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AF - 43616City of Fridley, 1Vlinn.. BUILDING PERI�ZIT N° �814 Date: �►�- '�. i � �waer: Euilder „ �.�*1�4t1�. Addreas Address J .. L CAT�ON B LDING No. .�I��,� Street .� Part Lot Lot �_ Block � � AddiLion or Sub-Divisi�n �` � Corner Lot — Inaide Lot ✓"��j� Setback ,��.� Sideyard ._� Sewer IIevation _____ Foundation IIevation DESCRIPTION OP BUILDING T: be U d as,,; � �:�— Front �� Depth .�G� Height .�.:..� Sq. Ft y,�� Ca. F`k �:! .��► o t Depth � Height � Sq. Ft Cu. Ft _�____ Type oE Conatrucl3on F�t. Cost �,�""��` To be Completed .— In consideratton of the issuance to me of a permit to construct the building described above, I agree to do the proposed work in accordance with the descrlptfon above set forth and in compliance with all provisions of qrdinanc�a of the dty of Frfdley. � In consideration oP the payment of a Eee oP $�..�.._._.., permit is hereby granted to to construct the buflding or addition as described above. Th3s permit is granted upon the express condition that the person to whom it is granted and his agents, employees and worl�nen, ffi all work done in, around and upon said building, or any part thereof, shall conform fn all respects to the ordinances of Fridley, Minnesota regarding location, construction, altera.tion, maintenance, repair and moving of buildinga �� dty limita and this permit may be revoked at �t'ime u�on viol�i�n of any of the provisioas of eaid .�!` ! Buildin8 Inapector NOTIC� ihis paeait do� eot eever tha eeeslruetlon, ie�talladon fo� wirtng, plumbiag� gas heeth�e, sewee or water. Bs snn to see fks Buqdiog lespeetor for �parate permita for thea itema /r`�, 4 �\ ��_ - is-° `°"" � ':! 's" � *► APPLICATION FOR BUILDING PERI�LT CI�'Y OF 1�AIDLEY, MYNNFSBTA � � � - � �..:�..� Oumer' a Name �°� `� Builder � Address j �° � i �+'� Address LOCAZ`ION OF BUILDING No. %��/ Street ��^�- � 1'art of Lot Lot Block � Addition or Subdivision Coraer Lot ineide Lot Setback Side-Yard �E�R SLEVATZON FOU�TDATION ELEVATION Applicant atCach to this form Two Certificates of Survey of Lot and p�roposed buildin� locatiou drawn on these Certificates. DESCRIPTION OF BUILDING To be used as: P // ��`-� �� Front � � Depth��,Height � Sq. Ft, � �_,G`�. Ft. � - Type of Construction To be Completed Front Depth Height . Ft. Cu. Ft. ,--- �^'=� � Estimated Co'sf' � �° `� �r � �"he undersigned hareby makes applieation for a permit for the work herein specified, a�reeing to do all work in strict accordance.with the City of Fridley Ordinances and rulings of the Department of Buildings, aad hereby declarea that all the facts and repreaentationa stated in thia application are true and correct. � � ,� �f �' DATE � � ' � � SZGNATURE �� (Schedule of Fee Coats can be fouad on the Reverse 3ide). � � � „ k -� ., ' '7 C`. �_ �. � ��F� .. _ �l � BUILDING PERM[T FET SCHEBiJLE / � � Section 2. The Inspector af Buildings shall, b�fore isauing any permft for � �, ",_ .-, _ �he erection of aay buildi�g or structu�e, oa for any addition to any exiet- -, ia� build3ng or strucCure, or for any alteratioas or repaira to any existing building or structure, upoti applicaCion thetefor,-require the paymemt by the applicant for such permit of feee to the amount herain below aet farth and in �he manner herein provided to-wiCt 2.1. For aay auch perm�it for the erecCion of auq fire-proof bu�ilding, other than a garagea warehouse, factory or grain elevator, or for the erectioa of any fire-proof addition, for s3milar occupancy, to any existin� buildiag sha11 be �t the zate of $1.40 foz each one thousaad cubic feet, or fractioa thereof, in such cubical contents. 