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AF - 41764. . . � 10. � Caty of Fi-i.dley, Minn�.. 6431 University Ave. N. E., Minneapolis, ll�inn. 56432 � !�*l��i'i� � � �� Date: _ June 28� 1971 Wrecker Owaer: - Mr �ic MxR. Er -n H g� Maxvin Hartse Address _._. Address 1600-91st Avenue . LOCATIO�1 OF BUILDING No. �31.. Street �'airmont Avenue N_ E., p� og �t Lot .��b _ Bloc1� j� �.�_� Addil3on or Su»-Division .�ivervie�a-1�ei�htsTAd�i.tinn_ Coraer Lot .___ Tnside Lot ___. Setback �. Sideyasd Sewer IIevation —_ � Foundation IIevation .._ DESCRIPTION OP BUILDING To be vsea as: Wreck House __ Front .� �pth Height 5q. Ft Cu. Ft. _ Front — Depth Height Sq. Ft Cu, Fi. Type of Construction Fast, Cost .,�480. 00 To be Completed July 5, 1971 If there is a septic tank, it should be filled. A11 work is to be in compliance with items �kl thru �7 on Bid Sheet. In consideration of the issuance to me of a permit to construct the building described above I a.gree tq do the proposed work in accordance with the description above set forth and ' mpliaace with a�], provision8 � Ordinances of the city of Fridley. � C�""� • Ia consideration of the payment of a fee of $ 5. 00 , permit is hereby granted to M��in Hattse to construct the building or addition as desrxibed above. This permit 4s granted upon, the express condition that the person to whom it is granted and his agents, employees and worl�en, 9n, a11 Work done ui, around and upon said building, or any part thereof, shall conform in all respects •to the ordin�aCes oi Fridley, Minnesota. regarding location, construction, alteration, ma3ntenance, repa3r aad moving of bulltliAgB vpithin the city limits and this permit may be revoked at any time upon violation of any of the provisions of tsattd ordfnances. - �v�� NK MUHICH NOTlCE: � This permh does not wve� the eonsfrueHon, fnstallation fo� wirine, plumbing, 8as 6eafinp� sewer or wafer. Be wee to s6s fhs Buflding Inspecfa� for separate permits fo� theae itetds. E!i • �t Q � � , . � . .. d � '� . � , . �.� � .� � . . _ ' , � ' � . • '.Z, the undexsigned, for the sum of � agree to remove the �� structures ixom the propexty knoc�n as 531 Fairmont Street N.E. . �� Fxi.dley, riinnesota, legally desc�:ibec� as Lots 15 and 16, Block _I, ___ Rivexvieca fIeights Addn.,� Anolca Cotuity, Minnesota. ' For the completion of the above I, the undersigned, agree to the , ._ fol.'lo�Jing : � 1. To xemove from said property the dwelling, gara�e and outhouse and any other stxucture located tliexeon. 2. To ob�ain all necessary licenses and permits requirecl fox the completion of said .woxlc. � 3. To obtain all necessaxy utility disconnects and pxesent zaxitten proof ' o� sanie. . ' !�. To .locate, cave in and fill any and all c�sspools, sep�ic tanks or cistexns located on said p:.-operty. • S. "�o fill in all excavations toii�h non-diecomposable matexial. `'� 6. To xemove all debris and matexials and leave the pxoperty in a clean . arad orderly condition. 7. To submit upon completion of work an itemized statement of all expenses involved and alloz�ances for any salvage invo].ved. . ,. �// J�� I ivrther understand and agree that payment for the above wi11 be - withheld unti.l an inspection of the propexty has been made and appxoval for Payment l:as been gxanted by i:ne �ui.lding inspection Department of the City of Fridley. • � . � . " �� . � - �. . . NAME � • • . ' � � �lB �� v � r� � T?TLE DATE � °°" �'` r � / • � --�y `- �. � .. �. . a � �1.ICAT10iV FOR WRECKING �'ERM'IT No F'ridley, Minn.. � � ��= -� ` y g�' Inspector of Buildings, 6431 Univ. Ave. N.E. The undersigned hereby makes application for permit to wreck the building as herein specified, agreeing to do all work in strict accordance with the City Ordinances and rulings of the Department of Suildings, and hereby declares that �all the f�cts aad representations atated in this application are true and correct. LOCATION O� BiJILDING No. 3treet Part of Lot I�ot Block Towa, Addition or Sub-dfvfcion *� � l�l7"l �% / 7 s �+7 � .J � �Q f 7 � U7a � LO � / �i I / i' .' �� _ �L%� ��.