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AF - 37743City of Fr°idley, Mirm.. BUILDING PERMIT No 6 0 4 3 � � . nate: °""' �"'"' �r Oovner: � �-���-� Builder . Address Addresa ���, ��,� �LOCATIO�N���NG No. � Street —. ��� Part t f Ut �` �' _ Sl�ck � Afldition or Sub-Divi �oa A� � � Corner Lot _ Instde Lot ._.._� +�_._._ Setback �,�--- Sideyard �� ' --- Sewer IIevatian �— --- Foundation IIevation DESCRIPTION OF BUILDING To Used �,,+�j� Front -�� DeP� � Height � Sq. Fk �t��e' �-� Cu. FL .p�°'�a � Front � DePth .��� St►t -��� �l. Fk ;�� Cu. Ft --��� �pe of nst�ctfon � Cost � _ To be Completed In consideral3on of the 3ssuance to me oP a permit to construct the building described above, I agree to do the proposed work in accordance with the description above set forth and in compliance with all provisiona of ordinances of the dty oP Fiidley. .� � In consfderation oP 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 that the person to whom it is granted and hia agents, employees and worl�en, in all work done in, around and upon said buildiug, or any part thereof, shall con4orm in all respects to the ordinances of Fridley, Minnesota regarding lacation, construction, alteration, maintenance, repair and moving of buildings within the dty ]im�its and this permit may be revoked at ar�y time upon violation of aay of the provisions of said ordinanc�es. � s _ .�"3 Building Inspector NOflCE: 'Ilds ps�mlt doa eor cewr fhs eonslrneHoe, tnttalla�loe fee vrWeo, plurobteg, oa 6udea, sav�r er w�Mr. B� sun fo s» �h� Butidioe lesp�etee fer aparaf� p�rmhi fer f6�a h�ms. ���� �, � .� ..... _ � � : lond Plonning Land Surverfin9 Soils Testin9 Civil b Municipal En9irteerin9 � �. Q�; ,�;� �� -, -�� i i � _� ` �, 4.;� 6875-Niyhway =�S NE. M�rn�aPnl�s 2/, � EN G I NEE R I N G, I N C. M�nnesofo SUnse�4-6066 — En9ineers � Surve�C/ors c esrts�icate o� s�ss�re � O 1' ____W C� � 11 G� TU O t11 l 2 �r T i /r c`'. >5• 9! ��4's� — �¢.�-� _ � , �� � � �,��� �� s � r! � , c �� \�4 � �,4-? 1 � ` �. � � , j � �� y 1 � 1 r �� \ w �. � #. � �� � �� � V'� 4��� \ � ��b .� „ o- '`. �� � � � , i N o G ��� „ ao � � �� .T,`" i. , p o. o 'y��S i� � �GU � d � �� � �j0� .� t ���� ';� � �, � 1 � S �� �y �i�� � � Q ��¢ �,�. _ �- �?r I ��� �(� � /�'ai .�_- �� \-Z�� �� � � G��� . � � l..O�s' �_ 10, ► l ANC� 12, C�►-UGt� W�_ f�iV�.lcV'1E�l�/ WE.IGI�ITS ;�. N G 4t A G� t�1 c7i'� �f M� N N. ! fi�eby �rfi�y fi� fhis K a fiue m►�d �cf �ser�ot;a� o�'a sr�wey q('�lit b�o,,.�do�ies �i'�e abar af�bed lm,d, ond �/acv/ijon o�'dl/ b�ildin9s, �i'e� , m�dal/ ris'�6/e aarovJimmis ,�f'ar�, !'rnn � ar�said /amd. As wrreyed by me fl�is _ chtf _s e�' A'o � SUBU28AN EIVG/NEE21NG . INC. En errs fr Surreyors z, �y �., �''� - �: r. � ��` � ,_ � ��14 -�-� �� � .,, .. .� r , Owaer's Name Ow APPLICATION FOR BUILDING PERMiT CITY 0� FRiDI.EY, MIL�TNTSaTA Builder � Address Address LOCATION OF BUILDING No. Streat Part of Lot Lot Block Addition or Suhdivision Corner Lot Inside Lot Setback Side-Yard SEWER ELEVATiON 1�OiJ1�TDATLON FLEVATION Applicant attach to this form Two Certificatea of Survey of Lot and proposed building location drawa on �hese Certificates. To be used as: DESCRIPTION OF BU]ZDING Front Depth fleight Sq. Ft. Cu. Ft. Front Depth Height Sq, Ft. � Cu. Ft. Type of Conatructien Eatimated Gost To be Completed The undereigned hereby makes application for a.permit fos the wosk herein s�pecified, a�reeing to do all �aork in strict accordance with the City of Fri.dley Ordinances and rulings of the Department of Buildinga, and hereby declare� thae a11 the facts and representations stat$d in this applicatioa are true and correct. ' DATE SIGNATURE (Schedule of Fee Coats can be found on the Reverse Side�. .- "' _ - _ � �`` . . y �. � . _ $UILDZN� PERMtT FEE SCHEDULL Section 2. The Inspeceor of Buildinge shall, before issuin an the erecCion of any bu3lding or structure, or for any addition toPa�y eK3et- iag building or structure, or for any alterations or repairs to any eaistin building or st�ructure, upoa application therefor, require the a g applicant fo�..