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AF - 45267City of Fridley, l�inn. BUILDING PEi�.l!'IIT N° 5 4 5 5 Date: ._.__.:�. �" `:w"',' :._._ __... ..... , � :; Owner: � ��__...�.�.�-�_..�—"'_`'''f'.'_�!"?"_'�_'__ Builder ..._......._...� _.. . ._...------_........_ .................._...____----_.._._.. Address•--..._._._._._._._._M_....._r..��..� ----.-----.------------ Address �....:_. _ '. _ .t._..._...--•---_..__..._...._...._......_.._.._._. L ATIQ iN9G , .��.� . _. �.��� - No. .. . . Street �'A�w�.___:_ .�'....... Part o t ._ ._._�. ..._.__ �_.____. Lot _.__��_..._.__ Block _...._._...._.:..: � _._-•- -.•-..... Addition or Sub-Divisian ._ . . ..�_ _� �..-__.- +.+► � " ,�', ' Corner Lot .__..........._._.... Inside Lot —_��!_".'."_"� ..---__._. Setback .._..�_�'--_._ Sideyasd __ -�. -. .�,�....1!--•------- _ �` Sewer Elevation _.._......._..__.._.._.._- •---.....___.._...---------..__ Foundation Elevation ...._....._._�-----.___..._.._._._.._._:...__..._.....__..._.. DESCRIPTBON OF BUtLDfNG To Used as• t .... _ . . _. Front _.�.�....� .-- Depth �4�-...irf�.----- Height :..�.�_ Sq. FL �!� Cu. Ft. � ��� ��, z� � �} � _. y ��� Cu. Ft. .._�7_!C!�'t� � �Y`- �......_ .__.. o t .---,�.'�.�.__-- Depth _ �� ' _ = � Sq. Ft. . TYPe of Construction ........---. ..��_...� -e�-- hC�...----��--- To be Completed ....................-----�--..._.....-----.._.... _ . ..._._.. Est. Cost In consideration 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 description above set forth and in compliance with all provisions of ordinances of the city of Fridley. �_.._.__ In consideration of the payment of a fee of $�M[. � ., permit is hereby granted ta.._._._.._..._.._.._._._..__....�._ .._ to construct the building or additi,on as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and worl�nen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding locatiott, construction, alteration, maintenance, repair and moving of buildings within the city ]imits and this permit may be revoked a t any upon violatio f any of the provisions of said ordinances. � � ..�';� � Building Inspector NOTICE: This psrmit does not eover th� eonstruation, installation fo� wiring, plumbing, gas heatfng, sswe� or water. Bs :un to :es ths Building Inspeefo� fo� separats parmib for th�se ffsms. a�4 ��zcaTiox �t suu,uu�c � CITY OF FRIDIEY, MINNESOTg o-�� � � N� � t . T��i° L � a✓ , . au�.a� .. ��� `� daa�e8a izs-� ��-�r?21 EN�. �aa�e8s .� � ` IACATION•OF BUILDING - , ,�� . • , No � - 3treet � �� 17. �N�} �}"I/ � ,i.Part of Ilot ` Lot ;�� Block % Addition or Subdivision����V���-o-L-�-n�—�� • A(� �?�a✓S Corner Lot __^_„_�Inside Lot Setback Side-Yard S�. ELEVgTIO ` �� � k'OUNDATION ELEVATION � , , - � �pplic�it' attach` �,o' this form 'Certificate of Survey of Lot and pro�osed building „ location. . � � DFSt�IPTTON OF BUII,DING To be used as s / Cs'�^°�^"�--�-� `�"�` -� . � _ Front �,� Depth Z� � Height � ____,_ Sq. Ft. IG�-� Cu. Ft. �� °� �-¢ f� P`ront�Depth �-- z-- Heigk�t �� Sq. Ft. ZGa ��� . Ft.,_„< .