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AF - 43555,o. �u Vl�Sge O� T' I.'llue3'� M1II11. ,.� ,�. BIIILDING PE�II� N° _ 9 31 Oi6ce of YNSPEL°rOR OF BUII.DING$ , ,� � . ��a.�_.—.��;.,_ #;,.. � � Owner �,� _ � �a:�'rr �� ,� ` ,� ,� ��` � , Architect ' i Frid2ey, Mfnn., , '" � ` 'r�� , 19 �''�� t Buillder �..-'; , LOCATION OF BTJILDING No. ��f Street .�LZ-"4.C'� lL�L� c.�.s' Part of Lot Lot ''� Block Addition or Su�rDivision � �t � t � � _..�». -• �- �� r� �,— �d`' e �a� . d�;y� � - �c � ' �� a,r �. r r�r :,� ;� �; f:=:�.r� �,PESC�tIPTION OF BIT�DIleTG ;� I*ront _°F � �".� Depth . � �•.= Seight 9torles �:`'�°'� ,�,nner of Construction 6 ��> - , .. -T ' To be used a� �' � � � � � - .� "� , To be completed f �`��- � ��"� ;,,` - Eetimated Cost �% � �'`' A`r��.�-�� .., . � �� a_. f; l ,-., �� ,,�~ Permit is hereby granted to��r ��3•,�, ;�„_: � * c�-, to +� ;'' � � . .�`.�- T .�- r """ - b � � ihe building �=��::': s de�cribed fn the above statement. Thie germit is grant� upon the eapress conditioa that the peraon to whom Yt is graated, and his agents, employees and worl�en, ffi all the work done fn, around and upon said building, or anq part thereof, sha11 conPorm in �11 respects to the ordi- nancea oP F`ridley, Minn., regarding the construction, altera,tion, maintenance, rep�ir and moving of buildinge within the city limits, and this permit maq be revoked at any tfine upon violation of anq of the provisions of said ordinances. _,. �, «.M "�.. r ' '' r,:�'. r: _ r, .:� �.. x� , is�s..�,- jr�18�CtOT O�' B11�ifi3IIg'S. p_, �_� AGREEMENT AND SwOR1�T STATEMENT In consideratioa of the issue and delivery to ffie by the Inspector of �ui!di.n,�,s of Fridley of the above gernnit, I hereby agree to do the proposed work in accorda,nce with the description above set forth and according to the provisions of the ordinances of Fridley, a,�d, being flrst duly sworn, I herebp sta.te and say that the f�,ets sta,ted by ffie axxd conta.ined 'an the above permit are tx�xue as therein stated. Subacxz'bed.and swora to before me at Fridley, M day of _�-,,� - A -D. 19 � �-�� 3 c_"_ { ,r�r� . � ^. �� . I� \�' � � i � �� i`` , : . , t u r�;. \�r:� j • A MINDER ��T'GINEERINC�1r C�O. YNC. EN�I NEERS AI�iD SVRVE,Y�RS � LwND 9VRVEYiNO � $OIL9 TESTMO GVIL h. MNNICIPAf. @N31NH�Qtldp LANO PLANNiNd 6d18-56T" AVENUE N. MINNEAPOLIS 'LT, MlNN. ' KE 7- 3637 ��,'Ir�It�Y�� `►1! fo �- � — � , � i � ;:� � �� "��,� � �'� f°-�� ' .. � = g' �. �� ,:� C G', - �•��r -� � d �� - - °� � ---�- � . ��.,�_ � � jYQ B'1 r�°' : � � � L �� y ," � „�� .._ �' .�.. . _=_ . -_„� -._. -� -= � - �--�"'�^�-r'^^^--`—"°'�`-.+-�� r '-i -�°--'�-'�:0 =' -�-: - . `� . . .. R�� . . _ . - _ . �� _ "�� - � , ' �.., /y ��'� � `'�� '' a,� ,� , � u`�.� ,� . v l � ;.. r,'� ly +S 1� �. `9 � - � : � � � � � � � `'� v�- � a _ : � ` � �, �,' �- , ` "r , ., , f � � ''� �' � w a: � � � s� �� , +� ti's � ,�y c�'' x � � � ;;, _ � �y °. ° - ° . _ , � � � � ---�-- � ` fF3, a S �S" 4 _ _ � ��' '' � `�.4`` '. � Pr � � �� c� • -.� � ° �' 1� G� 7 ° ; `t .� -, �.. �. 41- ` � � ��/ , �C � � � � n � �' � P � r� •,a I� t � � �, . y . ay �6►' �"'a`f,° A . 1`! C'� : � t ' !� . d � . � ' i� '6, r � • /� � � �1 {� . � � � ps ', \ �. � - ',. � `Y� � � / ° � y�' � G• /� � I 4 V •` \ � � � a. � �4}� � � � � 4 `,.tii � i ^�' �' � /''� '� C'i e`� P , ,�'A - � � :,.�. �9 - -� _ N,� - e- _ -„� . �—�a... _` - _ " W - � °--- - _ �� - <�F.�--r..:�.3y � ° � , j. A� �� _ _ _ � � � ci �o! � a ` ��':C � �, .` � � 4 � \ �� k � .. } i� a - -�} �°` T' `� 1 � � _ ��,,�. ;� �.�. T3 � �-' --' - �� _,� 1 Z��f `� "-` . . �,� �.� � �.� � �f � �� '�he ;�r�� . t� ��a� o�` �k�+� E�st ��}3. S tee� oP- �� 9 1�+alo�an�. a��aa, as -- �eaar�red �.e�n� :th�e S��h �.3.rca �h�rea:P, d�t t� 9t�at& 1�Ct. Q f��+� og Sai� Lot 9 �e mea��.e� �.la� �be �.s'� lin� t�es�of. WE HEREB�Y CERT�FY TKR'L TR1S IS A TRUE M1� [ORREGT REPRESENTATIOTJ OF A SURYEY OF TKE BOUtdDAR1E5 oF TNE UWD ABOYE OESGRtBEQ AN� d� TH� LOLATION OF ALL BUILDINGS, IF IWY,'THEREON , At+lO A11 Y1518LE ENCROACHMENTS, iF"aw,r. FQOM ORCN SNO LAND. NDER ENGtNEER1NG CO., INC. DI�TED TN�S r� O1�YoF /l�� .C°�� A.O.17+'j '�� . . ENU�I3�ERS AliO SURYEYORS , ..� C C.� / E � �� - ��.� � � l� ;a" ' �,� �'`• . -�pr" ` . � t� . ,.- - �.��- % ,�"' � , Date ��•. i�3y Addr -� � � BUILDING PERMIT Villa.ge of Fridley, Minn. ..��...��,.. /��s�........ � . . . . . . . . . . . . . . . . �S-.Y. .�. . . � � v� .v.�..��. . . . .��?� �':� Builder Address �1T° 2942 � ` LOCATI,�ON OF BUILDING No. . . :�''.'r`. ,.