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AF - 38695s * n � � � � O Z a � � _ D r � m � O 5 v v -o m � c � � � m n � O z � O .A D D z v D ao r m rn � D z � c � � N m � � 0 z n _ � 0 � � m m � m � � � s w tQ m � � O �, � o d � ; -a C Z 'a � C Q m � � �c d► m o m T a 7D m Z o � � m c � ? � c � � � °—° ° � � m m a `� � � � � � � � � � � � � Q � ' N � O p O O � � � � � � i� � 0 �. � c � O T c m 0 D 'o -� � 0 � ' � � � � � � � � � n � � o z �� x�' '� m m m 3� �� m n' � -a �0�1 1 �� oo�, I � � � � � m m � m °��' � � v � c i � * ce ?.' c+. w ° � ? oo ro � � i 7 � �M * N� N-. 3 z• i N y(C _N ;� � I I tfl � m 7 c�D Z � � ..�. m fD � � � '�c � N � * � �. j TI o� ' � m � c i= = m 1 Q � m � I � I I �I � I I I I I I I � � � � � � � � � � � � � U1 O O O V p V V V V(11 A V 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 :/i � y � tii =! -• z � 3 a v � �'' cn Z a c � n m o a �. � y v �.. n � � � r Z 0 t �v� � � v � � � m . �� Z O �� II v ` �� V� � � I � ` � � � � � � � S � � v 0 � V � � � � � � 1 oQ � v � � c � � Z � T X � m D � � z O � � m O � L � m D � v � m � � � � � , � � � '� � \ �l ^n 't7 �7 � f�A m o � O O O O � � A W N -� � t�A � c � d � ::� : � �: i � � D s � � � z � c � �: m � m x-.'� 'o � � 1 � � sv �. � `` m � � T :�: o O >_ ' � c .;�; m � :�,:. � > Z -.. ;; � o�na m � � r ' � v 00 .C�,' z � �. � .�. � a : !�1 �:,. n _ 'D. 2 � o � � ' °o � � m � 7 y i�i � N .� S m � m °-'► � � a c�ty of Fr�aley ___ 2 g 1��! � ��„NS BU ILDING PERMIT „ .� � `v __��_ COMMUNITY OEVELOPMENT OIV. r � PROTECTIVE INSPECTION SEC. � � 1 . � i--_.�� "' �'� CITY MA�L FRIDLE� SS�32 Nu4BEA L 612-571-34b0 910-F15 JOB ADDRESS 6260 Comet Lane NE t IEGAI �aT N0. BLOCK TRACT OR AODITION DESCR. 16 2 Sylv�an ��I.�.E 2 PROPERTY OWNEFi MAIL ADDRES$ Lana Parrott J CONTHACTOR MAIL ADDRESS Cedar Pointe Const. 2200 N 66th St Ste 13 e AqCHITECT OR OESIGNER MAIL ADORESS 5 ENGINEER MAII ADDRESS 8 USE OF BUILDING Residential 7 CLASS OF WORK REV D�TE P�GE O� �vOnOVED Br 10/9/98 � � SEE ATTACFIED ,.. � SNEET ZIP ZIP PMONE ?�12 PMONE PNONE LICENSE NO LICENSE NO. LICENSE NO ❑ NEW O ADDITION O ALTERATION � REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Reroof house and �arage (20 Sq) Tear-off 9 CHAN(3E Of USE FROM STIPULATIONS TO Underlayment must comply with the State Building Code. SEPARATE PERMITS ARE REDUIRED FOR ELECTRICAI, PLUMBING, MEATING, TYPE OF CONST. VEN7ILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OH CONSTFUCTION 20NING AUTHOR12ED IS NOT COMMENCED N(ITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENOED OR ABANOONEO FOR A PER100 OF 120 pAYS AT ANY TIME AF7ER WORK IS COMMENCED. NO. DYVLG. UNI I HEREBY CERTIFV THAT I HAVE READ ANO E%AM�NEO THIS APPLICATION ANO KNOW TME SAME TO 8E TRUE AND CORflECT. ALL PROVISIONS OF LAWS yp�UATION AND ORDINANCES GOVERNING TMIS TVPE OF WORK WILL BE COMPLIEO WITH WHE7HEq SPECIFIEO MEREIN OR NOT. THE GRANTING OF A PERMIT 1714 DOES NOT pRESUME TO GIVE AUTMORI7Y TO VIOLATE OR CANCEL TFIE pERMIT FEE PROVISIONS OF ANV OTNEf± STATE OR LOCAI LAW REGUTATING CON- STqUCTION OR TME PERFOfiMANCE OF CONSTNUCTION 56.75 1 � � PLAN CMECK fEl r ` C N4TUAE OF CON�WACTOp Op AUTMOA�ZEO oGENT IDATE� N p S�GNOTUAE O� OWNEP iii QWNEp BWLDEFli �D�rE� .,..e SQ. fT S7ALlS NCV LOAD CU FT OFFSTREET PARKINC IGARAGES F � rrEw [ ] ADDN E ] �.