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AF - 40952; � a x � v � � O � x r M � � H 7� .`r.' '�d � r' bj O O y y � x x z � w � � o �� H � � � � �'. � o � __ C' m � ( � A y N / \ � � � � Ct � � 0 � + � � w w � � ' L�j d �� N M 4� 9 y y y a' � � � w 4�i � � � � °� °= � tn o ��7, � y � � N o� O y : O y • O � o� : � : : � � 00 � � x � � 0 O 0 0 O O � 64 k k � T � � °c o Q � <f! {A {t! � � � � o c�i �� w o �' � � � � � � i w � I � � � � b �o en 0 0 SA � � � O ty 00 � � c° � K � w oa �"' w � � � � �"1 b y � o � y O V� y � �. �: � • a� E� M w w y� � � � � � �o ,�¢• a � �D x � � o n, o � � H 0 0 � � ;i ..�C R° R° ',y� ',� � � � t�J � � � � � � � � � f`�D O O � �� M ; 'Y e� . . � � � x �d . . a � . . � : : � � : : y ' ��-,_� � A �� x � b �, � � � � � � � �'�� '� � � R° R° m�� R° R° �� y ��'�� a� ° � o � m o ~ 6t � � � � � � � � .�. � � � � � � � i � � � � � g � m � � e �.' b : m �. �' �' • �°+ a � � � a�„' � . q� , � ~ � p , � o : . � � o . : 8 g � : o o � : : o . . . � � . . • en w n� w oo w c�+ er t� oo � en o� o� � o 'v� cn o o 'v� o 0 0 o en o 0 0 O O O O O O O P O O O O O p �fi {!! {�i {1! {!i i�► ifl 4H f!► {A 0 � � 0 � � � x � � 0 � � � � d �� r°+� bd �' � � � r °� � � �. . i � �, � o � � � r � � O y � � �. � ¢ a � 8 � � y bd y � � � � � A � � � � a. � � w �. � g �� '��. O s _ e m � � � z O � � t± p � �i a.a� ��:'p� o ro � �� o°'� ►,, � ��„►� � `� a � daa� ` �ro � �• � �' o � � � � p��C V� ��y W VC �' � m � �, ��ro Oy�� p. � d �ma� Mp7y P D � � � � m y 2 m C T � � t � ,\ � V � ��l`�1 � 1 `� '7 � r � 'O� � ' � O � �� 0 � 4 � o= �' �o �' � �H O ' 0.:� f0 AI �� O D � � � � ' � f:. �� a� �� . � �A H � � � �� o �� .. � �. m � � � � �� ^ TO THE BUILDING INSPECTOR F idley � City/Village of P �: For your information, the Minneapolis Gas Company has granted, subject to local ordinances, authorization to install gas for space heating purposes. TO - Royalt�oa Ht� Co � FOR 7505 E River Rd Melvia � Equip. Ga� DA8 �Ix'II Heat Loss �9M � This authorization Void after 3 2�7 Authorization Minneapolis Gas Company No. c�1�,�4 Su r an Divis io Heating Company's Copy B Form 196 co�s�rnIICrcox ; , irp� �� ,�-_ `:-"`y .�- � , �. .� �_ � �� _ -,_.--�� i WEATH&RSTRIPS IftSIILATIOIv W{M�ow� � re Out W Il II Ceiliag �� Ro � Yea, No A �; e,� / �• Room Len Z � Width � � $eight � --i-r— R�• Room Length Widtn FIei6ht �• Room � Length Width Height Windovs and Doors—Creckage ani Area Installed Widt6 HeiQht i \�, ,.i I.ineal ft � �rr:, II �t. F..L.lt. "r e�. �n. No. of p�ne of pnne � li¢hin i of crark aq i;. _ 1��s1 � Z 9�,.c I 6 3 �- W. A. i.eader er'a � �s� vu � .z � 3'g.8 � .�� I ----, �� , inAltntion � �tq E:p. atll _Ezy. valt Ecp. wll Aet e�. vW Ceil. o� a�_ 800r ceu. o: 9oor Tot�l Htn. , uwwrea sq. [L S.D.R, or eq. ine. W. A. Leader �Ot01 �i j ;--�II ' �, z�--%'-�- , ; � ;_ �.c�i ; —; __�� _I � i; ; ; 'I � i Coe(. Etu — zc b '% 1g �1� /�b , _ Sv ;_��Zc_G I — � -- , DL C ---- - O / �;�!c�/GC � �,.3/i � _ �� }�,Y'�r i, �; �i I Caty of Fridley, inn 1�T° 9 3'7 3 BUILDING PERMIT . nate: 7�2�1�'� . � , 1�i��r�t�w C�n� Co. ��,� �� ~_�� Ada�ea� '7�� "�S� it�+a'�'�' �,�� ;�. Address �:�.�'C �$�t' $il.a� LOCATION OF BUILDING No. �=��3 5treet �"�� "+F��' �d Part of Lot �� Lot �� _ Block Addition or Sub-Divisian . �� ti+�'�C�L�r� 5t��— ��+l� Coraer Lot , Inside Lot Setback Sideyard Sewer IIevat4an _ Foundation IIevation DESCRIPTION OF BUILDING To be vsed es: F`��iot� ��r �ddi�� a�s��.� Fmnt �� Depth �� Height �� « Sq. Ft Cu. Ft Front Depth �Tefght Sq. F't. Cu. Ft Type of Constructton ir`tt9�� '�� .$e �, � ��•4� _ To be Completed �`G1��J�Z.Cl�f Its consideration o4 the isauanc:e te me o4 a permit to constract the building described aliove I agree to do the P�P� work 9n accbrdance with the descriptlon above set forth and in compliance with a�l pravisions of ordinancea oP the dty oP Frldley. In comsfderat[on of the payment of a fee of � �•�� , pern�it fa hereby granted to to conatruct the builc]ing or addit4on as descrYbed above. This �ermft is granted uPon the express condition that the n to whom it is granted and his agents, employees snd worluaen, in all work done in, around and upon eai building, or anypart thereof, shall conPorm in all respect8 to the ordinances � Fridley, M;n„��te, reg ing location, conatructTon, alteration, maintenance, repafr and moving of bufldin�s witbin the dty ]imfts anad th�a permit may be revoked at any time upon violation of aay of the provIsions of sa�d ordinancea. , l�.