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AF - 41823—�.sT; -t�.a.: F�. �3 V � �, { �.!RE #�y!Z..�'i'A �"# . , ' ' �' . �" h ."d `V. Y. �" . ,�j�S+ . - . S CF '�i"., -rt Y `�'n S. A . �: " � 1 _ ., '65 r•fnt - ... � � `a. v . .., _.. . .._ u .. . . .. . - 'r ` ... .. � .- . , �. . _ _ a _... :.. ... . . .... , �.. ^ .... �,:: a .a..:_ "f:.. �';�." ��,: . �. + >.�:. . • � ... . �._.. . ... . , . ... . -, � ' l'"'��. .. . . ... � ,. � f ti - �� . . oci�l�l ;��{� � ,� , � �1 �,�I � �� a �, �� .a�� s�RVEYOr�s - .. Aeu�a, /oAu�,eaota: _ , , �?r�..�.��`p � `- , '�3N�1�7k ffF S�'�EY: xE. . ,�. ; ` Ne1s Simonaon ; _ � , r, : R�►�"ti'�'y � # . � .. . . �� . � �> � � . a r � �!�,.�'- ' � ,- ,.. - � - . 4 .'- ��J.: . . '' . . .. . . . �� ~ .. - � .. . � , �..: ��'�s� �^ _��*�,�,` �� _ � _ �-. _ - _ �....�.�-- _ : � _ j , . E �; � - �-� , � ��` � . 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'1':l�b AND AtL VtSNI� Et�CibOAt1i14tEi+�S, N�' Al�wi��i� .S�'C�t.'�KS �� ' IAl!iQ. i: � As sWev�o� ar � r�s . �.7.:th r�=�� ...... .. �?.�lrch .. ....... ...., m,. � tv�' � . �� `�� ,M� ; . . .. . . .e.. :. .... .. . y : � •, : �., �- N. C. HOIUM kND A'S5Q(�A. � �" ,, ,� "' �: `' � I a �Y : � � � ,� �� . .. •.-,r,��vw...* .... ?� � � ,l/� �� q i �� « ¢ � � � � ��. ti ��" - �^ -"" �.. ,°��, ' . I ..t. ��.«a�r..rire44.c«a .�i+e ' i13*�i: 1 �. "� `. , � �`";'� ...0 � z` � w `�. � . �, '� , 4 .' '•� � r : . . . . � . . . .!. .; , h � � k �. �.. . .-K )' , � � .�. . � � � . ` �t `�F � �f �: L. iY � � . 'Tw .-. .:�'l. � �ris .. � �� , �.iA ... +.:G � . _ ��3�y , City of Fridley, Minn. BUILDING PER.I�IIT N� ��:_ _ � . 6 5�� Date: �� - � � ,�+� Owner: Builder :e�� C��'�--�— Address Adclresa �— ,,,i, ,LOCATIO I ING SY�� r �y � � �,�� No. Street �.•"�''�`=�s�`��",� Partt �, at Lot � "° _ Block �L.w � Addition or Sub-Dfvisio � ��..�.��'_"�._:� ' Corner Lot _ Insfde Lot #�O� Setback �� Sideyard .�� ' 5ewer IIeva.tion —. _ Foundation IIevation ,: DESCRIPTION OF BUILDING T Used �� ,�-� ��-- � , ,1:�� '� t� Front� Depth Height Sq. Ft, �� Cu. Ft �` Fron Depth -,�� eight � Sq. Ft. ��. Cu. Ft �� *. ,t ,� � � Tj�pe of nstruction --� �'?'�� F�t. Cost � -- To be Completed . In consideratfon of the fssuance to me of a permit to construct the building descrlbed above, I agree to do the prop�sed work in accordance with the descript3on above set forth and in compliance with a11 provisions oP ordinances of the dty of Fridley. � In consideration of the payment of a fee of $.r.�ti�� , Aermit is hereby granted to to construct the buflding or addition as described above. Thfspe rmit is granted uPon the express condition that the person to whom it is granted and his agents, employees and worlunen, in all work done in, around and upon said buflding, or anypart thereof, shall conform fn all respects to the ordinanc� oE �'ridley, M3nnesota regardtng location, construct�on, altera.tian, maintenaace, repair and moving of buildiuga within the dty limits and this permit ma.y be revoked at enY time uPon vi. oY any of fihe Provis%na of eaid ora�nanc� • ,�+� ,,,� ,�r�` �� Building Inspector NOT10Es 1'hls pereJt does no1 eovee 1hs coettrueHon, tndaqaHon for wlrWg, plumbing, gas 6esMeg, sewer or watsr. Bs ars w ses !6� Boildie0 In�pedee for ssparals parmlia Por tha» ttemw �!-.