AF - 37344�
>'� /
<,
�
� Ciiy of Fridley, 11�inn..
BUILDING PE1�IT N ° 319 �
Da.te: . . . . .�" . .`'(' °:�. .�1� . . . . . . . . . . . . . .
Owner . . . . . . . . . . . . i�`��e . . Builder . . . . . . . . . . . . . . . .�� . � . . . . . . . .
Adclr�ss '�'�.�� .�Q . .. .. .. . . .. .. .: . . .�:Zc ��' Address . . . .. .. . . . . .� �. .. .� . . . . . . . . . .
�� � ��-°��� �� � L�C TIO�IV OF' BUILDItii�
No ��� Street . ��. .�:'�.'� . . . . . . . . . . . . . . . . Part of Lot . . . . . . . . . . . . . . . . .
Lot . . . . . . . . .� . . Block . . . . . � . . � . . . . . Addition or Sub-Dfvision ���`1�:4�: . . . �. : : . .
Corner Lot ............ Inside Lot ....�.... Setback ....� �. Sideyard ...........................
DES�CRIRTION O� ��JI�.DI[�C�
To tre se as: -
...... ...........: Frorrt ........ Depth ........ Height ........ Sq. Ft. ........ Cu. Ft. ........
.................... Front ........ Depth ........ Height ........ Sq. Ft. ........ C�. Ft. ........
7y�pe of Construction ................... Est. Cost....v.0 �... To be Completed ...................
�
E �
� �� ,�,� �..
�
� d
.� ��� � A
In consideration of t'he issuance to me oP a permit to construct the building desribed above, I agree to do
the proposed work in accordance with the description above set forth and in compliance with all provisions of
ordinances of the city oP Fridley.
....................................................
In consideration of the payment of a fee oP $�,.�..`�"�..1...., permit is hereby granted to _... .. .. �
. . . . . . . . . . . . . . . . . . . . . . . . . to construct the building or addition as described above. This p�rmit is granted upon
the express conditioa that the persoa to whom it is granted and hia agents, employees and worl�ien, in all work
done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of
Fridley, Minnesota. regarding location, construction, alteration, maintenance, repair aad moving of buildings with-
in the city limits and this permit may be revoked at a�y time upon violation of any of the provisions of said
ordinances.
d c
' �i�.d. °o ........:. ...�/���:'�"�'wtldin ector
g �P
NOTICE:
Thls pe�mlt does not cover 4he constructlon, installatlon or alte�a4ion for wlring, plumbing, gas heating,
sewer o� water. Be su�e to aea the Building Inepector fo� separate pe�mits for the,� itema
�
�.
�
��
City of Fridley, Minn.
BUILDING PERMIT No 419 0
Date: _.._..__ �` --_�� -•..� � � ��._.._...._.
...._...�
Owner: .._���_.�....����'��'1....__.. Builder __._...�-.'..'_'3�f_'.r"�L_.. ..._.._._....._._.......__..___.�
Address----._....---_...._......._..._......._.._..._._...._...__.._.._.._._.�._._....___._ Address ........_ .............-----.._...._...........__-------_._.._-------- - — -- --
��C� C'
,_
No. :.`� .'.�..�.�..�� s�t .
Lot ....._...------.� ............... Block
Corner Lot ....� ....................... Inside Lot
Sewer IIevation ....._ ............................_......_.....
To Ue usea as:
����� -- --. ...
�
Z�e of Construction
�IQN OF BUILDING
��........_........__.....------._......._..... Part of Lot ....._...----Yl..._:_._.�. ___._____...._.._._._.
�° c
Addition or Sub-Division ....._.:�i:./...,���..... _..__'�?'�..r.....__.
......... Setback ....._ ............._............._........ Sideyard ....._......._...._......._---.....----......._.............---•_._...
............ Foundation IIevation ..................
DESCRIPTION OF BUILDING
,�/ s Q s,
Front ._�l.._-._� Depth�.�.�.....` � Height l...�..'.�..�.r.� Sq. F't.�..�..1�....� Cu. k't. .����
Front----�- ............._.. Depth ...................._.. Height .............---........ Sq. Ft. ....._............._.. Cu. Ft. ....._............._..
................._....--------....................... Est Cost..........���.�....�.. �o be Completed ....._............__....................._........
In considera,tion oP the issuance to me of a permit to construct the building described above, I agree to do
the proposed waa�k in accorda.nce with the description above set forth and ' compHan , with all provisions of
ordinances of the city of Frldley. %
�-•- -- . � . .......� � _.._._ ......_..�._._.._ ._
�
In consideration of the payment of a fee of $-.---� .. ...........-, Permit is herebY granted to....._.....__.._...........-.---•---....---......._..
__.._._------•--------_____...._._..._...._......_ to construct the building or addition as described above. This permit is granted upon
the express condition tha.t the person to whom it is granted and his agents, employees and workmen, in all work
done in, arotmd and upon said building, or any part thereof, shall conform in all respects to the ordinances of
Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of huildings
within the city limits and this pernut may be revoked at any time ugon violation of any of the provisions of said
ordinances. l�
Building Inapector
NOTICE:
Thfs permit doea nof cover the wnstruetion, inslallaHon for wiring, plumbing, gaa heating, sewer or water. Be wrs fo ses
the Building Inspeefor for separate permhs for these kems.
4
�. � . :
Owners i�ae
. 'i =1.•'
���'@S'$ yL
.. ?- .1: _ `
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MIlVNFSOTA
�
BUILDING
_.�� '
� ��� � .
No..,�.�,,,;. �. Street Pa�t of Lot
....,. ... _ : , . . , . . .., . �
Lot f :�lock ��� Addition or SU.b.IIi��.
- � �:•.•.
Corner Lot�,Inside Lot_ ��.;Set Ba,ck �� Side-Y�rd �
_.��, ELEVATION � � FOUNDATION ELEVATION
,:tr^. , . . • . • '.
,-;;Applican-� attacYs to this �form Certifica,te a£: Survey of Lot and -proposed building
'� � � .�ocation. � , .
DE5GRIPTIOIV OF BUII�IlVG
To. be used as : �' �l� .
�� 0
' � � Front DE
. �. Ft. � G`u� Ft. �/��
I
i
Front Depth Height
� • � •
Sq.' �''t..'� Cu. Ft. . .
T3rpe of Construction �%� �' ': Esti�oated��Gos�/ t�/� o� ��
To be completed � �-
The undersigned hereby makes application for a permit for the work herein apecif3ed.�
agz�,ee3�,ig`'to, do a11 work in, strict ,accordance witki;, the .Ci�y Ordinances and ruling of
th���:IJepar��ie�t of' Biiildings; �nd hereby declares tYia.t .all the fa�ts and representa-
tioris s. ted in.this application are true and correct. .
DATE, � 5IGNATURE �/ d/� L� �,���_— ,
;.�A`S��.sdiale: of: F'ee. costa can be found on the Reverse Sicl.e.) .�
, ,. . . . , ., . :. •
. . '
`.I'. . .: . . .. , � :i•.
r
�i,
� � _ ,�
�
`y 1
�.;. . .
, ;,';:.
� _ __>
� �
�
u:/'1
BIIILDING PERMIT FEE SCHEAiJLE
Section 2. The Inspector of Buildings shall, before issuing any permit
for the erection of an� building or structure� or for a�ay addition to
any existing building or structure, or for an�r alterations or repa.ixs to
an�r existing building or s-tructure, upon:a�plication therefor, require
the payment by the app��-ca�t fbr sucYi� perm�t:t"o��°'�ees to th� amount
herein below set fortl�'a�rcl�in the�=`-�rirt�r �P�'ere�ir provided to-wit:
2.1 For any such pernit for the erection of any fireproof building,
..._.._ather_�b.an_a..�ar.age.,..�caxehaus.e.,='#�c�or�r_.or...grain .eleuat,r�r,...o�. far. the:;,';,`: . .::`=,.;'';
erection of any fireproof addition, for similar occupancy� to any
....._ �xi:s.tin� �u.ilding- .shall . he at��7ie rate _nf _ �1.40 . ior. ea.ch..on.e . thousand..... ._ . ::: :�.:':1'
cubic feet, or fra ction thereof, in such cubical contents.
