AF - 38040City of Fridley, Mirm..
i
BUILDING PERMIT N . � ; � 9 . � �.�;
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Date: ---------_�� ._..€T �`..._:�_.�..� =.. ______
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Owner: ---�- - �::i:.£.� �:.;�----�..'-� • ' � ' i�!�'�.`-�=`
Address --.-----_._.____�___.�..�..._.. __
Builder•--.-----•-----.--_....— ^,�°'` --___..._..__._._.__..—...._..___....._.._...
Address ._....._...:.�',� _.�!�� ___.–•----_.._.---.___.._
,� -
y LOCATION OF �UILDING
- ,��` 6�- �
No. .�..�.,�..._.-•---- Street _._........�� .:'�'_._"�:� .��... '� � Lot .-�----------------.._....---___-----------------_..r..
Lot ....------�`..---....._...._.. Block _.---------....._�r........._. Addition or Sub-Division �°` _ � � -
..............� ' ...�3�'.�_.��!��' ._.�-:�. . ,
� � �---_..
... ����'
Corner Lot .---_ ................._-----.... Inside Lot ....._....--�----........ Setback ---.--.,,�,.�....¢...._........ Sideyard ...._��.._�_�.,,e�'..�.�_'�---........_. �..
Sewer IIevation
To� Used s: �
� .�-.`�..:�: �: �
_.� � � �,d-"•?,°+�➢----....
� �e.
._ � ... _ �,!�;...,�..........
Type ` Construction
Foundation IIevation
DESCRIPTION OF BUILDING
Front _._�?.� Depth .....�,_ _�_..P Height .....�.�
Front ..�r_...�.._.. Depth . .:�_� Height ... ,�.�."�..
.. . --....._...._ ............................. Est. Coat... �: _l.!�..._C�...�........
Sq. Ft. �e�? e' � Cu. Ft,�.,p� ��3
�� �� ��
Sq. F� ..- -- �--� Cu. Ft. ---_ ...._......._-,
To be Completed
In consideration of the issuance to me of 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 provisions of
ordinances of the city of Fridley.
In consideration of the pay�ent o� a fee of $..:��.......__._.., Permit is hereby granted to_...----•--.--.-----.--•-•-----------.--- -- --_.
..._...._......—....------_---__..----_..._---.._.... to construct the• building or addition as' described above. This permit is
the express condition that the person to whom it is granted and his agents, employees and workmen,�'in all work
done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of
Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings
within the city limits and this pernut may be revoked at any time upon violalajgn-gf any of the provisions of said
ordina.nces. .r-r �► � /
�..�:�-=�.`�=.•.��,�-''.�.�,J_.._ 8uilding Inspector
NOTICE:
This permh doea not eover the eonstruction, installaHon for wiring, plumbing, gas heating, aewer o� wafer. Be sure to see
the Buildine Inspeeto� for separafe permiTs for fhese ftema. Ps E► i t°�°� /1 A 1
� 4 THIS F'ERI� DOES f�OT AUTHORIZE VIOLA�'�
---�� s �,.,.
"�- ="'. IOfd C� ^;���;,-�'.;i .,�,�i�'� L.��1JD CGVENARITS A��D
�'i_iILL�:'. .-.�_.��Ii'.: ,-E-;^����iS.
Owaer's
�ddress �3.�-f
APPLIC�TION FOR BIIILDTNG PERNiIT
Q�TY OF FR,IDI��, MINNFSOTI
ar
ss � �
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No. 3treet °� C �` �° Part of Lot
Lot � B�.ock .� Addition or Subdiai�3o �� �
�°' � �
Corner Lot Inaide Lot Setback Side-Yard i''��
SEWER ELEV�TTON FOUNDATION ELEVATION
�pplicant attach to thia form Certiiicate of Survey of Lot and proposed building
locat3on.
'"o ba used s.s :
�
DE5CRIPTION OF BIIILDING
5q,. Ft. Cu. Ft.
Front epth Height
�. �. Cu. Ft.
Type of Construction __ � Estimated Cost �_ i���
To be Completed ,� � � �
The unders3gned hereby makes appl3cation for a permit for the �rork herein apec3f3ed,
agreeing to do all work in strict accordanca with the C3ty ardinances and ruling of
the Department of Bui7.d3.ngs, and hereby declares that all the facts aad representationa
stated in this apgl3ca.tion are true and
DA� '� - ,� v`� — C� �
(1� Schedule of Fee Coats can be found on the Reverse Side.)
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�ection 2. '1`�e Inspector of �.l.dings shell, before iasuin� a�q permi� for the
erect3on of ar�y building or structure, or for aay additioa t,o arg* exiating build-
3ng or �ts�.icture, or for eay eltaratione or repairs to aay exieting building or
structure, upoa application there�or, require the payment by the gpplicaat for
such perm�t of fees to the a�unt here3a be7.ow set forth and i.n t�e m�ner herein
prov3ded 'to-Wi.ta
2.1. For 8ay �uch permit For the erection of any f9re-proof buildia�, other t.hsa
a gesa�e, warehouse, feat� or grain eleeator, or for the erectioa of at�y fir�-
proof additiona for s3m37.ar oec;upancy� to et� ex3sting bu9lding sh�U. � at ths
rat.e of �..L�O for each one thouaand cubic feet, or t�action thereof, in auch
aubical contente.
2.2. For any such perm3� for the erection of ar�}r fireproof garsge, wsrehouse,
fectory or grain elevator, or for the ereotion of aay Firep�oof addition, for
sim3lsr occupancy, to any existing hui].aing sba�.l be at the rste of �1.z5 for
eaah one thoueand cubic feet, alass3.�ied as nfireproaf" b� 3ection 502 of tha
Minneapol3s Build3ag Code.
Hd�,U�
2.3. For ar�r such permit for the
than a gara�eD warehouse, f�.etory
addi'tion, for s3m37.ar oceup�noy,
each one thoueand cubica feet.
�
erection of a�r non-fireproof bui].ding e�her
or grain eleeator, or aay nor�-firegrooP
t� aag e�d.at3.ng buildieg. Permit $7..00 Yor
2.4. For any auch permit Yor the erectioA of any nor�P�repro�P gerag�� warehouse,
factory or grein elevator, or for the erection of a� Aoa-SirepraoP addition, for
sim3lar occupancy, to any existing bu3lding or for ee.ch suoh building or additio�.
