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City of Fridley, Minn.
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"� � � �O ION UILDING
No. �i������ street Part Lot
Lot ����_ Bl�k � Addition or Sub-Division .
'�.orner Lot — Inefde Lot _.._ e� 8etbaCk �_.�_._ � _._ S3deyaz'd � �;�� �e
Sewer Fdev8t4on Foundatton IIevation
. r DESCRIPTION OF BUILDING
To vsed .
Front r�� DePtli p� Height �- Sq• F'w ;�� Cu. FL ������
FYont Depth _C���/���eight � Sq. Ft Cu. Ft
Type of Construc�tion �.� F�t �.. � To be Completed �
�
In consideration of the fsauance to me of a permit to construct the building descrihEd above I agr�e to do
th� proposed work in accordance with the d�scription above se forth and in compliance with afl provisions of
ordinanaes oE the dty of Fridley. �
In consfderatfan of the �
payment of a Pee of , permit ia hereby granted to
to col�atruct the buflding or addition as described above. Thia permit ia granted upon
the express condition that thepe�on to whom it is graated and his agenta, employees and worl�en, in all work
daae in, arouad and upon said building, or any part thereof, shall conPorm fn all reapects to the ordinaacea of
�'thea d eBlim�tts� lacation, construct�Ton, alteration, ma3n repair and moving of bufldings
o�� tY tbia perinit may be revoked at any� � on of any of the provis�lons of said
Buflding Inspector
NOflC�
ild� psrmtt d� ao� eeree t6s eoeslrueH�, Imt�attoe �sr vrteteg. plambieg, ga 6e�leg, sswar er wNu. B� wn �o �
tha Bulldio8 lnsp�efor for qp�raM p�rmhs Por th�a �xw.
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LAND Sl1RVE1�ORS
Moka, Minnesota
CERTIFiCATE OF SURVEY:
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LOTS I O ANO� I i� BI.00K 5
OAK GROVE AD01 T 10(d
ANOKA COUtdTY� M�NWESOTA
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Telephone 421-6340
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� � DENOTES
Ll.� 1 Ro�s _
( HEdEBY CERAFY THAT TH1S tS A TRUE AND CORRECT REPRE$ENTATION OF A SURVEY OF THE BOUNDARIES OF THE ABOVE
DESCRIBED LAND, AND iHE LOCATION OF ALL BUILDINGS, THEREON, AND ALL VISIBLE ENCROACHMENTS, IP ANY, FROM OR ON1 SAID
LAND.
AS SiJRVEYED BY ME THIS .2�.TH DAY OF ................. cIU Y A.D. 19
.......... � ........................................ ...6.3...
N. C. HOIUM AND ASSOCIATES, I C.e+— LAND SURVEYORS
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OWP�R' S NAME
APPLICATION �'OR BUILDIAIG PERMIT
GITY OF FttZDLEY, MI1vNESOTA
ADDRESS ADDRESS
LOCATIOAI OF BUILDING.
No. �� ��-� Street Part of Lot
�,_
Lot l� �s �� B1ock � Addition or Subdivision_�o� �.���..� '
D
Corner Lot Inside Lot � Setback �� e Side-Yard �.� � ���
SEWLR ELEVATION FOUNDATION ELEVATION
Applicant attach to ehia form Two Certifieates of Survey of LoC and proposed build-
ing location.drawn on these Certificatea.
DESCRIPTIOAT OF BUTLDING
To be used as:
� � Frant 3� Depth �� Height � 0
Sq. Ft. �1 e'�. Cu. Ft. 1 1� `��} l�
Front Depth Height
Sq. Ft . Cu . Ft .
Type of Construction �� Eatimated Cost � 3� 000. �
To be Completed
The undersigaed hereby makes applicaCion for a permit for the work herein specified,
agreeing to do all work in etrict accordanca with the Citq of Fridley Ordinances and
rulings of the Department of Buildings, and hereby declares that a11 the facts aad
representationa atated in this application are true and correct.