� DESC1aIPTION OF BITILDING Froat Deptl� iieight Stories Tppe of Bufldiag No. of T�� p� To be Com leted aad Coaslruction Dwlg. IInits p A i � � � ' ' ` , �� ` �� `" i r f r � �' J —7 � Owner LC -�° g�''�s ��r P'', e� A ddress Content : Cubic Approved by: Utilities � -d�/ f��!<O�s �- i_-r c�v�`i��y� ee e'� u�' �� '�-P Estimated Cost of Wrecking $ Note: If there is a septic tank, it should be filled. Q � . �� -��2J�� io (Title) � _ �'L • (Title> (Title) ,1 L` � �Water & Sewer Department �� _ ��. :.S� � m;,,,,�,p�lis Gas Co. (date) �o -�8 - %/ �`. � .�,; __ � ..�3_ � ,� \�G� �' `� Northern States Power Co. (date) � `°'�8 "%� � I'✓° �� rt°:' �_,�� %r)t`� ; �� , °� r Northw�tern BeIl Teleghone Co. (da,te) �'� 8'%/ Sigaed GENE�tAL IN�TRUCTIONS (See Copy oa Other Side) e ` s� ViTrecker . ' �' GENEftAL INSTRUCTIONS The foIIowing mnst be secnred I�fore wrecking permit wiII be iss�ned: 1. Tax receipt showiag that all real estate taxes due have been p�id. Dup- lica.te receipts may be obtained at Anoka County Audtor, 2. Approval from the Fridley Water and Sewer Department showing that bills cha,rgeable against the property to be moved have been paid �nd water connections have been discontinued at the curb line or at the maia. (See reverse side of form.) 3. Notification to, and signature of utility compa,nies :(See reverse aide of form.) (a) Minneapolia Gas Co., 739 Marquette Ave., Engineering Department, I'o;��'--,�ee�: --- -- - -- (b) Northern Sta.tes Power Co., 15 South 5th Street, Application and Extension Department. (c) Northwestern Bell Telephone Co., 224 South 6th Street, Businesa Office, First Floor. 11 250-8-58 �. � � y ' ' _ sue�ecT � ERMIT NO. c�ty of Fridley 1282� a^� AT THE TOP OF THE TWINS g U I L D I N G P E R M I T • � � � CEIPT � `L � __ COMMUNITY DEVELOPMENT DIV. � r � � � PROTECTIVE INSPECTION SEC. ��?��,�?� `__-- ��'�h 'J CITY HAL� FRIDLEV 55432 NUMBER REV. DATE � PAGE OF APPROVED BV � J � 812-580-3450 910-F15 11/27/74 � � 108 ADDRESS 531 Fairmont Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED oesca. 15,16 I Ri.verview Heights Addition SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE North Metro Construction, Inc. 5203 Central Avenue N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE �ICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. B USE OF BUILDING Residential 7 CLASS OF WORK � NEW ❑ ADDITION O ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 34' x 25.4' Dwelling 9 CHANGEOFUSEFROM TO STIPULATIONS Provide a verifying survey before capping. Variance on lot axea approved by Council on November 18, 1974. SEWER LOCATION: 86' east of manhole (Inv. 841.67) Wye Elevation: 842.01 Top of Footing: 845.01 Mi.nim� WATER LOCATION: 10' east of sewer service. S�P�RATE PERMII-�:� �c��i�:.iE��t�� =pR �I1f�INGg HEATIN�, PLi1N�BIN� Ai�� ,��5. SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. WOOCI Fr3IIlG' THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT R�. SGI..33 �.%�ZZF ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION Z STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF IAWS VALUATION SURTAX ANO ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED. WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT �S`�.S�OIS.