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AF - 37935n � ' City of Fridley, Mi.nn. �� c? BUILDING PERMIT � � �, N� 635� nate: �/- �� oarner: Buflaer Adaress Address f ` � LOCAT ON P BUILDING No. Str�et P of Lot ___ Lot � _ Block ddition or Sub- visia� �� s Corner Lot � Ins�ide Lot Setback �°� d�_ Sideyard � Sewer IIevatian _ Foundation IIevation DESCRIPTION OF BUILDING � � - ,� � . � 41: � ,� ,, �� . .�_ ' � , . - , �.. � . , � , - ` YY., .,r ��' y- - _/��.i�..Li' � � . - � � ,� . ' � / � �j .� � � r%, - : � •��.i:e :�i ,�� i� �i�,y/' . �- �ii� \� In conaideration o4 the issuance to me of a germit to construct the building described above, I agree to do tha proposed work ffi accordance with the d�scripl3on above set forth in compliance with all proviaions of vralinan� oP the dty of FrirIIey. � �, L In camsfderatton of the payment of a fee of $ �, permit is hereby granted to to construct the bwtlding or addition as described above. Thia permit is granted upon the eupre� eondition that thepereon to whom it fa granted aad his agents, employees and worl�en, in all work doae fn, around and upon said building, or anypart thereo� shall conform in all reapects to the ordinances of Fr1d1eY, M9nnesota g locat�on, construction, aiteration, maintenance, repair and moving of bufldings wio�� dty ]imits�eand tbis per�nit may be revoked at �b'me upon violation of aay of the provisions of said �� "'\ NOTICEs '�s psemlt dea eo� eerse t6s eoestrueNee, �Stalldion fer �r4teg, piumbieg, ga 6aHnp, mr�r or wdsr. B� sure to � t6� Bulldhre lesp�e�a� toe ap�raM parmih fer Htea tNrta. .`� a--� ._., G��°� � /�� D V . � APPLICATION P'OR BUILDTNG PERMIT CITY OF FRIDLEY, MSNNESOTA 0 Owner's Addreas � LOC�iTION OF BUII.DING No. 33� Street_C01-� C�C.KI'o �u,or�f� part of Lot Lot Block � Addition or Subdivision � Corner Lot Inside Lot �Setback ��± J Side-Yard �EWEA EI,EVATION FOUNAATION II�EVATIOAT Applicant ateach to this form Z'wo Certificatea of Survey of Lot and proposed buildi.ng location drawn on these Certificates. DESCRIPTION.OF BUTLDING To be used as: Froat Depth�_fleight ► �-� Sq. Ft, Cu. Ft. Front�_ Depth � Height . Sq. Ft. Cu. Ft. Tppe. of Construction �� Estfmated Coet � � �� ° `� To be Completed ( � The undersigned hereby makes application for a permit for the work herein � specified, agreeing to do a],l work in strict accordance with the City of �ridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations atated in this applicatioa are true and correct � DAT13 � SiGNATUR� ��,�„�X � (Schedule of Fee Coate can be found on the Reveree 33.de). �_. , .�_ �: ' ``�¢ ^ '- � � �1 b ., � � BUILDING PERM[T FBE SCiiEDULE Section 2. The Inspector of Buildin�s sha11, before issuing any permit for �he erection of any building or etructure, or for any a�idi�ion to any egist- ing bu3lding or;structure, or for �ny alteratious or repaira to any exist�ing building or 9tcructure, upon application therefor, require the paymentt by the applicant for such permit of feea to the amount herein below set forth aad in the manner.herein provided to-wit: � ` 2.1. For any such permit for �he erection of aay fire-proof building, other than a garage' warehouse, factory or grain elevator, or for the erecCion of any fire-proof additfon, for sim�lar occupeacy, Co any existing building ahall be a� the rate o£ $1.40 for each one thousand cubic feet, or fractioa thereof, in such cubical contenta.. 