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AF - 41094City of Fridley, Minn.. BUILDING PERMIT N° 499'7 � Date: ....-�1�.._��..�t�....:._.__'�..�� _......�__....._.....__ 6 1 � OwneT' ._.... ' :'� `, . � . ... Builder . � _._..._,. • •--�-- ••-----._ . � ..,: .. . .._-------....... _._._�,._....- -•---....._.... .._._.___.._..._.._..___. _ � ._. _.. . _ •--.. ; << - _r--� . - : _ ___..._____..____... Address ? ; r' °,- °' ...-------......• ... . -� �'�. Address � .._... x�`' .. ._.� _._.____.__.._.._......_._..__•--.y_._._._... �= � �� ' �r�' r., , OCATION. 1� ��1 II�V - ^ � a f" � . No. ... .. ._... .�. . � . .. .... Streei _---.�1 -... ._�.--L:�'''�F , :... . �',�..�_....:. .:_ .............. Part of Lot .•------...------,�..__.. �,. .,.�-. _... Lot �` :`�:"'.� . . -,: . Block .---- r�......... ��Addition or Sub-Division �- .._ ... . . .._. _.� .�!:.�������'.��1 Corner Lot -----.._........---........ Inside Lot ....__...:..._._.....-- -._..... Setback ....._�'�'"�---- .............._�Sideyard ._!/...t�l........._......._............ Sewer IIevation Foundation IIevation DESCRIPTION OF BUILDING To i�e? Used s• ,r ' '� � ' ° ` f . ,. ; / � . ,� •- %��`- --- _._ Front ---- ----.-L__.. Depth ......,,�,� : Height . ��.. Sq. F£ .�,1,,,�.. ;�'� Cu. F't. ��`�� ...._...- -----� - .................... _. .......... Front ....._............._.. Depth ........... 4�`:.. �iei�ht ................ Sq. F� ....._............._.. Cu. Ft =--f' �'-' �. ,�,� C�.. . Type of Construction ..'�"'.R-"�cde4.�.,r.F�:� ..:....... Est. Cos�'���...�... �.�'.�.�''..� .�.�. To be Completed ............._....._..... In consideration of the issuance to me of a permit to construct the building described above, I agree to do the proposed work in accordance with the description above set forth and in compliance with all provisions of ordinances of the city of Fridley. In consideration of the payment oF a fee of �.._ 'i`"�� , permit is hereb $_ ��/._:..__.._....-- Y brranted to----------------....__.-----.....--- - ......_.. _..__._.----_.....___------_--...._.___.._ to construct the building or addition as described above. This �rmit is granted ugon the eaipress condilaon that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part �hereof, shall conform in a]i respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limit� and this pernrit may be revoked at any time upon violation -o€�y of the provisions of sa.id ordinances. `" fi, �.,�' � �*,�� � �;�'�`.,'�`�,, �. /__<,,�!'�_:�.�;=�$uilding Inspectc zF-- .� NOTICE: � This permit does not cover the construeNon, ins�allaHon for wiring, plumbing, gas heafing, sewer or water. Be w� the Building Inspector for separate permifs for fhese items. `� �f� � �`±s �"�`. v`� . : 4 �� � �. � APPLIC�TION FOR BIIILDIlQG PE�MIT CITY 4F FRIDIEY, M�SOT� �,6> - ��aner's Name Builder lddresa Adc]ress � 7-�� �-.+�� e.� A��,� LOCATION OF � Q � No. ��� L"�' 7 3treet �C/T���el //i�r o Part of Lot Lot � � ��� Block ° � Addition or Su'�liviaion ° � .�� Corner Lot Inside Lat � Setbaak 3`� Side-YarB SE'WER ELEV�TION FOUNDATION ELE`VATION �pplicant attach to this form Certificate of Survey of Lot and proposed building loca.tion. DESCRIPTION OF BIIILDING To be used as:. ��' � � Front�Dep�th � Height �2 � Sq. Ft. � .