�O y�`9.0�. DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMITFEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCT N OR THE PERFORMANCE OF CONSTRUC�ION. .�`3�.oOO 300.00 �/ `� �, PLAN CHECK FEE TOTAL FEE � ,�`'�"'° � , � � ��'�'. �'� .�-� c�� 341.01 � SIGNATUREOFCONTRACTORORAUTHORIZEDAGENT IDATEI EN PROPERLY VALIDATED T YOl�3 PERMIT y°` I =- SIGNATUREOFOWNERIIFOWNERBUILOERI IDATEI DG iNSP � pATE �� _ __: ..S ( � .: � . l+' b �'n1 n+'� -. $� ^��._ _ � il' E . < . � . .. 5 �- ,,,, f y, ' .;aa� r. t .�-a .,M^1. .,, _,. . , ' i' � . , • -, . � . . ' -. � .. a " _ ?. '. , =� l - . . , ,`-. ,, ' ' _ : : � � ' ' , '+f .. _ . � ..�- . . . . . �.-� . . -" ........ _ •. ��1� ., � . .: : ,.� . .. � . . . . ... . . - i. . .. _ . . . .. . , . _ ! .. . ' . ' . . . ' _ `:.q�"'� . .. .. . . � .- - �. _ . � , . , �/ . .. . .. . �� "•. ' .r � �. '.' ' -, ; ,. . �PL.ICATION`FOR RESIDENTIAL, ALTERATION,�, � - OR AllDITION BUILDTNG �PERNlIT CITY. OF FRIDLEY, �`;MINI�ESOTA - �WNER,��1f��E s ��"� `�°7 f'o (�PEt �� cy/�`�vj�'� LD � .2 _ BiTI ER: _ �G �- ADA�ESS:,.`��G'� �..�4�`�dr � r� �tES�': . .�C¢ �2�,c.�,., �-: NO:. �.�� STBEET: � �f ` !�! � 1,. -�.OT:�, BLOCK: � ADDITION:�iY'i�' ��i �P"�<r�'/�': CORNER LOT: INSiDE LQT: X SETBACK: ,�� ! SIDEYARD:�J � _ `"ApglicaaC attach to:�hia f�rm 1�io Certificates of Susvey of Lot and proposed � building location drswa on theee Cert�ficat�s. �- �, ,.__, . �' ` - _ ,, , <. . ,, .,� _.. , . , , i1ESGItIPTION OF BIIILDING ' ` To Be UBed As : `' . . , � .. . � ✓ � ��S��t ��P�l ��Ycmt : � DePth :. U�� a� : :Height : � J ��'7/r�'' � U �� x Square Feet: .� Cubic Feet:� ��'�^ �: . - _ 1�._.� : , FxonC: DePth: He�$htt Squar�.F�et; : - Cubic''Feets ' '1`Ype`of Construction: �,G�'�% �- Eet�mated Caet.• ,'/ � , . ; ; ,, , To Be ,Completed: � "'l'_ 75 � � � �� The uadarsigned hereby makes applicativn for a permit for the work hereia sgecifi�d, agreeing tQ do "ali work in sCtic� ac�ordance with the Citq of �; Fridlep Osdinances and ruling� of the Dapart�eat oF Buildinge,`aad herehq : � ae�iar�� r.�at all`rhe`fa�te'aad representatio s�ated �'s�--� �1- catio are true aad cozrect. - � ��i�Gi<':Fi�� ° �%%�� , , -_ - ��: ::. �-� � � �_.r._ � �z��:,� - - - �� F ��¢ � (Sea Reverse Side For Additianal Iaformation. ) �� ' � &� �'�� "�� `�� ,� , � �� , j �� :. • ,�a� �- �� __- : . � f _ �� , :�.� ��.... _ __ ��" ' �� . _ - _ , � "� � B. H. BRADLEY CIVIL filIOIN�R AND SURVhYOR gg2g•2{TX AVENUESOUTH MINNlAPOLIY. 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" �, � � � � � � =o a a � � ( �� -� H �� P � \ \y� � � � � e � G_� �'' � , „ `� '� '� ��^ � �, o w � � m 3 o e � I � I � I I\ "�l� � \ '� \�� i.i .'Si �� °� '� � � � � � � � � N �r .+ 1) � f`' O r m C � � �� W � Oo w � m � '.' ,� s� a � 0 0 �" � ti � � a ro w � M � ��a n I m �J i A � � 1��1�1 Aj � i` � � 0 � � � � � � A� �� O \, I � f �:'i �y � �, � � � A � � � � d �� a� � x . ,� � o N p � �9 �� Yi � Q'k'� � � � � � �� ; � � � � s a � � � g � � � � o � � � � b b � x o N M �° � � � ��. � +� O o S '3 � `r3 M M fA w 1 a 3 � m V � 8 � n E. $ �- � � � ^ x 0 I � � : 9 x 0 � 0 3 � � n� g �� I I�� Q' � � o � �� 7 � � � m S a � � � � � � g � es to o� o� m o � 8 $ E 8 M N M '�l ,'�� i, �3. � m u A � m 7 � � � � � _ 4 �� : T� 1 � a \� � � �� r �e \I �I � � �� d�� "� � � �. ,� � a .. � � n Q � y � p � � ID _ � c �. ��. � �, � s mp, o GL � S � $ « �e.� a o� o � 8�� 1 M � � m�u n a n '� n' C2' n � :�K� » �=a'� C ' � w as � a w� '�3. w� �ti� � c�e]� N �on °� :�a�' w° aS O y Z�. � � � s � �<< ;� � -�°, a � # � 9 C � � ' n �' "� q m � �. C.