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AF - 42665City of Fridley, inn BUILDING P�RMIT N° 5 4 3 0 Date: "' '�-+f�' ,a� Owaer: ��„�.�l� � . Builder Address ...._ Address � � �.O ION BU L NG No. �Street ��, _ ,� �.. Part Lot — Lot �' ' y.. Block :A.dditfon or Sub-Divlsio �.��"�� � �____ �._._'�'_ � �t , Coraer Lot _�Inafde Lot Setback �,,,�� Sideyard ��, Sewer IIevatfon Foundation IIevation ' DESCRIPTION OF BUILDING To vsed � �- � ��� '_ Front Depth '��€..� Height � S4. Ft �P�. -°�"'� Cu. Ft ���a�� l�� . 1�. t Depth ght "�..�. Sq. Fi. Cu. Ft �� �,�r,� Type of Coastructi� r� F�st. Cost� � To be Completed In considera.tion 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 description above set forth and in compliance with all proviaions of qrdinances of the city of Fridley. � . In considerat3on of the payment of a fee of �.��'� � permit is hereby granfi,ed to to construct the building or addition as described above. This permit is granted u�n �he egpress conditaton that the person to whom it is granted and his agents, employees and wor�en, in all work done in, around and upon said building, or any► part thereof, shall conform in all respects to the ordinancea of �rYdley, Minnesota regarding location, construction, alteration, maintenance� repair and moving of buildings within the city limits and this permit may be revoked at any time upon viola any of the pmvlsions of eaid ordinancea �..�,� � Building Inspector NO'fIC� Thts psrmii doea not wver f6s �ens�rueNon, Mataqadon for vrtring, Plumbtnp, gaa headne, aswer oe watsr. 8e wro fo ass ths Buildieg laspedor for separate pa�its for �6we hsms. _ _,, "•a !!` 4 � �— �. �,. _ �PPLICgTION FaR BIIILDING PE�iNlI'P CITY �' FRIDLEY, MINNE,SOTA t Builder �'-� � ^- � ° "J �� � Owner s Alame ' /ddress, � � 1/ �2 s�r I � � � � e � � , ldclresa - - . LOCATION OF BIIILDIl�TG No. ���� 8treet e Part of Lot Lot s `� ° � S B1ock 5� Addition or 3u�livis3on � � � � �' � �' Corner Lot ✓ Inside Lot Setback �� Side-Yard /�� SEWER ELEVgTION FOUI1mATI0N EI�IiATI�N �@pplicant attach to this form Certificate of Survey of Lot and proposed buildin� loca.tion. DESCRIPTION OF BIIILDING To be used as: � / � � S i �-� _ 1 � �ont � ti Depth � y Height � Sq. Ft. / �' �' � Cu. Ft. � � � d� � , Front__ Depth Height Sq. Ft. Cu. Ft. Type of Construction � �'`�_ `� '�- Eatimated Cost /� �' �' � �__.__ To be Completed �@ � � �° � -- The undersigaed hereby makes application for a permit for the work here3n spec3fied, agreeing to do all work in strict accordance with the City ardiraances and rulin� oi the Department of Buildings, and hereby declares that all the facts and representations atatad in thi.s applica.tion are true and correct. D1�TE , SIC�TATURE � (A Schedule of Fee Ccsta can be found on the Reverse Side.) __' �"'1 n . r BUII�DIiJG PERMIT FEE SCHEDIII� Section 2. The Insgector of Bu3ldings ahall, before issuing any perm3t for the erection of ang building.or. structure, or for arr�r addit3on to eny existing build- ing or atructure, or for �.n.y alterations or repairs to ang e�.at3ng bu3lding or st.ructure, upon applicat3on therefor, require the pe,�►ment by the applicant for such permit of feea to the amount herein be�.ow aet forth and 3n the mesuter herain provided to--wit: 2.1. For ang such permit for the erection of ang fire-.proof building, other thaa a garage, warehouse, factory or �,I'B,�A -8I898'�OT� or for the erect3on of any fi.re- proof addition, for aimilar occupea�og, to any exist3ng building shall 'be at the rate of �1.4A for each one thousand cubic f�et, or fraction thereof, 3n such cubical contents. 