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AF - 42059. . . .,.� i . _ . Caty of Fridley, Minn. BUILDING PERMIT .:. � . . * � �' � �, -� �' .� . , � � � � 1: �r- .. _ . .r _ . : � . �•-.r�.... / N° 621? ,�. . ' x4�bCAT1 O E� No. ..� �..� Street .� ��Part I'°t �.�.�R_7'.R' 8loclt „ w.._...._. Additia� or Sub-Divisi �, ; Corner Lot ____w:..�.�._ Ir�ide Lot __�� ._._ Setback �,y�i�_..._.._.._ Sideyard _:.,� Sewer Elevati� ___.__.._.._ _..._.M.__ Foundatiau IIevation DESCRIPTION OP BUILDIN� T � ;:.I , ,. , Fro�t �_3�G.. Depth .,�►:fL. Height ...�"�. Sq. F't. : Ft.+��` ._._._� t____ Depth � ht .. Sq. Ft. Cu. Fk ' �� Type of Constructi �,,t.:.. '.M.,... Es� Cos _�:. ._ ...._ To be Caoapleted � d #: � `_ In corisideration of the issuance to me of a permit to construct the buildin8 tieecribed abo�ve I a�t+Iye �t-do th� propoaed work in acc�ordance with the d�scription abave set forth and in cbmpliance with a�l px�oaTl� �i or8inances of the city of Fridley. � In c�sfderatfi�a of the payment of a fee o! ��., permit is hereby granbad t�o to canstrttet the building or adtiiti� as descrlbed abave. This t ia grAated itpcu the exPrees amdition that the Peraon to whom it is granted and hfa agex►�s, emplo s a�iv�r� ffi��k: done in, around and up� said building, or aqv psrt t�ereof, shall oonform in �x�espects Lo the ad� ot Fridiey, Minnesota regarding location, constructi�, alteration, maintenance, repeir aad mav3n8 0! within the dty limfts and this permit may be re�voked at ariy time u viola ' of any o! the p�ovis�a� o! ��. .�'"% ,�.il �"'� ��'�!!=''_`� � .�. �. ..� :1� � . � -`' - .A�� NOTIC� _ '�I�is p.rnar aoa aw �ewr fh. eoa�rnaioe. inN.nMta. io. wM+M. ��a r� h�Ni�a. ..ww� w�M.. �. .w. +o ,.. f6� duildino In�p�etsr for s�p�rd� P�rn�Ns for 1MN ihna. � F - , � � �� ..-�.�:'� �,. -_. 1 Oumer'a Name Address APPLICATION FOR $UILDTI�iG PERMIT CITY OF FRID'%EY, MINNESOTA � �- � .� " . � ,r,; .y..,:�v.:.�.:rio� - � ��E. �Ls �� LOCATION OF BUILDING No. �`'LQ� Street �`�QSe(f�% ��U�� part of Lot Lot� d' U B1ock��Addition or Subdivision _��C.��'� � Corner Lot Inside Lot ii� Setback Side-Yard �EWER ELEVATION FOUNDATION II,EVATION Applicant attach Co this form Two Certificatea of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To be used as: Jt VL �L,�j—�/.�+'1-1r^L � �l� h? e--� �� f � Front Depth p� Height Sq. Ft. Cu. Ft. Froat Depth �Height Sq. Ft. Cu. Ft. Type of ConsCructior� Eatimated Cost To be Completed The undersigned hereby makesvapplication for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Aepartment of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. ('�'� l C✓ /� DATE LJ i�/I I J.��Cry � S�CNATURF // JOI�/I�/ /,✓L�� ___ (Schedule of Fee Costs can be found on the Reverse Side). y � . .... • . r � er M � ��G�� O�ON � COMBINING THE RECORDS OF HARVEY A. CARTWRIGHT J. E. HILL, C�viL ENGIwEER ANOKA COUNTY SURVEYS 7�' EST�ABLISMED 10Y6 . HENNEPIN COUNTY SURVEYS L� �1 D S UR V E YORS MINNEAPOLIS suRVers _, C. F. SANDHOFF 8410 PALM STREET N. W. REGISTERED UNDBR LAWS OF STA7E OF MINNESOTA CIVIL ENGINEER ESTABlISMED 1pOB sUNSEr 4�7655 LICENSED BY ORDINANC[ OF CITY OF MINNEAPOLIS OWNER JAMES NELSON 326 PLYMOUTH BUILDING FEDERAL 8-8721 SURVEYOR HENNEPIN AT SIXTH • MINNEAPOLIS 3. MINNESOTA ESTABLISHEb iczz INDUSTRIAL - JUDICIAL � BUSINE55 - TOPOGRAPHICAL dd ` ♦ METROPOLITAN LAND CITY LO75 - P�ATTING �+�trbe y��TtI1F�Al� SURVEYORS, ESTABLISMEO +nei �'?^I1.��:',, ��,1� ."OtJS':� .n �r�t_ � iY1V0_C"? �2� �� t��"-�� ,% s9�'� /1/.� . 7; �/, � �7� r, , . �� .^ 1 � . .� . , . ? � E�-�# �'µ 1�1Gi'�:J�� C:�i i 1'^7 i�."?: : ;,ii�:� 1� :1 �i �,1:; '.iZ":i C71','�C"u ?"��_' '^�'lti^{'i�.D:1 J� �.. °�L'"Vr'y ` ` v�� : .�,ot� =;� : n:: '_.�'J, � � oc': �-�-, -!��'�_:��; '�r�o'r. F� rL� ..d st,rv,_ a�� '� , :^ ';,;.is ^' A . ,. � .,-. . �'J �' �a t 1 d ��s �i -�pt _ �.� . , �l ;� .�,,. _� ;. .. > S I G N E'[$�,`��_ r.�„e;• .� • , :., �: '�.,°�°. ` - � �::� ��`�` .,�,- . ,K• .�s • 4.�� :.; ... , RIGHT ,ANO OLSO � � � / City of Fridley Applic�ion for Phrmbing and Gas Fitting Permit Dept. of Bldgs. Phoae SU 4-7470 DESCRIPTION OF WORK �'f Numher, Kind aad Location of Fixtures LOCB�O °� �i � "� z �}+„ � z 4`� s� iz '� �Z �Zy �_ �,a i w OJ � �'� f`I� � � 0 = � ` 4 ( ^ 3{,J 7 �� m Vl 3 F O LL N LL � � 0 � 3 C� ` C� LL' C� O Base , � v I a iSt !i L 2nd 3rd 4th _ • Future Conasct€oa Openings * New Fixinre, Old Opeaings with PARTIAL RATE SCHEDULE WATER NTR. • • F N GAS ELEC. v Sewer Cesspool PLIIMBING FIXTIIRE RATES: NO. RA'I"E �OTAi�_� G ,� Number Fixtures ....... ....... ......