2.2. For aay such permit for �he erection of anq fire-proof gRrage, warehouse, ��,cCory or grain elevator, or for the erection of any fire-proof additioa, for aimilas accup�acy, to aay existing buildiag shall be at the rate of $1.25 for each one Chousand cubic feet, clasaified as °'£ireproof" bq Section 502 of the R�l.nneapolis Building Code. LOUS�SS 2.3. For any such permit for the erection of �ny non-fireproof buildfng other than a gara�e, warehouse, factory or grain elevator, or any noa-fireproof addition, for aimilar occupmncy, to any exiatiag buildiag - permi,t $1.00 for each one thoueaud cubic feet. GARAGF.S 2.4. For aay such permit for the erectiaa of aay aon-fireproof garage, w�rehouse, factory or grain elevator, or for tre erec�ion of any non-firegroof �ddition, for similar occupancy, to any exieting building or £or each such building or add3tion - ninety cents ($0.90) for each oae thousand cubic feet or f�actioa thereof, in �he cubical conCents thereof c,�ith a miaim� of $4.00. For tlae purpose of computing fe�s�,for building permits, the cubical conteata of any building or addition to a unifo�m h�ight throughout �y mul�iplying the ground area covered fram a poiat s3x (6) inches below the floor liae of the basement or cellar to the average height of the upner surface or to the avera;e height of the roof surface of the ma3n gable of a pitched roof. 2.5. For repaira or alterations to an exis�ing structure, the fee ahall be at �he rate of $3.00 per each Five �Iundred Dollars ($500,00) or fraction th�reof in the co�t of al.l proposed:work. 2�6. In no case ahall the fee charged for any permit as set forth in Section 2 be less th�a $4.OD. �� ,.F� _ +� � � � r � � 3 � N � � � � p � � � � � M x � � y � x oN�� x � � � o � � � � � � � �' � � � �� H � � � � � \ Z �G Z N � 'AV � V, . � � � :� m Z �� y � � �. ��x � � 04 � k � � ~ `� C�! � o � � � N o � a � O y • � : : � : : � � � � �a ,e oa o N � °o p o � �fl {fl -Ff7 � r7 0 H .. � � � � � 0 � N � � � b 0 � 0 e 0 O O � � O r � � �°c y i w � � W � � � � �! � M � ,�y O � � �. N . � � � • � • � � E: �. � b O � � H (] � � � � � � � P � W � � � � � d � ( b W � W � � � o � • ro � w b O � � � H 0 � � 0 � �" f �' �+p m w w � � � ��° �° x � � O H 0 0° G � � �� °�°� � � � � � � �� f`�D O O � � � :� ,� � � �� . : � � : : � � . . o � . . �,. : : � � : : � : � � cu � 'd Ry �. � � �' � � `° � �� o � G � � � � � R° � EE Et � � g � � �'� � � � m w 5`' : y �' a � : G � dl Cp . . � Q o : : � O � : . . F� �y 0 � � � � � � b � � � � �� 'a"' ..m�, � � o ", w "'�°� p o ?d � � � � �,',� � � ¢ O : � � .� . . �, . . O�i pp . . p o . . Q . . . N � � � � � � � � N w � o� � cn cn o o er o 0 0 o ea o 0 0 o O O o O O O O o O O O p tf� Vj tfl {� {� iA 'EA � �) � � � M � � ro x O � O � � � ° N � � � � a� a' " � � n � O M � � � � � � � � � � � � � � a � � � o� / � °6i ,� � / � � � � � � � i � m i Q.a� � � � o H, � �� p°�� m ��' .. �oa � RR� � � ��O � � ��a fD ��y �. � ��b �� p� �Fl: w �i��p ��Q,o ro ��w � �¢��. �� o � ��y �� o � ,� m � � � �� 0 D � i � m H 2 m C � m G ro » M � � db' � a � � V O � �� oG\ � �'. �i � � � � �: � •I � � rt � � � D �� N� a ' O.a v� �� i �� • �p 3. � 0. � �� /� �%/''1 p L � °.