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AF - 38681� City of Fridley, Minn.. BUII.DING PERMIT n��: . . ��. : . . :r' .:�.�. . ::� . . .. . ... . Owasr ....................................... � . -:� � N° 3fi22 �� Builder . �.. ..... ..... ......... Address ............................................. , LO�CAT O1V OF BUILD[NG No. . �� Street . . �-.°."::��Zr'.�.�.�.. .�'�+..$..... . Part of Lot ... ...... .. .............. ... ..... �+� • , Lot . . . �..� . . . Biock . . . . . . . . . . . . . . . . . . Addititon or Sub-Division C��. . . . . . . . . . �r : .� .�-. . . . � - �� . . . Inside Lot . . . . . . . . . . . . Setback � � .'�. . . Sideyard .� . : � . . . . . . . . . . . . Coraer Lot �....... ...... DESCRIPTION OF BU[LDING . , s o. �q q� To be , as• � � �r UG'��':e�G�sL� . . . . : . . . . . . . ont . /. �� ptti �a.� . � 1 Height `�: ��. r Sq. Ft. � � ��. Cu. Ft.� � �? .�.� / � � �"O � " . . . . �om /. .-.�.`'". : :� ne�rn ��i! :'� H� t .�� :`� � � sq. �. :� .�� c�. �. .�°l.� �_� ,�� .. ................ � . a/ � Type of Construction . . . . . . . . . . . . . . . . . . . �at Cflst. . /. !�'� . � �. . .—'. To be Completed . . . � y� °'° In consideration oP tihe is�ance to me of a permit to construct the building desribed above, I agre� to do the proposed work in accordance with the descrlptton above aet forth and in 'compliance with all provlsiona of ordinances of the dty of Fridley. „�% ��. . . . . . . .�. c. . . . � In consfderatfon of the payment of a fee of $ � �:°` :": , permit fa hereby �ranted to . . . . . . . . . . . . . . . . . . . , , , , , , , , , , , , , , , , , , , , , , , , , to construct the building or addition as described above. This permit 3a granted upon the expreas condition that the person to whom it ia granted and h1s agente� employees and worl�nen, fn all work done fn, around and upon safd building, or any part thereof, shall conform in all respects to the ordinances of Fridiey, �esota. regarding loc�tion, construction, alteration, maintenance, repair and moving oP buildings wit&- in the dty limits and thls permit may be revoked at ar�y time upon violation of any oP the provisions oP said ordinances. . � . . �e . . . . Bnilding Inspector NOTICE: Thls parmtt does not cover the construction, Installa#(on o� alteratton for wi�ing, plumbing, gas heat9ng, sewer or water. Be au�e to see the Bulldl� Inspeato� fo� sepa�ate permlts ior these itema r LOT wNO FARM SURVEYS CONBTRUCTION BURVEYS � �� I JAMES M. HALVERSON a('a�d skrue�o� REGISTERED UNOER LAWS OF STATE OF MINNESOTA PHONE PARKWAY 4•6308 2821 30rH AVE. SO. MINNEAPOLIS 6. MINN. SURVEYOR'S CEFtTiFICATE � r � r..- , .. � � . � f `. �l '�- � �� L !�-' �� t�� __ 9' � � _ ` _ �, �� t; � 4 .. i i �� .:J ,� ,. � a�� `U� � � — ------ - -� � - -- --- ,�, t — / I Ct � �i S _r �:'7 � L �.-.s e //,� r.� ;� I n� ' 0 4 Co — .�1 � '. i �— ?G . -- ---`�- - � ! i � '►" ; r' �_. f / r,, ...` ��; : N 1 � I � ! — � is' � � c�f i i ; � �� I . � .� i � � i � j 1 ° � —� b-- -'� i ` ; , " : = „ - - £ � --- - --- ��' ' �. ,� ca�� _ i � ' ' I � ' ' I � : 1 � �� j-.� , �` � ��-. \ jF i � ~ � �; . ' �`� � r ` ; , �- iOPJGRAPHICAL PLATT1NCe1 I hereby certify tiaat this is a true an9 correct reprssent�tion of a survey of ths baun3gri�s of : Lot eigt��en (18), �lov�r Leaf A��ition� "noka bounty� �innesota an� of the locatioa of all buil�ings, if� ar.y � ther�oa � ar�3 all vis3.ble eacraachmen�s � if any, f rom or oa sai� laa3 . It als.o �hows �he lac�t�on of � propo�e� ��elling. ' As surveye� by me this 2n8 Day of Octoh�ar 1958. I 1 - 4 � � SIGfVED `+�`°.�: mrotr.',�a �yI 1y `ti��-�'-+..'..-;�°,...._ �.'� MINNESC]„�A f iSTRATlON No. 3813 � � � 0� � . � � �. � � �� 0 � 6 C � N �� • � C .� _ � � �� Q � �O � � � � � � O �� a W � a � � aa 0 m ca � � W U h W � J H � a .� � � .a � a� ti � �� ;�U�y °��d ��o �'ab� �� ti � a°b" � � o�� m a�� ' :� �+ � a a � � �q � � � °�� i� � � aqi •� 0 � d��i U - �� = ��A o � ._ � �� "_.� ��bo� � � s - �, � ��a �� , 0 C�i � F 4a . ..