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 $4.00.
��� �
� � .. _ - _ ., z ., �. a �
�
0
0
I
��
'1�
�
0. �
� �
e a
� �
00
O
>` a
—°' .p a
� �
�
�
O c
� �
U �
�
0
��
��
�
m
�
pd w
O o
30
� �
oa
H �
a
a�
m�
W
A�
°�
.�
���
��
F �+ �
? O �
� "Y'� �
U�
w � � �
.��� �
����
�a��
.�
�ti�
q,�,� F .0 y�
p��s�
°��a
0
����
a �
� a
,� �a
�
� F � �
� O y�,
����
�)
'Si � �
oay
•' f�
����
a�'i a� °'
� ���a�i
� ��
d 'd w
d
o �� �
U v�i��
� J
� W
3 a
�
• z
• s
SJNIN3d0
SYJ
3�JNYL
��
�aav
sr�
U3HSVM
o�
SNISYB
H71tl�
SNIVLO
aoo�
�
•�.wno�
•�Niaa
sxval
HSVM
9INI5
��sre �
�
H1W
s-mv�nn
5135o'C] �
N31VM
�i
�,
�
r �
� -d
�
i � ,0
_ ..
I
�
�
�
z'
��
�
a
` �
g r, �
� S e� �
� �
� � � I
7
�
.$
� � d
v
� �
(� p
� O � U
� b � �
� � ►7� F
-'- I ( �3sa751' �:� _� I"
. > ,��
�❑
mg
m �'
Cl @
U
��
� �
� �
O
U 1�
m �i
- � �
. '� . �
Ma • ,,�JF_ ,
z
i y
�
a
ou
� �
o �
U
+; °�
�
� o
�
z
a
�
�
.�
�
�
V
�
�
�
x
�
°a
z
�
�
a
� � � �P
� � � -
�.�.,� � E �
�sa v� �s �r r�r v� sri vr � vr vr
�� � N O N O N � � � 0 ' �
..y .ti .-i M N M � N ' �
�
x �e �e x k �e aa � aa : H
J O � : E
Q z �.
W � �
_ •
� �. . . ; : • . . . .
. . . � .
'"� . ; . . �j : ; ; : � ;
� . . . . � � . . . .
GQ «
4 : :� :o� : :� w :
' ° � • Pq 04
0
N .d . . � ,�, .
�/ Ew„ • � g' . ° O : � ° '�.,',
a. a � O � : � � • �+ N O .
d � � � � � H
�� d �' •d � d Rj '�
����d� ���� W�
� x N °� q a �'
�� d W� aNi C7 Z cW � � �
.� a � W a � � �
x z� z �� z E��� � a
ov � �. �. . •
. � , .. . . � -; �
�
'i �
�
�
.
�
oC
�
' •�
�
C >
� �
C �
• �
.�
H�
0+
.i
�
.
�
��
� �v
�`
a
�
�
�
•
�
�
. - -
�
�
a
�
.�
a
�
00
d
m
A
J
�
W
U
�
W
�
...a
�
�
a
a� � u I
w�
.� y �
N��
��� �1
o �,�� �
y��� I
�'�d z�'a
d
����
w
���
a���
0
� ++ o�y
M � i+
a���
���a
aa �
'� a�� �
eo �
���a �
o '�
�� ay
��Q y
����
� ���� �
� � O�
� �d
� ��� v
0
ti
� '�'� �
�
H
�. �
�oaoo
000�
� 0D LL.f 1!� CV
: : : S
: : o c
, , � o
• • °o °rt
. . ,�, �i
. . �g 47
e �
� • +�
o ' a 'e�
� �i � d
M � � � T��o
4 � o � �3
� � � � �
� � �
a��.�.�
� � �
5 a a a
,� aa�x
�
�
W
o �
� �
5
i
�
��
0000�
00 N u? � CV
i�
�
�
a
�
� z
� �
� a
� '
� �
� � �
� �
� , U B
� � �
m
�
N W O
� W. i _ A• . ' ..
