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Fl.) /�� Room Lengt}i'`�se• e'Width s/' Height ,�'' Windows and Doors—Crackage and Area Windows and Doors—Crackage and Area �Vldth Helght No. of Llneal f. Area Width Hefg6t No. of Llneal tt Area No. ot Dane of pane lighte ot crack eq, ft. No. of pane ot pane Ilghte oi crack eq. ft. � � �9�� t' ,� � _SS .6°� � .�' � .� � �� .' `�9 __ .� � Coef. Btu Inhltration �� „�� ,�,�pe�J Glass $�9 �' t� .� e�� Eap. wall Net exp. wall � 6�a �,� �� Int. wall Ceiling � � d D '? B � Floor Tocal B�u. e,�, � � . Required sq. ft.T�:H:R. or sq. ins. W.A. L.eader area ,,� ° / F7.� �•�. �;F a�Room� Length ,�B ` Width � ° Height � " Windows and Doors—Crackage and Area Wldth Helght No. of Llneal ft. Area No. of pane of pane lighte of crack eQ. ft. � � �� ,� 9 � � � � `_� '� � $',�o" �� COef. Bt11 In6ltration � y � $ � ,�� -t Glass �� ,��5 � � Exp. wall Net egp. wall i;� � 9� Int. wall Ceiling / � A � / � � � Floor Total Btu. �F� �. Required sq. ft. E:D.R. or sq. ins. W.A. Leader area �� Fl. ��* y�°'{�f Room � Length �°� " Width �' Height Q' ° Windows and Doors—Crackage and Area. Wldth Helght No. ot Lineal [t. Area No, ot pane of pane IfBhte ot crack eq. ft.: � .3� , �.� �� s � � Infiltration � D� �� Glass � �Q Exp. wall Net exp. wall ��°� /�a Int. wall Ceiling ,� �' d A }� loor Tocal Bcu. Required sq. ft. E.D.R. or sq. ins. W.A. l.eader area -- —� Coef. Btu In6ltration �� `"/' E'��3 � �� Glass �.� �', f�'�` �'i � � F�p. wall Net esp. wall /� 4t' /p i"1°'iD Int. wall Ceiling �� L 96 � 3 � � Floor Total Btu. � � �, Required sq. ft. E.D.R. or sq. ins. W.A. Leader area �,� � / F►.I ,(�,c , �'T�toom ( Length p,�,� Width �'t Height �� Windows and Doors—Crackage and Area Wldth Helght No. ot Lfneal tt. Area No. ot pane ot pane llBb�e ot crack eq. ft. �J � � ��°�, .l � �G � � Infiltration Glass Eap, wall Net esp. wall Iat. wall Ceiling Floor Total Btu. l.l r�� ° �: Room I Windowa and Doors—C Wtdth Helght T ot pane ot pane II �� Btu �� ; � Infiltration �� * \ Glass Eap, wall �„� � Net exp. wall 1nt. wall �� "c�� .�' Ceiling Floor To�a� Bt�. / /F� � !�A �.�� l ��' oi .��' �'� �� "� �' � 7 ,� el WIC�t}1 �� Height � � and Area neal ft. Area ' crack ep. tt. D� sq. ft. E.D.R. or sq. ins. W.A. I.eader area Btu �� . s D-S6 �9 ��.<EJ"""la%= �'� �sL��-''f`�` C' HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS Weatherstrips A.S.H.V.E, Construction No. Guide Windows Doors Reference Out. Wall Int. Wall Ceiling Root F7oor Kind Yes— o I Yes—No 19— ��" �' 1 Room � Length p a Width B4 � Height `��i Fl.� ��,� �,� Room � 1 Windows and Doors—Crackage and Area Windows and Doors—Cr �Vfdth Hetght No. of L1nea1 f. Area Wldth Height No No. ot pane ot pane Ilghte of crack sq. ft. No. oL pane ot pane Ilg � �� e l �� a �� R 3� A� � ,�� G � � . NIINNEAP�LI$. NII1VN. Insulation How Applied i 9 � Width �' e and Area Lineal ft. Area of crack eq. tt. �� • �1 Coef. Btu Coef. Btu Infiltration ,�� , � Infiltration ,3�3 .� < a Glass � � �°�, �' �' �., � Glass G 2� .'� � � �p�w°a°Il - _ ��' � �-� � =�,�_ � c�. _ -_- �'° $ .Z � ! �` F.�s: wall %'�° s�� : ��« a�'e= � ,•�x_�� 2. �' 7 � Net exp. wall '' ,�r e. eo _ �0 1 ,�,�'�8 � Net esp. wall_ _ o� ��r� �A � / � / 8's' Int. wall Int. wall - Ceilin� Ceiling Floor � 9 • � � �� Floor ,�� .� 17.� Total Btu. A�.��' Total Btu. c� �� Required sq. ft. E.D.R. or sq. ins. W.A. Leader area /�' ° Required sq. k. E.D.R. or sq. ins. WA. Leader area °�' �� Fl. 9 �.�oom Len h�� — Width _$e � c� Height a � � �� ,� � St �,�� Fl.� Room ( Length �6 Width /� Height y�' Windows and Doors--Crackage and Area Windows and Doors—Crackage and Area Wtdth Hefght No. oY Lineal ft. Area Wldth Hefght No. of Llneal ft. Area No. ot pane of pane Ilghte ot crack sq. tt. No. of pane of Pane 116bte ot crack eq. ft. � e2 .� � B �- e� .� � ,� � / . �' u �o !� � e�� Coef. Bha In6ltration L,� ,� � � � : Glass .�,p.