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I h r; 8 IIw �:� 41 A'l �' � c9 � ei �� L� � � �9 W � � �' 4i �j �� t I) i�, t1➢ €I ,i , �. � � �-? �-' , , � �a � ' � �a 4 � ''� i':� i`� E� � � � F i ry., _.. ,1.. I 1� �� n � F"� � � C�, ��: '9 � y ? �� 1�.. �� ;. .�:3 ��: :�. �,�.� . �. g.;. v - f , �1t ,;; +r �,Y:t k5� Y �` � ;; � ". , � W , � , � , � � � � P T SUBJECT P, 132'7 City of Fridley AT THE TO OF HE NVINS g U I L D I N G P E R M I T r � � ECEI . � � COMMUNITY DEVELOPMENT DIV. �� : ------� r � � PROTECTIVE INSPECTION SEC. 1 1 � l_-_- � �/'�','� CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY L � � 812-580-3450 910-F15 � � 10 23 75 10B ADDRESS 6830 Channel Road N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 20 Brookview Addition SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE Michael Falkowski 6830 Channel Road N.E. 3 CONTRACTOR MAILADDRESS Z�P PHONE LICENSENO. Kinghorn Rc�gers, Mn. 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. 8 USE OF BUIIDING Residential 7 CLASS OF WORK ❑ NEW � ADDITION � ALTERATION � REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Replace kitchen window 8 CHANGE QF USE FROM TO SfIPULATIONS SEPERATE PERl�tTS aE�U6FtED ��R '�'��If��g� M�ATINC, PL�l��4�39�9G ��41� Sf��1S. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. WOOCI FY�ID THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTflUCTION ZONING SQ. FT. CU. FT. AUTHOHIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTHUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT R], 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 CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED, yS`�jOO WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT . SO DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. 'rJ.00 PLAN CHECK FEE TOTAL FEE $5.50 SI�NATU-EOFCONTRAC OHORA HOA¢E GEN'r � IDn7E1 WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT a � d �_�z3-7 `� eL._JC�._.i�lei_(�� L�(..JJl.6��' /� %�. a_ � SIGNATUREOFOWN WNER UILDERI IDATEI BLOG INSP DATE . •. .� '. •APP�LICATION FOR R2:SI'DL'NTIAL., ALTLItA1'ION, OR AllllITION.BUILDING P�RJ�IIT CITY OF FRIDL�Y, riINNESO'I'A � . .. . � �O% � � K� �s�� . k� � � � �-�Q � � � . O�dNEIt � S NAI�i� : l I JL°l�ltl E L �FI Q BUILU�R . ' . ADDRESS : �� - `� �/vn% �- �— 6�.-�• ADDRESS : � G> �°�- �'-� , �°I 11�.11��° � . . . . N0 : . � � �Z� STREET : � �Z /� � � � �-- �� . LOT : � � BLOCI: • /v � ADDIT�ON : •� �� `°� �'� CORNER LOT: INSIDE LOT:�_SETBACK: SID�Y�D: 0 Applicant attach �o this for�: Zt•�o Certificates. �f Surve .of L�oC an3.pxoposed . building location dra�an.on these Certific�tes. � . ' � �BESCRIPTION OF BUILDING . Ta Be Used • �. � � � � � � �--�� . , . � � c,,�l Front : Depth : Height . � ia�,� 1 �C . Square Feet: � Cubic.Feet: � .� Front• Depth• Height: �.. . � � Square Feet; Cubic Feet: � • . � .-.,--. � ' ��.� � �%7'�� Estimated Cost: $ ��!� ` Zjipe of � Cons truction • _� , � �' . � � �- � � �e �- 7 � � To� Be Completed: � • • . �- The undersi�ned hereby makes applicatinn for ,a pe�it for the work herein specitied, agreeing to do all ��orlc in stiict accordance iaith the Cit}• of Fridley Ordinances and rulings oi the Department of Buildings, and her�by declares tliat all the facts and representations stated in this applicaCion axe 'true and correct. � . � • n��: 1 C�- � .� � `% � (See I�everse Side For Addition�,. �r.�v��... � ' � ��:;�. .. .�-- . `��"7� �� G . . ,• . . . ' � . 0 . , R 0 �:. �� , � � • •� BUILUIN{i L'.L•itNlll rL•L• ,l.tli:uul.� � . , . : . , . .. ' � . • ' ' . I � 5�CTION 2. The Inspector oi nuildings shall, bei•.ore issuing permits for the p cxection of any building or structurc, or for any addition to any existing ! � building or structure, or for any alteration or repairs to any cxisting � buildins or structurc, upon application theretore, require the payment by the ' applicant io'r such permit of fces to thc air.ount hcrein below set forth and i;t I the mannen c�rein provided to-wit: . , • ' � a ' � � . ; �.� UriIrOl'1�i BUILDII�G COD�: Type 1, 2& 4-$2.15 fox each onc thousand cubic feet, or fraction thereof, in such cubical contents. Type 3& 5-$1.$5 for �� • ' each one thousand cubic feet. � �• �' � • ' • . � . . .. � � � • � � ADDITIONAL INFORI�ZATION � •� . . .. � Fox the purp�se af computing fees for buildin� ��rmits, the c�bical contents �• � of any building or.addition, is determined by multiplying�the ground,area . covexed from a point six (6) inches below the floor line of the basement • or the cellar ta the average heights of the upper surface or to the av�rage� , height of the•roof surface of the main gable of a pitched roof. � ' "• � � For repairs •or alteratians to•an existing structure, the fee shall be at the • rate of $3.00 per each five hundxed�dollaxs ($500.00) or fraction thereof i.n . the cost of all Proposed �aork. ' . . • � � in no case shall the fee chaxged for any permit as set forth i.n Section 2 be � . `1ess.than $5.00. � � ' . � ' � � VERIFICATION OF FOUNDATION � � ' . .� � , , . ,� fiOT�: Permits for construction will be issued.a minimum of 24 hours from the , , ti.me of application, to a11o�a for proper revie�a of the proposed structure and, � • af the construction site. , � . . A Certified Survey of the lot, showing the loca�ion of the foundation, once it i has,been constructed, will be required before proceedin� witii the framing. � . i • . . • • � • . CERTIrICATE OF�OCCUPANCY • � . � � . . � � Applieation for a Certiiiczte of Occupancy shall be made ten (10) days prior , to the use or occupancy of any structure for which a buildin� permit has been issued; �nd s�id structure shall not be used or occupied until a Certificate � ' • � of Occu�ancy h�s been issued. . . . e - ( . • . • . , . . .o� • � . . -� . . , , ' ' '- I �`. � � . � � . .