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AF - 42402Caty of Fridley, Minn.. BUILI)ING PE�VIIT N� 4�r7 �' . .:- �. . .. , - ., .!��� ,., ►it�. „1. - �"'II . . . • . . , „r�.'�• .� .c. LQCATI O ILDi1VG No. -��r��,� Street -,...�;�.•��'..�-�-�— -,�- P f Lot _ Lot �._.__ Block �. _ Addition or Su ' ivision��� �{ Corner Lot � — Inside Lot Setback .,;,��._.V._. Sideyard Sewer IIevation � Foundation IIevation �_- �- ! DESCRIPTION OF BUILDING �� To Used a : '� �} Front �� DeP'th e� Heighi �� Sq. Ft. ,���Cu. Ft ����4.� Front Depth H ghtX �Sq. FC. —` Cu. F`t. -- Type of Construction - Es� Cost ..�l.! � To be Completed � _ � In consideration of the issuance to me of a permit to construct the building described above, I agree to do the proposed work in accordance with the descxiption above set forth and in compliance with all provisions oP ordinances oE the dty of Fridley. � In consideration of the payment of a fee of $.af.�...'-_._.., permit fs hereby granted to to construct the building or additioa as described above. Tlus permit is granted upon the express condition that the person to whom it is granted and his agents, employees and worl�nen, in all work done in, around and upon said bu3lding, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota, regarding location, construction, aiteration, maintenance, repair and moving of buil8inga Wlthin the dty limits and this permit may be revoked at any time upon violah'q�gP any of the provisions of seid oTdiIIBUCEa .r+� /? /t �' % BU�1d�IIg I2I8pECtOT NOTICE: Tl+is permit does eot eover t6e eoestrueHon, 6utallalioa for wlring, plumbiag, eas heafie8. sewee oe water. 8e suro io see tha Buliding Inspeero� fo� aeparate pem�its for these hema /� b� -� � 4 �, � :=; _ _ I APPLIC�TION F� BIIILDIIVG PERMIT CITY OF . FRIDIE7[, M�SOTA , � �l � � � � _ - _ �� _ . � �! �� i /� i r �/ / �, ��� i. ,. / . �. :` . . - ' . . /t �,� � 0 LQCATI�N OF BIIII,DTNG ' No. 7� �� 3treet � ���- Part of Lot �..�,,._.._ Lot � B�.ock � Additioa or Su'�iivision � o`� P Corner Lot _�_Ineide Lot � Set�.ck � � � Side-Yard �� � �'�Q�o SEWER ELEVATTON FOIIND�&TION ELEVATION �pplicant sttach to thia fo�c°m Certific,a,te of Survey of Lot and proposed building location, � �� � � :� � � , � / -. , ���,� �,,,i ., � �. � , •�/ ,.� . . . �: , � ' • ; _ �' ? ��,1/ �/ `� �-.� ` %� �� - '� % � ��� �� . ._ -�. - �,� � /� r •� Io• i .c •i l Sq� �. /��� Cu. Ft. Front� Depth Height �. �. Gu. Ft. T�pe of Construction � Estimated Cost To be Completed � The undersigned hereby makes application for a permit for the work herei.n apecified, agreeing to do a7.1 work in strict accordance with the City ardinance� and ruling of the Department of Bu3ldings, and hereby declares that a1Z the facts and representatione atated in this appl�.ca.t3on are true and correct. n � n �� � e l/ � % �� : �/ ' (A Schedule oi Fee Costa can be found on the Reverse Side.) �� �a� ✓ 6 qb ^ � � � � _.. �. I'�' � � ,,�'/> ; � 0 HUILDING pERMIT FEE SCH�DIIIE �ection 2. The Inspector of Buildings shall, before issuing any permit Por the erection of any building or etructure, or for anX addition 'to ang ex�.atia� build- ing or atructvre, or for any alterations or repa3rs to any existing bu3lding or s'tructure, upon application �tharefor, require the payment by the applicsnt for such permit of fees to the amount herein below aet forth and ia the m8�tner herein provided to-w3.t: � 2e1. For ax�r such permit for the erection of any fire-proof building, other than a garage, warehouse, factor�r or grain e7.evator, or for the erect3on of axig fir�- proof addit3on, For simila,r occupancy, to any exist3ng building shall be at the rate of �1.1,A for ea,ch one thousand cubic f'eet, or fraction �hereof, in such cub3:ca1 contJents. 