� 6 5� o Type of Construction ��-R--� t Estime.ted Cost � �o ° . �, � To be Completed �=�.- 1 - ;6 / ` �„� ,� ��._.,,_ The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in stxict acaordance with the City Ordinances and ruling of the Department of Bufldings, and hereb�y declaxes that a11 the facts and representations stated ' thia application are true arirl correct. DAT� Z-� � b� v SIGNgTURE (A Sch ule of Fee Costs can be found on the Revsrse $ide.) � � � ., . . r... .: .. ... , ..,:v; y ���� � _ � O � � � � >Q: �� C � � � m h � �� � � .,.�� .. . �r =o � •� � v � 4 r 0 O. � � ' S. I; � 0 \ �� � � b a� � N a � oa O � a ;� � ..�� �q� �� i° � .. v .�t � � 0 a,,� �^� � ���� ���� � '"��� � . ��� '�.� � � �aa,��,v »° � � � , o���° �� uuvi° aw � u .G ��'�� v���a �� �30� � Y .� y L ���� W �� �� �y � � C A� 1 _�o� a, o \ a; w��R v b ��noy � � °° N ��� � •� w ,� ,?; � y o N��.� y d�� U vR', c�a c�o � h ».�.� ��ao� � CO �A �+ N �O 3 z � �� a �i. . � � � � � � �� �� z � � ai w a 0 � °'° I�� � � � � � � '� :-� a� V Cq � y o d a3i �, o � � � z 3 � � o � 'd O � D E+ w O �.���� 0000° ����� �� `. 4 x M x 1 + titi � � I � � o w o � � � � � °� � b �` p� � :�,C � � � � C O o � `� �. �� � � � � � +� A � A - � w � w � � � Q v�i � �n � O �� � � z ° � s O d H H � ° � G � � �+ .� � °� � , t� v �u U � u � � � � E+ U E+ � U O O ���.� � 0 0 � � � OD CG CV N �[i .� i\ �� . � r � � � O � o �.� 4 � ���� �.w o a ° ° o � tfi .-� N k iS pC • _ : : . : . : : : : � � : ; x � � 0 . . . . . . . � � N _ � � : : � � : : : � � : � : � U : : : : � : : : : �' ° : : : � : : : w �' : : : � � : : : S `� `� : ° : : : : � o : � � W : ; � ^---��--, �` : �go $ :gg M � . � w : : : : f.L : ' 6 Y�P � �.. . , p N W , � : � , - . �� � �� � ��a � - � � • � � �J � � � � : � m o o �i " �" � � .`7. � � o � F a H :°� � W : a.� '" m vi x � o � t� � � �i �j aari � � � � u�i i+ � � Fi A � � o y o � �'i �° �, °' � o `� `� � v a� � W �' a o � o '� 4 3�. a A�°�.°� ���� ri �� a� w o� � a� N H W wM � � Q 6F1 d ��y � � � � � � �CJ � v�! V�1 M � w W y � � M �y di . W �� `� � �'i ^� �a y^y p N +�' ir � w DE ca DA z dl � oi� pG � q�� � c'� ��� .0 x N M � � �+ O� O ch � v� 3 v, � a� a� � v, d°� a� a� � v� v, � o� z M � x �, x x x v v s`°. s� � v � i'. � w v � � cbe ''W�. '�i"+ `" +' '^CO � ~p E" F� 5 � a aa, a��i � a g' °' .� � � � c�a � � w ~ � t7 O � � � ,� � a a a �� a� a c� 4�� w w �, �, " z z N � p� � �_. ,_ � 4 4 a 4 w a v � u� O � � 4 d. ?�C � � a � � � av N <t � � x c� o x. a w � > O I Y � � .�.. D�S6 z, ..l��s _ e _ ,,. HEAT LOSS C�ILCULATIONS DEPARTINENT OF BUILDINGS FRIDLEY, MINN. Weatherstrips A.S. .V. . Conatruction No. Insulation Guide � Windowa I Doors Reference Out. Wall Int. Wall CRil►n$ Roof Floor Kind How Applied Yes—No Yes—No 19.� Fl.