AF - 43197_ _ S.
-, - � :r` - � ��r, � �: � - � f �.:' ,
� , - ,:; , _ ,E
,,
<_ � -
' . _
. . �
� � #. .
MIl`T�EI�. ��'�'rl������ .��1 �NC.
�
EN�1 NE.E�S � � A�f,� -;��J��''�"`'��R� � ' ,
►.wNO eu�avt�n►dD •.., _ 9CiL� TE9TIIVQ
c�v�� a. n�ua�cra� �wo�N�En1n�o `,� . �' . ti.A►�p' ve.we��f��w�
to�i�B—�""o`� l4VENU� `N: �' �
� . . M1Nll!£JtP4L.1$�` 2'�,.Nit1�N. '� ,
_ l4� ?�_3��?.' :�,:-� n ,
, , , . ..
x .,. .
. . �. '
���'�i��M��'�� �� � ��'�
, ` , � � �� ,
�nr. < ;�; � � T � �
4'
,,;�!>� ���. L. ,�✓�.. � h :� ; '� � ,,..' '
� " ,� -�,� � � � }: , �, A � . ,� ,
°l� � �; �
� � ; � „, 4� � � `�'�,�,
� .
, `; ; � ,Y * � �
. ' i . ',,�� �, ; � r�:
�v 1 1
^ �. �( � �. . y .. .� � � � :� . �� �1�� .
,.. �- - ��MGI/I�V�G�i �(��j a.���� I� ,' �� '." �/� .
. � �� � `(r �'
' : � • a , '�l�)• 1 . - � � ' _
, .�-, ,
tF.�, � t k, � ��� Sr� ��,y G � �:�
. r ¢�� ,� ,� �� f kk � � 1� .
. ... . �.'e � , t�� ' �.. o Sv YV', �
� � '� � ` � �.y� . � ' ` � �. V -•. ..�
S q;y. � ". �.. .
- � r i� f � � I
. . � {',` �� y�f''�` t ��` . +. .. � ,', � �F° � .. I
,. � ra `�"� -
• �,., .4 �a' k; y�ll, �'.� . ,4
$' _
�. . .
.
.
.
.
.
�
a- .r <� � 3 .
� �, ,
,
3 �� Y� .
y L ._
r =� 4-�
�. , '' �t I
, ;
, ..
,
�. _ _ „
o �` r �
.. � ,'s,t 3 .. .. . � .
i . . . � - /� . . . . , .
, ,
Yp..
-. � �y � � .. • .. . .
�. �.�9� -.� �_ ��N � �}� �� �� s �/ 'T � . - . . � . .
� . � � , \ ' `� � � i p� ro'n �' � f i.y, . �y� d �n - � i. �.
e :' � �... �D F " . � n �� �
. .a
.. �;
. , � .. . <+ .�A, ., . ` _
.(
. - _ , . ' . � . . ' �., '. .. �. , � � _ ..
,�� � � � Y o � � � � �� - � ' ,
v ,h � �� '�y� �'x�p �1�✓ � . ���' ' .
� - t, . y ..� � � a� � �,�� !� . i � �'�n ..
!i�/�i ll��� � - � � ` ���r �
. .� . �' ,�t �,1 � i:
. sCt �� � -
. . i. ° � i �+ " � Ili
, a�.�' � � s
;: s,
r; A j `� ��. 4 i
. �� 4 *�' 11
; ;m ,� ����.r. ...,...1 f ,. I
�...�...-.r�
�
��
i .�� I'�
. , . .{, . n ?� i !.' .1 � "M _ � - - «f. � i
� . . ' {!,r'` . . ,
, •r � R a� °" ,
. ' , , : ?
_
. I
. � �.a�r �;' ��.o���,�' �� ������r�'� .���'����� �,� ��►x-�-�.� ; ��
. w �
, . � � , ;r
.,
;
, . . . �, .
wE HeR�BY c.�uTiFY '�rla�t r+�s ��i A�rRu� Aw4 Co��ct�.�RE��,S�N�`���U�, i3F°A 'S[�RVEY QF'Tli� BOUAlOAR1E5' dF THE �
�.At+1D P$OvE DE,SCA,I�D . AND t3� i'll� LoCATip1�1 OF JU�: �tt'DtNGS, I�. At�1`1(,1'wEREON's P►t3f] A11 V1518k.E ENCRUMCHM��11T5� _ I,
�F MtY, FRONt oR aN SNO► LAivD. ' , _ -.,
� .`. : .wtIND�(� -- Et�C�tN�.ERING CO., iN�.
D!►'f�D TN�S......�. f7�►Y.OF - A.�e i�j � �i►SCi41�t��4t8 t� SUtL�VEYt9R5 „
' ( 1' .�.. � .
' . ' � 'f � � _ ..
•
'_'� � .. . � .. . � . . .. � . .- . . , . � . . . . . . .. . . ���,_ . ..
_ _ � _ . ,, � , .. . . ' : _.` .. , . '" }j. �'T T ^
__ . . _ _ {.:�'_ „ . :�:�' � I
n � �
.�, a x y� :�
�j"OIY� ' - ..F� .i. .
City of Friclley, Minn.
�UILDIl�G PE�iIT N� 5145,�
Date: .�� _'_"��
�` , �}f � � � r ���. � ,
Owaer: � ° Builder `w--• �a�'���±�
�i
Address Adclress -��� •—
{ �.00A,TI(�N OF ILDIIVC�
No. � tD � _ Street _� . .r._..��-�--�— P ,°. � °f �.°t -
����� � � ��
Lot ._.._ Block Ad ''on or Sub-Division _
—..__ _._.�..___._.._�
Corner Lot .__. Inside Lot �.� Setback .,�,�:�� __-_ Si eyard ._. �
Sewer IIevation ___._�. � Foundation IIevation
DESCRIPTION OF BUiLDING
To v�a � ��,+�
°� Front +�� Depth .�� Height ��. Sq. Ft '�fi� Cu. Ft �,���•L-S�!�
��� Fro � Depth H�ght ���� Sq. Ft ���� Cu. Ft -�' '�� �
Es� Co���s � �---� T be Completed
Tyre • nstruct�i�z -,�;�-
In consideration of the issuance to me oE 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 consideratton of the payment of a fee of $.�"""" , permit is hereby granted to
to construct fi.he building or addition as descxibed above. This permit is granted upon
the exprgss condition that the person to whom it is granted and his agents, employees and workmen, in all work
done in, around and upon said building, or any part thereof, shall conform in all respecta to the ordina.nces of
Fridley, Minnesota regard3ng la;a.tion, construction, aiteration, maintenance, repair and moving of buildings
withiu the city limits and this permit may be revoked at any time .� violation oE any of the provisions of said
ordinancea ,� `;�1/° �'�
Buflding Inspector
NOTICE:
. This permlf does no� eove� t6e eonsl�udton, iestellation hr wUiaB. plumbin8, gas 6eating, sewer o� water. Be sun to see
ths Buildie8 lespeetor /or separate permits fo� lhess itema
�, 4 'r`
� y F- ,a s.. .-.. s:..
�. - — - -- -- - - _
BPPLICATION F� BIIILDTNG PF�+iIT
CITY QF FRIlILEY, MINNESOTA
�er's Name � Buil.der
�dclress
OF BIIILDTNG
s . _ �
No. / G a� s�reet ��a- �'° part of Lo�
� •
�t m glo� `� i d3t3on or Su'�livis3on �
Corner Lot �_,Iuside Lot ° Setha.ck_ �� Side-Yard� � � � �
SEWER. ELEVgTION FOUIVDATION TLEVATION 1i/���
�ppl3cant attach to this form Certificate of Survey of Lot and proposed buildiag
loce.tion.
To
�
�.._ .
To be Co
�
DE$CR,IpTION OF BIIILDING
5q. Ft. �� 1�'f'_ � Cu. Ft.
., „� � t ,� � r„ ra+
�
The undersigned hereby makea application for a permit fox the work herein specif3.ed,
agreeing to do all work in strict accord�nce with the City Ordinances and`ruling of
the Department of �.i7.cLi.ngs, and hereby decl t �1 the ts and represe�#.ationa
atated in this application are true and corr ct. �
e � � � , ����
DAT�, � ,� � SIGNL
(A Schedule of Fee Coata can be found on the R�se Side.)
�
► a � A
�
s. � •
.
�._ - a
�. � - Buzr.�nvc �T, � sc�nur�
Section 2. The Inapector of Bui].dings shall, before issu3ng any permit for the
��"erectiarr--of �C.-.bui7�l�,ng or ,atructure, or for any addition to any existing build-
ing or atructure, or for ang alterationa or repa,i�s �o any exi�ting,bu3ldi���or�
'�'�trn�r�re�- upon _appl�ica,tion .therefor, . require the pa,yment by the app].icant for
such permit of iees to the amount �hereiri below- set- �fo�th. and. .i� the, m�an�ner herein.. :
provided to-wit:
2.1. For any such permit for the erection�of e.ny fire-proof building, other than
"'� garage�, warehouse, factorar or grain elevs.tar, or for the erect3on of any fire-
proof addition, for simila,r occupancy, to a,r�q ���ting bu,ilding $hall. be et the
-"' "'r�cte -o�� �].. L�0 - foz. each' orie " thousand cubic feet, or fraction thereof � in suah ��
cubica7. contents. - � - -- . _.... �
� 2.2. For any such permit for the erection of-any-�ireproof garage, warehouse, .
`-- f'+��to�-��-g�etin alevator, or for the � erection of anyr fireproof addition, fcr
si.mi].,er occupancy, to any existing building sha11 be -a.t - the .rate. of �1.25 for
each �one thousand 'cu.bic feet, claasified as ��fireproo�'� by Section �2 of the
Mixineapolis Building Code. � - � ' ' . .
EO_ U3ES
2.3. For any sueh permit for the erect3on of a�r non-fireproof build3ng other
than a�arage, warehouae, factor� or grain elevator, or any no�fireproof
addit3on, for similar occupaney, t,o any exieting build3ng. Permit $]..Oq for
.__ _...�ch�-cme�thvusanc� cubic feet. .. . �
.. _
. ..... ���. A.��-. . .. . : . ...
'-� `2:4.:- -�'mr an�. s.ueh permit for the erection ot' any not�-fireproof garage, werehouse,
factory or grain elevator,�or for the erection of ai�y'non-£ireproof addition, for
""��- -a�:la:�- �.ccu ati to an exis t�i.n build
� P�, y. g ing or for each such bui].ding or addition.�
Ninety Cents for each one thousand cubic�feet or Pra�tion thereof, in the cubical
_._.. .� conienta• the,r.eof. w3th a mitt3.mum of �4.00.
