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AF - 41935� � � � � �� City of Fridley, Minn. BUILDING PERMIT n8�: �� — � � �: 8,�� Address Address N° 653� LQCATION O UILDING No. .�� Street � Part of I�t Lot �5.. °` __ Block Addition or Sub-Divisian �� A Coraer Lot — In�itdc Lot � Setback _�__._ Sideyard — �� Sewer IIevatfon — ` Foundatton IIevation �, DESCRIPTION OP BUILDING To Used : Front �� DePth :��. Height �� Sq. F't. Cu. FL �� Depth � t� Sq. Ft Cu. F't. Type of Constructi . � � ��.%(.��. Fost. Cost �__ To be Completed In consideratlon of the is�uaace to me of a permit to construct the building described above I agree to do the proposed work in accordance with the drescrlption above set forth and in comP�¢ ce with a�l ons of vrdinancea of the dty oE Frldi�y. /�c� n D Y./� � .a, In consideratton of the pa�ment oP a fee of �� S� , P�t ia hereby granted to to construct the building or addition as described above. Thiape rmit 3a granted upon the express conditton that the person to whom it ia graated and hia agents, employees and worlmuen, fn all work Fridley Minnesota d ui�e�a�i�ding locatl�conatr� ctcti thereof, shall �nform in all respects to the ordinaace� of on, on, alteration� maintenaace, repair and moving of buflaings within the dty ]imfts and this permit may be revoked at any time upon violation of any oP the provis�lons of eaid ordtnanc�s. _ r-� Buflding Inspector NOTICEs 7Ys permN doa eM eerar t6s coeslrue�, �ee ier vrhie& P�+�9. 6u headng, awer or wa�s�. B� wra to ses ba Buildtee lesp�stee tar aparsfr p�ib tor t6� h�. e._ . Q�iivy'"'� �.' ; A13Y�F.�.�',,! APPLICATION FOR BUILDING PERMIT CITY OF FP'�IDL�Y, AliNNESOTA LOCATION OF SL�DING No. ��v(c� � Street � � Part of I,ot - . Lo� ��— �� Block .� AddiCion or Subdivision , o - o � Cor�� Lot Taside Lot� etback �.J ��'f Side Yard .% f�Q a�--� �: �� SE6+1�A ELTVATION FOUNDATION ELEVATIO�V Applicant aetach to this form �io Certificates of Surveq of Lot and psoposed build- ing location drawn on these..Certificates. To be used as: DESCRIPTION OF BUILD7NG Front � l�P Depth Q Height sq. Ft.. J t� �.o., cu. Ft. --�— Front Depth Aei�ht Sq. Ft. Cu. Ft. Tlpe of Construct�.on _��i'►ti� Estimated Cost: �, i_.,� .-`� � To be Completed The undersigned hereby makes application for a permit for the �•o�k herein specifiPd, agree�tng to do all work in strict accordance url.th the City of Fri�ley Ordinances and rulfngs of Che Dep�.rtmnnt of Auildiags, and herebq dec�ares that all the facta and represeatations aCPted ia this application are true and correct. � DAq'E � SIGNATURE A (�chedule of Feg Costs can be found on tbe Severse Side). d� a l '� � f \ -" f e ' ! � BUII.DING PEIiI�'QT FEE SCHEDULE Se�tion 2. The Iaspector of Building� sh�.11, before isauing any permit f�r �he erection of any building or atructure, or for any addiCion Co any exise- ing bu3.lding or etructure, or for auy alterations or repairs to any e�is�ing building o� stcruc�ure, upon application therefor, require the paymeat by the applicant for such permit of fees to the amaunt herein below set forth a�d in the manner here�n prov3ded to-wit:' 2.1. For any auch permit for the erection o,� any fire-proof building, other than a garage�, warehouse, factory or grain elevator, or fos the etection of any fire-proof addition� for similar occupancq, to any exiating bu3lding shall be at the rate of $1.40 for ea.ch one thous�nd cuhic feer, or fract�om thereof, itz such cubical contents. 