�R L ] CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Effective 1/1/98 ConstructionAddress: _ � � G, �� P�� o Legal Description: � Owner Name & Address: �� - �- �'��'� p� Tel. # 7 y � � � � Contractor. C'�/�/�iz ��i,-r�' ��' �'�"��T��r MN LICENSE # Qia f�?� �.�� .�2 � -o _ w - �`_' �'�' " �/ ir� /� Z Address: � ��, �s°,1Z3 Tel. # � / Z � 7�9 -79f/9 . Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Length Length Length DESCRIPTION OF Il�IPROVEMENT _ Width Height Sq. Ft. _ Width Height Sq. Ft. _ Width Hgt/Ground Sq. Ft. - �� s a Construction Type: �" %/�' jr' Q � � � �Estimated Cost: $ � %��°� ✓ �� (Fee Schedule on Back1 Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ � �� DATE: � APPLICANT: Tel. #�� - 7�9 � ��9 CITY USE ONLY Permit Fee $ �,'� � Fee Schedule on Reverse Side Fire Surcharge $ /� `7 /.001 of Permit Valuation (1/lOth%) State Surcharge $ � (� $.50/$1,000 Valuation �SAC Charge $ $1000 per SAC Unit License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ '� C� C� $ $ $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 [ 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 application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to-wit: TOTAL VALUE $1 to $500 $501 to $2,000 $2,001 to $25,000 $25,001 to $50,000 $50, 001 to $100, 000 $100,001 to $500,000 $500,001 to $1,000,000 $1,000,001 and up FEES $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 additional $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 fir'st $50,000 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 $500,000 $2887.25 for the first $500,000 plus $4.25 for each additional $1,Q00 or fraction thereof, to and including $1,000,000 $5012.25 for the first $1,000,000 plus $2.75 for each additional $1,OU0 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 $15.75. VERIFICATION OF FOUNDATION Y Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. � sun�ecr c � �CL`FIM11 IVV. City of Fridley 3 2 2 7 3 AT TME TOP Of TME TWINS g � I L D I N G P E R M I T ' r RECEIPT NO. � � �� ; v __�� COMMUNITY OEVELOPMENT DIV. � /��o r � PROTECTIVE INSPECTIQN SEC t � " � l.-"� ��' �.1 CItY NALL FRIDLEY SS132 NuMeen nEV � 612-5��-3a5o s�aF�s 108 ADDRESS 6260 Comet Lane NE t LEGAL LOT NO. BLOCK TAACT OR ADOITION DESCR. ].6 2 Sylvan Hills Plat 3 2 PROPERTY OWNER MAIL ADDRES$ Lana Parrott 6260 Comet Lane NE 3 CONTRACTOR MAILADDRESS Franzen Construction 4250 5 Street NE, Columbia He 4 ARCHITECT OH DESIGNER MAI AODRESS 5 ENGINEER Residentia� 7 CLASS OF WORK ❑ NEW 8 DESCRIBE WORK Construct a 25' x 15' 9 CHANGE OF USE FROM STIPULATIONS MAIL AODRESS OATE PAGE OF APPROVED BY 10/23/O1 / / SEE ATTACMED SNEET ZIP PNONE 574-1787 Z�P PHONE LICENSE NO 21P LICENSE NO. PMONE LICENSE NO Cl� ADDITION O ALTERATION ❑ REPAIR O MOVE O REMOVE & Living Area Addition See notations on plan. �EPARATE PERM�� REQUIRED FOR: PLUM��iNGG� AN��S0�9�� TO � �efore digg�ng ca�' fo� �II utility location� 45�-0002 REQUIREb �Y LA�' SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, MEATING, TYPE OF CONST VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL ANO VOIO IF WORK OR CONSTpUCTION 20NING AUTNOR12EO IS NOT COMMENCE� V�!ITHIN 60 OAYS. Oii IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED fOR A PEHIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNI I MEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS APP�ICATION ]. AND KNOW TME SAME TO