-�. �` `' 4 ` _ _ � �' ,� _ � � '-_ , , . , APPLICATION FOR BUILDING PERMIT CITY OF FAIDLEY, M�Il�TNESOTA Owner's Name Buildeac � Addreas _ ,�� -L�ATION OF BUILDTNG No. Street Part of Lot Lot Block� Additioa or Subdiv.ision Corner Lat Ynaide Lot Setback Side-Yard l�EWBR ELEVATION. FOTJI�DATION ELEVATTON Applicant attach to ehia form �wo Certfficates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To be u_sed as: G � � Front Depth �;� Height Sq. Ft. � � Cu. Ft. � Front Depth__�� Seight % (��_ �_ S . Ft . : �,�'—�� . Cu . Ft . �� Type of Constructio Eatimated C " '�- To be Campleted_ 1,'he undersigaed hereby makes application for a permit for the work herein � specified, agreeing to do a11 work ia strict accordance. with the City of Fridley Ordinances aad rulings of the Department of Bui].dings, and hereby deciares th�t all the facte and xepreaentationa stated in.this applicatioa are true and correct. DATE S�GNATURE /� v � �k�� `�.o,/rJ/- `�L�"'` (Schedule of Fee Coets can be found on the_Reverse Side). . �_ � i� �, � J� .- y y , _ .� BUILDTNG PLR�L[T FEE SCHEDULE Section 2. The Inspector of Buildin�s sha11, before iasuiag aay permit for the e:ectioa of �,ny building or etructure, or for any addi�ion to aaq exfst- ing building or atructure, or for any alterations or repairs to any existing bu3.lding or stcructure, upon applicatioa therefos, require the paymeat by the applican� for such permit of fees to the amount herein below set forth �.nd in �he m�.nner herein provided to-tait: �` 2.1. Eor any such germ�tt for the erecCion of any fire-proof building, other than a garage' warehouae, factory or grein eleva�or, or for the erectioa of aay fire-proof addition, for similar occupancy, to any exiating building shall be �t the rate of $�,,40 for each one thousand eubic ieet, or fraction thereof, in such cubical conteata. 2.2. For aay such permit for the erec�ioa of anq fire-proof gsrage, warehouse, faetory or grain elevator, or for tl�e erectioa of aay fire-proof addition, for similar occupancy, to any exiating building sh�ll be at the rate of �1.25 for each one thousand cubic feet, classified as °'fireproof" by Section 502 of the Minneapolla Building Code. HOUS$5 2.3. For any such permit �or the erection of any noa-fi.reproof building other then a garage, warehouse, factory or grain elevator, or aaq aoa-fireproof add3tioa, fo� similar occupancy, to any existing building - permit $1.00 for each one thous8ad cubic feet. GARAGES 2.4. For any such permit for the erectioa of any aon-fireproof gar��e, warehouse, factory or grain elevator, or for the erection of any non-fireproof addition, for similar occupancy, to any existing buildiag or for each such ` building or addieion - niae�y cents ($0.90) for each oae Chousand cubic feet or f�act3on thereof, in Che cubical contents thereof.with a min3mum of $4.00. For the purpose of campueing fees for building permits, the cubical contents of any building or addition to a unifo�m height throughout by multiplying the grougd area covered fram a pointc six (6) inchea below the floor line .o£ the basement or cellar to the average height of the upper surface or to the average height of the roof surface of �lae maia gable of a pitched xoof. 2.5. For repairs or alterations to an exis�ing stzucture, �he fee ahall be at �the rate of $3.00 per each Five Hundred Dollara ($500.00) or fraction thereof fn the cost of all proposed work. 2.6. In no case shall the fee charged for any permit as set forth in Sectiott 2 be less th�n $4.00. �� ,'"'\ �� S-. .,y � , , .. � � � Ct � p � . M . 