� D-76 � v �im' , = �. HEAT LOSS CALCULATIONS ,��',� j��P DEPARTMENT OF BUILDINGS NIINNEAP01-IS. MINN• I Weatherstrips A.S.H.V.E, Construction No. Insulation Guide Win s I ��Do rs Reference Out. Wall Int. Wall Ceiling Roof F1oor Kind How Applied No �E—No 19— � Fl.� ' Room � Length � Width Height � Fl.� L�1 Room Length F�Width Q, Height �' Windows and Doors—Crackage and Area Wiadows and Doors—Crackage and Area , �Vidth Helght No. of Lfneal ft. Area WIdt4 Height No. oL L1nea1 St. Aras - I No. of pane of pane lights ot crack eq. tt. No, ot pane ot pane Ilghta of crack efl• it. � �6 �i ��, 239 IC 2 � � 3 . �2/ i, � �— �7 /. � 2 � �.�o / — �� 3 . a fm -� � �� ? 7. � Coef. Btu Coef. Btu Infiltration � o�, ,� � ' Infiltration � � � Glass , � ,� � � : Glass � � � �l� Eup. wall �'' �� g Eap. wall � � Net exp. wall � � � Net esp. wall � � Int. wall Int. wall Ceiling J� ,�,� � ,� � �{ �° Ceiling �oL l� (� �a �' � � � �� Floor �� ,� tf / � � Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl.� Room � Length � Width /� Height Windows and Doors—Crackage and Area Wldth Hefght No. of Llneal it. Area No. of pan ot pane 116hte of crack eq. ft. / �� a- / 2. % � `� Coef. Btu Infiltration %�P � Glaas n . ��' Exp. wall Net exp. wall � � Int. wall Ceiling „3'X � ��D ! Floor �� Total Btu. — Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl. ��s Room � Length Width �� Height Windows and Doors—Crackage and Area Width Hefght No. ot Llneal ft. Area� No. ot pane ot pane IlBhte ot craek eq. tt. Btu In6ltration � Glass Exp. wall � �p Net esp. wall � � Int. wall � Ceilin8 2 / � � / Q � �' � Floor �f � Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area �- Floor Total Btu. �i Required sq. ft. E.D.R. or sq. ins. W.A. Leader area FI,� Room ( Length Width ' Windows and Doors—Crackage and Area Wldth Height No. o! Lineal tt. Area No. of pen of pane llBhte ot crack ea. tt. % �- � � / l� Inbltration Calass �p. Wau 9 x Net eap. wall Int. wall Ceiling �� C ' Floor � � Total Btu. �� . �� [.� �s ,�� -- .�, i A�1 � t �� L�J �' � _' `. � F7,� Room � Length Width Hei Windowa and Doors—Crackage and Area WSdth Hetght No. of Llneal tt Area No. of pane ot pane lighte ot crack ea. tt � �- �e � . . Infiltration Cslass Eap. wall �( , 1Vet exp. wall Int. wall Ceiling � x Floor � � Total Btu. Coef. Btu � � �!� ired sq. ft. E.D.R. or sq. ins. WA. Leader arca �- B I , /e�� .� n.s6 �s /`�� i��fl �'/� �` � _ �_ HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS 1VIINNEAPOLIS. MINN. Weatherstrips �•S.H.V.E, Construction No. Insulation Guide Win ws I D rs Reference Out. Wall Int. Wall C.eiling Roof F7oor Kind How Applied —No =No 19_ I� Fl.� Room � Length Width ��eight Fl.� Room Length Width Height Windows and Doors—Crackage and Area Windows and Doors—Crackage and Area �Vldth Helght No. ot Llneal ft. Area ' WIdt6 Helght No. oE Llneal ft. Area No. o[ pane o[ pane ligh[a o[ crack eq. ft. No. oY pane ot pane llghte ot crack eq. tt. � � / � �� a` Coef. Btu Coef. Btu Infiltration �. Infiltration Glass � �b S� Glass Exp. wall � � � . F�p. wall Net exp. wall �� Net egp. wall Int. wall Int. wall Ceiling � � � � Ceiling Floor � � Floor Total Btu. � , Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.