"-- •For the�purpose of.computing fees for build3ng permits the cubica3.. contents of any
bui7.ding or addition to a un�form height-throu�hout by mua.tiplying the.ground area
' co'vered f'rom'� s. point six (6) 3nches below the floor line of the basement or cellar
.`to 'ti��e gverage he�igYit of ,the. upper surface or to the average height of�• the roof
' �surface of the ma�:n��ga,ble of a.pitched roof.� �� � , ,
2.5. For repairs or alterations to an existirig�`sfxucture,:the'fee sha7:1 be at the
-rate••of �3.00 fo� each Five Iiundred Dollars ($500.00), or fraction thereof in the
coet of all proposed work. � �� � �� - - .-. .
2.6. In no case shall the fee charged � for any permit a� aet forth 3�it Secti.on 2'be
less than �4.00.
i"1
_-. F-"i.-r_"�� _'_ _'_- I
� _ _ �. -._ . __
�,
_s. '�. =F."i
`��,
� �r��
�
�
�
oC
�
.�
•
''�'�•' .�
��
C d
• �
�
.y
0+
•�
� �
.
�' �
��
V
a
�
�
�
�
'�.
�
0
�
.�
�
a
m
�
a
�
�
a
A
�
�
W
�
�
W
�
J
�
�
a
�
��
d �
� �,
�y
�
. ���
��� .
�
���
����
����
F y
q.�j i�i .0
a�b�
���
�� � � �
.�
a�' �
a
���
�°O�
����'
� .�
d
�b �
� � � y
�O� A o
� ����
't''+ �fp" O
� ��n�,�
F
o ��� N
� v��
� ���
�
�
�
ti
,! �
�i
z
�
a
�
�
\
� �
�:y
� o
z
�
a
�
r+
c ;�-�
U'��
� �, �
� �.��
�
W O
�
O
�Yl ��
� � �
� � �
.�
�
� °
a �
O
�
�
�
�
I
�
H
� � � �
� o 0 0° o 0 0 0°
� CC W � E�V 00 N WQ �tJ N
• : : : : : � : : .:
: : � � � : : !. :
:::g �::.o
: : o 0 o i : °o
: : o � � . , o �
: :�b � ' :�.b
. . � � � � . � �
� : +� •
a4 , W
o ' a '� N � a �c
� � � c`�i � $ � � �
� � � o �'' °� � o 0
M q ;F, x� �,� xs xa
4 � �., H � �?3 � o � °��'
O y y � �
� � q �¢ � � c'� "
a�n � ,� ,� � v�; � �� �3 �3
��y �,
� .�
��� � �a �, a a � �
s�aaa �� -a�ar�
� • � ,
�
�
�
�
�
d
.�
Ey
�
ki
0
0
a
0
A
�.���
0 0 0 0
0 0 � �
����
�I
�
a
di �
0
V�
� ��
� �
a °�
d
x �
�
o �
4 �
�
: d
�
� �
�x
W F*7
� �
rG Id
N M
��
�
W W
� �
�',
�
� ►
� �
z �
� z � �
� � � ,g�
D4
� �
� �
� �
� W �
� ��
� �
�;;.�
� � �
r�
a° _� �
v
z � � �
� d �
� � a �
E-�+ . U C�
z
�
�
'�d
�
a
�
ca
�
�
U
� �.'
�; ;*�
4:,'';
4
��o, �n°
T
� � � � � � � �
0 0 � � ° o �.
� � � �
: : z��� .
'� N
: : � N
: �
: �
:�
: y
: G4
. �,
.�
� �
O F
� o
ti �
a a
� �
M �
M
� i+
p[ o
�
a
�
ca
a
O
�
°o
0
0
�
.,°
�
�
�
a,
4
�
�
- . . . (�a
:�: �
. . . .,��.�-.
: : �
� o
: � °o
0
� � ��
�
� � � °
� O �
N���
�
�
PG
� � � �
z��'�
0 �1 (� m
�F��
� a 4
V �
� z z F
4 w > 4
�
�� _
e,J, :_
.�
_,
:- �.�
�>> -�
�; �
�
��� �
� �
�. �
� �
��
�. �
��
� �,
�
O
a
�-
n
�
a
�
�
>
0
�
�
f
�
CRONSTROMS HTG. & AIR COND.� IN�. ,1ob Nam �
D-S6 ��0 6xeelslor Bonlevard, Minneapolis 16, Minn. �� � „� - � � �
ZB H8A1' LO88 tALCYLAT10N8 �Job Addres
Weatherstrips ��'S'�'E• Construction No. I � sulation
Guide
�lindows Doors Reference Out. Wall Int. Wall Ceiling Roof F1oar I Kind How Applied
(es—No Yes—No 19_
f Fl.�'` Room � Length Width Height Fl.� as Room Length Width �',�' Height
Windows and Doors—Crackage and Area Windows and Doora—Crackage and Area
�Yldth HelBht No. ot L1nea1 it. Ares Wldth He16bt No. ot Llneal it Area
No. ot pane oP Pane ilghte ot creck eq. ft. No. ot Dane ot pane lighte of crack eq. ft.
o� � +�+a ..- � � � � �' � � � � � �T � �1!' �
Infiltration
Glass
�. Wa��
Net exp. wall
Int. wall
Ceiling �r <
Floor
Total $tu.
Coef. Btu � � I I
�r�� `�� Infiltration - ,�' t1
�' � � Glaes
�. Wau
- � � �';� � t`� � Net eap. wall ,�. � ,,�',�''� �` � � �
Int. wall �,,,►�" � �
.�� J� 'p Ceiling�{ � �I ,�l
Floor
r� 'fotal Btu.
Required sq. ft. E.D.R. or aq. ins. W.A. Leader area
� F7f � ` �f - `Room � Length ,p� Width � Height
Windows and D�rs—Cracltage and Area
Wtdih Helght No. ot Liaeal f� Area
No. of pane o[ psne lighte ot craak e4. tt
a:�'V ,'� � a�,
/ ?.�.�! ? �► / .� �i i�,.
._����
In6ltration ,�
Glaaa �,.
Eap. wall
Net eap. wal! = � t++0 °' � � =
Int. wall ! � ��"`
Ceiling ,�°° ,,�" / � �
Floor
Total Btu.
Required sq. ft. E.D.R. or aq. ins. W.A. l.eader area
• Fl. ;,, �1 Room � Lengt6 ,/,� Width �C
Windows aad Doore—Crackage and Area
Wldth Helg4t No. ot Llneal iG Area
No. o! Dane ot pane Ilg6te ot crack eq. tL.
/� .� � � � • �'� ,�'
1n61tration I
Glaaa i
�p. v,►8u
Nec eup. wall ,r�°� 2 @ ' ;�
lnt. wall �
Ceiling ,��"� � � �'
Hloor
Tbtal Btu.
Required aq. ft. E.D.R. or sq. ias. W.A. L.eader area
Cs7
�
� �.
Requaed sq. ft. E.D.R. or aq. ins. WA. Leader area � �
e Fl.l ;�r �` ' Room � 1.enSth ,�°� Width ,,�',�' HeiSht
Windows aa Doora—Crackage and Area �,
Wldth Hefght No. ot Ltneal tt. Area �� \
No. ot Dane of pane llghts ot crack eq. [t
�
Infiltration
Glaaa
+t�� +� Net eap. M
Q'�' Int. wall
' �, � 3� � Ceiling
Floor
'fotal Btu.
No. ot pa
� ��
Btu
�� °'� Infiltration
► �► Glaes
0
��
��
__
���
�_�
_��� ' ' '
- �� -�,� � � �+�' 2 �o
�
ft. E.D.R. or aq. ins. WA. L.eader area �
�, Room I Lengt� �–� Width �,�' � Hei�
: and Area
.Sneal [t Area
ot crack ea. 1t
�, � �"
. r_ � ��
��
�. W8u
f� i� � Net eap. wall ',�" ��i �a ,�� �" � � ,�°��' � +ti
tot. Wau
� Ceiling ,� ,�► �,r � • �'; �
►
Floor
Total tu.
Requued sq. k. E.D.R.. or sq. ias. WA. l.eader area
CRONSTROMS HTG. & AIR COND., IN�. �oi
D-S6 ��0 8xeelsior Boulevard, Minneapolis 16, Minn.
' �6 N6A7' LOSf CALCYLATIONS °Jol
Weatherstrips i4'S'�V•E' Construction N
Guide
Windows I Doors Reference Out. Wall Int. Wall Ceiling
Yes—No Yes—No 19_
Fl. Room Length ,/ Width �` �`Height
Windows and Doors—Crackage aad Area
Wldth Hetght No. 01 Llneal t. Area
No. ot pane o[ pane llghte oL crack eq. ft.
� .�� +�3
Coef. Btu
In6ltratioa 1�
Glaaa „�,'� �
Exp. wall
Net eap. wall..t�j'�`/�' �� � ,�'``� %�' �` �
Int. wall
Ceiling �,''' � �' �` j .�' 3' . �
Floor
1'otal Btu. �` � _�+
Required sq. ft. E.D.R. or aq. ina. W.A. l.eader area
FI.� Room� Length�,S Width ! Height
Windows and Doors--Crackage and Atea
Width Hefght No. oL Llneal [t. Area
No. ot pana ot pane Ilshte ot crack sQ• iL.
� � + `� � .
Coef. � � �tu
In6ltration � �' �
Glaaa �' t� �"�' �
Eap. wall
Net eap. wall „� s � � �" " 2- ' j�s �a �-. � ` �'
Int. wall
Ceiliag �+ �./ I�' e#" f a"�
�
Floor
Total Btu. Q
Required sq. f� E.D.R. or aq. ina. W.A. I.eader ares � �
i' FI. , � � Room � Length � Widt6 �- Height
Windowe and Doora—Crackage and Area
Wldth Helgdt No. ot Llneai tt. Area `
No. of pans ot pane Ugdt� of orack sq. !t.
J�V � +�
COCf. s Btll
1n61tration � 3 �D
Calaaa � p�
�p. Wau
IVet e7Cp. W$II � :;. () " `' ,� +�
Int. wall -
Ceiling Z1 � 9 � �'?
Floor
7'btal Btu. � � j Q
sq. ft. E.D.R. or aq. iaa. W.A. L.eader area
.
� Nam
� Addree �� d i � '�'
o. I sulation
Roof Floor I Kind How Applied
�' Fl.� �- Room Leagth Width H
Windows and Doora--Crackage and Area
Wldth Hefght No. ot Llneal f6 Area
No. of pane ot Da4e llghte o! crack eQ. fL
Coef.
