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AF - 43541,�"1''�..� �' �-' lC..s �ea' /t✓ �l�,. ,�.v�% / . I � — \ i 1'HE JOHN J. RYAN CO. � ?n SCAI[: t►NCH �-�'f FEET 1595 SELBY AVENUE, ST. PAUL 55704 � � �� OF PROPERTY C1F /`��/� ?�'� � �9��-S'-�� TELQMONff� 64e.sss� IOCATIOPi �� c>�r�� A�� %P�/ ./�.%/r,�./7. �7 : aesweiseo ws �oLLOws LD J� � � - --�� " <.'�� f =��'"'.�'�%% !=" '!.l �%7�'!Oi"' ��/�i � ��i��.�'� G � ��I 0 �� :=:,>,�1�:: ._?�_,".�y/,�-� ,�1 v� 1't/� ��; � - --T- ;`� . ' i i i �� ;�' � mi � � fN, N� � % l _ �//S• I �� y � �,o,.: � i \ �r�� \ h' �.� , , i � �--<53-- i , p';�. ♦ I : �,� f- � � f�, i ! � t+� iV `f �_____�-� .� 1(IY �w� t/-Zb •'� 2w��/ 7 ° :.� � � � �.� �__. �: . � lL`� - �° . � � � � I r i �. 4� t i•� ., . �� \ � �1` ��\ � 9 ��' �` CERTIFICATE OF LOCATION OP' BUILDING CEATIFICATJE OF SITRYEY >= I hereby rertify that ou �-.� � 19 �- I hereby cert9fy that on 29 this survey, plan, or report was prepared by me or under _ th�s .st�5vey, plan, or report was prepared by me or under my direct supervision and that I am a duly Registered Land cny direct supervision and that I am a duty Regiatered Land -Suneyor under the,laws� the State of btinnesota. :uive�uc under the laws oE the State of 1�linnesota. ,�;� „%l�� . ; -�%•'�-�. .r��.--. SUBJECT � M1389� City of Fridley AT THE TOP OF THE TNlINS g U I L D I N G P E R M I� r ; � RECEIPT NO. � • COMMUNITY OEVELOPMENT DIV. � �y-------� r � � PROTECTIVE INSPECTION SEC. 1 � � � /"�1 � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY �""� � ,�� 612-580-3450 910-F15 12/17/76 � � JOB ADDRESS 1120 Gardena Avenue N. E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. Lj5 4 Parkview Manor SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE Thomas V. Bitt�an 1120 Gardena Avenue N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Burton R. Olson Blo�n.i.ngton 435-7169 4 ARCHITECT OR DESIGNER MAIL ADDRESS 21P PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. 8 USE OF BUILDINCi Residential 7 CLASS OF WORK ❑ NEW � ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X B DESCRIBE WORK Construct a fi.replace 9 CHANGE OF USE FROM TO ' STIPULATIONS SEPERATE PERMtTS RE(1t1iRE0 ��,iR� W1R�NG� HE�tTIN�.� PLUMBI�lG t0.ND SIGN� TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTAUCTION ZONING S�. 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 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. $1�8OQ �`.9O WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $].O.SO STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE � �`�.1.. %� SIGNATUREOFCONTRACTO RAUTHORIZEDAGENT IDATEI WHEN PROPERLY V IDATED THIS IS YOUR PERMIT � + .�2f9�� .Z. ` �7 - 7 �, �`�� %a -� % � °1 k� , SIGNATURE OF OWNER IIF OWNER BUILOERI IDATEI - BLDG INSP DATE C1TY UF FRIDLEY APPLICATION FOR� RESIDENTIAL BUILDING PERNtITS �NEI��, ALTERATIONS, ADDITIONS, 0 R REPAI RS) OWNER' S NAM� :,,� , �/ � T/�'7 ,�,z i BUILDER : ,�G,�i�' �(�%Z � � G C .� Gic.� �//%i!%�%5 �,/� � � � ) ADDRESS :, � -,Z � 1'�%� �/L�f� �%/.�� . ADDR�SS : /`J��J�/?;`%/�� l�J'�i.� - TEL. IdO. : `Y �.� ^_ % I �� e.s�s. No : _. � a � s�� : �� _ __ LOT :,��BLOCK: y ADDXTtOiv : `�r' `�'� � , " n `: �A� l�I%I�GrJ �'lA CORNER I.OT: INSIDE LOT: SETBACK: SIDEYARD: Applicant attach to this foxm �cao Cextificates of Survey of Lot and proposed building location drawn on these Certificates. IiI:SCRIPTIOi� OF BUILDItiG To Be Used �s : � �- I/�E p�.�1C � Fxont: Depth: Height: Square Feet: Cubic Feet: Front: Depth: Height: Squaxe Feet; Cubic Feet: �pe af Constxuction: � �� /��iC � Estimated Cost:� � , � . �To Be Completed: � �%�G�/�,E � � / � � � The undexsigned hexeby makes appJ.ication for a permit �or the work herein speaified, agreeing to do all woxlc in st'rict accordance with the City of �'xidley Oxdinances and rulings of the Department of Buildings, and iiereby declares tliat all the facts and xepresentations stated in this application axe true and correct. f c� DATE: � 0�/ %�{ . SIGNAT[Jr.E : l ��y /�� ' � • �, (See Reverse Side For Additionnl Tnformation.) �<�6��C �.av = IC.�;�' .�--� � , � ��' � j/c � � /� � f i i S��!' . � � . , � .' � �x; �BUILDING P�RMIT I=EL' SCfiEllULE SECTION �. The Inspector of Buildings shall, before issuing permits for the erection of any building or structure, or for any addition to any exisCing ' building or structure, or for any alteration or repairs to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to-wit: _ �1EW CONSTRUC�IOI3: Si,r�g],e Family Homes and Garages :$4. 00/1000 cubic f eet PLAN CHECK: 25 percent of building permit fee. ADDITIONAL INFORMATION For the purpose of computing fees for building permits, the cubical contents of any building or addition, is determined by multiplying the ground area covered from a point six (6) inches 1�elow the floor line of the basement ox the cellar to the average heights of the upper surface or to the averager •height of the roof surface of the main gable of a pitched roof. For repaixs or alterations to an existing structure, the fee shall be at the rate of $3.00 per each five hundred dollars ($500.001 ox fxaction thereof in the cost of all proposed work. In no case shall the fee charged for any permit as set forth in Section 2 be less than $7. S0. VERIFICATION OF FOUNDATION NOTE: Permits for �onstruction will be issued 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 Certified Survey of the lot, showing the location of the foundation, once it has been constructed, will be required before proceedin� with the framing. CERTIFICATE OF OCCUPANCY Application for a Certificate of Occupancy shall be made ten (10) days prior to the use or occupancy of any structure for �aliich a building permit has been issued; and said structure shall not be used or occupied until a Certificate o£ Occupancy has been issued. . Y ti -- , , y y SUBJECT O i4030 Cit of Fridle AT THE TOP OF THE TWINS g U I L D I N G P E R M I T i � � � . � • COMMUNITY DEVELOPMENT DIV. ^ _ /�i�/ r � L � PROTECTIVE INSPECTION SEC. ��+ Y 1 . � CJ C�✓ t� �` � /"'1 � CITY HALL FRIDLE� 55432 NUMBER REV. DATE PAGE OF APPROVED 8Y `"�'� � ,�� 812-580-3450 910-F15 4/26/77 � � JOB ADORESS 1120 Gardena Avenue N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 45 4 Parkview Manor Addition SHEET 2 PROPERTYOWNER MAILADDRESS 21P PHONE Thomas V. Bittman 1120 Gaardena Avenue N.E. 3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO. Sussel & Halversori Construction 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK C� NEW ❑ ADDITION C� ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK , Construct a 24' x 24' Garage and remove existi.ng garage door 9 CHANOEQFUSEFROM TO STIPUL�fIONS Remove existing tuck under garage.door. Provide a hard stitface driveway. W�ARI�NG PERMITS REQUIRED F(� iNtR�NG• Before di�ging ca11 local utilities ��A'�'E TElEPHONE - fLECTRIC - GI�S Etc. N�pTING, PLUMBING AND SIGNS. �E��I�� BY LAW TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. WOOCI FL'3�@ THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. 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 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. �`L�� ZG2.4O 52.�-3 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- �23.04 NONE STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE � TOTAL FEE $25.17 SIGNaTUR OFCONiRACTOROaA HO�EDAGENT IDnTE� WFIEN PROPERLY VALIDATED THIS IS YOUR PERMIT o[� SIGNATUREOFOWNERIIFOWNERBUILDERI IDA 1 f'=":1 _ BLDG INSP �ATE CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS �NEW, ALTERATIONS, ADDITIONS, OR REPAIRS) � ,_. , OVdNER: %�� l/ ��y��i'-�- BUILDER: l�.�„=�� ,�� /7' � . (�a,� Address : j/ �% Q �G�� Address : C!) (�I Tel. No.. No. : � � �., � 5treet: � � �� i'� ,�a � � • °� LOT: �� BIACK: y ADDITION: C�� ,� 0 i�, �/ CORNER LOT: � INSIDE IAT: SLTBACK: �L� SIDEYARDS: %� Applicant attach to this form 7.tao Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: �r�/,j i�[ Front: A� ��_ Depth: a Height: ��s Square Feet: ��_ Cubic Feet: ��% (� (� j��ivr�o� �x�s�� F'x'ont: Depth: Height: �a'Z• Square Feet: Cubic Feet: i , Type of Construction: �„�,A„�,�r , Estimated Cost: $ � � ��--- �� fo2<�(1 To Be Completed: Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired �, $ �' $� (SEE REVERSE SIDE OF SHEET) The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with tHe City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. See reverse side for additional information. DATE: Stipulations: 5IGNATURE: �r�r►uv�� zY,s'�� '7ucic (r��Zou��r l�/�iZ/� SvQr�tc�c � �r��n � r. ��. �"30�� x a . � 3 ��. � � U��'Jr�L �✓��2G�.. DdG�. DR��rw�t� .y � �: BUILDING PER��7IT FEt SCHEDULE SECTION 2. The Inspector of Buildings shall, before issuing pennits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repairs to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to-wit: NEW CORISTRUCTION: Single Family Homes and Garages: $4.00/1,000 cubic feet. PLAN CHECK: 25 percent of building permit fee. DRIVEWAY DEPRESSION: (Concrete Curb Streets Only) Alternate A: Removal and replacement of concrete curb and gutter only; Driveway width plus 6 feet x$11.75 Alternate B: Removal and replacement of concrete curb and gutter and install a 3 foot wide approach with 6 inch depth; Driveway width plus 6 feet x$15.40 _ADDITIQNAL INFOR�IATION For the purpose of computing fees for building permits, the cubical contents of 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 th� 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 pier each five hundred dollars ($500.00) or fraction thereof in the cost of all proposed work. In no case shall the fee charged for any permit as set forth in Section 2 be less than $7.50 plus $.50 state surcharge. VERIFICATIO� OF �OUNDATIOf� NOTE: Permits �or construction will be issued 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 location of the foundation once it has been constructed will be required before proceeding with the framing. CtRTIFICATE OF �CCUPANCY Application for a Certificate of Occupancy shall be made ten (10) days prior 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. w-Q, � sue�ecT ERMI . City of Fridley ` 15 6 0 AT THE TOP OF THE TWINS B U I L D I N G P E R M I T � r ; � RECEIPT NC�:' � • COMMUNITY DEVELOPMENT DIV. � � j � LV �� r � � PROTECTIVE INSPECTION SEC. • �Cj � . � � � /"'1 � CITY HALL FRIDLE� 55432 NUMBER REV. DATE PAGE OF APPROVED BY �----� • •�� 612-571-3450 910-F15 2/8/$0 � � JOB ADDRESS 1120 Cardena Avenue N.E. 1 LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHED oESCR. 