�uch p�rmit og feea to the amaune herein below sety£orthbBII�he in the manner herein provided to-wit; 2•1• For any such permit for Che erection oi anp fire� than a garage� warehouse, factory.er Proof building, other any fire-proof addition, for similar occugancy,�tor�,nyre�iating buildinn of shall be at ti�e rate of $�.[�p �or �gch one thousaad cubic feet, or fraction �hereof, in such cubical contents. 2•2• For any such permit for �he erection of anq fire-proof g8ra e ware faetory or grain elevator, or for the erectioa of any fire-proof additionh�8e, for_sim3l�r occupaacy, to any existing bu3ldiag shall'be at,the rat��of�. for eac� one thousand cubic feet, classified as °1 �, ' the Minne�polie Buildin firePraof b � $1�:25 8 Code. Y Section 502 of LO- i1--- SES � . � 2=_ For any such permit for the erection of any non-iireproof build than a garage, �aarehouse additiore, for s3milar occupaacy,ytorany8existing�buildiaa�� aoa-firepro�of�t&�� each one thousand cubic feet. g Permit $1.00 for GARAGES • • . '�'4' FOr-gnY such permit for the erection of any non-fireproof a warehouse, factory or graia elevator, or for the erection ot any n�_g�r additioa, for simil$r o�cu �� g rage, buildiag or �dd3tion - niaety cents 8IIy existing build3ng_or for e�c�i suceh � .or fraction thereof,�in the cubical contentsfthereof �ith�a mi����ic feet For..the purpoae of comput$n °f 'S4.pp, of any building or additioagtoea8unigor�ihaight throu hout � PQ�m3ts, the cub3ca1 contents gro.und area covered from a poiat six 6 g by �gt�AZy3ng the basemeat or cellar to the avera e he3 h� of the uelow the floor line of :the $vere e hei ht of the roof surface ofgthe ma�m pper eurface or to the S g gable of a p�.tched zoof. 2_5• For repair� or $1teraticros to aa exiating Btructure, the fee aha $t the rate o� $3.p0 �er each Five Huadred Dollare 11� be thereof fn the cost of ali propeaed wa�k� i$500.00) or frect�on . z•6R . In no case ahall the fee charged for aay perm�.t 88 $et torth ia Sectioa 2 be less th�n $4.00. ``� _ � � j"'� .� ., �'.+ , � � � � � ^� � H � � � � r � o � y �' x C � � � � m � 6� O ���� �`��� � � � � �—•�- m M � � H � H � � � � \ �3 l� � f+ 0 � � N (n � � � � � p � � � � 4� ''a y H y � � ►y � � w � G� p o � � fD � e} � o � � N ��� ��. a. p y . �y : : Q : : I I I x ,e ,e ,e o N � °o 0 0 � � � � � Iy � � � � � W 0 � � O � � �' � � � ro � ro � � � � � � � � � ;b Y � �. t� �d � a 0 0 0 0 0 � � 0 0 � 1 � A 0 �1 m 0 O r, oa � C,� t(pg -.. �.I w � W �� ���p O ~ � � � � � . �: co • �: �� �: �. � � 0 � 0 P � �a w � � F�o F�o � � � � � � � � � � m � � � �' � � a a � m � � � co a a. tn m p R° R° �,� �' � w t� 1s' • p' � � �!. o O. �.� '�' -F'`y, � `�"� W "�'� � ����.������ �'�� � � ��� ��� x x �' � � m ,� � o � x �r . �o � �.� Qv� � �": �� � . '� �? � o : : ~ � � : � � g o : : ° �' � � , td _ � ° � :° � : � � ::�� ::::: n� N oo w � w cn eo 00 0 0 °o °o o °o °o °o o° F{? {i! &! �Ff3 �YI �A &D � � � � � � � � � �' � � lD `� O � ~' y 8 � � � � � � � � � � g � � � � O �p, Q B ' I--� � � � 1� � � Z O 9 � � '+7 � � � _ � c m I I � I��p 1 � ��,��5 � � � m �C � � R° R° �, � �. 03 �...p' � � ° � p o d ,a�,o ���� '�r �' � $ a ° � � � o : : C�J� p � : o g : . o . . o° : : : N m � � � 'vi o 0 0 0 0 0 0 � 0 � ¢.a� � � � H ���� � p �� � � €�r. � � � N ��� 0 � a �'' t3.�� � p� � ��4 ���p'! � �, � � ���� � pq�� w �'i G. � p � � Q, o H P��� ��A �� �� ���y ���� ��� � o �+��' � � �. w�� ��� > � Dr � � m v� i m C m G � M � � � � b A A O 'b � � �i � � a� �� �• � � � �� � � T' ��� �y � � � ° o. =� v< �' � � • �. � � � � � �:. . � � � k^ � � ! •� � � o i a r�i � i� � w o = 0 • � i+ � b w o A g�� o � O M • i M • �r � M i m i�^� �i � r�� w w • r � o w• w� o i Q ~ t�i i°. : o = a � = w � i p � i i � ~ � � M• w� •� r• o s M r� N � $ M � $ ; � � � � . � � � � � m O p � �I w • �,� a 4 i : � ' i a � oe i � � N p � i � 1 10 �p p M M M M M• M �i • r M a s r+ r 0 0�n .� u► u� u� at u� • r W a • • ♦ • • • • • � � N O O O L7 C'1 O Q O O O N �n O O O O O O O O O O p O O O ti � CZ! �l w � � � � � � � !D �qiA M � N r M iil M• M M r N•• N �. I� . � � �� � � ��, ;� �� yM � � � �� 00 �� �� �� �� m �� �O � � M fA � r O O 0 � � � � � � Q � � $ 7 � aa • s V � •� � � � � �� � � � � � Q �� � � � � a c�, , �. � _ .. .. � $ � � 800ria v .