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AF - 42305SUBJECT , City of Fridley 15 413 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T' - r � � R � `L ______ COMMUNITY DEVELOPMENT DIV. /� ! _ �+ �� r j � PROTECTIVE INSPECTION SEC. `-! dC �' � _ ; CQ �' _ i--_-� ��'���,'� CITY HALL FRIDLE� SS4$2 NUMBER REV. DATE PAGE OF APPROVED BY i 612-577-3450 910-F15 / / 82479 JOB ADDRESS 1350 Fi.reside Drive N. E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 6 1 Flannery's �31{�.dIld �C�i.'L't1011 �S� $'H'Tf]�� SHEET 2 PROPERTY N • 0 A S i • • ZIP PHONE Harold Johnson 1441 - 73rc1 Avenue N.Eo 784-6660 3 CONTRACTOR MAILADDRESS ZIP PHONE �ICENSENO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. s 5 ENGINEER MAILADDRESS ������� � R���� pHp�E LICENSENO. �'� R 8 USE OF BUILDING ' � , , �,�+ ' Residential � �'� 7 CLASS OF WORK ❑ NEW � ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE x S DESCRIBE WORK Construct a 48' x 26' Draelling ar�d a 30` x 24' Garage 9 CHANGEOFUSEFROM TO STIPULATIONS provide a hard surface drivernray. Provide sod in the front and side yards. Provi,de City with copy of veri£ying survey. SEWER LOCATION: �Approx. 9.5' Deep In Street) 83' W. of M.H. (Inve 885.36) WYE E.LEV: 884.89 T�P OF FOOTIlVG: 888.00 Mini:mtun WATER LOCATION: 10.3 � E. of SeFrer Service DRIY�WAY DEPRESSION C�5T: � 18' + 6' x$15.75 =$378.00 LECAL DESCRIPTION: Also Kno4m As Part of Lot 15, Aud. Sub. #129 � .°n .o� ,� �,� ,�� �,� WARNIHG- ���'�'� ��; NI'rf�,.�� �� �� 8efo�e ��f18 u� lut�t atili#ies � �1$A !� !p� � �� � �A�iG r �. iELEFMONE • EIEC�RIC - GAS Etc. Y�Own'tby pvr�� Q�tr .r�� °� oN ����O� �r n+� wFO�+nnoH REQUiRED �Y 1A1� SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILA�'ING OR AIFi CONDITIONING. WOOCI Fid�@ 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 124H �- %ZO 32,868 7.bta ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UN�TS 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 y�`4 %.� OOO y�23. SO 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. yS`].3],e L.�% yS`425. OO � PLAN CHECK FEE TOTAL FEE � 32.87 612.84 SiGNATUREOF T ORO UT ORIZEDAGENT tDa7E� WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT �'S =��1-'�i �?; �l ' � ,� SI TUREOFOWNERIFOWNER IL 1 IDATEI BLDG INSP �A 0 � � f-`SJ �- ' � �`� � CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL QUILDING PERMITS (New, Alterations, Additions, or Repairs) c�� / �nG( � Nc OWNER: ___�-�,�(�i� ��� c�'°,�.�, BUILDER: �I21�oL� �10l�,�,�.�,� ADDRESS: ��LLI,I ���� ��a� 1��1,� ADDRESS: ��I. �3�'� /�,�� [�, , TEL N0: ��Ir Cp� � C� ' TEL N0: ��� ��� (.� . Construction Location ST�T NO: � STREET: �� �� �' �.� � � (� 1�_ �'' LOT: � �p BLOCK: �� ADDITIOIQ: �� �A.t �f�°�4� ��t�L�RtD �O'{��`i1ON � � [0 � � e! Corner Lot: Inside Lot: _� Setback: � C� Sideyaxds: ���� 7 Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTIOtd OF CONSTRUCTI0�1 _ ���� Front: � Depth: � Height: � Squa�e. Feet s �%r, �� Cubic Feet: ��, L� A y . —�. ��,� � Front: � � Depth: � � Height: � � 5quare Feet: ��� Cubic Feet: � �� � Type of Construction: ��t� �,��� 7.b Be �mpleted: � c `�` \�'�� . �� Estimated Cost: $ - Alt. A Alt. B l �O Pro,pos ed>- Dra.ve�ra1 Wid_th �f I�ew Open ing Is Ues� red. , _ _ – . - - $ - �" $ SEE REVERSE SIDE OF SHEET' The undersigned her.eby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that ali the facts and representations stated in this application are true,and corre�t.