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AF - 43620City of Fridley, Minn.. .�UILDING PERIiiIT N° 5 5 3 2� Date: "`-��"' �' r� Owaer: Builder ���.�����_____ Address Address - . � ��►TI�N O� F�DInIG � .� �� No. Street �� ._..�:_ Par� of �°'4'� ��.' �,�' Lot Block ..�_ _._.. Adc]ition or Sub-Division �� Coraer Lot � Inaide Lot Setback '� # Sideyard �.����I Sewer IIeva.tion ________ _ �oimdation IIevation � DESCRIPTION'° OF BUILDING T 3 Used Froni � Depth � Heiglnt � Sq. F� +� ��Cu.. F't. �����+� - nt _rL_.— Depth � Height y� .�r+ Sq. Ft. Cu. F�k y��� Type Constructtoa � Esi. �' �. To be Completed In considerai3on of the issuance to me of a perazit to construct fihe building described above, I agree to do the proposed work in accordance with the descript3on above set Porth and in compliance with all proviaions of ordinanc� of the dty of Fridley. � In consideratioa oY the payment oP a fee of $.�� , permit is hereby granted to to construct the buildiag or a.dditioa as described above. This permit is granted upon the egpress condition that the person to whom it is gramted and lus agents, employees and worl�en, in all work done in, around and upon said building, or any gart thereof, shall conform 3n all respects to the ordinances of Fridley, Minaesoffi regarding location, construchon, altera.tion, maintenance, repair and moving o4 buildings ordinances. dty limits and this permiit may be revoked �t anY�po� vi�latito�e�f any of the provisiona of said �"�sl .� � �� NOflCE: Ti�b permh does nof eove� the eeestrueHoe, testallatton fo� wirie�, plumbtne, pas heatieg, sswer e� water. Be wre 10 � the Buildles lespeetor fo� separate permiii for thase items. ir _ ,'"`' _�. _ ,-,° .�, - 4 i� ,.--� _� APPLICATION �'OR BUII►DTNG PERMIT C�TY OF L'RIDZEY, 1�1l�E30TA 4wner's Nam�.� Mr p �� �, ��--���-�:���-� Builder �-'�� °� �� ���,�`� ..=,..�,_ _- ._ 114�.f. e �7 � i��r���'� � � l � � ii�1�0 i7 �7 F`�. �4 . �.�� �� 1�.!%'14./ ��" ' � r f � LOCATION OF HUI.�DI�Tt3 NO._ �` ,�„Streat ,.�!�,��_�,('"s��.�2 1�%-� P3rt Of LOt � ����,F� Lot . /� Block�,�_ Adc11t3oa or Subdivis�.on �4�_�-r-�, ��°' Co�aer Lot Tnside Lo�t Setback -�L9 � S3.de-Yard -�� �EWER ELEVATSOIV FOUNDATION ELEVATiON Applicant attach to thi� rorm Certi�icate of Survey o� Lot and proposea building location. � To b� used aso l�l �� l DE�CAIPTION OF SUILDING �� Heiaht �� � �� � �' Sq . Ft . f'� ��__._. Cu . Ft .__._� �� Front�,7�,�_De,p��h ' eight ,� � S Ft . Cu . Ft . ��� 4� Type of Construc�ion Est�.mated Cos�� To be Completed The undersigned here�y makes application for a permit �or t13e wo�k herein specified, ac�reeing to do all work in strict accordance with the City of Fridley Ordinar�ces and ruling o� the Depar�acneat of Huilcl- ings, and hereby declares that al]. the facts and represeni:a�tions stated 3n this ap�l�cation are true and correct. �°'� .�-/ e�. D�TE ��'� -� SIC�TURE��-- ?