Ninetjr Cen�ts for each one thousand oubic feet or Praction th�eof, in the cubieal
con�ent,s thereof with a minimu� of �4.00.
For the p�pose of comput3ng fees for building permits the cubiaa9. aoat,�nts of at�y
buildin� or addition to a uni$orm hei�ht throughout b� mult3plying the grewad area
covered P`rom a point aix (6) inchea below the floor line oS the basemeat or cel].er
to the average height of the upper surface or to the average height of the root'
surface of the main gable of a pitched roof.
2.5. For repaira or alterations to an ex3.eting struature, the fee ehall be et the
rs,te of $3.00 for each Fiee Hundred Dollers (�50Q.00), or i�aotion thereof in the
coat of all proposed work.
2.6. In nc case ahall the fee cha.rged for any permit aa set forth i�n SeatioQ 2 be
less than �L�.00.
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MINDER ENGIrTEERIN(,� CO.
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ENGI NEERS AND SURVEYORS
u.NO euwve�nNo
GIVIL �. MtJNICIPAL BNOIN6EAINp SOILt� TE$TINO
6418-56T" AVENVE ly, LANO PLB►NNINO
MINNEAPOLIS 27, MINN.
KE 7- 3637
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L0� �� E��O�� I PEAR�c�w-►� �����4� �ti`A'�' �..�T�?"�S
WE HEREBY CERTIFY THqT TNIS IS A TRUE AN� CORREGT REPRESENTATION OF A SUQYEY OF THE BOUNOARIES OF TNE
�AND ASOVE DESCRIDED AN� OFTHE LoCAT10N oF ALL BUtLDINGS, IF A1.tY, TNEREON , AND P.I.L VISIBIE ENCROACHMENTS,
IF ANY� FQOM OR ON SAIp LAND.
DATED TMI: —�,Y� ,/��,� �.o.�,� MINDER ENGINEERING CO., INC.
EW6IAI�E AND S RY RS
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$� 7' �r•���� �'
, HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINCS !,� ;�, �` �' �' -i1d�f�i�%i�. MINN.
Weath�tstrips a A.S.H.V.E. ` Construction No. Insulation
Guide
Windows I Doors Reference Out. Wa1� Int. Wall Ceiling Roof Floor Kind How Applied
Yes—No Yes—No 19_ ,,'' r ,,:" , " .°`"F- >
_
Fl.� , f ; , J Room � Length, � ,I Width �: � � �"� Height Fl. . . `�° Room Length ��` ' Width �' ' Height � `'
Windows and Doors—Crackage and Area Windows and Doors—Crackage and Area
�Vidth Helght No. of Llneal ft. Area Width Height No. ot Llneal tt. Area
No. of pane of pane lighta ot crack aq. ft. No. ot pane of pane llghte ot crack eQ. ft.
5
""•.a �.lJ Fi� � �' wi... .i f3 'g G � � . _ / . E /� �": .y. �f. � r3 �` G'..
Coef. Btu
1nGltratiiin 1 ��, -..-'. � � �' �
Glass -a << ,,G. /' �" ,
Exp. wall �' y t. ^ ,� '
Net exp. wall ,� ,4"' ,�',� ,, ,,Cf �'V,,�`e,��
Int. wall
Ceiling ,� -,; � .. ,� �... °.� ;� ,� d:yE
Fioor �
+�. r�y %��� �; :t.
Total Btu. �; � �„/ ,�,
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
F1. Room ( Length % Width Height ""
Windows and Doors—Crackage and Area
Width Height No. o[ Lineal ft. Area
No. of pane ot pane llghta o[ crack eq. ft.
�;r �� .� � �r � � si
Coef. Btu
In6ltration � -- r"
GI85S � � �, . ,
Exp. wall ,t�' f
Net eap. wall � ,r .
Int. wall
Ceiling � �; '�� t„/0 � � �' ;,�
Floor / f ,�� �j� �
Total Btu. -:r
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
FI. . �'%p �" , Room � Leng -� Width -.» Height � `
Windows and Doora—Crackage and Area
Wldth Helght No. oL L1nea1 tt. Area
No. of pane ot pane Ifghta ot crack eq. ft.
f.f�: , . �"t '� � r- 1 r1' �f
Coef. Btu
In6ltration ,� � -' � �
Glaas � t* C�' ;
Exp. wall / ! k ,- ,,,;
Net exp. wall �
Int. wall
Ceiling 1•' t .. f , �' =` �
Floor
Totai Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. L.eader area
�
Infiltration
Glaas
Exp. wall
Net exp. w;
Int. wall
Ceiling
Floor �
Total Btu.
Required sc
� �•� '�~ya�
Window:
Wldt
No. of ps
� ���`
�
Infiltration
IGlaaa
Coef. Btu
`"� '' �% t.i
�'" �,-�
Y ' > t.Y
.,, ..., � �► �1
': f � � .
� . r,t` �.
.� c.
�j �►��
�.R. or sq. ins. W.A. l.eader area
Room ( l.ength - � Width /1 '' Height �
�ora—Crackage and Area
;ht No. ot Lfneal [t. Area
�ne Ilghte ot cr6ck eq. tt.
� �, � � :: �
�. ,
Exp. wall ''•, ,� r
„s, �'
Net exp. wall
Int. wall
Ceiling
Floo�
Total Btu.
F,
_:: f
_�__.
� -; (' r
r � s' ;, �� ��
i ('
�''i[� �` . � r; r .
��
��
—
Required aq. ft. E.D.R. or sq. ins. W.A. Leader area
� Fl• :t';� 4:0 Room I Length �` � Width %� Height
Windows and Doora—Crackage and Area
Width Height No. of Lfneal ft. Area
No. of Dane ot pane Itghte of crack sQ. tt.
� � �:: !
1 �l �� , x �. ,� � . � �� e:
In&Itration ^
Glass
Exp. wall ..� , --
Net exp. wall
Int. wall
�;,; �'s` Ceiling ��' �, ,�
�<k t.i' Floor
�� Total Btu.
