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AF - 41655e �o land Olanning sf��u/��yl 6B7S Highwar No.65 N.E. land Surveying • • ��lM �+ Minrtaopolis� Soils Testing �n�znee�tyc�� V,6'L� Mina. SSq32 Civil Engineering fe(ephpne 784-6066 Munieipal Engineering Engineers & Surveyore Areo Cede 612 Mortga�e Loan Survey for /� �� %�; �� °`��° .�� t� ��..�. � �i��.�.��- CiRCt � � h�s�7 1 T- _ _ 1 � . �/ � ; .. .� �y. � � , �� ► � �, � J � � � � � ��s—� / � � � -pL�^ v� � �`�'U � , �► � ,SC .4 � .E: / , : � _, , c � 1 1 \ �r � . ..s � �� ?� � 1 � ` �. t` , � � �. .� 1w �. 1 � � , � , �� . — 4 �' � ` f �oa � ,��Y� �,��- . . � . ` c ��r/ �' � � � � � , � . -: a� � „ L�� /� �' � .' .,� �� "`' f, ,�.. - � ;� �';� �° �... � .. ' � � � �3._ ,�r� C.l l' Gl L6 Lr/ �.C.�_ as .��T /'y �.�.� �;% t � � � �y oa%_ A �� .,; � � .--_ -��! � ��G��. ��.a� ��,E,6�-� � a � t �. � �� , ,� {�q a w � , / t .�, d'•� E .r � , __-_ r � .� 1 D. y.. ,U �,- � �. �. �a� � !J� >v � � �= ' :� r► .� C� n�s r� v� rrc�ni �: � . _ .,.: g. 7"� ., �l 2 � . d � `��, �. _ _ �. � � � � �. � � - This is a true and correct �epresentation of o survey of the boundaries of the land obove described and of the location of olt buildings� if any� thereoa� and all visible enc►onchmenfs� if aey� from or on said Iq�d. This survar is made only in connection wi�h a mortgage loan now being, placed on the properfy end ne liabiiity is asaumed except ta the holder of such morfgage or onr ofher interest acquired br the �eason of such mortgage. It is underatood and agreed��monu nts have been pinced for fha purpose of establishing lot linas or boundory corrrers. Dated this1=dar o� ba �, A. 0. 19� � ' �SUBURBAN ENGINEERiN6, INC. E { 5 �� ng ne s /; urveyors �r 1'°�-- �' �"°'° by � t� . � `"�L' ��'^r,� <� _ i 1ZS"�" � �- � , - �� - � SUBJECT P E R M City of Fridley 1 �13539 ' AT THE TOP OF THE TWINS g U I L D I N G P E R M I T � � RECEIPT NO. � ; y _.__ COMMUNITY DEVELOPMENT DIV. . r � PROTECTIVE INSPECTION SEC. � � � 1 = , , �"��: � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVEO BY � �•�«� � ,•� 812-580-3450 910-F15 5/25/76 � � JOB ADDRESS g027 Fairmont Circle N. E. 1 LEGAI LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. j2 2 Bourdeawc's Spring Brook SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE The Rottlund Company, Inc. P.O. Box 32082, Fridley 571-2060 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSENO. Same d ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. 8 USE OF BUILDING RES].C;P.11't7.d�. 7 CLASS OF WORK O; NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRfBE WORK � �� Construct a 42' x 24' Dwellin and a 20' x 24' Gara e �+ '�� `� �EPERATE PERMITS RE UIRED F _��fore di�;�in� c��dl Ioc�l urili'; �� : � 9 1 9 CHANGEOFU��,��NG, PLU�iBING A�JD St�NS,TO � /��ta,,y.�qy1I{1 $p�ytrtia,� � � �3 `G� / C M� �G STIPULATIONS pravide a hard surface driveway. Provide sod in the front and side yards. Provide a verifying survey before capping. SERVICES OFF FAIRMONT GIRCLE: For utility locations contact the City Sewer and Water Depariment -� cirv �� a��?� Do�s r��r �u„�:��:-, 7t-�c —I�l��`�"��,��'–� /�GGtJ;z�c:Y cr° uT;I�TY LoCfa7106�ls AiVD ��'�Tio�S, Nor(FY 7NE FR�i��,�� , T�I��S DAiA IS FOP 16Q9�Ci�Tl0�9 PIJE?POS�S �fvLY �':PJJ DIVPSiON {4�G,��p11�1i`a �(�� t'�ttSONS USIi�lG IT SH��ID VE�'JFIf ThIE Ii�fF0�3AA,4TIOi� REMpyAI AND RE�'LAC��aj��j� ON Ti1E SITE. �T D�OVEWAY OPENIN(�S, SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. WOOCI FT1.ID-C.' THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN BO DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT R�. �.00S 'F 48O 16, 824 -F4$OO ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATIOfd SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OH NOT. THE GRANTING OF A PERMIT yfi29��.90 �"�.4. GO 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- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. � $3$.23 $350.00 PLAN CHECKFEE TOTALFEE � �� 2� � 7 $402 . 83 SIGNATUR FCONiRACTOROR UTHORIZEDAGENT �DATEI WHEN PR PERLY VALIDATED THIS IS YOUR PERMIT � �O� � (cA..e.� �-�� J� SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI BLDG. INSP pATE , �P.PLIC/i'fION� 1�OR RLSIDL'NTI�1L, �iLTIiI2/�TIQN, • ��. OR Alll)ITION BUILllTNG PL•RA1IT CITY OE FRIDLEY, hiINN�SOTA � rJ/ - �OIoG� OWNER' S 1V,l1Mr . -� ,�"��, �-�. �v .� �� . �TTBUILDEF : __Tt� � f� 0 7 j'-r u �e � � . �iv.� � , • ADDP.�SS :_ �p � `��A�„�a�t�cn��- �°'iv � ��ADD1tESS : � 6 � o X `� � � � '� N4 : . 6 f� � -� S TREET : __ ��.► y� I�t o n� � ' � 1 v � / � LOT: / � BLOCK : "� ADDTTION ;_ �$' o u �-��,�,�� ! s �,o yi;�,� y � r � �, � CORN�R LOT: � TNSIDF LOT: SETSACK: 3`� � SIDL'YE1I'.D: /�� Applicant attach to this foxm �ao Certifi.catcs of Survev of Lo� and proposed building location dra�an on these C�rtiticates. d �iESCRIPTION OF BUILDING To $e Used As : �'��9'/� �'�d1 �n � (�t �. s .� Front : ' _ �-! � Depth : � y ' Iieight • / b � Square Feet o��d � Cub�c Feet : lt�o �� , — �ooar��'e Fzon� : ' ` �" .�n Depth :_ � y Height • �' Square �eet; t.� � � Cubi.c Feet : � � �� xjrpe of Construction; _�-.��i� � Estimated Cos� t_$ �? ,, °� ��, To Be Completed; "7 - �� r�' � � �Y undersigned hereUy ma,kes applicatinn for a pexmit fox the work l�exein�� h 7��c:i�ied, agreeing to do all woxk in s�xict accoxdance taiCh the City of �j� « Fxadley Ordinances and xulings of the Depaxtment of Buildings, and hereby ,' declaxes that all the fact•s and representations stated in this application ure true and c�rrect. � � � °-� !�d 7� i'' C e. �� - �`� � . � 1}ATE : _ S - / % - � % SIGNATIJRE :- � �c� r�y -P� � . �(See Reverse Side For Additional Information.) � /'�r� `38' � � `�� si� �� _ v`'�i� ,�,� a . � ��.�� _.----- ' r � ;�� BUILll1NG PERMII' F�� SCIIL'llULL SECTION 2. The Tnspector of �uildings shall, betore issuing pe�.-mits for the execL•ion of any building ox structure, ox for any addition to any �xis�in� building or st•xucturc, or f�r any altexat-ion or repai.rs to any existing building ar structure, upon application thexefore, re�uire the paymenC by tlie applican� fox such permit o� f-ees to the amount hexein below set iorth and in the manner herein provided to-wit: UNIFORM �UILDING CODE: Type 1, 2& 4-$2.15 for each one thousand cubic £eeC, �ox fraction tliexeof, in such cubical contents. Type 3& 5-$1.85 for each one thousand cubic feet. ' ADDITIONAL INFORbIATION For the puxpose oi computing fees for buildi:•b perniits, the cubical contents of any building ox addition, is dei�ermined by multiplying the gxound area covexed fxom a point six (6) i.nches 'uelow the floor line of the Uasement ox the cellar to tlie average lieights of the upper suriace or to the average..• height oi the roof surface of the main gable of a pitched roof. 0 Fax repaixs ox alterations to an existin� structure, the fee shall. be at the rate o� $3.00 per each five hundxed dollaxs ($500.00) or fraction thereo� in the cost of all pxoposed woxlc. . In no case silall the fee charged for any permit as set foxth in Section 2 be less than $5.00, VERIFICATION OF POUNDATION NOTE: Pel-mits for constru�tion �uill be issued a mini.mum of 24 h�urs from the time �i application, to allo�a for pxoper x'eview of the proposed stxucture and of the cons�xuction site. _ A Certiiicd Survey of the lot, showing the location of the foundation, once it has been constructed, will be required bei'oxe proceeding with the framing. CERTIrICATE Or OCCUPANCY ApplicaCion for a Certificate of Occupancy shall be made ten (10) days pr3.or to tlie use or occupancy of any structure for which a building pei-mit has been . issued; and said structure shall noC be used or occupied until a CerCifica�e of Occupancy has been issued. • '' . �a � .. . . � �V-....., , �.: m.1��L 1��/V �1� ��d..� � ve... .� � , . ., i...Ir�.iI��Y,'�qy.'�..,1� � .�� ..,�. t17 �.... y�...s�.. .,� . . . , . I, , �� . h1 � M • � ' + � ` � I . ` i � � � • � � �� . . � '�i' l'�� 6� Pi"� �\m!e'' L� ��,, � �� U 4�� . � { i �O h � ' ��G66`�'��6�'� c�:� P�� S�d��',/�`1��.� � � � O � . W�ST -, ., ! 2��'•�h'. ..ST. R�FT..'.... a ;' BURNSVILI.E, � MINNESOT�4 `�� I � � � �, � � . , C��`!�'i��'e �f �S�trve� : ` �'ar�� '�'� , . . F ' . . ; � b n 7. � . � a: �� f �` fX� 1,1�Y, $ 7P��M '� ' � �, p � � � � " r,� :5 ',.� � �'A _ . . T_. ___ t��:_ .. , ;, � .,, � 9 � yN � �� , . �� q� t'Ia(;t;�l E"-,FL;` -,. h . . 1 � . . a ,7- i 4 y;^i ��.:}r��. �N' � , � 'Nr�'�' P,�c :.;;r � Pt fa�.�:1�dtcn � ' ,. 'j fi �' Ft ..� N�. �Y �*�o�7e � � ' u N Tj i!� �{�L/a b�l3 � F:� '� •.� _%�. �% Prp'�i,� � ��F- 71�-t� Ci l 3' ;�c . _ -_ � ' - , F� _1;r. . i', . , .� • � , � , ' . . � I � , � • • 1 � , . ' �� ,. . � � ° � . 3W. , � : S;CA �: �': _' l. _ � �� . __.� . �. � y . p�.�l�DlCA7�� f �'�6� �i . . � , . . � . •. , . . . T �F�,, ; . --,�L�: �I�EA�ti�"�*� ��S��l�� s..'� ; . . 2O-- -- - - gp �,.''` • . a� � � .��n,�°�'T�°'p�`. .,/ � Iq�� I . . ' � ` � ' ' ' , ,� � ' � �NP! �►T��"� % d ,� li: " 'S��eX�br. � , . , , � �s6� �' ; � . �. C � �c,�7'�y . . , � . �p j , . � x � �� , � � . � . . . . . � "� .. �� ; � n : y y,� ' � , . ,� �';;�' �" : ��F � � � � � ,� , � � �� '�� . � %�' � � . ;��qre� tli��i�� call 1ocal u'ri � . `� : � � : � � � . � ;�EL�PHON� - ELEC�R6C � GAS . �� , . . . , ��-��,,N��'��R�� : . 'r�` - ;�t��U��.