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AF - 41724� , L ,�52 0 1255 0 � 1 Land Plnnning land Surveri�g Soils iesting Civil Engineering Mvnicipol Engineering Mort�age %i// 1�/d/�"Hrssi ��'j�,jG�Q,�'h / 6875 Highway No.65 N.E. �yc�u�2ee�i�� nc Minneopolis, ) • Minn. 55432 �• Telephone 784-6066 Ea�ineers & Surveqors Areo code a�s Loan Survey for ROTTLUND C0. �� Oraina¢¢ � Ufii{ity �Ea�s�ment � �,� � =. , � 93. 04 M¢AS. � �i �,('�, 95A0 Plaf � •� � � . 4 V -- ^,r y3 _----� ------ ---- j� � ��' �,,' �, � ; 3Ln`',� � r' \� �� 21• � � � �a ---- d� t�'f � � N l�d'�J �, � 52.0 N FOUN0ATI0N � 6. �N�Y � �� i ad5�"— , � . � C" 20.12 Olo,t �Q�'� � �Zo•93 Meas �r y � .FA�RM�NT CIRC�E . � ; � 5�� , ti�1y ''� �,•l o � �� °° \ 0 ��.�E � J LoT3,�LOCK2 —�.. BOU DEAUX's SR��vG B �� 1 ,i� ..v'. �cale� i� =30�'Q�� _ .�.._ , Note: ThQ iron5 w¢ �'ound on this survey did nvt check with the d�stances as shown on thQ ori¢inal plat. We cannot vouch , �br �heir,accurac�,but wedid use thQrr� fo IocatQ fh�s e��stln� �'oundation. , ; ir i AtdOKA COUNiY ?his is o true and correcf represenfofion of a survay of the bouedories of fhe land above described and offhe location ol oll buildings� ii aey, thereon� and atl visible ertcroachments� i/ onr� from or on said land. This survey is made only i� connec�ion with o mortgage loaa now being placed on the propertr and no liobilify is assumed r,�ccept fo rhe holder o/ such mortgoge or any other interest acquired by the reason ef such mortgage.� If is undersfood and agreed n� monuma/�ta have been ploced for the purpose of estob��shing' lot lines or bouadary corners. Dated this�;aar of..7t,� � i� A. D. 19�' SUBURBAN ENGINEERIMG, INC. Ertgineers f� Su ve�ro►s • br� , r�� ,E[.,.,!�� '��.•,. � , r • 0 SUBJECT , 12562 City of Fridley AT THE TOP OF THE TWINS g U I L D I N G P E R M I T i � � � � `L _ COMMUNITY DEVEIOPMENT DIV. �/��/�� r � � PROTECTIVE INSPECTION SEC. 1 ; i �� /��1 � CITY HALL FRIDLE� 55432 NUMBER REV. OATE PAGE OF APPqOVED BY ""� � ,�� 812-580-3450 910-F15 5/29/74 � � JOB ADDRESS g141 E'airmont Circle 7 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHEO DESCR. 3 2 �urdeaux's S rin Brook SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Ray Arnold 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. The Rottlund Com an Inc 1581 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. 6 USE OF BUILDING •d t• 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE.WORK Construct a 26' x 40' & 41' Dwelling and a 26' x 24' Garage 9 CHANOE OF USE FROM TO STIPULATIONS Provide a hard surface driveway. Provide a verifying survey before capping. WATER LOCATION: 10' East of Sewer Location SEWER LOCATION: 64' West of Manhole (Inv. 847.54) Wye Elev: 847.22 Top of Footing: 850.22 Minimum SEPERATE PERMITS REQUI�tED FOR WIRING, HE�TING, PLUNf61iVG ANO Si�Ng; SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. �OOd FrdIIle THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT R], �.I.ZG 27 3 2 ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY 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 GRANTINO OF A PERMIT $24,553 ].2s28 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THH pERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTI OR ERFO% MANC OF CONSTRUCTION. � �`r'J�..00 $� $300.00 \ _�� [.f>N �� 'i}�� PLANCHECKFEE TOTALFEE �e° �►s aS'— 2l 7`� 363.28 � SIGNATUR OFCONTRACTORORAUTH RIZEDAGENT IDATEI H PROPERLY VALIDAT D HI IS OUR PERMIT SIGNATUREOFOWNERfIFOWNERBUILDERI IDATEI BLOG INSP qATE :� AP.PLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, �1INNESOTA o�� S N��,�y ,� ��vo c� BUILDER: -�'�� ` o ��-C� � � � . .z-��. ADDRESS : ADDRES S: 1��/ l�� r.e � y,e.,o% �c� NO • � � STREET • i , _, LOT: � BLOCK; 2 ADDITTON: %j p u.y, �o ,R � `� Spr�,vc� /,� ya d f� CORNER LOT: INSIDE LOT: �' SETBACK: 3� SIDEYARD;iv a,_� • Applicant attach to this form Two Certificates of Survey of Lot and proposed build.ing locafiion drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As : �/.t��. �,Q �n � (�' —/`I a u S �e Fron� •_ 2 � � Depth : �f / __.