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AF - 43524� � � � City of Fridley, Min.�a. BUILDING PERMIT .. _ _ �� _ �� ► • • ' < � .. '. � ..> / �.J � �.� ��l" s ��.(��'..1 J,, .. `-��.�.��0��7 N° 6509 ,TION No. Stc�et Lot � __ Block �? Addition or Sub-Di o� (��%�� Corner Lot _ Ina�de Lot �� S.etback �._ Sideyard Sewer IIevatian Foundation IIevation P DESCRIPTION OF BUILDING ' _ �;`%, �; : �1� ` �.fi.�� . - � - � � « > � i Depth I�ei t Sq. Ft Cu. F't. Ty�e of Construction __ 1� F�t �.��►�-'��`�To�be Completed In cwnaideration oP the fssuance to me of a�rmit to construct the building described above I agree to do th� proposed work in acc�rdance with the description above set forth and in compliance with a�l provisions of orrlinances oP the dty o! FrlrIIey. / � '� ��'� C��"7�9— In conafderation of the payment of a fee of permit is hereby granted to to canstruct the buflding or addition as described above. This permit ia granted upon the express condition that the person to whom it is graated and hia agents, employees and worl�uuen, in all work dane in, around and upon said huilding, or any gart thereof, shall �nform in all respecta to the or8inance� of Fr1� Minnesota regardtag locatton, conatruchon, alteration, maia � repafr and movin� of�ufldfnb�s within the dty limits and this permit may be revoked at an� �i�e upon 13o�,cT.�ny of the Proviai of �aid t� 1 i` 1 � � NOTICEs 1Ya p�rmlt doa eet eorse t6s eemtrneNen, Matatladen ter vrh�eg, plumbiee, en 6e�Neg, anvar er water. B� sun fs sM fla Buildtu0 la�tor tar wp�ra» � fee fha� h�ms. � ,�,:,: �-. , Lond Plonni� 6B7S-Hi�/itt� +�GS �E. [arrd Surveyii� Minrnevpn/s 2I, .�;'STSt�9 ENGINEERING� INC. ��°'° C'fwY b Municipal S!/nset4-6066 � E�inee�in9 — En ineers ' � SurvecJors -- 9 ce�rts��cate �r� suz�re �o: ��,�r�s s. c�,e�sr��v l �/ o � �A�oE�v�, Av-rN�E: � � , _ �4. 9� �� _ _. __ �75Q -��t __ - _l�Q�- -�_-- =- -_--== t - - - -1�-� _ , __-�-. _-- = -- ---- DI�T�'i �- —"-- _ , � � � • t . — --7,� /$FH d 4 N'109D � Q 1 \ 1 � J �(`�� J � 1�-ow � -�_-__ __- -- . _ _�_ _ , � � - �� U� / �/ t c/ 4 e+ .T [• N'L C• dr � J ��, �� AIevQ , 9° i �--- 1 /S�N � � �" ///D � � � � � � � 1 ' � '+'l � � i �i-'o� , �.,.� 3 �1..D��' � P,�1 ��`'Vl� �' MANOI� __ � -�h14kA_-_ l�_!_!• !!//N�i. . _ ..-_---- _ - i� ; . t , /hurdy t�rfi�y �� rs a� m�ad mn2cf �ser,fofi� o�'a su�vey �'1br ��'� ad�e,t c�ri+�ib�d l�nd,amnd �'ife ar�nql'a/I dwlddr�s,f/riea�, m�dd/risi6le o�rhmtnfs,�f'aa�, �iam a+-a►�toid lm�d As surrP�ed 6,r nae f/�� d� `� �� A��' SUBURBAAI ENG/NEER/NG, /NC. f.�rnerrs Fr Surrer�o�s � },,�,, 6y �- '� �� `'- �� *-�; `°.,-�- �� n Q TC . 11��' � y a r � ' N 1 L\ V ' . �.v� � M d � � � �. � o� p � ' � : I ' M • M : o • O . m � ' � : � • � �°i �' N � � ri r y � � W n � p �� o � -°g � : o . . Gd : : � . . 0 � � � N � � O Q O � 69 {!8 {A � H H �� 3 � z� � z� z x" $ � � � � n � � � �i � � � � � N � � � � � C � e� y � Q `y �' 'd � R' Q Ia �1 a p � � �_ � � N . � E . W�„ O . °q . � 0 . . O4 � . . . . 0 : bd : : : : . � . . . . 0 �a ae k x x �e W N W r+ r+ N � C�i� p C�7� O O O � if! {fl {fl {!i � {f� H 0 � �� 0 � x � 1 lr� � i./'�' � � � i � � O o� � � � � � D � 1'D" � m � _ m C r m o� a. � z w g a F� � a � ro � � ei� �" 0 0 � � 0 � e�� a g �. * � � p. p '" bd x ,' o� �' � Stories � � WATER � m c1o5E'rs � � URINALS � e�n+ � '�� p � eastna R7 � I SINILS �� WASH ranvs DRINK. FOUNT. sr+wRC. FLOOR 'y°' ORAINS e, U� � �� wro �j WASHER � GAS MPL GAS RM1GE G1S i OPENINGS � � 8 $ M � �� tA h��h y � 9 � 2 � �y tn D A n � �� c�. � �� a`� � y � m �oo,�a � �' � y ;e oc�o5'�. y � p � � ��°� � a � ��a � �b��. m � � � �� b �� p � � o � � `�° � a � M � �� o �' � �' �. � � � cr� �� . � � m ~ � M Ct . �' � � � � m � � � � � � K ,� GCC n W ro mo R� &M n� M � � � m � � � � � O• � � � � � � � �., � � � C O. �" ro m » � � M � �. ro � O � � � A � A 0 -�� m � � � i < � O � x � N � �� p m r t� � � y x x � � � � �d x x z � m � 4� O FP � � Z � � � � � fA � � � o � � � Ed � � ° � � � � W � n _ � � ❑ D I ► .r � � i�� t II � � � Y � M c�ay y � a' " M � W � � � k o ~ � ,��, N k y a � Q � : o � : � . � : : � � � x o� ae x o N � °c o a � va t� tn '� 0 r O A�i � � O � � � � � � i� b � �� a a a � a � w �to � � 'b Y � a � z � � 0 � 0 0 0 0 O � � 0 0 � � M ¢ A � � 0 � 1 � O r 00 � � x °e � M i w o� W N pq �� ., '� '�'� y o p• y O � � � . � fD • � • G' • �: �. � 0 0 rn � z � y � � ,� O � � m � � ,cR'. a od � � � � � � o � � M � � � � � �° x � O � '�1 � R° � � � � � o �0 � � � � N � o� � cn cn o 0 0 0 0 0 rn vr �n � � � x M � �a E. � � ,� b � � � � �'�'� � � � � � � � � �.�� R° � o � o � �p� �� o. � R' : aJ i+"i a. � ' y ° p, � : G .. O . . � d � . . � O O . . . � N c� � N � o °o °o °o °o rn �n as sn � t�1 H Q ,'�'v O w � a a � fzD � O � O y ro � � � � � � �: � � � � � � � g � � A "� F � o � ¢ : � � � � �( � I I m z I 0 � I 0 � m W � �� s m m. � � � �' � � � � � � c�� y �� A ��o� ai •y �' �° %' O� � � � � � � � b' � • ►�! a � � � Q, fn . . cn . . � Op : : pp O : : O : . . t� ca o+ oo � cn c o 0 0 0 o p � H H � ��j- � 'tl w aa��+. � b r+ �(�p" J M M O+ � � �' � w p �� a C:�fD y � yd�� °� � p � �� °y� m �x � � 5' � � � �� Oy�� pp��tt �a'op ]' �, o �! �� b a� �.� �� yfD��'1 � ��-r � �� o � � � � w � � �k 5' e D � r � m � 2 m C m d b M � `� � � a � � V 0 �� 'O � 0 ' � O � � � °�O � 0 .7 0 d � O� � ;� _ � � 3 � �, 0 ' d � v< `' � � � 0 � 7s � m � D � ii. � ' \ : . �' C' .