DA�'E � � , � 3 S IGNATLTRE � .
(schedule of Fee CosCs can be found on the Reverse Side).
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BUILDING PERNQT FEE SCHEDULE
SeGtion 2. The Inspector of Buildinge shall, before isst�ing any perwit fAr
3:he erect.�on �f aay,:.bu37.ding or structure, or for any addition �o any exist-
iag bu�lding or structure, or for any altierat�.ons or repaite to any e�ist�ng
building or aeructure, upon application Gherefor, require the paymea� by the
applicant for auch permit of fees to the amount herein below set forth and
in the manner herein provided to-wiC:
2.Z. For aay such permit for the erectioa of anq fire-proof building, other
than a garage, wareh�use, factory or �rain elevator, or for the erectian of
any f3re-proof addition, for aimilar occupancy, to any enieting building
shall be �C the rate of $�.40 for each oue thousand cubic feet, os fraction
r.hereo£, in suct� cubical contents .
2a2. For aay such permit for the erection of any fire-proof garage, warehouae?
f�ceory or grain elevator, or for the erection of any fire-proof edditioa,
for aimilar occupaacy, to sny exiat3.ng building shall be at the sate of $1.25
for ea�ch ane thousand cub3c, £eet, cla�s�.fied as °1fiseproof" bq Sectioa 502 of
' � ��-' � -�'he N'•inneapo�ie Building Gode: -
LOUSES
2.3. For any such permit for the erection of any non-fireproof buildiag other
than a garage, warehouae, factorq or �rain elevator, or aay noa-fireproof
addit3oa, for similar occupancy, to any exiating building - pes�it $1.00 for
each oae thousand cubic feet.
GA.RAGES
2.[x. For anq such permit for the erectioa of any non-fireproof garage,
warehouse, factory or�grain elevator, or for the erec�ion of any non-firegroof
additian, �or s.imilar occupancy, to aay existing building or for each such
buildiag or addition - ninety cente �$0.90j for each oae ebousaad cubic feet
or fraction theraof, in the cubicai contents thereoi with a min3�m of $4.OU.
Fos the purpose of computing teea for building permits, the cubical coatents
of aay building or addieioa to a uaiform height throughout by muZtiplying tlae
ground area covered from a point six (6) inches below the floor line of �he
basement or cellar to the average height of the upper surface or to the
average height of the roof surface of the main gable of a pitched roof.
2.5. For repa3ra or alterations to an eacisting etructure, the fee shall be
at the rate of $3.00 pe� each Five IIundred Dollars ($SOO.UO� or fraction
thereof in the cost of all propoaed work.
2.6. In n6:Cas'e'shal�'the'fee.chargQd for anp permit ae set forth ia
Section 2 be less than $4.00.
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HEAT LOSS CALCULATIONS DEPARTMENT OP INSPECTIONS ��Eppp�, �My �I
—� A.S.H.V.E.
Weatherstrips _ Guide Construction No. Insulation '
Windows Doors Reference Out. Wall Int. Wall Ceiling Roof F7oor Kind How Applied '
Yes—No �d Yes—No 19_ - i
.+�'%�7.� Room � Length A�' Width / Height �' .� Room Length � Width �e' Height
Windows an ' oors—Crackage and Area Windows and Doors—Crackage and Area
�Vidth eight No. ot Llneal tt. Area Width Height No. ot Llneat Lt. Acea
No. ot Dane o[ pane ilghte of crack eq. f[. No. o[ pane ot Dane Iighte ot crack eq. [t. II
� � � � ft� � ,% �I � � � � � � '� � O ! � !