� Height • 1 � ' �- °` Square Feet: 1� Z� Cubic Feet:_ ��; �� 9 ,�� b y -e � �'� � ; �� Front : z ,6 " De th : 2 - � — ,--� %" P 4 Height • —1��=- Square Feet;�,� � Cubic Feet: s { Type of Construction: jCYAn.t � Esti,ma,ted Cost:_�,3�� Qoa, � �� , To Be Completed: �e v I ,/y7 y The undersigned hereby makes app�.icativn for a permit for the work herein specified, agreeing to do all work in stfict accordance with the City of Fridley Ordinances and rulings of the Degartment of Buildings, and hexeby declares that all the facts and representations stated in this application are txue and correct. `- j .ir � 1�0 %'7- C v.� �✓ �°- � . .-.7-'•� �. DATE : ,�— �Z 2_ 7 j/ SIGNATIJRE :_��. �� Ar.- s (See Revexse Side For Additional Information. ) c� ' '' �--� ?! � -, � �• — �� ` �;-- � _ + - � � � �� BUILDING PERMIT FEE SCHEDULE SECTTON 2. The Inspector ot Buildings shall, before issuing permits for the erection of any. building ox structure, or for any addition to any existing building or structuxe, or for any alteration or repairs 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: UIVIFORM BUILDING CODE; Type 1, 2& 4-$2.15 for each one thousand cubic feet, or fraction thereof, in such cubical contents. �pe 3& 5-$1.85 for each one thousand cubic feet. � �� ADDITIONAL INFORMATION � y • , i� y b � +� -6 b �For the purpose of computing fees for buzlding pe�nits, the cubical contents �/ � of any building or addition, is determined by multiplying the gxound area covered from a point six (6) inches Uelow the floor line of the basement �ox the cellar to the average heights of the upper surface or ico the average.� �� height of the roof surface of the main gable of a pitched roof. ay �o �SZ For repairs or alterations to an existing structure, the fee shall be at the rate of $3.00 per each five hundred dollars ($500.00) or fraction thereof in � the cost of all proposed work. Tn no case shall the fee chaxged for any permit as set forth in Section 2 be less than $5.00. VERIFICATION OF FOUNDATION NOTE: Permits for construction will be issued a minimum of 24 hours from the time of application, to alloc� for proper review of the proposed stxucture and of the construction site. �.. A Certified Survey of the lot, showing the location of the foundation, once it has been coristructed, will be required before proceeding with the framing. CERTIFICATE OF OCCUPANCY Applicati�n for a Cer�ificate of Occupancy shall be made ten (10) days prior to the use or occupancy of any structure for which a building permit has been issued; and said structure shall not be used or occupied until a Certificate of Occupancy has been issued. � " .. �, - _ w v � �M . i. y . . � �' �. �� '� ,.� � ', � �.o : : � �� `� �� '�� ' �, ��_� . . • � � t'r��G��J^ �t �� P� �S��g✓��G'�� o a w�sT� , � � � fh-....sTR��r-�.., . , . � • . BURNS VILLE, MINNESOTQ � . . . � � • . k �0l' !�„�x �iA Dn �r�'� _ ` C��i�tC�f � �f SU��r�� . . . � � � �. . N V��F�1 ��" W �� • • ' , � � _- -- 9�.0- � � � . � � — —, -F-� � — . � 'T - _ .t : . . I 1 . . fp -:,,, : ;.,. .. , � . : . . � , • . , . . �. ' . ~'�----.� A� q J a,� � � � � . . , ; , ,; , . . . A��C� �,-� �,��..�� . i . � �' - � . � . . . �" • , •, % T' Y . � . . �.' . ' . ,. . � ' , . . , ' ., . � ; .. . . .. � ' '�1 �'I ' . . ' . � � � . � � . . . . i _S` � . . ' � � : .g�,ac? ' � . � .. �`1. - � � - � i � � � `, � ; ' , ' �j �Q ' , . ( � - ' �� , +`,� ' Q ° .; " ' ' ' . . � �` , - . '�-i�, . � _ . ; � � -j ��/''� � . ; . . � - � a :�� ' �� . . � � �^ � � . . �: � . � . � ► _�_ _ � � � ��: _ � � � . . . - �o� . ��. � . � i . � ` . . . . . \ �,•� . � `-,1 ' _ . _ . . � \ 1 � M � . , "'�."'1�_, . . � • �% �• . � . - S ; � . :` n �� 9� ^.,� . ' ' ' . ' '. ' • ' ' � .: � ' 1 / , � \ �� . . . . . � • . � � p • �' 1 f � 1� �\ FJ � . . .,� ' ��`J �O � � � 't�,' ^�� n . , , f ' • � . , • .. ' � • . . . . , ' � �� ., � �U9rF��V„�lY �/ - - 0 • . • , . , !S1 ' . �Q ' t' � ' . � ' • ' � '' . '. . . . - . y � !��►-"�! � i; -�------- — ._ . . SC A—�-- v -- � ;: G;�,. � ;�� ;•� � � _�.. ` � �� C...� . .- �� " c�`]�JCDt�I'�Tc� � IR t .�, � �� 1�� uT c�� ' _ � � -�,�.L.. ��AP_►ti�.s ,�:��,u:�,�� ` : � ..� . � � , . ,. : � � . . .'� _ .. . . . . . .� . � . I-C-��L �. 6��SCP 1PT10�.: � :�.� . I herebq �certify that this sumey, Pl�n or ; � C] -�' � � � L�O C �=. 2 '.. � �.. � zcport was prepared by me or unc�er my circct �. �I�i��Di_AUX�S `-�Q��G ��0�{� • ADDtTlbl�l supervisior nad thst I am a�uly �e�istercC �� ti,! �,� L� GO l� t�.l-t' �� P!