� x $1.50 $ Future Fixture Opening . . . . . . . . . . . . . . . . � x 1.20 $—,� � �'J� New Fixture Old Opening . . . . . . . . . . . . . . x 1.00 $ Catch Basin ..... ................. x 3.25 $ Water Heater (Up to 200,000 BTiT) ......—� x 2.00 $—� � U U New Ground Run Old Bldg. . . . . . . . . . . . . x 3.25 $ City of Fridley: 0 . � The undersigned hereby makes application for a permit for the work herei specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated in this applic��op are true and correct. /� Fridley, Minn. a � , 19C� Owner �(/ L ��G!/ 5 '�/ Kind of Building �� . Used as To be completed about• Estimated Cost, $ / Old—New. Building Permit No. �- Permit No. �- � °L Signe -" By `'� Business Phone No ROUGH � FINAL GA3 FITTING FEE3: NO. RATE TOTAL , ` � lst 3 Fixtures .......................... x $1.50 $ � �� Additional Fixtures .. . .. ............. . . x .50 $ I Gas Range to 200,000 BTiJ ............ .. x 2.00 � 'I REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ TOTAL FEE $':'� , oZ � az sM � Application for Power Plants and Heating, Cooling, Ventilation, Refrigeration and Air Conditioning Systems and Devices Partial Rate Schedule � GRAVITY WARM AIR: RATE Furnace Shell & Duct Work ............................................................ 8.00 Replacement of Furnace ................................................................�---. 5.00 Repairs & Alterations—up to $500.00 .................................... 5.00 Repairs & Alterations each add. $500.00 ..............•.•••.•�-�••-�-• 2.50 MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU .................. 8.00 each add. 60,000 BTU ................................................... 2.00 Replacement of Furnace ............................................�---..................... 5.00 Itepairs & Alterations—up to $500.00 ................................. 5.00 Repairs & Alterations each add. $500.00 .............................. 2.50 STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... 8.00 Furnace Shell & Line—to 640 sq. ft. ED�R Hot Water 8.00 Each add. 200 sq. ft. EDR Steam .... ............................................ 2.00 � Each add. 320 sq. ft. EDR Hot Water .................................... 2.00 ', JIL BURNE'R.—to 3 gal. per hour ..............................•----......-----. 5.00 � over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 400,000 BTU) .................................... GAS FITTING FEES: NO lst 3 Fixtures Additional Fixtures ........................ Gas Range to 200,000 BTU ....................::.. VENTILATING SYSTEMS Duct work etc. not to exceed 2,000 cfm ......................... Each additional 1,000 cfm ............................................. AIR CONDITIONING FAN HEATING SYSTEM ALTERATIONS 8c REPAIRS TOTAL $ ................................. $ ................................. � � � ............................... $ ................................. �............�'.._a....� $ ................................. $ ................................. $ ................................. $ ................................. $ ................................. $ ........................... ..... $ ................................. �-• ............................... $ ................................. ... b.00 $.......:�i...�...V RATE TOTAL x $1.50 $..........--�......�...� x.50 $ ................................. x 2.00 $ ................................. ... 6.00 $ ................................. .... 2.50 $ ................................. $ ................................. See Fee Schedule $ ................................. $ .............:................... J � TOTAL FEE $.J....�....�...� Location �...' . ......... ...............................................................�-� ............................... ........ ....�......... �. City of Co . ,� �„ The undersigned hereby makes application for ermit for the work herein specified, agreeing to do all work in strict acco ance with the C'ity Ordinances and ruling of the Department of Buildings, and hereby declares that aII the facts and representations stated in this app ' ation are true and correct. Columbia Heights, Minn ........... ........... ................�.............., 19...7P...�! � Owner .. .... :...... . . ......... ............ .. .............. ................. .................. ...... . ............... . Kind of Building .................�..�................:...._..............................................:. J Used as ........................ ....... . .. ...... .... ........................... � --� ........................................................... Tobe compeletd about ................. .. ......... ...............................................................:....................... EstimatedCost, $ ..........................................�C.• ..t} t C,✓.....�-........................................... Old ew. uilding Permit No........��"�.. p.,�...... Permit No........�::1....�.....`.� DESCRIPTION :0F WORK HEATING or POWER PLAN S—Ste , Hot Water, Warm Air—No ......................... TradeName ...... ... .....................................................:.................................... Size No.....� .�.�......:.......Q.....`'.� Capacity...�..... r..�..�.�5q. Ft. E D R .................................... BTU.................................... H. Total Connected Load............_:.11Z.l�..�i�..........�.,. Kind of Fuel ............................... ....... �^ �r T� BURNER—Trade Name ..................................................................... Size No................................................. CApacity....................................... Sc ( remarks—over) Business Phone No,. ..�.��_.�r...�.�...�...�.'�. � i n.s6 ' 9 �� i' � HEAT LOSS CALCULATIONS DEPAR OF BUILDINCS . MIIVN. ; We�theratrips A.S. V. . Construction No. Inaulatioa Guide W' wa Reference Out. Wall Int. Wall Geiling Roof Floor Kind How Applud ea o( e o 19T l.� Length Width ," eight Fl.� l.ength ' Wi�h �Height Windows and Doors—Crackage and Area Windowa and Doora—Crackage and Area �'Vidth Hetght No. ot Ll�eal tt. Area Wldth Helght No. ot i.ineal it. Arat No. ot pane of pane lighta of crack ��q. tt. No. ot Dane ot Dans � llshb � of crack M. Lt. � . v . � � � ... . . . .. �� Coef. cu Coef, Infiltration � In5ltration C.laaa � Glass ' Exp. wall � . Eap. wall Net exp. wall C� Net ezp. wall � Int. wall Int. wall , Ceiling d � Ceiling Z- � Floar Flaor � � Total Btu. - Total Btu. ' Required aq. ft. E.D.R. or aq. ins. W.A. Leader area Rectuired ay. ft. E.D.R. or aq. in:. W.A. L�eaeler iaPe� FI Room ( Length idch Height �.1 �� ( k� �/' r j Windows and Doora—,Crackage and Area Windowa and Doora--Crackagt and Aee�► Width HetQht No. o[ Ltneal lt. Ares Wldth He1�hL No. ot Lln�al [G Ars� No. oL pane ot psne li`htt ot crsck W 1t. � � No. ot Dsae of pan� If�IIb ot erack q. tL i . 6 � �� coef. sa, In6ltration % Infiltration 2.� Glasa • ^v �1"%'� Glaaa Exp. wall Eup. wall Net eap. wall v� Net ezp. wall La� _.._11 �� . � . .. � . . , Ceilin ' Floor Total Btu. — --- Required sq. ft. E.D.R. or aq. ins. W.A. Leader area Fl Room � Length Width Wiadows and Doora—Crackage nd Area Wldth Hdght No. oL Llnaal tQ Area No. ot Dans o[ aane lfaht� ot crack ea. Lt. ,� I,a�ltratioz Glasa Eycp. wall ° IV�t e�tp. � Int. wall Ceiling Floor Total Btu Int. wall Ceiling �oor Total Btu. Required : Height �, Win + W idth �� No. of pane .I- B� �� r�c�v,� ��'� � - - ---- -- _ uired aq. ft. E.D R. or aq. ins. W.A.1 cadsr arca z, .. :; or aq. ins. W.A. L�eader a1�� :A ,+,�•.s,� ►m I Length Wiekh t —Cracka�e and Area Na ot LMeal ft. �tN ti�hb etcnolc al,-tR z- �`" . :� � � � _ � C+ief. � � &a Ce Infiltration Glasa �`" Exp. wap Net exp. wall ' j Int. wall � � � � � � � � � Ceiling Floor _ ; Total Btu. � Req�red'�q!'ft. E.D.R. or aq. ina. WA. G:adtr are�a � '' ; - ; ..._. . .. �, ' +� City of Fridley, Minn. 6431 University Ave. N. E., Minneapolis, Minn. 55432 BUILDING PERMIT Date: ._.__.__..-------..__Jxil.�._.3.1..,_1.2�2 4wner: ..._-----....------Eug.�en�e--Q.--Era.c�csc�u--_�__._.� Builder Address .--_---_-•------2FZ.4---El.jz_..S.tx.eez._1�I.E.-_..__.._._._...__.._. Address Same Same �� No. ..264 -- - -�-----------�. Street Lot ...___....3.2....�'x..._4.0 B1ock LOCATION OF BUfLDING Ely Street N,E, ___.___._.._...____.....__...._.._.�_._....,_._ Part of Lot Corner Lot -•-.------•.--------------- Inside Lot ---..---X Sewer Elevation ..--:-----,_.---••------.--.--------.__...._._._ Addition or Sttb-Division _-.3pril]g._B.r.oOk. pa+'k ._._._. Setback .___ �__.r Sideyard ._..---••------_ Founda�tion IIevation .._._ ---.------- DESCRIPTION OF BUILDING To be Used as: SiJ� S7(�j ' -----�- Garage....-----� ---�----- Front _ 24 �---- �P� 24' _ xeight 1��__._ Sq. Ft. `� Cu. Ft ..___.� _.__-�--•--•------------.._..._------.----- Front .---•-._._._._ Depth ___._._.._ Height ____.__.__ Sq. Ft _.._._____ Cti. Ft . �111 �3 Type of Construction __._...__..S�Ta��._.Fr3me...__ Es� Cost 2.,_7.IIII..._..__.__.._.._.___.. To be Completed — �2,609.28} Provide Haxd surface driveway. In consideration of the issuance to me of a permit to construct the building descxibed above, T agree to do the proposed work in accordance with the description above set ,.iorth and in compliance with all. provisians o! Ordinanc:es of the city of Fridley. . �.3 A S � a�a–�:�s�a�ge In consideration of the payment of a fee of $_ 11,00 __� ��t � hereby granted to Eugene 0. Erickson _._......._._.._.