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' City of Fridley 13630 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T • t ; � RECEIPT NO. � • COMMUNITY DEVELOPMENT DIV. r � v � PROTECTIVE INSPECTION SEC. 1 � � � /"'1 � CITY HALL FRIDLE� 55432 NUMBER REV. DATE PAGE OF APPROVED BY � I �� ----�• � 812-560-3450 910-F15 ��/76 � � '�� JOB ADDRESS 6531 Fridley Street N.�':. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. �-O��.l 6 Oak Grove Addition SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE �nnis Long 1621 - 66� Avenue N.E., Fridley, Mn. 3 CONTHACTOR MAILADDRESS Z�P PHONE LICENSENO. 5ame 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. 8 USE OF BUILDING Residential 7 CLASS OF WORK � NEW � ADDITION ❑ ALTERATION ❑ REPAIR 0 MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 42' x 24' Dwelling and a 22' x 24' Garage UII 5 SEp�ERII�!'� P'ER�IIITS REQfiJiRE� f.0ii �Ri1�G, TELEPHONE - ELECTRIC - GAS Etc. 9��li�; �UMBiNG AND StGt�S. T° REC�UIRED gl( LAW STIPULATIONS Provide a hard surface driveway. Provide a verifying survey before capping. Provide sod in the front and side yards. Provide City with two copies of Section Through detail drawing of house before capping. SEWER LOCATION: (Approx. 9' Deep) 77' South of Manhole (S. Inv. 880.84) WYE ELEV: 879.92 ` TOP OF FOOTING: ssa. g2 r�.�� .—iMpORTANT— � WATER LOCATION: 11.3' North o� Sewer Service. AtOTIhY THE FRfDLEY ENGR. �E � pp p�1pLE1f DOES NOT GUARANTE� T�� REMOVAt AND REP�LACEMENT ACCUR/►C: O� Uf1t1N IOCATIONS Ah4D EllEVATtCi��:.T. 7ii15 DASau� ��HOU�1.DnV�� ZNES��n� AT DRIV6WAY OPENINGS. �ERSOt� ON T�1E SRE TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. VITOOCZ FraICIC.' THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT �], �.00S 'F' SZS ffi 20,160+528 ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS 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 �� S3�-� 224 $15.6�' DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OFi CANCEL THE pERMITFEE SACCHARGE' PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGUI.ATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. � $3�i.O1 $350.00 '"` PLAN CHECK FEE TOTAL FEE $399.62 SIGNATUREOFCONTR HORAUTHORIZEDAGENT (DATEI HEN PROPEFiLY VA DATED THIS IS YOUR PERMIT "� �6/L. � /° / �� Cs / � / ^�i� SIGNATURE OF OWNE IF OWN � BUILOERI IDATEI BLDG. iNSP fJATE s ., �. APpLICATION FOR RL-'SIDENTIAL, ALT�ItATION, OR AllllITION BUILDINC PERMIT CITY OF FRIDLEY, �1INNESOTA QWNER' S NAME °.T��; � � � s.a � BUILDER: S � � �' ADDRESS : �� -(e Q'P ��„ T� ��r_ ELr E% ADDRESS : ��, � �� - s NO o . S TREET • �� d � � � �,�' •�.:.� / � ��- / LOT :�-,�BLOCK: i� ADDITION : � �,,� �� t�, r�� CORNER LOT: INSIDE LOT. !