� �� a � �� '� E,�� , :v�r a� �r u� ��o' o 0 0 0 0 0 �n � OD �H LL'� N . . . o • • • o : : g o 0 ' • °o �s ..�,� ..�� : +c� m � � I y • A � � �3 co � o � � � � d � � a U � �3 � � � �-�r 5 �•�� d � � � � � � � � � � `� � � � Z V ttQ y hS L"i � %9 � � � bD o � � � � :� � q � �' � a � ~ � °� � aa o � g r. o � � � Z � � rC � � � O � 5 E-� W O � � v� � � °o g o °o, u°� CC Ci � tt� N � : � : o o : : o � o . d o : : o � � � : � � �� :� � Ey° °o d � actli o � u ° � � � � � � � � � � � �� U �j � � a�•� v � a a w°� � 0 w O O a v W Q O • �r�� o° °o �°r� u°�, o°, CO OD N N �[] : � : : .� � � � � x : : � � : : � � : � . � o�i � �g� � o `" c`�o v� x � � �, W f� �� 3�a� y y � ~ E" � c°� cNn � � � d d O � � � � � � W W � � � 1 z � z � � � � � � 0 � � � � � � � a � � � � � � � : � :� :� . � . W . y . � �� o N � A. d a �� M M � N � o � D � :: 0 vr 0 0 � � 0 0 0 0 0 eW a W � l� � � f � � � c� � 0 � M N �' 1�t�1 � � � � U H z d � � � � � � a � N H � � � �r � ��n, � o � � 0 oe ie oe � ::H • � o : � o a 0 v� k N w��° � � p Fa � � � � M �"' M � E ^' a; L'7 Ga a' � v O � � � � � '� � � w � .-��, � � c�� x � � � O � � � ►H.o '��+ E O � d � a O � ; pG �xz�' sw�'� � ��. d- � � � m � q � P4 �' � � h � i � 0 � � � W R-� ��_--- .�i�� .�� '�-I'E.4T LOSS CALCULATIONS � � � •� VileathersErips A. S. H. V. E. Con c�tion �lo. Insulation Guide Windows I Doors Reference Out. Wall IInt. Wall I Ceiling Roof Floor Kind How Yes—No Yes—No 19— I I % oom � Length Width /o - Height F1. � � Room � Length / idth Windows an Doors—Cracka e and Area Windows and Doors—Cracka e and Area Na I Width I Height I No. oF I Lineal ft. I Area I I No I Width I Height I No. of ��Lineal ft. I Area of nane of oane lieh'ta of crack ea. Ft of oane of uane $ahta of crack eq. ft. 0 Infi�ltration Glass Egp. wall � � Net egg. wall Int. wall Ceiling �1�,�( � Q Floor �� '' Total Btu. Requ' e aq. ft E.D.R. or aq. ina. W.A. Leader area � Fl CP�d' Room � Length�(,�? Width /� % Windows and Dooss—Crackage and Area I I W}dth I Height I No. of I Lineal f� I Area �O• of pana of pane llghta of crack eq. ft. Infi�ltration Glass Egp. wall � Net esp, wall Int. wall Ceiling , � �( / Q- � .� Floor � i Total Btu. Required_aq. ft__E.D.R. oz aq._ ine. W.A. Leadar � FI. � Room � Length /L) Width Windows an Doors—Crackage and Area No. W9dth Haight No. of Liaeal ft. Area of pana oF gane aighta eq. fi �_ � s��_-�-� � �,� �/_ � i � Infi�ltration Glase F.zp. wall /D Net egp. wall Int. wall Ceiling j �! Floor / / Total Btu. ft E.D.R. or aq. ina. W.A. Leader area I I ' I I�_ Infi�ltration Gl� !� Egp. wall — �� Q Net, egp. wall f Int. wall Ceiling /� °� � Floor � � " � Total Btu. Re uired a. ft E.D.R. or a. ine. W.A. Leader area � Room � Length � Width �, . Winc�ows and Doors—Crackage and Area Na Width Height No. of Lineal ft. Area o� o� li� oE crack /�� Infi�ltration ' Glasa Egp. wall � )( � Net egp. wall � Int. wall � Ceiling J(/Q � � F1oor .� � %y'" 7 Total Btu. Re uired s. ft E.D.R. or eq: ina. W.A. Leadez area Room � Length Width� Windows and Doors—Crackage and Area No. �idth Height No. of Lineal ft. Area I of pane I of oane I li�hte of crack eq, k. Coef Btu . '� `°�-�.�t.----S�I / Infi�ltration � �,�, -�� I Glasa � e,1� J �/�%1 I Esp. wall � Net egp. wall Q �iY°_—�-� Int. wall � Ceiling / C% �� Floor ` �- Total Btu. Requized aq. ft E.D.R. or eq. ine. W.A. Leader area \ _ � i�AT LOSS CALCULATIONS A. S. H. V. E. Weatherstrips Guide Construotion No. Insulation � .