� Room Length Width Height Fl.) Room Length Width Height Windows and Doors—Crackage and Area Windows and Doora—Crackage aud Area �Vfdth Helght No. ol Ltneal ft. Area Wldth Helgdt No. ol Ltneal ft. Area No. � ot pane of Dane lighte ot crack �q. It. No. o[ pane of pane llghts o[ crack sQ. [t. Coef. Btu Infiltration � � G{aas Exp. wall Net exp. wall d Int. wall Ceiling Floor L / Total Btu. Re ired sq. ft. E R. or aq. ina. W.A. Leader area F7. Room � l.ength Width f Height Windows and Doora—Crackage and Area ' Width Helght No. ot Llneal [t. Ares �� No. ot Dana ot pane li�hts ot ceack �q. ft. ,� d �/Z %(/1 Coef. Btu lnfiltration • Gla:a , Exp. wall , Net exp. wa!! Int. wal! Ceiling Ftoor � Total Btu. Required aq. ft. E.D.R. or aq. ina. W.A. Leader area ' FI. Room � Length Width Windows and Doors—Crackage and Area � Wldth Heleht No. o! Linaal tt. Area No. ot nan• oL usne Ilrht� oL crack w. tt. Coef.1 Btu Infiltration Giasa F�cp. wall Net exp. wall lnt. wall Ceiling Total Btu. Required sq. ft. E.D.R. or aq. ina. W.A. Leader area � In6ltration Glaaa Ezp. wall Net ezp. wall Inc. wall Ceiling Floor ITota1 6tu. _ _ Reyuired ay. ft. E.D.R. or aq. ina. W.A. Leader area F1.1 Room I Windows and Doors--C Wldth Ael`ht N No. of pans ot pans li Width and Area ieal ft. Area ' crack sa. [t. Btu In6ltration Glasa Exp. wali Net ezp. wall Int. wall I Ceiling I Floor I Total Btu. Required sq. ft. E.D.R. or aq. ina. W.A. Leader area � F1.� Room I Length Width Height I� Windowa aad Doors—�Cra�ckage and Area Width Hel�ht No. of Ltneal tt. Are� , No. of wna ot.uane ifrhU ot craek w. tt. Infiltration Glaas Esp. wall Nec exp. wall Int. wall Ceiling Floor 'Tota{ Btu. Required sq. h. E.D.R. or sq. ins. WA. Leader area Btu IYJ6 z,���'r�,�e �- . � .� HEAT LOSS C�►LCULATIONS DEPARTaV1ENT OF BUILDINGS Weatherstrips A.S.H.V.E. Conatruction No. Guide Windowa ` Doors Reference Out. Wall lnt. Wall Ceiling Roof Floor Kind Yea—No � Yes—No i9� FL� Room � Length 2 3 Width Height � F7.� ,�',¢ f�. Room � I Windows and Doors—Crackage and Area f Windows and Doora—Cr� - Width Helght No. ot Llneat tt. Area �� Wtdth Hetght No� No. . ot pane ot pane lighta of crack sq. ft. No. of Dane o[ Dane lig� 2" � l'� l � ` � _ _ � 2 o � �� Coef. Btu fRIDLEY, MINN. IASUlation How Q = Width and Area aeal ft, Area � crack sa. ft. Infiltration 27 2-� Infiltration C.E G1aas � �� �??' F�cp. wall Ezp. wall Net exp. wall z � Z� 7!� Net ezp wall / Int. wall Ceiling � Floor � �a Total Btu. j Required sq. ft. E.D.R. or aq. iaa. W.A. Leader area F7.� f%� ,�, Room L.ength Width t! Height � Windows and Doora—Crackage and Area �} Width Helsht No. o[ Lineal ft. Area %"�" ����'7 No. ot Dsne o[ ysne Ilsht� ot crack �q. ft. ��, l �� In�iltration ,,� Glaaa � �� Exp. wall Net exp. wall y Int. wall Ceiling Z Z Floor Cd Total Btu. i Required sq. ft. E.D.R. or aq. ins. W.A. L.eader area Fl. Room � Length Width Height � Windows and Doors—Crackage and Area (� a Wldth Helsdt No. ot Llnesl tt. Area No. ot D�ns ot 9ans 116ht� at crack sq. ti. � I� 2� � S / s � Coef. Btu Inhltration � Gla:a Exp. waU � Net exp. wall Int. wall Ceiling f � loor Ttta{ Btu. p Required sq. ft. E.D.R. or sq. ina. W.A. Leader area i s` . 