� Room ( Length Width Height � Windows aad Doors—Crackage and Area Wtdth Helght No. of L1nea1 tt. Area No. of pan of pane llghte of crack eq. tt. '� eP. s Coef. Btu Infiltration /� , � �� Glass Exp. wall ;�- ��' Net esp. wall Int. wall Ceiling � � � Floor � � Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area FI.� Room � Length Width Windows and Doors—Crackage and Area Wldth Height No. oL Lineal Yt. Area No. o[ pane o[ pane Ifghta ot crack eq. ft. Infiltration Glass Exp. wall ,�Vet eap. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area �� r� Btu I Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl.� Room � Length Width Windows and Doora—�rackage and Area Wldth Hefght No. o! Lineal tt. Area No. of pane of pane lighta o! crack eq. ft. C In6ltratioa Glass Eap. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. k. E.D.R. or sq. ins. W.A. Leader area ' Fl.� Room I Length Width Windows and Doors—Crackage and Area Width Helght No. ol Lineal tt. Aeea No. ot pane of pane Ifghte of crack eQ. tt. C Infiltration Glass Eap. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. �A. Leader area Btu F � � � m m � � O � � � (D W c A S A� � m � in 0 D � J � � � � N o � "p ° m � < � 7' m � � � O Z N � Q A �, � N m m o � D = � � � � a � Z � v a r � m D � O z � 00 � G� g��n �o n o0 0o O z m a� � c m m m co `G 7nC, N N N N N 3 7 n � � ��L �� 70 �� v � � O T � O `G 7 = _ � � �1 m � N (D � �� a'. a.' � m� v'• m��' m �** m m 3�. r� m� m w � w � Q ' 1 � � � � � � 7 tD � � y � — � �t m� ' � o � c � m m L N Q � � I�� I I I I I I I I( I I � � � � � � � � � � � � � Ut O O O y O v y v v��'v °o o °o °o °o o °o °o °o o° °o °o °o � � C O � T� D Cn 'v C Z � � C Z � c m v °-° s � W � � �► m � � �, m � O 1� � y � 0 � Q � � � � m �- c n � - � a � � R� � � � m � � -i Z � � � 7L7 h? 7} °��tn.� � �1 ��1 "°-g '� � � m � �� S � m ��nm �� , ��' --1 z �1 c V � � ( � � � --� f0 � � NORBLOM PLUMBIN� C0. DBA VENTCOlAPPLIANC� INSTALLEI�S (612� 827-4Q33 �5 GARFI LD AVE. SOUTH MINNEAPOLIS, MN 55408 � y � � -o s a � m _ � � � � a a � � fA � N o, � co � � � �- . m � � a � 0 3 m m j � `< tp N v o � N "` N O �, pt � 7 'a � � � 7 "'. n a c,�, m � � o � � Q O � a w �' m � v 0 o m �' �D 3 �o �. a: N � .» �' o m � * �+ N 7' w � � � � o tD o � �, a � (�, y N N (p 7 'o r C � � z � � � C � m � � � � m � O � L O � a v v Jl � � u � � rn n ii a w � I � � � O A � � T Z � �p � N. �, � v A � N C � Z Z m � m n � � Z fl C � m � < m 0 � � !v 0 � � (� � SuBJECT City of Fridley `� � a� � 3 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T f 1 7 1 l � ' COMMUNITY DEVELOPMENT DIV. � ; V �� r � � PROTECTIVE INSPECTION SEC �� ( � �'��1 � CITY HALL FRIDLE� 55432 NUMBER REV DATE PAGE OF APPpOVEO BV �'.---� • •'' 612-571-3450 9t0-Ft5 5/27/97 / / JOB ADDRESS 1251 Gardena Avenue NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. [� 2 Gardena Meloland Gardens SHEET 2 PROPERTV OWNER MAIL ADDRESS ZIP PHONE Rih n Han 1251 Gardena Ave�ue N 571-6749 3 CONTRACTOR MAILADDRESS Z�P PHONE GCENSE NO Th�irs Ro4fin 5717 113 Ave N Ch 1 - 24 9346 4 ARCHITECT OR DESIGNER MAIL AODFiESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION � REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Rervof House (16 Sq) Znd Layer 9 CHANGE OF USE FROM TO STIPULATIONS Roofing can be the 2nd layer but not the 3rd. TYPEOFCONST. OCCUPANCYGROUP OCCUPANCVLOAD SEPARATE PERMITS ARE REOUIRED FOH ELECTHICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULI 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 PEHIOD OF 120 DAYS AT ANY TiME AFTER WORK IS COMMENCED. NO. OWLG. 