-� � -- r..� ( ; �'%� .. ._. J / f • � a �� , F� ._ $ , �-1. ��r� I�T LOSS CALCUL,I�T[ONS DEPARTII�M OF BUllil311� �'�' Weatlserstrips �.� Conatrncteon No. Ie�nlat�a Wiadawa I Doora Reference Out. WaII Int. Wall Ceiling R.00f Floor Kind �Ilow �lpplied Yea—No Yea—No 19 Fl�� .�r ,. rc.- Room Length/� E''" Widtl�/�'�� ' Height �'` � � Fl.� �`s' �� . atoam l.engtl✓=�'� ' Width/a' �``a Heu Windows and Doors—Crachage and Area Windows and Doore--Crackage �nd Area \Vldth Helgbt No. ot Llrteal t. A�ea WIdtA Helght Na ot �rlaeal !t Arsa No. ot yaee ot pane Ilghte ot ceack eq. it. No. ot pane o[ pane Ilibu o! craok �. tt � � �� r. .f r� � . 6lrri �'�f •.� ` ,�� r�� '�ff -��'+� - �� L .,.e /, e� _7��°'� � ..� � . �`��'.- ,�t�P� � '�.`'-�' . / �'P�. [) ��/ Infiltration �'�, �' � ..� y — Glaaa " �� ° ..� ..d� C.� � F.sp. wall . Net e:p. waU � � °�, � lnt. wall Ceil'eng ,3�i - v�,� Floor ,�.�?e� '� � `"� Total Btu� s Required sq. k. E.D.R. or sq. ins. W.A. Ltader ana Fl.� l.a�-a—�r,.�.r ROOm �0�� fi p wl�� -� �� ue--Lt� �4 L� i1 yyu c Q/indows and ra--Cracltage and Area Wldth Hofght No. of L1nea1 !6 Area No. ot ysne ot psae Il�bb ot ecsek sp. fe. �` a i, �� .� �r'v cs—, f + p� ��q .�� .'�(°1 `' „� 'P ��: c .�i . a� e# / � ,s" ,, ,,�� , �. ,�' . Coef. 8cu In6ltration . / ,�,�/� �,--� Glaaa ✓ � c,�� c.� Exp. wall , �! � Net exp. wall � �,° f� �,�.� Int. wall Ceiling �'�' !�` �t� �' Floor �� ` � � Total Btu. ,�' � Required sq. ft. E.D.R. or aq. ias. WA LR.ader area Fl. � Roam � l.e / `� ° " Widt6 % '� " H�g6t � 4 Windowa and Doara--Crackage aad Ana Wldth Selght No. ot Lina�l tR Are� No. oi p�ns of paae Ilshb ot cnct p. fL / � � .� � �- �G%. � /1 i .. lnfeleration I `� .� � � Glaas g� Es�. waU � lYet esp. wall :� J�•; Int. wall Ceilins C� l� l�loor ;°�C-� °�' Toeal Btu. Requued W. ft. E.D.R. or eq. ina. W.A. L�eader aeea B_D_ ��R I In6lcradon � . Glaas :��'.c! . Ea�• �'a11 ./,;��u" Nst esp. wall Ia�. wall Ceiliag �� Floor ,��' Total Btn. Recpaind aq. k. E.D.R. or aq. ine: W.�. Lwder area Fl.� �`'� .f`�f� �..Rooffi ( l.togtb/2 G1'° Wic�t�l��. � QI'mdowa aad Doors—Cracieage and Area W1deL Sel�ht No. ot Llaenl tt. Aroa No. ot pans ot pane Itshf,� ot eraek eQ. fL �-�'� J c�� + �� , , � � / .:�/. � /_�, � In6ltration Glaae � Fap. wall Net ezp. wall Int. wall Cciling Floor Total Btu. xNu� M. h. E.D.R. or aq. ina. W.A. I�eader area F7.� ��/,��,Room I Len8t6,/�n �� " Width c¢ Windows and Doors—Crackage aad Area WIAts 8el�ht I�la of Llaoal tt Ares �! p�u ot oan� Il�ht� o[ crack W. tt i -�:aA . ='S ! r ::�/, � / � . G Btn � � �. In6ltration '� � Glaas IFsp. waU �� ,� Net ezp, wall Ia� wall ` °�� ' Ceiling `� Floor ,� ,L, Total Bcu. :�/: sq. k. E.D.�Z. or aq. i0s. WA l�der are� � � 8tu /� �' �� r-� ,ci�� Btn ,� �� City of Fridley, Mirm. BUILDING PERIVIIT na�: � - .�� f o�: - � s�a� Address - Adaress �,� � �� N° '7244 LO TION OF ILDING No. 1��&d stceet �,L L� -�,� ,�o ��'�,�p Lot I.ot ___��_ glock '� Addition or Sub- on�=d��"-� �± U° '�`�"; Coraer Lot Inside Lot �� Setback Sideyard e � � �� ge��{� ____ _ Fo t3on IIevat3on DESCRIPTION OF BUILDING T sa: �� Front � Depth .�� Height �� Sq. Ft ��J-�-xt- Cu. Ft ^ nt Depth _C�� I�eight -�-- S�l. Ft. Cu. F't. Type of Constructio ..._ F�t. _ To be Completed In consideration of the issuance to me of a perm4t to construct the buildiug descrilxd at�ve I agree to do the proposed work ffi accrordance with the d�scrlption above set forth and in complianc�e with a�1 Provisfons of ordinancea oP the dty oE FYldley. � � .�! _ _�'►-�=- In comafderation of the payment of a fee of $�� , Permit is hereby graated to to construct the bufldin,g or addition as described above. This �ermit fs granted nPon the express c�ndition that the person to whom ft ia granted and his agents, employees and workmen, ffi all work done in, around and u�n safd building, or anypar� thereof, sUall conform 3n all respects to the ordinances of Fridley, Minnesota regarding lacation, construct�Ton, alteration, maint�naace, repair aad mcv3ag of buildings within the dty ]imits aad tl�is Permit maY be revoked at any Llme upon violation of aay of the P�vi�tona oP said ordinan�. /�i /V � � Building Inspector n NOTICEs 'IWs pseadt doe� am eowr f6s eo�fwaH�, lastalbtiea toe �rieteg� plum6lee. ep 6eMies. sewa� er wafsr. B� sun to see 11a Btrildiee I�tee for aparaf� p��i1s fee tMs� h�ms. . . , . ,� .. � , . APPLICATION FOR BUILDING PE�'1kITT CITY OF FI.tIDLEY, MINNESOTA OWNER' S NAME � c� �� ) : S' � . �y4�. �- -�'� � BUl�.DER G' �:�- � 7'� .t' �'� 6� t �- c� r� AUDRESS _f/e► c� c�� C' U� �V.P/ .�� .v. � ADDRESS i/ �� n C�l /� �<N.¢ .a�� LOCATIOAI OF BUILDING No. f'�c � C,(� ,�'J�,�Y„c . Street �art of Lot, "Lot��3 Block � Addition or Subdivision �/I�'� � f�,�� " �ifr h/c� � Corner Lot Inside Lot Setback Side Yard . � SEWER ELEVATION FOUNDATION ELEVATION � Applicaat ateach to thia form Two Certificates of Survey of Lot,and proposed L�uild- ing location drawn on,these Certificates. DESCRIPTION OF BUILDING To be yaed as: ��T�� G"�- � f: �- L . Front ,�s.� � � _��b.th � �i ° Height � � S q. Ft . �- .�- R"� Cu . Ft . ,_�--T� �;.