2.2 For any auch permit for the�erection of any fireproof gaxage, ware-
house� factory or .g��ain elevator, or for the erection of �ny„i�:reproof e,�,;
°°'��"��'�i'��'o�i "��b�'-�inilar occup�nc�� tb any 'ea�ist�.ng bu.i.�d�3rig"' sh�.7.1 �be'"at t�ie� �"'""J
rate of �1.25 for each o�e thousand :cubic feet, classified .as nfireproof" ,. ,; i
. . , : . . . .. _ _.......... w. .._ _... _.
'�" �"��"�`��.a�"'50� "of `t�.� M3.nneapolis Building Cocle.' " � � "���"�
. . � . _. . _�. . �f•. .•�!
...._..._�ti�a�_M__. . __.. -_ � _ ..... _..... ._ _ _ . .. . ... . . __..__...
2.3 For any such pe�z�i:� ;�pr the e,rect�.on of any non-fireproof buil�3ng �,
""� �'L�i�"`t�xi"'���r��e, warehouse, factory or grai:n �ele'va:�or;���or��ariy �
no�.-f.irepr.00£ adc�itiron,. �or•.. similar occupancy,: :to, an�-.existing building. -: >.
Permit $1.00 for each one thousand cubic feet.
` . . ,�i� ,
. . : ?,
GARAGES .. . � .� `
2.l� For any such permit for the erection •f any non-fireproof garage�
warehouse, factory or grain elevator, or for the erection of any ndn- •'
fireproof add3tion, for similr�.r occupancy, to any existing building or
___. .fs�z'_.ea..ch.�s�.�ah ` -buildaa�g._ s�r_.add��-�ion.. .. Nine:iy Cents fo�'r ea.�h. one_._ _.. _.. . .... .....� .. . _.... _
thousand cubic feet or fraction thereof, in the cubical contents thereof
with a mini.mum of �L,..00. . . . . . _ .. . ... . � .;_. . _ . .. � . ..
_�.__�o.�_�k�s.. Rwrp�se�F�af . �oa�.tt�.rag _fees for. bu3..].s�ng..per.mits the � cubical.... _.... ..
contents of any building or addition to a uniform height throughout by
multipl�ring the ground t�xea, covered froz�...a, .po.int six •(6) inF.hes. belot�
the fl*or line of the basenent or cellar to the average height of the
,�, _u�p�r _�u�f�,��. or,. to- �he ��ave�.�ge� 1�p�ght_ of the rQO£ su�f.ace of -G�ie� 'ma.iri
gable of a pitched roof.
---.�..._.._.._..__.. __......__.._......._--� -- ..�.�._ . __........ _.__..__.. ..... ... _ ....... . _ . -
. .... �.... ..
2.5 For repairs or alterations to an existing structure, the fee sha.11
, �.:.+ t�:e . �a��; �tYre� �ate mf � �3 ifl0 �for �.��i � Five' Hundr�ed ;:Dal�.�s's � ( �500.00 �.,: . o� . .; � .l �
..� f'��.etion: �the:c��bi,;�.n �fi�he,;;�ast � of a3.1, prag�osgc��'work�:=: � :` :: :, � . � :.: :f •. , •
•S:f '+'. . .'.Ci . -'iF' . ... ' . ...r;' .:1'..v. _� .. . . " . • � ! .. .. ' , .... ......... � . , :ir!L� ... ..
2.6 In no case sha11 the fee�� charged ior �any �'permit as� set � foi�`t�i �i#i `�`� �� '�
Section 2 be less than �1�.00. �;_
t
! . .. _. . .. .. , .
�
� [� �_ . �
.. _<
�:�: . - . , �,. .
� �
�
..�, �,:. ., . ,
City of Fridley, �rn
6431 University Ave. l�. E., Miuneapalis, Minn. 55432
BUILDITITG PERMIT
� ; _ '>'i.J.���;l�1::i.t�:S,i.(:�►:'F:F:f; � � : •
• u I • � � , - �
- x.�_ -
-�y-� 1 � �- � ����-, ��� �'1 �' x "� 1 �� �
60���
138
LO �'1 IV OF BUILDING
1�To S� � Street Ch c�ri Part of Lot
Lot � Siock - 2 Addition or Sub-Division _ Mtlydix Park Addition
Corlter Lot X Inside Lot Setback �� � Sicteyard 2 �� & 12 �
Se�ver Elevai3an
Foundatton IIevation
DESCRIPTION OF BUILDING
To be Used as:
Aricli ti on Front �_ Depfh .�� Height 12 � Sq. Ft, 120' �, �, 1440'
F'ront Depfh Hei�ht Sq, F't Cu, F't,
T�e oE Cflnstruction Wood Fra*ne �, �� ,,,_$2� 400, 00 To be Completed - �Y 30� 1972
�
In consideration oP the issuance to me of a pertnit to construct the building described above, I agree bo do
�h8 proposed work in accordance with the descrlpiaton above set forth and ia compliance with ali provisions of
Ot�anc� of the dty of Fridley.
°�/t/d�. ��� � ��
1.20 State Surcharge
Ia consideration of the payment of a fee of $_5.�Q� , permit is hereby granted to Mrc. Wa7 tpr n1 aon
to consfruct the building or addition as described above. This permit is granted upon
the express condition that the person to whom 3t 3a granted and his agents, employees and workmen, in a11 work
done in, around and upon said building, or aay part thereof, shall conform in all respects •io the ordinances oE
I�`ridley, Minnesota. regarding location, construction, alteration, maintena.nce, repair and moving of builc7ing8
Q� � dty ]imits and this permit may be revoked a t any time upon violation of any of the ;provisions oP said
/%. '�L.. � �� � .� ' . �
.i .� �51
NOTICE:
ffiis permit does pot eover the eonstruetion, insfallaHon foe xrfrfng, plumbin8, 8as heating, aewar or water. Be wre to ws
,� fhs Buflding Inspedo� for aeparate permits for theae items.
. �
--� -
CERT1 FICATE QF' SU RVEY
JAM ES L. KURTH
LANQ SURVEYOR
4Z01 N.E. 8TH STREET
C04UMBtA HEIGHTS 55421 . . ��•��
� FiSREOY CERTIFY 7NAT THIS SURV6Y. PLAN. OR REPORT WAS PRBPARED BY ME OR UNDER MY DIREGT SUPERVI910N
AND TNAT 1 AM A DULY REGISTE¢ED LllNO SYRVEYOR UNOER TME LAWS OF TH6 9TATE OF MINNESOTA.
DATE ��i�,� � Z-'
!J",� SCALE 1"= �O �
_� ��
MIIMNESOTA REGISTRATION NO. 5332 o=1RON MONUMENT
�' � ,
�. l,l �. 2 �
L��` .
�_
�• �
l9�
N
N
i�` a
_ __V- -- , .�
n���3a 4
� -Sr - K . r
0
30'
N o
N N
O
N
� 53'2.
Survey of
Lot I, Block 2, Murdix Park, Anoka County, Mi►-�rissot�
�
� .
�
r
�
_��- _----
a
V
i
d
rj
1
V
� •
'� � - � —,
s:
APPLICATION FOR RESIDENTIAL, ALTERATION,
OR AllDITION BUILDING P�ERMIT
CITY OF FRIDLEY, MINNESOTA
owr�'s rTar�: �l(/7"`TL° �- �L�Sir% BUILDER: �L�7�� �Sf S ct-' �c7�� —
- � �, �L
� �
annx�ss :_ � 3c� C'. f��� � ��L� annx�ss :_ �o �, � � /� /,v �� /�r��`�(��
NO :. L; 3 U S TREET :�� ( 0�✓ L •
�
LOT • BLOCK: �� ADDITION • �/� � f �� �r
CORNER LOT: l/ INSIDE LOT: SETBACK: �� SIDEYARD;�� �
Applicant attach to this form �ao Certificates of Survey of Lot and proposed
building location drawn on these Certificates. �
DESCRIPTION UF BUILDING
To Be Used As: �?,.
���'�l�i� , l.
Front • 1(� Depth : �% Height • ���
Square Feet: �ZC> Cubic Feet•
Front: Dep'th: Height:
Square Feet; Cubic Feet;
Z�pe of Construction: f OD�' �/`�ryvl(� Estimated Cost: $�,���
r�-�
To Be Completed: /L%/�% � �jG
The undersigned hereby makes applicativn for a permit for the work hex'ein
specified, agreeing to do all work in sttict accordance with the City of
Fridley Ordinances and rulings of the Department of Buildiags, and hereby
declares that all the facts and repreaentations stated in this application
are true and correct.