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. I:eader area
BL71
� �
�
e
�
�
a
�
� �
�'�
N
.��
_ �
�
�
�
�
�
.
� i
� !
0
�
�
W
_
H
W
�
J
�"r
�
�
���
� d
S �
���
g�
M �
�3��
► ,� � �
�d
�
, ��
��
�� .o
�
a� a
�f�� �
��o�
i i�� � C
'"'� a�
$sQ �
��do
� ����
� �
� ���d
rV �'��
�
� ' i
� I �
w d
�8 8 8 3
�
: : 8
, o �
� �
w
� � � �
����
� � � � �
� � � � a
� � �
� � a
� x a
c�
�
m
.,
�
�
�
�i
�
a°
� ; �1�11� I
,; � o
°; ( p�
'�+ o
� I �I �I Z
C� I I � � �
b � � a
�
o I � � � �
�' U �
� I Ca �
� � � d
� � � � �.�
� �
� � E° w O
N
8 8 8 8 8
�:�mm�
.�
o�o ' � g
� � g ri
$rl � � �
� �a
� � � � �
� �o
�.����
� � � ° � �
��p�a
����
� �
�
� a� a
t
�
z h
� z
��
o �
w S�
o �
o � �
�
�
�
� d
�Z
d
� �
� I I
I
� � �
8 8 � 8
���.�
�,
�
� �
� �
� a
~ � �
w
S $ � �
�����
��?��
�����
��� �'�'
F d vgo,
°z`��
� � � � �
� � ` '�
� w e�
m
�
�
8
�
�
�
w
Y �
O �"
.0 p
� ��
mW
� m
s �'
.,
��
0
�
a
0
�
Od �
�o
0 �
0
�
�
�
�
�
« �
� �
U E��+
�
00
� q
F
.
"� I w w
a�c 8 �.°, 8
� �
o b
�
' . w
w
� �
��
�� ��
��.. �� �
~ ��
.. �
a � � ° �
� �, :.
��<�
� E�
� �
� �
a
�
�
,
.� �
a�
0
Y
�
�
N
�
� ��
����
���o
� � �
� �
� �w �
O
�
�
�
�.
,
,
+�
�
�
�
�
0
�
Y
■
t
�
:
�
�
�
o�
1
�
�
�
1
l.f�
x
0
0
�
aa
� U
� •
W
� �
0. �
�
� �
�
�
A d
�
t�
v
��
�
�
� �
�
� �
� �
� �
� �
� �
+F7 °�
�
�
�
�
�
�
�
�� � � p '�
� b s'
. �
— �
� ��
��o�
� �� pA
� � � O
m � � �
� � � � N
(� �* �
Q��� �
�
� g � �
e '�
���� �
�
�� �
� �
�
���� +,
� �,
���� � �
� � c. �
����
� � � �
'� � � � ''t!
�g�� �
��eao
�� � � m
� � � a
� �� �
�
�
�� �
���
� �
� �
� �
� it
SY�+6B[��
SC+�
�
��
��
b�
���
SNSS��
�w' 9�.a
SWevtr�
��
'�'5+3�
'.�.5.a � jrs
'aw��e
�AtrJ g
�!�ai�
€��
���
���
�o�
�
�
n
�
�
f�- a
�
�
o �
� �
�' '�.
�
�
� �l
� . :
I V p
� �
� O
� �
�
� "s '3
E� �
!S E �
« �
� �
��'� ��� :
� '_
.■. �
� �'�:■
.■
-���
�
__ . _' _ a�� r
��
_ ;
�
�
�
W
�
�
�
�
�
J/
`
�
�
�
U
�
Q
U
W
z
z
�
�
�
N
�
�
4
m
,, �
�
�
�
� I � S � �
� � l� V� • 11�
� N� N N M M t?