� _ Windows I Doors Reference Out. Wall IInt. Wall I Ceiling I Roof Floor Kind How Applied Yes—No Y No 19_ . � oom � Length Width � eight Fl. Room � Length idth Win ows and Doors—Crackage and Area I Windows and Doors—Crackage and Area No. IWidth Height No. oF Liaeal ft. I Area Width Height No. of Lineal Ft. Azea of paae I of pane I Ht�kta I of creck X eq. ft. NO• I of pane I of p�ne � ligh2e I of crack I aq. ft. � � � Coef Btu " I � � ' Coef Btu Infiltration � Infi�ltration � ^�/��1� Glasa �� Glass — �i Egp. wall � Egp. wall 'J Net esp. wall ��. ' Net esp. wall Int. wall Int. wall � —� � Ceiling J �� j� Ceiling X l - F1oor t— �—' � F1oor `� ' / Total Btu. Total Btu. Required aq. Et E.D.R. or eq. ine. W.A. Leader area Required aq. ft E.D.R, or sq. ina. W.A. Leader area Fl. � Room � Length Width Height FI. � Room � Length Width Height Windows and Doors—Crackage and Area Windows and Doors—Crackage and Area No. I Width I Height I No. of I Lineal ft. I Area Na I Width I Height I No. of I Lineal ft. I Area oF pana of pane llghta of crack eq. ft. of pane of pane lighte of crack aq. ft. I I Infi�ltration Glass Egp. , wall Net esp. wall Int. wall Ceiling �oor Kequired aq. Yt �.U.K. or eq. ina. W.A. Leader area F1. � Room � Length Width Windows and Doors—Crackage and Area ( No. IWidth Haight No. of Lineal ft. Azea oE pane I of pana ( 13�hte I of crack I eq. ft, I I Infiltrarion Glase Ezp. wall Net egp. wall Int. wall Ceiling Floor Total Btu. Btu I I I I Infi�ltration Glass Egp. wall Net esp. wall Int. wall Ceiling F1oor Total Btu. Required aq. ft E.D.R. or aq, ina. W.A. Leader area t FI. � Room � Length Width Windows and Doors—Crackage and Area No. �`'idth Height No. of Lineal Ft. Area I of s�ne I of nane I Hahka of crack eq. ft. Coef Btu � � � I Infi�ltration Glass Esp. wall Net egp. wall Int. wall - Ceiling F1oor Total Btu. ft E.D.R. or eq. ine. W.A. Leader area Required aq. ft E.D.R. or aq. ina. W.A. Leader area L'li:! Btu � /'� � City of Fridley, Minn. BUILDING PERIVIIT Date: �'� 27, 1966 �r: PAUL R. MOEN 8�� SAME Address 6599 Clover P1ace N. E. A� Fridley, Minn.esota 55432 ��, N° .�.��C�/ 8797 LOCATION OF BUILDING No. 6599 �,�tQOVER PLACE N.E. Part of Lot Lat x$ _ Slock �� or g�-�� . � Clover Leaf Addit�on Coraer Lot — Inaide Lot —. 8etback _ Sfdeyard Sewer Fdevatlon — Foundation IIevation DESCRIPTION OF BUILDING To be Used ea: REPAIRS A1�ER ST�t Depth Height Sq. F't C�u. Ft Front Depth FTeight Sq. F't. Cu. F'� �►pe oP Conetruct[on ��, �_, $6�800 To be Completed In ca�slderatlon of the iesuanc�e to me of a permit to conslruct buil crilaed above I agree to do th� proposed work ffi acc�oraance with the d�s�iption above set f ia l w`ith af1 provisiona oP o�dinances of the clty oP Fridley. � ti In camsideratton oP the payment o4 a Pee oE 1� 0. 00 , permit 9s hereby granted to to cronatruct the building or additfon as descrtbed above. This �ermit fa grante8 u�n 'the euAr�ss condition that thepe�on to whom it is grented and h4s agente, emplo�yeee and workmen, ffi all work done fn, around ead upon said building, or anypart thereoP, sY�all conform 9n all reapecta tfl the ordinaaces oP FridleY� Minnesots regardin loca�ton, conatructf[on, alteration, maiutenaace� repafr and mrn►1ug of bufldings wi�� dty ]imfts and � permft m�y be revoked at any time upon violation of aay of the Provi�ons oE ea�d �LLLEN G. JEIQSEN 8��' � NO'�CBa T6b � dea nm emru Ha cen�►uaN�, Iestapa�ioe hr �rieleo, pinmbtna, 0a haNea, aw�r or wa�r. e� an ro a� tla doildleo le�se �' aM►ah p�emhi toi Niw 8ue�. APPLICATTON FOR BVtLDING PERMIT ' OF FRIDLEY, MINNESOTA OWNER' S NAN� ��. . BUILDER ADDRESS AI�bRES�S LOC TI OF BIIILDING N0, � STREET PART OF LOT LOT BLOCR ADDITION OR SUBDIVISION CORNER LOT INSIDE LOT SETBACR SIDE-YARD. SEWER �LEVATION FODNDAI�IOIQ ELLVATIQI� Applicant attach to this form Two Certif3cates of Survey of Lot and propoaed building location drawa on these Certificates. DESCRIPTION OF BUILDING Ft. Cu. Ft. ^ Front Depth Height Sq. Ft. Cu. Ft Type of Constructioa Estimated Co �� To� be completed The undersigned hereby makea application for a permit far the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and ruliags of the Departmeat of Buildings, and hereby declares that all the facts and repreaeatationa a ed in this apglication are true and correct. f - . DATE `—� � SZGNATtTRE ` (Schedule of Fee Coats can be found on the Reverse Side). � � �� "� __ i'� �� BIIILDIIVG PERMIT FEE SCHEDIILE SECTIOIQ 2. The Inspector of Buildinga shall, before isauing any permit for the erection of any building or structure, or for any addition to any existing building or a�tructure, or for any alterations or repairs to aay exiseing 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; 2.1. For any such permit for the erection of any fire-proof building, othei than a garage, warehouae, factory or grain elevatot, or for the erectian of any fire-proof addition, for similar occupancy, to any esiating building, aha11 be at the rate of $1.40 for each one thousand cubic feet, or fraction thereaf, in such cubical contenta. 