� w ./� `� /c�. � F (Schedule of Fee Costs ca�n be found on the Reverse Side). .f, { . �^, � , - � i " I �UILD�LVG PERi�iIT FEE �CHEDULE Sec�ion 2. The Inspector of Suildings shall� before issuing any per�i� �or the erec•�ion of any building or structure, or �Eo�c any addi�3on to any c��si:3ng �uilding or s�cructure, or for any alterations or repa�.rs �to any �xisic�.ng bu�.lding or struci:ure, upon applica�tion �here�or, require t'l1e payment by the apPlicant fo� such permit of �ees �o the amount herein below set forth and in the manner herein p�covided to wito 2.1. For any such pe�tnit for the erection of any fire-proo:� building, o�er than a garaqe, warehouse, factory o�c grain elevator, or �or the erection of any �3se-p�oo� addition, for similar occupancy, to any exis�t�g buildin� shall be at the rate of $1.40 for each one thousand cu�ic :�eet, or �rac�tion thereof, in such cubical contents. 2 a�. �or a.riy such perm��t for �the erecitioa of any �ire-proof garage, warehouse, �acfio:�cy or grain eleva�o�c, or �or the erection or ar�y zire� proo� ad�i�tion, �`ox si�nilaTC occupancy, �o any ex3sting building shall be at the ra�te o� $]..25 for each one thousand cubic �Eeet, classiaEied as "Zireprooi" by Sec�ion 502 o�.the Miz�neapolis Building Code. fIOUSE� 2.3. For any such perm�.t for the erection o£ any non-f3repzoo� build- i�g o�,her than a garage, warehouse, fac�ory or gra�.n eleva�or, or any non-r�.gep�coo� addiiion, for similar occupancy, to any exisi:ing building Permi�t $I. 000 for each one thousand cubic feet. � c�GES � � /� � 2sa. For any such perm3t for fihe erectio� oi any non�fireproo�f �. ga�age, warehouse, �actory or ��a�.n eaeva�o�c, or for the erection of any non-fi�eproo� add�ti.on, :�or similar occu�ancy, to any exist3ng building or ror each such building o� adcl�Ltione Nin�ty Cen�ts £or each one �housand cubic feet or fcraction �chereor, 3n th� cubical contents thereof wi�h a minin►wn o� $9�v00. For the purpose o� compu�cing fees for building permits the cubical con- ten�s o� any builc��ng or addition to a unisorm height�throughout by mult�.plying �the g�cound area covered irom a point six ( 6) inches belaw �he floor line os �the basement or ce11a:� to the average height o�E the upper surgace or to che average heigh� of the roof surface o� fhe ma�.n gable of a pitched �coor. 2.5. For repa3..rs or alterations to an existing structure, the fee shall be at `he rate of $3.00 per each Five Hundred Doilars ($500.00) or �raction �thereor in �the cos�t o� all proposecl wo=k. 2.6 e �n no case sha11 the �ee charged ror any pesmit as s�t �orcth in Se�t3on�2 be less th� $4.00. ^ _ � - HARVEY A. CARTWRIGHT ANOKA COUNTY SURVHYS MENNfiPIN COUNTY SURVEYB MINNEJ►POLIS SURVEYS 8410 PALM STREET N.W. �UNBET 4-7BS$ OWNER INDUSTRIAL — JUDICIAL BUSlNE88 — TQP06RAPHICAL •GITY LOTS — PLATTIN6 P�s. �.1e..�,nder � �v ��� �1 � i"y t � �J�, ��� �`�.1 �' � � �� � CAR�G�T & OLS011T LAND SURVEYORS RE61aT6R&D UND6R LAWO OF BTAT6 OR MINNE80TA LICENSED BY ORDINANCB OF CITr OF MINNEAPOLIB 326 PLYMOUTH BUILDING FEDERAI 8-8721 HENNEPIN AT 51XTH • MINNEAPOLIS 3. MINNESOTA :�arbepor'� �ertif�catc ,�/ ' u� d:i. �3,� _ � ` �rt UJ�is�`� ��s,�°,-, r�;a��.,� � � e:'r �t: : ;�.., ;: � �— � � � D , ,. F e �1 � � � ° .� . ° '"' a i � � ��eO.�v 5'��? /4i �=i`.