� � � � v �aii � � � � %�,-y �- ��-�_-�' � � � � e � o Net exp. wall <�;:Ar�:a� r �° � � � �.3 Int. wall Ceiling Floor � % �� '� 5 Total Btu. � � � Required sq. ft. E.D.R. or sq. ins. W.A. Leader area ��° �o�� Fl. � Room � Length d/ = Width �f % Height A Wiadows and Doors—Crackage and Area Wldth Aelght No. o[ Ltneal ft. Area Na. of Dgne of pane Ifghte ot crack eq. ft. � �� .� � �� 6 � Coef. Btu Infiltration ,� � �� C,lass /� �, � �'� � �' F�awall , �° � � : �: -�� .�� 3 0 c-�� Net exp. wall ,.� _�,�� ev � 1 �j � S� Int. wall Ceiling Ntoo� D z� � G � �' Total Btu. ,� � �., 6 Required sq. ft. E.D.R. or sq. ins. W.A. Leader area �,e Infiltration Glass �, wau �'� ��_ Net exp. wall Int. wall Ceiling Floor Total Btu. � 0 � Required sq: ft E.D.R. or sq. ins. W.A. Leader area � Fl.� o,�,p;�,� Room I Length „� B Width 0� ° Windows and Doora—Crackage and Area Width Helght No. of Ltneal [t Area No. ot pane ot pane Itghte ot crack eQ. tt. � � � � � aa �' �b i,� � Infiltration Glass Eap. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. WA. Leader ana � �� /�.o� �� :i�ht � � ief. Btu �� `��S �� ta ��,-k r � �'�.�"'.��_"�. Dd6 �9 � HE�►T LOSS CALCULATIONS DEPARIMENT OF BUILDINGS 1VIINIVEA►POLIS. �+IIMeI• Weatherstrips A.S.H.V.E, Construction No. Insulation s Guide Windows Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How Applied Yes—No I Yes—No 19____ �'� Fl•� �.,��,d �'' Room � Length /� Width �" Height � s Fl.� Room Length Width Height Windows and �Doors—Crackage and Area Windows and Doors—Crackage and Area Width Helght No. o[ Llneal Yt. Area Wldth HelBbt No. of L1nea1 ft. Area No. of pane of pane Ilghte af crack sq. ft. No. of Dane of pane Ifghte of crack eq. ft. � �� Coef. Btu Coef. Btu Infiltration �' ��' /, � � Infiltration Glass � %%, � �=� � Glass � , �2': . _-� '� � � 4/ Esp. wall Ne[ esp. wall � c E �' � A�_, w � � c r - � ��e- _ � °�-� "� ^s - � Net eap. wall ' �� Int. wall Int. wall �I Ceiling Ceiling '' � Floar �t�� 3� Total Btu. a °� Required sq. ft. E.D.R. or sq. ins. W.A. Leader area �', ° F1.� Room ( Length Width Height Windows aad Doors—Crackage and Area Wfdth Hetght No. of Lineal ft. Area No. ot pane ot pane IlBhta of crack aq. ft. Coef. Btu Infilcrarion Glass Exp. wall Net esp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl. Room � Length Width Height Windows aad Doors—Crackage and Area Wldth Helght No. ot Lineal 4t. Area No. of De.ne of pane IfBbte ot crack eq. ft. Btu Infiltration � Cslass �p. Wau Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. ot sq. ins. W.A. l.eader area Floor Total Btu. Required sq. k. E.D.R. or sq. i Fl.l R��► ( .. ' Windows and wtach No. at pane i '�� Infiltratio. Glass Esp. wall Net egp. wall Int. wall Ceiling , Floor crack ' Total Btu. Required sq. ft. E,D.R. or sq. ins. W.A. Leader area F7.� Room I Length Width Height Windows and Doors—Crackage and Area Width He1gLt No. ot Lineal YG Area No. of pB.ne of�pane IlBhte of crack e4. tt Coef. Btu Infiltration Glass Eap. wall Net exp. wall Int. wall Ceiling Floor Total Btu. IRequired sq. ft. E.D.R. or sq. ias. WA. I.eader area City of Fridley, Mirm. BUILDING PERMIT �. 6243 Date: �w` �..- � `"�.� � OwIIeP: � Builder '� . � ! Address Addreas — , LOCAT � B 1 ING fr�/;� � � No. l��— Sireet _�,e�� ` °" Part o Lot ._._. '�__ Block � Addition or Sub-Division ��` � � °�" Corner Lot _�Ineide Lot � Setback 'r� �� SideynTd �. p,L�� ' 3ewer IIevation — Foundation IIevation DESCRIPTION OF BUILDING � To Used 1' ��.. Front ��,�: Depth � Flei�ht '� ` 9q. Ft �e.'�c� Cu. F't .�� '� Frory� Y Depth I�eight �� Sq. Ft. � Cu. F't. � �pe of Construction .�;:'� ��'„� Es� �y ��_ � To be Coa►pleted In consideration of the fsauaace to me of a permft to construct the building described above, I agree to do the proposed work in accordance with the description above set Porth and in compliance with all provlsiona of ordinances oE the dty oP Fridley. � �� In cons4deration of the payment of a fee oP ��_""�� , permft is hereby granted to to construct the buflding or addition as described above. This permit ia granted upon the express condition that the person to whom it is granted and hia agent�, employees and worlmien, in all work done in, around and upon eaid building, or any part thereof, si�all conform in all respects to the ordinancea of FridleY. Minaesota regarding location, construction, alteration, maintenance, repair and mov3ng of builciings �� dty ]iamits and this permit may be revoked at any time upon violation oE any of the provisiona of eaid Building' Inspector NOTIC� T61s p�rmH d� no� cowr t6s eoestrneH�, testall�Moe fo� �rIrL�Y. ��+�Y, �a haNe�, arwr e� rrat�r. B� sura to a� th� &riWieg Insp�etae foe aparaf� p�rmih Po► f6�n tl�nq. - _ _ �.