45 4 Parkview Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Thomas Bittman 1120 Gardena Avenue N.E. 3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO. Minn. Exteriors 295 Highway #55, Hamel, MN 55340 478-6001 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS Z�P PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW O ADDITION C� ALTERATION � REPAIR ❑ MOVE � REMOVE B DESCHIBE WORK Install alumintmm s.offit and facia. 9 CHANGE QF USE FROM TO STI PU LATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OFi IF COIdSTRUCTION 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 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 $905 S.5O DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- S C N OR THE PERFORMA E O CONST UCT N. $%. SO G�y"�� PLAN CHECK FEE TOTAL FEE � $8.�� IGNATUREOFCONiRACTORORAUTHOR EDAGENT IDATEI WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT � \ � 'L,�' ` Ll�� Ci � SIGNATUREOFOWNERIIFOWNERBUILDER� IDATEI BL�G INSP �pTE owr�Ert: ADDRESS TEL �VO: CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL QUILQIPJG PERMITS (fdevr, Alter�tions, Addil:ions, or Repairs) 0 BUILQER: ,G[ 11�-- , aoo�ESS: ��5 �� s—s �"-�� 3v� 7EL N0: Ll ��' —� O U/� Construction Location • STit�T NO : I� STREET: �A � O�N � LOT: `��S BLOCK: � ADDITION: `_�� I��"� � ° ��.IUr� Corner Lot: _�� Inside Lot: Setback: Sideyards: Apnlicant attach to this form i.-�ao Certificates of Survey of lot and proposed building location drawn on certificates to scale. pESCRIPTIOI� OF CONSTRUCTION � Front: Depih: Height: Squa�e.Feet: Cubic Feet: Front: Depth: Height: Square• Feet: Cubic Feet: . 0� '�j '7��, Estimated Cost: $ �� s� Type of Construction: • I . Zb Be O�mpleteds Alt. A A1t. B Proposed Driveway Width If New Opening Is Desired: $� $ SEE REVERSE SIDE OF SHEET , 7.'he undersigned hereby makes application for a permit for the work'herein specified, agreeing to do all work in s�.rict accordance with the City of Fridley Ordinances and rulings of the Department of Buildin ��- d hereby declares that all tile facts and representations stated in this appl'�cation�.re true and co�e�-�� , � DATE: � - � � " � SIC�IATCJRE : Stipulations: ��e. ��,,, ; �- -�' . ��• �v .. � s� =� �- �ov BUILDIIJG PER��IJT FC� SCHCDUL�' � STsCxION 2. The 7nsl�ectar oL 13ui1c1inc�J JhaJ.�., }�efore i�suing pcnniL-s L'or the ere:cL•ion of any bui7.ding or �truci:ure, or for any addiL•ion Lo ar►y er.isting buildiny or struct-ure, . ar for any altexatioii or repair.s to •any c>:�.�ting bu:�ldi.ng or st-ructurc, uZ�un appli.cation 'L-her.efore, require L-he paymenL• by Uie a�p].9.cant for. such pexma.t of fees to the amount herein below sct torth and in the inanncr hercin provicica L-o-ti��iL•: � iJr4J COI�STRUCTION: Single Fami].y Ilomes and Garages: $4.00/1,000 cubic feet. . PI,AN CHLCK: 25 percent of bui.lding Permi_t fee. DRiV�S�dAY D�PRL•'5SIOt1: (Concrete_ G1irb StreeLs Only} �' ' AlternaL-e A: Removal and replacement of concrete curb and gutter only; Driveway width plus 6£eet x Y�,e75 Alternate 23: Removal and replacement of eancrete curb and gutter and install a 3 foot wide approach with �' 6 inch depth; Driveway width plus G feet x$17.85 _ADDITION/�L INFOR�°�ATION ror the purpose o.f computing fees for building permits, the cubical contents of any building or addition, is determined by muli;iplying the ground area covered from a point sir. (6) inches below the floor line of i:he basement or th� cellar to the average heights of the upper surface or to the average heigl-it of t.he roof surface of th� main gable of a pitched roof. � For repairs or alterations to an existing structure, ihe fee shall be at the rate of $3.00 �ier each five hundred dollars-($500.00) or fraction thereof in the cosi o� all proposed work. � Tn•no case shal.l the fee charged for any permit as set forth in Sectian 2 be ].ess than $7.50 plus $.50 state surcharge. • _�(ERIFICATION OF FOUNDATION NOTE: Permits �or construction �vill be issued a minimtnn af 24 hours from the time af application to allow for proper review of the pro,posed structure and of the construction site. 11 Certificate of Survey of �he lo�, showing the location of the foundation once it has been constructed will be required before proceeding with the framing. _�rRTIFICATE OF 0 _;'�1PANCY Applica�ion for a Certificate of Oceupancy sha11 be made ten (10) days prior to the use or occupancy of any structure for which a buildi.ng permit has been issued; and said structure shall no� be used or occupied until a Certiiicate of Occupancy has been issued. -s-- - sus�ECr P O. City of Fridley �� 16 0 71 AT THE TOP OP THE TWINS g U I L D I N G P E R I T � ! � RECEIPT N � ; L _.____ COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. � � . � � � /"'1 � CITY HALL FRIDLEY 55432 NUMBER HEV. DATE PAGE OF APPROVED BY �"'"'� � �� 612-571-3450 910-F15 3/20/81 / � JOB ADDRESS 1120 Gardena Avenue N. E. t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 45 4 ParkvieHr Manor Addition SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE Thomas Sittman 1120 Gardena Avenue NE, Fridley, MN 55432 571-2308 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSENO. Sa¢ne 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. ,'a-,. �. 5 ENGINEER MAILADDHESS ZIP PHONE LICENSENO. 8 USE OF BUILDING RPS'1C�P.21't.LH.�. 7 CLASS OF WORK 0 NEW � ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 12` x 24' Additi_on to back of D�aelling CFree standing fireplace in addition - Pre�ray ISB� #2736 9 CHANGE QP USE FROM TO STIPULATIONS �EPERATE PERMiTS REQUIRED Fp�R yyrR�� I�G HEATlNG, PLUMBING AND SIG(y�, Bebre digging ce�� oce� uti�ities TEI.EPHONE - ELECTRIC - f�S E��s �E��J6RED �Y L��r'� TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE AEDUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTHUCTION ZONING SO. FT. CU. FT. AUTHORI2ED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THI& APPLICATION �- STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND OROINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $g� 950 y�`L,�. L,�H WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $r,4.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $13. 50 577-• 98 SIGNATUREO CONTRACTORORA DaiZED GEtv7 IDATEI �., WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT �/i � ', �� ,'�, �� ' , �L" �� ,� s ' '�/ 1! �`+�� SiGNAT RE OF OWNER iIF OWNER BUILDEH� ID 1 BLDG INSP � fE CITY nF FitIOLCY • � ARPLIC/1"('IO'� FOft (,LSIOi:FITIRi; QUILUIiIG PCfJrITS ' . � (tJe►•r, ltl L-er��tions, 1lcidiLions, or Rcpairs) Ot�J�dER: %�/,��7s �0. ��f�/�,�ir% �UILDER: Se« � ADDP.ESS: �'�0�0 �',�.��,/�`.f'____�� ADDRCSS: - —� 7CL �0: S %� � �30 � 7EL I�dO: -� ' Construction Location ' • STItI�T NO: /�o?O �af!/r�� STRE�:T: ' LOT: �� BLOQC: �_ P,DDITION: �q/�/� ��o�eei �iJ/L'a.P A�o� Corner Lot: Inside Lot: SetbacY,: Sideyards: I',p�licant at�tach to this form two Certificates of Survey of lot and � proposed builr3ing location drawn on certificates to scale. . DESCRIPTIOi� OF COFtSTP.UCTIOPd - ' ��e-2�v' I'ront: Depth: " o� Height: Squ�re. Feet: �,p8 Glxl�ic Fcet: -: �'' r� � . f� �-C`ZAill� �l.�� 'ront: Depth: Height: ° �cC�.�L�-� Sg,uare� Feet: Cubic I'eet: C ��-� P�v�a�� /� Type of �onsiruction : Gf� �'l � �� Estimated Cost: $ . ..a 'lb Be Cbr.�pleted: � � Alt. A Alt. B Propased Arive��ay Width If New Opening Is Desired: $� $ . ., S�� Rc^�VERSE SIDE OF SHEET , Ziie undersigned hereby ma�.ea applicata.on for a permit for the t:�or3:� hexein specified, agreeing to w,al]. work in s�rict accordance �•rith the City of �'ridley Ordinances and ruliugs of the Dl..'j�1l:t:illC21� of Buildings, and hereby declares that all tlie facts and represcn�ltiens stated :n fi.his zpplication are true and correct. , .� � D.'�T� : ✓ - � O - � � S IGNATU F� : C;�� -+�. �� -� /-��=� ;;ti��ulztions : �� 4'�C6 = ��Q oo . �.� f�.J� � � �1� � - � � � �` - �1•� � � _ _'. . ; i 4._ . " • . . :.�.. • IIU11_Dll�ic t�err��t�r; r-�:�_ :�c:ttr:r.�u�_�� . :;laC'rr01�� ?.. �'1'l�b 7n�.:>>ectar. oL• )jai.ldin�1 : c:l►r►l_.L, �iC_IUY.(: i.c,:cui.��J ��c:nnit:s t�r 4hc crccL•�.on �f: �lny l�u�.l.�l.in�� az :,t:::uct:tirc, o�: fc»: t�:�y cacicli.t�i�,n t:� �u,y cr.i.:;l:in�� Ltii2dinc3 or stx�icL�zr_�:, . cir. t`a�' .�iiy �ti11;c•raL•ir,n or. r.cl,air.:; Lo -�1ny c::i.::1:5.�ic� hui..l.di.�u1 oz st�:ucture, uZ�wz �r>��li.c:at3.on '1:tic�:�for.e, rc:qu.i.re tJ�� l�ayment: 1}y tl�e ar�pl.i.c:ar�t: f�r. st�cli per.mi.l• nf.� fee, to tl�c a�n�unt• j1CXL.li1 ��C�.U�•/ :iCEt: �:OY.L�1 ilI1C� ).11 �:)1C »annc�: hcrci.n ��L'OV].C�GCl t;U-411.L; • I1El•7 CON�:1'P.UC'rIOi�: uing].c k'amil.y ]lou,cs and Gar.�zc�cs: Y4.00/7.,0�0 cuL-i.c �ec:Y. • 1�J,I:?d C:IIl:C1;: 25 j�ar.cci�i: af bu�.lcli�ic� r�c�7niL• L•ce. • U1tI:VE1•:11Y DL•'1'P1:5SIOtd: (Concrctc, Gitxb �Lrcets Only) � �' ' Alternat:e A: ltc:�noval �ind re��l.zcament oi ��oncre�e cuzb and guLL•cr only; Driveway �iidth plus 6 fee�: r. �:�,��75 Al.ternate 23: Removal and reF��.a�em�•nt of concrete curb and • guL•ter and iiistall a 3 to�t t�ide approac:h c��ith '' .