� � f� Cu. Ft. � � �' � Front Depth Aei�ht Sq. Ft. Cu. Ft. Type of Construction Estimated Cost„��� To be Completed The und.ersigned herebg makes application for a permit for the work herein specif3ed, agree3ng to do all �aork in at�rict accord�nce with tP�e City� Ordinances arid ruling of the Depeactment of Bu31d9ngs, and hereby declares that a11 the facta and represente.tiona stated in this applica.t3on are true and correct. �� _- - f� - (�,Schedu].e of Fea Costs caa be found on the Reverse Side.) � �� � �� ��, _ � �� � _ - _ . _p _ ' j BUII�ING P�NQT FEE SG�DOIE Section 2. The Inspector oP Bu3ldings sha7.l, before issu�.n� aay permit for the erect.j.on of ar�r building or structure, or for a�y a�idition to ar�r euisting build- 3ng or.structure, or for any alte�rations or repair� to any ��dst3.ng build3ng or structure, ugon application therefor, require the �ie,�ment by the appl3cant for such permit of fees to the amount here3n below set forth end in the m8nner hereia provided to-wit: 2e1. For a�a� such perm�.t for the erection of an� fire-proof buildin�, other tl�an a gerage, warehouse9 factory or grain elevator, or for the erect3on of' eny fir�- proof addition, for similar occupaneg, to aay exj.stin� buildin� �ha11 be at the rate of �1eL�0 for each one thousand cubic feet, or fraction thereof� i.n suoh Qubical.contents. 202. For a,n� suc� perai� for tks er�ction of an�r fireproof garage, ��tsrehouse' factary or grain elevator, or ior �h� e�ection of any fireproof �ddition, for s:i.�i].ar occupancy, to an� existing build3ng shsll be at the rat,s of �1.a5 �� e�.�h one thousand cubic feet,, classified aa "fireproofn by Sect�ioa �2 of �he Minneapolis Building Code, ��II� 2�3a For any such pernit for the tu:�.�a a garage, wwsrrehouse, facto ac�diti on� for sini].ar occupa.ncy, oa,ch cn� thouvand cubic fest, G.�RAGE�; erection of a�r non-fireproof bu3�.d3ng oth� r�r or grain elevator, or aay non-f3reproof to eny eidst3ng bu�ld3ng. Permit $]..00 Yor 2a1�, For any such permit for the erection of any no�-fireproof garage, werehouse, factory or gra�.n elevator, or for the erection of ang non-fireproo� eddi�%n, for s�.m3.]_ar occupancy, to a.ny existing building or for ea.ch such build3n� or edditiori, Ninety Cents for es.ch one thousand cubic fest or fract3on thereof, ia t�he cubia�l confisnts thereof w3th a minimum of $4o00e For the purpo�^ of computi�; fees for bu3lding permits the cubic�. eontenta of eny building or addition to a uni."'ora hei�ht throughout by multiplying,the ground a�es covered from a point aix (6) 3nches below tha floor 13ne of the b�as�ent or cel].ar to the average Height of the upper surface or to the average height of tbe roof svrface of the main ga,ble of a pitched roof. 2e5e For repairs or alterations to a.� existing structure, the fee ahell be et the r�te of �3.00 for each Five I�undred Dollars (�500e00), or fraction thereoP in the e�s � of e,].l proposed worka . 2a6, In no case shall the fee charged for any permit as set forth i�rl Section 2 be less than �1�.00. �1 �"``� � ¢� ��-=R-- � ��'— . � / , �/��!� 7�?3-�/ Sv� t/�Y F�k ��__�T---_.. ✓A��:.� ,f. R,�,��°��.� � .� : � �\ � � / 7f � V ` �^'� c�r � � � �,� ! ;; ;=�� �r � �; � �: :��t� t,vav suR vE-ro.vs :s � � / 9 4 . G � ' � _ � �= '� A � �" . ��: ,� �; � i ` � �esaof•.