BE TRUE AND CORRECT. ALL PROVISION$ OF LAWS yALUATION ANO ORDINANCES GOVERNING TFIIS TYPE Of WOFiK WI�L BE COMP�IED WITH WMETHEFi SPECIFIEO MEREIN Ofi NOT. TNE GRANTING OF A PERMIT ��+Z�OOO DOES N07 PRESUME TO GIVE AUTMOpITY TO VIOLATE OFi CANCEL THE pEqMITfEE PROVISIONS OF ANY OT ATE OR LOCAL LAW REGULATING CON- STRU R NE PE O ANCE OF CONSTRUCTION $562.95 PIAN C�IECK fEl � O Lic se S S�GNATUAEOF ON:RACTOpOA NOAi2EDnGENi 10 Ei MEN S�GN4TU�7E O� OWNEA�� OWNEp8U�l0Ep� 1♦Tff� M�wC SO. STAII.S 5.00 :a�r v OCCUPANCV�OAD CU FT ' PARKING GAFAGES � �21.�� SAC CMAFGE Fire SC $42.00 TOTALFEE $630.95 IATED THIS IS VOUR P@RM�.T. NEW [ ] Effective 1/1/2001 ADDN [ j , CITY OF FRIDLEY ,(763) 572-3604 Bldg Insp ALTER [ j SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: �a�ln CS �e�-,•,,� �_'��rr,� Lega� Description: Owner Name 8� Address: Tel. # S?S�• /�gr% Contractor: �'�t �t�� '�,�� MN LICENSE # 2%a�/ � Address:_ �? Sp S'� S7��cc� /"• � Tel. # �8,� - �0''%� LNING AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Certificate of Survey of the lot, with the p�oposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length � Wdth �.S Height �_ Sq. FG �� Length Length �-� Width Height Sq. Ft Width Hgt/Ground Sq�. �t. ��_�c3.c .��.�� !1'1�.:� f'/aa� Q�� ' � Construction Type: Estimated Cost: $ - Y`?, �� . 7 ��.� -s ,�� l�iU �S-�/�� C�S'v�S.� Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: �� .� APPLICANT: Tel. #��8 " YO %� CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application Permit Fee $ � aA �� Fee Schedule on Reverse Side Fire Surcharge $ �i� , O� .001 of Permit Valuation (1/10th%) State Surcharge $ a1, DO $.50/$1,000 Valuation SAC Charge $ $1150 per SAC Unit License Surcharge $ �, �$5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [] Not Necessary [] TOTAL STIPULATIONS: i �I � BUII,DING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing pernuts for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to-wit: TOTAL VALUE $1 to $500 ' $501 to $2,000 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $1�,OOU $100,001 to $500,000 $500,001 to'$1,000,000� $1,000,001 and up FEES $23.50 $23.50 for first $500 pius $3.05 for each additional $100 or fraction thereof, to and including $2,000 $69.25 for first $2,000 plus $14.00 for each additional $1,000 or fraction thereof, to and including $25,000 $391.25 for first $25,000 plus $10.10 for each additional $1,000 or fraction thereof, to and including $50,000 $643.75 for first $50,000 plus $7.00 for each additional $1,000 or fraction thereof, to and including $100,000 $993.75 for first $100,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $500,000 $3,233.75 for the tirst $500,000 plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,000,000 $5,608.75 for the first $1,000,000 plus $3.15 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alternate "A" : Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $15.50. Alternate "B": Removal and Xeplacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $23.25. 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. New Houses Onlv � C� 0 W c � -� O D °"' rn �T < r �rn -T, v D z �O oz Z< N N m * � D �� O � m �: � o' N � o' N � n � � O = � � a� O �• � �• o> � A fD .a a � _. �� '�i y � Q c� � � fD a . � � 0 c �« D a � O < m Q. W � m Z � -v m � � Z � m m {� � V 0 O � 2 � C�Z v' �° 3 C m�3 p0m ay°� m�z c� .