Coef. Btu
; �- �,� ,, i
.' :1 W `: G
x
f r� � t .y � � '���,;;
I-�` ,s a�
-� , � -
� .��
�'"�'. �'
Required sq. ft. E.D.R. or sq. ins. W.A. Leader ana
a � �
OF BUIIDINGS
ro.
Roof Floor Kind
� Fl.��; ., 3, Room � I
Windows and Doora—Cr
Wldth 8o18ht No
No. of Din! O[ DBtI! Il8'
� � �
Infiltration
Glass
Fzp. waU
Net e:p. wa�`' .
Int. wall
I) Ceilin
Floor
�� Total Btu.
Fl.I , . Room I I.e
w���
Wldth Hel�ht No. <
No. ot D�ns of pane lt�hl
,.'-, � ,;..f `
f:: • .��. � .
_ ,
�l\l\C.t'1C VL.iJ� l�ill\l�.
Iasulation
How Applied
t' ' � " Width - '' Height
e and Area
Lineal Lt. Area
ot crack w. ft.
Btu
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—
�Width ` eight �-
and Area
neal tt. Area
:crack sQ.ft.
C� t ��
;t
v k• s^
Infilcracion : �"° ,; �' ry�
Glaas r , # _ .
I��ip. WaL .. . , .,. �.V�F' y'�rC�.
Net ezp. waU I �.. �:.; ,�;`''� �::,,,.
Int. wall
Ceiling - "�'' ;�� � -,. a:��2
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To`the Building Inspector
City or Village of
MINNEAPOLIS GAS COMPANY
Fridley
Auth. No. 51858
For your information, the Minneapolis Gas Company has received a survey from the Installer
indicated below and has this date authorized the use of natural gas for this residential,space
heating installation. If survey is for new construction, we will have the capacity and facili-
ties to serve the installation when we have installed the gas service pipe and/or meter.
City or
Customer address 115 NE Craigwa� Village _ Fridle�
Customer Frank R Scheel
Installer Siegler Minnesota City or Mpls
Installer address 106 E Lk St Village
Equipment Fireplace Heat Loss
Construction: New ❑ Old 0 Input 25M BTU
NNEAPO S ASCOMPANY
Dated Sept 13 19 68 , b- y'v�"l.
Form 26 Authorized Signature
SUBJEC7 P
City of Fridley ° 15 9 5 3
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T �
r
� � CEIPT NO.
� �y-------�
COMMUNITY DEVELOPMENT DIV. � � �
r � � PROTECTIVE INSPECTION SEC.
� . ;
� � /�"1 � CITY HALL FRIDLE� 55432 NUMBER REV. DATE PAGE OF APPROVED BV
�'----� • •�� 612-571-3450 910-F15 10/1/80 � �
JOB ADDRESS �5 Craig Way N.E.
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. ( 1 Pearson's Craigway Estates SHEET
2 PROPERTYOWNER MAILADDRESS ZIP PHONE
Joe Bidwell 115 Craig Way N.E.
3 CONTRACTOR MAILADDFESS ZIP PHONE LICENSENO.
P& A Construction 2215 McKi.nle Street N.E. 781-2805
4 ARCHITECTORDESIGNER MAILADDRESS ZIP PHONE LICENSENO.
5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO.
6 USE OF BUILDING
Res idential
7 CLASS OF WORK
0 NEW ❑ ADDITION C3X ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof DHrelling
8 CHANGE OF USE FROM TO
STIPULATIONS
Roof can be 2nd but not 3rd roof. Instal.l ridged galvanized valleys.
0
SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, HEATING, �PE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING. AS �ld.lt
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT.
AUTHORI2ED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION ], STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $l�SOO yfi.9O
WITH WHETHER SPECIFIED HEREIN OFi NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIV TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE
PROVISIONS OF ANY OT STATE OR L CAL LAW REGULATING CON-
STRUCTION OR T P FORMANCE OF ION. $�-2• OO
PLAN CHECK FEE TOTAL FEE
� � 1sls� $12.90
SIGNATU FCONTRACTORORAUTHORI2EDAGENT IDATEI WHEN PROPER�Y ALIDATED THIS IS YOUR PERMIT
� � S� /� / �C�
SIGNATUREOFOWNEAI�FOWNERBUILDERI IDATEI BIDG INSP � � TE
CITY �(' �ltIDLCY •
Af'PLICATIO;d FOft I,l:SIULi�I7IP,�_ [iUILDIt;G PCf��IITS
(tde►i, A1 ter�ztions, I�CJCIlS:l011S' or Repairs)
OI�tJER: � D � �/ � /-� �� C
ADDP.ESS : ��� CV'ee i ��'
�� �
TEL �l0:
�UILDER: � j�� ' •
non�css: ��/� . i��.��� �
TEL t�d0: � S�% ' � ��� �—
� Cons�ruction Locatian � i
• STRL•`ET rI0 : / � � STREET: C� �C� /P !s�/ f,C / � G
Y,07.': . � BLOQC: / ADAZTION: � C ,�Gt -
�� ' > � i
Corner Lot: Inside Lot: � SetbacY.: Sideyards: ��f �
Ap�2icant attach to �liis form two Certificates o�' Suxvey of lot and
" proposed building location drawn on certificates to scale.
DESCRIPTIO�� OF COi•tSTP.�JCTIOfd -
�_K-�c�� I'ront: � Depth: Height:
Squa�e. �'eet: C.1ib�c Feet:
�'ront s Depth : H eight:
Square� Feet: � Cubic I'eet:
,,/�, �
Type of Construction : ��i�'�!"�--� EstimaL-ed Cost: $ lC���
�.0 Be Cb��pl�ted:
' � Alt. A Alt. B
Propased Driveway Width If New Opening Is Desired: $� $
, • .
� . ., S�� Rc^.VERS�: SIDE OF SHEET
�ii� undexsigned hereby ma�:ca applic��.tion £or a permit fcr. the t:�ork� herei.n specified,
agreei.ng to do!,all work ir� str�.ct accordance ��ith L-he City of I'ridley Ordinances and
ruliiigs of the; Tiepartmeiit of Buildings, and hereby dec all the facts and
represent,-ttiQi�!s stated �i this application are true d corzec
D�'!T� : �(�
Stipul��L-ions :
�
1 �-. `l�
�� - ��
"" 0 '° SIGNA`.�UF.�:
, �
� � � ���.