� ' DRTE: ��� ° � SIGNATURE: Stipulations : USrL ��SC� ����'v �'S S>�'QLv�.J �� QF �_� C_� dd � ,�}+o .-r,�� r+csa l�tiaw A5. Pg-�� �r� ���* G et,oc�t� f- �. r}�►�, r� w.t �S ��A�. � 9�+0 �4 � n,"" '�r � 3�, �l.i P. � 3,'t,g�� s yt,��oi Oti ��'I' 3 a � q�,o. S �6 �i �g''S� YV� �.�'� _ -' � . - n • BUILDIt�G PERt�1IT FEt SCHEDULE `��' �� , SECTION 2. The Inspector ot }3uih.��ings shall, before issuing pexmits for the erection of any building or structure, orqfo'r any�addition to any existing building or structure, oz for any alteration or repairs to any existing building or structure, upon application therefore, require the payment by the applicant for such permit af fees to the amount herein below set forth and in the manner herein provided to-wit: � � NEW CONSTRUCTION: Single F�nily Homes and Garages: $4.00/1,000 cubic L-eet. • �X PLAN CHECK: 25 percent of buil,�ding permit fee. DRIVEWAY D�PRESSION: (Concrete Curb Streets Only) ' • Alternate A: Removal and replacement of concrete curb and gutter only; Driveway width plus 6 feet x�15.75 Alternate B: Removal and replacement of concrete curb and . � gutter and instalZ a 3£oot wide approach with ` 6 inch depth; Driveway width plus 6 feet x$17.85 �� ��:� :,, , :. , .� : ., 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 th� cellar to the averaqe heights of the upper surface or to the average height of tha roof surface of the main gable of a pitched roof. For repairs or alterations to an existing 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 proposed work. Tn�no case shall the �ee charged for any permit as set forth in Section 2 be less than $7.50 plus $.50 state suxcharge. � � � � � �.►�' �1 NOTE: Permits for cons:truction will be issued a minimim► of 24 hours from the time of application to allow for proper review of the pro,posed structure and of the construction site. A Certificate of Suxvey of the lot, showing the location of the foundation once it has been constructed will be required before proceeding with the framang. ► : f � ':1 �� � Application for a Certificate of Occupancy shall be made ten (10) days prior to the use or occupancy of any structure £or which a building permit has been issuad; and said structure shall not be used or occupied until a Certificate of Occupancy has been issued. �� � vt� � �, � ° ��c� ,� ��, . , j. _ ` �- �,� � � � ��! ..� , �,, . � . ���� � : -�"''��� �� � —�-- � . , • .� � ��� l� , - 1't�� = � 4 Ix h� " I� x �� ��_ -e %p = 12oo�C� 1 � ` � O �C /� _ ') La0 � 12y� f9 = ,� 34 x � �.3 � � �� : ►200 �e �.� � � :dt/ G � � .aS' ZG .�?3 ����`v� �� � p.0 13 �i 3. �9 � � �'ZS',o .� �. �....... � a — / o�. � 1 v= � �� i :�: ?�' :�, �; . ,���� �._ �o o\° o o a° �O �O �O �O �O � ,_ � � � �p' ;?�m; . 'i �n� . 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N �, ���� � � 1 « i ' L�- � „`t �' � `�,� � . � � � y �� . � .�0. r C? i ' � �? � � � : . . � � B ,. � _ , , � � "., B f .r p � �. � � o � ,: : �2, 1_ _ � �a � �a ;,� � r ���.