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AF - 43348City of Fridley, Minn. BUILDING PERMIT . .: . , � j � i • • � � - � .�,.G..� �.., � ! t . � � : e . R'"., �„i��/ � ..� � .. N° _ 62? � NO. ��i�-- w7�t � � � r � � �� — Lot —�___ Block ,� Addition or ub-Divlsio� �+ � Corner Lot � Inside Lot —�' 5etback ...��� Sideynrd Sewer IIevation ______ .._ Founda.tion IIevation � / DESCRIPTION OF BUILDING T Used � y�-�''' ' Front _1�� Depth �,�L.� Height .�'� 84. Ft� ��,,���'.�Cu. Ft :�� Front _�� Depth ai'. FTeight � S4. Ft � Cu. F't. ���0�' Type of onstructlon Faa� !�"""� To be Co�npleted — � Ea consideration oP the issuance to me of a permft to construct the building described above, I agree to do th� pmposed work in accordance with the description above aet forth and in compliance with all provlsfons of orciinaaces oE the dty o4 Fridley. .i� +G� — In conafderation oP the payment of a fee of $�"""'� , permit is hereby granted to to construct the building or addition as described above. Tbis permit is granted u�n the express condition that the person to whom it is gran.ted and lvis agents, employees and worl�nen, in all work done in, around and upon said bwilding, or anypart thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regardiug location, construction, alteration, maintenance, repair and moving of buildinga within the dty limits and tbia permit may be revoked at any time upon violation of any of the provisions oE said ordinancea � .�„ ,,+� �1 Build9ng Inspector NOTICE: 'I61s ps�mh doa not eorer ths eoe�rucHoe, hu1a1lafioe te. �tn�. �t�m��a �.. i�oa avw� ee rraMr. B� wro fo a� 16� Buildiea Insp�e�ee for apanl� p�rm6s for 16a� NMn. .�. �`, - --. ,� a. � �, a - - ." s„�� � ° APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER ° S P]At� BUILDER ADDRESS ADDRESS LOCATION OF BUILDING No. Street Part of Lot Lot B1ock Addit�on or Subdiviaion Coraer Lot Inside Lot Setback S3de Yard SEWER ELEVATION FOUNDATION ELEVATTON Applicant attach to this form Two Certificates of Surveq of Lot and proposed.build- ing location drawn on theae Certificatea. To be used as: DESCRIPTION OF BUILDIIVG Froat Depth Height Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft . Cu . Ft . Type of Construction Estimated Cost To be Completed The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordaace with the City of Fridley Ordinances and rulings of the Department of Buildiags, and hereby declarea.that aIl the facte aad xepresentations stated in this applicaCi are true and correct. �� , �k�'�.e-c�-� % ����"�'� �� na� Gicx�art�C���,/ � (schedule of Fee Costs can be found on the Reverse Side). �"'1 �� q . � r .,� s v _ • � a .- . ic BUILDZNG PEItMIT FEE SCHEDULE Section 2. The Inspector of Building� sha11, before issuing any pe�mit fas �h-r_• erPct3on of any buildiag or struceure, or for any addition ta aay ex�s�- i�� bu�lding or structure, or for an�r alteratians or repa3.xs to any e�i��3ng bu�.lding or sicructure, upon agplication therefos, requira the paymen� by the applican� for such permit of feea ta the amount herein below set forth �nd in the manner herein provided to-wit; 2.1. For any such permit for �he erection o.f any fire-proof building, other th�.n a garage� warehouse, factory or graia elevator, or for the erection of any fire-p�oof addition, for sim�.lar occupancy, Co any exiating buildia�, sha11 be at the rate of $1.40 for each one thousand cubic feet, or fractian �i�ereof, in such cubical contenta. 