�s'�i�id�.`�' 3�-`.�' �'�'�',� Bulldin8 Iaspect� NoTICE: I� - ild� p�emh dea aef eewr t6� conslrudlee, te�allaHoe tee rrWeo, plumbtne, ga 6uHeo, s�w�� e� wd��. 8� mn h sN f6� Bnildie0 6np�eto� hr ap�rab p�rmils fo� f6a� Ibms. . �` _ �I � �.,;;,� �_ �`� . -��_ ` ... �� .. K � � :, 0 �..��,.,:�� .��:a ^c� �ii��,D �r�c �� s �T c�� o.� rti�.;��t, Mi_h�iESGTA OWNER'S NAME ADDRESS i/ /J _ -- - LOCA�ZON QF BUILDI.�G _ _� . .- _ N0. / � a_ ��_ STREET .� �,,,,� !� ( � d FART 0�' LOT �- �— . LOT I BLOCK ADi�ITION OR SLTBD�VISI4N �.��.�,� �� /"�� I�.1 ��'� ` . ' �Gt�I��D COR1dER LOT� INSIDE LOT�SEZ'BACK SIDE-YARD SEWF.R ELEVATIQN FOUIVDATION ELEVATION Applica�t attach to this forni Two Ce�rtificates of Sur�ey of Lot and proposed bvilding location dxatan on these Certificates. . DESCR�PTI0;1 OF BUiLDIAIG: . - .-� • � �� 7`_/ a'�O 7'z 0. - � To Be Used As : �– O � �' �� l d ,t� �� !� �. _ _ . ` : (� -re � � r� Front % Z- Depth� Beight , / � - .�r �_.._. Sq. Ft. Cu. Ft. � � Front • Depth H�ight_ Type af Construct To Be Completed� - -- Sq. Ft. - Cu. Ft. i�-�-- � `f' ,C' � i`'� �ws f v-�' `rv �,�% ��' l� s Estimat�d Cost�� i�,,,�� nJ� Y+'rl v The undersigned hereby ma.kes application £or a permit for the work herein specified, agreeing to do all work in strict accordance with the City of F id?ey Ordinances and rulin�s of the Depaxement of Buii�iings, and her y declare hat alI the facts and represent�tions st�ted in this appiication are ru nd co ect. .,� _ � ��_ DATE �� l) � ° � � (Schedule of Fee Costs can be faund on the Reverse Side}. �� a� �- 1 _ _ � � � . „ � �. �. . _ �1 � �� t �' �o D e C1 �/ d f/ _ 0 BUILDING Pi.Ri�IT FEE SCH�DULE SECTIUN 2. The Inspector of Buildings shall, before issuing permits for the erection of any buildir.g or structure, or for any addition to any ehisting building:or structure, or for any alteration or repairs to any existing buildinb or structure, upc�n application therefore, require the payment by the appl�cant for such permit of fees to the amount herein belota set forth and in the manner herein provided ta-wit: . Ur..iform Building Code: Type 1,2, & 4- $1.75 for each one thousand cubic feet, or fraction thereof, in such cubical contents. �ype 3& 5-$1.50 for each one thousand cubic feet. For the purpose of computing fees �for building permits, the cubical contents of any building or addition to a uniform height throughout by multipluing the ground area covered from a point six (6) inches belo�•� the floor line of the basement or cellar to the average height of the upper surface or to the average height o� thc :oof surface of the main gable of a pitched roof, For rep'airs or alterations to an existing structure, the fee shall be at the rate of $3.00 per each Five Hundred Dollars ($500.00) or fraction thereof in the cust of all proposed taork. In no case shall the fee charged fur any�permit as set forth in Section 2 be less than ,55.00. � NSSSD Connection Charges based on location- Area I or 2. : ^ �}-� . ' �J � . � c � p.. .. .. s_ • - . � 5,�.�--�'•_ • 0 _ °, ^ " w � � 3 � � �o m� � ��"yj p m � m m� z x �� W n �� y � � � � n�y �M" b `� fD ti � � � pM�� m�� : � � o � m � �+ � y : 0 � �j : Z � „c`$ � � � � � Qo' � � y : � � � �°i a O : �3 �- : L+J fD E � ' � � ' bd c� : �' 0° . . � � , , � � : � • . . M . . OII . . . ' o ' : : : bd : : : : • b . . . . � . . . �. : m : : : : . : : : : 0 ' � . � � � � � 0 0 �`, ~ � � � � � � � � � � � � � G�i � N N W C� W � r�+ N �I o � g �°� � � � � o � � o � .�� H in y H S � � x � O Q x D � r D � m � 2 m C r m O � A � � b � � � �D �. � 0 � � a ro � a g � �� . ....' : .�.1 : L NI � ' ■■■, • • ■�■� � � ....� �m 8 N � � � ti, °s ~ � �' o� � m � � � � �' � o� � f WATER ClOSE1'S URINALS e�rH rues �� SINKS was�+ ranYs DRINK. FOUNT. sHVras. FLOOR DRAINS GTCFI B�SINS AUTO wwsxEa GAS APPL GAS RANGE GAS OPENIIdGS �. Z. � s m A m p � ��b � c.a� � ��°� °�' ., a � po�� n� � �� o� � �. � � �� °�°� � � b�� ro � o- �w � p P � � O� � R,p d � � � �„ �i � � � � � � a �� ►°� � �� A W � � O � y 7"i F+ � m ro � � �� e �' � �Ce A W � a0 � � & �°, � '�i M � M �i � �p m �; �� , : � � �' � '� r � a. �- � o � � � a � � � D �O v°-� � '0 � m � �� J�l �J'L I F"� �� - -��e 0�l o --� 0 CITY OF FRIDLEY PUBLIC WORKS DEPARTMENT TAPPING APPLICATION AND PERINIIT FOR INSTALLATION OF WATER & SEWER SERVICE I) This form to be crompleted before a tap is made to any esisting water or sewer line. /1 _ Address Owner _ Plumber CHARGES TO B� PAID