� 6 inch dcpth; Drivec�ay a�i4th �plus G feet x$17.85 • . J�nDI � I Oh/�L I P�f-OR��1/1T I QP1 � I'or the puri�se of co�puti_ng fees for building permits,. L-he cubical. cor.tents of any buil.di.n� or addition, is deter_mi_ned by rnultip�.ying ;he ground area cuvered S-rom a . �aint sis: (G) inches belor� thc-' i'loor ]_ine oi L-lie basement or th� cellar to �ic averdge heights oi thc •upper surface or to the average iieight of the roof. surf:ace oi the nain gable of a pitched roof. ' Fox re�ai.rs or a].terations to an existing stnicture, the fee shall� be at the rate ..of $3.00 �iex each five hundred dollars°($500.00) or fracL-ion i:llerc:of' i.n the cost of all prqPosed wo�r.k. � - . In •no case sha�.l the f�e _cliarged fc�z any pen::�t �� set %rcZ� �n Section 2 b�. �.�ss • ti�n $7.50 �lus $.50 sta�e surcliarge. - . - � RTFICATIO,�t OF F�UPdnnrior� � NOTE: Permits ior construction will be issued a minimiun af 24 hours from tlie time or a�plication to a].l.ow for proper re��iew of ihe proposed si:sucturc and of the constructian site. � • ;. I� Gertificate � of Survey of the lot, shoc,*ing the location oi �he foundation once it has been cons�nicted �.*ill be required vefore procecding with the iraminq. . ,�r�T I F I GI�TE OF �_�UPA(��C1_. ' ' ��►PPZ�.cation for a Gertificate oi Occupancy shall be madz� ten (lOj ci�ys prior to the use ox accurancy oi an}► stz�ucture for �,rhich a lauilcling permit lzas been issu�d; and s.-�id structure shall. not be usec� or. occupied until a Ceri:�.iiczte oi' Occurzncy h�s been issucd. u , . ,� . • 6 • � . � � � � i t a� � - a �, � � � , �r � . y �; �� '' � � � � :- � � � � � v � � � ,ti n , ,�� -_= � �—`-�=_- v � �� u� . v � � �� , �`� � � � � � ��ti � o � w � '� � � ;,i .� !, °c �� -_. � 3 � � � � N � '� �1 °� � �� .. �```�-- -�_ � � yti. � ;s _�:��;�-_ . y� � •a ; �� i1 ; ^1�`�� ,� � � s 1 ��' ~ %� N S �� ti � �� "'1 4��' � {` �s +.� � �� q , � � _� '� -� a � � � . . �� `� ,�, a;� � � � _ �°��'v�� =��g� :� � � � � . : a. � � , � . .-;� . �� .� 5 Q �, �,� � � �i � � �� ; . �: �• . o.: � _�. :y � - . � _ �..�,.. _.�.. , _ p - ""'�,,...� ; t .x ,,., -. �,; � ,m ---�—,8 � . �� ` 1 , .. "' ' . `.: � �P " � r' : .. . `y' .. � � �.� ° t�' �� T � L � � � " C � ' • - ; � .y� . , ' ; ,� `�` , . :� �'� ' �' � � . -�. J �. � � � k `, i► � , r . , � . . ` � ° � � g � «„: � � , � _ ( � R ` � �`F `� t � � ,, . , _ � �,., � � � � �� c,�s� 1�� , ' , (�J v �• ' '� � � � Z �` . � � � � , � � ►� �� `,0 n � � � , . ' �• Z T� � . � � \ � � �. � � � •;� ti � ` � � �. . '�� ' _ , - ' � - ,, _ -� � � �� —_ .. . _ _ , `.� �� , ;��: �� ` � � . . _ . � . � . . ` � �� ' � � . .i t ' � � . ; 44 �` � R` t� �� ? _ � r � � � �. .. � - . - � N p • •\ r� ,`� � r `' ' � t r D i / � / � -• r o ; i : � /: � . � � fi . �- � � ' ' . � j - � � � � . -- --- --�: ,-...R �. _ --- �.z� - - _ _ _- . __ �_. , - ._..- - ___ __ .__._ �.___-_- , _ _ �, . _ � _ L� . � .. _ � _ _. -- --- , . _ . _ ._, :_ _ -. _ - f + . ` - ' �. � �,. . F �f,� �= ` �� . -... .�'�� . , , - � � � M �_ .— ._. � _ — � �`� ' � � �, . , . �. I • • :� 4 ��• . � • � i . _ 4•+ . � • ; i � � -. � f �� I . , 1 ,� �. ,� ' ; �. `� ��, 1 � `� - } � ` � .� .�� . ' � ° E � �� =� � -ft d i ` � ,` " � 1 � f. � ` � .1 �" � � � ► � I �, ; "� �4 I . (�S � � t ` . . ___ _ : . ---- � . � . �, —.--�� - ... _ ...--�.� � - ---�-�� a �� `� � � �� I � � ,,; `1 • � ' --'' . , j � ' �¢e .. , 't O � '� , ;�� -; 3: i �: �� l / °' � / i a° i . �' �f � -i ` � � � � �� - ,j j' �i �.- �. � � \ /J ` � / b'A%� `� ti3 1 ' .'� ' . � `. ; . f,�'' � " : - /� f' ,' / � ♦ � �• f • t - � ' ' 1 ` t . ,n ;. ,� � � ♦ , � ;, .. `• �11? � !� a . i`C`� ` � • - A a�-c P LflCC � ` . � � 1� ! R , � ��• . . � . � • � � / �' , ♦ . �. � . t K ' � . � . 7 `• : t � I -� 'n�� c. �h\ ENERGY CONSERVATICIN SUPPLEMENT TQ BUILDTNG PERMTT APPLICATION pLANNIi`iG AND INSPECTTON DEPARTMENT CIT'� OF k'RIULEY, MINNESOTA This sLp��lemenL- is providc.d to assist the applicant in computing EXTERIOR ENVELOPE �VERAGE "tT" FACTOR INFORMATIONo This inforcnation is required so the BUILDING OFJ'ICT1�L can de�.ermine that submiite� plans ccxnply witli the ENERGY CONSERVATION DESIGN CRITERIA of the STATE BUILDING CODE (Section 6000). It is�the �1PPLICANT'S responsibi.lity �o accurately compute the data; reflect t:he proper DESIGN CRITERIA in the plans; submit product specifications, if needed to support the "R" and "iT" factors used; and to assure construction.is per approved plans. JOB IACATION: ��p7� G'yi?p'�/r✓� /7�/� ' OWNER/CflNTRACTOR: %�Oh'/das � �///�si/L� ADDRESS : // � O �i9� d ej�!/ �� PHONE : s' 7/� a,f d� A. Determine the Total E�posed Wall Area as follows: 1. 2. 3. 4. 5. 6. 7. Total wall window area Total door area � Tota.l sliding glass c3oor area Tota.l fireplace wall area Total wall framir�g area (average .10 0) Total net wall area above floor(average 90`k) Total rim joist area Subtota.l: T�tal exposed ��all area above f��or 8. Tota1 faundation window area 9. Tota.l net foundation area above grale Subtotal: Total exposed foundation axea GRAND TOTAL EXPOSED WALL AREA �� ,.��. _1�� , ,.� �� _ ��'f" � . B. Multiply ihe GRAND TOTAL EXPOSED WALL AREA X.17 = C. Determine th e Total Exposed Roof/Ceiling Area as follows: 10. Total skylight area 11. '�otal roof/ceiling framing area (10°a) 12. Total net insulated roof/ceiling area GRAND TOTAL EXPO5ED RaOF/CEILING ARF:A D. Multiply the GRAND TOTAL EXPOSED ROO�/CEILING AFEA X.05 = ... < ,� �^ a a s Item I Item II 0 0 E. Determine the "U" value of each se�ment �1-9) and multigly by t.he area as follows : 1. X "U" i = . 2 e X ��U�� . 3. X "U" _ 4. }; n(J�� __ 5. X "U" _ 6. X "U" _ 7. X ��U�� - . 8. g ��U�� _ 9. X "U" _ ADD 1-9 FOR TOTAL WALL SEGMENTS = ITEM III F. Determine the "U" value of each segment (10-12) and multiply by the area as follows: 10. X ��U�� _ 11. X ��U�� _ 12.. X nUu = ADD 10-12 FOR TOTAL ROOF/CEILING SEGMENTS = ITEP� IV G. If Item III is the same �s, or less than Item I, you have met the intent of State B�aildin� Code 6006 (c) 2. � H. If Item IV is the same as, or less than Item IT, yot� have met the inten.t of State Building Code E006 (c) 1. I. Add Item T + Item II = J. Add Item III + Item IV - K. Tf the sum of Iten�s TTI and IV are less than Items I and II, you liave met the intent of the Code for to�al envelope system, � The undersigned, as applicant for a building permit, hereby affirms �.he above informa'cion lias l�een prepared and submitted by himself or under his direction, hereby acknow:Ledges the information to be correct and accurate; and hereby presents fhe information with required plans in support of the building permit application. BY = � � L c � . c. ��'�� /� � � - - _ _ DATE:�-�/�a_�.s� /! './�/� �iG' sue�ecr P M . City of Fridley 9 6 4 8 9 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 DIV. � `o � � i V � �� r � � PROTECTIVE INSPECTION SEC. � � � � � � ��'1 � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BV �""'� � ,�� 612-571-3450 910-F15 2/25/82 � � JOB ADDRESS 1120 Gardena P,venue N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. Ljrj 4 Parkeiew Manor SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PFIONE Thomas Bittman 1120.Gardena Avenue N.E. 571-2308 3 CONTRACTOR MAII ADDRESS ZIP PHOWE LICENSE NO. Minnesota Exteriors 295 � Highway #55, Hamel, MN 478-6001 4 ARCHITECTORDESIGNER MAILADDRESS 21P PHONE LICENSEjNO. 5 ENGINEER MAILADDRESS Z�P PHONE LICENSENO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION � ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 OESCRIBE WORK Reside Dwellin 9 CHANGE OF USE FROM TO STIPULATIONS �0�� id�� Qi�l�+�� , ��`��. ��PE �9�f��i��iC�P �Lt��°�C ��dt� �1C�6�S. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, ��mi n,� VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONEO 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 EXAMINED THIS APPLICATION �- STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF I.AWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $1;'S61 � $• 78 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERAQIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGU TING CON- $26. cJO STR OR THE PERFORMA CONST UGTION. PLAN CHECK FEE TOTAL FEE � � _._ _ � $27.28 SIGNATUREOFCONTRACTORORAUTNOR DA6ENT tDa7E� WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT �. � SIGNATURE OF OWNER�IF OWNER BUILDEfi� - IDATEI BLDG �NSP � TE CITY �F FRIOLCY Effective Aug. 1, 1961 APPLICIITI�'J FOf� RCSIDCf�TIJ1L QUILDIi1G PERt�IITS (ra��r, Alter.�tions, Additions, or Repairs) �i Otlt�ER: ; �i�t�a�.�!� ��-��L-rt-,�� A ADDRESS: _ /°/ �- <.� � � ,�-1�� `-'�- TEL n10: � 7(— � � �� [3UI LDER : � 7 �. �,..,��''��- � ��,��v ADDRESS: � �I S f� �— C -� ! TEL td0: �-( 7 c� � L- �`-�� Construction Location • ST1tI•�T NO: STREET: LOT: . sy S SLOCK: � ADnITION: Corner Lot: Insicle Lot: SetbacY.: Sideyards: Ap�licant attach to tliis form two Certificates af S�rvey of lot and proposed building location drawn on certificates to scale. DE5CRIPTIOi� OF COtJSTP,UCTIOPd Front: Depth : Height: Squane. Feet: tlibic Feet: Front: Depth: Iieight: Square� Feet: Cvbic I'eet: � �z� Type of Cor.structien : �� Estunated Cost: $ ��a �� Zb Be Oor,�pleted: ��j �-',� � = c�� G�l�� Alt. A Alt. B Yroposed Drive�•ray Width If New Opening Is Desised; $� $ SE� REVERiE SIDE OF SHEET 13ie undersigned hereby ma}:e� application for a penuit for the �.vrk� herein specified, agreeing to do,all work in strict accordance ��ith the City of Fridley Ordinances Paid rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this applir�ion are true and co�rect. �, /,� D1iT�: � ��" 5 —� � SIGNATUF�E: ✓ G�`'�° Stipulations: � � � �� , �. � „ . e, � �;��"�� s� a BUILDING PE�RN�IT FEE SCHEDULE The Inspector of buildings shall, before issuing permits for the erection of any building or structure, or for any addition to any bxisting buildinq or structure, or for any alteration or repairs to any existing buildinq or structure, upon application therefore, require the payment by the applicant f or such permit of fees to the amount herein below set fort�i and in the manner herein provided to-wit: TOTAL VALUATION $1.00 to $500.00 $501 to $2,000 $2,001 to $25,000 $25,001 to $50,000 FEES $10.00 Minimum Fee $15.00 plus surcharge $10.00 for the first $500 plus $1.50 for each additional $100 or fraction thereof, to and including $2,000 $32.50 for the fixst $2,000 plus $6.00 for each additional $�,000 or fraction thereof, to and including $25,000 $170.50 for the first $25,000 plus $4.50 for each additional $1,000 or fraction thereof, to and including $50,000 $50,001 to $100,000 $283.00 for the first $50,000 plus $3.00 for each additional $1,000 or fraction thereof, to and including $100,000 $100,001 a�d up $443.00 for the first $100,000 plus $2.50 for each additional $1,000 or fraction thereof PLAN CI�CKe 25 percent of building permit fee DRIVEWAY DEPRESSION ESCROW: Concrete GUrb Streets Only Alternate "A": Removeal and replacement of curb and gutter only Dri.veway width plus 6 feet x$13.50 Alternate "B": Ranoval arid replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth Driveway width plus 6 f eet x$15. 