Wiltration _
C,lasa
Eap. wall
Btu
Net eap. wall �u. �
Int. wall
Ceilin8 ,r�'� � '3� I'� �'
Floor
Total tu. '
' Required aq. ft. E.D.R. or aq. ins. W.A. L.eader area
F7.� Room I 1..ength Width He;ght
Windows and Doora--Crackage and Area
Wldtb Helghi No. o! Llneal It. Area
No. of paoe ot pane Ilshts oL crack eq. it
Coef. Btu
In6ltratioa
Glaaa
Eap. wall
Net eap. wall
Int. wall
Ceiling
Floor
Total Btu.
Required sq. ft. E.D.R. or aq. ins. W.A. L.eader area
F7.� Room I LenBth Width Height
w;�a�,� eQa -
W(dtb 1
' No. o! pane e
In6ltratioa
Glasa
�. Wau
Net eap. .waU
InG wall
Ceiling
Floor
Total Btu.
and Area
Real Lt. I
erack ��
IRequued aq. k. E.D.R or sq. ins. WA. l.eader area
f.l Bc�
��
�_-
C
C
�
�
�
�
,0�
r
� �
>o
v+'°
C �p
� E
�`
■ �^
�
c
�C
= O
.
'p �
� C
� �
�a
m
0
d
..�
C
�
�
�
�
c
x
a
b/�
W
0
�
�
J
0
W
U
�
W
�
J
E-
�
a
�
�
�"m
.� �
��w
0
B �
��Y
���..s
��y
���
��
���
bb
a�, �,�
�aqy�
F�cd�'�
w°�'x
a�b�
o��
�uvi�°
a� ��
�'�� �
� F� y
�a��
a��p
� �'�
0
,����
'�y��
A
�ado
� �����:�
�
b �����
� ��
�.
� � „`'�'� •F R�i
� �bb
U ���
�
F
�rs. �ss
�c o 0 0
0 0 o in
� � W �[i N
: : : g
: ' g �
0
: : o �
. • � �
. . � b
w : � �
o a c'�,
� �i I �
H � � O �
4 °� o � a��i
� � Q �i �
� � �
a��.�
� � �
s � a a a
�
�
�
�
0
�
�
� O �
b "�' �
h
�
� � � �
°o °o o° °o �°n
CO N LL] �fi N
� : : : o
o : : $ g
� . ; o �
� � : � �
� . ,S :a
� $ °' a �
� � u � �
� � �
�� � � � �
d � � �a �
�� � � � �
(�
3 a '� '�
�� ���
�
�
.�
�
M
U
�
H
'bMo
„ D
�
z
a
�
M
z
0 �
a
� �
o�U
d �
� z
� �
w O
�
w
0
�
a
�
A
� � � � �
°o o u°a �° °o,
CO CO N N �fi
: � : :
°� � • .
� � : :
� a : :
� � • Y
� �
� �
�� ° � o
� � � � x
� �p �
� � �, W W
��;���
3 �3 a�3 0�o y
` �
y ,� � N M
�� �
d � � �
o � � � �
���WW
�
z
�
�
�
�
O
�
�
�
�
�
z
�
. y
:�
:�
. y
�w
�
o �
� o
ti �
A� ~
bA �
M �
M
� �
ac o
RI
a
�
oa
a
0
z
�
�
�
�
GC I� �
�
�
�
� � z �
o � �
IDC
�
�
w
�
�
z
�
d
�
� ��
� a :'
� �
E� GO U
�,
a �
_\
� \ `
" �
;, ;�1� �
� i
�� `1
,i►`.�
� � �� �
�,� �' .
� � � � � � �
°o, P�G �°n, �° °o �
u� eti ej
�
�e ie oa ° m �
� °z '� H
: � N
: � �
: : : �� q
� : : : ��
: : : �
� : : � �
� �
°o • a�'i o° � C"i
O � � N � � � a
� N k � �
O V� F W° :9 p� E"
� w � � nu � a�i �y dd
a � °r� °z�z
� z
� N M 'LS y M ~ M O
a F � ¢ � � a � 4
o�a w ° � � �
� � � z zw N
� � 4 w a 4
x
�
a
q
.Q
G4
a�
�
�
N
Q
�
x
w
�
�
0
Y
Y
�
K
�
�i
�
�
�
�
1�
�
� �
�
m
� �
e`"
� �
�
0
� � a
m �
�
0
�
o+
o �
U ,�
�
O
.�
��
�
�
�
m
M
�
p� w
O o
30
� �
0 �
� �
a
w�
,� M
�
z
���
d �
x �,
t�.� F �'
� � �
� � e0
� M �
�U�.:
w°� � �
��y�
m p y �
a`°y�
w �+ �"
p c�i •d �
���o
a����
�
a a
�i�� �
Si ,�
�°O�
����
� .� �
�b���
'����
.� .� � �
�, °' ,�
� ����
W � � �
� �• a
o �� �
U �' � �
d �
� W
W
; a
c�
.Z
.�
S�JNIN3d0
r�
3`JNVN
��
'�ddV
sv�
aa►isvm
�
SNISVB
ti�l`dJ
SNIVIIO
UOOIi
•sronws
•�no�
•xN�aa
sxveu.
HSYM
91NIS
���
�
��
sivNiun
�
N31VM
�
..
d
�
v
� m
H �
.� �
�
00
� o �
� � �
�
m $
� �
�
����� ;� :,
1■■■■ ; ;
1��� � :
'■■■■ _ �
�Hn _
���� � �
,���� " :,
'�'
�
�
�
�
�
�
�
0
U
b
�
f�
W
J
�
W
_
U
�
W
a
J
Q
�
a
�
a
�
�
ao
`�
�
0
�
q
a
4
�
�
O
�
�
e
c�
x 1
� �
°a �
� �a� °o
E � • '
� � N �
E �
�a Esr � vs e� ssa �y tH ea
� � ° � � � � �� � � �
� � � s � � � � � � �
6� iC i4 i! �4 >C p �4 9: /C
O �
x z
�
Q
�
�
.. �
: �
: H
. . . . . . . . . m .
. . . . � . . � . � . I
. ' � "d . . . � w •
� g� � ; � � : : � � � :
4 : Q' g' . a O � � ffi � � ^ :
�(� � O{y � ; � � xN » � � �� � :
�� a d N 'C7 O � �
� .� � � � � ,� °' � � a
� � � � x �g � � �w � a
� �
x ��z��z�z�����A
� z � p � �
� � �� �
>-
LsJ
_S
�
G1!
LL.
lJ_.
�
�
c�
A
Z
Q
Z
O
F--
�
❑C
w
�
�
�
w
� i
�z
0
F--
��
w
•-.• C�
Z �
� Q
� q
z ¢
1 N
O �
U t—
t/)
� �
C7 �
Z
F-- Z
.-.
Lcl Z
� o
A F-
� .-.
Q Ll
�
t/7 G
H U
Z
J �
O_ Q
c�
w
�
0
t�.
LL'
O
�
z
0
F-
¢
c�
J
�.
0.
d
J
�
w
�
V
cn
w
c.g
J
d
�
Q.�
�
❑�
N
m
m
d
A
h
N
�
�
�
'�
� ,m� O
O 'a M
QGa•i
� o �
C.�� U H
a
F
O
tn� vr ur �
O O O O
W 0.000
�N I`� h �l'
.-1
�
O
0
O
0 0
O �
�
0
�b
ro
� �
O � d
� U 4� tl!
u ro c �
U C O O
� � � �
cx w � u N
~ rl O a� t�
¢ C�1 y �t 0.
`a' vi c�"��w
� �
" U U li ►yi
.�+ G �i �m ��
H H i1 G. �1
,.� c� m
� �ac�:w
07 �
�
m q
N �
s�+ v � u rn
w o .a e� .-+
.�u ro �u
H � �N tOf
�uyro
a
EI d N rtj
�.'ru H a
�n a
O+� UJ�
y � ro w �
�� V ,Q �
C7 rt fa O
�d o '° m
H U R �.UI
ro roro�
� U N N
O -•+ O+ �
� w v�.�C �
U ri �V
+i � •.t �
W 'i q i a�i �
� � o �a, � C�,
v �� rt u�'v �',
'� � a w ��
� � �
� v° �o k!
H a a� +� �
a� u o b y
v �x� �
d •.a L� N
� s°'+ow �
N rocns�, h
�41 �'C
•.°i :; c�tl
m � H N �
E a c�0 w O
H
Q
�
.�]
-4.
V
�
W
vs vt� vr vr vr
0 0 0 o O
O O O O O
N V'l�f� V`
r-i
vt
� oQ
O O
o °o uoi
t�i
� a► �
� 1J .4
O W � 6
� O U t� N
ai c� nl C �
U O A n O
a N •.i •.-1
L7 (7 7 a� ai
in G� �V �0
., v o u �a�i{
a rJ �-+ FC 4
N .0 Q W u7
uaNiiiiu
� � �� •a
� )� i2� (L
� al ai
� n: u; �;
a
�
�
�
F+
.�.i�
I%
��
�
�
0
z
H
H
w
� z
�
� H
H �
o a
S � "
r-�i � W H Q
p HW tA ►a
t-ai �l U �W'
p�p � A 2
o �w � � z
rz�-� W �o E
�4 � E� W O
�
J
Q
u� vs vt ur us air vr u�
°o 0 0 0 °o 0 0
N[MhtO 00 O
f/f (p� � t!r
w
�
� H v H
oqOal
0 0 0 °
� � M N
ai �d � ��p
� U ?+ �d
ax'ex
�a U u U
�, a�i u aNi
N N
� O
� af
�
� �
,C N
� a'
W �
� p+
V%1 M
�� v
� i�
� U
W W
4Y.
�
c�
.�
0
�
P9
m
�
m�
'� ro
�x
U
N
c0 �
°o o"
O N
U
O N
O
'-1 �
(YI
u �
w rn
1 �
�� a,
!11 •-!
p: y
J �
wg
�
�
c�
\ e�p �
� V �1
}� a p�
` x h Q x
�
� o � o .
2 a w �
1 � �i1
�' `� .'� o z°
w � � � � y w�
U -�
� N
u
to S A
O o W
x � a
OH � u' � w
� v�i � � w
q N Ctl � • N
� � a �
w
a � z
O) W
a° � W �u
w m � H
° ro >. � i �
H�y '�U„ G, �o � P�
a7 E � H iQ �
� d .