�� � � i. �w� �Shj°�Z' � � . . . � : �� � . . � � . y�i 1. � i - �'}�T'�,�Lb�i6'�i ��I �!h��.�a�- ��'t�:,ca�it��.k�,��c�'���.�la� `s.,.��.1n;�,. � L4�''2 ��3 � � �;v'�Efi`.�� �,dd•Y.F+�v�,��s��;:���,.►�1�._I�e�,�.a�a.�_ .he ! � �, ! 9�.�1e. � l�.,e...� �_.t3 3. S�ut�d�' 'T��r�,��._ �i���e_ Ctit��.1���.'Sf�� ; . .,.�`"K�S�.C..0 �at��` 1�� '�.;.�1 _ �r� �� .�; � � � - ► �'4,-'��a!,ider�Qt�.� ' _ � '��.�+.�»� , . � , ;,. 4 � �� ���.����� ��.�L�� �� t��_ � � ��1��. � � � f�u�.�i���a,� ' �a� Yt�;��.��.,.� , � � , ,. - , p; �t , �_ . - ..; :: . ,:, __�_.. _ �.�:.. _..�_,�__. ---*--- - _..--- ,,: . - .. � - r � � � � ... � � -- -- - - -. _ . .. �. � � s ��n r � . . ._ . . . - � ' - - — —. _.. . , ---_,_.� ! _ �... ._.., .. , ,'�+, / . .� ;� � , • EXTERIGR ENVEL�JPE AVEI2P,GE "U" COMPUTATION 047NER �1 y^� , _ r--� � C....� �] ca �" \, ip`+ ."� <9 r , SITE ADDR�SS t �y CONTRl�CTOR �_ r .y , � : _ . }. +. a l � .a , � ..-, I?ATE Lo ' I 2 -�l ( PHONE . '- `+ •.`, S .�.� 4 �+:.> >-'y � � Determine working square footage of each. . l. Total exposed wall area . . . . . . ? ?. 4:�: � sq. ft. X �/ ���; , I �'1 —._ 2. Total roof/ceiling area ..... —� � � _ 1 � �� sq. ft. X �C�=� � r'� t _..i Total er.posed wall area wbcve floor - � �' A. Total wall window area� .. . . . . . . . . . . . o . . . . . . . . . . . �_j �5;� % B. Total door area ................e...........e... �-� C. Totai_ sliding glass door area ................e. �} D. Total fireplace wall area.......e..o........... � E. Total wall framing ar�a (average 10�a)...........�'�l �_ r. Total net wall area �bove floor ..............., 1�^ y � G. Total rim joist area ................e.....e.... e� � Total exrose;l fou.7dation �rea - � �_�` ii. Total foundation window area ................... � I. Total net foundation �.re�: a�ove grade..........._ 1�� � Determine "U" value of each wa1Z se<nnent. , cl. � [�' i }( t�Ut� , a/�J _ ---�-�.1.� _____ � I � �'� b.�_"°' }► oUn � �..J <� _ �- ! C. 4 C,'� }( nUn -- /_ C} _ 2� .=`s' �i__ v �..> d. �� y, ��Un �.� _ �`s e o Z I _ x,�u,� �•� _ � 1 ._____ _� _._� � 1 1• 1.�i �� X tti7ll -- jK... ,� '� _...�_� I'.�^"'-..4-� �—L_aG� �� P ' 'aP q, �� d `�,� ^ g „U„ — ; _ < -1 �� "�.,. � h, C' X ��U�� '' _ C1 1. �.. 7 X����e L� �P — l� � __L. ,..._____.. ^ .— -- — — 3 ..................................eTotal -- �` Z ���rt _ _ . �--:; If i�em #3 is t'�e sam� a5, ar less than ��_em #;1, you have met the inten�: of SBC 6006(cj2. . � �. � : s c � Total exposed roof/ceiling area = ��� V j. Total skylight area ..............aaoa.ao�e.e...s.. �-°� k. Total roof/ceiling framing area (average 10$)...... l�:_ :��� 1. Total net insulated roof/ceilinq area .............. �I Z� Determine "U" value for each roof/ceiling segment. � . �_ X ��U„ ._.1 _ --� `�-- - .� k. � �. � X ��t��e ,,,., .` ..J ._ � � � , � � 1. I i �. � X "U" � ., ` f �.. = cI "% , I � 4. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Tot�3]. _ -.-, �U • J Co� . If total of #4 is the same as, or less �than #Z, you have met the intent of SBC 6006(c?1. ' Alternate Buildin� Envelone Design To utilxze the total enve?ope system method, the values established by the sum of items #3 and tt� shall noi: be greater than the sum of items #1 and #2. 1. '���.