AF - 45412� � � "..` � �
���.�� o� ����.�y, �.
�u��� ����
�T° 50'7 ,
o��� o� �T����oa� �� �����r�s
Owner��f�.'i�+P`,e'fC.-� ��"d��
Architect �'ri�'.ey, Minn., fF � ' , 19�
Builder , : � . . ;
Loc��a��r �� s�DaaG
No. � ` � Street "' ��'-�f.E.,�,�1'X � �, � Part af I�ot
Lot �2ock Addition or 5ub-T�i ✓ision �
;�;--r,,✓Vr,-r;;�4�4y.'i �?�E;- T'�T�T.'n'�,rE�!`T.r.x
Front� L*e�th�_ ITei��� '"� a Stn:ie::_ � 'danner cf Censtruction ��=�'�"�� e
��:�
To Y�e used as '�*��'�' �p:� . To �.e co_i �I�te3 ��"'� �"' '� t� Estim�.ted Cost ��'`-�' "�
�� �
�
y..,+,�. _ _
Permit is hereby granted to ,._
� to L����w�
the building �Gt . descriUed in the above statement. Tliis permit is granted
upon the express condition that the person to whom it is granted, and his a�genta, emplayees and workmen, in ail
the work aone in, around and upon s�id buil.ding, or any part thea-eoE, shEa11 conform in all respects to the ordi-
nances , of Fridley, Minn., regarding the construction, alteration, maintenance, repair and moving of bu±ldings `
within the city limits, aud this permit may be revoked. at an�� time upon violaiion of any of�ti�e pro� ia� of said
ordino,nces. �
(� t�� � • � � «
,
�/4� . srector of Buildin�s.
AGP��Vi�'��7T A_I'�33 S��VQF�,1�I S�A TERZE1oT�
Ln con.sideratior� of the issue and delivery to r_�e b� t�aa 7n.^;��ctc�r� of ��iz3.�lin. ;a a� I? �idPev of
the above germat, I hereby agree to do the pro�osPCl uro. k in � ccax�c?a.nee ��it� �I�e clescription "
above set for"ch and aeeording ta the provasions o:f the o�cl�na.nc�:::� of �'rzc�ley, a.�d, �P.lii�' fiY'Nt dul�
sworn, i hereby state and say that the facts stated �U r�2e �.ncl contained ?z� th.e a.Uove perr_ait �.re
true as t�ierein stated. �
�.
. -- ��� -
Subscribed and sworn to before me at �'ridley, Ivlinne�otw, th?s
day of .D. 19� — � ���
.
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�` - Village of Fridley, Minn. l
�
�T° 1588 ,;;�
" BUILDING PEl�.MIT
� ,:
� , , , „�
� � t Date: ' "�. �'�'-_-� "t �� q
� � � y;.. . . . . . _ . . �. . . . . . . . . '
� Owner ��"�..'u'�. �.e^"'L�.�:a..�......: Builder .:':i�..�:°�-:.:... ...... .........'......... -
� _ Address .dl��t�.�.. �3'79�s��""„"a......... .. Address j
� ..... ..... . • .. . ........ ...
� ,
� LO �4T[ON OF BU[LDING
' { No. �'",i�C� .+�.. . . Street . .�.�r.c.�:�-'.�.�/ .... ............ ..:............. ....
� �. Part of Lot
�•: � .
� "� Lot . . . . Block . . . . . . . . . . . . . Addition or Sub-Division
�" . . . . � � � � �,,,,:- . . . . : . . . . . . . . . . . . . . . .
Corner Lot ... ', ..4:. Inside Lot ........... Setback ........... Sideyard ............................ fi,
I�ESCRIPTION OF BUILDING
To be lised as:
..................... Front .......'. Depth ........ Height ........ Sq. Ft. ........ Cu. Ft. ........
. ................. Front ........ Depth ........ Height ........ Sq. Ft. ........ Cu. Ft. ........
Type of Construction .........:........ Est. Cost ... ................ To be Completed ........ ........