DATE : �'� � L l T� /''r� � � S IGNAT[JRE • �
(See Reverse Side For Additiona.l Information.) '
, � � ' I �' � , �
} � � ,-� i �:
, � s� Y �` �`
� �, . , ti ,
i'
�,
a
.
a
BUILDING PERMIT FE� SCHEDULE
SECTION 2. The Inspector of Buildings 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 repairs to any �xisting
building or structure, upon application therefore, require t�� p�yx���� b� ���
applicant for such permit of fees to the amoun� he�ein bel�w �e� ����� ��� °�.
the manner herein provided to-wit:
UIVIFORM BUILDING CODE: 1j�pe 1, 2& 4-$2.15 for each one thousand cubic
£eet, or fraction thereof, in such cubical contentso Type 3& 5�$1e�5 �or
��.ch one thousaaid cubic £eet.
ADDITIONAL INFORMATION
For the purpose of computing fees for building permits, the cubical contents
of any building or addition, is determined by multiplying the ground area
covered from a point six (6) inches below the floor linc of the basement
ox tYae cellar to the avexag� hei�hts of the upper suxface or to the average
height of the xoof sur£ace of the main gable of a pitched roof.
For repairs or alteratiuns to an exicting st�cucture, fthe fee shall be at the
rate of $3.00 per each five hundred dollars ($500.00) or fraction thereof in
the cost of all proposed work.
In no case shall the fee charged for any permit as set forth in Section 2 be
less than $5.00.
VERIFICATION OF FOUNDAI'ION
NOTE: Permits for construction will be issued a minimum of 24 hours fram the
time of application, to allow for proper review of the proposed structure and
of the construction site.
A Certified Survey of the lot, showing the location of the foundation, once it
has been constructed, will be required before proceeding with the framing.
CERTIFICATE OF OCCUPANCY
Application for a Certificate of Occupancy shall be made ten (10) da.ys prior
to the use or occupancy of any structure for which a building permit has been
issued; and said structure shall not be used or occup3.ed until a Certificate
of Occupancy has been isaued.
e_
�
' �y �
�I �
�
��
� �..� � � � '
, 3 � I�i� I ' .
i ;� �
° m� : I� � .._ . �
-- k � � �
�,: ; . _ `•
� RL� I
i ; x°. �: ��r
� P \
/'�' �,�i ,�-
� �� ,,
�.; a� �
� �, �:
i � �I � ''i
i,,� ! � ��py
t !;i
j I �� �'j y
� �� � i
� _ , :I l i
I i
�!
0
��
�
�
� _
�
.o. �
,�_ �
sua�ecr PER
City of Fridley _ 19 8 4 9
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
�
� � REC
� ' COMMUNITY DEVELOPMENT DIV.
' � �: ----- �
r � � PROTECTIVE INSPECTION SEC. �/� / q I
1 ` , O� °�/
, /"'1 � CITY HALL FRIDLE� 55432 NUMBER REV. DATE PAGE OF APPqOVED BV
�"""� � ,�� 612-571-3450 910-F15 4/25/89 � �
JOB ADDRESS 530 Cheri Circle N.E.
1 LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. ]_ 2 Ml1Y'CilX Park Addition SHEET
2 PROPERTYOWNER MAILADDRESS ZIP PHONE
Walter Olson 530 Cheri Circle N.E. 572-9207
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Same
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MA�LADDRESS ZIP PHONE LICENSENO.
8 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW , � ADDITION ❑ ALTERATION � REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct a 10' x 8' Deck Additxon
9 CHANGEOFUSEFROM TO
STIPULATIONS
See notations on plan
SEPARATE PERMITS ARE RE�UIRED 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 Sa. FT. CU. FT.
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 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 VAIUATION SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL 8E COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $550 $. SO
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $I.S.00
PLAN CHECK FEE TOTAL FEE
$15. 50
SIGNATURE OF CONTRACTOR OR AUTMORIZED AGENT IDATEI
WHEN PROPERLV VALIDATED THIS IS VOUR PERMIT
SiGNATURE OF OWNER iIF OWNER BUILDERi IDATEI BLDG iNSP np�
� [ )
� [ �
�'i'� [ ]
Construction Addre�-.�s:
I�l AND 1�2
.t Application
Effective 5/1/88 �
i
Legal Description:
OFrrier Name & Address: � --� � (� C-� �- 0(�� � Tel. � �'%2 ��lo�d /
coi,tracr�or: � CsL7 (v �'t � z�t . #
A�dress: �JO �. l�}CLt�?�l. � � (�-c_L �
LIVII�IG AREA:
� ARE�i:
.�}«� �•
�1u.ir;
Attach to this application, a Certificate of S�rvey of the
lot, with the pYapoe,ed ooa�structioai drawn on it to scale.
�ZPPI@T 0�' �iT
Lerigtlz Width Height Sq. Ft.
LET�gth Width Heic�t Sq. Ft.
Lerx�th � Width � Hgt/Gro�nd � Sci. Ft. (��
�%� `�. 6� �i�. ��
Corner Lot (x,] Inside Lot [ J Ft. Yd Setback Side Yard Setbacks
��
Zype of O�rLStruction: '� � _/ Fstimated Cost: $ ---
Ap�rox. Ocanpletion Date:
Proposed Driveway Width If New Openir�g Is Desired:
� �
Ft. $ $
Width + 6' See Back Page
OATE: � -�'�- �`j APPLICANr: Te1. #
P�ermi.t Fee $ � �. � C�
State Surc�aYge $ , � �
SAC QiaYge $
Driver�ray �scrvw $
Park Fee $
Sewer Main C��arge
Tomp,r., $ Ij,Sc�
srz�zzoxs:
CITY � C�II,Y
Fee �ule aa7 Reverse Side
$.50/$l,00o valuation
$575 per SAC Unit
Alt. "A'� oZ' Alt. "B" AboVe
Fee D�termined bY �4�'�J
�e�ent NeoessarY I] � N�rY I l
�
a
:�1 � � � ' :;y'. � " �l _'4.13f� 1
Zhe Chief Buildirg Official shall, before issuing �*�++�; ts for the erection of ariy
building or �, or for ariy additian to az�y existing building or structure, or
for ariy alteration or r�epair to any existiux� building or structure, upon application
therefore, require the payment by the applicant for such permit of fees to the a�mo�u�t
helein belvw set fortil atxi iI1 the lnannAr herei.ii plrovided to-wit:
ZOTAL VAIIJE
$1 to $500
$501 t.o $2, 000
$2,001 to $25,000
$25,001 to $50,000
$50,001 to $100,000
$100,001 to $500,000
� a.
$15 (Minim� Fee is $15 plus s�u�cfiarge)
$15 for fiYSt $500 plus $2 for eac� additional $100 or
fraction thereof, to ar�d includinq $2,000
$45 for first $2,000 plus $9 for each acklitional $1,000
or frackion thereof, to ar�d including $25, 000
$252 for first $25,000 plus $6.50 for each additional $1,000
or frackia� thereof, to and including $50, 000
$414.50 for first $50,000 plus $4.50 for each additional
$1,000 or fraction thereof, to and including $100,000
$639.50 for first $100,000 plus $3.50 for each additional
$1,000 or fraction thereof, to and including $500,000
$500,001 to $1,000,000 $2039.50 for the first $500,000 plus $3 for each additional
$1,000 or fraction thereof, to and including $1,000,000
$1,000,001 and up $3539.50 for the first $1,000,000 plus $2 for each additional
$1,000 or fraction ther+eof
�tIVF�f �I�T ESC[mW
(Car�crete Curb Streets On1Y)
Alternate "A": Removal and replao�oent of cairb ard gutter only - DriveWay width plus
6 feet t iides $13 . 50 .
Alternate "B" : R+�aval ar�d repla�ement of curb ar�d gutter and install a 3 foot wide
ap�roat� with 6 itx3i dep�th - Driveway width plus 6 feet time� $15.75.