� �Y �, . '1 � �� ; : �0�� F�`��.E�� yq�`,� " 1 � A��R�� ,�Pi�bg� "�� ,� -�� p�N M�,N� . . , fiF�G� :� �� r�i� � i� � �� :� � � � �� 'ro�a_ � �g �„ �p�\F � �EGP �?Lp`GE �,�, . � �� I . ��pd�t��', � � ��ti'+ai1�� pUS�.r� , D`ve�v P� ��p�� OQ�NoN : .', ' ; �,1 �' .. �� i SW�iliD �� '�� - a' � R��11 pR,v �, � , � 1 � + � , �/,J�,2�y �� 1� � P�. `�` —� V��a.7%--` �' ��. ..._��•�%' _.��. ' . . : �. ��.� " ' y . . � �'pa � :�:�.,�.,vM4�� . ��v�,�, , : . . � � . L�`�''� �-Y' J�' ��' �� Q� I herebq ,�certify that tli is sutveY, pIan os . �, C�� - � � � _ � � � � � _ � • rrport was;prepared by me oz under my �'irect _' d 1. supervisior� and th�t . I am a duly fiegistered .�"��:�_� n�� i�i�s�,_ _� �� f n� �::��a� �.__;�� T s o�, I.and Su�n'eyos under th� la�vs of tne Scate ,, /� fV � BC �'1 C t� G1 �+i T Y- r.. f`�1 I NN ��.7'� � '.. of nescsta. .w.�<� F6 �:-F� ,,� I ' . �,�O��T p� ��, ; � �� . . • I� � . : ; , � ' D�� 3 -tg- 3 ��. �tm � 3 � � - . � - . � ,� , . m ��IC�_S__ �� r� � � � i 7�� T°� / r � �r�� 7__ �� C,o c k?'-iaic,ls �6�'t%?'jgC / ��w�� , `� m c� �,p ��i �.v T- (/ - 0 � . o �� _ .- �-��A�'%l1Cr.iT' �, �G,�� . ._ _ ... _ _ �.4 � ! �G� c �� i� r s,�,� �`�-,,/c.� _ - - _ . G�/I5�'o�e�itl T�" : _ . ._._ _. a� -�" �� - ,�-�' �' .� � X �' � - . � a�v2 5�_- � � _ _ __.., i r ��P � /Cil �C,��. � `� � ' X a � � = / a .�o ,r r z. /.?� 6 O C) _ � __ . _��. _--- � � _ .. . . _...___.. _..__._--� . � � .� � � � _-. .-- -- _.�-- �,�o�A-� - ._ _ . _- . _. . _.._ ��`�) °��`x � �' - -YS� x � = � . ..3 �Ya -�... . �a/ 66y � _ � -# - pS+.�l �O c° � '3 X � �'`� i"��:' r.:� �" [ �.��-!/�.�.� � t� o . a 3 _ . / / � h,�,1:,1L tl..�t. � �a / � � - .. y' � r � � � ` V' 1 - - - . .. .. ' _.. _ ..--- ' C J 3�' s. �� o�.� , y� ' /sT - �0.3 � X a.�, 6 v � �� %.3 �, d o - . �� -- yS� X �, o _ . . __ . G � e�, 'S!D C..� , �' �'J __ _ , a'9 i 9�2�� ..� � �� r�d, do � �-� ¢/��1 �� - �°�. ,� � � a _ _ _ 5� ,�.�-o . � � �a�. �3 - � - ,-�� -- � �� Pagc ]. of 4 r� EXTF.R:[GR ENV%LOPP AVLRIIGF. "U" COr�liT�1TI0IJ vpPr r- aS � X 4 a =�3 y' ` `�ve%v��r . [oW{,. �� x aa = ya• 04v'1I13R: � e,S � �r-�jl <o�/ DATE � — � O — 7 � � SITl: RDDF.ESS: �F�rriviDW7'" � IV�. I,�, PiiONE: _��,I - �/3 yd coraxw�r.�oR: -�-1, e T�o r�/u��,l �, s� DetexTnine working square footaye• of each , , 1. Total. exposed �all area. . . . . . _ f 7 p'� . � n sq. £t. x . �.7 = � 90, � ` 2. ioal roof/ceiling area .....e /QSQ sq. ft. x .05 = ��.� Total. exp;,sed wall area above flaor = a. Total wall window area. .U.P�tr. . . a o . . . . e . . . , . . o e . . e e e . . _ � � /, � � / b. Total door area ....e..o....a......e..soo.......o .o... 3�, i�'I c. T�,�al sliding glass door ar��a ......e....a....ee..o.... c�0. ee z d. Total fireplace wall area o....o°oo.,.eeea....po,eOeo.. e. Total �vall framing area (average 10�) ...... e e. e e e.. e.. e ja 7,� f. Total rim joist area ..............e .. .ae.o..e.oa... loD. s �•�NSv�Arr� wa1? area above floor. .�Pt°.rP. �:"�4 �. . q a o,. o.. o , a 7,,?4 6 h. Py wall area above f1o:,r. �YP: :�:N�t. �.�'.�.°: �: T e!o ;0,�$ , � 3�. �T i. o w�r wall area above f loor . YNS u/AT�td �j�e �,. , e � �{ S3. � � 7•�e+w��r wall area ab�ve flo�r �X.P4�� . T.�. e9.a:A�S.e(�nAM�Ky� � g• `�' Total exposed founclation area = �oV,�r � Qv� ( . k. 7.'otai �-�--� '-�-Y window area . e e . . . e m e o . . . . o a . . ��q �_ 1. Tatal net founda�ionKarea above grade ooee.,.<��..00.a y�_�� /Y,. ; `fo o r Gx poSrel To 9.are ye . ` ` ' ` ` . . • 0�0 Det�rn,ine "U" value of each wall segment (eog. wi.ndo*a, door, each separate wall sectian) So _ �� }! a��n � .s� � � ! /,_ bo 3'7 . 7fll X '►u" . �S = 20. � _ c. �/�. ooa X o,U�� . Sft =� , o de ;{ ntjn - a. !D'7. 3 x f• loo..i x �; _� �y � X o�U�� 1 J3 = , � "u„ , oS9 = �� U�� . 0 G�� _ n._ S� .� X,,,J„ , l i q = i . '-fs3 . .r_ x �� T�� , p� _ � . 1 Y. _^ �, „U�� , o Ga, _ k. ��, 93�__ X .,�,�, .,sg _ 4 ' 1 • �JS. ,�,5� X M, y ga . o � x ��, �a S. 9 a _ ,SD• �.s � a3 ��1 ._._1=!�_ o� I ' ._.i_�_� „�,. ,.�.�� ° 3s ,� ..�-�- .a�� - �.I ra . T�;i=��? . � �� .rz - io�- ; o `= - C' A� %� �1r�/�- dt a SO, F7 � if 3.Fc�ri ;i3 is i:i:e same a�, �r ' �s_� ttian it��.� #�i , ; u:; hav�+ m��i: i-iic: intenY. �f;,, v�f4 c:��VU � -� f G • • � � F.�tt:erior Envel.ope Average "U" Cornputation Total exposed roof/ceiling area = /D.S�O m. Total skylight area ............................ n. Total roof/ceiling framing �rca (average 10�)... !o�$'.p o. Total n�t insulatc:d roaf/ceiling area........... �/ y� O Page 2 of 4 Determine °'U" value for each roof/ceiling segment m, X nUn _ . � n. 1�25�� o x��U�� 03� = 3� 7� o. � tis. o x„U„ . 03! _�9. a9 4 .............eoo..e...°ea.e Total = 33, p'% If total of #4 is the same as, or less than tt2, you have met the intent of SBC 6006 (c) 1. Alternate Buildir.g Envelope Design To utilize the total envelope system method, the values es-tablished by the.sum o£ items #3 and #4 shall no� be greater than the sum of items #1 and #2. z . � 90 . a �_ + a e _ S� . �S" = 3 ya . ;'T9 �� s. .� 9� �-I 3 + 4. 3 3. o'? = 3 a,S. ,� o � n _�7,�� , .�',;�.� /� � � � .c"�'-=��..�.�r<'�� ;. .,�' �.....� . ,..-a9��i J�c^'� � � .ta i� �yy��'� �-` � � '�-\ f l� � d < �� _ `� ,b' �, . ° � .� y ..� � a , Q �i� -a _r� " ".� ` � Ir��°' �r�' ��` '`� - , �� , �� a .. ' __—�.-- r9 f � /�LLf g � �' "--`\ y b � � t�entc� ItOOi'/L'E I I.,I idG '.: ��_:__� �'....:.L'.►. `�'.:��..' �' �'',' �%;! ,;r...,_._._.._ ___._..�._...t. � �--a ��- ; � . � . . .. r'IG. ; 5 ° � L�eat floos up � 'sn��j_,., '` ��.• ~�� i'� �:::._�_'�P/•S+ drt`�S f'✓•'^ �[. �A [n 1 ' - � .� �%il '._..__..r_. – — ��-_...._.�. ,. -- /. � n ��,1;1,� /�{ ,i t.,�l �- �� . S '_'� `.� `�,.� `�� . }:c�t ilot�� up . � ;•vented . .FIr,. �fG � ... , •. ` ' . . . y� __ —_ _� , _� - �.-- r� � w' ,y^; . � �i( ,.: e3°•.S• .�. i . � t n) f.<_;:i'"S%�'.: F'' _ � =� � .,i .' _ •..5--. : , . • ... •, :: : :.-. �, _ � ~: `' '.t .�..:.: 4,',' :. �.r;,:;:/-�.'--.+'"�� '^ � i_.: ^'J _ ' i'~ .:i �'-.:.:---;�'�J / ...---�� -� f •��. ��-�:.� �, .�� .r, +�.w...� . Y�1�! � �.� �. .. � %;/ 1 ....» , . • ' l�� %; . ✓J/ ,::; ; � � � � �// %/�/,, �' . 4r✓"� %�..� .. � . �� • � � L� � � t,;�t:--t�r.r:; �� ' � . : • . • • �, • , . . , . � iien� . � , , � �7.ata up ' . ' ' . . , T.':Tfy, �'] � . . . Page 4 oi 4 Con�tructian R-Value 1. Tnterior air film . 0. �il . 2. � r y� vYTro r k' t1. S? 3. 1Q.. .�'ro�vlaTooN ,�d 4p 4. Exterior air film (still) 0.61 Tota�. 3 ) . ? 9 R .. a3� V 1. Tnterior air film 0.61 2��E/a ��ATioN /�� ovpr Sa�sT / S( G 0^ 3 . �o�►sr t FrA..� i�.y � �� /� S � � r ,r0 � • ,S� 4. Exterior air film �still; O.G1 To�i � �. S'I R • .o3b U 1. .inside air film 0.6I 2. 3. �. � 5. Oui.si.de air film 0.17 Total Note: Usc additi.onal si:eets ii nare space is needed �or details and calcu].ata.�r�s ' W�1LI, SF.CTIO_JS tdUT,,; "�1se 10�s ��i oraque wall area for . fz'ant� construction �� . ��-1 • . •� -✓ ' ' �� , � ` . �. __1__ _ ._ • � . . �: �;-�<<,.` � �'.;, F� > �,; I1) � `�r� --=—ri'�- . `�a = / !( ,, „; � (rr . . ��' . • ` � � 1 '-� ;. d! 3 - ��Y.� sr' � a , � ` L.�... _.__ j. • � r_• _ • � ' � � • � , � �. i , � , •. � /'� . ' � f . , � . i � 0 3 / o.��Y S�Es,�� Page 3 of � Constructiion vP,�,, �P�� C�✓�„�;�,g� R-Value 1. Iii�erior air film 0.68 2• /Z , S� r�! iYD C. r y 1—� 3 • F�AM%+t19 � ,s� , �' .-.� `. � 4.a/_`�.� ,�itT-r►r�, 07 Q� s. / " i�vs�/:�� s,1,:�.� ! � yr 6. Extera�r aix iil.m 0.17 Total 8'. $'� R • • l �3 U UPP�Y �+Vt� �A/SU�O%�,I WI1f�, • l. Interi.or air iilm p,�g . 2 . �y ' � � r 7"y�a �If . �/ �_' 3 . 3 � '" ' � �L /NSd�AT/pw,f ,��. Db 4. a , [ r, *'.e., .�� _,l�' t-_ � 5• �L l�/Sd�IT-� S/di�vsi � �y — � ci .�.xtez ior air film p. �� Total / S ,S"D !�, • �I fcS� U }�/M �o �S7° 1. Interior air film 0.68 2e �� i�✓su�,a r,oA. IJ o0 3 e �1 M T o.l�T %�,� . 4. �/�3� �r(T—YtTZ ci• 0 ., 5e ' " t �_ /NC U�/ 7'a � roP i;�� y _� 6o Exterior air film p.27 Total /6 , � q 1� .o,�g �/ �dwpv ��vc( CFvAMi%�9� lo Interior air film 0.68 2 . - — U MFitii 1,� ,� 3. r r-� e_ i o 7 � �� S„ 4. �3� �iicr r•�r-� a o� 5e /1�� /NSulrr�, Si�<iv� �, /� 6. E�:terior air f.ilm O.17 ' Tota]. 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'1 3 � 8 � � ;� �c,�a .. � �I I ' � � a� m j' i , �, 2 � ? a, i � Z `o �� , � i�� i i � 1 � ,� �� ' a ., a� F�3 � � d�» , i \ °�4� � �� t� � • � .r. `we` A �^O ' � �D O „� �' ti � �` s � �� n A\ v 4� � 1 � � � P � � P4� � _ � c r f�'f � ��a. � � � � � � �� _ _ __ .. .�_ _ ._.. _ � ..�� ; -�.-�.�.�__-�--�=��,-,�.,-,. �'� I i � � �' �� ° °� � �` f a' � o� -� HE�i'i LO�ca�cu�a,�po�s HEATIi�t�B: �t6� C�DIY1��06�� CO. �� '�'��rs. �niNn�. Weathe.rstriFs fa.S.�.;;.E. ConstrL�� {fl. Ir�:a�:+�� -,. Wir�ows � Oc,axs Gua� Out. Was� ; lnt. Wall ve,��ng f Roof Fi�r ��rzd H�ra Applied �Qf�+ff'�Ce Yes-No � �es-No �y ! `Fi. � �.� • (�" Room ; �F�gth �� ti��th � J He�gr;t 1 F��'%��f � Raom i Le^;gth �` �' 1�';�4h � � Height Vdindows and Doors-Crackags and Area j VJ+ndaws arr� Doors-Crackage and Area , � !t1 '� , He� ht ! ko. �_' n Lmeal f' qrea i 9 ;� .r; ••e nt No. c' �,neat tt. �-ea ' ^�` ' �f pdne `�tn,s ! Of CrdCk sQ. f7. ' N �' � .1 a� � a !�8�tc 4� .'rBCk �'� 5�. �Q. ° pane I � i �� ; ,5`� P ,� ; :� � � ..�7� � , .�.� ; � i � :� �—, � / 3 � �^ ��,� . � i �, �„ � i i � i+ J j ; Coefl 8 t., � Coef B tu nfiltratio^ �lass _ap. wall � Jet exp. walt nt. wall .eiling � =1oor otal Btu *--, � � � � � �� i �� ;� ,� i�� . � �?�.�//_.'f .