�.. � � r � � a �a..n q � �ilnals � !a!h 'iLb� ' W ias � siwu 1i�M 1Y�y� DsiNti1�y roune•�ns 8henae� tloor De�i � Caseh ea i � s n� Autamaeio 9 stash�r � r� � ca� sppl. �,+ � Mlse. l/st Q Z � Gas Ranq� o � � oe�+�s �O E�' �� m � � �� � � Q � � � a » � � ��� � ��# � � � � J A � �� � �� � ��� ; og � s e � � o� � ►. r�gg �` � ���� .^�, ? c ,.� � ��s w 3 �MR� �C ? s: � 3 :' "� �� � $ � . ~ ��r •9 � ��� � �� ���M . ���� � �z� � e�"; � � . ;., � � i T v � g' �� T r � � � � : . � . � b � w � � � � � �. � �, '`"r`"�. _ `��'i �} :'y. CITYOF' FRIDLEY FRIDLEY MUNIC[PAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(612) 571-3450 • FAX (612) 571-1287 April 2, 1992 Investors Mortgage Connie Engstrom 3200 Main Street, #360 Coon Rapids, MN 55448 Dear Ms. Engstrom: The property known as 641 Cheryl Street N.E. is zoned R-1, Single Family Dwelling. According to the Federal Emergency Management Agency, this property is located in Zone A of the flood plain, which indicates a 100 year flood boundary. The community panel number is 270013 0003 B, dated March 2, 1981. If you have any further questions, please feel free to call me at 572-3593. Sincerely, Michele McPherson, BLA Planning Assistant MM/ dn C-92-117 cc: Kim Hudyma SUBJECT . c�ty of Fr�aley 2 7 0 0 0� AT THE TOP OF THE TWINS g � I L D I N G P E R M I r ; � RE NO. � • COMMUNITY DEVELOPMENT DIV. � �/� � LV �'���'� r � � PROTECTIVE INSPECTION SEC. 1 . � i.--. A��" ;', CITY HALL FRIDLE� $S43P NUMBER REV OA�E PAGE OF APPROVED BY L J� 612-571-3460 910-F15 8/5/98 � � JOB ADDRESS 641 Cher 1 St NE t LEGAL ��T NO. BLOCK TRACT OR ADD�TION SEE ATTACHED DESCR. ],0,11,12 W Riverview Hei hts SNEET 2 PROPERTY OWNER MAIL ADDRES$ ZIP PFIONE Rim H.dema - 3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO. Premium Roofin 6680 Lucia Ln Fridle 55432 571-3973 20097688 4 ARCHITECT OR DESIGNER MAIL ADORESS ZIP PHONE LICENSE NO. 5 ENGINEER MAII AODRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION � HEPAIR O MOVE O FiEMOVE 8 DESCRIBE WORK Reroof house (17 Sq) Tear-off 9 CHAN(iE OF USE FROM TO STIPULATIONS Underlayment must comply with State Building Code. TYPE OF CONST. OCCUPANCY (iROUP OCCUPANCV IOAD SEPARATE PEHMITS AqE REOUIRED FOR ELECTRICAL, PLUMBIN(3, HEATING, VENTILATING OR AIR CONDITtONiNG. TNIS PERMIT BECOMES NULL AND VOID IF WORK Ofi CONSTRUCTION ZON�NG SQ. FT CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PEii100 OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING 1 HEREBY CEHTIFV THAT I HAVE REAO AND EXAMINED THIS APPLICATION STAILS GARAGES AND KNOW TNE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS Of LAWS yAIUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMP�IED WITH WHETNER SPECIFIED MEREIN OR NOT. TIiE GFiANTING OF A PERMIT $1417 �.71 DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pEfiMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. ��{8.SO Fire SC �1.42 � PLAN CHECK FEE TOTAI FEE /�"��_� Licen C $5. 55.63 SiGNATUHE OF CONTRACTOR OR AUTMORI2ED AGENT IOATE� N ROP VALIO THIS IS UR PER r SiGNATUREOFOWNER��FOWNERBUILDERi iDATE� B �NSP f�ATE NEVV ADDN ALTER �] [l �� CITY OF FRIDLEY SINGLE FAMII.Y AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: /�-1 � � � Effective 1 / 1 /98 �,��� �o �� � �� Legal Description: /(�� (��(y� Owner Name & Address: %r(/� `'f y%��/ �� Tel. #��y'%�/ ? Contractor: �/�'�,/L!/(/✓vj �C,���i(O� MN LICENSE # �i(� % �'� Address: �p ��� � � L/ /� � /L/ �� � Tel. # .S %/ � 3 cl `7.� Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: Length DESCRIPTION OF IMPROVEMENT Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECB AREA: Length Width Hgt/Ground Sq. Ft. 01'HER: _� ��� ��OrJS� ��lJ � f f,G-�Q - � �c � Construction Type: �(�O �r�VCv Estimated Cost: $ _ � ��f � _ � (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$• DATE: �-� -� � APPLICANT: ��� ��� Tel. # .s %%3�! 