2.2. �or aay such permit for the eraction of an�i fire-proof garage, warehouse, £ac�ory or grain elevator, or for the erection of any fire-proaf additiQ�, - fos similar"occupancy, to anq existing building shall be at the rate of ^�1.25 for eech.pne ehousand cubic feet, clasaified as P1fireproof" bq Section 502 of the Minneapolis Building Code. Pi?USES . 2a3. For any auch perm3C for the erection of aay non-fireproof building other thaa a garage, warehouse, factory or grain elevator, or any aon-fireproo£ addition, for similar occupancy, to any eaciatiag building - permit $1.00 for each one thousend cubic feet. GA�AGES 2.[�. For aay such,permit for the erection of anq aon-fireproof garage, w�rehouse, factory or grain elevator, or for the erectiau of anq non-firegr�af addit3.aa, for�similar occupancy, to any existing building or for each such �jlding or addition - ninety cents ($0.90) for each one thousand cubic feet or fraction thereof, in the cubicel contents thereof with a min�.mum of $4.00. For the purpose of camputiag fees for building perm3ts, the cubiical conteats of any buildiag or addition to a uniform height throughout by multiplying the ground area covered fram a point six (6) iaches below the floor line o£ tbe basemeat ar cellar to the average height of the upper surface or to the average heighC of the roof eurface of the main gable of a p�.tched roaf. 2.5. For repairs or alterations to an axiating etructure, the fee sha11 be at the rate of $3.00 per each Five Huadred Dollars ($500.00) or frsction thereof in the coat of all proposed work. 2.6. In. no case shall the fAp,chargad ¢nr any permiC �s set fozth in Sectiaa 2 be lesa than $4_(T0. i-� � - -„ �- �- c�. �. ��ocu�n ��t� c�ssoCc�.tes, �C. � LAteJ D SURVEYOItS Anoka, Minnesotc CEItTBFICATE �F SU�tYEY: � � ... �t Telephone 421-b340 RALPH N. Lur�o � � � � °�'� 92�-130-24 E� � r�' `_ � s-°�"�� _ � 'i, " �' • ,: 3 yo ;� .�� 1�- 2 , �� , i G� 3. L�`.� r�_ � n2 � o � ,� � �� w� $ .� � � J ' ,,� 'o � � g '� N � � � �� r ° 1 � �+ �';� . ' , � �� ` \ � - -- � D�N ot�s � ._ . , -� . . - I �o�s . � O '4 � �� O �p N � ,, W.: �i ,� � � � L�y 1�_5-F � 5�� ,� St. � A��MoN � �U� 0 � LOTS 2'� ANO 2H, F3LOCK I RlVERVIEW HEIGHTS ANOKA COUNTY � M 1 NNES07'A 1 HEREBY CERTIFY THAT TNIS tS A TRUE AND CORRECT REPRESENTATION OP A SURVEY OP TFIE BOUNDARIES OF THE ABOVE DESCRIBED LAND, AND TF� LOCATION Of All BUICDI3VG5, TMEREON, AND ALL VISIBLE ENCROACHMENTS, IF ANY, FROM OR ON SAfD LAND. AS SURVEYED BY ME THIS ,.,, 2�,T H DAY OF �•`� A Y ,,,,,,,,,,,,, AD. 19,.,,��,.� . .. ....._....._ . .............................. .. N. C. HOIUM AND !4� CIATES, INC. I�ND SURVEYORS ��.fjf �,. ' ,. , ,�x �;, . � � � �;,�; - :-��K�, � � J � ............... . . . ........................N ..... . � a s � . ............................................. ^...._..�....'�,,... d � 'O a p � ' � : � • h� 4� u N � Fo "� � a � y � " � � � � � � o � m � N � O • O � . O . � . . � . . � Q � � � N ►�+ � O Q O � 9f tsa t!l , y tiy � �I � � C' � � z� � z� z x 8 °' � " � G� � n � � � � � � � � o � � m � a �' � �o � � : p � b � � � � � � � . � � N : � �y' ; fA W�, _°o . °q . OII � . � . . O : Gd : : : : : � : : : : � O x �e x k�e sa W N W f+ r+ r � C�T p CN7� O O O � rta �a tfs tis t� tss "�� H ? o �' O Q x � � y� �i � ', � ,� �►� �� O m �a � D � r � m �^ , I 2 m C r m .