��n` � �e w �°'o� .. ~ A �, � � m ��en o� a � �� A � � 0 � � �4 y A �� i � �a � � 6Y9 � � �1 C � � f� � � � P�yq P� �.V � I�� r I\� . � I� r� � �� . . `� . �� a. �, � � t'�� e_y � � � ��a � d%1 p��, aea� � CrFil ��' �� C. � � �il� �� .• �' � � � � � � � � � �� _ �- _ `=�:, 33 �3z iy'� � HEAT LOSS CAL�ULATIONS DEPARTMENT OF BUILDINGS viuA�E OF BROOKtY�v'` P�a Weatherstrips A.S.H.V. , Construction No. lnsulation � Guide Windowa I Doors Reference Out. Wall Int. Q/al) C,eiling Roof Floor Kind How Applied Yes—No Ye�—No 19_ Fl.� Room Length Width Height FI.� ,(j Room L,ength Width Height Windowa and Doors—Crackage and Area Windows and Doara--Crac{tage aed Area \Vldth He16At No. ot Llnaal !l. Afe� Wtdth Hel�ht No. ot � Llneal tt. Ares� No. o[ eans of woe Ilshte ot enck �a. tt. No. ot �ane at Dane Ilsht• of crack �Q. it: c�f. B� I I I ' Infihration 1 z- ln5ltration Glaaa / � f� �� Eap. wall � Eap. waU j"'X i :f. Btu Net cap. wall / /G / D Net e:p. wall yo �a �/� O Int. wall Int. wap Ceiling '3 �C / /D D Ceilin6 X �i% /�/ �S`� Floor �• /% S�f Floor •• i� S� _►� Total Btu. Required aq. k. E.D.R. or sq. iaa. W.A. Leader area � Fl. - �,,, [t� t�a� w�a�, Hei�ht Windowa and Doon—�rackage and Area Wid A Hal�ht Na ot Lleeal !t. Ares Na ot D�e ot pans II�Dt� ot enc� q. tL 3-0 � 3� o / �� i i�— io � Coef. Btn infil�ration b / Glw d FFx�• w+tU O Net eup. wall /0 / O In� wall c��i�e lo S/yd Floor N �/ j d �'otal �Ctu. u Required �q. ft. E.D.R. or p. i�. W.A. L.e�ekr area ,� Fl• %�j, Raom Lenst6 Width / Hei�ht Wiadov►y aad Doorr--Craeka�e and Area � lnfilteation � `w ` Glus / �cp. waU 7: �f i Net exp. wall /� lnt, waU Ceilin6 ✓ � i�, I /O Floor •� s� Total �w. R�QtlgftCl €Q. it. E,D.R. or sq. ins. W.A. L,eadtr �res Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. l.eader ana � �.► � �v. m � z. Zw�a�, � H�;gti� Windows an Door�--Cracicage aad Area Wldth Xel�bt No. ot Llaeal [t. Ares No. ot p�e• ot p�ns 11/ht� o! cr�ek sa. tt. 1 3—o i-� c) /j 2.0 � t 4t� �' S�F �P . f. !u Infiltration / 7 �P .?.i�'� Glau Fsp. waU ; Net e:p. wal) Int. wall Ceiling 7„ Floor Total Btu. �. O /0 2,y o 0 a /u o8-� SGiF ,i' /,s�s�'L► !'��4� Required sq. k. E.D.R. or sq. ins. W.A. Leader area 1.� Room ( Length Width Wiadov�n and Doon—�rac�age and Area ' WIdtA H�i�6t No. o! Llnul [t. Aro� ef pan� ot Dan� Iltht� ot crael[ p. [t. � Fap. wall � Net esp. � Iat. wall I.r Ceiling Total Btu. Etequiaed sq. ft. E.D.R. or aq. ins. W.A. Leade Bne � � � � e � � �p' ►� 7 � • � � O . . x 'Y • . � ' o ! M • » • Q � h . . � • • • • . . . • : . � ' • � � � � i v�r. . . . � : � � °Q � � f � "�� O O �� ' �j . � ' � � � . � � � � � H M n� N.� � 1 t � 7� x x � „ ° " � n a .. ... R d .. .. E ;� � � a�. �� M � � n " � � �o � � . � � M.�•�„ � A 4 � ".�'. H � [� .�. � .�. y ti � � �" o .�. N � M a� . A c � � � ro ►+ � 'x � ; � r° � � "� $ ��', : S � ti : y � N Y � $� : � ° ' ,. ' -� a' . •�' �,, ° • $ y • v�i �1 00 • • : : �� ' � . . oa �p o • � � . a 8 ' � • • � � oy • • . . • �, • � • • • • • � • • • • � i • • • • . • • � • • • • • • • • • � . . . . . „ . ., . . • • • • • • • • � I • • • • • • • '• • • • (n � • • • • • • . . . � _ fi9 ~ O O 1"" K �( ►Q p X �t X % iC X � �; V' N �o N'� w �a r � � �7 � t�» � a � ci g �n � � � .�.! �w av r�i �" w en u� d► �n �w M Mi u� � I `i � ' � � O � I � �'� � � x � � C% x � N 1 'I � � �' � � � A e ° . , .. . . . ( , _ � -- ... x �• • �� a .� . � � R 0 � a p � � �. � � e � � M � � o � . z � � B � E � � ' n b . a. � � o. a � <'' w ',�d g � O v! 7, � ' p O t� • Q. 1 N �� i � � i � . � �� , : 7C � i. w � � o � 1 M b0 � a . F � C � u t m � � N � : .