� o .
��
�
�
. . . , . . y�
. �u��r�iric t>er��al�r r-c:�� :�c:�ir:nu��� i.. .
�;I::C'rx01�� 2. �'}.'l�Z' 7n�.:>>ecL•ar. of: 13u�.1c?in�; :..:hril.�., befoza i.:; .i�a.��c1 ��enni.t� tar lhe crccL•i.on
t►f: .�ny l�ui.J.�l.ir�;1 ox :�Lruci:urc, w: f•r.»: u�ty cidQi.ti��n !:o auy cr.i:�L•i.i��� }�tiilcli�ic� or :;tzucL•ur.�s,
. i»' 1`c»' �,iiy al.�r.rciti���� or. r.cl,air.s to •any c>:S..t:inc� ln�i.l.di.ii<.� or sLr.ucturc, uJic,ll ar,p].i.r.at.i.on
�thcr..:for.c, r.cqu.ii-c t�]�c paymc��t: )�y t1�c ar�p].i.cant: �02- :;uch per.r.►i.t• of fecs to L•lie a�n�unt
hezcin beJ.o��� sc:l• far.th �utcl a.�i thc manncr. hcicin �,�:ovi.dc:cl L•a-a:it: •
I�JEI•� COI��:�I'1;UC'�iOI�: al11CJ�.0 F�`�mi1.y ilotnes and Gar.aqes: Y4.00/),'0�4 cubic Leat. •
3'LA2•1 Cltl:�l:: 2� i�crcci,i: of buz.lcli�i�J }��e�7nii: fee.
llF2xVl:l•:11Y llL•'PP:�SSx01•I: (ConcrcL-c, GZirb �Lreets Only) ' �'
' A].teinat:e n: ltc:�noval and re��laccment of concze�e cur.b and
guLter only; l�riveway �•�idt3i p]_us 6 feet• x�:�.J�75
1�].L-crnaL•e B: Removal and rep�.acem�•nt of concrete curb and
.� guL•tcr and iiist� 11 a 3£ooL- wide approach �,�it3� ''
' ,. 6 x»�n a��Ln; Drivcway wic:th �plus 6 feet x$17.85 '
• . ,�11ZDIi"l�P��AL It�f=0R��1/1TI0�1
Tor the purinse oi' co�npuL-i.ng tees for_ building perrnits, L-he cubica3. cor.tents of any
build3.ng or addition, is detcr.zni_ned by rnultiptyir�g i:he ground area covered from a
poznt sif (G) inches belo�� the f•loor J_ine oi L-he basemeni: or th� cellar to 'thc
average heights of ihe •upper surface or to the average height of the roof. surf:ace
of i:he r►ain gab].e of a pitched roai. �.
Fox reFai.rs or alteratio:�s to an existinq stnicture, the fee shall be at the raL•e
of �3.00 Pcx each five hundred dollars-($500.00) or irac�ion tllereo£ in the cost
oi all proPosed war.Y.. , . . '
In •nc c.ase sha3.l thc. ��e cliarqed �c�r any ppannit as set i'orth i.n Sectian 2 be less �
ti�r. $7.50 plus $.50 staie surcharge. � ' �
� VE(�I F I CATIO�! OF F(1Ur�IDl11 I Ofd
NOTE: Pexmits ,�oz cansiructi_on ��ill be issued a minimtun ot 24 hours fr.om the ti.me
oi a�plicatir�ii to al.low for pro}?er rcview of the proposed structure ar►d oi the
construction site.
It Certificate ��f Survey of the lot, shoc,�ing tk�e location of �he foundation once it
has been cons�nicted �aill be required bef.ore procecdiitg vrith the �raming.
,.�BTIFICAT�.�F �C�UPA[�Cl' � '
I►rp].ica�ian tor a Certificate o� Oceupancy shal]. be mad:� ten (10) d��►s prior �o the
u� e or accur�ncy of an}� si:i-ucture for �ahich a��uil�iing permit }:as been issued; and
saict stLUCt.ure :liall. not be used ox occupied rsiL-il a Cexi:�.iicate of Qccui�ancy h�s
bccii xssued.
�
0
f
_. _ , �t
�
�
SuBJECT .
City of Fridley ° 15 9 g Z
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
' � RECEIPT NO.
� i v______ COMMUNITY DEVELOPMENT DIV.
r � � PROTECTIVE INSPECTION SEC.
i �
`-___ A �����,', CITY HALL FRIDLE� 55432 NUMBER REV. DATE PAGE OF APPROVED BY
i �� 612-571-3450 910-F15 10/21/80 � �
108 ADDRESS 115 Craig�vay N.E.
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. (j 1 Pearson's Craigway Estates SHEET
2 PROPERTYOWNER MAILADDRESS ZIP PHONE
Joe Bidwell 115 Craig Way N.E.
3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSENO.
P& A Construction 2214.McKinley 5treet N.E. 781-2805
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAILADORESS ZIP PHONE LICENSENO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
0 NEW �O ADDITION O ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct a 24' x 12` Thxee 5eason Porch. �
9 CHANGE OF USE FROM TO
STIPULATIONS
�efor �������A�
SEPERATE tE'LEPHO����� ca11 local ut±iifiPS
PERA�lITS �qEQUIRED �'�� �I�R� R�� Ec�crR►c - G,� �tc.
��ATlNG. PLtJMBiI�G AIVD SfGNS ��, d11RED �� L�
. '���'
SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY �OAD
VENTILATING OR AIR CONDITIONING. WOOCI Fi3me
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD Of 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION �. STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN O NOT. THE GRANTING OF A PERMIT $S�OOO y�i.�JO
DOES NOT PRESUME TO GI1FE AUTHORIT O VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE
PROVISIONS OF ANY FIER STATE O L AL LAW REGULATING CON-
STRUCTION R E P RFORMANCE RUCTION. $30.00
� �,�� PLAN CHECK FEE TOTAL FEE
$ 7.50 $40.00
SIGNA EOFCON7RACTORORAUTHOHIZE AfiENT IDATEI WHEN PROP LY VALIDATED THIS IS YOUR PERMIT
. : n�r � ��� c� � S �'
SIGNATURE OF OWNER iIF OWNER BUILDERi �DATEI BLOG INSP qA� E
. . . . ��
� • IIU1L1)IIdG (�r�ftMJT r-t:�� :�CII�:I�ULE� `... .