__....._._ ......................_._.._._ to construct the building or addition as described above. This permit is granted upon the express condition 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 thereof, shall conform in all respects •to the ordinances OF Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildi�igs vyithin the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordiiiances. Buildin8 Inspector CLARENCE BBLISLE NOTiCE: ' This permit does not cover the conatruction, installation fo� wiring, plumbing, gas heafing, sewer or wafsr, Bt sur� fo tN , ths Building Inspecto� for separafe permits for ihese items. i i u APPLICATION FOR RESIDENTIAL, ALTERATION, OR AllDITION BUILDING P,ERMIT CITY OF FRIDLEY, MINNESOTA OWNER' S NAME :C�/o � y� � , �F ,�C.,%C�-�UILDER : ADDRESS :_ � � �% �I y S''j' , /�/, � . ADDRESS : � NO : . ��_ S TREET : � � y /i � �� .�.,.. LOT:3 % �' �Q BLOCK: �/ ADDITION:�y.'�nn�' �i/� CORNER LOT: INSIDE LOT:��SETBACK: SIDEY.ARD:�� Applicant attach to this form Ztao Certificates of Survey of Lot and proposed building location drawn on these Certificates. �ESCRIPTION UF BUILDING To Be Used As: `� / '/ / Front: �L T/ Depth: 2�` Height: /O Square Feet: `Z � Q� Cubic Feet: Z � g d ��, Front: Depth: Height: Square Feet; Cubic Feet: 1�pe of Construction: /�po� �N� �� Estimated Cost:_��Z Q" To Be Completed: /¢Ud , � `��j'3 (�6d% Z� The undersigned hereby makes applicativn for a permit for the work herein specified, agreeing to do all work in stiict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hexeby declares that all the facts and representations stated in this application are true and correct. r DATE : � � � / — �J S IGNATURE : � (See Reverse Side For Additional Information.) /f.�0 /.3 � � . � . /�,�v � - ��-�-� . � �K . �--= �--__ C � TYPICAL SLA$ DETAIL 9 � The above is a substitute design for frost footings, horaever, it is not yet accepted by the State as �.n amendment to the Uniform Building Co3e, Section 2905,a. Therefore upon using this method of construction, I agree to hold the City of Fridley harmless of any possilile claim for foundation failure or structural damage caused by foundation failure. . Witness Date � / �G� � Property Owner � s� �.� s�.� � Address of roperty /Legal Desc. r C ` � HARVEY A. CARTWRIGHT ��'�� " ��s��'` �'�� ('� "`'� COMBIN113G THE RECOitD9 oR I ANOKA COUN7Y fURV¢YS ��II"°"�� ""°��`� J. E. HILL� CIVIt, ENti1NlSR y�'p�,+ p COTAiL1YH6D f!S{ � '� - FtENNEPIN COUNTY SURVEYS LA ND S V Ll VG YOLO S � • MINNEAPOLI� SURVET8 C. F. SANDHQFF 6410 PALM STREET N. W. CIYIL EN(SINgER ��. �� REGI3TERED UNDER LAWS OR STATE OP MiNNESOTA [b7AY��aM¢O 1�0 � ��' � 61JN�� 4-7865 LICENSED BY OROINANCE OF CITY OF MtNNEAPOLIS � � � owNCe JAMES WELSON 902 UPPER MIDWEST BUIIDING — 338-8721 SURV¢VOR tNDUETRtAt — JiJDIGtAt HENNEPIN AT FIFTH — MINNEAPOLIS. MINN. 58401 EiTA6L16MEp iosa suswess — TO►OdRAPHICAL » • METROPOLITAN LAND �urbe or � �ertificatc . GTY LOTfi — PtATTI►!G L SURVEYORB. ESTAYUfNEO �4at � i 358--40 i ` � / �, r �c� ' ��t Ft S h1 � p�I , - _ _ - 1 - - � - � 1� � � A� � � 6 ^R 3S � �., ,, � 2 �. � •� . �� ' . � , 1�� , ,..__; . � o ��`� a� . �, _�. �e � � . " � _.__ ..._ .., _ . .� - ----� __ _. _ . ,__.:: _._._ . _._.. .., _ . . _,,. � � _ �ti � �� 1 - �� p� ,' o� Q • 4 � �' � . � � ;�. ?�'-��\ _ s��. _____ _ � _ � ' - . _ i _ — rp� _ ' � �'ii�{�!1 � � %K` t � _ ' . .. . . . � � ' � � • 0 v 1 M� I�oraby ��xtif, that this is a► truo and e�r�ect �;1�►t o.t� ��tcr�rc�y , oP Lot 3y �� 40 Bloa� 11 c£ SPRI1uG �3ROOK FAFcK Ar,oka Coun;:�, ��lI2dPJ�SOT� as n:ade by no this 4t� dar of Mag, 1y72 � K < • � � �l � `� "�' 610N�D � CA RtCiN7 �wu OL�N I L I y Y S�a�E�T Po i482'7 Cit of Fridle AT THE TOP OF THE TWINS B U I L D I N G P E R M I T • r ; � RECEIPT NO � 1 y_�� GOMMUNITY OEVELOPMENT OIV. r � �� PROTECTIVE �NSPECTION SEC. ��d , 1 . � �4 � /"'i � CITY HALL FfiIDLE`/ 55432 NUMBER REV. DATE PAGE OF APPROVED BY ""'�' ,�� 612-5603450 910-F15 8/1/78 � � JOB ADORESS 264 Ely Stre.et N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 39 ]_]_ Spring Brook Park SHEET 2 PROPERTY OWNER MAIL ADDRESS 21P PHONE Eu ene Erickson 264 El Street N.E. 786-5877 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. S ame 4 ARCHITECTORDESIGNEFi MAILADDRESS ZIP PHONE LICENSENO. 