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X � I b �, a . . . � - _ . ,� � .� l'' . � � �' � •,��r� �k , 1��- `�i�.. � - �, f" �':��f �� . �� .- - J `,., � > �_�`= `�,� . _. . �G � y� � r 1t � �� _ _ � . • - _ _ . _.. �` .� '1.f ' `� t- •_��' . �E 2" �-�fex,YQda � "`� : �� . - tG�� ` . � -. ��=;� � } F�� ? � �� gc� ��u�cin�an �� E;rs `��r��'��: � � ��'�'�+ iR.� W S1_a;�l� _,�,�4 -�� @�"B�'"�� _,;� ;;,,_� `� i� `�f�fC�E1�3�fG�"" � ' � ,� �'';: �� I�d 4. .��. �:. . � \'��_ss.... . 1 __ M. ._ _ � xl� ' - ,�-`-�-�=�—'--_� ` �. � �` �� ' �€� >�' . ' . � � � - �. , � � �'� �' '�sz-`� . '� s ' t�-}'� � �� `— . , ,� . ��,;�� ; F '� „� �p �� 6' A • f�� _ _ � ' �� t �r � 1 :: y _. _ � ;� , . `�r�s r� � , �. __ ; . ,� , ,. f � %�/ _ : �fOh � ��'�,b�vo� � �( / L � � City of Fridley, inn BUILDING PERMIT N� s874 � Date: / � `� '�' +� � Owaer: �:��--�� e�„� Buflder Adaress A S1ock T��/—_ Addition or Sub-Division �j�— �" �' � I.ot �� Setback .��'� — Sideyar .%�' � ��' � Foundation IIevation �—�-� � - � f - �- DESCRIPTION OF BUILDING To v . � FYont Depth �r� Height � Sq. Ft. �t!�:��c C�. De th � J �fT t . F't. ►�� Cu. F't � � Front P %��f�/I � � � -i�f-�` ' ��IIs Zj►pe o Construction Es� Co�t �s ��'"`"�`o be Completed In conaiderat3on oP the issuance to me of a permit to construct the buiiding described above I agree to do th� proposed work in accordance with the description above set forth and in compliance with a�l pro�visione of or�inances oP the dty of Fridley. � � In consideraiion of the payment of a fee of S.�L.- , permit fa hereby granted to to c:onstruct the building or addi�ion as described above. This permit is granted upon the express condition that the person to whom it is granted and Yua agents, empioyees and worl�en, in all work dane in, around and upon said building, or any part thereof, shall conPorm in all respects to the ordinanc� oE Fridley, Minnesota regardizg location, constructio�, alteration, maiatenance, repair and moving oP bufldinga within the dty ]imits aad thia permit may be revoked at any time upon viola.tio�► of any of the provisions of said ordiII&IICe& ,�'''� _ �t _ . Buildin8 Inapector NOTICE: • T6b pem�M do�s nof eowr ths eoe�rucHoe, ieutalladoe M� r�rietea. Plum6te8, gn 6aNee, savu e� wN�r. B� sun to su fh� Bnildie8 Imp�e�ee for ap�rab p�rmhs Po� t6� tt�ms. - ��' � � - . -� = - " . ;., — ,�!�� _ e_ ► s _i � . � � AI�P°LICATIQN FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWN�It' S rf�►��°� � BUILDER � �' ry. ADDRESS � ADDRESS � S% /� �` ��° LOCATION OF BtTII�DIATG �o. � e�� Stre.et �� 1��g� .Part of Lot Lat �_Block. Addition or Subd3vision ��, � / � �-�� Corn.er Lot Inaide Lot _ Setback .�"� Side-Yard '� •— /� SEWElt ELEVATION ,0 5"�r ��' P8�9N ELEVATION ��,� F�� Applicant aetach to thia form Two Certi,ficates of Survey of Lot and proposed build- ing location dra�an on these Certificatee. DESCRIPTIOIQ OF 8U]�,DING To be used as : Front �� Depth � Height � Sq. Ft . �''%��J' . Cu . Ft . FronC Depth Heigl�t Sq. Ft. Cu. Ft. � � �� Type of ConsCruction ,sri_�� Estimated Cost �� _ To be Completed �`� The unde�signed hereby makes application for a peratit for the work herein apec�fied, agreeing to do all work in strict accordance with the Citq of Fridley Ordinances an� rulings of the Department of Buildings, and hereby declar�s that all Che facte a!�d representations atated in this application are true and correct. IDA�"E q�,�. �� SIGNATLTRE I` (�chedule of Fee Costs can be found on the Beverse Side). /"'"� � � - ._ BtIILDING PEIiN1IT FEE S(�EDiTt,E Section 2. The Inspector of 8u31dinge shaii, before i�suiag any per8ul.t fnr �he erece3.on of any �uilding or structure, or for any addition to any exise- ing buildfng or strucCure, or for any alterations or repairs Co any e�ia�ing bu3.lding or s�ructure, upon application therefor, require the payment by the applicant for auch p�rmitt of feee to the amount herein below set iorth �nd in the manner herein pravided to-wit: Z.1. For aay such permit for the esection o.f anq fire-p�oof building, othes than a garage� warehouse, factory or grain elevator, or fos the erectioa of any fire-proof addition, for similar occupancy, to any enieting buildiag shall be at the rate of $i.40 for each one thoueand cubic feet, or fraction �hereof, in such cubical ceatenta. 2.2. For aay such permit for �he erection of any fire-proof garage, warehousea f�ctory or graia elevator, or for the erection of any fire-proaf ac�dition, �os similar occupaacy, to any exiating building shall he at the r�te of $1.25 for each one tl�ousand cubic feet, claeaified as 01fireproof" by Section 502 of the Minneapolie Buildiag Code. HOUSES 2.3. For any such perm3t for the erection of anq non-.firepsoof b�aildiag other than a garage,,warehouse, factorq or �rain elevator, or any aon-fireproof additioa, for sim�.lar occupancq, to any euisting building - permit $1.00 fox each one thoueand cubic feet. GARACES 2.