� N �
+n us or vr- vr vr vr vr v�
oo°o
M �-1 O
4b V� �
xkx
m
ro w
� u �
ti u E+
� cf H
N �
� �
W �
a+
f' m
�
n �
� °o �`''
�rn a
m ?�' •-� t!I UI ,._,
1
N l+. O � � �
cn u,-a y C� F-� F t_.1
w m a� a:n �� x
w � �. cn .. �., ?-
f-. �''' p `/, cn tn a7
t.� t^ � �� � U C7 tf�
•% 11N c9 f-�i;%7
�-i � �� L� H� �-� p
E� A . � �.-�
�-H+ O r7 .-7 f
W CJ�:�[ti
' i-� ::a
v) Gi `/, �: H
.-r, �. ! ua a
c� <r, c:. �> �
�
0
H �
�'' o
a°
a
H�
�
�ro
C�
.
a
H
�
�
�
�
U
0
�
b z
d
� m
u7 E
�
t7�
0
� N
� m Fj
� � �
�Q a
a
t� [V
H �
p a
w °�w
W
�
Ua,
N
E
H
u�
0
�
4s
`a
a
0
»
�
Nl�
N
H
E+
� O
z o
H +�
� �
� il
d
>
W V
[v �
d
�
��
S *
sua�ecr PERMIT
c�ty of Fridley 15 6 8 3�
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
r
; � CEIPT N0.
' COMMUNITY DEVELOPMENT DIV.
� j ti —
r � � PROTECTIVE INSPECTION SEC. �� � y
1 . �
� � �"��1 � CITY HALL FRIDLEY 5S4$Z NUMBER REV. DATE PAGE OF APPROVED BY
�""'� � ,�� 612-571-3450 9�0-F15 4/28/80 / /
JOB ADDRESS 160 Craig UTay N.E.
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. % 2 Pearson's i.'P31JW3�% Estates SHEET
2 PROPERTYOWNER MAILADORESS 21P PHONE
Vader 160 Cra.i.g Way N.E.
3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO.
Richard Hastings 6331 Riverview Terrace N.E. 574-9966
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW O ADDITION ❑ ALTERATION � REPAIR ❑ MOVE ❑ REMOVE
%
8 DESCRIBE WORK
Reroof house
9 CHANGE QF USE FROM TO
STIPULATIONS goof can be 2nd but not 3rcl roof. 7nsta1l ridged galvanizecl valleys.
TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTHUCTION ZONING S�. FT. CU. FT.
AUTHORIZED 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 HEAD AND EXAMINED THIS APPLICATION 1 STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $1�2QO �S`. (O
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIO�ATE OR CANCEL THE pERMIT FEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
S UCTION OR THE PERFORMANCE OF CONSTRUCTION. �9•Q�
` PLAN CHECK FEE TOTAL FEE
Z� 8� $9.60
SIGNATUREOFCONTR CTORORAUT ORIZEDAGENT 1 ATE) WHEN PROPERLY VA TED THIS S YOUR P RMIT
SIGNATUREOF OWNERIIF OWNER BUIIDERI 1DATE1 BLDG INSP �ATE
CITY 01" FRIULEY •
AI'-{'LICA'1'I0��1 FOft �tESIDEtdTIlil_ f:UILD1t��G PERt�1TTS �
� . (PJea�, Altera�ic,ns, Ndclil;ions, e�r ttepairs) �
o��rzcR: �✓�� D � i� E;UILDCR: �: cL; �, �,� �� �� �`��� �-
�onR�ss: �� � �� � �` � ,�.� ADDRESS: 6 3>3 i �� 1 v� 2 ,� ; �= � � i � �,
TEL �0: TEL i�dQe J �?`(— ��6;�
Canstructian Location
STR�T IQO : I� rJ ST12E�T: C� f� �� G �� �{/ f= ,
� . + --
LOT: � BLOCK: � ADDITION : �� � t2 52�N � c R A� c. LC '� .
Corner Lot: � Insicie Lot: Setback: Sid�yards:
Applicant attach to this iorm two Certiiicates o� Suxvey of lot and
proposed building �.ocation drawn an cert.ificates io scale.
DESCRIPTIOtd OF CONSTRUCTION � �
rront: i�nth : Height:
Squa�e Feet: Cubic �'ee�t:
- Front: Depth: I3eight:
Square- I'eet: � Cubic I'eet:
Type of Construction: �,•L. l2 �c�; � Estimated Cost: $( 2�� c�; <<- r�
Rb Be Cbmpleted: J��lS��t? . . �
---�---
� Alt. A A2t. B
Proposed Driveway Wi.dth If New Opening Is Desired: $� $
, ., SE� I'�VERSE SIDE OF SH�ET .
7."he undcssigned hereby makes application for a pern�it for the work herei.n specified,
agreeing to do all work ir� s�ricL- accoxdance with �he City of I'ridley Ordinances and
rulings of the Depari:ment of �3uil.dings, and hereby dcclares i:hat all the i'acts and
represeniations stated in this application are true and correct.
�
AAT�: 2 Jl� 3 c7 , SIGIIATUF�: �-��-e�r�-°-�/�� ��� .�"�' .
Stipulations:
� � �p
��o
� � �Z�
� __� .
� liUll_1)JI'iU I':=.lCI'IJ I 'J"[:t: :�4111-11VL1� .
tiJ:C'SxUI� 2. '1'1�� 7�ir:;����to1- or ��«�.�.a.;.,>>:� :c1�z7.7., 1,ef:c�y-e i.::::u�i:cJ l,e»niL:; to�� the e�ecL•i.an
pf ��ny lnia.3.�l:i.r►c� or :�t:ruat:tirc, o�: ior. a�iy t�cldi.ti:ic�n i:o nuy cr.a.:, L•i>>c� I�uilcli.»g �r ::trucLur�,
. ci1: for. any ali.eral�.aii oa: �:c��ai.r.: La •ar,y cxi.:,L•.i.i�c� l�ui.l.c1S.!�c� ox :�i:y:uctur.c, up4n a���,�li.cat•S.on
'Lhr,r.efor.e, r.ec�aa�.c t.},c �,rc;�ment: l�y tl�c �ij�r�].a.cai�t: foy� :,ucli ��cr.n�iL- ot fecs L-o. tl►e �vnount
hrxci�t below seL• �or.L•h �ir��l i�i L-hc manncr }��reai.ri pz:c�vic]acl to-wi.L: � �
17).47 Cc.)ld5'�l?UC7.'IOiJ : S.i.nc!].c l?rnni].y 11ome:� �ind Gar.aqc �: $9 . 00/l, U00 cuba.c teet.
l'��11t1 Ciil:C};: ?.S ��crcenL of bt�i.lairic� }�ennii� fce.
l�ltl'VEi�111X ll�PI2i:5SI01•I: (Conc�_ci�e, G'�i�_b �LLCeL�; Only) . '
• � Izltcrnr�i:e A: I:e�r�et�al and r.cplacem��nL- of concrete curb and
gutter o��l.y; 17ri.veway ca�.clLli plus� 6 fee� x Y,�5.75
1L'lternat.c II: i:emova]. ana J-c}�J.�zccment af concreL-e cuzb and
� . ' gutter arid i.iista]_J. a 3 fooL a�ide approach caiL-}� ''
' .- 6 a.r�ch dek�th; Drivc�-�ay wiat}i ��lus G ieet x$17.85 �
• . /� Dj� I T I Q I�l� [�1�1r 4.F' �`1 � I 9�
I'or the purpose oi computing fees ior builcling pex'r,�i.ts, L-he cuba.cal cont:eni:s of any
huildinq ar. addiL-ion, �.s dei:enninecl by rnulL-ip].��ing tl.le c�round area covered fr�m a
paa.nt six (6) inclies below the floor line oi the baserneni� or th� cellar to the
ar�erage hcights oi Uze upper. surface or ta the average hea.ght of the �roaf s'urface
a� the main gab�e of a pitched rooi.
L•'or rei�aizs or a].terations to an e�;istang s�ructur_e, i:he fee shall be at the xa'�e
ai $3.00 rex eac.i �ive nu��az�a aoa.i��s -($�00.00) or f•raction iliereof in the COSt
o�' a].� yxoposed work. � . , '
Tr. •no case slial.l the fee charged for any per.mit as se�L iorth i.a1 Section 2 be less
than $7.50 plus $.50 state surcllarge. ' �
�S ER r F I c�11I oN o F F��1I�DAT I 01�
' NO'PE: Permits �or construci.ion �•rill be issued a miii�_tnum of 24 hours from the time
oi appliGai:ion to allaw for ��roper revie�a of the praposed structure and of the
con�txuction si�e. �
1l Certiiicate of 5urvey of i.he lat, shotaing the �OCc"1t:1.011 oi' the �ounda�ion once i.�
lias ]�een coilstz-�ici�ed wi11 be xequired bef.orc� nr-oceecl�i;c� teith the fr�.mingo
.�RT 1 �' T CAZF Q[-_���/�Cj� '
fipp.lication ior a CerL-ifi.ca�e of Occupancy shu11 be mad� ten (10) days prior ta the
use o�: GCCtlj?311Cj� ot a�ly st:ructure for wli�.ch a buildii�g pc�rn�ii� lias b�en a.ssueu; a�id
said siructure shall noi: be uscd �r occupiccl �.inti_1 a Ccrti�ic�.te of Occupancy has
been i.ssucd..
'�a �r_„
� •
0
.
sua�etr PER - . -
City of Fridley 8 859
�
AT THE TOP OF TNE TWINS g u I L D I N� P E R M i T
� � RECEIPT NO.
� ; y __��� COMMURIITY DEVELQPM�NT DIV. ���
r � � PqOTECTIVE INSPECTION SEC.
� . �
i---. � ��'��,.� CITY NALL FRIOLE� 5��32 NUMBBR pEV DAT@ PAGE OF APVROVED BY
� �� 612-571-34bp 9�aF�5 1/21/99 / /
lOB ADDRESS 160 Craig Way NE
1 LEGAL ��T NO. BLOCK TRACT OR AODITION SEE ATTACMED
DESCR. ] 2 Pearson's Craigway Estates SNEET
2 PFOPEiiTYOWNER
MAIL ADOR�S$ ZIP PMONE
Robert Clements 160 Craig Way NE
3 CONTRACTOR MAIL ADDRESS ZIP PHONE UCENSE NO
Sunrise Remodelers 6425 Cedar Ave S, Richfield, MN 55423 866-6650 20051518
d ARCMITECT OR DESIGNER MAIL AODpESS ZIP PMONE LICENSE NO.
5 ENGINEER MAIL AOORE$S ZIP PNONE LICENSE NO
8 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW O ADDITION O ALTERATION L� REPAIR ❑ MOVE O REMOVE
8 DESCRIBE WORK
Reroof House & Garage (26 Sq) Tear-off
9 CHANOE OF USE FiiOM TO
STIPU�ATIONS
Underlayment must comply with the State Building Code.