2.2. Fos any such permit for the erectio� of any fire-proof garage, warehouse, iaetory or grain elevator, or for the erection of any fire-proof acditio�, £or simil�.r occupancy,'to any existing building sha11 be at the rate of ��.25 for each one thousand cubic feet, classified as °1fireproof" by Sectiaa 502 of t�e Minae�polis Building Code. y ES?USES 2.3. For any such permit fos the erection of �ny non-firepsoof bnildiag other than, a garage, warehouae, factorq or �rain elevator, or any non-fireproof additioa, for simflar occupancy, to any exiating lauild3ng - permit $i.00 for each one thousand cub3c feet. �ARACES 2,[�, For any such permit for the erection of any non-fireproo� gaxage, w�rehouse, factory or graia elevator, or for Che erection of any non-fi�eProo£ addit�on, £or similar occupancy, to any existing building or for each such building or �ddirion - ninety cents ($0.90) for each one thousand cubic feet o� fr.action thereof, in the cubieal cvntents thereof with a minimum of $4.OU, �or the purpose of compu�3ng fees for building permita, the cubical contents of any building or additio� to a uniform height throughout by �ultiplying the ground area covered from a poi�at six (6) inches below the flaor 9.ine of the i�asemen� or cellar to the average height of the upper surface or to the av�rage height of the roof surface of the main gable of a p�.tched roof. 2.5. For repairs or alterations to an existing structure, the fee shall be a� the rate of $3.00 per each Five Hundred Dollara ($500.U0) ar frection thereof in the cost of all propoaed work. 2.6. In no Ease shall the fee char��d �or anp permit as �et forth ia Section 2 be leas than $4.00. ��� � � � .. _ - _ ., z ., �. a � � 0 0 I �� '1� � 0. � � � e a � � 00 O >` a —°' .p a � � � � O c � � U � � 0 �� �� � m � pd w O o 30 � � oa H � a a� m� W A� °� .� ��� �� F �+ � ? O � � "Y'� � U� w � � � .��� � ���� �a�� .� �ti� q,�,� F .0 y� p��s� °��a 0 ���� a � � a ,� �a � � F � � � O y�, ���� �) 'Si � � oay •' f� ���� a�'i a� °' � ���a�i � �� d 'd w d o �� � U v�i�� � J � W 3 a � • z • s SJNIN3d0 SYJ 3�JNYL �� �aav sr� U3HSVM o� SNISYB H71tl� SNIVLO aoo� � •�.wno� •�Niaa sxval HSVM 9INI5 ��sre � � H1W s-mv�nn 5135o'C] � N31VM �i �, � r � � -d � i � ,0 _ .. 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Ni w \ � _ i� ; . � � � -� z ;. �_. - � z � � z . � � � ° v, � � .� � I � � a � � � � z � � � � a � � � W \� W � � � ,"' . �w I Q � � � � ` � z � a b a � . o �q I � � �' U �'+ �' �� m � � m � a a Cy U E� al U � �. � � oo�� o a0 a0 N N � : � ' : : � � : : � o � o • : �, 8 � o° : • °o � a � b. • � � o .°N F � .►� `° �j w � o °' � � � � u � � � 2� � � � � � � � � � � � +� � � N �� a N.� �� � � � � x d � � a �� a�� � �� �a� 4� � � : a�''i �. � o � � W �7 � ,� � y N M � m .a w w : � :� :� :d :w . � . � � � � O H � a a �� C'�i m M Y F a o � � �a � 0 1 ti =�;.�_ � ;- aa _�� o ���z _; � � 1, ,�q a � � y � � a � o�N 0 � � �.