��. . . . . . Street . . . � . . . . . . . . . . . . . . ��. . . . . . . Part of Lot . . . . � . . . . . . . . . . . . . . . . . Lot ................ Block .... ........... Addition or Sub-Division .�l��%'�li��'�...�t��:��'��`' Corner Lot ............ Inside Lot ............ Setback ............ Sideyard .......................... DES�RIPTION OF BUILDING To be Used as: � � . . . . .. . . .. . . .. . Front . �� Depth G� Height 6�'�� Sq. Ft. .�� Cu. Ft. . .. . . . . . . .. .. .. ... . .. .. . . .. . Front . . . . . . . . Depth . .. . . . . . Height . . . . . .. .. Sq. F't. . . . . . . . . Cu. Ft. . . . . . . . . Tyge of Construction �;!!!�. . F.st. Cost . �.� ��"J.. � . . . . . . To be Completed . .. . . . . . . . . . . . . . . . . � f � ��.�� : ��.� �.3� � ;�� - � 9 �� 9 �� ' ��' ' � � �� i n � B � /� � �- ' �'� -�`�� . ,�. C�. � -�%� � � Yn edYisid�ratian af the i�ssuance to me of a pe�nit to construct the building described above, I agree to do the proposed work in accordance with the description above set forth and in compliance with all provisions of o�c�inances of th� village of Fridley. .�,. . ... ......... .. ...... . . .....� ..a...••�.�. in cotisideration of the payment of a fee of $. .f. .�permit is hereby granted to .�::��F��':`� . . . . . . . . . . . . . . . . . . . . . . . id canstruci the building ad dition as described above. This permit is granted upon the exprpss cbndition that the person to whom it is granted and his agents, employees and worlunen, in all work done in, arourid and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesot�, regarding locatton, construction, alteration, tnaintenance, repair and moving of buildings with- ia the village limiis and this p�rmit may be revoked at any tim� upon violation of„�of the provisions of said ordinances. � /� �l �' 1� /� ............ � J// ..... $�� ctor NOTICE: Th(s perm(t does not cover the construction�,:(n�ial�tion or alieration fo� wirin�bing, gas heating, sewer o� water. Be sure to see the Bullding Inspe�tor for separate permtts for these items. % �1 � City of Fridley, inn BUILDING PERMIT N° 6643 l � : _ ..� � � / .i I • • _ i/ �, ri.�',,�t/ J! / �.(. .�� .yi.l�% i .e+,t% ,%� r LO TION O B IL ING No. ��... Street �Part t Lot ' _ Block Addition or Sub- vfafan E�'�� Coraer Lot _ Inside Lot —� �back _._ Sideyard �, � 3ewer IIevat4on — _... FoF dation IIevation DESCRIPTION OF BUILDING To a � Fromt -.�� DePth .��=.F� Height �� Sq. Ft. ��.-a� Cu. Ft �� Front — Depth t� Sq. Ft Cu. Fk Type of Constructton _A�� F�t, _��'To be Completed � ��`% �-� �/�°� � �' � In consideration of the fssuance to me of a pera�it to construct the buildfng described above, I agree to do th� proposed work in accflrdauce with the drescrlption above set forth and in complisnce with all provisions of orclinaaces of the dty of FrYdley. �� In coasfderation of the payment of a fee oP $ �, permit is hereby graated to to conatruct the buflding or addition as described a�ve. This �rmit is granted upon the exPress condition that theperaon to whom it ia granted aad h3s agents, e�ployees and workmen, in all work 8aae in, around and u�n eaid building, or any part thereof, shall conPorm fn all reapects to the ordinancea of Fridley, Minnesota regarding location, construction, alteral3on, maintenance, repair and moving of bufldings �� dty ]imits and this permit may be revoked at t�ime upon o a on of any of the provisions of said Builc]9ng Inspector NOTICls 11ds permh doa eet corar t6s eoesfn�clloe, hutallalloe �er wirL�g. piumbWe, ea 6�aHeg, ssw�� er w�tsr. B� am to ses f1ro Boildine lesp�etee tor aparalr p�rmtts fer 1h�» h�ms. ��s � � APPLICATION I+'OR BUILDING PERMIT � �,G�,� a CiZi1 �F ri�luLGi.� �LYLY�iSViLi' �. OWNER � S 1NAP2� ,�'7 /� �0 � � � 5 �fe.4 ao s � .�BUILDER � � /y � ,ADDRESS / � /d �' �l � A � �° +� " � ��. ADDRESS .��¢ �-% � . . LOCATION OF BUILDING � No. /T °` �-�� r�t� a Part of Lot Lot J B1ock Additfon or Subdivision l�/�°�� Coraer i,ot Inside Lot ✓/Setback Side Yard �� SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to thia form 7'wo Certificates of Survey of Lot and propoaed build- ing location drawn on these Certificatea. DESGRIPTIOAI OF BUILDTIQG To be use : �� a�' S� Front /'y Depth Heighc / O Sq. Ft� 3 a� Cu. Ft. �_ o�� , Front Depth Aeight Sq. Ft. Cu. Ft. Type of Conseructioa �- /L R �/ '� -� Est�.mated Coat �/ c� � � . � � - , � To be Completed � The undersigned hereby makea application for a permit for the work herein specified, a�reeing to do all work in strict accordance with the Citp of Fridley Ordinances and ruliags of the Department of Buildiags, and