2.2. For an�► auch permit for the erection of any fireproof gare.ge, warehouee, factory or gra3n elevator,'or for the erection of any.fireproof addition, for. sim3lar occupancy, to any e�cisting building shall be at the rate of �7..25 for each one thousand cub3c feet, classified as '�f3reproof" by Section 502 of the Minneapolis Building Code. HO,USFS 2.3. For any such permit for the tha.n a garage, warehouae, facto addition, for similar occupan�y, each one thousand cubia feet. GAR` erection of a�► nor�fireproof building other ry or grain elevator, or any nor�-fireproof to any exiating building. Permit �7..00 for 2.4. For any such permit i�or the erection of an�+ norr�fireproof garage, waxehouse, factory or grain elevator, or for the erection of any non-fireproof addition, for simil.ar occupancy, to any exiating building or for each such building or addition. Ninety Cents for ea.ch one thousand cubic feet or f'raction thereof, in tha cubical con�ents thereof �rith a minimtm� of $I�.00, For the pvrpose of computiug fees for building permits the cubical contents of any buildi.ng or addition to a un3form height throughout by multipl�ring the �round area covered from a point aix (6) inches below the floor line of the basement or cel3ar to the average height of the upper surface or to the average height of ihe xoof surface of the ma3n gable of a pitched roof. � 2.5. For repairs or alterations to an existing structure, the fee ahall b� at the rate of �3.00 for each Five Hu�dred DolTaxs (�500.00), or fY�action thereof 3n the aost of al.l proposed work. 2.6. In no case shall the fee charged for any permit as aet forth in Sect3on 2 be leas than �4.Q0. .� _ _ � � � w � � � � � {�,'y�,-.� �,� wy �� � > :a -'� ' :, . . -. -. � � � . ' ` �(:�.. x _ . , p� �� � . �`�` ��';.,� � a' �� . �'� � � . r� � � .. � , y'.. 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N�p�.�p� O O 6 p � {!3 {fl H H r I �� a�� � \ ���� co J r�e j ��� � � a � • t�. �d�� w ,� ���'.o c��o � �� . . ° pi• �, � � � � � � �� J���� o��� p�� op � �p �'�o ��py�y a, (p Q7 °�' Y �4 �Ry ` ¢��� �. ��� ��o � ~ ,��.w�� , w� ►+ Q `C'J . .: �" �� :+'i �+ ►+ t�e � �' � � rt� �� �' � 5' 1_ S L a l �� a � � � r /� A m � C) O m � v � r � m � � ^b r• � � 0 � � � � � Ci � b � o � M � � v � � p ^ � � � � � � � � r�' � °� � , � �� � � � � H,�AT.L�S5 CA[.CULATIONS �� 3 DEPARTMENT aF �UILDINGS � 6 ROSEVIL�..E,,�N �eatherstrips A.S.H.V.E. Construction No. .,_ Tasulation ' m Guide - - - - Windows --@dors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How Applie� �_.. Yes—No ' Yes—No 19_ ¢' Fi.� �'`,��� ,�. : Roo:n � Length /'�°,1, Width �� HeiBht +'`` ,� FI•� 1����, Room � I,ength ��;�Width Windows and Doors—Crackage �n Area Window and Doors—Crackage aa Area �Vldth " Helght No. ot Llaeal It. Area Wldth Haight No. at Llneal tt. Area _No. ot pane o[ Dane lighte ot crack aq. tt. No. ot Dane ot Dane Ilghte ot crack aQ. [t. Btu Infi(tration P Glass �.� F�cp. wall `" �� Net ezp. wall _ - - - lnt. wsll Ceiling � FJoor � Total Btu. Required sq. ft. E.D.i. or sq. ins. W.A. Leader area Fl.� �'��_.