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AF - 40545v�� o� ��y, �. � �� lv° 281 �� m� ��o� o� ��nvG� � � � °�� owne :� �� =::�.��.` u C,�`��y'�`°Yl�4 �.so � f + Architeet Frid�ey. Mi�.; '��' .� , �.9 ��d �b" ,�a Suilder �4�; ��*� �. _ LOCATI�11dTT OF BT7ILDIl�TG �;` F �w� No. ± �- � � Street � �� '� � �� Part of L�t - Lot �"` � Block Addition ox Sub-Divial.oa �• "�- � f �� • � ' '�x� �,'�,� "`,�-� ��C�,fl�'7'TON ��' �'iJII..DING Front �� Depth '°°�, �� Height� Stories� Mann.er oF Commstructioa .,�'�0 s��' �'�!� , ¢. � °...� °.M � y F�: C � . �e r' y _�.� � e �- , !� - a-rss' To be uaed as i�,1 °;��'�.r�,�.r-� �?.�. - To be completed�s°��='�" i � ��, . � ♦Egtima'�.,ed Coat =_ya��'' � �. / � �� .� q,:s� ��+ ,.� =ws � ��:,,v;-;;:, Permit ie hereby granted to �,� A � w to �= Y ,� the buildin �` ��` ,}�`� ��, *',' described in the above statement. This permit is graated ugon the egpress condition fihat the " rson to whom it is granted, azid his a,gente, employees and worl�en, in a11 the work done in, asround and upon cY building, or an.y part thereof, sha11 conform ia all respects to the ordi- na,nces oP Fridley, Mina., regarding the conetruction, alteration, ffiaintenance, repafr and moving of buildings within the cfty Ifm�tts, and this permit may be revoked at any t3me upon violation oP any of the provisions of sa3d ordinances. � ``� 4 �§°, �c` a ;� �+J � ��'' `' ",,�� "�'�;d.�� ;., 2nspector of Buildin�s. ;' �1�I, l Ti �,' l�l In con.sideration of the issue and 'delivery to �ne Toy the In�pector of BtaiZdings of Fridlev of the above permit, I hereby agrree to do the progosec� work �ra. �,ccordarnce with �he deacription above set for�h a,nd accorda.ng to the provisions of t'�e o�cla�a�ces of Y'rri..dley, and, being firat dv1� swox�n, I hereby state and say that the fact.� stated Toy r��e arad cont �ed im t�e ab�ee p��it are true as 'r,herein stated. .��%, ,e� �� = . Subscribed and swora to before me at Fridley, Minnesota, �hi.s— da of , "' �.: ¢ ��,.v A.D. 19 � '� ` °�°-� � � y Y �. ,u � �� City of Fridley, Mi.nn. BUILDING PERMIT Date: SEPTEMBER 20, 1966 � �i �� 9U18 �: VALERIA OBRYCRI 8��, ALL SERVICE SSgli BLACKTOPPING, INC. �yd� 2,Z 34 EAST RIVER ROAD �,d� 313 - 97th Avenue N. W, FgIDLEY, MINNESOTA 55432 Coon Rapids, Minnesota LOCATION OF BUILDING No. _ 7234 5�t _ EAST RIVER ROAD _ Part of Lot Lot ._._ 29 __ Block 1 ____ Addil3on or Sub-Division .�.._ OAR CREER Corner Lot — 7naide Lot � Setback �_ Sideyard Sewer IIevation ..�__._ — Foundation Elevation To ue vsea ea: B?�ACRTOP �t DBIVEWAY Front Type of Construction DESCRIPTION OF BUILDING Depth Height —.. Sq. F't. Depth Height Sq. FL �____ � �, � � 300.00_______ _ To be Completed Cu. FL C:U. I� t In consideration oP the isauance to me of a perrnit to construct the building described above I agree to do the proposed work in acc�ardance with the description above set forth and in compliance with afl provisiona oP orflinances of the dty of Fridley. � / � �- 9. � ) .l,�2 . '- . .�_�./-�.p_.....�':- . � ,d:_.� �/✓' / In consfderat[on of the payment of a fee of $ 4. 00 � permit fe herebY granted to ALL SERVICE � BT�ACRTOPPING, INC.to �� e bufldin�g or addition as described abave. Thia rmit ia granted u� the expr�s condition that the perafln to whom it ia granted and his agenta, employees an�workmen, 9n all work Fridl e Mtnnesota d upon eaid building, or any part thereof, st�all conPorm in all reapecta to the ordinances oP within 'the dty limit�an�this lperalit� y�be�revoked a t ar�y time upon ovi lati n oP r aad moving oY bufldinga or�� any of the provfaions of said �_ .t_.a.�\ �' :. �i._ . �__ :� � . � �_ ,,i,.�K.� NOTIC� TW psradf d� net eevsr t6s eenatrudioe, IestaQalloe he wh�a8, plumbtee, en 6sadne, s�w�r oe wats�. B� wn to a� the Bulldirt8 Insps�to� far apual� parmNs Por f6� h�. � .a � " APPLICATION FOR BUTLDING PERNBT CITY OF FRIDLEY, MINNESOTA OWNER'S 1VAME N�.1.eria Obrycki g�D�g All Servl.ce Blacktopping� Irsc. annx�ss ?234 E. �.ver Boaa Ann�ss 3� 3— 97tri �ve. �. �a. LOCATION OF BUILDING N0. STREET PART OF LOT_ �_ �,> i � C "��:� ��+�-�-�cf �.