� + 2. � � = Y g .� 3 . �'"'' � �. e �� -F � . �.,.� �.. c� _ _ � �.G' � � � I hereby cerri��; that th:s pi;in, sn.�cir�c��i� ar rc�crr ��,-as p;r•parrci I,y me u� un�!rr iny , direct �, -• i�;, n:����, rL.i� i:�in :z �'�.::y l�c��is- LCTC�: i�Ci�i; s.Cl::t] ,,. ;iC,l'�.: if iCi C lA4VS Of ? ) j .t , t. ..I:tU_ yfl vi:l:711': ..i. � � / � -�'�-.1� .-�01./ � � ,,,�.. .� , '�L�=-,�-�-- • D1Cf v_ti . IdU a . , a � ::;.� .3 .-.;:i _ . . �.,. h .�;, 'x�t`,��$fc��e4') r'�:a al o ` ��.� � xts �'d �'ti r i: y, , �� � j ,. � . . . . � . �, . 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I� ,��, 3-0 3-o Z r� i ADVANCED HEATING & AIR CONDITIONING, INC. 7805 Beech Street N. E. Minneapolis, Mn. 55432 coaf btu Infiltration (Desig. 1 A � ,� � � � � Infiltration (Desig. ! Infiltration (Desig. 1 Glass (Desig. 1 � Glass �Desig. ) Glass (Desig. 1 ' Exp. Wall /C� � °j �'%o Net Exp. Wall $ : �•3 Net Exp. Wall Ceiling � �/� 3•� Floor `Total Btu � Required sq. ft. E.D.R. or sq. ins. W.A. Leader Area /� Page of. Phone: 786-4881 Builder Job Name Location FI. t:p Rm. Lgth.'Z Wdth. � Windows and Doors — Crackage and Area �y19. Width Height No. Lin. ft. Area of ane of ane I hts crack i � a/�1� �/-o '�''- v 2 2� ! Co Hgt ` coef btu Infiltration (Desig. 1 2V `` � � Infiltration (Desig. 1 Infiltration (Desig. 1 Glass (Desig. ) /CP ` �� � Glass (Desig. 1 Glass (Desig. 1 Exp. Wal 13+ 1S. 5� x°l � Net Exp. Wall IVet Exp. Wall Ceiling Floor � Total Btu 0 1��� 1_-- �. . � �� 1_�— � FI. co � R m. Lgth. J� Wdth. /C�, � Hgt Windows and Doors — Crackage and Area Deslg. Width Helght No. Ltn, ft. 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Desfg. . a rack it �s1g' oi ane of ane I hts crack . ft fd' 7 o e-O `-O � O i� � �-� -�A a� 1� �Z� ''i X J O �� , 30�3 0 3-c� 3—o a I J �i coef btu coei btu i � nfiltration Desi , a `/`` � Infiltration (Desig. ► `` SO`i ; �nfiltratio� (Desig. ) Infiltration (Desig. ► nfiltration (Desig. 1 � � �lass (Desig. ) (� �c� '� � �lass (Desig. 1 ! ' �lass (Desig. ) � ! - ; ; :xp. Wall �� f � det Exp. Wall (p.3 � � Jet Exp. Wall i'�, ; ; ;eiling Z 3.� � ° =1oor 1 Cv G •3 " { -otal Btu � �a '� iequired sq, ft. E,D.R. or sq. ins. W.A. Leader Area ` � FI. � % Rm. Lgth. Wdth. Windows and Doors — Crackage and Area Deslg. W�dth Height No. Lin. ft. Area of ane of ane I hts crack s. ft. �� Infiltration (Desig. ► Glass (Desig. ) Glass (Desig. 1 Glass (Desig. 1 Exp. Wall U� la 1 x 5�= CooS - 8� S z Gv.3 � 30 ( r� Net Exp. WallU�$cOc x � r� � ,� Net Exp. Wall� c, g��� /n3� 'Z .3Z. (p C� Ceiling � v� Floor c13 Z � b� _ ;'J Cn 3 Total Btu 202� + , coef btu infiltration (Desig. ) s � '' Infiltration �Desig. 1 �� j Infiltration (Desig. 1 � j 31ass (Desig. 1 �— ° � Glass (Desig. 1 I 31ass (Desig. 1 �xp. Wall �Net Exp. Wall �- � { Net Exp. Wall p �ei�ing ' ` d� ,,�'} Z � 7 � nFloor ; Total Btu a '� Z � " Req 'ireu d sq. ft. E.D.R. or sq, ins. W.A. Leader Area ;, �. , Required sq. ft. E.D.R. or sq. ins. W.A. Leader Area � FI. �g, Rm. Lgth. / Wdth. 7 Hgt, Windows and Doors — Crackage and Area Desig. Width Hatght No. Lln.4t. Area of ne f n I s crack . it �,Z 3-0 -o ab z Infiltration (Desig. Infiltration (Desig. Infiltration (Desig. Glass (Desig. �QQ� �_- � � Glass (Desig. ) � Glass (Desig. 