� • �P Gt p �+ aJ h7 � ct, p, � o 0 : � � �° � � O � O 3� � , > � � � � 8 M a �'O � �' � w o 8 � P n b � � h a. � �' w � g � n x �� ' �, ��, \\' � j ,, � � i � � _" � , , �� > � � II 1 .� � a ��. ,, ,� � %�'� � � � � � ; �a � � � y � n i�-p �f � a � .� �' 7 �� p \✓� IH � 'e WATER � URINALS e�rH ru� eA5t1�S SINKS WASH TRAYS DRINK. FOUNT. sHwas. FLOOR DRAINS U7CH BIlSINS M1T0 WASHER GAS APPL GAS RANGE �� OPENINGS a • z • � � � � � aa•`�° � � �� a" � �o��a � �o � oc�o 5' �' � y � 0 � � � ��o� � � � �p�$�a � �°�°� y� W b � � � � ,� f`a� Q N � m `' p � �' o , �i p, o � m ►4 �,��° �� ¢a� '� o�� B�►°'°i �� W� �� m �� x I� " � 3 `� � G Sd � � � � w� R� Cx �°n d •� M � '*1 W � � m � � 0• ' � � • � � � � � � r v O. �- � � � � � M a � � � . � o � � � � a� r. � A V �J� i � e r, a e � 'I � �� d � � � � p � . � : °x�p : I� ' M • M . O . �' �J : � : � • � `� N � � � r � � � W � � � � � � � � N � N � o � � � : o . o . o . Gd : : � . 0 �E IC C4 � � � O O O � �9 {�8 fA 1 y O a � x � � � � 9 � @ � z z 8 � � $ � � G� `y fD ri O � � � � � � � �' � � `� � � y . 0 � M � ro a � ]o a�. ,� � : M ° ; � �• : rn � o : � � : � � . . . . � . . . . ' � : : : : : � : : : : I I I I I � DQ pQ k k k ie w t�7 w r-• r� �r „� C�T� p � o O O � {� Vi {!i {!i tfl {fl O C�' 0 Q x � � x � �� m `a ��,� � � m � O ,, � � � �� A` � i � ! D � 1" � � T �^ lI 2 m C r m �°�. � z � E i i � I � 1 d i � � � n z �� i ,� � �; � G� �; � f� � � m n � '�O o � � � o p wy 3 � u fD D p L � � m � 9 g � � ' ....' : ...1 � s �, � ■■■, • • .�■, � : ��1 �� 8M �❑ y � �n I ' � � ro bi � � � � M � WATER � URINAIS enrH Tu85 B/151P6 SINKS wws►+ rw��vs DRINK. FD�NT. SHV/R5. FLOOR DRAINS UTCFi B/�SINS Auro Wl� GAS APPL GAS RANGE GAS OPENINGS � • 2 � � � � n � � � i� o�. a � �" ��'1 � � � M ��aa�C � po�C. � 1"11 � � d �W� � ��o� _ � �� b �� b ,_� �y �� p � �' o � a' o p P � �, ►OI m \ `4 � '� � a�� `��$ �� wQ ~ �7 y C.�"1 Di' �+ � � ]' �� 3 � �. � C �' d �� a Rx � � p � M o Nr � � m � � �i � � n � � � � '9 0 0. °- � '� � M � � �T � o � �' � � �a � � �� e �� r� Q 1 9 e, � e �� T 3 a � R � < 8 � N i � � � � d �o O � x � r t� � � y x x � o��C� ° x z � �nc�o vP�� y�� 'w�� n � � o �e � F m � �n � � � w J n 2 n m � 0 < m � Z � i° � � m � Z G7 n 0 � � �n .. � y y y � a' � � � w 4� � � k � o � � y N k y o � . 0 O y • o . G1 � � : : I I I ►j� �C k k 0 N � 0 o c � rn {n �n � (' o �r � � te a ao � � � � 0 � 0 0 0 0 0 � � 0 0 � � G1 H A � � � � � � ►� � �' � � � � � � z � � m � � � o b �� ' w o0 o � � . � ro O r eo a�d � °e � M I w W �� ! � � � o � y O � � N . N • �: `�. � � � � 0 0 � w �� D 1•a z � ��p � �l ►�! 0 � ' �T � �� o � I � � � m � � � � � � � o M ,ai''. a � fD �C � � o w ua �" �' y n� o ;?, � o a � si ,,�°c R° R° y � � � � � � � �1 0" � � o A o o � �� :�'ri M ' � a,� . . � � �. : � � � � o � : : � � . . y . � � � °x 'n O � NN�� cn es� o 0 0 0 0 0 tn vs vr {n O � ¢ z � � �� A � � � � �. � o eq d. 0 � � O � r°. � g � E� � � � � � �' � �'�'� � � � R° R� � � � � � `� & G � �' °M � R° � o O � � � � � ��,g8 �' � : py� W�' w � ' ° a, � : G •• O . � S g : : O O .° � : : � N��N� o °o °o °o o° v� sn a+ � � c. � � � � � � .