5 ENGINEER MAIL ADDRESS ZIP PHONE UCENSE NO. 6 USE OF BUILDING R�sidential 7 CLASS OF WORK ❑ NEW ❑ ADDITIOIV ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK 9 CHANGE QF USE FROM TO STIPULATtONS g�of can be second but not third roof. Install ridged galvanized valleys. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIF CONDITIONING. AS �1d�.'t THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZpNING SQ. FT. CU. FT. AUTHORIZED IS NOi 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 SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED �S`S_OO y5. �JO WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- �"� � SO STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE � 8. 0� �NATUREOFCONTRACTORORAUTHORIZEDAGENT IDATEI WHEN PROPERLY VA IDATED THIS IS YOUR PERMIT /, � ' -/- �� , ;�� O°-�'i� ��-SiGNAT EOFOWNERUF W ERBUILDERI IDATEI �• '� BLDG 1NSP DATE CITY 01= FfZIll�CY ' /1PPL.IC�'fIOiJ rorz RESII)[-NTI/1L T3UI1_DI��G f'ER1�1ITS ' ��CL�, �LTL=RIITIO(VS, �DDITIOt�S, O(Z REPAIIZS) OWI1�R: e N � �L S�%� lC/�,�j,�/}3UILDL•'R: �a �l l� -'' Aaaz�s�- : 026 �� s 7` iU naar��s : 7 Tel . tvo . /�"� � ' J C�� 1 . No.: 5treet: LOT: �� BLOCY.: � ADDITION: ��(�C�l �UCv � ��vC� �. �1��,C� ..� COi2iQER LOT: YNSIDL•' IlJT: �� SLTBACY.: SIDEY7IRL'S: Applica'r�t attach to this fozm �ro Certi�icates of Survey of T.�ot and proposed building locatio�i drawn on these Certificates. DESCRI PTI Ofd OF BUI LDI NG To Be Used As: a . Front: Depth: Height: � Square Feet: ` _ Cubic Feet: Fron t: � Depi�h : � He ig ht : Square Feet: Cubic Feet: Type of Construction: ��O�l N9 ��}SPiaAL'� Esti.mated Cost: S S'� Q Tv Be Completed: Alt. A Alt. B Proposed Drive�aay Width If New Opening Is Desired $ $ (SE� REVERSE SIDE OF SFiEET} The undersigned hereby makes applicai:ion for a permit for the �,ork lzerein specifi_ed, agreeing to do all �.�ork in strict accol:dance wit.h the City of Fridley Ordinances ai�d rulii�gs of the Department oi £uildings, and l�ereby declares i:hat all tlie facts a�id representations stated i�i i:his application are true �id correct. See reverse side for aclditio�ial info�-mation. DATi:: _ �- �- �J lJ SIGNATUP.E: %/ � _ Stipu].ai:ions : '�� . . � , 1 � C__�� ,c��, �� w � ' „ . � sus�ecT PER City of Fridley _ 15 3 4 6 AT THE TOP Of THE TWINS g U I L D I N G P E R M I T � i � RECEIPT NO.f � a f� �S 3 • COMMUi�11TY OEVEIOPMENT DIV. i '�V��' r � � PROTECTIVE INSPECTION SEC. � � /'��1 � CITY HALL FRIDLEv 55432 NUMBER REV. DATE PAGE Of APPROVED BY � •---�: `.� 612-571-3450 9t0-F15 7/18/79 / / JOB ADDRESS 264 Ely Street N.E. 7 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 39 11 Spring Brook Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Eugene O. Erickson 264 Ely Street N.E. 786-5877 3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO. S hcRe 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILAODRESS Z�P PHONE UCENSENO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION O REPAIR ❑ MOVE O REMOVE X 8 DESCRIBE WORK Construct a 12' x 26' Deck. nd install atio doors 9 CHANGE QF USE FROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIFED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULI AND VOID IF WORK OR CONSTRUCTION ZONING S0. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONEO FOR A PERIOD OF 120 OAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALIS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS 7YPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 1,3QO .(rJ DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OF LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $9.65 ATURE OF CONTRAC70A OR AUT ED AG IDATEI N PRO E L A D THIS IS VOUR PERMIT V I .�/' ' --� � ��=7� �// �� °' SiG OWNERIIFOWNERBUILDER� IDATEI LDG �NSP ��A�t� CITY OF FRIULEY APPLICATION FOR RESIDENiIAL BUILDING PERMITS (New, Alterati'ons, Additions, or Repairs) OWNER: � e �� BUILDER: S�� ADDRESS: '2� `� • �^� X 5 � ,� ADDRESS: - TEL N0: ��° j�%�7 TEL N0: Construction Location - STREET NO : Z � STREET: � �V�^ LOT: �%� BLOCK: '�/ ADDITIOI3: ,].�l�: n c� �� ao� �� I� Corner Lot: Inside Lot: Setback: Sideyards: Applicant attach to this form twa Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRTPTIOI� 0� CONSTRUCTION c� �. Front: Depth: �Z I He�ht Z� ' � Squ��e Feet: Cubic Feet: !�a-�,'o ��✓ Front: -- Depth: Height: �'Z / f( � '/`7` Square Feet: Cubic Feet: Type of Construction : _ f =.�6 �� Zb Be Oompleted: �,r�� Esti.mated cost: $ � 3 UO Alt. A AIt. B Proposed Driveway Width If New Opening Is Desired: $ $ SEE REVERSE SIDE OF SHEET . The undersigned hereby makes application for a permit for the wc�rk herein specified, agreeing to dp all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this applicatio��.