�s LOT =�.. �/ �LOGK � ADD'�TION OR SIIBDZVISTON �_� __ _-�----�--.� ��-�C - �Y � CORNER LOT INSIDE LOT SE'1'�ACR SIDE-YARD '� c�'t'�"'��%� SEWER ELLVATION FOUND�TION ELE'VATIQN Applicant attach to thia form Two Certificatea of Survey of Lot and proposed building location drawn on these Certificates. To be used as ; DESCRIPTION OF BUILDING Front Depth fleight Sq. Ft. Cu. Ft. Front Depth fleight Sq. Ft. Cu. Ft. Tqpe of Construction Black�op Driveway � Estimated Cose � 300.0� To be completed_ 3ob completed. ., The undersigned hereby makea application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulinga of the Department of Buildiage,.,and hereby declares that all the facts and representatione stated in this application are true and. correct. DATE_ 9/144/66 (Schedule of Fee Coats can be founfl on the Reverse Side)� � �1` � � � � � d �. n � BUII�DING PERNQT FEE SCHEDOLB SECTIOP,2... The Inspector of Buildings shall, before isauing anq permit for the erect3.on of any building or atrucCure, or �for any addition to any existing building or structure, or for any alterationa or repairs to any esiating buildiag or structure, upon application therefore, require the payment by the applicant for such.germit of fees to the amoua� herein.below �et forth and in the manner herein provided to-wit; 2.1. For any euch permit for the erection of any fire-proof building, other than a garage, warehouse, factoxq or grain�elevator, or for the erection of any fire-proof addition, for similar occupancy, to any esisting buildiag, ahall be at--the rate of $1.40 for each one thousand cubic feet, ar -fsaction thereof, in auch cubical contents. - 2—.� -- �o�- a.ng-su��--�e�i-� for the e�eet��--o€-an� €a�re-�rflof g$rage.,- warehouse, factory or �rain elevator,'or for the erection of any fire»proof addition, for similar occupancy, to any eziating building shall be at the rate of $1.25 for-each one thousaad a�ibie £eeti, cl�aeified as�."fireproof" bq Section 502 of the Minneapolia Building Code. HOIISES 2.3. For any such perm3t for Ghe erection of any non-�ireproof building, other than a garage, warehouse, factorg or grain elevator, or anq nou-fireproof addition, for �imilar occupancy, to any�exigtiag bu�ldin� �- permit $1.00 for each one thousand cubic feet. � GARAGES 2.4'-. For any such permit fo`r the erection of any non-fireproof garage, warehouse, factorq or graia elevator, or for tbe erectian of any non-fire-proof additian, for similar occupancy, to any egisting bt�ildiFtg or for e�ch such building ar addition - ninety centa ($0.90) for each one thous.�nd cubfc feet or fraction thereof, in the cubical contents thereof with the mini.mum of $4.00. For the�purpose�of computing fees for building permite, the cubical contents of any building or addition to a uniform�height throughout_by multiplying.the --- -- --- - � grouud area covered fram a�oint siac (6) inches below the floor line of the basement or cellar to the average he$ght of the upper eurface or to the average heighC of�`the roof surface of the main gable o£ a pitched roof. - 2_5. Fox repaire o� alterationa to an existing structure, the fe� shall be at the rate of $3.00 per each Five�Sundred Dollara ($500.00) or frac�ion thereof in the cost of all proposed work. 2.6. In no case sha1�. the fee charged for any permit as set forth in Section 2 be les� Chan $4.00. , , STORM REPAIR DAMAGE FEES: . � Residential;' Eatimated Cost of ��ork u� to S�CO��l� -$5.00 Estimated Cost of ��,:�i� c:�;�r ;':��:�::.+�J. - .�,:L,�O Co�ercial; Estimate�"��st o� �a�;rk�t� �o ;�r��;3:.�:4 - $�� ., � : Estima:e� .:ost; of 6ft�YiS. ove�r"'$SLCa.t)U - $2�..J� �: � ' � � � City of Fridley, M.i.rm.. BUiLDING PERMIT Date: Aug . 1, 196 9 y� �� N° 10355 �r: David Slavensky Builder 1Ki.lton Johnson Roofing Co. ,p,d� 7234 East River Road Ad� ti5�� Gegtral Av�,_ R_ E� LOCATION OF BUILDING No. 7234' Sireet East Siver Road � p� op �t Lot - 29 _ Block 1 Addition or Sub-Division .