� I I�1 N��Oi/� .. Lan Sun•eyor under .the lativs �f the,,Stw*-� . . ; �.. o£ M' ncsota. ,;•r--YI-. i , , � � , , � �Z'/ `� ,1�+, � � +.�� . 1 � .. . � ' • • . . ' . • ' � � .I��1+ • �✓�°�ii � ! / . . , ' �` - . � , � � . , . • � . . ,. ' � �_ \t _'1� Rey, No ��''-�-,'�"� — I� � , ' � , , �a� .a : �, ' • � . � � . . . � � . l. _ . • � -- - . __ �� e c,� e � � � l �✓� � � �� C-� C�,� �, �� .� � �� S�°� �c.�� - �� 2� �� o� � ��- � � ��,�� F � �5 �, � � �� T� � I G� �Q � � � -�� , �� e t,�% �� ° G `'� r-1 �" � � �Y .� �� 3 6 2 � �� ... a � O N � � � m � � v � ti @ � ' .. ; � � � ,g ,: � � . � b y, �i �` ^ `: ... :<: ,F 'i � `� r� ; SZ �� a� � � r3 � � � � � � � � w � � �! �' � � �• C ti ty � � � �� . � � � �� 8 •�.�. tn �rt � o� � � I ° � � � I � � W �' � � � k � O � � � N ��, a«a� � � �o o y , r � o w � � � o e I � I � � i � � ! G1 I O � � � � � � � � � � w � � O r M a � < � A I M � W � w w�. � � Y h � '.r o'1 O � � o X' � A � � � � � � a a. � � � ro � s `, _ :� .y� .� , Y ., :r � � � s s< � x a . � �! M � � g � � � m �, o a a `9 � � � � �� pN S 7 O . p i�'Y' 09�,. � � � � � � � r � � o d�1 i � � 70 o s ,� x � � � � � � � ,� � � . � '� � � o � .. g "8 � � �a w ra o 0 ��s a�� . m � � � �. x 0 : B » � 3 � � n � N 0 � 3 �. d S � �� y• � � u� a � '� � R° R� � �nx a a � � � �� o ' � � � S A � � � a � � � � � s a � � � � � � S � � � w w a w o �� a � � � � � � � � "1 � I � ' � C �� D 'O 'O � � w � ti� Q° � � � � 9 � � � � �' ;�, y � �m _ u s � � � u ? C A �g 7 b !� m s ��' a �; � � . � $ � . • � � w v, a� o �$�� C1 ql H � � � p aa„ � �� ^1 � C1. �o��,�a a 4 � ��.� y � �� N � � C1 � Q� h � O y a. ,� m g�� P. �' o 0 N p�� [ r• � �a�� . n � y� �� O- ..9f M � ��0� ��,0 � ti � � � � w� � �. � �� Q� 5 � 0 � � q �, � �� ., � � �° � t5fr1 � � � � � � � � � � �>�.-c-^- Y k/ J i i Cri L-' �` � � �' �' .��' �'-`"� _ c� (� • � �"L`�� 5�� 7 / / t�� 1 i� .� - -`�eA�� HEAT ��SS CALCULATIONS H EATI IVG � AIR CCIVl�IT1011111VG CO. MINNEAPOLIS, MINN. � Construction No. Insulation Weat~?rst��ps A.S.H.V.E. ' Guide Windov�s i Doors Out. V�'all � I�t. Wall Ceiling i Roof Floor Kind HowApplie Reference 1'es �:o � "°s G,�, 19 i --- - � /. ; Room Ler,qth '�'�" U'.'id'n � Heiyht FI. _r Room Length � Width Height �FI�/6 • i� L' — —�__—'�`�_— -- -- — ti'; inr.a:. � a�d Doors—Crackage and Area VJindows and Doors—Crackage and Area — . --- -� N�. r,f L�n��al ft. i+'--: ' lN�dih Height No. of Lineal ft. Areti N�� Ifghts ot ciark sq. ` N�,. nf �ann uf �ana lights uf crack sq. ft. � �� ,<� - - - _� :� � .. � � s� C- � � i � Infiltrat :" I f J� � Glass �% - Exp. wal! � � Net exp. ::al I � Int. wall Cei I ir,a � Floor / s Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area FI. � h�' Room Length � VVidth Windows and Doors—Crackage and Area No. �n'��"� Height No. of Lineal ft. q�efa of oane , of par�e 8hts of crack Infiltratio� �� G I ass �(� Exp. wall % � Net exp. wall d' Int. wali Ceiling � � �� Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area �F�, /r��C Room I Length �� Width VJindows and Doors—Crackage and Area N� +;�r•h H�eiqht No. of Lmeal ft. Area of p�n� of pane lights of crack sq. ft. / i//,.� ��T /'%�/�J Infiltratio' � � f� I_� Glass Exp. wall � / �_ � � I �;r't tN. �:ili ._._. _.._._ �' 1 Int. � �II �� 1 -- - - CPII'-�: /C�� //—__._.'."—'— ._—I__��fJ F i y� Tr�t:] I 3�'... �RPr;uiret' S'�. jL F.C.N. �x tii�. inti. Ih'.•l. !��,i�liri ,urc,i oef� Btu G Height Btu Height Coefl B tu � � � � l__ _� � �-' _ �_--_ _ —_ _. �C? I _ � yC� . � �� __. _./�// '.___ / � � / �� Infiltration /,-_ `¢ (; Glass � 1 � Exp. wall 7- Net exp. wall � /L-' Int. wall Ceiling � � � Floor Total Btu. Required sq. ft. E.D.R, or sq. ins. W.A. Leader area �Fl��j'��`�� Room Length idth� Windows and Doors—Crackage and Area No. W�dth Height No. of Lineal ft. Area of oane of pane lights of crack sq. ft. Infi ltration �J G I ass � Exp. wa I I �� Q �i Net exp. wall Int. wall Ceiling /aj`� L� � / Floor � � Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area � FI. � ,�� Room Length � � Width � Windows and Doors—Crackage and Area N� Width Hei9ht No. of Lineal ft. Area of pane of ��ane lights of crack sq. ft. f � �P" c1 � � .� / Infi ltration � Glass � Exp. wall � rvet ex�. W�ii --- - - �e �nc w�n Ceilinc)-/�� - — � F � t1(lf � T(liil� Btll. He�yuueci sc�. fL E.fl.