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AF - 45132� , � City of Fridley, Min.n. BITII.DING PERMIT N•° 3 9 5 5 Date: •:�`.. �. �. ...J`.�............ Owsier , . . . . . . . . . . . Builder . ��!�D��\ . . �� :�. . . . . . .......... ................ . . .i�1 Addr� . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Address . � ,�ji.0. ."'. . l.,l. � . .�� t. . LO�CAT(ON OF BU(LD[NC No.��.�,J�?. Street . l ..-I�e4�.!W�,,�r:"�". r./. /. .e^.. � . Part of . .. .. .. .. ... .. . . . .... . Lot . . �.1 . . . . . Biock . . . . . . . I. . . . . . . . . . Addition or Sub-Dfvision i.��i�"/. .�yl . ./. � . . . . . . . . . . Corner Imt . . . . . . . . . . . . Inside Lot . .i�. . . . . . . Setback � :� �. Sideyard /. .Q � .y . . . . . . . . . . . . . . DESCRIPTION OF BUILDING � r +. � .. . ... . � y . • To US� � ;� �:r�p�3.�:.� H��t .�'=`��SQ. �/.y/.? �. �.� �Q y9 . . . . . . . . . . . . . . . . . . . . Fmnt �� '. k� Depti��l. : �� H t .��`r� ~ Sq. Ft. � �Li . . Gu. F`t. ��. � � Zj�pe ' of Construction . . . . . . . . . . . . . . . . . . . Ls� Cost. . / . II �4T. fQ. . .��". .""�o be Completed . . . . . . . . . . . . . . . . . . . In consfderation of the is�uance to me of a permit to construct the building desribed above, I agree to do ti�e proposed work fn accordance witb the description above set f�in compliance with all provisions of ardinances of the city of Fridley. � % �s��.��- G�O In cansideration of the payment of a fee o! ;��Q.'�.�., perinit is hereby granted to ... .. .. .. .. .. .. .. .. ... .. .. .. .. .. .. .. ........ to construct the building or addition as described above. This permit is granted upon the express condition that the person to wham it is �rranted snd l�is agents, employe� and worlunen, in all wark done in, around and upon said building, or aqy part thereof, shall conform in all respects to the ordinances of Fridiey, Minnesota regarding location, construction, alteratIon, maintenance, repair and moving of buildings with- in the dty lirniits and this permit may be revaked at any time upon violation of any of the provisions of said ordinances. _ _ :---�. Building Inapector NOTICE: This permit does not cover the const�uatlon, installation or alteration for wirinp, piumbinp, gas heatiny, eewor o� water. Be suea to see tha Bu9ldiny lespector for separata pernnils ior these itema ,» �- APPLICATTON FOR BU�LDING P�RMIT GITY OF FRIDLEY, MINNESOTA . �"' �� Owners Plame ��/�/ +� CN�'/Y Builder `: •VOt°�°SaN -/[. f� TiY ' - � . � �� Address � _,_,.:_ __ _ Address �� /�°� //� . �a,��,: .LOCI�TION �OF BUILDING . t , . � , _ ; ,.. No �_a�..� Street _ __ � art of Lot lD -�.� S�cE�✓�° �7 : ` : . _ .. ,. � � �,c� G 5 � � ` .. Lot � Block �ddition or Suh. Div. ` � Cox�n�r Lot 7nside Lot � _.. Set Ba.ck _ Appl.icant.attach to this form Certificate of Survey of Lot and propose� "buildi.ng location,, � . DESCRIPTIQI�� OF BUILDING ;-,, . To.�e used as ' __ Front Depth Height . ' .. _ �� Go ; �.. �. �2 � ° �• �.