75 VERIFICATION OF FOUNDATION Permits for construction will be issued a minuaiun of 24 hours fr�n the time of application to allow for proper review of the proposed structure and pf the construction site. A Certificate of Suzvey of the lot, shawing the location of the foundation once it has been constructed will be required before proce, eding with.the framing. �� - - SUBJECT City of Fridley _� 16 919 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r ; � CEIPT . � `v _.�___ COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. �� t = � � ��1 � CITY HALL FRIDLEV 55432 NUMBER REV. DATE PAGE OF APPROVED BY �'•---� • •`� 612-571-3450 910-F15 2/8�83 / / JOB ADDRESS 1120 G3Ydp.IJ,d Avenue N. E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4�J 4 Parkview Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Thomas Bitt�tan 1120 Gardena Avenue 571-7308 3 CONTRACTOR MAILADDRESS Z�P PHONE LICENSENO. Mi.nnesota Exteriors 295 Highway #55, Hamel, 1� 478-6001 4 ARCHITECTORDESIGNER MAILADDRESS 21P PHONE LICENSENO. 5 ENGINEER MAIL ADDRESS 21P PHONE LICENSE NO. 8 USEOF BUILDING Residential 7 CLASS OF WORK ❑ NEW � ADDITION � ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK IIIS'��.�. �.11ID7.I1l1ICl 't]:lIIl 9 CHANGE OF USE FROM TO STIPULATIONS TYPEOFCONST. OCCUPANCYGROUP OCCUPANCYLOAD SEPARATE PERMITS ARE RE�UIRED 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 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ ANO 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 �.572 �`. SO WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER ST .�OR LOCAL LAW REGUL TING CON- $]_rj.00 U N OR THE PERFORM NCE O" CONST C. ION. �` PLAN CHECK FEE TOTAL FEE $15. 50 SIGNATUHEOFCONTRACTORORAUTHORI2 AGENT IDATEI WHEN PROPER VALIDAT�D THIS IS YOUR PERMIT � .� ` � G $IGNATURE OF OWNER IIF OWNER BUILDERI IDATEI BLDG 1NSP � TE CITY Of FRIDLCY Effective �uq. 1, 1981 AI'PLICATIOE� FOR RESIDCNTIAi, 8U]LOlilG PCRNIITS (Nc�. A1 terations. Addi tions � or Rcpa i rs ) Owr�ER: � ADDRESS: �( °} o ��;-� Q „� � ��... _ TEl M0: �' �?{— � �3 6 � • - — BUILDER: ��,�� . � ____..g..� � AODRLSS: � � .� r� �a_ ��' � _ , � �=_ TEL N0: Lf ? � � �j / — , ruction Location . s�r No: fl � v sT�r: LOT: 1�(� � BLOCKa � 11DAITIONz � Corner Lot: � Insiiie Lot: � 6etback: �� Sideyards: 11p�lfcar�t attacA to this fosm two Certificates of S1�rvey of lot ar�d pzoposed building locatian drawn on �ertificates to scale. OESCRIPTIOi�t OF COh�STRUCT10t� ________ Front: Deplh: Hefqht: Square Feet: Oubic Feet: , Ftont: Depth: Hefght: Square Fegt: A�bic Feet: r �_ �y+pe of Cor,stzuctian a_ ��-�-„.� �� _ Estimate8 Cost: S �, ��^ Rb Be Nr.�pleted: � '° 1 — � �� !►lt. A Alt. 8 psop�se8 Drivc�+�ay f�iidth If New Opersing Is Desirede $' $ . . . 6E� RiVER;E SIDE OF SHEET • . 9i�e un8�signed hereby anal:e., e iication for a en�nit foz tbe t�ork herei.ri s '' PP p pecified, agr�eing to �b _all work ir, strict �ccozdanee wf th the City of Fridley OrBinances tnd ruling� of the ne��sa+e�c of Duiiainqs, and hereby declares that all the facts and sepreserit�ticns stated � this Application are true and corre . D�,�TEa � � � � �� SIGt�tA1v1� : G . ...._.._.�___.. stipulations: � / � (; Ca � (n � _%' ��.�� _ ;-,� - " � ► � BUILDING PERMIT FEE SCAEDULE The inspectoz of building� sball, before issuing permits for the •z�ctioA of •ny building o: structnse, oz ios any additfon to any •xistiag buile3aq oz stsuctuse, or ios any altezation or sepairs to tay �zistin9 buildinq o: atructuse, npon applicatioA therefose, seqn3st the payment by the •pplieanL ior such pezmit oi tees to the ssount l��seia below aet foztb and in the �anaer bereia psovided to-vita . �. '!'OTAL VALUATIQ�i ?�S �1.D0 b� i500.00 SSO1 m i2,000 Sz,00i tc s2s,000 i10.00 Minimum Fee S15.00 plus surcharqe 510.00 foz the first 5500 plus S1.50 for each a8aitional 5100•or fraction thereof, to aad ir�clading 52,000 i32.50 ioz the first S2.000 plus 56.00 for each additional Sl•000 or fraction theseof, tc and including 525, 000 525,001 to 550,000 5170.50 fos the first $25,000 plus 54.50 foz each ad8itional $1,000 or fraction thereof, to arid including SSO, 000 550, 001 to 5100, 000 �283.00 tcz the first 55�, 000 plus 53. 00 foz eech additional 51,000 oz fraction thezecf, to ane including 5100.000 5100.001 and up 5443.00 foz the fizst 5100,000 plus S2.50 foz each adait3onal $1,000 or fraction thezeof PLAN C7iEQC: 25 perce�t of building pe�it fee DRZVfl�tAY DEPRESSION ESatOWs Concrete GLrb Stseets Qnly !►iternate 'A"a Re�noveal ar�8 replace�nent of cvrb and gutter only Driveway vidth plus 6 feet s$13.50 � lllterr�ate •8"a Reuovel and zeplac�er�t of curb ar�d gutter and install a 3 foot wide approach witA 6 inch depth Dziv�ay vidth plus 6 teet x 515.75 VERIFICATION OF �OUNDATION Permits for const�cuctioi► vill be issued a minimwn oi 24 hours from the time of applfcation to allow for proper zeview of t}ae pzoposed structuze and of the const:u ction site. A Cert3ficate of Sunrey of the lot, ahowiag the location of t}ie four�aation once it bas been const.�vcted �rill be required before proceedinq wit1� the framis�g. ► � . � sue�ecT � RMIT NO. City of Fridley _ 17 6 8 3 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T � r ; � EIPT N � • COMMUNITY DEVELOPMENT DIV. / ��-� � tV � �� r � � PROTECTIVE INSPECTION SEC. � � i � /'�"1 � CITY HALL FRIDLE� SS432 NUMBER REV. DATE PAGE OF APPROYED BY �""'� � �� 612-571-3450 910-F15 8/23/84 � � JOB ADDRESS 1120 Gardena Avenue N.E. 1 LEGA� LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 45 4 Parkview Manar sHeer 2 PROPERTYOWNER MAILADDRESS 21P PHONE Thomas Bittman 1120 Ga.rdena Avenue N.E. 571-2308 3 CONTRACTOR MAllAODRESS Z�P PHONE LICENSENO. 5ame 4 ARCHITECTORDESIGNER MAILADDRESS ZIP PHONE LICENSENO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. 8 USE OF BUILDING R�SICIE:T1'l".1d1. 7 CLASS OF WORK ❑ NEW � ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WOFiK constzuct a 14' x 12". Acldi.tion (Hot Tub l�om) 9 CHAN(iE OF USE FROM TO STIPULATIONS �g�l1�G �oR �'�1°�� p �E�U iREd call local ut�li��es pERM� �G �� I�N�� a►��g GAS Et�• SEP�RATE gefo�e _E1.ECZRI�- pLl1M�1 �ti�E�t�oNE E� �� p,V�i HEA�1NG� R��R TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. �OOd FxdIIle THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION 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 CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. A�L PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPIIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT S6�8OO S3.4Q DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. �CZ.SO None PLAN CHECKFEE TOTALFEE $15.63 $81.53 �SIGNA7UH F RACTORORAUTM i2ED T IDATEI WHEN PROPERLY l ATED HIS IS YOUR PERMIT � , �� - �_ � �� .. ATUREOFOWNER�IFOWNEfiBUILDERI IDAT BLDG INSP �AT u �y, � � -Roar; . _' . - _ � . . .. �. . _ _ � S ��.i c��iG (I�I�tM i� �.e� �, � ys'' CDX P�Y "'/P�yC�i PS . . ___ �� , . --- . IpsSW�ooL'IMSUTA'Fipn1 .1 �K (o - .�o�s{Z" �;� � M ,-[% � � V �� J ° �� . Z�4� �� a _ . � . . p��- � �� . \ . - r^ • . wA 4L s- c E, �, i�..� c.. s _. /XG .:�'�Ow�i - ---- C�ri�Nc: .�x � eF o.� R _ w� �,.s , 2 x 4 W.. �.�. �xp.., ,..� �.. � 3/2."GLw � s w oo L- E�cr 1�✓A4s �' � I, MI�VlR�L wiI a�� G��LI y!/ --'�uSNE,a7��,�,� • - Gxt 1rJ�w4�s , J4�t,tM. ! C�ED�►!Z �iDi No _. ' L � �..CoQ�u �c� �StFMBI� e � �� \ ._:_ :'.:'"--•--- —�- � _ ��P O iC ' 7� Os//\I Y A T � fi h.l - -•- •—.- -•- �� 5�8'' Pt T 5 �f N O� K L4 r r�e�wT '/3'� G�X .rMsa►N��+C.- � -- �Z:s S Ft• o K. Jo. s r s -- - �:'G�on.rt �iI.K• o�C Pov/R�e�1 _. . rP�r 4AT� e �.a :: � c." _�/� o oc FTs. s. _�"i!!`�/ �w«J✓ �r �..OVrli. - �-�.�►sv.�o�L F��•R ♦H�. - - -- ._ � -- S c. G.T � � N � . SC A L 1'L �/X r� �� ,� �� ,�;6 i; :� 5��6 I ,� ; � 5 .� � . � i �� I � �— I � ;/ . � " /,,,�. ; :,.-r , ,-: ,- � ,; �;;- : %� 1; ��; � ��"�� ,S j J= �" ; � �-' � - � i �� ,�� % ' i", r� - - _: ��-�--- - -- 1.---�. -.�--= � � � ' , � �► � �:� ► � ; ,; ��i a; �: , ;!; 9. w�. ,� ,, ,.., � � `s � � � �� P ` � � ,� . � � �, i !� '' �i / �'` i ; � �,---- — --� `.,; . , ., , , j' : / , �, , pl '/ � ^ • U�,? . . �1.`/�� - 1"' �_- _�_ -_.�' _ _. "_. _. _' ' __ . _ ._ . .. j , ,�- / , � ; ��, • ./ . . `~ ' �1 / �� J -' j � , /' ` / i � ' / . � `� / /� , � , ' j i � ��, /! /' �� j �•/ �'/ '/ I�/• � / �' � ��/. i .. !� / / �� ` � 1 � // ` `/ ; � /�,� � ��/ �.l �i ' %� i / / 1 ,/ � .' � � 9 , � � / /� •�` � � // � ' / !�! . i �/,/� � /�ls.-. �irix3 /i / / '� /'� � ' . ♦ � //, / j � � / %%'. / ' i � /�'' '//�� l � � / �!��/� i /� /�. /.. �• �,NDO�.c� /,'' / j . .�� ' / .%j ,�'� ji'� !�'f% . '` i' � � / , % �y . � /•/', ji � �' • /./, , •'i ��// . '; / /. 1 /: % • , / �/ • . . •�� ;: / .,i j ��. % /' /•. ,,� ' '�� " / % � , 'i . • . , : . . , . / ii. /J,✓_%.!