;),C:'L'z01�� 2. '1'l�L 7n�:��cci:ar. of: I3ui.lc?in�� :::1iri7.�, }��fa�:c: i.,�:ui��g Z�enniCs for t:hc crr.cL•i.on�
uf .�i�y l�uil_�l.iti�) t�z :;i:�-ucl:urc, �r. fox uny t�dc]i.t:a��n ��o any cr,i:;Li.�i� l�ttilclincl or :;tzucLur.�s,
. ci�' l:c»� uny �ti:l.t;c•rt►t_i�,n or. r.cl,air.�� l:o •any c::i. :Lin�l 1�ui.).di.n•J or sL•��.icture, ui�on ar�pli.c:aLa.an
�Ltic�:.:f.or.e, r.cqu.i.LC t�J�e ra}�mei�L• }�y tl�e �-�r,p].i.c:ar�t: f:or. ,ucl� ��er.mi.l• 01: fees to tlie arnount
�1Cx'l3].tl bcJ.oa� sc:t for.th �u�cl i.ii thc manric�: hczcin prov9.c]c:cl L•�-�:ifi: •
I�dl�t•1 CON�:`!'1;UC7.'IOIJ: Si�1g7.e l.'amil.y Iloiacs and Gar.aqcs: Y4.00/J ,0�0 cul,��c �ect:. .
1'J.Atd CII):Cl:: ?.� l�ercci�t: af' bu�.laii��J ��cr.miL- fee.
UR]:VI,I:A]' llI.1�P1:55I0i•:: (Concrete G�i�b �L-rcets Only) �'
' A].L-crn�zi:e n: ltc:moval and repla�:cment of concrete cuxb and
qutter only; )�riveway c•�iclth pl.us 6 feeL• x�:3„�',.75
1�lternate II: Removal and rei�3acem��nt of concrete curb and
. � gutter and iti�tall a 3 fooL- wide approach c��ith �'
' ,. 6 iu,ch dcpth; Driveway ��ic:th �plus G feet x$17.85 "
• . �DDI i' I Of�/�L 1 tvFOR��IAT I ON
Tor the purl�se oi compuL-i.ng �ees for building pezmits,. L-he cuba.cal. contents of any
buil.di.ng or. addition, i.s deL-er_mi.iied by rnultip.lying L-he ground area covered irom a
p�znt six (G) inches below t-he iloor J.i.ne ot L-he basemeni: or th4 cellar to 'thc
average heights of i-he •upper sur.face or to the average hei.J}-it of the roof surf-ace
of ihe raain gable of a pitched roof. ,
For. re�ai.rs or alterations to an existing structure, the fee shal7, be at the xate
..of $3.fl0 per. each five hundred dollars -�($500.00) er �racL-ion •:hercof a.n fihe cost
of all proposed wor.k. . , '
In •no r.ase sha�.l the fee cliarged �c�r any pPx►nit �5 set %rth i.n Section 2 be less �
than $?.50 plus $.50 state surcharge. � ' �
- V�R1'FIC�.TT��! OF FOUE�nl11"IOfd
NOTE: Pexmits :ar construction �vill be issued a minim�s.� oi 24 hours from fihe time
of app�ication to al_lo�v for proper review of i:he proposed stxucture and o� ihe .
construction site.
1� Certificate � of Survey of the lot, sho�,*ing the location ot L-lie founc3ation once it
has been coi�stnicted t.Till be required bef.ore pr.ocecdiiig �•�ith the iram3nq.
..�RT I F 1 GATE QF ��GUPAh'G�` � '
APp].i.cation ior a Certificate of Occupancy sh�ll be mad�� ten (10) d1�►s prior �o the
ttse ox accur�ncy oL- an}� stz�zcture for �ahich a L�uil��i_i�g permit }.as heen issu�d; and
s�-�ict s�ruct:ure sliall IIO� I)C uscd oz- occupied LuiL-i.l a Ceri:i.iic�te of Occul�znc�� has
becii issu4d. .
n
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WE HERE9Y CERTIFY THqT TN15 IS A TR�E ANO CORRECT REPRESENTATIOI�S OF A S�RVEY OF TKE BOUNDARtES OF THE
LAND ABO�IE DESCRIBEp AND OF7H� LOCATIOP! OF ALL 8UI10lN65, iE ANY, TKEREON , AND AI.L VISIBLE ENtROACHMEtJTS�
IF At�Y� FROM oRON SAIO LAND. � �M�NO�R ENGINEER4NG CO., INC.
Op7E� TN�S — D►�Y oF //U %!;� �A.1�5� . ' ENGIAIFE AND 5 6LV R5 ,
.. "i' �/ ' � !
- --�...�...�«_...�.,._.�...�.��_....�,�.�-�..c� --- s __..�.�-^-=y...� — - -_.
sue�ecr IT NQ.
c�ty of Fridley 2 5 J 5 2
AT THE TOP Of THE NVINS g U I L D I N G P E R M I T
r
� � RECEIPT NO.
� ; v � COMMUNITY OEVEIOPMENT DIV.
r � � PROTECTIVE INSPECTION SEC. ��� f
i1 i �
.---� �/"',,� CITV HALL FRIDLE� 55432 NUAABER i1EV DATE PAGE Of APPROVED BV
L 612-571-3450 910-F15 9/30/97 / /
JOB ADDRESS 115 Craig Way NE
1 LEGAL LOT NO. BLOCK TRACT OFi AODITION SEE ATTACNED
oescR. 6 1 Pearson's Craigway Estates SHEET
2 PROPEFlTY OWNEFi MAIL ADDRESS 21P PNONE
Joe%Jenny Bidwell 115 Craig Way NE 572-1322
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Giertsen Co 860 Decatur Ave N, Golden Valley MN 55427 546-1300 1796
4 ARCHITECTORDESIGNER MAILADORESS ZIP PNONE LICENSENO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
8 USE OF BUILDING
Residential
7 CLASS OF WORK
O NEW O ADDITION ❑ ALTERATION �] REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof House & Garage (28 Sq) Tear-off
9 CHAN(3E OF USE FROM TO
STIPULATIONS Underlayment must comply with the State Building Code.
SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, MEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV �OAD
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NUIL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 80 DAVS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANV TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING
I HEREBY CERTIFV THAT I HAVE READ AND EXAMINEO THIS APPLICATION 1 STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORREC7. ALL PROVISIONS OF IAWS VALUATION SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIEO @
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT � 'P2 � 335 �$1 . 17
DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL TNE pEFMITFEE SACCMARGE
PROVISIONS OF OTHE ATE OR LOCAI LAW REGULATING CON- @
STRUCTION O PE ANCE OF CONSTRUCTION. W74.75 Fire .5�.' �2.3�F
PLAN CHECKFEE T07ALfEE
License SC $5.00 $83.26
SIGNATURE OF CON'RACTOR OR AUTNORIZED AGENT IDATEI WHEN PROPERIY ALIDATED THIS IS rOUR PERMi7
I�v,� '
SiGNATURE OF OWNEAnF OWNER BUILOER� IDATEi BLD �NSD qqTE
. .;
_ . , , ;.>;
. :. . . ... . ...,, . , ,. , , :. , . . �,< . . : : :.:. ... . . . .� . _. . . , . . . . . . ,. . . . ., , . , ,. .,. . . . ,,.,. ,
_ � ;;
NEW [ ]
ADDN [ ]
ALTER [ ]
CITY OF FRIDLEY
S[NGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATIOIV
ConstcuctionAddress: / ! �
Lega( Description:
Contractor: �'I ����
Address: � v
LIVING AREA:
GARAGE A►REA:
DECK AREA.:
OTHER:
�
�
C.c/
���`'�«- Tel. #
� � �f� � S�°� ��
�. �vco� %�L
MN LICENSE #
Attach to this appiication, a Certificate of Survey of the
lot, �vith the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
Tel. #
Effective 1/1197
��,�
�.���1
� � 2 °'l�2 �
�%�'.�
�G/,j! G d
Len�th Width � Height Sq. Ft.
Length Width Height Sq. Ft. �
I.ength Width Hgt/Ground Sq. Ft.
�� ,�ri Q � -r-���,�?2ri�' � 2�' -5'�s
��'s� � ����€
Construction Type: ` � Estimated Cost: $ ��� � � ��� �
. (Fee Schedule on Back) � .
� •- � . ,
Driveway G�rb C}ut Wid� Neeiled: . -�, , T�t.� + 6 Ft = ..�, Ft z $ . - � _$ : -', .
DATE: '� J—�% APPLICANT: Tel. #��� � z-o-�
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
s�l'[PUi,n�rtoNS:
CITY USE ONLY
$ ,�� Fee Schedule on Revetse Side
$ ����-% _�1 of Permit Valuation (1/lOth%)
$ � • / �% $.50/$1,�0 Valuation
$ $950 per SAC Unit
$ • � � O(� $5.� (State Licensed Residential Contractors)
$ Alt. "A" or Alt. "B" Above
$ �$450.00 Conservation Plan Review
$ Fee Determined by Engineering
$ Agreement Necessary [] Not Necessary j]
$ ��.a�
�cu►�,ui��c. f��;�t,��trr rcE SCHE:nt°�.��.
�l�li� Cliief [3uilding Oft'icial shall, befor� issuing perniits for the erection t�f any building vr structure, oc f�►1-
any additioci to any existing building or stnicture, or for any alteration or repair to any existing buildini i�r
strucwre, upon app(ication therefore, requirc the payntent by the applicant f'or such permit of fees to the amount
herein below set forth and in the manner herein provided to-�vit:
TOTAL VALUE
$1 to $500
$�O1 to $2,Q00 .
��,001 to �2�,000
$2�,001 to $50,000
-$50,001 to $ lOQ,000
$100�,001 to $500,000
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
�62.2� 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,Ofl0 pius $9_QO for each additional $1,000
or fraction thereof, to and including ��0,000
$574.75 for fust $50,000 plas $6.25 �or eacfi additional
�1,� or fraction thereof, to and including $1Q0,000
$88Z25 for fust $1(�,p00 plus $S_pp.for each addition�.l .
$1,OQ0 or �raction thereof,_to and including $500,(}00
$500;001 to $1,000�000 $2887.25 for t�e first $5(�,OOp p1us��4.25 for each additional
$1,000 or frac6on thereof, to aad including $1,000;00p
$1,000,001 and up
$5012_25 for the first $1,(}Op,ppp plus $2.75 for each additional
$1,� or fraction thereof
DRIVEWAY DEPRESSION E,SCRO�'V
(Concrete Ctirb Streets Only)
Alternate "A": Removal and replacement of curb and gutter only - Drive�vay width pius 6 feet times $13_50..
A(ternate "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 $15.7�_
VERIFICATION OF FOUNDATION
Y�:mits for coiistruction will be issued a minimum of 24 hours from the timc of application to allow �or pro��r-
rcvie«� of thc pro��osed strucwre and of the construction site.
�t �:�CI'ilI1C1i[C O1 �U('VC:V c�f tlic lot, st�o�vin<, the location of t13c fc�undatio�i ����ce it tias it has hc;;ri c;��nslruct�:::'.
.;'�� r�yuir;.•cf I��:li�r� i»-��::��din~� ���ith thc i�r:imin<�_
� _ .�
. , . sue��ti � p, �
City of Fridle� 32449
AT TME TOP Of THE 71MINS g U i L D I N� P E R M I T
r
; � ' RECEIPT NO.