����i� � �� � ���
E �d ,',� ��'� �'� � � .."t�' � � � � �
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�i ;: � �� � � � � �
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In consideration of the issuance to me of a permit to construct the building described above; I agree to do -
F the proposed work in accordance with the descriptiori above set forth. and in compliance with all provisions I of
ordinances of the village of Fridley.
<'
� ,.
��: � ......... .... ..... ... ...
�'
� rv , � �, .. ..,,•' ��„
:� �, ,- a ��p� �.
�. , ' Tn consideration of �the payment of a fee of $, ,`; ; . , . . . . ., pennit is hereby granted to . . . . . .:`" ` �. . .`"'�y `'
r - .... .. ...
.. ,
. �. . , : :: .
��� . ..... to � con&truct the building or addition as described above. This permit is granted upon
��,' the e�cpxess condition that the person to whom it is granted and. his, agents, empioy�es and worl�nen, in all �work
��'. ' done m� ardund and u on said liuildin or an �
� A g, y part thereof, shall conforxri in all reSpects to the ordinances :of
��;','; ., F'ridley,,;.1Vlinne$ota regarding location, construction, alteration, maintenance, repair and` moving of buildings with-
a:;.,
� ,,. � ,
�.. - ih the.vi��.ge limits and this pernut may be revoked at any time upon violation of any of the provisions of ,said
ordinance�r: ' �
a I , �;���,,,� �
- - . . _ �-
, . � ' . /. f �" . Building Inspector
F
��� - ,
,� �� NOTICE:
'"` " 7his'permit does not cover the construction installation or alteration for wirin lumbin
M ;" ; , 9, p 9, 9as heatin9,
r
•'sewer or water.' Be sure fo see th lilding Inspector for separate permits for t ; items.
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sue�ecT PERM
City of Fridley ° 13095
AT THE TOP OF THE TWINS B U I L D� N� P E R M I T
r
S � RECEIPT NO.
COMMUNtiTY DEVELOPMENT DiV.
' jL ►�"' , � .
r � � PROTECTIVE INSPECTION SEC. ��/
1. r. , � - ` . � .
1 �� ��� r�'�� � CITY HALL FRIDL�V rj$43Z NUMBEfi REV. �-DATE . . . PAGE OF APPROVED BY
�""'�'� ,•� 612-560-3450
910-F15 ?-17-75 � �
JOB AODfiES3
1508 ENA AVENUE N.E. FRIDLEY MINNESOTA
1 LE�AL COT NO. BIOCK TRACT OR ADDITION SEE ATTACHED
oESCR.' Z9 Parcel 1430, Al1G�{. $71}?. #92 SHEET
2 FRQPERTY OWNER MAIL ADDRESS ZIP PHONE
CHARI�E5 H. ERICKSON, 105 SI�YLINE DRIVE, ST. PAUL, MINNESOTA 55110
3 CONTRACTOR MAfL ADDRESS Z�P PNONE IICENSE NO.
S�.
A AACHITECT OR DESIGNER MAC1L ADDRESS ZIP PHONE LICENSE NO.
5 ENGTNEER MAIL ADDRESS 21P PHONE LICENSE MO.
6 `LSEOF BU�LDWG
ADDITION 14 x 24 x 18
� e�nss oF woflK
❑ NEW �] ADDITION ❑ ALTE.RA7IQN ❑ REPAIA ❑ MOVE ❑ REMOVE
8 DESCRI6E WOAK
9 CHANCaE QF USE fROM TO
SIIPUTATlONS
SEP�RATE f'EF�M►T5 REt�U1RED =FOR i�l�ll�tNG,
�ARNIHC7 H�ATIN('a, P�:E1�BiNG AND S`r1�N�.
B�fo� digging cati �OCaI utiiities
TEtEPHQNE • ELECTRfC - GAS Etc�
R�����t� �Y E-,��:����
3EPARATE PEftMtTS ARE REaU1RED FOR ELECTPICAL, PLUM6ING, HEATING, tYPE OF CQNST. OCCUPANCY GROUP OCCUPANCY LOAD
VET1FIk:ATtNG OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID If WORK OR CONSTRUCTION ZpM�NG SQ. fT. CU. FT.