�s /,•-ar� �` � - - - � 5 _ ;r� , - ------------� --- --- .4 0 \ G " _ I ii '-�- °' \ � �z! , � _ � sy � � n — — — -- — — --. .� __. . � � ;s �9 � :' - Q � ` M M N . ! � � f • 4 � � � . % ... _ .' �' t - - �' _ � - - - '' -- � —�'`y —�--q - - . . �,�: wer Po f:. .-�— �`�-._... C.•-t: /.• t� ,�o/P (:n-p- �c -' �, �� .,,.- - r; . L � . .. r: � � � • — — — — — �_ - - _ _. _ . ... _ __ _ _ �� � r, �i , '^ n' .� �i i � � ._ ._ _... .- -- - - - � �: � —' f \ _ �-3 _- � � �; ,� �_ I�- �?:?'� . .. ./: . Fr�nn` `�� �i '- _ ._ � •kl I ��_2 R_i� �4� ( HEREBY GERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATIOM OF A SURVEY OF: LOTS 4� 5� 6� 7,AP1D $� BLOCK 6� SPRiht(i BROOK PARK AS SURVEYED BY ddE THIS 2%TH DAY OF JULY� 1960. �� � ; ^"'___,� :' , .4:= _-- •',r f{,-i., �4e�".;�•a^`��_ %;+�s:�:. + _�-s... C A��•�i'�' R I G H. 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FLOOR DRAINS CATCH BASINS AUTO �� GAS APPL GAS RANGE GAS OPENINGS a • 2 • �y V� D m A � � � ��y��y��i � GL M W �� {T M y ,� � � y � � p��� � � � � � � �+ OQ � ��o� � � o _y � - �. c� . � �' �. � `� � �����p p7 ������. fA �C � � b � ro �� �m � p � �' o � � � p B � � ro fp '�,o H M w � � � � ¢� �� o��� ��`�°" ;���� �oo �. � �� � m� io ��� � �' � ���yq�A ^ M � ro a0 �x & �°n p � M � �7 {�i �-- � m � �. � � � � � � {� � � T �i � � � � O � � M � � �. ro �rr fA A A �. � 0 -^V � � � � ���� � �� � _ �� b � r r O � � N Cn � m � ro a � r � � � H � � n � � G H�°y' °�x�� ��c�o ���� ���Q � � � � � M � � 0 � � � � n � � � � � � � � �_ k � � � H y a' �+ H �W� �� �� o � � � N�� o� Q ' °o � � � : : � � � � ���o N � op��, � .� .� � 0 � r � � � � b � 0 0 0 0 0 � � � 0 0 � O r E9 � < �H W� W � � �� .�y 'd �' �° � � � � �. �: �. �� � � �. °— - � w m � �'' �' � � � M � � � � x ��o w N rr ��p- y O O 'G..'' 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Construction Guide Windows �lovrs Referenc�e Ou� Wall Int Wall Ceilin� I I ce -` �--No a` Yes--Na 19........ ��' FL I ., • y° Room I Length � S'` �Width �' � Height - -� ` Windows and Doars—Cracka,ge and Ar�a. Widt3t Height No. oE Lineal f� Area No. 04 pane oE pane llghts oY crack sq. ft. � , �ba'�� � 9. ,i i :...�, � �ik� 3 � .;�, �.. - �-� 3 .. `°�' - � � ., �7 � ; i: � $ � �,�:�. . �.��"�. ',r� �� ,% � � .r4 R � CO�i. $tll In81'trafilon F ` y ° ,¢ . GlaSS . ��,. ' � r,� �.` ` EXp. WSll � '�:�. �' � �'ha Net exp. wall y �` fi ^�, �:`� : � ,�.:. _,. �I3�S�� 4'�` � �, a•B� � ii � kx': � t.:! P� ? ��.. 9 �.n ?. � t ��:. �@ C@�1311g t:� r , .�'*.. Floor � .� �,}� � .�� '`, � ,�fi>.� � �;� Total Btu. ' � � ' '. ��> Required sq. fC. E.D.R. or sq. ins. W.A. I.eader ar� � Fl. I ` � ..,, . ��;�Room I Length ,�" Width �r .�?_ Height `�.�= Win.dows and Doors—Cra.ckage d Area Width I3eight No. oE Llneal PG Area No. oY pane oP pane lights o4 crack sq. Yw ,° � .r �a �c— e �j7 . �+S' ; �s . . �I f �� f J� �yJ� � � � a " �:.� n ��- CaeP. Btu In8lYration �; �' �',` �`Ay �`�, Gla� � � ��> �.,,.�-�� :,� m Exp. wall �„ ,,�";;;„.