TYP� OF CONST OCCUPANCY GROUP OCCUPANCV LOAD
SEPARATE PERMITS ARE REOUIRED FOR ELECTFICAL, PIUMBING. HEATING.
VENTI�ATING OH AIR CONDITIONING
THIS PERMIT BECOMES NULL AND VOIO If WORK OF CONSTRUCTIOM ZONING SO. FT CU FT
AUTHOR12E0 IS NOT COMMENCED V�1ITMIN 80 OAYS. OR IF CONSTqUCTION
OR WORK IS SUSPENOED OR ABANQONED FOR A PERIOD OP lip DAYS AT
ANY TIME AFTER WORK IS COMMENCED. ' NO OWLG. UNITS OFFSTREET PARKING
I HEFiEBY CERTIfY THAT I HAYE READ AND �XAMIN�O THIS APP�,ICATION 1 STALIS GARAGES
AND KNOW TME SAME TO BE TqUE AND COQpECT. ALl PROVISIONS OF LAW$ VALUATION SURTAX
AND ORDINANCES GOVEFNING THIS TVPE OF WpRK WILL �E COMPlIEO $2�228 �l.11
WITH WMETMER SPECIFIEO MEREIN Oq NOT. TNE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTMOiiITV TO VIOIATE OR CAMCEL THE pEqMIT fEE SAC CMARGE
PROVISIONS OF ANY OTNER STATE OR LOCAI LAW REGUTATING CON• 7� � 75 Fir SC �Z. Z3
STRUCTION OA THE PERfORMANCE Of CONSTNUCTION �
P�AN CMECK FEE TOT FEE
� Licens C $5. $83.09
s�G ATUAEOfCON"AALTOpOp0UT110p�ZEDOGENT iD�iEr HE PRO VALID THIS IS Y Up PERM17
E � � ��1 �� a
S�GNOTUAE O� OWNEp ��� OWNEA BURDEA� �OATE� � ' � ��,�, • DG �NSp ' ���'Tt
�� ',
/ y4, �_. _°
rrEw
ADDN
��
[l
��
��
CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress: / �,� �� �; � �� ,�,a �� �
I.egal Description:
Effective 1/1/99
�� -�
��5
Owner Name & Address: ��-J��--� Ll� ,,,�, �,:, �� t 1�; ��.;C �,"�a;., i11 �, Tel. #
Contractor: � � ' � � MN LICENSE #��;c� � i �s��,-
� � � �
Address: - � ' �, �'' �.� ' Tel. # ��— ���
LIVING 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
Length Width
w� r�
��
Height
Height
�q. Ft.
Sq. Ft.
Sq. Ft.
�� d i���"
Construction Type: �� ; �� Fstimated Cost: $ � --� ,� -- �02��
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$
DATE: 1-� �-�� APPLICANT: �:::� � ,;b-�-� Tel. � %�l�l - �i�'�L?
�-�_'
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
ST'IPULATIONS:
$ �' . � �
$ o�. ��
$ �. � /
$
$ �. D 6
$
$
$
$
$ �d�
CITY USE ONLY
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/lOth%)
$.50/$1,000 Valuation
$1050 per SAC Unit
$5.00 (State Licensed Residential Contractors)
Alt. "A" or Alt. "B" Above
�50.00 Conservation Plan Review
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
�
BUII..DING PERMIT FEE SCHEDULE
The Chief Building Official shall, before issuing permits for the erection of any building or 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 first $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, 000 or fraction thereof, to and including $1, 000, 000
$5012.25 for the first $1,000, 000 plus $2.75 for each . additional
$1, 000 or fraction thereof
DRIVEWAY DEPRESSION ESCROW
(Concrete Curb Streets Only)
Alternate "A" : Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50.
Altemate "B": Removal and replacement of curb and gutter and install a 3 foot wide
approach with 6 inch depth - Driveway width plus 6 feet times $15.75.
VERIFICATION OF FOUNDATION
Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper
review of the proposed structure and of the construction site.
A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed
will be required before proceeding with the framing.
c;ty of Fr�a�ey
AT THE TOP OF TNE TWINS
i�
� ►
� ; v �����_ COMMUNITY DEVELOPMENT OIV.
r � � PiiOTECTIVE INSPECTION SEC.
' i '
� �"'1 � CITY NALL FiiIOLE� SS�J2
�"'"'� � �'' 612-571-3450
J08 AODRESS 160 Craig Way NE
t LEGAL ��T NO. BLOCK
DESCR. ] 2
sue�ECr E R . -'
�U ILDING PERMIT 3 i 5� 4
RECEIPT NO.
� ��
NUMBEp pEV DATE V1,GE Of APPqOVEO B�
910-F15 11/30/00 � �
T OR AODITION
Pearson's Craigway Estates
2 PROPERTY OWNEfi MAIL ADDRES$ Z�P
Lori Clements 160 Craig Way NE
3 CONTRACTOR MAIL ADDRESS Z�P
Sears Home Improvement 8823 Zealand Ave N, Brooklyn Park, MN
4 AFCHITECT OR DESIGNEii MAIL AODRESS Z�P
5 ENGINEER
8 USE OF BUILDING
Residential
7 CLASS OF WORK
B DESCRIBE WORK
Reside House
9 CHANOE OF USE FROM
MAIL ADDFiESS
O NEW O ADDITION
� ALTERATION
iZ•7
SEE ATTACNED
SHEET
PMONE LICENSE NO
55445 20090017
PMONE LICENSE NO
1-800-903-4176
PNONE LICENSE NO
O REPAIR ❑ MOVE O FIEMOVE
STIPULATIONS
Per Sectio� 1402, 1997 Uniform Building Code, requires that a weather
resistive barrier be placed over exterior 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.�aeatherproof covering unless the manufacturer
states this in their application guidelines. Call for inspection of wrap
before covering.
. .. - -- -----
SEPARATE PERMI7S ARE REGUIREO FOR ELECTRICAL. PLUMBING. MEATING.
VENTIIATING OR AIH CONDITIONING
THIS PERMIT BECOMES NUIL ANO VOID IF WORK OF CONSTRUCTION 20NING
AUTMOi;IZED IS NOT COMMENCED WITHIN 80 OAYS, OF IF CONSTpUCTION
OR WORK IS SUSPENDEO OR ABANOONEO POR A PERIOD OF 120 DAYS AT
ANY TIME AFTEii WOpK IS COMMENCED. NO DWLG. UNITS
I HEFiEBY CERTIFY THAT I HAVE FiEAD AND EXAMINEO THIS APPLICA710N 1
AND KNOW TNE SAME TO BE TRUE AND CORRECT. ALl PROVISIONS Of LAW$ yALUATION
AND ORDINANCES GOVERNING TMIS TYPE OF WORK WILL BE COMPLIED
WITH WMETHER SPECIfIEO MEREIN Ofl NOT. TME GRANTING Of A PERMIT �I�F,573
OOES NOT PRESUME TO GIVE AUTMORITY TO VIOLATE OR CANCEL TME pERM17fEE
PR041SIONS OF ANY OTFIEFI STATE OR LOCAL LAW REGULATING CON-
STRUCTION OA ?Mf-PEAi$Bl�NCE OF CONSTRUCTION �2.51 . ZS
TUAE O�
� / _ ° Lic
NT IDAT i
iD�TE�
.� .�i - a'
L`
SO.
STAILS
�
OCCUPANCYLOAO
CU FT
OFFSTREET PARKING
IGARAGES
SURTAX
�7.28
SAC CHARGE
Fir SC $14.57
fOT FEE
278.10
TMIS IS Y UR PEAMIT
+ r ���� �
/
f��TE
NEW []
ADDN []
Eu.�R Il
Construction Address:
CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
Effective 1/1/2000
(763) 572-3604 Bldg Insp
������
�
Legal Description: /zeS�cl �2g
U '
Owner Name & Address: ��,-�i' ,�. C�ev��rrfC Tel. # l
Contractor. �er�5 ��r•• P �.r.-t�c��'� e�.t ,��- MN LICENSE # 02����/�
Address: S"�,� Z��...��.r�c� �?� j� • Tel. #/ g� -`� Z��- �f�
LIVING 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
GARAGE AREA: Length Width Height Sq. Ft
DECK AREA:
OTHER:
Length Width Hgt/Ground Sq. Ft
Construction Type: lZe���[ r Estimated Cost: $��� ���
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$
DATE: l. - APPLI Tel. #%'��'IC�-�� y��
CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application
Permit Fee $ o�� �aJ� Fee Schedule on Reverse Side
Fire Surcharge $ rL/� S� .001 of Permit Valuation (1/10th%)
State Surcharge $ %a o`�� $.50/$1,000 Valuation
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
$ $1100 per SAC Unit
$ e $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 [ ]
��
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,Q00
$100,�1 to $500,000
$500,001 to $1,(�0,000
$1,000,001 and up
FEES
$23.50
$23.50 for first $500 plus $3.05 for each additional $1(� 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 $100,0(}0 plus $5.60 for each additional
$1,0� or fraction thereof, to and including $500,000
$3,233.75 for the first $5(�,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,QOO,Q00 plus $3.15 for each additional
$1, 000 or fraction thereof
DRIVEWAY DEPRESSION ESCROW
(Concrete G�rb Streets Only)
Alterna.te "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 $23.25.
VERIFICATION OF FOUNDATION
Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper
review af the proposed structure and of the construcrion site.
A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will
be required before proceeding with the framing. New Houses Onlv
�
SuB�ECi
c�ty of F��a�ey
AT THE TOP OF THE TWINS g � i L D I N G P E R M I T
r
� �
� • COMMUNITY OEVELOPMENT OIV.
� •V � ��
r � � � PqOTECTIVE INSPECTION SEC.
� . �
i-__-�� �"' �'� CITV NALL FRIDLE� SS132 NUMBEa nEV D�TE PAGE O�
L 763-571-3450 9/0-F15 10/24/03 � �
JOB ADDRESS 160 Craig Way NE
1 LEGAL �OT NO. BLOCK TRACT OR ADOITION
oesca. 7 2 Pearson's Craigway Estates
2 PiiOPERTY OWNER MAIL ADDRES$ 21P
Molly & Chris Riddle 160 Craig Way NE
3 CONTRACTOR MAIL ADDRESS 21P
Same
d ARCHITECT OR DESIGNER MAIL AODRESS Z�P
5 ENGINEER MAIL ADDiiESS Z�P
8 USE Of BUILDING
Residential
7 CLASS OF WORK
� NEW 0 ADDITION O ALTERATION O REPAIR
B DESCRIBE WORK
Construct a 10' x 16' Shed
9 CHAN(;E OF USE FROM
STIPULATIONS
See notations on plan.