� � , i � n ��,,,..... w�n� Qpd[T: uR�w�tt {ATN 1VOS "�'� x G S�N►3 � wwsN � , T MK ORIN[. �! rou►rt. b, L�wRS. � i100� Q ow��NS � �I1TCH n 6ASINS �� O AUiO � wwvaa o c�s .h �°°t- :< ctis " � RwHGf m G�S w OP[HIWCS . e z • � N y � . � � ti A r. aa� •� � �; � o ti � n A r tiea � ro� �o�� 0 N 't o m 5 � �� a� »�a �o °, a'�m`9v � ��G� � ��o� H � x � � �c ti � n � �P�� b d�x� $. �m °' � o pa°� � S O ♦ N � 'q N °�e �� ° �.�� a�,�� o � � � � �� I �� z Z c� N � � � � .e � � A � d � � �i vt � � W � ' � � � � � 1 � . � � V~-1 � � �t � � � N . '� � � � � a � � wr .e � �;9 � fl`� o � W o Cj FJ ZS �� p t�7 W � � . 0 c�+ � y N N ci- � u �� `'' � SUBJECT City of Fridley AT THE TOP OF THE TWINS g U I L D I N G P E R M I T i � � t � ; y ____ COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. �� _ �'�'1 % CITY HALL FRIDLEV 55432 NuMBEa REV. DATE ""� ♦ ,�� 812-580-3450 910-Ft5 6/22/76 JOB ADDRESS 53 Fairmont Street N.E. 1 LEGAL LOT N0. BLOCK TRACT QR ADDIT10N DESCR. � 5,16 I R� vervi ew Hei ghts 2 PROPERTY OWNER MAIL ADDRESS Thomas J. Lyden 531 Fairmont Street N.E. 3 CONTRACTOR MAILADDRESS SAME 4 ARCHITECT OR DESIGNER MAIL ADDRESS 5 ENGINEER MAIL ADDRESS 8 USE OF BUILDING PAGE OF � � PER . 1360 APPROVED BY SEE ATTACHED SHEET ZIP PHONE Z�P PHONE LICENSE NO. ZIP PHONE LICENSE NO. ZIP PHONE LICENSE NO. re�idential 7 CLASS OF WORK ❑ NEW C� ADDITION � ALTERATION ❑ REPAIR ❑ MOVE � REMOVE 8 DESCRIBE WORK construct a 24 x 22 detached garage 9 CHANC3E OF USE FROM STIPULATIONS 1. Pr�vide a hard surface drivewa�y TO �. •-1MPORTaN1`-- �I�TiFY THE FRFDLEY ENGR, . DIYlSiON REGARDING Cl�RB �. R�MOVAL AND REPLACEMENT, A'� DRiVEWAY OPENINt�S. �I:::�°`��t �,"'�'i_E-�c'r�t 15 �REc�t,1lREO �{� ��il�iRlidGs HEATIN�, PLUM�lN� �kf�D SIGN� SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. VENTILRTING OR AIR CONDITIONING. �Dd frame THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PER�OD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED �3 907.20 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT � DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. � � O. OO !' ' � SIGNATUREOF-COdITRACTORORAUTHORIZEDAGENT 1DATE1 � � �,�n�� i— �� - % � .iNATUR� FOWNERIIFOW RBUILDERI '--IDATEI OCCUPANCY GROUP OCCUPANCYLOAD SO. FT. CU. FT. 528 5,280 OFFSTREET PARKING STALLS GARAGES SURTAX ].95 TOTALFEE 11.95 B. H. BRADLEY CtV9L ENli1Nfi6R AND SURVEYOR 3829 -24Tti AdENUE SOUTH b11Nl�RJ1PaLIB. btINNEBOTA 68a0B � �za-atss � 0 N � 1 � � � �.� �� lJt'�JEr� �o� ��,�r lti / 5 �C�i' �� fr' � � t� 3 �G'r1Ti'�i l t�e. //�%; � �� i �� .� � 23 � � �� ' � � k� � � 2 �s � � € k 4 $ �� i �� R �� V �� ;��`�"' �� ,� � � � �- �� _ � � � � � � � � � � a� � � �. � � �. �. o..� -�. � _ � � �� , � � � � �`� � �� ` � �, � � ; � � � `,� � � : r. �, `� � � `� � � � � � �t'1. � i � ° �� "? � �� w�`_e �°_ ° � �,� �, �� "w�„ �, �. � � ,:� � �, 9 � � � :� �._ � � � � � � � � � � c±"� . �g� � �^ �+,i� '�+L °'t,� ` `';a F Y z' "_ �,;;��i,sY`► `,�,� �` � t..,i �q� � t,�� + � . ,� � "� S � ;'. �'.;, °i�. , �' t��, . � �, � °" '� �. � �� ; �� Qu+� , -- f F � A � . i�) `�", � � �'� i � �1 Vl�s � � � � e`�- � ? 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C� '^ � A � O �dad � ��j� (� 3 N � � ."�°'?� � � d � o �+ � -+. : d ,,. ° � �,cso � �M � � � d � � 0 • H Q � �, n � m � p. � 11_D -� � � D �o o s < fD N � � � m �� . o� D � v �' c►' D c�i m N � o r« � � � O N x' r � � 0 Z W ^D \ / � � D � 7 �� D N N cD N G� d H v m 1 � G� D�i N Lll y� � � � � � � n'► i � �cnc��: t�D . O�q Nn� N� . Q^<� � � � � � d' � Q . > > ��--r''�v - C '� .�+�� `°1 � � � W � O � f � � .�+ C `-�� W v � C � 1 C1 � cn0 � 0 t�► t� tR► �► en � Ci O O O � O O O O O 7D � � N A x m 0 C r � i V � � � t � `,� ivaw�I^n •. �' o�� J� A � � '*1 �`� � Z co � �J cn �' � � �� N � � �� i co Z � Z N mm C: _i � Z � C � a o � z � r � � �. �� -� � �Z �� •� � � � � � � � � G Q�, �I �m� � ,�. 