1 Exp. Wall 7+/2f�� X/ o � Net Exp. Wall Net Exp. Wall Ceiling �� Floor �� Total Btu C.� � � �� [.] coef btu r// < < y� ired sq. ft. E.D.R. or sq. ins. W.A. Leader Area .3 � ;SZ°l � ',�"' '� e,T LOSS CALCULATIONS �9 fwners Address �►DVANCED HEATING & AIR CONDITIONING, IIVC. 7805 Beech Street N. E. Minneapolis, Mn. 55432 FI. Rm. Lgth. Wdth: Windows and Doors — Crackage and Area Desig. W�dth Height No. Lin. ft. Area . n1 nann nf nano Inh4e rrar4 en f} � ���� � �� coef � btu filtration (Desig. ) � filtration (Desig. � � iass (Desig. ) � !ass (Desig. ► ji �ass (Desig. ► �<p. Wa I I �� L e�, : �t Exp. Wall > >t Exp. Wall ,� - �iling • � oor � �tal Btu s �quired sq. ft. E.D.R, or sq. ins. W.A. Leader Area FI. Rm. Lgth. Wdth � Windows and Doors — Crackage and Area + Wldth Hei9ht No. Lin. it. Area g D¢Si9. nf oane nf eanw lahtc rrarlc cn H filtration (Desig. ) filtration (Desig. ) filtration (Desig. ) ass (Desig. ) ass (Desig. ► ass (Desig. ) p. Wall �t Exp. Wall t Exp. Wall iling �or +tal Btu ��quired�s q. ft. E.D.R. or sq. ins. W.A. Leader Area Page of Phone: 786-4881 - Builder _ Job Name _ Location gt. FI. Rm. Lgth. Wdth. Windows and Doors — Crackage and Area � �5�9. Width Height No. Lin. it. Area n9 nann M nann �..i.�� ...�..i. ... �a coef I btu Infiltration (Desig. ) (nfiltration (Desig. ► Infiltration (Desig. ) Glass (Desig. ► Glass (Desig. ► Glass (Desig. ) — � S Exp. Wall Net Exp. Wall � Net Exp. Wall Ceiling Floor j `��Z Total Btu Required sq. ft. E.D.R. or sq. ins. W.A. Leader Area Flgt. FI. Rm. Lgth. Wdth. Windows and Doors — Crackage and Area Deslg. Wtdth Hetght No. Lln, ft. Area nf nano nf nanu InM4c ��ei-li �n 1! coef I btu coef f btu Infiltration (Desig. ) Infiltration (Desig. ► Infiltration (Desig. ) . Glass (Desig. 1 Glass (Desig. ► Glass (Desig. ) Exp. Wall � Net Exp. Wall Net Exp. Wall Ceiling F loor Total Btu Required sq. ft. E.D.R. or sq. ins. W.A. Leader Area Hgt. Hgt. • r �F . � . 4'','�- �r�� --._,..�.,._ �_.,,.� � � �� � � ,* j �Y�9 � . � �:� ��.. � 3.-,,�-8 E r � � � ,,� �`.:.�I � .� -; �°� � y� � : R� ,, � December � �_ �. � t�, '��=� .`� �`f; ' r -� �:" . 9' �, . � � � �~ ��� �. €. � Y ��. 8431 UNIVEftSlTY AVEidIJE M.E., PRIDLEY, MIWIdESOTA 68432 17, 1979 .,.'� Mr. Harold Johnson ;�-- I.350 Fireside Drive tJ. E. '.;;� Fridley, MN 55432 TELE�@10NE ( 812j671-3450 Re: Final Inspection at 1350 Fireside Drive NoE. Deax Mr. Johnson: A final inspection was made on December 14, 1979 of the above address and the following items were noted which must be completed beiore the structure can be finaled ouic= 1. Provide sod in the front and side yards by June 15, 1980. 2. Provide a hard surface driveway by June 15, 198d. 3. Post address n�mtbers on structure by January 1, 1980. We will expect the above items to be completed by the scheduled dates when reinspections will be made to determine c�npliance._ If you have any questions on these itPms, please contact me at 571-3450. Sincerely, DARREL G. CLARK Chief Building Official DGC/mh . a,..-..,�m-.�,,...�,�r...�.��,_-.�:�,�-^°.- .� ..... -,...�.�,a� a�o---�;°.++^^ a.-r-a,+a�--r-r.mr.--�..�--r-�.-:�,=,...-�.s�.--^�-�;-:c��, ,., -. , • pr�r .2.