[}. For any such permit for the erection of any non-fireproof garage, warehouse, factory or grain elevator, or-for ehe erection of anq non-fise�r�f add�t��s, for s3milar occupancy, to any existing buildiag or for each auch v�i.id3ng or addit�on - niaety centa (�0.90) for each oae tbousand cul�ic feet or fracCion thereof, ia the cubicai contenta thereof with a mini�aum of $4.Q0. For the purpose of computiag fees for building perm�tts, the cubical costtents of aay buildiag or addition to a uni,form height throughout by multiplying the ground area covesed from a point six Q6) inches beiow the floos line of t1�e basemeat or cellar to the average height of the upper surface or to the average height of the roof �urface of the main gable of a pitched roof. 2.5. For repairs or alterat3ons to an existiag structure, the fee aha11 be aC the rate of $3.00 per each Five Hundred Dollase ($500.00) or fraction thereof in the cosC of a11 pro�used work. 2.6. In no case shall the fee_chargAd fnr ans p�rm,tt as eet forth ia Sectian 2 be lesa rhan $4.00. � _ . . ^ �-� �-°'_'1 h __� � � _ _. - . �-. .-�. 1 r -� 77Q8 Lakeland Ave. (Broaklyn Park), P. O. Osseo, Minn. CASWELL ENGINEERIHt': Registered Professional Engineers and land Surveyors �-� =' CERTIFICATE 4F SURVEY � Scale �� `�o� � .nQ.�nO t��S �ro , 7 C �1. For N AZ ♦ 0�1 P►`. TC' V►�1t�as,Z..�•1�. i �...o� 4, 3�0�� s.. ° � A�,Ci�', S.. . Z e� c� � h`C� �'[' � O �..1 P �NoK 1� �OuNT� � ��J�• � _.. _ ._ _. ro.��nwo�C. G o.S�ma.r�T O ' _ �' � c�,a� ��r�, t��. Ph�ae�e FiA. 5-771i i hereby certify that this is a true a�d correct representation of a survey of the boundaries of the lar.d �escribe� aba��e. If does not p�rport to show improvements or. encroachments, if any As surveyed by me ihia__ __ ._�f� ____.�uy ot __ 0��.6�/-------------, �9��. CASWEII ENGINEERING C�r. .y'r, y .= v� �, b f'_� . Y , :. �i ' s�a '�tration No._��t^ y ��' File No._ Z441_'Z Book---,- --_ Pa9e -.--. --- �1 N.1d � � .,, ,. :.p-- ' �'+�,� A SUBJECT P City of Fridley 1269 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T • , � COMMUNITY DEYELOPMENT DIV. CEIPT NO. ; ; ,: ------. `� :3 � � 1 r � � PROTECTIVE INSPECTION SEC. 1 . � i--_. A ��;', CITY HALL FRIDLEV 55432 NUMBER REV. DATE PAGE OF APPROVED BY L J � 612-5803450 910-F15 8/30/74 � � JOB ADDRESS 1561 Ferndale 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. ], 1 �� Shady Oak Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Maurice Ewy 156]. Ferndale 3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 US� OF BUILDING Residential 7 CLASS OF WORK ❑ NEW [� ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 OESCRIBE WORK Construct an addition to dwelling 9 CHANGE OF USE FROM TO STIPULATIONS SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. WOOCI COIICl^e e THIS PERMIT 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 I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 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 �`�.� ZSO � .63 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- STRUCTION OR THE PERFORMANC :-OF CO STRUCTION. � $`g.00 PLAN CHECK FEE TOTAL FEE �, � �` 'r . 63 ,.. SIGNATUREOFCONTRACTORORAUTHORIZEDAG (DATEI EN B'OPERLY VALIDAT {Y. HI$rIS YOU�PERMIT t � "� ; ��-`� � _ �� ' `� i SIGNATUREOFOWNERIIFOWNERBUILDERI IDATE) BLDG INSP qATE ` AP.pLICATION FOR RESIDENTIAL, ALTERt1TI0N, OR AllllITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA QWNER' S NAME : r�p,� � BUII,DER:_,�� DDRESS• ADDRESS• N0: STRE�T• LOT: BLOCK: ADDITION: � CORNE� LOT: INSIDE LQT: SETBACK: SIDEYARD: F Applicant attach to this form 'ifiao Certificates of Survey of Lot and pxoposed bu�.lding location drawn on these Certificates. Ta Be Usecl As : DESCRIPTION OF BUILDING Front: Depth: Height: Squaxe Eeet: Cubic Feet: Front: Depth: Height: Square Feet; Cubic Feet; �►pe o� Construction: `_i�,c�+�� it�sr�? Estima.ted Cost: $ /� „'SG � To Be Completed: ��it�_ �9 7�' The undersigned hereby makes applicativn for a permi� for the work herein specified, agreeing to do all work in siiict accordance with the City of Fridley Oxdinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application axe true and correct. DATE: SIGNATURE• , (S�ee Reverse Side For Additional Information.) '`� �� —M� , %h' � `�=._ � �� —�� a "`. � .� � � 9 � . Y',,.. . r L � . � "" I ' �..,�. •✓= ' - � _ s¢` s / �BUILDING PERMIT FEE SCHEDULE SECTION 2. The Inspect�r of Buildings 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 repairs to any existing building or structure, 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; U1V�F03iM BUILDING CODE: �pe 1, 2& 4-$2.15 for each one thousand cubic feet, or fraction thereof, in such cubical contents. �ype 3& 5-$1.85 for each one thousand cubic feet. � ADDITIONAL INFORMATION F For the purpose of computing fees for building permits, the cubical contents of any building or addi�ion, is determined Uy multiplying the ground area covered from a point si� (6) inches oelow tlie floor line of the basement ox the cellar to the average heights of the upper surface or �o the average.