�� o ���o �� u� � N ��� m . z � o - : � H : � : . . . w ° :�: � : : : : --ti. � 0 0 o , O � w � w � a� � . : , � . a : �' °o 0 0 N � N ��i�� ��p� z M � M i„� H��� w d � l � � t9 � � �, z°�'��' oc��x � � x o ��4� � d a a � � � �w�� N N N a� I�,�y9 ��� x � a z w � 0 aI Y II C Q � I Compliments cf North Central Public Service Co., !�� � ' v ��-- s � ciTV -- � �� HEAT LOBS CALCULATION►9 DEPARTMENT OF BUILDINGS VI�LLAQE Weatherstrlps A.S.H.V.E. Constructton No. Insulation Guide Windowa Doors Reference Ou� Wall Int. Wall Celling Roof Floor Kind How Yes—No Yes—No 19........ I f FL I ` Room I Length �� Width a� Height � � Fl. I?�,yp�Room I Length �-- Widt�h Windows and Doors—Crackage and Area. Windows and Doors—Crackage and Are�a Width Height No. oi Lineal f� Area � Width Height No. of Lineal ft. Area No. oY pane oE pane lighta of crack sq. ft. No. of pane of pane lighta oY crack sq, ft. � yQ G� o �'s:� �o�.� � a � �� � 3 �y / f� � 3/, v � � � CceP. Btu � Infil`tration %�, 7 c/ t� � U r� dT In8lYxation Glass /�1 � i 6� �-a Glass Exp. wall �j d'� �,I��- ExP. wall Net exp. Wall � j 'v �/ y v Net exp. wall Int, wall �� � Height � Ccef. Btu / Z- �� � d' g� yuv .�'1 �v °� �-c ce�ng �/f'3 �r ��' L yr ce�ing � Y 1 d ca Floor �1 ��r � � 7 J Total Btu. ,�- Total Btu. `� y Required sq. ft. E.D.R, or sq. ins. W.A. Leader area Required sq. ft. E.D.R.. or sq. ins. W.A. Lea.der area l Fl. I �� Room I Length �) Width /� Height � �' Fl. �� R�m I Length �� Width �'� Height 7 Windows and Doors—Cracka,ge and Area Windows and Doors—Cracka.ge and Area � Width Height No. of Liueallt. Area No. Width No. of pane o1 pane lighta of crack sq. tt. ot p�� � � � �3 0 � �� 7�-/ �-1 Y I 'y o_ i ,3 / I I I co�r. scu InSltration L 3 j y o � J'�/ � Glas9 % � � Exp. wall .=. ad�d' Net exp. wall i Y /�% ��// � Int wall Ceiling a � �/ �' � 3 � Floor � ° °� � / Y Total Btu. ' � Required sq. ft. E.D.R. or sq. ins. W.A. Leader area �Fl. I Room I Length � Width S� Height � Windowa and Doors--Crackage and Area Width Height No. oi Llneal f� Area No. 01 pane oi Bane lighta o! crack sq. ft. L �% dr � iy_�� Inffitration Glass Exp, wa11 Net exp. wall Int. wall c��uing Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. I.eader area � FL �_ � Room I Length / f'�Vidth � dows anc� Doors—Crackage and Area No. I otvpane I olepane I lights I Lineal t. I Area I oY crack sq. it. Co�et. Btu � Infll'tratlon � y �y� � TnSltration Glass � � f✓ � Glass Exp. wall � � Exp. wall Net exp. wa11 � o �} �� Net exp. waII In� wall In�, vvall ce�g b� �d�u c�g - Floor � �� � Total Btu. Requfred sq. ft. E.D.R. or sq. ins. W.A. Lea.der area Floor Total Btu. �Yj�O�" ,stu CbeP. Btu ' /,/U % t� I s7� �.� V � v /� �� ��. r� �' %�� �� �Y � YQ % c'� , Required sq. ft. E.D.R. or sq. ins. W.A. I;eader area Compliments �of North Central Public Service Co., • HEAT L013�5 CALCULATIONS TowN DEPARTMENT OF BUILDINGS VILLAGE Weathersirlps A.5.H.V.E. Construction No. Insulation Guide Windows I Doors ReYerence Out. Wall IInt. Walll Ce3ling I Roof I Floor Kind I Y s�- P�o Yes.�o 19........ ) FL I__�� Room I LEngth �.j Width� � Height �? � FL��� Room I I.ength ��Wic Windows and Doors—Crackage and Area Windows and Doors—�rackage and Area Widt13 Height No. o! Lineal ft. Area Width Height No. of Lineal Et. A� No, oP pane of pane lighta of crack sq. f� No. oE pane of pane lights oP crack sq. � � l G �?