� SETBACK: �� SIDEYARD: IS ,v � z 3' �, Applicant attach to this form Ztao Certificates of Survey of Lot and proposed building iocation drawn on these Certificates. - -7 i HESCRIPTION OF BUILDING To Be Used As: � �g� e� � � Fron� : �� Depth : 2 � Height : :�� Square Feet: / pp� _ Cubic Feet: ��} I� � Co � Front : ,��- I Depth : �'`"� � Height : �� r Square Feet; Cubic Feet: Type of Construction: �� 2� Estimated Cost: To Be Completed: �_ /g,°—� �o • �� a J�, � The undexsigned hereby makes applicatinn for a permit foi the work herein specified, agreeing to do all woxk,in strict accordance caith the City of Fridley Oxdinances and rulings of the Department of Buildings, and hereby declares that all the facts and rep'resentations stated in this application � are true and correcte _ � , D TE : _ s, � � � � � S IGNATIIRE : ; r�=°'�-� �°' � ^`` � �d- ;= A� (See Reverse Side For Additional � �y a� ��: e�� i� � � � a ��C � v. ou �, � e �3�9• �Z Information.) g�►►��c�,r�r� d'"%' g� ��Je�� t �? uJ � r� L � I �°��«S �r� s�C�T�e� -i�� j,1,� �� '�� - � � BUILDTNG PI;IZMIT FEE SCHEllUL� SECTION 2. The Inspector of Buildi.ngs 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 repairs to any existing building or structure, upon application therefore, r�quire the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein pravided to-wit: U1vIFORM BUILDING CODE: Type 1, 2& 4-$2.15 for eacti 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 cantents o� 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 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 sha11 the fee chaxged for any permit 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 revie�a of the proposed structure and of the construction site. A Certified Survey of the lot, showing the location of the foundation, once it has been constructed, will be required before uroceedin� with the framing. C�RTIFICATE OF OCCUPANCY Application for a Certificate of Occupancy shall be made ten (10) days pxior to the use or occupancy of any structure for which a building permit has been issued; and said structure shall not be used or occupied until a Certificate of Occupancy has been issued, � r� ;" �� LV Q � � �usuwswN a�NO1NBERINO �ac: ��a �� ('�rd & Mruuc�pal F.np�nevnng � Sod Trenng � Lnnd Sur��eyin8 ��nd Planiung Certificate oi Survey for Mam o,�ioe �ea�6066 6875 Hlghway No. 65 N. E. Minneapolis, Minrresota 85632 South OHice 890-6510 7101 Ciiff Road Burnsville, Minneaote 85337 C/T;' OF FQ/ DL EY NOUSE � 65�9 40.0 * North line o�' �ot 10, 61ock �, Oak Groue l�ddition I ! � 133.6? Meas. _ �, � � �� a a N � �� ..,,� ` ( `t � /29.00 plvt � � /29. o �y� �;<, , ,,� V ,< � J\ V WARNI�4G Be�re digging pll local utiliti�s NE - ElECTRIC - GAS Etc. RE UIRED BY LAW I � 6 � � I G � o � ,��v�� Q x � � 0 o� �� . � ,� I .a �� G �� y, O % `- 133.63 Mevs `�== � South line o�'Lot il,Block C, Oa(� Grova l�ddition r�ie G�1r OP 1�1� � NOT � aCCUR,4Cy pp GqARAN� p��so� u� R�°�w'►nonr�r�i��n°� o�c nie � sHOUCC v�r � �oN � Denotes iron monumenf Lots 10 and 11, Bloc� G, Oak Grove Addition, Anol�a "� RTAN1`-� , �'1'If1► THE �RIpLE�� ryG� County , MinnQSOta and th� vacated C a(ley lyin� � N�u�� ,R� �mmQdiately adjacenfi thereto •�UI7�QC� IO CGSQI�IenIS O� AT��AYOPENIW��T record , i�'any. I hsreby eertify fhaf this is a lrue and correct representation of a survey o} tho boundaries oi tha abovs daserlbed land� ond of the locotion of�ll buildings� t�ereon� ond all visible encroachmants� i} anr� from or on •aid land. As survered by me this �� dor oi <' � !