.�� -.��� �. � .,
P►ermits for ooa�struckioai will be is.�ued a m?*+�* .m! of 24 houxs frran the time of
ap�lication to allaw for prc�er review of the prcq�osed structure ar�d of the
car�stzuction site.
A Certificate of S�tvey of the lot, showing the locatioai of the fo�u�dation onoe it has
it has been oons�cted will be required before prooeeding with the framing.
.- �
. -�► �a , oC
�.:�� ,, -z,�, � �r � � ��
a
(?�o �
(�'!�{!11 a�J�
,....T..,r,_,,
_ . _ ,.
- - , f--.--.�--�.
...� .--,__
��i S
- - --- � � - _ _ . _
�
-�.
- � . -- _ — �1.c�� , �► X � - - -
_�.�._ ---�� ,..��,,. --
_ � K�. - r�� � � � ------ -�-_---� - -- _ _ __.
�� � c�� __�___�
� - .�_ p�- -- - - - -- -- --.-- - � _--- - --- -- -
-- - - - �' !�'�-- — - �; =� : : -.�: _ ---{�_ - - i -- =� — -�---�'- _ - - -- -- - ___. .
�. �- � �-r. -
,� , . �
'i '
------ , : .
---- — F -- - - -- � ----._ _--- - .-- - -- �-----
-_-- - -- - -- ---f
, .
._ .._ ,
, ' i � ". _. �
�i i
.
---_ _ __. _ _ _ ._ .�....,-! 1--�—�-�--- - „__ ._ -- ! - __ }-E-- ;-� _ �-- - - -- ------ -
L'� �, ��.,�--_....._...+_ ,��_... l� � ��� 1 �
� Xb✓ X� __ .�_._. ' � ----�----- __.�
_—. - --- .._..--
�--
�--���r6�-�=�—�- -----�----� - --- ��— (- --- --- -----�
'��91 t1 :i' t �""'�' '1 ` �` 1 1
� .. �
I - - � l � �.._��.�.
_ �.--- ----F---rr -----' — --------
� , .. 1 .. . , .�...,.r.�_ _�.t� ..- w. . . �:.� . ._. _.`_--- -- — ---- �—
� ` �
----- � -- � — � -- — � ---=-�� -�-=---'��--=-�-=-�v_ .._..o. - 1� _�:.
:� -- . � �- �-� . . . _ ..�� ��._._.�.-� ��:�..
� E
.
_� �, . ., _ .�....
�.�
----- -'- --- ---- F-------- ' ° � .
-----�- - ---- --------�--------�--_ � -
I , . i . � I� � �� .
,
- --- � ` '
r��� ��-- -- _ ---------------- --- ` -- --- ------ ---- ------
`,� Q i�� ~
_�
�� °fi � �^ �� �HC-4�� �
. ,\ .��n��
,, � �. _ _ . �.
_. �
�— �
\
�
SuBJECT .
City of Fridley ����� 7
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
;,
� �; y �_���_ COMMUNITY DEVELOPMENT OIV. ��
r � � PROTECTIVE INSPECTION SEC. °�t'
� �
< T
� � /'�'1 � CITY HALL FRIDLEV 55432 NUMBER REV DATE GAGE OF APPROVED BV
�'""'� � ,�� 612-571-3450 910-F15 3/13/95 � �
JOB ADDRESS 530 Cheri Circle NE
t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACMED
DESCR. 1 2 Murdix Park Addition SHEET
2 PHOPEHTY OWNER MAIL ADDRESS ZIP PHONE
Walter Olson 530 Cheri Circle NE
3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO
Erick Kallerup Construction 7400 1 Ave S Richfield MN 55423 798-1647
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAILADDRESS ZIP PMONE IICENSENO.
6 USE OF BUILDINCa
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION � REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WOHK
Reroof House & Gara e(15 S uares) Tear-off
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
SEPARATE PERMITS ARE RE�UIFiED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. fT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANV TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING
I HEREBY CEfiTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION ], STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORREC7. ALL PROVISIONS OF LAWS VALUATION SURTAX
AND OHDINANCES GOVERNING THIS TYPE OF WOHK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1 iLS .S'C)
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-
ST UCTION OR THE PERFORMANCE OF CONSTRUCTION. �29.00 Fire SC I.. 13
������fj� � PLAN CHECK FEE TOTAL FEE
% �
License SC $5.00 $3�.69
SIGNATUREOFCON�HACTOAORAUTN DAGENT IDATEI WHE�OPE�IDATED THIS IS VOUR PERMIT
a ♦ %:�./6����
SiGNATURE OF OWNEA iIF OWNEA BUILDERI IDATEI ' BLO �NSP ��� " f�qT
� � /, 6
NEW
ADDN
ALTER
Il
[l
[l
CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Applica.tion
Effective 1 / 1/95
-�-���
ConstructionAddress: � � � � � � . , 10� 1 ` d � � % /`C %G
Lega1 Description:
Owner Name & Address: � �j,_ � 'C � P` � � � � �01 Tel . # � � � � � � � �
Contractor: _�1' 1 C,�— ��� P tJ� �v h��° MN LICENSE #
Address: 7'�0 �s'1` �� �"d I���T��Le�( %�'�' c�����Tel. # ��� - `�'l �
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction dra.wa on it to scale.
LIVING AREA=
GARAGE AREA=
DECK AREA:
OTHER:
DESCRIPTION OF IMPROVEMENT
Length Width Height
Length Width Height
Length Width Hgt/Ground
��i`C90`i' �G�� � 4�..-e�Ci eG / ��
Comer I.�t [] Inside Lot [] Ft. Yd Setback
Type of Construction:
Approx. Completion Date:
Sq. Ft.
Sq. Ft.
_ Sq. Ft.
. %c
Side Yard Setbacks
Estimated Cost: $ � o � �� , —'..
� �,� /�S'Z�z!
(Cost on Back)
Driveway Curb Cut Width Ne�ed: F+ 6 Ft = Ft x$ _�
DATE: C� !� APPLICANT: 0� Tel. #��� —/���� _
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
$ �9, o�
$ l. �.�
$ � �
$
$ �.5�_ C� C,
$
$
$
$
$ � � . ��
CITY USE UNLY
Fee Schedule on Reverse Side
.�1 of Pemut Valuation (1/10th%)
$.50/$1,� Valuation
$850 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 [ ]
13U11_D(NG P(:RMI'�' I=EE SCHEDULE
i�lic Chi�f t3uilding UCticial shall, tx;lorc issuing permits for Ihc erection of any buiiding or structurc,
��r ti�r any :��icfitic>n tu any cxisting buildir��; c�r structure, or for any alteration or repair to any existin�;
l�uiliiing <�r s�ructurc, u�n application lhere(ore, require the payment by the applicant tor such Permit
c>(� t�e:ti te> the anuwnt hercin t>elbw tic;! ti�rih and in the ntanner hereia Providuf to-wil:
"t'O"t'AL VALIJE:
� I tc� $500
�501 to �2,000
�2,001 to �25,QQ0
$25;OQ1 to �50,000
�50,001 to $1Q0,000
I=rI:S
$15 (Minin�um Fc:e is $15 plus surcharge)
$15 for first $S00 plus $2 for each addirional $100 or
fraction thereof, to and including $2,OU0 �
.$45 for first $Z,000 plus $9 for each additional $1;000
_ or fraction theroof, to and including $25,000 ' •
$252 for first $25,000 pl�s $6_SQ for each additional $1;000
or fraction thereof, tA. and including $50,000
$414_50 for first $SO,OOU plas $4S0 for each additional
$1,000 or fractiou thereof, to and including $100,000
$100,Q01 to �500,OQ0 �$63950 for fiist -$100,0U0 plus� $3_SO for each additional-
� $1,Q00 or fraction diereof, to aad including -$500,000
$500,001 to $1,000,004�
$1,�00,001 and up
$2039_50 for tfie first $S(l0,OQ0 pins �3 for each additional
$1,000 or fraction �ereof, to and inciuding $1,OQ0,000
$3539_SO for the first $1,OOO,IXiO plus $2 for each additional
$1,000 or fraction �thereof -
DRIVEWAY DEPRESSIOM ESCROW
(Concrete Curfi Streets Only)
Aiternate "A": Removal and replacem�t of curb and gubter only - Driveway width plus 6 feet times
513.50.