2.2. For any such permit for �the erection of �.ny fire-proof garage, wasehouse, factory or grain elevator, or for the erectioa of any fire-proof addition, for similar occupancy, to any existing building shail be at the rate of $1.25 for each one tkousand cubic feet, clasaiiied as °1fireproof01 by Section 502 of the M3.nnet�.polis Bui.lding Code. � . NaUS�S :s 2.3. For aay auch permit fo� the erection of any noa-fireproof building other than a garage, warehouse, factory or grain elevator, or any aon-fireproof addi�ioa, for similar occupancy, to any existing building - permit $1.00 for each one thoueand cubic feet. :, , GARAGES � � 2.4. Far any such permi.t for the erecti,oa o£ any aon-fireproof garage, warehouse, factory or grain elevator, or for the erec�ion of any non-£ireproof addieioa, foz similar occupancy, to aay exiat3ng building or for esch such build�tng or addition - ninety centa ($0.90) for each one �housatcd cu'�ic feet or fraction thereof, ia �he cubical coatents thereo£ ��ith a minime� of $4.0�. For the purpose of compu�ing fees for building permits, the cubical contents of aay building or addieioa to a c�niform heigh� throughout by mul�iplying the ground area covered fram a point six (6) inches below the floor line of the basemeat or cellar to the average heigh� of the upper aurface or to the average height of the roof aurface of the main gab9.e of a p3tched roof. 2�5. For repairs or alterations to an exis�ing structuse, the fee shall be at the rate of $3.00 per each Five Hundred Dollars ($500.00) or fr�ction thereof 3a the cost of all proposed work. 2.6. In no�case shall the fee charged for any permit as set forth ia Section 2 be leas eh�n $4.00, . _� ._ �..� ``��. �_. ^ � _ �, +, �. r a r ;� . ;;" , .�.. Lond l�lonnrnc� L�i Su�ve��rx� .Sods Testr'n9 Crvil 6 A�unu•rpv! En��neerrn9 � � � , �- - 6875 Nr9hnoy fC5 �vE. R��nneeo�ls '�l, ENGINEERING, ING. ��'�n��'° SUnief B-ti066�i En ineers � SurvecJors --- 9 cests�icate o,� s�stve�r �or - E� r� DEYELOPMF.I�CT CQ. - ele�. of ��o�.,a � Ho.,a e NOTE �- �r (. Elevo�ions Sl+ewn Ar¢ �e es¢d j`1 C.orne�5 aie•� P � I ¢/. 6'76.5 � �e/ ��s�' .� � Q. Fi�si� *r1�or il. 2.9� f'�.. ebsvu. g�'�+ar1d � heuse aorn¢r� . � e%rP76.� �I � ��af,-� D � `�� (� V e"g,. �! ,� �� . �� 1E 4 ' � � ¢/. 8 7>,"B r , /� /F'� �., } � �� F,'75,3 - ��.�� - (�� [ � a �l l �L�' 1 �]/� � �i�" � �L��/ B t!� �" , �� / �� . O DENOTE,S IRON UENOTES DRAINAGE � UTILITY EASEMENT � LOT � BLOCK 3 MELODY MANOR 2'�' ADDITI��I ��nokq Coun�� — Nflie'►ne�o-i'w� / hupby urtr�'y �i fhis is a fivie a�d mmcf ��presentof'iun o�'a survet, ��1�.► 6iarmdories �('fle a�tre� a�wdb�d �and, � o�'fY�► /oca��on g('ol/ burldm9s ,�icrear� , ad d/ rrs�b/e aav�+oodimenis , i!'any, �nn ar nsaid /and. As wrrrr,�d br, mr Na�s - c� q(' A,� r i I A.D. l9 62. . SUBURBAN ENGlNEE21NG , INC. L-n eoers � Surr�,�r ors 5 C A L E 1" = 3 O' � z�, �� '��.,.�-x� �"`` `��.� _ �� . - --'`' � '` � � i05-C �y` .�...�. 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Ti �� w �i' €.': �n � n , d- .+w �� 0 �a�� m a� ti '� m`��b °'� �'�. �� a' r• �o � p' � � � �. ,� � � , D � rD- � � T H 2 m C m d b M � � � � � a. a � O � � � � �' O � 7 ao o �" �o �d O = �' �� =� ��H 0 � 0.� °� �� '� �. � � � � � � 0. � � b � � � o � p � : � : x : � : �, • M : o • O . m � ti F+ �. � � W � � � � � � �' � � � � � o � O ' O � . o . � : : Q : I I I � ti y� ; iC iC iC �: N �� o4Q� � � 4� � . H � �oj � � r �� \ N � � � r � � � � � � z x � � � � � � � � � � � � � �� P+ y , � � � �i : O � � -� �� ,�% � D a � : � � : ee� —_�i P �o: �' � � D �� : . : : � O ' Gd : : : : � : � : : : : � :.:::: m : : : : : : � . . . . . . n _ m � r �a �e k �a x k m w n� w � � � � C�il p C�7� O O P � -csa tta rsa ts� � ta� N y a 0 O" � i. 0 � x � 'C � � . �+. ca p ►+ � x ,� � � a. �' � Storles 8 � WATER �� URINALS � enrH �� a � e �s��s � � � � siNKs � � wasr+ � rRaYs � m � � IIO N � � ° � � � a� a. a NE� �j tA . I-b y � a � � � � � � � � � � g � � �. � � � � z I_ � i �O z � O ' � �� C b �� rt � O �� L \ I DRINK. FOUNT. s►+wRS. \ FLOOR DRAINS �T�, BASINS nuTo W� GAS APPL G/lS RANGE GAS OPENINGS a • z e �y ` in D A i � � �� o ,=y � � � w M R' , � � � p�p � � O►�' �i l�D ��'' � � � �• � � ��,��.o � �' � � � � �� A� � � � �� b o��'w p �y � O � �1. o p iy �ri. � ti � � � A7 ro a.� �� A � � y �.�� w �y�M b"i' � � m n � � eh ►!• � �� v� � �ro a� Rx & �°n p � M � � � m � W � � � � � � � � � � ' � � n a �- m 0 0 � � M � �i � O � o � � b �� . � 4 V O � � c � � � �^"', � City of �'ridley, Mirm.. BUILDING PERMIT .: A•+o��.c •. • • � . -. � •. "i-r- � • � : � . �A, c. _ � ti. , � • 1 � • irt.fC � I � y.., , N° .