2s2e For any such permit for the erection of any fireproof garage, warehouse, factory or grain elevator, or for the erection of ar�r fireproof addit3on� for similar oacupar�cy, to an,y exiating bui7.ding shall be at the rate of �1. a5 for each one thou�and cub3c feet, classified as ��fireproof�� by Section�502 of the Minneapolis Building Code. AO'JSES 2a3. For any such permit for the erection of a.n�r non-fireproof bui].d3n� other t�.n a garaoe, wsxehouse, factory or gra3n elevator, or any noa-fireproof addition, for similar occupancy, to �.ny ex�.sting buildin�. Permit �7..Q0 for e�ch one thousand cubic feet, GARAGES 2,L�e For a�y such permit for the erection of a�► nora�-f3reproof gara�e� warehouse, �'actory or grai.n elevator, or for the erection of any nor�fireproof addition, for s��i].ar occupancy, to ariy exist3ng building or for ea:ch such building or s.ddition. �dinety Cents for ea.ch one thousand cubic feet or fraction thareof, in the cubical. confi,ents thereof with a minimum of �I�e00. For the purpa^� of computing fees f'or building permits the cubic.a7, contenta of any build3.ng or addition to a un3"orm height throughout by multiply3ag the �ound area covered from a point six (6) inches below the floor line of the basement 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. 2e5a For repairs or alterations to an exiating strueture, the fee shall be at the r2te of �3,00 for each Five Iiundred Dollara ($500.00), or iY�action thereof in the cos�t of all proposed work. 2e6, Tri no case ahall the fee charged for any permit as aet forth in Sect3oa 2 be less than �1�.00. ,� ' �°` '� : _ 3 1' � � y, Q MINDER ENGINEERING CO.,INC. ENGI NEERS AND SUR�/EYORS ��NO 6URVEY�NO , SOi�s TE3TIN0 GIVCL Lr, MUNICIOAL ENOINEERINO • LANO PLANNINO 6418-56T" AVENUE N. MINNEAPOLIS 2T. MINN. KE ?- 3637 �C � a��n � u�c,� �t �� a I� !� IN a��►��� ' �or- � - � :, � � � . � C� �� /��� �'�� � � a � � �- ��.° � - 4 � � '� �� � �� 1�L � � .� ,!' ���f � �`9 ,• i'f .+� G� \ � ��c• " ,�. , ��s �� v, ��'�.`�.� � � .� ��, s� `'`�:� �? �` .��..,�'�� �,,-' '� , ���� , ., � � �_I \ , ,--- - L' • .: � .�d ;� �� �' r .� � �� n�� � /� � P 7�' 7� �-��;� � �� Sc��_� �"-�..�� �....�`i' � ��I�� � ���►�`�y�l�� ���I����!��`�` ���iA��:� ����������ti � WE HE0.E0Y CERT�FY TNAT TH�S 15 A TRUE ANO CORREGT 2EPRESENTATION OF A SURVEY OF TWE BQUNDARIE� OF THE LAND ABOVE DESCRIIiEp ANO OF THE LOGATlOAI OF ALL BUILDINGS, IF ANY, THEt2E0N , ANO ALL VISIBLE ENCROACHMENTS' IF ANY, FROM oRON sA�o �Nn. MINDER ENGINEERING CO., INC. �ATED TN�S DnYOF �eO7GMPe/' A.o.1759 E1JG�AI�E�� AuD S�RV6YOR5 � +� //'� d�--� f�� -' � bi•�...._�'—*�-7''�'�r�: �� '�' ,...f� r =�"..°��% � � , . - - � ' --- �{ q. � �. � p 0 ' � : � � ` � � ��� �� � � f+ �n � W � � p ���� o��� N � O • O � : O . o . o.. �:: � . . ` \o �4 >C N � � � o q p � � � \ '9 H � � C' � � r � � � � w � � Z x 8 � � � � � � M � � � � � �' � a��� � � ��:0 � 't7 � � � oa ,��.: � � � � � �. . �o: �: � o . � . . � � . . . . ' W : : : : : � : : : : � �O �C >E i4 >C i! N w n� w � r� � � C�si p e�i� O O p � {fl {fl if! EA fA EA H� ��� � 0 �: x r�� � � � y � �• N � W �z D � � � � m N n _ m v � m ��� � . ■���a � _ ....' : s ��� ' - �i�� ' ' ��►'� ,: : ■���� ----- 7 a � °g8 y M 7❑ `� � o � � � �. � � � � � O H � � � a °g w � o � � � � a � o�a °' � �g � vj I� ' � .�. � \l� � � WATER c�os�rs URINALS enrH n� �,� SINKS W,� T�,� DRINK. 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Q o ' O � l : : � N�,�N� O O O O O � � � 0 � N s ro � `�" _ g � � " "� ,� �O � � II � � b � uc � o ' � x �. °� � O PY m � _ z ' o �I f � m W � � � O "p � bd � r �' � 1 •f �� � f- . � � b b ��S ��±. � �(� � W y (p m � � �i° �° � � � � � � � � G y w (�° y CL �° �J � O O F �� � m � c� � �' �, a � � � � � . . e,� . . � ° �' : O � . . O . . : a � � � � � p o O C � � � � � � �� � o., p. � fD y "' � F��b ���� � 0°7� ��,�� � o ��� � � doa � �, �ro � ��o � ppG� e+ � O � �y �07 rti � d� � b �5'w � � �� � p��� , � �a�p � o �y ro ���m � a��, � �� ���� ��A� ��� � o � � � � w �}�"' � �' D � r � � m � 2 m C m � » � � � aror � d � V V 0 � � • � � �� � � �i •� �_ �� �� � fA �a' v� i �° �� �� � � � � 0. � � � �� � �. � t+ � .