� � � Go - � � m � � z 0 I1� � �o � � S m m. m � � �' � � � m � R� R° � � y �� o �� y �*�,y 0 0 � a� � y� � ° �. m � � � p. ro , �°, a � � � �, �, . . w . . � o : : Qq � . . G : . : t� en o� oo � �000 O o o p � � 0 � Q �� A 8 �a� �e y b��-+�►i M y �a� W m o a w �� D �C � � � � d �oo � � �, ��; � �� °� � � �� ¢ y� � p1� � y�yDi � ��b � p�"� � �p'ots �� ., �� a�� Nt�DM \ �� o �. �. m �� I� � � � � � i s D "'' 1'D" � � m H _ T C 177 d » M � � 1/ � a � � V 0 � 'p � � � O � � a� o �' � O d� O� � ;� _ � �� N � .'w � W v� `� :�. � � � �s � � � D �' o. � � � Caty of Fridley, Minn. BUILDING PERMIT Date: - ��t�. �, 19k,�_ �Y� �� Y� 9993 p�r; Wa ter Streich g�� Sussel Co. � ,p�� 563 Fairmont St N. E. Ad�� 1850 Como Ave . LOCATION OF BUILDING No. 563 S�t _ Fairmont St . N. E.� ____ p� of Lot Lot - 2� & 2$__ Block 1 —.. Addition or Sub-Division .�_�verview Heights Corner Lot — ._...� Ine�ide Lot � Setback .,_..__ Sideyard —_ Sewer IIevation � Founda.tion IIevation .�— DESCRIPTION OF BUILDING To be Used ea: Garage �t 22 � Depth B22 � Height 10 � �. � 484 Front Depth � ITeight — Sq. F� 1� of Construction .��ame ��, �� $1840 .00 __ To be Completed 4840 Cti. Ft Cu. F't. In con�tderation of the i�uance to me of a permit to the proposed work in accordance with the descrlpt3on abo� orciinances oP the dty of Fridley. 0 l above I agree to do with af 1 proviaions of Ea consideratton oP the payment of a fee of s 8 00 � p�t is hereby granted to Sus s el Co . to construct the building or addition as described above. Thispe rmit is granted upon the express condition that thepe�on to whom ft ia granted and his agents, employees and worl�nen, in all work done in, around and upon said building, or anyp� thereof, shall conform in all respecta to the ordinancea of FridleY, Minnesota regardfng location, conatruct�on, alteration, maintenaace, repair and movin� of buildinge within the dty limits and thia permit may be revoked at aqy time upon violation of aay of the provia�lons of said ordinances. ? ` � la nce Belis m NOTICE: iMs psrm(t doa aet corer ths construetfoe, tustallation for vrUtee, plumbWe, gn 6eMiee, sewsr or wals�. B� sun to a� tha eutldleg lesp�ter foe separate parm6s Poe thas tt�em. APPZI�ATION FOR BUII,DINC FERMIT GITY OF FRLDLEY9 NlINNESOTA OWNEEc °� 1VAME��/ ¢�' ��°.e-�f�BUIIzDER � Ce S' S' �" / (�' � AUDRESS � � � �� / f� A`9 e� G, IU � ADDR..�SS ,�Ii g � [_"'o� �/i �1 /��*�° , LOCATION OF BUII�II�TG NO o"� fc 3 STREE�'I' �/t- I f2 /`�l 0 l� J1� � LOT ?�BLOCK � Ai�DITION OR S�BDIVISIO?�T COR.�'ER LOT I�1SI�E I,OT SETBAC:K SI�EY� SEfrTER ELE'�iATIOPa TOP OF ?�'OCTII@'G Applica:nt attach to this so�m T�,7o �°2�tificates o�° S�vey oi Lot a.�.3 propo�ed buildir.tg lo�atio�°b dra�. ox� i�he�•� Ce�tificat�so 7�ESCR� :L�T i O1V Ca BUII�ING To Be iT��. As : Fzont Depth °� `Z Height � � �quare ieet � Cubic Fe�t �� Fxo:�t De�th Height Squ�,re i�et �ubic Feet Type of Con�truction � /�,Q/LjE Estimated Coet �,�`��` To Be Completed Th2 under�ig.ca.ed hereby make� application ior a pex°mit io� the work he�°ein apecii°i�d9 agx°eei�.g to do all work in �trict accordance with the rity oi Fridley Ordinance� and rulirigs of' th� Department oi Buildin.gs, and he�eby decZa�es that all the i�.cts at�d re Eae.r�tations stated in this applicatzon are true a:�d correeto DATE / �J _ � `7 - � Il � � SiGNATURE (Sched.ule of Fee Costs ca� be iout�d on the Reve?