� ' L __���_ COMMUNITY OEVEl0PN1ENT OIV. /�� �
r � � PROTECTIVE INSPECTION SEC.
i . ,
i_--• A �����,.� CITY NALL FRIOIEV SS�3Y NUMBEP � pEV DATE PAGE Of APVROYED BY
L J� 612-571-3450 910-F15 3/7/02 / /
JOB ADDRESS 115 Craig Way NE �
t LEGAL �OT NO. BLpCK TiiACT OR ADOiTION SEE ATTACMED
oesca. 6 1 Pearson's Craigway Estates SHEET
2 PROPERTY OWNEii MAIL ADORES$ 21P PMONE
Joe/Jenny Bidwell 115 Cra.ig Way NE 763-572-1322
J CONTRACTOR INAII ADDRESS 21P PNONE LICENSE NO
Gordon Abbott Exteriors 1800 Ore on Ave S. St Louis Park, MN 55426
4 ARCHITECT OR DESIGNER MAII AODFESS 21P PMONE UCENSE NO.
952-591-0246 9366
5 ENGINEER kAAll ADDRESS 21P PHONE LICENSE NO
B USE OF BUILDINO
Residential
7 CLASS OF WORK
O NEW O ADDITION O ALTERATION � REPAIR ❑ MOVE O REMOVE
8 DESCRIBE WOf;K
Reside House & Garage; Replace Windows
9 CHANdE OF USE FROM TO
STIPULATIONS
Per Section 1402, 1997 Uniform Building Code, requires that a weather resistive
barrier be placed over exter�.or sheathing to protect the interior wall covering.
Exceptions for this provision would be if sheathing is an approved weatherproof
panel or when the siding is an approved weather barrier. Vinyl siding is not a
weatherproof coverir�g unless the man.ufacturer states this in their application
gu�delines. C�11 for inspection of wrap before covering. CauZk and flash all
exterior openings. Replacement bedroom �aindows can not reduce the cTear openable
area to be less then what was existing or 5.7 square feet. Provide smoke detectors
in all sleeping rooms and on all levels of the dwelling per Section 310.9.1.2 of the
1997 Uniform Bui�ding Code.
TYP�dFCONST. OCCUPANCV GROUP OCCUPANCrLOAD
SEPARATE PERMITS ARE FiEOUIRED FOR ELECTRICAL, PLUMBING, HEATIN(i,
VENTILATING OR AIR CONDITIONING
THIS PERMIT BECOMES NULL AND VOID IF WQRK QR COI�STflUCT10�11 20NING SO. FT CU fT.
AUTHORIZED IS N07 COMMENCED Vy1THIN 80 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANQON�O fOFi A PERIOO OF �pQ DAYS A7 �
ANV TIME AFTER WORK IS COMMENCED. ` NO DWLG. UNIT5 OFFSTREET PARKING
I MEREBY CERTIFY TMAT I MAVE READ AND EXAMIN�p TMIS APPLICATION 1 S7AlLS GARAGES
ANO KNOW THE SAME TO BE TRUE AND CORRECF. A�L PROVISIQNS GF LAW$ yp�VAT10N SURTAX
AND ORDINANCES GOVERNING TNIS TYPE Of WORK WI�L �� CpMPLIEO
WITH WMETHEq SPECIFIED MEREIN Oii NOT. TME GRANTING OF A PERMIT �1�F�SOO �7.LS
DOES NOT PRESUME TO GWE AUTNORITY TO VIOLATE OFi CANCEI TME pEpMIT FEE SAC CMARGE
PROVISIONS OF ANY OTHEF STATE Oii IOCAL LAW REGULATING CON-
ST UCTION OR T. PERFORMANCE OF NSTRUCTION $251.z5 F re .5�,' �14.50
PLAN CNECK FEE TO L FEE
� � � Licens $5 0 ;i $278.00
, S�GNATU�7EOFCON-AACTOp09AUTMOp�ZED4GENT iO�iE� MEN ROP - VALI AT 7HIS IS VOUR PERM17
r � w �lj�
G�`
S�GNO7UAE OF OWNEp��F OWNEpBWLDEp� ���r6� ' B G�NS� � � Q�Tt
a e
NEW [] CITY OF FRIDLEY Effective 1/1/2002
ADDN [] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp
ALTER [] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
Construction Address: / /� � ( J 9c �"�� �/�i��
Legal Description:
Owner Name & Address: - .� ��� /� �r/Cc� Tel. # �� �' - �7� -/ 3��
Contractor: _ ���G� - ��" ������ar�.�9�AN LICENSE # �.�� �
Address: l �G� �����Z ��iP .5�, ���% Tel. # ��� '- �� �.�`�-�
LMNG AREA:
GARAGE AREA:
DECK AREA:
OTHER:
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
Length Width Hgt/Ground Sq. Ft
� C//��L OU
Construction Type: ��5� �� ���c��uS Estimated Cost: $ ��, �
Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x$ _$
DATE: / � APPUCANT: Tel. # �1 � -�� ��%� `� �
Call (763) 572-3604 for Pertnit Fees if malling in application or Fax to 763-571-1287 if using credit card and we will
call you for card number.
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
CITY USE ONLY -
� ��-��• a ��J- �
w
$ %�/ -� �'
� P ° ���
$
$ � � ���
$
$
$
$
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$1200 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 ( ]
TOTAL $ �� `��� • ���� STIPULATIONS:
BUII.DING PERMIT FEE SCHEDULE
The Chief Building Official shall, lxfore 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 tawit:
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
1�l��.�
$23.50
$23.50 for first $500 plus $3.05 for each additi�nal $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 ea.ch additional
$1,000 or fraction thereof, to and including $5�,000
$3,233.75 for the first $SQ0,000 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.
Altema.te "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
Pemuts 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
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� TT�iiE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE
APPUCATION WILL BE RETURNED
���„•► � ► � ► •►► •: �►� •��: �•► � : � : _ �i1�1
UVhen ���az� n eYi_ctina f��ran __, the undersigned hereby verifies that the
venting has been examined and is free from rust, deterioration, obstructions,
and is securely supported and firestopped where required. Yes () No ()
The venting system is plastiGPVC and meets all current codes and manufacturer
specifications 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 p,c��t; cem6 �stien a�r is sized and installed to meet the current codes
and manufacturers specifications.
When required to ���+a�� a new cnn+e ,_ �� 'on air, it will be sized and installed
to meet the cuirent codes and manufacturers specifications.
When in�t�irnQo ne�•� ��entinayy�tgr�, the unde�signed hereby verifies that
it is a listed assembly and meets the current codes and manufacturers
specifications. This does include AGA-GAMA Category I Central Fumace
Venting Tables for fan assisted and natural draft appliances.
Is the common vent and vent connectors sized and installed correctly after
an appliance has been removed from the common vent and vented
separately �s per current codes.