•.� -- - - - - �' �-� �`, � F :. . a t�� .,n i. APPLiCATIO� FOR BUILDING PE�T CZTY OF FRIDLE'Y, MINNESOTA Ow�ner' a Name_� -.� �� S= S �'r � Builder �'�' �° `� � , � '°� � S (. �a , Addresa ��11 �� .. S U� Cc� v v� , ��. LOGATION OF BUILDINa No. Street ��'� �'�� \� Eart of LQt Lot ''1 Block�_Ac�dition or Subdivision �! 2`� C� �1 «�.�, �',c � C� �' Coruer Lot Yneide Lot�_Setback �� Side-Yard `v� � c�,� � SETr�ER ELEVATION FOUI�ATION ELEVATION Applicant atCach to Chia form Two Certificatea of Survey of Lot aad proposed buildfng location drawa on �hese Certificates. DESCRI�ION OP BUII�DING To be used as: ��,_) w�\••%� \ Front �� e� Depth�.�- a� Sei$ht t�1.1 Sq. Ft. 1�� Cu. Ft. Front Depth Height Sq. Ft. Ct�. Ft. Type of Construction \� �•.•.•� Eatimated Cost 1�, uv �� To be Completed � �� C 2�' � 7.'he undersigned hereby ma.kes application for a permit for the work hereia specified, agreeing to do all work in strict accordance wiCh the City o£ Fridleq Ordivancee and rulings o£. the Department of Buildings, and hereby declares that a11 the facts and repreeentetions �tated in this applicaCion are true and correct. � n� �c� a� l �l ( � szc�TVR� �� (Schedule of Fee Coets can be fouad on the Reveree Side). ' - _:� ^ ^ , ,. - r = . . • �1 z a�. • _ -z y � � � . ' l�� BU�DTIQG PERMCT FEE S(�IEDULE l� u � �� Section 2. The Ynspector of Buildin�a ehall, before issuing any perm�C for �he erection of any building or structure, or for any addircion to any exist- ing building or structure, or for e�ny alter�.tions or repairs to any �sis�itng - building.or stcructure, upon application therefor, require the payment by �he applicant for such permit of fees to the amount herein below set forth �nd in the ma.nner herein provided to-wit: �� 2.1. Eor any such permit for �he erection of any fire-proof building, oCher than a garages warehouae, factory or grain elevator, or for the erecti.on of ardy fire-proof addition, for similar occupaacy, to any existing building shall be at the rate of $�,.40 for each one thousand cubic feet, or fraction thereof, in such cubical contents. 2.2. For any such permit for rche erecCion of any fire-proof garage, warehouse, factory or graia elevator, or for the erect3on of any fire-proof addie3oa, for similar occupancy, to any existing building shall be at the rate of $1.25 for each oae Choiieand cubic feet, clasaified as °1fireproof" by Section 502 of the P�i.nneapolia Building Code, . NOUSES 2,3. Fos anq such permit for the erection of any non-fireproof building other than a garage, warehouse, factory or grain elevator, or anq non-fireproof additioa, for similar occupancy, to any euisting buildiag - permit $1.00 for each one thousaad cubic feet. GARAGES 2.4. For any such permit for the erection of any non-fireproof garage, warehouse, factdry or grain eleva�or, or for the erec�ion of any non-fireptoof �ddition, for similar occupancq, to eny existing building or for each such building or addiCion - ninety cents ($0.90) for each one thousand cubic feet or fraction thereof, in �he cubical contents thereof with a min3muan of �4.00. For the purpose of computing fees for building permits, the cubical contents of aay building or addition �o a uniform height Ehroughout by mul�iplying the ground area covered fram a poin� six (6) iaches below the floor line of the basement or cellar to the average heigh� of the upper surface or to the average height of the roo�' surface of the maia gable of a pitched root. 2.5. For regairs or alterations to an exist�ing structure, the fee sha11 be at the rate of $3.00 per each Five Hundred Dollara ($500.00) or fraetion ttaereof in the cost of a�l proposed work. 2.6. In no case ehail the fee charged for aay permit as set forth in Section 2 be leas than $4.00. ,�,,-_�_,�-_ - - 4 ,1 .i � � _ -'__,. � � - __ , . _ - - � � g � �p/a�arat� ' S87S-Hi'hnrn� �s �/.E. La�rd Seqr've�/rr� � Mimtea�o/s 2/, .