hereby declares,that all the facts and representations atated in thia application are true anc� correct. DATE_ % — �- 3 ° � �_SIGNATLTItE � �X (schedule of Fee Costs caa be found on the Reverse Side). - ' _' /"� �--�` - . r •- a ,� _i s BUII.DZNG PEItMIT FEE SCHEDULE SeGtion 2. The Inspector of Bu3ldin�s shall, before isa�ing anq permit for �he erect3on of any building or structure, or for any addition to any exist- in� building or structure, or for any alter�.tions or repaisa to any e�is�ing building or arcructure, upon application therefor, require the payment by the applicant for such permit of feea to Che amount herein below set forth and in the manaer herein provided to-wit: 2.1. For any auch permit for �he erection o.� any f3re-proof building, other than a garage+ warehouse, factory or grain elevator, or for the erectian of aay fire-proof additiroa, for similar occupancy, to any exiating buildiag 3ha11 be at the rate of $i.40 for each oae thousaad cubic £eet, or fractiora �lxereof, in such cubical contents. 2.2. For anq such permit for the erection of any f3re-proof garage. warehouse, facCory or grain elevetor, or for the erection of aay fire-groof addition, for aimilar occupancy, to any existing building shall be at the rate o� $1.25 for each one thousand cubic feet, classified as "fireproof" bq Section 502 of the NSinneapolis Building Code. LOUSBS 2.3. Fos any such permit for the erectioa of aay aon-fireproof buildiag other than a garage, warehouse, factory or grain elevator, or aay non-fireproof addition, for similar occupancy, to any existing build3ag - permiC $1.00 fc+r each one thoueand cubic feet. �ARAGES 2.�;. For any such permit for the erection of any aon-fireproo� garage, w�rehouse, factory or�grain elevator, or for Che erection of any aon-fisa�ro�of acldit3.�., for similar occupancy, to any exi,st3ng building or for each such � v�i.lding or additioa - ninety centa ($0.90) fos each one thousand cub3c feet or fraction thereof, ia ehe cubical coaeeais thereof c�ith a minimum of $4.00. Fos the purpose of comput3ng fees for building perm�tts, the cubical contents of aay building or addit3on to a uaiform height throughout by �ultiplyiag the ground area covered from a poiat six (6) inches below the floor line of the basement or.cellar to the average height of the upper surface or to the average height of the roof surface of the main gable of a p9.tched roof. 2.5: For repairs or aZeeratioas to an e�cietiag structure, the fee shall be at the rate of $3.00 per each Five Hundred Dollars ($500,00) or frsction thereof.in the coat of all propased work. 2.6. Ln, no caee shell the fep charg�+d f.or anp permit ae �et forth in Sectian 2 be leas than $4.00. �.^ ! r -a, � ,� '� 'c m � l's � : ,R. :� ' ,�, '� � `,11J1: ' i ° ``" � . `� , �� va� �6►�16 � 4��mSbaOa� b��i� �ee. � � �0� � o� o i� ��n' � � 8v��6 p �� B ��8� g �� i�� 'w `�. h 4;Y;a i �'. �'�i k, .J., �.�s .. � .. �.a. .. ., � .. ., . . �, r� , �+ � ,. � � : �. , �. ' ,l5r.�'. !i S �4 � � : � . - : x: L � �a,\' :� ! �, ` �o. � ,r�:' ;�' ,,. � ., .._ ., i • .�. _ . .. .... ....«....-. • ....,.�....-.. �, .:,,.,. ...1-. ...,.,. �..y _; �'�'... • �I � �''�"2'�. �� :� �..G.3r. � �� ,.�y�.� � , a�i .�- �. . 4 ., k`' �. �� .;�.:,Yk=V.!a':,_��:.� .�''�� ,�, � i • �1 Yk ��{[`�i� ?�i �` ; , .. :' . .,, .w.. -.r . . ... e.., v-. .rcX . .ti.FT .n. .._.. s...,....�....... 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O ' : : : . � : : : : . . � . � . . . �. �: � 0 � : N 04 C7 � N C4 �! i4 6� �4 '�'� . &� tfl f!D F/d �d tn � ; O O�i O � O ii� O � O O p � � � {p {A 4s 4!! t!s t� W Q O � � � � � �d � � m N a � � � m � n 2 m C r m � � � � � R. � Q � � `� x � r � i v C � A g a � � _ �. ro � �o � � �� o � � � ro � o x 0 � � Q .� . �a. w n� �.. �p � p. R, `� t��o x� � • � O �a �� i � � � � 8 M o u�i � � � a � � M 0 � � � m a • a o�a � � � w � � � � � � � � � � � f� � WATER � URINALS eATH � awsi�6 SINKS wnsH rnnrs ORINK. FOUNT. s►+wns. FLOOR DRAINS CATCFI BASINS �o WASHER GAS APPL GAS RANGE GAS OPENINGS a • 2 • � � � A n � ap.� � � � C� ro �os°'� � p�� 'C �� o � ��o � v' �'�g�e ��y � � � b�� o � �w p � � o � a � p H. F � � y ��w �d �D �p ��. o��" ��►°s �w �� ~ � H �aw' �o � m(� � .