Yes ( ) No ( )
Yes ( ) No ( )
Yes ( ) No ( )
Yes ( ) No ( )
Yes( )No( )
�.. .� - ....... -.._.._._ -� ...-«. . ..��. .�
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
� r r•► .- ..-
HEATING CO:
Signed By: Date : �
�
_
CIlYOE
FRIDLEY
FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(763) 571-3450 • FAX (763) 571-1287
Apri16, 2004
Mr. Joe Bidwell
115 Craig Way NE
Fridley, MN 55432
Re: Final Inspection at 115 Craig Way NE
Contractor: Pipeworks Inc
Dear Mr. Bidwell:
A plumbing permit was issued on June 5, 2003 to install a lawn irrigation backflow
preventer at your address. According to the State Plumbing Code, a final inspection shall
be conducted on the work authorized by this permit. As of this date th� final inspection
has 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, the pemut will be marked "no
inspection called for by homeowner after notification" and expire the permit.
To set up the inspection or to have any questions answered, please contact the Building
Inspection Division at (763) 572-3604.
DJ/mh
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�.spechoz�s
163-572-3604
�rt� �n�ss _,___
'HJS APPLICANT 15:
TENAN'�'
SUBMTT A COPY OF
YpLJit STAT£ LIC�TSE
WTiH AP'f'LICA'Y"ION
P�tOP�tTY Ti��
CI7Y OF FRIDLEY
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��►�Fi�YE� t�►��Y.YC���� Received By:
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'i"YPE O�' WORK: t �
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DESGR�� 'W4RK. BEING l
SIZE OF �ROVEMENT
ROO
NEIN�ER OF 5QUAit�S ,�,
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PROPaSID SIZ�^�
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0 HOUSE �1a.Y
O HOUSE & GARACr�
� ATTACFIEA C�'AR.AGE
D DE�AC1�iF.D GARACsE
O�
O Trim
0 FasciB
LOCATlON OF WII�IDOWS
ARE BASEA ON VALUAT�ON,
([TSII'�iG 1".H� ;
'AL JOB V',
Plaaa �ieview
Surcharge
Fire S�arge
L'scense Swrcharge
SAG Charge
Gbrb Gut E�crow
Erosion Cvatroi
Park F�
Sewer Main Cherge
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BA,SEN�NT REMO�L�1G SUBMTf:
1. ExFatf�g Flaor Pl�
2 P�apo�d $oor plao
3. IasE v�s�uasual membea�s to b� osed
FbR NEW C41+iS�R,UCTIQN 1NCLUDIId� Dfi�KS,
m
!. Siw �taAdahavey showing thc adsdr� structares
and praposed pro,jaa.
2. 'Irvo scts of �ctia► p1m�s
3. Fst,gy Calculations
$ �2.,�.�'• �� See Back Pa�e far �'ea Schedt�le —
$ 65% of Buildiag Ferimit �'ee
$ (.0005� t�es the total job valuation – Mir�um $.50
$ AOx x Permit Valustion (1/10%)
$ � e � $5.00 (State Lfcensed Residential Co�actors)
$ $1450 per SAC Unit (P1ans to M'fNCC for detena�inatioa)
$ ,w,—ft + 6 ft = f� x $20 = $
$ $450 Cvz�serva�an Pla� Review
$-- -- �ee Determined. by Engineeriag
$ Ageement aecessary ( ) Non Ner,,�ssaiy ( )
� 9 �1 � 1 Make checks oavable to: Cit3� of Fridley _ Attact�
TEIIS TS AN APPLICA'TIQN FOR A PERMYi NOT VALID UN7II. PROCE55�
I here6y appty for a buiIdnng p�r�nit aad � acknowled�e 't�at the information above is cvmplete and accmate; thaz the work will be in
confo:mea�c� with ti►e erdina�nces and aocle.a of the City of Fridley and with the Mimu�esata Cons�uc.tion Codes; tvat I tu�d�nd thfs is not a
permit buc only an e�plice�ion for a permit and work is not to st�rt without a permit; that the wbrk witl be in accordance wlth the approved
plan u► t�e cas� of all work whic� es r�view and approvai of pians.
SIGI�lATURE OF APPLICANf �� PRIIJTNAN� J"` �� AATE � � - � k. - �+ �
CI7Y Or �ItIDI.�Y •
APPLIC/1TI0'd F0�2 F,LS?UEFITIAi_ QUILDI�IG PCf�t�7T7S ' .
� (tJe��r, Al ter��Licns, /ldditians, or Repairs)
� OldtdER: ��'� � @ ��1,�,�, . �UI LDER : . � •
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tIDDRESS: ��� ��+��(��� �DDRESS: •
TCL �f0: 7EL I�dO: '
� Consi;ruction Location '
s���r rio: I I� STREET: C(�.�1r�tPoc,J�
Lox�: (� Bzcc�: __�______ �nnzTZOrt: p�'�r�,S��S
Corner Lot: Insicle Lot: �� Setback:. Sideyards:
Ap�licant attach to this form two Certificates af Survey of lot and
proposed building location drac,rn on certificates to scale.
DESCRIPTIOiv OF COFISTRUCTIOPd -
� a��� R�.� I'ront: G,.� Depth: �� Height: �%�
,squa�e . �'eet s Clzbi.c Fcet : . ...:... _w...
Frant: Depth: Height:
Square� I'eet: � Cubic I'eet:
Type of Construction : �� �'►'� i� EstimaL-ed Cost: $ ���, �(�
Zb Be Oor,�pleted: � WLA►-+'f��
' , . Alt. A A1t. B
Propased Arive�•�ay Width If New Opening Is Desired: �'�°� $' $
� , ., S�� Rc^.VERSE SIDE OF SFZEET ,
7.iie undexsigned hereb}� ma}:es applicati.on for a perniit fcz the t:�or1:� herein specified,
agrceing to c?a ,all work in strict accardance �•�ith the Gity of I'ridle� Ordinances and
rulings of tlie De��artment of Bui].r3ings, and hereby declares t��t=� , tlie iacts and
xCj�ZCSCSlf.1t].Q125 �tated ;n this �pplication are true and co�rect. �
D.'lTl�: ��+°�!o �� SIGNA�UF.'r::
SL•i�;�ula tions :
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