>, .. , ,. .,. .._. . . .. .. . . . ,.:>.i?i:i�i;i..... .... .,>i;i:,;:t� :;� . . . . . . . . . . . . . . . . . . . . .:>, z:. . . . °.rr, ?`r. . ...:..,....<z i : :,z,. . ,, . .,.,a�.. . , .` .. . . . ;iii �, ?� m m � Z � O � � m 3 � -ni o � N (�D Z 7 � '�'1 o � m 3 � Q � N o ro� � 3 -a = cQ c�i 1 �a a o � � � � � N � � . � � 1 � Q � � • . o • �. . • � . �� 0 � c '�' m -i � � �, O Z n m :. . -i T� Q' -n u, w � v `` z '� na m� � -a � � � � 3 � � � 3 � v � -Di m 0 z 0 z � v � m � � ry � � � _ � m � � Z � � c� 0 � ' � . ;R � � � � � � � c rn � c� cQ . � � i : _ �� 3 . � � Q. � z s� � _ � � � z d rn v � N � o � °� m � � iD a -�i. C � 1 � � A. � 0 O x a .1 � \ � O'"' ,_,, s � � �� '�'d �, � � � � A m m � o ; � 0 i� � � -i z -_ � n 3 � n O � a 0 � � lC I � m w fii fi: y N � � � � � � .� � � j � � Q •. - '. � � � � � � ���Z � o — � O ' "��' � . 3 � m � � c � � _ v o n �" A m n � � � � � � m � � � � � 3 aoo�. �- _ �. m � � � � �` m � �S .� .. rn v O � -i � v rn � Z O � I�. a� i ,� • m 00 6' Z � c m v � r m � c � tn p � a � � � n � ����v�� � A � Z � � � � � 3 � Q � .�-► G�. Q � = Q � � � � moo�o � � � � v (� c�i m � � � i � � .(�� � •rM V �. Q � :, � i� t� 0 � m2�'=i � � 3 � . � � •� 3 7 O� S� � N ' W � m' e � Q- � � - c.�°� � � o ,� � � � � � - � o � ? � m . � fA n � � $ � S � � � � 3 � � � a - � `� �. � ��ao � � � � -. � N n � c. ,.� m o ,��,�;� s � �, ,�, o � 3 � 3 � n � �� o �Oi� 1 � � � � a �..m � � � a .� � 2 rn U1 TI � C7 V �. N Q �j � � j � <' -� �z� � � �. v N � � Z Z rnN �0 I71 � .O Z v < rn� � � ma �O • O � . .Z.� , • • ' .. . Z � " , . .. v � � � o�. Z� v� � °z� z�� � o �� � �� � � '. � � m a � � � �o m0 mZ �� rn Z Y � z �- � � O � c cn _ � j � CHIMNEY AND STACK VERIFICATION The wndersigned hereby verifies that tke existing chimney or stack: 1. Has been carefully examined Yes () No () 2. Is free from rust or deterioration Yes () No () 3. Has no foreign objects lodged within Yes () No () 4: Is securely supportsd Yes () No () 3.� M�7s all cutrent Code requirementfi for size - � and total BTU's conn� �es () No () 6 Has total heating BTU's of All other BTU's � . . . . � � . TOTAL BTU's 7. Has a liner been provided for water heater Yes () No () 8. Has combustion air i�en provided for water heater Yes () No () Remarks: :,L ,. � .�: ,'_� �s, �E; i,��1 HEATING CO: Signed By: Date: 3uilding nspections 763-572-3604 � )ATE � � — � � � iITE ADDRESS � -°'�a i7-IIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATI�N PROPERTY TYPE PERMIT TYPE �r�rnE oF wo�c: BUILDING � ������ RESIDENTIAL APPLICATION CITY OF FRIDLEY YOUR E-MAIL ADDRESS �°OWNER ❑COAITRACTOR Permit No.: R���ea By: s Date Rec'd�� ,�wnxESS: � a�� �����' �r �� �� � crrY��.� � ��°� sTA�'i►r�� � � �':°� PHONE:�� � -'- � � �°i— Kt'v Ce2 �➢ STATE LICENSE il EXP DATE ADDRESS: CITY STATE ZiP PHONE SINGLE FAMILY/NEW CI TD✓O FAMILYMEW CON. O ADDITION 0 BASEN�NT FMISH �� � NEW o n�un�vawc�,� DESCRIBE WORK BEING SIZE OF IlvIPROVEMENT NUNBER OF SQUARES GARAGES PROPOSED SIZE: PROPOSED HEIGHT: SIDING ❑ Vinyl ❑ Aluminwn ❑ Ofher FAX ftUCT10N CTION ❑ GARAGE/SHED 0 ROOF ❑ SIDING 0 SWDv�VID�1G POOL O ADDTfION O REMODELING ��� `�� �.r��rv a"'� I �f� O HOUSE & GARAGE ❑ ATfACHED GARAGE ❑ DETACI�D GARAGE OSoffit O Trim O Fescia W WDOWS IN E3�STMG OPENIl�TGS �Yes