� ,� ' ,� � Coef. Btu
lnfiltration �{'�'i !,�''�' �1' "?� �
Glass � ;i ,�*° � � ,�
Fap. wall � r{
Net exp. wall � p ,�� o�� �
Int. wall
CQ11lI1g eP�r � � � �,
Floor
Total Btu. � *� � � *.�
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
� . .� Room ( Length ,��I Width ,,a Height
Windows and Doors—Crackage and Area
Wtdth Hefght No. of Llneal ft. Area
No. o[ Dane of pane llBhte of crack eQ. tt.
�� � � � �� �
Coef. Btu
In6ltration '� � ',� �
Glasa � ;�'"�
Exp. wall �
Net exp, wall �I' �
Int. wall
Ceiling
Floor �, �
Total Btu. r�
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
4% Room � Length ,/ j- Width � p Height .�'
Windows and Doors—Crackage and Area
Width Helght No. ot L1nea1 [t. Area
No. ot pane of pane Ilghte ot crack eq. ft.
� �-� �� � �� � �
Coef. Btu
lnfiltration ,� � ,4`% �,� �
Glass � , +�'� a-�
Exp. wall /
Net eap. wall �y, /�, �
Int. wap
Ceiling �� y/ ,��
Floor
Total Btu. �' �
Required sq. ft. E.D.R. or sq. ins. W.A. l.eader area
Infiltration
Calass
ESp. wall
��
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��� ` ,�
Net egp. wall j� e'� f�'Z�, I
Int. wall I
Ceiling df �% s '� � Z�
Floor
Total Btu
. � +�,.�d '�,"9
Required sq. k. E.D.R. or aq. ins. W.A. Leader area
.� � Room I L.ength ,�' �` Width Height
Windows and Doors—Crackage and Area
Wldth Hefght No. of Llneat ft. Area
No. ot pane ot pane IlBbte ot crack eq. tt.
� �r � � ir►' �'� e� �
Infiltration
Glass
Eap. wall
Net exp. wall
Int. wall
Ceiling
Floor
Total Btu.
�F.� - .;_.
��
� � ,, ;
Required sq� ft. �.D.R. or sq. ins. W.A. Leader area
,�'Fl.� Room I Length /,,a� Width � Height �
Wi dows and Doors—Crackage and Area
Wldth Helght No. o[ Lfneal [t. Area
No. ot pane ot pane Ilghte ot crack ep. tt. '
� .�" � � � G�
.i 'ia�' �� r `� a+ �9i �f'
Infiltration
Glass
Exp. wall
Net exp. wall
Int. wall
Ceiling
Floor
Total Btu.
IRequired sq. ft. E.D.R. or sq. ins. WA. L.eader area
Btu
� �
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�. � " � � Permit Fee �.. . . . �
_ I�PPLICATIflN �QR MECHANI�l4L i�WARM AIR HEAi1NG' PE[lMIT _ �r +
, _ � , ,
t, r ,_
„ _ No. p.. . ...
q�
Da�te of:iasuan�e.... . .. -- -. ...., 196._ LuccZti,an. . .. .
.M'irc»,ectpoli,�, Mir�n.,. . ... .. .... .., X 96.-.
Inspeoir�r o f ; Bwil,dinge . _
The underei�rrx.d hereby makes applieatiosa for iz permit for the in.4tuLl�ct�an, tr,LteraEior� or r�epccir oj` �
cc heut�ng, ccir cn�d�tion;�ng or uerzti�ting system, deuice ar eguiprrr,ent, as hereisa �peei�'ieaL, c��%reei�� to do
�tZ siueh work irL �irirt aceordunEe uritli the City (h°d inartees ancZ ri.clira�s of the De�irtmer�,� of .F�spections
,,., ;-. anc� the xpesi ficati�res se� fc�h in th�i� applicdtion :a�g copproved and filed in t,he Departrrcent af Inspectiorts..