� � � 'equired sq. f;. E. .R. or sq. ins. W.A. Leader area =1. ,�e�� Room � Length Width Height Wi�dows and Doors-Crackage and Area �� W�drh Height tic. of Lineal tt. Area i cf pane r of pane a�g�ts of crack sq• ft. / �� l:� � 15 /� �— �filtration � lass xp. wall � let exp. wall �t. wall :eiling �( � � loor otal Btu. 7ti� o �� equired sq. ft. E.D.R. or sq. ins. W.A. Leader area =1. � �o Ropm { Length � . Width� —� VJindows and Doors-Crackage and Area „, Y.'�drt, ; He�g+�t hc. �f �ineal fi. Are� ; of par�� of p.�aie �'+qhts of crack sa. ft. � �`i Itrat+or^ '!3SS x F�_ wa I I� a� ' ��p. •.va�l . . �ti :� I ! _._in� � !:k� otal B!u Infiitrat�on a ��'� ' Glass i � � .� - Exp. wa l l.��"��i' � j*: �- G Net exp. wall ;,/� � Int. wall 7 Cei I ing i'!i ,% � ,/G'!�• Floor Total 8tu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area �FI. ��j�' floom � Length �° Vdidth �L VJindowrs arzd Doors-Crackage and Area �o W�dTh Height No. o! L�neal ft. Area � of parre , of pane liphts � of crack sa. ft. 8 tu Coef Q-� Infiltration � 7,� Glass � Exp. wall �p . � Net exp. wal I �` '� /� Int. wall Ceiiingl�' �� `� FIoQr Q � � Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Height FI �f� � Room Length/ Y3idth S�j Windows and Doors-Crackage and Area Nc, W�drh He�qht No. of L�neal ft. Area , of pant� , Lt1 p;ine liphts � af crack Sq. ft. 'Caef! Btu ' i ' Infiltration � � 't ' � L"-t".`� Glass s . } � ; �' Exp. wall�i � ; ,� � � ' C:' � � ;� � Net exp. wal l � .-- 1�� i � ; Int. wall i � '�L�`� � � �� Ceilmg � � � � F I oor t,/ S(� `� Total Btu. f�Zu�re�i sa. it_ E.D.R, or sq. e��. NI.A. Leader area Required sq. ft. E.D.R. or sq. ins. W.A, Le�der �ea -,C''�C-• , � � � Height B tu Height B tu �� G�`'� � �---� ,� -....�._ _.,r,.�..__ _ �_ �,�,.�, ..t� �- P,4 � .� ., �g� .,��-,.� �. . - �,� . -� . �.,.�:�� — � _ �_�...�� _� �i�� _ �. _ ° ' i� ��,�� ! iEAT L�C.4LCULATI�;� HE��0��9� �i��.��0��ii�i�i�9 �.�. MINFr�Ar�{3LIS. t�91NN. � Weatherss�:�s A.S.�-_`; .E. Co�tr:ncs.� r•ir�. InsuiatE�r. ' i rtdpws ; iltnxs G:e.c:e Out. Wall in4. 1'►zli � .�.� s:,�g Ro6f F;�rsT �a� }auvvAp�fied � Re��e:sce � s–No ; �es–No �g { I � � �,� m; Z�*�gth Width � He�g�t FI. %y'/��j�°fr�,�'�i�r+ 1 i�"•gtti �� ih';dtti Height tidindav`s a�u Doors—Crackage and Area Vdindows ar�a ��rs—Cra�kage and Area � � ,� .. tir� ht ; -• W�d .: � �,,..,2 rv .= t Lmeal fi. A�r� _ 9 S�. _ lineal ft. ArEa No. �� ' r,r��- " of DanF � �.m^•s of crack s of pe ,4 c� .z��c � .:; � of crack sa. t � r � . � �- il " �� ,..� � / �� ,�, � �� , j ° ; ' + I I ', � iCoef ct� I � ' Coef� Btu � Itrat�on i�,.�� '�? � �`� Infiltration � ` r� �-. i % K� � E . �ss - � : � � Glass �.'�,� 65 � 5 �` �. wall ��`��' ; Exp. wall � d,�`�� ' jy��—� , � exp. wa9i �� (� � 1�� Net exp. wall � �- � � C �[ � �' � i wall ling ��° �r Int. wall � �;�� Ceiling �,�'� lG`s� /0 � C'' C-' j �� „ F�oo� �� 5 E � � ► Total Btu. _ 4 t Require� sq. ft. E.D.R. or sy. ins. W.A. Leader area �` Roum ! Length Widtfj� �L Heigh*. FI. �%��/ j� Rornn i Length � Width,! � Height Ydindows an Doors—Crackage and Area Windows artd Doors—Crackage and Area Widfr, Height Nc. of L�neal ft. Area y�,�n He�ght �uc. of Lineal ft. Area � ef parn� of pane aoghts of crack SQ• `t• NO' nf pa*re ef aarre v+ghts of crack sq. ft y�� i� ,�� 7i �I �� i �/ l� . 8 i;� ItraI i on ' �ss �. wall 9�� : exp. nvafl wa I I ling ar ` / al Btu. � � iuired sq. ft. E.D.R. or sp. ins. W.A. Leader area Room � Length Widtfi Heig^ VJindows and Doors—Crackage and Area � � 1ti�Att� � Heiph; �' c. at Lineal ft. Are� { nf par,� e+ pane ! '�a'+ts of crack sq. fL � � � i � j ( i I j o ; 1 i Itrat+0^ � _� i55 � ! r— ! � � I ' k �. wafl : exF�. �aall wal: ling al Bt�. �u�red s�. tt. E.D.R. or sr,_ 6�. W.A. Leader area Btu �� Infiltratian ,��j Glass ` � c Exp. wall � Net exp. wall ��Q � � �- Int. wall Ceiling � Floor / � / Total Btu. Requirc� sq. ft. E.D.R. or sq. ins. W.A. Leader area ? FI. Room i Length t'ditfth Heigfit Windows and Doors—Crackage and Area No W�d�n tie�ght S�. cf L�neal ft. A.ea of canp [�� rane , i�a^ts of crack sq. h. $ t:: Infiltration Glass � Exp. wall � Net exp. wal I Int. wall Ceiling Floor Total Btu. Requir� sq. ft. f.T .fi. ar se�. +�ss. W.A. Leade� area BLU i • 49 � "� �i . � �+ � � � � r �d � ' 0 � W •n N .; (� •� � u i► � �' :: 'k"'1 (/� C� � � � ro e. � I� L� }' a � ;'� w 1• L � %+ c ;� � � .�ti r M n ti C7 " p M �o � � .. �: �' j'i t� x •� , p '� :.. K ^•�, e.� i j ('�1 ir � [: � j � j ° � � ; x ✓• C �p .� �o (A p [71. � � r9 C: K `J s v �.'�. �. � � � � 0 � ry (1 � : v � f•, : � a v • '' � N y �' :C � � � '� , � � a : • Q � : 4 a : N ji7 a y • ,'d R17 � • . . W t�i . [ . OV �` s � • . J+- 0 0� � • • • �y p . p� e • e � � • p� a • • • . � . � ~ s • 0 �, Q • • s • y � >� • • • • e � • � • • • ' Il� � ♦ ► • a • � • • � • � • . • � � � e • • • • • • � �. O •• • • • • � • �, • ,• � tb o • • • o • • • • . �i e � • • • • • e • • • � . � • • o •• i � P • • . ♦ � � � • • q t • . • • • • . �1 . � • ` S b � ' y x :� C e e � o Q 0 � `'' • ,• tt x st " x x x x x x m , �! (,� . 4,� <n e,q rn cn <r. •v+ 4� tn °� fA �J � IJ ��.J W� W r� r+ IJ :II � c ' (�j �J: �j �� t1 O Ch O Ci U � . �� • � N..�A . C� N 01 � � tn - N. N 61 . N N � T � � I � � i' r� � O � •• 1 �{ `` , 'c G ►� � p � � � J I �G r . , N , . . . N`j, • ' • . • . • ' • \V • � • • � � . � • • . • � V/ • � . • . � '. M �s . � � �. . a � . �' x : . a ro '• � . . � . . 1 . . � . 1 V . • • • �. . ' . . •, •� tf HI w �:y � IL • Lb '� h'J�III�Cd � M I� CIAtOA . �� I ��cntrs ►; 41 u,iwu.s� � ►-r �i _ --- — -- •f � � 4.A1N • ti I f: nrat � � �� ' � M1iNi .�. I `� �� ' � ��►> t� i �, ��. -,; �� Y c� � ', �MYs ' t�1 '� � .t �.e�r�,� '� tn /CxPtT. �y V ..._ �a Yn.rilt. (� 'rd� lIUJ• �l Q . Oa.��i � �«�. CATCN .q � C7 A.�SIrtS � � �'� l� _ _.. _ �l ___ A:/10 �_ � �7 � t W�:�t;a O O � '� c�i '�1 �� L NSL. E�• ?; M � � �' I S fi K �❑ � �. ' o M � � x q i� y O n � � . !� � � C f�. p. � 7 W. � �, o •K , � n� • . � Cfl N �.. � . y n .'1. ;L � I3. t�l � � v • Pi � � . �. . , tn 7, t?1 � ' c. � � � �� • �j U � 'o . � �� ' � . � . • • I . � . GAS :r � �� . RtiNCC � " "i'1 N G� c�rc«��:cs � . � v O �' 2 O �+ . '� f !��Jy ` N y � ° , °'-�i � � `. � � � ;i ., �,r �r° . ...o � 4�1 • ~� ��I 4Tl • • . � � , `� . w r� � (7 Lo n � 1 r, � b t `�' a i�. �' A � `� v t; ` ; v� �� ~ � �� '1 , � n. � '�` � �9 ' `�°, W � •'. ' t4 �'�� ° � O � q, �' I,y �'a �iw � n �� .a. . ti �G i� � a ' O('�J :S Vy . � .�. i ` ;1 ti C7 7 � ��+ � y� X �' L�1. y� ; �l( !I �'•� N ,� U � • O �d 1i 4� '- �1, 7 �l/ , r� 1 O , � 1 � c]. � � n . � �� ;:J �: U j �% � w ..T . •'„ r • � � � ~ � �� . , � ;�. i%i rJ �� .��, i'.fL�,� � � U : j. _ . w � � �., �� n a • ' . �? - • �: ,. U °' � o W cai. n :� - � }- � •• . . � o . � ,. ;9 • . � �� . • � p\� � st �, �' \ �, n. � � ' ' 3�� .. �� Y ~ � � '� , . c,� � � ri s'r ., u .i � • . � 4 ° . � � n , � . . r ' or • . � .� ^ °� ;r aa ,. !� n �' ^=>!i �;�` .�> �':�� , �`� L� . . . _. _ �:`r'�� ! �_�- , f � ;�i r � ;`, t;, �. _ :.�� -� � ° �.� f �� y� � � ,' � 4 !� �'. ' �'�� `�� !r. �i ''� c d P � 3�t %°a F'�* r �f .'� i � , � /d' j � � �� _�'� , \� .�,j�`,�� 9 �' 3 � , � � _j� � '��;i' • August 26,. 1976 , i ' �`..; ,P� :r.� i:� �; .-�:r', y� ^,!''.� - �� 0�� `�� 6431 f}NIV�€iSITY AVE�dUE R1.E., FRE�LPY, FNI�dNESOi� S5�d32 TELEPPiOPdE ( 612)5T1-3�d50 M?-. Roy Lund The Rottlt?nd Company, Inc . P.O. Bo�c 32082 I'ridley, Psn. 55432 Re: Final Inspection of 8027 Fairmont Circle N.E. Dear Mro Lund: An inspection on August 25, 1976 of the above address noted the following items that must be completed before the construction can be finaled out; le Provide sod in the front and side yards by Septe�ber 17, 1976. 2. Caulk around the electrical wiring in the garage ceiling prior to occupancy. Please contac� this office is there are reasons why the above items cannot be completed by the appointed dates. A reinspection will be conducted on or about September 17, 1976 to de�ermine compliance. Thank you, DARREL G. CLARK Community Development Adm. DGC/mh \�`G�LiT��;1,� :� i r_ � `-i .q0 � S' ,.yS ��^a, . � , :... z � � 0 � � � c�i �i � H N � � � 0 � � � � z � o ro ro 'A M e� d � fi � r�r y `° N W � v � � � � y r �y o � O p�. O t.� °z � N H H � � � � N h'i .� h"� A �' � � � Y � c�i-i y z;n cn cn r m g �� y�' m m� � �'c rxno H°e � c �• r• o rororo n z rororo �.a ►�99z y�� r r x awr a,.., aN .� �+ y►� C7 G� � rr '� � z m� m�t m n n n � m n � K H � � QHHI-i w �n H r� a� w a �i m m a m 9' N m m� Z z Z H N a rr z � 7� � 7� � o � a+ H � � t"' � a cn c� c� �+ w c� �o i �' i � p 5' m e� m�' m a+ m m m Zu ��'� w ioro w rr wK w r � �rta �'`' rtm ' �K-�tH �o��'� �o a° �'ro�'� � �m°,a� � ��M� yH, :n tn tn :z �v N�x� tr� g w tn .� .-3 c� r• �r cn wy • rt • c� H m m � n rn ai y y r O'*f N�� C r w N u� O �n b K rt r�r C o t� H ��* � rJ �� 9 F„� �� m o � r o o cn r• w � r�e�m m o m �� rt o o� oo � o o� � � ;� � rr m� r o 0 0 0 ��i- a� w o rr •• � p a rt --� � �p F �p p .�7 p p p ,� N W n O N N l] ►-ti I � �'f O fD O� O F' .. 1(D S.'' I fD 'y' "�y O fn h] O h7 n O o tu C W O N� O r-- �� om m m b�omo aro �n a'o n tn H �� O K GHCO W � x �,o x 5� a � m � r�u o n ° w au r av m p, o 0 0 N m m� �. �o o u�+o = � � � o° o o° m `� � I I I y � � � m � � K k k �� o r w O O O tn in tn t� in +n +n tn tn . � O � ro ° r°r � a � a � � ~n � z O K W � � r� m � � � s a � . � . rt � �- � . cn � ,4 � � . H m � o o � z° N � rd 'A �t m � o � � � . ,� _ � ��,, , � � � � N �• m � � �u a � o � , O M Q � � � � � N � � �' o N ' ;�, Q:.