` �+ Front Bzpth Height Sq. Ft. Cu. Ft. Type of Construction ,�,s�� f /''j � Esti�ated Cost To be Completed ' The undersigned hereby makes application �or a permit for the work-hereia.apecified, agreeing to do all work in atrict accordance with ehe City of Fridley Ordinances and rulings of the Departmeat of Buildings, and hereby declares that a11 the facts and representationa stated in this applicaEion are true and correct. � DATE� � � S IGNATURE . � c. �.r...� � %� � , �� Schedule of Fee Costa can be found on the Reverse Side). � !"`� � � R f+ - �"- _ . ,� . �: 0 6 BUILDING PL��T FEL� SC,qEDULE Section 2. The Inspector of Buildfngs eh�ll, before isaui�g anq pestai.t f.or the erection of any building or structure, or fos any addition to aay �eiot- ing building or atructure, or for any alterations o� repaixa to any exist�yng building or aeructure, upon application therefor� require the pa39aent by the applicant for such permit of fees ta the amouat herein below set forth ar_d in the manaer herein provided to-wit: 2.1. For any such permit for the erection o.f aay fire-proof buildiag, .other Chau a garage� warehouse, factory or grain elevaCor, or for the ereetion of aay fire-psoof addition. ior similar occupancq, to any esisting buildi�g shall be at the rate of $1.40 for each one thousand cubic f�et, or fracti�n thereof, ia such cubical conteata. 2.2. For any auch permit for �he erection of any €�ra-proof garage, warehause,_. factory or grain elevator, or for the erection of any f�.re-proaf addit�on, for aimilar occupancy, to any existing building shall be at the rate of $1.25 for eech oae thousand cubic feet, classi.fied as °1fixeproof" by Section 5C2 of the Minneapolis Buildiag Code. 80USES 2.3. Eor any such pesmit fos the erection of aay aon-fireproof buildir..� ot-l�ea thaa a garage, warehouse, factory or graia elevator,�or anq non-fire�rcc:�� additioa, for similar occupancq, to any exiatiag building - per�it $�..QO fos each one thousand cubic feet. GARAGES 2„ .4. For any euch permiC for the erec± �^� o:�; ;�> n�rs�.ff z?��a�+� gara�e, warehouae, factory or grain elevator, �� r;�� i'��; c•�;E:�:�iea� cs� ��y non�f �..re�re-o£ additiwa, �for�-s3milar occupancy, to r-�� ,�<i:ts :•�.r.�., i:=.-:_.F.�;.�o o� for each scch __ - buil,ding or .addition - niaety se�~ �<,w:) ,�:?; i�s � er.�: :a one thc�sand cub:� feet or fractioa thereof, ia the cu�•�ieG�. -:,r: �r�:a ��2S;,n,C3; with a minimum of $4.0�.- For the purpose af co�anpue3,ag fees fLr ��U ��.u.ia�g per�i ��s, the cubical coatents of any building or addition Ca a uniic;�.a �:e•��i:t tiiro�;ghout by multiplying the ground area covered from a point sis (6) iach�s be?:,,w the floox liae of_i:he basement or cellar to the average height of-t�d ��:rer suY�ace or to tbe average height of the roof surface of the main �able of a p3tched roof.. 2.5. For repairs or alterations to aa existing structure, the fee ehall be at the rate of $3.00 per each Fiv� flundred.Dollare ($500.00) or fractioa thereof in the coet of all proposed work. � 2.6. Ia no case shell t�ie fee..charged �or.anp permit ag set forth in .Section 2 be less.than $4.00. �- ,.�._< ,�"'� r''� «.�..: - � SUBJECT City of Fridley AT THE TOP OF THE TWINS g � I L D I N G P E R M I T t � � i � COMMUIVITY DEVEIOPMENT DIV. r � �' � PROTECTIVE INSPECTION SEC. � ,� ��"1 � CITY HALL FRIDLE� 55432 NUMBER RE� �""'� � �'� 612-571-34b0 910-F15 J08 ADDRESS 1100 Gardena Avenue NE t LEGAL �OT NO. BLOCK TRACT OR ADDITION DESCR. 43 4 Parkview Manor 2 PROPERTY OWNER Curt/Myrna Carlson 3 CONTRACTOR 'Ifwintown Remodelers 4 AHCHITECT OR DESIGNER 5 ENGINEER 110Q Gardena Ave MAIL ADDRESS 5930 Portla,nd Ave S, Mpls MAIL ADDRESS MAIL ADDRESS 8 USE OF BUILDING Res identia,l 7 CLASS OF WORK ❑ NEW Xf] ADDITION C� ALTERATION 8 DESCRIBE WOFK Construct a 26` x 10' Deck; Reroof House & 9 CHANOEOFUSEFROM TO STIPULATIONS See notations on plan, SEPARATE PERMITS REQU(RED FOR WIRING, HEATIfVG, PLUMBING AND SIGNS. OATE 3/6/92 861-4405 21P ZIP PAGE OF � � 2�225 � �� APPROVED BV SEE ATTACHED SHEET PHONE 571^7128 PNONE LICENSE NO. 3348 PHONE IICENSE NO. PHONE LICENSE NO. O REPAIR D MOVE ❑ REMOVE e(29 S,quaresr2nd layer) and - TYPE OF CON51 SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATIIV(i, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING AUTHOHI2ED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION _._. OR WORK IS SUSPENDED OR ABANOONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. Uf I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPUCATION �- AND KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS VALUATION AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED 6 350 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $ � DOES T PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE PROV 10 OF ANY OTHER STATE OR LOC LAW REGULATING CON- $9O. QO STR TI OR THE PERFORMANC OF CO UCTION. PLAN CHECK F , d L � SIGNATUREOF ONiRACTORORAUTHORI2EDACaENT IDA EI WHEN .........�...� ..� ..,.,..re .�r nunuco nuu nFwi IDATEI e V�1��' Before digging cali for all utilifiy locations 454-0002 REQUIRED BY LAW OCCUPANCY(3ROUP OCCUPANCYLOAD S�. FT. CU. FT. OFFSTREET PARKING STALLS GARAGES SURTAX $3.18 SAC CHARGE Fire SC $6.35 TOTALFEE $5.00 $104.53 P LY Y �D. TED� IS IS YOUR PERMIT r�w i l ADDN [ J tu.�R I l CITY OF FRIDLEY SINGLE FAMII.Y AATD DUPLEXES R-1 AND R 2 Building Permit AppliCation Construction Address: � �(� U Legai Description: Owner Name & Address: C� 2� contractor: J �`� `f d� D-' _ Address: �� 3 � �a 2-� LIVING AREA: GARAGE AREA: DECK AREA: OTHER: P.