putrcer . . ... _....... .. ....--•-- . ........ . �qddrese of Otv�-. . - ---- -
Kind of BuiZdin�.. . . ..... ._.... _ ........Hvw oceutned .. .-- --_ . .. -•---..-
:: : Wo•rk t� be started--.� .--.�---•• ---•• .... ................... 196...:.. Woxk to be eompleted._:.: .__....K.�_...�...___...:_.:::,. 198_.,�.- '
:�stirn,a,ted GYost �:. --- - • ._.... , ...... ..Qtd. — JV'ew �uildi,rag Permit .No. -..--•- - - ----
. ;` . . ' DESCWPTION OF WORK
Not� Insert tke word ivatall, add, aher, or rspair, acaonling,to whkh is to be done. Under "Reqi6�ke;' Nemize removole,.If m�y, vnd '
' alteGatlons to aquipmenL _ , - ,
...._ ... . _Mechanical Warm Ai� HeafinH Rlt�nl�--�F��aces . ..._. --
_
�Malce... . ...: _ ...............__.�_.,. ...._.... .... ..dS'' ------- .... .. --•- - -•
- :Cori�ceef�d %c2 . ..---- ---- --- ... ._........C'mper,�it� ...
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City of Fridley, Minn..
BUILDING PERMIT
Date: Ma,y 20, 1970
p�r; Shir ,lev Ludke g��r Same
Addres� �.O�xidle�.r Street N.E. Ad� Same
� ��
° 10656
LOCATION OF BUILDING
No. 6530 S�t Fridley Street N.E. part of Lot
Lot �� 11 ___ Slock � � Addition or Sub-Divis�ton _ �a. �rove Addition , ,
Coraer I.ot _ Inaide Lot x SEtback �� � Sideyard
Sewer IIevatfon � � Foundat3on IIevation
DESCRIPTION OF BUILDING
To be Used as:
Gara�e �t 24' Depth 26 �� Height 10' �. � 624' �y �•t, 6240'
, Front Depth fTeight Sq. F� G�. Ft
Type of Construci3on Frame ��_$2,400.00 _ To be Completed June 15, 1970
Provide Hardsurfaced Driveway
In cons�tderation of the issuance to me of a permft to construct the building described above, I agnee to' aio
the proposed work in accordance with the description above, set fo � in complianc� wi � all proviaions of
ortlinances of the dty oE F'rialley. C_�l��
In consideration oP the payment of a fee of $ 1� �0 , perrnft fs hereby granted to �• Macie inv
to construct the bwllding or addil3on as described above. This permit fs granted upon
the expresa condition that theperson to whom it fs gra,nted and his agents, employees and worl�en, in all work
done fq around and u�n safd building, or anypa,r� thereof, shall conform ia all reapects to the orrlinancea oE
Fridley� Minnesota regarding location, conatruct�on, alteration, maiatenance, repair and. moving of bufldinga
within the dty ]imita and thia perrmit may be revoked at any time upon violation of aay oE the provieiona oF said
ordinencea ��
[1/.�� �v������i� � .
�.��
R�1�11� ; i -
NOTIC�
'�his permtt d�s eot eorsr t6s eoesfradioe, hutalWion �e� wirlee, plurnbing, ea 6eaHng, sswa� er wter. B� ain lo ses
1ha BnlWieg le:psetoe for ssparat� parmtts Po� t6�s tl�mt.
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OWNER'S
ADDRESS
NO. `
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i,oT c�
APLICATION FOR RESIDENTIAL, ALTERATION,
OR ADDITiON BUILDING PERMIT
CITY OF FRIDLEY. MINNESOTA
CORNER LO�: INSIDE LOT:_ S�' SETBACR: � SIDEiiARD:__,_��
Applicant attach to thia form 1t�o Certificatea of Surves► of Lot and proposed
buildiag �ocation drawn on theae Certificates.
HESCRIPTION OF BUILDING
To Be Used A�;
�'y �---���, ���- gront : Depth : �� � Height : � �
������G�� !�".' / ,�j A
Squate Feet: (1 � Cubic Feeico � � °;%°'� �
...,..�.�..�..e.