7.3 CITY USE ONLY Permit Fee $ �-�Z� Fee Schedule on Reverse Side Fire Surcharge $ , L� .001 of Permit Valuation (1/lUth%) State Surcharge $ `%/ $.50/$1,000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge $ �-c�� $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ $450.00 Conservation Plan Review $ Fee Determined by Engineering $ $ Agreement Necessary [ ] Not Necessary ( ] BUII.DING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or �r����t��e, �r for any addition to any existing building or structure, or for any alteration or repair to any exist�� b�gl�i�,�� or structure, upon application therefore, require the payment by the applicant for such permit of fe�� to tti� �ount herein below set forth and in the manner herein provided to-wit: TOTAL VALUE $1 to $500 $501 to $2,000 $2,001 to $25,0� $25,001 to $50,0� $50,001 to $100,000 $100,001 to $500,(�0 $500,001 to $1,000,000 $1,000,001 and up FEES $21 (Minimum Fee is $21 plus surcharge) $21 for first $500 plus $2.75 for each additional $100 or fraction thereof, to and including $2,000 $62.25 for first $2, 000 plus $12. 50 for each additiona.l $1, 000 or fraction thereof, to and including $25,000 $349.75 for first $25,000 plus $9.00 for each additional $1,000 or fraction thereof, to and including $50,000 $574.75 for first $50,000 plus $6.25 for each additiona.l $1,000 or fraction thereof, to and including $100,000 $887.25 for first $100,000 plus $5.00 for each additional $1, 000 or fraction thereof, to and including $500,000 $2887.25 for the first $500,000 plus $4.25 for each additional $1,000 or fraction thereof, to and including $1,000,000 $5012.25 for the first $1,000,000 plus $2.75 for each additional $1, 000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50, 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. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been coaistructed will be required before proceeding with the framing. �--. . ,. � � N � °� v o, 2 c�i --- � � � c � � o Z m -^ v � �O � � � � °o � ° m �� � yD c .°—. � D O � � p (� r � � T rn m � rn � O z � � � 0 D � f/) � � � � Z � � v o' � GD � � � � o � I � �o � _ v � m � ,i m � r d Z v ° d N � � 1 � � ' ,7�.J p�j �� G� G C N N p�D � N � � v, v, °� � °: � 5 � � m 0 g �� v� m m m\ o v-v �t m � � `Q n�i n�i � � � � W -Na = �. � . * �D .-. -.+- ,�y, (D - °t �j flt--�- � �p � � m c� �<; � N. �n N � � � �c � � � m Z m co rt � m -o � m f � v, �, �° d � � -, �= •� � � � � � c � � m Q .� � m N .-. 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Cooling FJ�A1� 90:6 1 p �• 808� 1C0� � 906p •� � HO h 49 ¢ 4�5 � Z�3o , 4a � 2232� .w� «.. Ov 8 Othet doora b 10 28.0 0.0 42 1236� 94� 4p 123; 344 � o.o e.e _ o o: o:- o :a o 8 oxpOSed b�� 48 8 8? 2� 8566 19�7 ;83 '�¢� 1827 12798 24 7 28q z� 9 2aY7; wac� prW c 16 11.g 390 448g 0 446'S C cartitions d 0.0 ��� 0 0 0 D Q i o� 8�8 0 8 0 8 8 a t0 Celin�s � 16 �.0 0.0 t000 BC96� 38t9 10�� 60 � 3810 I . . � a o:o 00 0� g o) � g o( I � a.o $:8 0 8 0� o 0 t1 Floors °�� a 21 2.2 0.0 7000 2206 0 9000 2208 0 (NOte: room b 0 0 0 p 0 0 �I �o� � r c� S.S 0.0 S ` 0� 0 o q i floorei � 0.0 0.� 0 0 0 0 D 0 I .__ 12 Ir.fllpffibn 8 42.0' S.0 247 10379 1241 241 10379 1241 � 13 Subtotallossa8+8..r11.12 'a' .54129 "• �'� 5+1129 °" «.� �.w ��n ��� �Less e�emal hoatlnp �"' g`� � 0�� •�~ I "° I�( �' i Less vanstBr .... .... .... «.. .... �--• �• heating red'utr�butk� • •••, � •••• •••• Q »•• •••• •••• •••• � .7UC� ��Li Q 0 �~ Qo/ Y ww p • w� Od M� 13 T01.�11068 ° 13M14 "'� 84129 "'► �"" �i1'�8 ""� ��� •• "� m� 16 �nt• geins: F� 1� 4.... 1200 1•»� 1 •••• •••• qp .... .... 1T 3vbtctRSHyaid•T+�12•18 ""' "'• 25305 "^ •"• 25 ... �. � .« � Laea external coclinp "'" •"• g"'• '�',,• IBSC tlOflO�� ww ���� �w� � ..w wr. »n «.� �I �.00ling reClao�llti0n .... e �M 0 • � � . .. � .... ..:. I • .... ..... ,18. Oua�a►n 0 o I 0 + � 19 Tot.el R$H gein�(17;181'PlF ;� "" 23�g,� 1 OC '"•• 2530$ � "'• I "" r 20) iilr tt�Gwrecf tdsn) "" 1353 4 """ 1953 19:3 ' w °•• Printout certif,Qd by ACCA t0 m6eS QII � RIyAFSulI� Rest�f�tlCl^� 5.511 RSR70i71 � r�gh� c��ii y ooan+«,a� �e Hv�cu�er�cr �aa eROwko�ff po sae ao 0 .� � of Manual J 7th Ed. �O:.