AUTHORI2ED IS NOT COMMENCED W17NIN 80 QAYS, ORIF COMSTAUCTION
OR WORK 1S SUSFENDED OR ABANDONE.U. FOFi A PERIOD OF 120 DAYS AT
ANY TIME AFT�R WORK IS COAAAAEN6E0. NO. DWLG. UNITS OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPUCATION STALLS GARAGES
AND KNOW THE SAW1E TO BE 7RUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATtON ' SUATAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTtNG OF A PERMIT '] (O 3.,$O
DOES NOT PRESUME 70 Ca1VE AUtHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE
PRpVIS10NS AP ANY OTHEP STATE OR LOCAI LAW REC,UTATING CON-
STRUCTIpN OH THE PERFORMANCE OF CONSTRUCTION. � 2
. PIAN CHECK FEE TOTA� FEE
S1GNA7UpBOFCONTRACTOAQRAUTliORIZEDAGENT �-. � � IDATEI. � HEN�PRQP,ER�:YY � ��QATEO.THIS�IS YOUR�PERMIT �.� �
r � _ — � Ju�.Y.17. 19�5
SIGNATUf,iE�OF OWNE.. {}F�(WifA1�A BUI6pERi ' � f0ATE1 . BL G:,Ify P -� �- , '... ��� ;:� DRTE::
. . ..... _. .; , ,._ _ . . �� , . � _ . : .. _ . . _ .
. .! K�:�. . .: � . _. - --, .,: :
,
...
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a.�_ . ._ _ �� . _ .
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,
� �, .
•AP�'LICATION FOR R�:SI'DENTIAL., ALTi:I2�1TI0IV,
• OR AllllITION. BUILDING PLRI�7IT
CITY OF FRIDLEY, I�tINNESOTA
owrT� � s rr�r� :�� a r lP s l� � r� c�is d�uziv�� : s a� P
lo S � l�N �_ Ort _-
AD�P,ESS : �" ' �i-S // O ADDRESS : , S g �v►� �
,_,_._ ..�.�.._ �---
N4: . STREET :�.SQ �1' C 9` GE h�� /V Ct ��/ r .
. � �
I.4T• � BLOCK: ADDITION:_ ac � � �� ..,
�;fyRZ+ER T�OT: INSIDE LOT: SE'iBQ,CK: S/ SIDEYElI'.D:
�
. - -. .
__ .
- - -- _ 4�._
� Appiican� artacY: to this for:r �'Itao Certificat�s �f Survey .ot Lo� urE� :p:.otosed .�
' buildino location dracan on these Certificates. :
�
e
HESCRIPTION OF BUILDING
:� Be Used As : , .
� � • / �
��� •� � � y
�" I /� D ti Front : / Deptn : Heigh� : 1��
• . • . � Square Feet :� ��Cubic . Feet : ���_Z �
� Fxont: Depth: Height:
. ,�
, . � Square Feet; Cubic Feett ''
�,jrpe of �Construction: �Y'Q � �P � Estima,ted Cost: $ ___ _ _ _
To Be Completed: �. � i6a� � U� '
.
. . . . .._.__.,,r_
The undersigned hereby makes applicatian for a pennit for the work herein
speciiied, agreeing to do all worlc in stsiet accordance with the City of
Fxidley Ordinances and rulings of the Department of Buildings, and her�by
declares that all the facts and representations stated in this application
are true and eorrect.
. n
DATE: SIGNATtJRE: �,A�tX:(_ � c��,r-��?� . ��
!Se�e F�everse Sic�e For Addi.tional Information.)�
, t ' � �i U� �
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. . 2 �� �� ' ��s� -
.. ���3 , . ., • _
:�
AGFEEMENT
a
Z�� , owner of the property located
8 � � �,�
at have no objection to the City allowing
-
. _ --- _
-- _ . — _ _
the construction of a,� �7 ��� �o be located at J�� �
'��� f"JV� without the required certificate of survey that the
C;.ty ordinarily requires for all new construction.