�- i�oom � Length � Width %'�� Height Windows and Doors—Crackage and Area Wldth Helght No. o[ Lineal tt. Area No. o[ Dgne ot Fana 116hte ot crack eq. tt. � Infilcration Glass Exp. wal! Net ezp. wall Int. wa4 Ceiling Floor Total Btu. CO�f.� BiU Required sq. ft. E.D.R. or sq. ins. W.A. Leader area � Fl.� ���t�-'��, Room � Length ,��d/ Width Windows and Doors—Crackage and Area Wldth Helght No. ot Lineal tt. Area No. ot pane o[ Dane Ilghte ot crack eq, tt. Bcu Infiltration Glass Exp. wall Net exp. wall lnt. wall Ceiling Floor Total Btu. Requir�d sq. ft. E.D.R. or sq. ins. W.l�. L.eader arca ��•��•�.:� � . .� � � 1 Coef. Bta ' In6ltration j g=„�I i.� �B- � �� C)ass e° Facp. wall � __ 'l�et eap. wrall --- — '�' Int. wa[l Ceiling - �.� Floor t�� Total Btu. Ftequired sq. ft. E.D.R. or sv. ins. WA. Leader area Fi.lm ;�. Room ( Length �,,�,t�' • Width � ' Windows a Doors—Crackage and Area ' � Wf�th Helght No. ot Llneal [t. Area No. ot Dane ot pane Ilghte ot crack aq. ft. I �' �'C � �� �'" ��` �/eC' Infiltzation � E Glass / 'I Exn. wau Net_eap. wall _ '� Int. wall � '� ' � ' Ceiling �' I Floor ' Total Btuo � 'I ftequired aq. ft. ED.R. or sq. ins. W.A. L.eader area Ft.� ' �_,� ,.' :"�.`"`�E�om I Length � "� Width / p Windows and Dooro--Crackage and Area WI�}th Helght No. of Llneul [t. Area No: ot pane ot Dane tlghte ot crack ep. tt. �P �� � � 6 r !� Coef.l Btu Infiltration l � g �°J ' `'�t Glass q ��, ,�-j Eap. wall � � Net eap. wall ` ``° .,a Int.-wafl _ ;� L . � _ Ceiling �,d'�- ' � Floor � Total Btu. Required sq. ft. E.D.R. or sq. ins. W.l�. Leader area �.°.,.. _+ City of Fridley, Mirm.. 6431 Univeraity Ave. N. E., Miuneapolis, Minn. 55432 BUILDING PERMIT DBte: - Nov mb r i 1 g] 1- -- p��; _ Roy T. Holma.n B�� Same Address _.�5.9SL E7: idl�� S tree t N. E Ad��s Same i - �/ r �� ' . LOCATION OF BUiLDING No. �.�Q4..� Street Fridley Street N.E. p� op �t Lot lL�s 7.5 Block 5. _.— Addition or Sub�Div3sion nak [:rove Addi t; on Coraer Lot ._?� Inside Lot Setback °?S � Sideyard �S ` F��s1a � uSE Sewer Elevaiion —_ Foundal3on Elevation _.._. DESCRIPTION OF BUILDING To t�e vsea as: Detac ed G xage �n� 26' �p�, 24' Height 10' gq, �, 624' �, �, 6240' --____ Front Depth Aeight Sq. Ft Cu. Ffi. TypQ og ����� Frame �, �� ��2, 733 To be Completed Janua 1, 1972 Stipulations: Provide a hard surface drive. Elevation to be 12" above centerline of existing finished Miasissippi Street as per City Engineer Nov. 2, 1971. In consideration�,of the issuance to me of a permit to constru�,i�e building described above, I agree tg do fihe proPosed work in accordance with the description above set�.Ror,ih and in ��apli�2� with all prov3sions oY Ord�ances of the ci of Fridle . /�/ .,. � 1.37 Sta In consideration of the payment of a fee of $�12.,_Q�_, permit is hereby granted to ������� R�v_�1man _ to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, 3n all work done in, around and upon said building, or any part thereof, shall conform in a]1 res�cts •to the ordinanCes oi Zs'ridley, Nlinnesota regarding location, construction, alteration, maintenance, regair and mov3ng of bu�diIIgs �i� th�e� city limits and this permit may be revoked at any time upon violation oE any of the provi�tons of s8id � �� Btrlldin8 Inspect� HANK MUHICIi � NOTICE: This permit does naf eover the eonsfruetion, installa4ioe ffor wiring, plum6ing, 8as heating, �xrar oe water. Be snre to s� fhs Building Inspeeto� fo� separate permifs for theae fitema. , B. H. BRADLEY CIVIL ENOiN6BR AND 8t7RVEYOR 9829 - 84TX AYHNUE BOUTH MINNBAPOLIB, MINN880TA 06008 �aa-a�� ���is�4/'¢��'' ,���! �" y� �`�f ,r'•i7a� �`1' K;��' J � �,' `:a�� `'''� ���t,•�.