2.2 For any such 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 occupancq, to any esist3ng building ahall be at the rate of $1.25 for each one thousand cubic feet, claesitied as "fireproof" by Section 502 of the Minneapolis Building Code. HOIISES 2.3. For any such perm3t for.the erection of any non-firepraof building, other than a garage, warehouse, factosy or grain elevator, or any non-fireproof addition, for eimilar occupancy, to any existing bui�.ding - permit $1.00 for each one thouaand cubic feet. GARAGES 2.4. For any auch permit for the erection of aay non-fireproof garage, warehouae, factory or grain elevator, or for the erection of any noa-fire-proof addit�.on, for aimilar occugancy, to any esisting.buildirag os for each such building or addition - ninety cents ($0.90) for each one thous.and cubic feet or fraction thereof, in the cubical contents the=eof with the minimum o£ $4,00. For Che purpose o�--comguting fees for building parmits, �he cubical contents of any building or additioa to a uniform height throughout by muZtiplying the ground area coverad trom a poinC six (6) inches below the floor lit�e of the basement or cellar to the average h�ight of the upper aurface or to the average height of the roof surface of the m�ain gable of a_pitched roof. 2`5. For repa3rs or alterations to an.existing sCrucCure, the fee shall be at the rate of $3.00 p�r- each Five Hundred Dollars ($500.00) or �recLZ�n thereof in the cost of�all proposed work. 2.6. In no case ehall the fee charged for.any permit as set forth in Section 2 be less. than $4�.00: ' � STORM REPAIR DAMAGE EEES:. Residential ; Estimated Cost , of work up to ��n. L�0 �- S5 ;�?a � Es�imated Coet of wor>r c•.: c�;. `,"_ . .. __ �: �1 � Y:, , , `_'S0 Coa�r��al; Estimat�"'�Cost of. �e��,�•;� u�• t,, ;`i•':T�.��? � a7'�� Estimate.. Cos� of �;oi;� ov::r y.��:T�. i��1 - Y��,:;� `• • �. _� �� . � � � d m 0. o O+ a C � � ro aa 0 �. � a a� Q � � � � v+ o .� ;�' �U � C 0 � �� • � O` � m � p� w O o 3a� � � xa E �a a�, � Q � z '��u I d w .0 � y �' Fb� o Q� ,C..� � t0 � � � U� w° � � � � � � v ��`v� a� �,� � � � � � � N w° � � d N p u zpi c� � � cd q $ O � x! E%iD t�p a�� "�� a° � � p�� :: � �� y '� a � �O y +-+ (�J � .ry ,� � Y � �. � � � �� • a a �� F � �� .. J _ � 3 a � a z • LL S9NIN3d0 sv� 3�JNVa �� '1ddV sv� t13HSVM o�� SNISYB H71YJ SNIVtlO aoo� �tiws •LVno� •�Niaa SAVtll HSNM 571NIS �� Htva rnwian s�ov U31VM o � � � . � � -I R � � i 4 � < � p a�v ; ° � � � '� � � � a G� o� � c� � � o z � O •" � ' � y � o � f .$ � a i i � � � i � y ' a ci � o b a � � � � � � � H w o mg B a 7l � �.� � � � � ' �� qo a � . H � � � � m y � � w a� � i±i � N M tM • �1�' W J � W U � W d J H � a q O a � � � ov � x � °a 4 H E � v� �a vr esr s�r 4 ��['i N O N O N (�' �-�I rl rl C�7 N CYJ 7 fi} ia �C ia iC ia � °z � � � � � : : : : � : : pp : °o � : �p .� : a PQ VA : � d • N '�O � . �g� �o a'� O �C CL R � °' ° : � r� � � � � � � � �� .� °' � °° x � � � 3 r � e x z� z �� z P4 � � z � E o o � F N Ers es 4 �°n. �°n. °o `ri �-1 N � � � � 0 z � � a�o O : Y O . � O 0 0 � d �N � �� M o � � � � � � ;��: er� vs . � . � : H 0 5 A SUBJECT � P - City of Fridley ° 1368 AT THE TOP OF THE TWINS g U I L D I N G P E R M I � � � RECEIPT NO. � ; y __�� COMMUNITY DEVELOPMENT DIV. � PROTECTIVE INSPECTION SEC. d, � , i1 = � -_H A �'�i,; CITY HALL FRIDLE� 55432 NUMBER FEV. DATE PAGE OF APPROVED BV L � � � � 812-580-3450 910-F15 8/6/76 � � JOB ADDRESS 6599 Clover Place N.E. t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. ].