Witness
,
�
�i_�...� - • I�l,�.`t, -�r/iJU I
• ' ,
� �
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i
. . � � � SUBJECT � .. � � � �
Cit of Fridle
AT THE FQP OF TME TWINS� B U I L Q I� G P E R M I T O 13'719
;t .
REC
� ` __����_ COMMUNITY DEVELOPMENT DIV.
1 �'L i PROTECTIVE INSRECTION SEC. � 3 6� �
� � ;
� � /'��i�� � C1TY HALL . FRIDLEY ��. �55432 � NuMeea REV . TE -� PAGE OF APPFOVED BY
�----� • •�� s�z-sso-3aso `�-25-75
910-F15 � /
�4a a�oaESS 1508 GARDENA AVENtJE N.E. , FRIDLEY; A�NNE�O'�A
1 LEGAL LOT N�9 BLOCK TRACT c�ga'iQ�e`.L'"1430 ♦ AUCl. SL1b. ��2 SEE ATTA'CHED
DESCR.. SHEET
2 PROPE�iTY OWNER MAIL ADDRESS ZIP PHON
Charles H. Erickson, 105 Skyiine �. (Or Same as a�ove)
3 CONTRACTOR MAIC ADDRESS Z�P PHONE LICENSE NO.
$a�N1E.
4 ARCHITECT OR DEStGNER MAILrADDRESS ZIP PHONE UCENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE UCENSE NO:
6 USE OF BUtLDING
ADDITION B� X B� 12 x 12
7 GLASS OF WORK
� NEW C�; ADDITION ❑ ALTERATION 0 REPAIR ❑ MOVE ❑ REMOVE'
8 _OESCRI$E WORK
9 CMANGE OP USE FROM TO
STlPULATIONS
P�v��e virnniclite fill �or b].ock wa�� or insulate inside ����y
� � ' ��� local ut�C�ties
�l��8��g GAS Et
ge�ac� �.ELE��R�� � `A
�F�NQ�
�� �ur�in�� �- :- �iR�� ��l
s���� ��TS REQviR�o R��►
��a�r+�,
PlUMBtNG AND StGNS: �
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE Of CONST. OCCUPANCY GROUP OCCUPANCViOAD
VENTIIATING OR AIR CONDITIONING: �'i3It1@
THIS PERMIT BECOMES NUIL AND VOID If WORK OR CONSTRUCTION ZONING SQ. PT. GU. FT.
AUTHORI2ED IS NOT COMMENCED WITHIN BO t)AYS, OR IP CONSTRUCTION
OR WORK IS SUSPENDED OR ABANQONfL? FOR A PER100 OF 120 DAYS AT �"Z 144 �-440
ANY TIME AFTER WORK IS COMMENCED. :, RQ.' DWLG. UNFTS OFfSTREET PARKING
1 HEHEBY CERTIFY THAT I HAVE READ ANO EXAMFN$D THIS APPUCATIOT�S STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PRDVISIONS OF LAWS VALUATION' SURTAX
AND ORDINANCES GOVERNING THIS TYPE'OF WpRK WILI BE COMPLIED $��Q��OO yS0•�JO
WITH WHETHEfl SPECiFIEO HEREIN OR NOT. 7HE GRANTING OF A PERMIT
DpES fdOT PRESUME.TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM�TFEE SACCHARGE
PfiOVI$fONS OP ANY OTHER STATE OR LOCAL lAW REGULATING CON-
STRUCTION'OR THE PERFQRMANCE OF CONSTRUCTION. $7`��
PLAN CHECK FEE TOTAL F£E
$�. �0 , 1,�
SiGNAtUREOFCONTaACTOR4RauTHOa¢EOA6Er�T 1DATEti H P PE LY VAUDATED THJS IS YOUR PER �IT
(� oo�.e,- ��. �.r 1-� o.,.,,.. 8- a 5-'t lv t 8 L,:�^ �
` SiGNATURE OF 0 ER UF OWNER BUILDERI IDATEI . BiOG.� INSP ATE
Af ��
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CITY OF FRIDLEY
aPPLICATION FOR RESIDENTIAL ALTERATION,
ADDITION, OR REPAIR Bt7ILDING PERMIT
OWNL�R' S NAME : C R 0.!�'�� S�t ` � h�<C �6 � UB ILDER :
ADDRESS : �S� � 8 G� r�� -� 4 I� (/� , ADDRESS :
NO:. ��6 g STREET: GA1���/t%'9- �(%,�, �
G ,�G�cr /�3d A-r,� � • �/9L
LOT : 1/ BLOCK; ADDITION : � r` ' '"''
CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD:
