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AF - 42028Gity o� Fridley, Minn. � BUILDING PE�.MIT N� 5 s 3 s- ... � Date: _-�� .�J'".�=52.� �' ` �' , ,� Owner: ' Builder .�� Address —, Address �, LO TI iV ,AP B ILDI9VG No. � `� Street �.�•'��''�'� '�r� �` `��?+�'�% � Part f t Lot ,�+` _ Block � — Addition or Sub-Divisi � J � Coraer Lot _ In�de Lot � Setback ..� �' � Sfdeyard +'��.-�-- Sewer IIevation � Foundation IIevation ._.._ ' �- - � DESCRIPTION OF BUILDING " V °�� T �e Uaed e ; ,�`'' f�*�j�"� �� ``` Front r�� Depth � Height � Sq. Ft. a�� Cu. Ft,,/'�;�-�� Jp �` 4 t� �e�tn �-� x�ght �� _ sq. Ft. t'�` '' c�. �-t. �� Type o� et4ott Est. Cost � �� -� To be Completed Ea considerat3on of the issuance to me of a permit to construct the building described above, I agree to do the proposed work in accrordance with the descripl3on abave set forth and fn compliance with all provisions of ordinances oP the dty of Fridley. � In consideration of the payment oP a fee of $�""r` , permit is hereby granted to� to conatruct the building oz addi�ion as descxibed above. Thispe rmit is granted ugott the express condition that the person to whom it is granted and his agents, employees and worl�nen, in all work done in, around and upon said building, or any �iart thereof, shall conform fn all respects to the ordinances of Frldley� Minnesota iegarding location, construction, alteration, maintenance, repair and moving of buildin$a within the dty limits and this permit may be revoked at any time upon violation�,� of any of ihe provisiona of said ordinancea ,.-, ,�� r'` i Suildin8 Inspector NOTICE: Thls permh doea nof eover �he G0116hUCHOOi iesfaUat[oe far wGieg, plumbing, gas 6eaHag, sewe� oe water. Be wn to s� ths Building laspecto� far seperate permih foe t6ess Items. �""� - 4 �► _� � �.y � , Lt _ , -_ _. ` .. R1�' � � 1PPLICATION FOR BIIILDIAIG PERNIIT CITY OF FRIDLEY, ��A r � �� Owner a �me Bu3lder �ldress � LQCATION OF BIIIIDAJG � �--- ��!✓`LV�s1 I � No. �S� � Street _ , Part of �t . Lot � Block � Addition or Subdivis3on �'�%�� Corner Lot �Inside Lot v 3etback Side-Yerd %� SEWER ELEVATION FOUNDATION ELEIl1TI0N �ppl3cant attach to thia form Certificate of Survey of Lot and proposed building location. To be uaed as: Type of Cons To be Completed DESCRIPTION OF BIIILDING � Sq. Ft. �� Cu. Ft. ��- C� 7 Sq. Ft. f�� Cu. Ft. _�� '�-n-� // � Est3.m:�.ted Cost �� w The unders3gned hereby m�es application for a permit for the work herein specified, agreeing to do all work in strict accordnnce with the City Qrdinances and ruling of the Departmsnt of Build3ngs, and herebyr declares that all the facts and representations atated in thi.a applicat3on are true and correct. �� _ —_.---� ,. (A Schedule of Coets caa be found on the Reverse Side.) i"'� r"'` A. �. � J � C BIIILDIlVG PERMIT FEE SCFIEDDIE ��ction 2� The Inspector of Suild3.ngs sha11, before issuing any perm3t For the e�ec�ion of any building or structure, or for any addition to ang exiating butld- �n� or structvre, or for any alterations or repairs to aay exist3ng building or stsucture, upon applica.tion therefor, requ3xe�the�payment by the applicant for such permit of feos to the aa�ount here3.n below set forth and in the met'iner heref.n provided to-zaito 2�1. For an� such pex�ni� for: the erection of any fira-proof buildin�, other than a garage, taarehouse9 f�:ctory or grain elebe,tor, or for the erection of aay fire- proot addition, fqr s3.mi.7.ar occupancy, to any existing building shall '� at the �a.te of �1:40 for each ona thovsand cubic feet, or fraction thereof, fn such cubical contenta. . 