� �� ,�: � - � ° � � �1 �� r r r t-� O O O O� J�P N O O O O O O O �� y � � � � I ~ D] d '� � � � � O � � � � C � y d z R z � � �' � o � y � � H � �c o � l ' `� �� i6 � � H O � � � � � � � � ,p �] �I �P N ,p J �1 N � O O O O O O O O O� �� H H t9-' ro W m H C] �7 r�r a � � ~' �' w N G r�h � � O r�r a r w � in i-n g ��4 w N 1 I�i fi ri N a ri w r• H Mt (D di O fD M ��w R' �� amo rfDt � ��o � � �' � w � H ff � £ N R+ LL M k, h3 m r• w ro �C p C w F-� w � w �x �aw a wwrt rt � N W 1�-�• O 'U N cF � �a a o n w o � O M � N �p a �e m �. r+ � f�D N• M � a � � �� on�� a �x I�j rt~�� , �. m 4 � W n N m N � �. r � v v 'D � n a � O z T O � -o 0 � m � � "'0 � � Z f"") -i o cn Z C7 D � Z �--I GJ O S z mA Z --1 G� .-� Z C/) G� -G � � -� f'� �r! O 3 O N r a Z d � m m � Mn m � � -� 0 � � m -n � c� m .'t7 a � O z a Z d ("") �-~-1 --G O T T � .__.. C r � � rt sue�ecr PERMIT�I. City of Fridley o 18280 ATTHETOPOFTHETWINS gUiLDING PERMIT r � � RE . r ; L��__ COMMUNITY DEVELOPMENT DIV. �� •� PROTECTIVE INSPECTION SEC. � �� ; � /'�'1 � CITY HALL FRIDLE� 55432 NUMBER REV. DATE PAGE OF APPROVED BY !"""'� � ,�� 612-571-3450 910-F15 11/6/85 � � JOB ADDRESS 8027 Fai.rmont Circle N.E. 1 LEGAL �OT NO. BLOCK TRACT OR ADDITION DESCR. �-2 2 Bourdeawc's Spring Brook Addi.tion SHEETTACHED 2 PROPERTYOWNER MAILADDRES$ ZIP PHONE Joseph P. Kostuch 8027 Fa:i.rmont Circle N.E. 786-7401 3 CONTqACTOR ' MAIL ADDRESS ZIP PHONE LICENSE NO. Florian M. Ka.uth 4747 - Sth Street NE, Columbia Heights 55421 572-8558 4 ARCHITECT OR �ESI(3NER MAIL ADDRESS ItP PHONE LICENSE NO. 5 ENGINEER MAILADDFiESS ZIP PHONE LICENSENO. 8 USE OF BUILDINO Residential 7 CLASS OF WORK O NEW ❑ ADDITION �7 ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Finish ba,sement 9 CHANOE OF USE FROM TO STIPULATIONS SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL. PLUMBINCi, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION 20NING SQ. FT. CU. FT. AUTHOFIZED 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 1' 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 $�j � OOO WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT S2 •5O DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMITFEE SACCHARGE PqOVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- S UCTION OR THE PERFORMANCE OF CONSTRUCTION. $5O.SO PLAN CHECK FEE TOTAL FEE �� $ 53 . 00 SIGNATURE N7 CTORORAU HOR12EDAGENT IDATEI `` =` - WHEN PROPERLY LIDATED T IS IS YOUR PE MIT / � S` SiGNATURE OF OWNER IIF OWNER BUILDERI IDATEI BLOG INSP nTE NEW [] City of Fridley Effective 4/1/84 ADDN. [° ] R-1 AND R-2 � pLTER. (i� Building Permit Application Construction Address: �V �� a 1/i�DNI � / � /'�' �� Legal Descr Owner Name Contractor: Address: �7%W�� .�%�. Attach to this application� a Certificate of Survey of the lot, with the proposed construction draWn on it to seale. DESCRIPTIOK OF IMPROVEMENT LIVING AREA: Length � Width ��1 Height � Sq. Ft. GARAGE AREA: Length DECH AAEA: L� OTHER: Width Height _ Width Hgt/Ground Sq, Ft. Sq. Ft. Corner Lot [� Inside Lot [] Ft. Yd. Setback Side Yard Setback Type of Construction: �!�� FJ4� �� Estimated Cost: $�� Approx. Completion Date: ��•� iv t�� Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation DATE: S! S Permit Fee Plan Cheek State Surcharge SAC Charge Park Fee SeWer Main Charge ��F�� STIPULATIONS: APPLICANT: _�� Tel. � O�' / -I� CITY IISE ONLY . $ �•� Fee Schedule on Reverse Side $ '�� 25� of Building Permit Fee $ oc. �� $.50/$1,000 Valuation $ $�425 per SAC Unit $ Fee Determined by Engineering $ �� Agreement Necessary [ ] Not Necessary [ ] $ .� _ , t 5 3, � ca ��,�� BIIII.DING PERMIT FEE SCBEDOLE The Chief Building Official shall, before issuing permits for the erection of any building or structure,�or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, �pon application therefore, require the payment by the applicant for sueh permit of fees to the amount herein below set forth�and in the manner herein provided to-Wit: Total 9aluation #1.00 to $500.00 $501.00 to $2,000.00 Fees $10.00 (Minimum Fee is $15.00) $10.00 for the first $500 plus $1.50 for each additional $100 or fraetion thereof, to and ineluding �2,000. $2,001.00 to $25,000.00 $32.50 for the first $2,000 plus $6.00 for each additional $1,000 or fraction thereof, to and including $25,000. $25,001.00 to $50,000.00 $170.50 for the first $25,000 plus $4.50 for each additional $1,000 or fraction thereof, to and ineluding $50,000. $50,001.00 to $100,000.00 $283.00 for the first $50,000 plus $3.00 for each additional $1,000 or fraction thereof, to and including $100,000. $100,001.00 and up �433•00 for the first $100,000 plus $2.50 for each additional $1,000 or fraction thereof. DRIVEfiAY DEPRESSION ESCROii (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 reviex of the proposed strueture and of the construetion site. A Certificate of Survey of the lot, shoWing the location of the foundation onee it has been eonstructed will be required before proceeding with the framing. ° ��(�.�c� �c�c�G� ��.�t� ��,� � �,�� ca , S� t� � .r��^� -- a� , � � �a � �(!/ /� � � � ' af� 1 � - � -- -- � . -- -.___. _ _ _.___ ..._ , ---- - _ � �' - -- ---- -- _.� .._ __ .._ - _ _ -- - - , . _ .__ _ , ._�..._, __�_ �_.��__..� _ �---- -- ---- �_ � � -- - ..�. ._ _ _ ��no n. __ ,�° , �� , _�. ��.�..�� .; ,�, � �---�--.- :_ � , - . - ---- .___._ `� > .. y� oo w-- � ,. , _ , --- -- -------- _ - - - - -- -- - - -- , f --- ------ - _--�� . . � �; � : s, . A„�� -� � __ _ _ _ _ _ _..._ __� __ _ . - -- _. . _ t _ __ __ Y_._ __ �� n . R �: -�'� ' . ��"� � - I�,,;�'�1,,3 � � � � - , -_---- ( . Y_ .. 9:-�t --� N � - - - ` `�" � -- -- - _..- -- - "t- �° ..�:-� - ; .. _ _ - -- ; rl' � '� _ - • � � - . . �� _ _ - --- - _ __--_ -----. _ —_-- - -- ---- � - " � � ----__ _____._„__�.. _ . ir �� . — - S' � _ _ :. . aQ � -- - - _ --- - __.. . _. ►, --_ __ _ .. _ .�.� ��. _ _ --_-_ . E� ; - �` � - ------- - _ _ _ t , , ; , , . � . �a�h y . � _ , __ _ _ _ . . _ __ . . .._._. 7. _ j-%/� ! � . . _ -- { _ --- _ _ _ � -- -� . � - -- — � - - -- - - - - `_ Cc,� ' �. 2 �'d , .�� _ _ _ _ .. _ . ' __ -- __ ! T ,� {�; ___ ___ .. + , - -.. _ __- ------- - -- f; �� — — - ---- — - � a�: ' . �I, f' _ - _ _ __ - - - .- - - . . !; � - - - - -- ---- � --- - -- -- - - _ _ ._ --- - - - _._ i' a Y�l - �,�-u� 16 " _ r�. �. _ - - -- - - - -- _ _ _ I� . � _!; a: �*t°C. v�pon, bka-R.,��K _ _ " _� LL � � .s - - _ - - - � �7 �u �ine A �c,c -t x� s f i N � _ _ _ . f --- --------- --------- -------- _,___.. . -- --- -- - �� r e . F .: _, .. , ,.. , :. - - .� _---_-- - ., . v ---- — �-- ---- - _ � . ---.. �- - _.. .- - - - - - - ar. - ---- - w�i - . _" ' '-- ....�. . ,..-. , „ . - - -•,a :..=-� �- ` - - --_ �-- - ., « ._"+a"--� -- ------- -- ----- - _ _`.'__ . .. ,.�—.�__._.._ ..�_.,__-__� ._. —�ti5 r� a \� ' :�7��+� . .. : r 7 . ...._ _ ._�.. — __.____..___._'. _'. __".' ""__'. _. .___' . .� ..__ _"'!" . '_ ' _'_ �. .. - t i -`' - , ,— w �-•..,. _. . _.. .. . :i. '." _ ._'T'�_. .' __ '�__�_" _.__.—�✓v! '_ ____— ^' — .. �. _ . . _ _.___.__,�.__"__^_.'__-'_ �.-•--'-._ . _ . .._'_� . --_ � l . —T—___ .__"'_� . _.—.._.-..--'______"�__'�____._'.._._..�____" �i y !. f _"' . _"."_' '_.'""" _ � 1 _ _ _" .t�_ _.. _.. "___.�,_ _ _ '_ __"—" _' . _"' __ _ .,_____ _"_. ' _ . _ _'_' "."_'. �. ._ . . r. � ._ __. "...__..--'. F _ " J 1 .� , _ CdTYOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY. MN 55432 •(612) 571-3450 • FAX (612) 571-1287 June 10, 1991 Ms. Myrna Kostuc� 8027 Fairmont Circl.e NE Fridley, MN 55432 Re: Deck Stairs Dear Ms. Kostuc�: Please be advised the minor deck repair does not require a building permit, however if repairs involve structural members such as floor joist beams, posts or footings, a building permit would be required. The building code does not require exterior stairs to lead from the deck to the lawn below. If you have any further questions on this matter, please feel free to contact me at 571-3450. Sincerely, �~� � � � . s �j �, � ' / �j/� / i�� • L G. CLARK Chief Building Official DGC/mh , TO: FROM: DATE: SUBJECT: Eng�neerin, Sewer Walcr Perks Slrects Maintenancc William W. Bums, City Manager � John G. F1ora,�Public Works Director June 23, 1995 Springbrook Creek Erosion PW95-166 Mrs. Kostuch at 8027 Fairmont Circle called on Wednesday, June 21, 1995, requesting support for an erosion control project on her property located on Springbrook Creek. I visited with her and a contractor regarding the proposed improvement. It was suggested that Mrs. Kostuch contact her neighbor to the north and jointly submit a proposal to rip- rap an eroding curve on Springbrook Creek The contractor was to prepare an estimate and sketch which could then be submitted to the City. Mrs. Kostuch proposes to submit a formal request to the City for_participating in the stream bank project. I indicated to her that the maximum the Council would consider is a 50% participation based upon sloping the bank, installing filter fabric and appropriate rip-rap. JGF:cz (� � u •. �•�. � I�""° f . .z. n \�'" ! S�a�E�. PERMir� c�ty of Fridley � � �,�� AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r � � EIPT • COMMUiVITY DEVELOPMENT DIV. ' j L �""', r � � PROTEC7IVE INSPECTION SEC. �3�Q i . � � � � /'��1 � CITY HALL FRIDLE� SS432 NUMBER REV OATE PAGE OF APVROVED BV �'"""� � �'' 612-571-3450 910-F15 8/29/94 � / JOB ADDRESS 8027 Fairmont Circle NE 1 LEGAL ��T NO. BLOCK TRACT OR ADOITION SEE ATTACHED DESCR. 