TO
TYPE OF CONST.
SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL. PLUMBING. HEATING,
VENTILATING OR AIR CONOITIONING
THIS PEFiMIT BECOMES NUIL AND VOID IF WORK OR CONSTFUCTION ZONING
AUTHOR12ED IS NOT COMMENCED WITHIN 80 DAYS. OR IF CONSTHUCTION
OR WOpK IS SUSPENDED OR ABANDONED FOF A PERIOD OF 120 DAVS AT
ANY TIME AF7ER WORK IS COMMENCED. NO DWLG. UNITS
1 HEFEBY CEpTIFV THAT I MAVE READ AND EXAMINED THIS APPLICA710N 1
ANO KNOW TME SAME TO BE TRUE AND CORRECT. AlL PROVISIONS OF LAWS yALUATION
AND ORDINANCES GOVERNING THIS TVPE OF WORK WILI BE COMPLIED
WITH WNETMER SPECIFIED MEREIN OR NOT. TME GRANTING OF A PERMIT �2�000
DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pEqMIT FEE
PROVISIONS OF ANV OTHER STATE OR IOCAL LAW REGULATING CON-
STRUCTION OR 7ME PERfOflMANCE OF CONSTRUCTION �C)9. ZS
SQ.
STALLS
OF CO �CTOA p 0 M✓ IjED AGENT IOAT N PROPEpIV V
��f .�li� .. /�,% //� 1 � �l � � ll " l� _ _
995
RECEIPTA�
� �� �
AVPqOVED B1I
SEE ATTACMEO
SMEET
PHONE
763-421-6326
PHONE LICENSE NO
PHONE LICENSE NO.
PHONE LICENSE NO
❑ MOVE O REMOVE
CU FT
GARAGES
�1.��
�AC CMARGE
Fire SC $2.00
'OTAI FEE
$72.25
I TMIS IS VOU� PER 1
LOAD
NEW [ ]
ADDN [ ]
ALTER [ ]
CITY OF FRIDLEY Effective 1/1/2003
6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bidg Insp
SINGLE FAMILYAND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax
BUILDING PERMIT APPLICATION
Construction Address: 1 � �� �-� 1�� �'�'�� � � i E� ��` �
Legal Description: L�'�1' �a (�jC_C�?C � � �t C7���9�, � (�V�T�--� Vl�' �� �`�� 1�5
Owner Name & Address: �-i�'L � y C(.-����-l5 '� t� t�. �-C Tel. # 7Cr 3�`Z t�^ 5 Z(�
Contractor. ���' N � MN LICENSE #
Address: i�%� � � Tel. #
LIVING 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
OTHER: .�"1,�� ��
Width HgUGround Sq. Ft.
�
� I � �� �
Construction Type: `� ' �'' ` ���� Estimated Cost: $ 2� � �
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$
DATE: � L 'l � �3 APPLICANT: � l. �.fi� = � , Tel. # �i �� ` �-(� �.�w
Call (763) 572-3604�for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will
call you for card number.
CITY USE ONLY -
Permit Fee
Fire Surcharge
State Surcharge
�SAC Charge
License Surcharge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
$ �o��
$ ' 4�
$ � a�
$
$
$
$ •
$
$
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$1275 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 $ � `° �� STIPLILATIONS:
BUILDING PERMIT FEE SCHEDULE
The Chief Building O�cial 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
$23.50
$23.50 for first $500 plus $3 .OS 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 $1,0(}0
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 ftaction 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
CURB CUT ESCROW
(Concrete Curb Streets Only)
Removal and replacement of curb and gutter only - driveway width plus 6 feet, times the annually determined
rate.
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.
VERIFICATION OF FOUNDATION
A Certificate of Survey of the lot, showing the location of the existing foundation will be required before
proceeding with the framing. New Houses Onlv
�
�.:.
w., ..
, ,:' i ,,:. � . � �
� �� c � ° ' ,
, , i , ., ,
MINDER ENGI�TE�ERIN(�r: .CO.�
. . , ,INc.
ENGI NEERS ; ��AN��D�:41 :�..SURVEYORS �
LANO euRVEY�NO �J`j . � � . � . +' ' 801L3 TESTINO �
CIVIL L. MUNIGIOAL ENOINtERINO . . .: '�� .. '. . . •:i� ' ' � LANO PI.ANNINQ
• . . 6418—SGT" •AVENUE. �N., •-� . ' ,
• .NLINN£AP,OL13, 2T.'MINN,. : :., ,
. ` � , . ���t�:;K� :T,� 363T,;�'.,; ,1 ; � � '
� � � �r# i � � ���►.� ��' "� ���� �t�li � ir�►��� � � � .
.. : : :, ;. . , : . � . �' , .. .
�or, . . ,�°:;:;_�'. ,.,. ` . ,.. . . ..
,10�� : /�,�,�.�:��./Z..� -' �,.. ; � � , , _� : . . . ..
•+ ��.. � �• ° �`%���
e .. • ' � ' 4, � } ' '. .i ' .J I �'•t,. u+ `� . ' . .
, . . . . . . � • ,n• • � ♦•'''. {�. . I�, .hc . �/'T ' • .
. .. . . ' � ' �.�,.
• . � � � � ! P . � �, + * I ���' � . .
, +` . ',. �a�.�: d• :.� . ` �: .�� ��Ii;. � � ,' , , �� . .
. . �� e Denofet ��ron . �: �`°' � .l�' � �*�� /�/
. . • . ,; . � � be � ;,:4, , , ,�,,. , �•
.,,�,, ,. , ., . .
._ ' ., , . � , . . . , fi /,�,� '`.*�.�' � - , j
'�� -, , ti,e., , :y� �
• .. , • , . y , , ��A •�`, /.� r• . . �„ ,, ; ,
• ' , � . ' �•! � �' Fe!c^ ' �,, r .
. . � ' . ,. ,. � Jr, r� ! •, � � , .
1 � � ' a �1r1• � ,'��'� � M ,'�� �1`/*.•� jJ.� ��t',', y�: ...y. ..
. �i! �/ ��, .���{'• .��'• .
h ' t,� �� � ��y . � '� ti ' ,' , .
. . . 1.( ,.� �� . M y � � 4 � •/ �r, A f . � • ` � l . � 1 � ` � .
. . .� L y, � '� 1JT�ti ` .M��. 1. �. , ;'� � . .
� �' a M � 0 •� d� y � .
1 � ��y ��'�:�y��>.ft1t�'fYi ��i��'� '`rjF%!_ � .1 'F., ' / `�-
1"." ., � ' � '"\.. � b ..�L pt���s!1.'";nA1 l'�t��l F �'i .`��.-� �. e .
. , ' • . , ! ( A je 1-�4, v� , � ° ' •; �
• . .. `�+ .}'� � � � �� � M1
. • � .' . � i �.� � • � , � r .�S` .. . r ` a 5 - '•'�, � ;
. r, . • sM` F .. �.y � � .4 � � ,
'(�� �1, �� .�"1 A r �
�_4( , t • • � ^ • •A�tit?;-�'!�`� _,.� �'l', U �T1rj �?: .F :.� � �l .•�Y. � � . ..
- ' . ' ,,d• t�"k �����•:� 1 1�N' ' 1 ' t'�ly 1. �'� .� . � � ,
, 4.' �' t' . ��1 , . '.y . . 1. . i��.
< ,`� {; �
� ��s�yt, � a�i'ii� y f"�� i y � �.
'�j- R i. � u 1� w �' i.
' • , . ►', ' • ». ; . °�^ 7'y,<�;�;� �`:.��-r�� `�\t! �-�� �' � it , d i1t '
. . , P • � � �� :w 'u r > i, i r '��a� �� � ,, j a .
. � � Y �•.�s 1.1 y ,.' . ',y , i � , � .
' ._ ' .. �� , ` ` '' � �+� , ��.' ` �. .iH. r � } �.. � � �f '4�� � . , . .
• y � .c v , r , : i,: . � � � terr o 1 r � •. + '
• . � �' � �' , r. ' J�`..'�','�', `-.���'� �-� .� _ i�; •, .i l:' . .
� � � . M�rV�e�'I��'���� . ' �� ��!. ♦ '. a: •;/r� '• �V 7•.} . , : � , ,
, !� • 'TV �`V� • .�'� �fi �j � ~�•
� r � � -,�"•� {+!'�4: l�� � ~ '� �a �
� , . r , 4' �L Iq •' . 3 '� I�� ��Y : iI �+�/.,� �,� ♦ � . l. '
• . ' � . : � � � '.1 ��. S .1'� �., Y HF .1' y''
� ' . . � ... ' j •� I ,� ' � l y J �IG �4 . .
; ` • ° ,j.. . . :, ,. . i� ;. � ..' ' �, I N ,,�� , �� r �T6atµ�ri �;>>' �. r , � '�
. • , , a _' , . , � + 3`. r��y r'!{'�'c ti,.�. .: �. r `':% , � �'•. ..
, .. � ' , � : ��14ri�� . �r�fyr.. �a.r ..J� ari,•. • . .
+ �,r I° . �• Y x; • �
' ��.�,d • ' �'� • - ~�: -1 � , ; ��'1Yt�t��„`�� r�Tip�.�:$�ri.r�� . . ' � • ,
,+,„a ,;� , , , ' t �q..r �t .. * ,����„��,�,"�il:;"� ; i ,. �� �
r Y .. . � � F � a f � .
1} a�1� �. J .F, � ,. . � � , .� ' ' � r. ,t �c�. • - ' _ �.. .
�� �l. _ . �R '�• , ..
� y1.or�% ��B�:oc��t,�Z,.,� p��i�s .oN's� p:;Cn�.�� tn/AY FS.TA'I"� S �
�' � �'s''�, • • :M - . �.� .. . ,, . , � ' .
WE�H�RE9Y; C:FRT�FY THAT ;TH15 �S A TRUE M1D �ORR�GT REPR�S�NTNTIOtd'=0F A,SURYEY OF�7HE BOIiP:DARIES OF THE
�AND ABOYE' DESCRIBfiD RNO OF TNE LOCA710N � OF ALL BUtl.O►NGS,�rI� ANY� TN�REON',, AND .ALI vIS16LE ENCROACHMENTS�
IF ANY� FROM OR ON .SI�ID LAN0. . ," '
. . . • • r,/�1i�DER.'.'ENGINEERING CO., INC.
DAT[p TNIS OMf OF . �.��5 ' ' : EN 1?16ER3 �� ANp SuRv�YOa.S
. . . � , Q -
, . ' ,. � - . " _ — - -- --
�
e
�
e
�
�
■�
�
�
.�
�
�
�
�
�
�
�
. �.