$ Clover Leaf Addi.tion SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Larry Whittlef 6599 Clover Place N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECTORDESIGNER MAILADDRESS ZIP PHONE LICENSENO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK � NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR 0 MOVE O REMOVE 8 DESCRIBE WORK Construct a 12' x 10' Shed 9 CHANdE OF USE FROM TO STIPULATIONS 5.��,�T� P�Rt�tT� REQUtRED Ft�R �iIR1�IG� I��AfiING� PLUMBINC AI�R .SIG� SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR Alq CONDITIONING. WO�d ��Le THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHOHI2ED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION R—�. �.ZO OR WORK IS SUSPENDED OR ABANDONED FOR A PEHIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWIG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED. <y`,L,�OO.00 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT . r'JO 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. � y�`7. SO PLAN CHECKFEE TOTALFEE �`8. �� .�� NATUREOFCONTR O O UTHO IZ D EN aT 1 WHEN PROPER VALIDATED THIS IS YOUR PERMIT ��,�.) �-�-�,� S N RE IIF R U D RI IDAT BLDG iNSP DATE CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL ALTERATION, ADDITION, OR REPAIR BUILDING PERMIT OWNER' S NANIE : �` a \� iLDER : �� ADDRESS:� � �� \ �� ADDRESS: � N0: LOT: CORNER LOT BLOCIC: ADDITION: IDE LOT: SETBACK: SIDEYARD: Applicant attach to this form �ao Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING T Be Us As : ,� � 1 '� Front: 1 � Depth: � Height: Square Feet: Cubic Feet: Front: Depth: � Height: Square Feet; �pe of Constxu.ction: pTo Be Completed: 1�� Cubic Feet• Estimated Cost • � � . �� The undersigned hereby makes applicativn for a pexmit for the work herein specified, agreeing to do all work in stiict accordance with the City of Fxidley Ordinances and rulings of the Department of Buildings, and hereby declares that a11 the facts and representations stated in th's app ication are true and correct. ' DATE: SIGNATURE (See Revers Sid For Additional Informat on. . � � �,,�5-0 �, 8'�O 6 � e � .� 0 ]3UILllING PI�RMTT F1;E SCl{l_:llllLli 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 existing building or structure, upon application theretore, 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: NEW CONSTRUC'�ION: Si.r�gl,e Family Homes and Garages: $�.00/1000 cubic feet PLAN CHECK: 25 percent of building permit fee. ADDITIONAL INFORI�iATION For th.e 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 Uelow the floor line of the basement or the cellar to the average heights of the 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 sha11 be at the rate of $3.00 per each five hundred dollaxs ($500.00) or fraction thereof in the cos� of all proposed work. In no case shall the fee charged for any permit as set forth in Section 2 be less than $�.50. � V�RIFICATION OF FOUNDATION NOTEt Permits for eonstruction wi.11 be issuecl a minimum of 24 hours from the time of application, to allow for pxoper 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 proceedin� 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 pennit has been issued; and said structure shall not be used or occupied until a Certificate of Occupancy has been issued. s. �� LOT AND FARM SURVEYS CON9TRUCTION SURYEYS �, � � i ��"� I , , . . _. JAMES M. HALVERSOi�I �'anr� Surver.�or REGI5TEREQ UNDER LAWS OF STATE OF MINNESOTA PHONE PARKWAY 4•6309 2821 30rH AVE. SO. MINNEAPOLtS 6. MIINN. SURVEYOR'S CEKTIFIGATE . J . ' � I r- __ __ _ . _ ; ; . _-_ , � 4 �_ .i: ��, ;: .� �-- _ �- _, _ � ��.. ,_ � �_ � OFJGnAPH lCA i^ ' - PLATTING I hareb� certify that this �s a true an3 cQrrect reprasentation of a survey af the boun3�ries of: . Lot cighteen (1£?), �lover Leaf �3��ition, �'noka �ounty, �innes�ta :x �ri3 of tha locatien of all buildings, if ar.y, thereon. an3 all visible encro�chner.ts � if any, froa or ar. sai3 laq� e It als.o shows �he l�cat�or. of tz propose� ��relling. ' E�s surveye� by �e this 2r.