• height of the roof surface of the main gable of a pitched roof. For repaixs or alterations to an exis�ing structure, the fee shall be at the rate of $3.00 per each five hundred dollars ($500.00) or fraction thereof in the cost of all propos�d woxk. Tn no case shall the fee charged for any permit as set forth in Seetion 2 be less than $5.00. � VERIFICATION OF FOUNDATION NOTE: Permits for construction will be issued a minimum of 24 hours from the time of application, to allow.for proper review of the proposed structure arcd of the construction site. A Certified Survey of the lot, show3ng the location of the foundation, once it has been cflnstructed, will be required before proceeding with the framing. CERTIFICATE OF OCCUPANCY Application for a Certiiicate of Occupancy shall be made ten (10) days prior to the use or occupancy of any structure for which a building permit has been issued; and said strucCure shall no� be used or occup3.ed until a Cextificate of� Occupancy has been issued. . ., , 2 _ _ y y SUBJECT � 143 Cit of Fridle AT THE TOP OF THE TWINS g U I L D I N G P E M I T • r � � RECEIPT NO � ; L __�� COMMUNITY DEVELOPMENT DIV. � PROTECTIVE INSPECTION SEC. � � 1 = � l_-_.� � ��h'� CITY HALL FRIDLE� 55432 NUMBER HEV. DATE PAGE OF APPROVED BY � 612-5803450 910-F15 9/30/77 � � JOB ADDRESS 1561 Ferndale Avenue N. E. t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. �- 1 Shady Oak Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Gary M. Doty 1561 Ferndale Avenue N.E. 571-3273 3 CONTRACTOR MAIL ADDRESS ZIP • PHONE LICENSE NO. 5ame 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. 6 USE OF BUILDING Residential 7 CLASS OF WORK C� NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 24' x 22' Garage 9 CHANGE OF USE FROM TO STIPULATIONS ��g Close off existing garage door, on attached garage, by November 30, 1977. Provide hard surface driveway. SEPERATE PERMITS RE(�UIRED FQi� �IRIL��o Be W�R�� fore d�g�rng cail loca1 utflitfes HEATIiVG, PLU�i�lNG �IiVO SIC�lVS. TELEPHONE - ELECTRIC - GAS Etc. R��P�� BY LAW SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. WOOCl Fi31C12 THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTAUCTION 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 R-1 S28 SZSO ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I 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 53►822 f°s��O yS�-.9�. '� I.00D 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- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. � S21•�-2 "� ��•�� PLAN CHECK FEE TOTAL FEE � �a��j � �.� SiGNnT OFCONTRAC70RORAUTHORiZED NT WHEN PROP RLY VALIDATED THIS IS YOUR PERMIT /° � � — GNA R OF OW IF OWNER BUILDE 1�.L BLOG INSP pATE • CITY OF FttIULEY � ' APPLICATION FOR RESIDENTIAL BUILDING PERt�1ITS � � �NEW, ALTERATIONS, ADDITIDNS, OR RE.PAIRS) � . ' • OWfJSR: � `�/ �/� � BUILD�R: 5�� • , Address : �/S ��,vl,�/!/b�l� Uo ��'_ Address : �� Tel. No. 5 �/�—�o?� � No. :_ �,�� Street: i,r��,�4� ,o �yf �aC _ LOT: � BIACY.: �_ ADDITIpN :�f,/��j � d� f�� -� CORNER LOT: INSIDE IAT: SLTBACK: SIDEYARDS: Applicant attach "to this form �ao Certificates of Survey of Lot and proposed building location drawn on these Certificates. To Be Used As: DESCRIPTION OF BUILDING �,��;�.�` Front: o�� ' Depth: �a' �^ Height: �� Square Feet: � Cubic Feet: �� (J Front: -�-�-- Depth: �ieight: G�� q Square Feet: Cubic Feet: Type of Construction: Woo,� �-�g��° Estimated Cost: $ 3i� Z�� /� Zb Be Completed: ��`� • o�� -F � � aa d� � v Alt. A Alt. B Proposed Driveway Widt� If New Opening Is Desired $ $ (SEE REVERSE SIDE OF SHEET) � The undersigned hereby makes application for a permit for the work herein specified- agreei.ng to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby � declares that all the.facts and representations.stated in this application z��r �e true and correct.. See reverse side for additional in�ormation. C'7 /z�oG n��: � � sic�T�: '� �' �. q / • � . o� Stipulations: ° � � �.�. �� . � � �cy �� d,� � �� G,,,��'�� `� �v�r''� ,/I ��, o?, ��:��i '� � . , � • 3. -� i s s�� . . - ,r _� _ ��x.��+C' 3 3./ � . �9�'� _-' 9 / 3!. 