� Net exp. "' � � a - Yllt. W� . Ceiling `� Floor � "� ':� �t ,�',� � H Q. , Total B . Required sq. ft. E.D.R,, or sq. ins: W.A. I.eader area � Fl. I�» •'"��� �_ � Aoom I Length ,�: ;,rp Wi� Windows and Doors—�rackage an� Area Width Height No, oE Lineal ik Area No. of pane of pane iights I oE crack sq 1't. }� �_�� �� � �-_. � �'Height `::;.: �,.. - � �� � � � Co�ef. Btu Inffitra.tion ;` " d� ,�:' �. Gla�ss � ;��•. ,� ¢ Exp. waIl = << �,., ' a _ �, Net exp. wa11 ',�' � In�. wall Ceiling 't �.a=�- 1 f � �,. �FloOr � ° ti" �` 4�' � � �; '� ir, ` 9` :�. Tota1 Btu. � V 4°:, _� , Required sq. ft. E.D.R. or sq. ins. W.A. I.eader aze'a � u��; . �c'. ,��� a'rv ��. oF suu.nuv�s v° �oe .� ' �� �' �_ �, LVo. Insulation _I RooE I Floor Kind I How Applled FL I�' �= Room I Length�.': Widtli ���"Height Windows and Doors—Crackage �nd Area Width Height No. oE Lineal ft. Area No. oY pane oY pane lights of crack sq. fk � � � P a .s. � � �� 4 � 1� �� _ �' � .r° a° , � � _ �,. CceP. Btu In81'tration ; , Glass >� ,�-��:.., ..-� ,,. _,. F'+IL�1. WEIu r°« + �,, }y ��. Net exp. w�11 � i `°� r� � i� � . �� Ink wall ` Ceiling Floar ,� �t` ,� � rg ...-- � .:.. �F* � �,� Toial Btu, , .,°. Require3 sq. ft. E.D.R, or sq. ins. W.A. Leader at�a � Fl. � � ��'� t� Room I Length .-�" " �,+�'Width � Height `.�. � .� 6-,� . �ows and Doors—Crackage and Area No. Width $e1ghC No. of Llneal ft. I Area oE pane oi pane lighta oE crack sq, ft. ' _ �::. t,p �� �•;" Caer. Btu In81'tratlon ;;::'.� Gla�s � � " ���� Exp. v�atl �;,° � .»� % , '; � Net exp. wall ��, � �� - �.� � „ ` ;�� i- Tllt. W8� �� . ; C�iling �� Floor �; � - ,q '" Z'Ota1 `�B'LU,. ` I�� `' `� . r` �{ :. Requireci sq. ft. E.D.R, or sq. 3ns. W.A. Lea.der ar�a. l � � � ( ° ' ::�:h.�..�n�R.00m I Length �',_ ° Width,s` , �`Height;..`�- Windows a,nd Doors—Cracka.ge and Area � Width Height No. oE Lineal Yt. Area � No. oi pane oP pane lighte oY crack sq. ft. .>" �i t s',. �" �'; A � ; , a'u - _ ._���"¢ � � � In81trat3on Glass Eacp. wall � ? "` ; Net exp, wall In�, wall �Ce3ling Fl�r ! .''' ,��t� To�tu.�^ � � Caef. Btu � .�' A,€" �' .;��� �,.. � � . , ,� � ��° �=. �< , � y� �, �� �:,, ,`�� r '��,r -��` �� � ro f �y J `.,x;�� ': Jr�� � Required sq. ft. E.D.R, or sq. ins. W.A. Leader area. ~ � w ���. v. ` _ � f''� Fro �a ,..anents of North Central Public Service Co., � _ cirv HT,AT LOSS CALCULATIONB DEPARTMENT OF BUILDINGS VLVLA4E Weatherstrips A.S.H.V.E. Conslructian No. Insulation Guide Windovvs Doors Referenc� Out. Wall Int Wall Ceillng Roof Floor Kind How AppHed Yes—No Yes—No 19........ I I � I FL I�;.°.° , a�,� w�Room I Length ,�' �j Width �� "Height ,: �`�`' FL I Room I Length, Width Height Windows and Doors—Crackage and Area Windows and Doors--�rackage and Area No. oEVpt ane oE pane llghts oE cer�ackt� sq. ft. No. oEVp1 ane oYepane llghta oY�ckt� sq. ft. , s� � = �° - �� ���� Caef. Btt; Infll'tra.tion � � --' `�? .� � R Gla�s `�� � �""'� � ,�'p i� k ,: FJitp� �IL'Lll �k, a�,' ; �6'; Net exp. wa,ll ,�' - Int wall Ceiling Floor � m ,� �:: 4w � �;r �, - 4' I f Tatal tu.Y- - � _ Required sq. f� E.D.R. or sq. ins. W.A. Leader area Fl. I Room I Length Width Height Windows and Doors—Crackage and Area No. I o pide I o pane � llghts I oY�cra.