� Day of C?ctoh�r 1958, ,. p � ' S��►��o -�, :. ;b... r: .',e;:s . .�. _Y___ - •. I � . w: �. p� MINNES07'A �� ISTR,4T!QiV NO. 3d13 V. � ,.4. . � . . . .. ... sue�ecr PER . City of Fridley a 18 5 3 6 ' ` AT THE TOP OF THE TWINS g U I L D I N G P E R M I T R EIPT NO � COMMUNITY DEVELOPMENT DIV. � �y ----- � � 9 r � � PROTECTIVE INSPECTION SEC. 1 ` � l'--- A ��'��,,� CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY L J� 612-571-3450 910-Fi 5 7/15/86 � � JOB ADDRESS 6599 Clover Place N. E. t LEGAL LOT NO. BLOCK TRACT OFi ADDITION SEE ATTACHED DESCR. �,8 Clover Leaf Additi.on sHeeT 2 PROPERTYOWNER MAILADDRESS ZIP PHONE Larry Whittlef 6599 Clover Place N.E. 571-5532 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENOINEER MAIIADDRESS ZIP PHONE LICENSENO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION �1 ALTERATION ❑ REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Reroof Dwelling 8 CHANOEOPUSEFROM TO STIPULATIONS �i�X�� Roaf can be th.e 2nd layer but not the 3rd. Install ridged galvanized valleys. SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBINO, HEATING, �PE OF CONST. OCCUPANCY OROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IP WORK OR CONSTqUCTION ZONING Sa. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IP 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 STAILS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND,ORDINANCES GOVERNING THIS TYPE OF WORK WIIL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 9OO yi.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. �,G.00 PLAN CHECK FEE TOTAL FEE $16.50 ATUREOFCONTR CTO urH i2 GE ��A WHEN PROPERI.Y IDATED THIS IS YOUR P MIT � , � �i GN URE OF OV ER 0 RI 1 T �� BLDG �NSP �pT NEW [ ] ADDN. [ ] pLT ER . I � Construction Addr� Legal Description Owner Name & Addr� City of Fridley Effective 4/1/86 �R-1 AND R-2 Building Permit Applieation Contractor: ` Tel. � Address: LIVING AREA: (iARAGE AREA: DECR AREA: OTHER: Attaeh to this application, a Certificate of Survey of the lot, with the proposed construetion dra�an on it to scale. DESCRIPTIOA OF IMPROYEMENT Length Width Height Sq. Ft. ,. , Len th Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. Corner Lot [] Inside Lot [] Ft. Yd. Setbaek Side Yard Setbaek Type of Construetion: [.��(�S Estimated Cost: $ � �� Approx. Completion Date: Alt. A Alt B Proposed DriveWay Width If New Opening Is Desiredn See Baek Page for Explanation DATE: \ APPL Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge TOTAL STIPULATIONS: � /� ,�� S� $ � � $ �� ,� �i�! Tel. � Fee Schedule on Reverse Side 25� of Building Permit Fee $.50/$1,000 Valuation $475 per SAC Unit F�e Determined by Engineering Agreement Neeessary [ ] Not Necessary [ ] r �M BIIII.DING PERMIT FEE SCHEDIILE 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 strueture, upon applicatio n therefore, require the payment by the applicant for sueh permit of fees to the amount herein below set forth and in the manner herein provided to-wit: Total Valuation �1.00 to $500.00 $501.00 to $2,000.00 $2,001.00 to $25,000.00 $25,001.00 to $50,000.00 Fees $10.00 (Minimum Fee is $15.00) $10.00 for the first $500 plus $1.50 for each additional $100 or fraetion thereof, to and including $2,000. $32•50 for the first $2,000 plus $6.00 for each additional $1,000 or fraction thereof, to and ineluding $25,000. $170.50 for the first $25, 000 plus $�1.50 for each additional $1,000 or fraetion thereof, to and ineluding $50,000. $50,001.00 to $100,000.00 $283.00 for the first $50,000 plus $3.00 for each additional $1,000 or fraetion thereof, to and ineluding $100,000. $100,001.00 and up ��133.00 for the first $100,000 plus $2.50 for each additional $1,000 or fraction thereof. DRIVEWAY DEPRESSION ESCRO�ii (Conerete 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 width plus 6 feet times $15.75 9ERIFICATION OF FOIINDATION Perm3ts for construction xill be 3ssued a minimum of 24 hours from the time