�5�� ENG I NEERt N�r I NC. .��'° ! c�i � �poi � . ' .sr�fQ-6or� �� -- ER�►ineers � ,�urv�cfors — � �c�e�t�,�scat� o� ss�r�► �o: � A�e � z. ��v� s � � � . .J� 'I i , � � -- =-: - - . _ _ - _ _ . _ - - - - - ---- - - - - - - _ - -- -- - � -- -_ _ _ = � : _ ; � T �... .�rv n � �r�,N � �Z � � 2 .-._. � � � — I � � , p^,i � i �� , ; � � � �' . 3�-� � � � � � t �. � � � � . � . �, � � * • J � I � �"� - _� . __ _-- :_-Z �II��\ \° \\\�,, � � ' �, , � + T..... � � �Ppp � . . ��i � N ' � � �p ` � � z.�� { � � � `� �...: _ _ � _ .. / t�,�`. 2�, - - �.�,�-� T� to -: � � �--- _ ��'�� - - - -- _ - - � �F S --:;�� o�� .�� ''�� %i�r.y /VI��or (�4n��kr-. �'0,,,�19��,j ' l�y cerfi�y, f�OSt � rs o hr� ar�d m�rtcf �s�tfa%n o j'o scwa3/ �'� ��'� a�d�e d�'►6ad la�d, and ` arlKs ! q{'aU d�t , Ibvem, arl d/ risrd�e oxrno�h ,�'a►a�• �'inm �r ariswal /�or�d. l�s s�►�roe�e+a► by me fl�s.--- d f ,�' � A.O_ �t.€� Sl/i3 URBAN ENG/NEf,�I/lVG . /NC. _ 6- C G Ir �/ f{ _ .3 � � �y � ��.��,; �- _ � z �- � �0� /� ' ' . _ �,4 _ , � n ,� City of Fridley, Minn.. BUILDING PERMIT Da�: AIIGIIST 24, 1965 N° �401 � ��° �� % �: GEORGE J, MAAS g�� GEORGE J. MAAS Adareas Addr�sB 736 Adams Street N. E Minneapolis, Minnesota LOCATION OF BUILDING No. 6880 S�t CHANNEL ROAD N'.E. Psrt oP Lot Lot 4 _ Bl�k 1 Addition or Sub-Divisioa V�� W MANOR Corner Lot _ Inside Lot Setbe,ck � Sideyard - Sewer Elevaiion �- - Foimdation IIevation To be Used ea: Fr�ont Front 1�►pe of Canstrucl3on DESCRIPTION OF BUILDING Depth Height Sq. Ft Depth fTeight Sq. Fk r, �, � 13 000. 00 __ To be Completed Cu. F't Cu. F't. REBUILD AFTER STORM In consideratlon of the isauance to me of a perrnit to construct the bwilding descril�d above I agree to do tha proposed work in accc�rdance with the d�scrlption above set �Yth and in c�pliance with a�l pr+�vis�6ns of �dinanc�s of the dty oP FridleY• %_ �� /` Ia consfderation of the payment of a fee of � 1 �• �� is her�by granted to GFARGE J� �s to construct the building or addition as descrYbed above. Thiapermi t fs granted upon the exp�ess condition that the pereon to whom it fs granted aad his agent�, employees an� workmen, in all work done in, around and upon eafd huilding, or any �rt thereof, shall conPorm fn all respects to the ordinances of F`ridleY� Mfnnesota regardfag locatfon, conatruction, alteration, maintenance, repair and mov9ng of buiidings wi�� dty liffits aad this permit may be revoked at aqy time up� violation of any of the provisiona of said ALLEN G. JENSEN SuildinE Ins�ctOr NOTICEs '11ds ptrmB doa aee emrsr t6s �rtstrueHoe, hutalFaH�oe ter vrirtn9. P�b+9. 6p 6e�B. ss�r�r er wNsr. B� sore to sss t6s BvUdlq lesp�tor tor apuab p�rmhs Poe fh�a (tfms. APFLICATION FOR BtT�DING PERMIT CI�Y OF FRIDLLY, MINNES.OTA OWNER' S NAME ��',� BUILDER ADDRESS ADDRESS LOCATION OF BUILDING NU. STREET PART OF LOT LOT BLOCR ADDITION OR Si1BDIVISION CORNER LOT ' INSIDE LOT SET$ACK SIDE-YARD SEWER ELEVATION FOUNDATION ELEVATIQIQ Applicant attach to this form Two Certificatea of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDIftG To be used as ; � ' �� Front Depth fleight Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Conetruction Eatimated Coat_ �� ` �r To be completefl � The undersigned herebq makea application for a permit for the work herein specified, agreeing to do a11 work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildinga, and hereby declares tha.t a11 the facts and representations stated in this applicatian are true and correct. DATE (f'i � SZGNATITRE ' (Sched le of Fee Costs can be found on the Rev e Side)�. � �� r� "� - BIIILDIIVG