�/� .�� • •� . .� LOCATION OF BUILDING No. 73�� Street f�on�a,ri:n r��wv�, ttT_'H'._ Part of Lot Lot 8—_ Slock �3 Additlon or Sub-Divlsian P7 erltr M2nnr� �su�. A,�rld3.tic�— Corner Lot _ Inside Lot Sewer IIevation Setback Sideyard _— Foundation IIevation DESCRIPTION OF BUILDING To be vsed as: .� t�Q R��,}] Fro�nt Depth Hefght Sq. Ft C�u. Ft �t Depth fTeight Sq. Ft Cu. F� Zj►pe oP Conetruct4on Fram F�t, Cost –�il�;.flQQ.nO To be Completed Rebuild after storm daaaage In camsideratfon oP the iesuaace to me oP a permit to construct the buflding described above I agree to do the proposed work 9n accordance with the d�acription above set fo��th and in complfance with a'll provlaiona of ordinaacea oE the dty oP FrlrIley. ,� L�-��L� In camsideratlon oP ti►e payment of a fee of � i �-�,., permit fa hereby graated to HarOld S�a arl.so�1 to conatruct the buildfng or adclition as descrlbed above. Thi� �rmit fa grantsd upon the express conditlon that the�person to whom it is �raated and hfs agente, emplo� yees and workmen, fn all work doae in, around and u�n eaid building, or anypart thereoP, ahall conform in all respecte to the o�dinances oP Frldley� Mianesota re lpcatton, conatruction, elteration, mafateneace, repefr and movin� oE buildin�a wri� � dty ]imits aad permit may be revoked at any t�ne upon violation of aay of the Provisions og eead a l l�)l '��1 : � . Nonc� ilds p�emB doa eof aowr f6� con�aH�. ��ralWtoe 1or �ru�, plumbma oa 6aNea, awu m wa... B� ara to a� tln &rUd)no leq�or h� ppual� p�mHi hr t6�a kw. . � APPLICATION FOR BUTLDING PERNBT CITY OF FRIDLEY, MINNESOTA /� � i� � i= �. � � '' �� i � � i��.� ADDRESS ADDRESS LOCATION OF BUILDING � N0. �3 J� -STREET PART OF LOT LOT BLOCK ADDITION OR SIIBDIVISION CORNER LOT INSIDE LOT SETBACR SIDE YARD SEWER EI.EVATIOIV FOUNDATIOft ELE4ATIQN Appli�ant attach to this forai Two Certificatea of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTICI OF BUILDING To be used as; Frant Depth Height Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construction � Estimated Cose�,�,��.. �� To be completed The undersigned hereby makea application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings af the Department o� Buildings, and hereby dec],ares that all the facts and representations stated in this application are true and correct. �� DATE 1/ — 3 � �J SIGNATURE (Schedule of Fee Costs can be found on the Reverse Side)� /'�1 � -. , � �1 � : r, :i.� ..t BIIILDING� .PERMIT FEE SG`HEDDLB SECTION 2. The Inspector of Buildin�s shall, before issuing any permit for the erect3on of any bui}.ding•or•str�cture, or far any addition to.any e�cisting building or etructure, or fos any altexationa or repaira to aay eaciseing building or structure, upon application�therefore, require the payment by the applicant for auch pezm9.t of faes to the amouat herein below set forth and in the manner herein provided to-wit; - 2` 1. For anq euch permit for the�erection of any fire•proof�bui�.ding, othei than a garage, warehous.e, factory ot grain elevator, or for the erection of aay fire-proof addition, for�s3milar occupancy, to aay ex3ating building, shall.be at the rate of.�$1.40 for each one,.thousand cubic feet, or fraction thereof, in such cubical contenta. 2.2 For any_such permit for the erection of any fire-proof garage, warehouse, factory or grain eievator, or for the erection of any fireMproof addition, for aimilar occupancy, to any exiating building ehall be at Che rate of $1.25 for each one thousand.cubic feet, classified as "fireproof" by Section 502 of the Minneapolia Building Code. flOIISES 2.3. For any such permi.t for.the erection of any non-fireproof buildiag, other than a garage, warehouso, factory or grain elevator, or anq non-fireproof addition, for similar occupancy, to anq exiating bui],ding - permit $1.00 for each one thousand cubic feet. GARAGES 2.4. For any such permit for tho erection of any non-firepraof garage, warehouae, factory or grain elevator, or