of applieation to allow for proper review of the proposed strueture and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation onee it has been constructed will be required before proeeeding with the framing. SuBJECT , City of Fridley 2 6 6 0 7 AT TNE TOP OF- TNE TWINS B U I L D I 1, G P E R M I T y i � � � . � • COMMUNITV DEVELOPMENT DIV. � ; V � f � � PROTECTIVE INSPECTION SEC. '��p? i ` � ' /"'1 � CITY HALL FRIDLE� BS032 NUMBER REV OATE PAGE OF APPROVEO BY �----� � ,•� 612-571-3450 910-F15 � � 7 14 98 JOB ADORESS 6599 Clover Place t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACNED oescR. 18 Clover Leaf Addition SNEET 2 PROPERTY OWNER MAIL ADDRES$ ZIP PHONE Larr Whittlef 3 CONTqACTOR MAIL ADDRESS ZIP PMONE LICENSE NO. Halek Roofin 55369 5010 a ARCHITECT OR DESIGNER MAII ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING n 7 CLASS OF WORK O NEW O ADDITION ❑ ALTERATION �] REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Reroof House and Gara e 27 S Tear-off 9 CHANdE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. SEPARATE PERMITS ARE REQUIRED FOfi ELECTRICAL, PLUMBING, HEATINO, �PE OF CONST. OCCUPANCV GROUP OCCUPANCY LOAD VENTILATING OR AIR CONOITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTFiUCTION 20NING S�. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONE� FOFi A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFV TFIAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVEFiNING THIS TYPE OF WORK WI�L 8E COMPLIED WITFI WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT �ZZSL 1. 13 DOES NOT ESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pEAMIT FEE SAC CMARGE PROVI NS F ANY OTHER STATE OR LOCAL LAW REGULATING CON- STR TION R THE PERFORMANCE OF CONSTRUCTION $7L�..'JS Fire SC �Z. ZS � PLAN CFIECK FEE TOTA EE Licens 5.0 $ .13 SIGNATUREOiCONTRACTOpOHAUTMOFIZEDAGENT IDATE� N P OPE ALIDAT HIS IS UR PERMI � • I S�GNATURE OF OWNER�IF OWNER BUILDERI IDA7E1 �g� gp qqTE 1�1EW ADDN ALT'ER ;;- [l [ l ;;. - . CITY OF FRIDLEY . . , ,. . . [] SINGLE FAMII.Y �AND DUPLEXES R-1 AND R-2 � � � . BUII.DING PERMIT APPLICATION Effective 1/1/98 ��07 �a � � �-. , . ..� • . ConstructionAddress: � S�% C l�a�.�r �(��+c.e. FR� b.e.�a..� • . Legal Description: Owner Name & Address: L �r �--� �� -� �° Tel. � Contractor: k�� -L �tC �Ro�,� MN� C��SE # So � o �l Address • � � 5 � �� c.�.�.. P�.. N"��v�- � � vV • Tcl. # 53 s-- �'� �.s` ' � � Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: GARAGE AREAe DECK AREA: �� :1 ' .. DESCRIPTION OF IlVIPROVEMENT Length Width Height Length Width Height Length Width � � Hgt/Ground .. ��^� �� e� � o�s��9 �� Sq. Ft. Sq. Ft. Sq. Ft. ., COI1Strl1CL10II Tj�e �� fl ��,, ESt1III8tP� COSt: $ �` �'� S� °. � •� a- � � (Fee Schedule, on Back) Driveway Curb Cut �Vidth Needed: Ft. Ft = Ft x$ _$ DATE: i- 1`� -`t F� � APPLICANTv � Tel. �# � 35 - 8 8 3 S Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ , �� . ,� S,- � �. �,�3 $ �$ ..�. �� $ $ $ $ $ ;�, CTI'Y USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.so/$1,OQ0 valuation $1000 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Detertnined by Engineering ` Agreement Necessary [] Not Nec�ssary [ J .� � BUII�DING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon applicadon therefore, require the payment by the applicant for such pemut of fees to the amount herein below set forth and in the manner herein pro�!ided to-wit: _ __ _ _ TOTAL VALUE $1 to $500 $501 to $2,0(m $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,0� � _ $100,001 to $500,000 $500,001 to $1,UQ0,000 $1,OQ0,001 and up FEES $21 (Minimum Fee is $21 plus surcharge) $21 for first $500 plus $2.75 for each additional $1(� or fraction thereof, to and including $2,000 $62.25 for fust �2, 0� plus $12. 