2�2e' Fo-r �.n� such permit for the erection of any fireproof gar�ge, warehouse, :.",�etory or gi�a3n ele�ator, or for the erection of sny fireprooF addit3on, for ��.�ilar occupanc�9 to �.ny e�-iating building shall be at the rate of �7..25.for e��h one tho�.��nd cubic foot, clas�ified as "fireproof�� b�r Section 502 of the ?'��'.�l�eapolis Eui7.din� Code, ~i0'.J•�. },S 2�3o For an�r auch permit for the erectioa of ar�r non-fireproof building other �'e'.� a�a.rr�.ue, w�reho�?se, factory or grain elevator, or any non-fireproof a.:.c:itio:�, for six�i.].ar occupaney, t,fl any existing building. Permit �7..00 for ��.��z ozz3 thousand cubic feete C-.�"'.i�� ?-�, ror F:r.r� such permit fcsr the erect3on of any norr-f3seproof gerage, taarehouse, '::c�or�r or graixi elevatox, or for the erect3on of any non-fireproof addition, for s�.ilar occupanc�, to Gny eacist3.ng building or �or each such building or a.ddition. �iinoty Conts for eacii one thousand cubic feet or f`raction thereaf, in the cubical co<��en�s '�hereot' w_th a �a.niwwa of �l�e00o Far tho pu-rp^-� c� co�putin� fees for building perm3ts the cubicel contents of e�y building or adc:iti.on to a un_"��m height throughout by multiplying the ground srea covered �ro� a po�nnt sax (6) inches below the floor line af the ba�ement or aeller to t?ze averagQ hei��t of t�e upper surface or to the average height of the roof �urface of the main ga'ale o� a pitchcd roof, 2e5� For repairs or alterations to an existing atructure, the Yse shall be at the ?'?'�9 of �3 000 for each F3ve ��.ndred Dollaxs ($5�0 D00), or fraction thereof iti the cos� of all proposed worka 206, Isn no case shall the fee cha.rged for any permit as aet forth in Section 2 be lesa tha.n ��..00 e � � �� -- . - � .� s r. r � ��G� � O�O� COMBININ6 THE RECOROS OF HARVEY A. CARTWRIGF�T J. E. HILL> Cw�� ENGINEEA ANOKA COYNTY 6URVEYS' eaTaeusHEO �eo6 NENNEPIN COUNTY SURVEY9 LA ND S UR VEYORS MINN�►F+oa.ls suRV�rs C. F. SANDHOFF 8410 PALM .3TRE�T N. W. CIVIL ENBINEER RE�i18T6RffD UN06R LAWB OF 9TATE OF MINM680TA E9TABUSN60 �aos 8UN8@T 4-7898 LICENSED BY ORDINANG� OF CITT OF MINNffAPOLIB� owNew JAMES WELSON 326 PLYMOUTH BLILDING FEDERAI B-8721 SuRVEYOR INDUSTFIIAL - JUDICIAL HENNEPIN AT SIXTH • MINNEAPOLIS 3. MINWESOTA ESTABLISMFO �oxa BU81NE88 — TOPOpRAPHICAL � ,��tr�e»or�� fT%I�kCRt� METROPOLITAN LANQ CITY LOTS — PLATTINCi L SURYEYORS, ESTABLIBMED' �891 Dahiberg Builders ` � _ . .,_,_ . _: , �x. �_�_, � �� , � 1�� 4 ,G �' ,��`"� � , �� IC�'I � :-'� a .� n � 9 f ; , ; ! , I�j ��;; i � � �i \ �C � L' /•� n � �� _ ��) \ �� ' '� «�- h ., !, f � �. 5�� _ . �.--- - � .�.�„� � o� 1� ,al��` / ,F" � �� _ ��` r \ -� � _ � //1:/o'k'' EQSr.r.� t-.�; ; ` - . _ _ _ I•-nt� ,� �� Ir� I hereUy certif�r that this is a�rue ar�l carrect representation of a _�:�-, suxee�r . af : Lot 2, Blocl� 1, Herrig Addition � As sur�reyed 1oy me during the r�onth of October, 19h1. �. , -.� ` -- --: j�� --- r l �;r�,,..o�.� _ .- � � m.�..: ` �.0 � , s ,�°at.. , .o,ht} .,� .�„ J�:��., .. ;: ..�{. _ BIGN[D�.�`t".+" i^�-� �r t"` � ., . �--5 �',. r -_- Y � �r- --_ _ - IC`sHT AND OL96N �;=� �.- �. � � d � �. � o � p � :� : °x :� . � . m . ~ : o • O . m �y : t' : � • � � �� r+ !'� � � w � � p � � � � � � N�. o • o � : o . . td : : � . . � x � � N F+ � O q O � 99 Efl H O Y � � � b 3 � z� � z� z x fD � � @ � � � 8 ti �, 8 0� � � � � � � � �� " : o � � �� ¢o� �a: ��: � �.N. ��. � bd _°o : 0e : 0$ � � � . . o : . . . : bd : : : : : � : : : : 0 �a x �a �a u �a W L�7 W f+ t+ � � C�)t p C��l O o p _.,�,7 :f3 ifl {fl {fl £f7 {ii � !� � H �O � � H � � G� C � O � x � � � �° � � r � '� m � n 2 m C r m O � o w �. A � � O � � �� . � � aa °' � g � � � = ■�i�: � : ....1 „ ; .