Alternate "B°: Removal and replacement of curb and gutter aiid install a 3 foot �vide
approach with 6 inch depth - Driveway width plus G feet times $15_75.
VLRIFICATION Or FOUNDAT[ON
Permits for cor�st�uction will be issued a minimum of 24 hours firom the time of application to allow
for �roper rcvic;w of ihc �roposcd slructurc and of thc construction site_
A Certiti�;:�te of Sucvey of ttie lol, showing the location of Qie founciation once it h�.e ii has heen
constructc�i �vil! bc re:yuirul tx;ti�rc proceeding with lhe framing_
�uilding
Inspee�ions
763-572-3604
srrE anDxESS �
I`HIS APPLIC.4M' IS:
i'R(�'ERTY OWNER/ 1,L
'TENANT ..
CONTRACTOR
SUBMIT A COPY OF
YOUR STATE LICENSE
WITH APPLIC:4TION
PROgERTY TYPE
TYPE
�rYrE oF woRx:
BUILDIlrIG
IlI
R�SID�NTIAL APPLICATIOI�T
CITY OF FRIII�LEY
YOUR E-M.4
� i C. � �f G�-�. �
0 OWNER ,�60NTRACTOR
i:! l�l�'T�.�f , �
Ess:
R• �n�f � � .t-� •�- !1
��— RENEWAL BY ANDERSEN
sTATE L 1920 COiJN1'Y RD. "C" W.
�D� ROSEVII..LE, MN 55113
Pxo� _ 651-264-4777
o �i�vo F. LICENSE #20130983
� BASEMEN'i FWISFi ❑ ROOF
❑ DECK ❑ SIDING
�
3ESCRIBE WORK BEING DOATE: .
.IZE OF Il\�PRfl�rEMENT
UA�ER OF SQUARES �
'ARAGES
KOP(?SID SIZE:
�OPOSID HEIGHT:
�ING
� ��
Aliunin�
Oti�er .
LENGTH
fl IiOUSE 8c GARAGE
0 ATI'ACE�D GARAGE
❑ DECACHED GARAGE
OSoff'it
❑ Trim
❑ Fescia
'INDOR'S
f EXtSTING OPENINGS DYes �No LOCATION OF WIIQDOWS
2 FOR NEW OP�i1NQS-DESCRIB$ SIZE OF
?ENING CHANGFS & , .
CPE OF WII�IDOW TO BE INSTALLED NtJMBER OF V
PermitNo.• �bc�(o�
Received. By:
Da% Rec'd: '�- �A �O
STATE ZIP
L?TY STATE ZIP
❑ DRAIN TII.E
0 OTHER
HEIGHT Sa
BASEMENf REIvlODELING SUBIvJIT• �
1. E�tisimg Floor Plan �
2. Proposed floor plan
3. List of structival members to be used
FOR NEW CONSTRUCITON 1NCLUDINQ DECKS,
.ADDTTIONS. & PORCf�S SUBMTT•
1. Site PlaniStuvey showing �e existing struchu�es
and proposed �rojed. .
2. Tvwo sets of constructaon plans
3. Energy Calcutetioas
ALL FEES ARL� BASED ON VALUATION, TNCLUDING THE COST OF LABOR AND
(LTSING THE 1997 U.B.0 FEE SCHEDULE)
TOTAL JOB VAI�UATION $ ai. (nQ •� OCCUPANCY TYp
:nmit Fee '
an �teview
utcharge
re Surcharge
cense Stu�charge
iC Charge
�rb �t Escrow
�sion Control
rk Fee
wer Main Charge
tal Dne .
$
$ •o
$
$ S• �
$ �
$
$
$
$
See Back Page for Fee Schedule
6�% of Buildmg Permit Fee •
(.000� i�ies the total job valuation — Minimum $.50
.00l x Permit Valuation (i/lo%j
$5.00 (State Licensed Residential Contractors)
$1450 per SAC Unit (Plans to MWCC for determination)
ft+6ft= ftx$20=$
$450 Conservation Plan Review
Fee Determined by Engi.neering
Agr•eement necessary ( ) Non Necessary ( )
Make checks payable to: Citv of FridIev Affarh
THIS IS AN AppLICATION FOR A PERMIT NOT VALID UNTIL PROCESSED
ereby apply for a building permit and I aclmowlec�ge that the information above is complete and accutate; tha.t the work will be in
ifonnance with the ord'uian.ces an,d codes of ihe City of Fridley and with the Minnesota. Construction Codes;� tha.i I understand this is not a
m�it hut only an application for a permit and work is not to start without a permit; that the work wiIl be in accordance with the approved
n in the case of all work w, ch requires review and approvat o�plans.
NATURE OF APPLICANT _G7i� ( QL�..(�Gr�'� PgINT N DATE .
� �
Page 2- Builcling Residential Applicaiaon
BUILDING PERNIIT FEE SCHEDULE
The Chief Bui.].c�i.ng O�.cia1 sha11, before issui.n.g permits for the erecti.on of any� buildi.ng or
.siruciUre, or for any ad�i.tion to any existing buildi.n.g or s#ru.ciure, or for -any� a1#�ra.ti.on or repaar
to any exisiin.g bui.iding or strucfure, upon application therefore, require the paymeni by th�
applicant for such permit of fees to ihe amouni herei.n below sei forth and in. the ma.n.ner herein.
provided. to-wit: �
VERITICATION OF FOUNDATION
Pernv.ts for construciion will. be issued a m;n;munz of 24 hours from the tim.e of application to .
allov� for proper review of proposed stru.cizue an.d of the construction site. ,
A Certifi.ca.te of Survey of the lot, showi.n.g the location of the existing foundation will be '
required before proceedi.ng with the framing. New Houses Onl.v
City of Fridley � ,
Buildi.ng Inspections Departm.eni
6431 University Avenue NE
Fridley, MN 55432
763-572-3604
Fax: 763-502-4977
Building
Inspections
763-572-3604
DATE OC—1 � �
SITE ADDRESS �
THIS APPLICANT IS:
PROPERTY OWNER/
TENANT
CONTRACTOR
SUBMIT A COPY OF
YOUR STATE LICENSE
WITH APPLICATION
PROPERTY TYPE
PERMIT TYPE
TYPE OF WORK:
BUILDING
RESIDENTIAL APPLICATION
�
O OWNER
NAME:
STATE LICENSE #
ADDRESS:
0 SINGLE FAMILY/NE
❑ TWO FAMILY/NEW
❑ ADDITION
O BASEMENT FINISH
O DECK
I 0 NtA►N�
DESCRIBE WORK BEING DONE:
SIZE OF
NUMBER OF SQUARES _
G.�AwGES
PROPOSED SIZE:
PROPOSED HEIGHT:
CITY OF FRIDLEY
Permit No. • �eo`? -bo�7
Received By
Da� �'�: � ' 1 2007
' STATE ZIP
Renewal By Andersen
1920 County Road "C" West
Roseville, MN 55113
License #20130983
651-264-4777
❑ ROOF
❑ SIDING
�:
❑ HOUSE & GARAGE
❑ ATTACHED GARAGE
❑ DETACHED GARAGE
ATE ZIP,
u wiNix�ws
❑ DRAIN TILE
� OTHER
c 1�
BASEMENT RFMOD ING S MIT•
1. Existing Floor Plan
2. Proposed floor plan
3. List of structural membets to be used
�� ❑Soffit FOR NEW CONSTRUCTION INCLUDING DECKS,
,ADDITIONS & PORCI-IEC ci IRMrr•
❑ Aluminum 0 Trim 1. Site Plan/Survey showin� the existing structure
❑ Other ❑ Fascia
and proposed project.