�
�
��
O
U
�
CC�
—
0
�
�
. `��
�
'O
O�
�
�
�
Q
�
�
�
�
�
.�
00
�
c
.L
a�
a�
c cn
•� �
c �
W �
�
� �� � ����
�`<t>
,,
, ; ,
_
,
_ � ��.�
� , �,
, .,
, ��� � � ,,
. ,�
:..
� � �
-�'r-� � �� ,.. . , ..
��
�
r�
C
C
•
:�
.
�� 1
,
���
�
♦
�'.� �,
�
� r'
�.
_
.,
► �
.
.
� ,
J
J
�
0
W
W
�
H
� �
z
'� W
.�
�
, x �,
��
�
? --
� �
1
•�
\f �
�--..
�
� � �� �
J
.�
a
� O � �Z
2 ° � � �
V N w
Q
N � � V
� W � (
Z(�
4j G
1�
�— — — — — — — —�
I W I
I J I
I � I
I o I
I � I
I W I
I � I
I I
I I
i-------�
��
�
�
� —
I �IN
co
0
,
0
�
� �
� G
J
� e
O �
w V
� O
� 'a'
� J
� m
o �
� N
ch r
N I
�
�
�
�
Q
J
m
Q
J
�
J
W
W �
� j U C9
C) °' O
O V Q
U
� ��
LLj �
H
WW.
� H
�g a -
a � o
W J
a n ��
1� •
_ a
N
a ��
U
J
0
�
0
W
�
�
�
0
Z
�
J
Q
�
W
o p
o mm
� �
�.
0
� �
�
LL
c�
�`o
m
V�
. 0
v
�
a�o
�V
N
�
�
W
WC9
Z
��
J —
Q ��
� ���
W � °w .��- vi o
�c� ' � ��o
a� � �a�
F�=- � c �
� O �E
� o
W n- v
Q � X
V � N
W
ZQ
t� _
w�
aW
W
�
H �
Z�
0
..
P
�
�
�
a
a ,^
W �
FU
c� a
z c�
��
� X
Z N
O `-
��
�w
��
�
�
O
�
Q
J
�
O
O
�
�.�..
0
0
�
�
Q � �
ooa
0 � W
� ��.. �
U
p c
. a
a� .. .
. . v.
D ..
v � a
�
a_
W (� u�i�
�"' W
Z (�
� �
� X •
Z N
O�
��
�w
��
�
a o�
_
N
P
J
e �
N �
�
ZQ
�7
a
�
Y
�
� J
� LL
�o
W O
� �
�
�
O
�
�
�
�
J
W
H
Z
O
OG
�
�
�
�
� �
o g
�
0
� �
� � W �
� � � U
� � � � 0
� C� p
�
O
�
�
�
�
W
J
W
F-
I.�.
W
J
�
� U
a �
ai m
c9
Z
3 3
� _
E o
g �
�
ti
0
�
►
�
�
J
J
Q
�
�
V
a
00
� u
��
� i�
�'c
co �
('7 2
.N_. S
g �
a g
� o a �
�o 0
W�Z � �
� J � � �
� O C C
� J .O O
� ..Ci .C.. � �
� s' � s s Z
V�W x x 0
J
-
Q
W
0
Z
O
-
F-
t�
w
�
co
�
0
a�
�
�
�
�
N
� a
��
aa
� M
o � N
�U -� �
� � O
� �, a
m �
O � O
� L =
� U �
LL =
� �
a ,Q
00 -p
� �
• N f�0
� a
� � �
Q.
.�' ~ t�
N C
� O
�Q 2
� a �
a .� •-
�3 � �
0
� 3 °' �
o �ti N
N N W �
� � � �
O � Q N
E v, �
a���
� > ,� c
�
� � E a
a� a� o �n
HH �
� �
W N
H
O
z
W
�
�
J
Q
�
�
J
Z
J
�
�
U
�
�
�
�
a
�
�
u
�
J
a
�
r
�
,�
�a�
� W N
O
a ��
M EV
Mo�
J �
�"�
' >�
N CL
� °8 C�
��
o �
J M
N �
= C O
� � �
� N
�
a
0
O
N
n
a
w-
�
O
U
�
�
O
�
��
� N
a�
c� r
o u
i V
i (�
��N�
Y �
CO p,
�U
N �
O C�
N la �
�a�
� �, a
� � ti
y � �
y y V
�
aa o
U �
O 'y
, �
�
c4 .o
C_ N ("'
� ��
�
M��f�
II 0 � X
� � II o�p
Qu.�n
ca��
�d' Ot
�u�v�
'v� u � e� `m
G�0 XJ��
II N � c0 cC
,�cxn���
�
co
�
I
�
c
a�
0
�
a
�
�
�
W
�
�
�
�
�
�
LL
� �,
a.
��
u a
�� ti
�
~ a n U
'` Q- ¢
� � I�.1 �
� J � �
VNa �CO
@�!� ��o
3 � � _
�� ���
� �a
�� a`�i ��
��u�c�a
.-. .-. .-. ,-.
�- c� co d�
�
�
a
'd:
ti
d'
�
�
� O
o�
U �
�
� N
0
UU
�
�U
�
a
c�
U
0
c
�
'0
c
�
O
LL
�
a
a0
�
U
a�
ti
�
a
a
sue�ecT ERMIT NO.
c�ty of Fridley 3 4 0 3 0
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
r
� �
RECEIPT NO.
� `� _ _ COMMUNITY DEVEIOPMENT DIV. � /� , /
r � � PROTECTIVE INSPECTION SEC. ��
i . �
i-•_- A;�"' �'� CITY NALL FRIOLEV SS�J2 NU1ABEp pEV D�iE v�GE Of �vPnOVEO Br
1 J` 763-571-3450 910-F 15 11 / 17 / 03 / /
10B ADDRESS 160 Craig Way NE
1 LEGAL �OT N0. BLOCK TfiACT Oii ADOITION SEE ATTACMED
oesca. 7 2 Pearson`s Craigway Estates SFIEET
2 PROPERTY OWNER MAIL ADORES$ 21P PMONE
Molly Riddle 160 Craig Way NE
3 CONTRACTOR MAII AODRESS ZIP PHONE LICENSE NO
Northern Crest Inc 7401 Central Avenue NE, Fridley, MN 55432 763-792-9364
4 ARCHITECT Oii DESIGNER MAIL AODRESS IIP PMONE LICENSE NO.
20098415
5 ENGINEER MAIL ADDiiESS ZIP PMONE LICENSE NO
8 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW O ADDITION � ALTERATION ❑ REPAIR O MOVE O REMOVE
8 DESCRIBE WORK
Install two basement windows each 46" x 59"
9 CHANOEOFUSEFROM T�
STIPULATIONS
See notations on plan.
.4
SEPARATE PERMITS ARE REQUIRED FOR ELECTqICAI. PIUMBING, MEATING, TYPE OF CONST OCCUPANCY GROUP OCCUPANCV LOAD
VENTILATING OR AIR CONDITIONING
THIS PEFMIT BECOMES NULL AND VOIO IF WORK Oq CONSTRUCTION 20NING SC. FT CU FT
AUTMOR12E0 IS NOT COMMENCED WITHIN 60 OAYS. OF IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME Af7ER WORK IS COMMENCED NO DWIG. UNITS OFFSTREET PARKING
I MEFEBY CERTIfY THAT I HAVE READ ANO EXAMINEO THIS APPLICA710N 1 STALLS GAFAGES
AND KNOW TME SAME TO BE TRUE ANO CORRECT. ALL PiiOVIS10NS OF LAWS yALUATION SUqTAX
ANO ORDINANCES GOVEFiNING THIS TYPE OF WORK WILL BE COMPLIEO @
WITH WHE7NER SPECIFIED MEREIN Ofl NOT. THE GRANTING OF A PERMIT W2fOOO �I..00
DOES NOT PqESUME 70 GIVE AUTHORI7V TO VIOLATE OR CANCEL TME pEqMl7 fEE SAC CMARGE
PROVISIONS OF ANY OT ER STATE OR LOCAL LAW REGULATING CON- @
TqU TIO TME P F RMANCE OF CONSTFiUCTION W69.25 Fire S�.' �2.00
- PLAN CNECK fEE TOT FEE
Licens S $5.0 $ .25
SiGN4T REO�CONCi7ACTOAOp4UTNOAIZEDAGENt �DAiEr EN ROP VALIDATE THIS I��R FMIT
s �
S�GN4TU�7E O� OWNEA��� OWNEpBU�LDEpi �DATEi v 8� � �h D f�iT
NEW I I
ADDN [ ]
ALTER [ ]
Construction Address:
CITY OF FRIDLEY
6431 University Ave NE, Fridley, MN 55432
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
�� � �� �
Effective 1 /1 /2003
(763) 572-3604 Bidg Insp
(763) 571-1287 Fax
�i
. �� �
Legal Description: 02 �3 � S � ��r, F ,z � � �. pa � � � �•�< <C ,:r f �z?—
Owner Name & Address: ' � G� • � i � � � Tel. #
Contractor: /I� � �� �<� C i.� � MN UCENSE # �� 9��%%S� •
Address: l� a� i �� � � �1� � Tel. # �� 9�-�..�f �'
LIVING 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
Length
�
Width Height Sq. Ft.
Width Hgt/Ground Sq. Ft.
� �-�..../ c� r�� 5 � �Z> f :e� %
X � a -� p! �(, ��� �
Construction Type: Estimated Cost:
(.�/ �� cV �' Gr w
I��DL��
Driveway Curb Cut �dth Needed: Ft. + 6 Ft = Ft x$ _$
DATE: l�`� /�� U3 APPLICANT: �% Tel. #?� 3 � 5 Z � 3� �
Call (763) 572-3604'for Permit Fees if mailing in application. Fax to 763�71-1287 if using credit card and we will
call you for card number.
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
$ � �S �
$ ��0�
$ /. UO
$
$ �� C�C7
$
$
$
$
CITY USE ONLY -
TOTAL $ • r • ���
Fee Schedule on Reverse Side �
.001 of Permit Valuation (1/10th%) `
$.50/$1,000 Valuation
$1275 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 [ ]
� j
�- � :`�� ii
�
_ •►
BUII.DING PERNIIT FEE SCHEDULE
The Cluef Building Official shall, before issuing permits for the erection of any building or structure, or for any
addition to any existing building or siructure, or for any alteration or repair to any existing building or
structure, upon application therefore, require the payment by the applicant for such pernut of fees to the amount
herein below set forth and in the manner herein provided to-wit: �
TOTAL VALUE
$1 to $5(�
$501 to $2,000
$2,001 to $25,(�0
$25,Q01 to $50,000
$50,001 to $1Q0,000
$100,�1 to $500,000
$500,001 to $1,000,000
$1,000,001 and up
FEES
$23.50
$23.50 for first $500 plus $3.05 for each additional $100 or
fraction thereof, to and including $2,0(}0
$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 first $500,000 plus $4.75 for each additional
$1,OQ0 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
CURB CUT ESCROW
(Concrete Curb Streets Only)
Removal and replacement of curb and gutter only - driveway width plus 6 feet, times the annually determined
rate.