7i . � . � . m • M . O : �' : � 0 ' � : � • � N � 'O / � H � � � W c�i � � � W � fp � �: ' O ' O ' o : O . o . . m : : � . . �o pE �4 N sn �� r o O O � � � H O y � t" C�" � � � � � � z � e � � � � y �' � o� � ►�i: � � � �y dd a m � � M • � �r . 0 � L� � � � � � a° � ��_: � W O . � °Q . W o . � . . � � : : : : : � • � • .' � �o ➢E 54 >C �4 k N w � w F- �-' � � � p c�n o 0 0 � {fl '� '� {� � y ��w L O'°'`'`, A �_ x � � � 8 � 6� � �° � � v � � � � �� i � lV.� "U ` '� � �I � � � r � m N _ m C r m O � z � � � �Q � � � ��j � � O � 1 � . � ewirt O P � � ae • �• y p ►� btl � ¢ a. � � Stories x�8 w�� t�os�rs �{i URiNALS 0 �y BATH � Tu� 0 � p eAS�NS � � -- SINKS � I �e � WASH � TRAYS DRINK. FOUNT. sHwRS. FLOOR _! DRAINS �� (] BASINS � nuTo W� �mt GAS C. APPL. �� 8 Q IlO �'/ o � � a �� b � � � � \ � � � � �' � � � � � � � � � 9 �I � � � � RANGE GAS OPENINGS � � Z • � � � A � � � °' �• � � � � � �� p�� //i ��°y �` V O ��Y{ �• � � � [V Q � + � � � � � � W � � ��a 8 � � � � � bd � � � �. � � �� y � � p � w a � Q'o d A � H �� (�, a�� `� � � f�D H r'' � f� � �� m �yO y � � ��i � � ro p � � � � ['. � M d x� �ro a� �rx & �°n p � M � � � m � 'o � �i � � � � � � � �7 0 T . � 4 m !. � K � a � �. 0 � � � � �� A V O 1 S � � E� i� 0 c[i x � N � � � � � � � � d m \ � r�� y x x � �� °x x x � N � � � � � � z �� R7 � � rA � � � 0 � �E � � � � D � Z � r m � y � Z � n O w b �. � y � o r M w W m '� '� 'ayd ii% i%+ .-1� M dl y ¢ a' � � o 'a�0 C � d k � b � O "" � N O � W �� N � N o � � 0 O y O � p � f�A . �O � �„� O r. • • � ~ � . � M . . . �o . . . � . : � : � � � . . . : � : : : : : �. : I I I � � � i i i x . x � � 0 : �n N r+ Cr O O q � O tfl {fl ifl � fA � \ �.�y � o w � � w O � i � f� � � �D O z m � � � \ '� � t� Q d �� a �� o�� ro w � � � � ry 0 � _ ��, � V � a a � ! o O i � J� � �� t � � � o � � B��L � : < : : t : : : : : � _ : A �� N�� A UJ � F.° R° �� R° R° �(p '��r �Gy �� a�'��' b � � � � ro P' � r.'' � � � � y � � � � � ° �g� � � �.. > � � � � � p O � � � � � �y 'U O � o � m � : � o a � : � � � : . ~ o : � � a o : � � � Q : : Q o $ : : 0 o c o� �: : : °° $: : : � . � . . . [ � : : : : : : : : : � � : : : : ' : : : : � . . . . . . . . . . Cn N N OD 00 O O O O O f!! ifl if! fA H! 0 � � � � � o � OI � ! �' � -�i � x M O � � � O m � z 0 4 � t� cn cn ea o0 O O O O O � � \ � o � � � � ¢ � �o `� � � � O � � y M i:+ Vl"1` � �� I� g I V �� :� � � � ►�! \ ti, en cn oo � t7� O O G p O O O � O � p C ,.�� A ¢'p'n �C `l�Y� � C+ � M ��'� � �' p �� a N � M �C Of�DpW � d°°� � �, �� o ��°� � �� Owy � �"�i b �5'� �� w�� p� �� R. � p �m o,o '7 y �6,�m �� a�� o� ��►�7 ;" �� QO �� . �� t e D � rD- � m y _ m C m G b » M � � :7' � a A A V O � � O � � O 1 � � •1 � 0 ' � � � 0 � ;� � W �� rt � �� 0 � 0.� v< �� i � �7i 0 � �s � � O � D O. � --ST R�m� Wiadows and Doors—CrackaQe and Area�-. No. of pane oE pane-- llghte ot crack aq. ft. _� `�� 4�A� '� �` `�Itd � � �9' � �. Coef.� Btu Infiltration � � � Exp. wall �_.� �, �, � Net exp. wall Int. wall Ceiling ,� �,,�'�,�� ,� �':�. Floor Total Btu. Required aq. ft. E.D.R. or sq. ias. W.A. Leader area � � • "Q s �� ..�' _. �p� a_., y - �. IYJ6 ' 9 ' ��'� �t' ` •��t.°�f'°�a ��l � "'r il" �iA: � #�",�Ig'&�'' �� ,f �'AE�xle�`��i� �t' �, HEAT LOSS CALCULATIONS DEPARTMENT OF BiJILDINGS ,p ,"`` 1�9�iS.�MINN. Weatherstrips '�'�Q'ae•E' Construction No. Insulation � Windows I Doors Reference O�ut.'�iaA Int. Wall Ceiling Roof F7oor Kind How Applied i Yes— o Yes—No 19_ s . �►,�� I Fl.� ��,� t" Room � Length "� ' Width Height Fl.� �',�.»