6A Ef► Et► 4f1 tf! if► Z� rr � � . ti � � �. . � D � Z � �� -� r p N � : =�I ��, C W � c� � d a c� z � � fD � _ � N cD z 0 v � � Z p� O �' o m ._,, 'd � � °; C �. O � n o �. � �� o .n-r r� fD � °' �? c�i 1� N amZ3 v � O � I � � �� r. .� 1 � 3' , D ;-i m N � � � m v � O � --1 � � �. � � m � � � Z O � � � r� n �� W C r v z � C � m v 'pZ �'�` � 0 �� `L ` ? � � �;. W Z � m D � Z ;' � v v,� �� o C �N �+o Nr ,m � I Z -, -� , �' . � z� � � �+'� v< � � �e� �Q� 4 � � � S �� No � �� ? �j " � I � . ' �C.-� � y n �" m � 0 � f1 O � � � . 1� 0 .. �o � l0 ;, CHIMNEY AND STACS VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. �2. 3: 4. , S, Has been carefully examined Is free from rust or deterioration Has no foreign objects lodged within Is securely supported Yes (�) No ( ) Yes (�). No ( �' ) Yes�)NoO Yes (�. �No ( ) � Me�ts all current Cade reyuirements for size •..• ' - and total BTU's connected Yes (� No ()� 6 Has total heating BTU's of __ �'S , C)C�� All other BTU's �.+�i , �� C>�� . TOTAL BTU's' � I r� , c�'�� 7. 8. Has a liner been provided for water heater Has combustion air been provided for water heater Remarks: � Yes (� No ( ) Yes �) No ( ) � . � � `� � ' �n r; c-n �,, . List ALTERATION� S �e:ing D�one: ,,.. . : �a �� • . �n �ct t�'� � . .- � e��v -- --� ------ - - - - _ _� � • �m�R� . . HEATING CO: Signed By: Date: 0 . Q�� DEPENDABLE INDOORAIRQUALITY� INC. � Zs�s cooN ��s eotN.EVaRD � COON RAPID3. MN 55433 �: � (612)757-5040 �_ / �-�� _�-- `-- �_ _ . �r (5 �� ra i I � > .� • �!� // � / � � ��-�� , %� � � � a� �� a 1 � ' �� , �� , /{'� �� 7a� � / 3 �� 1 � � � � � � � ' .��' � � .. �' Building Inspections 763-572-3604 DATE � '"O9' SITE ADDRESS THIS APPLICANT IS: PROPERTY OWNER! TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION PROPERTY TYPE PERNIIT TYPE �rE o� woRx: BUILDING `--- ,. RESIDEl�TIAL A��ICATION CITY OF FRIDLEY YOUR E-MAIL ADDRESS I �fl'YI�A� ( J� ; ❑ OWNER OCONTRACTOR PHONE:_%'G'�• � R�I�n ' � Dq H^ NAME: STATE LICENSE # EXP DATE Permit No.: �(X� 1��6�%",J Received By: ADDRESS: CITY STATE ZIP PHONE FAX ❑ SINGLE FAMILY/AfEW CONSTRUC110N SIZE ❑ TWO FAMILY/NEW CONSTRUCfION STORIFS O BASEMENT FINISH O ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDIIJG ❑ OTI�R O SWMIlVIDVG POOL DESCRIBE WORK BEING SIZE OF NUMBER OF SQUARES _ GARAGES PROPOSED SIZE: PROPOSED HEIGHT: � 0 HOUSE & GARAGE O ATTACi�D GARAGE 0 DE'fACHED GARAGE � `�.� �. - /4a.t BASEMENT REMODELING SUBNIlT: 1. Existing Floor Plan 2. Proposed fl�r plan 3. List of structural members to be used F� SIDIIVG FOR NEW CONSTRUCfION MCLUDING DECKS, � V�Y� �Soffit � ADDITIONS. & PORCHES SUBMIT: � Aluminum ' ❑ Trim 1. Site Plen/Survey showing the existing structures ❑ Other . ❑ Fascia � p�po� proj�, WINDOWS 2• Two sets of construction plans IN EXISTIIVG OPENWGS OYes ONo L.C�ATION OF WINDOWS 3. Energy Calculations OR FOR NEW OPENII�TGS-DESCRIDE S1ZE OF OPENIIdG CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF �1✓INDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AIYD MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ OCCUPANCY TYPE e Permit Fee Plan Review Fire Surcharge Surchazge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Pazk Fee Sewer Main Charge Total Due $ See Back Page for Fee Schedule ��j $ 65% of Building Permit Fee � � $ .001 times the total job valuation ,�'0� �� $ .0005 x Permit Valuation Minimum $.50 � ��'�� , $ $5.00 (State Licensed Residential Contractors) � � $ $1675 per SAC Unit (Plans to MWCC for determination) $ /lB � �ft+�ft=_�ftx$21=$� $ $450 Conservation Plan Review $ Fee Determined