Front: Depth; Height:
q
Square Feet; Cubic Feets
d 0
�pe of Construction: ,,� Estimated Cost: $ �'��
To Be Campleted: �� � �',� � �' �
Tlie uadersigaed bereby makea applicatinn for a permit for ttie work herei,n,
epeei�ied, agreeiag to do all work in ettict accordence with the City o�
Fridley Ordinaaces aad suli�gs of the Depart�ent of Buildings, aad hereby
declaree that all the facts and representatione atated in thie application
are true and correct.
,�'�° � �
DATE: .'� , °� -� � �% � SIGNATURE:
6
!.
(Sea Aenreree Side For Additioasl Information.) �
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BUILDING PERMIT FEE SCHEDULE
;
- SECTION 2. The Inspector of Buildin�� shall, before i�ssuiag pesmita fo�r tb�e
erection of any buildiag or atxuc�ure, or for aay addition to aay exieting
� building or structure, or for a.ay alteratioxi og repairs to axiy existing
building or sCructure, upon applicatiom thereforeD requixe the payment'by the
applicaat for such pesmit of fees to the amoun� herein below set forth aad ia
the manner hereia prwideci to-wit: ,
UNIFORM BUILDING CODEt ljrpe 1, 2& 4-$2.15 for each one thousand cubic
feet, or fraction thereof, in auch cubical coatents. lqpe 3� 5-$1.85 for
each one thousand cubic feet.
, ,,
ADDITIONAL INFORMATION
Fox the purpose of computin� fees for building p�rmits, the cubical conteats
of any building or additionD is determined by �ltiplyia,g the grouad araa
c4xered from a point six (6) inchee below the flooa� line of the baoe�e;n�
c:t tiie cellar to th� avesage hoigh�s of the a�ppes eurfae� or to th� a�e�cag��
�height of the roof surface di the m�in gable of a pi�ched rQOf.
s
For repairs ur alterations to aa existiug stsuc�r�, th� f�,e s�rall bn at the
rate of $3.OQ pes each five hundred doll�ra ($500.00) or �r�ction th�raof in
°the coet of all propoaed work. .
Ia ao case ahall the fee charged for aa� per�it se aet forth in Section 2 be
lesa thaa $5.00.
VARIFICAT][O�V OF FOUAIDATION
I�ATE: ,P�smits for s�anstructioa will be iseued a�i�mm of 24 boura from th�
t3s�e of application, to allaw for proper review of the proposed e�suctura aad
of the coaetruction eiteo
A Gertifi4d Surveq of the lot, ehawiag the locatLon of the foundation, once i�
h+d_�been caaetructed, will be required before mroceediaR �ith the framing.
CERTIFICATE OF OCCUPANCY
Application for a Gertificate o� Occupaacy Ahall bs made ten (10) days psiar
to tlae uae oz occupaa�y of au� �tructuse fos which a buildis�g �smit ha� beeu
., �eaued; and eaid $tructure shal aot b� ueed or occup!'�d until a C�stificat�
of 6ccupsacy hae beea iesued.
I � / 1
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--��_
B. H. BRADLEY
CtVtL ENOtNEER AND SURVEYOR
8828 -?ATFi AVENUE SOUTH
MII�II�iBAPDLIB. MINN68QI'A 88608
724_Z�BB
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�ofs /� a� d // �'/�e�' ,� f a'k (T rr � e � d �i �i ��� � nQO�� C`c�'r�t �, ���ri� �.s��d;
�3'�.f ,�`t..��^ �y� �/ ��Y m� ,�� � �`� ��' �e� y t�� �'i'�� y l �` ��'.
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sue�ECr �WB:-
City of Fridley � � � � 7
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
r
� �
, � RECEIPT NO.
� • COMMUNITY DEVELOPMENT OIV.
� `ti: ----- � ���
r � � PROTECTIVE INSPECTION SEC.