�r d1 W � � � � �� a� Rx & �°, p � M � M � � � � � • ' � ` : � � �' � '9 O. �- � � � � � � ». � N a � � � � ro � x � �' m � � �� !IL W 1 � � e c» � �o �O sue�ecr PERMIT I��__ City of Fridley -�� 18 3 9 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r � ` RECEIPT NO. � `y �___�_ COMMUNITY DEVELOPMENT DIV. � ory r � � PROTECTIVE INSPECTION SEC. �) i � i---. � �'��;'� CITY HALL FRIDLE� 55432 NUMBER REV OATE PAGE OF APPROVED BV i �� 612-571-3450 910-F15 5/11/93 / / J08 ADDRESS 1211 Gardena Avenue NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. Pt. � NlelQland Gaxdens SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE Joe Solartan 1211 Ga�dena P,venue NE 3 CONTRACTOR MAIL ADDRESS Z�P PHONE �ICENSE NO. American Handyman 2835 Central Ave NE M ls, MN 8- 4 ARCHITECT OR DESIGNER MAIL ADDRESS 21P PHONE LICENSE NO. 5 ENGINEER MAII ADDRESS Z�P PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASSOFWORK � NEW Q ADDITION O ALTERATION ❑ REPAIR ❑ MOVE 0 REMOVE 8 DESCRIBE WORK Cons.txuct a 22 � 1Q & 16 .x 8�dditi,ran to: D�rellin r and a 14' x 4� Deck 9 CHANGE OF USE FROM TO STIPULATIONS See notatiar�s on plan, � �w��N�� Before digging �ap for a�� uti►ity locations REQUIRED�B Y LqW TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOIO IF WORK OR CONSTHUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTEF 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 OflDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $l�/�/�7 �`�aSZ WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pEHM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $2�'�e OO FlY'A SC �`19, OS \S� UCTION OR THE PERFORMANCE OF CONSTRUCTION. ei�'/�LC�� i� PLAN CHECK FEE TOTAL FEE L%cense SC $5,00 $240,57 �� SIGNATUREOFCONTRACTOAOAAUTHOR12EDAGE T ��ATE� WHF�1 P ERLY VALI TED THIS IS YOUR PERMIT = iJr� / � � / � SiGNATUqE OF OWNER i�F OWNEA BUILDERi IDATE� BLDG �NSP ��pTE N� [ l ADDN [ ] ALTER[] Construction Address: Legal Description: _ CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application / /v � Effe�tive 1/1193 Owner Name & Address: , fi� u�o% �►.t ��-, Tel. # Contractor: � � � G ��,�� NIN LICENSE � 3 � � � . Address: � i(�,� �� % �/rsp /U � � / �.iJ �s Tel. # � � � '�� Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT � /6 � i,IVING AREA: Length a. o'� Width ! a Height 0�� Sq. Ft. 3 y� GARAGE AREA: I,ength � Width Height Sq. Ft. DECI� AREA. Length �_ Width �. Hgt/Ground �� Sq. Ft. s� OTHER: Comer Lot [] Inside Lot [] Ft. Yd Setback Side Yard Setbacks �� Type of Construction: �� G.��. � Estimated Cost: $. f, �� — Approx. Completion Date: � ° / -- �i 3 (Cost on Back) Driveway Curb Cut Widih Needed: Ft. .+ b Ft = Ft x$ _$, DATE: S- S' S,3 APPLICANT: �i�'/� �� -� Tel. # 7��'� a� % CITY USE ONLY Permit Fee $ Z��, D� Fee Schedule on Reverse Side Fire Surcharge $��.�1 of Permit Valuation (1/lOth�) State Surcharge $ S2 $.50/$1,t�0 Valuation SAC Charge $ —�9" $750 per SAC Unit License Surcharge $ J t �O $5.00 (5ta.te Licensed Residential Contractors) Driveway Escrow $ �'� Alt. "A" or Alt. "B" Above . Park Fee $ `� �� Detercnined by Enginesring Sewer Main Charge $ "�i Agreement Ne�essary [] Not NecesSary [] ToT�. $ 2 �4�� 'i STIPULATIONS: , . F . . . . .. .. . .,.. .. ..... .::. , . . . � �_1:,.. �:.� :. _ .. . _ � � BUII.DIN(i PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or stiudure, or for any add.ition to any existing bnilding or stivcture, or for airy alteration or repair to any existing building or structure, u�n application therefore, require die payment by die applicant for such permit of fe� to the amount herein l�low s� forth and in the manner herein provided to-wi� TOTAL VALUE $i to . $500 $SOl to �$2,(l00 $2,001 to $25,000 FEES $15 (Minimum Fee is $15 plus surcharge) $15 f� fiist $S00 plus $2 for each additional $100 or fraction thereof, �to and including $2,000 � $45 for first $2,000 plus $9 for each additional $1;000 or fraction thereof, to and including $25,000 $25;001 to $50,000 ' . $252 for �first� $25,000 pl�s $6.50 for each addirional $1;000 � or fia.ction thereof, to. and including $50,000 $50,001 to $100,0� $10{},001 to :$500,(�0 $500,001 to $1,000,000 $I,UOU,001 and up $414.50 for fust $50,0� plus $4.50 for each additional $1,000 or fraction thereof, to .and including $100,OQ0 �39.50 for first $1�,0� plus $3.50 for �ch additional $1,(�0 or fraction thereof, to and including �$500,000 $2039.50 far the fiist $5�,000 plus $3 for each adtlitional $1,(�0 or fraction thereof, to and including $1,t�0,000 $3539.50 for the first $1,000,000 plus $2 for �ch additional $1,000 or fraction thereof - DRIVEWAY DEPRESSION ESCROW (Concrete C'�ufi Streets OnIY) Alterna.te "A" : Removal and replacemeat 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 $15.75. VERIFICATION OF FOUNDATION Petmits for constructioa will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the �construction site. A Certificate of Survey of the lot, showing the locadon of the foundation once it has it has been constructed will be required before proceeding with the framing. ° ie ;i �� /� li ;; ; ��i� ' `� • ' i ; /�� I �1 I� x �� = � l� - `� /� x c� ' � �8 . ��. � X �—�, 3 / — � - pi�-� �i /��/1 � '� ��x /�! (o � �; ;, . , ,� .