BEFORE TAP//�S MADE — WHERE ASSESSMENT HAS NOT BEEN LEVIED AGAINST PROPERTY II) Water & sewer connection permit must be registered�efore this Tapping Permit can be issued. City supplies all material and la.bor for 1" or under• water tap. Con- tractor supplies all material and labor for water tap over 1", and a11 sewer ta.ps. 1 WATER TAP: Materials Used: $ �� Street Patch: x , $ TOTAL: $ �°�� SEWER TAP: Street Patch: x :$ III) ff this property has not paid a full Lateral Chatge for its share of the water and sewer system, additional chazges will be placed against it. This will be in addition to the normal connection and tapping permits, meter deposits, etc. Water /� � � � � ASSESSMENTS TO BE LEVIED: Lateral: $� Sewer Lateral: $ TOTAL ASSESSMENT: $ �� . � � Clerks Signature � � ) Supt. of Public Works M/P 3/76 White P.W. Canary Finance Pink Prop. Owner Goldenrod Plumber SUBJECT City of Fridley AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r � � � � � ; L _____ COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. i---•� �"',•� CITY HALL FRIDLEV 55432 NUMBER aEV. i 612-571-3450 910-F15 JOB ADDRESS �505 East f�.ver Road N.E. 1 LEGAL LOT NO. BLOCK TFtACT OR ADDITION DESCR. 1.3 A11C1. S11b. �%% 2 PROPERTYOWNER MAILADDRESS Melvi.n Rogme 7505 East River lmad N 3 CONTRACTOR MAILADDRESS 4 ARCHITECTORDESIGNER 5 ENGINEEH 6 USEOF BUILDING RE 7 CLASS OF WORK 8 OESCRIBE WORK MAIL ADDRESS MAIL ADDRESS ❑ NEW O ADDITION X �� 8 CHANGEOFUSEFROM DATE PAGE OF 5/11/81 / / 16170 RECE . �� s SEE ATTACHED SHEET ZIP PHONE 5T1-8147 ZIP PHONE LICENSE NO. N E 784-2455 Z�p PHONE LICENSE NO. 21P PHONE LICENSE NO. ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE TO STIPULATIONS Provi.de a hard �ur�'ace drive�ray. Garage can not be attached to d�relling unless fro�t footings are installed. Contractor changed size of garage on 5115/81. Additional permit fee and surcharge collected for larger �ize garage. � sF�� r� � WARHING ry�� r� P PERAdf rs �� ., Before digging call local utNiti�s ' �U%NBIING �UlkEp F� �IR TEIEPMONE -�IECTRIC - GAS Et� AN8 sr��s. �� R��UIRED BY LAW TYPE OF CONST. OCCUPANCY GROUP SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. �� Fr��-' THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OH IF CONSTRUCTION 528 OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION ], STALIS AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $g�989 ��,�,� WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $21.12 �, �� STRUCTI N OR . FO CE C TION� '' � � PLAN CHECK FEE �� j �� _ � SIGNATURE OF CONTRACTOR OR (W ORI2ED AGENT IDAT �/�IH PRO ER Y A ID IDATEI N CY CU. FT. 5280 fREET PARKING GARAGES $2. 49 �`° - '�� AL FEE $23.61 �- �. �o iIS IS YOUR PERMIT S`�� i Q �$ D �ATE : _ ,' . t . ��'iT�'�v�' d �l -�� S �s is' � - s ��';��" ��°�!'•�.�' T �� .�ir��- ��o,� � _ I R �i�'� ,�.5'G/�-/G� " f - � . �-� � d�� . � �_ _ _ ��s� � �E �� -�� '� �� _ ��d�'�,�'� �'r��'/�� ..�y'/� - ��- ,., � i�, �'�`�'�'i`� ,,nr _ _ � ._ �'�_ _ . . . _�__ _. _ . _ J ._. _ . . i�4 �p'� . _ a�� - ,, - ,� eu�ed �,� � �m�?� �,�°,�' °�.�� ' ~, . - �� i!/�+°d �S'G� __ _ �i��l� . oZ�/ ,6 :_ _ _ - � ,��.� . .__ _ .- -- --- -- - �'��/ � < . . ._ : . . _ _ __ . . _ _ _ _.. . .__-- _ �?r��%�_ �G!/'�� /'/��'/ -z``�y'�' - � r1� - ��/ . �i''� �� i _ . ,�/'�i/1''�-" � %�''j�' ��; �"�3f� _ _ _ _ _ _ . ,%%��•��' - - -_ _ . _ . ��',��'°��= �'�� _ _ . ---. _ . . _. _ i�'�! C�� '' �i!�7��/ � ' .�C/� / � r _ _ .. .. _ _. _. . 0 czTY or �►�io��v , . � APPLICl1'fI0'd FOf; RL"SIUL"h�TIN_ QU1LpTt�G PGRt�IITS (�de►�, A1 Ler•aLions, Additions, or Repairs) � Ot�J�JER: ��1—�!//� /`/�✓�.�'/ j� ADOP.�SS: %�'"�� '�'1 '/�e1 TEL nf0 : � %% �/' y� QUI LDER : - �� 1��"1��?�� % � nonacss: ��-o �— ,�/,�� ?EL I�O: % � �� Construction Locatior� ' � . sT� rio :� O STREET: ��''� � e� i.oT: . �� sLOC�c: �nnzTZON • i!�� . �c�� Corner Lot: _� Inside Lot: !� SetbacY.: �� Sideyards: Ap�lic�.r►t attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. . ,�yD��,�—� �� ,��ESCRIPTIO�d OF CQP�STR�JCTION ~ �J. ��c�%°`��1/�/�-�C--- . ' � Front: Depth: Height: , Squane. �'eets °�ac� Glxbic Feet: ��c�! � Front: Denth: � Height: • Square• Feet: Gubic E'eet: � �^��) % �' c Type of Construction: ��i�G' Estimated Cost: $ , Zb Be Cb��pleted: C� — O�� r�J / ' � . Alt. A Alt. 8 Proposed Drive��ay Width if New Openinq Is Desized: $� $, S�� R,�VERSE SIDE OF SFIEET , 15ie undexsigned liereby make� application for a permit for the t:�ork� herein specified, agreeing to co ,all work in str�ct accordance �•�ith tlie City of I'ridley Ordinances and ruling� of �L•he Department of Buildinc�s, and hereby declares that all tlie iacts and rcpresen �Ztions stated :n this application are ue and co ct. . D.iT�: � ,S� SIGNnTUF.F:: `�"— StiF�ulations : �� . � �/,/�� • `-,I � .