�°se Sideo ) U , L/�� Z � ~L Z y .�` � �✓ v ti � f �� '� � � � C' � � c� � v I� U f' ;/ �� °��-^'`! � � � S� � 5 ' ^ � ��_ � ��%��f,i BUIIfDING PEftMIT �'EE SC�DULE SECTION 2o The In�pecto� of Buildings shall, �aefore issuira.g per�its for the e�ection of axa.y buil�.itzg� or �t�u.etur�, ov° ior a.ny addition to any existing �tructure or buil.ding9 or ior a.ny alteratio�a or repairs to any existing buildixig oz structu��9 upo.rs app�icat�on therei�re9 �equire the payment by the �,ppli�a.�.t for euch permi� oi f�es to the affiout7.t he�ea�. below �et io�th an� in the ma.�n.er herei.n proeid�c� to�wit: Uniform Build�.n Codeo Type 1 9 2, & 4-$1 075 for each one thou�a.�.d cubic feet, o� fraction thereof9 i.r sueh eubical c�ntent�a Type 3& 5_ $1050 for each one thousand cubi� feeto For the puxrpose oi com�uti.ng fees for building pexmit�9 the �ubical contents of any building or a.ddition to a unifor•m height throughout by multiplying the ground area covered from a point six (6) inches below the floor line of the basement or the ceilar to the average height of the upper aurface ox° to the average height o� the roof suriace of the main gable of a pitched roofo For repairs ox° alterations to an exi�ting structu.re, the fee ahall be at the �ate of $3s00 per each f'ive hu�clred dollars ($500000� or fraction thereoi in the cost of all proposed worka In no case shall -the �ee vhaxged io� e;.rxa.y permit as s�t �orth in Section 2 be less than �5�OOo NSSSD Connectio:� �hargea ba�ed on location - Area 1 c�r 2a �� ' % � .�. �/ z �� _, -e -/� - � , -...G, � � � � � � City of Fridley r 4T Tllq TOP 0' TM� TwINa i � . r,.-------; GOMMyNITY pEV[I.0/MENT OIV, � ' � IM�CrECT�vR wfi►8CT10N OtK. �` � �•-- � prr ►N►�.� s�uO�RY �MR i.��.�.� `.J fq-b�O-sNp Job Address ner Contractor Kind of Bui Comp etion : �� Iu I F� j � i W W 3 ` O aoNra ero '1ddY � •xt.� � •�aiw i •saal� I'MNIYM m y� SNIBYBI �"7 H�1Y]I M jOw 6NIYtlOI O aoo�a �3 0 �0 vp I saaMO►�SI �a � tl •iNnosl ,� �N�aa A � BAY111I MSYM 8JiNI8l /NIiYY iof11 FiJ.11B 53-8L� -s-915.57- � _ , PLUMBI�Vr, PERf1IT APPLI�ATI��J — _'.��v— 5d3 �1. E, Fairmont Si,reet ��la.lter 0. Streich �VIINNEGASCO s s use �qp�g,, MINN. ame Res. stimate ost 11-2_1-73 . 10.00 1 I �j � � � �• i .� � �� /o - G - 7 6 ,,�`""`_" c"'o G � � w ..7 � � � � a� � � �' I� �� rdone 784-502 ��i�� Plumbing Fixture Rates: N0. RATE TOTAL Number Fixtures x $2.00 �_ Future Fixtures x $1.50 New Fixture-Old Open. x $1.50 Catch Bastn x $3.25 Water Heater-99,000 BT[1 x $3.00 Ground Run Old Bldg. x$3.25 Elec. Water Heater Gas Fitting Fees: x $2.�0 � lat 3 Fixturea x$2.00 � - Additional Fixtures X $ �75 �I � I iGas Ra,nge-199,000 BTU x$5.00 ! � Repaira � Alterationa � See IDescription; Space Heater Code 00 Warm Morning State Surchar�e VR-35-MA .50 �Efa TOTAL�� °'�� S 5.50 !The undersigned hereby makea application for a permit fos �he work herein specified� agreeing to do all work in atrict accorda.nce w ith the City Ordiaancea and rulin af the Depaxtment of $uildinge� and hereby declare that a1l�the tacta and repxesentations etated in thia application are trua and correct. ��.