�e true and correct � � DATE: � � � � � � � SIGTIATURE : � Stipulations: �� T� � � �, 0 �� , ��. � � . 0 SUBJECT City of Fridley � 16 6 6 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r � � � � . � • COMMUNITY DEVELOPMENT DIV. /� Q 1 � y � / r � � PROTECTIVE INSPECTION SEC. (p �1 � � � � �'��L � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED 6V � ----�: `.� 612-571-3450 910-F15 ��g�82 � / JOB ADDRESS 264 Ely St. N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 39 SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK C� NEW � ADDITION ❑ ALTERATION C7 REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 12' X 16' shed 9 CHANGE QF USE FROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. WOOC�{ FYdII12 THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. 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 R�. ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OfFSTREET PARKING I HEREBV CERTIFY THAT 1 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT y�SOO.00 y�. rJO OOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUC7101V OR 7HE PERFORMANCE OF CONSTRUCTION. �S�-S.00 PLAN CHECK FEE TOTAL FEE $15. 50 NATUREOFCONTRACTO anU7� EonG�E�Nj IDATEI WHEN PRO ERL VALIDATED THIS I� YOUR PERMIT ' .oc.c-�G---� %- �- � � �` � 1�� 7 �'-�Z� SiGN UREOFOWNER�I O NERBUILOEFi �DATEI BLDG WSP DATE CITY OF FRIDICY Effective Aug. 1, 1981 ' APPLIGIITI�J FOR RCSIDL'i�lTI/li_ E3U1LDIi1G PCfL'lITS (t�e►r, Alterations, Additions, or Repairs) Ot�JNER: � � � �, � , �,� <<�� 91., QUI LDER : - ADDRESS: `ZL�7 �l�' /5��.� ADDRCSS: TEL �IO: '%�� - Sf��7 % TEL f20: Construction Location ST1tP�T NO: � � � STFtEET: C�j �7--, /Y,..Z . L07': . J� BLOCK : l� ADnZTION : T�1.� R�_ ��4- �(�C Corner Lot: Insicie Lot: �_ SetbacY.: Sideyards: Ap�licant attach to tliis form two Certificates of S�ivey of lot and proposed building location drawn on certificates to scale. � DESCRIPTIOi� OF COt•JSTP.UCTIOW -� � /z .� � - C�`S(�v� I'ront: ( � `f� Depth: Height: Square.Feet: Cubic Feet: Front: Depth: Height: Squar.e Feet: Gtiibic I'eet: � 8� � Rype of Cor.struction: �� 1-�-�-L, Estimated Cost: $ g `� �b Be Oc�r,�pleted: �G� % ��gL Alt. A Alt. B Proposed Drive«ay kidth if New Opening Is Desired: $� $ . , SE� i�VER: � SIDE OF SHEET . �i�e undersicned hereby mal:es application for a perrait fcr the work herein specified, agreeinq to do ,all work ir, strict accords,nce �rith the City of IYidley Ordii�ances a»d ruling� of the Delh�rtm�t of Buildings, and hereby declares that all the facts and representatiens stated in this application e true and correct. D.7TE: % � S - � Z- SIGNATUItE : ��+�� Stipulations: � � /.S—r4� c�z��'� 3_ � � /��o � . Rouyhly fit the door into the openinq, as ad)ustmenta may be needed. Pafnt the doors the color or flnleh of your cholce. Align and screw the hinges to the 2 x 4 door trlm end hang the door. Apply the door trim as indlcated In Fip. 8. '� " v��. Ffg. 8 NOTE: 1x1 on NMNr y- y�+'� door lo m�rlap otMr door t�A poor TAm HInpM 2a1 Trlm ROQFlNG/SOFFIT Root: Staple the 15N felt to the roof aheathing. Apply �phalt 3-tab shingles with 7/8" roofing nalls, M1 cedar or undercourse shinglee with 3d galv. box nails, to the root. When using cedar shinglee, leeve approximately B�Ys" expqaed to the weather. The top courae or the 8�/i" pp. may be glued or tacked on with a small nall. RootRidgs: With asphalt shinglee, uae a Boston Roof rldge. Refer to Knox Shows You How to Roof or Re-Roof Using Asphalt Shinylea. Cedar shinglea requlre a 1 x 6 pc. of redwood, ripped to 2- 1 x 3's, beveled to fit the roof slope. Soffit: Carefully measure, cut to size and nail Va" chipboard to close the truss ends and to the 1 x 2 nallers and the bottoma of the trusses for 9offit (Fig. 5�. EXTERIOR Finish with 1 x 3 trim as ahown on the cover illustration. Brush on a clear wood preservative to make the chipboard water repellent then apply two coata of Spar Varnish or Knox's own high quality exterior paint. �� ° NOX BUI�q�R F�EIp�'�li. �Itd'i�:�� Clean your palnt appliator�s) immedlatsly with tlie aolvent stated on the label; woh In deterpent water foliowed with a warm water rinee, dry thwouphly, wrap and store. Pp�4 1 �;, +s� . :�• r-. TOOLS Hammer, Staple 6un, level, Saw, Drlll, Plumb Bab, Steel Meaeure, Squere, Marker, Ladder, Brue�lR011er rmn � cu m u.a.n. COPYRIOHT KNOX LUMBER CO. -1978 � � , �. _ KNOX stocks or carries all of the building materials needed for �n- structing a storage barn. This building la tlesigned with pre- asaembled roof trusses (8 ft. or 12 ft. widths) which will eliminate cutting waste and costly errors in measuring. A