50 for each additional $1, 000 or fracdo� thereof, to and including $25,000 r $349.75 for fir�t $25,0� plus $9.00 for each additional $1,000 or fraction thereof, to and including $50,000 $574.75 for °first $50,0� plus $6.25 for each additional $1,000 or fraction thereof, to and including $100,000 $887.25 for first $100,000 plus $5.00 for each additional $1,000 or fraction thereof, to and including $5�,000 $2887.25 for the first $SQ0,000 plus $4.25 for each additional $1,000 or fraction thereof, to and including $1,OQ0,000 $5012:25 for the first $1,OOO,Q00 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.�. 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 constructed will be required before proceeding with the framing. � r= � C � C � > � w Z F ZF W � U N Z W U Oo � C� p �� Z � _ � �d� � �z 0 �F a ° z ��IJ U $ 2 �a � 0 � Z � F U � � � Q 2 fA > 0 � W aw � Z Z �a� p •—��j �A �z�� LL C O = m BU�� 0 � � w � 0 °Q O � � W 2 N �a -a c � .� � � '- � -a � ' s -� U � 3 � � �U � m � i � - � � � � O � m 'r � � � � � � o � � 2 m O � � � � c> c � •c m � 'a v� -� � � C c U co Q- � o � � � 3 o v� � — vs � a � � Q = � 'o N � a� S � m � -�a c � N � .� � � � rn � m o � � � � � � � � ° w mS�=Q � � � 2 � O � �I o �� S � � � o fA EA � N U E � m ` Y � 0 3 � � � _ � E O 3 p ti ji 'o c m i � � � � � � � C V N � �. � � � v a �iia C'3 ✓ ¢ � � � c� z 9 � m � � � � Z H � � , a � � � � � O U 0 � � w � ^ � �� `: � � _ � Q = Q 0 W �Z W -� � N J Z � N � � � m � c � O �j N � O a U a �- _ _ � � � �� c � c �� m � � = Z L' � I�' � z�m�' mm � � � � � S � � O O N ft} GH 1� rn C 2 � C'3 z � � � Q � c � c U a � Q m Z Q � � o C � � �, o �` U Q � � Q- �¢ �� o m m a�i � L �� O � Q � � � O U c � � �Q .� � � � � C � � �� a E ° � O N U � ° P�\ � � � �f � U (Ij !� J m � � � O � 0 r � � \ c� � m � � C LL m Z � O c� �c O i � � � Q �I Z U � � � � 8 ,� � w m p U � � � � -S ' °� o � � rn a Y IZ-- � �- Q V W m W � os � a �� ; _� ■ � C � J a O � � Z O U a � Z W � s � � � � C A � O �N � llf � .E O m � � C Q c � �O •• � °c c o U � � � 0 O � c�� C Q � CHIlVINEY AND STACB VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully exaznined Yes �) No () 2. Is free from rust or deterioration Yes �p) No () 3. Has no foreign objects lodged within Yes (°� No () 4. Is securely supported Yes (�) No () 5. Meets all current Code requirements for size _ _ _ and total BTU's connected Yes '� ) No () 6�, Has total heating BTU's of �� All other BTU's �� , d � TOTAL BTtT's I I �� 7. Has a liner been provided for water heater Yes () No (� ) 8. Has combustion air been provided for water heater Yes (�) No () Remarks: List AI,TERATIOIVS Bein� � A f _ . HEATING CO: Signed By: Date: � 9 .,,.,. . . _ . .�. ��-'-'r'P ""-�-' ._# 1 � �a - . . �-' _�_ t` - 'u- � � � � .,. .� �._—. , _ . - .a �'•_' n - � �" ��..i�..' .:'v a u.,�.:�`�" ._ .r-.r - ' ..�i'r-�'r4�-•'.. -�, . ::,�;t'1,�n, �..a`�IF��... . '_ .. _ _ . � HOUSE HEATING TEST RECORD � � ADDRESS L�°�a�� , ��-<�r��'�°`f ��.--�'%4' APT. �. O(��CITY SUBURB �� 'f." �' OCCU�ANT OWNER f��b�7�� 3 HEAT L05� t`� ' � �°a DATE HTG. INST � � --� �` �° �-� �� SOLD Blf " t� .� Q: i�_,�•°y-� j�-�i' �'�� , �� `I .!:9 .� �s �'�:-4 x�� INSTALLED 87 ��.� f�%^�tia _ � a��a � � . Eleehico) Work By . Gas Lins By �=�Q„�' TYPE OF HEAT GA FA �HW STEAM SPACE HTR. UNIT HTR. QTHER � '-�° (4 GAS DESIGN CONVERSION y MAKE ��,�`��`�!�-tr MAKE OF BURNER - "'�, Modsl _„�d ,"s =�N`��,�� Model Ssrial �� Max. BTU Ratin —�� ,�'�'a--�r`�^e�� 9 '"INPUT 9°� r��-'��' MAKE OF FURNACE � �' Model ' CONTROLS �f THERMOST�IT `� 1=--'--'--�'� •^ Heat Plug Vent Size ' Volve ��•�� KIND OF LINER '� r' SIZE�NONE Limit � A Draft Hood � -`°�'�' RsyulaTOr T�g Q-a Limit S�Hi�g �'°^ �' � Filtsrs Size � �4'`—r"'�`? l�lumbsr � Fan Sstting ��--�j��- Chimney Location Insids � Outslds; Pilot T '� Ype �'X- ' � Chim�ey Conatruetion �'-� -"`� F°� ;r �?-i . �= Pilot Make � g d� Pilot Model `� "`;� �.�'+ Smoks Bomb � Wiring E�" Piiot Timing ^'� "=`�� - Draft �` Tesf Tap � v' L.W. Cut Off Door Prossuro Lightiny I�at. �' ��' Date Testsd �^f '� "� '° �� Preasuro Psresnt CO2 —�, � Input CFH ` � Percqnt 02 Compony Tas�� ,�� °' , "�� , Staek Temp. Peresnt CO �' Name oF Testsr �;��''�-� �-:�� Form 235 " � ��y �,. s2Fk .`\ ... . .- . . . . .