}:� c.� �� �� � �'' �i''• ° : �' i'� � � p , , .� ' �� i r �.. . . __.... " .� . . .. .. . ; �� c p � "4 �»s � � � ` � `� � � � ��� ° ��"� � I '� � � �t � ---- � � � ` ,,E, ,� .�--7-� � � s� 4 �1�, �. �. �� ,... .,.. ,� � � ..�., ..,,� .,.� .... ..� o,,., a.�. 9 ` ? .-3 1 � � � � ��, � � — P � sw.�:rY' ! �� �: ,�� � � ;�, �, � " °�r :`�= (� � ; ly 1 �r � � .,d�.!"�/�:' ' � r � • ,r ,� y.:� 4 . . �� � �.��.f"� �.,���:� �,, � �, � �' ..±= �, � .... �.. .r,. �,. .,�. .: x� � � y� , w ' �� ;� �'�� � ! � , ,�� —�-- r m� `� � � .: � ,�q�� � : ;..• • � � !�� � � � � d �9 � �� � A*� � ' �a � < ;�, tP e ; � � . i �P,:;i� 0� � � .�t . � -, 1 �' y � - �� ' . . . . _ . _���� .. . . .. . - -" . . . �� l e`.,�.�l.i.� /,��'' i v� 1' F L.; �.� ��; !�S`�l�.r� r��� �, � ��; [i .�° f��r''`a'�'��` 4`��'j ���'�% :�%�4�A'.�t.�'!`%i.°+'6 r°� fr�' �vl�P"�'�..�,�4:r,:��':.�����i�4.��e'��`��' �''� �i .��,�fl�iN�''�!� ,� �,r-�; �� �� : �:�:�� 4.�'��.:' �' � J� �,.��'>� �'i"�,� ;: �"�s`.����e�'1 r°1e'� �r°�'Cr �.:. �,�°�:� �� °�,� - � y t� � 1� � I �',�e�.a ��; .., �:°�.� �,,�,rr�N' t�� �; �� ��r, �=�� � �"�f�� ,�' a' `�' �`� �-;�+�,�,' � #' � j� �` �;i�; �.. r� � `1 f, ;.. .� � � � ����� ���f�.t�' � �,C�'r' i��'+�`,�a �":� � �$ � �i � R� ���rA��� — 7 � c/— � 3 5 �--- us�e��'.! � � °� �- �'L/ � � . e , AP.PLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITiON BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER' S NAME :�� / ��ym,�� BUILDER • �� � AnDx��s : �'sL�� i.��� .� !y�-� ann�ss • �� � � _ ' NO : . G �c+� o S TREET : ��/2 /.fJ � L=� � % �t/. L— . I,0'�:I��/S BLOCK: � ADDITION: ��� ��m�� CORNER L(rr: �1—� INSIDE LOT: SETBACR: SIDEYARD; �ppliGant attach to thia form �ao Certificatea of Surveq of �,ot and psoposed 'buildin$ locatioa� d�awa on theae Certificates. �E�C�2IPTION OF BUILDING To Be Ueed A�: �E! - ��Q��� F�ont ; 2- � Depth • ..'� Height : `�' Square Feet: �� Cubic Feet: iv � 7` � Fxontt Depth: Height: Squaze Feet; Cubic Feet: Z�►pe of Conetruction; �i�D9��L.� Estimated Coet: $����� '` a .a�e To �e completea$ G�' / / /7 � � � � � i �' _. . � � ,_ - �e unde�ceigaed hereby mnkes applicatinn for a�ezmit �or the work hereiu `� epec�fied, agreei.ng to do a11 Mo�k in sttict �ccvrdaucs wl.tii tile Cl��y of c�'� � `� �'�ridley Osdinaaces and suliqgs of the Department of Buildings, and heraby - decl.�ree that all the fact� and repreaentatioas etated in this application' `� are true aad correct. r r - AATE: / f �� / SIGNATiJRB: ' (See xeverae Sida For Additioaal Imformation.9 � ��' �; �- f_`a a7 ,lZ � ,�3 ' �'?�' ra k •� �� t ,.� ;,i! a .F = .� `� � � � � � � � p �� �'�.� � � . � � � -�` � ;��= °'�,� � • � ' ,��` p, � �e ��! ' � � 7 � , ,.� j�,�= � ���, ��. - �--- ��. .�'� `_ � � l� � �i� .� �� �r� ,� G-�. ,�� b� _ �:� � �� "� - � �.� _ � � �� � , , � ��+W � 3 i . � i � ' r _ ,- , . R�° �� �4 �r� I?Ar '3v.a ,� _ -- - - � ,� � � ¢�' -. %�r`9, � �- �`i,�f '�� � � / ��`� ��- � ; O � �,�.... / / ,� , � � / , BUILDING PERMIT FEE SCHEDULE SECTION 2. The Inspector of Buildings shall, before issuing permits for Y.he exection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repairs to any existing buildiag or structure, upon applicatioa therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the u�anaer herein provided to-wit: UNIFORM BUILDING CODE: 1j►pe 1, 2� 4-$2.15 for each one thousand cubic fee�, or fraction thereof, in such cubical contenta. 