� � �� 'Signature � �,t��q� Date ; . � b HOUSE HEATING TEST RECORD ADDRESS �6� NE. FaiLrmo[�t St� APT. FLOOR CITY SUBURB�rldle� . OCCUPANT_IaIaLtAr �treiCh OWPIER HEAT LOSS DATE HTG. INST. GAS C0. METER BADGE # sa2� str _ Minne�as�o INSTALLED BY Eleetrital Work By Gos Line By TYPE OF HEAT GA FA HW STEAM SPACE HTR. .]L—UNIT HTR. OTHER e GAS DESIGN CONVERSION AAAKE �gr'm MOr'n�13g MAKE OF BURNER Model � t Model Serial � Max. BTU RaHng INPUT MAKE OF FURNACE Model CONTROLS �/ THERAAOSTA ►-�ea lug Vent Size Valve KII�D OF LIN SIZE NONE Limit ' DraR Hood � egularor Limit Setfing Filters Size Number Fan Setting Chimnay Location Inside Outside Pilot Type Chimney Construdion Pilot Make Pilot Model Smoke Bomb Wiring Pibot Timing Draft Test Tag L.W. Cut Off � Door Pressure Lighting Inst. P e ssure , Pereent CO2 Date Tested ,�,lP `�� Input CFH Pereent 02 Company Testing Staek Temp. Percent CO Name of Tester �.� Fora 235 sue�ecT p . � City of Fridley 19207 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T � � � REC . � `y ___._ COMMUNITY DEVELOPMENT DIV. � ( � r � � PROTECTIVE INSPECTION SEC. °"� � LV{ ` � l `9'-1 1 .1 � � 1 /"'1 � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPqOVED BV �.---� • •�� 612-571-3450 910-Ft5 9/29/87 � � JOB ADDRESS 563 Fairmont 5treet N. E. 1 LEGAI LOT NO. BIOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2%�28 I Riverview Heights SHEET 2 PROPERTY OWNER MAIL ADORESS ZIP PHONE Walter Streich 563 Fairmont Street N.E. 784-5028 3 CONTRACTOR MAILADDRESS Z�P PHONE LICENSENO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW O ADDITION O ALTERATION �1 REPAIR ❑ MOVE � REMOVE 8 OESCRIBE WORK Re�oof Dwelling (14 Squares� 9 CHAN�EOFUSEFROM TO STIPULATIONS Roof can be the 2nd l�,yex hut not the 3xd. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PEFMIT 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 ANY TIME AFTER WORK IS COMMENCED. • NO. DWLG. UNITS OFFSTREET PARKING 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND,ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $7OQ $. SO DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. S�-S. OO P�AN Cr�.IECK FEE TOTAL FEE �� $15.50 SiG UaEOF ONTRACTORORAUTNOR12E GENT � IDATEI HEN PROPER�Y VA� TED THIS IS YOUR PERMIT 1r �'(/ C�✓ �� SiGNATURE OF OWNER�IF OWNER B LDERI IDATEI � LDG iNSP ATE NEW [ ] ADDN. [ ] pLTER. � Construction Address City of Fridley �R-1 AND R-2 Building Permit Applieation . Effective �i/1/86 Legal Description: A 9 � � Owner Name & Address: %�� :��:� ,��`l�s,��.+ _��'� _f �^��i ,�.: �",. ��-='� Tel. ,� �'��" ' � Contractor: � s �'°��. Tel. � Address• LIYING AREA: GARAGE AREA: DECH AREA: OTHER: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTIOA OF IMPROYEMENT Length Width Height Sq. Ft. Length Width Hei�ht Sq. Ft. Length 4didth Hgt/Ground Sq. Ft. � �� Corner Lot [] Inside Lot [] Ft. Yd. Setback Side Yard Setback Type of Construction: I�,�L, i'�L)� Estimated Cost: $ ��►�� Approx. Completion Date: Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Baek Page for Explanation F- � , ��,r,°�. DATE: ` � APPLICANT: ` � - �' ��'```'��"�'�' Tel. � Permit Fee Plan Check State Sureharge SAC Charge Park Fee Sewer Main Charge TOTAI. STIPULATIONS: CITY IISE ONLY $ �� ,,� �, �� Fee Schedule on Reverse Side $ 25� of Building Permit Fee $ �� $.50/$1,000 Yaluation $ $ 525 per SAC Unit $ Fee Determined by Engineering $ Agreement Necessary [ ] Not Necessary [ ] $ IS_�o �¢ - BUILDING PERMIT FEE SCHEDIILE The Chief Building Official shall, before issuing permits for the erection of