by Engineering $ Agreement necessary ( ) Non Necessary ( ) $ �„�q � Make checks payabte to: City of Fridley Attach E THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNT[L PROCESSED � �-��1� I hereby apply for a building permit and I aclmowledge that the information above is complete and accurate; that the work will be in cottformance with the ordinances aad codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a percnit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all wor hich requires revi and appr al of plans. �, b,�•Da �, SIGNATURE OF APPLIC PRINT NAME ol�� '� DATE �'� ��" �� . r; . ,.,. Page 2- Buildi.ng 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 builda.ng 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 pemut of fees to the amount herein below set forth and in the manner herein �rovided to-wit: . °, . - - , , , '. ° ' w : ,; . , - . ° . • .. .• n , . .� . -, .a. � ,' . ' TOTAL VALUE FEES � ` ' � • $1 to $500 $23.50 (Minimum Fee is $23.50 plus swcharge) $501 to $2,000 $23,50 for 1�` $SOU 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 includin $$25,000 -$�5,001 to $SU,008 $391.25 for 1�` $25,000 plus$10.10 for each additional $1,080 or fraction, to and including $50,000 $SO,Q01 to $100,000 $643.75 for 1�` $50,000 plus $7 for each additional $1,000 or fraction to and includin $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 additional$1,000 or fraction to and including $1,000,000 $1,OQ0,001 and up $5,608:75 for the 1�` $1,000,000 plus $3.15 for each additional$1,000 or fi�action 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 proposed structure and of the construction site. A Certificaxe 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 Iaspeetions Depart�nent 6431 University Avenue NE Fridley, MN 55432 763-572-3604 Fax: 763-502-4977 Builc�� [nspections 763-572=3604 �a.TE • i% �s -' � • iITE ADDRESS �� THIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE 9dITH APPLICATION PROPERTY TYPE PERNIIT TYPE TYPE OF WORK: BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY YOUR E-MAIL ADDRESS 1 �" !M► V� �� 'OWNER OCONTRACTOR t�1AARE: !. � ADDRESS: PIiO1dE: — j� NAARE: �� ecNt1 '� i . � � e•.. sra� tac�sE �.� b�� L Ci y [ONE / • a �+V • SINGLE FAN�.YR�H?'J� rwo Fp,ium,YrniEw a ❑ BASEIv�N'P F[NISH ❑ DECK DESCRIBE WORK BEING SIZE OF IlVIPROVEMENT ROOFING �/� NUI�BER OF SQUARF.S iJUr( GARAGES � I / � Gj� PROP05ED STZE: � PROPOSED HEIGHT: SIDING ❑ Vinyl ��1luaninum Other R7ND0 5 IN E3QSTII+IG OPETtINGS DYes ONo OR FORNEW OPENINGS-DESCRIBE SIZE OF OPENIIJG CHANGES & TYPE OF WIIJDOW TO BE INSTALLED .. ❑ SIDING � SWIIvlMING POOL U �HOUSE ONLY HOUSE & GARAGE � ATTACI�D GAR.AGE O DEfACHED GARAGE T�Soffit ❑ Trim �Fascia LflCA170N OF WINDOR'S NUT.�BER Permit No.: Received By: A DATE �» �� A� Z�55 �f 3 ❑ DRAW ' ❑ OTf�R i�= � HEIGHT .1��S�'.i,a �Qt�T{+�r �.i � d,�. � BASEMENT REMODELMG SUBMIT• 1. Fxistmg Floor Pl� 2. Proposed floor plan 3. List of struc�ral members to be used Ft. FOR NEW CONSTRUCI'[ON 1NCLUDIAIG DEGKS, ADDITIONS. 8c PO1tCI�S SUBMIT• 1. Site Plan/Survey showing tl►e existing swctures artd praposed project. 