� � I � I CROI'�ST�OMS HTG. & AIR COND.� INC. Job Name D-S6 ��O Bxselefer boulevard, Minneapolis 16, Minn. ' ae N6A7' LOf� CALCYLATIONS Job Address Weatherstrips A.S.H.V.E. Construction No. I Insulation Guide Windows Doors fteference Oat. Wall Int. Wall Cxiling Roof F7oor Kind How Applied Yes—No I Yes—No 19_ I / Fl.� / jr a�/'q�Room Length �.�' Width /f� Height � Fl.� ;-° Room Length /� Width j,� Height �` Windows and Doors—Crackage and Area � Windows and Doors—Crackage and Area �Yldth Height No. ot Lineal [. Area t � Wldth Halg6t No. ot Llneal tt Area No. o[ pane o[ pane Itghte ot crack eq. ft. {j No. of pane o[ pane IfgLte ot crack eq. tt. �r � � � '`�" � � � +�S" '�' �i : -- .: � !� «'� � �i d'+ �✓ �' a� � � '� .'"� r� � r� � .7 i' '�° ,� � i i � � � �°�`' � S+ � � Coef. Btu Coef. Btu Infiltration �' .,�, `�� �" � �' t► Infiltration �' / `,/ t� ,/ � ;�u Glaas %"�f` �,°;,� � �' +� +r Glaaa .� o ,�+� t �'a' c� Exp. wall ���,, i�"' R «'� .� � Eap. wall s` � r� � -_ _-,_ NeE exp. wa -- -- �_-_ _ _--.'���- �- .i�+�'=_� --�� N,,"�� --- -_�_,��__ - _ _l��i�-= Int. wall In� waU - Ceiling ,,� :+►s� r� �' .�'.� �"� CeilinB i y f 3' ��' �i a Floor �""""�'�"�` Floor Total Btu. �' �' +° � �+ Total Btu. � � f/�, Required sq. ft. E.D.R. or aq. ins. W.A. Leader area / F7.� '��, ,� Room � Length � R/idth ,�s�F Height � Windows and Doora—Cracl�age and Area Wldth Hetght No. ot Llneal fL Area No. ot Dane of pane tlghte o[ crack sp• ft � r1f � � � +� � � � �� Infiltration Glaas Eap. wall �a, � + Nec exp. wall Int. wall Ceiling - - - - Floor Total Btu. Coef. Btu �� �� � � S� � � ' ?' �►y .�?Q � w �.3" ,� .� � � Required aq, k. E.D.R. or aq. u►a. W.A. l.eader area ,� F1. �"� Room � Length ,�+' ��' Width ,,P� Hei Windowa and Doors—Crackage and Area Wldth Aelght No. ot Ltneal !t. Area No. of pane ot paee Ilgdts ot cnck sq. !t. � .� � % 1°i ] '� � �' S� Coef. Btu Infiltration .�' +� gr� ,�,� � y Glaaa �',�'i S°� �ji e�,�,� �p. Wau � y,� � - �� � Net eap. wall '' +�' , '� yr ��, / �r �jr � Int. wall Ceiling J y� ��- � � Floor Tbtal B�u. „�`�► y� ft. E.D.R. or aq. ias. WA. L.eader arca Required sq. k. E.D.R. or sq. ins. W.A. Leader area �► FI.I %,� ,t" t�r Itoom I w�ao,� ana u�m—c Wldth Selght N No. ot vane of uane 11 � In6ltration Glaaa Eap. wall ,,�, � Net ezp. wall Int. wall �' �► � ° Width and Area ' � �� ��� Ceiling $�� ,p *�� � ,� �'� - --_— --_ _� Floor - - -=-__ -. - Total Btu. �, � �r : Requued sq. ft. E.D.R. or aq. ias. W.A. l.eader area � F7.� ` � , Room I LenSth �' ,,,�! Width . . Height ,�' Windowa and Doora—Cracka�te and Area Infiltration � Glass �,.,�u rr�� ��. W�i Inw wall Ceiling Floor Total Btu. ���� -- �' i� k. E.D.R. or aq. ias. WA. l.eader area Btu +' y,�,� �� � b G�' City of Fridley, Minn. BUILDING PERMIT Date: - June 4, 1970 p�r; Bruce Miller ��r Sussel Company Ad� 7872 Firwood Way N.E. Ad� 1850 Como Avenue St. Paul 5�� �� 7 � ios85 LOCATION OF BUILDING No 78�2 Street Firwood Way N.E. p� of Lot Lot �. __ Block - � Addition or 5ub-DivIs�tan . Pearson's Craigway Estates 2nd Corner Lot _ Inside Lot Sewer IIevatian Setback � Sideyard -- Fotmdation IIevation DESCRIPTION OF BUILDING To i� v�a �: Attached Garage �t 17 � Depth 22 � Height 10' �, � 364' �� 3640' Front Depth fTeight Sq. F't. Cu. Ft _ Type of Construction Fxame �y�, �_ 2 700.00 To be Completed 90 days Provide Hardsurfaced Driv�way In c�tderation of the issuance to me of a permit to construct the building descrii�ed above, I agree to do the proposed work ffi accordauce with the description above set forth and in compliance with all proviaions of orrlinances oE the dty of FrYdley. � In consfderatfon oY the payment of a fee of $ �• 00 � permit fa hereby granted to Su5se1 Company to construct the buflding or addition as described above. This permit is grented upon the express condition that the person to whom it is grented and his agents, employees and worl�nen, in all work done in, arouad