any building or strueture, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or strueture, upon application therefore, require the payment by the applieant for sueh permit of fees to the amount herein below set forth and in the manner herein provided to-wit: Total Valuation $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 fraetion thereof, to and ineluding $2,000. $2,001.00 to $25,000.00 $32•50 for the first $2,000 plus $6.00 for each additional $1,000 or fraetion thereof, to and including $25,000. $25,001.00 to $50,000.00 $170.50 for the first $25,000 plus $�.50 for eaeh 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 f3rst $100,000 plus $2.50 for each additional $1,000 or fraction thereof. DRIVEiiAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 fee�, �imes $13.50 Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 ineh depth - Driveway width plus 6 feet times $15.75 9ERIFICATION OF FOUNDATION Permits for construction Will be issued a minimum of 2u hours from the time of application to allow for proper reeiew of the proposed structure and of the construetion 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. �- � > �`u'�Iding Inspections 753-572-3604 763-502-4977 FAX UATt � S1T� AUURN,SS TH15 APPLICANT IS: PROPERTY NAME: OWNER/ " TENANT ^lluitr. PHpNk.: From: 9529432653 Page: 1/1 _ Date: 3/10J2010 4:29:22 PM MECHANICAL RESIDENTIAL APPLICATION �ITY OF FRIDLEY �r•H�cr�v� �-i-?oia . YOUR �.-MAIL AUUK�SS f��,l I Cl7��%� J.1 � OnWN�R CONTRAC 1'OR LnMI'ANY NAMt� SL!BMI T A CQPY OF �nNTACT P�RSAN: YOUR STATE STAT� L1L�NSk it �L LICENSE WITH AullRtS��j +�l APPLICATlON PHQN� PERMIT TYPE �NGL� NAMILY O TWO FAMILY TYP� OF WORK: � NEW ❑ IL�PLAC�:MtNT DGT. OF 0 NAX .�� rermit No.:_ Received By:_ Date Rec'd: �' � AT�� EXP tlAT� / �..-- — , � CITY STA�LIIj�� C] TC7 WNHnUSt CI ALTt1tAT101v/RFM011EL FN:N;S Ai2L+ BASED ().V S10A0 PEI2 NIX"1'URL�. N:XC61'"1' W'HL�RN: VO'fN:D. FIXTUIiL.S: (IVpICA"1'E'1'C)'1'AL VUr1BER UF' k:ACH BL�LOw) PRUVIDL� HN:A'1' L04,�1 CALC'S PL�12 NArUALJ 2(106 ASHRAL� HAVDBC1pK Equipnrent Ir�talled MFG: MOU�1.� SIZE/BTU MNG: � MnUtL: SI'LE/dTU MNCr. 41Qll�1,: SI'LrJBTU _AiC$25.00 NIR�PLACE(GAS)$IS.UCI GASIL4tdtiEIQVEN$IU.UU � AIRTnAIIL�.7�CHANCiEER$IS . �!'ItitPLAC;E('V✓()pll1$3S.011 NEYVCASCRILL$10.00 �BOPL�:R $35.00 hVRNAC� $35.00 C;AS UNI7 HTK $�0.00 �C.HIM1INEY UNtR $ IO.OQ �GAS llRYtR $10 00 PQAL H�ATHR $35.00 �llU(.T WORK �10 00 ' GAS PIA1NCr $10 00 VrIVTILATQR $I S QO � �� t►f:.,,..i...i..,.��e:.,ty.ve.a•r,�a..d�f nrrn . .,:.. _ . d�err.•nn�.•....�b., .. .•. . ,.�.....�.�..'•?.. , ... ....... . .:... � _ ., .. .... .. ......... .. i�fi�im�scr-��"fz,�c�.� $1� � r : ......�-- �'��` ��#��S �HI � N'�m�vr of fi�ct�u�;#� �w�3 SIU „�„y; � StaCc, Sxareha�,c � $ 5�J ;; �€ � �r� F.� , (4�!IIl�1��4 �'�i;�3S.�83 T'S1fR� �?:�..��.��, e�" : . . . ::. .. .. : : . THIS I_l' AN APPLfCAT101V PORA Y�Rht(T-NOTYqLIU UMTIL PRQC:ESSHU [ hcrcby apply for a building permit �nd i acknowiv�igv that thc information abavc is complctc and accuratc; that thc w�rk will be in conformancc w-ith tho ordinanccs and codcs of thc City of Fridlcy and with thc Minncsota Contitruction Cadc.