__ :_ _ __ _ .
Applicant attach to this form �tao Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
DESCRIPTION OF BUILDING
To Be Used As:
�
��v � �^ \/ Front : � �. � Depth : J �! Height : � �
Square Feet :��Cubic Feet : �.%� 02 O
Front: Depth: Height:
Square Feet; Cubic Feet:
Type of Construction: � W e-��� �. � Estimated Cost: 0 C� �
To Be Completed: ��7
The undersigned hereby makes applicativn for a permit for the work herein
specified, agreeing to do all work in str.ict accordance with the City of
Fridley Ordinances and rulings of the Department of Buildings, and hereby
declares that all the facts and representations stated in this application
are true and correct.
DATE : � ' i� Z� - %' (� SIGNATIJRE :� ,^I4C _ �iC�°��1'�e'--�?/%
(See Reverse Side For Additional Information.)
;,Sr� P u c. �Ti o� s
�v4�" � /� � � �,, ,
�u.�� . .� o /, e6�t `f�c.c. $4o c.0 3 c� � �
�� ` � .� Q d tJ� �+ �G K t. / �J 0 �C. /it! 5 u ` 7`i�
� /ti'6 I O� ��' Go c. �C Gw i4�-G. ,
EXTERIOR ENV�LOPE AVFf2AGE "U" COMPUTIITION
Page 1 of 4
� /� ' [�
OWNER: �� a r �Ps _ /y, G i / �' !1 S ('�/�%
SITE ADDRESS: �� v O � a�q f' 'v Q
CONTRACTOR: �(� ilJ C' G1
DATE � ^' ,2 � ' � `
PHONE : � � [ " � L� 8 O
. Determine working square footage of each
1. Tota1 exposed wall area...... '� Y� sq. ft. x .17 =
2. Toal roof/ceiling area ...... /� � sq. ft. x .OS =
Total exposed wall area above floor =
a.�Total wall window area ................................. �
b. To�al cioor area ....................................... 020
c. Total sliding glass door area ......................... �
__ _ __ _ __
d. To;:al fireplace wall area ............................:
e. TotaJ. wall framing area (average l0a) ..................
f. Total rim joist area ........ ........................ � 2�—
g. wall area above floor............ ............ 4 G
h. wall area above floor .......................... ,i Z_
i. wall area above floor .......................... � d
j. wall area above floor .......................... '
Total exposed foundation area =
k. Total foundation window area ...........................
1. Total net foundation area above grade ................. ,3�'0
5y. � G
�, L
( G . � �.
t
9�
�
r.�--
1 � °u
Determine °U" value of each wall segment `3�� � '
�(e,.g. window, door, each separate wall section) �
� �� �
a. y X��U�� . SS = 2, Z- �G �,, v � Q
� n
b. o�v, X „U�� , 5 �" _ ��, (p np, �`��t ��
F
� ,
c. �' G X ��U�� , „S,� _ � , c� � I � ✓ , � ,,,vV
,-,
�
e.