� �
� � � � N � � w � � � � s �]
M le M N� M M M N M M • i
� � e �
r� �
.
� e
� o • • • • • i � a
• o • • • • N !
m o o • • � • � � •
o � o • o . • • • � •
0 o c � . s • � •
D • • e • • �
a .o • • � • � � •
a a a .. m . o c� � .
• � , � � . .
m �
o a � `�A� . . � �J
� � 2 • � � . . • � Y •
�: fA ° �&" � 0 O O� . . � Vi e
a •
� a � •
C � Q � � A e �
� � �� � a � � � • �y 1+ �
ca � , ' �'i w B�� �
� � � flP ° i' '�, � � � � 1` e
Ri �
� � � � `� � o! w ~ a
� � �
� � � � � � � v �" � � �e .
�� � � � � � � � v � �
,� � � � �a � � � �
ar �
� �
� � �
F-
�
d
�
Z
f=
f-
w "'
J af
A Q
.-+ c7
�
LL A
z
�
¢
o Z
F-- p
�
U �
�
�
O
t�
z
O
..
�
a
U
...I
o..
d
Q
�p
Ch
�
i
�
t
N
O�
�
a
�m �
� � �
xii�av I
rn
w L�" m a -+
� V N o
� �G
,�G .�C 0yi L
�' �� m c
N .0 .-� ti+
W �.�1 N p
� 3 �° o O�
2 UA+� �
1
Q. ��"�+ N
1
� u e7 a. �O
� ro � �
ai , .�
� N C � £
y l� +1 C
iy N 't1 +1
� . •�-1 "'i p�p L '�O
0 � O O N W
� m 3 � m
G & � � .�
� '�
a,os�a
� m a ro ar �+
J �.�i d � n°� c�i
� � ro �� a
� �. a v s°,
� w.��i i°n ...�'i s�+ o v
m °�� s°1, ro m o
yG.!� � W� � ��.,a�
R7 A W N �+1 .�1 U
0.� Si �� N+��1 N W
h AuH H mroL
�
o �• ,
z i
H
W I
a
I
�
U
�
W I�
Z�
Z�i
� I
. �
� 1 � "� m z
� � O �
�+'� E � � E
�
N E W
•
G'i N � a
c�
N � � � N
� ~ WH tA H
� �-7 U paq
H
5 W
� O � �
O � U
W C7 � � 1
� � � �
o i a E°. w o
u
H a�i ,�
y �
� x ro
�ac{�O �' �
v
� �
N N
abueg se� � �
��F3 •�s�
.�:
• taa� S� ;
3
za[�seM ,d
,i�EOtO�R`( �
SLLFSE$ U
q
K���
U
TezQ �oot3. .
SSdMOt{$
suTr�uno3 [ b,
butxui=Q 'e „��
sda�y qseM o �
SiaFS o .b.l
U �
su-�seg v
�m
M
s4tLL.4aEH U �
d �
. •eiaujxp .ai 3
�' z
s�asoT�� o a
a
u v b r� .°: :.
soFxo3S ►Ni c[+ r�i v
�
m
N
n�0
N
z
N
O
a
�
H
a
H
N 4? f? t/t t? N t? N t�
m
a�.� H
A �
w
a
a
a k°.
z �
N '
O
z �
w
t/� N V�
a�
�
N
�
H
N
0
�
�
a
a
a
0
�
n
�
O
N �
. CD
N t? 4f N
w o 0 0 0 00 0 0 0 0 0 0 00
E-, o 0 0 0 0 0 0 0 0 0 0 0 0 0
� n'f N N ifl �l1 O I� tn �!1 �'f .i O Ul N
N vf N N 4f r-I f? N t? t? N :i N Uf
f? f?