3 f�' � 1, i Z ��c� / 9/ -�-�� 3• � � - ---�- • BUiLDI1�G PERt�IIT FEt SCHEDULE SECTION 2. The Inspector of Bui�dings shall, before issuing permi.ts for the erection of any building or structure, or for any addition to any existing b.uilding or structure, � or for any alteration or repairs to any existing liuilding. or structure, upon application therefore, require the payment by the appZicant for such permit of fees to the amount herein below set forth and in t3ie manner herein�provided to-wit: ' � NEW�CONSTRUCTION: Single FaIItily Homes and Garages: $4.00/1,000 cubic feet. PLAN CHECK: 25 percent of building permit fee. DRIVEWAY DEPRESSION: (Concrete Curb Streets Only) Alternate A: Removal and replacement of concrete curb and gutter onlya Driveway width plus 6�eet x$11.75 Alternate B: Removal and replacement of concrete curb and gutter and install a 3'foot wide approach with 6 inch depth; Driveway width plus 6 feet x$15.40 . �� , �� For the purpose of computing fees for building permits, the cubical contents of any building or addition, is determined by multiplying the ground area covered from a point six (6) inches below the floor line of the basement or the cellar to the average heights of the upper surface or to the average height of the roof surface of the nain gable of a pitched roof . For repai.rs or alterations to an existing structure, the fee shall be at the rate of $3.00 �ier each five hundred dollars ($500.00) or fraction thereof in the cost of all proposed work. In no case shall the fee charged for any permit as set forth in Section 2 be less than $7.50 plus $.50 state surcharge. VERIFICATION OF FOUNDATION NOTE: Permits for construction 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. A Certificate of Survey of the lot, showing the location of the foundation once it has .been constructed will be rern,ired before proceedir.g with the frami.ng. C�RTIFICATE OF OCCUPANCY Application for a Certificate of Occupancy shall be made ten (10) days prior to the use or occupancy of any structure for which a building permit has been issued; and sai.d structure shall not be used or occupied until a Certificate of Occupancy has been issued. ��a.� r i,�.�r ,S �,��' - � C,� crJO�� r� s?ea � r��' �`�"� . � � � S /.�� 3' !'��°'�a°� Ti�/.�s3 ,�'c� or� �. `� �' �� T � ' i, � � p� G ,�,'w � o�, ,�''O � �' • �, FE�T `�ZeiEi,f.S ��vE � ��5�•;✓9�,e . �o � 6 C , s � � ,�'�ti�'�'��. � � : . ,� �� - i, ;. , ;- ;' . !, � � _. �I ii {i �� p� . �I j li i� � `. f� �1 � �� _ r �1i 3°t°i�'�� g� ,��. ��t. ,�'�'' '� : � �� e ►�c��.i► �• i' �'��1� _ � �' - t�-q��U �� , � s�' l,� ;,� � �� - �� aoc� .�'' ,�,;N�' '� �.: r, �` : �� 4,rta G'�!� i �,, _ . ( � y�.� v ��°`� �c°.� ` y� e �� ` � ° � °'h,��!"� �� °r �� `` ��p C �'� �� . �� c 1 �14LL FC7� A� � � ��P�E:�T�1�0(VI��a �inai ln�[�eCt��r�� fi ��hi l�r� es� ;�e�quired ptti�r'�� 6�u!'� `�' �u�diln�. e(C��+„ � �}�� f � @ P��" 7� V � ( �� / i� ��' 1 � �0�(� �s 1 M --- -__ .-^�} '; f � � z, . 1+ i �� '` '�� r_.____--_-- �-- , __ \'� ,1 ',` S Y v , � �'' 1:' ___. . � • j"' - - ' _ . - . 1 i. — � _ _. _ . +,,; � �,,_p (. . . _. , /, � . � � �� .;�, ,,� , a l � �. f ' a ;;': �.- il� � p1; ' :� msi;��',t# �y ��t• � � ,. i �-_:__...��_— — - - ---.... � . ' ' � �� , ,�� a� ._st��. ` • y� • , � 1 ,y _i . ., \� � .• 1 ,, �� , i � ° £NERGY CONSERVATION SIIPPLEMENT TO BUILDING PERMIT APPLICATiON • pLANNING AND INSPECTION DEPARTMENT CITY OF FRIDLEY, MINNESO�A This supplement is provided to assist the applicant in computing EXTERIOR EIWELOPE AVERAGE "�i" FACTOR INF'ORMATION. This information is required so the BUILDTNG OFFICIAL can determine that submitted plans c�ply with the ENERGY CONSERVATION DESIGN CRIT�RIA of the STATE BUILDING CODE (Section 6000). It is the APPLICANT'5 responsibility to ac�curately compute the data; reflect the proper DESIGN CRIT�RIA in the plans; submit product specifications, if needed to snpport the "R" and "U" factors used; and to assure construction is per approved plans. . JE)B LOCATION: OWNER/CONTRACT An�xESS : �� pao�: � �' ° � �' � � R. Determine the Tatal Expased 6Va11 Area as follows: 1. . Z. 3. 4. 5. 6. 7. Total wall window area • Tatal door area Total sliding glass door area Total fizeplace wall area Total wall framing area(average.l0%) Total net wall area above floor(average 90�) Total rim joist area Subtotal: Total exposed wall area above floor 8. Total foundation window area 9�. �btal net foundation area above grade Subto�al: Total exposed toundation area GRAND TOTAL EXPOSED WALL AREA � ! a �,_ � � . P��i ��,�� aN�'r,eE'"g "�!��'` � t� k' G,� G �'�. ,�„�<�,6 i�-°.i /��l sra�� Lc �t� �� 'f�' G � `� � � � � �,$�" �/4��^!� � �,,y� � �- 1�,� .TF°� A� S. Aiultiply the GRAND TOTAL EXPOSE� WALL AREA X.17 — C. Dete�mi.ne the Total Expased Roaf/Ceiling Ax�ea as follows: v 10. Total skylight area 11. Total raof/ceiling framing area (l0a) 12. Total net insulated roof/ceiling area GRAND TOTAL EXPOSED RQOF/CEILING AREA � D. Mu�.tiply the GRAND TO`FAL EXPOSED ROOF/CEILING AREA X.OS = �� Z� b �Da Zo /! 9� � K ,�? � Item I � � � � Item II 4 E. Determine the "U" value of each segment (1-9) and multiply by the area as _ �ollows: 1. �r3 g ��U�� _ ��' T � 2. �� X nU�� _ �d 3 . `( p g ��U�� _ �2. 