�.9�.k Cre@k Addn , Corner Lot Sewer IIevation Inside Lot Setback � Sideyard Foimdation IIeval3on To be Used as: Re-Roof �t Front Type of Construction DESCRIPTION OF BUILDING Depth Height Sq. F't Depth I�eight Sq. Fk � �, � _ $685 .00 _ To be Completed Cu. Ft Cu. Ft In consideration of the issuaace to me of a permit to conshuct the building described above I agree to do the prnposed work in accordance with the description above set forth and in pliance wi afi proviaions of c�rdinaanc�es oP the dty of FrYdley. A\ �� In cona4deration of the payment of a fee of $ 5.00 , permit fa hereby granted to M�1-ltoa 1'ohnson Roofing Co. to construct the buflding or addition as described above. This �ermit fs granted upon the express c�ndition that the person to whom it is granted and his agents, employees and worl�en, 3n all work done fn, around and u�n said building, or anypart thereof, shall �nform in all respects to the or8inances oP Frld1eY, Minnesota regarding location, construction, alteration, maintenance, repair aad. moving of buildinga within the dty ]imits and t�is permit may be revoked at any time upon violatio f any c� the Provisiona of said or�dinancea �� pector,� Clarence Be isle NOTIC� T6b psrmh do� eot eover t6s eoaslrueHon, te�taUaMon ier �rUta& P��B, 6a 6ssNne, ssw�r er rrahr. Bs sore to see t6a Butldio8 Inspseto� fo� aparat� parmHi Por �6sss it�ms. .. �, � � � APPLICgTION FOR BIIILDING P�T CITY OF F`RIDLEY9 MINNESOTA OWNEEt ' S NAME K�-��-c� � X-G�-i.�-¢o✓l.�-�- BIIIIbUER ��'l�-�� C?'`►1�i�,�,� �.�z�• . �� . AnDx�ss "7 ��'� � � � `e`� � ��x�ss � � � 3 � G2� ��C -� ° LOC.ATION OF BIIILDING NO o % oL'3 STREET � a-.� %�-r,�.a� �s-�-� LOT �.�- 9 BLOCK�� ADDITTON OR SUBDIVISION �c+� �-�-f-� CORNEft LOT INSIDE LOT SETBACK SIDEi'AR.D SE4,TER ELEV,�TION TOP OF FOOTING 9pplicant attach�to this form Two Certificates oi Survey of Lot and propoeed building location clrawn on these Certificateso To Be Used Aa: - Front DFSCRIPTION OF S[TIIsDING Depth Height , �quare feet �ubic Fe�t Front Depth Height Square feet Cubic Feet Type of Conatxuction E�tima.ted Cost � �� •�, To Be Completed The undersi�ned hereby ma.kea application fo� a permit for the work herein apeaified, agreeing to do all work in atrict accoxdance with the City of Fridley Ordi.nancee and rulings oi the Department of Build�.n.gs, and hereby declarea that all the iacts and repreaentations stated in this application are true a:nd correcte 0 DATE � � �— � � SiGNgT'Ul�E � (Schedu].e of Fee Costa can be fourid on the Reverse Sideo) ,�j � � . � � i�1 � . _. �._ - .r . - .. °' �'' � ` A.- - a �o BIIILDING PERMIT�FEE SCHEDULE SEGTION 2a The Inspector of Buildinge shall, before is�uing permits for the exection of an.y building or �tru.cture9 or for any addition to any �xisting �trueture or buildings or.ior ar�.y alteration or repaire to any ezi�ting building or st�ucture, upon �,pplication theref�re, require the payment by the applicant fo?� such permit �oi fee� to the amoun.t herein. below aet forth and ita. the ma.�aner here� p�ovided tomwit: IIniiorm Builcl�.g Codeo Type 19 29 & 4 m$1075 ior each one thousand cubic feet, or fraction thereoiy ir! auch cubical c�xatex�tse Type 3& 5- $1 a 50 for each one thousa.�.d cubic ieet a For the purpoae oi comguting feea for building permits9 the cubical - c,z5n'tenta of �ny�tzii�it��`�dd'rt3��. u'�.i�°orm heig�f`� �t��Y�o'tit��r --- - multiplying the grourid area covered from a point aix (6) inchea below the floor line of the basement or the cellar to the average height of the upper surface or to the avera.ge height oi the roof surface of the ma.in. ga,ble of a pitched roof o For repairs or alteratior_s to an. eacisting atructure9 the fee shall be at the rate oi $3.00 per each f"ive hundred dollara ($500000) or f�action thereof in thE cost of all proposed worko In no caae shall the yee charged fo� azay p�rmit as set forth in Section 2 be lesa thari $50000 NSSSD Connection Cha,rges based oxi location - Area 1 or 2. � „�, ... .• �„i', �_ . a. /� � _. ,. � , '� sus�ecr PERM . City of Fridley 15 7 9 4 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T � r � � RECEIPT NO. � 1 L______ COMMUNITY DEVELOPMENT �IV. r � � PROTECTIVE INSPECTION SEC. � � � � � /"'1 � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BV �'----� • •�� 612-571-3450 910-F15 6/23/80 � � JOB ADDRESS 7234 East Ri.ner ROdCl N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED oesca. 