• . F`ront Depth Height Sq,, Ft.. _ " Cu. F't. ___�� P.f • b�WQL� q 7 000 `% Type of Construction _�� Estimated Cost j To be completed /V d v�. ��• l�'r/ The.undersigned hereby makes application for a permit far the work . herein specified, agreeing to do.all work in strict accordance with the � City Ordinances and ruling of the Depar�tr.ient of Buildings, and hereby declares.that all the fACts and repres�nta.tions stated in this are true� correct. � Date, ; � � Signatura Schedule of Fee Costs can be found on the Reve se S� . �,� � •--a w �r _.. � ap�.'cation � ��A� !, .. :. ...w , � �� .� 0 � � . � � o. � ,h C a '� � � � � o 0 � �� , � � �p A a � � a � U � � �� m M �� Q O 30 0 � z ,� F �a �x A � z � � � 'a� u � �y� d � '� 'd, .�. � y � x '� � � � � � � � �U��; u O � � � w � � O ..+-'r �"' .-�-� V � N � � � � N 'Ja L� � � � W � � � G i � � � o � � v � � +'� a�:e� �aq�� x �, 4,, � 0 � � +, � �� .� �� o � ,� '� �, ° o � � �oq�o � �y � � ��o� � � � � � o �� s� � �� J 2 W � W 3 Q c� r z • � $9NIN3d0 Sv9 3�JNVEi �� '�ddV sv� aaHSVM o�� SNISVB Fi�1MJ SNI V1i4 aooid •saHws '1Nf70d 'JININQ SAVN1 HSdM S�INIS SNISVB seni H1V9 sivNian �SO,� aaivnn O�. � � � � a � � � � y � � N � 0 R, U � o � � W y U �.a sr O cs cc r�r � � � � � ,n � � � H w o �o a � m V � u � �� q 00 o � 1 � mry O « V � �� Y ,� ,� � w z �a GA �"� N M �d • '%�' W J � W U � W Q � J Q � aQ. a � a d � .� o� Hp F �sr �s � v� �r r�r � � N O N O N a � .-i .-i e� t�i r� Eh k k k k k k O � . : : : : � : : : : o �o `� � o � .� � N E ' � O ° O � � o � : � � N Q Qi a•y� � �, � � �, H G� � � � � � �i k � � � � ,a � �' � x C7 � .7 Y � fC � d x z� z U� z oa D a � � E E � � �s Fsa �r �i° �°n, °o .-� N 119� iC �C k O z � : : H . � O ; y O . � O 0 0 � w N V� � G4 +'�' W � .. d kWi � A q � O c0 z M � � E � � � m � � � � � � 0 � e ec� W . 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E� E�+ � ♦ ' '�'� va �sr va eg � g � - � o 0 �� r 1 �� '��.. p `�� _ �e �. m �r ?� :.� �*'''� . : �i ;,s� �. �,�F� .0 ~ F u � � . w : � : N . . !��. �+ : : � : � o � : ;, g a 0 �� "�� N � � ° x � m � c�0 b�ip '" � � � �M °v� Fxxz H�¢c� ~�u��'� °° ~ � � �" a °� � w � a � �_�_�. � a _ _�,_- ; _ � -�,�..��.�;. �R �/�Ri �,�✓i�'v ScNeiv�C �c�f�+' ''j N �► r�� . �t "� � < .�� 1��= .� ass ��9 '° � � � HFAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS MINNEAPQLIS, MINN. Weatherstrips A.S.H.V.E. Construction No. Insulation Guide Windows Doors Reference Out. Wall Int. Wall C,eiling Roof Floor Kind � How Applied Yes— + Yes 19_ (,.(� Fl.� f N(s. Room � Length Width � eight � Fl.� f.� T/� Room Length '� ��Width / p HeiRht � Windows and Doors—Crackage and Area Windows and Doors—Crackage and Area Width Hefght No. ot Lineal ft. Area ' Wldth Height No. oP Lineal ft. Area No. ot pane ot pane Iighta o[ crack eq. ft. No. o[ pane ot pane llghta � of crack eq. tt. L / / 2o Z6 / 1 � Y?i . �i N 2A Coef. Btu Coef. Btu Infiltration Q % Inhltration � ~ .� d ,2s� Glasa lo Gtass Exp. wall / Exp. wall S Net exp. wall / D Net exp. wall / O Int. wall , �,_� _ , .�. '' Ceiling _ � g /d , ..� �O Ceiling (> S� /,O � O Floor 2 Floor �p1� .S�,s� Total Btu. Total Btu. Required sq. ft. E.D.R. or aq. ins. W.A. l..eader area Required aq. ft. E.D.R. or aq. ins. W.A. Leader area Fl.