4. X "U" _ 5. �� g��U�� .�� = 7` Q Z� 6. % , X .�U�� ,7 = ,��. � Z m 7. X ��U° �-„� _ 8. x °U° ,- 9. X ��U�� _ � ADD 1- 9 FOR TOTAL WALL SEGMENTS ' _ , ITEM III ��• I F. �teanine the "U" value of each segment (10-12) and multiply by the area as • fo7.lows : 10. X "U" Il. X "U" 12. X "U" ADD 10-12 FOR TOTAL ROOF/CEILING SEGN�NTS = ITEM I�l G. If Item III is the same as, or less than Item I, you have met the intent of State Building Code 6006 (c) 2. H. If Item IV is the same as, or less than Iteln II, you have met the intent of State Building Code 6006 (c) 1. I. Add I�em I + Item II = J. Add Item III + Stem IV = K. If the sum of Items III and IV are less than Items I and II, you have met the intent of the Code for t+otal envelope system. The undersigned, as applicant for a lsuilding permit, hereby affirms the above information has been vrepared and submitted by hi.mself or under his direction, hereby acknowledges the information to be correct and accurate; and hereby presents the information with required plans in support of the building permit application. BY = � � � IIP,TE : sue�ecT PE NO. City of Fridley ° 16 4 5 2� ' ` AT THE TOP OF THE TWINS g U I L D I N G P E R M I T RECEIP . r � `y ______ COMMUNITY DEVELOPMENT DIV. r j � PROTECTIVE INSPECTION SEC. �%� 3� � ` i �/ � /��1 � CITY HALL FRIDLEV 55432 NUMBER REV. DATE PAGE OF APPqOVED BY �'""�� 612-571-3450 910-F15 11/2/81 � / JOB ADDRESS 1561 Ferndale Avenue N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED oesca. 1 1 Shady Oak Manor SHEET 2 PROPERTYOWNER MAILADDRESS 21P PHONE Gary �ty 1561 Ferndale Avenue N.E. 571-3273 3 CONTRACTOR MAILADDRESS ZIP pHONE LICENSENO. Sta.r Contractors 6960 Madi,son Avenue W. Golden Valle 542-1100 4 ARCHITECTORDESIGNER MAILADDRESS ZIP PHONE LICENSENO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE O REMOVE % 8 DESCRIBE WORK Construct a 20' x 16' Additi n to Dwelli 9 CHANGEOFUSEFROM TO STIPULATIONS � �� Before digg��g call iocal u►+l;�ie� TE{:EpHONE - ELECTRIC - G�S f� REC�I��E� �� SEPERATE PERi�ITS REQUIRED �OR t,��R��+�p ��ATI�I�, PLIJI�li�lPl1�, Ad11D SiG(1��i. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. WOOCZ Fr�l@ THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. 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 32O ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTAEET PARKING I 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 OH NOT. THE GRANTING OF A PERMIT $�-O� %OO �`S.3S DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PqOVISIONS OF ANY OTH ATE OR LOCAL LAW REGULATING CON- STRUCT OR T PERF RM CE OF C S UCTION. $86. 5O NOL�IE � PLAN CHECKFEE TOTALFEE � 1 3 � � $21.63 $1].3.48 SIGNATUREO CONTRACTORORAUTMORI2EDAGENT ID TEI ` � yyHEN PR, ERLY V IDAT D THIS IS YOUR PERMIT � ' �N �s � SIGNATURE OF OWNERIIF OWNER BUILDERI IDATEI BLDG iNSP fiPTE CITY OF FRIDLCY Effective Aug. 1, 1981 APPLICR7I�;�! FOf; RCSIDCidTIAL I3UILDIi�G PEftt�iITS �f�e», Alter�tions, Additions, or Repairs) .� Utlt�ER: � �� c � � l3UI LDER : ��r�� c�� r�.� �� ADDRESS: _ f.S�.(,/ � o��l�-� �v� �,�� RODRCSS: ��G � � . � . C�- TEL N0: _S`�/ �— 3eZ�r� TEL PdO: �� •� �/�y � %d �o Construction Location • ST7tI�T NO: STItEET: LOT: � BLOQC: _�_ ADDITION: ,��.li� �� L�'//Ce.gQ/�_ Corner Lot: Inside Lot: �_ SetbacY.: Sideyards: Ap�licant attach to tliis form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTIOid OF C�tJSTP.UCTION /��(' ��°�° �' _ Front: ��c� Depth: �� Height: Squane. �'eets^�� C�ibic Feet: . Front: Depth: Heiglit: Squar.e� Feet: Cubic I'eet: �20 �c 3'3. �E3 � �d, (.47.Ga �.... IC�,7oc � � IO, %po .do v �� Ty,pe of Cor,struction: �r�So�t ��'y d�j�c�rH eo Estimated Cost: $ 7b Be Oor.�pleted: Alt. A Alt. B Proposed Drive��ay Width If New Opening Is Desired: $' $ . . SE� REVERSE SIDE OF SHEET Riie undersigned hereb�► ma3:e� applicatian for a penait for the ti:�ork� herein specified, agreeing to co,all work i.n stri.ct accordance with the City of I'ridley Ordinances and rulings of �he Deihzrtment of Duildings, and hereby declares that all the facts and re�res�tations stated zn this application are true and correct. D.3TE: _ �� :z� °�l0 SIGNATUItE: C�G�.P�� /�/. �/��. P Stipulatio� � ' $(o.�v � �e a►.c� � s.3� / � � �� , e + � B�JILDII�G PE�RN�IT FEE SCHEDULE The Inspector of buildings shall, before issuing permits for the erection of any building or structure, or for any addition to any bxistinq building or structure, or for any alteration or`repairs to any existing buildinq or stzucture, upon application therefore, require the payment by the applicant f or such permit of fees to the amount herein below set forth and in the manner herein p=ovided to-wit: TOTAL VALUATION $1.00 to $500.00 $501 to S2.000 $2, 001 to $25, 000 $25,001 to $50,000 550,001 to $100,000 FEES $10.00 Min3unum Fee $15.00 plus surcharge $10.00 for the first 5500 plus $1.50 for each additional $100 or fraction thereof, to and including $2,000 $32.50 for the first $2,000 plus $6.00 for each addition�l $�.,000 or fraction thereof, to and includin� $25,000 $170.50 for the first $25,000 plus $4.50 for each additional $1,000 or fraction thereof, to and inclwding $50,000 $283. 