� , � , � ,�; . , , , w Z D ?. D d / � , o� �r . S'2 �S! O U � Z�O��'? � . �8, 628� �� /�f. �� / � o�? �. � � ••�• •�.� L.�, ,. <�rLl�i�l,� U 4UIIr U+r�l Il,�.i 2 `Uwt1ER: � �� a SITE ADDRESS: ,��/ �� _-� �� ,�/ � -�- � �'° CONTRACTOR: ��,,��. �� pqT� � g� `�� PHONE : �. - � - (1ETERM I NE 4 ORK 1 NG �OUARE r?f;TAGE OF E ACH - j 1. TOTAL EXPO$ED UALL AREA „_.. . �� ---- � .SO -`.____ 5 q f t x ,i�„ .�� o �- 2. TOTAL ROUF/CEILING AREA,......_ 3� 3 Sq ft x"U" �� 3. TOTAL EXPOSEb 11A�� AREA CAICULATIONS: Total expased wall area above floor,,.e.,.. �7S �q ft —�-_---�_��_____ a) Total wall window area: •�4i � i�u- qlazed, /n � . . . . . ----=-� � q f t x � �� .. � t/ ,✓.; 3 y, 6 � --=�. qlazed,,. ... sq ft x '�U�� _ b) Total door area ,.,,..... ! sq ft x"U'° � — c) Total sltding qtass door area- �'�' � glaied...... ��i sq ft x �� e !�� L,/� / qlazed....., sq ft x "U" � d) Total ftreptace wall a�ea �� sq ft x°'U'° a e) Totat wall framing area -� �Ave�aqe 104) . . . . ... . . . �� .� Sq ft x �� . O f = �D�% f) Totai �et wall area above -- floor (Insulated).,.... ( � q—/ ^ 5^ ft x �111�� a O�/}� / /�? `1 U V � gi Total rim Joist area....., �� sq ft x"U" d� �� —� Total foundation area (Exposed).......... `�— sq ft h� Total foundatlon wTndow a�ea..........,, sq ft x"U" s () Total net fo�ndation area above g�ade........ sq ft x"U"' v 3 TOTAL a) [hru I j m��] if Item N3 is the samc a�, o� �P;s tf�an item I�I, you h<�ve met the intent of 2 1ICAFt 1.16U08 A:�nd c). � -> ;. . ,1 � � m TOi Al EXP�SED Rf1GF/CE I L t NG CA�.i :'�.A71 tatd5 : Total expnsed roof/Ceilin� area........s�� sq �'i ----� �O Total skyl iqhC area....... � sq ft x°'U ` � �� k) Total �oof/ceiltnq framing �' area (Ave�aoe 1(19,) .. . .. � y .� s� f t x "U" � • 0� � �'1 � 1) Total neC insulated roof/ce( l lnq area. .. ... ��% � � sq �`e � "'l�'° � TUTAL �) thru 1} {�� t�� If total of p4 is the same as, or less tha-�n X?., you h�;ve met th� intent of 2�iCAR 1.16008 A ar.d 0. ALTERNATE BUILDIrIr ENVELOPE nE51GN To utilize the total envelope system method, the values established by the sum of items /�3 and H4 shall not be g�eater than the sum of items NI and �2. 1. ��e '�./ + 2 0 � C1,�� ° /� 6 l 3• ��a � + 4 e 7i � 1� = O�i�� C E R i I F I f. A T I(l N I hereby certify that 1 have calculaeed the "U" faetors and °'R" values herein and that the bufldin�l here desLribed meets or excee�is ehe State of Mi�nesota Eneray Conservation Act. a � � 51�7nat�re � � �� ( Da t�e ) , -�_ - . � 0 Page "? .. , -�--- ------- . s � , � d":�. f , w �,� . ,� :• � �, • � � ��:� < ,r'a•� s:.��C` . ,y u 3:.�+ ` yr : ,� e / .. .;�. . { , _r, : :�� ; 'Aa „ . ' ': F�.�i ' , - /� .•�" � � � � t��1'�/1� �,��.��.�'� � O � � 'ONSTRUCTION R VAIUE RAMING SECTION ' 1 Interlor alr fllm 2 oe _._._� � . �+� ; ,��__� ^ �,—__-------_--� G � tncf�es sof c wo�A � � 4 l�� '— S A� �+ Exterlor aTr m — -- �. TOTAL R � ,�� U � 1/R • �°� �ECTION (INSULATED) ! Interlor alr fllm �.�R ? ° �'�' �,n � . A� `�m.• . . � � e X� � "� � � 5 �*, , �� + Exterlor elr Ilm . n „ � ST SECT I Ori : InterOor alr fllm � A� �, �e��:�, � . , �o ,�'��- ��:� ,� � Xtef�of • � 1Im �, TOTAL R � �� - i/R- 44 � n.6A � �. ��' �� CONSTRUCT I ON ' R VA�_VC ,�«'. - �. CEILING SECTION (INSULATED), .. �:t'.'�,' ` .''` ^. �' Interlor alr fll�► •� � i'�� : '� , � �. - � ' � "� ��v � � � � �� ,� � 3 � '�.. ` �� xterlor �1� filn► stlil A 1 .�,. ^ ', , tO�AI R •' Y,�S,d �? � . � � . ,� , . . . r � . ' c ' .• U • 1/R • =•� , V:� � , � -- "� _�. �y • :..� � .i , F ',r �•� .a � �,��44 ,r � CEILINQ FRAMING SECTIONt •�,s. �.'. , �;•, 1 Int��lor �1� tlln� �.�1 �.'e` . . w�°�'e � `, . - 2 � ,, ,. . .j� � ' af � O J -. . , 4 nter or � r � � c �. 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Z � m O � � 3 c � Z � t.t CHI�tEY A1�TD STACK VSRIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully e�camined 2. Is free from rust or deterioration 3. Has no foreign objects lodged within 4. Is securely supported � 5. Meets all current Code requirements for size�and total BTU's connec�ed 6. Has total heating BT[T's of All other BTII�s TOTAL BTiT' s Remarks Yes (�f IJo i i Yes (�'i(f No ( ) Yes � No ( j Yes (`� No ( ) Yes � No ( ) . List Alterations Beinq Done- h � -� �� , �, � � � -�� .