- r�� � /% v S� .�'D � �' % � a � ��1' �- 3 � � I I I co�p. stu Infil'trat3on � t� (/C� J � � D �i Glass / ,f l� .5�3 Exp. wall �s '�C�- `� �t� Net exp. wall %%�/ /� �l' �% O Int. wall Ceiling .�J`-"— Floor Total Btu. Required sq. ft. E.D.R, or sq. ins. W.A. I.e�ader area Fl. I Room I Length )� Width y Height � Windows and Doors—Crackage and Area Width iieight No. of Lineal ft. Area No. oE pane oE pane lighta oY crack sq. fk � �� �� � i� � �� I I ( c�r. s� Infiltratlon �!v G 4� O Glass / � �S'U Exp. wall '�% � Net exp. wall � `v 1 � Int vvall Ceilixig �? (� 6 5�' Floar �d Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Le�ader area L I Room I Length i� Width (�- Height � Windows and Doors-�rackage and Area Width Height No. of Lineal fk Area No. o! pane oE pane lighta of crack sq. ft � I ,'{ .A.� I � � � 47 �� a"� I � I CaeL stu In8ltration � ;� � � � �'u Glass � � 1 / J� ExA, wall �-!0 7C. _ (� Net exp. wall �� � /� 8 .� Int. wall Ceiling °,�(� � / � U l� Floor °� Tota1 Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area How - � Height � � � � � C�f. Btu InSltration �� �yJ � 7 �� G� g� ���zy� Exp. wall �' (� T �d � Net exp. wall ` ! yG( l� l y f D �ti. Wau .��r 1 �y a � �' Ceilix►g � �,.� Floor �„��, �"ff� ;S'D `a d%�_ Total Btu. � =� Required sq. ft. E.D.R. or sq. ins. W.A. Leader area � I Fl. I Room I Length Width Height Windows and Doors—Crackage and Area. � � �� 31 Jr / cef.i � � Inffi'tration Gla$s Exp. wall Net exp. wa11 Inf. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R, or sq. ins. W.A. Leader arna I FL I Room I Length Widt�h Height Windows and Doars—Crackage and Area � � In8ltration Glass Exp. wall Net exp. wall Int. wall Ceilizig Floar Total Btu. �I Required sq. ft. E.D.R. or sq. ins. W.A. 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'c � 'o v o � c c o U � c N o C ,N o � � o Q" a 3 � :a��Q :�Cg pau�is =0� JI�tIZd�H :avoQ uTaS SNOI.L�3.L'I� �sI'I :sX�uiag () ol�i ��� I�E3ij 1�L'M 10� PBPIAOI(I II32Q .IIE IIOTjSIIQIITO� SL'H i)�rI �) �� ial�a� .�al�n� io3 PaPu�oid uaaq iauTl � s�g l po S�ILLg 'IdZOs C �— S�f1,Lg Ia�o ii�1 cz � ;o s�fLLg �ur��a� i�a; seH � ) �l�i � �� �l�auao� s.fLLg i�o; p� azis io� sluaa�rannbai apo� iQatm� � s7aaYli ( ) oi�i (i4�.�� ( ) orI �) �� ( ) ois (�'91 �x ' pa�oddns ,�iam�as sI �i� Pa$Poi s7�afqo u�taio3 ou seg uopv.�oua�ap � io 3scu Luo� aa� sI � 'L 9 'S •� '£� 'Z i)�IS ��� pammExa �i�a� uaaq s�g ' j :x��3s io �Cammq� �ur�snca aq� 1ER3 sa�an �qaia� paa�isiapun ai{y uo����x�rn g�dss ax� a�� Building Inspections 763-572-3644 aA� � i � i� PLUMBING RESIDEN'TIAL APPLICATIOliT CITY OF FRIDLEY YOUR E-MAII. ADDRESS S1TE ADDRESS � � d � •� �9' / (' /J .� 4 Q %C. isL' R �1 THIS APPLICANT IS: ❑ OWNER �"dCONPRACTOR Permit No.: Received By: PROPERTY NqME: � �F a �+.1 A 2 � � ,2�e ,� � �— iENe�,l,� ADDRFSS: !`i r� C: /�. � s� OS e� a: �' �L /.l�i�fY F/� e a%e. � e.�STATE�O✓ Z1P �3 °s P1 y d PHONE: '� �° � � � e .�. 