1j►pe 3� 5-$1.85 for each oae thousand cubic feet. ADDITIONAL INFORMATION Fo7r the purpose of computing fees for building peanita, the cubical contents of a,uy building or addition, ia determined by multiplying the ground area covsxed from a point six (6) inches below the floor line of the basement o� the cellar to the average heights of the upper surfac� or to the average� hei�t o£ the roof surface of the main gable of a pitched roof. Foa xepairs or alterations to an exi�ting 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 propoaed work. Ia no case sha1X the fee charged for aay pemnit as �et forth in Section 2 be leae th�n $5.00. � -=' �._ V�RIFICATION OF FOUNDATION NOTE: Pe�te fvr aonstsuctioa will be issued a miai�m of 24 houxa Eram the �i�e of application, to allow-for proper review of the proposed stxuctuxe �tnd of the coastsuctiop site. A Ce�ti�ied Survey of the lot, ehawing the location of the foundation, ouce it hsa been canstructed, will be required before proceedin�t with the framing. CERTIFICATE OF OCCUPANCY Appiicatio�n for a Certificate of Occupancy sha11 be made teq (10) days prior to t�e use or oceupaacy of any atsucture for which a buildiag peYmit hae beea issued; and eaid etsucture shall aot be used or occup�ed until a CeztiiicaCe o£ Occupaucy has been isaued. .* � �� �� � � � � 0 � � � � � � H y � J (N O � y � !lf O N � � � ro � O .'i� � � � � � H N ro �I � � z b � � �' ro o � O O M v z � m yH M r � � m r9-�eciym� �' �' ° •-� z z 7o cn cn e �e rx,�o �< c c w � o rororo � yaaz ti � � � ��p � � �w � � O H ryi � � Sw' � ry-� F, � fD � fD �t N M M M(ami m faI Z Z Z H m W rt Z �o :h �:a n o cai 2+ � �� g t�i � C/� G� C� !-I W G'� t0 I �! p' � p' R+ ¢� fD � UJ �cncnz° �o,�'� �K ao a�w� � ��`�a� 7u m m z c�o a�e� t�ri �� p'' �., Pa' �o aP' m m� r°n Q' ►J �°��� o�+1� � qr `''w v�o w�u K firt�o� :v�� ��f° m-° r~ 000� � ��iu°o� cn �o �o ro o0o mm�o v' o°� m w rtDt x.wa°000°o �ro �`c�ak�r � c� �'� o �i ���°o an,� 5� m m� �t m w u, r nf � r � o° °o � m m� u�i o 0 rt rn io o° o° � � I I I �y � � F-� Q m xxk ��� � � � OF'W O 00 6��1�PN O O O O O O O O O O m tn +n m m tn r� in tn s � A\g� `J \` . ro ° � � r � � � � � �a � m � m � � _ o. � rt H m N � � 90 ° a � I m l C � � rt � N � a O M C � F+ hf � a �m x c�i � M ro � x ro � � n � �� � °z o � � W C r► �C µ � �7 fD a m o � � K � 1 O in v� v� tn tn tn tn t� O � H i � � � d G y � � � � o � ��y H H O � e� 1� � e� � � � � N H d � � � ae a N 4Z� � � � !r �PJ�I�PN O O O O O O O O O O vi tn tn t� t� � �n � rororo � � � ��m w r ° °��gpm a R+ R+ lD Vl 9 ���m � � r+ rr o N � a wwM� =� 'n �{ � ~ W W b 'U � � a r�r -�r�l m m � n a ro �°s r' a� x � a ,,, rn � °o � 00 = o g °o rn � ��pJ�IN y 0000 ti7 O o O O ���� ►� y i'� rt a� � r�� � Wf�D � JMiD aa a a r�� rooM w �Wo k M N W O� M m co .� �e � , �a m w °' � � ro °� " � � m��� ' m�O►�� � �rt� � ` � aro��o `�G p µ � Fr(+]. � W W 0�t W � �� tK+�O �p� m R � �%+ W W O �a°� w"�b \ O � � � � � � �t O W O F � � M � m � � W m fD m 7 � � W � � r�r � z � � r��t �rt � � � � :' 0 ti � � w m � m 3� v � r i� � � 0 z � O � � � m � � r� .77 3 Z n � O N Z G DZ �-i G o x z mD � � z � � � � � �' o� �: r z� �' m rtrn < � f7 �+ m � , � � . 