00 for the first $50, 000 plus $3. 00 for each additional $1,000 or fraction thereof, to and inclwding $100,000 $100,001 and up $443.00 for the first $100,000 plus $2.50 for each additional $1,000 or fraction th�reof PLAN CHECK: 25 percent of building pexmit fee DRIV�WAY DEPRESSION ESQtOW: Concrete Curb S�reets Only Alternate "A": Removeal and replacement of curb and gutter only Driveway width plus 6 feet x$13.50 Alternate "B": Ranoval and replacement of curb and qutter and install a 3 foot wide approach with 6 inch depth Driveway width plus 6 f eet x$15. 75 VERIFICATION OF FOUNDATI�ON Permits for construction will be issued a mini.mina of 24 hours from the time of application to allow for proper review of the proposed structure and wf the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has been canstructed will be required before proceedin� with.the framinq. /0. �� -�� Z • �O° ' �x� = P� �'� . �• 3 �' � � �' �J 3 2.5� � y. � � � f �/ o J 21• �3 � . � ,. 4, _ d . f%_ �1 ��J � ;t � �2_. � II�E&GY E�'PZCZENCZ S231IDA8DS C�LCrZ�TIONS ' 'ne or tvo `f�i]. dv — .. � ,/ � �7 `� q e1�ia8 D.�� Ovaes /Y1 !2 ��%'� /�S C�� r2 , 11 ct�er ' . � . Site address /� G / �s,� �/ .� :� C � ;� �+� .� . :antraczcr �T'� �� +—rs ��'rd6=".�a �'�J<'2 � Date �J • 2 � -� iPhoae :L`iEAL FT. OF ' � ' � �OS� VALI. �J +�+= = = = %�ft. abcve grade � � ¢g TOT�L .F"aPOSED WALL AxF.L SQ. F?. �pAQtJE WAI.I. CATTS�tJCTIOH/�: "U" valae z a.rea . � t� 'I�?a� � % !�/ C� � !6 � C�- '.II" .. • t.� x sq. ' �i!° T au ,dLlr uU��Lx sa. �ecail ref ereaca � !� � rv� , al g T"' ��U" .,� � s sq. f:om nUn� �c sq. :ttached shests "U"� sq. �•U�� a sq. "U" sq lI1�Ot�S : "II" value x area . �.ake � 1�rpe � C � � � I'.., �•�1 t�Z � �� L "II" .�s sq. �� u . �� 7[ SQ. �� n "U" s sq. n n ujiu E S�• f:. � C. � ` (IIl a) ft. • � �b � 3 � . �., (Ui A) f=. .3 . R`4- (U/A) ft. ��(u!�) ft. _ (Ui A) f=. � (II/A) ft. - (�/A) ft. a 22. S (�/ �; f t. � (U/a) ft. • (U/A) ft. • (L/A) j00BS: °�' V811iB S �B8 . ��j�g � '�@ . '�II.' X SQ• fL. � i�%A)' �� . �� x s . ft. - (tt/a) _ Q- �T n �� E 9Q• fL• � iji��s% .rr�3� :o�. (II/a) vai.�s � / 7. Z � • �zvr.�Ea sY Tozar. Wat.i. aa� ��y� • ia � avEBd�E "TT" .l7 at less for Z b 2 f�ily dvell3ags - .ZZ or Iess £or all other bnildiags SOTALS ` �8 sq. it. �� (U!A� gvc. "II" • &OOF/ CAI.ING : - TOTAL .1Ri�: �� 2� sq. ft. Detail :efereace /i��.�'v �. � �!G �!.�'.:; "V",.d % z sq. ft. 3 � � . % (B/A) from "U" x aq. ft. � (U/A) attach� sinests. "II" sq. ft. � (Q/A) Desczibe opeaiags �•II"— a sq. ft. � {UlA) ia roof "II" sq. ft. � _ (U/A) � � so�.s 3?—r� 9q. =t. 9� 9 � tu�� . .D3/ ro�ar. (II/a) v�.u�s . Z � — �ivmm s� zorat. soa�l �� ` � Avc. n�' �u.��c aa� - �Pa a9E&3GE "�° .05 far veatilated roof .10 for aL'_other canstruction y•- � '_ � ° 1 / � ! � ,t'��' . , O � O i � � � .► �� ' s / . . • • . � . N � \ �+;../ . _ . ; , � Ert. air film ........ � .61 0 � : . •�; ; . �'�� ' � � ,. - '• .� .,, � ' . � ) .� � �;.:�� Insulation 2 �p�c,o I d • � i y / i i .......• o �i .D,• b �i � ilest Ceiling board...... =•�' � � , a ° I ��" � p .i�'�++► . • / f flax Int. air film ....... .61• �. , ; ... ' i"` � �-"__ + ,.. (. up •� n o 4� �;o. � . Ins•Zlated rooflceilin�- aroa ?�d rs. To:al R - ��►� �� . � `'•; ; � ------ -- —. ` ----- � • �M < .° ! � ortior air film ... ' .�t7 m :� � i ' .'. � �.Roofiag�� 1 � • , �l 1 � , ; -. Aoor aooki� �..... .°y �' � � i . - � � � � o ►, �- ; _ �= � •� . �_Insu2atioa .......�. . m � r " � � Q � i . • . . . . . �... � � � r c a� � �. � � o ►-+ . �.. r. ..• � �• -s � . �COj.if 21g b081i2 •� � � � • Z "! � O' , e�► � �s � `f O. � ►y . r� ►� w ... .. Iat. air fiZm ....... .61 , � o 0 o c•- �� o,.~.' i . . F+ � A,� 7 r f-+ Y� � � � �i98't ' � , - ' � . � H • x • • B%'�' 3� � .J 3 , .-% • • . ; � , • flox • . . m . . . . . . . . . . - . . . . . . x . . . . + ' ' • • . . . . .•. . . ... � � - . up' - - ' � - - Oa. . . . . . l . .• . . . . - _ . . . . • +• • . o . . . . . . . . � t•.. �•.. . . .. . . . , . . � ±' Insulated roof/ceiling area m. Total R = • • . - � ��, ,. t• - �� . . ' � _ . . . I � . . , � � . ... . „� a - 1 . . , IDt.. air�fi�lm •��• �68 . w•'V' . . . . � . � . � � � �� . .� Sheetrock ......... .¢S ~�•- ; '_ ' : ' ; � ,� . :� �!. 35 �.. .. '".. . '. , . •.' ... .. , __ � .l . , � .............. . � : . . � � �z�. . .��. .��_� � �- �. ..� � . , ;. • � � �he�thing ......... . 4 "� . . s=�ng.... .e� _ . , . _ _ :- . . ., , � � r:xt. air film ....... • . t7 . . . . . ; � � � l � . � ?� ,:-°�e � . � ,� . - � - ' . � ' . 