and u�n sefd buildiag, or any �art thereof, shall conform in all reapects to the ordinanc� oF Fri�IIey, Minnesota regarding location, conatructton, alteration, maintenance, repair aad moving of bufldings wlthin the dty lianfts aad this permit may be revoked at any time upon violation of aay o�,the provisiona oi ea�d ordinances. � CE BELISLE NOTICE: This psrmh das eo1 cevar t6s coe�rudfon, installa�ton he �na, plumbiee, gn heaMeg, �nru er wtlsr. B� sare to aas � t6a &rildiu8 Inspaetor tor apuata parmtts Po� t6as huet. �� � e e % ~� .. APLICATION FOR RESIDENTIAL, ALTERATION, OR AllllITiON BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME:_ �i-r/c�' ,�� I�P�- BUILDER: c�fi �,r'�(� ADDRE�a S : __��% /' � � ev � a aL (,Ll e-�.j _ ADDRES S : /�.S�d e��no /4 v �, NO•. STREET: LOT: BLOCK: ADDITION: CORNER LOT: INSIDE LOT:� SETBACK: SIDEYARD: AppliCant attach to this form Zt,,io Certificates of Survey of Lot and proposed building location drawn on these Certificates. �iESCRIPTION OF BUILDING To Be Used As: �-��Q�� �a�� Front:_ I� Depth: a- �- Height: /� Square Feet• � Cubic Feet: � � �� � Front: �pth: Height: Square Feet; Cubic Feet: 1�pe of Construction: �d-cz�.� Estimated Cost:_$ �i�a �� To Be Campleted: /�� cYa�..S The undersigned hereby makes applicativn for a permit for the work herein specified, agreeing to do all work in sttict accordance with the City of Fridley Ordinances and sulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. n��: _ �-� �.� � °- 7d SlGiva�: ^ ..� � �� � , �%��,,�li (See Reverae Side For Additional Informatioa.) � �` --- _ _ y �a R, �'`� � 0 � � � BUILDING PERMIT FEE SCHEDULE SECTION 2. The Inspector of Buildings shall, before issuing pexmits 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: [TNIFORM BUILDING CODE: Type 1, 2� 4-$2.15 for each one thousand cubic feet, or fraction thereof, in such cubical contents. Type 3& 5-$1.85 for each one thousand cubic feet. ADDITIONAL INFORMATION For the purpose of computing fees for building permits, the cubical contents of any building or addition, is determined by multiplying the ground area c�vered 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 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. In no case shall the fee charged for any penuit as set forth in Section 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 aad of the construction site. A Certified Survey of the lot, showing the location of the foundation, once it has been constxucted, will be required before proceediat� with the framing. CERTIFICATE.OF OCCUPANCY Application for a Certificate of Occupancy shall be made ten (10) days prior to the use or occupancy qf any structure for which a building pezmit has been issued; and said structure ahall not be uaed or occupied until a Certificate of Occupancy has beea iasued. • � � � � �: � �' �o L T BLOCK ADD'N. � 1 A ME � 1� �.: G� � l�.. 4�- ���. ADDRESS ��' i2 --������� ��� AREA ,� _ _ . .�,.. ��� ' � � � � SIZE I � /° � � VALUE ���� TYPE �/.� �'i � � � ��+���� � � ��2�ra� �a�ov�� ��,,� � �_r � q � � \ �\��' ,� � ,, '� � �; � I'�' � � �� �° `�� ��aa�.��a� M�s � � � �� ���� �.i�i� � ,,A ! ��.�� ��s ��.�� �.4���� �. �.:: �� �� � �a:� �,� � � � ' �„ � � a �.+ � � �,+ ° � � ,�, � � �'� �—� s��' � � � me � �y c:3 � �d �,.dJ � �` � tis.��"'� `��.1� �'� "�� � � �= i � � �'C�, 1 : �:, Ip� '`.� �,�`"�t°' 4 �� se� �s.�;- �'i` �'� < �� -�°' � �� t�e �^� � �- � a � �� �, � i �;: �: ;a '.� �.w'3 1 i�:�F� �rard P �q�.,� Fz► � �i4a! � �s . P :. �!'s i y"'r e;".'a E.v� '°"6 f:'a � �"°' S: �`.�� '��' �r.,�'7° # 9�,b �� � ►2�'�^ � [*'`,�? `a'�ai�.Y .�'�."°�i�is � �'°� e�. � ;�+ � i+�•_9 � t�.� ,�.u, j �' f's�.i� 6� �sii � �°°*i �.`�: ;:� �. � �'w �" �. � � � �5.1 .�se. �'. � 6;:: i� �. F%� � � `1-.4 .,,�e '�,`�1 i�,ky �}� �� ''��*- �v �'c^„�gt 4 �. '�.d '�.�, � 4 Ir. `-� `t� zE %� �`°�. „ � `:_o�.a �-�r. a � "-,�3 G'+,i '�: k.