■�, � : ��i�� ;: � �� : : ��ii �� . .mi �❑ � I � � � � p� H WATER aosErs URINALS �TM �� ,� SINKS �� ranrs DRINK. FOUNT. sr+wRS. FLOOR DRAINS CATCH BASINS nu7o WASHER GAS APPL GAS RANGE GAS OPENINGS � • Z • � � � A ^fm' � i• R.�� y �.� � y � � �°�� ° �� o � b ��°� � 5' � $ �a �� o � � �' � � � �� p Y m o �a°� �' o e� y � H m� �p7 b p � �¢' t�i � o � � � �`��►°� � �n� �� w � � M � � � . � ro � � r• � � � � � �d �A � � a� $x Cx �°n p � M � � � m � � �; �� • � � i0 � 9 � G ii. �"' a �p �t► � �G M � � � . ro � 0 m � a A . V _ � . �� ,� � � � 3 > � i � � � N � � � ta � p eD 0 � x y z� y z � �y�� x x � � � � o M � � M � N � x � � � � � �fA—•' � � � o $&, � � m � &► � � � M ►� y m a � � ��', � �h� � 7q w k �• t� o � � y N � � a � . o � O � � o� : : � : : �a ,e sa o N � 0 0 0 � �ss tn �n � � y �r � � b N `Q W � � � � � � � � � � �� c- � f �� ; _�� r��, �-.=� O —� �7 � � m � � qP� � c, � N°�° y c� q � m �_ r, z Z c`,-' � -� �, � � b � o � � � m � O �! I � � � � � z � � � � a � � UI � � � a N w aJ o � � V � � � a z 'a�d � �. 0 � 0 0 0 0 0 � � � 0 0 s� ;1 � 0 r 00 � '� < � �' o w � W w � �� M � CY 'y o p• M � � � � A � � • A `�. � � � � � N � � ti � � � O � � � � .� m o � z 0 V >_ � �.�. �� ,a�. a o a � � �� x� � � 8 � M ' � �� m x .7�" � � '� � �y � � � � o�0 m � � � � � � N � � � °o 0 0 °o o° rfl tn sn t» W � �i x � O � O a � � � � e* I O 5� m �, 0 � �° ,� b � � � � �� R° $ � � ��*� �'� � m �* p�i, R° � � o � g � � �'r b � g o"r a � � y� o a ��n„ : G ►, v, o : • � O o . . � O � : : : � � � � � � o °o 0 0 0° � � � � . 0 C�1 H Q ,'�'r O �1+ � � � � � O � O y I-b � � � n � � � � � � g � ¢ r � � �+ � � b � b � S .. � � � � � � � a ° � �y � � 0 � A '°�� n �� p' � . ti m � : � a�' : w . . a � : : O � . . $ : : : N � � � � en o 0 0 0 0 o p tn s!► 0 t' wa� �n � �+ � � F��b y � �v�iU4� �oH,►��I � O � � VJ •• f+. d �os � �� ; o �� °� p � �`D' ei� `�J�OO� m bd�c� ro �5'w n � �'�tl p�'`*w� � ��Op e+ � �, y � �� m �� y � ti �� o arE��' rA� 6 �' W �n Pli � 0 D � D r � � PI'1 H _ m C m d b M � � � � a A V A V O � � � � � O � � �� 0 � .i o � 0- O = � � � �� e� � � O � �� s � m � .i � � � � �� ,3 s� Z�� Dd6 , _'. ,a2 s� � =r- s HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS FRIDLEY, MINN. Weatherstrips A.S.H.V.E, Construction No. Insulation Guide Windows Doors Reference Out. Wall Int. Wall Cxiling Roof Fioor Kin ow Applied ,�No ( —No 19�� o<- �6 �z �T`".3 �`= ..� �•� Fl.� �. � Room I Lengt}� ��/ Width � vHeiBht / /' �.� , Room Length,/ % i / i/ Heigh / Windows an Doors—Crackage and Area mdows and Doors—Crackage and Area �Vidth Helght No. oL Ll�eal tt. Area Wldth Helght No. ot Llnesl !t Area No. o[ pane of pane Ifghte ot crack eq. Lt.. No. ot pane ot pane Ughte of crack eQ. [6 � ,� y o ,� .� � ��. �/ o/ � Coef. Btu Coef. Btu Infiltration � ,O lnfiltration �o Glass D"� Glaas O °- S� Eap. wall � Eap. wall Net exp. wall ZJ ,�G� �� Net eap. wall � lnt. wall Int. wail Ceiling � /� p � Ceilin8 °— � ,� /� Floor Floor Total Btu. 1� Total Btu. �,j �� Required sq. ft. E.D.R. or aq. ins. W.A. L.eader area � Required sq. ft. E.D.R. or aq. ins. W.A. Leader area Fl.� Room � Length /�,'` "Width ��`Height �� ,� Room I I.eng p Width/�1 Height � Windows and Doors--Crackage and Area Windows and Doors—Crackage and Area Wldth Helght No. ot Llneat tt. Ares Width Helght No. o! Llneal [t. Area No. ol Dane ot pene lfghte o[ cceck eq. [t» No. o[ p4ne of Dsne llghts of crack eq. fL � �i B � r'� y Z �O G''� �"�' L Y �' %� �� ,�� i/ �, .� Coef. Btu Coef. Btu In6ltratioa s � � Infiltratioa � �` ro � � Glasa � ,5 Calaas � �� Exp. wall �Z Eap. wall Net eap. wall ?