/, .'j1 �/..1. i,�///��. �'��• • i�i-� � ' 1 � NEbI [ � ADDN. [ � �,T�. I J Construction wddr� City of Fridley Effective 4/1/84 �R-1 A�D R-2 . Buildiag Permit Applicatioa �� Legal Description • L �I' 7 J �� ,� cvc,�� .vV - � - � u��1 �_� , Owner Name & Address : Ti i�0 /�?�9s � �� " � �ve �'/� � Tel. # S �/- � � o � Contractor: �� Tel. # - Addresa: LIV71�1G AREA: QARAGE AREA: DECS AREA: 0'PSER: q Attach to this application, a Certificate of Survey of the lot� With the proposed construction draWn on it to scale. DESCRIPTIOF OF IMPROYSI�NT Length �_ Yidth a- Height � Sq. Ft. /�� Length _ iiidth Height Sq. Ft. , Length _ Yidth Hgt/Ground Sq. Ft. _ �� i/ ��N �� _^ � �, ., � 6 � � . � ___ _ Corner Lot IJ] Inside Lot [] Ft. Yd. Setback Side Yard Setback � -aJ� Estimated Cost: � �v �� Type of Construction: - Approx. Completion Date: D�� g T Alt. A Alt B Proposed Drivexay Width If NeW Dpening Is Desired: �e �ek Page for Explanation DATE: �-' a 3� �� APPLICANT: � Tel .# s��" �'�°� CITY OSE OALY Permit Fee � ��'�'�� Fee Schedule on Reverse Side Plan Check � .� �� 25i of Building Permit Fee State Surcharge � �� a.50/�1,000 Valuation SAC Charge � _ �425 per SAC Uait ' Park Fee � °�' Fee Determined by Engineeriag S�er l�ain Charge � a °�'� Agreement Necessary [ ] Not Necessary [ ] TOTAL � � � STIPULATIONS: � a • P � BIIII.D7AG P�RNIT FEE SCHBDIILE The Chief Building Official ahall, 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 atructure� upon applicatio n therefore, require the payment by the applieant Por such permit of fees to the amount berein beloW set forth and in the manner herein provided to-xit: Total Yaluation a�.00 to :500.00 Feea ' ; �10.00 (Ninimum Fee is a15.00) �' �501.00 to a2�000.00 �10.00 for the first a500 plus $1.50 for each additional $100 or fraction thereof, to and ineluding �2,000. �2�001.00 to �25,000.00 �32•50 for the first a2,000 plus a6.00 for eaeh additional �1,000 or fraetion thereof, to and iaeluding �25,000. �25�001.00 to �50�000.00 �170.50 for the first �25,000 plus �4.50 for each additional �1,000 or fraetion thereof, to and including �50�000. a50�001.00 to a100,000.00 a100,001.00 and up a283.00 for the firat �50,000 plua �3.00 for each additional �1,000 or fraction thereof, to and including �100,000. a433.00 for the first �100,000 plus �2.50 for each additional �1,000 or fraction thereof. DRIYEiiAY DEPRBSSIOp ESCROii (Conerete Curb Streets Onlq) Alternate "A": Removal and replaeement of curb and gutter only - DriveWay width plus 6 feet times 813.50 Alternate "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 VBRIFICATIOA OF FOIINDATION Permits for eonstruction Will be issued a minimum of 24 hours from the time of apglication to a11oW for proper reviex of the proposed strueture and of the construetion site. A CertiPicate of Survey of the lot, aboWing the location of the foundation onee it has been aonstructed will be required before proceeding with the framing. � �� `�—��.��--° �� - �� e� �� , ra � ` = �.. fi� ^�1 �C� �'�� ' * s :� L . � �� SuBJECT City of Fridley AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r i � � � � • COMMUNITY DEVELOPMENT DIV. ' ; z: ------� r � � PRO7ECTIVE INSPECTION SEC. � t �"'t � CITY HALL FRIOLEY 55432 NUMBER REV. DATE �'""� � �'� 612-571-3450 910-F15 4/17/89 JOB ADDRESS 1Z20 Gardena Avenue N. E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION DESCR. 4S 4 Parkview Manor Addition 2 PROPERTY OWNER MAIL ADDRESS Thomas Bittman 1120 Gardena Avenue N.E. 3 CONTRACTOR MAILADDRESS Sasne 4 ARCHITECT OR DESIGNEH MAIL ADDRESS ZIP ZIP PAGE OF � � C 19830 RECEIPT NO. �a.�// APPROVED BY SEE ATTACHED SHEET PHONE 571-2308 PHONE LICENSE NO. PHONE LICENSE NO. 5 ENGINEER MAILADDRESS Z�P PHONE LICENSENO. 8 USE OF BUILUIN(3 � Residential 7 CLASS OF WORK ❑ NEW �] ADDITION ❑ ALTERATION � REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 10� x 24e Gaxage Additi.on 9 CHANGE OF USE FROM TO STIPULATIONS Provide a hard surface driveway. SEPARATE PERMITS ARE REQUIHED FOR ELECTRICAL, PIUMBING, HEATING, VENTILATING OR AIR CONDITIONING. � THIS PERMIT BECOMES NULL AND VOID IF WOHK OR CONSTRUCTION ZONING S0. 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 COMMENCEO. • NO. DWLG. UNITS I HEREBY CERTIPY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS AND KNOW THE SAME TO BE TRUE AND CORRECT. ALl PROVISIONS OF �AWS VALUATION AND.ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $3,500 WITH WHETHER SPECIPIED HEREIN OR NOT. THE C3RANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pERM1T FEE PROVISIONS OF ANY OTHER STATE OR IOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $63.00 SIGNATURE OF CONiRACTOR OR AUTHORIZED AGENT OCCUPANCVLOAD CU. FT. OFFSTREET PARKING GARAGES SU RTAX $1.75 $64.75 IDATE� WHEN PqOPERLY V DATED THIS IS YOUR ' ro IDATE� �r' ry BLDG INSP �' �_/•I; �' � •y �./ �^!±/ /°{ !J�i , ��!•� 1 -t•=' ' --- � - � THE JOHN J. RYAN CO. tCALt: t INCH__✓' iEET 15955ELBY AVENUE,ST. PAUL 55104 T�QMONi.6Ae.��s• ��i i� �� OF PROPERTY OF �`=�'�' -?�'7� � � °/?_5�•°�f? IOCATIOiu ��? ✓ �%�' /�r� /�� rl{�� /� i�/'//�%o� /��/!%/i �� -� T f�f .�:-�.-, n , DGCRIftD As rOLLOWS �'� � t� �1 r f�� '�i ,� 7/��f�' �iJ!�// T/t�r? �i7 �,��:.� "' Ln � . . � '•` . �t � ts � il ;� f� �! )e !i Y• � � ��c ` �/-��.�. _-�,� �-=`� ,G7 ✓� �''✓� ,,�----�-�`� - ;- 4 , . . � � �. • , ,: � � . `,� ' , , r1 . f �' � — —'_�r'1 ♦ 7 % .,� -�Ss� - /:�.._• 6 - :a. �o��i ;.., ..�.. � r; -. ' .,; �� ,� �� ' ! , a �$�� _ � - � _ �y , �\ /�Z r r �� 1 �` -i � 0 j , � , � �y� �'o ; � � ��'� :�n f � � 2y�zd � � 576 � �� .. .------ -._ .___. _..-------,: , � � { CEY.TIFICATF, OB LOCATIOti ON' BUILDING I hc•n�ht r�•�tit')' Chal ��n --- �—� ° lq ' �ni, a�r�c�y. plan, �>r rrpurt x•;i, pr.•pared�b� r�r ��r uncler r;r: c:r��•t .up.•r�i,inn c,nd that I am a dul}' N��, i.trn•d [�nd�. ��;r..�.��ur �.t:tc:�r the la•.r•s qt the �!atr of �linnesola. .. — � / ;. ' � � � �U,i�S 20 � a�3f � . ,� � c� Iz.� _ 1�a� i� �1 �`� � . , . , � �, : , , CERTIFICATF. O:� SU3YEY I herNby cPrr,f}• th�t ��n lc� tFi; ;nn•ey, p!an, or repnrt xas prt•pared b� mr or under , rn�;adirt•ct ,ufiennitiun and ih.�t ( am a dul}• Ke�i:tYreci l,.�nd tiun�eyor undrr the lawc �( thr �tate of �lir!nes.►ta � [ ] � � ) �� [ ] I�1 AND R-2 m, i i dir�g Petmit Application Construction Addr�ss : „� �� .z �� Effective 5/1/88 Legal D�cription: a owr�x rrame & Aaaress: .%'/,�o �r � s y` -�, %� ,qrv' Z�e1.. # s7s- �13 � �' Contractor: Addres.s: � � � � � � • �� r.•Fi• m • •i�+� � S«' � •��+• m Zie1. # Attach to this application, a Certificate of Survey of the lat, with the prano�ed oo�structioai drawn on it to scale. �� Ierigth Width Heic�t Sq. Ft. Ie.ngth Width �� Height sq. F't. ��U -- T.L�I'1g�1 w1C1�1 �� ai'�OL1Tld .SQ. �. �: ' �o�c r�`4� - � s�9 C.brner Iat [�j Znside Ivt [] Ft. Yd Setback Side Yard Setbacks Zj►pe of Oonstruction: Estimated Cost: $ �� Approx. Cc�tpletion Date: Proposed `Driveway Width If New Opening Is Desired: j Ft. $ $ A Width + 6' See Bac;Jc Page I]ATE: r / Ap�i �y � �e1.. � s �f CL'1'Y �E �Y Permit Fee $ ��,.E.i�i State Surcharge $__ 1 �'� �,° SAC Qzarge $ Driveway Escrdw $ Park Fee $ Sewer Main Q�arge $ . �• sZZRrr�,zza�s : S- ��.'�� Fee Sd�edule aai Reverse Side $.50/$1,000 Valuation $575 per SAC Unit Alt. nA�� or Alt. "B" Above Fee DeteYmined bY DxJineerincJ � N�� [ J N�t r�saxr [ l .,,.g � �� 'Zo�„� ��5 s� y� � �3 :�1 • • � � ' :�'. � ' :�" _'v:l�� 1 ' Zhe Qiief Building Official shall, before i��+» *� penaits for the erection of any building or sti�uc4�re, or for atzy additio� to ar�y eidsting builcling or structure, or for any alterati6n or regair to arYy existirg buildirtig or structure, upon application therefore, require the payment by the applicant for sucfi permit of fe�s to the amovnt herein belvw set forth 1Tid iT1 the lo3n*+ar heYeiTl plrovided to-wit • 7�0►rAL VAIxJE $1 to $500 $501 to $2,000 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,001 to $500,000 M �+�+?-� $15 (Mini�mi Fee 3s $15 plus surchaYge) $15 for first $50o plus $2 for each additional $l00 or fractia�► thet+eof, to ar�d inclt�diryg $2, 000 $45 for fixst $2,000 plus $9 for each additional $1,000 or fracti�► ther�eof, to and including $25,000 $252 for first $25,000 plus $6.50 for each additional $1,000 or fraction there�f, to and iricluding $50,000 $414.50 for first $50,000 plus $4.50 for each additional $1, 000 or fractiorn thereof, to and iricluding $100, 000 $639.50 for first $100,000 plus $3.50 for each additional $1,000 or fraction thereof, to and including $500,000 $500,001 to $1,000,000 $2039.50 for the first $500,000 plus $3 for each additional $1,000 or fraction thereof, t� ar�d including $1,000,000 $1,000,001 and up $3539.50 for the first $1,000,000 plus $2 for eaah additional $1,000 or fraction thereof �tLVE�Y �PRffiSI�1 ESQiOW . (Ca�ete Curb Streets On1Y) Alternate "A": R,e�aval and replaoe�oent of curb and gutter only - Driveway width plus 6 feet times $13.50. Alternate "B": R,�naval and repla�t of curb and gutter and install a 3 foot wide approach with 6 irx3i depth - Driveway width plus 6 feet times $15.75. • J1' ■' Y� •i • " '•JI I� � •i P�ermits for c�t�uctiaaz will be issued a�*�*+�m►m+ of 24 houi�s fr�n the time Of ap�lication to allow for pz�per revieRa of the pro�osed structure and of the �t.ion site. A C�ertificate of S�vey of the lot, stmwing the location of tl� fo�ur]ation orxre it has it has been oo�-ted wiil be required before prooeeding with the fzaming. ,- � , ._ SUBJECT . c�ty of Fridley 2 6 7 0 6 AT THE TOP OF TFIE TWINS g � I L D I N G P E R M I T i � � � � • COMMUNITY DEVELOPMENT DIV. ,/ �/ � � �. ----- � '"7 �O � r � � PROTECTIVE INSPECTION SEC. � j � � /"'1 � CITY HALI FRIDLEv $�432 NUMBER REV DATE PAGE OF APVROVED BY �----� • •�� 612-571-3460 910-F15 7/20/98 � / J08 ADDRESS 1120 Gardenia Av NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCH. /+S 4 Parkview Ma.nor SHEET 2 PROPERTY OWNER MAIL ADORESS ZIP PMCjNE Chuck and Diane Ma.'eske 572-8302 3 CONTqACTOR MAIL ADDRESS ZIP PNONE LICENSE NO Modeen Com an 6572 Meadowlark Lane d ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PNONE LICENSE NO. 425-3600 5 ENGINEER MAIL ADDRESS IIP PHONE LICENSE NO. 8 USE OF BUILDING Resideatial 7 CLASS OF WORK � NEW O ADDITION 0 ALTERATION �7 REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Re lace existin windows I2 with in 1 re lacementwindows. 