^ � 'i'i i�� ��'°'+.. �c� � ���� ���� �� �� 1�� �.1��� �qca��� �.'ec�� �c°-��" � � � � €�� �� r� L�. �� II��TALL l,�Z" BOLiS 1�" F�i�NI EACh� CORNER EXCEPT AS 1��3TED C�R I�IDlCAiED A�9D 6" OFF CL OF EACC� REf�APP�t�G �f�lALL. All subcontractors shalt verify,and be responsfble for ali locatfons and conditfons shawn by these drewfags. This office musY 6e nottfied of any variations or obstaclec 4o the proposed work belore proceeding With ANY instailation. ,� � �1 ... '� � {si� S� + � .� � b. ;i. F3iiA►�'�EY - CIVIL EN6INEER AND SURVEYOR 3828-24TH AVENU6SOUTH M�NNFAPOLIB. MINNE60TA 89�09 724-2969 . . .: _ ,, Ju��,��y y{Ur- Th` ..�s.�e/ �'o . �c,�/'��-�='�t>' /8�'0 l�� o ,�,��., ,��,��v0 a f� � � � _ � � � � � � � �0'i��i-� y c���-a�i�y ��cr� Thi s�s c,` t.�r����` ��,�r�,; v>�c�t��e� a��.5'u� �t � L�� ..� J,�/c�c� 2 P�a�-sor� s�r�� � r�va y�s%���s, �.��° F! dc�i �i �rr�� c�S su� �r�:y�d hy �� t/� e��� ���, o� �'Icr�r /�'7�J, � n / J � ,�2�! e'�l SL/rlieyOr' � %�n . �4'c �, 1��. /l'�� . � � . E Mr. h K� � �, � � C �p � � O �- w � � a � ti a �-� M � � � � 4�, a � �. �wro �� � � � a F �. � �.� � ;:. M A _ � w � C R � 0 c r Q O� � x � m 0 'f N r w n x < � � �' � O � 0 � i m � d � � 7 n -fi C � � a � <,,. ._ � ro� �H 3 � o�N HO tb 7d w A� �� �z G� ro � y� H N � � 0 0 � w r �� � o � � . m � � � � � o °�' a F� � o �° M � � rt °rt' �o � z x � ►fD.• � � M - (roD ro w . � M � 0 w � �. � � 0 0 � N � �a rt co � � n �y fS w � � c d� � � � �O � � � a � w � ~ w � s: � � � `� � � N M a �► � � � x �' z � � � ro a � �n � � ° . � M � K �i � � K e � • x � � rt � �° a � 41 M � ry� F+� � N 7 � d 07 �C co a aye �d � � O M C .b . � �.. .1y n ` � O ro � � � � � � � � � • � o � � r sn M � C � � � � � M fq/! ro �ro �� � � M. 0 M 7C � � � � � � � � �" 8 C � � C y � � � � � � � � y �, � � M � O � N � � � EO C H z � . � � �o�t � M f�D W c� rt Ia-' � O f�D'�O Y• Ni M � � 07 a ro �� � �a a b� w f�p „ m nfi 7'r, O ►'i N 7C tit r 0 0 0 � � O b c� c� c� m M � w wTow n►�t d � ��ro �� � a �° � �w �� � � o � � � roa w aa� n � � t7 � M K rt � � E O :�. n n :r �. � in t� an tn N r r n� �ro 0 0 0 0 . y 0 0° o °o � tn. in +� v� y O �p � Q � n w � ►�,] � n �o � � G M � ae O � a� � a �� � � fD W � Ja G O M M fK0 W O 1Fp� M � �o m � �e m. � � w °' � x � �rog M a 7 M 0 � � � � � g m �in~� � H� m � a '" � ro � e � � w� w � n � � 5 i�i w '� � ro � � � c � �mao o a c�i " z � � � �� �" � M � � r�wr w �o a s a w ro �' � � ? M � � � 7. � ���� ��� � a , 8 n �e z w (� N ►+ M N Q N ������ � 0 rr W N N N W � � � r .. m c� N -D-I .� � o z c o �i z O � m z a � � r7 -�-I O N Z r� Za -i G z m � � z N � � ► N '-I C7 [n O 3 O y r d � m m < � n � m � � � 0 Z � m � � . n m � a -� 0 Z D z C7 ° CHIM�JEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack; 1. Has been carefully examined Yes (� , 2. Is free from rust or deterioration Yes (�() 3. Has no foreign objects lodged within Yes (� 4. Is securely supported Yes � 5. Meets all current Code requirements for size and total BTU connected Yes ,� 6. Has Total hea ti ng BTU' s of �/�� L� All other BTU's TOTAL Rema rk s c Ca No ( ) No ( ) No ( ) No ( ) No � ) Company l I�h�'�_��.�-��'��- I�� � Signed By ��� �!�t������ _ _--- -- --- Date � ���-r�� � .� � ��.� i s-� `y �g � � � _ J � � � �-O /� a.�.�r — / � �,�,,, J �,�"� ' ' ,�..r ! - � i l �1'�-�( / ��� V �i 1 ��V � R �-i O � � � m m � w N � C � � � � m 0 O C N C m 0 "ll ' .X. c m 0 D 'O � � � � m � � . p V�� o r� � �i � I C � D � $ s -p : o _ < m : n. . � n `� n � � ) � a s � ( O C � � _ 7" � � o v : �' : m � �' n� � � m � � I r � � .. � '_ � W��'�` ��� w m w mo o m - � --t � cn m � � ¢« � 3 0 � � n" . � ) y -�o " � 7D m m m.� �� �� � p � p � � 2 2 —I �7 � � � � N � � � � � (p � � (D n (p y W 'D 7 C �F (D rr �1 -� � _. �� � * �(D (D = z• 1"' 7 N y til N . cD '� < � � � 7 Ql � � Z , � m D cQ fl. � 7 � � � m � � � � � A � * � — � TI 7C X 7 O �D � � n C � � _ � m � ? co 7 fl" ) " > :< . � i y > � � I � I I�I I I I I I I I I � � z m 0 -WC v r C � � Z � ?I X c � m � -Di � Z O � � � � � � � � � � � � � � � cn o 0 0 •� o v .t •� .i cn .A .i . m 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 o a o 0 0 0 0 0 0 ` O � � � �� v r C � W Z � N W 3 n: m � m � n- C n N m a D m � 1 � � � � �. O � � m � � � I � ,� ` IV � 1 ' � � �.o � e� � u J � .