for tbe erectian of any �ioa-fire-proof addition, for aimilar occupancy, to any esiatiag buiidiag or for each such building or addition - ninety cents ($0.90) fo� each one thous.and cubic feet or fractioa thereof, in the cubical contents thereof with the minimum of $4.00. For the purpose of camputing feea for build�.ng permita, the cubical contents of any building or additioa to a uaiform height throughout by multiplyiug ehe ground area cove.red fr�n a point six (6) inches below the floor line of Cl�e basement or cellar to the average h��tght of the upger aurface or to the average height of the roof surface of.the main gable of a pitched roof. � 2.5. For repairs or alterationa to an existing atrucCure, ehe fee shall be at the rate of $3.00 per each Five Hundred Dollara ($500.00) or fraction � thereof in the cost of all proposed work. 2.6. In no case shall the fee charged for any permit as set forth in Saction 2 be less than $4.00. STORM REPAIR DAMAGE FEES: Residential: Eatimated Cost of ��ork up to r5G0.04 -$5.7a Estimated Cost of wor�~c��,=�i� y:.Z :r°.i.. `JJ -$3 C�, �0 Commercial; Est3^!A.�ed��4t of c��,�k ur �� ;;`!�7:ie0 -$1G� Estimated ,..,st of wugic otier $5G�t1, i)0 -$�0. _✓ z�_ �� E� m 3 a x I � L°. N � � � m � 0 �i x r�s��' y x x � y t' �j O y �' �' � Z x x � N � � O H � y � � � � � � N�. � � o � � � m � � � � �1 � , n b � � � � � � � � � � c�ay y y � � � �y "" W � p p � �y � � G t*1 o k y N N� o� 0 o � : � . . [ : : �a k ,e o N �' 0 o Q � {f! {fl ifl M � '�7 y � r W H � 0 � � � � � � � � 0 � a �. � � � y be a pd � � '�C 0 � 0 0 0 c� � � 0 0 iA (%'° � � � � � � 0 0 r � � '�0 �i � � �' o w oa G' w � �� y O r� � O � � �! � A . f�D �o . � : a � � : � � �y V � � 0 � ,�,'! � � O � 0 0 C� � � x M 0p D� tr! t=] � �' ]' E a a € a a t 0 0° G � � � � � � � � I O � � � � � ry e M ' � � C . � . . � . • F . . � . . p . . Q , � a . � � � � ; � � ' ° x '� � H e R° ,� � y o-i � �, �� e ► � � � a 'p• � � o 1 ! � � S� j � i � i � i � N N � � 0 0 ° o {fi {fl O �� 8� � � � � � � � ro � o � m � � U�/ 0 �' ro � � g � � ,� ,� � S` �� R° R' � � � � � � h � � � �� p�-�, � R° o � � � � � Q � ro � � � a � • � O R, � : � �+ O , � � O O . . � O p o . . . � o' : : � N � � N � 0 0 0 0 0 {!i {n &f Q. � � � bd � a �c° '�d '�C '� � a .. � �� m � � f�° R° �, � � A �� o � A'� w �' R° � O O ,��, � � � � � � � ro M p. � • � � � . . � . . � Oo . . p 6 . . $ : : : N � � � � � o 0 0 O o O p i!1 fA , y � y � � � � y � f� " � a� p' °s ~�� _ �. "' a(F�� i �• • • � �b � �' ��° � sp � pC�'� � ��8 � ,°, o fD y � � � �' ��•b ,\ O�e�� '�1 pptp�� ap �+� �,y � �a'�m !" m� �� a� �.� ��: �y l�D y m�� G � O � � N A � � ro � . r�n rh O Q � � � D � r � � fl7 N _ m C m � � � � � � � � � D � O � �o 0 � D 0 d � �'. d �� _ {� �� h a �p O.� A A �� 0 � � A � D d 9 � %P� L ia �,S`� - "'~' � r ^ �ENT L SlJPPLY CO. l�EAT LC�SS Cd�LCl11.�TIONS 2929 Four�h /�we. �. ��,. 4-oa�5 Minneapolis 8, Minn. VV�atherstrips '4''S'�'�0''�' Cons4ruction Na Insulatian Guide Windows I Doors Reference Out. Wall InY. Wall Ceiling Roof Floor ICind How Applied Yes—h90 , Yes—No _ 19 I � FI. �,�/�/ Room Cength Width Height FI. Raom Leesgth Width Height W/indQws and Doors—Crackage an Area 9M6red�ws and �oors—Cracka�e ond Area Width Helght No. of Lineal N. Area Width Heigh4 No. af Ltneol H. Arso No. of pane of pana lighte of vack sq. H. No. of pana of pane lights of vack aq. h. 3_ p - ! � p fO / a! � '29 T/� O vZ �„ Coef Btu Coef Btu Infiltrati�n �o S o o �nfilfira4ion o?e �o �o � Glass D s'o 0� Glass o .s'o s� o Exp. wail ,�4 Exp. wall � hlef exp. wqll � !o /�'�/O Net ex�s. wali 6 �0 61� O � � /'� >, ,� (� Q On�, waBl Ceil To4al 84u. uBred sq. ft. E.D.R. or sq. ins. W.A. Leader area / PI. � %�� T VYindows arn Wid4h No. ofi paore � a� Infi9tra4ion Class Exp. wa91 � Ner ��p. wafl ��,,, wa�� Floor Ceil. Totml Bru. d Width �erea C�f Btu � �3 �3 �� 3 7 � .