� O z 0 _ =1 � � Z � �O �o � 3� �� < N m Z �� °00 Z � � 0 c � � � v � m --� m r � �'. �i � � d � �0`v m �� . � � �� 4 � \ 2 � z � �, � � �, � � �' O U7 � � fD O A oi � � m 'a _ O rt D _ a °—' �' � n m 0 � O � o h '-'� � D m r T c rn � m �. w m � � � �� 1 i� 0 � � N � v � m � � n � fD � fD � a � o a � (U ,"r' 01 N ? � � �. y � �, fD �,_,�a � o� � � � o � a � fl. Q �•vo� •-* �� °' 3 S t%�� — p� d ?• � y a°' �' °' � a�-�°o_ �?� �. m �' D � m � =± o' a � ��d� �Irn r°mo� �I� � � n.d i\" �j A. �• � � � � a ;� =N�� 3 a � � � � 1�. o °'"'' s -« �., c�o � s o ,n-�. � N S fD C7 � N �G O y O � � �- m m Q� m _ �. D ►--� _ � O O � -,, �- < CD -, � N � f�D (�p � o � D �� -� N n>' D � m � � O � � � � N � r � � � z D n � D � C7 0 � a � O � a'� D � N� m N � N N 0 m � G� G� D = c�D � N N .� � ��n � � v. �1? � m .,. m � m d cn ci � � Z � � fD � � � � � � Q • _ _ o, � � ..,- a � � = C � v � O � �, � s � � � ��oo�o � � n � -,. � v � v � � � m �; � � � � � ,c~'i� o 0 0 0 � °o °o o° °o °o �* m � � � � � 0 n b r \ C W � m � -�� N a m Z � � _ � � N� N z 0 m 0 � "T�. W --I Z C -i � O N � _ C � O � � 3 � m � Ot� c _ N 2 Q �° i� �« � d � n fD o p � � � � m .�+ ^ � a �� r N � Qr"z� v �o,� _ 0 � N �.�i � � v m N � D -� m v O N � � �� m � 3 z O � � C r g Z � c N m v � � � O Z � � m N n x rn v C r m � O W D 0 v � 0 V �'I d1 C7 waw� r-� N� � O w�'<'� �Zc�u � � N 0 '�'��r �� m W � -� N m Z z� m� rn -i � Z � a � .o z � � � -��I �O mZ �O �� O� Z � Z� v� a� �Z ON Z v_z �o o= Zrn Z -�1 '� Z N � N V -� n m� N O aZ � Z � v� vZ <� C� S N � O Z � N � <' m O � L � � G N � N O O r COMMON VENT VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacina an existing furance, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstnactions, Yes No and is securely supported and firestopped where required. �) � � The venting system is plastiGPVC and meets all cuRent codes and manufacturer specfications including sizing, length, number of elbows and termination. Yes () No () The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Fumace Venting Tables for fan assisted and natural draft appliances. The existing combustion air is sized and installed to meet the current codes and manufacture�'s specifications. When required to install a new combustion air,_it will be sized and installed to meet the cuRent codes and manufacturer's specifications. Yes ( ) No ( ) Yes( ) No( ) Yes ( ) No ( ) When installing a new venting svstem, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Fumace Yes No Venting Tables for fan assisted and natural draft appliances. i) i) Is the common vent and vent connectors sized and installed coRectly after an appliance has been removed from the common vent and vented Yes () No () separately as per cuRent codes. A liance T e and Size/Common Vent and Vent Connector Information Appliance #1 Type BTU Input ' Fan Assisted or Nat Appliance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input ,_ Fan Assisted or Nat Total Appliances _ Total Btu Input Common Vent Type Vent Height _ Diameter _,_. inches Appliance #1 Vent Connector Height ft Length ft Diameter in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type _ Appliance #3 Vent Connector Height ft Length ft Diameter in Type ,_, ALTERATIONS: Describe �� m� � o� � ` � HEATING CO: �� f�� Signed By: ` � �" � Date : � �'� — � �'� l � �