� . . � ("1 � ; � D m n � o W a �. o � m o' �, � �� o � � � a� o � 5 -o � co � 'a Q. o � �� � i CD �� �a s 0 c � �� �r O nc � z n � � � N � v zm D � n � m � D n � < m 'n � � 0 Z Z � m z � � m � �i Z � m m � w 0 0 0 n a � 0 m a W � �� � � i �'' \ % »� � ^ ° �J c � � � � I � � � v �, � m _ � � � � � � 1 � W N � cQ � � a � z 0 ��c . �fi( i / / _ D � z � n 0 � -� D Z .� �! � � � �, .\ �� �� O � � � m i V� � m � � m � 0 ��1 0 � cW � m -� a m z 3 � x 'O � m z 0 m� v � � '" o � � � o � <� � � c � m � o � D �n -�a � c�i m 0 � 0 � � 1 D o p o � m � � � m� °, m a�' p�' D � � � � 0 0 �' � � r � Z W � 3 � i �rs\ ��4 c � � o � C p, ' m �, � � � � m � � C � N x o � n � � � � � � � � a �n � � m W � Q, � Z o^ � ' 2 0 � m � �^, W � D v v � n � � Z O 'n C � z n m z v � � C � Z m � D n g 0 � 5 �Q D N m � � �u � v � � � � � � � � cQ m G� � cQ Z m m n m a � 3 � i c � � v D � � o��: � � � �� � � � � m �' � � a c ° m � � � 0 � W c 3 m � � � � � � 0 0 0 0 0 � m °o °o °o °o °o m � rs� rs� tfl rfl O D r m � � � m v c� O � -( � � -o m � � --1 Z 0 �^ ✓ �� 1 C � � v m z � � c � �m v � D � � � vi � :� � r* � c� � -� � � � � � ��'��� a r. � �n a n � y � � � m o a -' � � � � c � a ���� a (Q � � � �, � Q a ��� N m p � � °�°a� 0 N� Q � � y� o�° � � � � Qo'��n � ��� � � � o �' � c�i m � m o � -omQ r« n � j -w \� Q n O YV� n � � I � ¢� � CD � � � � � y m � � � a � m � n 2 m v C r m � � � Iv , ;\ � 0 � � � � � � �I �. 1� rvnw� m � � � � O z� � � �' v o' `�' r �' m N � � z Z •m � v m C7 � 0 Z v < � � ap r G� n ma -� vZ O -n z O a� z� 00 a � �m n � � � Z �i vZ �� on zZ �v _ -�i Z m �� z° v� < '�li n � m m �, z -� � O m Z � � O � � � � c � � cjo cc i CHIMNEY AND BTACR VERIFICATION The undersigned hereby verifies that the 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 supported Yes () No () 5. Meets all current Code requirements for size and total BTU's connected Yes () No () 6. Has total heating BTU's of Al1 other BTU's TOTAL BTU's Remarks List Alterations Beinq Done: HEATING COMPANY Signed By Date sue�ecT P - City of Fridley 216 6 2 AT THE TOP OF THE TWINS g � I L D I N G P E R M I T � ; � RECEIPT NO. � ; v _ COMMUNITY DEVELOPMENT DIV. 7 r � � PROTECTIYE INSPECTION SEC. j� �/ � ` � � /�"1 � CITY HALL fRIDLEv 55432 NUMBER REV. DATE PAGE OF APPROVEO BV �""'� � �'� 612-571-3450 910-F15 11/16/92 / / JOB ADDRESS '7872 Firwood Way NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 2 Pearson's Craigway Estates 2nd SHEET 2 PROPERTYOWNER MAIIADDRESS ZIP PHONE Bruce Mi.11er 7872 Fixwood Way NE 571-1296 3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO Lakewood Interiors 1742 Frank St, Ma.plewood MDT 55109 776-2852 3997 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDFESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION I� ALTERATION ❑ REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Install gas �ireplace 9 CHANGE OF USE FROM TO STIPULATIONS Separate �err�qit xequired �c�r gas piping, SEPARATE PERMITS ARE REOUIFED FOR ELECTRICAL, PLUMBING, HEATING, �PE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OFi CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORI2ED 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 HEfiEBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX WI H W ETHEFi SPECIF ED HEREINIOFi NOTOTHE GRANTING OF AOPERMIDT $2 /2OQ S�-, 1.O DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pEFiMIT FEE SAC CHARGE P ISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING coN- $54.00 Fire SC �`Z.ZO R TION O� THE PERF RMANCE OF CONSTRUCTION. � PLAN CHECKFEE TOTALFEE /�-� �°��� License SC $5.00 $62.30 S�G r o CoN� A TORO uT ORIZEDAGENT IDATE� EN O �LY VALI AT THIS IS YOUR PERMIT ' Bv �` /� ^ � � SiGNATURE OF OWNERi�F OWNER BUILDERi IDATE� LDG 1NSP �aTE NEW [ ] ADDN ( ] ALTER[] CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: �%� +12, � ( `� �� 1� �� %� Legal Description: Effective 3/ 11�2 Owner Name & Address: �� a��'. l'.J � /`�� p LL.