29 1 Oak Creek Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Valeria Slovens 7234 East River Road N.E. 571-0554 3 CONTqACTOR MAILADDRESS ZIP PHONE LICENSENO. 5ame 4 ARCHITECTORDESIGNER MAILADDRESS ZIP PHONE LICENSENO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION � REPAIR ❑ MOVE ❑ REMOVE X X 8 DESCRIBE WORK 0 1 wi ne 2' 36' Gara e and new dining room of 9'6" x 26'e Add new deck to back of home of 8' x 25' and 9 CHANGE OF USE FROM TO STI PU LATIONS sFa W�IRHI�IG �AT�' ReYare Oi�in� ca111ca1 ut� �tyN� p� �RMrrs ��pHONE • ElECTR1C -GASEi� ��ei�y� �1�'p f� REQUIR�D �Y LA� �a 5�� R ;�,� SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. WOOC� Fi33II@ THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION ], STALLS GARAGES AND KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTIWG OF A PERMIT 15 950 %.98 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE PqOVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. 9G.00 NONE ` PLAN CHECK FEE TOTAL FEE SIGNATURE OF CONTRACTORpR AU7HORIZED AGENT �DATEI 127 98 � � WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT �� <�'!� � s _ � 0�- �� , a„�� . � - ��2� � `� I —�C� SIGNATUREOFOWNERiIFOWNERBU�LDERi IDATEI - BLDG INSP �p7E � �� 5 ? �� .W �� i Jl j 7 i � � t� � �- � � -' > � �= ;-� � G tc , '_.._. .._ _._._�._ � �V , �j; � � , �'. i�� "�"' � .�. _ , ��; . � � � �� ' � � � � '`°�.. i\ � i ! � � � O d ��— � .� ��J � � � � � � � . � .�.w.. ..... . . d �._ _ . . _�w <.r_.�..� �_.... < < . � _ . --, , CI7Y �f' �it?DI..CY � . AR{'LICli1'I.Ci� FOft RESIDCN7I,'tl_ C�UILDIPiG PERMITS ' (Pdev�, Al.�:�ra�cions, Adilii:ions, o�,��?�:�airs� 04l11ER: ,�� E/P�n S`o vE/l�S� . QUILOER ApdRkss: �a3`�:��-;��Pi.vE� �D. ApORESs - _-_--,-V-, TCI. �t0: � %/- 4 �v ^�'� _____ TEL f��: .. .. . . �.�. . . �� • . � Construction Location S��x No : �� 5��: �� ; �� c. � � �-,n � _ �«,. ..._.2.�� . . . -„� O� � � � �J LOT: c� `r, I3L0�'i'.: � ADDITIOII: � . Gorner Lot: Tnsicle. Lot: Set]uacY.: � Sidey�rds: Applicant att� ch to this form two CertificatES of Survey of lot and ' proposed building J.oca�ion dra�an on certificates i�o seale. DESCR�PTIG(d OF CONSTFtUCTIQN � . '�AJ �� L r'xont: �• f� Depth : � Height: ^-� Squa�e. Fcet_��[y�� Cubic Feet: CI�R� 1"::ont: 3C Dep�.h: �O eiqht: _______.-_.-.� � � Sctuare Feet: '�f �� Cubic Feet: -� � 7-'YPe of ConsLruction: �� :� ll�Pn'�0��/l7 � � xb BG Oompleted: �C T 1,. l 9�� . �S� SS�� v �, • �sti.�nated Cost: $ � p • Alt. A �,l�o B Proposed Dxiveway «idtt-� If New Qpening Is Desi.red: _ $� $ . SEE REVERS� SIDE OF SHEEi . �j'3(�X�,�I = � aSG ��1� �t31.c�'t = 7,'X�a � � . 7`he und.ersigned hereby makes apulication for a perniit for the work� herein specifieda agreein� to c�a �11 work in s 4rict accordaaace toith tiie City of I'ridley Oraii�ances anc3 xuli.ngs of the Depariment of Buildings, and hereby declares thai: a7.1 i.he iac�s and repzes�.ntata.ons stated in tt.his applica�ion are true and corxeci:. ' �. .s ,. s .n . /'�'9 A D�1T�: O � SIGNATUF.E : ��;��—�_�___``•�� --�'��'�`�'"' o �� StipulR��.0I15 : ��.r �i/� �k I S ��h � 19�� n e� D/i'►i/r� G�° ° r� , . e� � f►� e �i' �/ � �� , TC� �t 1� N � �r�� e �Z�X 3,� ��r � ti � � �iHihl �oo� � %G: ��P.� ` eC� � 9.�" ,� �� ; �.. ,�e� � A `. �' � 0� a.� q� P¢ �� Q'�'• ,�F q� \�� fh �� a�' ��:� � � x a� ' ,��es � �� , � h�� tie� �i.�Ir9Q r t�din�%O�r! S� Gloe�.5� �h��'��/�,� � l�i�EME'p, ��+bine�`.f' egn� C'P�e�7 ��iUc��. a . Bu�i�l)I(JG C'L-:RI�1T rEf: SCfICDUI_C� , ;13C'1'101�l 2. '1'he 7n:.c��ecLor. of 13ua.7.clincJ:; .:hal.?.; trGforr a.,suing pe�ani.L•s tnr L•hc er.ecLion o,C any bui_1.c1.i.r►�,� or :;ta:uct:ure, or. fo�- any ridcli_L-a.on L•c, any cr.i�Linc� ��tiilcli,ng or strucL-urc, . ciz fa�� arry a1.L•cra��.opi or. r.cpair.:, i:o •a��y ex3_��i:ing }�ui.).cli.ng or sL•r.ucturc, u��i appl.i.c��tS.on �L•her.etc>r.e, rcyuirc t�}ic� priytnent: by fihc: a��p).i.canL• for. siict, }?ex'miL of tces ta. tl�e amounL hcrr:.ir� l�el.oa� scL- for-L•li ��nd S.n �:hc inanncn c�a:ei.n providacl L-o-ti•�iL•: • . )il.