material Iist order form tor an 8' x 12' or 12' x 16' storage barn is on the back cover of this booklet. Materials have been estimated at 2 ft. on center. Your unit can be built in 8 ft. or 12 ft. widths and in any , length, Juat coordinate the materials wfth the new dimensions. PLANNING This building must be constructed on a IevN concrete slab or petio blocka, sized to fit the outer dimenslons of your bullding. Square all � entls of lumber betore measuriny a�d double-check all measure- ments before cutting. FRAMING Sidewalla: Cut the 2 x 4 Douglas Ffr plate and _ Redwood shoe plate to the length re- - qulred. Placethe plate and ahoe plate alongaide each other on a level sur- a f�e, to measure and mark stud p.16d each stud positions more accurately. Space the 2 x 4 wall studs 2'0" on center, �� measuring from an end. Posltlon platea and studs on edge and nall top _ plate and shoe plate to eech atud with 2-16d nails (Fig. 1). Fig. 1 rma: wnen �sino e n. roo� aww, me.sure ana c�� m. wui nuds �o �aw�� len^ths;1Y ft. roo/ lrwws raqulre 77" stude. The totW wNl Mlpht would bs: 7814" � on 7��H. widths, a BO" on tM 12 ft. width (Fip. 2). _ 2"x1" Top Plate . � 2..x4.. ,, Z��,. � ' � � F � F .' ��- �, ��..,� I 'd" 4x8 Chlpboerd ,o � � m I I ,� �9i,�-. , �� I " I �I I ° � j ii li �� 2••x4" Shoe Plate L_JL_JL _ —J F�9 2 Backwall: The back wall top plate and shoe plate must be cut 7" ilwNer lhan the desired width of the building so that it wlll fit between the sidewalls. Proceed to build the b�k wall frame the same as for the sidewalls. Note: Mark center of 1st. atud 20�iz" from end ai plate then 24" thereafter. Pap� 1 Before applying the �/�" chipboard, the frame must be square. Measure dtagonally from corner to corner, unttl the d(agonala are equal. It may be necessary to tap the frame corners with a hammer. SIDEWALIS/ BACKWALL SECTIONS Nail the 4 x 8 sheets of chipboard to the asaembled frame with 6d galv. nails, spacing the nails about 10" apart. Keep the aheet fluah to the bottom o( the frame as shown In Fig. 2. Raiae sidewalls and backwall, temporarily drive several 18d nafla through the shoe plate fnto the concrete or blocks. Plumb the walle by dropping a bob line and measuring the dfatance between the Iine and the shoe. The wall is plumb when the Ilne measur� the same distance from the top plate as from the ahoe plate. After the walls have been plumbed, spike the backwall and side- walls together with 3-16d galv. nails (Fig. 3). Plumb each corner in both directlona. Poaition masonry an- chora 1 ft. from each corner and In the ap- proximate center of e�h wall. Pre-drill the hole to fit the size of the plug and boH wall sectiona to the con- CfBtB. Back Wall ROOF TRUSSES/SHEATHtNG Toe-na�1 the roof trusses 2'0" on center, directly into the top plate with 16d galv. nails. Refer to Fig. 4. Meesure from the ends of the lumber, not the center. After the roof trusaes are in place, naif a 1 x 2 sofflt natler to e�h sidewall. The bottoms of the 1 x 2's and the trusaea must be levet. These must be Inatalled before the roof sheathing is appHed. Fasten Yz" CDX. plywood to the roof with 8d nafls. Pp�4 .�^. , , ;�"t,..,:� a �� ., y� �. FRONT WALL/DOOR SECTION Truuw ax� rop va�. Nall�r Fig. 4 Front Wall: Nafl a 2 x 4 header between the front truss as shown in Fig. 5. Measure, cut and (ft the bottom plate between the aldewalls. The height from the bottom of the ahoe plate to the bottom of the 2 x 4 h�der should be 78Ys". Meesure, cut end position 4- 2 x 4- 77" wall studa. A 12 ft. wfde storage unit requiree 2- 2 z 4- 77" addltlonal wall atuds placed 2'0" on center (Fig. 5). �h" COX Roo/ 8'0" Truu— 2x1 Top Hwd� 1x2 NHNr � +/." Chipbwrd Doubls 2x� — pedwood PI�U Wall Stud WaI18lu0 Plumb wall fn the eame way ae for the aldelbeck walls. Install masonry anchora. Door: Locate the center of the 2 x 4 header. From thla polnt, measure 24" both ways to obtaln a rough openinp of 48" for the door. Cut out the bottom plate to the size of the openlny. Nafl a 2 x 4 to provlde a nailing surtece Tor the 2 x 4 door trim as illustrated fn Fip. 8. Apply �h "chipboard with Bd galv. nalls. Nafl the 2 x 4 door trim as shown. Cut a aheet of'I4" 4 x 8 CD PT3. plywood to a height of 80". Cut this piece In half, the tour toot meesun, which will provide you with 2 pcs. 24" x 80" (Fip. 8). Pa W 9 ,� �+�,m, o� �lr�y `- - 6� ce y� � _ o � . - 2�% � _ _ � �l' ' � y , � r _ tZ , _ ?Z, z � -� �ar�� , Z� ��, . . 7 � sue�ecT _ PERMIT NO. City of Fridley 2 7 4 7 5 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T f � ` RECEIPT NO. � • COMMUNITY OEVELOPMENT DIV. r � V � PfiOTECTIVE INSPECTION SEC. �� i.