� � � � � �� _ � . E _ . . � SUBJECT City of Fridley 17 8 S 0 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T ' ' R � �`y _ COMMUNITY DEVELOPMENT DIV. I� r� �� r � � PROTECTIVE INSPECTION SEC. U 1 i � l.--. � �r��;', CITY HALL FRIDLE� SS4$Z NUMBER REV. DATE PAGE OF APPROVEO BY i �� 612-571-3450 910-F15 3/27/85 / / JOB ADDRESS 683 O CYLdY1riP� R08C1 N. E. 1 LEGAL LOT N0. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 20 Brookview Addition SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE David W. Sepple 6830 Channel Road N.E. 574-0559 3 CONTRACTOR MAILADDRESS Z�P PHONE LICENSENO. Same 4 ARCHITECT OR DESI(iNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE IICENSENO. 8 USE OF BUILDING ' Residential 7 CLASS OF WORK � NEW C� ADDITION ❑ ALTERATION ❑ REPAIR O MOVE ❑ REMOVE 8 DESCRIBE WORK Constxuct an 18' x 13.3' Addition and an 8' x 13,3' 5olarium 9 CHANGE QF USE FROM TO STIPULATIONS ��P��A7'�' ��I�'S ��'�R�� "'" �� l�°:. ; ��^s �-��a r�.� ��'�� . ��r�� e � �� 6��?m';"dS��nu Ca�l i0C7� �/�l�lk'��-�� . �� «��';��'� �� '��°o � �� SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY (3ROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. • NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINEO 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 $12� 550 S6, 28 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGUTATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $�.�.0. SO None P AN CHECK FEE TOTAL FEE $ 27.63 $144.41 GNATUREOFCONiRnCTORO UTHOR12EDAGENT (DATEI WHEN PROPERLY IDATED THIS IS YOUR PER IT � � �.[� 3 �-7 � S' ` ,% ,�. � SiGNATUREOFOWN R�IF'OWNERB IL�ERI ID TEI BLDG iNSP aTE NEW [ ] ADDN. [ �'j �,T�t. I ] City of Fridleq R-1 A11D R-2 Building Permit Application Effective 4/1/84 Construction Address: �v�-�� £L �DY�D �� • Legal Description: �T ab ��UOK v I�c.�,� � � b I i l 0 K� Owner Name & Address : ��U � � � ' `'�p� L�- Tel. # -��`��v J �` � Contraetor: �m � Tel. # Addreas: S►�m �- Attach to this application, a CertificaLe of Survey of the lot� With the proposed construction draWn on it to scale. � ,�,� � ,�, , r DESCRIPTION OF II+1Pa0YEl�NT ,, � F �,� �LZVII�G AREA: Length � ilidth ��•� � Height `r ``l� Sq. Ft� _.� QARAGE AREA: Length Yidth Height Sq. Ft. � DECH AREA: Length _. Yidth _.,_ Hgt/Ground Sq. Ft. _ Q'j'j�Ej�; .�04.��e0A� � � .�e�+ � �� '�°��'�"� ��9� �u�.A�l � ica,��. � �'�� s�� # - A ��. �°� Corner Lot [ j Inside Lot [] Ft. . Setback Side Yard Setback �ype of Construction: �' � °�x''-��=�� "Approx. Completion Date: �� "` � Estimated Cost: � �?�`�� Alt. A Alt B Proposed DriveWay Width If NeW Opening Is Desired: # � - See Back Page for Explanation DATE: 3".�i�'°' �'�� APPLICANT: � `�(/ Tel. # s�!�-�S�`f.,% CITY �SE OI�LY Permit Fee � ��w� Fee Schedule on Reverse Side Plan Check � �� 25x of Building Permit Fee State Surcharge a ��s� � �•50/�1,000 Valuation SAC Charge � � a425 per SAC Onit Park Fee � � Fee Determined by Engineering Seirer !lain Charge � � � � Agreement Necessary [ ] Not Necessary [ ] ?0'rAL � � STIPULATIONS: � . BOII.DING PERI�iIT FEE SCHBDIILE Tbe 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 sueh permit of fees to the amount herein DeloW set forth and in the manner berein provided to-Wit: Total Valuation a�.00 to �500.00 �501.00 to �2�000.00 �2,001.00 to �25,000.00 ��5,00,.0o to a5o,000.00 Fees �10.00 (Minimum Fee is �15.00) �10.00 for the first a500 plus �1.50 for each additional �100 or fraction thereof, to and including �2,000. �32•50 for the first �2�000 plus �6.00 for each additional �1,000 or fraction thereof, to and including �25,000. $170.50 for the first �25�000 plus #4.50 for each additional �1�000 or fraction thereof, to and including �50,000. �50�001.00 to �100,000.00 �283.00 for the first �50,000 plus �3.00 for each additional �1,000 or fraction thereof, to and including �100,000. �100�001.00 and up 5433•00 for the first �100,000 pius �2.50 for each additional �1,000 or fraction thereof. DRIVENAY DEPRESSION ESCRW (Concrete Curb Streets Only) . Alternate "A": Removal and replacement of curb and gutter only - Driver+ay 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 VERIFICATIOp OF FOIINDATION Permits for construction Will be issued a minimum of 24 hours from the time of application to a11oW for proper reviex of the proposed structure and of the construction site. A Certifieate of Survey of tbe lot, ahoving the location of the foundation onee it has been aonstructed �ill be required before proceeding with the Praming. � �t �� c��-- �s� t3�� ' a 0 le 4 � , � , ;�. �� °� 1r�� .l�� I l� ` � ��'��' �� ' � ' � ► � �- n U �� l� ��, � .•�� / >,�. > _ _ �.�rA�' � .� �^°° <- r ` ° � .. �.« � � � � � - r� � ' ' - ,�.`2'�R .:Y� p.y . .., ' ..3.a��°± ' •�r�a �+:: ,. . � � � E qj� ♦ .'� `�-� ✓s�� 1 � -�':N' y �A . 5'� '�i . - 4, " — 1�._ A1%ar��* ,��' r��_ � �}.r_c� '; ._�W`l.. -. . . . . . a. { ," - t . - �� ,fa"`-ai ! _�',� . " 14 . - - �� w e °t" S.� ' � Pr _' . ( J°`. �� :i� b: � P • . . - P�' ,. b _ `4i��'8".�. T' .��' � ' . � ' � #.r � � � .- 2. � - .r; ��`-�'�' ; � ' - ° , �. �, Pe ��,�,*�-?' T'"n � � k � y� �� ., ,•; #� � � t°' � � ; � � , ' , a �� `� , � �' � ► •. . a � = _�j � � � ' �� `"� � � �� _� ' �� t5` 9 �� .. �,.:,� ss..