'Btu Int. wall Ceiling Floor d Total Btu. Requited sq. ft. E.D.R. or aq. ina. W.A. Leader area F1.� Room ( Length �-6 Width j. Height Windows and Doors--Crackage and Area ,C�i j��t�,ft W1dtD Hel�ht No. ot Lineal [t. Area No. ot yans of pane lishts ot crsck ea. tt. `L �z l� �. �b 1 � - � a Infiltration Glasa Fap. wall Net ezp. wall ' Int. wall Ceiling Floor 7'otal Btu. �a I ���� ired aq. k. E.D.R. or sq. ina. W.A. I.eader area � F1.4 Room I Length Width Height IWindowa and Doors—Crackage and Area r Wldth HelsAt Np. oi L1nsa! tt. Area l�i �(J ��r No. o! yane oLp�ne 116ht� o[ cracic �a• fA �[ 2 Z ! Z ! � �� i � � z �� < Infiltration Glaaa Esp. wall Net exp. wall Int. wall Ceiling Fioor �y Total Btu. Btu � � �� .., � ,_ . . . _ �.� � � . ��� � . , . o�� : � ; . . . • i r, � � , � " � . y �5� � � o � ti ✓ H � �' � � � . . -. � � $ x. � � v Y 3v`� �q � � C� �cv� � c' w . 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"'i x � .� � � � �4 � t�. � , SY'� 1� Q . � � � �: w w p o > a LL :i � V � � Yi H � ' 0. � � ( � � �A � �t i z F .,. �„�-s,,�,{�,, . , u� � : _ . U . . . : : N . . . . . : . .� . : • . . . . . e � . . . + � '� . � • • • • w -•- • � • 'Q • • • • �M • • f � � . � . • • . Y�1 • • • • • N � • • '• • • • M • . � � R � . . . � � • J ' �. � , a • . • M • . . � � O � ' e0 •� � � . . (� a' • �., V7 . C a. . 'h � ' $ � . � F . � � . � 0 � . � �? � . � � � C '� . :a a � ; ? �' � . . C1- � ►. a O � pG x x ^ F+ . w ? .. .. .. N o � • c ic � �+ ' �,, �a . ai °: 'r" " a: ''7 �'. k M '� M =� ! W � w w W t�i � w Gi x " ,,, ° �' l-. x c� R a . � � . . � ..g �: !�' q •• V .{�, l� L" � � . � ►� . c� � ' ; = � d Y 7' � i � .Y �:ir . � :4 � '!. U r� '!. � t�',. .„.. t. C� � 4i PO � r• ' . � � � Y . L . �� � Q� II ' • . ��� � - , sue�ecr P MI c�ty of: F��aley � 15 6 4 9 AT THE TOP OF THE TWINS B U I L D�'� � P E R M� T r ; � RECEIPT NO. � ; L______ GOMMUNtTY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. �9� y3 � � � , � /"'1 � CITY HALL FRiOLEv � 55432 NUMBER REV.. �DATE PAGE OF APPROVED 9Y �..__1�.•' �•� 612-571-3450 910-Ft5 4/9j80 / / �oe a�oaess 1291 Gardena Avenue N.E. 1 LEGAI ��T NO. BLOCK TRACT OR ADDITION SEE ATTAGHEO DESCR. 1,]. �. G3Y'CI@rid MEZOZdI1G� G8Y'CIeriS SHEET 2 PROPERTYOWNER MAILADDAESS ZIP PHQNE Spencer E. Minear 1291 Gardena Avenue N.E. 571-5962 3 CONTRACTOR MAII AODRESS Z�p PHONE LICENSE NO. Sdill@ 4 AHCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAiL ApDRESS ZIP PHONE UCENSE NO. � 6 USE OF'BUIIDING R�sidential 7 CLASS OF WORK O NEW C� ADDITION ❑ ALTERATION ❑ REPAIR � MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 36' x 5' Addi.ti.on to Front o� Dw�lling - Glass �tB� Pane1s-Solarium 9 CHANGE QP USE FROM TO STIPULATIONS ��er to contact Inspe.ction Department after soffit is open to dete�in.e attacYunent conne�tion at the raf ter point. �� � �� � `�� SEPERATE i'ERMITS RE(�1;1ii�£D FpR 1�If�t�, HEATiNG, Pl.l1M8�NG ANti SIG�fS. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIREO FOR ELECTR{CAL, PLtlMBING, HEA7ING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOIp 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 PERfOD OF 120 DAYS AT ANY TiME AFTER WORK IS COMMENCER NO. DWIG. UNITS OFFSTREET PARKING 1 NEREBY CERTIfV THAT I HAVE READ AND EXAMINEO THIS APPLICATION i STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND OflDINANCES GOVERNING TH1S TYPE OF WORK WILL BE COMPUED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANT�NG OF A PERMIT $2 � QOO $�.. QO DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE p�RMIT FEE SAC CHARGE PROVISIONS OF ANY 07HER STATE OR LOCAL LAW REGUTATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $�.Z. QO NONE PLAN CHECK FEE TOTAL FEE 3.aa $i6.00 S NATUREOFCONTRACTORORAUTHORIZEDAGENT iDATEI EN�P P L ID THIS 1S YOUR PERM17 � �- V S1GNA: REOFO ERNFOWNERBU�IDERi IDATEI f- � �+ BI.DG iNSP ' DPTE 41 J � �f� �RALLE,1� • 1�t?i'1.1C11TI0'� l�OfZ ftE�SI()CP�'1'I11L f3UILl)I1dG PCRI�1ITS • . (f�ew, /�lteratians, Addii;ions, �r~ R�pairs) 01�Jt1FR: ��P2, �_ /�%i�✓ P� r' �UILDLR: - ��e ADORESS: �02 i� �a rc��ev�cc AqDRFSS: � -- --- - T'E(� t�0: .'� �- j�'G' � To���-�l /�o�J TEL i�0: (o�rcc 37�— ys 32� . Construction Lacation s�r��c� tso : 9 s�r1��T: ('ro� r�� r► oL x,o7�: / j BLOC�c : I AllDITION : Ga�� e v� a�e l o/a h� G-� ��e K s- C�: ner Laf:: xnsicte I,at: Setbac}�: Sid�yards : Applic�It attach to tliis ioxm t�10 Certificates of Survc.y of lot and p:;.oposed bu3_ldinc� �.ocati.on dra,•:n on certif_icates to scale. RES�RIPTIQt� OF CO�dSTRU�TION � �Gt"r"1�� av�, r•ront: ��r I�pth: +r� / Height: � 1 Sqtaa�e Fec�t: Frant: Ci1J1C �LE3�: Depth : Squarc�� I'eets C1�ir i'eet: Height: Type of Construr.tion: �p�ari'Urr� Estimated Cost: $ ���� 'ib Be Cb�npleted: ,Se�pt �q�% ----�-�---- � Alt. A Ali:. II Prop�sed Driveway I4idth If New Opening Is Desired: $� $ SEL REVE:I2SE STllE OF SH£ET �i�e. un�c�xsigned }iere3-�y makc�a application for a permzt �'or the �,�r}; herein sl�eci�ied, agreex_n<� to do al.l work in strir,t. acc�rd`uice with tl:e City of Friciley Ordinances and xuli.ngs of tlie i��pa.ri�ueni: �f F3uil.dings, aa�d lzereby dcclares i:}iat al�. tlie 1`acts and zepresentations st:ated in i:h9.s apPlication aze true ��d correct. p117.'E: ��� J ts �% STGN71`iJI2i�: ���_. �r ._ 5�:ipu1<�tioiis : p�� P��. �� 0 r/ v- V /��{{f��(�\ � �� �. 1C[YVV � .. � , 3, ov ,�� °�c`"` � {.vo �. � I � .o� . �,� �.d-�.`�.�- , , HARVEY A. CARTWRIGNT ������� �/ �j ���� COMg�NIM1G rME rtECOROS oF ANOKA GOUNTY SURVEYS . �� �� .1. E. HlLL, G[v�� ENG�rv¢ER _ �c � E9TABLISH[O '199� NENNEPtN COUN?Y SURVEYS L A;vn � S UR F� E YO ll S . MINNEAPOCtS SURVEYS . � � G F. SANDHOFF 8410 PALM S7REET N. 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' . . , '. .�:- '�. }� •` � ' , , , �� ' . - ' .i : ' � ,',a.,t � ` ' " } ,r i `. � i' • , • � . i � � ;i 'r . .. r . ' 4. � ;!