� I s4 it � � � CoeL Btu TnSltration Glas� Exp. wall -��' Net exp. wall Ynt wa]1 ' Ceiling Flaor Total, Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area FL I Room I Length Widrh Height Windows and Doors—Crackage and Area � In81'tration � Glass Exp. wall Net exp. °wall In�, wa11 Ceiling I FIQOP Total Btu. ' Required sq. ft. E.D.R. or sq. ins. W.A. Leader area TnSI`tration Gla� Exp, wall Net exp. wall In� wall Ceiliug Floor Total Btu. Ccef.l Btu R.equired sq, ft. E.D.R, or sq. ins. W.A. Leader area �-- Fl. I Room I Length Width Height Windows and Doors—Crackage and Area � I Infll'tration Glass Exp. wa11 Net exp. wall In�. vva11 Ceiling Floor Total Btu. Caef.l Bi:u Required sq, ft. E.D.R,, or sq. ins. W.A. I.eader area I FI. I Raom I Length Width Heighi Windbws and Doors—Crackage and Area. � Btu � In8ltra.iion Gla�s F�p. wall Net exp. wall Int. wall Ceiling FIOOP Total Btu. CceP. � Btut IRequired sq. ft. E.D.R. or sq. ins. W.A. Leader ar�a . � � rg � m . � Q � � � � m A � � � � � � � tv Z � � n L s � � � ,y :7' � � � � � � � � �' � � � � � � � � � � t� � � � � e�B � � � a` � �: � � � °° !, �° '�° , 1° � '� � � � � O r� • � � � � � � � o � em �, �-1 . : � � . o . _ a a � �A � o' � . 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A �. m p A � 3�� Z 8 . �" G � � � � "J �I ' a�+0 A � � � � M � �� . � � w � � �= � � � � g � W 1 � � � � � 1 �O �. ��. � �p � �i � r o � M �� . , :� � x � ��� � ��� . � c* W . � ti � , � T � �� II j 'I J li SAI`IGREI`IE DRII`ITII`IG • �121-622o sozaa,-s - ------------- ---------- --------- ------------ ✓ FORM , - 66208 INITIAL COMPLAINT REPORT :" oEP-r. Fridle No. 135'� 1405 M CLEARED 1415 M DATE 10-8-76 TIME REC M TIME DISP M ON SCENE RADIO IN PERSON BY PHONE MA�L Jon Oulman ADDRESS 7969 East River Rd COMPLAINANT � LOCATION vacant lot north of above address PHONE NO. 786 7835 OFFICER ASSIGNED Chubb TYPE ordinance violation COMPLAINT of �a.rba�e bein� dum�ed at the above location. Suspects the resident at FIN ANi ITION 305 Lon fellow St. Not contacted. r��. . ORIGINAI: t__�_T__��.____ --- od/�/ab . ,. : , �� , /` � Chubb la REPORTED TO � * �] � 77 � � � � D m r Z C m-r� Z N o D � C� � fA 37 cn � o = m a. rT1 =,n C o� o O �� � mrn� �� �� . o � t� � m � n�i �' c 7ti � m Z ��m �.� m m o' v, o p m� o� ' � m tn Z T ° Q ' -� c D � o� � D D� v� v f� � ° N m7°� -°-A_'� ��� � � o m °o � �'� c�i � a� � 'a = � Z = N O � � n� � C��� � � �� -a a �OZ . o ,°�� -� � � ? rii 7� � � �' "' Z � o � o � �o � o m m o � � z 00 m � � Z � � n � a � +n m � JT o � Z `° � N � m � �r 0 �c -� � D �� C � � v m m � � n � m � � D -=1 � Z 0 Z � � 0 (D Q W �o 0 c cn � � �. � � m =n � A) � � cD -D-I ,". � �, �� � , �_� � \. i `;' � . � �,, ' �_ � �, ` o c� ', ; �'` � � � °° m Z. 0 -�- �- . — _ , m o Z ._ Z �+i � ' =� (=D V (D � � 7 J � Z C Az � � -G � 2 � v °^ � w � � m o � � � � (D . � n � (D '� � N . fl- Cn N o Q°, �D � m m � � o ^ r p � • 2 � O � � (�D � �� � � � D � � c� m _..a _. � � � . ��� \ , D n 0 � a o' ? �' (f] � D � N� N � � � � � � � �' � m � � � � aNi o 0 °o °o °o � m � � m � n 0 � � � ,� � m � � -� Z � �� � ��, G� D � � Q1 Uf � Uf N o � a ��70� m -°-- n: � � � Z � � S N � � m n � � � m n. °"?�c Z7 � c - O � � s � � � m � O � A � c � oD 1 C � � � �� i � � 0 0 � °o g � m � � � � a �1 -� � � n � � r oD C � Z � C � m 0 D � � d � co co v N 2 -a s �� � � N � � � � Q � � �- (D m 3 � � o m � c�• � � � � � �� � a � �� � m � o �D a� Q m � -��.o� ? vi °—' 3 N o m ? o m � � °"c�n� .-•. ? .