=� � � l -- ,�'� � �� _ J � . % �< �� A � HEATING COMPANY "�o�� !� 7� Signed By �-� ��,� �a l��'�ac, S d� �,��,l,�i T� / Date �� ;.� f . � O � � m m � � m � c � c� � m � m � � �� i � � o .� D � .� r m o � � O � 0 < _� � - c � � m � Z � � � 0 0 � � 70 0 ° m D � -o D v �D � � � D � z v D r � m � � O Z � D a v. < � a ` � 0 c �Q � I � a m � a� G� �� g� tn � O o0 0o O Z °' � m m w w � a► a, o m � � � w u, .. r. r. 3� � � n. �' T �� m m m.0 3 f v o-n m � °' xx�� O v �� y m � � � � � � � m � � � > ; � � � �-, � z' r' v,, y cfl �n < I 1 � � m � � c� m y c° o- �� m � —� � � �. N �—� � m� ° c3i � c � � ' m c � a -G � � ... � r C � 00 z � � ' X � - m D -� m � �°�Ilillllllll�° � � O 0 � t�t��►t�t�tnv��rfltfl �. 0 0 o v o.i .� v;� cn A V m O O O O p O O� O O O O� O O � � v� v m r ;; z � 3 v °—° u z o. -< � O O �' � � � , D Z• { � � � � � � � v m � S � .11 � Z O nm � , a I r C � z � � o t� � m � � � m �G � � � �� O G �� c� �U � � °� � � � W � cfl C N � a O � � � � � > > -�v : a. q m i � �.,� � a ' m� a� �n i -s .�-► -�+� � tl � s � i O m 3 I y � O � � - � °+ � o � am�: � v ��i < � N � 1 � O � � � � i v � � � ci �. � s � � sn i ' � o i Q. -. m Q � � m � m `: a � s � A 3 � � ,� .�i m - m m � ' .�� m o � J. �' n. - �^� � � i � � ..► � W � 0 W > v v � � � � � � N � � � � D � � Z C � � m � O � X � � m � O 00 m Z � D r m v 0 z � 2 � r O O s .�� ... ; - ' ,_ r „ ;tz , . . :��., . . .,.. . � . . . - . . : . . . .. . , , .,. _:? . . . . .. . ....; . . . ; , ,. M. . . ,: . . . .. : � , � _�.-t . . .. , �, .. . . .. � .. ...i�:�. SuBJECT City of Fridley AT THE TOP OF THE TWINS g � I L D I N G P E R M i T r � � � � � • COMMUNITY DEVELOPMENT DIV. r � L � PROTECTIVE INSPECTION SEC. � ,� �"'1 � CITY HALL FRIDLEV 55432 NuMBER �""� � �'� 612-571-34b0 910-F15 JOB ADDRESS 1211 Gardena Avenue NE 1 LEGAL �OT NO. BLOCK TRACT OR ADDITION DESCR. Pt 9 Meloland Ga 2 PROPERTY OWNER MAIL ADDRESS Joe Solomon 1211 Gardena Avenue _ 3 CONTRACTOR MAILADDRESS D& D Iiome Improvement 7401 Central Av d ARCHITECT OR DESIGNER MAtL ADDRESS 5 ENGINEER MAILADDRESS 8 USE OF BUILDING Residential fiEV- I DATE 5/3/94 ZIP ZIP PAGE OF � � PHONE 84_7 ° PHONE PHONE PERMIT NO. 22468 RE�ElP�NO:- G �/�O APFROVED BV SEE ATTACHED SHEET LICENSE NO. 4R40 LICENSE NO. LICENSE NO. 7 CLASS OF WORK ❑ NEW �❑ ADDITION ❑ ALTERATION O REPAIR � MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 14' x 12' & 16' x 16' Deck 9 CHANCiE OF USE FROM TO STI PU LATIONS See notations on plan. Smoke detectors to be provided adjacent to all sleeping areas and in basement. TYPE OF CONST. OCCUP� SEPARATE PERMITS ARE REQUIiiEO FOR ELECTRICAL, PLUMBING, HEATING, VENTII.ATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING S0. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS. OR IP CONSTRUCTION OR WOHK IS SUSPENDED OR ABANDONED FOFi A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS I HEREBY CERTIFY THAT I HAVE READ AND EXAMINEO THIS APPLICATION 1 STALLS AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GFiANTING OF A PERMIT �3 � 228 • 16 DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pERMIT FEE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING coN- 63.00 STRUCTION OR THE PERFORMANCE Of CONSTRUCTION. � �� _ PLAN CHECK FEE a,(�([�i� License SC $5.00 SIGNATURE Of CONiRACTOR OR AUTHORIZED AGENT IOATEI W, E Y VA �..,.,..� �ec .,c nuuico ��c nwu[w w1u1 f)Fii� IDATEI BLDG MSP CY GROUP OCCUPANCVLOAD CU. FT. OFFSTREET PARKING IGARAGES SURTAX $1.61 SAC CHARGE Fire SC $3.23 TOTALFEE $72.84 ID THIS IS VOUR PERMIT � � ^ � �W [ ] Effective S/26/93 ADDN [ ] CITY OR FRIDLEY ALTER [] SINQ�LE FAMII.Y AND DUPLEXES R-1 AND R-2 �f �� " 8uildiag Permit Application Constivction A�- � � /� ��e v� � -� � � � � � I,egal De.cc�'iption: Owner Name 8t Address: �� `�a10 �rr �ri Tel. � �`��- /�'/,� Conttactor: D& D Home ImnrovY ement� Inc MN LICENSE �i 4840 p��; 7401 Central Avenue N.E., Fridley, MN 55432 Tel. � 784-7543 At�ch to this application, a Gertificate of Survey of t6e la�, with d�e propo�d oonstruction drawn on it to scale. DFSCRIPTION OP IMPROYEINENT LIVIN(i ARBA: L�atgth Width Heigt►t _, Sq. F� t�ARAGE AREA: I�ength Width fIeig6t Sq. Ft. DECK AREA: L�gth / / o R/idth �� - �� HB�� G Sq• Ft. � QTAER: Comer LAt [] Iaslde Lot �j. Ft. Yd Sed�ack Side Ys�d Setbacks Type of conshvction• do�d'�� -��,��. Fstimated cost: � �,__�_ �' a� AQpc�x. Compic�tion Date: � - I �� (Cost on Back) Driveway Curb Cut Width Needed: �Ft. + 6 Ft = Ft x$ = S 5 DATE• �� APPLICANf: � Tel. � �� Pe,�mit Fee Fire Surcharge S'tate Surchacge SAC Charge License Surcbarge Driveway Escro�v &+osion Coatrol Partc Fee Sewer Main Charge � �, �� .