PERMIT FEE SCHEDOL$ SECTION 2. The Inapector of Buildings shall, before iaeuing any permit for the erection of any building or struct'ure-, or for any..add�.tion to any esistiag building or structure, or for any alterations or repairs to any egisting buildiug or seructure, upon agplicatibn therefore, require the payment by the applicant for such permit of fees to tha emount herain below set forth and 3n the manner her`ein provided�to-wit= , � 2.1. �For any such permit for the erection of any fire-proof building, othei than a gara�e, warehouse, faeto�y or��grain elevator, or for the erection of any fire-proof additio�, for aimilar occupancy, to any esiating building, sliall be at the rate of $1.40 for each one thoueand cubic feet, or�fraction thereof, in such cubical contents. 2.2 For any auch permit for the erection of any fire-proof garage, warehouse, factory or grain elevator, or for the erection of any fire�proof addition, for similar occupancy, tA any ezisting building sha11 be at the rate of $1.25-for esch one thousand cubic feet, classified as "fireproof" by Section 502 oi the Minneapolie Building Code.. SODSES 2.3. For any such peranit for.the erection of any non-f3reproof building, other than a garage, warehouse, facto�y or grain elevator, or any non-fireproof addit�on� for similar occupaacy, to any ezisting buildiag - perm3t $1.00 for each one thousand cubic feet. GARAGES 2.4. For aay euch permit for the erection of anq non-fireproof garage, warehouse, factorq or grain elevator, or for the erection of any noa-fire-proof addition, £or eimilar occupancy, to aay es:.Lsting buildiag or for each such building or additioa - ninety cents ($0.90) for each one thous.and cubic feet or fraction thereo�, ia•the cubical contents thereof with the minimum of,$4,00. For the purpase of computing fees for building permita, the cubical contents of any buildixig or addition �o a uniform height thxoughout by multiplying the. ground area covered from a point aix�(6j inch�s below the f1�or�lin� of the basemeat or cellar to the ave�age h��ght of the upper surfa�e or to the average height of the roo£ surface of the main gabLe of a pitched roof. 2_5. For repairs or alterations to an existing atruc�ure, the fee ehall be at the rate of $3.00 per each Fitve I�+andred Dollare .($5i1U.C�0) or fraction thereof in the cost of all proposed work. 2.6. In no.casa shall the fee-charged for any permit as aet forth in Section 2 be less than $4.00. STQRM REPAIR DAMAGE ��F�S: ResidenCial; Cou�ercial; �� Eatimated Coat of work up to $500.00 -$5.00 Estima•ted Cost of work over $5��.0� -$iU.00 Estim.ated�st of wo�c°up �o Y`�n�J�00 - $10�°'� Estimated _ .,st of work over $560.00 - $20. � ' , . � sue�ecr N O. c�ty of Fridley o 17927 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T� r i � CEIPT NO. � ; V __�_�_ COMMUiVITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. 1 i � � /'�'1 � CITY HALL FRIDLE� $5432 NUMBER HEV. DATE PAGE OF APPROVED BV �'---•� � ,`' 61Z-571-3450 910-F15 4/25/85 � � JOB ADDRESS 6880 Channel Road N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED oESCR. 4 1 alley Vic�v Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE George.Maas 688Q Channel Road N.E. 571--1533 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. �dII4B 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAlLAODRESS ZIP PHONE LICENSENO. 8 USE OF BUILDING � Res.idential 7 CLASS OF WORK §1 NEW ❑ ADDITION O ALTERATION � REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a, 22!•. x 24r Ga,aca,ge 9 CHANaE OF USE FROM TO STIPULATIONS � Appeals C�i:ss.ion a�proved ya,riance for street s.ide yard from 25 �ee.t to 20 ,�eet, on Apxil 23,' 1�85. waR�r�� efore di�ging call local utilities �EPAR,�T� ^:�"'�','T^ !