� ��i� Net eap. wall � �� Int. wall Int. wall Ceiling C� � �� Ceiling �� O Floor Floor Total Bcu. J Total Btu. Required sq. ft. E.D.R. or aq. ins. W.A. l.eader area � Requ'ued aq. k. E.D.R. or aq. ins. W.A. l.eader area % Fl. oom � Length✓az � Width �` Height � �.� Room I[,�pgth VNid ,� � Windows and Doors—Crackage and Area Windows and Doors—Crackage and Area Width Helgbt No. ot Lineal 1t. Area Wfdth Helght No. o[ Llaeal [L Ares No. o[ Dane ot Dgne IlBkte ot cracB eq. ft. No. of psne ot pane Iights of crack eQ. tt �i a� a G�" r0 Y /(/ ?r� � Coef. Btu Coef. lnfiltration �� >� InGltration Glaaa ;S ,� ,v Glaas /Y �S Exp. wall Etp. walD Net ezp. wall � � ,��r Net eap. wall p Inc. wall Iat. wall Ceiling � Ceiling � � Floor Floor Tbtal Btu. � Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Required aq. k. E.D.R. or sq. ins. WA. Leader area Btu ��a a�: � �� 70 STATE BOARD OF ELEC. MINNESOTA STATE BOAR� OF ELECTRICITY sERtat �.NO 2� 1 O 7 1954 University Avenue, St. Paul 4 MI, 5-7705 DaT / ��` �� ' + . / Certif. No Property !�Q �% �C`'iz'�r� G ,//'�l^ � c�/ `z%� Addres� Town Master Electrician f �� '� Type of Structure `± d'`� �' � �'� � Owner � �� C.+ � � ��_ Oceupant ` 7 Power Suuplier _ CORRECTION ORDER ' To the Owner, Lessee, Master Electrician or Occupant of fhe above described premises: Pursuanf to the authority vested in me by statute, you and each of�ou upon wham this order shall be served ara hereby ordered under penaity of said law to comply within f days as follows: . �?: t�J � �/ 3' 1�+�i � �G �. �O/{.Z !� /+� 1.i.s' / JZ �i fOrr,s c %� ��sG r � �%� ,�C L %b�. 4�.: �-� � t ,�� ; �' l � � �, - ��: � �� Any certi�icate o� correspondence referring to this correction order must bea� the serial � number of this order. Sign and return to inspec#�r u on com liance. � �� // ��y�"'� � ti Phone Inspector � � � � • �b r�,c: . - � Address � ; ` ID 30 Town �_ 41 � � � � be � � � a � ''"� p � � w c�"a � z fixl � � � W � �� ' � � � � w � p y �' � � � � � �y � � : � S �, »' �i a �" .�' `D � � : � � : x�' � ° � � �o : z �`c� : � � �a a o � : � � : : � � : � � : � a ° � ru : m �: : w�: �•� : : •�i . : ,w°' °g : 0° : : : 0 5�: : : : � : : : : : 5' �� : : : � : : : : • p, . . . . . . : m �.., : . . . . . . . . • �: : : . : . : . : F-+ . . . . . . . . . . �' : �v �: � ~o 0 9: ��a �a aa "�a �a aa iC iC �a r : N�p � �p Fp� ;� �p � � �p� �p �: O � O � O � O � � O O � [� � 4n � VZ w �v y H . . . O O p O O H H � � N � � � x � � G t�n h � m � � � � . D � � D � m �^ lI 2 m C r m � • r• w p �' p0 �x a a � y x� � 8 � . � � �� p � '� i �� + M O � O y � � �. � � � � � � � � a � � o � b � s`�- " a c* a �' o � �" w � ° � .: � � � m � � � � � � C,�y � � WATER ClO5ET5 URiNALS e�rN � �� StNKS W�►, ra�rs DRINK. wuNr. sHwas. FLOOR DRAINS GTQi BASINS AUTO VOASFiER GAS MPL GAS RANGE GAS OPENINGS 'v • Z. � � � 9 � � � �. � a � �� pAA++� � � o � p, � o ��'�• ;� ��o � ��°� � �' � � `� � �� m �. � "b0 � � � � 'd � � p�� m o � � O p �' �, o �f ��w A ¢• � � � � � (�p M �� ~ M y � Q. v-i ��x m��3 '� �» � $" C � A � ro aM �x & h°n p � M � � � � � u � � CD ,�a � • .i � ` J � � � {0 i � � a � �° � � .� », � � � �0 x 0 � � � � � �7'l w 1 � �'" � �D F� �1'l � sue�ecr P . City of Fridley � g�22 AT THE TOP OF THE TWINS— B U I L D I N G P E R M I T r ' ; ` R IPT NO. � • COMMUNITY DEVELOPMENT DIV. �� 1 i LV �'��'� r � � PROTECTIVE INSPECTION SEC. I ` i � �"�'1 � CITY HALL FRIDLEV 55d32 NUMBER iiEV DATE PAGE OF APPqOVEO BY �'""'� � ��' 612-571-3450 9i 0-F15 10/23/86 / / JOB ADDRESS �p4 Fernda.le Avenue N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 1 HP.Y'r]. ACZd.7.'t].OI1 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE �.� � S� 574-0454 3 CONTRACTOR MAILADDRESS Z�P PHONE LICENSENO. Dalber Builders Inc. 1121 80th Avenue N.E 784-2720 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE IICENSE NO. 5 ENGINEER MAIL AODRESS ZIP ' PHONE LICENSE NO. 8 USE OF BUILDIN(3 R-1 7 CLASS OF WORK � NEW ❑ ADDITION � ALTERATION � REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Rsroof dwell;n 9 CHANGEOFUSEFROM TO STIPULATIONS Shirsgles can be 2nd layer but not 3rd. Insta.11 ri.ged galvanized valleys. SEPARATE PEHMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY aROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORI2ED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OF; ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE FEAD 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 $1300 $.65 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pEFiM1T FEE SAC CHAfiGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- y�`22 �OO STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. , PLAN CHECK FEE TOTAL FEE D' ^� g^�'� $22 .65 URE OF CON i RACTOR OR AUTHOiiIZED AGENT IDATEI � { HEN PROPE Y V I TED T IS Y R PER IT � ' � ��° �� °�� SiGNATUREOFOWNER1iFOWNERBUILDERI IDATEI BLDG �NSa nATE NEw [ J ADDN. [ ] pLTER. I Construction Addr� City of Fridley Effective 4/1/86 �R-1 AND R-2 Building Permit Applioation Legal Description: -" "' . -- %�= ��'-� Tel . � ��%� S`S� Owner Name & Address: �� - ' � `' � Tel. 4 � � Contractor: � , _ � Address: LIVING 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 IMPROVEMENT Width Height Sq. Ft. - Length __. - Length _ Width __ Height Sq. Ft. - Length _ Width Hgt/Ground Sq. Ft. �_ _ �' n _ � n _ _ �— r� ✓r��%Y's�.l'��-�^-L _ Ft. Yd. Setback Side Yard Setback Corner Lot [ ] Inside Lot [ ] �,,,. Type of Construction: �-- Estimated Cost: $�� '� a C% Approx. Completion Date: /��-- Alt. A Alt B Proposed DriveWay Width If New Opening Is Desired: See Back Page for Explanation DATE: APPLICANT: Tel. # p ��,� ; � ��Fee Plan Check State Surcharge SAC Charge Park Fee SeWer Main Charge TOTAL CITY QSE ONLY $ Z2 e� Fee Schedule on Reverse Side $ �� 25°� of Building Permit Fee $ p $.50/$1,000 Valuation $ �475 per SAC Unit � Fee Determined by Engineering � s� /lgreement Necessary [ ] Not Neeessary [ ] � 6 � STIPULATIONS: �CS t �� r (� v �� 3 .. �-� U v �oo ��I.,v �v � �2 �U� BIIII.DING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permita 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 sueh permit of fees to the amount herein belo� set forth and in the manner herein provided to-xit: - Total Valuation �1.00 to �500.00 5501.00 to $2,000.00 Fees $10.00 (Minimum Fee is �15.00) $10.00 for the first �500 plus �1.50 for eaeh additional �100 or fraction thereof� to and including �2,000. $2,001.00 to $25,000.00 $32.50 for the first �2,000 plus $6.00 for each additional $1,000 or fraction thereof, to and including �25,000. $25,001.00 to $50,000.00 $170.50 for the first �25,000 plus �4.50 for each additional $1�000 or fraction thereof, to and 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 including �100,000. �100,001.00 and up �u33.00 for the first �100�000 plus $2.50 for each additional �1,000 or fraction thereof. DRIVEi�IAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Drive�ay width plus 6 feet times $13•50 Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approaeh With 6 inch depth - Drivexay xidth plus 6 feet times $15.75 VERIFICATION OF FODNDATION Permits for construction kill be issued a minimum of 24 hours from the time of application to allow for proper reviex 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 a°equ3re� before proceeding with the framing. sue�ecT PER . c�ty of Fridley 18823 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T � ; � REC . COMMUNITY DEVELOPMENT DIV. r � v � PROTECTIVE INSPECTION SEC. � 3��S l1 i � ---- A /'�'1.� CITY HALL FRIDLE� 55432 NUMBER HEV. DATE PAGE OF APPROVED BY Z � � � , 612-571-3450 910-Ft 5 3/17/87 � � J08 ADDRESS 1504 Ferndale Avenue N. E. 1 LEGAL �OT NO. BLOCK TRACT OH ADDITION SEE ATTACHED DESCR. 2 1 Herrig Addition SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE qtt� Goupas 1504 �'erndale Anenue N.E. 3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO. Dalberg Huilders Inc. 1121 � 80th Avenue N.E. 784-2720 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAII ADDRESS Z�P PHONE LICENSE NO. 8 USE OF BUILDING ' Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION O ALTERATION � REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Tnstall d�a,in tile 9 CHANOEOFUSEFROM TO STIPULATIONS SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, �PE OF CONST. OCCUPANCY (3ROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTfiUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OFi ABANDONEO FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. • NO. DWLG. UNITS OFFSTREET PARKING I HEHEBY 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 $]_ � 8OO $. 9O WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE PROV SIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- S U TION E PERFORMANCE OF CONSTRUCTION y PLAN CHECKFEE TOTALFEE r .� � __G.l $30. 40 IGNATUREOFCONiRACTORORAUTMORIZEDAGEN IDATE� WHEN PROPERLY ALIDATED THIS IS YOUR PERMIT � SiGNATUREOFOWNERtIFOWNERBUILDERI IDATEI BLDG �NSP �IAT NEW L � City oP Fridley Effective 4/1/86 ADDN. [ ] R-1 AND R-2 �T�g. [ ] Building Permit Application Construction Address: Legal Deseription: � �� ,%-'-�-' :�..�� — Tel . � _ Owner Name & Address: �— � �, � � �; a.. s�,.;�_�� _��4_�� ti�°•-,e. Tel: � 7�� Contractor Address LIVING AREA: GARAGE AREA: DECR AAEA: OTHER: %�%- �� =..�-� -� Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawa on it to saale. DESCRIPTION OF IMPaOYEMENT Length _ Width Height Sq. Ft. Length _ Width _ Height Sq. Ft. -- Length _ Width _ Hgt/Ground Sq. Ft. _ Corner Lot [] Inside Lot [] Ft. Yd. Setbaek _ Side Yard Setback �-�ti%`z✓'�9-,�° G£1-R-�� — , � �r� �� "1-� � Type of Construction: fs�'�'� �� Estimated Cost: � � � Approx. Completion Date: � `�' � � �'� � Alt. A Alt B proposed Driveway Width If New Opening Is Desired: - $ $ - See Baek Page for Explanation DATE: APPLICANT: Tel. # CITY IISE OHI.Y Permit Fee $ •v �' Fee Schedule on Reverse Side Plan Check $ ��' 25� of Building Permit Fee State Surcharge $ ��__— $•50/$1,000 Yaluation SAC Charge $ $525 Per SAC Unit Park Fee $ Fee Determined bq Engineering Sewer Main Charge -- �, � Agreement Neeessary [] Not Necessary [ 7 � - _ _- ---� �,�`_� T IILA-��ONS: _--� ____-- ' _ � L� � _ �j� � S �� 4� ' ! �� S� cr— /Q• C� G �y, X /.Sd ��tJ�b � a,.9 . BIIII.DING PERMIT FEE SCHEDULE 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 structure, upon applicatio n therefore, require the payment by the appliaant for such permit of fees to the amount herein belo� set forth and ia the manner hereia provided to-wit: Total Yaluation $1.00 to $500.00 $501.00 to $2,000.00 Fees $10.00 (Minimum Fee is $15.00) $10.00 for the first $500 plus $1.50 for each additional $100 or fraction thereof, to and including $2,000. $2,001.00 to $25,000.00 $32•50 for the first $2,000 plus $6.00 for each additional $1,000 or fraction thereof, to and including $25,000. $25�001.00 to $50,000.00 $170.50 for the first $25,000 plus $4.50 for each additional $1,000 or fraetion 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 additioaal $1,000 or fraction thereof, to and ineluding $100,000. $100,001.00 and up $�33.00 for the first $100,000 plua $2.50 for eaeh additional �1,000 or fraction thereof. DRIYEWAY DEPRESSION ESCROiI (Conerete Curb Streets Only) Alternate "A": Removal and replaeement of eurb and gutter only - Driveway width plus 6 feet times $13.50 Alternate "B": Removal and replaeement of curb and gutter and install a 3 foot wide approach with 6 ineh depth - Drive�aay width plus 6 feet times $15.75 VERIFICATION OF FOUNDATIOA Permits for construetion Will be issued a ffiinimum of 2u hours from the time of application to allow for proper review of the proposed structure and of the construetion site. A CertiPicate of Survey of the lot, shoWing the location of the foundation once it has been eonstrueted will be required before proceeding with the framing. � -- _ -� � � � p 30 �a � � w 3 � o � 3 3 a ~ `o m � � � A -a a o � � � � � �� m � ., a � � 0 C P► V � �� < �� Z <_ -� , -n c �� D T �S rn- 0 �o rn z � � n � O Z m � � � v < m t�. � � � a c cn S i � � .�.. � � m � m � a � � W �V/�I v{ � A a � � O � � N c m c, m � � � V � � �° -�� * � �. 3. ;. o � � < '� °� a c A � �' � m� c� 0 o = m -.. � °. � � ,g Q tfl _ �� t � �� a � � � � � � F 1 � � O l` ' � � O � � N � � � �� O � Z � n 3 -- �— Q � � � Y� � � �^ `� y W W •, �J � � T � ' � � � O � m — � a -� � � Z = � c� a , 3 ' � � � � Z � -� 3 _� Z � m -� � � �, �� _ �, � 2 "D � o � � � n �� N S � ,, z � —.. o m- � o` v ' � �o . i � �' � f� O A � � •n O O 3 7 � � A � L].. (n m o � 3 n' � o = 0 � � � �i 5 � i � � D L? � v � � � � � � � � � � � � m Z O. m a � � m �' 7 sn A V � � � �1 �► J. � 0 � 0 � � � V! � V/ � _� r D � � Z ,n 0 C C� � o m v �- as � � ` �O m � � _� Z O �l�p � � � � o � a �� N � � � � � r. a -n v m � c� � x W C � � I � — N O � 0 Q � V/ � V O � � � � "^'7 H � � Y � � � � m � 0 m � m� � � o � m � � m � � � � �. a� - Q- f° ? a� ° m � o o .� �' N� � � � ? o � � m � � n Q 3� � 3 � � m =. � 7 Q� .n-► .-. � � A 7 � A O � � ¢1 � A1 � � a � m � om�3 � "s-~ a n � 3 : o :- � e� �- � � n � � '� O t��n � x' p� Q ? � fl. N� � � � � a � w L O � v v � � � . r��,y ��;' a��';tv,�h ar,pr` G`,�`: p . � :,�,' as'� .:E.W�r3g�r�'�;�t -. , . , ��-c E,� _ an,. ✓ S�DGINICK HEATING & AIR CONDITIONING CO. 8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 •(612) 881-9000 HEATING �oB No. es 31 Z� TEST RECORD ADDRESS �� C��/ dCf� s� �4 �� CITY —�P i 1/`�ea OCCUPANT R�+-�b'►+6Y�Ga (31�� vv1 OWNER RliM{y1o17.c� OI� _� � SOLD BY .S -ecf c� bti : c!( INSTALLED BY _ S C�C� Gve' C�Fv � MAKE �CYI ��Y MODEL G�� C�3 — 60` I SERIAL NO. ��R-3 c� Ci �I ,�I INPUT (7 0 0 � G THERMOSTAT f'/on�P��-� 1� -�°�5��3Cj' /�- VENT SIZE �� P. �� . VALVE R c h�er f.s h u q/ TYPE OF LINER � LIMIT � eN �i o 3f' LINER SIZE � LIMIT SETTING � 6O � FILTERS: SIZE � U X a S K G�P�r��eER / FAN SETTING �� ►%t e C� O h WIRING J CC c w; r- // `t � Pr ^� �� i - PILOT TYPE � I�P�G'� �' � C TEST TAG Li IGNITION MODEL J p n/1 0,� "'" PILOT TIMING_ �- ��e�iB�i,� �Gn'� �� PRESSURE �. �i/( C PERCENT COZ 4�0 frlJ INPUT CFH �� PERCENT 02 v�G LIGHTING INST. � DATE TESTED � �a � P � 3 COMPANY TESTING S�' [� �i LPs �' C« STACK TEMP. �� Q� PERCENT CO ��C NAME OF TESTER ��' P�e G f�. vl i V� FORM 235 (REV. 11l89) FORM �ISTRIBUTION: WHITE COPY - JOB FILE VELLOW COPY - CITY � ��s�y - � . . �� / ��e,� � � ��'SII�IIJEY AND STACB VSRIFICATION The undersigned hereby verifies that the existing chimney or s�ack: . . 1. 