X "U"
X
f. 2 �� x
� g. 9� X
h . 7 L- X
i. �� x
e
,.U„ _
��U,� , a � _
„U„ . � � � _
��U�� , d � _
„U.� � a % _
/� yy
G � 7 �-
.3, a y
�• L
�� X uUrt �
k, � 3� x „U„ . �� � �� ,s�
� � X I�U1� a
w •
3 . ............................. Total � � �►��
� ���� ���
,� ��,G-
��6-
� �.`
��
If iteitr--4#-�-� the same as,
or less than item #1, you,
have met the intent of '
ssc �oo� c�) 2. �
�
�
£�cterxor Envelope Average "U" Computation
, .
ey
. Total exposed roof/ceiling area = �
m. Total skyliqht area ....................... ...
• n. Total roof/ceiling framing area (average 10$)... �
o. Total net insulated roof/ceiling�area........... '
Determine "U" value for each roof/ceiling segment
m. �r `� Y g ��u�� � a L, � _ ,3. � a
n. X "U" _
o. X "U° _
Page 2 of 4
4...� ....................... Total =
If total of #4 is the same as, or less than #2, you have met the intent of
_ SBC 600b (c ) i . _ __ _
Alternate Building Envelope Design •
To utilize the to�al envelope system method, thP values established by the sum of
items #3 and #9 shall not be greater than the sum of items #1 and #2.
i. �-�l. /G + a. 7,Z = GG, 3�
3. ��.�L +4. 3�e8 _ 7a,�°°�
,
" WALL SLCT?ONS
NOTE: Use 10�s of opaque wall area for
• frame construction
Page 3 of 4
Construction R-Value
l. Interior air film ' 0.68
2.
3.
4.
5.
6. Extermr air f ilm 0.17
Total
�., Interior air film
2. �
3.
4 . �__
5.
6. Exterior air f ilm
�, Interior air f ilm
2.
3.
4.
5.
6. F�cterior air f ilm
Total
Total
��s
0.17
� .:�
0.17
1. Interior air film 0.68
. 2.
. 3.
9.
5.
6. Exterior air film �.17
Total
. ' � ' • •' 1 a . , r- • • � �
� � t �
._.r�T�F--�— , • � ,� � .
..�,.r_�rr � � k . N , ' ,_ . • � y � ,
._- Il� .� , , • ` . ��
/� � " � ' • � . ' ' ► t i
'_' 6 '_
^ � . � �
(1( : .` � , • • . i ._._ / � t
' .-- ` ' • /</ '
FSG. #3 - FIG. �19 '"_ k � ` . � � = /�( `
. . • � . /!( � '• o �.
. y ' a ` , , ' , � � �-- . � //��� .
-- ��! ._
, , � - , ` ��- , • • !�( '� �« � �,r : -
• • ` • � : NOT1.: Indicale tyne, ��Tt�� �v��lue, de�th anc3
� • _
• � . . �..
,
�
s�
►Y
ROOF/CEILING
___._______..�-
r-. .
��ente� ! . kleat flow
. ` uP .
kIG. ��5 .� ' .
� ,ua��i,!.�!� i� .�.e1`..'!1-:����:i_�P.'�'.°r��<z'J'n�r.,� ..
' �V„�.......�...._..�_..�.��..�.�_ ; j� . -
/.�
0
.,... - �
' .�. �� � �'- � .
}?eaC floc�� up . �, ;•vented
• . ,FI�. �E6 �.. ... . � �. . � .
. ... . . �-----� . • � �
•� ., e �' �n
� . �.° �-�:i{•°,.S •..S ; • .'::`'
� � ... 1.�.�r.R4•riEi.•-1=�- r.0. `.—"'7'��/ /
t�
�r„-•"' , � ; ,. :`' : � .
• iIO.?-PEiv'TID . . .
•� . , , ,` ' ,
. ` ' . ' HcaL • . � . '�
. - , ; • • � £law up - ., • ' . . ;
, • y.; • • .. . .
�'r.r. (!7 � � . • �
Page 9 of 4
Construction • R-Value
1..Interior air film 0.61
2.