�FQu�RED FpR TElEPNONE-�LECTRIC-GAS Efc� ��ONG, �-1�t�T►1y�, �'��1e�IN� ��D SlG��y REC�UIR�D BY LAW SEPARATE PERMITS ARE fiE�UIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY (3ROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL ANO VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN BO DAYS, OH IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. • NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION �- STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHEF SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $6�436 $3.22 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMiT FEE SAC CHARGE PROVISIONS F ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTI THE PER ORMANCE OF CONSTRUCTION. $62. SQ PLAN CHECKFEE TOTALFEE e $ 65. 72 iGrv REOF AO AUTH 2 n Nr �onTEi WHEN PR PEFI. A�IDATED THIS IS YOUR PERMI - �` ��— SiGNATURE OF OWNER iIF OWNER BUILDEFi� IDATEI BLDG INSP � E p� [] City oP Fridley Effective 4/1/84 ADDN. [ ] R-1 AgD R-2 pLTER. [ 7 Building Permit Applicatioa Construation Address: Legal Desa; Owner Name Contractor Address: LI9ING AREII: QARAGE AREA: DE`: Attach to this application� a Certificate of Survey of the lot, s�ith the proposed construction draxn on it to scale. DESCRIPTIOH OF II+IPaOYEl+lENT Leagth ilidth Height Length �.`� Yidth Height ° �� Length ilidth Hgt/Ground . # Sq. Ft. Sq. Ft. Sq. Ft. �� s a OTHER: �-� Corner Lot Inside Lot [] Ft. Yd. Setbaek Side Yard Setbac � - � � Type of Construction: �J�� Estimated Cost: � � �-y��- Approx. Completion Date: �� '. Alt. A Alt B Proposed Drivexay Width If Nex Opening Is Desired: "°� � � See Back Page for Explanation . 0'�� DATE: „e '�� APPLICANT: Permit Fee Plan Check State Surcharge 3AC Charge Park Fee Sepver Naia Charge ioreL STIPULATIONS: .:i / .%�, — I_.�j�i . L!� � .r � � lo S� /��- Fee Schedule on Reverse Side 25� of Building Permit Fee �•50/a1,000 Valuation �425 per SAC Oait Fee Determined by Engineering . #-`� ��s � � Agreement Neeessary [ ] Not Necessary [ ] BIIII.DII�G PERNIT FEE SCHSDIILS 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 applicatio n therefore, require the payment by the applicant for such permit of fees to the amount herein belo� set forth and in the manner herein provided to-Wit: Total Yaluation 51.00 to �500.00 a5o,.00 to a2,000.00 Fees �10.00 (Minimum Fee is a15.00) a10.00 for the first a500 plue �1.50 for each additional �100 or fraction thereof, to and including �2,000. �2,001.00 to a25,000.00 �32•50 for the first �2,000 plus �6.00 for each � additional �1,000 or fraction thereof, to and including �25,000. �25�001.00 to a50�000.00 $170.50 for the first a25,000 plus a4.50 for each additional �1,000 or fraction thereof, to and including �50,000. a50,001.00 to �100,000.00 �283.00 for the firat �50,000 plus �3.00 for each additional �1,000 or fraction thereof� to and including �100�000. �100,001.00 and up �433•00 for the firat �100,000 plus �2.50 for each additional �1,000 or fraction thereof. DRIVEiiAY DEPRESSION ESCROY (Concrete Curb Streets Only) . Alternate "A": Removal and replacement of curb and gutter only - DriveWay Width plus 6 feet times �13.50 Alternate "B": Removal and replacement of curb and gutter and install a 3 foot Wide approaeh With 6 ineh depth - DriveWay aidth plus 6 feet times �15.75 VERIFICATION OF FOONDATION Permits for construetion Will be issued a minimum of 24 hours from the time of application Lo a11oW for proper revieW of the proposed structure and of the construction site. A CertiPicate of Survey of the lot, shoving the location of the foundation once it has been oonstructed Will be required before proceeding With the Praming. _ � .� 1 �� GB�S -H� •CS ,v.E. [ard Olarnirn� Mmn�Pols v, Mrirn�csofa .� ks�� ENGINEERING�� INC. � cMi � �po� , . ��-� �� — En9ineers � Surveyors — ce:t��icate o� s��►e�r �o: M A R k Z JDit/E S. �� Sn.r � r i i " �; �. l�or �� ,3�°��' ��` � � ;� P� re� � :� � -_ � ,y� � � � � 3?"_ � � y � � �e. y i � � �� i `�i � ,� � � � � l7� � R� ( , � 1 a` � � � _ �CS Z�O ' s��.- �� ac � � ,� � /, o � .'J�S 9 � � ' v �- - - - r'" � ,`-� � I � �;.� I N � ' A \ � T_lo J v l i� r � ,� i i � � i 6 �� .9 vE �v vE 9 Lo� � ��G.�.� ..1� �G�/'E�' vi�t.v �%Gt��ar �Arl�k�, io.,M,.�.,j _ — --�– / baYdy �y. � � a o br�s a►d m�st� np'esa�ol'an �'o � �'� � ��'�'r �",e d�v+►6�nd /and, a�d ��r'�a�►�.