� A.D. 19�''.: SUBURBAN ENGINEERING, INC. ��5� � �/1(yl�� ineh : %O �� Engi�eers S v4rors l. Vi � •J '' ,_ by� r.'. - (� ic c _ � 35 � � fA� �� 9 � / �� , � i �j. Ej C�.-�'�v� �� . � y �� • ��'� ��.�` - �� 9, �.2 � . :�. �' �.� d ��•�� -�-rlvG iNi�IV�n ) � � � l r. � ' �� U� . . ,: �: _ ^' � � Zv �'�d.�4 � ._ �� :8'�'�'0 �%�` �� , � �h � ' EXTERIOR EIdVI:LOPE l,VI:I21lGE "U" COMPUTATION OWNER a CJ� �LI � S _ L C� /l� G DATE �% �� - l C� SiTE I�DDRESS: (c�� l�L�l/ S� PHONEe T • CONTR�ICTOR: ��L � . Determine working square footage of each l. Total exposed wall area. ..,.. _��;�, sq. ft. x .17 = '/ �� :�'� t aa� 2. Toal. roaf/ceiling area . . . . . . �""� sq. ft. x .OS = _�°`� ` '" ��• � Total exposed wall area above floor = p�� ;`� a. Total wall window�area ................................. b. Total door area ....................................... c. Total sliding glass door area ......................... d. Total fireplace wall area ............................. e. Total wall. framing area (average 10�) .................. f. Total r�im joist area .....o........ , ................. g, wall area above floor .......................... h. wall area above floor .......................... i. wall area above floor..e ....................... j, wall area above floor .......................... / ��- ��.� � �� .� �� , � S �, '� _ Total exposed foundation area = � ;' �'_ _ _ k. Total foundation window area ........................... ��,�..i _- l. Total net foundution area above grade ................. �_%r/0 � ri�� Determine "U" value of each wall segment (e.g. window, door, each separate wall section) �i A /< �. a. / `� 2 X uU" ��__.._._:t? ,�� = —_�•�! I . �� R � � �_ ��:8'__ ��t�.. b. /... �/r� ' X nUn �_... __±�':_��?i . - ___......n.�t� c. x ��U�� _____.__ - d. X "L''° ____ _ - ^ .__._.._ e. //� S g ��u�� Z = �.�%,- f . �i'� - X o�U�� _-�_ _ _ 5,� g• .._. � X ��U�� _....�.�� _ -. � _,��:._ f � h. X nUn ,�_ _ .� i.. X ��U�o , _ 2 � � � � � ��Ua _ J �� C. �(� }i arT,t� � �� " —� /1'_� � �:t_..._. �—h-Q - ' 1 � �/ X ov�� .. ,vZS�__ `� _ �z�d� ° L - --- � • O • � � � � • • � • O O O • � • • � A � � � O 0 � O � o • Total � ��Z � � \ } ; ,� ' ' ��, � `, � �: � : ; a If item #3 is the same as. or. less than item #1, you have met the intent of 5BC 6006 (c) 2. . Exterior Envelope Average "U" Computation Total exposed roof/ceiling area = � Page 2 0£ 4 m. Zbtal skylight area ............. .............. �----- n. Total roof/ceiling framing area (average 10�)... � 9' o. Tota� net insulated roof/ceiling area........... �' � Determine "U" value for each roof/ceiling segment �—_ _�� _ m. � X U = n. g uUn . , �'° _ __� �• � � �/ O. � `}� n�n e = � J/ � rJ Z ? . � /s°� � 4 ........................... Total = � Z �`�.