3 2 � CONTRACTOR SUBMIT A CpPY �F YOUR STATE LICENSE WI1'I�i Ai'PLICATTOld PERMIT TYPE Nnt�: STATE LICEN3E / �1 � � P ��'1 ADDRFSS: PHONE �IIVGLE FAM�I.Y ❑ TWO FANIILY TYPE OF WORK: I � ��' FA ►. , . � _ t� Terry Overacker Plumbing, Inc 502 E Main St Anoka, MN 55303 � ❑ TOR�NHOUSE DETAILED DESCRIPTIOAT OF WORK _/, c�� A�� -- PER MS 16B.665 the permit fee is a minimnm of $15.Q0 or 5% of the total cost np to $500.00, whichever is greater, for the improvement, installation or replacement of a residential fixture, exclnd'mg the fIICdires. (This should reflect only the cost of labor ) Labor cost under 5300 =$15.00. Labor cost hetween $300 to $5� s cost of labor x.OS = FOR PROJECTS WEIERE LABOR EXCEIDS $5�, FEES ARE BASID ON $la.� PER FIXTURE. EXCEPT Wf�RE Ai01ED. FDCCURFS: (QmICATE TOTAL NUMBER OF EACH BII.09� BATH SIl�1K/I.AV FLOOR DRAINS SHOH�iER _ V+'ATER PIPING � BATHTUB GAS PIPWG rn� crrrc►c�s� _ SWIIvIMIN� POOL _ WATER SOFfNER ($357 ' CLOTHES WASHER � KTfCHEN SIMC WATER CLOSEf BACKFLO`VN PItEV. ($IS) (_ DISHWASHER _ LAUNDRY TRAY WATER HEATER ($3� — FOR IRRIGATTON � 9NATF�t MEI'ER OTFIER Permit Fee TOTAL ,______..__ __�. $ Number of fixt�res @ $10.00 x $10.00 = .50 Number of fxUires Q$15.OiI x$15.00 �$ $ ,� � +� Number offixiures @ $35.00 x $35.00 = $ Statie Surcbarge = S .50 Total = $ TEIIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTTL PROCESSED I hereby apply for a building permit and I ac�owledge that the information above is complete and acct�rate; that the work wili be in conformance with the ordinances and codes of the City Qf Fridley and with the Minnesota Consfauction Codes; that I understand this is not a permit but only an application for a permit and work is not to start witi�out a pennit; thax the work will ise in accaxdance with the approved plan in the case of aII work which requires review and approval of plans. � SIGNATURE OF APPLICANT t./C , � l�;LV�J�- DATE `��� ��`' City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3b04 FAX: 763-502-4977 :� - � ��1�`��`,�. ��T�'���ER�T �r '�:0. �, �I'�1� . EI"`�J G t N�� R S A��'�J D SU RY EYtJ�� tJ�Nfl OVRVEYINO CIVf�. L. MWNIGIOAL �NCi1N�;EqtNQ 641$-56T� AVENUE N. MfNNEAROl�13 'tl', MINN. KE 'i� �637 ����iMl�l����'i� �i� � �N�!'q!� �A a �� �� . �� � � Q� � �3 1 ;� :. �. i �"� _ . SOfi.B TE,9TIN0 LI�IVp PI�I►NNINB �� 1 � a c:.r�6_� � M�G� ����� � \ � A �.a�- � ��;:� � ���4����`� ��r��������� �:�-���-�� `� �k��.;�,���'�. WE ItERE6Y CtRTIfY. tHA? TN15 IS A TRr1E AA1D CaRRL'GT REI�RESENThifOU 0� A SIJRYEY 6F TWE BOtlNQP�'.IES OF 7NE lMiiy r.BOVE OESGR(9FD AN� OFTNE 1.OGAT1013 4F ALL BI311.171NGS, !� Pa�1Y, THER�ON, AND R�l v1Sl8LE ENCt2t�ACHMENTS, t� �,��, �stai+n or�o�► s��p �+tvn. ` t�t�l1`I13�1� Et�1GINE.ER�I�lC7 C,�,, IN�. lfl57ED TNtS�� �_ 01��1 ��r��� �.D.1'}59 EtJG�N 9 AND ��URvT�Y�SRS r� r ��'�'�.� ��'�-�°-- nn _C l. M � Yi � . ... _ . . � � � . ���/��s G — - -- -- -- --- ---- - � - CERTIF�ICATE 0� SUR�EY Leo�rd A Brandt ��� aa�,� �s m� aa� P� � ��� lG��� �P G � P. . . ��� ,-�.�. �� meo t-slmlr intlE I110 f �`S� �p! O�, '�� �On F O DENOTES FOUND IRON 6RNU►ENT • DENOTES SET IRON 110NUI�NT PffUPERTY OESCRIPT10Ne LOT 3. BLOCK 7 PEARSON'S CRAIOtAY ESTATES 2ND ADDITION 20.286 S�. FT. � 4I �-�,�. � .�� SCALE 1" = 30' s '��. ?o °?- sy. ��,w S `, � _ \ � �i� 9y � �9 F. i� 6 y6 1 � 10' DRAINAGE 6 UTILITY EASEI@NT 1 IaeEy earily flef tnls waYe) �m Orapvsd by m ar v�Eer uD' atrsef mpr�lelm atl Hcl I m a AiIY Naalsf�/eL"Jlad,S.vy�w.�7s Wo ths Iwe o/ 1M sfas e/ � % �� i� +� �J/ n.Z�.o. �. �