-• — O � �- (7 � (D � � � `� n � A � c�p O O m � � a, � a �' �m �D n S � O � � � � Al � O � � D � � m n � .pl ,� Z` � n 71C" � Q1 Q �' fl. t�n c��p j �. n D m � n 2 m � C rn O � � � � m � � � v 1 l 1 N Q � � w� j O �Z�'� � � �� �N < � Z Z � m -D m n -_i 0 Z � z m � �� mn �� O O Z D O � � D p � ggg O � z� � � � Z O ...i Z � z � �v � � � -i � Z o � � O 5 � n C Z � � < Z -� � � Z m � � < (D � � L A� 7 C � � cD CO � CfII1VINEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes (�) No () 2. Is free from n�st or deterioration Yes () No () 3. Has no foreign objeets lodged within Yes () No () 4. Is securely supported Yes () No () 5. Meets all current Code requirements for size and total BTU's conne�ted Yes () No () 6 Has total heating BTU's of All other BTU's TOTAL BTU's 7. Has a liner been provided for water heater Yes () No () 8. Has combustion air been provided for water heater Yes () No () Remarks: . List ALTERATIONS Bein Done- HEATING CO: '�� Signed By: Date: �._ SUBJECT City of Fridley AT THE TOP OF THE TWINS g U I L D I N G P E R M t T i � i � � ; � __��� COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. �, -._.� �"'�.� CITY HALL fRIOLEV 55432 NUMBEP AEv � 612-571-3450 910-F15 J08 AODRESS 7969 East River Road NE 1 LEGAL LOT NO. 9LOCK TRACT OFi ADDITION oesca. 6, 7, 8 6 Spring Brook Park 2 PROPERTY OWNEii MAIL ADDRES$ Charles Pereda 7969 East River Rd NE 3 CONTqACTOR MAIL ADDRESS Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS 5 ENGINEER MAILADDRESS 6 USE OF BUILDINQ Residential 7 CLASS OF WORK � NEW ❑ ADOITION O ALTERATION B DESCRIBE WORK Reside House (Ma.sonite) 9 CHAN(iE OF USE FROM TO DATE PAGE OF 10/17/97 � � ZIP ZIP ZIP �ERMIT Nd`�, 25�11 APPHOVED BV SEE ATTACMED SNEET PMONE 792-0734 PMONE LICENSE NO. PHONE LICENSE NO. PHONE LICENSE NO. C� RfPAIR O MOVE O REMOVE I STIPULATIONS Install building wrap and have inspection of same. SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PIUMBING, HEATING. �'" ��• ��••�•. VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION 20NING AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONEO FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WOFiK IS COMMENCED. NO. OWLG. UNITS I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIEO $2OO WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OP A PERMIT DOES NOT PRESUME T IVE AUTHORITY TO VIOLATE OR CANCEL TNE pERMIT FEE PROVISIONS OF THER OR LOCAL LAW REGULATING CON- STRU E PER RMANCE F CONSTRUCTION �21.00 � 5� TUA O O TH OR R H IZEDA NT IDATEI S�GNATURE OF OWNER �i� OWN R BU�IDER � IDATEI � ,� SO. STALLS GROUP CU. fT. OFFSTREET PARKIN( GARAGES SURTAX $.50 SAC CHARGE Fire SC $.20 70 qL FEE �21.%0 TNIS IS VOUR PER LOAD � NE�V ADDN ALTER fl i) Ll ConstructionAddress: Legal Description: Owner Name & Contxactor: Address: LIVING A,REA: GARAGE AREA: DECK AREA: OTHER: ' CITY OF FRIDLEI' S[NGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION 1 /"C��-.�'/� �� ' 7— � �� ��C. � �?",Oi? r.