALTER C] [l [l ConstructionAddress: Legal Description: Owner Name & Address: Effective 3/1/96 C1TY OF FRIDLEY SINGLE FAMII.Y AND DUPLEXES R-1 AND R-2 Building Permit Application . Tel. � �Z�r'l��t� COntrdCtOi: D_& D Home Improvement . I nc MN LICENSE # a R 4 0 Address: 7401 Central Ave NE Fridley, MN 55432 Tel. # 784=7543 Attach to this application, a Certificate of Survey of the � lot, with the proposed construction drawn on it to scale. DES�RIPTION OF IlV�ROVEMENT l / \ J LIVING AREA: Length � Width Height Sq. Ft. GARAGE AREA: Lengtti Width Height Sq. Ft. DECB AREA: Length Width HgtlGmund Sq. Ft. OTF�R: Corner Lot [] Inside Lot [] Ft. Yd Setback Side Yard Setbacks Type of Construction: ��� `,S'%q�%t/'q,=� Estunated Cost: $� 9qp � Approx. Completion Date: /�/�D1/; �j , �q+�� .(Cost on Back) Driveway Curb Cut Width Needed.: Ft. 6 Ft = Ft x$ _$ DATE: I� APPLICANT: py�, Tel. # 2Si�7S� Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ ` �r' � $ �. $ � . S�( $ $ � . C�L'� $ $ $ $ ��� . � CITY USE ONLY Fee Schedule on Reverse Side .� 1 of Permit Valuation (1 / l Oth %) $.50/$1,000 Valuation $900 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.� Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] SuBJECT City of Fridley AT THE TOP OF THE TWINS g � I L D I N G P E R M I T i � � � � `y __���_ COMMUNITV DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. i._-.� ��"' �.� CITY HALL FRIDLE� SSA32 Nu�BER r+EV DnTE L 612-571-3460 910-F15 9/8198 JOB ADDRESS 6725 Channel Road NE Fridley, MN t LEGAL LOT NO. BLOCK TRACT OR ADDITION oescR. 4-K (1020) Second Rev. Aud. Sub. ��'21 2 PROPERTY OWNER MAIL ADDRES$ ZIP Paul R. Vik 6725 Channel Rd Fridley 55432 3 CONTRACTOR MAIL ADDRESS ZIP Owner Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP 0 5 ENGINEER MAtL ADDRESS ZIP 8 USE OF BUILDING Residential 7 CLASS OF WOFiK ❑ NEW ❑ ADDITION ❑ ALTERATION �7 REPAIR 8 DESCRIBE WORK Reroof house, (12 Squares), Tear-off 9 CHANOE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBINO, HEATING, TYPE OF CONST. VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL A'ND VOID IF WORK OR CONSTRUCTION 20NING AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTtON OR WORK IS SUSPENDED OH ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WOAK IS COMMENCED. NO. DWLCa. UNITS I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO 8E TRUE AND CORREC7. ALL PROVISIONS OF LAWS VALUATION AND ORDINANCES GOVERNING THIS TVPE OF WOFK WILL BE COMPLIED �1028 WITH WHETHER SPECIFIED HEREIN OH NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pERMIT FEE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. �37.SO SIGNATUR CONTRACiORORA,U/T�NORIZEDAG�,NT IDATE� � 'l� /\ ��� _/ tl /� � �i,, 1 �J � ' Ci - 1� T STA�LS PAGE OF � � 27592 `�` -�GE4RT fd0�: " _� � �� 6 � APPROVED BY SEE ATTACHED SHEET PMONE 571-7768 PHONE LICENSE NO. PHONE LICENSE NO. PHONE IICENSE NO. ❑ MOVE O REMOVE OUP OCCUPANCVLOAD CU. FT. iFFSTREET PARKING IGARAGES iURTAX $.51 AC CHARGE Fire SC $1.03 07 FEE / $39.04 THIS IS UR P MI 7 � � f�eTE NEw ADDN ALTER [ l Effective 1/1/98 [ ] CITY OF FRIDLEY [] SINGLE FAMII�Y AND DUPLEXES R-1 AND R-2 � CI � M BUILDING PERMIT APPLICATION . a� � � o _ _ , �� ConstructionAddress : Legal Description: _ Owner Name & Addr Contractor: --��� Address: � 7 °�.�i' LNING AREA: GARAGE AREA: DECK AREA: OTHER: Tel. #_ ���� ��_ MN LICENSE # Attach to this application, a C�ftificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IlVIPROVEMENT Length Width Height Length Width Height Length Width Hgt/Ground �I�,�S� _ Tel. # .� �% �� � Sq. Ft. Sq. Ft. Sq. Ft. �� � �� ���� Construction Type: � y' ��,�,�—l�`jC Estunated Cost: $ �(3�� Ob (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: APPLICANT: Tel. # CITY USE ONLY Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge $ ?$�b Fee Schedule on Reverse Side $ �. d,� .001 of Permit Valuation (1/lOth%) $ • $/ $.50/$1,000 Valuation $ $1000 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 [ ] TOTAL $ � !• � STIPULATIONS: � 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 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 $2,000 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,001 to $500,000 $500,001 to $1,000,000 $1,000,001 and up FEES $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,OQ0 plus $9.00 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 $1,000 or fraction thereof, to and including $100,000 $887.25 for first $100,000 plus $5.00 for each additional $1,000 or fraction thereof, to and including $500,000 $2887.25 for the first $500,000 plus $4.25 for each additional $1,000 or fraction thereof, to and including $1,000,000 $5012.25 for the first $1,000,000 plus $2.75 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alternate "A" : Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50. Altemate "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. w � � D � �. � O � � � � v,• � y. (D p N � A � � o � � _ � fl. � 0 �• � �• � � A CD "� �. O � m °1 � N `c o- o fD �� �Q . � :-r S O C r+ D v '� 0 < c� Q. � 0 C � � � v d N _n � � � � m � m z N � m � O Z "n rn m � � V O 0 � _ � N oa' � m a �� `� � 1 `� 2 � z G� (7 O � O �3 � �D 1 � �. d a�i � m a c o � D _ v �' ui � � m 0 � O 1 � O � fll D m r m � � m s a► � cD ffl bA � ��. v � m � 1 � i � !:9 -t � y .-I a � � � � � n � m � m � a ? o,am N ,..r N y o' m °� Qv�. 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VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When realacina an existina furance, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes () No () The venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes () No () The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturers specifications. This does include AGA-GAMA Category I Central Fumace Venting Tables for fan assisted and natural draft appliances. The existina combustion air is sized and installed to meet the cuRent codes and manufacturer's specifications. When required to install a new combustion air, it will be sized and installed To meet the current codes and manufacturer's specfications. Yes()No() Yes ( ) No ( ) Yes ( ) No ( ) When installing a new ventina svstem, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Fumace Venting Tables for fan assisted and natural draft appliances. Yes () No () Is the common vent and vent connectors sized and installed coRectly after an appliance has been removed from the common vent and vented separately as per current codes. Yes () No () Appliance Tyae and Size/Common Vent and Vent Connector Information Appliance #1 Type BTU Input Fan Assisted or Nat Appliance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input Common Vent Type Vent Height Diameter inches Appliance #1 Vent Connector Height ft Length ft Diameter in Type Appliance #2'Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type ALTERATIONS: (Describe) HEATING CO: Signed By: Date :