� �
� � ����1 � CITY HALL FRIDLEV SS432 NUMBER REV OATE PAGE OF APPROVED Bv
�""'� � ,'' 612-571-3450 910-F15 8/23/96 / /
JOB ADDRESS 6530 Fridley Street NE
1 LEGAL �OT NO. BLOCK TRACT OH AODITION SEE ATTACHED
oesca. 10,11 5 Oak Grove Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Floyd Kummala 6530 Fridle Street NE 571-7296
3 CONTRACTOR MAILADDRESS Z�P PHONE LICENSENO.
D& D Home Im rovement 7401 Central Ave NE Fridle MN 55432 784-7543 4840
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
8 USE OF BUILDING
Residential
7 CLASS OF WORK
O NEW ❑ ADDITION ❑ ALTERATION p REPAIR ❑ MOVE ❑ REMOVE
x
8 DESCRIBE WOHK
Reroof House & Gara e(17 S) Tear-off
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD
SEPARATE PERMITS ARE RE�UIRED FOF ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTHUCTION ZONING SQ. FT. CU. FT
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING
I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILI BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT �1�4OZ �.70
DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE
PROVISIO ANV OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCT N OR HE PERFO CE OF CONSTRUCTION. ��F8..5� Fire .S�', �Z.�F�
PLAN CHECKFEE TOTALFEE
�. �_ � License SC $5.00 $55.60
SIGNATUAEOFCON'RACTOAOAAUTHOAl2EDAGENT IDA i WNEN PFiOPERL ALIDATED THIS IS VOUR PERMIT
` ��ZC
S�GNATURE OF OWNEL7 ��F OWNEA BU�LOE�7� �DATEi .+91D �NSP �1uTE
NEW
ADDN
ALTER
Cl
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ConstrucdonAddress:
Lega1 Description:
Owner Name & Address:
CITY OF FRIDLEY
SINGLE FAMII.Y AND DUPLERES R 1 AND R-2
Building Permit Application
��
Effective 3/1/96
_ Tel. # ��,� ����
Contrdctor: D& D Home Improvement , I nc MN LICENSE # Q�� �
Address: 7401 Central Ave NE Fridley, MN 55432 Tel. # 784=7543
Attach to this applicadon, a Certificate of Survey of the
lot, with the proposed constcuction drawn on it to scale.
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
DESCRIPTION OF IlVIPROVEMENT
Length Width Height
Length Width Height
Length Width Hgt/Ground
Sq. Ft.
5q. Ft.
Sq. Ft.
Corner Lot [) Inside Lot [ J Ft. Yd Setback Side Yard Setbacks
Tyge of Construction: _`� �,.�a Estimated Cost: $ �� L��
Approx. CompletionDate: ���"f, 0� ��.�� l/�' ,�y��,�e.�
� B�
.(Cost on Back)
Driveway Curb Cut Width Needed: Ft. + t= F x$ _$
DATE: APPLICANT: Tel. # ����Z���
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Pazk Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
$ v�5 v
$ l, �e�
$ ��
$
$ � � L��
$
$
$
$
$ .�'� ' �c�
CITY USE ONLY
Fee Schedule on Reverse Side
.�1 of Permit Valuation (1/lOth%)
$.50/$1,000 Valuation
$�0 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 Nece.ssary [ ] Not Necessary [ ]
*
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CHIlVINEY AND STACK VERIFICATION
The undersigned hereby verifies ihat the existing chimney or stack:
1.
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5.
6
7.
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Has been carefiilly examined
Is free from nist or deterioration
Has no foreign objects lodged within
Is securely supported
Meets all cuirent Code requirements for size
and total BTU's connected
Has total heating BTU's of
All other BTU's
TOTAL BTU's
Has a liner been provided for water heater
Has combustion air been provided for water heater
Remarks: .
List ALTERATIONS Being Done:
HEATING CO:
Signed By:
Date:
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