12 2 Bourdeaux's S rin Brook SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE M rna Rostuch 8027 Fairmont Circle NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Richard Hastin s Roofin 6331 Riverview Ter NE Fridle MN 55432 574-9966 4051 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP pHONE LICENSENO. 6 USE OF BUILDING Residential 7 CLASS OF WOHK O NEW ❑ ADDITION O ALTERATION � REPAIR ❑ MOVE O REMOVE B DESCRIBE WORK Reroof House 14 S uares 2nd La er 9 CHANGE OF USE FROM TO STIPULATIONS Roofing can be the 2nd layer but not the 3rd. TYPE OF CONST. OCCUPANCV GROUP OCCUPANCV LOAD SEPARATE PERMITS ARE REOUIRED FOH 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 PEHIOD OF 120 DAYS AT ANV TIME AFTER WORK IS COMMENCED. NO DWLG. UNITS OFFSTREET PARKING I HEREBY CEHTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORREC7. ALL PROVISIONS OF LAWS yALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT ]%O .SO DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. ZI.00 Fire SC .77 --� PLAN CHECK FEE TOTAL FEE - ��b��w:.,� � Z9 y S�GNATUAEOFCON�AACTOAORAU7 RIZEDAGENT ID TE� WHEN •P lY VALIDATED THIS IS YOUR PERM17 - � ^ � SiGNATURE OF OWNEAiIF OWNEA BUILDERi iDATEi BLDG i qaTE NEW j ] ADDN { ] �.�R Il CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application ConstructionAddress: �� 7 ��.� Legal Desscription: Effective 1 / i /94 �� Owner Name & Addre�: �� o-Gz�� Tel. # Contractor: � o`G �,� �� J-�,�5°1�� nrc S MN LICENSE #�aS/ Address: � 33 � � ` �� v � r � �'`� t� Tel. # ,5�� 'Y r�'�_ Attach to this application, a Certificate of Sutvey of the 1ot, with the proposed conshuction drawn on it to scale. LIVING AREA: GARAGE AREA: DECg AREA: OTHER: DESCRIPTION OF IMPROVEMEI�T Length Width Height Le.ngth Widttt Height Length Width Hgt/Ground .�.0 ! � sa . ��,�� ,-2 Sq. Ft. Sq. F� Sq. Ft. Corner Lot [] Ynside Lot [] Ft. Yd Setback Side Yard Setbacks Type of Construction: �� F.stimated Cost: $ ��-t�`' ��%C� � Approx. Completion Date: � /3 0%� � (Cost on Back) Driveway Curb Cut �Vidth Ne�ied: Ft. + 6 Ft = Ft x$ _$ DA1'E: � 2 � APPLICANT: � �d � � /�,� i�,,,�,,, Tel. � S � �J �- j �� d Peimit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer �Main Charge TOTAL STIPULATIONS: � �/ c?� $ - %',� � r �� $ $ �, C�C? $ $ $ $ $ � `� �� C � �_ � Fce Schedule on Reverse Side .001 of Permit Valuation (1 / lOth%) $.50/$1,(�l4 Valuation $800 �r SAC Unit $S.i� (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Pian Review Fee Determined by Engineering Agreement Nece.ssary [ l Not Necessaiy [ l I3UiLDING PERMIT FEE SCfiEDULE "i'he Chief [3uilding Ufticial shatl, t�efore issuing permits for the erection of any building or structure, or for any addilion icf any existing building oc strueture, or for any alteration or repair to any exisUng building or s�ructure, u�a application therefore, require the payment by the applicant for such �ermit of� 1c:c:s Lo tlic aii�ount herein below sct forth and in thc manner hereia provideci to-wit: "t'O"I'AL VALUL $ i to $500 $SOl to $2,Ot}0 $2,001 tA $25,000 $25;001 to $50,OOU $50,001 to $100,000 $100,001 to $SOO,OQO $500,001 t,o $1,000,(?00 $1,OOQ,001 and up Ff�GS $IS (Minimum Fee is $15 plus surchargej $15 for first $50p plus $2 for each additional $100 or fraction thereof, to and including $2,000 � .$45 for f�tst $2,000 plus $9 for each additiona! $1; 000 _ or fradion thereof, to and including $25,000 � $252 for first $25,000 pl�s $6.50 far each additional $1;000 or firactiou thareof, �o. and including $50,000 $414_50 for first $50,000 plus $4S0 for each additional $1,000 or fraditon thaeof, to and including $100,000 $639.50 for f�rst -$100,000 plus- $3_SO for each addifional- $1,000 or fraction l�eo� to and including $500,000 $203950 for dte first $S�10,000 plus $3 for each additional $1,000 or fraction thereof, to and including $1,000,(?DO $3539SQ for the first $1,000,000 plus $2 for each additional $1,OU0 or fradxoa �thereof - DRIVEWAY DEPRESSIOIV ESCROVfi (Concrete Qurb Strcets Only) Alternate "A": Removal and replacement of curb and gutter ouly - Driveway width plus 6 feet times ° $I3_50_ Alternate "B": Removal and replacement of curb and guttex and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $15_75. VERIFICATION OF FOUNDAT[ON I'ermits for constn.�crion wiil be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed str�ucture and of the construction site_ A Certificate of Sucvey of the iot, showing the iocation of the founciation once it ha� it has heen constructeci wil! be re;yuirecl before proceeding with the framing_ sue�ecr M N . City of Fridley � BU ILDING PERMIT � � � � AT THE TOP OF THE TWINS � � f ' � �� RECEIPT NO. � ; V �� COMMUNITY DEVELOPMENT OIV r � � PROTECTIVE INSPECTION SEC. I�I � 1 ' � � � /'��1 � CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVEO BY �---'� � �'J 612-571-3450 910-F15 4/20/95 � / JOB ADDRESS g027 Fairmont Circle NE 1 LEGAL LOT NO. BLOCK TRACT OF ADOITION SEE ATTACHED DESCR. 12 2 Bourdeaux's Spring Brook SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Myrna Rostuch 8027 Fairmont Circle NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Richard Hastings Contr. 6331 Riverview Ter NE, Fridley 55432 574-9966 4051 0 ARCHITECT OR DESIGNEH MAIL ADORESS ZIP PHONE LICENSE NO 5 ENGINEER MAIL ADDRESS ZIP pHONE LICENSE NO 6 USE OF BUILDING Residential � 7 CLASS OF WORK O NEW � ADDITION ❑ ALTERATION � REPAIR ❑ MOVE ❑ iiEMOVE 8 DESCRIBE WORK Reside Dwelling (Aluminum) 9 CHANGE OF USE FROM TO STIPULATIONS SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCV GROUP OCCUPANCV LOAO VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID If WOFiK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, Ofi IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WOFiK IS COMMENCED NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION ], STALLS GAHAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS yALUATION SUHTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILI BE COMPLIED WITH WHETHEF SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT �3 � OOO � 1. SO 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- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION �S1F.00 Fire SC �3.00 \ � � PLAN CNECK FEE TOTAL FEE �r �� License SC $5.00 $63.50 SIGNATU�7EOFCON:RACTOAOAAUT RIZEDAGENT �onrEi WHEN PNOPER VALIDATED THIS IS YOUR PERMIT � �'��, 2� SiGNnTUREOFOWNEAUFOWNERBU4DER� �DATEi _BL �NSP � DtiT � NEW ADDN ALTER ll (1 11 CITY OF FR[DLEY SIIVC'r➢_,E FAMIL?C AND DUPLEXES R-1 AND R-2 Building Permit Application ConstrucdonAddress: �e� �i �,4- r°r�M�r,v% C r`R , Legal Description: Effective 1 / 1 /95 � 1 �-I� I � Owner Name �k Address: /l� U�,�,g /{�eS ��, c� Tel. # Contractor: � ; ��,� R ,� ,� � %'�r° �J �°S MN LICENSE #��,/o S/ Address: (�3 3/ L`� 1�� U 1 Lt'tiJ ( ��, Tel. # S'? �� r� 9� � Attach to this application, a Certificate of Survey of the lot, with the proposed construction dra.wn on it to scale. LIVING AREA: GARAGE AREA: DECR AREA: OTHER: DESCRIPTION OF IMPROVEMENT Length Width Height Length Width Height Length Width HgtlGround Sq. Ft. _ Sq. Ft. Sq. Ft. Comer Lot [] Inside Lot [ 1 Ft. Yd Setback Side Yard Setbacks Ty� of Conshvction: � (� �(/� �/ �/ °/�!6 �ma� C�• � � , O � � Approx. Completion Date: � �r r�9S (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: �� APPLICANT: � � �� Tel. # S7�-��6� Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ ,�``'!��C' $ �s ;; C ` (�' $ i, S c` $ $ �� r��' $ $ $ $ e _� $ ;��. �, . :� �.� �iTY USE ONLY Fee Schedule on Reverse Side .�1 of Pernut Valuation (1/1(rth%) $.SO/$1,000 Valuation $850 per SAC Unit $5.(� (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by En�ineering Agreement Necessary [ ] Not Necessary ( � ItU11.UING PI:KM["1' FEIi SCtiEDULr_ I�h�� (;lii�t i3uilciin}; U�ticial �ha11, bcforc issuing �xx-mits for thc ercxtion of any building or stniclurc, �,r tur any a�l<liti��n [u any cxi�tin�; huildin}; or s[tuclurc, c�r for any altcratiort or rcpair lo arry cxistin�; l�uiliiing <�r structure, u�n a�i�lication iherefore, require the payment by tl�e a��Plicant for sud� j�ermit c�l� I�c:s te� tl�c: amount hercin tx;it�w sc:l 1c�rt1� and in thc manner iierein proviclul to-wit_ "1'O"I'AL VALU(: � i to $500 $501 to $2,000 �2,001 to �25,OQ0 $25;001 to �SO,OOU � . 550,001 to �100,000 �100,001 to �SOO,OQO $500,001 to $I,000,000� - $1,OOU,001 and up rr�s $!S (Minimum Fee is $15 plus surcharge) $15 for fust $500 plus $2 for each addirional $100 or fraction thereof, to and including $2,000 - $45 for fi,cst $2,000 plas $9 for each additionai $1;000 or fraction thereof, to and includng $25,000 � $252 �for first �$25,000 ptas $6S0 for e,ach additional $1;000 or fraction thexeof, �o. and inclading $50,000 -- $4�14_SO for first $50,000 plus $4S0 for each additional $1,000 or fradion theareof, to and including $lOD,000 $63950 for €ust -$100,000 plas- $3_SO for each additional� $1,000 or frac�ion ther�o� to and incluciiIIg -$SOO,OQO $203950 for dte 5rst $5�,000 plus $3 for each additional $1,000 or fracbion t�ereof, to and including $1,000,000 $3539.50 for the first $1,QOQ,000 plus $2 for each additional $1,OU0 or fraction thereof - DRIVEWAY DEPRESS[OM ESCROW (Concrete Curb S�iraets Oaly) Alternate "A": Remova! and replacem�t of curb and gubGer only - Driveway width plas 6 feet times � 13.50_ Alternate °Q": Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width pius 6 feet times $15_75_ VLRIFICA"ftON OF FOUNDAT[OIY l'ermits for co�LSUucUon wi(1 i�e issued a minimum of 24 hours firom the Ume of �plication to allow Cor �roper revie�v of tl�e Pr4Jx>su1 structure and of the co�nstruction site_ A Certitic::�tc qf Su�vey of die lot, shnwing the locaUon of t�he founciation once it ha� it has t�cen consUuctc�i �vill bc rc;yuircxl betc�re procoeding with lhe framing. City of Fridley S�e�E�T � «�.