�'/� Tel. # S' 7/- I Z% Contract� Address: [CENSE # o � 9'`�' � Tel. � �� 7 L� _Z.�.� Z _ Attach to this application, a Certificate of Survey of the lot, with the proposed coc�struction drawn on it to scate. DESCRIPTiON OF IMPROVEMENT LIVING AREA: Length Width Height GARAGE AREA: Length Width Height DECK AREA: Length WidtU Hgt/Ground OTHER: Sq. Ft. Sq. Ft. Sq. Ft. Corner Lot [] Inside Lot [ � Ft. Yd Sstback Side Yard Setbacics Ty� of Consiruction: . 1 C.E Estimat� Cost: $`ZZ�� v� Approx. Completion Date: Driveway Curb Cut Width Needed: DATE: APPLICANT: (Cost on Back) Ft. + 6 Ft = Ft x$ _$_ Tel. # �TY USE ONLY Permit Fee $�,�� F� Schaiule on Reverse Side Fire Surcharge $ �� 2� .(�1 of Permit Valuation (1/lOth%) State Surcharge $ � � / O $.50/$1,OU0 Valuation SAC Charge $ -�—' $7(?0 �r SAC Unit License Surcharge $ ��� $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [] Not Necessary [] TOTAL $ � � � °� � � t ' � `��E�iC�'/ U/(j�����'�" G�i'�'��� � e STIPULATIONS: �j y ��- � _. � BUILDING PERMIT FEE SCHEDULE The Chief Buildiag Official shall, before issuing �mrits for the erection of any building or structure, or for any addition to any existing building or sbructare, or for atry alteration or repair to any existing building or stiucture, 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 $501 to $2,� $2,�1 to $25,� $25,001 to $50,000 $50,001 to $1W,OQ0 $10(},(?O1 to $5�,000 $5�,001 to $1,�0,� $1,4IX},001 and up FEES $15 (Minimum F� is $15 plus surcharge) $15 for first $SOQ plus $2 for e,ach additional $100 or fraction ther�f, to and including $2,000 $45 for first $2,000 glus $9 for each addidonal $1,�0 or fraction thereof, to and including $25,000 $252 for first $2590W plus $6.50 for each additional $1,OIX1 or fraction thereof, to and including $50,� $414.50 for first $50,� plus $4.50 for each additional $1,000 or fractaiion thereof, to and including $100,� $639.50 for first $1�,(�0 plus $3.50 for each additional $1,�0 or fraction thereof, to and including $500,000 $2039.50 for the frst $5�,000 plus $3 for each additional $1,� or fiaction thereof, to and including $1,�O,IX10 $3539.50 for the �irst $.1,�0,0� plus $2 for each additional $1,000 or fraction �thereof DRIVEWAY DEPRESSION ESCROW (Concrete C�rb Streets Only) Alternaxe "A" : Removal aad replacement of curb ar�d gutter only - Driveway width plus 6 f�t times $13.50. Alternate "B" : Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driv�way width plus 6 feet times $15.75. VERIFICATION O� FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of applica.tion to allow for proper review of the propose.d structure and of the constiuction site. A Certificate of Survey of the lot, showing the location of the founda.tion once it has it has been constructed will be requir� before proceeding with the framiag. � I _ sue�ecr c�ty of Fridley AT TNE TOP OF THE TWINS � U I L D I N� P E R M I T ;, � � � ` _��_ COMMUNITV OEVELOPM�NT DIV. r j~ ' PROTECTIVE INSPECTION SEC. � � _ • � �"'1 � CITY MALL FRIOLEY �132 NUMBEB �'""�� ��' 612-571-34b0 s�aF�S JOB ADDRESS 78�2 Firwood Way �NE 1 LEGAL �OT NO. 9LOCK TRACT OR AODITION oescR. 