WINDpWg 2. Two sets of construction plaos
IN EXISTING OPEIVINGS OYes ❑No LOCAT[ON OF WINDOWS 3. Energy Calculations
OR FOR NEW OPENINGS-DESCRIBE SIZE OF
OPENING CHANGES &
TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS
ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LAHOR A1�TD MATERIALS:
(USING THE 1997 U.B.0 FEE SCHEDULE)
TOTAL JOB VALUATION S I��IO —' OCCUPANCY TYPE
Permit Fee
Plan Review
Fire Surcharge
Surcharge
License Surcharge
SAC Chazge
Curb Cut Escrow
Erosion Control
Pazk Fee
Sewer Main Chazge
Total Dne _
I hereby apply for a building
conformance with the ordinanc
permit but only an application
plan in the case of all work whi
$
$
$
$
See Back Page for Fee Schedule
65% of Building Permit Fee
.001 times the total job valuation
.0005 x Permit Valuation Minimum $.50
$5.00 (State Licensed Residential Contractors)
$1550 per SAC Unit (Plans to MWCC for determination)
ft+6ft= ftx$21=$
$450 Conservation Plan Review
Fee Determined by Engineering
Agreement necessary ( ) Non Necessary ( )
Make checks payabte to: Citv of Fridlev Att9�
THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED
and I aclm ledge that the information above is complete and accurate; that the work will be 'v
codes of th ty of Fridley and with the Minnesota Construction Codes; that I understand this is not �
ermit and k is not to start without a permit; that the work will be in accordance with the appmve�
r�s rev' d approval of p�i an�'\ �� � _
SIGNATURE OF APPLICANT // ✓ � L/ � N� /�'1��j,Y1� � �
� �
�
� �
� a�
� �
� �
3
a �'
`o m
� -a
m A
-a 1°a
� 3
� �
� �
��
�
m a
�
�
0
c
�
�
m
-D
n
rn
rn
z
-�
�
c
�m
Z
n
m
�
m
z
v
�
z
m
�
$
; .,
�`
� >.
�
��' N �
v
o � m =i
°< Q z
-Ci c. � O
� W �
� � -D
� �
� _-c
� �� �
�
0
� 3
� 1
�
� o
� m
� �
o �
Z Z
0
z �'
7L V
fv �
0 v
1
N� N
O
� O
-�
f
�
O
�
rn
�T,i,.
�
�a
N �
z�H
� y
z
a �'
�\
C7
� a�
9 r
v rlj
' C�
I � H
f'�
H
z
C�
�
m
�
_
�
�
�
�
�
�
� W
3
�
4 �
a
�
z
m
.�
_
�
�
�
z
0
m
v
�
J �a�
°. 3
� �'
�a
�c
-a
� �
0
0
�
� C p"F'a �
<� � �
�
� � ��
���
�.���
� ,
� ��
�
���a
��
o '� • �,'
� � $
--1
O
Z
a
�
3
�
Q
0
0
s
� �
c 0° � o
� � Q
_ � °.
m m
� � �•
�
m
�� �c
o �-�C �
� o � �
i
�� n
� A
�
.ci o
O �
� m
� �.
a c� �
� m�
°-vo"
�• _
w �+
��
� �
C �
O �
N
O �`.I
� �
� �
��
1 �
�
s
m
�
�
�
�
i
7
m
A
v
���
� �
�?�
��
� fl,
�v
� �
8�
�
c
�
i
� � � �
j J J �
0 0 0 �
o � � °o �
� En
�
�
�
m
�
�
�
v
0
�
--1
-�
m
�o
�
0
��1
�'
o�
C
v
Z
O
c
�
rn
v
�
t�►
�
n
�
�
�
�
�
z
�
tn
� O
� �
. • , „�,- ,_ _
,
'a
����
N �
� �
c�
�z �
�o
�a�
N �
�Z
r�ii
�
Z
v
�
, � -�
�; � �
m���
� � a m
� -► � �
o �`flm
y����
� � n
ms-��
am ° m
� o o .�
� 3
� N � �
ayi � o �
� � � �
� Q 3 'Q
•-�••, � :p+ W
r
' 7 � .�+ .-►
�`���
o' o �'
� � � �
a�'��
A x
����
� rt -�
Q ;; 3 �
�� ? �
� � n
� � `� O
�O �` �% 7�C
� � � Z
�
Q N �
� 3
� a
�
`o
W
v
v
�
�
�
�
w
O
�
x
�
H
�
H
n
r
t=i
rn�
��
rna
-�
-� O
OZ
Z �1
O
v�'
17
� �
n�
v �°
_� Z
o .�
z �n
�Az
�v
_
��
�z�
o c�
�o
rnZ
��
m
. Z
�
�
_z°
�.
\�
V v
�
�
m
0
L
7
N
�
�
W
�
�
���,�� HEATING HOUSE HEATING TEST RECORD
AIR CONDITIONING
AND ELECTRIC, INC.
ADDRESS V�� �/,IGrI G//'QC I� APT. FLOOR CITY� SUBURB
OCCUPANT OWNER `� E�' � �
HEAT LOSS DATE HTG.1 ST. °,�� ���% ��
SOLD BY .':� � E'o �� - � � IN3TALLED BY ��i,�h � er
Electdcal Work By ���� _� e�., Qas Une By Ge �5
TYPE OF HEAT GA F HW STEAM PACE IiTR. UNff HTR. OTHER
QAS DESIGN
MAKE ��"�P� +�
M�a� 3 y�S'�G.� `o���OS.�
Serlal �'� � �� ,e�l ,rn '� � � �
INPUT �o,r�A�
�,J CONTROLS
THERMOSTAT � � � � Heat Plug
Valve �+� D � �� r°P��
Lfmft �3'���L,a.
Limit Setttng a°' "�e��
Fan Setting 0 '
Pilot Type t�. ' : �. �
Pilot Make � �" f�
Pilot Model �� �
Pilot Timing "��� ���
L W. Cut Off
Pressure � " � . Percent CO, "` �3
Input CFH Percent O, �� �� �
Stack Temp. a�.,,�t �� Parcent CO �+ �
Form 235
CONVERSION
MAKE OF BURNER
Model
Max. BTU Rating
MAKE OF FURNACE
Model
� ss
VeM Size
KIND OF UNER !e +�! . g�ZE NONE
DraR Hood sns� °� ��f'�- Regulator
Flftere Size � Number
Chimney Location Inside Outstde
Chimney Construction � �'I C eL ,�►
Smoke Bomb Wldng ��
Draft Test Tag �
Door Pressure Ughting Inst.
Date T�ted � ��� � �
CompanyTesting �� �,r. � � , =�E1`�
Name of Tester
z
�
�
a
�
�
:°
0
�
x
�
N
�
oa
P�
w
�
�
�
r���
M H x �
� �
� � o
�
x � x �
� � O
'�y ez
����
� �
�
N
�
..
� y
mQ' �+ '"
¢ W 4��
� � � �
`° ~ � t�*t
o � �
N��
° � .
0
o�:
0
�o : :
� : :
`�� ; ; :
� . . .
�
m
H
� m �a �e x o
�
fA i/1
P
�
� �
p O 4 �
ffl tA {fJ �
� �
.a �. �
r
f]
b
�
�
�
i�
b
�d
�
b
�
�
�
�
M
�d
�
0
�
0
0
0
0
0
�
�
C
O
�
�
� o w
� � m
r� � �e
� �
� p. C
a �
�
z �
�
�
:C
�
�
� �
� ti �
O � �
;u
0
r
o�
a
pd
�
°e �
�o
w
� �'
��
� �'
� �.
�
x
o �
� o
� �
m
�
f�D •
A •
� •
p' •
E:
� �
�
C
O
f/i
e� �
�x
Q+ a+
00
� �
��
��
o �
�
M '
�
� �
� M
� O
� y
� �
� �
��
sw
Q �0
�
�
�
�
�
N N � �
tn G� O O
O O o O
iA 1!► 4A
� �
� �
M
O
�
�
0
e � �
x
0
�+ O
� M
� �
�
�t �� R
� �,
z
0
� ,
�
�
�
�
O
� o
�
K�' cr
�
� O
o �
� �
I w
g
�
� � ,� � �
�'�'� � �
� �
R' R� � $ �
���'���
�. � � �
� o
� ���
�
���o�
& �' : � �
a � ' °
p, e�i+ : � ••
o . . �
�p � ' ; O
O � . . �
O . . . �
N � � N �
O O O O O
�FA W E/! Qlf
.�
a. a.
fmA 1�-b
�
�
�
� , .
1
m
�
x
0
.�
�
(N
CL
�
m
►!
n
Y
�' � � � S
� m '� �
� � � �
� �
R� R° � � y
�a � � �
� o �
`° '° i� �
0 o d ??!�
����
�b�°
a � � �
� � .
� . .
� Qo : :
pp 6 . .