�J'�, .CS 11:10 98 aw•+ � TOT=�. P. �1 � � _ _ CIIYOF FR[DLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(763) 571-3450 • FAX (763) 571-1287 March 30, 2004 Ms. Kim Hudyma 641 Cheryl St NE Fridley, MN 55432 Re: Final Inspection at 641 Cheryl St NE Contractor: Royalton Heating & Cooling Dear Ms. Hudyma: A mechanical permit was issued on December 3, 2003 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 pernut. As of this da.te the inspection ha.s not been requested. The permit fee that was paid covers the inspection to make sure the work was completed according to the Codes. We will keep your pemut 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 the pernut will be expired. To set up the inspection or to have any questions answered, please contact the Building Inspection Division at (763) 572-3604. Sincerely, D NSEN Build' Inspector ��7 �� �1 �� , p HOUSE HEATING TEST RECORD ADDRESS �' �,,t�--..�'-.dj �." � �F a �,. '�r�`` APT. FLOOR CITY UBURB OCCUPANT � +�'� �°°-�°��4 ; ��k�V���. ON►NER HEAT LOSS DATE HTG. INST. SOLD BY INSTALLED BY El�chieol Work' By Cos Lin� Br TYPE OF HEAT GA FA �H1M STEAM SPACE HTR. UNIT HTR. OTMER (� �,,� GAS DESIGN CONVERSION MAKE "+ ��� � �-+ ,�-� ,�g AAAKE OF BURNER Mod.l _� � � �-a � + ✓ � 1Li �'- �*. 6'� , AAod.l S�via l �' ��- � ��: a'��+�� � � �� � � � % � � µo:. BTU Rati ny INPUT ��r �� � MAKE OF FURNACE Mod�l 1 CONTROLS o THERMOSTAT,�� r� Hsat Pluy °� V�nt Sis• �� Volv �"�"� �y KIND OF �INER_ � e��c _� s'� ��„ Limit � � � Draft Hoo)d .Rpulater. -- _ Limit S•k�••e Filhrs /`;^,��,�Si:• �- � u r Fan SsNiny Chimn�r Loeation Insid� Out�j d� Pilot Typs �� ' -��"� O�imn�y, Consf►udion � `�� �'"°; Pilot Make Pilot Mod�l Smok� Bomb Wirinq ' Pilot Timinp D►oft _._..�:•��� T�st Too L.W. Cut Off Dow Pr�ssw� � ' LiqF�Hn� In� '' Prossun '�' � � �' P�rc�nt CO2 ^ � � Da» T�st�d 0 �` �-°" (e�put CFH --� P�rc�nt O� Companr T�s►in9 � ��' o �a, d.. � r_- �.. ���,�, <.: Stoek T�mp. P�re�nt CO � Nona oi T�sf�r Fwm 235 % •�iJ�/VVLiV11J 763-572-3604 nn��—,Z, , �d Sl'1'Yi AUU1t�.1S ���� . � 7'H1S AF�PLIc:a1NT !S: PROPERTY OWIVEW TFNANT CONT1tACT(1it SUBM11'A C;UI'Y c�N YOUR STATE LICL•TISI: WITH APPLTC.ATION PROPL�RTY TYPF P�RMIT TYP� TYPE O�' WORK; DESCRIBF WURK BL1NG SIZE OF IMPROVEMENT Af UMBER UF, S( iUAlt�.i ,�_ � PROPOSED �!'L�; PRUF'C)S�1) HEIGIiT: 9,� d VL�yI ' I� Aluminum la l)dter tt.r;�ii�l;l�l"1'lAL AY.PLICATIQN � CITY OF FRIDLEY I] BWNL'R NAMB: Ann�e�.s: PI-IQNC:...'?.�_!,�, � NAMC; STATC L(CGNSC ii O BASEMENT FINISH ❑ DECK � L�-MAt4 ADI�RESS � .• 1Ceceived �y _ �!� � �� D�►�e Rec'd: 'lb-�10 UD 1-(�v . � �/ �cr uA7�r; �_ "b -.- �L���� ' �J� !�� r`'��y �ITY._.. �V� lo rAx 6 Sl✓ {.� ..� 1[] �� RUCTION S1ZE C"fYUN STC)RI�S d GA[LA(iE/SHBL) O W1M:)CiWS ❑ kUOf' ❑ D1tAIN T1LE Q SII)INCi ❑ OTHGR ' � SWIMMQVG M)c)L ❑ ADDITION • O It�MC)UELlNG J �w _ � ...._..... i��-cJ L�NGTII _ W1DTH HE. O HOUS6 Bc (iA1ZA(iki � A7°1'ACHBI) GAkAGt3 ❑ DE'1'ACH�ll GAkAGE OSotiic Q 'I'rim O Fascin Wl '' °� IN FXISTINQ nP[:NWGS ❑Yos �No LOGA"fION OC WINDOWS OR fOR NEW OPENINr.s-nrSi:it113� SI"LL Ul� OPENIIJa Cl•IANGES & rSi��, FCES ARE JOB Pian Revlew Fire Sarchorgc Surcharbe License S�rcharge SAC Charge Curb Cut Fscrow Erosinn Cuntrol Park Fee S�wor Main C;harge TAtal Uue ALUA' TIUN � �5 y�,� l'iAS�MGNT ItEMODELING,�jT; 1. Hxi9ting Pl�uu Plan 2. Pmpcbed tloor plan 1. List of svucturai mambcrs to be usod 'a/�f la L EOR NCW CONSTRUCTION INCLUDWG DECKS, p4 rr��NS � ��c�KCH�.S SuKMrr. 1. Site PlonlSunr�y showing die exisdng stnictureg and propoeod �n�jcel. 2, Twu dats of wnstructian pla��s 3. G�ergy C.alculations INCLUDING THC COST OF LABOIt AND MATERIALS: 9�7 U.�3,tC P'L�E SCHEDULG) �'j� BU OCCUPAMCY 1'YPL� Se� R�c Paga for Hee Schedule - -- - $ 65% of Buildiab Permit rce $ .001 times die total job w.tluation $ .00OS x P�rmic Valuatlon Miniinum $.50 $ $5.00 (State Licensed Residc�nlial Cuntraccors) $ $1550 per SAC Unit (Pl�ns t� MWC:C for determination) $ I1+6ft= ftx$21=$ $ $450 Conservation �'I�n Rcvic:w � � Fee Determined by Engineering $ Agreement necessary ( ) Non Nc�cosyary ( ) � $ Make c6ecks p�yable tu: City ol' Frldlev Attac THI51S AN APPLICA'1'ION FOR A P�I2MiT-NOT VAI�ID UN'1'IL YR()C:�SSLu 1 hc�rcaby apply for a t�uildinb per�n�it tini( I Aeknowledge that the informatic�n above is complete and accurate; th�t eho wark will be in confofmane�a with the ordinances and euilds uf the City of Fridley and wiCh th� Niinnesota C.onstruction Codns; that 1 understand tl�is is not a p�rmic but aily an applicatinn f�r a permit ond work is not to stt►rl wilhout a permit; tl�at the wotk will be In accorda�ice with the a}�provdd ptan in the caso of all wor hich re �res evirw a d approval of plans. SIGNATUItE OF APPUGANT �p�( ��j }(�� � pR(NT NAMC V 6 V • � � �� �SATi�Ir� �"�� �1 �l� Zd WtiOti : 0S '900Z 90 •unf LBZti ZLS�9L :'ON Xti� ha I A t a� .