{�i •G�93�STP,UC7'IOI� : Sinc�J_e. 1'amiJ.y iJomes� and Gar.aycs : $�! . 00/]., 000 cubic feet. � P7,Ai1_ Clij;�`Y.: 25 pe�Gent oL l�uJ.�c1�:n�J pex7niL fee. , , b12SVijdnY 1)�1'RL•'SSIOI�: (ConcreLe, Curb �i:reeL-s Only} ' ' R�.'i:C1"I]�ltr; %;: Removal ar�d rep].acemenL- ot concrci:e curb and yuLter only; nrivc��ay 4r5.cltli �ltis G�eeL x Y�.S.o75 � Alt�rnat-e I3: Remova]. and repJ.ac�mcnt of cone're�e curb and . ' gu�tcx and insL-a].J. a 3 LooL- wide appro�-zch wii.h �� ' . G i�,ch dc�pth; Drivcway width �plus G tee� r. $17.85 � '� . ..1�1,� 1 T 10 «��. z t�r- o�� ,LI.�. �or �hn pur�se of compui:ing tees i'or buildinc� ��rmits, ihe cubical. contents of any building or addition, is detez�nined by multi.p]:yir►r1 i-he ground area covered from a �,�aznL- si�: (G) inches beloc•� tl-ie floor line o£ the basement or the cellar i:o i:he avezage heights of L-he uppe� sur.face oa� i:o L-he average l�cighi. of i:lie xoaf si�irface oi the ;aain gab].e o� a pitched roa�. � kor xepairs or alterations to an exi.stanq strucL-ur_e� the �ee shall be at the rate of $3 .00 xier Each fivc hundred d�llars �($500.00) or fraction iliereof in the cost oi all propo�ed work. . , ' I�i •no r.ase slial.l the f_ce charged for any pennit av �et fortli in Section 2 be l.ess � than $7.�0 plus $.50 state surcharge. ' � � VFRTFTCATI�� F �OUf�DA1-IOfd IdOT�: P�rmits �or const�-uct9.on will be issued a r.unimtmn of 24 houxs frorn the tirne oi appli.cata.oi� L-o allow for proper review of i�}:e proposed structure and of th� . canstructia�: s�'�e. A Certi�icate oL Sux.vey of tlie lot, sho�ainc� the 1.oeation oi i:he fc�undation onee it lias l�een constnicfi�ed <<�ill be i-ec�t�red before pror.eedi.nc� �•rifih the iraming. ..�.�1ZT I E1 �1�T f.,.�E ?.� UP A NCY . . Xsppl:i_cation for a Certi�a.cate o� Occupancy s1�a11 be made ten (10) da�►s prior ta the use ar occup3ncy oi any structure ior which a� ��uilda.»g pei�iit has been a_ssued; c711Ci said stzucture shall no� bc usc:ci a�: occupied uni�il a Cer_�.if•�cate oi Occupancy has beeii i,ssueda ,- � , • :,� , . � . • , � �w .� �TERGY C�IVSERVATION SUPPLEMENT TO BUILDING PERMIT APPLICATION pLANNING AND IN5PECTION DEPARTMENT CITY OF FRIDLEY, MINNESOTA This supplement is provided to assist the applicant in computing EXTERIOR ENVELOPE AVERAGE "U" FACTOR INE'ORMATION. This information is required so the BUILDING OFFICIAL can determine that s.ubmitt:ed plans c�nply with the ENERGY CONSERVATION DESIGN CRITERIA of the STATE BUILDING CODE (Section 6000). It is the APPLTCANT'S responsibility to accurately compute the data; reflect the proper DESIGN CRITERIA in the plans; subm:i.t product specifications, if needed to support the "R" and "U" factors used; and to assure construction is per approved plans. JOB LOCATIOAT: OWNER/CONTRACT ADDRESS :�� 3 y ��s T,�� /�L�� a� PIiONE : e�1 `° � S� y A. Detera�ine the Total F�cposed Wall Area as follows: 1. Total wall window area 2. Total door area 3. Total sliding glass door area 4. Tota.l fireplace wall area 5. 7btal wall framing area (average �10�) 6. Total net wall area above floor(average 90�) 7. Total rim joist area Subtotal.: Total exposed wall area above floor 8. Total foundation window area 9. Total net foundation area above grade Subtota.l: Total exposed foundation area GRAND TOTAL EXPOSED WALL AR,El�1 �o�s�.� ' s� ��'° . s� �r O �d �s �T � ��! Y 5��' � S2� . s'g �� D �� ' , ,� 5�� ` �5�� s2�` , B. Multiply the GRAND TOTAL E�OSED WALL AREA X.17 = C. Detezmine the Total Exposed Roof/Cei Ling Area as follows: 10. Total skylight area 11. Total roof/ceiling framing area (10�) 12. Total net insulated roof/ceiling area GRAND TOTAL EXPOSED ROOF/CEILING AREA D. Multiply the GRAND TOTAL EXPOSED ROOF/CEILING AREA X.05 = a r ,, c Item I o �� Item II 0 E. Determine the "U" value of each segment (1-9) and multiply by the area as �* follows: 'n 1. X nUn _ .� — 2. g njJn = r 3. X "U" _ 4. X "U" _ c.�. X nUn = 6. X "U" _ 7. X °U" _ 8. g .�U�� _ . � 9. X "U" - . ALD 1-9 FOR TOTAL WALL SEGMENTS = IT� Y�I F. Dete�ine the "U" value of each segment (10-12) and multiply by the area, as follows: �.