0 z � � � � � m S� a � 0 Z ' m Z C c-� � 0 -n -r7 � ..-. d � SUBJECI PERMIT NO. City of Fridley 2 0 8 6 9 AT THE TOP OF THE TWINS g � I L D I N G P E R M I T r � � I . COMMUNITY DEVEIOPMENT DIV. � � v------� �� `�= �`'= � r i � PROTECTIVE INSPECTION SEC. i . � � � r'�'1 � CITY HALL FRIDLE� 55432 NUAABER REV. DATE PAGE OF APPROVED BY �'"""� � �'� 612-571-3450 9t0-F15 6/11/91 � � JOB AQ.�RESS 65Q0 Fr,i.dley 5treet NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 14�,1.5 5 Oak Grove Additian SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Glen Kendall 6500 Fridley Street NE 574-9154 3 CONTRACTOR MAILADDRESS Z�P PHONE LICENSENO. Sela Roofing & Remodeling INc. 3233 Henne in Ave S M ls 55408 - 4 AHCHITECTORDESIGNER MAILADDRESS ZIP PHONE LICENSENO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION � ALTERATION � REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof �� Dwelling (18 Squares) 9 CHANGEQFUSEFROM TO STIPULATIONS Mu.st �ollow S.tate Code �or iee and water shield. �0 �N new toofs fl� #eat•offs and replacement roofs, �tate Code r�qW�rQS that � I�yers of 15 fb, feit, mopp�ed tilbe��eC, �e ins#all�d to a point 2� inches up from er.ter;or wal! line; or the use of other �pptoved underiayment membrane. TYPEOFCONST. OCCUPANCYGROUP OCCUPANCYLOAD SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORI2ED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTHUCTION OR WORK IS SUSPENOE� 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 EXAMINEO 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 $��6 .}` aSO WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMITFEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGUTATiNG CON- 2rjeOO �''1,1;C.' SC yS`e��i STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $ PLAN CHECKFEE TOTALfEE � �� c ��l���� � y l /-� $26.44 ��� �; SIGNATURE OF CONTRACTOP OR AUTMORIZED AGENT IOATEI WHE . PRO ER A ID / ED TNIS IS YOUR PERMIT ' SiGNATUFEOFOWNERpFOWNERBUILDERi �OATE� - SP aiE �. 1 i i �i r r r•:: i i �� i I t L� F_ 1�-�• � 1-1 ��: ;' � �. I" r._+ 1 _{ � 1 t 1 f+ �� .� 1 i� � r' . Ll �: .` [� � [J � [ ] �r�t � ) ..: � . �.. - I l�l At�ID R-2 Building Pex'mit Applicatian �'i �,�'�i°, � �� • ' � %°�'/�% � Effective 1/1/91 I�gal Descripticn: D� S l�, /S �. S i ��-� �,eOv� �/��/, � ��'7�t �'- % co �Z�v �rrc� /�y S�' cxrner Name & Addr� : ( -7��d°J ` ` - ✓� c� f� '�.1. � �� �-�' ��J�/ ,� ,� oaa�txa�t+or: �lCc _ ✓7 �C� �/�i � i✓�6'l��G��� � � s , Tal . � � �"��f � Aaa��: �3Z� � �%�� ���� �� ��� f'� 1� �S `�� ci a Att�di to this appli�a►tian� a Caertificate of S�rvey c�f �chhe lot, with the pra�o�ext constzvc.tic�-i dra�wn an it to scale. C� �� LIY,II+'� 7U�,: Ler�gth Widt� � Heic�it Sq. Ft . c�►RAr� AI�i►: ierrjfih Width Height Sq. Ft. I� A�: IPr,�th Width � Hgt/Grau�d Sq. Fk. �R: Carner Iot [] Incide Ir�t [} Ft. Yd S�tbr3cJc 5ic9e Yan3 Setba� Rj►pe of C�ion: c.�o�� -� _�..���,�1" Fsti�mated C�ost: �� ��pprox. C7�leticsi Date: Pro�osE,d Driveway Width Zf N�w Opening Is D�ired: F'�. $ $ � , Wit�th + G' S�e BaC3c Page L�'E; C� `�'� A�I.SC.