�! � /�/✓`c�l< /� � �i9� Effecti�re I / 1 /97 Tel. # `79Z-67�� MN LICENSE # Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scaie. DESCRIPTION OF aVIPROVEME\rI' �n� Width Height Sq. Ft. �ng� Width Height Sq. Ft. � � Width HgtlGround Sq. Ft. n (�OcI � �'" � o>t ( � � ���� � o Construction T e: �/r „ yP /� � Fstimated Cost: $ -- `� � ' " (Fee Schedule on Back) Driveway Cbrb C�it.Width Ne�ed: Ft. + 6 Ft = Ft x$ � —$ DATE• �C� ? APPLICAN'I': —_ Tel. # 2 �0 7� Permit Fee ��ire Surcharge State Surcharge SAC Charge License Surcharge� �riveway Escrow :POSion Controi :'ark Fee iewer 1�Iain Charge TOTAL >'('t['ULA"I'[O,\�S: $. $. $_ $ $ $ $ $ $ CITY USE ONLY ��- �� Fee Schedule on Reverse Side � � � .001 of Permit Vaivation (1/lOth%) . .S� $.50/$1,000 Valuation _ $950 per SAC Unit $5.00 (State Licensed Residential Contractars) Alt. "A" o.r Alt_ "B" Above �$450.00 Conservation Plan Review Fee Determined by Engineerina Agreement Necessary [ ) Not Necessar5� [ ) � � l. `I0. C�UlLDi�v(� l'EIZl�I["C rEE SCHEUG[.l�: 1�he Cliief Building Official shall, before issuing permits for the erectio�i oi� any building ��r structure, or ior atly addition to any ex�isting buildiilg or struciurc, or for an}� aiteraUon or repair to any cxisting buildin� or strucwre, upon application therefore, require the payment by the applicant far such permit of fees to the amount herein below set forth and in the manner herein provided to-�vit: � ' TOTAL VALUE $1 to $500 $501 to $2,000 � �?,OUI to $25,000 $25,001 to $50,000 $50, 001 to $100,000 $iO4,001 to $500,000 �SOO,t}Ol to $1,000,000 � :;1, 000,001 and �up FEES $2i (Minimum Fee is $21 plus surcharge) $21 for first $500 plus $2.75 for each additional $100 or fraction thereof, to and including $2,OU0 562.25 for frst 52,000 pius $12.50 for each additional �1,000 o� 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 ��0,000 �574.75 for first $50,000 plus $6.25 for each additional $1,OD0 or fraction thereof, to and including $1U0,0a0 .$887.25 for f�rst $100,000 plus $S_�: for each addition�.T $1,� or firaction th:ereof, _to and including $500,�0 $2887.25 for .tiie._first $500,000 pius $4:25� for each :additioffi1 $1,000 or_fraction ther�f, to and including $�1,(�0,000 '� $5012.25 for the fust $1,000,0� plus $2.75 for each additional $1,Oi� or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete C�rb Streets Only) �lternate "A": Removal and replacemeint of curb and gutter only - Drive�vay widtti plus b feet time's $�3:50_ �(ternate "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. VERIF[CATION OF FOUNDATION crtiiits for construction will be issued a minimum of 24 hours from the time of application to ailow �or pro��r .��ie«� of the proposed stiucture and of the construction site. <�ei-til�icate of Survev c�i- tlie (ot, showin�� the location of�the f�undatian r+iice it has�it has hcen coflstr�uctic{ �E �� . I�C({UlT-CCj I�Ci(li'� t�r��_.�:�•din�� ��•iti� thc 1�r:►mii��. - _. :. � _ Cf[YOF FR[DLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(763) 571-3450 • FAX (763) 571-1287 April 13, 2004 Mr. John Emanuel 7969 East River Road NE Fridley, MN 55432 Re: Final Inspection at 7969 East River Road NE Contractor: McGuire & Sons Dear Mr. Emanuel: A plumbing permit was issued on January 21, 2003 to install a water heater at your address. According to Section 4715.2800 of the State Plumbing Code, a final inspection shall be conducted on the work authorized by this pernut. As of this date the inspection has not been requested. The permit fee that was paid covers the inspection to make sure the work was completed according to the Codes. We will keep your pemut open for another 30 days and if we do not hear from you within this time to set up the inspection, we will mark the