C : . :
N��,��
p O O P
� �
0
�
m �
d � 'd ..•
a.a� •�
���:H
b ��� ro
� �- �
���� ¢
� �� �
Of�Gp� `4
� �oa�
o�
�
° � a �'
��o�
�
tJ p '`�
��� �
��-e y
� ���
b �-��
� �' �ro
�m i'�
p� ��
w
g 0
id�op
� �, O
►!
����
�
��A �
O � � �r'
����
�� �
�
�� �
G�o
� �.
'�'
�
0
a
�
D
r
�
�
�
2
m
C
m
n
d
M
M
�
`�
a
�
d
a
A
O
,
b
a
-g
�
�
0
�
�
O
;
� o
'� O
0 �
,
� �
o=
;. �
�
`ey .
�
� �H
0 �
0.�
v<
`-• �.
� �
�
.
�
�
�
�
�
d
r+ � � p'
I I � �i ili � I
� ��
.��z'r.�� ��°� �'3o C�
IYJ6 x e
_ HEAT LOSS CALCULATIONS �9, �3�,6 DEPARTMENT
Weatherstrips A.S.H.V.E, CoAetruction Z
Guide
Wiadows Doors Reference Out. Wall Int. Wall Cxiling
Yes—No I Yes—No 19_
Fl•� Room � Length Width /�, Height �
Windows and Doors—Crackage and Area
Nidth Hetght No. of Llneal t. Area
No. o[ pane ot pane Iights ot crack aq, ft.
�- - �3 6.b
.S' � ,
� .2 / , � Q,
Coef. Btu
Infiltratioa �` . 3 O 8'�
Glass -
0.5
Exp. wall � �,�
Net exp. wall � p
Int. wall _ _
Ceiling ` � �
Floor � y
Total Btu. �
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
F7•� %' Room � Length ` Width Height �'
Windows aad Doors—Crackage and Area
Wldth Hefght No. of Llaeal ft. Acea
No. ot pane ot pane Ilghts of eracB eq. tt.
� � .Z ��i�
/� � � .
� � r
♦.V�f. BtU
Infiltratioa ,e�/ ,�
Glaaa 9�
Esp. wall / G/ �/
Net exp. wall
Int. wall
Ceiling � �
Floor �� � �
Z'otal Btu. �
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
FI. Room � Length j Width Height d(
Windows and Doors—Crackage and Area
Wldth Hetght No. ot Lfneal ft. Ares
No. ot Dane ot pene tlghte ot crack eq. tt. I
Infiltration � Z 3
Glaas a S
Exp. wall �„
Net esp. wall �
Int. wall
Ceiling �D i � �
��°�r /�fJ
TotaQ�Btu.
Require�i aq. ft. E.D.R, or aq. ina. W.A. Leader area
�1.v �"",�,,G
OF INSPECTION jyQN�pppl,j$� �1jj�j,
�o• Insulation
Roof F7oor Kind How Applied
Fl.� Room Leagth � Width 7 Height ,3'
Windowa and Doors—Crackage and Area
Wldth Hetght No. 01 Llneal ft. Area
No. ot pane ot pane Ilghte of crack eQ. [t.
/ �--D a- / . ,
Coef. Btu
Infiltration / �/, 7
Glass �
Exp. wali —
Net egp. wall 3l. Jv � y
- Int. waH
Ceiling - �' `y-
Floor � � �, �y
Total Btu. )
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
Fl.l Room I Length / Width / � Height
Windows and Doors—Crackage and Area
Wldth Helght No. o! Lineal tt. Aras
No. of pane ot De.ne lights ot craclt eq. tt
�- 3 L �
Coef. Btu
Infiltration �
Glass - � �-�y
Eap. wall y � i
Net eap. walt � �
Int. wall
Ceiling � U X/ 0?i / �D -
Floor ► � /Og� i
- Total Btu. - - - / ,
Required aq. ft. E.D.R. or sq. ins. W.A. L.eader area
F7.� Room I Length Width Height
Windows and Doore—Crackage aad Area
Wldth Helght No. of Llneal ft Area
No. o! pane_ of pane _ llghte _ of ccack _ sa. tt _
Btll
�.� Infiltration
�� Glass
Eap. wall
y 7� Net eap. wall
Int. wall
I � � Ceiling
7 7 o Floor
(p O � Total Btu.
sq. ft. E.D.R. or sq. ins. wA. Leader area
Btu
Caty of Fridley, i�nn
6431 Univeraity Ave. 1�, E., Muineapolie, Minn. 55432
BUILDING PERMIT
�,�, �ugust 25, 1972
��: Walter Oleson B��r Wm. !�. George
� 1�0 Cheri Circle Ad� 3922 Richfield Rd.
� -
LOCATIOiV OF BUILDING
� �� Cheri CaLrcle
No Street Part of Lot
Lot 1 Biock 2 Addition or Sub-DivTsion Murdix Park
Cornp,�r Loi Inside Loi Setback Sideyard
$ewer IIevatqon Foundation IIevation
���
�� � \
� �
DESCRIPTION OF BUILDING
To be vsed as:
Deck Front 10' I�pth 4' Height 24�� Sq. Ft Cu. Ft
Front I?epth Height � Sq. Ft. _ Cu. Ff.
q+y� ����� _ Wood �, �� 245 . To be Completed 9/25�72
In consideration of the issuance to me of a petmit to construct the building described above, I agree to do
� pro�xxsed work im accordance with the des�ription above set forth y���'p�/ ia complian with all provisiona oY
Ordinanoes of the dty of Fridley. ./`/J / /
w / O _A A
y
In consideration of the payment of a fee oP $ 5• 00 , germit is hereby graated to �•�• Geox�e
to consfruct the building or addition as described above. This permit is granted upan
the express condition that the pPSSOn to whom it 3s granted and his agents, employees and worl�nen, in all work
done in, around and upon said building, or any part thereof, shall conform. in all respects •to the ordinancest oP
13`rYdley, Minnesota. regarding locatton, construction; alt�sation, maintenance, repair and moving of buildiags
Q��� dty limits and this permit may be revoked at any time upon viola.tion of any of the provisiona of said
.
���L�✓ Buildin8 Inspector
CLARENCE BELISLE
NOTICE:
ihis permit does not eove� the eonatruceion, taatallaHon for wiring, plumbtng, gas heeHng� sewer or wa4er. Be sore to sas
t6s Building inspeeto� fo� aeparete permits for ihese itetos.
�
�
�
AP.PLICATIO� FOR RESIDENTIA�, ALT�RATIONs
OR AllllITION BUILD�NG p��IT
CITY OF FRIA�EY, MINN�SOTA
OWN��S �TAMEt �lJI��/L� DLL'Sd¢� BUILDER: �/�' A� (°1CD�f7j�
r a� �w.s s q
ADDRESS:�� �'HL?�I �((:LL1- ADDRESS: ���� c1�-fct/F�[.�l-/,� /� �
� .� .
��O
�p:. STREET•
�: l BLOCK : �- ADDITION t O� L l� D l y �� ��,
.n s � wRSa i
CORNER LOT : � INS IDE LOT : SETBACR : S I DEXA,R'� t,�
Applicant attach to thie form 1t�o Certificates of Survey of Lot and pro�►���id
building locatian drawa on�these Certificates.
HESCRIPTION OF BUILDING
To �e Used As:
, (i
/
��`C Froat : l� Depth : � Height : � �l
Square Feet: Ci� Cubic Feet:
' Froat: Depth: Height;
Square Feet; Cubic Feet:
� ,
pe of Conatruction: �c�dG� Estimated Cost: $�- ����,,,q�s
To �e Campleted: "//� ���7.�
The undersigaed hereby malcea application for a peslmit fos tt�e .wQ�l� '��7���
apec���,ed, agreeiag to do all wosk in attict accordauce with the C�Cy Q$
k'��d�.eyr 0=dinances and rulit�gs of the Department of Buildiugs, and '�e��ab�►
d�ala�ee that all the facte aad representationa stated ia tbie ap�i�,g���,�
a7re txue aad correct.
�A�; SIGNATURE: ~(� > _
(Se� Aeverse Side For AdditioaaY Information.)
f
- � `� �-' �
� -__---._ _ ,
� .