°��`���: ' �� ' �4 /� ;' ' ��' , �°`�,,�"{,./ s � ` , J��' �`�j� � �� �1 f �f " ��' ' �� f j J.,'' � ¢� � � ., ` � � s � ��, �e� � �.l �y `+l �� �`n/> —�i 0�� r` �°� �,. ^ rt� O'6 ���� s e ° /`'"� �+'f '"�. t.s' a �� � ' �" ��� � y � COMBINING TME RECORDS OF J. E. HILL, C�vi� ENGINEER EBTABLlBNED IB96 C. F. SANDHOFF CIVIL ENOINEER E9TABLIBMED 1808 JAMES NELSON SURVEYOR ESTABLIBMED fY22 METROPOLITAN LAND SURVEYORB. esTweusr+eo �ae� Ir?v.;;�?2199 I he�el��f c�r�i;i�°v tI1?t �:�� is a�;_�ze �nc? r'61'y'eC�L -r��r�s�n-c-_�? r�n o�' ��u�ve�r o": L�t 1.J, 3l oel: �, G� r.1e�.a i��lol�t�:l G� ;len� (i rox�ase� j �_s �v_:-^�rey�a l��r r��� �� 2u�h d�y o� Ju1�r, �?�;1.. � , ,,,,... � �r t��: ,� .����. - , ��',.,*,�"_..r . _°� "'C�� '"" ,' ,; • - _' ..} a_ ,�.-, $ `� . � a s�G � FQT RIGHT ANO OL50N , .r�"�:�� -° -z v, - � � � �. � :� � p � :� : °x : Y ' M • N : o � w . m �7 . � : � � � N � � � � �� ~ � �. � M o W � � � � � � ��� .. � � o � � � : o . o . o . . byd : : Q . : 0 i7 �a �a � r � o O O � � � �i H � z � r � � z� � z� z z 8 � � 8 � � � � � � � � � �;-���� � ''� ' � : O e� � � �� �o�; y � a ° � � � : � � � . 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O . . . N � � � � � o 0 0 0 0 0 0 � O t' a.a� � ►i`l�Fj � � � � �y ��� � � �� � � O[i��(/� •• h� F+• � d� � � ' �� o � �"�o � . p�� �p �'�+' p pF G� ao��p�� � ��y R' � ��� ��:�� y m �� , p�'`�� �O �aOp e�}7 ��,0 F � h7 ����m � � � � �' �. ��� . � � �y�y � ��n� � ��o � ��� � � w � �D I� �� � e a D � D r � � m H _ m C m a d » M � b 0 W b a � O . . 'b � • � � �� � � "� t d � i'¢ 3' � ��� � � � � �� vt �' � � • �� � � � • � `� � 4�`i',tl f� fn �D i/ ��'��as .��'r �� `� �� 9!'r!� �R+e�9�iA !�"°�' ��1J °� � I� HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS , MINN.I Weatheratrips A.S.H.V.E. Construction No. Insulation Guide Windows I Doors Reference Out. Wall IInt. Wall I Ceiling I Roof I Floor Kind How Applied Yes—No . Yes--No 19_ 1 Fl• � L �y- Room � Length �Width ,�G'�° Height � I jj F1. ��,`�,' �� Room � Length �'.��. Width �� Height Windows and Doors—Crackage and Area � Windows and Doors—Crackage and Area � �� W9dth Height No. of Lineal ft. Area Width Height No. of Lineal ft. Area � No, of paae of pane llghte of craek eq, fk � NO• of pane of pane lighrta of craek sq. ft. / � �°s � F��� �m , � ,`�?- � �� � � � e�f� � � �9 � � � ��� �� ��� ��� � �.� � � �� �� �� Coef Btu Coef Btu Infi�ltration �� ��' „y�++ , "� � Infi�ltration � � �; �" �� •� � Glass � � �`� � �i�"+�� Glass ,� ,��P� ��_ �p. .,,�ii � 9 � �° ,� � , �p. ,,,�i �� � � /' � . Net ezp. wall ��' � � � � f�., �' Net esp. wall � � ,tJ � �! �' ° I .I�'aJll �e � � A�^��,��, , � �'�' � Int. wall Ceiling . �; � �' . - /�'� � � � � Ceiling . :+. �'�: - C��`�� /��� `� � C.� C� F1oor F1oor Total Btu. �'��3 ,� ; „� Total 'Btu. �'� � Required aq. ft. E.D.R. or aq, ina. W.A. Leader area Re uired e. ft. E.D.R. or aq, ina. W.A. Leader srea I Fl. (��+�/.�� ,,� Room � Length ��,, Width �9 `� Height � FI. ��;'� �� Room � Length ��i" Width A� Height � Windows and Doors—Crackage and Area Windows and Doors—Crackage and Area Width Height :30. of Lineal ft. Area Width Height No. oF Lineal ft. Area No. of paae of pana lighta of crack eq. ft. � NO• oF pane of pane lighte of ctack aq. ft �� �' I � s I � g I �'�. I S � I �$ ��'� ��-!