---�; /'�'1,,� CITY HALL FRID�E� 55032 NUMBER pEV OATE PAGE OF APPFOVEO BV L 612-571-3450 910-F15 8/31/98 � � J08 ADDRESS 264 El Street NE 1 LEGAL LOT NO. BLOCK TRACT OF AOD{TION SEE ATTACHED oesca. 39, 40 11 S rin Br SHEET 2 PROPERTV OWNEfi MAIL ADORESS ZIP PHONE Eu ene & Ph llis Erickson - 3 CONTRACTOR MAIL ADDRESS ZIP PNONE LICENSE NO. Owners 4 ARCHITECT OR DESIGNER MAIL ADDqESS ZIP PFIONE IICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW O ADDITION O ALTERATION � REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Reroof house and garage (24 Sq) Tear-off 9 CHANGEOFUSEFROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPEOFCONST. OCCUPANCVGROUP OCCUPANCYLOAO SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZpNING SQ. FT. CU. FT. AUTHORIZEO IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERI00 QF 12� OAYS AT ANY TIME AFTEF WORK IS COMMENCED. NO. DWLG. UNITS OfFSTREET PARKING I HEfiEBY CERTIFV THAT I HAVE FEAD AND EXAMINED THIS APPLICATION STA�LS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TVPE OF WORK WILL 8E COMP�IED WITH WHETHER SPECIFIED HEREIN OH NOT. THE GRANTING OF A PERMIT �ZOOL I.00 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMITFEE SACCHARGE PROVISIONS OF ANV OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFOFiMANCE OF CONSTRUCTION. 7�{. ]S Fire SC Z.00 PLAN CHECK FEE TOT L fEE 75 �' SiG U f CON'AACTOA OA AUTHOAI nG ur �DATE� N ROP VALIO T THIS IS VOUR PER 1 „ 4 ,-,'"_, ,.��/�� _3i 9 _ SiGNATUREO OWNEA�IFOWN ABU�IOERi ID�iEI g� INSP ��'T NEW [ l ADDN " [ J ALTER [ ] CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Effective 1 / 1 /98 �` � �� ConstructionAddress: Z6 41 �� x S-� ,�E� Legal Description: ,Lo � a3 �'� � y� S ;,� � ,�i�o � � �- � Owner Name & Address: �� - l�: z � ` �,�-,�.� Tel. # ��'� --.Sg'I '1 Contractor: MN LICENSE # Address: Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: Length GARAGE AREA: Length DECK AREA: I,ength OTHER: DESCRIPTION OF IMPROVEMENT Width Width Width Heighi Sq. Ft. Height Sq. Ft. Hgt/Ground Sq. Ft. :�' � � 7� �c� � �- {� Construction Type: ,Qb ��,-� ��s � � ��a,^�� ` stimated Cost: $ 1__:� ��(� � (Fee Schedule on Back) Driveway Curb Cut W�dth Needed: Ft. + 6 Ft = Ft x$ _$ DATE; Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: APPLICANT: $ ` �- � `�� $ Gj �� $ /, Ci �% $ $ $ $ $ $ � � � /( 3 Tel. # CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.50/$1,000 Valuation $1000 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Neeessary [ ] Not Necessary [ ] City of Fridiey Building Inspections Dept. Ph: 763-572-3604 FAX: 763-571-1287 6431 University Ave NE Fridley MN 55432 Mechanical Permit # --� �� Residential Application City of Fridley See Back Side For Re uired Information Date 2- �3-D"] Site Address: 2�4 E W SF NE. The a licant is: cirlce one Owner ontractor Property Owner: Euae,�e �vc.so� Address: �� ks sn r� City: State: Zip: Phone: - -�8�- 58-r'► Cell: Fax: Contractor Information Company Name: a.n ,k,,. Contact Person: �i%�sa„dvn .�=r�ncl, _ Address: 2R0-B f�s�r►-r.� �-M� City: �n ctS�a�.� State: M Zip: 55432 Phone: '1l�3 "7S4-bloo Cell: Fax: '1�3 '7P�- 41,94 Email: IG%i � ��w - o„��.. �om MN Bond# & Ex Date T e of Work circle one : New Re lacement Alteration/Remodel Detailed Description of work: rem rux.Q OF r7(d e�.o rnQ.w� a�aL ��Q ►� a/c A� -�i-r�►'tii.ci -� __ _ __ __ _ _ _ _ _ .__ _ _ _ Equipment Installed: MFG: Mode1:355paVa42o�•oSize/BTU: t,o,00v MFG:_�a.�l Model:lt,sANao�t Size/BTU: 24,000 MFG: Model: SizeIBTU: Please check all that apply: '9� Fireplace (gas) $15.00 New Gas Grill $10.00 � A/C $25.00 Fireplace (wood) $35.00 _Gas Unit HTR $10.00 Air to Air exchanger $15.00 �Furnace $35.00 Pool Heater $35.00 Boiler $35.00 _Gas Dryer $10.00 _Ventilator $15.OQ Chimney Liner $10.00 _Gas Piping $10.00 rDuct Work $10.00 Gas Ran e/Oven $10.00 Permit Fee $ �0. 00 Minimum fee $15 or 5% of cost of improvement Surcharge � 0.50 whichever is greater + surcharge Total Due $ O- �� Make check a able to Cit of Fridle This is an aaplication for a permit- not valid until processed I hereby appy for a mechanical permit 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 Conskruction Codes; thet I understand this is not a permit but only an application for a permit and work is not to start without a permit; thet the work will be in accordance with the approved plan in case of all work which requires review and approval of plans. Signature of Approval Ins �ate: Z-(�-o1 Date: �� - c7`� Please Note: Separate permits are required for Building, Plumbing, and Electrical work Revised 6/14/2005 � _