�o ° a o do z�! �f � o B7. c� !10 R�quia°ed sq, ft. E.D.R. or sq. ins. W.A. Leacier area Fi. ��/�0 R�orra � Length / VNidth Windows and Doors—Crackage and .4rea I coef Btu Infiltration 3 G �O oi D 0 C'slass a fo �S a /.3 � o Exp. woll Net exp. wcll 3 v Int. wall Floor Ceil. �„ �o Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. leader area I �ei�a I /O �4 � To�al Biu. � Reeyuired sq, ft. E.D.R. or sq. ins. W.A. Leader area FIe �,,�` Room � Length �,,�°' Width Height I �JVindows arad Doors—Crackage and Ared Wsdth Meipht No. of Lineal R. Aeea No. of pana of pone lights of naek w. ff. I Coef Btu 9�rfsltra#ic,n �� D � o @ S'al�ss ,S S-c7 �a, s- o �xp. w�ll �' J- 5� Rlet exp. wall / sD /, /`�D 1 Int. wdall Floor Ceil. 9�S' /O Total �tu. Reqa�ire� sq. ft. E.�.R. or sy. ins. W.A. Leader ar�a F9. '' � Room I Length Width Windowos ac�d Dooes—Crackag@ and Arec Wid9h Holght No. of Lineol ft. Areo No. of pana of pane lighta of aaek aq. ft, •� _ � �', / .36 .7S ;St'J I Coef Btu ' Infiltration �p0 B � Glass ,,$' 'D / S"O Exp. wall / 6 Net ex�. wall S� /o / S� D Inf. wall Floor � Ceit. /a� 00 Q Total Btu. � O Required sq, ft. E.D.R. or sq. ins. W.A. Leader orea 5/� / Y s �� "�. ��. � ��e�l'�R�� UPPLY CO. �fEAT LOSS CALCULATIONS 2429 Fouri�h Ave. S�. �A. 4�0705 Minneapolis 8, Minn. W�afiherstrips �S.H.V.E. Construction Rlo. Insulation Guide Windows I Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How Applied Yes—No Yes—No 19 FI. � Room length / Width � D lieight Ft. � R�m Length Width Height Windows and Doors—Crackage cnd Area V�Oindows �nd Doors---Craekage and Area Width Heieh4 Ido• of linea ft• Area I bVidsh 6ielghP No. of Lteeol H. Mw IJo. of parre of pane IigMs of craek aq. ft. ldo. of pans of pane Nghta of vack sq. fi. Inf Itration Glass Exp, wall Net exp. vrall int. wall Floor C�il. Tot�a I 6tu. Coef Btu I ( yD p Ir�fitPafioi� �7 O d'o Glass � p Eacp. wal( �3 /p � � O Idet exp. vvall Int. wal9 Floor � tg �O � � CeiB. Toa�6 �i�. Required sq. ft, E.D.R. or sq. ins. W.A. Leader area Recyuived sq. f4. Eo�.R, or sq. ins. W.a4 Leader area � FI. �!1 L L Room � Len�ath � t/ Width s,,/0 Height Coef I Btu Infiltration Glass Exp. woll Net exp. vvall Int. wall Floor Ceil. Totol Btu. Area Area sq. R. � CO@f BTU I �1 N� �,�' p �� O / S O Requirsd sq. �ft. E.D.R. or sq. ins. W.A. Leader area PI, � Room � Length Width Hei Windows and �oors—Craekaae and .4�en COBf I BfU Infiltration � Glass Exp. wall Net exp. wal! In4. wall Floor CeiO. Total Btu. Required sq, ft. E.D.R. or sq. ins. W.A. Leader area FI, � Room � length Width W6ndows and Loors—Cracka�e and Area Width Height No. of lineol h. Ar�a No. of pana of pane lighte ofi nack sq. k. Coef I Btu �nfitrratson � Clasg Exp, wall P�let exp. vvall 'I Int. wal) Floor Ceol. 'lofal �4u. Required sq. ft. E,D.R. or sq. ins. W.A. Leader ar�d EI. � Room � Length Width Height �/indov✓s and Doors�rackage and Area Width Height Mo. of lineol ft. Area Mo. of nena ei �no II..I.oa ..t ...�� __ e. Coef I Btu Infiltration � Glass Exp. wall I�let exp. wesBl InP. wall Floor Ceil. I Total Btu. Required sq, ft. E.D.R, or sq. ins. W.A. Leader area • � : � : � � V � � t� � � c�a��az�m x z� � � � w �a �8 � � � � � � o � � o � � � � � �! eyo � � d ��. Q � � a� � y �. � � � � � � : o �� ° `° " � p � a �O y �8 ' � a Q � � �n : � F+ pd b0 � �• oy •. • N v� . p� � � � 0 � . : � . � �� : � �: w� (�p . . . F"� 0 0 w�a aa " x x �e x �e x g a� g y g �n' $�n' g g$� � � � �� h rn w �► an vi 'a O 0 I Q � O � � I I D � r D � m �il r� (i m v � m *. m r► w i.s .+ p� ��r �I°'la � � m�e �• � 5' � � 0 a �� I �� ° a � [ � �� ' � x � � � � w '� � � � € c.P� � � � � a �. � �• � � � w � �, cs' � " g ° � � � � � o � W ' N � i ,,� a I �- �' � F-� c I � � O �� I I � � � � Q � � � � � �� 0 I I � .� � � � I � uaiw� M� � � sin� w� TNAY$ DRINK. RWNT. SMIYNS. �� GTCM 9At�Ns �a WASIfB� GAS � � � OPENINOS . • z • c� N ; f1111 P m � m n �o.�� o ��p� � � � �� a� � � �b �� Mo � �. b0 b ��b �� mo � �'�' ��~ �m � �.a�� a��o �� o � � � � 3 � �. � w d � � O �x � �� M � � � � � � �• -Ai, � � O.. � � �, � � � ' w 0 o � � � � �� . City o� �rid�ey r�� T TkE TOP 0� TME TwIN4 , i` . r r,.