. ,�
v
$UILD�NG PER�[�T FEE SCHEDULE
SECTION 2. The Tnspector of Buildings shall, before issuimg penai.t� foz the
eXection of any building or structure, or for any addition to any exist3,ng
building or structure, or for any alteration or repairs ta any e�cisting
l�uilding or structure, upon application therefore, require the payme�� by �h�
applicant for such pes�►it of fees to the amount hexein below aet foxth �Rd i.0
the manner herein pravided to-wit:
iJNIFORM BUILDING CODE: Type 1, 2� 4-$2.15 for each one thousand cubi,c
��et, or fraction thereof, in such cubical coatents. Zj►pe 3� 5-$l..$5 f4r
each one thousand cubic feet.
ADDITIONAL INFORMATION
For the purpose of computiag fees for building permits, the cubical contents
o£ any building or additian, ie determined by multiplyiag the ground area
covered from a point six (6) inches below the floor line of the basenent
or the cellar to the ave�age heights of the uppez surface or to the average�
height of the roof aurface of the main gable of a pitched roof.
For repaire or alterations to an exieting atructuse, the fee shall be at tta.e
rate of $3.00 per each five hundred dollars ($500.00) or fraction thereof in
the cost of all propoaed work.
Iz� ao case shall the fee charged for aay pesmit as set forth in Secti.a� � b�
leae than $5.00.
VBRIFICATION OF FOUNDATION
�TpT�;; Permits for eonstructioa will be iseued a mini�um of 24 hours f�CaRp th�
�ime of applicatioa, to allow for proper review of the proposed structure and
pf the construction �ite.
,!1 Cextified Survey of the lot, ehowiag the location of the fouadat;�A�ta Q�S�e� ��
haa been coastructed, will be required befo=e proceediaA with the f�caat�a,�.
CERTIFICATE OF OCCUPANCY
Application for a Certificate.of Occupaacy shall be made ten (10) days ���,c��
�� the use or occupancy of any structure for which a building pe�mit has ��q�
iaeued; and said structure shall aot be uaed or occupied until a Certif�.Cat�
of Occupancy has been iseued.
e.
° ,�
�
�. �
�
, �.
i
� �
r_ �
��`���. , �� �-°' �
�_,. ���,� :�
4
t
� �
/
��
�
�'
�
- �
s
."r.
�
�
C
�
1$,
�
� _
____$ .
� �:
� �
���
��'`
��
���'�,� �i �� .,
���������s��.�����
r.�"�r' �����
���__
t�.�;;�
r���
a
rt
x �s
�
`�
f .
�`
g
��
'o
O
� �
�
� c � �C:'
O
c7 p
v�1 �� G �
�.i
�� A
-� �y
.��• e
I
SUBJECT PE O.
c�ty of Fridley � i37o
AT THE TOP OF THE TWINS g � I L D I N G P E R M I T
t
� � ECEIPT NO.
� 1 L_.__ COMMUNITY DEVELOPMENT DIV. �
r � � PROTECTIVE INSPECTION SEC.
1 .1 �
ti� 1 /'�'1 � CITY HALL FRIDLE� 55432 NUMBER REV. DATE PAGE OF APPROVED BY
----� , ,,� 612-560-3450 910-F15 s/i6/76 / /
JOB ADDRESS 530 Cheri Circle N.E.
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. ]; 2 Murdix Park SHEET
2 PROPERTYOWNER MAILADDRESS ZIP PHONE
Walter Oleson 530 Cheri Circle N.E.
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
William George 3922 Ri.chfield Rd �/��j,� 55410 l�,�,D
4 ARCHITECTORDESIGNER MAILADDRESS ZIP PHONE LICENSENO.
same
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
8 USE OF BUILDING
residential
7 CLASSOFWORK � NEW ❑ ADDITION �9 ALTERATION ❑ REPAIR O MOVE � REMOVE
8 OESCRIBE WORK
Interior work on kitchen (remodel)
9 CHANGE OF USE FROM TO
STIPULATIONS N
�
i
��'"ERATE P��MITS REQUIREi� F�R MftRII�G,
� ti��iTING, PLUM8ING AND SIGNS.
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPA,NCY 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 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 WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2�900. 1.45
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE I
PROVISIONS F ANY OTHER STATE OR L AL LAW REGULATING CON- '' ]_s.00
STRU 10 R THE P OR ANCE OF C STRUCTION.
�► PLAN CHECK FEE TOTAL FEE
� 6 �� 19.45 �
SIGfb,slTqREOFC NTRACTORORAU RIZE AGENT WHEN PR R� V II�D�S IS YO R PEP.MIT
r
f - .� ' � ��'��
� % ;>;
SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI BLDG INS nATE
CITY OF FRIDLEY
APPLICATION FOR RESIDENTIAL ALTERATION,
ADDITION, OR REPAIR BUILDING PERMIT
ow�vEx � s r�r� : L L�"� �- c� � BUILDER :,�(/�/ �.��. �,, ��7�12/� }�
Annx�ss : � � � (�f ��2 ( C'c %'�annxESS : `?��v ? � �
N0: .��C� STREET: %�I J Yz I l. � l� C I_ 1�
LOT: BLOCK: �-- ADDITION; �(�l��i,71 �
CORNER LOT _�_INSIDE LOT: SETBACK: � SIDEYARD:
Applicant attach to this form Two Certificates of SurveY of Lot and proposed
building location drawn on these Certificates.
BESCRIPTION OF BUILDING
To Be ;jlsed As ; �.�� �
� �l TL`%zl o r2
C��� � c, Front ; Depth : Height :
Square Feet: Cubic Feet:
Front: Depth; Height:
Square Feet; Cubic Feet:
��
Type of Construction: Estima.ted Cost: ���'/ l'�U
To Be Completed: � / � � �
The undersigned hereby makes applicativn for a permit for the work herein
specified, agreeing to do all work in sCxict accordance with the City of
Fridley Ordinances and rulings of the Department of Buildings, and hereby
declares that all the facts and representations stated in this application
are true and correct.
,� ^ � �
DATE : Z� I(� 7� SIGNATtJRE : ''
,
(See Reverse Side �or Additional Information.)
�� �� � G�
/ ��'
�
t� �. �s
�.
r.
,.
�
,� �
�
_,�,.�;:�
BUILDING PERMIT FEE SCHEllULE
SECTION Z. The Inspector of Buildings 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 repairs 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 ma.nner herein provided to-wit:
%1EW CONSTRUC�ION: S�g],e Family Homes and Garages: $4.00/1000 cubic feet
PLAN CHECK: 25 percent of building permi.t fee.
ADDITIONAL INFORMATION
For the purpose of computing fees for building permits, the cubical contents
of any building or addition, is determined by multiplying the ground area
covered from a point six (6) inches below the floor line of the basement
or the cellar to the average heights of tTie upper surface or to the average �
�height of the roof surface of the main gable of a pitched roof.
For repairs or alterations to an existing structure, the fee shall be at the
rate of $3.00 per each five hundred dollars ($500.00) or fraction thereof in
the cost of all proposed work.
Tn no case shall the fee charged for any permit as set forth in Section 2 be
lesa than $7.50.
VERIFICATION OF FOUNDATION
NOTE: Permits for eonstruction will be issued a minimum of 24 hours from the
time of application, to allow for proper review of the proposed stru.cture and
of the construction site. •
A Certified Survey of the lot, showing the location of the foundation, once it
ha� been constructed, will be required before proceedint� with the framing.
CERTIFICATE OF OCCUPANCY
Application for a Certificate of Occupancy shall be made ten (10) days prior
to the use or occupancy of any structure for which a building permit has been
issued; and said structure shall not be used or occup3ed until a Certificate
of Occupancy has been issued.
�,
w �
�
.�
��
,�
_�
�'1 �
�
r,
- _.
a
�
v
�
�—_�
��o,i�= � �� ,
_� L L /�
�6��r��C�c�r 7"
� � � � �—f l:
�
�,- 1 ,n.n.i�.,� _,
_ r�' o �•
> N �.- .3 � /3�.- �p �/ :
I� l� �l� �iivc.L
- �c�azc:� ��s����; s �
�i]'v(.��%� �re�l� Z i._ �" (1�' l G c/� t� Ur_ �..
a�
a _
�,l ' ��.�?�c �S c
�=C SQ� ��r Z�t
� — S ��r i TL r
� �/ �. t0 - 1���- f' •
--�---- --
�
� �
.—�;_
�
