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AF - 42037N° ..�., � �►, Village of Fridley, Minn. BUII.DING PER�7' 10 2 9 Office of INSPEGTOR OF BUII.DINGS : � ; :{ owner � �-��"` � � �? � . .�.� :- � � h a��n�t��r� Builder ' +�.f� G�%' 18 � ,.� ,,%, Frid:ey� Minn., `-- , -" � � /� LOCATION OF BUILDING NO.��f J��' � Stleet �`��.`�r a•-��',,,�'*-� ,� ��JlJ�/vl.�l� Patt Of LOt Block Addition or Sub-Divleion DESCAIP�ION OF BiJILDING ,,; Front�� .`��_ I)epth • � °�� Fteight Stories �j'�'�� Y--Manner oP Constructior �� "°� ' 1F °- ` �`o be used a�'"� F��, �`� �� `' ` f��' r;,r � To be completed Eatimated Cost Permit is hereby granted t� � to ' t� ��_,��,�;,��..a.� the building ,'-°^�=�--''.._,�- described in tlie above statement. Thfe permit is granted upon the egpresa conditfon that the person to whom ft ia granted, and his agente, employeas and worlmnen, in all the work done in, around and upon said building, or any part thereof, ehall conform in all respecte to the ordi- na,nces of Fridley, Minn., regarding the conetruction, alteration, maiaten�nce, repair and moving of buildinga withfn the city limits, and this permit may be revoked at any time upon. elola,tion of any of the provieions of said OP�IIA11C89. _ � a°� � � �� !,� �`�� =°""� � ^ ; r�'� °"�'"'�+°"c° R_ Inepector of Buildings. AGREEMENT AND SWOft1V STATEMENT In consideration of the issue and delivery to me by the Inspector of Buildings of Fridley of the above permit, I hereby agree to do the proposed work in accordance with the description above set forth and according to the provisions of the ordinances of Fridley, a.nd, being first duly aworn, I hereby sta.te and say that the facts atated by me and contained in the above permit are true as thereia stat�. Subscribed and sworn to before me at Fridley, r�e� ��; s.RRx. � D. 19- � .�: day of �.. ��,�'� � A�� . A_ ,.-. � r Minnesota,, � thia ��; . � �`'' : _ � � �; `�, � .� f �. �s�:,�..� s,�._�:..� �_ _ nr�-�, .:P; r� ,�� HOUSE HEATING TEST RECORD ADDRESS APT. FLOOit CITY SUBURB�.C��c . OCCUPANT OWNER � HEAT LOSS DATE HTG. INST. GAS C0. METER BADGE � SOLD BY INSTALLED BY Electrieal Work By Gaa Line By n t�,Ca„c�L� ' �G[ �'�' TYPE OF HEAT GA FA �HW STEAM SPACE HTR. UNIT HTR. OTHER ' GAS DESIGN CONVERSION MAKE MAKE OF BURNER Model Model Serial Mox. BTU Rating INPUT ,/ 2�1,_ .t� sj Q MAKE OF FURNACE Model CONTROLS i, THERAAOSTAT � Heat Plug �� Vent Size Valve �.a°��,��-' E, -�'�,ri�1 � KIND OF LIN SIZ '' NONE� Limit � ��,�� Droft Hood Rsgulamr �' Limit Setfing ��% o Filters Size Number Fan Setting ��1—L� Chfmney Loeation I da �� Outaide Pilot Type Chimney Construdion �� Pilot Make s2�e Pilot Model Smoke Bomb �� Wiring �`� Pilot Timing �_c� ��gL Draft � Test Tag � L.W. Cut Off � Door Pressure — Lighting Inst. � Proasure�• � Pereent CO2 �-�— Date Tested �-�� (nput CFH � � � Pereeni OZ %'• ,�v Company Testing � Stack Temp. �'�� Percent CO �' � Name of Taster , ,� G�✓� �A°�' Form 235 sue�ECr P . City of Fridley o 19650 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T ' ' R � � • � ; L _ COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. �� ' i ' � /"'1 � CITY HALL FRIDLE� 55432 NUMBER iiEV. DATE PAGE OF APPROVED BY �""'� � �'� 612-571-3450 910-F15 8/29/88 / / JOB ADDRESS 1505 Ferndale Avenue 1 LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. P't. 1 Auditor's Subdivision #92 SHEET 2 PROPERTYOWNER MAILADDRESS Z�P PHONE Greg/Barb Johnson 1505 Ferndale Avenue N.E. 571-5673 3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO. Porch Masters Inc. 38 - 104th Avenue N.W., Coon Rapids, MN 55433 757-5147 4 ARCHITECT OR DESIONER MAIL ADDRESS � ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS Z�P PHONE LICENSENO. 8 USE OF BUILDINO Residential 7 CLASS OF WORK ❑ NEW C� ADDITION ❑ ALTERATION O REPAIR ❑ MOVE ❑ REMOVE 8 OESCRIBE WORK Construct a 14' x 24' Porch Addition; a 20' x 24' Garage Addition 9 CHANOEO�USEFROM TO STIPULATIONS S�Xi�� See notations on glan. Porch can not � heated with other than wood unless structure is upgraded to meet energy code. Al1 patio doors must be ma.de to open maximum of 6" until deck is built. P �°• f '�� `�� ° � � Ld� u��.��::, i� �1� iu ;� ��S �.:tc;. ge�os�,d;�� .��1L_ S�P��aTE ��@Iill�'S RE UIRED FOR i��E��n��` � �Y ��vv� ��Q��, ��'dt��, P�t� BOR1G �ND SI RE�}�yR� GNS. SEPARATE PERMITS ARE fiEOUIRED FOR ELECTFiICAL, PLUMBING, HEATINO, TYPE OF CONST. OCCUPANCY (3ROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING S0. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 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 I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION �' STALIS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ,ORDINANCES GOVERNING THIS TYPE OF WORK WIIL BE COMPLIED $13 , 900 �6 .%�5 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTHE S TE O O ALi LAW REGULATING coN- $153.00 . S RUCTION OR THE PERFORMA CE C STRUCTION. ��1 �' PLAN CHECK FEE TOTAL FEE ° ► ' � � $159.95 IGNATU OF CONT C F OR AU ORiZED AGEN7 IDATE� �•.,� WHEN PROPEfiLY V ATED THI IS YOUR P RMIT ?' - 71 � � � u � SfGNATURE OF OWNEAIIi OWNER BUILD �A1 �DATEI BLDG INSP qATE : :� a ' :§ �s� , � �,tr± , _ � � . ��, � :�.i� ��tr,. i 3 y�� q f a 4, t ..� : °� � ':I �. � l�� 'f �� . `• ' � �- � ':'::.-� :i�Jut'i�:.�:ic "titi:=.':�,E.'*-� : � ` - f � - , � � �� 1� `J..�; -- -,_..';i; - : -.�r: � -. , "s r�ti w : � n' �, � ry�* , ;� , � �-�,.�� CER 4T01 N.E. sTH STREET I COLUMBIA HHiGHTS 58421 1 NC11[�Y CaRTI/r TMAT TNIi ANO TNAT 1 AM A OULY RCOIf MINNESOTA REGI J i' r � 'iF'ICATE OF SURVE � JAMES L. KURTH LAND SURVEYOR IVEtl. rLAN. OR RErOAT WAS VRiPARCO BV Mi OR YNpER MY p11�LC :O LAND BUAV6YOR UNOER TM6 LA1MS 01 TME BTAT� �/ MINW��9A � , nATE _� � ` ., _. -- =. -- — SCALE t ° TION NO. 5332 . o- IRON ti1 1 S.4-� _� �lo S� - f � s�. 0 };�'' �,,'"�� • c`; �, r � �`� � �S.S lo.fo N st,►St� • � P . � � j ' � c f� . � � � . � �, i� � ►a.a �IZ..B �• A �b.4 . � �z.3 , � �' I 8 � .910 . � --- __ _ I I ' . I� t . !� � 1 � . s� � A, � _ t �� 2.t�1`D Aut.,.•- ---.�—1,r`'_�� `'� • �''' So . l � n+�= l�►—c l /� .5 . s( 51 t. � �u�?v�Y UF Thr Sout►� F:alf of tl�e F��t 1!alf uf tt:r :�iErst F{�11 uf !u; I, ::��;� �-•, �ut.diri� �� .. 'sui.+i,�r �9'l. ��uc.�.d Coutity, '�i�:►:E.�ota � � . I' .�. � ' - • , . ,- - � t . . _ e : .. � . . , s . .. _. � _ .' ' ' ' _ _ . . - _ I�l [ ] A�N [ ] AL�R [ ] City of Fridley R-1 A1�ID R-2 �,; � ding Permit App7. ication EEfective 5/L88 Construction Address:__ l S�. �� .�� r�� Descriptian: � - Owner Naane & Address : _ �6�°� � � � � �. , � � ,,., � � � Tel. # S ? / �� 7.� Gbntr actor : �� tn � %��,� ��l-� �.�. Tel. # i.s�/ S / �L A�dress: .,, �� f a c�' .4 �� Attac� to thi.s appl icata.on, a Certif icate o� �rvey of the lat, �vith the groposoed construction c]ras�m on it to scale. �7FS(RIPPION OF ZN�'ROVF�� LLYIIVG ARFA: Length /� � Width � � � g�i.ght � , Stl. Ft. � c�1RAGE ARF�i: Length �v � Width .� H�i�t °f/ r� �- St!• Ft. ��'/•� DEC� 1�: Length width Hgt/Gro�a S�. It. . �a� . � ,�t . . @ ,- - ,� �� Gbrner Lot I] Inside Lot �1 Ft. Yd Sethac Sic7e Yard Setbacks �ipe of Constructiane e,,,`� SP .�s �� ,� Estimatecl Cost: S ; v,� Approx. Completian Date: �� '�,�(J 1 Al� A Alt. B Proposed Drive�vay Width If New Opening Is Desired: $ $ Width + 6' See Back Page _ — . l]ATE : APPLICANP : Tel. �,�� ^�� CLTY OSE �Y ��t � $ �� Ftee Schedule on Reverse Sicle S�� c�ar9e $ �-� � 5.50/51,000 Valuation SAC Qiarge � 5550 per SAC Unit Drfveway Eacrvw � 1�.� R�° or Alt, '� ° Above Park l�ee S �1ee Determia�cl by Engireering Sewer l�in Q�ar9e $ � Agr ent Neo�ssary [ l Not Neoessary I] � � ' 4 A� r5 �.�, S!'IPLiI.A�I�: r11�� } .O v � � � (� � �,"�-s.' � �� C� � � �rx�� . �- �-� �� s� • -� �3�� J�� 26�� f 2�.�t5 p� � e� �53, od ��:�� - ' �i�iy14 ��1 `M:I�11J The Chief Building Official shall, before issuing permits for the erection of any building or s�ructure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicarYt for such permit of fees to the amount herein below set forth ancl in the manner �rein prwided to-wit: � TOTAi� VALOE S1 to $500 5501 to $2,000 $2,001 to 525,000 525,001 to $50,000 .0 S1S (Mini,mtIIn Fee is S].5 plus surcharge ) S15 for first 5500 pl� $2 for mch additional. �100 or f raction thereof, to and inclucling S2, 000 S45 for first �2,000 plus $9 for each additional $1,000 or fractio� thereaf, to and including 525,000 5252 for f irst $25, 000 plus $6.50 for each acY]itica�a�. S1, 000 or fraction therea�, to anc7 including 550,000 550,001 to 5100,000 5414.50 for first 550,000 plus 54.50 for each additional $1,000 or fraction thereof, to ancl inclt�ing 5100,000 5100,001 to $500,000 5639.50 for first �100p000 plus $3.50 for each additional $1,000 or fraction thereof, to and including 5500,000 S500,001 to $1,000,000 52039.50 for the firs� 5500, 000 plus $3 for each addit�.onal $1,000 or fraction thereof, to and including $1,000,000 $1,000,001 a�d up $3539.50 for the first 51,000,000 plus $2 for each additional $1,000 or fraction thegeof D�V�'t� D��?�N E-_a'�Nw tConcrete Curb Streets Only) Alternate "A°: R�nwal and replavement a� curb and gutter o�ly - Driveway width plus 6 feet times 513.50. Alternate "B": R�noval anc] replaoemmer�t a� curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plbas 6 feet times �15.75. � � VII�FICA!�'TON OF �'�'T011t , Permits for construction will be issued a aainimiun of 24 �h.ours f rbm the time of application to allvw for proper review of the proposed struc��re`anc� of the .a�n��ructio*± Sl�i• � ' j 5 . ^ 5~ � '! . . A Certificate af &uvey of the lo�t, shvwing the location of the fo�mdatiori oncQ it has been wnstructed will be require� before g�rooeeding with the fr�ninc�. � . . 0 sue�ecr PERMIT . City of Fridley o 19738 AT THE TOP OF THE TWINS g U I L D i N G P E R M I T r � � R . � • COMMUNITY DEVELOPMENT DIV. � �,;_ �p��/ r � � PROTECTIVE INSPECTION SEC. 1 = � ' /"'1 � CITY HALL FRIDLE� SS43Z NUMBER REV. DATE PAGE OF APPqOVED 8� �'.---� • •'' 612-571-3450 9i0-F15 11/1/88 / / JOB ADDRESS 1505 Ferndale Avenue N. E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. P't. 1 Auditor's Subdivision ��92 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Greg Johnson 15Q5 Ferndale Avenue N.E, 571-5673 3 CONTRACTOR MAIL ADDRESS Z�P PHONE IICENSE NO. Porch Masters Inct 38 R 104th Avenue N.W., Coon Ra.pids, MN 55433 757-5146 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. 8 USE OF BUILDING Resi.dential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE % B DESCRIBE WORK Construct a 2Q� x 2QF & 6�' a 24p.De.ck 9 CHANGE OF USE FROM TO STIPULATIONS See plan for notations � �' ;,.�.� ��ui�� o� ��s.; ��`�� ,". �°: � ;y_'�-� �G_��, �� S Be�o�e diggir�g call ��.�{ u�:li�i�:s �r �� ELE�HnNE - ELECTr�4C � Cto� �tF, � � � 6.,..!' tl �-'C � �?' t�� ti �,�.a'Q o. ✓r,. yc SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PEHMIT 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 ANY TIME AFTER WOHK IS COMMENCED. � NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND.ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $3a 750 �l� 88 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING coN- 63 � OO STRUCTION OR THE PERFORMANCE OF CONSTRUCTION � • PLAN CHECKFEE TOTALFEE $64.88 SIGNATUF�EOFCONiRACTOROAAUTNORI2EDAGENT IDATEI WHEN PqOPER ALIDATED THIS IS YpUR PERMIT a=+ e c j / ! � SiGNATUREOFOWNERiIFOWNERBUiLDERi iDATEI BLDG INSP ATE I�W [] City of �idley EEfec#ive 5/L ADiDN [ ] R-1 A[�ID R-2 � �� P (bnstr�l{r1.�.on Addre�s �,;�ding Permit Application � � e i� 3� I � ` � � ( _ � Legal Descriptian: � Owr�er Naane & Adedr�s�:_��--r c �� .% Tel. �� .3 —�'� �i aDIltid(�OI 3 �( �-l��;�L—"�L� „��o TP.1. � � — AC1�ieSS L Attach ta this applic��i.on, a Cea�tificate of St�rvey of the lat, with the pr�saeri aonstrttctioa� d�aan on it to sca].e. �� . �. �• � � i. • • a i� r.rvr�: sRFa; Length Width Height GARAGE AREA: Length Width 8eight � � � �;�; � �'; ��y:��; Length - idt �� 51�. Ft. 9q. Ft. s�. �t. 4�rner Lot [] Inside Lvt [] Ft. Yd Setback Sic� Yard Setbacks � � 7.�ipe of donstruc;tian: _��P �i2 f� Estimate� Cost : 8 Approx. Completion Dat�: 3,� � �� e��/ � 3- / �'� �� Proposed Driveway Width If New Opening Is Desired: S_ �1 � Width + 6' , L�iTE : APPLICANP: (�TY OSE QiII�Y Pier�it Flee State Surcharge SAC Qzarge Driveway Escrow Park F�ee Se��er 1�1ain ��ge iV•^'• y �� .'i �, �� S C� S i� , $ S S �� c 6 T Alt. A Al� B � See Back Page ^ Tel. j J� P�ee Schedule on Reverse Sicle $.50/51,000 Valuation 5550 per SAC Onit A�.� '�i° or A1t. 'B° Abo�ve l�e Determired by Fhgir�eering Agreeae.nt Neoessary I] No� Neoessary [] � � � � �T� � � �.�� .�d � ; � _� �� ='�l �. �. ' �; v14 :�i�l :M:I�i�,IJ .. R9�e Chief Building Official shall, before issuing permits for the erection of any building or s�ructure, or for any ac7diti� to any existing building or structure, ar for any alteration or repair to any existing b�nilding or structure, upon application therefore, require the payment by the applic.ant for such permit of fees to the amount herein below set forth and in the manner herein pra�vided to�ait: TOTAL VALOE Sl to $500 5501 to $2,000 52,001 to $25,OOQ 525,001 to $50,000 550,001 to 5100,000 5100,001 to 5500,000 �� 15 (Minimtan Fee is Sl.� plus surcharge ) S15 for first 5500 plu� S2 for �ch ac�itional �100 or f raction thereof, to and including 52,000 S95 for f irst S2, 000 plus $9 for each additional S1, 000 or fraction thereof, to and including 525,000 5252 for first 525, 000 plus �6.50 for each additi�al $1, 000 or fraction thereof, to arid including �50,000 5414.50 for first 550,000 plus $4.50 for each additianal S1, 000 or fraction thereof, t� and incl.uding 5100,000 � 639.50 for f irst $100, 000 plus S3. 50 for each additional Sl, 000 or fraction thereof, to anc7 includi.ng $500,000 5500,001 to $1,000,000 $2039.50 for the first �500,000 plus S3 for each ac7ditional 51,000 or fraction thereof, to and including 51,000,000 51,000,001 a�d up 53539.50 for the first 51,000,000 plus $2 for each additional Sl, 000 or f raction thereof D�VEWAY DEpRF��?ON ES:'�? (Concrete Curb Streets Only) Alternate "A": Renoval and replaoement a� curb and gutter vnly - Driveway width p�us 6 feet times 513.50. Alternate "Bp: Renwal and replaoement a�f airb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times �15.75. I�; :� � � • � • ' ��:�J� ! : �l �)� Permits for construction will be issued a �ninim� of 24 hours f rom the time of application to allaw for proper review af the �roposed structure and of the �nstruction site. A Certif icate of �uvey of the lat, shawing th� locati� of the foimdation once it aaas been oonstructed will be required before prooeecling with the fr�ning. � , y� � M P I � ' �� d � � � A ~ � 2•� � N N A � a C. v r � � y i �. ; � `: L c � � � � T -� � �� ' T� / O : � ' - ' . - a�� . o : �s � ,-�' ; � � � a �' . ^ � � �`r �� ` � �� •1� 6 " � � �' � �• . � , � ► -►; . � ; ,, � �_-;_—__� � j� d, i ,� i s ; ,, a � , —� � � I ; ': � i � .. � ; �� _...__. _..-.__w. _ / � � , �c�., . � B• ot � ��, �.�: ic,1 � c�_ - - - -" � � - �� pt'� J • �` �� i � ,. . � . ��' � a � � �, , � s � � y �� s ' � t� 4 � Q�. , . � � ;' �� - -' — _" ".' � � l.� _..__ — � I i � � I Z � � � -a � � v, i �� y ; I . ;. _ I �o - _ ! _ �• . ". ' I �� ,�� :.�� n .:,. � �` ' :�` , � �; },S �'" � �� 5. ,� O , 4� ' i �� 4'p` r��—__ �� . � � � ; a , ' �: � ��_ � � t :' � . t �i � . � �� `; � � ,,� � - '' 1 � � ; Z • � �__ _ . �— . . �' —.,�' .. � '� O � �y i e c � � � �� SuBJECT c�ty of Fridley AT THE TOP OF THE TWINS g � I L D I N G P E R M I T � � � � ; v �__��_ COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. � _ �"'t � CITY HALL FRIDLEV 55432 NUMBER REV. DATE �""� � �'� 612-571-3450 910-F15 7/8/91 J08 ADDRESS 1505 Fernda.le Avenue NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION DESCR. P't. 1 Auditor's. Sub. #92 2 PROPEHTY OWNER MAIL ADDRESS Greg Johnson 1505 Ferndale Avenue 3 CONTRACTOR MAIL AUDRESS Sela Roo�ing & Remodeling Inc. 3233 Hennepin Ave S 4 ARCHITECT OR DESIGNER MAIL ADDRESS 5 ENGINEER 8 USE OF BUILDING Res.idential 7 CLASS OF WORK ❑ NEW 8 DESCRIBE WORK Sof�it/k'ascia MAIL ADDRESS PAGE OF � � PERMIT NO. 20921 RECEI . P� � APPROVED BY SEE ATTACHED SHEET E ZIP PHONE LICENSE NO. .s 55408 823-8046 ZIP PHONE LICENSE NO. ZIP ❑ ADDITION ❑ ALTEiiATION L� REPAIR 9 CHANOEQFUSEFROM TO STIPULATIONS SEPARATE PERMITS ARE REQUIRED fOR ELECTRICAL. PLUMBING, HEATIN(3, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZOI AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WOHK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO I HEFEBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS ypi AND Of;DINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMiT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pEl PROVISI S OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRU I N OR HE P FORMANCE OF CONSTRUCTION. PL SIGNATURE OF ONTRACTOR OR A NORIZED AGENT IDATEI �.�.,..� �De ..e .,,e,.�oo ,m nwuoa auu nFai �DATE� IING SQ. FT. DWLG. UNITS 1 STALLS UATION $2�799 IMIT FEE $54.00 �N CHECK FEE .',WHEh P pPE Y 7 � PHONE LICENSE NO. ❑ MOVE 0 REMOVE GROUP OCCUPANCYLOAD CU. FT. OfFSTREET PARKING GAFAGES SURTAX $1.40 ire SC $2,80 OTAL FEE %�58.20 �_IT'r i�F FF'IIi�E�,.t. TEL� F=�1�-��•1-1�'�::�? �uri �,�_a1 �a:1[�i hJr ,,:1i�� F'.t=��.�i_�� [J � I ] �� ( 3 I�1 At�ID R-2 pr, i 1 c�q �t Applicatian .�.: _ . _ � - , " 1 Effe�tive �,/1/91 IEgal De�cxiP'ti . c�: Owner Naane & Addz�s ;�--1 %L' � U��% 1�%�� L � 'I�el .# �.,,� _ .� , �: � �z�� ,. Attad� to this a�plicatia�ii, a Certificate of S1�v+ey di t�e lot, vith the pr�pos�d car�stt,�c.tice� dra�wn m it tcr scale. ISVIIr1G ]1RF�,: I�th � �: I�1 �� A�: Iength �: E�.t=�«: ��M ., .r .,,��<..,yi�i:r.1 Width Width Width � Heit�t Height i�t/G7v�uyd Sq. Ft. � Sc;. Ft. Sq. F`t . Oarner Itrt [] Inside Lvt [� • Ft. Yd Set�c,k Sic� Yard S�etlaac3ts �pe of c7o�zuc�ion: C�Se.e:r�., F�timatea c�ost: S o�% �Z'�7 �v c7 A�prox. Q��letiCei Date: —S�j -- — Proposc�c] ariveway wiath Zf x�w o�v.n� rs Desit�ea: F't. S S Wictth + 6� see BacJc page r�: —��'/ : a�. # z � � • �°1'X � Ct�1LY Pe.z�it Fee $ � '7. � �' Fire s.�x�ct�rge S ,� -�� 5't.�te ti1�mr,arcv� $ �, � � � SAC t�at�e $ Driv�aay E� $ Park Fee $ S�r Main C�arge $ ._ . � S��-�l��i : $ � �4e�1� �'ee S��e an �ers�e Side .001 x P�ait Vtit�tiae'► (1%lOth �3 S. �0/$1, oot� Valuatioaz $550 peaC $AC Unit Al�. "A" Gx' AIt. +�g►� Above Fee L1e+�eT�; � bY �?�r�J ��C l ��[ l e SUBJECT P€�'��- ; 9 -� City of Fridley ` F�5 4 6 2 �'' AT THE TOP OF THE TWINS g � I L D I N G P E R M I T � � S � RECEI�T_NII.-- - . � ; L �___� COMMUNITY DEVELOPMENT DIV. ^_ r � � PROTECTIVE INSPECT�ON SEC. �v �1� 1 ` � I � �"'1 � CITY HALL FHIDLE� 55432 NUMBER REV DATE PAGE OF APPROVED BY �----� � �•� 612-571-3450 910-Ft5 9/4/97 / � JOB ADDRESS 1505 Ferndale Avenue NE t LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. Pt 1 Auditor's Stib. ��92 SNEET 2 PROPERTV OWNER MAIL ADDRESS 21P PHONE Jim King 1505 Ferndale Avenue NE 571-2054 3 CONTRACTOR MAIL ADDRESS IIP PHONE LICENSE NO. Midwest Window Co 3739 Minnehaha Avenue S, Mpls., MN 721-5333 d ARCHITECT OR DESIGNER MAIL ADDRESS � ZIP PNONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. 8 USE OF BUILDING Res3:iiential 7 CLASS OF WORK O NEW O ADDITION O ALTERATION C� REPAIR O MOVE ❑ REMOVE 8 OESCRIBE WORK Replace windows; Steel Siding; Aluminum trim 8 CHAN(iE OF USE FROM TO STIPULATIONS Replacement bedroom windows must be in compliance with the State Egress Code. TYPE OF CONST. OCCUPANCV GROUP OCCUPANCV LOAD SEPARATE PERMITS ARE FiEQUIRED FOR ELECTRICAL, PLUMBIN(i. HEATING, VENTILATING OR AIH CONDIT►ONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OFi CONSTRUCTION 20NING S�. FT. CU. FT. AUTHORIZEO IS NOT COMMENCED WITHIN BO DAYS, Oii IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCEO. NO. DWLG. UNITS OFFSTREET PARKING 1 HEREBY CERTIFY TNAT 1 HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS yqLUAT10N SURTAX AND OFiDINANCES GOVERNING THIS TVPE OF WORK WILL BE COMPLIE� WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT �L3�OL8 �LL.S1 DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE ONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- @ @ TRUCTI N OR TNE PE OR NCE OF CONSTRUCTION. W337.25 Fire .SC. y�23.03 PLAN CHECK FEE TOTAI. FEE —�' License SC $5.00 $376.79 SIGNATUAEOFCONiRACTOAOA MOA�ZEDAGEN� 1DATEI WNEN PROPER ALIDATED TNIS IS YOUR PERMIT � _ _ _ � � S�GNATURE OF OWNEA i�F OWNER BUILDER� IDATEI BLD �NSp �iFTE NEW ADDN ALTER [l [l [l ' CITY OF FRIDLEY S[NGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Effective 1 / 1 /97 ConstructionAddress: � �Q � — ��/� � �� Legal Description: ��" p � Lp�/ ��, Owner Name & Address: ��J ��/� Tei. � S7�_��"e/ Contractor: ,��T �°��j`�,/� � (� MN LICENSE #��L�� Address:.� �/�� /�%�`I ,� ,� n_T_��.��,j Tel. # ��% �� LIVING AREA: GARAGE AREA: DECK AREA: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. Length Length Length DESCRIPTION OF IlV�ROVEMENT Width Heig�t Sq. Ft. Width Height Sq. Ft. Width Hgt/Ground Sq. Ft. OTHER: � �;,�� R�p!'�.x �r �o �s� �,r , °��o �',r� f>'.v� ��9,�/�,v�1' �� G r�"�S' Construction Type ��.�.�/��/�i/�%�2a��1 �<'��Estimated Cost: $ p��° �a�� Q� l� (Fee �chedule on Back) Driveway Curb C�t Width Needed: Ft. + 6 Ft = Ft x$ � _$ DATE: � — Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULA"1'IONS: $ �� ` $ �3. �� I/. S � $ ' $ S �� $ $. $ $ $ �'7�•� CI1'Y USE ONLY Fee Schedule on Reverse Side Tel. # �v�� Sr�3� .001 of Permit Valuation (1/lOth%) $.50/$1,000 Valuation $950 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 [ ) Not Necessary [ ) �, , , _ (3U(LUL�G PERM[T FEE SCHEDL'I,f; "1'lie Chief Building Official sllall, before issuing pernlits for the erection ot� any buitding or structure, �r i��r �I7}� addition to any existing buildin� or structure, or for any alteration or repair to any existing buildin� ��r struc;ture, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to-wit: TOTAL VALUE $1 to $500 $�O1 to $2,�0 $?,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,001 to $500,000 $500,001 to $1,000,000 $1,000,001 and up FEES $21 (Minimum Fee is $21 plus surcharge) $21 for first $500 plus $2.75 for each additional $100 or fraction thereof, to and including $2,000 $62.25 for first $2,000 plus $12.50 for each additional $1,000 or fraction thereof, to and including $25,000 $349. 75 for first $25, 000 plus $9. QO for each additional $1, 000 or fraction thereof, to and including $�0,000 $574.75 for first $50,000 plus $6.25 %r each additional $1,000 or fraction thereof, to and including $1Q0,000 $887.25 for first $100,00D plus $5.00 for each addition�.l $1,� or fraction thereof,.to and including $SOO,Ot� $2887.25 for the first $5�,000 pius $4.25 for each additional $1, 000 or fraction thereof, to and including $1, 000,(�0 $5012.25 for the first $1,OOO,Q00 plus $2.75 for each additional $1,OOD or fraction thereof DRIVEWAY DEPRESSION ESCROVV {Concrete C�rb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus b feet times $13.50. Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approach with 5 inch depth - Driveway width plus 6 feet times $15.75. VERIFICATION OF FOUNDATION f'ercnits for construction will be issued a minimum of 24 hours from the timc of application ta allow for prop�r rcview ot� the proposed stiucture and of the construction site. :� �:�crtificatc of Survey <�f the lot, showinR the location o� the foundation �+�ice it has it i�as }�ecn cc�nstruc:��._: �1,�, :',� r�yuirc�i h�1c�r� prc,ct:�di►i�� ith thc t�ramin�,. _ �,. _�.. � o � 3 p °' � � 0 W � a � c� � 'a N a co rn � O � � � � �' � � r� ° � � � � 0 z 0 z � m � r�n �, � � m '0 a °< �. 0 � � � . � ?1 � m � rn � m � v n � 0 z m m � 0 � x 0 � � X O � a m r � � m s � � � � � � �1 � � G 3 �' � � 3 0 � < � �' � �� gg o � 3 0 3 � �o � � � C 5 u� a o � � � �° � � � N aN G A N � � a m N d f�/ o� � o�+a' � � � ' a � W o m _.a�, aa�a � °—' 3 � ° � N• � � �� a� �; � � � � o d rn -� a Q o a v °' � � m � � 3 � r' � o m �. � c� n m � � o m � � � � m � � 7 3 � o D \ m � � � � � � � �. � n �; � .o � �tn�o 0 � O � � -� o � N � OR � � O m � n�, � o � �� 0 o � � W cn m o v °, � �, � � W rn � a m Z � m xl v � � � o � � � N � v � � a � � � o+a � � � N � o� � m � 01 � v v a3a z � c d � v � � m � m � 0 3 � � � � � � � 3 � m � �. Q c ° v � $ o � W � � � � � � � � � o 0 0 ,cwi� °o g c4i � °o �, �► � l/�1 � c°°�� m �c a -°* m = z� � �. l3D OR � � � � A �' = o � -� rn � � � � � o � � _ a o r« m � � @ � o � � � � v � � � � 3 � v O � -o m z 3 � z 0 � t� x O � r I� � � � � C W � `� v c v O. / �� n a � � N � � Z � '�1'1 � �� v � � z rn � � � C � r �' v � z � � � m � �:� O z � � _ -mn '-°v � r 61 � � � Z O � vo a� � m �o � 0 Z � � oa zz �v _ � (�/� 'i � Z m � � C7 Z O O Z v� G C rn m � � � Z � � � - I 1 �c�v I, <� c� � � N � FILL IN COMPLETELY FOR REPLACEMENT FUEL BURNING APPLIANCE PERMITS COMMON VENT. VENT CONNEC30R AND COMBUSTION AIR VERIFICATION When realacinst an existins� furnace, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes () No () The venting system is plastic/PVC and meets ail current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes () No () The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA GAMA Category I Central Fumace Venting Tabies for fan assisted and natural draft appliances. The existins� combustion air is sized and installed to meet the cuRent codes and manufacturers specifications. When required to install a new combustion air, it will be sized and installed to meet tiie curren� codes and manufacturer's specifications. WP►en ��s�l� � n�r v��tYna sw�tem, tt� und�r�igned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Fumace Venting Tables for fan assisted and natural draft appliances. Is the common vent and vent connectors sized and ins�alled correctly after an appliance has been removed ftom the common vent and vented separately as per current codes. Yes ( ) No ( ) Yes ( ) No ( ) Yes ( ) No ( ) Yes ( ) No ( ) Yes ( ) No ( ) Appliance Tvae and Size/Common Vent and Vent Connector Information Appliance #1 Type BTU Input Fan Assisted or Nat Appliance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances � Total Btu Input Common Vent Type Vent Height Diameter inches Appliance #1 Vent Connector Height ft Length ft Diameter in Type Appliance #2 Vent Connector Height ft Length ft Diameter �_in Type Appliance #3 Vent Connector Height ft Length ft Diameter `. ::in Type ALTERATIONS: (Describel HEATING CO: Signed By: Date : � �-i��.��- ��.�C�ig, specho�s ;3-�72-36Q4 �.S APPLICAt�17' IS: TEN.ANT SUBMTT A COPY OF 'OVR STAT£ LIC�NSE WTI'fi APPI.ICA'Y7UN QF �� CITY QF FRIBL�f �'i��1i��r _ k�enaait No.: �'s��" �N � �+ S�F+l�i�� Y.Y�� Rec�ived By. � ��Y n��: � �-��' CI'�'X� �`i� Fi� YUUR.E-MAIL A�A�� ■ . •.i.��:'•`�e��r.�=+l �,• r+n.mn: ... - - Al�ss• CITY STAi� ZJP PH�E- � /• STAT£ LIC�B ��S�:L_.--- � DATE _. � ■ : � y i:, � r.ti� ><.� .. i �:�i * i��Y >ES,CRI$E WORK BEINCt7 ra� �� • ��'„ � /A � ■ - �.va� iy r. �xIVG 3 �uy1 ] Afu►nimuoon 7 0@�er „�.�, � N F.3QS'��1C+� �GS �Yffi @to �R PURNEW OP�11iNt9S-D�� S1T� O� �P£NINC� � &_ - - -- - _ .__ � ;� �.'-. „ ..--� , ■ f la- Ft. HOUSS OI�iE.Y c.e��►rr oz-n�rnrua.n�f� SL1BIVdT: ❑ HOUS£ 8c GAR,A.f� °••"•••�••• - 1. fia�d�S � �° 0 ATTACf3EA CrARAGE 2 Pfa� So� P� D DE�AC� GARAGE 3. Li�E af s�rncOn'a1 m�ba's to bc t� FORl�W CONS'k'�tUCTIQN IIdCLUDIAtG D��, D Trim 1 aod F�Po� P�J� �� ❑ Fascis �. irw s�s Of oP� P� 3. Eaa"gY � LOCATlC3N 4F wII�IDC)w5 AF.E BAS�:� Ol�i VALUA"�'�v.tv, u�ta.��+x+��v �� •,•,� �--- {1JSII�iG'i'� 1997 U.$.0 FET SC�"D�JI+�i u Permit �ea Plan 1%view Su,°charpe �ue Surc�azge License Suaoharga SAC Charge Curb �ut Eactow Frosiom Controt Fark F� Sewer N1ain Cba*ge ��..n.... �. - - — - � See Sack Page far �� S�h�dt�e � 65% of Suild'mg Penutitt �'ce $ (-000� i�es the total job valuation — M�imum $.50 $ 3 . .002 x Permit Valt�iaa (1/20%) $ � ._r� $5.44 (S`t� Lfcensed Re.sideniial Comtractors) � �1450 per SAC � ip� ta MGVCC far det�i�nation) $ ft+68°,..---ftx�20=� $ $4�0 Csnaservadan Plsoa Revfew $ �'ee bete�med bY EnB�'�g � Agre�ment mecessatyr ( ) N'on NecessarY ( ) c �� t Make checks payabas bo: '� of �'��Y _ Atta+ �� ---- THlS IS AN A1�PLICATION FOR A PER'Mi[' NOT VAL.II7 UI�TII-PROG655bD t hereby aPP�Y �'or a bwTd"nng penmit aad I acknowle�ge t�at �e iaformation above is wmplete aad a� � the werk will be m conforme� wfth t6e o�cd�uemc� and codes af the City af Fridley avd with the M.umnesota Gons�uctioa Codes; shat I und�aad this is not a gernait but �niy an agplica�on tbx a permit and werk is not to ssart witSzout a per�n�� tha 'the work will be in accordanae with tfi�e agproved plan in f�e cas� of all �wzk w� � r�e.,v�,y�.and apgroval of p�ans- _ oY . �.� �/�� / o � �.,, ;�,�' ne� .� �3/�f SIGNAT{JRE OF APP�.iCANP