� e aL s 1�� N_Y� ' � �I. Fee Sc6edule on Rev�rse Side .001 of Permit Valuation (1/llkh'�) a.50/$1,000 Valuation � $750 �r SAC Unit � . Ci � , �5.00 (State I.icensed Residetttial Contrac�ors) $ Att. 'A" or Alt. "B' Above s Conservation Plan Review $450.00 � Fee D�ermined by Engiaee�ing S A�t N�wr�► I l Not Ne�► I I T4TAL � STIPULATIONS: , - e i �,,�� +�, J !�-�°-°`t� �' /' '� �`� �`�' �,',p��'�' . � ,, �, t � �� ,� � � � '�i � � � � � � �� . � � �f ;. - . �, � % . -�-�� - , r v , �� Y .- J\ __ � ., - -�J' •� � i � �� 1 � � . � .� �y {^� �J • /, � � �"'� � •� S � , - ' ^J '1 h '-� `_� �� . J �, � �� - ' v -V' �� r J � ° . rr .___ � -� � - Y^ � CJ '� Y � , _y� : � ..) �„ _ 'V, f -, �-,- � , � ,�L � \� �. . , � \ , \ % - , � � . � ; � �� C`LL� � L '� �' � % �y 7' !� � ') ? �a v -�- ,n � �/� v �'I � � � Q � � ( -�r � 3 _ �-�� -_� � - , 9/ - . i , 9/ � I ! � ' II I i �i ;� + I 1 ' ( � � , � ��r � R��► � � . �� !`� vJ /� � . � ; i � i r 1 � �� 'V -, . ! / -, .- � `'�. � :1 , ! , ', ..- � O •. `- S ,1 �' � , � =, 3 a �, . y � � _ .n . _. . . �, . ., �� ` ��', .\ , \ � � ,.. ... \\ . ��.. V 1� Q� � � Q - � .� � � � ,' .. � � .� e. . � � � _ _ � � � ! _ ' � � � � .�� '�'�'\\ �— q� '� � .c !� fl�'s ��- ,�.� L.t� �l � � b � 1 d � _ 6 City of Fridley AT TNE TOP OF TME TWINS i� � � � ; y _.___ COMMUNITY OEVELOPMENT DIV. f � � PROTECTIVE INSPECTION SEC. � _ �"'1 � CiTY ►1AlL FRIDLEv SS�32 �"'"'� � �� 612-571-3450 JOB ADDRESS 1211 Gardena Avenue 1 LEGAL ��TNO. 9 BLOCK TRAC7 oescA. arcel 890 Melo 2 PROPERTY OWNER MAIL ADOR�3$ Joe Solomon 3 CONTRACTOR MAIL ADDRESS Four Seasons Roofin� 2107 1/2 W 4 ARCHITECT OR DESIGNER MAIL ADDRESS 5 ENGINEER MAIL ADDRESS 8 USE Of BUILDING Residential 7 CLASS OF WORK ' ❑ NEW O ADDITION B DESCRIBE WOqK 9 CHAN(3E OF USE FROM STIPULATIONS EU ILDING PERMIT iBHA NEV DATE PAGE O� s�aF�s 8/4/99 / / PMONE 21P 29992 �� vpOVEO Br SEE ATTACMED SNEET LICENSE NO �m �Q�Qn LICENSE NO. LICENSE NO O ALTERATION �X REPAIR O MOVE O REMOVE Underlayment must comply with the State Buildin gCode. SEPARATE PERMI7S ARE REOUIRED fOR ELECTRICAL. PLUMBING. MEATING, VENTI�ATING OR Alq CONDITIONING. THIS PEFMIT BECOMES NULL AND VOIO IF WORK OR CONSTRUCTION 20NING AUTHC�RIZED IS NOT COMMENCEO WITHIN 80 OAYS. OR IF CONSTRUCTION OH WORK IS SUSPENDED OR ABANDONED fOR A PERIOD OF 120 DAYS A7 ANY TIME AF7ER WORK IS COMMENCEO. NO DY1 I MEREBY CERTIxV THAT I HAVE READ AND �XAMIN�O THIS APPLICA710N AND KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF �AW$ VALUATI ANO OROINANCES GOVERNING THIS TYPE OF WOpK WILL BE COMPLIED WITH WHETMEF SPECIFIED HEREIN OF NOT. THE GRANTiNG OF A PERMIT 2 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL TME pEqMl7 PROVISIONS OF ANY OTMER STATE OR LOCAI LAW REGULATING CON- TRUCTION OR T E PERFOFlMANCE OF ONSTRUCTION 83,2 � J� % � � PLAN CI 6 L Li: cen S�GNATUAE O� CON"AACTOp Op oUTHOp�ZED OGENi iDeTE� � S�GN4TUAE O� OWNEAd� OWNEp BWLOEN� �D�TE� U OCCUPANCY GROUP OCCUPANCVLOAD S0. FT CU fT OfFSTFEET PARKING STALLS IGARAGES TOTA F E . 0 .66 VALI/D�A D IS I�UR /PE�F�I 1 �// ` ✓ �� _ ADDN ALTER Effective 5/10/99 I l CrrY OF F'RID�Y [] SINGLE FAMII.Y AND DUPLEXES R-1 AND R 2 BUII,DING PERNIIT APPLICATION � VL��` �� G� Construction Address: -1 e� 1� �rr/�-�`��U l� +� .� . IJ � � Lega1 Description: Owner Name & Address: �� S�+� v r� �� la�� p�� A f�E , N, Tel. # Contractor: � S �� Sea �v S �� 1 �- MN LICENSE # 2.0 � � R '7 �r� Address: 21 D �7 �lz t.� . � „�, �N S� � L �. � �1s�33'i "'R � S� dL �� ^ n�► ��, �J Tel. #i�� ( Z� S� 0— I`$ � LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this applica.rion, a Certificate of Survey of the lot, with the proposed construction drawn on it to .scale. Length Length Length DESCRIPTION OF IMPROVEMENT Width Width Width Height Sq. Ft. Height Hgt/Ground , Sq. Ft. "�q. Ft. � s-7 Construction Type: '�,Op �( �G Estimated Cost: $ �i� �� / � Driveway Curb C�t Width Needed: Ft. + 6 Ft = Ft x$ _$ / � � rz DATE: � �� l�' APPLICANT: �' Tel. # 8 q 0— i'S 9� Permit Fee Fire Surcharge State S�rcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Pazk Fee Sewer Main Charge TOTAL STIPULATIONS: $ r° 3_ o�� $ o�� $ /, / � $ $ �Ub $ $ $ $ � �� CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.SO/$1,000 Valuation $1050 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.� Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] BUII..DING PERNIIT FEE SCHEDULE The Cluef 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 $2,000 $2,001 to $25,000 $25,001 to $50,000 $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 first $50,000 plus $7.00 for each additional $1,000 or fraction thereof, to and including $1Q0,000 $993.75 for first $1�,000 plus $5.60 for each additional $1,�0 or fraction thereof, to and including $500,000 $3,233.75 for the first $SOO,OOfl plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,000,000 $5,608.75 for the first $1,(�0,0(}0 plus $3.15 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 feet tunes $15.50. Alternate "B": Removal and replacement of curb and gutter and insta.11 a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $23.25. 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 co�s��d will be required before proceeding with the framing. Building Inspections 763-572-3604 1�--/,�-' sz� ,�DxESS � TI-IIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WTTH APPLICATION PERNIIT TYPE MECHANICAL RESIDENTIAL APPLICATION CITY OF FRIDLEY ❑ b`w�R NA1vIE: ADDRESS:�� PHONE: COMPANY NAME:_ CONTACTPERSON: STATE LICENSE # ADDRESS:� PHOATE —��=�--2 �SINC:i.E FAMILY TYPE OF WORK: �❑ r�w : DETAILED DESCRIPTION OF WORK 1 Z�lil7 ❑ TWO FANIILY � DATE 0 T09VNHOUSE ❑ ALTERATION/REMODEL Permit No.: � Received By:/��- /S � Date Rec' d: � � � � 'ATE �� PER MS 16B.665 the permit fee is a minimum of �15:00 or 5% of the total cost ap 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 ) Lab'or cost under $300 =$15.00. Labor cost between $300 to $500 = cost of labor x.OS = FOR PROJECTS WHERE LABOR EXCEEDS $500, F�ES ARE BASED ON $10.00 R��FIXTURE, EXCEPT WE�RE NOTED. FL7CTiJRES: (II�iDICATE TOTAL NUMBER OF EACH BELOV� �� /�� SIZE/BTU �°�� Equipment Installed MFG: (/�� MODEL: tT MFG: MODEL: SIZElBTU MFG: MODEL: SIZFJBTU A/C $25.00 FIREPLACE (GAS) $15.00 _GAS RANGFJOVEN $10.00 AIR TO AIR EXCHANGEER $15 FIREPLACE (W�D) $35.Q0 NEW GAS GRILL $10.00 BOII.ER $35.00 7�ZFURNACE $35.00 _GAS UN1T HTR $10.� CHIIvWEY LWER $IO.OU _GAS DRYER $10.00 POOL HEATER $35.00 DUCf WORK $10.00 GAS PIPING $10.00 _VENTILATOR $I5.00 _ Permit Fee $ Number of fixtures @$10.00 x$10.00 =$ Surcharge $ .50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DLJE $ Number of fixtures @$25.00 x$25.00 =$ Number of fixtures @ $35.00� x $35.00 = $� State Surcharge = $ .50 Tota1= $ .�� TEIIS IS AN APPLICATION FOR A PERMIT NOT VALID UNTII. PROCESSED I hereby apply for a building permit and I aclrnowledge tha,t the information above is complete and acciu�ate; that the work will be in confonnance 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 aa 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 w�rk whic � requires �revi�w and approe�al of plans.' � �,� �_ `_, .. . SIGNATURE OF APPLICANT City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, N!N 55432 763-572-3604 FAX: 763-502-4977 � REQUIRED INFORMATION NEEDED TO PROCESS PERMIT RESIDENTIAL PERMIT APPLICATION HVAC ❑ IdEW HOMESIADDITIONS ISTING HOME ❑ MAKE-UP A!R REQUIRED FOR NEW/EXIS�ING HOMES ' G�� 1. Combustion �ir (See no�e_below) �� . a. Oil or solid fuel IMC G'hapter 7 with MN Amendments b. Natvral Gas or Propane/�GC Chapter 3 with MN Amendments 2, Nlake-up Air (See note below) a. IMC Chapter 5 with MN Am.endmen.ts �- 3. Venting `_� ��Gt�� f �� a. Gas appliances IFGC Chapter 5 with MN Amendmen.ts b. Fuel other than gas IMC Chapter 8 with MN Amen.dments REQUIRED FOR NEW HOMES 4. Heat loss & cooli.ng load per room 5 � a. Required on new constru.ction IMC 1346.0312 Ventilation a. Per MN Energy Code 7670 or 7672 Duct Design Per lMC 1346.0603.2 a. ACCA Manual D �� C�� NOTE: Centerpoint Energy Mechanical Code Guidelines software may be used for combustion and make up air calcula.tions u Date: 12/15/2005 Revision Date: 12/15/2005 E�dsting Construction: Pre 1994. Site Info ' n -- -- - -- Add 1: 1211 Gardena Ave. N.E. � Project #: Addre' 2: Lot: Block: City: Fridle , Subdivision: Aaalication Ir�formation Business Name: Sharp Heating 8� Air Conditioning MN Contractor License #:00156 Inc Confiact Person: Kevin D Har�son Offi�e Ph: 763-572-U459 Fax: 763-572-0164 Cell Ph: -Addr��s 1: 7221 University Ave NE ; Ci�: �ridley State: MN Zip Code: 55432 , Q,� �� Combustion Aaaliance Water Heater. Natural Draft Input BTUs: 32,000 Independently Vented _� F-�r�aeet�oiter. -Bi t/Sealed Combustion Input BTUs: 70,000 Independently Vented Make-Ua Air - --- - --- — �- --- _ � No Make-Up Air Required by Code �� Combustion Air Minimum Combustion Air Requirements Met. Applicant Idame (print): �� s�� ature/Dat � 9 � z -/ -�PZS Code Official (print): Signaiure/Date: � 2004 CenterPoint Energy Minnegasco. 2004 Mechanical Code Guidelines. Page 1