2. Two seLa of construction plans 3. Energy CalculeQions ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (LTSINGT� 1997 iT_8.0 FEE SCHEDULE) TOTAL JOB VALUATION $�j �� O OCCUPANCY TYPE Permit Fee �/ J, 7', �,� See Back Page for Fee Schedule P� ��eK' $ 65% of Building Permit Fee Fire Surcharge _$_��j', ,�j7 .001 times the total job valua.tion ��'ge $ ,� , `� r�' .0005 x Permit Valuation Minimum $.50 License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Gharge $ $1675 per SAC Unit (Plans to MWCC for determination) G�rb Cut Escrow $ g+ 6 ft = ft x$21 =$ Erosion Conlrol $ $450 Conservation Plan Review P� F� $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary () Non Necessary () �y. Total Dne $ �, Q�� Make checks payable to: Citv of Fridlev Attach THIS IS AN APPLICATION FOR A PERMTf-NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I aclaiowledge 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 I understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plaa in the case of all wor�which requires� review �nd�appra�al of plans. �_ ,_ �� U SIGNATURE OF Page 2- Buildi.ng Residential Applicafiion � �- , BUII.DING PERNIIT FEE SCHEDULE The Chief Building Official shall, before issuing pemufs for the erection of any building or sixv.cture, or for any addition to an.y existing building or structure, or, for any altera.tion oz repair to any existing building or straciure, upon application therefore, requir� the `pay�ment by the a.�plicant for such permit of fees to the amount herei.n below set forth and in the manner herein provided. to-wit: � . . . . . VERIFICATION OF FOUNDATION Permifis for consiruction will be issued a m;r,imwn of 24 hours from the time of application to allaw for proper review of proposed structure and of the construction site. . A Certificate of Survey of t�e lot, showing the location of the existing found.ation will be required before proceed.ing with the framing. New Houses Onlv City of Fridley : Buildi.ng Inspections Departrnen� ' � 6431 University Avenue NE Fridley, MN 55432 763-572-3604 Fax: 763-502-4977 � � . �- � .�� _ =::s ;��;:� CIIYOF FR[DLEY FRIDLEY MUNICIPAL CENTER • 6431 U1vIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(763) 571-3450 • FAX (763) 571-1287 BUILDING PERMIT APPLICANT: PROPERTY OWNER �� e.l �• l��'�� understand that the State of Minnesota requires t all residential building contractors, remodelers and roofers obtain a state license unless they qualify for a specfic exemption fr m the lic nsing requirements. � As the owner of the property at 3 �. � r nnoy► S'�' , Fridley, I am exempt from the� state licensing requirement only if I am not building or improving this property for purposes of resale. By signing this document, I attest to the fact that I am improving this house for my own use and do not intend to sell it. I hereby claim to be exempt from the state licensing requirements because I am not in the business of building or remodeling on speculation or for resale and that the house for which I am applying for this permit, isl the first residential structure I have built or improved in the past 24 months. I also acknowledge that because I do not have a state license, I forFeit any mechanic's lien rights to which I may otherwrise have been entitled under Minn. Stat. 514.01. Furthermore, I acknovvledge that I may be hiring independent contractors to perform certain aspects of the construction or improvement of this house and I understand that some of these contractors may be required to be licensed by the State of Minnesota. I understand that unlicensed residential contracting, remodeling, and/or roofing activity is a misdemeanor under Minnesota law, and that I would forfeit my rights to reimbursement from the Contractor's Recovery Fund in the event that any contractors I hire are unlicensed. I have also been informed and acknowledge that by listing myself as the contractor for this project, I alone will be responsible to the City of Fridley for compliance with all applicable building codes and city ordinances in connection with the work being performed on this property. / � �.� i_ � ` ♦ � �,w � Date q 'o?�% • 0 