9 CHANOE OF USE FROM �O STIPULATIONS Install smoke detectors to meet the State Building Code - in each sleeping room and on each level of house. TYPE OF CONST. OCCUPANCY dqOUP OCCUPANCVLOAD SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATIN(i, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION 20NING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTFiUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME APTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING 1 HEFiEBY CERTIFV TNAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TfiUE AND CORRECT. ALL PROVISIONS OF LAWS yALUATION SUFTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILI 6E COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 6210 3. lO DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pEfiMIT fEE SAC CHARGE PROVISIO THER STATE OR LOCAL LAW REGULATING CON- ST�1U ON OR THE PE O AN NS UCTION ].2LF. ]5 Fire SC �6. 21 PLAN CHECKFEE TOTALFEE � � �� License SC $5. 00 $139. 06 -- GN FEOFCONT ORORAUTNOFi12EDAGENT IOATEI WNEN PROPERIY A IDAT D THIS IS YOUR�RMIT i SiGNATURE OF pyyNER i�F OWNER BUILOER� iDATEI BIOG SP � rtEw ADDN ALTER [) �l [l ConstructionAddress: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION � � Effective 1/1/98 �� 0 �� Legal Description: Owner Name & Address: (�'�.vC,� ��i`�v� e li�/� ieS�� Tel. # c�%� '�u� �� Contractor: ,,�Yl��/ � �O �� MN LICENSE� c3�.� % Address: ��7 �� P�r��✓��C �� /��Gi2 ��e �l�,/ Tel. # �i7S �� o �336 � Attach tv this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale.. �� LIVING AREA: GARAGE AREA: DECB AREA: OTHER: DESCRIPTION OF IlVIPROVEMENT Length Width Height Sq. Ft. � Length Width Height Sq. Ft. Lengih Width Hgt/Ground Sq. Ft. �.. �I / _ .. � . >. , � _ � _ � ../.� . , .i % i � , �� . Construction Type: Fstimated Cost: $ � � � - � ' �(Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ � - DATE: f� " � APPLICANT: _ �� ' / O �P� - Tel. #y�.S- 3� d� Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: r $ ��`/� S�' $ �� $ �/U $ - $ �, G�L $ $ $ $ $ G �� CITY USE ONLY Fee Scfiedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.50/$1,000 Valuation $1000 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B° Above � $450.00 Conservation Plan Review Fee Determined by Engineering � Agreement Necessary [ ] Not Necessary [ ] � s BUII.DING PERNIIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of aay 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: TOTAL VALUE $1 to $500 $501 to $2,000 $2,001 to $25,000 $25,001 to $50,000 _ $50,001 to $104,Q00 $100,001 to $SQ0,0� $500,001 to $1,000,000 $1,0�,001 and up FEES $21 (Minimum Fee is $21 plus surcharge) _ $21 for first $500 plus $2.75 for each additional $100 or fraction thereof, to and including $2,000 �� $62.25 for first $2,000 plus $12.50 for each additional $1,000 or fraction thereof, to and including $25,000 $349.75 for first $25,000 plus $9.00 for each additional $1,000 or fraction thereof, to and including $50,000 $574.75 for first $50,000 plus $6.25 for each additional $1,000 or fraction �hereof, to and including $1�,000 $887.25 for first $100,000 plus $5.00 for each additional $1,000 or fraction thereof, to and including $500,000 $2887.25 for the first $500,000 plus $4.25 for each additional $1,000 or fraction thereof, to and including $1,000,000 $5012.25 for the first $1,000,000 plus $2.75 for each additional $1,�0 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50. Alternate "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 $15.75. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the ftaming. ,, » _ �. � SuB�ECT - � � P,�� , -� -_� City of Fridley 2 8 54 6 ;,��_�►��F THE TWINS 6 u I L D I N G P E R NI I T o � `v _�� COMMUNITY OEVELOPMENT DIV. f � � PROTECTIVE INSPECTION SEC. �� i . , � _ �'�'1 � CITY MAIL FRIOLEV SS132 NUMBER pEV OAiE PAGE OR APVfiOVEO BY �"""�"� �'' 612-571-3460 s�aF�S 11/6/98 % / JOB ADDiiESS 1120 Gardena Ave e t IEGAI �OT NO. 9LOCK TRACT OR ADDITION SEE ATTACFIED DESCR. [�,)r 4 Par i r SNEET 2 PiiOPERTY OWNER MAIL AOORES$ ZIP PHONE Diane Ma'eske 3 CONTRACTOR MAIL ADORESS ZIP PHONE LICENSE NO Owner 4 ARCHITECT OR DESIGNER MAIL AODRESS ZIP PMONE IICENSE NO. 5 ENGINEER MAIL ADDRE$S 21P Ph10NE IICENSE NO 8 USE OF BUILDING Residential 7 CIASS OF WORK � ❑ NEW ❑ ADDITION O ALTERATIpN � REPAIR O MOVE , O REMOVE 8 DESCRIBE WORK Reroof ara e 10 S Tear-off 9 CHANOE OF USE FROM TO STIPULATIONS � Underlayment must comply with the State Building Code. TYP� OF CONST OCCUPANCV GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REOUIREO fOR ELECTRICAL. PLUMBING, FIEATING, VENTI�ATING OR Alp CONDITIONING TMIS PERMIT BECOMES NUII ANO VOID IF WQRK Op CONS7fiUCTION 20NING SQ. FT CU FT. AUTHORIIED IS NOT COMMENCED V�!ITNIN 80 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANQONED FOR A PERIOD OF tpp OAYS A7 ` ANY TIME AF7ER WORK IS COMMENCED ' NO OW4G. UNITS OffSTREET PARKING 1 HEREBV CERTIFV THAT I MAVE REAO AND EXAMIN�O THIS APPLICA710N STALLS GAAAGES AND KNOW THE SAME TO BE TF1UE AND CO�iRECT. ALL PqOVISIONS Of LAWS VALUATION SUFTAX AND OROINANCES GOVERNING THIS TYPE OF WOpK WILL QE GOMP�IEO WITH WHE7HER SPECIFIED MEpEIN Ofi NOT. THE GRANTING OF A PERMIT �$S7 �.SO DOES NOT PRESUME TO GIVE AUTMORI7V TO VIOIATE Op CAMCEL THE pERMIT FEE SAC CMARGE PHOVISIONS OF ANV OTMER STATE OR LOCAI LAW REGUTA?ING CON- STRUCTION OR 7ME PERFORMANCE OF CONSTRUCTION $3Z . OQ Fire SC �. HG PLAN CHECK FEE TOTAL FEE $33.36 � OTU� E OF CON'RA ,TQA OA AUTMOA�ZEO OGENT �DaiE� WHEN PROPERLY V ATED THIS IS YpUR PEAMIT � [/��r � � ^ S� N4TU E O� OWNEA �� OWNE BU40Er7� �O�rE� � g�p� Nsp � q�tE NEW �' ADDN ALTER �� Ll [] ConstructionAddress: Legal Description: Owner Name & Address: .�- Contractor: Address: LIVING AREA: GARAGE AREA: DECK AREA: OTHER: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION � . Effective 1/1/98 �� ,�� Tel. # �02 �.�� :� MN LICENSE # ''�%�d /y� G/o �/5�� Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIP'TION OF IMPROVEMENT Length Length � Length r-� Width Height Width � Height Width H�t/Gi Tel. # Sq. Ft. Sq. Ft. �nd Sq. Ft. /� s-�-) Construction Type: Estimated Cost: $ ` O—� / (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: � ( ` �� APPLICAN'1': � � Tel. # 57��0 Z Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: CITY USE ONLY $ �°� �U Fee Schedule on Reverse Side $ v(� .001 of Permit Valuation (1/lOth%) $ �� $.SO/$1,000 Valuation $ $1000 per SAC Unit $ $5.00 (State Licensed Residential Contractors) $ Alt. "A" or Alt. "B" Above $ $450.00 Conservation Plan Review $ Fee Determined by Engineering $ Agreement Necessary [ ] Not Necessary [ ] $ l �� •�uiui�.�� a� u�inn �utpaa�o.�d a.�o3aq paimbai aq Iiinn pa��n�.lsuo� uaaq s�u �i s�q it a�uo uoi��puno� aq� 3o uoi��oi a� �uinnous `�oi a� �o ,�an�ns �o a��i�a� d •a�TS uoT��n.z�suo� au� �o pu� a.�nl�n.�s pasodo.zd a� �o nnatna� .�adoid �o� nnoij� ol uoi��ijdd� 3o awi� au� cuo.�3 sinou �Z 3o wncutuicu � panssi aq iiinc� uoi��n.i�suo� �03 s�iuuad I�iOIS�'Q1�t1103 30 I�iOIZ�'�I3I?I�A 'SL'SI$ sacup �aa3 g snid �pinn ��nnani�Q - y�dap q�ut g�Tnn q��o.zdd� apinn �oo� £� II�sui Pu� �a�n� pue qin� �o �uawa��idai pu� i�nouiag :,,g„ a��ua�id •ps•£i$ sacut� laa�. 9 snid q�pinn ��nnani.�Q -�Ciuo .�a�n� pu� q�n� �.o �uauia�eida.� pu� i�nouiag :,,y„ a��ua�id (�iup slaai�S qzn� a�ai�uo�) MO?I�S� 1�i0ISS�d�Q 1i�'AA�AI?IQ �oa�au� uot��e�� io 000` i$ i�uopipp� u��a .�03 SL'Z$ Snld 000`000` i$ �S��3 aua ��3 SZ'ZiOS$ 000`OQO`i$ �utpni�ui pu� o� `3oa�a� uoi��.g ao pp0`i$ j�uoi�ipp� u��a .�03 SZ'ti$ Snld 000`OOS$ ls�g ar.� .�o� SZ'L88Z$ 000`OOS$ $utpni�ui pu� o� `�oa�ac� uotl�ei� .�0 000` i$ i�uoi�ipp� q��a ao3 00'S$ Snid Q00`OOi$ �s-��3 jo3 SZ'L88$ 000`OOI$ �utpni�ui pue oa `�oa.�au� uot��ei� .�0 000`i$ i�uoi�ippe u�ea �03 SZ'9$ Snid 000`OS$ ls�� zo� SL't�LS$ 000`OS$ �uipnj�ui pu� o� `�oa.zau� uo►��.�3 .�o 000`i$ I�uoT�ipp� u��a �o� 00'6$ Snld 000`SZ$ 1s.zi,� io� SL'6b£$ 000`SZ$.�uipnl�ur pu� o� `3oaiaq� uoi��3 �o 000`T$ I�uoi�Tpp� q��a �03 OS'Zi$ snld pp0`Z$ ls.�� jo3 SZ'Z9$ 000`Z$ $uipnj�ui pue o� `�oaiau� uoil��i� �2,� � �� OOi$ i�uoi�ipp� q�ea .zo3 SL'Z$ Snld OOS$ �s.z� .�03 iZ$ (a�.��u�ins snjd i Z$ si aa3 wnuziuiy�) i Z$ S��d dn pu� I00`000`I$ OQO`000`I$ o� i00`OOS$ 000`OOS$ �� i00`OOi$ 000`OOi$ �� I00`OS$ 000`OS$ o� i00`SZ$ 000`SZ$ o� I00`Z$ 000`Z$ o� IOS$ OOS$ o� i$ i �n��n ��ioi :�inn-o� papino.zd uia.�au .�auu�ui a� ui pu� �o� �as nnolaq uTaiau aunowe acp o� saa3 30 �iuuad q�ns .�03 au��iidd� a� �q �uauz�C�d ay� annbaa `a.�o�a.�a� uot��tidd� uodn `a�n��n.�s .�o �u�pjmq 3uT�sixa ,Cu� o� .�i�da.� .�o uoi��.�aai� �Cue ao� .�o `a.�n��ru�s .zo �uipicnq �ut�sTxa �u� o� uoi�Tpp� �u� so3 .�o `aina�n.ias .�o �uipimq �Cu� �o uoi��a.za au1 �03 saiuuad �umssi a.�o�aq `jl�s i�i��p �utpimg �aiq� a� �'If1Q�H�S �� ZIL�i?I�d �I�IIQ'IIRg sua�ecr City of Fridley AT THE TOP OF THE TININS � � I L D i N� P E R M I T i � � ♦ � ; � __�� COMMUNITY DEVELOPMENT DIV. r � � PqOTECTIVE INSPECTION SEC. i--_.� ��"' �'� CITV MALL FFIIDLE� SSIJ2 NUMBEr+ REV t 612-571-3460 siaF�s JOB ADORESS 1120 Gardena Avenue NE t LEGAL �OT NO. BLOCK TRACT Oii ADDITION oescR. 