-------, COMMUNITY OEV[1,0��IENT 01V. �1 � MooTecnvs w�acTior� o�vr. �-.i r---� i C,ITY MALL iRtOL6r lOAi� ..�� .J O�i'600'��i0 Job Address 7J 3?% - ��/fi�P� �d, ner � � � s s�� E�lumbing Contractor_ nd of Bui I�7 .v1 � tion Date �o �� I°� I i I � II W !I � W � � � Q' I _- __�, W { 3 � I � I � II a�Nra� ( � � I f ' sva I � '1ddV� � � � ! �xW i '7SIN i •saa� I•MNiva q � I SNISVB I H�lYD �O o eNrvao 3 o aoo�d i ,0 � I sa3�wa+gl ID '�� .� tl '1NflOdl � HN�b� AV �SAYNl •►Q� HSVM Z9�N�SI I . sNieva oani Ntva a-wwirn �11901� I I � , � G .� O O w .� ,a�+ W � I I W I � I � � � � � •� i � � I' � � � � �• i � a °' � � � �� iu9�[CT Permit No . (�� PLUMn I iJf PERf 1 I T APPL I CAT I��id ��9� ress ` ress se �o °� �s��'6� me � .� Plumbing Fi.xture Rates: N0. RATE TOTAL �! Number Fi�stures � x $2.00 , •� I � �� •I� Future Fixtures x $1.50 �' �' New Fixture-Old Open. x $1.50 � Catch• Bastn x $3.25 f�� Water Heater-99,000 BTU x $3.00 `I � I� Ground Run Old Bldg. x$3.25 .�� i � I ' E1ec. Water Heater x $2.00 Gas Fitting Fees: � lst 3 Fixtures __ X $2.00 Additional Fixtures —r ____-- x $ . 7 5 _— Gas Range-199,000 BTU x $5.00 � Repeirs &-Alterations See Deacription: Code i State Surcharge _5�_ I TOTAL FEE . $ � � !The undersigned hereby makes application for a permit for the work herein specified, agreeing to.do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declare that all'the facts and repreaentatione stated in thia applicatio r true and correct. � . -��'- � � ignature Date �t ►' � Cf G� OS Z N iE 7o f� m Of O �0 fa F„ •� a a o a e� a o r s r c o y a s K„ 8 p r n o m p, K = RR�000mpff M �I O Oi ~ O G�� O p b s M Q <� K� r* H h r O W M W s M (� O tA O m• M r r► p �w o D 41 R b r M m M O Xf q O m 'p ►► r. G p G� r s M r W o O M N s m� o e 5 d� w R o � °� o K w a a a a�°. aa o� � w M� h b�•„ � o M !i1 �p �p 8 a� r p M� o �o � r�r a „ � m m �s o � b � O h� � �t O o � m o y � s � r a � � V! M N N N N fA N N N N N fA co �e r r• l0 O O ll� �1 U� N� Uf IJt lA A P+ W N . . . . . . . . . . O O O O O O O O O O(J� t!1 O O O O O O O O O O O O O O b C � z � 'ef � e � � td � � m N S Z � o �. � � !!! N N N N fA N N N N N y N t/1 N N N � � o � . � � � o � 'a � y N ci � � N � O O H� ii � ��n �°° M � � !�1 a ili �e H M � N r 0 0 0 � � � M H 0 i 'q M � � CA, 6 � � � � � � � M � � � � � � � � � �C7 y � � �H tA •" � '�� o � ,� '` � ` � , � � a9 � �' � � � � � � � � � � � � i � !� ` , H � �� .� c� ��i� � � o � � �i °n � o m � � � ag � m � • w — � n � M � R� � � � s o p I R � I Stolilfl C108@ta �_i Urinnla � � eatn Tuba � Hasins � � siNca � Wash Tzays � Showers Floor D Automatic Gas Appl. Miac. Fix rs88 �1Qe otrier W �. !� ►� .FW+ � IP � w � ��? A� W� N� M, B G'a o.a ►�-�s� �"'�,� °� � '�O �J � A� µ M m �C ►+ � � � � �D �'� �'� m �� p, �� M. 7 ►'. ' �% �n` i� 1'r „� ,.. � m�"w ��" a p N ? �� o �i � �� a � � � �'�o �� mm . . �w� � a��x �8�� 1 � m � � �� b�' � � � , � 1 D "� 0 Z T 0 � � E r' 3 - Oo -� � O T a z o � �' t� � � T � � � � m � sue��cr City of Fridley AT THE TOP Of THE TWINS g � I L D I N G P E R M I T ;, � � � • COMMUNITY DEVELOPMENT DIV. � VV ��, . r � � PROTEC7IVE INSPECTION SEC. 1 . . � _ �"'1 � CITY MALL FRIOLEY BS132 NUMBER AEV �.---�: �.' 612-571-3460 9t0-F15 lOB ADDRESS 7330 Concerto Curve NE 1 LEGAL �OT NO. BLOCK TRACT OR ADOITION oesca. g 3 Melody Manor 2nd 2 PROPERTY OWNER MAIL ADDR�S$ Howard Clark 7330 Concerto Curve NE 3 CONTpACTOR MAIL ADORESS Same a AFCHITECT OR DESIGNER MAIL AODRESS 5 ENGINEER MAILADDRESS 8 USE OF BUILOING Residential 7 CLASS OF WORK ❑ NEW O ADDITION C� ALTERATION DATE PAGE Oi 1/25/00 / / PE�iMIT NO. '' 30642 RECEIPT NO. �� 1VVROVEO Bv SEE ATTACHED SMEET ZIP PMONE 785-9590 ZIP PHONE LICENSE NO ZIP PHONE LICENSE NO. ZIP PMONE LICENSE NO ❑ REPAIR O MOVE O REMOVE B DESCRIBE WORK Replace wall and floor coverings in first floor bathroom 9 CHANCiE OF USE FROM TO STIPULATIONS Provide smoke detectors in all sleeping rooms and on all levels of the dwelling per Section 310.9.1.2 of the 1997 Uniform Building Code. TVPE OF CON SEPARATE