{i. ur s��. ins. W.l1. le�cler �rea Btu � � � C�1 eight B tU ight Btu �' � , ' Glea ' ��r,�¢ . - HEari�.ss'CaLCULATIONS HEATING&AIR CI;NDITIONING CO. � 1Net3therstripS A.S.H.V.E. Cunstruct�on No. Guide �:41�:',�,=PpUS, h11NN. Ins..,_.,o� Windows Doors Out. Wall Int. Wall Ceiling Roof Floor Kind -'ow �+{�{�lied Reference Yes No Yes--No �g % FI.��;' -�' Room Length f� Width Height FI. Room Length Nlid:h VJindows nd Doors-Crackage and Area 1'Jindows and Doors-Crackage and Area �,�i, � `L9drh Heipht No. of Lmeal ft. Area No yyidth He�qht No. uf Lineal ft. %-.re�, � of p� r of pan li�hts of crack sq. iL o} pene: , ot pane liphts of cr:�ck s:. � � �7 ///�S e� / � I - ----- — Infiltration � �! G lass Exp. wall a�� -IVei.e�. =+NaU - - - - - - Int. wall Ceiling ��l Floor Tota I Btu Required sq. ft. E.D.R, or sq. ins. W.A. Leader area FI. Room I Length Width Windows and Doors-Crackage and Area No. Width Height No. of Lineal ft. Area of oane of oane liahts of crack sq. ft, —� Infiltration Glass Exp. wa I I Net exp. wal I Int. wall Ceiling Floor Totai Btu. Btu � �� Infiltration Q Glass Exp. wall n-{) Net exp. wall Int. wall `1 Ceiling � Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area FI. Room I Length Width Windows and Doors-Crackage and Area No. Width Height No. of Lineal ft. Area of pane of pane liphts of crack s4. ft. eight B tU Required sq. ft. E.D.R. or sq. ins. W.A. Leader area FI. Room Length Width Heiyht 6"�indows and.Doors-Crackage and Area . Ni, W�arh Heiqht No, uf Lmeal fL Area . of nan�� . of t�.�me liohts of crack sq. ft. B tu Infiltration Glass Exp. walt Net exp. wall tnt. wall - - - Cei I ing F I oor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area FI. Room Length Width VJindows and Doors-Crackage and Area I l".'idrh Hc�qht � of Lineal fL �•=a Nu. - of Dane of pnn� �ights uf crack sa. ` — ---�.-- -- • Height _ Coefl B tu I Height Btu Height I !Coefl B tu Infiltration I Infiitration � - -- - - ---- -- -- -- --- - -- -- __ __ . - Glass � Glass I � Exp. wall - -- i -�_ Exp. �vall ----- � - - - - - - - - -- - - --- - � - - --- -- -- - - ---- - ---- - -- ' _ - _ _ - - - - -- , ��t e:.��-w�al I - - - -- --- � - - `:ef �xp. wal I � - -- -- - -- -- ---- - -- -- - - - -- ' -- In*. wall Int. wall � I -- - -- - ---- - - --- � Ceiling Ceiling ' i - - ---- - -- � -- -- - — I Floor --�- FI� r I i Total Btu. Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Le:3r1��r :ir�•:i R��qinred Sq. fL E.D.R ��r sq. ins. W.A. Leader arFg — - _� �/- �f-7.5�AF�z`"� Numbex Fixtures � x $2.00 1'��UO Future Fixtures =� x.$1.50 L.°S� New F'ixture-Old Open. x $1,50 Catch• Basfn x $3.25 Water Heater-99,000 BTU '1 x $3.00 �,�Q Ground Run Old Bldg. x$3.25 Elec. Water Heater x $2.00 Gas Fitting Fees: lst 3 Fixtures I x$2.00 �•�� Additional Fixtures x $ .75 Gas Range-199,000 BT[1 x $5.00 Repairs �-Altexations . See 3 S0 Description: Code a' State Surchart�e • .50 • TOTAL �FEE $ � � � The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinancea and rulinF of the Department of Buildinga, and hereby declare that all` h facta and�ep/�eeentationa atated in this � app ic ion are tj � e ��lnd correct. , � � � � y .� r � �. : � . � i h ' O . �, ; • i • , � : � � C) � . � : � �. � � v ` • � � � �J � � � N � � � Fi w , � c � C � � � aQ �� p� � d�� x F.' W 7. '� � f~0 7' � 'C1 ni �o � n n " � � � m � M � � A � � ~ � r. � o "� � ,oM,e p °' A � o � � � " � � ey �� d b � O� y y . O � • � a � • $ � • i� �: : : °°�: �' : o, e��a w . �, � p • . . � . . . i . . . • .�`"' • . ' . . . . � • . . . : . . . . . . .� , o 0 �e i{ w p x k i: x i: ic ,�° e� N 00 }a� `�'a w �u � � � tif � �w : g .�.� g �i g �i � � � ,.�� rw as �� v. eA rw an w �n � � p � I O V � I � � A � � 0 � � � I . � bD � �e � a � � r /� � ii�1 � � � m v � m �U�! Q � � E � � a � p n b � s' ii. a °° � g � a � � ol . , � �,1 . �, ... ■, • . ■.. ■, . : ��' � � .�■■, ' ; �� : ..■" ��i�� h � �. � �' » � a � �p pd � � � � � m � � ., � w�tt� �s URIlIALS wTM � �� SINKS wwsM ra►n oaiNK. fOtlNT. S�11YRS. r�ooa DRAINS GTCM 6ASIN5 AUTO WA� GhS � �� ° RANGE �� OPENIkGS . o s • N � a � � � ��° aC'C'n � � � H �a� � � M°' a � �� ,�`�, N "1 O A � W � � � �. m g �� m o � �. a � ��G�' �. � n �o 0 � � � � � m � � '�° � � b � p 6 �K �� m ��; � N.