�� h� !�: W0�1� 3uilding iispectio�s 763 �72-3604 �A� � -�i o � iITE ADDRESS G0 �i� i HIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION � PROPERTY TYPE PERNIIT TYPE �r�rnE oF wo�x: BUILDING RESIDENTIAL APPLICATION CITY UF FRIDLEY YOUR E-MAIL ADDR£SS �� OCONTRACTOR ct d/� � / — 7F'�/_ Permit No.: Received By: ' Date Rec'd: 1 fl [r� l �e-� STA7Z'_''L�iP S�G/ j � NAtv�: STATE LICENSE # E3� DATE ADDRESS: CiTY STATE ZIP 0'SINGLE FAIVIILY/NEW CONSTRUCTION O TWO FAMILYMEW CONSTRUCTION ❑ ADDITION ❑ GARAG O BASEMENT FINISH ❑ ROOF � DECK ❑ SIDING DESCRIBE 9JORK BEING SIZE OF A�PROVEMENT OF SQUARES GARAGES PROPOSED S1ZE: PROPOSID HEIGHT: SIDIIVG O Vinyl ❑ Aluminwn ❑ Odter _ � LENGTH ❑ HOUSE ONLY ❑ HOUSE 8c GARAGE O ATTACI�D GARAGE ❑ DETACI-�D GARAGE OSofftt ❑ Trim ❑ Fascia R'INDOWS IN QQSTWG OPENINGS OYes �No IACATION OF WINDOWS OR FOR NEW OPENIIJGS-DESCR�E SIZE OF OPENW(i CHANGES 8c TYPE OF WII�iDOW TO BE WSTALLED AiIJN�ER OF v ❑ DRAIN TILE ❑ OTHER HEIGHT Ft BASENI�NT REMODELING SUBMIT: 1. Existing Fl�r Plan 2. Proposed floor plan 3. List of sWctural members to be used FOR NEW CONSTRUCI'ION INCLUDII�IG DECKS, ADDITIONS. & PORCHES SLBMIT: 1. Site Plan/Survey showing the existing structures and P�P�� P%lect 2. Two sets of construction pians 3. Energy Calculations ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: TOTAL JOB VALUATI N$IN ��' 19�97 �� FEE SO �D �� �E Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge $ � �-I l � $ , aZ $ $ $ $ $ � 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 M9�CC for determination) � ft+6ft= ftx$21=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks payable to: City of Fridley Attach TI-IIS IS AN APPLICATION FOR A PERMIT-NOT VAI.ID UNTIL PROCESSED I hereby apply for a building permit and I acl�owledge that the information above is complete and accurate; that the work will be in conformance with the ord'uiances 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; that the work will be in accordance with the approved plan in the case of all work which r uire revi , w and approval of plans. SIGNATURE OF APPWCANT "'� �'/'��` PRINT NAME / l r / a/! �i DATE C�' I C'O � Page 2- Building Residential Application ' �, BUILDING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or staucture, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon applicaxion therefore, require the payment by the applicant for such permit of fees to the amount herein below sei forth and in the manner herein provided ta-wit: � VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of proposed structure and of the conslruction site. A Certificaxe of Survey of the lot, showi.ng the location of the existi.ng foundation will be required before proceeding with the framing. New Houses Onlv City of Fridley $uilding Inspections Department 6431 University Avenue NE Fridley, MN 55432 763-572-3604 Fax: 763-502-4977 . ` CIIYOF FR(DLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(763) 571-3450 • FAX (763) 571-1287 BUILDING PERMIT APPLICANT: PROPERTY OWNER I, �� ��� �"�� �m �- . understand that the State of Minnesota requires that all residential building contractors, remodelers and roofers obtain a state license unless they qualify for a specific exemption from the licensing requirements. As the owner of the property at ��1/ C'1-��� .S'f e�� �;d�, �,,,.,�,3�., Fridley, I am exempt from the state licensing requi�ement only if I am no building or improving this property for purposes of resale. By signing this document, I attest to the fact that I am improving this house for my own use and do not intend to sell it. I hereby claim to be exempt from