� ; .�• +1} —� ,� �� , . - : , , � �, ' �'.° { � . �� : t • I �_ t_ �,, �.. , e'� . -- i , • _: • � - ` � � . I .';- � ; l�`'.=— —_- � � ,i , . , << , ; , . s . . • • i , '' �'` . ;� ' �� .' ' • , � ,} �: x T` c: ' _ _- i f . , • �� �� . � : ` : �. ♦♦` � ; .� � .. `, i.. � �' , � ` � , , --_ __ . . . +�' . r'' f r r r' �' �- � • � � . ' n� �- �---�� � =--- '`----, � _ � , �:j f _ , - ; _ __– ------ - —___ . ._ __._ _- ' ' __ � y �.; .� SuB�EtT City of Fridley 3 0135 AT THE TOP OF THE TWINS B u I� D 1 N� P E R M I T r � . . � � � `y ������ COMMUNITY OEVEIOPMENT DIV. ,�..�r� ///� r � � PFOTECTIVE INSPECTIpN SEC. ` j T U � � /"'1 � CITY MAL� f RIDLEv SS�3Z NUMBEN REV DATE PAGE Of AVPROVED B� �'"""�'� ,'' 612-571-3450 9t0-Ft5 8/30/99 � � 108 ADpRESS 1291 Gardena Avenue NE 1 LEGA� �OT NO. BIOCK TRACT Ofi ADDITION SEE ATTACHED oesca. 11 1 Gardena Meloland Gar ens s►+eer 2 PROPERTY OWNER MAIL AqOFES$ 2iP PHONE S encer Minear 2 3 CONTRACTOR MAIL ADDRQSS Z�P pHONE UCENSE NO Owner � AFCHITECT OR OESIGNER MAII AOOfiESS Zip PHONE UCENSE NO. 5 ENGINEER MAIL ADORESS ZIP pHONE LICENSE NO 6 USE OF BUILOING Residential 7 CLASS OF WOFiK O NEW O ADDITION � ALTERATION �C REPAIR O MOVE O REMOVE B DESCRIBE WORK Reroof house and ara e 22 S Tear-off 9 CHANGE OF USE fROM TO STIPULATIONS Underlayment must comply with the State Building Code. SEPARATE PERMITS AFE REOUIRED FOR ELECTRICAI. PLUMBING, HEATING, TYPE OF CONST. OCCUPANCV GROUP OCCUPANCY LOAD VENTILATING OR AIR CONOITIONING THIS PERMIT BECOMES NUIL AND VOIO If WOfiK Oq CONSTRUCTION ZpNING SO. FT CU FT. AUTHOR12E0 IS NOT COMMENCEO V'IITMIN 60 DAVS, OR IF CONSTiiUCTION OR WORK IS SUSP�NOED Oii ABANDONED FOR A PER100 OF 120 DAYS AT ANV TIME AFTER WOfiK IS COMMENCED. NO DW4G. UNITS OfFSTREET PARKING I HEREBY CERTIfV TMAT I HAVE READ AND ExAMINEO THIS APP�ICATION STALI$ GAfiAGES AND KNOW THE SAME TO BE TRUE ANO CORRECT. ALl PROVISIONS OF LAWS VALWTION SURTAX ANO ORDINANCES GOVERNING 7MIS TVPE OP WOFK WIL4 BE COMP�IED WITM WMETMER SPECIFIEO MEpE1N OR NOT. TME GRANTING OF A DERMIT $1923 $.9O OOES N07 PRE$UME TO GIVE AUTHORITY TO VtOIATE OR CANCEL THE pEqMIT FEE SAC CHARGE PROVISIONS Of ANY OTHER STATE OR LOCAL lAW REGUTATING CON- STRUCTION OR TME PERfORMANCE OF CONSTqUCT10N ,�69.25 Fire C 1.92 PLAN CNECKFEE TOTA� E S�G�s.c�,� � ��..�,.�-u�-- ..— � 7 .13 $�GN4TUAE 0� CON'NPCiOp Op �UTNOA�2ED �GEN1 •iE� . MEN P A IpATE • MIS I$ R�MIT �� � $�GN4TUAEO�OWNEA���OwNEpBw�DEA� �D�iE� � B� �NS�' ���tF 1vEV0' � I ` ADDN ALTER Effective 5/10/99 [ ] CITY OF FRIDLEY [ J SINGLE FAMII�Y AND DUPLEXES R-1 AND R-2 BUII.,DING PERMIT APPLICATION Construction Address: ���1 Lega1 Description: Owner Name & Address: �%��--���� i�� ��i� 'Z-- Tel. #-57�- S 1c( � Contractor: �,%/n � MN LICENSE # Address: LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this appl'rcation, " a Certificate of Survey of the lot, with the.propased eonstruction drawn on it to scale. Length