!C k�Q �6 iC k k X k �C X k
A z I I I I
I
V
N
w
�"�
C1� N k
—� c�0 0 �' �
� � ° � �
b� o 0
¢ � C C � w y 11 � � w
� � d �;.� � m o w
�- a g, a, .+ a� o ►+ o
oG O +� � O� N � oi Hd o
'C W � o�
E,�,, a%i m o ��. u H w m�'i E-W. o 0
N 00 C/ CI N
w ��� w roo w e 3� � a � d.oy
�: �t� m•.1 °0 AC o r°n o.°i F w� °R� N v�r �
►r y � ty .� N.-1 3� l7 1�1 r� rf i� 04 0.: +�
B � u v v u w a ,..� H�
� �� c9 3 x z t�. � �•� c� W w a�
a c� a
m
w
�
U
t�A W
m
� O
v1 H
0
W
W
O
�'! O
� �
W O
a ,�
z �
HW
OG
�
�
T
�
c�
�
c
�
C
O
>
N
W
�
� �
g i
W �
> Q
Z w 6�
U5
O Q \
" Z cn
� a w
F- � �
u� � °a
_� o
� � �
� �
Z
� Z
F" O
0�.. p
pC OO
� �
� 0
��
� Z
F �
U �
Q �
>
�
Z
O
U
w
o- w
� Z
Z �
N
� � �
� �z,a.
LJ_. �C �
Q � � �
� �
U � ti �
40
�
�
v
'Q
C � "
t � �
-� U � �
o �, �
a3i V �
� � � �
� �
� �= � �
3 � �1
m 'a
c� � � N
O O ��
+`-�
"_' U -p N
O � ,Q � �`
� � O
.0 'C d
���� �
� C C U
ca Q-
� O c �
3 0 �n
E � �� �
�oo �
-� �
� � � °
� �a N
•� �
m
N
a� �- u� o
�-�a"' c
C � v� °�
� � �
� � �.
H N � �
J
�
�
w
_
U
N
�
.
:
•
a
�
W
�
�
C'3
Z
9
m
�
�
r`�1"
O
Z
F-
�
�
W
�
� �
i O
� �
�
O
0
�
�
W
Q Q
O
� � � � �
�
� 8 � S S 8
O O O O N
ch
� � � � �
I �
c c�v
� Y �
m
i� � �
o � m �
� `� O �
� _ 3
OiiLL,v
� � I �
�
t U � �
� � � � �
c � a°"i _° ��?-
,� � a[ � a
E � �
� u.. a c�
a�
rn
C
l�
�
u
C7
a`�
�
�
�
Q
� Q
�.
� �
= o p
Z W �
N J
� � �
N C
c �
o °
U
N
'V- O
�, J = ~i
� �
c
�
rn
� °' o
= Z 4
o�
a �,
�
z�m�i
I�
�
W
0
Z
N
�
d
_
�
Z
a�
v
�
F--
�
�
mm
cJ
Y
r
�
�
c�
Z
�
_
� �
� Z
� � � O
g
�
Q
m
Z ,
O
0
�
�
? o �
c � `
O
d O � U
� � c �.
Q � � ��
a • •� a.
� � Q N Q
a, N a � o
, p. O C N
O � � C t� •
:_. � � >
> � o
c a�i ,� �
U � � E o
a �� oN
� Q . V ,-
�
�
�
0
Z
1�
m
-�
�
�
�
�
�
�
�
c�
�
�
c
ii..
Z
O
Z
� O
p U
c �
� �
s �
O Y
�t Q
�
w
�
�
W
a �
m � �-
Y Z
o m ��
W
a og
J �
W
LL �
� � �
� �-
� W Z �
� LL" = W
cn _' p a
� � V Z �
� Z �Q
FQ F 2
W 0 � _
�Ov=i "b
Z U c�i
¢ o� �" �
°�a� w
�
W F � O
�" � w F
U
• � � H �
� Z
� � a �
�
0
t
3
-Q �
� �
�, c
� o
'N �'
cv Q
c p
� n'
� c
Q.. '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. �. �