1 �. _ J. ^otal 4raI1 frr.�sin. ar�e ,f .� s. �otal R - �. � e"� , y , . '•• . �.,� • '�"'- - � � '1 � � ' �• ' , • ' • a:. air .film ....... •68 -i� . j # � ' . ' �C! Fr . ' -� � �iri11 . 1 ' � . . � . r _LSh�at�� .......... -�� • � w ; tti)- t�1_ 1�1; �� _ . : � � -� Inaulatioa ........ � � '� � . 3 n � � '�>= �: �;I � � / �Z ' '- � '` .,t- . • • •' • . ' Shea�aing ......... • � y11 � � � ,: . . � � • . . r v, ' • • • ' � ' � � ' i $1CL1Ag • � � • �� r�.1 �O `�,� . C - . � t �► • •� • BZI' �llm� ��• •i7 �, � 1 �` ' � � % .. :. • • • � �, .. • It! � ' ' � ''� _ • • ' • � � •. �� . � ' , . . � i7 � . �.i i � � �"J � . f. Tot al R - � �'•Z• � 1 . . Total net w�ll. eret► �� . R I � '`+ _ � +! � � . • ' . W Oi • a • � �� . .. . : . . . . �� ° , . • . v . �� . . . . � .• . . � � � . nt. air film :...... • .68 . . • ' `t .� . ' . . : .. : ' � ` %%. OGl:� . � � � . , - , � � . Insulation........ � ' � 1 � • �. . , • • � •� �. � ,j . � �� . � 1�' Softwood 7 8$ � �• . ` . ......... . �`��l� � i � . � I hea#hing ......... l � � � , . � . . `�� ( _ � � i — � � Siding��• - . w��% • C� . `. � �� • ' - . � - • • . --_, " • B�T.f1I��. • , . , . . � � I , , ' . . . . , 77 � . ' .�t! ., _ . . � F• �� • � , �a �� . •Tot,al R� �'�,?� _ - . � , • • � " � ts •--- -- . ------ •-- .--- . .. � � � � � � � 0 � i+� m � � � K � �i m � R m b� N� � � o�� HO �� C 7.� � K � ��z L] � H h� N � f+ 0 0 0 � � � tp r ~ � b o °' � �� o � � < ~ m c�o o �O ro � . . ro r°.. � �" W K � Lf � � � e � � � � � � � � � m � � � � � � � ` M � � o � � � � b a � � � � K $ K � � � �_ R g � �q K � 3e � � �� m � � � m a � � � � � � � 7 a� ~ � � �• � � � � m � � � a � m w � b � � KJ � N � � 0 0 � � N � r► � � F n � w � f/! N f/1 � � A r �� M A � � m v � c � b �ro � � � � M Oi' N �� C �� ` � � � � � . � � � � ol �, � � �r d~v O A M� a em rt G � � m b W Fi� M � s� �' a^ �w ~ a w A � A m � :: M R O � �m I� r I' 0 0 N N � � c� c� Cd ^� a� � W �0 � � M O o �,Wro M� � � � �ab � � �i � g w x r m � � M� � � � � g M h � � � „ ir .. . tA t/l N i/l 0 0 o b � . . . . y o °o 0 0 � N t/! N fl► � � � � � �� a�$�� O M h � � � � �' � o'0g� � � � �' � � � � � � � ��xb � � �� w � �am � ..a� � �� a�� o��b , � �� o i � � � M � � � � m O a�w5 8K�x � �� ~�� Y�i M� 1+ M tr o�� W � m a W N � n m � � < m � � a r � Z � N 0 � � m � � t � n _ � � � � r C1 a � O z O 70 O � m �o a � a z �� N � t� a � � O 2 �Z � G7 � .� 2 N G'f � � H � O v� r d� m m < !'f � m � N 1 ar 0 z . a m � � �i: m a -� 0 Z a Z 0 _� n � O T T � d � � M � < � � � F+ � � r � i CITY OF FRIDLEY APPLICATIOIV FOR HEA'iING REPLACEMENT CFIIMNEY AND STACK VERIFICATION THIS FORM MUST �lCCOPtPAPiY STANDARD APPLICATIOh° FOR HEATING PERMIT FORM. LOCATION /S �� DATE /� - �%� � I OWNER ��_ ADDRESS �,,��/�� The undersigned hereby verifies that the existing chimney or stack: i. Has been car�efully examined j� 2. Is free fron� rust or deterioration � 3. P�o foreign objects are lodaed within � a. That it is vecurely supported � 5. That `it meets ali current Code requir�nen�s for size and total BTU connected 6. Tota1 Heating BTU All Other BTU REMARKS TOTAL � ♦.' �� HEATING PERMIT � � SIGNED� 1�;� �.a� ff�;�.�°,t��, Licensee bY r�� , Address '�3 `�% ��a� � � Telephone ��/-�%%� Fridley City License � % %� / `_ ��i�/ia�4i ,-.. �..- 'l! �2..�.�{/ ,r':� 4� !. .. ..�" �4 �� i� �� `� �,� i�. � '_.". --�,.-�. � ' / +_�.L �'i ./� e "'--�..—�� .�� . '. . . � r�; � ;��_ ,{ � � ,,� +� � �� f . � _ .-� � � � � -- --i ; - I � � � �� ( -� ' .S,C�4LE. /�=�0� �S �� ,� � � �� , �. � �� 2,� --_ _ i - . , � C -� �� r �-/ - m � ' � ``' � �� ' ;¢ � :� �; , � ,��1 ' r� . /� Z �f9 6' , �r . . , tv N � \ ,s�;�d,r:y -C �� '�j ; ;�',�5 //8 ;,��G �' 7¢ li� ZJ5 � r'3 ' ___ A` 4`l �D �, . Ih � 0 I � . ,� � � V � tti � � �, m .. � � . � � t; v � 1 � � '► r�, �, � � � I I � �i � ) r � �12.� �f " ?�,, �� - � � i M - �: �,., ___ p---� � �,.. ,.,_j_,� � � _ �` ``�`��.....%,'' � . _ , �� -- r I �ated t�:�i s 2nd day of 4u:�ust, 1 "� C —° i �� CITYOF F'RJDLEY CIVIC CENTER • 6431 UIVIVERSITY AVE. N.E. FRIDLEY, MINNESOTA 55432 • PHONE (612) 571-3450 April 18, 1989 Michael and Constance Evans 1561 Ferndale Avenue N.E. Fridley, NIN 55432 Dear Mr. & Mrs. Evans: On April 3, 1989, I sent you a letter regarding exterior storage of a fishhouse at the rear of your lot. Shortly after that, I spoke with you (Michael) and our building inspector about the possibility of using this fishhouse as a storage shed. I informed you that this was aeceptable provided the following two criteria were met: l. It must be permanently anchored to the ground sa it may be considered as a storage building. (Please contact our Building Inspector, Darrel Clark, to discuss the allowable methods for meeting this requirement.) 