�,° AT THE TOP OF THE TWINS g U I L D I N G P E R M I T �� f � � RECEIPT NO. � • COMMUNITY DEVELOPMENT DIV � � a: ----- � l � G � r � � PROTECTIVE INSPECTION SEC � � � ' /'��► � CITY HALL FRIDLEY S$432 NUMBER REV OATE PAGE OF APPqOVEO BV �.---� • •'' 612-571-3450 910-F15 5/18/95 � � 10B ADDRESS g027 Fairmont Street NE t IEGAL LOT NO. BLOCK TfiACT OR ADDITION SEE ATTACHEO oescR. 12 2 Bourdeaux's Spring Brook SHEET 2 PROPERTV OWNER MAIL AODRESS ZIP PHONE Myrna Rostuch 8027 Fairmont Street NE 786-7401 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Same 4 ARCHITECT OF DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW O� ADDITION ❑ ALTERATION p REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 12' x 10' Deck (Remove existing deck) 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. INI�R�AIG Before digging c�l� t�t a�i t�tilil7l ioP�tio�s RE l�lRED 8Y L�,i�i 4 SEPARATE PERMITS ARE REQUIRED FOR ELECTHICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV IOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTfiUCTION ZONING SO. FT CU. FT AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTHUCTION OR WORK IS SUSPENOED OR ABANDONED 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 STAL�S GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS yA�UATION SURTAX AND ORDINANCES GOVEFNING THIS TYPE OF WORK WILL BE COMPLIED WI7H WHETHER SPECIFIED HEREIN OR NOT. THE GFiANTING OF A PERMIT �9%8 �.SO DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW FEGULATING CON- STRUCTION OR 7HE PERFORMANCE OF CONSTRUCTION. �LS.00 Fire SC �.98 PLAN CHECKFEE 70TALFEE $26.48 S�GNATUAEOFCON'RACTOAOAAUTHOA�ZEDAGENT �DATEi WHEN PqOPE VALIDATED THIS IS VO R PERMIT � S�GNaTUREOFOWNEa�icOWNERBwLDER� iDATEi � � , �� - a BlD �NSP 1a 1vEW ADDN ALTER i� [l [l CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application ConstructionAddress: ��o� �i `� � i �z l� 1 ��`L-� � �l Legal Description: Owner Name & Address: Contractor: Address: MN LICENSE # Attach to this application, a Certificate of Survey of the lot, wi� the proposed construction dra.wa on it to scale. DESCRIPTION OF IMPROVEMENT Tel. # LIVING AREA: Length Width Height GARAGE AREA: I.ength Width Height DECK AREA: Length ��_ R�idtt► /(' HgtlGround i OTHER: Effective 1 / 1 /95 Sq. Ft. _ Sq. Ft. Sq. Ft. /�(� Comer Lot [] Inside Lot [ 1 Ft. Yd Setback Side Yard Setbacks Ty� of Construction: / Q �,�}-� � Estimated Cost: $ % � � _ Approx. Completion Daxe: (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: �/ APPLICANT: Tel. #� o"`� yC�� J � 9�-�/�� z C i T Y u S E ONL Y ` 1 1�'� � 7c%� a , j�'% 2 Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fce Sewer Main Charge TOTAL $ �.� � �>c� $ � � $ . S7� $ $ $ $ $ $ $ L � � Fee Schedule on Reverse Side .001 of Permit Valuation (l/lOth%) $.50/$1,000 valuation $850 per SAC Unit $5.{10 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Nac�sary ( l Not Necessary [] STIPULATIONS: , � i;un_��iNC� �>cKty�-r rcc scriE�ur_r_ "I�hc; Citief l3uilding Utticial shall, tx:forc issuing permits for thc ercction of any building or struclurc, c�r ti�r any a�iditic�n to any cxisting t�uildint; or structure, or for any altcration or rcpair to any cxistin�; (�uiliiin�; or s�rucwre, u�n anplication therefore, require the payment by the applicant for such �ermit c�1� fccs t<� thc; amount hcrcin t�clinv sct 1c�rth and in thG mannet hcrcin provi�ic:ci to-wi(_ '!'O"I'AL VA(,IJl: � I to $500 �SO1 to $2,000 �2,001 tA $25,OQ0 $2.5;001 to $SO,OOU - $50,001 to �100,000 $100,001 to $500,000 $500,001 to $1,Qt?0,000- . $I,OQQ,001 and up r-r_i�s $15 (Minin�um Fcc is $15 plus surcharge) $15 for first $S00 plus $2 for eacii additional $100 or fraction thereof, to and including $2,000 - $45 for first $2,000 plas $9 for each additional $1;000 or fradion thereof, to and including $25,000 � $252 �for first $25,000 ptus $6_SO for each addifional $1;000 or fraction thareof, to. and iucluding $50,000 $41450 for first $50,00p plus $4S0 for each additional $1,000 or fraction thereof, to and including $100,000 $63950 for €ust -$100,00Q plus �$3.50 for eacii additional � $1,000 or fraction therea� to and includiug -$SOfl,000 $2A39_SO for the first $�,000 pins $3 for each additional $1,000 or fraction thereof, to and including $1,000,000 $3539_SO for the fizst $1,000,000 plus $2 for each additional $1,OU0 or fraction thereof - DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alternate "A": Removal and replacement of curb and gubtet only - Driveway width plus 6 feet times � 13.50. Alternate "E3": Removal anc! reptacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width pius 6 feet times �15_75_ VL'RIF[CAT(ON OF FOUNDATION Permits for constiuction witl i�e issued a minimum of 24 hours from the time of application to al(ow for proper review of tfie pr4posecl strudure and of the con�struction site_ A Certitic:ite oC Survey of the lot, showing the locaUon of the foundation once it has it has t�ee� constructeci wiil be re;yuirul before proceeding with lhe traming_ � e . _ �— U � — � z--=� land Planning st,L('�i��(�'�l��l 6875 Highway No.65 N.E. Land Surveyi�g �� • � • ( Minneapolis� so�i5 Testin !�'11/� fl�PP�I.��?/,� �'/'ZC. Minn. 55432 Civil E�gineeri�g `� `� , ielephone 784-6066 Municipal Engineeri�g Engineers & Surveyors Area Code 612 Mortgage Loan Survey for /� C-•' I l� I!�,�,� �,,� � u1 J � /%f /�C' .•'1/� :� /'✓ T C / R C L .� �� ` T -_ - - 11 -�-- ,1 � :- �. - - -� ------- ---�., � . ' � . ,� � , � . 'r(L , ; � G � e.! :� � � ` �' + � � ; � `� � �� _ �j I� ; �� `' � i4�� : � � � �� ! . ;l-� � ,� � �. ___--, , , � �,., � � � ,:,, ,. � . ,. .. --� 1 J� �� 4 ! � � � � �n.�� ,; � L:.� t` L l,- %/�! �;, < l a # � �, 1 N '� Ci' !V :.- r � `• N � �1 �J � � � � � �; , ;�; C { �v � rr' c-� � T i � ; / _. W ; ' �- .�,�. ' , �: � 9�7� ,� ► ' �-, — �' � y 2 �c � . ; , r... a � ` �� J � �� ` t� SG � �. �- >� � i.' P� � Z, � �;; . ti� y- , � ! 6,� :� • ` �.� r. � -!- � � - � �Da % J'�/Y� ON%` ' l � ,� �� i ' � �Y�r � � � ` r't �� , � � L � � � � � -' •T^_� .�'` � �� ,_ ,1 ' �,r _1. 8D u r � cG L i � .1�- � ��? �: %' . �' ^° ,� . -� � t 8�.�ao �-�w A �/�; ,- ; �. � .�� j7 � .,� �__ � � w �r , ,- �- , ` �'� 'o � �`,,—�-----: � �..�, � _ _ ,� , � s2 ,G — This is a true aAd correct rep�esantatioa of a survey of fhe boundaries of the land above described am! of the ' location of cll buildings� if any� thereon� ond alI visible encroachments� if any� from o� on said land. This survey is , made only in connection with a mortgage loa� now being placed on the p�operty and no liability is assumed eacept to the holder of tuch mortgage or any othar inte►est acquired by the �eason o1 such mortgage. If is u�derstood ond agreed�Rmo�u nts have bean placed for The purpose of establisF�ing lot lines or bou�ddry cor��s. Dated this�_day o��Lt f 2 E, A. D. 19� � ' SUBURBAN ENGINEERING, INC. �'— 7r� I Enyina s Surveyors � --"' �t br �.`�- G . � � �1'•-�.-s . � 1 Z S 5 � �. � � , ; � y _-_ � � �� ;� _� � �l � ? � J � ? q v V � � �i Q' ��N �� 7 � � � � � � A � �� a � 1 �- '� N � ,� Z �'Q �c� x �`„ . � vr �°,� °� \ �° _.� J � 0 c- X � J� / � � � � � ` �� v \ � ti N � �9 �u � w !� � C� � � � � � � � ° � � °1 � � � � A � � � �.,. ,.l � � � �� v � � . �- �� dL � �� ol � � '3 � N � o �- � Q � �� A� � � . •4 � ►� � � � � � � �` �- v► � O �` � � �� Q ��v, J ? o �j �O � � � � � �� v � ± � �� w �� v � d �- �' � ) �- � , . � � . � o� 0 �, ,; � � 1� �� i � `� `1. �3��, � �� s . � O � � 4 � � 4 i� � � � � .4 � �? �� :a x � � � � �` � ,, N � � � ti � °� � � � � � � �� V� � �' � ° � �, � h A � � � N � �� A- � - O .� � •• _ � 1 � ��.f � - �-.i. ' - : �, - � . . ,- � � � �.'-- � �- �_ �,' � • � , � �• � � � .� � � � � � � � 1 w � � �� ` � � �� y� � � � � M„ ' � � � �� P � � �? .� �� q �� _ � `� ? `�"� � �� - _ � � J O � � _ �. �` N � � � City of Fridley AT THE TOP OF THE TWINS i ` i Ly �-�� , COMMUNITY DEVELOPMENT DIV. j j � PROTECTIVE INSPECTION SEC. � i--_-� ��"' �'� CITY HALL FRIDIE� SS132 t 612-571-3450 J08 ADORESS t LEGAL � 8027 Fairmont Circle NE DESCR. 12 2 PROPERTY OWNER Myrna Kostuch Modeen Company 4 ARCFIITECT OR OESIGNER 5 ENGINEER 8 USE OF BUILOINO Residential 7 CLASS OF WOFiK O NEW SuB�ECT �U ILDING PERMIT NUMBER NEV OATE PAGE OF s�o-F�5 5/24/00 / � 0977 RECEiPT NO. �� pvRpvED Br "� """" ""� SEE ATTACNEO 2 Bourdeaux's Spring Brook SNEET MAIL ADDRES$ 21P PMONE 8027 Fairmont Circle NE 763-786-7401 MAIL ADDRESS LIP PHONE IICENSE NO 8579 Jefferson Hwy, Maple Grove, MN 55369 763-425-3600 MAIL ADDRESS ZIP PMONE LICENSE NO. MAIL AOORESS O ADDITION O ALTERATION 8 DESCRIBE WORK Replace windows within existing openings 9 CHAN(iE Of USE FROM TO � REPAIR PMONE LICENSE NO O MOVE O REMOVE STIPULATIONS Provide smoke detectors in all sleeping rooms and on all levels of the dwelling per Section 310.9.1.2 of the 1997 Uniform Building Code. SEPARA7E PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING. MEATING, TYPE OF CONST. VENTILATING OR AIR CONOITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTFiUCTION 20NING AUTMORIZED IS NOT COMMENCEO WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONEO FOF A PERIOD OF 120 OAYS AT ANV TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS I MEFEBY CEpTIFY TNAT I HAVE READ ANO E%AMINED THIS APPLICATION 1 AND KNOW TME SAME TO BE TRUE AND CORRECT. ALL PFOVISIONS OF LAWS yALUATION AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIE� WITH WMETMER SPECIFIEO NEiiEIN Ofi NOT. TME GRANTING OF A pERM1T �7s262 DOES NOT PRESUME TO GIVE AUTHOFITY TO VIOLA7E Ofi CANCEI THE pEqMIT FEE PROVISIONS V OTHE 7AT OR LOCAL LAW REGULATING CON- R T OR T E q A OF CONSTRUCTION $153 . Z.rJ PLAN CMECK FE �� v Lice S • S� UpE OF CO nCTOp OR AUTMOpILED AGENi IDATE� eu ei OGGUPANCY GROUP OCCUPANCVLOAD SQ. F7 CU FT. OFFSTREET PARKING STALLS GARAGES SUp7AX $3.63 Fi e SC $7.26 TOT LfEE $5,p, 169.14 q6t NEW [] ADDN [] ��R [ l Construction Address: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMITAPPLICATION Effective 1/1/2000 (763) 572�6�L BlcJ�lnsp Ci � � � � �� l � . �r,� ley ssy,�Z Legal Description: ` Owner Name 8� Address: fMc/�'na. /Casfv�� '��7 F:r,� o.