�«,,�r�,� ��.�'�y•��h��d. � �y�dby� n� -�►j �' a '' � /' - A-D �i � SUB URB/W ENG/NEER/NG . /NC. � b Sa'�er'i . " ' , /�� ,3O c � /r = /y . . �_• _-�°�� _ � Building Inspections 763-572-3604 763-502-4977 FAX DATE S / � OC^i SITEADDRESS ��i THIS APPLICANT IS: � PROPERTY OWNER/ , TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE AND CER'I�ICATE OF INSURANCE PROPERTY TYPE PERMIT TYPE TYPE OF WORK: BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY EFFECI'IVE 1-1-09 Permit No.: ��'u 0 � 1 Received By: Date �: i� � i E YOUR E-MAIL ADDRESS �YYi.i.e�,�°ee � �/tJs �It.��Il.`W��(/�� a �C:3 �hh-�.\ F�;� I�� s�3 � ❑ OWNER ,�CONTRACTOR �l:�ll� � wt . 5� a � e� � ESS: 6�i`� C� � CITY �tr � �� STATE i`�.i�ZI P� E: `7� � -- �'Ce�? - 3 �f ) y STATE LICENSE C� � �� `�_ EXP DATE A PHONE ('� I L—�I S�' ��S� FAX � �SINGLE FAMILY SIZE ❑ TWO FAMILYMEW CONSTRUCTION STORIES ❑ ADDITION O GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINiSH ❑ ROOF ❑ DRAIN TILE ❑ DECK 0 SIDING �OTHER � � � ❑ SWIMMING POOL �a`i � 1' �e �'"`� � NEW HOME CONSTRUCTION ❑ ADDITION ❑ MAINTENANCE/REPAIR , t�REMODELING . o DESCRIBE WORK BEING DONE: %ZJ@�-c� � ROOFING NUMBER OF SQUARES _ GARAGES PROPOSED SIZE: PROPOSED HEIGHT: SIDING ❑ Vinyl ❑ Aluminum 0 od�� WIIVDOWS IN EXISTIlVG OPENINGS ❑Yes DIVo OR FOR NEW OPENINGS-DESCRIBE SIZE OF OPENING CHANGES & TYPE OE WINDOW TO BE INSTAI.i.F.D 0 ❑ HOUSE ONLY � HOUSE & GARAGE ❑ ATTACHED GARAGE ❑ DETACHED GARAGE �Soffit ❑ Trim ❑ Fascia LOCATION OF WiNDOWS NUIvIBER OF .� BASEMENT REMODELING SUBMiT: 1. Existing Floor Plan 2. Proposed floor plan 3. List of structoral members to be used FOR NEW CONSTRUCTION INCLUDING DECKS, ADDITIONS_ & PORCHES SUBMIT: 1. Site Plan/Survey showing the existing structures and proposed project 2. Two sets of conswction plans 3. Energy Calculations ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1497 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $�' �`D-�' OCCUPANCY TYPE Permit Fee $ j 3 a See Back Page for Fee Schedule Plan Review $ � 65% of Building Permit Fee Fire Surchazge $ "2c� .001 times the total job valuation Surcharge $ .0005 x Permit Valuation Minimum $.50 -- - ---- — License Surcharge $ � eA„7 $5.00 (State Licensed Residential Contractors) SAC Charge $ $2000 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft+ 6 ft= ft x$22 =$ Erosion Control $ $450 Conservation Plan Review Pazk Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary () Non Necessary () � Total Due $ �,(� Make checks payable to: City of Fridley Attach THIS IS AN APPLICATION FOR A PERMff-NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I aclaiowledge 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 on site; that the work will be in accordance with the approved plan in the case of all arlei hich re uires review and approval of plans. SIGNATURE OF APPLIC� � PRINT NAME�j°i�"� �'1 �•1 !� "��'�� DATE � � U o f Page 2- Building Residential Application BUILDING 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 FEES $1 to $500 $23.50 (Minimum Fee is $23.50 plus surcharge) $501 to $2,000 $23,50 for 1� $500 plus $3.05 for each additional $100 or fraction, to and includin $2,000 $2,001 to $25,000 $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 $391.25 for 1� $25,000 plus $10.10 for each additional $1,000 or fraction, to and includin $50,000 $50,001 to $100,000 $643.75 for 1�` $50,000 plus $7 for each additional $1,000 or fraction to and includin $100,000 $100,001 to $500,000 $993.75 for 1�` $100,000 plus $5.60 for each additional $1,000 or fraction to and includin $500,000 $500,001 to $1,000,000 $3,233.75 for the 1�` $500,000 plus $4.75 for each additional $1,000 or fracrion to and includin $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 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 City of Fridley Building Inspections Department 6431 University Avenue NE � Fridley, MN 55432 '7�� 7�nd Fax: 763-502-4977 Building PLUMBING Inspections RESIDENTIAL APPLICATION 763-s�2-3604 CITY OF FRIDLEY 763-502-4977 FAX �.._-------- -- -- DATE � �/ � SITE ADDRESS ` THIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOURSTATE LICENSE, BOND AND CERTIFICATE OF INSURANCE PERMIT TYPE �� O OWNER t�CONTRACTOR Permit No.: 0�"WL Received By� n�I��M �'� � � � �i�vt. bi�G.e v`n tva�vtE:__ �Ol�v� ,' � v� t 1°� 5�,� ��c.