� � � � . If total of #4 is the same as, or less than #2, you have met the intent of SBC 6006 (c) 1. Alternate Building Envelope Design To utilize the total envelope system method, the values established by the sum of items #3 and #� shall not be greater than the sum of items #1 and #2. �. + 2. _ 3. + 4. _ � . � 0 � ' WnLi� ST:CTIONS OT�;: � Use lOB o£ or�aque wall area for frame construction IG. �3 ,_,_,�,�� ~ .o ` � �.-- . . � � � . � o • • 6 ` � ' \ � �. � . - � . .r • -! • . , rage � o �� Construction R-Value 1. Interior zir film 0.68 2. � „ �1 � ,v ,�so �� 3 - .�.� �^�� _r�. ,._ V'� . 4 . � s � � � ��-- ��--�-.:�__., . � � . a � 5 . `�-� �� r �., � � � ' �1.� � 6. Exterior air film 0.17 � Total ��G �d ��'�� ' / Z �„ Interior air film 0.68 2 • ��( F �' p L. — �r tt� . 3 . ,�� .� % 3. 00 4 . � �,/ , � �.-� �r�-��. � - �� 5. ��,w�1 �� '� �t�ro�.�,� ��-� �S� 6. Exterior air film 0.1? Total '�°j. �� v ��oC� , 1, Interior air film 0:68 2 . �, �� .�� d�� l ► , o 0 3. �1 GL� ,�,� �. �o-�%t" 1. h �i 4 . � �/� Z � ^� � �w � � � . n (� 5. %1- %' �, ,? �` - '`-�'� �� T � 6. Exterior air f`ilm a•�-7 _ � � Total �� `�""�� , 0>5 1. Interior air film 0.68 2 . / p ' .,�; y , �, � �� O�.�f_ �, � i ---r----.�. � 3. � 4 . � � o �'�O 5. � 6. Exterior air film 0.17 � v�, , �� 7.'otal ��'� � •�! a .• : . � � ' � � , r� ,i •�-�� j, . � ` .. . �, � ��_ / f f /� � � ` .. � _ '�� . ; ` r� . : . /rc1 � • .� � c , i ��.� — .-.-. _ �- � 6 - . ' . � � ji� t(( � : - , . . � 1<l� . ,�,., . • =.}; . . � _�,� FIG,. �►� /Ct t� � � '� p ''� -- ? - . �` i� r .;. ' ~ � a r ' X . X 1C ,� (�I � ' �C! l �. . . // _: 1( � r— !i� ;� ` NOT1:: Indicate tync, "R" �va]uc, depi:h and ,�lacci:ient oi in::ulatian. � ,� RQOF/CEILING ,...�- r��C,' . ' . �.�-� r� . � ��} �.- 3 , -'"iyi�" t�/).;.. �, ��' 1-.1 �� ;r� ti , � �%�I` �f�jijl��,�;ij� ��;� �j , ; (,;;.rt k I�c �,►ll�t��1i! . Yi2�T � t ..___:_ �.._:..� .�. � .� � , . --1 � . :��\\� _`7`_`" rr`t..��. . Tj/�� / � ' • • � . .� . °�..�. .�. `1�110Efi r . Heat floo� F . uP � • . rIG. ,�5 � 6 �!a,�t,•.. `u-�.fi.��s'n,�, -;,r,r�'-_`��sc•_r.c�.�. ��ta+ � _ - -- --_-� � }:eat ofloca up . -•venLEd• � . , • � ' - • . .. _ FSr,. ��6 ..... . . , . i "� 1 �-'" .�' 1 � ' ti .s A _ ° ' 1�Vi�—'YJ.:1\1�1J • . • � � • • .}tCII� '.,• �. ' . , '� . ; . . ' tlaw up • ., � , • ' . . � , ,; . . „ , fixr,. �7 � � . � . • � . Page 4 of 9 Construction R-Value l. Interior air £ilm Q.G1 z . � ., � �--� � � - � 3. � ZZ �. �2<�c�� 4. Exterior air film (still) 0.61 Total ��, ��j f..,� �- " � l. Interior air film 0.61 2. ��IS .�'�'''�i'l�'.-� < 5� 3. -� �s—j `,�a�s �- ��7 4. Exterior air film (still) � 0.61 Total . �� ? �/ �-+"�. � � � ° I � � l. Inside air film Oe61 .2 . 3. 