-�T, Tel. # 76 3- 7�� ` 7��/ Contractor. /�//DCd�°�iy1 �� / MN LICENSE # 3 d�`� % - - - .� n n � i LMNG AREA: GARAGE AREA: DECK AREA: OTHER: 0 Tel. # 763 - y�' - 3:6 0� Attach to this appiication, a.Certificate of Survey af the lot, with the proposed construction draum on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft Length � Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft Construction Type: ' rcn�o �c Estimated Cost: $��7� � 2- °�— � �x,sfi�� h��✓ -�.�e5. Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x$ _$ DATE: S o� y`00 APPUCANT: 4' �2r7 � Tel. #%�3 �%7.5 - 3�v • CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application ` � � Permit Fee $ /��•� S Fee Schedule on Reverse Side Fire Surcharge $ ��.001 of Permit Valuation (1/10th%) State Surcharge $ ,.�, �0.3 $.50/$1,000 Valuation SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee $, $1100 per SAC Unit $ �• D CJ $5.00 (State Licensed Residential Contractors) $ Alt. "A" or Alt. "B" Above $ $450.00 Conservation Plan Review $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [] Not Necessary [] TOTAL STIPULATIONS: $ /��y t_ � _ � BUII.DING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to-wit: TOTAL VALUE $1 to $500 $501 to $2,000 $2,001 to $25,� $25,�1 to $50,000 $50,001 to $100,0� $100,�1 to $500,000 $500,001 to $1,000,000 $1,000,�1 and up FEES $23.50 $23.50 for first $500 plus $3.05 for each additional $100 or fraction thereof, to and including. $2,000 $69.25 for first $2,000 plus $14.00 for each additional $1,0(� or fraction thereof, to and including $25,0� $391.25 for first $25,000 plus $10.10 for each additional $1,000 or fraction thereof, to and including $50,000 $643.75 for first $50,000 plus $7.00 for each additional $1,0� or fraction thereof, to and including $100,000 $993.75 for first $1(�,Q00 plus $5.60 for each additional $1,000 or fraction thereof, to and including $SOO;OQO $3,233.75 for the first $500,000 plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,000,000 $5,608.75 for the first $1,000,000 plus $3.15 for each additional $1,000 or &action thereof _ DRIVEWAY DEPRESSION ESCROW (Concrete C�rb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $15.50. Alternate "B": Removal and replacement of curb and ga�tter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $23.25. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow %r pro�r review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constiuctal will be required before proceeding with the framing. New Houses Onlv r e .� ;:; ::� � P SU6JEGT c City of Fridley AT TME TOP OF TME TWINS � � I L D I N G P E R M I T r - � � ,:•:: � � COMMUNITY OEVEIOPMENT DIV. r � v � PROTECTIVE INSPECTION SEC. � , _ . � �"'1 � CITY MALL FRIDLE� SS132 NUMBE9 nEV DATE P�GE Oc �----� ' �•� 612-571-3450 '-91�-Ft 5 7. 7. UO � � JOB ADORESS g027 Fairmont Circle t IEGAI �OT NO. BLOCK TRACT OR ADDITION oesca. 12 2 Bou��.eaux's Spring Brook Addition 2 PFOPERTY OWNER MAIL ADORES$ ZIP p ' D�� Myrna Kostuch 8027 Fairmont �ircle NE J CONTqACTOR MAIL ADORESS ZIP p M�' Construction 8071 Rancher's �d:NE, Fridley, NIlV 55432 a AfiCHITECT OR DESIGNEH MAIL AODRESS ;� ZIP P . _ 5 8 USE OF BUILOING Residential 7 CLASS OF WORK ❑ NEW 8 DESCRIBE WORK MAIL AOORESS " • � � 21P O ADDITION O ALTERATION �t] REPAIR � Soffit and Fascia -31137 RECEIP7 NO. �� 1PPROVED B� SEE ATTACHED SHEET MON6 786-7401 HONE LICENSE NO a� HON� �ICENSE NO. LICENSE NO 0 MOVE O REMOVE 9 CHANGE OF USE FROM � TO � STIPULATIONS '�` � Install soffit ventilation t�o meet the State Building Code. � , . SEPARATE PERMI7SARE REOUIRED FOq ELECTRICAL, PLUMBING, MEATING, 'rrc�r VV19�7�. VENTILATING OR AIR CbND�TIONING. . THIS PERMIT BECOMES NUIL AND VOID IF WOfiK OR CONSTRUCT�ON 20NING AUTHORIZED IS N07 COMMENCED V�!ITHIN 80 OAYS, OR li CONSTRUCTIpN OR WORK IS SUSPENDED OR ABANDONE� FOFi A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCEO. NO OWIG. UNITS I HEREBY CEpTIFV THAT I HAVE READ ANO EXAMINED TNIS APPLICATION 1 ANO KNOW TME SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAW$ VALUATION AND ORDINANCES GOVERNING TMIS TVPE OF WORK WILL BE COMPLIED OS3.00 WITH WHETHER SPECIFIEO MEREIN Ofi NOT. TNE GRANTING Of A PERMIT $2� DOES NOT PRESUME TO GIVE AUTMORITY TO VIOLATE OR CANCEL THE pERMIT FEE PROVISIONS OF ANY OTHER STATE OR LOCA� LAW REGUTATING CON- $83.25 STqUCTION OR THE PERFORMA OF CONSTRUCTION PLAN CMECK FEE � � SiGNATUpE OF �ON'RA A Qq quTMOA�2E0 0 104 i i EN ROP � , � .,f OCCUPANCYGROUP OCCUPANCVLOAD SO. FT CU fT. STALIS OFFSTREET PARKING GARAGES SURTAX $1.03 SAC CNARGE Fire SC $2.05 TOTALFEE IS IS VOUR PEFlMIT _ �-7-lsb O�TE N� I l Effective 1/12000 ADDN [] CITY OF FRIDLEY (763) 572�604 Bldg Insp ALTER [] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 - /� BUILDING PERMIT APPLICATION � \ �� ' Construction Address: �� 7 ��, � ir,c� � �i�%e � Legal Description: � � �'o�,s �'u�-°k'� �X,�Pr'�'��'s .�s-�� Owner Name & Address: �tirr��, /Co �� '�a �7 �,t.�.� � G;z�el. # % �'S� " �% � Contractor: /� � �a�► Arlrirasc• �CY'� r%� .� LMNG AREA: GARAGE AREA: DECK AREA: OTHER: MN LICENSE # Tel. # Attach to this appiication, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft Length Width Height Sq. Ft Length Width HgUGround Sq. Ft �^ 2 Construction Type: �c�T'-�-f � �-- �5'cr�, Estimated Cost: $ �, a �.3 . Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: � APPLICANT:'�^ � _ � Tel. # ��0.3 ^ �%�^ e��S% CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application Permit Fee $ -�- �s� Fee Schedule on Reverse Side Fire Surcharge $ � DS� .001 of Permit Valuation (1/10th%) State Surcharge $ % D� $.50/$1,000 Valuation SAC Charge $ $1100 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control Park Fee $ $450.00 Conservation Plan Review $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary (] Not Necessary [) TOTAL STIPULATIONS: � ��.3 BUII.DING PERMIT FEE SCHEDULE The Cluef Building Official shall, before issuing �rmits 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 l�low set forth and in the manner herein provided to-wit: TOTAL VALUE $1 to $500 $501 to $2,IX10 $2,001 to $25,000 $25,(�1 to $SO,OQO $50,(�1 to $1Q0,000 $100,001 to $500,000 $500,(}Ol to $1,000,000 $1,000,001 and up FEES $23.50 $23.50 for first $500 plus $3.05 for each additional $1(10 or fraction thereof, to and including $2,000 $69.25 for first $2,000 plus $14.00 for each additional $1,000 or fraction thereof, to and including $25,000 $391.25 for first $25,000 plus $10.10 for each additional $1,000 or fraction thereof, to and including $50,000 $643.75 for first $50,000 plus $7.00 for each additional $1,000 or fraction ttiereof, to and including $100,Q00 $993.75 for first $100,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $500,000 $3,233.75 for the first $500,000 plus $4.75 for each additional $1,000 or fraction ttflereof, to and including $1,000,000 ' $5,608.75 for the first $1,000,000 plus $3.15 for each additional $1,000 or fraction tt�ereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $15.50. 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 $23.25. 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 vvill be required before praceeding with the framing. New Houses Onlv ,_ � , * -� D � c� � o � � c� a � _ �• � � � y. � 0 N � � � d � � O � _ 0 �, r* a� 0 �• � �• d 00 " fD � n O � � d fD y .� a o `D � � `�° a . � � s 0 c � D � � 0 < cD a W � � 0 C �R �- � � m � � m z � � m c� � O Z '�l m m � � v O 0 \ _ � � av� 7 m a --I m r �k _n � � � � � � d m � ! � W � � e � p �3 � fD o � ai n�i \ � a C O � D � � �. a�' � f7 m 0 � 0 � O � D � r � m � m � � d ov m � � � €� Q 2 '� � y —i � c• � � � � -��i � Qq ,�; C N N � � a z rto n.� n �, .,� °' w � � � �. � � W�.� _, � a � .� °° s �� a � � Q- °v a A� �•oo� �a -��°_' � S y p� f!� O � 3" � � O y � -� � � N ��c�' �- _ � �S� �. c� . �, D. � m � =� � o m � � � � m a c� -� �,,. m o ° c � � d � �D � � � ` =m y � fD o- r* 3 c� nSi � _« o r+ s ..,, � � � o — � rt ,.n+ � fD . � fD C7 � N `< o N O � � �" fD afD �' � � _. � D �_ � O O � < `D � p� N C � � � � � � D �. � y a�� D � r. �� o .� � o � � N � r N � O Z W D c� � .. � � O C W � co � � � n� a � z a� 2 '� N N cu Z 0 0 � D c� O � 0 7 � Oq D N N� � N G� G� G� D'n c�p 6I N C1 y C N cn v� N o� a � �7 � � ;� � fD � ? �p� (n fD � •_�-►� � � � � � � d �' = z � � cD �' � rt � � � a � > > o � � .� a -� �--�0 — C ,D .�► � � .