� A � 'o'� o��m � �� , � � n � � a � 7' :: � � A ti � � � A �� m � � � I 3 �� x 8 � 7C � � a � � � � 'ol � � P � Z � 8 N 0 � C� � � � � � � � � � � . � � �. � � • � � o � .., � � � � � � � � N z �. � � - � � w � � � c� � 0 V'1 W 1 � � � 1 �O � � � HOUSE HEATIPIG TEST RECORD D-21174 ADDRESS $.�l�g��eg�C�.��° APT. FLOOR CITY SUBURBFrid1P.� OCCUPANT�,$�pg�]��aplri OWNitER �R HEAT LOSS DATE HTG. INST. SOLD BY INSTALLED BY �g��e,.t�ga Eleetrical Work By Gas Line By �� TYPE OF HEAT GA FA �_HW STEAM SPACE HTR. UNIT HTR. OTHER GAS DESIGN CONVERSION MAKE yr,T��,�.e� MAKE OF BURNER Modei ��—�A—�r Model Se►ia� —T4��$ Max. BTU Rating (NPUT ��$��•• MAKE OF FURNACE Model CONTROLS THERAAOSTAT ��— Heat Plug Vent Size S�� Valve—�, „��8vn.. KIND OF LINER g.,�z{� SIZE 6�� NONE Limit � a Draft Hood __�� Regularor }�..-o,�� Limit Setting ��►�► F Filtsrs Size �S Number � ��— Fan Settine °A r +��► F Chimney Loeation Inside�_Outside Pilot Type �8�` Chimney Construdion —�e=^�'��=�6 Pilot Make Pilot Model Pilot Timing —�� L.W. Cut Off Smoke Bomb Wiring Draft e� Test Tag Door Pressure Lighting Inst. Pressure LF-��PereenTCO2 �,Q�— Date Tested �Qr�Z� Ir�put CFH �nn Pereent 02 $�,y°,/� Company Testing C. 5i. BRIGHT COMPAPlY Staek Temp. (�,�e � Percent CO °� Name of Tester - 'y��,�,0�'�� Form 235 sue�ecr PERMI � A C City of Fridley o f, o " AT THE TOP OF THE TWINS g U I L D I N G P E R M I T � � RECEI � `v ______ COMMUNITY DEVELOPMENT DIV. � �� r j � PROTECTIVE INSPECTION SEC. � � = i l-__-� ��;,� CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY L 612-577-3450 910-F15 4/17/84 � � JOB ADDRESS 8141 Fairmant Circle N.E. 1 LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 2 Bourdeaux`s �pring Borook Addn. SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE B�i� Ray Arnold 8141 Fai.rmont Circle N.E. 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSENO. �vin Ci Storm & Sash 2641 Louisiana Avenue South 9 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. 6 USE OF BUILDING 7 CLASS OF WORK ❑ NEW ❑ ADDITION C� ALTERATION � REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Install alwmin�l trim 9 CHANGE OF USE FROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING S�. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTqEET 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 VALUATIQ N SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED yS`1�S�O WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT �X $• 75 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMITFEE SACCHARGE ROV IONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- S R CTION OR THE PERFORMANCE OF CONSTRUCTION. $2S. OQ PLAN CHECKFEE TOTALFEE I�.-- Ct ��._, �a r7 d�5/ sas. �s SIGNATUREOFCONTRACTORORAUTNOR12EDAGENT IDATEI WHEN PROP RL A IDATED THIS IS VOUR PE MIT 6 � SIGNATURE OF OWNER�IF OWNER BUILDERi IDATEI BIDG INSP �AT p� [] City of Fridley Effective 4/1/84 ADDN. [ ] �R-1 AAD R-2 pLTER. [ 7 Building Permit Applieation Construction Address: `� �� c��r M� �°' } � � r Cl P Legal Description: Property Q�merlAcidrs��: g f y � '�a t�r ►r�o �'� c�� c��. Tel .# Contractor: �l.?� 1 W C 1�� S� G r�-. � S AS � Tel .� ��'�6� � Address: o� �O �f ( �� i� o � � � w � � v � S �c _ Attaeh to this application, a Certificate of Survey of the lot, with the proposed construetion drawn on it to scale. DESCRIPTIOA OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECR AREA: Length Width Hgt/Ground Sq. Ft. OTHER : '� i v rv� � rv � w, -�r(`''�I` �, Corner Lot [] Inside Lot [] Ft. Yd. Setback Side Yard Setbaek Type of Construction: �� v w. ,r.r w� Estimated Cost: $ I 5�� Approx. Completion Date: I w � e<C Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation DATE: � pR I�. 8 �i APPLICANT : ��-- � �� Tel . � CITY IISE ONLY Permit Fee $ ��-�� Fee Schedule on Reverse Side Plan Check $ 25$ of Building Permit Fee State Sureharge $ ��-� $•50/$1,000 Valuation SAC Charge $ $425 per SAC Unit Park Fee $ Fee Determined by Engineering Sewer Main Charge $ �� .-- Agreement Necessary [ ] Not Neeessary ( ] TOTAL $ STIPULATIONS: .