�,; thut l undcrstand this iti nat a pcm�it but only an application for a parmit and wark is not to start without a parmit; d�at tho work will bc in acrordancr. with thc approvr� plan in thc catic of yvork wi ' nx�uires rcvicw and approval of plans. ) +�' SIC'CNATL1REQh'AAPI.ICANT PRINTNAMk �� /� AATI';i��)`�L�,�� AP9lLt�VAL 1NSPGE:TORS SIGNA K�. . UAT� , . ...;. ...? .... .. . . . . ... .... ... ... .. . . . . .... . . ;'FL�k.�i�:�TD`L'�:,>:533#?i?�3i��:i�E�EbFk'1"��;4��FR��i��i#P��tx(t�F.ttti#: �trx::Y:�htr..:� . . _ ..:.t�!['::i'YSit'��.Ei"�it'�i.�n�ce��r�•ix.t--ifiY-r<ar�:tiF��...;i'�:.:� City of Fridley �uilding Lnspections Dep�rtment 6431 University Avenue NE, Fridley, MN 55432 763-572-36Q4 FAX: 763-502-4977 �' -� �� - � ,�7/ ��:.� .. � V � �� lFCiC APPEtddDD( E (IFtBS) RESIDEId't1AL COMBUSTION AIA CALCI7LATION RAETHOD (FOfl FURNACE, BOlLEfS, APFD WATER HEATEA IN THE SA�9E 3PAC� �lep l: Complete veeted oombustion appliauCe iaformation. Furnace/Aoiler. O Dtatt Hood ❑ Fen As�sts�i (Notfanasgi� &PowerYert Watar Heat�: a Araft Hood CI Fan Assisted (Narfenassis� &Power� ■ r� �_y �a�. ❑ Qirea Vent n � syp�t.�i �u �r�a a o .- - - Fr ? , 4 ( j� Y lppitt: �� BwThr �`"c'� �. BmJia' � 2: Calculate dte volu� of tire Combustion Apptiance SP�ce (CAS) conteicdng combus6on applie[tcas. oZ01'� �'�"' J� `7 rc�'-i 1:� � '1LeCHS inc}udes allspecescoonected rooneanothcrby codecampliantoPenings• CAS wlume:�ft' � Step 3: D�ermine A'u Chan�es per Hour (ACI-n�. Defaolt ACH values 6ave been inco�Po+ated iuW Table E- I for uae witb Method 4h (KAITt Melh�i). If . -i�e year of cons�ucaoa or ACH is aa kaown. nse med�od 4a (Staadard Methad). !�.i �. c �q OC� � Step 4: Determirn Requited Yolume for CombnsGOn Air. 4a, Staadard Me.dwd TotaiHaillttiapmofaUcamlwstianappliaocestDONQTCOUNTDIRECTVENT APPLIANCES) UseStandazdMethodcalnrtmwTabk�i tofittdTotalkie4uiredVolu�et7'RV) [f cns volume (� s�P a> iv gmacer tlmn rRV dien no «aaaor �anings �e ,�ded. If CAS Volume (from Step 2) is I�as than TRV tiren go a STEP S. 4b. Knowo Air Infiltradan Rate {KAiR) Mcthod Tatal Bm/trc iaput of ell fan-assisted end povrer reat appHeaces (DQATflri'COUNf DUiECTVENT APPLIANCES) Lfse Fan-Assisted Appiiauces column io Table E-1 w 6rtd Reqnired ValomeFan/4ssiated(RYFA) 'Lbta1 Butlqeinputofallaon-fm-assistedappliaace.s Use Non-Fan-Assisted Appiiaaces column in Tabfe E-i co fmd Required Yolu� Non-F�-Assisted Tota►Re�Juired Volume(`TRV)=RdFA+RVNFA � ° If CAS Yolcupe tfrom Step 2) is gieaber tlma 1itV then �o oaulaor tq�enie�gs are needed. If CAS Volume (from SteP 2) ls tesa thaa TRV N�n go m STEP S. itq�ut: �etD�' Budhr 'IRV:� Iqput: Bmlltr R�'f'A: fC' Iapu� BuJta' (RVNFA)RVNFA: ft' �.�. = ft' Step S: Calculate the �io of availahle interior vo}uma to d�e t�al ce�m'ed volume. Ra6o�CASVolmae(fromStep2)divtdedbyTRd(SnmStep4sorSceP'4b) Rado= / _ Step 6: Calcaleta Reduclion FacFOr(RF). RF=1 �ia�Rado ��_ o Step 7: Catcala� singfe o�door oper►in� as if sil contta�sSon air is t'r�n oatside. Lartcesindreseu�CAS(�CCEPI'DIRECI'VEN7� Ittpnt Btulhr 'IbmlBtuAn'ioputofallCwnbuSti�App � Cambnsdon Air Openin� Area (CAOA): 1bml.BptAudividedbp3�Bw/trrps'in' CAOA=/ 3�OBaJdrperin"= �A' Step 8: Calculate Miaimum CAOA. Mi nimum CAOA = CAQA mnitFpUe� bY � Step 9: Calculace Com6u.ad� Air Op� Diemetea iCA�D) CAOD=1.13 mnldplted bq the �Nee4 r�°f l��°1�' �OA NGniraumCAOA= x in° CAOD� 1.13 Minizmun CAOA� � m Soction Q304. "' dzsited AQicen be ��d ��ASARAEtxlcu�atan orblosvert�'tcst. FoUowpmcedwes . M M N M N