45 4 Parkview Manor 2 PFOPERTY OWNER MAIL ADDR�S$ Diane Majeske 1120 Gardena Avenue NE 3 CONTRACTOR MAIL ADDRESS Owner d AHCHITECT OR DESIGNER MAIL ADDRESS 5 ENGINEER MAIL ADORESS 8 USE Of BUILDING Residential 7 CLASS OP WORK ❑ NEW ❑ ADDtTION ❑ ALTERATION 8 DESCRIBE WORK Reroof House (20 Sq) Tear-off 9 CHANOE OF USE FROM TO DATE 12/7/99 ZIP 21P / / 30572 76 �� PPHOVEO 8� SEE ATTACMED SMEET PHONE 572-8302 PMONE LICENSE NO PMONE LICENSE NO. PMONE LICENSE NO C� REPAIR O MOVE O REMOVE STIPULATIONS Underlayment must comply with the State Building Code. SEPARATE PERMITS AqE REOUIREO FOR ELECTNICAL, PLUMBING, MEATING, '' r� v v�••�. VENTILATING OR AIR CONOITIONING THIS PERMIT BECOMES NULL ANO VOID IF WORK OR CpNSTFUCTION ZONIN(3 AUTHORIZED IS NOT COMMENCED V�1ITHIN 80 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED fOR A PERIOO OF 120 DAYS AT ANV TIME AFTER WORK IS COMMENCED. NO DWIG. UNITS I HEREBY CERTIfY THAT I HAVE READ ANO EXAMINED THIS APPLICATION 1 AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF �AW$ yqLUATION AND ORDINANCES GOVERNING TMIS TYPE OF WORK WILL BE COMPLIE� W17H WHETMER SPECIFIEO MEREIN OR NOT. TME GRANTING OF A PERMIT � 1� 748 DOES NOT PfiESUME TO GIVE AUTMORI7V TO VIOLATE OR CANCEL TME pEAMl7 FEE PqOVISIONS OF ANY 07HER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR TME PERFORMANCE OF CONSTFUCTION �C)3.IS CON'ftACT�Appe�iiOAIjEO�GENi IDATEi r �' C-' occuvnNCr S7ALlS NCr �Ono CU FT. f PARKING GAFAGES �.87 SAC CNARGE Fir SC $1.75 TO l FEE 65.77 T TMIS IS V P IT � � G f�G } F �w [ ] ADDN [ l ALTER [ ] Construction Address: _ I.egal Description: Owner Name & Address: Contractor: � (/�%� Address: � . Effective 5/10/99 CITY OF FRIDLEY SI�i iGLE FAiI�.Y A1�iD DUPLEXES R-1 AND R-2 BUII,DING PERMIT APPLICATION ��G � �� i�%j��G Tel. # _ 57,� ,� Q' Z MN LICENSE # Tel. �# �� BZ. Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF Il1�IPROVEMENT LIVING AREA: Length Width Height Sq. Ft. � o� � GARAGE AREA: Length - Width Height Sq. Ft. DECK AREA: Len Width Hgt/Ground Sq. Ft. o�x: �� Us� �� .s c�.� T�� 6�� Construcdon Type: Estimated Cost: $ , p e � ��v Driveway C�rb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ . DATE: � a' 7 � ' � . APPLICANT: Tel. # �� ,3 �� Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ � /s'� $ %. S� $ �l $ $ $ $ $ $ $ �. CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.50/$1,000 Valuation $1050 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A° or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] BUII.DING PERlvIIT 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 buildina 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: TOTAL VALUE $1 to $500 $501 to $2,000 $2,001 to $25,000 $25,001 to $50,0(}0 $50,001 to $100,000 $100,001 to $500,000 $500,001 to $1,000,000 $1,000,001 and up FEES $23.50 $23.50 for first $500 plus $3.05 for each additional $100 or fraction thereof, to and including $2,000 $69.25 for first $2,000 plus $14.00 for each additional $1,000 or fraction thereof, to and including $25,000 $391.25 for first $25,000 plus $10.10 for each additional $1,000 or fraction thereof, to and including $50,000 $643.75 for fust $50,000 plus $7.00 for each additional $1,000 or fraction thereof, to and including $100,000 $993.75 for first $100,000 plus $5.60 for each addidonal �1,000 or fraction thereof, to and including $500,000 $3,233.75 for the first $500,000 plus $4.75 for each additional $1,Q00 or fraction thereof, to and including $1,000,000 $5,608.75 for the first $1,000,000 plus $3.15 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete G�rb Streets Only) Altemate "A" : Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $15.50. Alternate "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 $23.25. VERIFICATION OF FOUNDATION Pernuts for construction will be issued 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 location of the foundation once it has it has been constructed will be required before proceeding with the frami.ng. � �, sue�ecr IT N . City of Fridley 3957 AT TME TOP OF TNE TWINS g U I L D I N G P E R M i T r ; � RECEIPT NO. � ' L _ COMMUNITY DEVELOPMENT DIV. �� r � � PROTECTIVE INSPECTION SEC. � j � � �"'1 � CITY MALL FRIDIE� SS13P NUMBEp pEV DATE PAGE OF APOqOVED BY �'""'� � ��' 763-571-3450 910-Ft5 10/9/03 / / J08 ADDRESS 1120 Gardena Avenue NE 1 LEGAI �OT NO. BLOCK TRACT OR ADOITION SEE ATTACMEO oescA. 45 4 Parkview Manor ShIEET � PROPERTY OWNER MAIL AODRESS 21P PNONE Charles & Diane Majeske 1120 Gardena Avenue NE 763-572-8302 3 CONTRACTOR MAIL ADDRESS ZIP PMONE LICENSE NO Modeen Company LLP 8579 Jefferson Hwy, Maple Grove, MN 55369 763-425-3600 3867 a ARCNITECT OR OESIGNER MAIL ADDRESS ZIP PMONE LICENSE NO. 5 ENGINEER MAIL AODfiESS ZIP PNONE IICENSE NO 8 USE Of BUILOING Residential 7 CLASS OF WOI;K � NEW � ADDITION � ALTERATION ❑ REPAIR O MOVE O REMOVE 8 DESCf;IBE WORK Install one window in new opening 9 CHAN(iE OF USE FROM TO STIPULATIONS See notations on plan. SEPARATE PERMITS ARE REQUIqED FOR EIECTRICAL, PLUMBING, MEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAO VENTI�ATING OR AIF CONDITIONING THIS PERMIT BECOMES NULL ANO VOID If WORK Ofi CONSTRUCTION 20NING SQ. FT CU fT AUTMORIZED IS NOT COMMENCED WITHIN 80 DAYS. OR IF CONS7RUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANV TIME AFTER WOpK IS COMMENCED. NO DWLG. UNITS OFFSTpEET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STAILS GARAGES ANO KNOW THE SAME TO BE TRUE ANO CORRECT. ALl PROVISIONS Of LAWS yp�UATION SURTA% AND OROINANCES GOVERNING THIS TYPE OF WORK WI�L 8E COMPLIEO @ WITH WHETMER SPECIFIED HEREIN OR NOT. TNE GRANTtNG OF A PERMIT `P1sO11 �.SO DOES NOT PRESUME TO GIVE AUTMOiiITY TO VIOLATE OR CANCEL TNE pEqMIT FEE SAC CMARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $41.80 Fire SC �p1.OZ TRUCTION PERfORMAN E OF CONSTRUCTION PIAN CMECK FEE TOTAL FEE �� $ 43 . 31 5� aTUt+EO� N'RACTOpOpAUTMOp�ZE04GENT iD�iEi NEN PROPERLV VALIOATED TMIS IS VpUR PERM�T l� �-�. -c�3 S�GN4TUpEO�OWNEA��OWNEABU4DEAi iD�iE� � OG �NS� perE ¢ NEW [ ] ADDN [ ] ALTER [ ] CITY OF FRIDLEY Effective 1/1/2003 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax BUILDING PERMIT APPLICATION Construction Address: /�� D C�Pr� Gt � /l/�, Legal Description: Owner Name & Address: _ �d� � Contractor. �� Address: LIVING AREA: GARAGE AREA: DECK AREA: OTHER: �S � �ccs�� I�S � Tel. # ��' S7.� ��S`3aZ MN LICENSE # ��6 � 1�"/�v • Tel. # ��✓�' .� �� 00 J / ' �S'� 6 � G�/ G�� _ '°�'� �`� Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width HgUGround Sq. Ft. Construction Type: I�S1�l�� o� � G��d'a*�Estimated Cost: $��l/,� Driveway Curb Cut �dth Needed: Ft. + 6 Ft = Ft x$ _$ DATE: �O " � �� APPLICANT: r�� ,��vG�E'�i✓ Tel. # %�3°'�� 3�00 Call (763) 572-3604'for Permit Fees if mailing in application. Fau to 763-571-1287 if using credit card and we will call vou for card number. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge �� $ � � e � � $ 4 �� $ $ $ $ $ $ TOTAL $ • �.�I CITY USE ONLY - Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1275 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] _ •� � /� ; V" BUII.DING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any 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: TOTAL VALUE $1 to $500 $501 to $2,Q00 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,0(?0 $100,001 to $500,000 $500,001 to $1,000,000 $1,000,001 and up FEES $23.50 $23.50 for first $500 plus $3.05 for each additional $100 or fraction thereof, to and including $2,000 $69.25 for first $2,000 plus $14.00 for each additional $1,000 or fraction thereof, to and including $25,000 $391.25 for first $25,000 plus $10.10 for each additional $1,000 or fraction thereof, to and including $50,000 $643.75 for first $50,000 plus $7.00 for each additional $1,000 or fraction thereof, to and including $100,000 $993.75 for first $100,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $500,000 $3,233.75 for the first $500,000 plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,000,000 $5,608.75 for the first $1,000,000 plus $3.15 for each additional $1,000 or fraction thereof CURB CUT ESCROW (Concrete Curb Streets Only) Removal and replacement of curb and gutter only - driveway width plus 6 feet, times the annually determined rate. Permits for construction will be issued a minimum of 24 hours from the time of application to allow %r proper review of the proposed structure and of the construction site. VERIFICATION OF FOUNDATION 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 � � G � �_ l� � T� �� 0 "t � � � � 1 � � . � � � � �- � � � � s � ^�M � �° � � � �_ � �' Z � � � lV -,E--� . �'' 7' � h A � � \ \- � � � � . � r � �d�� c � r r` � \ �,.3 ` � Z � -, � � (� M � �^n � � VI . � (/j � '� - M � �� C �p► !'� � � � Q� � � -� �7 ' • � �. � � �? 0 � \` �� f� � � \ �Z � 1 (\ �� . � �� 4-� � � ; � L �(11 ' '� � � � ��C� , �r� �_ � � '�i 4, � �� -� `�� N �� z. ` �� . � Z� � � -r �s x ' -� � �-. � � -.� � � Building PLUMBING Pernut No.: 3 Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY �� " DATE �� YOURE-MAILADDRESS ��ne.��IS�r� �C+,rh��n2�pDliS�rv�h.�S Sl�re ,aDDRESS 1 I zD �a ��1 e�v►a. ,q-v-� IU� THIS APPL[CANT IS: �pWNER ❑CONTRACTOR PROPERTY NAME: 1 C, x f�V ��. IS-�+ TNANT �DRESS: f' y0 (�j-�n��,Q�vL6� �/v � CITY��'i�� Piwl STATE��LIP -�573 � PHONE: %C � S7 Z �`�� Z' CONTRACTOR NAME: SUBMIT A COPY OF STATE LICENSE # EXP DATE YOUR STATE ADDRESS: CITY STATE ZIP LICENSE WITH pHONE FAX APPLICATION PERMIT TYPE °��GLE FAMILY � TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: � NEW �.1 REPLACEMENT DETAILED DESCRIPTION OF WORK pU i— °�L ��.Q,r►•2v.,'% $ �'' in C� y��iW ��D' PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor ) Labor cost under $300 =$15.00. Labor cost between $300 to $500 = cost of labor x.OS = FOR PROJECTS WHERE LABOR EXCEEDS $500, fEES ARE BASED ON $10.Q0 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (D�IDICATE TOTAL NUMBER OF EACH BELOW) BATH S[NK/LAV FLOOR DRAINS SHOWER WATER PIPING BATHTUB GAS PIPING rNiiia�rn��i.n•�:NSN•) SW[MMING POOL WATER SOFCNER ($35) CLOTHES WASHER KITCHEN SINK WATER CLOSET BACKFLOW PREV. ($IS) _ DISHWASHER _ LAUNDRY TRAY WATER HEATER ($35) FOR IRRIGATION WATER METER OTHER ��!