ONo LACATION OF WINDOWS OR FOR NEW OPEMNGS-DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WIId�W TO BE INSTALLED NUNBER OF � O DRA1N TILE � OTf�R � �Y' S4. Ft BASEMENT REMODELING SUBNIIT: 1. Existing Floor Plan 2. Proposed floor plan 3. List of swctural members to be used FOR NEW CONSTRUCTION INCLUDII�TG DECKS, ADDITIONS. & PORCI�S SUBNIIT: 1. Site Plan/Survey showing the exisling struc4ues and proposed pmject 2. Two sets of �ronstruction pians 3. Energy Calculations ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING TI� 1 97 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ a,S�,�FOCCUPANCY TYPE Permit Fee Plan Review Fire Surchazge Surcharge License Surchatge SAC Charge Curb Cut Fserow Emsion Control Park Fee Sewer Main Charge Total Due $ � e-� . t I �� $ /.�� $ $ $ $ $ $ $ l�(1. 1 � See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $1550 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$21=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks payable to: _C ytt of Fridley Attac THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acl�owledge that ihe information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all wo�l� which �ec}�r�i�re�qw and approval of plans. � � SIGNATURE OF APPLICtuv i►����r_„_. PRIIdT AfAME I'��i�'�t;a� -��� rY��a� DATE �� Page 2- Building Residential Applica.tion BUILDING PERMIT FEE 5CHEDULE The Chief Builda.ng 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 existi.ng buildin.g or structure, upon applica.tion 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 tawit: VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the ti.me of application to allow for proper review of pro�sed s�tructure and of the construction site. A Certificate of Survey of the lot, showing the location of the existing foundation will be required before proceedi.ng with the framing. New Houses Onlv City of Fridley Building Inspections Department 6431 University Avenue NE Fridley, MN 55432 763-572-3604 Fax: 763-502-4977 . � � 125'-2�" � �II\�/IV � V I\I V � � �I V�1\ V II V� I.0'f 1.1�5 �•-0�� ��� �t9'-2��� � �35� ���5�n� np�V� ppOp05�n n�CK �pI.AC�M�N1' �AI.�I/6"-��-��� IV � � � � � _1 Wn ('� � .� � � � • J �.� I .� � � !� � � �z v � a � v' �� �� .. _��� =Q.. u � � �- 4_ � �� �� ��� � O S Q � � 11� 5 �- z O � � � � � � N � 1 " � . � � a �� oo/� S � � , � �! � --� 2 �.� � � r� ' _ .-, J � � � •7 � � � i � I!� YJ � a�. � _r � � � �. �, `, / � � 1 , 1 , 'A �� � . i ,, r. ,,� ;; � � � v � � � z � � � � � O \ �� � � � � � � � � � 5 / � - � � � � � � � � ��% J i z ? ._ � � � p n � � � �r'AI Y_ � � � .► _, � � � , 1 �/ . � � � Building BUILDING Permit No.: aoo� - Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY �e � DATE�� 2 I O� YOUR E-MAIL ADDRESS srt�nnn�ss ,�3�� �1RCS�gE �i� THIS APPLICANT IS: � OWNER OCONTRACTOR PROPERTYOWNER/ N�: �y�p � TENANT nnnxESS:_t350 ��2'CS1�.if� �2 CrrY �'�10�'{ STAT�NFLIP��� PHONE: ��'`�'� � '�s l°I — lP l�� CONTRACTOR N�: SUBMIT A COPY OF STATE LICENSE # EXP DATE YOUR STATE LICENSE ADDRESS: CTI'Y STATE ZIP WITH APPLICATION pHONE FAX PROPERTY TYPE INGLE FAMILY/NEW CONSTRUCTION SIZE TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE � �DTI'ION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH �OOF ❑ DRAIN TII.E ❑ DECK ❑ SIDING ❑ OTHER ❑ SWINIMING POOL �rE oF wox�: o� 0 ADDITION MAINTENANCFJREPAIIt ❑ REMODELING DESCRIBE WORK BEING DONE:�r�,,��o, r���,� �� (Z�p � 1�/s� SIZE OF IlVIPROVEMENT LENGTH WIDTH HEIGHT S. Ft ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES � ,�iOUSE & GARAGE BASENIENT REMODELING SUBNIIT: GARAGES ❑ ATTACHED GARAGE 1. Existing Floor Plan PROPOSED SIZE: ❑ DETACHED GARAGE 2• �oPosed floor plaa PROPOSED HEIGHT: 3. List of structural members w be used SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑�1Dyl O��t ADDTI'IONS 8c PORCHES SUBMIT• �'v�� � T� 1. Site Plan/Survey showing the exisfing structures ❑ Other ❑ Fascia and ProPosed Pro.lect �pUK,g 2. Two sets of construction plaas IN EXISTING OPENINGS DYes ONo LOCAT'ION OF WIlVDOWS 3• EII�SY ��°�aho°S OR FOR NEW OPININGS-DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS .�u.i. rr.�� Euc� ntiar.0 viv v[�.Un��V1V� 11Vl;LUlillV(i "lril�,' C:U,'1' UN' LABUR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $�, I 9� OCCUPANCY TYPE Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Chazge Total Due $ $ 3, � 9 $ /. CQG $ $ $ $ $ $ $ �1�,� . See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuarion .0005 x Permit Valuation Minimum $.50 - " $5.00 (State Licensed Residential Coniractors) $1675 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$21=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks paysble to: City of Fridley Attach 5tinul TFIIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTII. PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construcrion Codes; that I understand this is not a pernut but only an appli tion for a rmit d work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all wo� , which u' rev and approval of plans. SIGNATURE OF APPLICANT , PRINT NAME,�{�120L.i) V� ►��gp,�' DATE I Z � G Page 2- Building Residential Application BUILDING 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 manner herein provided to-wit: TOTAL VALUE FEES $1 to $500 $23.50 (Minimum Fee is $23.50 plus surcharge) $501 to $2,000 $23,50 for 1�` $500 plus $3.05 for each additional $100 or fraction, to and includin $2,000 $2,001 to $25,000 $69.25 for 1�` $2,000 plus $14 for each additional $1,000 or fraction, to and includin $$25 000 $25,001 to $50,000 $391.25 for 1�` $25,000 plus $10.10 for each additional $1,000 or fracrion, to and includin $50,000 $50,001 to $100,000 $643.75 for 1�` $50,000 plus $7 for each additional $1,000 or &action to and includin $100,000 $100,001 to $500,000 $993.75 for 1�` $100,000 plus $5.60 for each additional $1,�0 or fraction to and includin $500,000 $500,001 to $1,000,000 $3,233.75 for the 1�` $500,000 plus $4.75 for each additional $1,000 or fraction to and inciudin $1,000,000 $1,000,001 and up $5,608.75 for the 1�` $1,000,000 plus $3.15 for each additional $1,000 or fraction 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 proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the existing foundation will be required before proceeding with the framing. New Houses Onlv City of Fridley Building Inspections Department , 6431 University Avenue N�. Fridley, MN 55432 763-572-3604 Fax: 763-502-4977