�:f Room Length – Width Height : j Windows and ors—Crackage and Area Windows and Doors—Crackage and Area i �Vldth Helght No. oY Llaeal t, Area Wldt6 Heighi Na. ot L1nea1 ft. Area � No. ot Da.ne of pane IiBhte ot crack eq. tt. No. at pane of pane llghte of crack eq. ft. i � '"�°�`` � � "� '� 1 �� .. . ,� .� � �' � ''� �'.� �` ''� �`�� I Coef. Btu In6ltration *3ri ��,�' � �` ,� � Glass � y e�''"",� �'i �.� �a Eap. wall ,�� Net exp. wap Int. wall - Ceiling ' 11° ;� ,I'� i.r .�' '�° Floor �- ,� �' '�' � Total Btu. � Required sq. ft. E.D.R. or sq. ins. W.A. L.eader area F1.� '' r�� ,�oom ( Lengt`Yi' VUidth Height '� Windows and Doors—Crackage and Area Wldth Hefght No. ot Lfneal ft. Area No. oL pane ot pane Itghte of crsck eq. ft. �� . .� � . ,� � � � �� Coef. Btu Ia6ltration �� / �. � Glaaa ,,,�, �'�'s. � x�' Exp. wau I' �' � �� Net exp. wall �' � Int. wall Ceiling ,/ � /' ''•',:. bP �' � '� �� Floor = �v I�J ,�. Total Btu. _ � Required sq. ft, -E.D.R. or aq. ins. W.A. Leader area FI. ,��t � Room �Length � Width (! � Height _ Windows and Doors—Crackage and Area Wfdth Hefght No. ot Lineal ft. Ares No. of Dane ot psne Ilghte ot crack eq. it. � _ °�. � � � 'a+� � a, l �°,�� Infiltration � �,- . � Calaas � � � � Exp. wall ,e�' � Net exp. wall �" Int. wall Ceiling � � � (►� '� l�loor �r �' Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Btu �,� , �� Infiltration � Glasa Exp. wall �� .� Net esp. wall Int. wall ICeiling �y � /� Floor � Total Btu. Required sq. ft. E.D.R. or sq. ins. WA. Leader ar� �FI.1/ �, ►� Room ( Length � Width� Windows and Doors—Crackage and Area Wldth Aelght No. o! t�ineal tt. Area No. ot pane ot pane lighte of creck eq. tt. Infiltration Glass Eap. wall " Net esp. wall Int. wall Ceiling , Floor Total Btu. Required aq. ft. E.D.R. or sq. ins. W.A. Leader area � _ F7.� ° : ��e� Room I Leng ' _'` Widt Windows and ra—Crackage and Area W1dth Helght No. of Lfneal it. Area No. of pene of pane Ilghte ot crack eq. it ,� ��:� �. � ,°'�,_ ;�'� ��: ,f �° �. �" �' 1 � 4 i ' Cfle - Infiltration "'s �" IEap. wall Net exp. wall In� waU Ceiling ��- � � � � Floor ; � +' Total Btu. �. �� IRequired sq. ft. E.D.R. or sq. ins. WA. I.eader area Btu �� ` � 9�� zh� Btu �` �'7C� , SuBJECT c�ty of Fridley 2 0 3 6 7 AT THE TOP OF THE TWINS g � I L D i N G P E R M I T r � ` O. � ; L _ COMMUNI7Y DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. �.A � �/p 1 .1 , `�-� � 1 ��"� �� CITY HALL FRIDLE� 55432 NUMBER REV. DATE PAGE OF APPROYEO BY �'""� � �'� 612-571-3450 9t0-F15 5/18/90 / / JOB ADDRESS 549 Fairmont �treet N,E, 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED oesca. 25, 26 T R3verview 1�eights SHEET 2 PROPEFiTYOWNER MAILADORESS ZiP PHONE Kent/Liza Anderson 549 Fai�lont Street N.E, 7�5-2896 3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO. 5aRne 4 ARCHITECTORDESIGNER MAILADDRESS Z�P PHONE LICENSENO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK O NEW � ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Construct �n 18� x 12'' Deck 9 CHAN(iE OF USE FROM TO STIPULATIONS �e.e notat�,ons ox� plan SEPARATE PERMITS ARE REOUIqED FOR ELECTRICAL, PLUMBINCa, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORI2ED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED POR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEFEBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS yALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $].�200 $.6O WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pEHMIT FEE SAC CHARGE PROVISIONS OF ANY THER STATE OR LOCAL LAW REGULATING CON- $29.00 STRUCTJO� � R THF� P FORMANCE OF CONSTRUCTfON. �� q�. ^ PLAN CHECK FEE TOTAL FEE rS � 9 8 $2�.60 Si ATUREOFC N'anCtoaoR HORIZEDAG IDAT � WHEN PROPERLY VALIDATED T IS IS YOUR PERMIT SiGNATURE OF OWNER�IF OWNER BUILOERi IDATEI � B�-/ iNSP �� ... �+- [�] �� [l R-1 AND R-2 Building P�rmit Application Con.struction Addr�ss : ` j �/ � f / �'j Q�'I ? c� 7L /� � Effective 1/1/90 Lagal Description: � N� & �: _�!e� � ¢ L/��- ��`s�r� �. # ��'S � �%6 Contractor: S��(� S �� y . �el. # �a� �� Aaare�: .�� ,/�Q.,� /� /�2 ,� S • � � � LIVIIJG AREA: r•`•i•�tf • v�� .,a � •��. • y•lyl• Attach to this application, a Certificate of SuYVey of the lot, with the proposed construction drawn on it to scale. �FSCRIFIZO�T OF IMP�iWII��Tl' Iength Width Height Sq. Ft. I�azgth Wldth Heic�t Sq. Ft. Lexiq'th —�" Width �ot Gr�u1d � Ft. t�� / � �• � � � �� •6�� I��.��i -- Corner Lot [] Inside Ipt �) Yd Setback Side Yard SetbacJcs 'Ij�pe of Construction: ��_'��a r� n�,%� �j e�1-c � r� n`� �"timated Cost: $��j Approx. Cartq�letion Date: , Proposed Driveway Width If New Opening Is Desired: F�t. $ $ Width + 6' See Back Page L1ATE: � � �� 0 APPI.SG�1'!': � �%`� /_�i� ��'6� L. Tel. # 's ��.� �c� � /� ,�'�e` Permit Fee $ � ,� StatQ S�m,hazge $ SAC Ciian�e $ Driveway ��c,z�ow $ Park Fee $ seraer 1Kain ct�ar7 $ ZC7!'AL $ ��: CITY USE �Y Fee Schedule on Reverse Side $.50/$1,000 Valuation $600 per SAC Unit Alt. "A" or Alt. "B" Abave Fee Det.ermined by Ehgineering Agreement Necessary [ ] Not N�ssary [ ] � I��v �� I:al / � � •'3�'� � "]l :�.:15f� 1 The Chief Building Official shall, before ��+»*� permits for the erec�tion of ariy �; i ding or structure, or for any addition to any existirig l�uilding or structure, or for ar►y alteration or repair to ar�y existirig building or structure, upon a�lication therefore, require the payment by the applicant for such permit of fee.s to the amount herein belvw set forth and in the mannex herein pravided to-wit: TO►I'AI.� VAI.LTE $1 to $500 $501 to $2,000 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,001 to $500,000 �� $15 (P2iriimLml F`�e as $15 �i,� ��) $15 for first $50� plus $2 for each ac1ditional $100 or fraction thereof, � arid includirig $2 p�i0 $45 for fizst $2,000 plus $9 for each additional $1,000 or fraction thereof, to and including $25,000 $252 for first $25,000 plus $6.50 for each additional $1,000 or fraction thereof, to and iricluding $50,000 $414.50 for first $50,000 plus $4.50 for each additional $1,000 or fYaction thereof, to and includirig $100,000 $639.50 for first $100,000 plus $3.50 for each additional $1,000 or fraction thereof, t.o and including $500,000 $500,001 to $1,000,000 $2039.50 for the first $500,000 plus $3 for each additional $1,000 or fraction thereof, to and including $1,000,000 $1,000,001 and up $3539.50 for the first $1,000,000 plus $2 for each additional $1,000 or fraction thereof DRIVE'f�iY DEP'RESSI�T ESC[�W (Concrete Curb Streets On1Y) Alternate "A": Relnoval and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50. Alternate "B": Re�snoval ar�d replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet ti�mes $15.75. ��+� ■� �: � ��.: ii,�.�:��:��i Perntits for oonstruction will be issued a minirman of 24 hours fr+oQn the time of application to allaw for proper review of the piroposed structurn and of the vonst�vction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has bean constructed will be required before pra�eding with the framiuig. a ! , � �„ ,. '�; -� { � , , < <r ��L G�ov�� . , , , � - �ti^ `,r►� , �� , � � �,�'� r� `�. 