� . X uUn �.1. X uDn 12. X "U�� ADD 1Q-12 FOR TOTAL ROOF/CEILING SEGMENTS = ITEM IV G. If Item III is the same as, or less than Item I, you have met the intent of State �ilding Code 6006 (c) 2. H. If Item IV is the same as, or less than Item II, you have met the intent of State Building Code 6006 (c) 1. I. Add Item I + Item II = J. Add Item III + Item IV = K. If the sum of Items III and IV are less than Items I and II, you have met the intent of the Cade for tota.l envelope system. The undersigned, as applicant for a building permit, hereby affirms the above information has been prepared and submitted by himself or under his direction, hereby acknowledges the information to be correct and accurate; and hereby presents the information with required plans in support of the building permit application. � �Y= . • s � , � DATE: sue�ecT PERMIT NO. City of Fridley 2 0 6 3 AT THE TOP OF THE TWINS g � I L D I N G P E R M I T r ; � RECEIPT N . � ' COMMUNITY DEVELOPMENT DIV. � �� ' LL �� r � � PROTECTIVE INSPECTION SEC. 1 ` � � �"'1 � CITY HALL FRIDLE� 55432 NUMBER REV. DATE PAGE OF AGPROVED BV �"'""� � �`' 612-571-3450 910-F15 1Q/17/�0 � � JOB ADDRESS 7234 East River Road N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 29 1 Hillcrest Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS 21P PHONE David Slovensky 7234 Ea.st River Road N,E, 571--0554 3 CONTRACTOR MAILADDRESS 21P PHONE UCENSENO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PNONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASSOFWORK n NEW O ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE � REMOVE S 8 DESCRIBE WORK Construct a 22' x 14� 5hed 9 CHANGEOPUSEFROM TO STIPULATIONS See sti:�ulations o� �ecial Use �'erniit ��0,16, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL. PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WOHK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTiiEET PARKING I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION �. STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $4583 $2.29 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- 72 s O.O STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $ PLAN FiECK FEE TOTAL FEE �.xe .. 4 e rJ8 7 e 7 �SI ATUREOFCON' ACTORORAUTHORIZEDAGENT IDATEI WHEN PR PERL VA D H YOUR PERMIT �z�� /° ° �� ' �C� SiGNATURE OF OWNERiIF OWNER BU DERI IDATEI G �NSP ��pTE NEW [ ] Effective 8/16/90 ADDN [ ] R-1 AND R-2 AL��2 [ ] Building PeYmit Applicatiaaz Construction Addr+ess: 7.Z. 3 y E�sT 6� � ye �(h o a d, iC�,'u+� /� �i� Legal D�scriptiari: OWIIPS N�IDE 6c AdCL��: J�A.1�� L.sVPM S`� �.'Z• #,Sr%I —O.S�.S'�✓ �ntractor: 1�dd�r�es.s: �+e�-. # Attach to this application, a Certificate of S�vey of the lot, with the praposed ca�ctioai drawn aaz it t� scale. �� ISVIIJG AREA: Length Width Heic�t Sq. Ft. QsiR�,�GE ARE'�i: Lerigth Width Heic�t Sq. Ft. D�GR AR�i: � Length Width Hgt/Groiurl Sq. Ft. OTi�R: ��►rn/T�p`oSNed �1� /S/' — /'d � 3�d Corr�x Iot [] Inside 7At [] Ft. Yd Setback Side YaYd Setbacks Z�pe of Construction: _ 1►VD P� G� �' StlIi13� C06t: y�1 ��3 0°� Approx. C�eonpletion Date: Proposed Driv�way Width If New Opening Is Desir�d: Ft. $ $ Width + 6' See Back Page nATE: /O °/7 — 9 0 1�PPr�cAN'r: Z�el. # S?/— �ss'y CITY IISE �Y m�++i t Fee $ �%�. O � Fire Surcharge $ '`J.S ° state sur+charge $ �. ,� �'j s�AC c�arge g Driveway Escrow $ Park Fee $ Sewex Main c�arge $ . �. ��: _- _,.v�, _.i _ - . t ; � - t-� �_� .001 x P�ermit Valuation (1/lOth �) S.so/Sl,000 valuation S600 per sP,c unit Alt. nAn oY' Alt. nBn Above F2e D2tprmi r�rl �Y �j�i�1 Agree�nent Neoessa�.y [ ] Not N�.saYy [ ] s �P� c� � � � ��c _ C�S � . �i� -� � _ � �� 20��. �J��'�o�l�� .