�riI': ��(,�� 6 ,� x�el. # c�� i��`� �P �t F� $ �� . oa Fir� �rge S � 9 � State S�uYi�arge $ , � D SAC ci�arge $ Driveway Escraw $ �ark Fee $ Sew�r Main Ct�ar�ge $ � Y• �71 li1JJ.l111� : $ a�. � � ,_ �J-1 ��� .,`�� � w� ��-+- • i� Fee S�le an R�ver�e Side .00l x Pe�t v�luation �1/loth �) $,50/$1,dd0 Valuatiori $650 pea� SAC Unit Alt. "A" �D]� ,Aat. "B" Ai'xlve �ee Detrermi.tierd by �gineerirr3 • � �� C ] � �� [ ] � ` � NEW [ ] ADDN [ ] ALTER [ ] �-�Const�uction Address: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Perrnit Application � � Effective 3/ i/92 Lega1 Description: i1 Owner Name & Address: .� °o-�-� d-��.c,�eQc�.��. Tel. #�7� �/�y Contractor: Address: MN LICENSE # Tel. # Attach to this applica.tion, a Certificate of Survey of the lot, with the proposed construcdon drawn on it to scale. DESCRIPTION OF IIVIPROVEMENT LIVING AREA: Length Width Height GARAGE AREA: Length Width Height DECK AREA: Length Width Hgt/Ground �� t Sq. Ft. Sq. Ft. Sq. Ft. Corner Lot [] Inside Lot [] Ft. Yd Setback Side Yard Setbacks Type of Construction: Estimat� Cost: $ Approx. Completion Date: , ;� ' (Cost on Back) �Driveway Curb Cut Width Ne�ed: �� Ft. + ,;� Ft = �i' Ft x $ � �� �� _ $ DATE: g'' G% �� Permit Fee $ Fire Surcharge $ State Surcharge $ SAC Charge $. License Surcharge $. Driveway Escrow $_ Park F� $, Sewer Main Charge $. TOTAL STIPULATIONS: $ Tel. # � �����7` CITY USE ONLY Fce Schedule on Reverse Side .001 of Pemut Valuation (1/lOth%) $.50/$1,000 Valuation $700 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above Fee Determined by Engineering Not Necessary [ l _------- __ , BUII.DING PERMIT FEE SCHEDULE The Cluef Building Official shall, before issuing �rmits for the erectioa of any building or structure, or for any addition to any existing building or sbructure, or for any alteration or repair to azry existing building or shvcture, upon appGcation 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 $2,000 $2,001 to $25,0� $25,001 to $50,0� $50,001 to $1�,000 $10(?,001 to $S�,Q00 $500,�1 to $1,000,000 $1,�0,001 and up FEES $15 (Minimum Fee is $ i5 plus surcharge) $15 for first $500 plus $2 for each additioaal $100 or fraction ther�f, to and including $2,000 $45 for first $2,00� plus $9 for each additional $1,OQ0 or fraction ther�f, to and including $25,000 $252 for first $25,� plus $6.50 for each additional $1,000 or fraction ther�f, to and including $50,000 $414.50 for first $50,� plus $4.50 for each additional $1,000 or fraction thereof, to and including $100,�0 $639.50 for first $i00,�0 plus $3.50 for each additional $1,(�0 or fraction thereof, to and including $500,000 $2039.50 for the first $500,000 plus $3 for each additional $1,�0 or fraction thereof, to and including $1,0OO,OW $3539.50 fvr the first $1,�,000 plus $2 for each additional $1,000 or fra.ction �thereof DRIVEWAY DEPRE.SSION ESCROW (Concrete C�rb Streets Only) Alternate "A" : Removal and replacement of curb and gutter only - Driveway width plus b f�t times $13.50. Alteinate °B": Removal and repla.cement of curb and gutxer and install a 3 foot wide appr�ch with 6 iach depth - Driveway width plus 6 feet times � 15.75. VERIFICATION OF FOUNDATION Permits for construction will be issu� 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 locadon of the foundation once it has it has been constiructed will be required before proceeding with the framing. \ J O � O Z < m z � z � 0 z A c� � � 0 m � � m � � � �. D �° r � 'n m m � � � 3 o �� °. _ � o�i � � c � -n O� Z � v �O� c � o � o o �? DD v � v N �v D � m � O z � � � � a . � N N p�j ` C� C N N W tWD � N �c �- u, v, m m m� �_� � p� -� �,v�� � -, � v-o„ � � m � m m � rn °��' d � �' � �. � '� fD m c��n � � � � d ? � cu S ' r v� �n � � � cc > > c� Z � � � v -i � � m � � T � �S�•� � � � � c � ro � n. .