��-.�i � � �, � � -. • . • . s�fitr..ri . BUILT)11�lG i'�:ftt�l'f �L;t� SCfI�:T1ULE� t� , 5)::C't'IOl•� 2. � 7.'1�L 7n�.:��ectar. of: riu�.lc?inrJ.^. ::liri).]., t;ctar:c: 3.;suiiuJ penniL•3 t�x 4hc crc:cCi.on �f• �x»y 1�u�.1.�].in�� c�r :�i:ruct:urc, o�- fa�: �u�y ac]cIi.t:i��n to any cr.i;;L•i.>>� l�uildi.ncJ or :,t•ntcL•ur.r_, . cir. i:ar. �,ny .-�J.t.c�r..-�ti�,n or. r.cl,�iir.:� L•o •any c.:S..�.�„�J y,t,,.�.a,.,,-.1 or sL-�ucture, u��c,rt ar>pla.c;at3.o» �i:ticl:.:for.c, zcqu.��:c tJ�� 1��,ymc��L l�y tlic appl.i.c:ant: far. ,uch per.mi.L• oi fee:, to tl�� a�notznt hrr�.in bcl.cn•� seL- Lar.th �u�cl a.�i tlic inanricr. hc:rc�.n �,rovxcl!,.�cl L•o-�:a.t: . JdEI•J CON::`1'I:UCxIOt�; Sing].c 1'amil.y t)oir,es and Gar.�zc�es: Y4.00/�,000 cuUi.c tcct. . PJ,Ts?J Cll}:Ct;: 25 Z�crcetit: of l�u�.lcli.ng x,c�-mii: ic:e. Ulil'��1:I'AY llLl'P1;5SIOt•I: (Cancrctq Gil'Lli �L-rceL-s Only) � '• ' A).ternat:e A: ltc:inoval and replact�ment of concre�e ruxb and gutter only; nriveway cridth plus 6 feet r. $13. �0 Alternate II: R�moval and rep;.acem�•nt of concrete curb and .' gut•ter and install �a 3 foot H�i.de approach t.�ith '' .- 6 inch depth; Driverray �•�idth �plus 6 Seet x$1S_, 75 � . � �DDIi'I�I�I� irL►`OR��1nTlor! Tor the puri�ose of computi.ng tees for building permit�,. L-he cubical. contents of any buil.d�.ng or addition, is deter.lni.ned by rnultip].yir,g i:he gr�und area covered trom a . poa.nt sir. (G} inches belov� the iloor ).x.ne of L-he base�nent or th� cellar to thc average heights of thc�upper surface or to the average height of the roof surf�ce oi- t:he raain g�I,e of a pitched raot. - Fox repai:rs or alterations L-o an existang structure, the £ee shall� be at the rate �..of $3.00 �icx cacli five hundred dollars °($500.00) or fraction tlier�af i.n the cost af all proposed wor.k. In •no case sha1.1 �the fce cliarged fdr any pP�nit as set iozth in Sectian 2 be less � than $7.50 plus $.50�staL-e suxcharge. • , . ' ' F�C�TIO�! (iF F�l1N lll'IOt�! . . ' NOTE: Permits for construeti.on �vill be issued a minim�n oi 24 haurs from i1�e time . oi a�plication to a7.].ow for proper review of the proposed structurc and of the construction site. . � 1i Certificate � of Survey of the lot, sho�,�ing the loca�ion of the foundation once it has beeii constnicted �,=ill be required before pr.ocecdi.n� with the i'ran►ing, . .,�_F,1�T I F I CATE �F 0,�,_C UPAt�'Cl_ -. �� nFP��-Catian tor a Certificate oi Oceupancy shall %e mac?c� ten (10) days prior to the ttse oz occursncy oi an}► stiucture for �rhich a l�uilci-i,n � s3id stLacture slia].1 iio� be used or. occupied L;iitil a Cert ficaj�e oieOcc P�nc}��h�sa bcen xssued. � . � , • }, . . ,� . •' t • SUBJECT P� IT N O. City of Fridley w��G O 16171 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T � ; � RECEIPT . ' COMMUNITY DEVELOPMENT DIV. � � �: - r � � PROTECTIVE INSPECTION SEC. �� S~ 1 . � � � �'��1 � CITY HALL FRIDLEV 55432 NUMBER REV. DATE PAGE OF APPROVED BY �""'� � �� 612-571-3450 910-F15 5/11/81 / / JOB ADDRESS 7505 East R:i.ver Road N.E. 1 �EGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. � A'11C1. .�llb. #7T SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE Melvin Rogme 7507 East River Rc�ad N.E. 571-8147 3 CONTRACTOR MAILADORESS Z�P PHONE LICENSENO- Curt �ullock Builders, ]hc. 8900 ffi Central Avenue N.E. 784-2455 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS Z�P PHONE �ICENSENO. 8 USE OF BUILDING RESl(3P.21t1�. 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE g REMOVE B DESCRIBE WORK W`reck a 12` z 18` Detacfied Garage 8 CHANGEOFUSEfROM TO STIPULATIONS • TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REOUIRED 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 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SUFTAX AND ORDINANCES GOVERN�NG THIS TYPE OF WORK WILL BE COMPLIED NONEi NONE WITH WHETHEFi SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOIATE OR CANCEL THE pEpM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- ],O.OQ STRUCTI�O OR T E P FOR E TION. � �� /J'�� E � ��y�— L /�� PLAN CHECK FEE TOTAL FEE c>r , $10.00 6 GNATUREOFCONTi: TORORAUTN � ZEDAGENT IDAT�T \1\I N PROP R AL ED THIS IS YOUR PERMIT S`'1�� SiGNATUREOPOWNERiIFOWNERBUtLDERI IDATEI BLDG iNSP �ATE p �� °��•�� r aT TY� T9P QF Y64� ��°lIN� 1 ` � � �� ,,- ------� cOP��UedITY D�v�6.