� � �l � ��t�"` � ►�o�Q l �l� � S �� e�S �5 Effective 3/1/92 Tel. � S i 1 ��( �� 1vIlV �1CF.1vsE # � .3 �f � Tel. � �� t `f- d S Attach to this application, a Certificate of Survey of the lot, with the propased con�truction drawn on it to scale. DESCRYPTION 4F IlVIPROVEMENT i engtL Width Height Length Width Height Len �.Ca Width �_ Hgt'(Ground a'�� '�` /� ^`YI� I� {�/%� / ✓r L�(� f �l-Y`�i� T �/V`t/ � \ �'\_! ` _ Sq. Ft. Sq. Ft. Sq. Ft. �� a �% S�, — i'� e� �I �0��-2_. ��g�� Corner Lot ( J Inside Lot [] Ft. Yd Setback Side Yard Setbacks Ty� of Consl�uction: Esdmat� Cost: � � �� Appmx�Completion�ate: ��2, ` 1��6.� .�� ` r��.�3�`�� r� `�' � a.. �(' � �p �ost on Back J -� Driveway Curb Cut Width Needed: Ft. + b Ft = Ft x$ _$ DATE: 3 � � �— APPLICANT: (5 a}/'� � �C � e ��e2 TeI. �` �� /�F �f �S Permit Fee $ Fire Surcharge $ _ State Surcharge S o 1� SAC Charge $_� I.icense Surcharge $ c� Driveway Escrow $ Park Fee $ Sewer Main Charge $ j �s-/ S �3 TOTAL $ STIPULATIONS: (_i�Y USE ONLY F� Schedule on Reverse Side .�1 of Permit Valuation (1/lOth%) $.50/$1,0� Valuation $7� p�r SAC Unit $5.� (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above Fee Deternuned by Engineering Agreement Ne.cessary j] Not Necessaiy [) �� a �c�-- �� i� BUII.DING P'ERMIT FEE SCHEDiiLE The Chief Building Official shall, t�fore issuing permits for the erection of any building or stivcture, or for any addition io any existing bnilding or struct�re, or for auy alteration or repair to any existing buildiag or structure, upon application therefore, reqaire the paym.ent by the applicant for such permit of fees to the amoum herein t�low set forth and in the manner herein provided- to-wit TOTAL VALUE $1 to $500 $501 to $2,� $2,001 to $25,0� $25,001 to $50,000 $SU,001 to $100,� $100,001 to $5(�,� $5�,�1 to $1,000,� $1,000,001 and up FEFS $15 (Minimum Fe� is $15 plus surcharge) $15 for first $500 plus $2 for each additional $100 or fraction ther�f, to and including $2,000 $45 for fiist $2,000 plus $9 for �ch additional $1,000 or fraction ther�f, to and includiag $ZS,�1Q0 $252 for first $25,�0 plus �.50 for each additionat $1,(?00 or fraction ther�f, to and including $50,000 $414.50 for first $50,0� plus $4.50 for each additional $1,000 or fraction th�eof, to and including $100,� $639.50 for first $100,00Q plus $3.50 for e�ach additic�nal $1,� or fraction thar�f, to and including $500,(�0 $2039.50 for the first $500,0� plus $3 for each additionai $1,000 or fraction ther�f, to and including $1,000,000 $3539.50 for the first $1,�,0� plus $2 for each additional $1,000 or fraction �thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alternate "A" : Removal and replacement of curb and gutter only - Driveway width plus 6 fcet times $13.50. � Alterna.te "B" : Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch 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 praper review of the proposed struchire and of the conshvction site. A Certificate of Survey of the lot, showing the l�on of the foundation once it has it has b�n constructed will t� required before proceeding with the framing. �� a � O � � � � � � � �� 9/��E�t/f1 �� /. ��. 0 0 � , \ O � � �� y1 \ �� C 11 - � � � � 0 � � c �� ut `I `� d� � . r� i - - L�-- - - - �� 1��,� ��_ _ - =I ��-- - e c � °p � • f- � � �- - - - �� ----- . � ��---- � ��_ � �; �� *- � _� �w o a � J � � � \ O �. (� o, 2 � � �. � � � � D o z � � ,—�c' O � D � � °o � � 0 � � m � �D � � c � � � d � � � � � � N fD � r � r m m m � m D -i � O c� z � � m � 0 Z � 0 d D - o D 2 O � D � r m �3 � �, r — C Z ? •D N 3 < C � m3 � m o m � O D� � mZ z � 0 � c 2 � � ? m , C� C - 7 - 0�1 � W A. Z .:;. � �. O .. m 4� O �' �� y. , . Z �; „ � D rn n,�...� -?� 7C '�' � fn ; �i= � � , m �.. N • � e� _;,,, N. o• �N � # Z m o. , '.• � ; � �;t't. '�' • � , , �.1 l�_ m r � � � � � � � � n � � o z -i c�i . v�i v�i °: °: °: � d• °► o� a m � � '� � � c� m % � �. � � � � � � A � N � � m � G�o � �. c � ' • (D f�, - � �' � � � � �D � � � � � �� r�p' fA �G < � m tG � N 7(� Z cD �c�p v01i vD m � � � � 7 � � � c� A � � c c�D � .. f y Z 0 I I I�I I I I I I I ( I �+ ��► tn �+ t� v► �► t� t�► 6a �n Cn O O O V p V V�I V CT� A V � �g°0000°go°o � r c 3 � z �ii 0 � � 3 � c. n f�/M► m � � � _� ` : _b _ ,.;,..... . . • o]','� A L...1"�} . .1 ;j ...*^—;�v` M ± ,!`•f•�fi.J#f%�4� �'�l'"d,,,6: 1CVi-��:A.i ' :.,s, . ; :�. _'� !t'1 .�C��d�� e,�,." > `fb , 1 . .- r . .. . . t . .. - �. � . .. .. .._•:'_t - .. :: . . . . �_.�.