PERMITS ARE REOUIfiED FOFi EIECTAICAL, PLUMBING, FIEATING. VENTILATING OF AIR CONDITIONING TMIS PERMIT BECOMES NULL AND VOIO IF WORK OR CONSTRUCTION ZpNING AUTHORIZEO IS NOT COMMENCED V�IITHIN BO DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONEO FOii A PERIOD OF 120 OAYS AT ANY TIME AFTER WOpK IS COMMENCED NO DWLG. I I HEREBY CERTIFV THAT I MAVE REAO ANO EXAMINEO THIS APPLICATION 1 AND KNOW 7NE SAME TO BE TRUE AND CORRECT. A�L PROVISIONS Of LAWS VALUATION AND OROINANCES GOVERNING THIS TYPE Of WpRK WILL QE COMP�IED WITM WMETHER SPECIFIED MEREIN OR NOT. TNE GNANTING OF A PERMIT �L�OOO DOES NOT PRESUME TO GIVE AUTMOFiITY TO VIOIATE OR CANCEL THE pEi7MIT FEE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION Ofi TNE PERFORMANCE Of CONSTRUCTION �Gg.LS S�GNATUaE O� CON"aACTOp Oa 4UTMOp�2E0 AG /NT/ IDATEi � _ _ _ �� 14a— �.^��S �� . 1 _ S7ALLS OCCUPANCVLOAD CU FT. OFFSTREET PARKING GARAGES SURTAI( $1.00 SAC CHARGE Fi e SC $2.00 TO AL FEE %2.2.5 j�T D T IS IS VQUR PERMI � NEW [] ADDN [] ALTER bQ Construction Address: Legal Description: �� Owner Name & Address: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Effective 1h/2000 612-572-3604 Bldg Insp �P��y �.- Contractor: MN LICENSE # Address: Tel. # LNING AREA: GARAGE AREA: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft Length Width Height Sq. Ft DECK AREA: Length Width Hgt/G und Sq. Ft OTHER: � L�� . �(' >C •' - ��?0� �r (.�,�1 L(, � t)�� - —/{� f ' r�� Construction Type: � G��"e� Estimated Cost: �� Os �� 9 Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x$ _$ DATE: � �J'�' ' O� APPLICANT• l�°'r��-.�,��'e/"��d,�� = '� Tel. # �v��'`%�� "9-S�'O CITY USE ONLY - Call (612) 572-3604 for Permit Fees if mailing in application Permit Fee $ � r� o�� Fee Schedule� on Reverse Side Fire Surcharge $ �,� .001 of Permit Valuation (1/10th%) State Surcharge $ l r�� $.50/$1,000 Valuation SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ �— $1100 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 [ ] $ �.a.5 • - -- BUII.,DING PERNIIT 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 �rmit 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,Q01 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $1Q0,001 to $SOO,Ot}0 $500,001 to $1,000,000 $1,0�,001 and up FEES $23.50 $23.50 for first $500 plus $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 $25,0(}0 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 first $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 C�rb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $15.50. 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 $23.25. VERIFICATION OF FOUNDATION Permits for construcdon 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 S�uvey of the lot, showing the location of the foundation once it has it has l�en constructed will be required before proceeding with the framing. New Houses Onlv _. � . 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T I'� �.� 1° c� t� srrE n�n�ss 7 3 o G o r1 G+2Y �e GuL+i` � rHIS nrrr.�c�►Nr rs: a o�vH�x �'orrrRncroA ERTY OWNER! I Np�„�: 5 � Sea.rt { g�h TENANT A��: � PHONE: CONTAACTaR A�n�ss: � o S W e Sf 2.3 r°` S f �� ' n s�ra�_i�n SSo 33 SiJBMITACOPYOF �,o,��sr-k�o-?�rao F,�_6s�- yg�- �w�ar YOUR STA� LICErr3E srdT� �c� �_o� O'��,,� �P oA� �� 1a � PROPERTY TYPE PERlMU7' 7'YPE 0"51NGLL'f AMQ.Y/I�W CQNSTRUCTION E] 7W0 FANQLY/NEW CONSTRUC2ION O BASEMENT F[MSH p 0 DECK � TYPE OF WU1tK: I a rr�w xo� coNSTxucnaN o nn�rnox CI MAf?VTENANCE/REPAIR �1rREMpDEL] DESCLtIBE SYCIRK BEINO DONE:�S i � P O1N1 � ��d O'Y1 SIZE OF 7MPROVfiMEN? LbNG1g� VyIT �E�R�OF SQUARES O HOUSE & GARAGE GARAG�S PQOPOSED 51ZE: PROP�ID f�fOHT: �Y� D Almtimaa O Ot}nr WINDOWS IN EXIST@IG OPfiNIN�S OYcs I7Na OR FOR 1VEVV OPE1+IDdGS-DESCRIB& S1ZE OF OPENlNti CFiA1VGES & FEES ARE BASID ON I�OTAi. JOH VAL[ Pe�mit Fee Plan lteview Fire Surcharge Surchar�e Licenss Surchacge SAC Charge Curb Cut Escrow Erosi� Control Park Fee �rer Meia Chaage Total Dae 0 ATTACHED GA[tAGE 0 DETACH&D (iAftAGE �501Y`tL 0 Trim � Fescia LACA7lON OF WINDOWS (IiSI�G�THE 1997 UBC FF,E SC�EDLTI.Ej S�Q �' QCCI � i��".