�"��t�T DIY. � i Pt3QT�C21V@ F��s�'ci�YlOPi E�BT, � � ,r"'� � CIiY FJAIL P'�:I(?L�'tl 9�2 �,._.�1°e.� �.a am�-��g-��a $l�a7dHGT �JRECKING PERMIT APPLICATION � .,—s �.� , ., �_� _,s Job .A.ddress �� ,2 �� Legal Lot No. B1ock No. Tract or Addition Des c . �� .�.e a� � �� % Property o� aner A ress �l%�-U//�! ��`a"� 7� �=�'�. Conicractor � � Address 3�y; -//S � ' ��Sy,.,� � � �, � � �o `� ,` e � z.- . Description Front �L� Depth /� Heigh� Sq. Ft. o�a� Pertnit No. Receipt No. � � Phone �/Z"� - Cu. Fte �'�� No. of Dwellii�g Units Taxes Paid Tax Receipt No. (� c9-2A �°� , Estimated Cost of Wrecking To Be Completed � �� Utili�ies Notified: State whether notified and date . Minneapolis Gas Company Engineering Department 372-4850 No�thern S�ates Power Comp Customer Business Office 330-5540 No�cthwestern Be11 �elephon Business Office 332-4112 0 / � � Approved By Water & Sewer Departmento A11 Bi11s Are Paid / v' � � Services Are Disconnected The undersigned hereby ma.kes application for a permit to wreck the building described above, agreeing to do all work in strict accordance with the City Ordinances and rulings of the Department of Buildings, and hereby declares that all facts and representations stated in this application are true and correct. � � " �L� �� Contractor �-��y �r�/��j, Date Y ► �%�/�G''� r � /'��i�' � ��' %�<S =�: i��c� � �� 7% �/�% � ,��1/r�� ' Q ,� �� . _ /►� . � I' � � �Zr � � 7-p ___� __. 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N i/l N N N fA tA tA N � O 1-� W N VI J O V1 N N N W 0 0 0 0 0 0 0 0 0 0 0 o H O 6 O O O O � O O O O O �7J N N Vi N N N N N N N N f/1 H 0 . 9 r b yC r � � H Hz C y � � 1 0 � � N ro a w � t• W F) 1' SCOKIU'1 (� N 'J W � = vl J iL i1 11 7 0 0 WSL"i; � Clo::r.ta � �s y tlrinals M• fD � o nnth 1'ubs � � Aasin3 O. �� a � Si�ks � �c��i Wasl� Trays � � � Drinkinq �q t'ounLains Showcrs � � Floos Drai O _ � � Catch tD � Aas3ns � � ,� Autematic p' Washer E rt Gas Appl. x liisC. Fixt �E v� ' Gas Ranqe �� K Other • N exo D+ �r �n A ��°y�q ( � � � O � . � d � y � � � � x o � � � o '� � M � [A L�1 � � H y � y � � � � � o m � � O p� � `..,ee � �� fe�_� �'� � c � a, v > � b � �� y 7. O . i � C' � o a. � r n� o°r M W � ,C 1F�1{t1 � Q� W C NMc"1 a �`a a.p �K � � 6 N � H� �ryO W � o"' � � ° � �' o�`°�' a y� � m w n M o� `" ��rt o � � w � m � ~ � a �y m 0 O [ij W V M � � � � O.Wp 1~+ e'� I-'• 7 W � � N .�' x ;? � y � � , � ro O e �a n K � f�. H :f t � ►� fp �3.'O n„m �o � n v � tl 1 p `C m K , p � E � . Knx„ K N � fJ . q ti n � � a ii �C X I � NO� � n ~ m �~J � N a N O� W 1 � � � F� O� O . N A v �o r ... n D � 0 'L 'it O � �O E � � -�--j to --< � a T i Z �7 � � G v> r rn T -G � L � "� m � suerecr P . City of Fridley 2 5 7 01 AT THE TOP OF THE TWINS g � � L D I N G P E R M I T r i i RECEIPT NO. � • COMMUNITV DEVELOPMENT DIV. � � ti: ------� i0 � r � � PROTECTIVE INSPECTION SEC. a� � i � ( /�"1 � CITY HALL FRIDLE� 55032 NUMBEF REV OATE PAGE Of APPROVED 8Y �""'� � �'' 612-571-3450 et0-F15 11/25/97 / / JOB ADDRESS 7505 East River Road NE t LEGAL ��T NO. BLOCK TRACT Oli AODITION SEE ATTACNED DESCR. 13 REV. Auditor's Silb. ��% SHEET 2 PROPERTY OWNER MAIL ADORESS ZIP PHONE Randy Rodney 7505 East River Road NE 571-2274 3 CONTRACTOR MAIL AODRESS Z�P PHONE UCENSE NO. Shallbetter Construction Inc 4386 Chestnut Ln NE Prior Lake MN 55372 4 ARCHITECT Oii OESIGNER MAIL ADDtiESS ZIP PHONE LICENSE NO. 445-7881 20078993 5 ENGtNEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUIL�ING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDiTION � ALTERATION � REPAIR ❑ MOVE � REMOVE 8 DESCRIBE WORK Reroof House (13 Sq) Tear-off 9 CHANOE OF USE FROM TO STIPU�ATIONS Underlayment must comply with the State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBIN(i, HEATING, VENTIIATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OF CONSTRUCTION ZONING SO. fT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAVS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTFEET PARKING I HEREBV CEFiTIFV TNAT I HAVE READ AND EXAMINED THIS APPLICATtON 1 STALLS GAFAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALl PROVISIONS OF LAWS VALUATION SURTAX AND OFiDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WNETHER SPECIFIED NEREIN OR NOT. THE GRANTING