� _ �'t� L - �— `��' ��.� � � Infi�ltration Glass. Egp. wall �� � � Net ezp. wall Int. wall Ceiling r� �r� ��`: � F1oor Total Btu. ���� � �ef Btu Coef Btu ,�' � �°�'� Infiltration ,y � � �� � � � � �'� r? �'� � Glass � < � � ,� � � � F.sp. wall � � �� �' � �. �'' � _ � 'jyf° Net esp. wall � � � Int. wall � c� �, � �+ Ceiling ! j �' /� � / . ��` Floor _ �/� �, Total Btu. Required eq. ft. E.D.R. or eq. ina. W.A. Leader area Required e. ft. E.D.R. or aq. ina. W.A. Leader area Fl. � /� �'�' Room � Length � Width ,D� Height � Fl. � B�/��`� Room � Length ,� Width ,f� Windows and Doors—Crackage and Area Windows and Doors--Crackage and Area No. �idth Height No. of Lineal ft. Area ,(�� � Vl�idth Height No. of Lineal ft. Area of pane of gane lighta of crack eq, f!. `� NO• of pane of pane lighte of crack eq. f!. �_ ,��" �- � � f � ���p�, -�--=�--�- �% °� `1 � r ' Coefl Btu In&ltration �!� ,: `� � Glass E%p. Wall ,�`�° � Net egp. wal Int. wall Ceiling �_ R� F1oor Total Btu. ���' I�� ft E.D.R. or sa. ins. W.A. Leader area � �l� �O -.�z�—� Height �` � �' ��� � � Infiltration � ��' � �' � � Glass � �'`� Esp. wall � „ �°�'; _ �,;,� Net egp. wall e� � —�— Int. wall r� � Ceiling ���? �' � � f� F1oor �` � � Total Btu. Reauired ea. ft. E.D.R. or sq. ina. W.A. Leadar area � � �� � � a x � � M � � \ V G i N P a � p � � � c�i x r��� y x x � y t+ �j O � H � � x x x � rA n fi� C ���� � � � � � � � � � �� M � o � �� m � � � � � � .�. � y y '��d w � .r. .yr x �'¢W�g� C% C7 � h� M C °ce° °= � n� ��p, ro p � � ytD O r � y �Q �+ c� y : a cCOo �y: �� . . 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(D � � � � td Q. � � Z � m D m � N � � j m � � . � m 7� o � '� � �o � � c � m � N -G � N o � � � I o I il-�Ifl�lll % � -, < : � : a . � 1 ` 1 1 1 . ) � > . � C � c � � � � D � : � ) ) s^ '/ Y n D : 77 � � p1 � 0 � A � ����1 � \\\`, � \' � � ��� '1 . � �� � � m r Z ?� � � � � . -o m � � � � � � O � i r �. 0 �� a � ? N w v v n � 0 � m , 1 � C m m � Q A _ O .� " \ � .,n-. 1 � � � � � � R A w , fU 'B . v . o � 0 � 0 . m � �. 3 . x : o . � � � 'O � 7C' . S (D -� m 7 � � m � O � � O m D 0 v �7 m � � � � � � � � z C � W m � O � � � � m � O � m z N D r m v 0 z � n _ � r O O � sue�etT � PERMI c�ty of Fr�a�ey 3116 AT THE TOP OF TNE TWINS g � I L D I N G P E R M I T r ; � RECEIPT NO. � • COMMUNITY DEVELOPMENT DIV. / � r ��' � PROTECTIVE INSPECTION SEC. T�� � i = � � /'��'1 � CITY HALL FRIDLE� SS13Z NUMBER REV DATE PAGE OF APiROVED B� �"""'� � �'� 612-571-3450 910-F15 7/12/00 � � J08 ADpRESS 128i Gardena Avenue NE t LEGAL ��T NO. BLOCK TRACT OR AODITION SEE ATTACHED DESCR. ],O 1 Gardena Meloland Gardens SHEET 2 PROPERTY OWNER MAIL AQORES$ 21P PMONE Richard Alexander 1281 Gardena Av�ue NE Fridley, NIlV 55432 571-0899 3 CONTRACTOR MAIL ADDRESS Z�P PMONE LICENSE NO Owner a ARCMITECT OR OESIGNER MAIL ADDRESS ZIP PNONE LICENSE NO. 5 ENGINEER MAII ADDRESS 21P PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WOFK O NEW � ADDITION O ALTERATION pa( REPAIR O MOVE O fiEMOVE 8 OESCRIBE WOfiK Reroof House and garage - Tear Off 22 sq 9 CHANdEOfUSE:ROM