�� $ _ _ � coa �t� $ � • F� $ �� $ � � $ S � � � '{�` e � DRAQI T[LB O OTFiER RAS�IVIENT RFJNODEi.11YG SUBNaT• 1. ExLtitrtig Fl�r �an 2. Ptoposad itoor plan 3. List of struWual members 60 6o u9ed FORiJ6W CONSTRUCTIONIIJCLUDWG DFCKS, A�DITION3. & PORC SUBM17_ 1. Site Pl�nlSmvey shmvi�sg tlte eatisEing strucWnes � P�Pos� P�J�• 2. 1'wo �Is ofcoagh�udian pla� 3. Ener�y Calealaatians I`� iL � BaGk Page for F� Schadule 65% of Building Permit Fee .001 times the total job valuation .0005 x Perm3t Valual3c�n Mm�um $.50 $5.00 (State Lic�sed Resid�tial ConIIscbors) $1ffi5 par SAC Unit (P1ans to MWCC far deberminalian) ft+6ft= f4x�21=$ $450 Co�ration Plaa Reviiew Fee Determined by Engi�ing m�t nece.ssary ( ) Non ATecc��' ( ) � e chedcs os�able to: Citv of Fridlev AUac TH1S L4 AN APPLICA770N FOR A PfiRkIIT-N10T VALm UlV'fll. PRQCESSID I h►ebY gPP1y for a 6m1d'mg petmit ard I�laiuw ge tilal the iof abave is ca�plete aad aa'ura�e:l�t the wak wilf be in c�nformance withthe ordinanr.cs end cad� of tha Ci�y of Eridley and wid� t&e Mi�me�m {;o e� I e�stamd thia is �ot a pe�it but only an application for s permii and v�k is not to slarc will�ut a pamit on sitr, lhat die v►ark wIU bc in e' t6e ' th al� work which req�mcg revieev and approval ofplans SIGNATURE UF APPLICANT PRII�1T NAME`��1,��L,..'� DATE ��/ �D S APPROVED BY DA� rrom: �iiy or rnaiey 10: O� I-404-UlUU rage: uo UaLB: IU/L0lLUUO I I:J I:LO HIVI + Buildir�g BUILDING Permit No.:� Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Dat��r DATE__9 /=4�5y d( SITE ADDRESS � � . THIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR YOUR E-MAIL ADDRESS ❑ OWNER L�ONTRACTOR PHONE: a�i '' � �{� � �� . STATF��IP�( (� SUBMIT A COPY OF STATE LICENSE # D� C� �J 4('9 �Gj,[� EXP DATE 3` 3 J' a� h �y YOUR STATE LICENSE ADDRESS:��'j� SI.�J L�"� S�' S� 1�7 CITY /-C�-�d� (e�" - STATE �Z P S$�0�.� WITH APPLICATION pHONE (p - f% — r� ,� FAX Co S 1-� v"�CJ %� PROPERTY TYPE � SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ .�nDrrtorr _ [3 ��.GEts�� --- - - 8�- - — - - - O BASEMENT FIIVISH �ROOF O DRAIN TII,E ❑ DECK ❑ SIDING ❑ OTI�R ❑ SWIMMING POOL TYPE OF WORK: I � ��' ❑ REMODELING DESCRIBE WORK BEING DONE: SIZE OF HEIGHT Ft. �cu�r�iNV 0 HOUSE ONLY NUMBER OF SQUARES � I�HOUSE & GARAGE AASEMENT REMODELiNG SUBMIT: GARAGES � ATTACHED GARAGE 1. Exisdng Floor Plan PROPOSID SIZE: ❑ DETACHED GARAGE 2. Proposed floor plan PROPOSID HEIGHT: 3. List of suucmral members to be used I� FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vitryl ❑Soffit ADDITIONS. & PORCHES SUBMIT: � Aluminum ❑ Trim 1. Site Plan/Survey showing the existing sWcWres ❑ Other � Fascia and proposed project. ��p� 2. 1�vo sets of const[ucUon plans IN EXISTING OPENINGS OYes ❑No LOCATION OF WINDOWS 3. Energy Calculadons OR FOR NEW OPENING3•DESCRIBE SIZE OF OPENING CHANGFS 8c TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ OCCUPANCY TYPE Permit Fee $ See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fira Surcharga $ .001 times the total job valuation Surcharga $ � .0005 x Permit Valuation Minimum $.50 License Surcharge $ � $5.00 (State Licensed Residential Contractors) SAC Charge $ $I 550 per SAC Unit (Plans to MWCC for datermination) Curb Cut Escrow $ ft+ 6 ft= ft x$21 =$ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sawer Main Charge $ Agreament necessary () Non Necessary () Total Due _ $ f Q , Make checks payable to: City of Fridlev Attach Stinulations THiS i$ AN APPLiCATiON FOR A PERMIT-NOT VALiD UNTiL PROCESSED I hereby apply for a building permit and I acknowledge �at the inf�ma�ien abs�e-}s- ea�}ete �d acctrra�e•, �Iiat the worTc� -wifl-� in confarnTan�e w� tfie ordiriancas and codas of the City of Fridley and with tha 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 approvad plan in tha case of all work w' h requires review and a pr val of plans. SIGNATURE OF APPLICANT F PRINT NAME� 1�rj�' DATE�i�� ,��" -- . T ,