OF A PERMIT �1sOHO �.54 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- d 37 . SO Fire SC � 1. O8 STRUCTION OR THE P FORMANCE OF CONSTRUCTION. W t PLAN CHECK FEE TOTAL FEE �l �/� License SC $5.00 $44.12 S�GNAT O CON7RACTORORAUTHOpIZEDAGENT iOArE� � H�ry PROPERLY VA TED TNIS IS YOUR PERMIT _ - t 0 SiGNATUFlEOFOWNEA��%pWNERBUILDERi �OATE� BLDG � �i°TE NEW ADDN ALTER [l �) [l ConstructionAddress: Legal Description: _ Owner Name & dr Contractor: Address: � �Q �o (' LIVING AREA: GARAGE AREA: DECK AREA: OTHER: CITY OF FRIDLEY SINGLE FAMII.Y AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION , i 1' Effective 1/1/97 �v��q ,�' �Q MN LICENSE # ��,'.f/! �� i� t G�e� � t 1 t��- Tel. .� �%� �� Attach to this application, a Certificate of Survey of the �� 'r�� . lot, with the proposed construction drawn on it to scale. . DESCRIPTION OF IlVIPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. � L,ength Width Hgt/Ground Sq. Ft. �: Construction Type: Estimated Cost: $ ��'��" i�" (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: � � �- / 7APPLICANT: Permit Fee - Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: Tel. # CITY USE ONLY $ 37..�� Fee Schedule on Reverse Side $ /, D .001 of Permit Valuation (1/lOth%) $ � $.50/$1,000 Valuation $ $950 per SAC Unit $ � dD $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 [ ] $ �r v � BUII.DING PERMIT FEE SCHEDULE The Cfiief •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,OQ0 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. 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 $15.75. � VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. �- - - ' � ' SUB�BCT . . — c�ty of F�ial�y 32o�s AT THE TOP OF THE TWINS g u i L D I N� P E R M I T r � ` � RECEIPT NO. � ` � �� COMMUNITY DEVEIOP�MENT DIV. ��°��O fj� �� r � L � PfiqTECTIVE INSPECTION SEC. ��` 1 • � REV DATE PAGE OF APPROVED BY _ �"'1 � CITY NALL FRIOLEV SS132 NUMBER �---��' �'' 612-57�-3450 9�aF�5 8/8/01 / / 109 ADDRESS 7505 East River Road NE � 1 LEGAL ��T NO. 9LOCK TAACT OR ADDITION SEE ATTACMED DESCR. 13 Rev. Auditor's Sub. �1�77 SHEET 2 PROPERTY OWNER MAIL ADOR�S$ ZIP PNONE Randy Rogne 7505 East River Road NE 3 CONTRACTOR MAIL AOORESS ZIP PMONE LICENSE NO Seal Guard Systems 3770 Dunlap Ave N, Arden Hills, MN 55112 651-481-7888 4 ARCMITECT OR DESIGNER MAIL ADDRESS ' ZIP PMONE LICENSE NO 20093688 5 ENGINEER MAII ADDRESS ZIP PNONE LICENSE NO 8 USE OF BUILOING Residential 7 CLASS OF WORK ❑ NEW O AqDIT10N � ALTERATION � REPAIR O MOVE � O REMOVE B DESCRIBE WOiiK Reside House; replace windows; soffit & fascia �er ` �Ilill Be Mai 9 CHAN(iE OF USE fROM T� o omeowner To Post STIPULATIONS Per Section 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 �ts an approved weather barrier. Vinyl siding is not a weatherproof covering unless the manufacturer states this in their application guidelines. Ca11 for inspection of wrap before covering. Provide smoke detectors in all sleeping rooms an.d on all levels of the dwelling per Sect�on 310.9.1.2 of the 1997 Uniform Building Code. Cau�k and flash all exterior openings. ' ' TYP�OFCONST. OCCUPANCv GROUP OCCUPANCr�OAD SEPARATE PERMITS ARE REOUIREO FOR ELECTRICAL, PLUMBING. FIEATING. VENT��ATING Oq AIR CONDITIONING. TMIS PERMIT BECOMES NUIL AND VOIO IF WORK OR COf�STRUCTIOM ypNING SO. fT CU fT. AUTHORIZED IS NOT COMMENCED V111TMIN 80 DAYS, OR IF CONSTRUCTION i OR WORK IS SUSPENDED OR ABANqONQO FOR A PERIQD OF 120 OAY$ A7 ANY TIME AFTER WORK IS COMMENCED. ` NO OWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFV TMAT I MAVE REAO ANO ExAM�N�Q THIS APPLICATION STALLS GARAGES AND KNOW THE SAME TO BE TF1UE ANO CORRECF. ALL PROVISIONS l�F LAW$ yALUATION SUR7AX ANO OROINANCES GOVERNING TMIS TYPE OF WORK WIIL Q� CpMPI,lEO @ WITN WHE7MER SPECIFIED HEREIN OR NOT. TNE GiiANTING OF A PERMIT �iC)�H72 `P8•4'3 DOES NOT PHESUME TO GIVE AUTMORITY TO VIOLATE OR CANCEI TNE pERMIT FEE SAC CMARGE PROVISIONS Of ANY OTMEp STATE OR LOCAI lAW REGULA7ING CON- STqUCTION OR TME PERFORMANCE OF CONSTRUCTION �Z%9.25 Fire SC �16.87 PLAN CNECKfEE TOT FEE Li s S $5.00 309.55 SiGNATUAEO�CON'RACTOAOpAUTMOp�2EDAGENT �OATEi EN P PER ALIOATE '7MIS IS V Up PERMIT � /D ��l S�GN4TUAEO�OWNEQ��ONfNEpBU�LDEp� iOATEi ' BLOfa' S� � � ��TE NE1N [ ] ADDN [] ALTER [ ] �. , _ , , Effective 111/2001 CITY OF FRIDLEY (763) 572,3604 Bldg Insp SINGLE FAMILY AND DUPLDCES R-1 AND R-2 BUILDING PERMITAPPLICATION �. • , I Cnnstruction Address: � � � � � -� � • i.egal Description: Owner Name & Address: LIVING AREA: GAfZAGE AREA: DEGK AREA: ' Tei. # � MN LICENSE # ._� °' ^Y �C_.r � � ��"'� �1�� Tel.