� BIIII.DIAG PERMIT FEE SCHBDIILE 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 strueture, or for any alteration or repair to any existing building or structure, upon applicatio n therefore, require the payment by the applieant for such permit of fees to the amount herein belo� set forth and in the manner herein provided to-wit: Total Yaluatioa Fees �1.00 to �500.00 $10.00 (Minimum Fee is �15.00) $501.00 to $2,000.00 $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 eaeh additional �1,000 or fraction thereof, to and ineluding $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 ��+33•00 for the first $100,000 plus $2.50 for each additional $1,000 or fraction thereof. DRIVEf�IAY DEPRESSION ESCROii (Conerete 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 xith 6 inch depth - Driveway Width plus 6 feet times $15.75 YERIFICATION OF FOONDATION Permits for construetion will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed strueture and of the construetion site. A CertiPicate of Survey of the lot, showing the location of the foundation once it has been constructed will be required before proeeeding with the framing. a__ �- �. sue�ecT PERMI c�ty of Fridley o�� 18 6 7`a AT THE TOP OF THE TWINS g U I L D i N G P E R M I T r � � ECEIPT NO. � ; L ___�� COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. � a� 1 ` � ( �� CITY HALL fRIDLE� 55432 NUMBER REV DATE PAGE OF APPROVED BV �""'� � ,�� 612-571-3450 9t0-F15 10/1/86 � / JOB ADDRESS g141 Fairmont Circle N.E. 1 LEGAL LOT NO. BLOCK TRACT OFi ADOITION SEE ATTACHED DESCR. 3 2 Bourdea,ux's Spring Brook SHEET 2 PROPERTYOWNER MAILADDRESS 21P PHONE Arnold Ra.ymond 8141 Fairmant Circle 786-3094 3 CONTqACTOR MAIL ADDRESS ZIP PHONE LICENSE NO At� 3700 Annapolis I�ane, Mpls, 55441 553-0020 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE IICENSENO 8 USE OF BUILDINO Residenti.al 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION �] REPAIR O MOVE ❑ REMOVE 8 DESCRIBE WORK Reside Dwelling 9 CHANOEOFUSEPROM TO STIPULATIONS SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY (3qOUP OCCUPANCY LOAD VENTILATING OR Alq CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WOfiK OR CONSTRUCTION ZONINCi 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 ANY TIME AFTEFi WORK IS COMMENCED. • NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION �' STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $5, 410 �`2. %�. WITH WHETHER SPECIFIED HEREIN OFi NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OFi CANCEL THE pERM1T FEE SAC CHARGE FOVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING coN- $56. SO RU TION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECKFEE TOTALFEE $59.21 SIGNATUREOFC TRACTOR AUTHORIZEDAGENT IDATEI� � WHEN PROPERLY V DATED THIS IS YOUR PERMIT � I c� � SiGNATURE OF OWNER iIF OWNER BUILDERI IDATEi BLOG INSP � 7E NEW [] City of Fridley Effeetive 4/1/86 ADDN. [ ] R-1 AAD R-2 pLTER. [ ] Building Permit Application Construetion Address: 8� Ll! � _ _�._C/%1��C-�s Legal Description: Owner Name & Address : ��L'�� Tel .� � � q t% Contractor: �'/�%�� Tel. � �.�3�O�C' Address 0 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECR AREA: Length Width Hgt/Ground Sq. Ft. OTHER : _� on�F+� Corner Lot [] Inside Lot [] Ft. Yd. Setback Side Yard Setback Type of Construction: � � Approx. Completion Date: ,/G�- <S — � Proposed DriveWay Width If New Opening Is Desired: Estimated Cost : $ � �i � [,� Alt. A Alt B $ $ See Baek Page for Explanation DATE: ��0°Sc.o APPLICANT: Tel. � -�._��6�� CITY IISE ONLY Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Cknafi�e TOTAI. STIPULATIONS: � c� Eo.. � � � $ o°'�. 'i % $ $ $ $ � �.� / Fee Schedule on Reverse Side 25$ of Building Permit Fee �.50/$1,000 Valuation $475 per SAC Unit Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] G BIIII.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 applicatio n 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 9aluation $1.00 to $500.00 Fees $10.00 (Minimum Fee is $15.00) $501.00 to $2,000.00 $10.00 for the first $500 plus $1.50 for each additional $100 or fraction thereof� to and including $2,000. $2,001.00 to �25,000.00 $25,001.00 to $50,000.00 �32•50 for the first $2,000 plus $6.00 for each additional $1,000 or fraction thereof, to and including $25,000. $170.50 for the first $25,000 plus $4.50 for each additional $1,000 or fraction thereof, to and including $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 ineluding $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. DRIVEiiAY DEPRESSION ESCRON (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 xith 6 inch depth - Driveway width plus 6 feet times $15.75 VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation onee it has been constructed will be required before proceeding with the framing. --- SUBJEC7 PER"MIT NO. City of Fridley F 2� 6 2 7 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T� - r � � � � R6.CEtPT IVO. � i y__��_ COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. � � �� i = � � /'�'1 � CITY HALL FRIDLE� 55432 NUMBER REV DATE PAGE OP APPROVED BV �""� � �'' 612-571-34b0 910-F15 6/21/94 � � JOB ADDRESS g141 Fairmont Circle NE 1 LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACNED oesca. 