8as been carefully examined 2�. Is free from rust or deter3oration 3. Has no foreign objects lodged withi.n 4. Is securely supported ` 5. Meets all current Code requirements for size and total BTU's connected 6. Has total heating BTU's of All other BTIT's � TOTAL BT[T' S CI, � %�•, Remarks Yes � No ( ) Yes (� No ( ) Yes � No ( ) Yes � No , ( ) Yes t�. No ( ) -� - 0 List Alterations BeincT Done: 1�� 1�� /'� _ HEATING COMPANY Signed By Date � ��'�� HEi,TI;.G � i.':; C:;'�;_.._-";::, (,). a��n ��,.�-..�„T�i ;;._. ��. sa�-s000 � v sue�ECT PERMIT NO. City of Fridley � ; AT TNE TOP OF TME TWINS g U I L D I N G P E R M I T 2 8 9 8 6 r � � RECEIPT NO. � `v _�� COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. �� _ /"'1 � CITY NALL fR10LE� SS1J2 NUMBER REV OATE PAGE OF AVCqOVED 8� �'""� � �'� 612-571-3450 910-F15 3/5/99 / / JOB ADDRESS 1504 Ferndale Avenue NE 1 LEGAL LOT N0. BLOCK TRACT OR ADDITION SEE ATTACNED DESCR. 2 1 Herri Addition SNEET 2 PROPERTY OWNER MAIL ADDRES$ ZIP PHONE Ra. Ble en 1504 Ferndale Avenue NE 572-8904 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Seal Guard S stems 9199 Central Ave NE Blaine MN 55434 717-0700 d ARCHITECT OR OESIGNER MAIL ADORESS ZIP PMONE LICENSE NO. 20093688 5 ENGINEER MAIL ADOFiESS ZIP PHONE LICENSE NO 8 USE OF BUILOING Residential 7 CIASS OF WORK O NEW ❑ AODITION ❑ ALTERATION � REPAIR p MOVE ❑ REMOVE B DESCRIBE WORK Reroof House (17 Sq) Tear-off 9 CHANOE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. SEPARA7E PERMITS ARE REOUIREO fOR ELECTRICAI, PLUMBING, HEATING, TYPE OF CONST OCCUPANCY GROUP OCCUPANCV LOAD VENTILATING Ofi Alq CONOITIONING. THIS PERMIT BECOMES NULL ANO VOID IF WORK OR CONSTRUCTION 20NING SQ. FT CU FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PEp10D OF 120 DAYS AT ANY 71ME AfTEii WOiiK IS COMMENCEO NO DWLG. UNITS OFfSTREET PARNING 1 NEREBV CERTIFY THAT I NAVE READ AND EXAMINEO TMIS APPLICATION 1 S7AlLS GARAGES ANO KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAW$ VALUATION SUR7AX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILI BE COMPLIED WITH WHE7HER SPECIFIED HEREIN Op NOT. TME GRANTING OF A PERMIT 1 094 �.54 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOIATE OR CANCEL TME pERMIT FEE SAC CMARGE PROVISIONS OF ANY OTMER STATE OR LOCAL LAW REGUTATING CON- STqUCT�ON OR THE PERFOFMANCE OF CONSTRUCTION �37. SO 1. O9 PLAN CMECK fEE TOTA� FEE License SC $5.00 $44.13 S�GNGTUAEOFCON'AACTOAOp4UTMQRIjEOAGENT IDAfE� WHEN PROPERL ALID TED TMiS iS�UR PERMIT � S�GN4TUpEO�OWNEAi�FOWNEi1BU�l0ER� iD�TE� �� NSP f�btE �_ ivcw �� °��N I l ALTER [ ] .� ConstructionAddress: � Legal Description: Owner Name & Address: 1 Contractor: Address: �-1 ��/ ��t�i�� LIVING AREA: GARAGE AREA: DECK AREA: OTHER: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT AppI.,ICATION Effective 1/1/97 �� n�°� Q`� ,-- a Tel.1��X �f (J`-J MN LICENSE #� � �/I� ��; �� Tel. f� _ � � ! ��U� Attach to this application, a Certifcate of Survey of the � lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT . . � .. �ng� Width Height Sq. Ft. Lengih wiar� Height Sq. Ft. �n8� Width HgdGround Sq. Ft. Construction Type: �� l Fstimated Cost: � — . s l� � � �(Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ � —$ DATE: `�% j I l� APPLICANT: Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge. Tel. # / � � � � �� ) CITY USE ONLY $�J% -J�� Fee Schedule Qn Reverse Side $ �� .001 of Pernut Valuation (1/lOth%) $ • $.50/$1,000 Valuation � � $ $950 per SAC Unit � '�- � C� $5.00 (State Licensed Residential Contractors) $ Ait. "A" or Alt. "B" Above $ $450.00 Conservation Plan Review $ Fee Determined by Engineering $ Agreement Necessary [ ) Not Necessary ( ) TOTAL $ �I �1 � I.3 ��.�- �� STI P U I_nTIOI�IS : ..,..