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. ALL. PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GHANTING Of A PERMIT $992 �.SO DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pEHM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $3�}. %Jr Fire .S�', �. 99 / PLAN CHECK FEE T AL FEE 7C ��t�.... � at.d� �;��—�7 Lic e $5. $41. 24 IGNATUREOFCON'FACTOAOAAUTH0�712EDAGENT IDATEI N P OP VALID T D TNIS IS YOUR PERMIT w � V i S�GNATUAE OF pvyNEA ��F OWNEA BUILOERI IDATEI BlD iNSP � �la E � �, _y _ .. NEW ADDN ALTER [l L] �l CITY OF FRIDLEY SINGLE FAMII.Y AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: ��' J � c, r•e� P� c. �,,..� J%[� � Legal Description: Effective 1/1/97 ��J � Owner Name & Address: _ %� ; ►� � /��, ,�,� Tel. # � � / � � c,l�� Contractor: � v r` �-� Fe „� � MN LICENSE # 9�� Address: S' � / � — ! I � '�,1� � l�b _ ( ' �-�-�Y�p Lr� �S / � Tel. # ��t�1 �� ay � LIVING A►REA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Certifica�e of Survey of the . lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IlViPROVEMENT Length Width Height Length Width Height Length Width Hgt/Ground Sq. Ft. 5q. Ft. Sq. Ft. oa � Construction Type: �,� roO /�- �v c r-1� u„n Estimated Cost: $ - �� " • ' � (Fee 3chedule on Back) Driveway Gi�rb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: S-d.� - cj Z APPLICANT: e v� vu � u r� Tel. #�at� �'(o a� . Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ �3 � � $ � � .�C� $ $ ; . (� $ $ $ $ $ .� CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $950 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 [ ] fTUI[,DING PEKM[T EEE SCHED[,'I.t: "I'lic Chief I3ui(ding Of�cial shall, before issuing perniits for the erectio�� of any building or structure, or t<�r any addition to any existing building or structure, or for any aiteration or repair to a�y existing buildina or stiucture, 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 $21 (Minumum Fee is $21 plus surcharge) $21 for first $500 plus $2.75 for each additionai $1� or fraction thereof, to and including $2,000 $62.25 for fust $2,Q00 pius $i2.50 for each additionai $1,0� or fraction thereof, to and including $25,0� $349.75 for first $25,000 plus $9.00 for each additionai $1,000 or fraction thereof, to and including $50,0� $574.75. for first $50,000 plus $6.25 for each additional $1, 000 or fraction thereaf, to and including $1 Q0,000 $887.25 for first $100,000 plus $5.00 for each additional $1,DUU or fraction ther�f, _to and including $5�,000 $2887.25 for the first $5�,000 plus $4.25 for each additional $1,000 or fracfion thereof, to and including $1,�;000 $5012.25 for the first $1,000,� plus $2.75 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCRO�V (Concrete Curb Streets Only) Iternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.�0_ :ternate "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 •rmits for construction will be issued a minimum of 24 hours from the time of application to allow for pro�:;r iew of the proposed structure and of the construction site. Cet�tificafe of Survey of' clie lot, showing the location of the foundation ��nce it has ir has becn c��nstruc°_�: �'! hc required hef<�re ��rucccdin� ��ith the framin<,. � � .