the state licensing requirements because I am not in the business of building or remodeling on speculation or for resale and that the house for which I am applying for this permit, isl the first residential structure I have built or improved in the past 24 months. I also acknowledge that because I do not have a state license, I forfeit any mechanic's lien rights to which I may otherwise have been entitled under Minn. Stat. 514.01. Furthermore, I acknowledge that I may be hiring independent contractors to perform certain aspects of the construction or improvement of this house and I understand that some of these contractors may be required to be licensed by the State of Minnesota. I understand that unlicensed residential contracting, remodeling, and/or roofing activity is a misdemeanor under Minnesota law, and that I would forFeit my rights to reimbursement from the Contractor's Recovery Fund in the event that any conVactors I hire are unlicensed. I have also been informed and acknowledge that by listing myself as the contractor for this project, I alone will be responsible to the City of Fridley for compliance with all applicable building codes and city ordinances in connection with the work being performed on this property. = � �.� _��' ,i�� � Date _ � � ! ( � v l� ��e�i n #: 4642 � N �� p° 9 ��� Take this sheet ta the �uildi , . o �� �� � i Materials desk to pui materials. � � � Level 1: 12' x 14' 2` off the ground Horizontal Decking 2" x 8" Joists 2" x eams 40 PSF Deck Live Load Level 2: 5'-6" x 6'-6" 3'-9" off the ground _ , Horizontal Decbng 2° x 8u Joist� x 8" Be ms 40 PSF Deck Live Load 81312006 Toda 's cost for a�erials es�irnated in this design�rith o ptions: $1245.61 �'ihe �se 'ce includes: 40 PSF d�ck li�e l�d, �C2 trea�d • horizont�l 2x6 deck I�aids, 4x4 pos�, 2�8 'ois� and beam§, galv nized framin � (�ASE p�ice]: �1100.6�1 fasteners, ACZ treated �6� Vertical handrail to joist withaut p�#s, and premium screws. � - MENARDS - . 1 � �:; - � " ! I' :� � - � 1 1 � ���:� _:r:�:�: �1 � z� Take this sheet to the �uilding Materials desk to purchase your materials. *�� You selected a 2 level deck with: e ow is a sectaon o t e ras ing sty e an Pressure Treated Framing Material options you have selected for your deck. 4 x 4 Framing Posts 5/4" x 6" Pressure Treated Deck Boartls Poured Footings 8" Tube 3'-�" deep Premium Gold Square Drive Screws m`N Galvanized Framing Fasteners �!�' Handrail selections: 42" T Handrail to Joist wlo Posts Railing 2" x 2" x 48" Pressure Treated Spindles, Beveled 1 2"x4" Pressure Treated Hand Rail You may buy all the materials or any part at low asf Menards cdnnot guarantee that matenals�hstetl r�ll meE for lan compliance antl building perm�t. These plans are : from th�ose pictured. INe do not guarantee the cor�pleteness � Spindle ax, on style �ihe posts sho�nn an this ��' `�e are not nec a� ' 6d not included �nrith �h� po�less railing t�p� you seleetedl) illustratia �' ed to show eneral deck size and sha e. 9 P Some options selec#ed may not be shown for pi�ture claflty. Toda 's cos� for a�eriais e�ti ated in this design wi�h o ptions: $1245.61 �*The base rice includ�s: 40 PSF d�ck line load, �CZ �ted - horizo�al Zx6 deck b�ds, 4x4 �, 2x8 'ais� and beams, gala nized framin P f��ners, AC2 treat�d 3G° Vertic�9 6an�eail to jcist �ithout pos�, and premium s�re�s, ����SE pric�je � 1100.� 1 � I6 1917 8912 Please bring these plans io the cashier to purchase. i� �a 1 � � , 1 ` N .-r n N y Or --, .....- � Post and �Beam �ime sion Sheet esign :90�42 14' Posts 9" 1�9�� 5�3�� ! 3 6 1�9,� � 1�3�� 16�� rti � ._ � � .. _ � R��fI�IN�D ��6~'l��CE ' �-�i �. �' - m�N . c�, �Vl�,v di2w�C�-a� ���, �Vl� � �.�� ��� �� � ��- � � ��� Layout dimension �heets are intended as a construction aid. Not all optians selected are shown, � �� l`� .�` � U 1-•CC p'� U � C � .� � � ;C ,� N � � � C O CJi C � � � � C 'C O cp '���_ N Y � x � d - �'-- � c°�i U � � CQ V C � U m � f�Q � N � � y Cd N -�'�-+ �d$ O � N U r-�.. � C) i C/1.� Q � T � O t d N � � �r� � C O •S C �"� - � C.. CC � Q- � �"� N � O ���v c ��� cfl ar� � `o`°€� u��a>� Q �� � C 7 � � "a � � .