-Ar ��.d� ��W�o � � � �- � -� � v � W � C n� -` � f�D � � � � � � iv � ►-� �• w cn o 0 0 0 °o °o °o o° °o � co 69 69 <i► 6'1 Ef�1 �,� � O � � � �tW—iZ c�u C � ° Q" O � � C�� p) � °� c� � d �ty°° � � N _ � � � � . d n C7 � o p > > � � � ^ � a N� r N' �' n,i"Z� � �o,� �C � �� fD v < � � a � 0o O ,.,,i C S� A � � Z � � C� (C/� �' m � � �� ' :D . ., �V � � \ � Z �� m � � -� z O e_ �1 � "� m N n 2 m v C r m , cn -n rn C� ,.. v�.� tvaw{,� rn :� C 0= T A � �• T> Z fp Z7 � N � �� m W D "� N c�D Z Z � m � m C-i � � z 0 G U) D � � Z � r �� O L� Z m .*, � O �� O� Z O � Z � v .� n� �Z Q N Z D vz �v o= �- Z m W Z -D-i D � Z �7 N � n � m O 3 r �N Z z� v< � m Z < �+ � � � � N �i � %� Z rn � � � < m O L d � C iU `G � N 0 0 0 ., COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacina an existina furance, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, � and is securely supported and firestopped where required. Yes () No () The venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes () No () The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Fumace Venting Tables for fan assisted and natural draft appliances. The existina combustion air is sized and installed to meet the cuRent codes and manufacturer's specifications. When required to install a new combustion air it will be sized and installed To meet the current codes and manufacturer's specifications. Yes ( ) No ( ) Yes( ) No( ) Yes ( ) No ( ) When installina a new ventina system, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturers specifications. This does include AGA-GAMA Category I Central Fumace Venting Tables for fan assisted and natural draft appliances. Yes () No () Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. Yes () No () Appliance Tvpe and Size/Common Vent and Vent Connector Information Appliance #1 Type k'�Jcd� BTU Input %�� Fan Assisted or Nat ��.s � Appliance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input � 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 Vent Connector Height ft Length ft Diameter in Type ALTERATIONS: (Describe) � R��-°� � � ��-� � ��}� �g- �� lS�c>�t Ai�ic� � �./�v� �,� (al��Cl �� (�i'Rr4CT0o'�$, I.'�;L. HEATING CO: ��'�AHEIWENO. 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I3uilding Inspections 763-572-3004 "- 763-502-4977 FAX DATE� C / � SITE ADDRESS _� THIS APPLICANT IS: PROPERTY OWNER/ TENANT BUILDING . RESIDENTIAL APPLICATION CITY OF FRIDLEY EFFECTIVE 1-1-08 C°.1/LC. �E. � � �!_ � Permit No.:��'„�� J� I Received By• � < ; � ��J G� 1 200� YOUR E-MAIL ADDRESS C��%�.� L�•/ �' ��%�Ly. �� NAME: 6M y�� '� �� ADDRESS: �O,s�`� ��'I/lv�a�wr �. CITY, PHONE: T�.�— �SG — ��'�` (� ATE /�� ZIP. CONTRACTOR ,�D�ss: y ZYr /�e�"" �� • CITY ��Cfu2 STATE�HQ ZIP 5 c�� SUBMIT A COPY OF pHONE `T� 3'a� - d Z l a' FAX YOUR STATE LICENSE STATE LICENSE # 3�4 i�a �F �'S� EXP DATE c� b`� PROPERI'Y TYPE � S[NGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ��DITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FMISH � ROOF ❑ DRA1N TILE 0 DECK ❑ SIDING ❑ OTHER ❑ SWIMMIIJG POOL TYPE OF WORK: I❑ NEW HOME CONSTRUCI'ION �ADDI1'ION ❑ MAINTENANCE/R$PAIIZ ❑ REMODELING DESCRIBE WORK BEING SIZE OF IMPROVEMENT ROOFING NUMBER OF SQUARES _ GARAGES PROPOSED SIZE: PROPOSED HEIGHT: SIDING 0 Vinyl 0 Aluminum � Other WINDOWS iN EXISTING OPENINGS ❑Yes ONo OR FOR NEW OPENINGS-DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED LENGTH f� / ❑ HOUSE ONLY ❑ HOUSE & GARAGE ❑ ATTACHED GARAGE � DETACHED GARAGE � BASEMENT REMODELING SUBMIT: 1. Existing Floor Plan 2. Proposed floor plan 3. List of structural members to be used FOR NEW CONSTRUCTION INCLUDING DECKS, ❑Soffit ADDITIONS. & PORCHES SUBMIT: ❑ Trim 1• Site Plan/Survey showing the existing structures ❑ Fascia and proposed projecG 2. Two sets of construction plans 3. Energy Calculations LOCATION OF WINDOWS NUMBER OF ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: TOTAL JOB VALUATION Permit Fee Plan Review Fire Surchazge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due $ $ $ $ �.63i� $ � $ $ $ $ $ � ��:, � OCCUPANCY See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valua.tion .0005 z Permit Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $1825 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$21=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks navable to: Citv of �ridlev Attach THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accuraze; that the work wiU be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit on site; thai th rk will b m accord with the v plan in the case of all work which requires review and approval of plans. SIGNATURE OF AP IC�A TT �� P/�� PRINT NAME C%�iL� � L� Lf(7�i�/ DATE C� `��Y � APPROVED BY ��'�IC�W��'�! I"� DA Page 2- Building Residential Application � .� BUILDING PERNIIT FEE SCHEDULE - The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to-wit: TOTAL VALUE FEES $1 to $500 $23.50 (Minimum Fee is $23.50 plus surcharge) $501 to $2,000 $23,50 for l�` $500 plus $3.05 for each additional $100 or fraction, to and includin $2,000 $2,001 to $25,000 $69.25 for 1�` $2,000 plus $14 for each additional $1,000 or fraction, to and including $$25,000 $25,001 to $50,000 $391.25 for 1�` $25,000 plus $10.10 for each additional $1,000 or fraction, to and includin $50,000 $50,001 to $100,000 $643.75 for 1�` $50,000 plus $7 for each additional $1,000 or fraction to and including $100,000 $100,001 to $500,000 $993.75 for 1�` $100,000 plus $5.60 for each additional $1,000 or fraction to and includin $500,000 $500,001 to $1,000,000 $3,233..75 for the 1�` $500,000 plus $4.75 for each addirional $1,000 or � fi-a.ction to and including $1,000,000 $1,000,001 and up $5,608.75 for the 1�` $1,000,000 plus $3.15 for each additional $1,000 or fraction VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to a11ow for proper review of proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the existing foundation will be required before proceeding with the framing. New Houses Onlv City of Fridley Building Inspections Department 6431 University Avenue NE Fridley, MN 55432 " 763-572-3604 Fag: 763-502-4977 Building [nspections 763-572-3604 763-502-4977 F�X DATE � G O �i! � $ SITE ADDRESS THIS APPLICANI'1S- ❑ OWNER BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY YOUR E-MAIL ADDRESS �CONTRACTOR PROPERTY OWNER/ Nq�: /I��I�2n/!� /Ccsgi-V�.� TENAN'Y' �D�S. �v��- �-r/�-�%�' - � CITY PHONE: '`lG 3 � ZY7e —7�dv ( CONTRACTOR ADDRESS: y�f �� L �W' �� SUBMIT A COPY OF PHO� ��3 --��' � jd.. F,q�{ YOUR STATE LICENSE STATE LICENSE # ��f �S EXP DATE PROPERTY TYPE I❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE � ❑ TWO FAMILYMEW CONSTRUC7'ION STORIES PERMIT TYPE TYPE OF WORK: DESCRIBE WORK BEING 0 BAS�MENT FINISH ❑ ❑ DRAIN T1LE ❑ DECK �� .F�� O OTHER 0 S WIMMING POOL ❑ NEW HOME COAiSTRUCTION ❑ ADDITION �.MAInITENANCFJREPAIR ❑ REMODELING Permit No. HEIGHT Received B � , ,,� � r� ATE<`�'� ZiP S�� ATE�'� ZIP �� Ff ROOFIIVG ❑ HOUSE ONLY BASEMENT R.EMODELING SUBMIT: NUMBER OF SQUARES . ❑ HOUSE & GARAGE 1. Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: ❑ DE1'ACHED GARAGE 3. List of structural members to be used, PROPOSED HEIGHT: S�� FOR NEW CONSTRUCTION INCLUDING DECKS, ` �� o ADDITIONS. & PORCHFS SUBIvAT: 0 Aluminum ❑ m 1. Site Plan/Survey showing the existing strucwres 0 Other p�• and proposed project 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes ONo LOCATION OF WINDOWS OR FOR NEW OPENINGS-DESCRIBE SIZE OF OPENING CHANGES 8c TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS • ALL FEES ARE �SED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: �/ d (USING THE 1997 UBC FEE SCHEDULE) TOTAL JOB VALUATION $ 7� 0�'�' OCCUPANCY S�- TYPE Permit Fee Plan Review Fire Surcharge Surchazge License Surcharge SAC Chazge Curb Cut Escrow Erosion Control Pazk Fee Sewer Main Charge Tota! Due $ $ $ $ $ $ $ $ $ $ See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $1825 per SAC Unit (Plans to MWCC for determination) ft+6ft= 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 1 hereby apply for a building petmit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that understand this is not a permit but only an application for a permit and work is not to start without a permit on site; that the work will be in accorccc��, w� the p rove � 1 in the case of all work which requires review and approval of plans. SIGNATURE OF APPLICA C� `^'� " - PRINT NAME (�f�� ' �f/�'� DATE o1� aCTv� APPROVED BY Page 2- Building Residential Application BUII.DING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to�n3� existing b»il ;na or .stnucture, 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 gtovided to-wit: VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of applica.tion to a11ow for proper review of proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the existing foundation will be required before proceeding with the framing. New Houses Onlv City of Fridley Bnilding Inspections Department 6431 University Avenue NE Fridley, MN 55432 ' 763-572-3604 Faz: 763-502-4977 � � � � � � r r� � � � �. �. �— �2 ��fi0- �� ^ � r� � ` � � � �.- -��_, � I � - - - - - --- - - --� I � , -------��--- - - --ei l�' _ � � � �i�� _ � � � � F �� e � � � , � h � �� „ `� � 3 � ,� � � � �� '��- � � �'�� ' `^. �„ o � Z � d � � � � � �� e . � � � �� 0 , � � � � �, �� b� a � � Z � � i�.� � r� �� . � c � � e � � `�V� �, � � y � M a w � � Q, � � I 0 n � � � _� � � � ,