� .. ... "' . ' '. ,'?p , ' � '. . a m N � m � a. � ' � v � N � � V � � � _• � ` N I y i � � I �. ° � � 1 � N 1 �,• N ' '�O � � � i � � i m ,�, � cD � � ro � � i a� g � i� _ � . � NA . VV -� i c� � ! � C _ � � a 1 d y w � �• �D � ;�'a � ? ' O � � a• Q 0 � � � �. O fp �. � N F � � - 'D i N 'O ��g � o ` � � � � � Q • � g � � ' � � . � � � � r C W "� -xi C � m � m � � fu] � O D r � O � I � D � � z � � m � O � � X � � � n � � D � Z n � D n 7 � � n � [ � ) � THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIAIVCES OR THE APPLICATION WILL gE RETURNED •uu•► / ► / ►1 •►► •: _►� •�� •► _ - � ��► Wh2� reelacinn an pYicfin� f �ran�e� t�e undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes () No () The venting system is plastidPVC and meets all current codes and manufacturer specifications inGuding sizing, length, number of elbows and termination. Yes () No () The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturers specifications. This does include AGA-GAMA Category I Central Fumace Venting Tables for fan assisted and natural draft appliances. The pYictin9 r�mh��stien ��r is sized and installed to meet the current codes and manufacturer's specifications. When required to i��+au a npw �nmti �ctien �ir it will be sized and installed to meet the cuRent codes and manufacturer's specifications. Yes ( ) No ( ) Yes ( ) No ( ) Yes ( ) No ( ) When installinA a nP�•� vpntin�� tpm� t�e undersigned hereby verifies that �t is a listed assembly and meets the cuirent codes and manufacturers specifications. This does inGude 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 instalYed correctly after an appliance has been removed from the common vent and vented separately as per cuRent codes. Yes () No () �� - � �� ' • • • • �1 11 • � ' '� . � • ' � • � � ' M • � • �/1 . • � 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 _ Total 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 HEATING CO: Signed By: Date : s� ADDRESS PIN LEGAL DESC PERMIT TYPE PROPERTY TYPE CONSTRUCTION TYPE CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 572-36U4 r'AX: : 1100 GARDENA AVE NE : 243024240096 : PARKVIEW MANOR : LOT 43 BLOCK 4 : PLUMBING : RESIDENTIAL : ADDITION/ALTERATION 571-1"lif7 PERMIT NO.: 2004-00022 DATE ISSUED: O1/08/2004 IVALUATION : NOTE: COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A GAS WATER HEATER # ELEC WATER HEATERS # NEW FIXTURES (EXIST OPENINGS) # GAS DRYERS # OF NEW FIXTURES APPLICANT NORTHWOODS MECHANICAL BOX 1085 FOREST LAKE, MN 55025- (651)257-4951 OWNER BURNHAM ROBERT J& JANET E 1100 GARDENA AVE NE FRIDLEY, MN 55432 0 VALUE OF FIXTURE/APPLIANCE 0 # GAS WATER HEATERS 0 # GAS RANGES 0 # WATER TRMT APPLIANCES PLBG PERMIT MINIMUM FEE PLBG FIXTURES (NEW OPENINGS) PLBG FIXTURES (EXIST OPENINGS) WATER TREATMENT APPLIANCE WATER HEATER - ELEC WATER HEATER - GAS GAS RANGE FEE GAS DRYER FEE PLBG REPAIR/ALTRATIONS STATE SURCHARGE, PLBG FLAT TOTAL PAID WITH CHECK # 6061 AGREEMENT AND SWORN STATEMENT This permit 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 correct. All provisions of laws and ordinances governing this type of wor� 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 regul�m�construction or the performance of construction. �: , : . .�,�)_.'►��j'��!� . . - _��n� SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 0 1 0 0 20.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.50 20.50 3uilding ! riSY3eCt10riS 763-572 �604 BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY Pemut No.: Received By: � Date Rec'd: � ' S � '�� (-°� , )ATE Z`I I � Z U(o YOUR E-MAIL ADDRESS �� d% t� � t.t r>. �[�rn�- .'� ri'L S h. C' v.-.-�- iITE ADDRESS � � OC3 C-�� - G� H G�- �✓� !L' �= �r ��j�v �`'�M 55`! 3 Z i fiIS APPLICANT IS: �(OWNER OCONTRACTOR PROPERTY OWNER/ NAI�: (Z.0 l, e��-- ��1e�-{ 73 �.� r r- �— TENANT ADDRESS: I I o O Cz � r��v. a- �✓ e. N� CiTY � �, d l e-� STATE l� �IP 55 S<3 z PHONE: � l0 3 - � 7 ! - � � � � CONTRACTOR SUBA�IIT A COPY OF YOUR STATE LICENSE WITH APPLICATIOAi PROPERTY TYPE PERMIT TYPE NAME: ��y,-, c� STAT£ LICENSE E}� DATE ADDRESS: CITY STATE ZIP PHONE FAX �'S'SINGLE FAMILY/NEW CONSTRUC!'ION O TVdO FAMILYMEW CONSTRUCTION O BASEMENT FINISH �ROOF ❑ DECK ❑ SIDING ❑ SWIMM -- �E oF woRx.� o O DESCRIBE WORK BEING SIZE OF IIVIPROVEMENT sQu,v�s 3`1' GARAGES PROFOSED SIZE: PROPOSED HEIGHT: SIDING O Viuyl ❑ Afuminum ❑ Other 'ANCE/REPAIIt ❑ REIv10DELING 're o 1- Y1 e� w s� �- �1 v� rv�.` e W WDOWS IN EXISTlNG OPENINGS OYes ONo OR FOR NEW OPEMNGS-DESCRIBE SIZE OF OPENIIJG CHANGES 8c TYPE OF WWDOW TO BE INSTALLED LENGTH ❑ HOUSE ON1.Y 0'EiOUSE & GARAGE � ATTACHED GARAGE ❑ DETACI�D GARAGE OSofftt ❑ Trim 0 Fascia LOCA770N OF WINDOWS NUMBER OF O DRAIN 7TLE ❑ OTHER 39 s� WIDTH HEIGHT Ft BASENIENT REMODELING SUBNIIT: 1. Existing Floor Plan 2. Propc►sed floor plan 3. List of struchual membeis to be �sed FOR NEW CONSTRUCTION D�TCLUDING DECKS, ADDITIONS. & PORCHES SUBMIT: 1. Site Plan/Survey showing the existing strucmres and proposed project 2. Two sets of construction plans 3. Energy Calculations ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATEWALS: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ �1 � � -� �� T�E Permit Fee Plan Review Fire Surcharge Surchatge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Dne $ - - � Q $ $ $ $ $ E 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 Contraetors) $1550 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$21=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make c6ecks payable to: City of Fridley Attach THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I aclmowledge 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; that the work will be in accordance with the approved plan in the case of all work w' equires review and approval of plans. SIGNATURE OF APPLICANT ` PRINT NAME J�'-�-� �`t� ��-� DATE � �� Z I U� Page 2- Building Residential Applica.tion BUILDING PERMIT FEE SCHEDULE '� °- � The Chief Building Official shall, before issuing permits for the erection of any