#��°�-�'��'� Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Wdth Height Sq. F� Length Length Width Height Width HgUGround Sq. Ft Sq. Ft OTF�ER: ' ��lL�. , �i�-� � � � _ �°`� Construction Type: �1 � �'� � �� '�� E�st{'m ted Cost: $ ,� � � -� P f �CS� y��-1�C� � � �'��iv�way Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _� DATE: ' � �'>) APPLICANT: � �� `�--� � C Tel. # \ �� ' 4 � I � �� CITY RJSE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge � License Surcharg Driveway Escrow Erosion Control Park Fee Call (763) 572-3604 for Permit Fees if mailing in application $�� _�� Fee Schedule on Reverse Side $ � •� .001 of Permit Valuation (1/10th%) $ $.-50/$1,000 Valuation � '- - C5� � $1150 per SAC Unit e$� ,� e � L-$5.00 (State Licensed Residential Cont act $ Alt. "A" or Alt. "B" Above $ $450.00 Conservation Plan Review $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [] Not Necessary [ TOTAL �� ° �� 9� �s �� L C.�• �6/ ! /� �; �-� � �� ) �c,�.�S STIPULATIONS: ��yf��,/�� __��"" � � ,��. �� .. . �' 1�� G�; � C � L�GGL�L�"��9�� '��/��'vr�--��G �=�C � 0'��i✓�S �y � �. � O a � 3 0 y � N � 'O � � � � � o � 3 � O ;a � O �� OC n cD 'p fl. � .�• m °/ N � � � � f�D ..a � � � 0 c � � m z � -D m � O z T .._m. t� V =o O � . .. 2" -t. � � n �� .°,, �?. � \ m a c o � D� v °= �' � n. m O � � O � O � N r � rn � A rn ? � ov m � � �. r ^ o U � O °. � < fD N � \ m c�u O �. D 's� N � Q'� d�. D. m � O h �` O O N ��" r � � O Z W n � D C7 0 a � �• D N m N � � � 0 0 � � N v f�D "t � � 0 a 0 � � � � � � = m � � ? o0 0� '��'� ��°�'�� c� � �v�,v,� .�;� m „�,. L7 Zj� ,�.. O..Q. � —I IC') �_,�.. 3 p��p N Q Q �� o cD � � 'cD n�C�� y W�?, m Z C Q 51 N�� d Q� ? � �1' � �, ,,� • .+ cu cu �z ��o-. t7� � �-{ � Q. � � � p o �c 4°m�� " � �� S N ty � N. �. � N � �� "�O � aNa °: � '� d n ��= m �, .e °' � cn cc a �' o N. �c1Dio� m r.. �_� n> Z.. � . .�. _ ,� 7 ,� ..: o . � N m.,� 0 . . � �. ,. � _ � � s ''�a . , -� ,�, �., . � : �, ;?..o'� _ . m. — .3� �: _ . :�'_ , :�s m �-. ., � m c� �. , � �� n o � � Q� m � Q y lD N � � L� � v_-n� 01 IIi jn � N N ��(� � _ 'p, (n lD �p rr c�u � m � v� °1 � � Z � � tD � � � � � � Q , > > °. m -n r'' a. � 4=�1p —c v � O� � a��.�� . �.� � o N. � n � �•�. v � v W � _ � c�D �: � � � � � w 0 0 0 � o °o °o -°* m � � � � 0 _. a r -n oo -� z rn o0 � -�.�,.o ,c".....�' .rc� o. -_t . --� � v `Z= D Z � o�i m � � � � q C n m C � � r+ � � � N � - - , Z-.-- -�_ _ o � c? � N n '�7 C �D .A .r o. o z n � ; a �. ^ m � �- tn m Z � . �, o m � � � ; Q�.v �.v ., _ �. � �7 � r. —1 . ,.��, t � � ' Q . � t,� �,,i , . � � ° . �.. � � � � n �.�i � -�I m . N n _ m v C � � z .� . � � ,. ,� . .. �� : ,�o'c� w�c"'� � C31 � C � V � � wz� � ��. W D "� . N m Z Z� m� m • . . . O Z � � G CA a � � Z � r r�n a � � c� °a �O �� OO a z� 0 -v a� �z vz .� v o= z .� . z� G'� Z . N � "� O � � � N Z �i vm v� � �ei N O ` ? u ,.1 T �u,,, � . � � h �_ � . MO � �`.� �� :. ` .� ,� \ � c d � � N O N THE BELOW MUST BE FILLED IN WFiEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNED �- ` GOMMnN VFNT� VEI�T .(�I`I� .TnR A�D _OMgI ISTlnfl ,41R t�RIFI ATIC�I` = ��V1/hetl rP�la�inA an'pYicting f�� ranr_P, the untlersigned herekiy verifies that the : `. ';�,: ;° venting has �een ex�rr�me�! anct;is free from ,ri,ist, deteiioratio�;�obstructions, �� . and is securefy supported-�nd f�estopped wh�re requ�red. �� Y�s (; � The ventin ste " I -ticlPVC � <�� i^ . � �: %.: No ( :)� ;. g sy m is p as and meets all current codes and manufacturer � = specifications including sizing; length, number of elbows and termination. ' Yes O No O The undersigned also verifies that the replacement unit is a listed assembiy and meets the �urrent codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Fumace Venting Tables for fan assisted and natural draft appliances. The pxt��g em6 ��on .atr is sized and installed to meet the current codes and manufacturers specifications. Whe� �equl�ed to install a n_w �em6 �cl�ien air�i� �� be sized and installed to meet the current codes and manufacturer's specifications. WI1@I1 in_efallin9 a new �_n in�,c�, the unde�signed hereby verifies that it..�s a listed assembly and meets the current codes and manufa,cturers sp�cifications. This does include AGA-GAMA Category I Central F�innace Venting Tables for fan assisted and natural draft appliances. Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent artd vented=- separately as per cuRent codes. :- Yes ( ) No ( ) Yes ( ) No ( ) Yes ( ) No ( ) Yes ( ) No ( ) '.'. Yes( )No( ) _•� .� — �— .�• ��o�� -� .�� —� •��-M � � �ru,1•i Appliance #1 Type BTU Input Fan Assisted or Nat Appliance #2 Type BTU Input Fan Assisted or Nat . Appliance #3 Type BTU Input Fan Assisted or Nat ; Total Appliances 'fotal Btu �nput � . Common Vent Type Vent Height Diameter inches Appliance #1 Vent Connector Height ft Length ft Diameter in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 VenX Connector Height ft L�ength ft Diameter in Type . ,... :: _ , , - ._ � HEATING CO: � � Signed By: Date : . sue�ECr fatT NO. City of Fridley ' 3 9 0 4- AT TNE TOP OF TME TWINS g � I L D I N G P E R M I T t � ` RECEIPT NO. • COMMUNITY DEVELOPMENT DIV. �/ � � i �V � ��' r � � � PROTEC7IVE INSPECTION SEC. � S ��"1 � CITY HALL FRIDLE� 531J2 NUMBER pEV O�TE PAGE O� �PVRpvEO Br �""� � �'' 763-571-3450 910-F15 9/22/03 / / 10B ADORESS 7505 East River Rd NE 1 LEGAL ��T NO. BLOCK TRACT OR ADOITION SEE ATTACMED oescA. 13 Rev. Auditor's Subdivision 4�77 SMEET 2 PiiOPEiiTV OWNER MAIL ADORES$ 21P PMONE Randy & Brenda Rogne 7505 East River Rd NE 763-571-2274 3 CONTRACTOR MAiI ADDRESS 21P PMONE LICENSE NO Seal Guard Systems 3770 Dunlap Ave, Arden Hills, MN 55112 651-481-7888 A ARCHITECT OR DESIGNEF MAIL ADORESS 21P PMONE LICENSE NO 20093688 5 ENGINEER MAII AODqESS ZIP PMONE LICENSE NO 8 USE OF BUILDING Residential 7 CIASS OF WOqK ❑ NEW O ADDITION ❑ ALTEiiAT10N � REPAIR ❑ MOVE O AEMOVE 8 DESCRIBE WORK Reside House; Replace windows within existing openings �' ,�,., a 9 CHANOE OF USE FiiOM TO � � � ��p�� • Y 0 STIPULATIONS �� o��op�e �r Per Section 1402, 1997 Uniform Building Code, requires that a weather � �e barrier be placed over exterior sheathing to protect the interior wall covering. Exceptions for this provision would be if sheathing is an approved weatherproo� panel or when the siding is an approved weather barrier. Vinyl siding is not a weatherproof covering unless the manufacturer states this in their application guidelines. Call for inspection of wrap before covering or take pictures. Caulk and flash all exterior openings. Provide smoke detectors in a11 sleeping rooms and on all levels of the dwelling per Section 310.9.1.2 of the 1997 Uniform Building Code. Caulk and flash all exterior openings. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL. PLUMBING. MEATING, VENTILATING OF AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION 20NING SO. FT CU. FT. AUTHORIZED IS NOT COMMENCEO WITHIN 80 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENOED 01i ABANDONEO FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED NO DWLG. UNITS OF�STNEET PARKING I MEREBY CERTIFY THAT I HAVE READ AND EXAMINEO THIS APPLICATION' STAILS GARAGES AND KNOW THE SAME TO BE TRUE AND CORiiECT. ALl PROVISIONS OF LAWS VALUATION SURTAX ANO ORDINANCES GOVEFNING THIS TVPE OF WORK WI�L BE COMPLIED WITH WHETHEN SPECIf1E0 HEREIN OR NOT. TME GRANTING OF A PERMIT $4'I�FO Z.O7 DOES NOT PRESUME TO GIVE AU7HOiiITV TO VIOLATE Ofi CANCEL THE pEqMIT FEE SAC CMARGE PROVISIONS OF ANY OTHER STATE OQ LOCAI LAW REGULATING CON- STRUCTION OA TME PERFOfiMANCE OF CONSTRUCTION �111.25 Fire S�,' �F.14 PLAN CMECK FEE TOTA� FEE L.icen SC 5.00 $122.46 S�GNATUNE OF CON'AACTOp OA AUTMOp�2ED OGENT �DATE� EN PROPERLV VALIDATED 7MIS IS YOU PERM T � �� S�GNn1UAE O� OwNEA ��F OWNEA BU4DEA� iOATE� -- G rN o q�tE t • NEW ADDN ALTER [ J CITY OF FRIDLEY Effective 1!1/2003 [] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp [ J SINGLE FAMILY AND DUPLEX�S R-1 AND t�-2 (763) 571-1287 Fax BUILDING PERMIT APPLICATION Construction Address: Legal DF��"��• Owner (� Contract Address Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRlQTIQ�d �F 1�/lPROV�MEN� LIUING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width HgUGround Sq. Ft. OTHER: �� a / ,/ %/ — Construction Type�.�✓ '�" E i ed Cost: $ N�° Driveway Curb Cut Width Needed: F+ 6 Ft = Ft x$ _$ r DATE: (�' APPLICA Tel. # ,1�� J / � � Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-5T1-1287 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 TOTAL CITY USE ONLY - $ �• 0��1 Fee Schedule on Reverse Side $ � , l . :t)0'I of Permit �i/aluati�n (�!l10th%) $ $.50/$1,000 Valuation � �� $ $1275 per SAC Unit $ �d� $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 [ ] $ I�' ' �/� �TIPULATIONIS� F +