-. � � � Z 0 I I I�I I I I I I I I( � ������������ c�, 000•�ov�.i�cn�.i 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 D v� � � Z c 00 o. � z � -� � � O V c 0 m � _ � � v p °.: � �D � � � � � 0 n � " � � � o n rt � � � � (�l � � ....% � •-� (41 �l1 � �� z � 0 � � � � � o3i a 0 � � � . � � m z 3 � V �^ �l �/ �� 00 � c a � � C IC� ti a i` • V J � � � � � � � a O. � > N lO � 0 � a � ' 2 � � � � o. N � : � m � h � � I � �� I � O h a Q h � � \ � � � ' � °�', F o-i' O I � o � , ? � ; i � y ' � , c. g , .« � m A ' ,m�3' , Q � � a n�i � . � � , � � d � , N A � . � `� � O � � � i N i � r c W z � � C � m � m u� z O � m O D r � O W \'� �.. � � � COMMON_VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When realacina an existing furance, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely suppo�ted and firestopped where required. Yes () No () The venting system is plastiGPVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes () No () The undersigned also verifies that the replacement unit is a listed assembly and meets the cuRent codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Fumace Venting Tables for fan assisted and natural draft appliances. The existina combustion air is sized and installed to meet the cuRent codes and manufacturer's specifications. When required to install a new combustion air. it will be sized and installed To meet the current codes and manufacturers specfications. Yes ( ) No ( ) Yes ( ) No ( ) Yes ( ) No ( ) When installing a new ventina svstem, the undersigned hereby ve '�'ies that it is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Fumace Venting Tables for fan assisted and natural draft appliances. Yes () No () Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. Yes () No () A�pliance TYpe and Size/Common Vent and Vent Connector Information Appliance #1 Type BTU Input Fan Assisted or Nat Appliance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Totaf Btu Input Common Vent Type Vent Height Diameter inches Appliance #1 Vent Connector Height ft Length ft Diameter in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type ALTERATIONS: (Desc�ibe) HEATING CO: Signed By: Date : � _ CIIYOF FR[DLEY FRIDLEY MUMCIPAL CENTER • 6431 LTNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(763) 571-3450 • FAX (763) 571-1287 January 25, 2002 Mr. Glen Kendall 6500 Fridley Street NE Fridley, MN 55432 Re: Fina1 Inspection at 6500 Fridley Street NE Contractor: R A Johnson & Son Dear Mr. Kendall: A plumbing pemut was issued on October 16, 2000 to install a water heater at your address. According to Section 4715.2800 of the State Plumbing Code, a final inspection shall be conducted on the work authorized by this permit. As of this date, no final inspection has been called for. The permit fee that was paid covers the inspection to make sure the work was completed according to the Code. We will keep your permit open for another 30 days and if we do not hear from you within this time to set up the inspection, we will mark the permit "no inspection ca11� for" and take no fiirther action. To set up the inspection or to have any questions answered, please contact the Building Inspection Division at (763) 572-3604. I� i� �