- O � C � C ���o .� c`v -v -a ca rn � a� a� -�i � � � � � � E � � � ° '� U � � C � � � O Q � � .�-�-. � � �o N N ... 0 � � Pos# and Beam i e sion Sheet Design :9�6�42 Posts' 1'8" � � � �� ,. � 3 � �-��`� 3'3" � � � � M (� , v�-' ��4 �JJ. 1�g�� � ��` Wi�JVt IM11�1. J -- � �as �► r1� � ca �S ( �► �-E- �. �v � '`� ♦ �ov� E �� � �E.art � Q� • � 1• � ? ����� -� �� -��� ���o -a U � C U � � � C �.-�C � .Q � � � �°�� �D A?"` C`3 N "a L O Cp � � � — d Y V) x r'�... V — � `� d Ca � t,sj �� ui a> 8� �� m E � y ��cc�i � � �� °"�� o �� � N � � � Q � A�L .`.. � O � � R � L C Q �r! � �r — � N CO N Q_ � R � V' U Q tA � N C C�+�-' Ci! � � N � � € � m a�i�c� u � =a � .— o � � � c a� cv -Q o � c`o -a 'a iv rnCII� a� � � � � ���� _-��� ���� � Qo ��� �� V� � F ��� . � a d � F �+"�iu ` q 9 Layout dimension sheets are intended as a construcfion aid. Not all options selected are shown, A B 14' 56" Beam Layout for Your Deck The Scale is 114" :1' Design#:90642 2-Zx8 Green Treated 2-D�8 Green Treated t p�s J v ��� ■I' Layout dimension sheets are intended as a construction aid. Not all options selected are shown, -� �� � ��� a:c��Oc � c���Z` cE�Z ���� eo—° oa -c v� c d A �" � C � � O � � � � - d Y � X � �-� � �U� � � C � U m � N t��A � � N � •d � � �� $ O � � � v c�v '' � `o � � � � � � R � o���°' a> — � ���� t�D � � U Q' t� � N C C�� CO � � d O CII € �'�" � � �� C L � � W � L a) C� � �� �d •- O C� C ��.- �p "� � � � � � N A��p � d N U•d�` � � �'C) �� ��Q U � � C d � � O Q a_ +�--� � � O ..-- Beam Layout for Your Deck The Scale is 1/2' :1 Design#:90642 Mark _ Length Description _ A 14' Z-2x8 Green Treated 6'S' 2-�CCB Green Treated I -a z�p� �" 9 U � � C °�'•�Ec 'a -- u> $�E�' c E � .� ��E� co°o� 'C LCn C � �—� � N '� "� O lp '�%� �_ 5 O) Y y � +.'�J �_� � �U�� cri a> ���` m � � 2 H � C � .0 d 'y � Q.���- O � O � N �O U .a�.. � t� � fA ,� Q R A � � ���° � ���� � o'��°-'• � -a�� �� �� N � � U QN d N C C � +s--� Ca�� � O � �� N �, � � N ""' C � � � °� � � „_d„ � O � � C N � R a � � �� N � C� U � � � fA � �j � � � Q O R � � � � O Q L '�� � � � Layout dimension sheets are intended as a construction aid, Not all options selected are shown, Joist Layout for Your,De�k The Scale is 114" .1 Design#:9Q642 C A A A A A A A A A AC Mark Length Description Usage A 11'9" Zx8 Green Treated Joist B 14' �8 Green Treatetl Rim joist C 11'9" �c8 Green Treated Rim joist Joists to be on 16" centers, Joists to be toe-nailed to beams �ith 3-1I2" (16d) galvanizetl nails. Rim joists to be face-nailed to joists & ledgers vditith 3-11�' {16tl) galvan¢ed nails. Blocking and bridging are not shown, but may be requiretl by your loc�l code. ■�� � ��p� .� > U � � C �'U � C � '- N U � � � C � � � N j� d � c�v S o -v "��u'� � A C O 'a -� O _� �i � � - �C ,�'�,,, U � � O-� �F— NU� � �� �� m � � N ui�c� � ���� �� � o � N a> CC U � � t..) � � � Q � � � O N N � � � ���� o'�c� � ��Q� � � � U ��s � � ��� ��� � o���= ���� -� � � � ��,�°' � =' '� c c � � c�o -a � Rrn�a� � g��-�i cv �j �a. L E�nE� ���Q � c � � � C° o � Q-..c � �-- � � 0 � �ayout dimens6on sheets are intended as a construction aid, Not all options selected are shown, r Joist Layout for Your,Deck The Scale is 112" :1 Design#:90642 � A A A A � Mark � Length Description Usage A 5'3" Zx8 Green Treatetl Joist B 63" ac8 Green Treated Ledger C 5'4112" 2x8 Green Treated Rim joist D 56" 2x8 Green Treated Rim joist Joists to be on 16" centers. Joists to be hung from the letlger �ith joist hangers. Joists to be toe-nailed to beams with 3-1/2" (16d) galvanized nails. Rim joists to be face-nailed to joists & ledgers �ith 3-1/2" (16d} galvanized nails. Y bracing is estimatetl, but not shown. Blocking and britlging may be required by your lo�l code. -a z� ,�` � U N� � ..--. � �U � C "a •— fn U � � � C � � � � � � � �°�� � T�� � -a�o� ����— G� '�U •y � O-� �~ �Ud� �ui�� m � � N N�c°�fi c��� °"�$ o �°��v Q ca�'�`o ���� 8��� 3o���°r � —a�Q �� �� � � � U N � ��� o��� � � .•_• �,,, c•a cv d'�ca� � �� ��-- � ��� ��-�o � � -a -a � ��� ���� ���_ �� �-�-Q v o � � � � c° o � �� ° E 0 ..__ Layout dimension sheet� are intended as a construction aid. Not all options selected are shown.