� .� - - � '�� . a�.��. , ��, • ;e "' - �- �Y .r '� � ,�s�:. ' �. .w�.: � .# _ .;� a. o .. 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Ct. ;L� . 6 f u'K .h t � 's3. ��t°i�• ��.n'1Jb Y � �{ ft.� # v',. _ t -y �k- . - �,�. : r ;+ t +i ° . - i -' - ' + , � w� �Y �-��. ; �7'i. .. �" t �`��l� �a't �,.;. y k - �y� t'f, . .- .{+.c .7,z-:�3' �` a p .-�°3._-�?'� - . . . . '�- �T ✓ �` �a, � � ' � , ¢ . � Ip'tl' � ' .n. `,. i�l�� 3 � ��'$ . . . ..,:,F y R' , � � � . • _ '� t k � -jF ,sij''j`-a , ;�'" ��}� .. ' . .y �.. .. . , _ �. �S�"�by �'d -.r ��"`�'' a' t . p � ` . . ' . , � .. . `� � �'x,.,,S' y- :�3: '��s','� �r i ! � �, �� . 4 t. i ° � r �i 1��.'�.,.��?�.��' � ; � � :. �,:?;.� i ? +�NQtt� �� W � "c t + �� 7 � .. � . r �'� . � � iY'-y _ �'G ( .,�r r { Y k , ?� � � t . �/ . � q f� �� E . :y �x .. �JL 5 .. � 5 -` f°^p , 'jj�' yY+�� y"' _ . : . _2,t. 'v.� ; aN � � 1 �� . � ! . � b..l . �} �+L)Ny M i � i ✓4 - i � J � ��i :� e _ I .. .. � �` ri �� . - �y "� : . - ,�+ ;... � .g B�ott+d � ' - - � _ i , : i � : : �� , � �; k „�. -� _ - I .'` � � , ' �: » �� _ � � ' r � �: Cy.t��.{�. . 1�� - , 1 ' � .e.i� � .�' i��.f � . � �.'.�. �" -, � ' •• � . �-. �. .. � .{r� '- �� $. • aacrno� �Fe�iacnrsnrr :- . . , :' -�`"- t. : Y ; -, .-� . , , ! � � '" I ""'_'-�>� .,� �� : , t Y sue�ecr PERMIT c�ty of Fridley zo 0 5 s AT THE TOP OF THE TWINS g U I L D I N G P E R M i T r � � , � R O. � ; y _____ COMMUNITY DEVELOPMENT OIV. � r � � PROTECTIVE INSPECTION SEC. � � 1 . � i---_ � /'�'1,j CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPqOVEO BY i �� , 612-571-3450 910-F15 8/14/89 � � 10B ADDRESS 6830 Channel Road N.E, 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED �esca. 20 Parcel 1100 Brookview Addition SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE John Benson 6830 Channel Road N.E. 3 CONTHACTOR MAILADDRESS Z�P PHONE LICENSENO. tniestphal Roofing 8232 Greenraood Dr., Moundsview, MN 786-7000 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS Z�P PHONE LICENSENO. ' 8 USE OF BUILDING Residential 7 CLASS OF WORK O NEW ❑ ADDITION ❑ ALTERATION �7 REPAIR � MOVE ❑ REMOVE 8 DESCRIBE WORK Rexoof �nrelling (15 Squares ) H�at Asphalt on k'lat Roof 9 CHANGE OP USE FROM TO STIPULATIONS r... On all new r ofs or tear-offs � Sfiate Cod� requ;res that 2 ayec s of p 5C� m fe{t��fs, mopped gether, be ins Iled to a poi 2� i�� up fro ExteKior �rall ine, or ti� u�. o� �� aPP� ved underlay n# memDrane. � � SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMgfNG, HEATjN�i,.. �PE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR COM$TRUGTION ZONING Sa. FT. CU. FT. AUTHORI2ED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME 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 CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND.ORDINANCES GOVERNING THIS TYPE OF WORK WI�L BE COMPLIED $2�rjOQ S�-•25 WITH WHETHER SPECIFIED HEREIN'OR NOT. THE GRANTING aF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE' pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGUTATING coN- $54.00 STRUCTI HE PERFORMANCE OF CONSTHUCTION. PLAN CHECKfEE TOTALFEE $55.25 GNATUREOF ONT TORORA oaiZ ENr -:�DaTE� . WHEN PROPERLY V ATED THI IS YOUR PERMIT SiGNATURE OF OWNER�IF OWNEH BUILDERi IDATEI � �� B�DG iNSP � /` " naT � [] �� [ ] awTm [ ) �structi� Address: L�gal Desc�riptiaa�: I�l AND 1�2 Building P�mit Applicatioa� � � Effective 5/1/88 - �,�.- o�rr�er Name & l�ddr�ess : � � ►t� p-� � �' Ka S � �1 � . � tbrnractor: li� � � �s �"� �� ,� I � c:�2 �t�e� �. � � oc� � �,aar�: � � � � ��— � � � � � � L1VII�G AREA: C�►Tt� AREA: D�3CR l�iltF�: OR�t: ��r� Attach to this applicatian, a C]ettificate of S�vey of the lat, with the pxoposed a�vctio�n drawn oa� it to scale. �IFt'I�T � �Tr �9� Width Heit�it Sq. F't. �h __ Width Height Sq. Ft. � _� Width �_ Hgt/G�r� sq. Ft. G�orner Iot [] Inside Iat [] Ft. Yd Setback . Side Yazd Setl�a�° Zype of Cbnstniction: �'eca.r- e��'�� `e--�-��'= �ated C�ost: $ �o �= Appirox. Cca�ipletian Date: ��- f" �� 02� �%'S , O� Proposed Driveway Width If New Openin3 Is Desir�ed� Ft. $ $ Width + 6' See Back Page L1A'PE: � � �'� �APPLICANP: Te1. # � � � � � � Permit Fee $ '`%l9 Cg State S�rch�-�ge $ / , � � SAC Charge $ Dtiveway Fsc�r,a„i $ park Fee $ Sewer Main Q�a�e $ CTl'Y DgE QiII�Y Fee Sd�edule cn 1Zeverse Side $.50/$1,000 Valuatian $575 per SAC Unit Alt. '�,A" or Alt. "B" Abvve Fee Determit�ed bY �gineer'ir�q � �'�Y L ] � �rY [ J T�►�AL $ �� ' °�S _ �� c�J� +�lln1.::11\+6�r7 i .� �� • o� �! � 0 ':�r�� f i}':.��y :r_ti° = v:l:r� 11 " Zhe tluef Huilding Official shall, before is.,�uinq peYmits for the ex�ection of aay building or stn�cbure, or for any additian to any e�cistir�q building or stt�cture, or for ar�y alteratian or repair to any existing builciing or Stn�, upoa'► aPPlicatio�n therefore, r+equire the payment by the applicant for ax�h �r+++; t of fees to th+e amamt herein belvw set forth and in the mannet herein provided to-wit: Za►rAL �tAI1JE $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 � a. $15 (Minimna Fee is $15 plus s�nrharge) $15 for first $500 plus $2 for each additional $100 or fZaCtian tt�f, to ar�d includit�g $2, 000 $45 for fitst $2,000 plus $9 for each additional $1,000 cr fractiaa'i ti�ez�eof, to aad includir�g $25, 000 $252 for first $25,000 plus $6.50 for each additional $1,000 oz' fract,icn thereof, to sr�d 3�lt�ding $50, 000 $414.50 for first $50,000 plus $4.50 for each a�ditional $1, 000 ar' frdctica� therepf, tp ar�d includirg $100, 000 $639.50 for first $100,000 plus $3.50 for each additional $1, 000 or fraction thernof, to ar�d including $500, 000 $500,001 to $1,000,000 $2039.50 for the first $500,000 plus $3 for each additional Sl, 000 or fractiaaz thereof, to arrd includiriq $1, 000, 000 $1,000,001 ar�d up $3539.50 for the first $1,000,000 plus $2 for each ackiitional $1,000 or frackion therepf L4tIVF.�Y �SI�T ffiCtiOW (�te Qirb Stre�ts On1Y) Alternate ��A�� ; Renoval aad re�lao�nent of cur� arri 9utter only - Dtiveway width plus 6 feet times $13.50. Alternate ��g�� ; Resnoval arrd re�lao�ent of c� ani gutter and install a 3 foot wide approach with 6 itrh de�th - Dtive�ray width plus 6 feet t3loes $15.75. ►'/�+: �� ✓. V •.� •�` :,• �i.��- u •:. P�mits for �o� will be issued a m; *+;,�,T of 24 hou�s f�a the time of application to allvw for proper review of the P�� and of the coa�st.zvc.�tiaaz site. A Oertificate of �vey of the lot, showir�g the location of the fauYiatian anoe it has it has been vo�nstru�cted taill be i+equired before prooeeding with the framing. �,- _ _ _� sue�ecT PERMIT NO. � City oi Fridley � �, � � 5 " AT THE TOP OF THE TWINS g U I L D I N G P E R M I T ` r � � , � RECEIPT N � • COMMUNITY OEVELOPMENT DIV � LV �� r � � PROTECTIVE INSPECTION SEC � � � ( ' /'��1 � CITY HALL FRIDLE� SS43Z NUMBER (1EV DATE PAGE OF APPROVED 8• �----�: `•� 612-571-3450 910-F15 2/25/97 � � JOB ADDRESS 6830 Channel Road NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2Q Brookview Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS 2�P PHONE John/Nancy Benson 6830 Channel Road NE 571-6268 3 CONTRACTOR MAILADDRESS Z�P PHONE LICENSENO. Donnelly Windows, Inc. 2519 E 25 St, Mpls., MN 55406 722-4200 City 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 5 ENGINEER MAILADDRESS Z�P PHONE LICENSENO 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION f� ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 OESCRIBE WOHK Install 7 windows in living room and two bedrooms 9 CHANGE OF USE FROM TO STIPULATIONS Bedroom windows must meet the State Egress Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REOUIRED 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 DAVS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WOfiK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED TMIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO 8E TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED �6 250 �3.12 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT � DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pEqMIT FEE SAC CHARGE @ PROVISIONS OF ANV OTHER STATE OR LOCAL LAW REGULATING CON- �124.75 Fire SC y�G.LS STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. '� PLAN CHECK fEE TOTAL FEE °�� License SC NONE $134 .12 SIGNATUAE CON'RACTOAORAUTHO ErvT IDATEi HEN PFiOPEfiLY V IDATED THIS IS Y� ERMIT / � SiGNnTUAEO%OWNERiicOWNERBUILDERi �DATE� BLDG SP fjATE � � - =� .. ....... ...... ... .�. .......................................n�xx•c.....a� �...w,,..... ., ..... ..... ...... .. NEW L 1 ADDN [ ] CITY OF FRIDLEY ALTER [) SINGLE FAMILY AND DUPLEXES R-1 AND R-2 . Buildiag Permit Application �r�v ; 1/ ��7� '��°�j / �$�a ConstructionAddress: J-� C.1�,n�11 2d �� - Lega1 Description: /�iautc. — Owner Name & Address: _ J m�� +/�i a-�c y �3`^SO � Tel. # S� �- 4�� Contractor: �o // �+�� Address: �SI �i � �-s� LIVING AREA: GARAGE AREA: DBCB AREA: OTHER: �,s , r��• sT MN LICENSE # Attach to this applieatio�u, a Certificate of Survey of the lot, with the proposed constcuction drawn on it to scale. DESCRIPTION OF IMPROVEMENT �ng� Width Height �� Width Height �Qg�h width HgtlGround � '% �t�'+�r�✓�`a• - �'�-- - . I'd Lot [] Ft Yd Setback Side Yard Setbacks Tel. # 7�, - yzd � Sq. Ft. Sq. Ft. Sq. Ft. Crnner Lot [ ] nsi e . - Type of Construction: 2�� s-��+. ! 1�•, Esdmated Cost: $ G� z s"� •°� Approx. Completion Date: (Cost on Back) Driveway Ctiirb Cnt Width N�: Ft. + 6 Ft = Ft x$ _� DATE: _ APPI-ICANT: ,� "- Tel. # �ba��i� ?�ee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL CITY USE OATLY g ��1• �� F�e Sch�ule on Reverse Side $ �• �5 .001 of Permit Valuation (1/lOth%) '� � 3. $.50/$1,0� Valuation � � -�� $ ' O�r SAC Unit $ �� ```� 5.00 (State Licensed Residential Contractors) x $ Alt. "A" or Alt. "B" Above $ $450.� Conservation Plan Review $ Fee Determin� by Engineering $ �- Agreement Necessary [ l Not Necessary [ l . , �a� ;.��`� ��c�f.c:!�� STIPULATIONS: / �� • 1� _ ' - ( �UILDING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the ere�tion 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 $5(� $501 to $2,000 $2,�1 to $25,0� $25,W1 to $50,000 $50,�1 to $1(�,Q� $1(�,�1 to $500,(H10 $500,001 to $1,0�,0� $1,0�,�1 and up FEES $21 (Minimum Fee is $21 plus suicharge) $21� for fu� $5� p�us $2:75 for eaeh addi�ional $ l00 or fraction thereof, to and including $2,� $62.25 for first $2,OD0 plus $12.50 for each additional $1,000 or fraction thereof, to and including $25,�0 $349.75 for first $25,000 plus $9.00 for ea.ch additionat $1,Q00 or fra.ction thereof, to and including $50,�0 $574.75 for first $SO,OW plus $6.25 for each additional $1,� or fraction ther�f, to and including $100,0IX1 $887.25 for first $1�,(�0 plus $S.� for each additional $1,0� or fraction thereof, to and including $500,000 $2887.25 for the first $500,000 plus $4.25 for e.ach additional $1,�0 or fraction thereof, to and including $1,0�,000 $5012.25 for the first $1,0�,� plus $2.75 for each additional $1,� or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alterna.te "A": Removal and replacement of curb and gutter only - Driveway width plus 6 f�t times $13.50. Alternate "B": Removal and replacement of cwb and gutter and install a 3 foat wide a:pproach with 6 inch depth - Driveway width plus 6 feet times $15.75. VERIFICATION OF FOUNDATION Permits for construction will t� 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 Cerdficate of Survey of the lot, showing the l�ation of the faundation once it has it has been constructed will be required before proc�ding with the fiaming. SuBJECT c�ty of Fridley AT THE TOP OF THE FWINS g � I L D I N G P E R M I T i � � t � i ��_�_� COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. � � � i--__� ��"' �•� CITY HAIL FRIDLEV 85432 NuMBER L 612-571-3450 910-F15 J08 ADDRESS 6830 Channel Road NE 1 LEGAL LOT NO. BIOCK TFlACT OR ADDITION DESCR. 2O (1100) Brookview Ac 2 PROPERTY OWNER MAIL AOORESS Nancy Benson 3 CONTRACTOR MAILAODRESS Town & Countrv Roofi� 79�0 12th Ave s B� a AqCHITECT OR DESIGNER MAIL ADDRESS 5 ENGINEER MAII ADDRESS 8 USE OF BUILDING Residential 7 CLASS OF WORK REv 8/19/98 ZIP PAGE OF � � 27295 5�� ApPROVED BY SEEATTACHED SHEET PHONE �71-6268 PHONE LICENSE NO. .L.�� C11 �R� PHONE LICENSE NO. PHONE LICENSE NO. O NEW � ADOITION O ALTERATION � REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Reroof house (6 Sq) Tear-off 9 CHANOE OF USE FROM TO STIPULATIONS Underlayment must comply with the State $uilding Code. SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, NEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK Ofi CONSTRUCTION ZONIN(3 AUTHORIZED IS NOT COMMENCED WITHIN 80 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 1 HEREBY CERTIFV TMAT I HAVE READ AND EXAMINED TMIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF IAWS VALUATION AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIEO WITH WHETHEFi SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT �SOO. �FO DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pEiiMIT FEE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORM C ONSTAUCTION. �L1.00 PLAN CHECK FEE � Licens SIG T RE OF N HA T R O U NOpIZED AGENT 1DAT i - EN ( SiGNATURE OF OWNEPUF OWNER BUILOERi IDATEi BL iNSp OCCUPANCY GROUP SO. FT. OFFSTF STA�LS SURTA; �.50 OCCUPANCVLOAD CU. FT. ' PARKING GARAGES SC � � HU�a-13-1998 ...... � � ADDN ( ] �T� Il Coast�rrucaonAddress: �s42 FROM CITY OF FRIDLEY TO I.egal De.acription: _ Owrur Nam� & Address: Coatra�r. Aaa�: `� CITY OF FRIDLEY SIlITGLE FA�,Y AND D�11PLE1�S R i AND R 2 BUII.DII�iG PF.R�IIT AppLiCA?ION � � �89320 P.01� r.�i�x:uves ti uya � � �� Tel. i� �i 9`'L-' �� i" �o ZCo�l' �x uc�xsE�r?no q�28� ► r�1. � co �?_- �.�d..�.� 1?� Attacl� Lo this appliauion, a C�e of Stuvay of d�e loc, wich tbe p�o�d �coa�cu�ion drawa on it to sc�le. D�SCoB�ION �F ID�II''�tOVF1V�d1TT LIVIIITG AREA: Le�th __ Width iI�ight � S9. F4 _��, GARAGE A►REA: I.�ngth . Width _ Heigbt ��1. FL DECH AREA: I.ength Width � Hgt/Gramd Sq. F� OTI�R; ��-�, � S�t ., Consaucdon Type: '�� ,ne�, �scimat�d Gost: s� .. O o� � o - ._ lFes Jchsdule on Backi D�i�owaY Curb C�u Rii�dth Needed: _Ft + b Ft •_Ft x S = S �� DATE: °" — APPLI . Td. � �.— Penait Fa Fi�e S��trcharge State Surc�uge SAC CLatgo Liceaie Sia�cLarg� Driveway Escrow �ion Control Padc F�e Stwer Main Cbarge ro�� • S"r�UTATIONS: y M I� 7 � �J � �•�� Foa Sc�dule on Rcvexse Sida a • S�� .401 oi Permit Vaiwtion (1/10�h�6) S • S�U a.SO/5�.000 Vslwtion S 51000 per SAC Unit 5,�� O 55.00 (Stato I.ic�nsod R�sid�tial Co�ctors) S Alt. 'A' ar Alt. 'B" Abore $ 5450.00 C�n►�n P1an Rev�w $ F� D�u�aed bY Eeginoerin,g $ Agra�at Nace�sary► I I Not Naessacy► I I s � �� °�' � n rn rr �� O � � � � a m � � � 3, � o N, � Z N � � m -., a� m � � d�1 o � ,.* v 0 o � o 7� � 2 � o� � � A � .o a � _. -o iil N y � Q o �D � � � n � � S O C � � � _ _ , -----� __ � , O D r �'I m m � N c''o � C � � d � �D C� �' O � � � A °, �. � � � a °C , .�'. � � � N 0 � 0 1 � r D � O O � -w � < fD d N � � °. �a► � y. c�' D � � � � o _ 1 O O N �� Z W D C7 � D O 0 ? � � D � m N � � N � m � L7 G� D�'1� N N N '� N Z7 � � � � !� 7 � �, y � fAD •'�,r � ��d s � � < � c� rt�� a , > > o� � ..« o. � �' = c 0 cu � � c � ? � � � r. � � � W� o � f c°�i � .'.�. � v W � _ � 1 � � � � � � � � N �+ �-+ ►-+ W (71 O O O O � O O O O O ''" cD �a �► � t� t� � � tt► O 0 , � V � � r P �� 1 � � z � a� �� °v � m 1 � 1V � � -. y -i � S � s � cu c`�o W m � a �,o�a� G1 ,y. � y N W �. �• c, � a � � s � � o � Q-� a o- � v,°`� � -< °� 3 � N p� � �• � N '� u� � d �•c.�v N .�-r�� A j� �A'► ._r �� cu a � � � A p O c o- d. ��'�'a � � N � � as� 3 � o °: � .�, � p� � O � � ? ,-r ,n.f��D ? cD C� � �`� O N a � �, a � m � Q y � N � � C � � c� � � � a c� Z d � 2 "0 N �D z 0 m' v � 'n W --1 Z � -I � o �C � O ozi = � � rt c� � �� nN _ � o C) � A c� � O 0 7 � � fp � � ^ � �- !n (�D I" N � ar','Z3 v � O � _ ° J � � � �D v O � � 3 � m N � D � m v c� O � -i 6 N I � m � 3 z O �� . � � �� .. c � m v � Z D � rn N n S rn 0 c r� m � CT1 �'I 01 (") V �. �e _ N n. W � � O� C O ��•-n z� � 1 (11 y. � � �' m W D � N m Z Z � m� m c� � O z v � D � � Z � r � C� � � L� Z � � � 0 � � A� Z� Z� � .o a� �Z ON vz .� v o= Z W Z� D � z � N � m -N1 � N rno '� y Z (� v < vZ � �5 �,NO `�\ Z � � s � ,� � � a C� r v � CD n < m O � L N � � d � r N O O O � _? �:� ite�j�q��s� RIGHT-J LOAD AND EQUIPMENT SUMMARY Entire House Home Energy Center 15200 25th Avenue North, Plymouth, MN 55447 Phone: 763.476.1990 Fax: 763.476.1143 � • ' • � For: Benson 6830 Channel Road, Fridley, MN Notes: �. ,� �� -��,:, � . Desiqn Information'� � ` ;-� � �� . F�� ` , p ��c' �p ;�'`..�?�� .�t�., ��. �"� �,:�-�» !�� . � Weather: Winter Design Conditions Outside db Inside db Design TD -22 °F 70 °F 92 °F Minneapolis-St. Paul, MN, US Heating Summary Building heat loss 35413 Btuh Ventilation air 0 cfm Ventilation air loss 0 Btuh Design heat load 35413 Btuh Infiltration Method Simplified Construction quality Average Fireplaces 0 Heating Cooling Area (ft2) $40 0 Volume (fP) 6720 0 Air changes/hour 1.2 0.5 Equiv. AVF (cfm) 135 0 Heating Equipment Summary Make Trade Efficiency Heating mput Heating output Heating temp rise Actual heating fan Heating air flow factor Space thermostat 80.0 AFUE 0 Btuh 0 Btuh 0 °F 0 cfm 0.000 cfm/Btuh Summer Design Conditions Outside db 9� 'F Inside db 75 °F Design TD 16 °F Daily range M Relative humidity 50 % Moisture difference 29 gNlb Sensible Cooling Equipment Load Sizing Structure Ventilation Design temperature swing Use mfg. data Rate/swing multiplier Total sens. equip. load 0 Btuh 0 Btuh 3.0 °F n 0.96 0 Btuh Latent Cooling Equipment Load Sizing Internal gains Ventilation Infiltration Total latent equip. load Total equipment load 0 Btuh 0 Btuh 0 Btuh 0 Btuh 0 Btuh Cooling Equipment Summary Make Trade Efficiency 0.0 EER Sensible cooling 0 Btuh Latent eocr�ir�g Total cooling 0 Btuh Actual cooling fan 0 cfm Cooling air flow factor 0.000 cfm/Btuh Load sensible heat ratio 0 % Printout certified by ACCA to meet all requirements of Manual J 7th Ed. �. wnghtsoft RigM-Sufte ResideMialT°" 5.0.28 RSR20001 2001-Jan-22 14:44:41 � C:UVIy Documents\WrlgMsoft HVAC\TemplateUoadl.rsr Page 1 � � RIGHT-J WORKSHEET Entire House Home Energy Center 15200 25th Avenue North, Plymouth, MN 55447 Phone: 763.476.1990 Fax: 763.476.1143 MANUAL J: 7th Ed. 1 Name of room Entire House Benson 2 Length of exposed wall 116.0 ft 118.0 ft 3 Room dimensions 30.0 x 28.0 ft 4 Ceiings Condit Option 8.0 ft d 8.0 ft heat only TYPE OF CS HTM Area Load (Btuh) Area Load (Btuh) Area Area EXPOSURE NO. Htg Clg (ft� Htg Clg (ft� H�q Clg Htg Clg Htg Clg 5 Gross a 12C 8.3 1.8 928 "*' "" 928 "" "" "" "" ""` '� F�cposed b 0.0 0.0 0 "" '*" 0 "" "" "" "'� ""' "'�` walls and c 0.0 0.0 0 "*' "'"' 0 "" "" "" "'� "" y"` partitions d 0.0 0.0 0 ""' "" � """ �"` '� � � TM�* e 0.0 0.0 0 ""' "" � "" f 0.0 0.0 0 "" "" 0 '"" "" ""' "" '.'� ."' 6 Windows and a?A 43.7 " 205 8959 "" 205 8858 "" "" `��" glass daors b 0.0 " 0 0'*'* 0 0'"'* � tt�rt Heatlng c 0.0 " 0 0 "" 0 0 "" � � d 0.0 "' 0 0"" 0 0"" e o.o M 0 0� o o� "" ""' f 0.0 " 0 0 "'"' 0 0 *"' "" "`` 7 Windows and North 0.0 70 "" 0 70 "" 0 "" ""` glass doors NE/NW 0.0 0"""` 0 0'*" 0 "" �"` Cooflng E/W 0.0 35 "" 0 35 '"" 0 """ """` SE/SW 0.0 0 "" 0 0 "°" 0 "" � South 0.0 100 **'* 0 100 "" 0 "" � Horz 0.0 0 "" 0 0 "" 0 "" S Other doors a 10F 29.4 6.3 42 1236 0 42 1236 0 b 0.0 0.0 0 0 0 0 0 0 c 0.0 0.0 0 0 0 0 0 0 9 Net a 12C 8.3 1.8 881 5639 0 681 5839 0 exposed b 0.0 0.0 0 0 0 0 0 0 walls and c 0.0 0.0 0 0 0 0 0 0 pattitlons d 0.0 0.0 0 0 0 0 0 0 e 0.0 0.0 0 0 0 0 0 0 f 0.0 0.0 0 0 0 0 0 0 10 Ceilings a 18D 4.8 2.1 840 4096 0 840 4096 0 b o.o o.0 0 0 0 0 0 0 c o.0 0.0 0 0 0 0 0 0 d 0.0 0.0 0 0 0 0 0 0 e 0.0 0.0 0 0 0 0 0 0 t 0.0 0.0 0 0 0 0 0 0 11 Fioors a 21A 2.2 0.0 840 1855 0 840 1855 0 (Note: room b 0.0 0.0 0 0 0 0 0 0 perimeter c 0.0 0.0 0 0 0 0 0 0 is displ. d 0.0 0.0 0 0 0 0 0 0 for slab e 0.0 0.0 0 0 0 0 0 0 floors) f 0.0 0.0 0 0 0 0 0 0 12 Infiltration a 55.2 1.0 247 13628 0 247 13628 0 13 Subtotal loss=8+8. ±11+12 *"' 35413 "*"" "" 35413 "" "" "'� »" � Less extemal heatlng ""' o � � 0 � ,,,„ , � ..„ ...+ Less Vansfer '""' .„. 14 DuCt IoS3 0°/ 0 "" 0°/ 0 "" °/ �"" o� 15 Total loss = 13+14 "" 35413 """ ""' 35413 "" """ "" "�'� � 1B Inigaios: P�le CaD _ 300 0 "" 0 0 "" 0 "" � Appl. � 1200 0 ""' 0 0 ° � � - � - - 17 Subtot RSH gain=7+8..+� p+16 "" '""" 0 ""' "" 0 ""' *�* "" �� Less extemal cooling "" """ � '��` � � �'Y� � � „„ Less transfer "" ""` 0 '�" � � „„ � .,., 18 Dud gain 0% "" 0 0°/ "" � °� � °� ,,,,,, 19 Total RSH gafn=(17+18)'PLF 1.00 ""' 0 1.00 "" 0 � 20 Air required (cfm) "" o o"" 0 0"" Printout certified by ACCA to meet all requirements of Manual J 7th Ed. .� wnghtsOft Right-Sufte ResidentialTM 5.0.28 RSR20001 2001-Jan-22 14:44:41 /�GA C:UNy Documerds\W�ightsoft HVAC\TemplateUoadl.rer Page 1 _ _ CIlYOF FRiDLEY FRIDLEY MUNICIPAL CENTER • 6431 IJNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(763) 571-3450 • FAX (763) 571-1287 March 8, 2002 John Benson 6830 Channel Road NE Fridley, MN 55432 Re: Final Inspection at 6830 Channel Road NE Contractors: Home Energy Center Dear Mr. Benson: A mechanical pemut was issued on January 24, 2001, to install a furnace at your address. According to the 1991 Uniform Mechanical Code, a final inspection shall be conducted on the work authorized by this permit. As of this date, no inspection has been called for. The permit fee that was paid covers the inspection to make sure the work was completed according to the Code. We will keep your permit open for another 30 days and if we do not hear from you within this time to set up the inspection, we will mark the permit "no inspection called for" and take no further action. To set up the inspection or to have any questions answered, please contact the Building Inspection Division at (763) 572-3604. DJ/ls sue��cr � c;ty of F��a�,�� AT TME TOP Of TME TWINS g u r L D 1 N� P E R M I T ;, ,� � �� __��_ COMMUNITY QEVELOPNIENT DIV. �� ry.�� r � � PROTECTIVE INSPECTION SEC. 3 � _ �'�'1 � CITY NALL FRIDLEY SS�32 NUMBER NEV O�TB PAGE ��-�'� � �'� 612-57�-3a50 9�aF�s 5/23/O1 / JOB ADDRESS 6830 Channel Road NE - t LEGAL LOT NO. BLOCK TRACT OR ADDITION oesca. 20 Brookview Addition 2 PAOPERTY OWNER MAIL ADORES$ John Benson 6830 Channel Road NE 3 CONTRACTOR MAIL ADDRESS Window Star Home Improvements 12322 Business Park Blvd 4 ARCHITECT OR OESIGNER MAIL ADORESS 5 ENGINEER RAAIL ADDFiE33 OF / e°H°HMIT NO. 3i�48 �� APPpOVEO B� SEE ATTACMED SHEET I�P PMONE 763-571-6268 21P PHONE IICENSE NO Champlin, MN 55316 ZIP PMONE LICENSE NO. 763-712-8881 20228319 ZIP PHONE LICENSE NO 8 USE OF BUIl01NG Residential 7 CLASS OF WORK ❑ NEW ❑ ADOITION �7 ALTERATION O REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Remove and replace a decorative roof over front patio 9 CHANOE OF USE fROM STIPULATIONS See notations on plan. TO �� Before digging call f�� all utility locations 4540002 REQUIRED �� LA1i� SEPARATE PEFiMITS ARE REOUIREO FOR ELECTRICAL, PLUMBIN(i. HEATINfi, �� VENTILATING OF AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOIO IF WOfiK QR COI�STRUCTIOM ZONING AUTHOR12ED IS NOT COMMENCED V�IITHIN 80 OAYS. Oii IF CONSTRUCTION OR WORK IS SUSPENOED OR ABANQONQD FOp A PEA100 OP 1iQ DAYS A7 ' ANY TIME AFTER WORK IS COMMENCED. ' N0. DWLG. UNITS 1 HEREBY CERTIFY THAT I NAVE READ ANp �XAMIN�O TNIS APPUCA71pN 1 AND KNOW TME SAME TO BE TfaUE AND CORRECi. All PROVISIQNS Qf LAW$ VA�UATION AND ORpINANCES GOVERNING TMIS TYPE OF WORK WILL 9� CpMP�IED �^G FTHO WITH WMETNER SPECIFIEO MEiiEIN OR NOT. TME GRANTING OF A PERMIT � OOES NOT PRESUME TO GIVE AUTMORITV TO VIOLATE OR CANCEL THE pEqMITfEE PROViSIONS OF ANV OTHER STATE OR LOCAL LAW REGULATING CON- TRUCTION OR TME PERFORMANCE Of CONSTRUCTION �83.25 P�AN CHECK FEE v (� ol aJ —� � License S� NATUpE O� CON"iiACTOA OR AUTMOp�ZEOOGENT IDATEi u e � �O�iE� OCCUPANCV(3ROUP OCCUPANCY�OAD SC.FT CU FT. OfFSTREET PARKING STALLS IGARAGES 0 $1.34 SAC CHARGE Fire SC $2.68 TOTAL F � $ .27 r MIT NEVV [ J ADDN [] ALTER [ ) Effective 1h/2001 CIIY OF FRIDLEY (763) 572-3604 Bldg Insp SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMITAPPLICATION Construction Address: ( �� O �H�4-Nry��'L �p/� p /17o_F, Legai Description: Owner Name & Address: � j��1 �l1 /��ivs a N Tel. #�(0 7� S 7�1- �.� C�� Contractor. ��AJV�cw s T�9/f H'DC7 �� h �2�v��-. ��U TS MN LICENSE #�`ao�� 3/ 9 Address: l� 3�2 �v�s�ti�ss pg�x �Lvr�, �,y,�hpwN ss-3i�Tei.#_ _�,'-��2-s-s-�-� LIVING AREA: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft GARAGE AREA: Length Width Height Sq. Ft. DECK AREA OTHER: Length Width Hgt/Ground Sq. Ft y��G D �/�?l �,� � 0 �` � �F� P,� 7/ 0 %f� <� )C Construction Type: �2 T�a � �� Estimated Cost: $ oZ ��'f� Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x$ _$ � �( 3 - �/2 � S�sFr � 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 TOTAL STIPULATIONS: Call (763) 572-3604 for Permit Fees if mailing in application $ � �� Fee Schedule on Reverse Side $ (p .001 of Permit Valuation (1/10th%) $ � $.50/$1,000 Valuation $ $1150 per SAC Unit $ ss � $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 [ ] $ •v� / . .,., _. 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 pemut 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 $23.50 $23 .50 for first $500 plus $3.05 for each additional $100 or fraction thereof, to and including $2,000 $69.25 for first $2,000 plus $14.00 for each additional $1,000 or fraction thereof, to and including $25,000 $391.25 for first $25,000 plus $10.10 for each additional $1,000 or fraction thereof, to and including $50,000 $643.75 for first $50,000 plus $7.00 for each additional $1,000 or fraction thereof, to and including $1QO,Q00 $993.75 for first $100,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $500,000 $3,233.75 for the first $500,000 plus $4.75 for each additional $1,0(?0 or fraction thereof, to and including $1,000,000 $5,608.75 for the first $1,000,000 plus $3.15 for each additional $1, 000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete C�rb Streets Only) Altemate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $15.50. 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 tunes $23.25. VERIFICATION OF FOUNDATION Pemuts 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. 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N � a '� � � '. � Tao�z m � n� •° _C°-o c� � z= � � � m � °Q n C � N � 1 � 2 � � O n � � d n � n � C 0 o a � � cc � N n a �� _ . y 's r N � � c°> mfD.. C Q-p�p� a = 0 .. o. C � a c� `n � a � G � D v � W � � D z rn � o c O m --�I � D N � � � � � � m � . � Z _ •O '. `� 1�, � � -��1 m N n 2 m v C r m o � � W � °v L\ � c� I � � I� � d � � � � 1' v�.rnC� rnQW=-� �.Wi (D �—' � i.J7 � C � V 7 W Z c�p � � N � � �' � m W D � N m Z Z � m � m C7 � � z � C v� a � � z � r � � �L � � �Z �� d � � � � �� Z � a Z � � v .� � � Z `� ov za vz .� v o= zm Z � � Z �� n m O 3�r N Z a Z -� vm vZ m �� n � N � � z � m � < m O � c__. � � C d � � �-+ N 0 � N _ _ C[lYOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(763) 571-3450 • FAX (763) 571-1287 August 23, 2002 Mr. John Benson 6830 Channel Road NE Fridley, MN 55432 Re: Final Inspection at 6830 Channel Road NE Contractor: Superior Contractors Inc. Dear Mr. Benson: A mechanical pernut was issued on June 5, 2002 to install an air conditioner at your address. According to the 1991 Uniform Mechanical Code a final inspection shall be conducted on the work authorized by this pernut. As of this date the inspection has not been requested. The pernut fee that was paid covers the inspection to make sure the work was completed according to the Codes. We will keep your pernut open for another 30 days and if we do not hear from you within this time to set up the inspection, we will mark the permit "no inspection called for by homeowner after notification" and take no further action. To set up the inspection or to have any questions answered, please contact the Building Inspection Division at (763) 572-3604. DJ/mh e � Buildin PLUMBING Pernut No � � � � � g Inspections RESIDENTIAL APPLICATION Received B. 763-572-3604 CITY OF FRIDLEY Date xec'd: I�l .� (��(�, DATE �-- 2 I�✓i, YOUR E-MAIL ADDRESS SITE ADDRESS �nfi�� .�ln�l�l�1� � � .� THIS APPLICANT IS: ❑ OWNER �CONTRACTOR PROPERTY up�:��P�(��►� OWNER/ ADDRESS:1p�61 � �l�l /LL _� %�CITY �,((�I� � STATE�IP�do� TENANT PHONE: %� 7/— I.v� (cs� CONTRACTOR NpME: SUBMIT A COPY OF STATE LICENSE # EXP DATE I� `� /YQ YOUR_STATE ADDRESS:�[�,�L1��J `��- CITY � ��STATE�II'�� LICENSE WITH PHONE �, �ci.��_ FAX �h��-�� -- - - APPLICATION PERNIIT TYPE �SINGLE FAMII,Y ❑ TWO FAMII.Y ❑ TOWNHOUSE TYPE OF WORK: o r�w �' xsPr.,�cE�xr DETAILED DESCRIPTION OF 9JORK I'� �/lO iT��.) D/b ,! PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, wluchever is greater, for the improvement, installaxion or replacement of a residential fixture, excluding the fixiures. (This should reflect only the cost of labor ) Labor cost under $300 =$15.00. Labor cost between $300 to $500 = cost of labor x.OS = FOR PROJE("fS VVHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FlXTURF.S: (II�IDICATE TOTAL NUMBER OF EACH BELOVi� BATH SINK/LAV _FLOOR DRAINS SHOWER _ WATER PIPWG BATHTUB GAS PIPING (r�m cmtrc� SWIlvINIING POOL WATER SOFTNER ($35) CLOTEIES WASHER KITCHEN SINK WATER CLOSET _ BACKFLOW PREV. ($15� DISHWASHER _ LAUNDRY TRAY �WATER HEATER ($35) FOR IItRIGATION — WATER NIE'I'ER _ OTHER �� _ ��ix',,� j��'(�': w :. �� iX �� .� k � �� ..4,�`' �a�'�,y' MI �'� : �'i��£40..� �. . . �� .i�. ... ...e, ��„�+��.Yi.�i�� y z y� �. Permit Fee $ Number of fixtures @$10.00 x$10.00 =$ Surch e .50 Number of fixtures @$15.00 x$15.00 =$ TOTAL DUE $__��__. Number of fixtures @$35.00 x$35.00 =$ State Surchazge = $ .50 Total = $ THIS IS AN APPLICATION FOR A PERNIIT-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 understa.nd this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of aIl work which requires revi w d approval of plans. � 1 SIGNATiJRE OF APPLICANT ✓ PR1NT NAME��I Jo/ ,��f�DATE lo •- �-�Y� �� _ .�... r.. , -� �z ��+��"� i ��,,� �s < w��i�� ` ,��s��:,J�,� i1�,�„� £.�.z� �� City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 Engineering WATER AND SEWER Permit No.:�°�.�,��;;y `��„ 76�572-3552 PERMIT APPLICATION Received By• ,�,�P 763-571-1287 fax CITY OF FRIDLEY �� a� EFFECTIVE 1/1/2010 Da��' � �a APPLICATION DATE: �� - � �� YOUR E-MAIL/FAX: THIS APPLICANT IS: ❑ OWNER 8'�TTRACTOR JOB ADDRESS: � � - � � � °-�. �, NEW CONSTRUCTION PERMIT# (IF APPLICABL�: PROPERTY N�: �„�b tir ,�� i -;! , :� y ' ,, � Yw, ;;:�;, OWNER/ , ADDRESS: � �� ' �+ .f.r �� ,,. .�, � _ � CITY_ a TENANT 1 � � � � _ii' P� � � � STATE zIP PHONE�° @-�, ;'� � � °� CONTRACTOR N,aiv�: : � �'�:� �-. .;,$� � : � � *,��' 'pi � _ � A� ;,,� : SUBMITA COPYOF YOUR STATE ADDRESS: "°"� �% ,�, � '. , a � , � ,;;� � l� �-,, CITY ��l.P�.�^a cm E�,s,. "� �" ;�.. / STA1'E^ :.a� ZIP . ; _k -� �' ,,� ' LICENSE WLTR PHONE � � �6 � `�� a r,' `� _ CELL PHONE: la B'2- ` � �`�° eJ -�- � �� ,� APPLICATTON 'd / STATE LIC # � �� s ,''��"'f�',;'� STATE BOND:�1 I � � � =I � �� 'i EXP DATE: ��,e f -``� 1. Narrative/written d�scription. �, �, . �'� i' ^�" _ C � �� °+�'' k_�� r � �'� �,"�� y 9 � -'^'—�` �, � � `� o;� 1 � �� a 4,A � 4�'" c�i `� e� i�- �=�"x 2. Please attach sketch showing curb Gne, utility line, building, etc. with distances on back page. 3. Stipulations: __ '. �F� � l,G I� G 1.�, %� D F CV 28 ,�pV 1�'1�/ 8�. �� r�ao � R��r� c.c� ara 1 P•�F�M�7 2, /l�o' ST'L�T F�C�kJk7�o�u w�D 7�¢c.�VN6 '�'t� , C.,l -rY �.vb..�,F.�,�. �57 i- 3 ss Z� �/� L }`�jlt /� E�tMITT�YP �J o�� ,<< <�?2_3�5�. f � �� /�' O. SEWER CONNECTION PERMIT $50 . 0 WATER CONNECTION PERMIT $50 " � ❑ WATER LINE REPAIR $40 � SEWER LINE REPAIR $q.p _ C�� ADD STATE SURCHARGE $.50 p 0 SAC CHARGE @ $2100 = TOTAL $ • TQ.�v OTHER CHARGES (IF APPLICABLE) PAY TO UTILITY BILLING NEW WATER METER COST — SEE UTILITY BILLING SPECIAL ASSESSMENTS — SEE FiNANCE WATER TAP — SEE ENGINEERING NOTE: WATER METER REPAIlt, INSP OR SHUT-OFF / EVENINGS, WEEKENDS & HOLIDAYS $125/HOUR-BILLED THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a water or sewer (new connection or repair) permit and I acknowledge that the information above is complete and accurate; that the work will be�nformance with the ordinances and codes of the City of Fridley. I understand this is not a permit but only an application for a pe�rdmit d work,.is not to start without a permit. �� 9 "� 9 � �' ��---�-- - ,r� ., SIGNATURE OF APPL[c:A1vT `��-�-�-� ,�'" x PRINT N � l �"`�'�`�`., � a�, � , . � i"1 C y�j� " _'� P , -g ' DATE: a r= !E''' ,b �, �o.._. r — '_ —rt .4�PROVEDBY: DATE: ZS L(� COPY G T:❑ Y BILLING (only if new meter) ❑ PUBLIC WORKS ❑ ENG EERING �.�ry oi r ria�ey Engineering Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3552 FAX: 763-571-1287 , '- �' � ti► � � � �� i _,. � - � � _ -„---„'�. ,'"''..... .....-- O � � � � 1 � ;-- � . ._i --•. ; � � � i A i' � � I �y i �O � � V I � i � �� -� � v �3 � l �