3 2 Bourdeaux� s S rin Brook SHEET 2 PROPERTY OWNER MAIL ADDRESS 21P PHONE Carol Arnold 8141 Fairmont Circle NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Richard Hastin s Contr. 6331 Rivervie T - d ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDHESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK O NEW � ADDITiON O ALTERATION �] REPAIR � MOVE O REMOVE X 8 DESCRIBE WORK Reroof Dwelling (22 Squares) 2nd Layer 9 CHAN(iE OF USE FROM TO STIPULATIONS Roofing can be the 2nd layer but not the 3rd. TYPEOFCONST. OCCUPANCYGROUP OCCUPANCVLOAD SEPARATE PERMITS ARE REDUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIH CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONIIdG SQ. PT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OFi IF CONSTRUCTION OR WORK IS SUSPENDED OH ABANDONED FOR A PERIOD OF 120 OAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. OWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINEO THIS APPLICATION 1 STALLS GAHAGES 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 � 1� 21O �. 61 DOES NOT PRESUME TO GIVE AUTHOHITY TO VIOLATE OR CANCEL THE pERMITFEE SACCHARGE PROVISIONS OF ANV OTHER STATE OR LOCAL LAW REGULATING CON- 31.00 Fire SC Q STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. � W 1. 21 . PLAN CHECK FEE TOTAL FEE � � �[ � License SC $5.U0 $37.82 SIGNATURE OF CONTRACTOR OR AU ORIZED AGENT IDATEI yy N P ERL VAL TED THIS I VOUfR PERMIT _ ' �f/ �%� /' L SiGNATURE OF OWNER�IF OWNER BUILDER� IDATEI BLDG INSP �l+TE NEW � j Effective 1/ 1/94 ADDN ( � CITY OF FRIDLEY ALTER ( j SINGLE FAMILY AND DUPLEXES R-1 AND R-2 �O� �� Building Permit Application Construction Address: __ �[_ y I �,4�`� eS,� o�v l~ c � �2 •___ Legal Description: Owner Name 8c. Address: �� o L � R�o L� Tel. # Contractor: `�;� �, p,� ,� 1-��-St'; KG S MN L[CENSE # yo �' / Adciress: � 3 3 I l� � v � R � 1� ��...J 'C'� c2 . Tel. # S7 1�' 9'� � 6 LIVING AREA: GARAGE AREA= DECK AREA: OTHER: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. Length Length Length. DESCRIPTION OF IMPROVEMENT ti' Width Width Width �� Height Height Hgt/Ground Sq. Ft. Sq. Ft. Sq. Ft. Corner Lot [] Inside Lot [] Ft Yd Setback Side Yard Setbacks Type of Construction: � c` � o a� Estimated Cost: $ l 7��-- /� /(� Approx. Completion Date: 7�l S� q�,/ T (Cost on Back) Driveway Curb Cut Widt� Needed: Ft. + 6 Ft = Ft x$ _$ DATE: z APPLICANT: , '��' ' f,�,� � Tel. # S 7 �( � �' �'� � Pemiit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Contirol Park Fee Sewer Main Charge TOTAL $ �/. QG $ � • �( $ . �/ $ $ �. UQ $ $ $ $ $ �` , � c� CITY USE ONLY Fee Schednle on Reverse Side .001 of Permit Valuation (lllOth%) $.50/$1,IX10 daluation $800 per SAC Unit $5.00 (State Licensed Reside�tial Contractors) Alt. "A" or Alt. "B" Above $450.00 Cons�rvation Plan Review Fee Detercnined by Engineering Agreement NecessarS► [ ] Not Necessary ( ] STIPULATIONS: � BUILDING PERMIT FEE SCEIEDULE The Chief Building Officia! 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 stiucture, upon application therefore, requite ttte 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 $S00 $501 to $2,000 $2,001 to $25,OQ0 $25;001 to $50,000 - . $SO,il01 to $100,000 $100,001 to $500,000 $5�,001 to $1,000,000 . $1,00(3,001 and up FEES $15 (Minimum Fee is $15 plus surcharge) $15 for first $500 plus $2 for each additional $100 or fraction thereof, to and including $2,000 � $45 for first $2,000 plus $9 for each addifional $1;000 or fraction there�f, to and including $25,000 $252 for fYrst $25,000 p��s $6.50 for each addifional $1;000 or fradion thereof, tA. and including $50,000 $414.50 for fiist $SO,OOU pius $4.50 for each additional $1,000 or fradion thereof, to and including $100,000 $639.50 for fust -$100,00U plus $3.50 for each additional- $1,OOQ or fraction thereof, to and including -$SW,000 $2039.50 for the fust $500,000 plus $3 for each additional $1,000 or fiactio� thereof, to and including $1,000,000 $3539.50 for the fiist $1,00(?,000 plus $2 for each additional $1,000 or fraction �thereof - DRIVEWAY �DEPRESSION ESCROVir (C.oacrete (�rb Streets On1Y) Altema�e "A": Removal and repla.cemerdt of curb and gutter only - Driveway width plus 6 feet times $13 _50. � Alternate "B": Removal and rep(acement of curb and gut#er and install a 3 foot wide . approach with 6 inch depth - Driveway width pius 6 feet times $15_75. VERIFICATION OF FOUNDATION Permits for construction will be issued a muumum of 24 hours from the time of applica6on to allow for proper review of the proposed sh�ucture and of the con.struction site_ A Certificate of Swcvey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. 43, ��e�� c�ty of Fr�a�ey AT THE TOP OF TNE TWINS � � I L D i N� P E R M I T r / S 1 ` � `v �_�� COMMUNITY DEVELOPMENT O1V. r � � PROTECTIVE INSPECTION SEC � i � ' �"'1 � CITY HALL FRIOLEr sS1,2 NUM�EP pEV OATE PAGE OF �---.�: �., 612-571-3450 g�aF15 12/28/99 / / 10B ADpRESS g141 Fairmont Circle NE t LEGAI L.OT NO. BLOCK TFACT OR ADDITION oesca. 3 2 Bourdeaux�s Spring Brook 2 PiiOPERTY OWNER MAIL ADORFS$ ZIP Tim Arnold 8141 Fairmont Circle NE 3 CONTRACTOR MAII ADORESS ZIP Panelcraft of MN Inc 3118 Snelling Ave S, Mpls., MN 55406 e ARCNITECT OR DESIGNER MAIL ADDRESS ZIP 5 ENGINEER 8 USE OF BUIl01NG Residential 7 CLASS OF WORK O NEW 8 DESCRIBE WORK Install �atio door 9 CHANOE OF USE MAIL ADORESS O ADDITION �FiMIT NO. 30604 � �� o Br SEE ATTACMED SFIEET PMONE 803-7422 PHONE IICENSE NO 721-6628 2179 PMONE LICENSE NO PNONE LICENSE NO O ALTERATION �] REPAIR O MOVE O REMOVE TO 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. �erm�t Inspection Ca��s Vilall �e I�ailed To Hon�eo�ner To Post SEPARA7E PERMITS ARE RE�UIREO FOR ELECTRICAL, PLUMBING, MEATIN(i, "rc v� a.v�.�� . v�.a.yr� VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION 20NING SO. FT AUTHORIZED IS NOT COMMENCED V�IITHIN 80 OAYS. OR IF CONSTRUCTION OR WORK IS SUSPENOEO OR ABANOONED fOF A PERIOD OF 120 DAYS AT ANV TIME AF7ER WORK IS COMMENCED. NO. DWLG. UNITS I HEREBY CEFTIFV TNAT I HAVE READ ANO �XAMINED TMIS APPLICA710N 1 S7ALLS AND KNOW TME SAME TO BE TRUE AND COiiREC7. ALL PROVISIONS Of LAW$ yALUATION ANO ORDINANCES GOVERNING TNIS TYPE OF WpRK WILL BE COMPLIED WITH WHE7MER SPECIFIEO MEREIN OF NOT. TNE GRANTING OF A PERMIT �2,094 DOES NOT PRESUME TO GIVE AUTMOpITY TO VIOLATE OR CANCEI TME pEi�MITFEE PpOVIS10NS OF ANY 07MER STA7E OR LOCAL LAW REGULATING CON- STRUC710N OR TME PERfORMANCE OF CONSTRUC710N $83.25 � Lice� e C S�GN4TUAE OF CON'aACTOA OR nU�MOp�ZEO AGENi IOAYpi , „„� OCCUPANCYLOAD CU FT. T PARKING IGARAGES 1.05 C CMARGE '�C2 .S{.' �2.1� TAI,FEE $91.40 fNIS IS VOUR RM NEw ADDN ALTER [] [l � Vl� ,'� � . ,, ...onstructionAddress : CITY OF FRIDLEY SINGLE FAMII.Y AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION �/ ��i�-- , � Effective 1/1/99 ,�'�3 � 99a�s9 � �/ `�D Legal Description: � � � � � ' � � ' � � - - Owner Name & Address: % r� f%r� p /� �('/ �// �irh, B„ f Cir �� //e � Tel. # ,�C�� - 7� � �— Contractor: � �/JC��'�"a�7� � ��i%, � 11/7CJ MN LICENSE #_�/%�J Address• .3//8 �he��iM Il�l,�./!./,L/ f /�l1it /�i/U .�` � Tel. # ��Oio�� %�/—�o/a-� Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESC�TI�N iDF IIihiF'1tO�E1VIENT LIVING A�.tEA: Length Width Height GARAGE AREA: Length Width Height DECK AREA: Length Width Hgt/Ground OTHER: � Sq. Ft. Sq. Ft. Sq. Ft. Construction Type: ��j v�� r Estimated Cost: $,� ��% � �"�, (Fee Schedule on Back) L�iveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: I�� -a2'�� APPLICANT: � � Tel. #(%�2� 7v'�/�G�•o� �/3/ Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge �TOTAL $. 8',3. 07 � $ s;?. i p $ �� D � $ $ ��ol� $ $ $ $ � �'�� o CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.50/$1,000 Valuation $1050 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Iteview Fee Determined by Engineering Agreement Necessary [ ) Not Necessary [ ] STIPULATIONS: ��Y/.�� iC�� JE7�E=��fsr�' ��ct %L� �C��,�'/v��r— �u�m & � '`''� a.�! �GG ��/�.l * �L= Z"�� 1.l�� . �1a, `-' l �, l�'9% G: /.�. �,