�,'�� P t� C_��-�—�c�r�� i:'i��; �fa�+; Y�4��+�:�T«:i��_il�� Zhe Clzief Building Official shall, before ��» *� permits for the erection of ar�y buildirig or structure, or for any addition tA ariy existing building or structur�, or for ariy altexation or repair t;o ariy existing baiildirig or structure, upon application therefore, require the payment by the applicant for such ��; t of fees to the amotu�t herein below set forth and in the manner herein provided to-wit: � 'ICn'AL VAIIJE $1 to $500 $501 t;o $2, 000 $2,001 to $25,000 $25,001'to $50,000 $50,001 to $100,000 $100,001 to $500,000 a��. $15 (Mininann Fee is $15 plus surcharge) $15 for first $500 plus $2 for each additional $100 or fraction thereof, to arid including $2,000 $45 for fizst $2,000 plus $9 for each additional $1,000 or fraction thereof, to and including $25,000 $252 for first $25,000 plus $6.50 for each additional $1,000 or fraction thereof, to and incl�c].ing $50,000 $414.50 for fiYSt $50,000 plus $4.50 for each ac�ditional $1,000 or fraction thereof, to and including $100,000 $639.50 for fixst $100,000 plus $3.50 for each additional $1,000 or fraction thereof, to and including $500,000 $500,001 to $1,000,000 $2039.50 for the fiYSt $500,000 plus $3 for each additional $1, 000 or fraction thereof, to and ir�cludirig $1, 000, 000 $1,000,001 ar�d up $3539.50 for the first $1,000,000 plus $2 for each additional $l, 000 or fraction thereof DRTVEWAY DEPRESSION ESC�W (Concrete G�rb Streets On1Y) Alternate "A": Remaval arid replacenuent of curb and gutter only - Driveway width plus 6 feet times $13.50. Alternate "B": Ren�val arid replacemer►t of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $15.75. . � �. ��! ;_ � •»l PeYmits for oonstruction wi11 be issued a minim�un of 24 hours frc$a the time of a�lication to allaw for proper revi�w of the proposed structiare and of the construction site. A Certificate of Suzvey of the lot, showirig the lacation of the fa�uidation onoe it has it has be�n constructed will be requir�d before pra�eding with the fiaming. .; �� :� n, G �'° -_ � 3 f- �. i� r r �, r � � d� ,'+ a � i-- � �� —� �11 � � � �1_ 1 �, � -_�`� . V ' i � �: � V.i � � s Q 1 � \ ``} J ` � V � � �lf\ a (�� s n� l� \ N � � �� = � � SP 4�90-16 SITE PLAN sue�ecr City of Fridley AT TNE TOP OF THE TWINS g � r L D I N G P E R M i T i � � � � ; v __�_� COMMUNITY OEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC � � . , `-__.� ��"' �'� CITY NALL FRIDLE� 35�32 NUMQEN nEv i 612-571-3450 910-F15 10B ADpRESS 7234 East River Road NE t LEGAL ��T NO. BIOCK TRACT OR AODITION DESCR. 29 1 Hillcrest 2 PROPERTY OWNER MAIL ADORES$ Dave Slovensky 7234 East River Road J CONTRACTOR MAIL ADDRESS American Builder Contractors, 12247 Nicollet Ati e ARCHITECT OR DESIGNEA MAIL AODRESS 5 ENGINEER MAIL ADDRESS 8 USE OF BUILOING Residential 7 CLASS OF WORK 8 DESCRIBE WOliK 7/17/00 � / / NO. RECEIPT NO. �� 7� ►ovqOVED Br SEE ATTACHEO SNEET ZIP PHONE 571-0554 ZIP PMONE LICENSE NO irnsville. MN 55337 ZIP PMONE LICENSE NO. 952-707-6959 20169383 ZIP PHONE LICENSE NO O NEW ❑ ADDITION O ALTERATION C'x REPAIR O MOVE O REMOVE Tear Off and Reroof House and 9 CHANGE OF USE FROM STIPULATIONS TO 27 Underlayment must com�ly with the State Building Code. SEPARA7E PERMITS AqE REOUIREO fOR ELECTFICAL, PLUMBING. HEATINQ, TVPE OF VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL ANO VOID IF WORK OR CONSTRUCTION 20NING AUTHORIZED IS NOT COMMENCED V�1ITHIN 80 DAYS. Op IF CONSTqUCTION OR WORK IS SUSPENDED OF ABANOONEO FOR A PERIOD OF 120 DAVS AT ANY TIME AFTER WORK IS COMMENCED :� NO DWLG. UNITS I HEREBY CERTIFV THAT I HAVE READ AND EXAMINEO THIS APPLICATION 1 STALLS AND KNOW TME SAME TO BE TRUE AND CORREC7. ALl PROVISIONS OF LAWS yp�UATION ANO ORDINANCES GOVERNING TNIS TYPE OF WORK WILL BE COMPLIED WITH WHETHEii SPECIFIE� HEREIN OH NOT. TME GRANTING OF A PERMIT $2,.360.00 DOES NOT PRESUME TO GIVE AUTMORITY TO VIOLATE OR CANCEL TME pERMl7 FEE PROVISIONS OF ANV OTFIER STATE OFl LOCAL LAW REGUTATING CON- R CTION O TM FORMANCE OF CONSTRUCTION c�E�J7. �LS PLAN CMECK FEE Licens �5. - S�GN4TUAE CON'AACTOpOAAUTNONiZEDOGENT IOAfE� _ , c., e�e•.n� .. ...... n NCV LOAD CU f T FFSTREE7 PARKING IGARAGES URTAX $1.18 4C CHARGE Fire SC $2.36 �T FEE $91.79 TMIS IS YOUR PERMIT . /i� / �i Ju1-15-00 09:32A a.�.r�• j J �� aLT�R [ I -- •�•,•�• a.a. r ta- rxt1A.EY TO CI7'Y qg �1liDL�'Y �.5� .S%� SIlVGLT FA14�p p� �iD AUPLF.�s R Y A�vp �.2 BUII.DING PERi►9Tt' APPLrCATlON VD P_04 ?0'T9925 P.61� �C�YC i/i!y$ ( \ �� onAdde�s; � Z 'S � • � ,q � i 1l.. vL..r. r1. . dc�. � � D�s�pdo�; � � � ( � � l�i� d�,4dd�: ' � Co�actor. ,r� ��"-� Tel. A� S?