TO STIPULATIONS Underlayment,must comply with the State Building Code. TYPE OF CONST. OCCUPANCY GiiOUP OCCUPANCV �OAD SEPARATE PEIiMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL ANO VOID IF WORK OR CONSTRUCTION 20NING SO. PT CU FT. AUTHORIZED IS NOT COMMENCED VtIITHIN 80 OAVS, Oii If CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOii A PERIOD OF 120 pAYS AT ANV TIME AF7ER WORK IS COMMENCED. NO DW4G. UNITS OFfSTpEET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION �. STALLS GAiiAGES AND KNOW TNE SAME TO BE TRUE AND CORRECT. ALL PAOVISIpNS Of LAW$ yA�UATION SURTAX ANO ORDINANCES GOVERNING TMIS TYPE OF WORK WILI BE COMPLIED WITH WHETMER SPECIFIED HEREIN Ofl NOT. TME GRANTING OF A PERMIT $1,923.00 �.96 DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pEFM1T fEE SAC CMARGE PROVISIONS Of ANV OTHEp S7ATE OR LOCAL LAW REGULATING CON- STRUCTION OR TNE PERFORMANCE OF CONSTRUCTION $69 • ZS Fire SC .��.. 92 PLAN GMECK FEE OTAI. FEE $72e13 nru O�CON' ACTQROpAUTMOp�2E0 T iD�TE� W N P fiLV V 1 ATED 7M15 YOUR P RM�� � � '/� / i NATUpEOCOWNEAiiFO EpBU�IDEp� �•rE� � �� y Ih �1GIE N� I � Effecctivve 1/1/2000 ADDN [] CITY OF FRIDLEY (763) 572-3604 Bldg Insp ALTER [] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 � f` BUILDING PERMITAPPLICATION Ir„ ��1.� I lJ Construction Address: _ �d1- (� � � R � q�p� Q � y.e— �l �i Legal Description: � c Owner Name & Address: f%�� , Contractor. l�Jd, Address: /�� LIVING AREA: GARAGE AREA: DECK AREA: OTHER: � Tel.# 5�7�—��`'r9 MN LICENSE # � Tel. # 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 Hgt/Ground Sq. Ft � �P d �-�� � � �� 4� �Cl�Gt R-c� o�� Sf.- �O � -���- o �.� - , . Construction Type: Estimated Cost: $ /, 9� Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: P 4'D APPUCANT: � Tel. # ,�7 % � ^ � �� CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Call (763) 572-3604 for Permit Fees if mailing in application $ 02�� Fee Schedule on Reverse Side $ %. �� .001 of Permit Valuation (1/10th%) $ �� $.50/$1,000 Valuation $ $1100 per SAC Unit $ $5.00 (State Licensed Residential Contractors) $ Alt. "A" or Alt. "B" Above $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [] Not Necessary [] TOTAL STIPULATIONS: $ ,/ .1 � - BUII,DING PERMIT FEE SCH�;DULE The Cluef Building Official shall, before issuing germits for the erection of any building or stiucture, 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 tawit: TOTAL VALUE $1 to $5(� $501 to $2,000 $2,001 to $25,0� $25,Q01 to $50,000 $50,�1 to $1�,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, tm 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,(�0 or fraction thereof, to and including $100,Ofl0 $993.75 for first $100,000 plus $5.60 for each additional $1,� 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 DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alternate "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 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 S�rvey of the lot, showing the location of the foundation once it has it has been constructed vvill be required before proceeding with the framing. New Houses Onlv �