permit "no inspection called for by homeowner after notification" and take no further action. To set up the inspection or to have any questions answered, please contact the Building Inspection Division at (763) 572-3604. Sincerely, / ����'� ` � ��T ' . : � �� � �- � DJ/mh 3uildin.g :nspections 763-572-3604 BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY �ATE YOUR E-MAIL ADDRESS iITE ADDRESS i HLS APPLICANT IS: ❑ OWNER OCONTRACTOR Permit Received By: Date Rec' d: J PROPERTY OWNER/ Np�: �j/-j,Q,l iG �� F�24 U B� TENAN'T a,nnxFSS: 79�0 �'-J � � �el��,� �.D#d crrv �R-/,DLE � sTA�ztr ,��32 PHONE: 7� �-7r�'�v -�/A� �PJ �D,2-%vEi �i %.�L% CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATTON PROPERTY TYPE PERMTT TYPE �rYrE oF woxx: STA7E LICENSE PHONE O TGVO FAMILY/NEW CONSTRUCTION EXP DATE O BASEMENT FINISH �ROOF O DRAIN TILE � DECK ❑ SIDING ❑ OTf�R ❑ SWD+�MIMIl�G POOL i� DESCRIBE aJORK BEING DONE: 7E�t�, 0�F �° ,�� /��+� SIZE OF IMPROVEMENT sQu�s 1� GARAGFS PROPOSID SIZE: PROPOSID HEIGHT: SmING O Vinyl ❑ Aluminum ❑ Other LENGTH ❑ HOUSE & GARAGE ❑ ATfACI�D GARAGE ❑ DETACf�D GARAGE OSoffit � Trim ❑ Fescia wmmows IN EXISTING OPEMNGS OYes ONo LACATION OF WINDOWS OR FOR NEW OPENINGS-DESCRIBE SIZE OF OPENING CHANGES & NUNBER OF 3�Ir HEIGHT BASEMENT REMODELING SUBIvIIT: 1. Existing Floor Plan 2. Proposed floor plan 3. List of strucwral members to be used F� FOR NEW CANSTRUCTIOAI INCLUDIIJG DECKS, ADDITTONS. & PORCHES SUHMTf: 1. Site Pian/Survey sh�wing the existing struc4ues and P�Pos� P*�J� 2. Twro sets of construction plans 3. Energy Calculations ALL FEES ARE BASED ON VALUATION, INCLUDING TI� COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ g f� ��.� OCCUPANCY TYPE Permit Fee Plan Review Fire Surchazge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Dne $ $ I . �� � .�a $ � , C� $ $ $ $ See Back Page for Fee Schedule 65% of Building Per[nit Fee .001 tunes the total job valuation .0005 x Permit Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $1550 per SAC Unit (Plans to MWCC for determination) ft+68= ftx$21=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks payable to: City of Fridley Attach THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building perrait and I aclmowledge 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 Construcrion 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; that the work will be in accordance with the approved plan in the case of all work which quires r ew and pr a1 of plans. SIGNATURE OF APPLICANT �� '�����ti���� PRINT NAME �/� � ��i�s�'5��� DATE �7-' � �'� Page 2- Building Residential Applica.tion BUILDING PERMIT FEE SCHEDULE The Chief Buildin.g Official shall, before issuing permits for the erection of any building or stzucture, or for any addition to any existing building or shucture, or for any altera.tion or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such perm.it of fees to the amount herein below set forth and in the manner herein pmvided to-wit: 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 pro�sed structure and of the construction site. A Certificate of Survey of the lot, showi.ng the location of the existing foundation will be required before proceeding with the framing. 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