4. 5. Outside air film 0.17 Total Note: Use additional sheets if more space is needed for details an3 calculations ,g .+ _ . � �� _ ' ' �YYL� , i `�� ! -.. `- _ ' �R�;��: � tunn c�t�+ test�nq �:.�„ , ena � t�oraCOry. n�c. 862 CROMWELL AVENUE ^�`' *x ST. PAUL, MN 55114 PHONE 812/845�3801 �,,�„�,¢� REPORT OF: DEN�ITY TE�1'S OF COMPACTED �ILL �"'' RESIDENCE LOT PROJECT: 6531 FRIDLEY STREET NORTHEAST DATE: July 9, 1976 FRIDLEY, MINNESOTA REPORTED TO: C ty of Fr dl ey COPIES TOs 6431 University Ave NE Minneapolis, MN 55421 a++.,. nnN narNOii r1ar4 LABORATORY No. TEST NUMBER: , � DATE TAKEN: 11-1331 UNIFIED SOIL CLASSIFICATION: (Moistnre-Denaity Sample Number) LOCATION: DEPTH 6ELOW RINAL ELEVATION: DEPTH BELOW EXISTIlVG GRADE: .� 1 July 8, 1976 Silty sand, mostly fine grained, brown (,SM)-1 'r: JUIy 8, 1976 Silty sand, mostly fine grained, trace of ravel, brown �SM}�-1 30'S & 15'E of NW 10'S of NW corner corner of building of building 1' 1' 1' 1' 3 July 8, 1976 Silty sand, mostly fine grained, trace of ravel, brown (SM}�-1 3'S & 21'E of NW corner of building 1' 1' FIELD DENSITY DETERMINATION: Method Density in Place By $dlld-Cone Method, ASTM: D1556-64 �-#4 Basis) Dry Density (pcf) j 16 109 108 Moisture Content �%) � �. 5 8. � 3, ( Plus #4 Material (%) None 5 2 LABORATORY MOISTURE-DENSITY RELATION OF SOIL: Method ASTM:D698-70, Method "A", (-#4 Basis) Maximum Dry Denaity (pcf) 1 � 0. 6 � � 0. 6 � � 0. 6 Optimum Moiature (%) � 3, 2 13. 2 13 . 2 COMPACTION TEST RESULTS: Compaction i%) � 05 98.5 97.5 REMARKS: The above test locations were selected by Twin City Testing and Engineering Laboratory Inc. A8 A MUTUAL PR0T6CTION TO CLIENTB, THE PUBLIC AND OURBELYE9, ALL R6PORT8 ApE SUBMITTED AB TXE CONFIDENTIAL PROPERTY OF CLIENTS. AND AUTHOR- IZATION FOR PUBLIWTION OF STATEMENTB. CONCLUBIONB OR E%TMCTB FROM OR R6GARDING OUR REPORTB t8 RHSERVED PENDING' OUR WRITTEN APPROVAL Twin Cify Tes ng and Engineering Laborato�y, c. �r !�''�°''�'� `/ O _ � _.� ^—� �'- � � tunn c�t� t�nq ��'..u�.;.:...._.. ana �meennq �e�, nu. 882 CROMWELL AVENUE ,a�°'0+�04,� ?�' TY ST. PAUL, MN 55114 �� PHONE 612/8453801 �,,.�,�� MOISitJRE - DENSITY CURVE SAMPLE N0. �` RESIDEIYCE LOT PROJECT: 6531 FRIDLEY STREET NORTHEAST DATE: July 9, 1976 REPORTED To: FRIDLEY, MINNESOTA COPIES ro: C ty of rtdley LABORATORY NO. 11-1331 112 111 w :! C� � � 11� � F- .. N Z W lOg � � � O 10� 10.7 METHOD OF TEST: TYPE OF MATERIAL: ASTM:D698-70, Method "A" Silty sand, m�stly fine grained, brown �SM) MAXIMUM DENSITY: �10e6 lb. �C11. ft. � OPTIMUM MOISTURE s 13 0 2 % 11 12 13 14 15 16 MOISTURE CONTENT �I� L��..;L,..�_4,�...