3 2 Pearson � s Cr� 2 PROPEfiTY OWNER MAIL ADpR�S$ Bruce Miller 3 CONTRACTOR MAIL ADORESS Minnesota Rusco Inc. 9901 Smetana Dr 1 d ARCHITECT OR DESIGNER MAIL ADDRESS S ENGINEER MAIL 8 USE OF BUILDING Residential 7 CIASS OF WORK ❑ NEW ❑ AODITION 8 DESCRIBE WORK Reside house and �araae� snff;rc 9 CHANGE OF USE FROM STIPULATIONS NEV OATE PAGE OF 10/8/99 � / Estates, Znd ZIP PNON 5 71-12 Z�P PHON nka 55343 935-9669 ZIP PM�N R O. 0369 RECEIPT NO. 6� �� APPqOVED 9Y SEE ATTACMED SHEET LICENSE NO 2173 LICENSE NO. LICENSE NO O ALTERATION � REPAIR O MOVE O REMOVE TO Call for building wrap inspection before covering. Provide soffit ventilation to meet the State Building Code. P�rmit Insp�cf�Q� C�r�s Will �e Mailed � . To Homeowner To Post SEPARA7E PERMITS ARE FE�UIRED fOR ELECTFICAL. PIUMBING, HEATING, r�PC OF GON$T. OCCUPANCY GROUP OCCUPANCV LOAD VENTILATING OR AIR COND�TIONING TNIS PERMIT BECOMES NULL ANO VOIO IF WORK Oii CpNSTRUCTION 20NING SO. FT CU fT AUTHORIIED IS NOT COMMENCED V�IITHIN 80 OAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDEO Oli ABANOONED FOR A PERI00 OF 120 OAYS A7 ANY 71ME AFTER WORK IS COMMENCED. NO OWIG. I HEREBr CERTIfY THAT I HAYE READ ANO EXAMIN�O TMIS APPLICATION ANO KNOW TME SAME TO BE TRUE ANO COpRECT. ALL PROVISIONS OF LAWS yp�UATION AN� OROINANCES GOVERNING THIS TYPE OF WGRK WILI �E COMP�IED WITH WHETHER SPECIFIED HEpEIN Ofi NOT. TME GRANTING OF A PERMIT $9165 DOES NOT PRESUME TO GIVE AUTMOqITY TO VIOLATE OFi CANCEL THE pERMI?fEE PROVISIONS OF ANV OTNER STATE OR LOCAL LAW REGUTATING CON- STqUCTION OF TME PERFORMANCE OF CONSTRUCTION $181.ZrJ PLAN CNECI Lice S�GNOTUAEOFCON•AACTOAOpAUTMONi2E00GENT IO�iEi _ ...� STA��S �GAFAGES ` $4.58 SAC CMARGE Fire SC ' 70TA EE $ 9.99 IAT HIS IS YO �'/V .16 r IT A_��� ] ° ADDN ALTER Effective 5/10/99 L l CITY OF FRIDLEY [] SINGLE FAMII.Y AND DUPLEXES R 1 AND R-2 BUII,DING PERNIIT APPLICATION Construction Address: Lega1 Description: � � �� � �� Owner Name & Address: ��,�� QQe�� `'% S7 � �,�L�,�� 7�,,� �. Tel. # � l a - ��JI - / � �� Contractor: MINNESOTA RUSCO, INC. � MN LICENSE #�� 7� Address: MINNETONI�ArMN 55,�;o Tel. # �/�—��5-9��9 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. DESCRII'TION OF IMPROVEMENT Length Width Length Width Length Width Height Sq. Ft. Height Sq. Ft. HgtlGround Sq. Ft. OTHER: � COT1StrliCL10II T�. � r�$StlIIlatC� COSt: $ 9� 6� Driveway C�rb C�t Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: /l� � �°j � APPLICANT: � Tel. #�i'ca7 9�� %� % Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: � I� f.a� $ ��1� $ �. �� $ � �a o�' $ $ $ $ $ ��. CITY USE ONLY Fee Schedule on Reverse Side .OUl of Permit Valuation (1/IOth%) $.50/$1,000 Valuation $1050 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 [ J .�„ � . ��- 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 e�sting building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applican�t for such permit of fees to the amount herein below set forth and in the manner herein provided to-wit: T�OTAL VALUE $1 LO $500 $501 to $2,000 $2,OQ1 to $25,000 $25,001 to $SO,Q00 $50,001 to $100,000 $100,001 to $500,000 $500,001 to $1,Q00,000 $1,0{�,001 and up E���Cy $23 50 .kka . � _r g.;:', , � $23.50 for first $500 plus $3.05 for each additional $100 or fraction thereof, to and including $2,OQ0 $69.25 for first $2,�0 plus $14.OQ for each additional �a1,000 or fraction thereof, to and including $25,OQ0 $391.25 for first $25,000 plus $10.10 for each additional $1,000 or fraction thereof, to and including $50,000 $643.75 for first $50,000 plus $7.00 for each additional $1,000 or fraction thereof, to and including $100,0(10 $993.75 for first $100,OQ0 plus $5.60 for each additional $1,000 or fraction thereof, to and inciuding $500,040 $3,233.75 for the first $500,000 plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,000,000 $5,608.75 for the first $1,OOO,Q00 plus $3.15 for each additional $1,000 or fraction thereof — ��v'E-�JV�3� ��'����i�i �R�A�'i�' - (Concrete Curb &treets Only} Alterna.te "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $15.50. Altemate "B": Removal and replacement of curb and gutter and insta.11 a 3 fQOt wide approach with 6 inch depth - Driveway width plus 6 feet times $23.25. VERIFICATION OF FOUNDATION Permits for consiruction will be issued a minimum of 24 hours from the time of applica.tion 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 foundadun once it has it has been constructed will be required before proceeding with the frami.ng.