building or sKnicture, or for any addition to any existi.ng 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-wi� VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of applica.tion to allow for proper review of pro�sed structure and of the constru.ction site. A Certificate of Survey of the lot, showi.ng the location of the existing founda.tion will be required before proceeding with the framing. New Houses Onlv City of Fridley Building Inspections Department G431 University Avenue NE Fridley, MN 55432 763-572-3604 Fax: 763-502-4977 , � o T ,y _ CIIYOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(763) 571-3450 • FAX (763) 571-1287 BUILDING PERMIT APPLICANT: PROPERTY OWNER �� - �� understand that the State of Minnesota reqwres that all residential building contractors, remodelers and roofers obtain a state license unless they qualify for a specific exem tion from the licensing requirements. As the owner of the property at I 10 o C ��,� �v �. /VL , Fridley, I am exempt from the state licensmg requirement only if I am not building or improving this property for purposes of resale. By signing this document, I attest to the fact that I am improving this house for my own use and do not intend to sell it. I hereby claim to be exempt from the state licensing requirements because I am not in the business of building or remodeling on speculation or for resale and that the house for which I am applying for this permit, isl the first residential structure I have built or improved in the past 24 months. I also acknowledge that because I do not have a state license, I forFeit any mechanic's lien rights to which I may otherwise have been entitled under Minn. Stat. 514.01. Furthermore, I acknowledge that I may be hiring independent contractors to perform certain aspects of the construction or improvement of this house and I understand that some of these contractors may be required to be licensed by the State of Minnesota. I understand that unlicensed residential contracting, remodeling, and/or roofing activity is a misdemeanor under Minnesota law, and that I would forFeit my rights to reimbursement from the Contractor's Recovery Fund in the event that any contractors I hire are unlicensed. I have also been informed and acknowledge that by listing myself as the contractor for this project, I alone will be responsible to the City of Fridley for compliance with all applicable building codes and city ordinances in connection with the wrork being pecFormed on this property. Name Date � �� z�� Build�ng_ , Inspections 763-572=3604 DATE C� / (o � v SITE ADDRESS � THIS APPLICANT IS: BUILDING RESIDENTIAI. APPLICATIOIiT CITY OF FRIDLEY YOUR E-MAIL ADDRESS <� �er11�. �l. � E' � /`I � ❑ OWNER �'CONTRACTOR Permit No.: �- - -.: i`�� ,►i� . �1_ �, � � t PROPERTY OWNER/ NANIE: �`�L.� �'��'�L' "�' ��Y"1� Ir1 c1ii� TENANT qDDRESS: //L9 � � crrY STATE z� PHOIdE: CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION PROPERTY TYPE - PERNIIT TYPE TYPE OF WORK: Natv[E: v-�, "Cdro i-r STATE UCENSE # �� E3� DATE � ,�nxsss;�l� f� � °�' ��'-�� crrY PHONE��^�'.��'`i�[�3 `�r �'� "�(1'�° �j�° ❑ SINGLE FAMILYMEW CONSTRUCCION SIZE O TWO FAI�ID.Y/NEW CONSTRUCTION STORIES ❑ ADDTI'ION ❑ GARAGE/SI�D WINIIOWS ❑ BASEivlENT FINISH ❑ ROOF ❑ DRAIN T[LE ❑ DECK ❑ SIDING ❑ OTf�R ❑ SWA9NID�IG POOL ❑ NEW ❑ ADDTI'TON ❑ MAWTENANCE/REPADt � REMODELING DESCRIBE WORK BEING DONE: � SIZE OF IMPROVEMENT NU[vIBER OF SQUARES _ GARAGES PROPOS£D SIZE: PROF�SED HEIGHT: SIDIlVG ❑ Vinyl O Aluminwn ' ❑ Oiher . w��mows IN EXLSTIN.G OPENINGS ❑Yes �No OR FOR NER► OPENII�iGS-DESCRIBE SDE OF OPEtQWG CHANGES 8c TYPE OF WIIJDOR/ TO BE INSTALLED ___ LENGTH ❑ HOUSE ONLY ❑ HOUSE & GARAGE ❑ ATfACHED GAR.AGE ❑ DEfACHED GARAGE � WIDTH HEIGHT n�r�'1,��t'/ BASEMENT REMODELING SUBMIT: 1. Existing Fl�r Plan 2. Proposed floor p}an 3. List of strucbual members to be used F� , FOR NEW CONSTRUCT[ON lNCLUDMG DECKS, OSoffit ,ADDT!'IONS. 8c PORCI�S SUBMIT: ❑ Trim l. Site PlanlStuvey showing the existing structures ❑ Fascia and proposed project 2". Two sets of construc[ion plans ,TTO� oF wnvnows n s. E„�y c��sio� ALL FEES ARE SASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (LTSING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $�j ,(_��. C�� OCCUPANCY TYPE Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due � �� $ � �a, C1� $ �. $ �. fl?I?� $ $ $ � $ $ 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) $1675 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$21=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks pavable to: City of Fridlev Attach THIS IS AN APPLICATIOTd FOR A PERMIT-NOT YALID UNTIL PROCESSED I hereby apply for a building permit and I aclwowledge 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 applicatio or a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all w r h requires view and a roval of plans. SIGNATURE OF APPLIC PRINT NAME �� {� i3`��f� DATE � C% / Page 2- Sui.l.ding Residen�ial Application � SUII..DING PERNIIT FEE SCHEDULE The Chief Bui.lding Official shall, before issuing permits for the erection of any building or sirU.cture, or for an.y ad.dition to any existing building or struciure, or for any altera.tion or repair to any existing building or structure, upon application therefore, require the payment by