Permits for construction will be issued a minimum of 24 hours from the tune of applicadon to allow for proper
review of the. proposed structure and of the construction site.
VERIFICATION OF FOUNDATION
A Certificate of Survey af the lot, showing the location of the existing foundation will be required before
proceeding with the framing. New Houses Onlv
�
�
Q
�
�
n
�
x
1
�
�
�
"�., �1
� \
<
�
�
�
c-b..
s
���
r` -� .
. '" �1 �'�
;�
�
�
�'
�
�
�
.�
s
�
0
�
w
:
�
l
^
�
�
-� ,
1
e ,
. W �
m 0
_
3 �
c� a�
F, �+ s:'�::;:::'r:;�j
i ���� q
� � .
�
Z � � '�
� _ : �,:: 3.
u. � ii �?� •sh.�•'':?:
��._.�:'� :�: .u� ��'�
� . w :�-c
J m s'C
� � •.O
O rn
� � �
2 �
0 3
�
� �.
,.� � o .:.,..
�I ` �.`}.',�9'
�, o, � : �•
^ � .�t,
�� � �:.:,:
J ��#:>:•..
,�
'v
��
�.J
r
" Z
� o
� Z •
� Fu
W
.N W
? Z
QN
� � �
LL � Z �
u. c g
O 7 �: �
��
� [7 N
3 o u�. �
� _ -�
Y o
� �.. ""N
:��:.::.::
�
�
..
C
V� � � N � V'
�C � Q O Q O
� � � � � LL
�
�
c .-
.m � �
.c v
o � m 0
� �
�i m���' :
� $ b u° s
�° � � 'd �
'� � �
� � � m �
� ��ti� r
� � �
� c u � o a'
� � U v �
a� o a� �
�e .�
�
E��� �
�,;:�ci_ c;'�+'� ��o°� � ..� .,,;,i� tC�ix�::::::`_
0
��
�
�' � , i
,,;
°-�?` � � �
�.7 �
�
� c
Z IL
Z M F-
¢
,�-2,► u- M
� � �
p� m
W 1-W- � L• i
a p � o
� >.� c
� c�n . . I
r_ rn
� � � .� O
_: _t.:: . . r _. �. .. �� ����I
m 'O ty �� �
� � a �a �ro m � a.
,
��
��� �
�
r',� �
�� � �
� �
O ` � • � �
� �g�SS�gooSoS S
r�r ui ►. r• -�: e�_� � o a Q � z
� u►ww�nw�wv�wawu►w w �
�n
F
z � I I I I I I I I I I �Z I � �
� � m
o cmi `�
. � � � O
^ � a � ~
. �. � n, N .
N ` �
W o
�- m m �a'r � � m �
a� � � � . c $ oc �
�
W (6 C� a� j� � � 0(�,
� 3 � �"� d d� � �N � O
� Z� C �� Ol W` � C� 7
�� C-� ,c� Q! A1 = � p. � �d
� � � � � � � � � _ � �r� � o � �o', r o
� ��o� 3 am .. �a�o,� � CO �
3� c E� uf- r;
� 3 v � o � '� tA � � �o 'a� � ' .
a z"Oa$mcia�v�'ss3c��7m ¢'
W
u
Z
N
o�
N
�
�
�
. . � .: __.
�
.
�
_
C[lYOF
FRIDLEY
FRIDLEY MLTrTICIPAL CENTER • 6431 U1�TIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(612) 571-3450 • FAX (612) 571-1287
September 25, 2000
Lori K. Clements
160 Craig Way NE
Fridley, MN 55432
Re: Finai Inspection at 160 Craig Way NE
Contractor: Mr. Rooter of Anoka Co.
Dear Ms. Clements:
A plumbing permit was issued on April 20, 1999, for the above noted address,
to install a gas water heater. According to section 4715.2800 of the State
Plumbing Code, a final inspection shall be conducted on the plumbing authorized
by this permit. As of this date no inspection has been called for.
You will be given thirty (30) days from receipt of this notice to respond. If we do
not hear from you, we will expire the permit and any inspections on this
installation will require a new permit.
Any questions can be addressed to myself at (763) 572-3603.
Sincerely,
DAVEJENSEN
Building Inspector
Building BUILDING Permit Ivo: C�-G( (��
Inspections RESIDENTIAL APPLICATION xeceived B.
763-572-3604 CITY OF FRIDLEY Date Rec'd:�� 1�"��
763-502-4977 FAX EFFECTTVE 8-19-09
DATE % �c�- L� C YOUR E-MAILADDRESS �=�e �� �- /�-W C'O!7-S�� t',.1 d�G>r�
SITE ADDRESS C� ��+ .�' — � �^� cl��,✓ Zf 3 a--
THIS APPLICAMT IS: ❑.O ER �CONTRACTOR
PROPERTY OWNER/ 1vAME: ,/�.��;Il,r, ,laG�/�
TENANT qDDRESS: /l 0� G r�.:e.� G✓��LI �� CITY �r.'c�I� � STATE�ZIP a S�f� �
PHONE: 7�� � � �.�-�— ld.��v
CONTRACTOR NAME: ��� �e�Gn iv�eG�r�- Cc��r�r.�c �`.;--, �C
SUBMIT A COPY OF STATE LICENSE #�'����� 7 Z7 EXP DATE
YOUR STATE LICENSE ` >
AND CERTIFICATE OF ADDRESS: �9 33— G�.� : vr : y� i y ��c? /�%C CITY C,:�i�� o, STA1'Ff�ZIP S�S�.3' �
INSURANCE PHONE Cs9�i�- � %O- � � FAX � - •%G�—� �� �
PROPERTY TYPE � SINGLE FANIILY/NEW CONSTRUCT[ON S[ZE
❑ TWO FAMILY/NEW CONSTRUCTiON STORIES
PERMIT TYPE ❑ ADDITION ❑ GARAGFJSHED ❑ WINDOWS
❑ BASEMENT FINISH � ROOF ❑ DRAIN TILE
� DECK ❑ SIDING ❑ OTHER
❑ SWIMMING POOL
TYPE OF WORK: ❑ NEW HOME CONSTRUCI'ION ❑ ADDI1'ION
� MAINTENANCF/REPAIR � REMODELING
DESCRiBE WORK BE[NG DONE: .�i� ` 3
SIZE OF IMPROVEMEN7' LENGTH WIDTH HEIGHT S FT
ROOFIr1G ❑ HOUSE ONLY BASEMENT REMODELING SUBMIT:
NUMBER OF SQUARES � �HOUSE & GARAGE �, �i��ng Floor Plan
GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan
PAOPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used
PROPOSED HEIGHT:
SIDING FOR NEW CONSTRUCTION INCLUDING DECKS,
❑ Vicryl ❑Soffit ADDITIONS. & PORCHES SUBMIT:
❑ Aluminum O Trim 1• Site Plan/Survey showing the existing shuctures
,❑ Other ❑ Fascia and proposed project.
2. Two sets of construction plans
WINDOWS 3. Energy Calculations
IN EXIS1'ING OPENINGS ❑Yes ❑No LOCAT[ON OF WINDOWS FOR WINDOWS — PROVIDE U-VALUE AND
OR FOR NEW OPENINGS-DESCRIBE SIZE OF MANUFACTURE STICKER ON WINDOW.
OPENING CHANGES &
TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS
Ai.1. rr,r,� An� at�r,u v�v v.�,u[�►1 iV1v, 11�l:LUlil1V(i 1 tl� C:UJ1 VN LAIiUK AIVll MA"1'L�'KIALS:
(USING THE 1997 U.B.0 FEE SCHEDULE)
JOB VALUATION $� �� �c� °' OCCUPANCY TYPE
Permit Fee
Plan Review
Fire Surcharge
Surchazge
License Surcharge
SAC Charge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
$
$
$ 't
$ �
$
$'
See Back Page for Fee Schedule
65% of Building Permit Fee
.001 times the total job valuation
.0005 x Permit Vatuation Minimum $.50
$5.00 (State Licensed Residential Contra.ctors)
$2000 per SAC Unit (Plans to MWCC for determination)
8+6ft= ftx$22=$
$450 Conservation Plan Review
Fee Determined by Engineering
Agreement necessary ( ) Non Necessary (
Make checks aavable to: Citv of Fridlev
THIS IS AN APPLICATTON FOR A PERMIT-NOT VALID UNTIL PROCESSED
Attach
I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in
conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a
permit but only an applicaxion for a perfnit and work is not to start without a permit on site; that the work will be in accordance with the
approved plan in the case of all��ich r r iew and approval of plans.
SIGNATURE OF APPLICANT � � � Ja �t GZ � /� �' /' �l
� ^��- PRINT NAME 4,� � � DATE � ��
Page 2- Building Residential Application
BUILDING 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 FEES
$1 to $500 $23.50 (Minimum Fee is $23.50 plus surcharge)
$501 to $2,000 $23,50 for 1� $500 plus $3.05 for each additional $100 or fraction, to and
includin $2,000
$2,001 to $25,000 $69.25 for 1�` $2,000 plus $14 for each additional $1,000 or fraction, to and
includin $$25,000
$25,001 to $50,000 $391.25 for 1� $25,000 plus $10.10 for each additional $1,000 or fraction,
to and includin $50,000
$50,001 to $100,000 $643.75 for 1�` $50,000 plus $7 for each additional $1,000 or fraction to and
includin $100,000
$100,001 to $500,000 $993.75 for l�` $100,000 plus $5.60 for each additional $],000 or fraction to
and includin $500,000
$500,001 to $1,000,000 $3,233.75 for the 1� $500,000 plus $4.75 for each additional $1,000 or
fraction to and includin $1,000,000
$1,000,001 and up $5,608.75 forthe 1�` $1,000,000 plus $3.15 for each additional $I,000 or
fraction
VERIFICATION OF FOUNDATION
Permits for construction will be issued a minimum of 24 hours from the time of application to
allow for proper review of proposed structure and of the construction site.
A Certificate of Survey of the lot, showing the location of the existing foundation will be
required before proceeding with the framing. New Houses Onlv
City of Fridley
Building Inspections Department
6431 University Avenue NE
Fridley, MN 55432
763-572-3604
Fax: 763-502-4977