2. It must be moved to a more appropriate location on the property (away from the cul-de-sac). A final inspection will be conducted on or shortly afte� May 15, 1989, at which time it is expected that the fishhouse will either be removed or eonverted to a storag� building as outlined above. Should this deficiency still exist, Iegal action will be approved. Please call me at 572-3595 if you have questions or wish to diseuss thi� further. Thanks for your cooperation! Sincerely, Steven Barg Code Enforcement Officer SB:ls C-89-190 sue��ct ERMI c�ty of Fr�aley 3 495 � AT THE TOP OF TME TWINS g u I L D I N G P E R M i T � � RECEIPT NO. COMMUNITY OEVELOPMENT DIV. � � �� r � � � PROTECTIVE INSPECTION SEC � , ' � �"'1 � CITY NALL FRIDLEr �13Z NU4BER 11EV DATH PAGE OF AVPqOVED BY �---•�' �•' 612-57�-3a5p e�aF�S 4/9/02 / / JOB ADDRESS 1561 Ferndale Avenue 1VE t LEGAL LOT NO. 9LOCK TRACT OR ADDITION SEE ATTACMED DESCii. 1 1 Shady Oak Manor SNEET 2 PROPERTY OWNEii MAIL ADpR�S$ iIP PHONE Mike Evans 1561 Ferndale Avenue NE 574-0123 3 CONTRACTOR MAIL ADDRESS • 21P PMONE LICENSE NO Fridley Roofing 830 W Main St ��105, Anoka, MN 55303 780-6210 20269030 e ARCMITECT OR DESIGNER MAIL ADORESS • ZIP PMONE LICENSE NO 5 ENGINEER MAIL ADDRESS 21P PHONE IICENSE NO 8 USE OF BUIl01NG Residential 7 CLASS OF WOfiK , ❑ NEW O ADDITION ❑ ALTERATION C� REPAIR O MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House & Garage (22 Sq) Tear-off 9 CHANGE OF USE FqOM TO STIPULATIONS ' Un.derlayment must comp3y with the State Building Code. SEPARATE PERMITS ARE REOUIRED FOR ELECTfi1CAL. PLUMBING, NEATING, TYP� OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OF Alq CONDITIONING TMIS PERMIT BECOMES NULL ANO VOID IF WORK Ofi CONSTFiUGT10N 20NING SO. fT CU FT. AUTHORIZED IS NOT COMMENCED VR!ITHIN 80 OAYS, OR IF CONSTpUCTION OR WORK IS SUSPENDED OR ABANQONE� FQR A PERIOD OF 12p DAY$ A7 " ANY TIME AFTER WOFiK IS COMMENCED. ` NO DWLG. UNITS OffSTREE7 PARKING I HEREBY CEiiTIFY 7NAT I HAVE READ AND EXAM�N�D THIS APP{,ICA7IQN 1 STA�LS GARAGES ANO KNOW TME SAME TO BE TAUE ANO CORRECT. ALL PROVISIONS Of LAW$ VALUATION SUliTAX AND ORDINANCES GOVERNING TMIS TVPE OF WpRK WILI �E C�MPUED WITH WHETHER SPECIFIEO HEREIN OR NOT. THE GRANTING OF A PERMIT �2�358 $1.I8 DOES NOT PHESUME TO GIVE AUTMORITY TO VIOLATE OR CAMCEI THE pEqMIT FEE SAC CMARGE PROVISIONS OF ANV 07MER STATE OR LOCAL LAW REGULA7ING CON- STRUCTI OR THE PERFORMANCE OF CONSTRUCTION �83.Z,rj Fire .S(�' �2.36 PLAN CMECK FEE TOTAL FEE ��— License SC $5.00 $91.79 �GN4TUAEO�CON'AACTOpOpAUTHOp�ZEOoGENT D�iEi HEN PFOPERLV VALIDA7ED TMIS IS YOUR PERM17 S�GN4TUqEO�OWNEA��FOWNEpBU40Ep� �O�fE� . � ipsp � � �� E N� [] CITY OF FRIDLEY Effective 1/1/2002 ADDN ( J 6431 Universiiy Ave NE� Fridley, MN 55432 (763) 572�604 Bldg Insp ALTER [] SINGLE FAMILY AND DUPLEXES R-1 AND R 2 BUILDING PERMITAPPLICATION Constn�ction Address:1 �� /��'l �a- `'� � �� • Legal Description: Owner Name 8 Add�ess: �� f�C, � Tel. #_�7 �� - D/� 3 Contractor. .'', �� , �n MN LICENSE # �-ZG 1 � 3� Address:g'3d � � �!'a �� ,S °� � 10 �a l�{ /�%, ,5�303 Tel. # l7 ) 7 P'ra —�o �! O Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LMNG AREA: Length Width Height Sq. Ft GARAGE AREA: Length 1Mdth Height Sq. Ft DECK AREA: Length wdth HgUGround Sq. Ft OTHER: ,-�l� �c� ��',�� ,;C� • ,p n V �� U Construction Type: !L� -J�oo i— �('� Estimated Cost: $ - Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x$ _$ DATE: G2 APPLICANT: __ E�� Tel. #_�7� .3� �Il o Call (763) 572-3604 for Pertnit Fees if mailing in application or Fax to 763-571-1287 if using credit card and we wili call you for card number. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge $ c�3 . �s $ $__ /. � —� $ � �- D 0 $ $ � $ CITY USE ONLY - 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 [ ] Not Necessary [ ] TOTAL $ STIPULATIONS: BUII..DING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the ma.nner herein provided to-wit: TOTAL VALUE $1 to $500 $501 to $2,000 $2,�1 to $25,000 $25,001 to $50,000 $50,001 to $100,Q00 $100,001 to $500,(�0 $SOU,001 to $1,Q00,000 FEES $23.SQ $23.50 for first $5� plus $3.05 for each additional $100 or fraction thereof, to a.nd including $2,000 $69.25 for first $2,Q00 plus $14.00 for each additional $1,0� or fraction thereof, to and including $25,(�Q $391.25 for first $25,000 plus $10.10 for each additional $1,000 or fraction thereof, t� and including $50,000 $643.75 for first $50,0(30 plus $7.00 for each additional $1,000 or fraction thereof, to and including $100,000 $993.75 for first $100,(�0 plus $5.60 for each additional $1,000 or fraction thereof, to and including $500,000 $3,233.75 for the first $500,�0 plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,000,000 $1,000,(�1 and up $5,608.75 for the first $1,000,(�0 plus $3.15 for each 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��imes $17.00. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. New Houses Onlv