the applican.t for such permit of fee� io the amount herein below set forth and in the manner herein provided. to-wit: TOTAL VALUE FEES $� to $500 $23.50 (Minimum Fee is $23.50 plus swcharge) $501 to $2,000 $23,50 fur 1�` $500 pl�s $3.05 for each additional $100 or fi-action, to and including $2,000 � $2,001 to $25,000 $69.25 for 1�` $2,000 plus $l4 for each additional $1,000 or fraction, to and �ncluding $$25,000 ' $25,001 to $50,000 $39125 for 1� $25,OQ0 plus $10.10 for each additional$1,Q00 or fraction, to and including $50,000 $50,001 to $100,000 $643.75 for 1�` $50,000 plus $7 for each additional $I,OOO or fraction to and including $100,400 $100,001 to $500,000 $993.75 for 1�` $100,000 plus $5.60 for each additional $1,000 or fraction to . and including $500,000 $500,001 to $1,000,000 $3,233.75 for the 1�` $500,000 plus $4.75 for each additional $1,000 or fi-action to and including $1,000,000 $1,000,001 and up $5,608.75 for the 1�` $1,000,000 plus $3.15 for each additional $1,000 or fraction VERIFICATION OF FOUNDATION Permits for construction will be issued a m;n;mum of 24 hours from the time of applicaxion to allow for proper review of proposed structure and of the constntction site. A Certificate of Survey of the lot, showing the location of the existing found.a.tion will be required before proceeding with the framing. New Houses Onlv City of Fridley Buildi.ng Inspections Depariment 6431 University Avenue NE Fridley, MN 55432 763-572-3604 Fax: 763-502-4977 " � -_- . �v , ,� ►� Building Inspections 763�.572-3604 763-502-4977 FAX BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY EFFECTIVE 7-1-ZO10 Pernut No.: '��i� Received By: Date��: � DATE �—�3 — OZ.O �� YOUR E-MAIL ADDRESS � i�� o t.�71 fak � 1 Qa,�m�.� f� SITEADDRESS �OO (�Fp� @.J�iQ �1�aC3 N � ocoey% THIS APPLICANT IS: p OWNER �CONTRACTOR PROPERTY O�VNER/ xnME: {Z„ L, �. ..?-.� �.e-� �i � � r�� TENANT ,�nx�ss: //00 �t► r d�..��oA al�� crrY F. sTa�M_�zrn SS'43� PHONE:�� S'7 / -- �5�8 CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE AND CERTIFICATE OF INSURANCE PROPERTY TYPE PERNIIT TYpE �rE oF wo�: 1V,�ME: las�, s.'x .� ' �a�c �'�]� STATE LICENSE #/ p2 Q � � 41��/ � EXP DATE � -+ � .e ;� p / � ADDRESS: O�y�� e'/pdr �y ��g �l/� CTfY��I�(.�' �/-P-��STAT� /�ZIP rxo� f/� �- o� 8/._ g Qr �' Fax R9.SINGLE FAMII,Y/NEW CONSTRUCTION ❑ TWO FAMII.Y/NEW CONSTRUCTION ❑ BASEMENT FIIJISH ]�'DECK ❑ NEW HOME CONSTRUCTION O MAINTENANCE/REPAIIt DESCRIBE WORK BEING DONE: FI G NUMBER OF SQLTARES G�RAGES PROPOSED SIZE: PROPOSED HEIGHT: SIDING Vinyl ❑ Alummum ❑ Other O ROOF ❑ SII7ING ❑ SWIMNIING POOL �'ADDTPION ❑ HOLiSE ONLY ❑ HOUSE & GARAGE SIZE ❑ ATTACHED GARAGE ❑ DETACHED GARAGE `.' Zll� � J�v�1►J � IlQ � �1 < 3� Soffit �T�, � �1�0�� F�oia �� 0 DRAIN TILE ❑ 01T�R Q!V ��5 SO FT BASIIvIENT REMO LING SUBMIT: 1. F,xisting Fl lan 2. Proposed floor plan 3. List of atructural membeis to be used FOR NEW CONSTRUCTION INCLUDING DECKS, ADDTTIONS & PORCHES SUBMIT: 1. Site Plan/Survay showing tha existing shuatures and Pfoposed ProJect �� ,( iJ�� 2. Two sets of oonstruction plans �N��g 3. Energy Calwlations IN EXISTING OPENINGS �Yes ONo LOCATION OF WINDOWS ` FOR WINDOVJS — PROVIDE U-VALUE AND OR FOR NEW OPENINGS ESCRIBE SIZE OF c� ' MANUFACTURE STICKER ON WIN�W. OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING TI� COST OF LABOR AND MATER�ALS: (USIN� TI� 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $� aU , l��. . oc��rrPe Nc�v �rwF Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due � � �� $ - - $ $ $ $ �.See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuation .ODOS x Permit Valuation Minimt�m $5.00 $5.00 (State Licensed Residential Contractors) $2100 per SAC Unit (Plans to MWCC for determination) ft+6fr= ftx$24=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks ua able to: City of Fridley Attach 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 ordinanoes and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is n�t a permit but only an applicaxio r a 't and work is not to start without a germit on site; that the work will be in accordance with the approved plan in the case all wo re ' es review and approval of plans. SIGNATURE OF APPLICANT PRINT NAME�¢�_S�Q��.�_DATE� 3� 0/ APPROVAL IN5PF('T(�R CT(;N � D NOT'E: SEPARA`PE PERMiTS ARE RE UIItED FOR PLUMBING, ELECTRICAL AND MECHArTICAL WORK � �i�� 4�� Ci�� S�t�.L� �E ��I��E �t� THE ,SOB �iTE FOR 7HE FRAM(NG �I�O FE�fAL i�!SPEC?IONS Rob � Janet �3urnham v.00 Gardena �4Ve NE FridleY, MN S5�3z r�x: �, ,.��.,.i ;•.�.:!; . =�'�'. —�fl •� ` ;t^/ ,?Y; �.:i,i,._�nlr.'r.! k,�'Oj6�N�til '. �'�, ? !`.G 6c 3ti o'r ra:,t,' � ^ea ° �1 � s�°:'i�. af ��.c� C� itz e4�ic �r��r ('14��0. �t��i�k.�Ea �R�iS� I�L��S �t�6 i.Aii��S S�iAZL E� t�i�3E AVI�iLA�I.� OlV TN�E Jt�� SfTE ' f� 1itE ftZAMtI�G t�tSt�"cf� i fG� �� . ��. � �� s�a��q ��p � ��g �� P' F��k�l� P��6��P�0�� :, _.��. _ _... ^ Prnvtde 22` x 3'b' attie � e —_- C�� s�,,,� C C.� � ,��rl�.t �ti�e:��, � � - � � ic� �J�.�� rV�.� lti -�-E�. �� \� I �� (`�; -� � � � �?� r� �� . � � - �� 4 � �iU�b , �- ��ch . co�scru�eo� Nrnes 1� TULi P13n atld hS AEWpS 11aVe h2en dralUO 25 3CCIIra�p a5 poiSible Convacmr Oas rev�eut� ail aWns atm verlfleC �n�armaeron. 