�'� �`�� , <m. � . . ��, , . ,>��., $"3�I�'` � ,... �' �� E� ._ ;2 _�.�F ` �� ?� .. � ;I:�� t3� �� , �� .� . � . ,.w. .�. _._..,. ...,... � . .. _ ..: Permit Fee $___�_,�. p� Number of fixtures @$10.00 x$] 0.00 =$ Surchar e .50 Number of fixtures @$ I5.00 x$I5.00 =$ TOTAL DUE $ ��. � Number of fixtures @ $35.00 x $35.00 = $ . State Surchazge = $ .50 Total = $ THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a buiiding permit and 1 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; that the work will be in accordance with the approved plan in the case of all work w'ch re ires review and approval of plans. SIGNATURE OF APPLICANT �� •—b PRINT NAME � ldiv�.Q u�-��'e�i1 pp'�'E �� ` S—�� <'. . . ��1�� s�'�� l , x � �� ,a.��'�i'�.1��;� ,: , ��..�'.'a ��?�� .�' �.� r. �" " �� . � � �� , kF City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FaX: 763-502-4977 Building Inspections 763-572-3604 763-502-4977 FAX DATE Y I / � �' � SIT'E ADDRESS �l ZO THIS APPLICAN7IS: �OV� PROPERTY OWNER/ TENANT CONTRACTOR SUBNIIT A COPY OF YOUR STATE LICENSE, BOND AND CERTIFICATE OF INSUR.ANCE PERMTT TYPE TYPE OF WORK: PI_,TJIVIBII�TG RESID�I�T'TIAL AP]PI�ICA.'I'IOl�T CITi� OF FRIDLE� EFFECTNE 1-I-OS YOUR E-MAIL ADDRESS ��h� �� OCONTRACTOR , I A N.� 2 S-e !� I 7� ('-�.� d e,nr� 7 � � S�� S�3a z.. STATE LICENSE # STATE BOND # Permit No.: P - ` ' �� : -� . , �. � j _� , � �� _�I�I EXP DATE EXP DA'!'E �D�S: C17y STATE ZIP PHONE INGLE FAMILY ��W DETAILED DESCRIPTION OF WORK ❑ TWO FAMILY FAX O TOWNHOUSE � '10; -e� PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the improvement, insta.11ation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor ) Labor cost under $300 =$15.00. Labor cost between $300 to $500 = cost of labor x.OS = plus .50 surcharge OR FOR PROJECTS WHERE LABOR EXCEEDS 5500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL �ER OF EACH BELOV�. MINIMUM FEL $I5.50. TH SAQKILAV _FLOOR DRAINS _ SHOWER _ WATER PIPiNG gq'�g • GAS PIPING (NEED CTTY LIC) SWIMMING POOL _ WATER SOFiNER {$35) CLOTHES WASHER FUTCHEN SINK � WATER CLOSET _ BACKFLOW PREV. ($IS) DISHWASHER LAUNDRY TRAY WATER HEATER ($35) FOR IRRIGATION — — WATER METER _ OTHER Permit Fee TOTAL DUE $15 �,N_ _ . . ��,...._ . ._. _ $ ° � Number of fixtures @ $10.00 x $10.00 = $ .50 Number of fixtures @ $15.00 x $15.00 = $ $ .� OR Number of fixtvres @ $35.00 x $35.00 = $ State Suxcharge = $ .50 (MINIMLJM $15.50 Total = $ THIS ]S AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I her'eby apply for a plumbing permit and I acknowledge that the infotmation 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 appGcation 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 cas of all w whi h requires review and approval of plans. SIGNATURE OF APPLiCANT ` PR1NT NAME �` Q h�2 N1'e 1„� � v► DATE � I � o� APPROVED BY City of Fridley �uilding Inspections l�epartment 6431 University Avenue NE, Fzidley, MN 55432 763-572-3604 FAX: 763-502-4977 DATE �uilding BUILDING Pernut No.��1 Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date Rec'd: �' 763-502-4977 FAX EFFECTIVE 1-1-09 DATE_ � ^� '�� YOUR E-MAIL ADDRESS SITE ADDRESS �?� �.1� � � 1 � �rl �tl� � �'� THIS APPLICANT IS: �OWNER OCONTRACTOR PROPERTY OWNER/ NAME: F � TENANT ADDRESS: I� �(' G�1�1� � �. N� �I�G�/v'�CITY �d�.t 'J �- `� STATE /�''��ZIP 7 /�� PHONE:_(O I � �� 'I �.S � � CONTRACTOR N,�: SUBMIT A COPY OF YOUR STATE LICENSE STATE LICENSE # EXP DATE AND CER'fIFICATE OF ADDRESS: CITY STATE ZIP INSURANCE pHp� F� PROPERTY TYPE 0 SINGLE FAMILYMEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE � �DITION ❑ GARAGE/SHED O�WINDOWS ❑ BASEMENT FINISH ❑ ROOF O DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: � NEW HOME CONSTRUCTION O ADDIT[ON 0 MAINTENANCE/REPAIR � REMODELING DESCRIBE WORK BEING DONE: p C° ° "'� e SIZE OF IMPROVEIvIENT LENGTH WIDTH HEIGHT S FT ROOFING ❑ HOUSE ONLY BASEMENT REMODELING SUBMIT: NLJMBER OF SQUARES ❑ HOUSE & GARAGE 1. Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED I-�IGHT: SIDIIVG FOR NEW CONSTRUCTION INCLUDING DECKS, � V�Y� ❑Soffit ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum 0 Trim 1. Site Plan/Survey showing the existing structures 0 Other CI Fascia and proposed project. 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes �lo LOCATION OF WINDOWS OR FOR NEW OPENINGS-DESCRIBE SIZE OF �n ,%°�� ,f'��o: OPENING CHANGES & TYPE OF. WIlVDOW TO BE INSTALLED NUMBER OF WMDOWS Z, Ai.a, rr,�� tuc� at��L v�� vA1.,u.a►11V1r,1PIC:LULIIVC: �1'riE (:Va'l� Ur' LASUK A1VU MATENlA1.5: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $�� °,� _ OCCUPANCY TYPE Permit Fee Plan Review Fire Surcharge Surchazge 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 .0005 x Permit Valuation Minimum $.50 $5.00 (State I.icensed Residential Contractors) $2000 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$22=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( Make checks aavable to: Citv of Fridlev THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED Attach 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 o 11 or whic�requires review and approval of pla SIGNATURE OF APPLICANT��/(,,�S�r ��,a,.�i�/ PRINT NAME ��a�!�/�!� �.Jl,��iO DATE C7 `!' �� - Page 2- Building Residential Application BUILDING PERNIIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any buiiding 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: TOTAL VALUE FEES $1 to $500 $23.50 (Minimum Fee is $23.50 ptus surcharge) $501 to $2,000 $23,50 for 1�` $500 plus $3.05 for each additional $100 or fraction, to and includin $2,000 $2,001 to $25,000 $69.25 for ls` $2,000 plus $14 for each additional $1,000 or fraction, to and includin $$25,000 $25,001 to $50,000 $391.25 for 1�` $25,000 plus $10.10 for each additional $1,000 or fraction, to and including $50,000 $50,001 to $100,000 $643.75 for l�` $50,000 plus $7 for each additional $1,000 or fraction to and includin $100,000 $100,001 to $500,000 $993.75 for 1�` $100,000 plus $5.60 for each additional $1,000 or fraction to and includin $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 fraction to and includin $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 minimum of 24 hours from the time of application to a11ow 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 Uni�ersity Avenue NE Fridley, MN 55432 763-572-3604 F�: 763-502-4977 � Building Inspections 763-572-3604 763-502-4977 FAX PLUMBING RESIDENTIAL APPLICATION CITY OF FRIDLEY 19-09 DATE � ^ � � � YOUR E-MAIL ADDRESS SITE ADDRESS I ( � �f�c�� IG � � THIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOURSTATE LICENSE, BOND AND CERTIFICATE OF INSURANCE PERMIT TYPE TYPE OF WORK: $}�OWNER OCONTRACTOR � � � ' [f'�+ /'t"_T: `��=°t� • , � r� � � - - STATE LICENSE STATE BOND # ADDRESS: CITY PHONE FpX �SINGLE FAMILY ❑ NEW ❑ TWO FAMILY ❑ REPLACEMENT O TOWNHOUSE Pernut No..�i�� "��l �� Received By: Date Rec'd:� _ %� 9 EXP DATE EXP DATE ATE,�IP_� � ATE ZIP DETAILED DESCRIPTION OF WORK �� /��e,/� /V �'/� f� �'' �� FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER• OF EACH BELOW). MIIVIMUM FEE $35.50. _ BATH SINK/LAV FLOOR DRAINS SHOWER WATER PIPING _ BATHTUB GAS PIPING (NEED CITY LIC) SWIMMING POOL WATER SOFTNER ($ CLOTHES WASHER �KITCHEN SINK WATER CLOSET BACKFLOW PREV. $1 ) �DISHWASHER _ LAUNDRY TRAY WATER HEATER ($35) FOR IRRIGATION _ WATER METER OTHER THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a plumbing 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 petmit but only an applicatio 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 cas f a or which requires review and approv of plans. SIGNATURE OF APPL[C .� � PRINT NAME CJG°, 6t�-j/ DATE O�'/ City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 Building Inspections 763-572-3604 763-502-4977 FAX MECHANICAL RESIDENTIAL APPLICATION CITY OF FRIDLEY EFFECTIVE 2-19-09 DATE � —% "9 YOUR E-MAIL ADDRESS srrE nnnxESS � 1?��'� � �� THIS APPLICANT IS: �OWNER OCONTRACTOR PROPERTY OWNER! TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION PERMTT TYPE TYPE OF WORK: DETAILED DESCRI COMPANY NAME: CONTACT PERSON: STATE LICENSE # E}� DATE PHONE �SINGLE FAMILY ❑ TWO FAMILY O NEW ❑ REPLACEMENT � FAX Permit No.: Received By: Date Rec' CITY STATE ZIP, � TOWNHOUSE ''�L,ALTERATION/REMODEL • • ' � -� ; ""� -. ' / / ; .� �i � ; ,.,_. �—`, �_;.-��- �,�� , - �— -- FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOVI� Equipment Installed MFG: MODEL: SIZEBTU MFG: MODEL: SIZFJBTU MFG: MODEL: SIZEBTU A/C $25.00 FIREPLACE (GAS) $I5.00 _GAS RANGE/OVEN $10.00 AIR TO AIIt EXCHANGEER $IS FIItEPLACE (WOOD) $35.00 NEW GAS GRILL $10.00 BOII,IIt $35.� FURNACE $35.00 GAS UIVIT HTR $] 0.00 �DHIIVIlVEY LINER $10.00 GAS DRYER $10.00 POOL HEATER $35.00 UCf WORK $10.00 _GAS PIPING $10.00 �LATOR $15.00 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 applicatio for a perntit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of�w�ic wt�lch rec�res review and approval of plan� �, SIGNATURE OF APPLICANT City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 � �: � � City of Fridley Residential Mechanical Application Page 2 REQUIRED INFORMATION NEEDED TO PROCESS PERNIIT RESIDENTIAL PERMIT APPLICATION HVAC ❑ NEW HOMES/ADDITIONS ❑ EXISTING HOME ❑ MAKE-UP AIR REQUIRED FOR NEW/EXISTING HOMES 1. Combustion Air (See note below) a. Oil or solid fuel IMC Chapter 7 with MN Amendments b. Natural Gas or Propane/IFGC Chapter 3 with MN Amendments 2. Make-up Air (See note below) a. IMC Chapter 5 with MN Amendments 3. Venting a. Gas appliances IFGC Chapter 5 with MN Amendments b. Fuel other than gas IMC Chapter 8 with MN Amendments 4. Heat loss & cooling load per room a. Required on new construction IMC 1346.0312 5. Ventilation a. Per MN Rule Chapter 1322 6. Duct Design Per IMC 1346.0603.2 a. ACCA Manual D NOTE: Centerpoint Energy Mechanical Code Guidelines software may be used for combustion and make-up air calculations.