��:� � 1 �_ ,1` Februazy 15, 1977 CITY �� F�iDLEY 6431 UNIVERSITY AVENUE N.E., FRIOLEY, MINNESOTA b6432 TELEPHONE ( 812)b71-3450 Mr. Dennis Long 6531 Fridley Street N.E. Fridley, Mn. 55432 Re: Final Inspection Dear Mr. Long: A final inspection was made on February 15, 1977 of the structure located at 6531 Fridley Street N.E. and the following items were noted which must be completed before the structure can be finaled out; l. Complete garage by August 1, I977 2. Submit to this office a copy of the verifying survey for your lot by August 1, 1977 We will expect the above items to be completed by the scheduled clate when a reinspection will be conducted to determine compliance. If you have any questions on the above items, please feel free to contact me at 571-3450. Si re , DARR�L G. CLARK Community Develogaent Adm. DGC/mh �; . � r �7 r r r � 0 . Q ti � � d H O �' � c �s m � O r � � � N 1+ � 8 " �� s � o � h � ,� v m 'p y n r r o r� y R Oi LzJ m a • � m H y S H r a � � M fp tv P n � �� r e � ►ai < � M � r � K m m � v � N .�. w " 0 0 C1 C1 � Z m iC 7e A Of m O '9 y a a o a e�e o a r e r e s O •� R f� Y O 1+� R O O Oi R t h p O � O G!� p~ O M '+1 '� ��►I h r a fo M M n� M e�� h r n 6 M o 5 m e. w s M e�o a e m �o r r e s r e o t+ ] i o m~ m O S r r s r O M m n�O Q a p a M Z O m r o d o m M �O b K � ►` p� M 5 � � o � m " m N N M N tA t/1 N N N N N N N N Fr 0 o u+ .� w tn cn cn v� �a r � ui 0 0 0 0 0 0 0 0 0 o u, w o 0 0 0 0 0 0 0 0 00 0 0 0 v r � Z c� � y C�p [� y bn H �+° --� m C/� S Z �C O r 1�1 70 � en N fq N N f/! N N N N N N N N N N N N � � r o � c . b� y = �3 N h1 . � O O H� H � [9 ►C �n '0 cr 70 n �� F�I � � '0 ��p 3 N H M H M � O O . �O "� � r 'i' M c•� z� � ro � � � � � � � � M � � � 8 Z~ � � O � � 0 � � ' M � � v C 6 O y C1 I � C � a � y � M � h7 � � � � u a r Stoiie9 .,�. .�. � 6 a e�►- � � � � ClOSet9 ,� � Uzinals � � Bath '111bs m � 6astne O d y Siaks � wash Traya � � Drinking �o Fountains showera � Floor Drai � Catch � easins Autamatic � Washer � Gas Appl. !lisc. Fixt m � Gas Range R S �i n Other � �m r ry�„ � � g z O � ro c M � � J � �� p � w� fC O, tp ►3 r n'C �1 M W 1p� � M�t n� r�'. a u�i .°e g �`� �.a .v.�ro� W fp 1 M R � a M � ; O � O � O C� � S � � O �fp7 O M ' W �1 O `C � roB p� B m R ~ � Np, 6► M�'0 � R c r r m� r� p ►� .� 1+� O� 0 m 5 �'- R R ti ►` � �m n � h � R a � n �°+ • � °'`� a N �o M �p Q r1 06i br� A�VQ B M Y, f� 1+� 5 p0. � M � N ►� S N' • p FI f► r► � � � � � �a a r O �D 7 A `�C � O� M r p, � b � 0 V O. h � W � 4 '� r n � �i O z T O � � E �' � � � o D T Z d T � a d H r m � { -�1 �i 2 c� � m � � � � ro f1 � < � N 3 � �O � � ADDRESS • PIN ' LEGAL DESC • PERNIIT'TYPE ' PROPERTY TYPE • CONSTRUCTION TYPE • CITY OF FRIDLEY 6431 iTNIVERSITY AVENUE NE FRIDLEY, MN 55432 1631572-3604 FAX: (763) 571-1287 6531 FRIDLEY ST NE 133024140112 OAK GROVE ADD FRIDLEY PARK LOT 10 BLOCK 1 ELECTRICAL RESIDENTIAL ADDITION/ALTERATION pERMIT NO.: 2004-00099 DATE ISSUED: Ol/22/2004 VALUATION � NOTE: ELECTRICAL PERMIT BECOMES VOID 12 MONTHS AFTER PERMIT ISSUE DATE. INSTALL EXCEL ENERGY SAVERS SWITCH # INSPECTIONS APPLICANT HUNT ELECTRIC CORP 2300 TERRTTORIAL RD 5T PAUL, MN 55114-1614 (651) 646-2911 OWNER BROWN, JEAN 6531 FRIDLEY ST NE FRIDLEY, MN 55432 1 AGREEMENT AND SWORN