2� HeMIBrS, beadK and openitlg WIII he e11qI0e¢R:d M sUCW�S. i(,en�roxButtders wtu keea ste2 F� 4*om wasoe maeeria4s and ruDblsU caused bY tf�e umH. P. I�aO bla�in4 as *eqWred In all parckions. s. EBress mindans nee ctear openln8 is sa sq. f� Max Flil Ueigbc oF 5V°. & r4i1 oyeningslO tl1e exeeriar UIIII he CauINeO an0 Fle5n2d. fldSiling IS FIdt171hSl5 requlretl tut�ere aIl �f aM verHCal wrfac2s tt�t. 7. '�russ sD� U1FU oe posrea on slee. a P�viGe soUtl hearlt�BS uMer all beams, fxaders and Hirtlersm tl�s lbunda*1cn• 9. 6�� tleteGmrs MWidetl st eac� leuel8rtd in eatl� 6eGraWO. �o..aa wmae� m� wim mnae�e snau ne wes�v*e �a. K�'/ N� �• GIMerTrua z EoB�neeretl Header co canY celll�. 9. HaMrall. a NewWailConsvucean "�IZ osb. exrerror sneacnmg `7x6 Studs 76°o.c. °R79 uFap It�.Wtlatlop w M�AAobvaporbarr�er '7/a driwall s HartG Flama m maec� rne aus6es. � 1 ';l �� d�� a �, � a ��..�-� �o�v _ w��c,1� u��-� s ' . w� ��..�..�..� �-- �.�- ocs � N �� s �.G� �E�� - �Cc Ct °c�� 3�Cr�j,oG � �C��l�a � �� u e ��a ��.�� 1`1�x��(�1��='' �at�, �3�s� Q � 5-�-� �_ �-�� z�, � , � C� ��SS c�l ��, Lc.� � e� le S � �.� �� v�� , „ . < < � : �� l u ��, � �� .�� -��s _ �- `� _ � Consvuccion Nores z. T1NS ptan aM Ics dew�4s Dave been tlrewn as accuracery as posslbie Cotiv7Cmr p85 r2VIBUN dIl PtBhS Ntd V2rfp¢d IttFmtnadoll. z HeMerS. bBattrs and upenlnS Will62 emlit�ered bY SUan0er5. �. [�ehnox$Ntders 4dll Keeu ske free Ftom wasee maeerials ahA rubDish caused bY Me worK. 4- Insrall btoctting as required in aU parHdau. s F3�ess�ilneauscre�c�earopenin4tcsas4.fe Max.flnne191ttvFVa•. 6. .UI oPen1n85 w q�e estterlor udll be caWtmd and flast�etl. F1asMn4 Ls flasMm,t Is reqWred where ap roof a�W verUCal surFaces meev 7. 7rlus spers wf110e pomd on she. s prawweso0dbeaNt�mmeraUbearos.heaaersancs�raersmche WunAatlon. 9. $(�It¢ AC(2f.mrS P70ViGEtl St¢8CI1 12VE12t+A In ¢8cp beC*OOtO. w. du wroter m cortrace uaM concrere shao oe u+essur¢ aeated. Kpl Naes L GhderTTaSs a EnBlneeretl Header m carry ceipnQ. .� Handrall. 4. NewWallCohsnUCHOn h12 oSb. ettCrbr Slte8dling '7x6SeUdS]Cu.C. °R.39 Uiatl It1.p118tlo0 "4 Mitl'PoIYVaPOrbarrler •vaarnuaa s tiac� f*ame m maecn aie erus�a. m ar� _____. _ — ar,a. -- T-01/4p"�--1`---9'-03/4' —�--- f0'-0' �: .,.rt...<m I IIMI I rs..�.m n. • Ki%hen —'�.s•f ii UI ---`-'- M �y�. 1'-5: 15 / § 1 � . sv.crw �_ l8-f01B7-.4'W, 8'D � r-a 12- —�`- 9A 1 }x,girreer�112Pof Glreer o %�. 8 � q� � �-- 11'�'--_'_—___ � n..>:� \ Bathroom m �,� � F"'"1 •T6� s.r MaslerBedroom � ro.�� 1'.6'f�f�'�'' � � h g' b � T� ,�� 4.�- Familyroom �' R � � � . � c«�„c�, rro+� � t'�'Ms Plan aM les derails have heen drawn as eccuraeelY at posat6te C�'eCtor tWS *2�11eu1C eil Pldns endVerifH'A InFormetlan. . L HeatlerS, beetaS end oPenlnB WIII Qa HiQineered bY SUpp1it75. A j�IiHmf $W�tlETS WIU �P �'� R� f�t0 WBS�B M118ffiP�815 BIId rllbbi511 Ce1158d D`/ dl@ UWrH. � v. Itr�all bwtWnB as *e4Wred in att vareitlans. ��'9•s � y�, :. S. E9�ss uttndaus: net ctear oaenit� is Sa s4- fe Mex. flu I�e18�t oF9T. ��d• "' °� �9• .,, f. Ap oPenin3S to the att3rlor wlll be CaulkeG aM Flattced• flatttlri4 Lc fleslUOB LS reqWred Where a11 roof BtKI VeraCal sUr{acea lneet. 7. '�ruSS SPeCS WIU be Pos'1ed an sh8. B. P�Vide SoUd beeri� ut�r eIi Ceatnt. heeders and �Ners to Me $ . fbUndaNOlf. � . 9. Sttioi� dea+CeorS GroVlded a�eaC� level8nd In each betlraofi. 41'-8' 1aAlIlUmD�'InCOnteCttuMlLronfTe�eShellbepressUretreat�. —T-01/40'--� -5-03/4'—��-- 7d�1" —�� 19-3' � , � 8'""" """ -- " _ f7t5• Ri _ •" "_" � � ``4 r I 9 — f� N ^\�` �2: <,r...ae n..r.>� �YI,p. .e- , �.`O- ;tse on . -� i I � 4g .: �. - I �.. r, Bathronm . I 1 _ e- � Kitchen ' � m ' � � . �' a •—; re,�-'�a'� e . � . ,� ._ .p.a.� �..,. , ,o� ^ � �. %: �$ ��,,.. � �'�' MasterBe.uoom 'u '6 a. -- p� m �1'-0'I1=6'�� _' __ � 8;, � �— r-z ur ---�- �-� � g; � 6 ,.� � 44Vt• E�; a . p �[^�`q\ , � r��;n ,,.;;y,� i7' i1B' � 9 � u ni :� a � �� ; � fo�c— fa•-e7is=a-s�--�' "i � § B Familyr�r� a' K , 12;�0� N ;a '�e ' �d ' ^�+� m .y��'s. `� ,r :�— a.o� e�-o�--k'`-. �e=r crn,s�rucNOn N�s. L 7rifs pWn and ks deral4t have been tlrawn as accureceiy as Possible C�acmr has.e�4ewd a�l Pians end veriFl� (nWTmsHOn. 2. He9derS� h28ros dnd opeNnS Uilll be en4lneered bY SUppliers. i Lenmx Butlders will keep she (Tree i1'oro wasre ma�erials arcJ rubbisfl UuSeG bY d�e ww'K. a• I�li bta�in4 as requirm tn au vartldonr. s. E4ress wiriaows nec cles* opeNmJ IS x9 sq. Po Max. Flu heiBhc oF vV°. 6 A�I aPeNr� m dfe ettertor w1U be caulked antl flashed• F1astVn4ls flasNn4 �s requtred where an rooF and verdcal surfaces meec. �. Tnusscecswlubepaseedonslre. e. F'm'(de 5Wtl bearin45 untler all beetns, headers aM qirders w Me FoutWetlon. 9. $mo�e GeceCtors proVldeQ at BeCI11eVeI antl In eeCh betlroom. ao. A�I lumber �n co�CC wteh concre'e shall De pressure oea�etl. KeY N�es 1.'lYO�LaI r�r.w faundarlon wall. e° x m° fmtln3 wxh rebar es reqWred, ete m extset� Rwmfadon wkh a5 rebar. Blacic coarses m mamb efte e+�tttlny. z OneNC�BImo new I�adered wteh rrao f��er. s a�eflaor}otte�Go.e. 4. $eelJ�lnteCt�.wtoe+UStl�notlStMnNebleBbUtuRdl9Seeba�'. x� wan a+ou�a u�memr aco-15°oc. BaeeRu insme�ton uua m�n oon 6 E4ress �N'da� weus on nRU basemene wiMaus. �� ----------------------------- � I � I i i I � I I � i . — 4/=B�_—= � . — _._. � i _— — — — —�__ ._:. _ —_ _' — — — � _ —'— _ '— __. 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