� �' � Room ( Length: �, 3 Width 6 Height $ �,� j3 � oom I Length/ Z� idth 1Q'. eight Windows and Doora--Crackage and Area Windows and Doora—Crackage and Area Wldth Helght No. ot Llneal (t. Area No. ot ne ot pane 1lshts ot crack �p. tt. Wldth � Helght No. of Lineal Lt. Area � � / � No. ot Dane ot pane tighta ot crack sp. tt. � z i 8 � i� �• x / .3 8' � /9 Z.o In6ltration Glaas ' Eup. wall Net exp. wall Int. wall Ceiling ,2/ Floor ,7/ . Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F!• E oom � Length/ '�Width / Windows and Uoors—Crackage and Area Width Hel�ht No. ot Liaeel tt. Ares No. ot pane ot psne Ilrhtt ot crack w. It. ' Infiltration Glaaa Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Bcu ( /� L� Infiltration 2 .� S o Giasa � 2 ,, F�cp. wall . � Nec exp. wall ' � Int. wall ',�,/�d Ceiling � �.��. Floor �� , Required aq. ft. E.D.R. or sq. ins. W.A. Leader area �°� :..1.� A I � � n FI.� �'f� Room I Length /y � Width /� Height Windows and Doors—Crackage and Area Width Height No.�ot Lfneal ft. � Area No. of Dane ot pane IIBh4s of crack sC. tt. Btu � � � � //, p Infiltration `�— ?p y�p Gfasa Exp. wall � p Net exp. wall Int. wall / D Ceiling '9 T Floor 7 fj rf Total Btu. Coef. Btu i� �% / � �� [L.'i ft. E.D.R. or aq. ins.�.A. Leader area � � II Required sq, ft. E.D.R. or sq. ins. W.A. �,ead�„r area � ,t� �Ie�1hRs /I�Ae��rr S�c.HE�+1t �"� .`��9 �R.�EA�l:N�' HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS MINNEAPOLIS, MINN. Weatherstrips A.S.H.V.E. Construction No. Insulation Guide Windows Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How Applied Yes— I Yes— 19_ Fl.� �e � Length Width �, Height N Fl.� Room Length Width Heiqht Windows and Doors—Crackage an Area Windows and Doors—Crackage and Area �Y1dth Helght No. ut Llneal ft. Area Width Height No. oY Lineal Lt. Area No. ot pane ot pane lighta of crack aq. ft. , No, ot pane o[ pane IlBhta � ot crack aq. [t. 3 6 • •� / 20 � � i c� ! '� / 6 3 G / o Coef. Bcu coef. Bcu In6ltration / .Z /D Inhltration Glaas O GO Glaas Exp. wall 2/ Exp. wall Net exp. wall $/ D 3 Net exp. wall _ Inr. wall ; . � .> r �. . ��•.:,! Ceiling s - " - Ceiling Floor i(aQ � Floor 7'otal Btu. Tota! Btu. Required sq. ft. E.D.R. or aq. ina. W.A. Leader area Required aq. ft. E.D.R. or sq. ins. W.A. Leader area FI.� Room � Length Width Height �,� �� L,ength Width Height Windows and Doora—Crackage and Area Windows and Doors—Crackage and Area � �Width Helsht Na n[ Llneal [t. Area No. ot Dane ot D�ne Il�hts ot crack eq. ft. Width HetBht No. ot Ltneal It. Area . No. ot nane ot oans llehte ot crack aq. ft. Coef. Btn InGltration � � Glasa .aG ZOG Exp. wall 3 . Net exp. wall 2 Z � Int, wall Ceiling Floor Total Btu. ; t ' Required sq. ft. E.D.R. or sq. ins. W.A. Leader area FI. p Room � I.ength `�, ,3 Width // Heig6t �•/ Windows and Doors—Crackage and Area � . Wldth Height No. o[ Linaal tt. Ares No. ot p;ns ot Dane Ilshte ot cnck eq. tt. � Z � 1 T � � �� . . Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. .. .. > _� �� • J �� i�it:l�,�%i�s� > Required aq. ft. E.D.R. or sq. ins. W.A. Leader area �' Infiltration Glasa Ezp. wall Net exp. wall Int. wall Ceiling Floor '�i-�= Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl.� Room I L.ength Width Height Windowa and Doora—Crackage and Area Width HeiQht No. of Ltneal [t. Area No. o! Dane ot�D4ne Itghts ot crack rtl• tt. � _ l Coef. Btu Infiltration Glaas Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required aq. ft. E.D.R. or sq. ins. W.A. L.ead�+r f'rea SUBJECT City of Fridley � �. :� � � , AT THE TOP OF THE TWINS g U I L D I N G P E R M I T f � � RECEIPT NO. � • COMMUNITY DEVEIOPMENT DIV. �� / ' tV'�� , r � � PROTECTIVE INSPECTION SEC. S � � - ( � /"'1 � CITY HALL FRIOLE� 55432 NUMBEF REV DATE PAGE Of APPROVF,D B� �---"�' �'� 612-571-3450 910-F15 7/26/96 � � J08 AODRESS 5246 Fillmore Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 ], M2r1Sri H11.ZS SHEET 2 PROPERTY OWNER MAIL ADDRESS 21P PHONE Marvin/Anita Schenk 5246 Faillmore Street NE 571-3667 3 CONTRACTOR MAII ADDRESS Z�P PHONE LICENSE NO PEM Millwork 5671 International Pkwy, New Hope, MN 55428 541-1133 4 ARCHITECT OR DESIGNER MAIL ADORESS 21P PHONE LICENSE NO 20070628 5 fNGINEER MAIL ADDRESS Z�P PHONE IICENSE NO. 6 USE OF BUILDING Residential 7 CIASS OF WORK ❑ NEW O ADDITiON C� ALTERATION ❑ REPAIR O MOVE ❑ REMOVE 6 DESCRIBE WORK Replace living room window (same size) 9 CHANGEOFUSEFROM TO i STIPULATIONS TYPEOFCONST. OCCUPANCYGROUP OCCUPANCVLOAD SEPARATE PEFiMITS ARE FEQUIRED FOR ELECTRICAL, PLUM8ING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTfiUCTION ZONING SO. FT CU FT. AUTHORI2ED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONE� FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. OWLG. UNITS OFFSTFEET PARKING I HEREBY CERTIFV THAT 1 HAVE READ AND EXAMINEO THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VAIUATION SURTAX AND Of;DINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $2 � 927 � 1. 46 WITH WHETHEfi SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL lAW REGULATING CON- $74•75 Fire SC �2.92 STRUCTION OR THE PERF MANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE DD License SC $5.00 $84.13 S NATUR OfCON' CTOAORAUTHOA�ZEDAGENT IDATEI WHEN PFiOPE VALIDATED THIS IS VOUR PERMIT �: � C _ _ ' � SiGNaTUAE OF OwNEA �iF OWNER BUiLDERi �DATE� BLO INSP ��FTE NEW � ] Effective 3/1/96 ADDN [ ] CITY OF FRIDLEY ALTER [] SINGLE FAMILY AND DUPLEXES R-i AND R-2 -j Building Permit Application .--t�� Ttr�e f / ConstructionAddress: � �',? l,//P �� y,�Q�-e, /�� -�Li, �.�� Legal Description: Owner Name & Address: ��-�j,� � ,�� s�� Tel. # ��/ - �� Contractor: �� /�f; j�,r,}�`.� MN LICENSE # �oD�p�,z� Address: ��l ��r.i/,�Tl�.t,�/ �,�yf •'t/�PaJ�oe �f",��a2� Tel. # �-�/-/�33 Attach to this application, a Certificate of 5urvey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IlVIPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. � OTHER: /��r��d,�o � �. )ii.� /�,,.,,�� , �,.. i.�l,s., � - ..�'i,or,��' � Corner Lot [] Inside Lot [] Ft. Yd Setback Side Yard Setbacks Tyge of Construction: Estimated Cost: $ ��,� �?� Approx. Completion Date: (Cost on Back) Driveway Curb C�t Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: �- 02� -�� A,PPI.ICANT: v Tel. # S�/ - �/3� Permit Fee Fire Surcharge s�.� s�cr�ge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ 7¢- 7$r $ � . Ic�- � , , �� $ $ �• �U $ $ $ $ � ./3 � CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.50/$1,000 Vaivation $900 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 [ ] r= '