�-- D SS � .��..� , �..�(� G. : � . � � M1r1 LiCENSE # Z c� / (, �, 3 � A�• 22 �r i A�^ �... (, �-•-�i ` S._ . . ��..- �. TeI. �► �� -6 s s` . Rtta�h w t�is a�plicatio�, a Ce�icate of Survey of tbe Iot, witl� t�e proposed cons�cdoa draara an it W sczk, , I.�VIIITG AREA: GARAGE AREA: DECK A�e�: fJ1'l�R: DESCRiPTIQl1T OF IIKpRp�V� � I'e°gt6 �..�� i.cngtb ,._.__ �-7 W� �8� sq.l�c. Width -----._ �� Sci• F� _______ � �_ --��_ �SVGrawjd _,� Sq. Ft. Ca�stivct�on T'ype:T�� d� �' � • /�. �� -�""" �J' � F�ated Co9t: S �' a �s � lFee Schedu2e on Backl Drivtway G1�rb C�i wiQd� Needed; Ft. + 6 Fc Q Fc x S � S � DATE: �-17-�/G Ap'P'LTCANr: Td. # Permit Fee Fit+� Sur+chargt Sta�e �trchsrge SaC Cflar�e � Surchar$� ��aY Fscrow Frosion Con�al Patic Fee Se�ner Maim Cbarge �� Sl'�tJLA1TONS: ITY � nwtr v ,+tiu� S �� .�� Fee Schedule on Rcvcrac Siti� s - � .QOI of Ptrn�it Valuatiog (1/iQth96) $ � � ° 3.50«1,00o va�uaoo,� a �1000 p�r 5AC Unit � -� C, SS.00 (S�ate Liceased R,esictentiai Co�r�) � Att. "Ap or Alt. "B° Above s $450.00 Con�crv� P� g;vKw a Fe� Deterrnine�i by � 3 _ --- '�lSroemeac Neces�rY [ ) ivoz Naxss�► [ ] � � -�� i .� 0 _ __ 1'�t, c/ c �—. £ (J•Ar-+�, Building BUILDING Permit No� ' C� 1� �� P Inspections RESIDENTIAL APPLICATION Received By: � 763-572-3604 CITY OF FRIDLEY vate Rec'd: 763-502-4977 FAX EFFECTTVE 1-1-2010 DATE (/6 �� j b,• Zn / O YOUR E-MAIL ADDRESS sr[�,�x�s�z3 y EA�i �>ve� (�'o �-d �%r�i'�� /�i �� THIS ,4PPLICANT IS: �.QWNER OCONTRACTOR PROPERTY OWNER/ N�: 'Q ftV� � d �L� U C.uSNNI TENANT ADDRESS: �23 % �R'S I Q: �e.+/ u W`� CITY �i^,�� /�i7 STA7TitiIld ZIP �53`L/3y PHQNE: %Lo 3—�~%/ 6S"�' �'� i CONTRACTOR N,4ME: SUBMIT A COPY OF YOUR STATE LICENSE STATE LICENSE # EXP DATE AND CERTIFICATE OF ADDRESS: CITY STATE ZIP INSURANCE PHONE FAX PROPERTY TYPE ❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE O NJO FAMILY/NEW CONSTRUCTION STOR[ES PERMIT TYPE O ADDITlON O GARAGE/SHED ❑ WINDOWS � BASEMENT FAVISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER 0 SWIMMING P�L TYPE OF WORK: O NEW HOME CONSTRUCTION ❑ ADDITION O MAINTENANCE/REPAIR O REMODELING DESCRIBE WORK BEING DONE: SIZE OF ARPROVENIDVT LENGTH WIDTH HEIGHT S FT �i00FING p HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING S BlV11T• 1. Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plen PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUC170N INCLUDING DECKS, � V�nY� ❑Soffit ADDITIONS_ & PORCHES SUB i7'• ❑ Aluminum ❑ Trim 1. Site Plan/5urvey showing the existing skucUues O Other � Fascia and proposed project 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTlNG OPININGS Yes ❑No LOCATION OF WINDOWS FOR WINDOWS - PROVIDE U-VALUE AND OR FOR NEW OPENIlV - CRIBE SIZE OF MANUFACTURE STICKER ON WINDOW. OPENING CHANGES & TYPE OF WIlJDOW TO BE INSTALLED NUMBER OF WINDOWS � ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 7 .b.�FEE SCHEDULE) TOTAL JOB VAI,UATION $ ..� �� OCCUPANCY TYPE Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due $ $ � $ $ ' $ $ $ $ $ $ `� �i(� See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $2100 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$24=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks payable to: City of Fridlev Attac THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED 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 application for a permit and work is not to start without a permit on site; that the work will be in aceordance with the approved plan in the case of 1 w k whic re 'res review and approval of pt�ns. S,/bV�NS�y SIGNATURE OF APPLICANT , PRINT NAME �\AV� � �-' DATE Page 2- Building Residential Application BUILDING PERNIIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such 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 $] 00 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 1�` $100,000 plus $5.60 for each additional $1,000 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 for the 1ffi $1,000,000 plus $3.15 for each additional$1,000 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