Length Length DESCRIPTION OF Il�IPROVEME1�iT Width Width Width Height Height Hgt/Ground Tel. # Sq. Ft. Sq. Ft. Sq. Ft. / a��� � � Construction Type� /� Fstimated Cost: $ �9� 3. � Driveway C�rb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: ' � APPLICANT: /(�� /'`�`/-,l t�s � , Tel. # Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: CITY USE ONLY $ ,a� Fee Schedule on Reverse Side $ , a' .001 of Permit Valuation (1/lOth%) $ , � $.50/$1,000 Valuation $ $1050 per SAC Unit $._ , . _„$5.00 (S:ate Licensed Residential �ontractors) $ Alt. "A" or Alt. "B" Above $ $450.00 Conservation Plan Review $ Fee Determined by Engineering $ Agreement Necessary [ ] Not Necessary [ ] $ �.� d'1 � O'1 r, 0 .1 �, co � G 0 � > v a� � w O H F- �? Z� W � � � Z Za ..I N � � W C� N ZN � = O G f" 2 p 'z 2 Z� C.' a 'a 0 wQ oz a� rz Q �a t+. 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V � V„ � i O 0 0 •� U - � a � a � U � Z �� a Q 3 2 t�S ss ��� � t� S --s.0-- �-t, ' �` :a�EQ :�fg pau�is � O� Jt�II.Ld3H :a Q u.ag I�I I.L 3.L'Id �si7 : sX.��tuag () oH () sa�, ial�aq �a��n� �o� paptnoid uaaq it� uotisnquio� s�H • g () ox () sa� aaa�aq �a��n� io� paptnoid uaaq �auti E sEH 'L S�f1,LS 'Id.LO.L S�t1.L8 �atilo Ii`d ' 3o S.f1ZS Bm�Eau t�ol s�H 9 () ox () sa� pa��auuo� s,nZg izao� puz azts io� sluauiannba� apo� �ua.un� Ij� s�aay� • S ( ) oH ( ) sa� •. pauoddns �Cja.�naas sI •� () o� () sa� utult�r► paSpo� s��afqo u8iaio� ou s�H '£ () o!� () sa� -.. . uot��ioua�ap io �sni uioi3 aai3 sI •Z � () oH () sa�, pauttz�xa �ittn�ai�� uaaq s�H • j :x�t�s io �a�� 8uilstxa atp �� sat�uan �fqaia� pau�tszapun at�, � 3uilding nspections �63-572-3604 �A7'E�j� ITE ADDRESS r, NIS APPLiCA]3T IS: PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATTON PROPERTY TYPE PERNiTT TYPE TYPE OF WORK: - BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY YOUR E-MAIL ADDRESS �n i I)�5 ��' SSm c"� A-�z d�i i�F6�- � i 13�u -� I 2- O OWNER �1CONTRACTOR G n,��� -- �pr"-J' r` � PHONE: NrIME• -�L .4�- rL z-v 7� 5 G.T .�-P ; STATE LICENSE # O� o b%� EXP DATE XP a,DDxESS: �_x�'s �_� z�� � � P ONE FAX SZ INGLE FAMILY/NEW CONS UCTION SIt" TWO FAMILY/NEW CONSTRUCfION ST� C] ADDITiON O GARAGE/SHED ❑ BASEMENT FINISH ❑ ROOF ❑ DECK � SIDING ❑ SWDviMING POOL I' DESCRIBE WORK BEING I, SIZE OF IMPROVEMENT_ • � HOUSE ONLY SQUARES ❑ HOUSE & GARAGE Permit No. • Received By:., Date Rec'd: lZl � �,r-�c � Lt-� � • C �+V'� �.�i _a��� :� 1� �= 22/� L� 7` STATE�� s�4 3 z crrvixfo2� c�rA�r�?�� s� 3 � O � � r7 G ❑ DRAIN TILE �°�R 62 S U.S� �- �G.l� �f��J �� �xzsl � ' �cTr ii� r y � HEIGHT ,� _ Sq. Ft. BASEMENT REMODELING SUB2vIIT• Agp� I] ATTACIiEI3 GARAGE 1. Existing Floor Plan PRG O�POGSE.D SIZE: ❑ DETACI-IED GARAGE 2. Proposed floor pian 3. List of structural members to be used PROPOSED HEIGHT: SIDING FORNEW CA23ST4tUCT70N MCLUDING DECKS, ❑ V�y� �Soffit A�DITIONS & PORCHES SUBMIT ❑,v�,�� � Trim 1. Sitc Plan/Survry showing the existing structures and ro ed ro'ect ❑ Other O Fascia P P� P J I�WS 2. Two sets of construaion plans IN EXISTING OPENINGS OYes ❑No IACATION OF WINDOWS 3. Energy Calculartions OR FOR NEW OPENINGS-DESCRIBE SIZE OF OPEtJAiG CHANGES 8c TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS II ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: � (USING E 199 �U$ C FEE SCHEDULE) i TOTAL JOB VALUATION S GZ�i OCCUPANCY TYPE permit gee S ���'j , a'�' See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ 9, D(� .001 times the total job vaivarion i Surcharge $ ; .0005 x Pernvt Valuation Minimum $.50 License Surchar e $ i $5.00 (State Licensed Residential Contractors) g SAC Charge $ 51550 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft+ 6 ft= ft x$21 =$ Erosion Control $ 5450 Conservation Plan Review p� p� $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary O Non Necessary O Total Due $ 5' .-7 Make checks paya�le t�: City �f Friiley Attach StiMulations _ THIS IS AN APPLICATION FOR A PERM]T-NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I aclrnowledge that the informarion above is complete and accurate; that the work will be in conformance with the ordinances and codes of the Ci of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a ermit an is ot to start without a permit; that the work will be in accordance with the approved plan in the case of all work hich quires re val of plans. SIGNATURE OF APPLICANT RIN'f NAME= w i1 V���Z�/�DATE � Z�� 6 -*` HARYEY A. CAF2TWi21GHT ������ � ����� ANOKA COUNTY SURVEYS liENNEPIN COUNTY SURVEYS L t� i�!/ S fJ R�� E I V Li S MlNN£APOLiS SURVEYS 8410 PALM STqEET N W. REGl9T6RG0 UNDER LAW9 OF 9TAtE OF MiNNESOTA 'SUhse* b•>655 LICENSEO 9Y OROINANCi OF CITY OF MINNEApOl.15 OWNfR 326 PLYMOUTH BUILDING FEoetta� 8-8721 �NOUSrR��� - �uDiC�q� HENNEPIN AT SIXTH • MINNEAPOLIS 3. MINNESOTA 9U5lfJE55 �- TOPOGRAPMICAL ciTr t07S - P:.ATTING �E►rhepor�fi t�ertiftcaie 0.,, n .���r. 1 e: :? tlri 7> � `��. �:� .. .. _ _ _ _ _ ._ . _._._ L� .'� G`• `'. . . /-.� _- . _ �S .. , �.. .;� i� " - J •' � � i- �- : ' . 1 .. r '� / . • r. :� / :? l�i '--------------��--- �� � �' � R�i 1� � _�___ M 5��" . � � �/f ,% ` :-�,;: � ,.fi . `'' it�:.."iC�`/`.!"�:' c� ' 3� � �n �s. � S' R�P���.; ��tu�Po� ��,��-��`'S �►; /� " I G � �: t� ; � � 3 �;�,..,.._ �- ___..�___.��� _____�..._.__._..�_.....�j __. _� � r �r � '��',� .�� � �/ `,% � �'�•%'`r.� � �� f .. ;' � 1 P�'_"�.7`T i.:T"�:i� �iil-_^.ti v!_1S � '� ' ' . l� .. LL .=;1:: COL'r'_'CL 1^v';)?"� ;_,., J. J.'' : • _ ' :.0.1, :�.� ''�.00:. _� �i` _ 3nr .nl p7�ti, t`. .:,-;� ( ,a. _. ,. _ . ,_. � 7'_'.. .�:J � •r.i.: J e-rl. 7 _ .:�r�/' _ . � r��_ .. r..lJ .�J:I: ;:_;r Ei�. Ua�'�J' _.�,-�-• f'i � • r� � , l f SiGNED _��� � / __. _ _" ,_,_.. . ��WRIG� CO�^g�Nt�G THE RECORDS OF � J. E. HILL, CIVIL ENGIt�EER cnrwetisHCO �teve � . , . C. F. SANDHpFF CIV{L ENG1fv£ER EST.�BL�SMEG I�90e JAMES NEI,.SQN S�l1RVEYpR ESi4BL15NED IDZ2 METROPOLITAN LAND SURVEYORS, cst�a��sMCO tA�l .