STATEMENT This pemut becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and c�orrecte o l�ork provisions of laws and ordinances governing n'P will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. Applicant Date ELEC PERMIT FEE - MIN (RESn STATE SURCHARGE, ELEC FLAT TOTAL ppID WITH CHECK # 113375 Bldg Insp Date � ED ABOVE SEPARA'TE PERMITS REQUIRED FOR WORK OTI�R THAN DESCRIB • 20.00 0.50 20.50 Building Inspections 763-572-3604 763-502-4977 FAX DATE r SITE ADD _ THIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE AND CERTIF'ICATE OF INSURANCE PROPERTY TYPE PERMTT TYPE BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY EFFECTIVE 1-1-2010 YOUR E-MAIL ADDRESS � � � ❑ OWN R � ONTRACTOR NAME: ° ADDRESS: " PHONE: NAME: i. n STATE LICENSE # G ,AnnxESS: �h PHqNE �I ^ � ��_�� C1 / INGLE A YMEW CONSTRU � ❑ TWO FAMILY/AfEW CONSTRUCTION ❑ ADDITION � ARAGE/SHED ❑ BASEMENT FITiISH .�ROOF ❑ DECK � SIDING Permit N Received By: EXP DATE (/3 �' .�, crrr .s � –F� A ��5�— SIZE STORIES � WINDOWS � DRAIN TILE ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDTfION ❑ MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: SIZE OF IMPROVEMENT LENGTH WIDTfi ROOk7NG la USE ONLY NUMBER OF SQUARES � I�-ISOUSE & GARAGE GARAGES O ATTACHED GARAGE PROPOSED SIZE: O DETACHED GARAGE PROPOSED HEIGHT: HEIGHT � ATE�ZIP� .� �ASEMENT REMODELING SUBMIT: 1. Existing Floor Plan 2. Proposed floor plan 3. List of structural members to be used SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ V��Y1 OSoffit ADDIITONS_ 8c PORCHFS SUBMIT: O Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structwes O Other ❑ Fascia and proposed project 2. Two sets of construction plans �'�'�Q�'�'S 3. Energy Calculations IN EXISTING OPININGS OYes ONo LOCATION OF WINBOWS FOR WINDOWS – PROVIDE U-VALUE AND OR FOR NEW OPENINGS-DESCRIBE SIZE OF MANUFACTURE STICKER ON WIN�W. OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) 'OTAL JOB VALUATION $ OCCUPANCY TYPE Permit Fee Plan Review Fire Surchazge Surchazge License Swcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due $�,�,L��"°" Ll �l� 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) $ k $2100 per SAC Unit (Plans to MWCC for determ.ination) $ ft+6ft= ftx$24=$ $ $450 Conservation Plan Review $ Fee Determined by Engineering $ Ageement necessary ( ) Non Necessary ( ) $ „ Make checks pavable to: Citv of Fridlev Attac THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL 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 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 on site; that the work will be in accordance with the approved plan in the case of all ork which req ires review and approval of plans. SIGNANRE OF APPLICANT � ✓J to PRINT NAME �/ .5�� f,%� ��ATE � — � � -. � 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: 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 NE Fridley, MN 55432 763-572-3604 Fa.x: 763-502-4977