�l C.� ADDRESS _SG-�.'E' � � C1TY STATE ZIP NAME: � � '�l �L � I (.� INL�JIlti �v� STATE LICENSE # V�� Z l ' � STATE BOND # ,� i� ADDRESS: 2°1C7 S�ci.v'� �� C 'l.�e 5 CITY PHONE Fq}t FAMILY ❑ TWO FAMILY TYPE OF WORK: I� NEW DETAILED DESCRIPTION OF WORK P �',REPLACEMENT e •tv�� EXP DATE _� EXP DATE % Z ❑ TOWNHOUSE . �� C'�..�� , [�� e ' C° 1 ct 5-�2� .` � a cJ FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER• OF EACH BELOW). MINIMUM FEE $35.50. f BATH SINK/LAV FLOOR DRAINS I SHOWER WATER PIPING N BATHTUB _ GAS PIPING (NEED CITY LIC) SWIMMING POOL WATER SOFfNER ($ _ CLOTHES WASHER _ KITCHEN SINK � WATER CLOSET BACKFLOW PREV. $1 ) _ DISHWASHER _ LAUNDRY TRAY WATER HEATER ($35) FOR IRRIGATION _ WATER METER OTHER THIS IS AN APPLiCAT10N FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a plumbing 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 application for a permit and work is not to start without a permit on site; that the work will be in accordance with the approved plan in the c se of all work which requires review and approval of plans. SIGNATURE OF APPLICANT __ � PRINT NAME�e'� /`""��5�. DATE S�� I.� J City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 �- Do �1�1 Building �i. C�IC� Pemut No.• Inspections �SIDEN�'IAL APPLICAT�Ol�l' R�ived $y: 763-572-3604 � CI�TY O� �� . :. � Date Rec'd: � ��i DATE — ` YOUR E-MAIL ADDRES�S , SITE ADDRESS _ � A��fE' Bb . t�. . THIS APPLICANT IS: PROPERTY OWNER/ TENANT O OWNER � � � � �,1:�11�'II+J!l�i�� c:��v i��►c:roR co�,v�rN�: Sharp Heating & A. C. SUBMIT A COPY OF CoNTnCT PERSON: FlOyd Joswi,ck YOUR STATE STATE LICENSE # E3� DATE LICENSE WTfH ,�D�s: 7221 IIniversity Ave�. N. E. �_ F�idiey APPLICATION sTA� ��zt� 55432 PHONE _763—'�72-0459 FAX � � PERMIT TYPE TYPE OF WORK: � o�' FAMILY � TW� FAMILY O TOVJNHOT7SE �REPLACEh2ENT DETAILED DESCRIPTION OF WORK PER MS 16B.665 the permit fee is a minimum of $15.00 or S% of t&e total �cost up �o $SOO:DO; whichover is .greater, for.the improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor ) Labor cost under $300 =$15.00. Labor cost between $300 to $Sd0 = cost of labor x.05. _ FOR PROJECTS WI�ERE LABQR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE� Fa{CEpT W�.NOTFD, NUMBER OF EACH BELOVd) �, FlX1`UR�S: (WDICAT$ TOTAL Equipment Installed . ' � �G. MDDEI.. , MFG: MODL'L: �� MODEL: _A/C $25.00 _FIREPLACE (GAS) $15.00 _AIR TO AIR EXCHANGEER $15 _FIREPLACE (WOOD) $35.00 _BOILER $35.00 _FURNACE $35.00 _CHIMNEY LINER $10.00 _GAS DRYER $10,00 DUCT WORK $10.00 GAS PIPTN(} $10.00 � • Permit Fee $ Surcharge $ .50 TOTAL DUE $ . SIZFJBTU � STZFlB1'U SIZE7BTU _GAS RANGF/OVEN $10.00 �W C3AS CrRII.L $10.00 _,GA3 LTNIT HTR$10.00 �PO'OL HEATER $35.00 VENTII.ATOR $15.00 Numner ot �xt�res @ $t0.00 x $10.00 = $ Number �of fixttiues �p $15.00 = X $15.00 = $ Number of fixtures @ $23.,00 x $25.00 = $ Number of fixtures @ $35.flU x $35.00 = $ State Surchazge = $ 50 Total Q $� THIS IS AN pppLiCATION FOR A PERMIT NOT VALID UNTIL EROCESSEp — I hereby apply for a building permit and I aclmowledge that the information�above. is comglete .and acc con£ormance with the ordinances and �odes of the City of Fridley and with the ivlit�nesota•Cq�istruction � 5; � t��der�dl� s in not a permit but only an ap ication for a permit and work is not to start witl�out a permit; that the work will be in accordance with the approved plan in the case of work wh' re s rev1ew and approval of plans. �n � SIGNATURE OF APpLICANT �I� �� . �i�l �p1�Ri'► ___ —_ _ �n .e ,. Al� llll _ _ _ � � � 1 _ _ • �►City of Fridley � Building Inspectians Department 6431 University Avenue NE, Fridley, MN 55432 � 763-572 3604 FAX: 763-502-4977 � � �t �