2.� . , � =,� ��'' `J i � . � 1 �. � �� " � �--� 1 � ' � � �� . �t � �� ''� � , , ��`� �'`i`� Bt� O � � �, ._ � � � �� -�.,. . � � �. �� , �,e-��, s�Z� ?? �� Z� �� _. � f �,� � � .' _ . . O�,i t�� 3., �,,,,� : t��a�� f ,;��;7 S�4 ; , (�.t /'S �, . — - -- � , /. '(��, °?� L � � � v� �.,.e.r � n� � � �0 � � �U �� Ic�c f� Oe� -- -- -- -- � �'�.��a '� �� /; '/ .. � _ � �' � _ ,. a, � . � � �, " '� � . � _ � ,.cJ i��C.�GC (.�'i-c� L� � �t�li�it/� � _ . • , . . ° / �'� � -', ..%.e .. . � ` , '' ? �](�-� � G � L� ` � �� '• d.� `✓ /�� : �� f i�4r , l , i:",; • � .•!r ` . ...� F V � .� �.� G�� `�c'c-' y� , = _ , a �� - �,� � ,,;�-L— �C � � �� _ �'� , � , - � � , � a� �� y �� . , :�- ,.. �. c� � � � �- �� l � � �3��"� ��';� . � 'l/ � ,� C-� z _ _ � � f �.� �� , , �� ; � �� ,�r�� ?�' � � `� � �- f LG� S ", �� ,�"��`� �`, �/- � G G�- c� �S � � �'lk,�.0 . . ocu�� C�6�1G{ �.sSOCcC��S� ��6�1C. ��C� LAND SURVEI'ORS Anoka, Minr�esota '� ` CER'�lFICATE �F SIJRVfY: Nels �imonson ■ �� GP JP -- -- . . - P`4�v - 62 5—�( _ `�M o �,� F p' Telephone 421-6340 F 1 �-117-7'� ��'Se� � �Q�a�r��+�� t �c�o�� _ Wes*, '�? of Lot 21� an�� 1? nf Lats 2� �n i 2� . Block I, R�vPrv3��r fie� qhts Ad�i ��n� �n�kr� Co�inty, u1r�n�s�ta 4 I HEREBY CERTIFY THAT TFtlS IS A TaUB AND CORRFCT REPRESENTATIOPV OP A SURVEY OR THE BOUNDA[i1FS Of The ABfDV£ CESCRBED LAND, AND ?N8 IOtATION OP AU BUILDWGS, THEREON, AND All VISIBIE ENCROACMMENTS, IP A3VY, FROM 08 ON SAID LAND. • AS SURVEYED BY ME TlUS .�7t�'1.. DAY OP _............!M.�T`CYl ................... ._........A.D. 19�:.�..... N. C. HOIUM AND A5:`�OCIATES� INC. LAND SURVEYORS _� � "' � � � __ � . � h � - --- - -- � � t � - _ ..� ..-e� . ........................"............ s �� ....\,.`,i.. �... ....��...�¢� ;�.a + .. Y�.+. ................... �; SuB�ECi , c�ty of Fr�a�ey 33159 AT THE TOP OF TME TWINS g � I L D I N G P E R M I T r ; � RECEIPT NO. � • COMMUNITY DEVEIOPMENT DIV. • � � � a: ----- r � � PROTECTIVE INSPECTION SEC. � j �'�'� � CITY HALL FRIOLE� SS13Y NUMBEp REV O�TE v�GE Oi �PPROVEO Bv �'"""�� '� 763-571-3450 910-F15 10/11/02 / / J09 AODRESS 549 Fairmont Street NE 1 LEGAL LOT N0. BLOCK TRACT OR ADDITION SEE ATTACNEO oescA. 25,26 I Riverview Hei hts SNEET 2 PROPERTY OWNEH MAIL ADDRESS 21P PHONE Doug Zimmerman 549 Fairm.ont Street NE 763-786-4681 9 CONTRACTOR MAII ADDRESS ZIP PHONE LICENSE NO Same d ARCHITECT OR OESIGNER MAIL ADDRESS ZIP PMONE LICENSE NO. 5 ENGINEER MAIL ADDqESS 21P PMONE LICENSE NO 8 USE OF BUILOING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION � ALTERATION O REPAIR ❑ MOVE ❑ REMOVE X B DESCRIBE WOFiK Replace windows within existing o enin s; reside house• reroof house 9 CHANOE OF USE PROM TO STIPULATIONS Underlayment must comply with the State Building Code. Per Section 1402, 1997 Uniform Building Code, requires that a weather resistive barrier be placed over exterior sheathing to protect the interior wa�l covering. Exceptions =or this provision would be if sheathing is an approved weatherproof panei or when the siding is an approved weather barrier. Vinyl siding is not a weatherproof coverin.g unless the manufacturer states this ir. their applicatior. guidelines. Cali for inspectioa of wrap before covering. Cau�k and fiash aa1 exterior openings.. Provide smoke detectors ii� a31 sleeping rooms and on a1�. levels of the dwelZing per Section 310.9.1.2 of the 1997 Uniiorm Bui�ding Code. Czu�k and flash ail exterior openings. SEPARATE PERMITS ARE FiEOUIRED FOR ELECTqICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAO VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NUIL AND VOID IF WORK OR CONSTRUCTION 2pNING SQ. FT CU FT AUTHOR12ED IS NOT COMMENCED WITHIN 60 DAYS. OR IF CONSTqUCTION OR WORK IS SUSPENDED OR ABANDONEO FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO DWLG. UNITS OFFSTREE7 PARKING I HEREBY CERTIfV TMAT I MAVE READ ANO EXAMINEO TNIS APPLICA710N 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SUFTAIf AND ORDINANCES GOVEFNING THIS TVPE OF WORK WILL BE COMPLIED @ WITM WHETHER SPECIFIED MEREIN Oti NOT TME GRANTING OF A pERMIT W6y6OO �3.30 DOES NOT PRESUME TO GIVE AUTMORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CMARGE PROVISIONS Of ANV OTHER STATE OR LOCAL LAW REGULATING CON• STRUCTION OR TME PERFORMANCE OF CONSTFUCTION $139.25 Fire .S�'i �6.6� PLAN CHECK FEE TOTAL FEE $1 9.15 SiGN U E OF � ' ACTOQ Op AUTHOA�ZED eGENT IDAT � � HE PROP V ALIDATED IS IS VOUR PERMIT ` l /� � � /d-//�I��- S�GN4IUAE ��O EA��FOWNEpBWIDEp� � TEi �(� iNSP ryaft NEW ADDN ALTER (] CITY OF FRIDLEY EffecWe 1/1/2002 [] 6431 University Ave NE, Fridley, MN 55432 (763) 57Z�3604 Bidg Insp (� SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Cohstruction Address: �)!a a - �/�,M��n��r . �a �l�' �� -�� v� i ��< � �e � � ,�i�- .��y �� Legai Description: Owner Name 8 Address: �rs � �� -�i�� e �n� � -� _ � ��'1 �- Tel. # Contractor. ,� �� MN UCENSE # �✓� Address: !1/,�� Tel. # /l///� LMNG AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Ce�tificate 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 Length Width HgUGround Sq. Ft Sq. Ft , D <a Construction Type: , �i . �-s � / �� Estimated Cost: $ � � � � Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x$ _$ . DATE: /� >< /�a � APPUCANT: Tel. # �� ° % � 6 � �'f � � Call (763) 572�3604 for Permit Fees if mailing in application or Fax to T63-571-1287 if using credit card and we will call you tor card number. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Drnreway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL CITY USE ONLY - $ � . � c�� $ $ � 3c� $ $ $ $ $ $ $ 1��.� Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1 �000 Valuation $1200 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by �Engineering Agreement Necessary [ J Not Necessary [) t� � � �y � STIPULATIONS: BUILDING PERMIT FEC SCHEDULL The Cliief Building O�cial 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 tlierefore, 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 $25,000 $25,�1 to $50,000 $50,001 to $100,000 $100,001 to $500,000 $500,�1 to $1,000,000 FEES $23.50 $23.50 for first $500 plus $3.05 for each additional $100 or fraction d�ereof, 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,�0 or fraction diereof, to and including $50,000 $643.75 for first $50,000 plus $7.00 for eacll additional $1,000 or fraction thereof, to and including $100,000 $993.75 for tirst $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 dlereof, to and including $1,000,000 $1,000,001 and up $5,608.75 for the first $1,000,000 plus $3.15 for eacli additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $17.00. Permits for conswction 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. � VERIFICATION OF FOUNDATION A Certificate of 5urvey of the lot, showing the location of the existing proceeding with the framing. New Houses Onlv ^ s. t'oundation will be required before Build.ing ��3 MECHANICAL Permit No.: v Inspections C� RCi SIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEX Date xec'd: DATE 0' I° O� YOURE-MAILADDRFSS sTfE ADDRESS ��l 9 C�.i r IM �ro �t S� �v THIS APPLICANT IS: O OWNER �7CONTRACTOR PROPERTY N�: o v,., m�, �� AnnxESS: S�(q �c,.,; ,r,n., o,n-� S+ NlJcrrY r t c� 1 STATE Ii�NZIP �5�f3� TENANT PHONE: 1 Co3 ",� Co' � �o � I wa� � -7�, •3 1-9SFs CONTRACTOR co�A�v�r N,v�: CENTERPOINT ENERGY SUBMIT A COPY OF CONTACT PERSON: '7OANN I INREN YOUR STATE STATE LICENSE # EXP DATE LICENSE WITH �D�ss: 93�0 EVLRGREEN BLVD STE �riy "COp11i�'°R1�P.IDS sra.�MN z�55433 APPLICATION PHO� 763 — 757 -- 6202 F,� 763--757--6701 PERNIIT TYPE '� °"`GLE FAMILY � TWO FAMII,Y ❑ TOWNHOUSE TYPE OF WORK: ❑ �' ��C�T ❑ �-T�TION/REMODEL D/E�TAILED ESCRIl'TIONOFWORK �.v��ct,`� I�,ecy�ee, �t,,�r c.e.� 0.ri �ir' �DY�C� � �� ne � PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the nnprovement, installation or replacement of a residenrial fixture, excluding the fixtures. (This should reflect only the cost of labor ) Labor cost under $300 =$15.00. Labor cost between $300 to $500 = cost of labor x.OS = FOR PROJECI'S WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WI-IERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOVi� Equipment Installed MFG: v. � MODEL: � Co P Q� Q'7 SIZF/BTU � 00 O MFG: u� MODEL: �6ae.� SIZFJBN a!�r�5 MFG: MODEL: SIZFJ�TU �A/C $25.00 _FIREPLACE (GAS) $15.00 _GAS RANGFIOVEN $10.00 _AIIt TO AIIt EXCHANGEIIt $15 FIItEPLACE (WOOD) $35.00 _NEW GAS GRII.L $10.00 BOII:,ER $35.00 �FURNACE $35.00 GAS UNTf H1R $10.00 _CHIlIRNEX LINER $10.00 _GAS DRYER $10. W POOL HEATER $35.00 DUCT WORK $10.00 GAS PIPING $10.00 VENITLATOR $15.00 � _ � '� �'_ + �{ � „{"��'�v'� `tur.:> � ��Nf�v,..°,a�i`��; a v?�%�s,� a'_ ��.' ��, ��. -�� .��'+ �ermit Fee $ Number of fixtures @,$10.00 x$10.00 =$ Surcharge $ .50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE $ Number of fixtures @$25.00 � x$25.00 =$ o1S.Cb Number of fixtures @$35.00 1 x$35.00 =$ 3 5, CQ State Surcharge = $ .50 Total = $ CaO. SO THIS IS AN APPLICATION FOR A PIIZMIT-NOT VALID UNTII. PROCESSED I hereby apply for a building pern►it and I aclmowledge that the information above is complete and� accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota 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 apptoved plan ir► the case of a11 work which requires review and approval of plans. SIGNATURE OF APPLICANT �. �° `` � x.vv� R�ER HOFFHEIN DATE 0- I'�� ' k f ` — �� h ' ' �a,�� ` :�. ` _ ' ° .. � ,. � C:ity of Fridley Building Inspections�Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: ?63-502-4977 City of Fridley Residential Mechanical Application Page 2 � REQUIItED INFORMATION NEEDED TO PROCESS PERMIT RESIDENTIAL PERNIIT APPLICATION HVAC ❑ NEW HOMES/ADDITIONS �'EXISTIl�TG HOME � MAKE-UP AIR REQUIRED FOR NEW/EXISTING HOMES 1. Combustion Air (See note below) a. Oil ar solid fuel IMC Chapter'7 with MN Amendments b. Natural Gas or Propane/IFGC Chapter 3 with MN Amendments 2. Make-up Air (See note below) a. IMC Chapter 5 with MN Amendments 3. Venting a. Gas appliances IFGC Chapter 5 with MN Amendments b. Fuel other than gas IMC Chapter 8 with MN Amendments REQUIRED FOR NEW HOMES 4. Heat loss & cooling load per room a. Required on new construction IMC 1346.0312 5. Ventilation a. Per MN Energy Code 7670 or 7672 6. Duct Design Per IMC 1346.0603.2 - a. -ACe�-�amiafiH --- - -_ — NOTE: Centerpoint Energy Mechanical Code Guidelines software may be used for combustion and make-up air calculations.