3.
4. Exterior air film (still) 0.61
Total
1. Interior air film 0.61
2.
3.
4. Exterior air film (still) 0.61
Total
1. Inside air film 0.61
2.
3.
4.
5. Outside �ir film 0.17
Total
Note: Use additional sheets if more space is
needed for details and calculations
.
�
- � SUBJECT � � PER � .
City of Fridley . 13884
t` AT THE TOP OF THE TWkNS g U I L D��� P E R M 1� ECEIPT N
r
. � -_ 4 ,�_� COMMIjNiTY DEVEL�PMENT DIV.
�� � PROTECTIVE 1NSPECTION SEC. ( �
r t , _.F
� . ,
� ' � /'�'1 � CITY HALL FRIDI,E� ��.�58432 NUMBER REV,�� . DATE . PAGE . OF APPROVED BY ..
��"-•� � `•� 612-560-3450
910-Fi5 11/2$/76 � %
�09 ApoRESS z508 Gardena Avenue N. E.
i LEGAL L�T NO. BtOCK TRACT OR ADDITION SEE ATTACHED
DESCSi; i� AliCi. $Ub. #92 SHEET
2 PA�PERTY OWNER MAIL ADDRESS ZIP PHONE
Chai'les H. Erickson 1508 Gardena Avenue N.E.
3�(3NtRAGTQR MAIL ADDRESS ZIP PHONE LICENSE NO.
Sd�E
4. ARCMIiECT OR DESIGNER MAIL ADORESS ZIP PHONE UCENSE NO.
5 ENGINEER MAII ADDRESS ZIP PHONE IICENSE NO.
8 . USE OfIBUILDING
` Re�idential
a c�nss af woRK
❑ NE1N O ADDITION �7 ALTERATION ❑ REPAIR O MOVE � REMOVE
8' DESCRtgE WORK
Construct a free standing fireplace
9 CHANGE OP USE FROM TO
STIPULATIONS
SEPARATE PERMtTS ARE REQUIRED FOii ELECTRIGAL, PLUMBING, HEATING, TYPE OF CON3T. OCCUPANCY GROUP OCCUPANCY LOAD
-1fENTILA7ING OA AIR CONDITIONING.
THIS PEaM1T BECO6AES NULL AND VOID iF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT.
- AUTHORlZED IS NO3 GOMMENCEO WITHIN 60 DAYS, C1R tF CONSTRUCTION
OH WORK 15 SUSPENOED OR ABANDONED FOR` A F�AFOD OF.120 DAYS AT
ANY TIME AFTER WORK lS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING
4 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINfD THIS APPLICATION �- STALLS GARAGES
RND KNOW THE SAWFff TO BE TRUE AND CORRECT. ALI, PHOVISIO{dS OF LAWS VAIUAT�ON SURTAX
AND ORDINANGES GOVERNING TH1S TYPE OF WORK WILL BE COMPUED ySSOO.Q�' S•SO
WITH WHETHER SPECIFIED HEflEIN OR N07. THE GRANTING OF A PEFMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR'CANCEL THE pERMlTFEE SACCHARGE `
PROVISIONS-0F ANY OTHfR STA7E OR LOCAL LAW REGWLATING CON- $7� .rJp
STRUCTIpN OR THE PERFORMANCE Of CONSTRUCTION. �
� PLAN CHEGK FEE - TOTAL FEE
$�. 0�
� SIGNA7�RE OF CON7RACTOR OR AUTHORt2Eq AGENT � iDATEI "'F
WM�i�l; PRO ERLY VALiDATED THISlS YOUR PERMIT
�J! a� �',QF'�,� � 11--29-'Ila
.�- SfGNAT�yREOFDW�NERIIFOWNERBU1lDER1 IDATEI BCOG INSP � DATE �
� . .. � � . . � .
f �
- . . . . � �j � . . � . � . . . . . � ..
C1TY UF FRIDL�Y
APPLICATION FOR RESI DENTIAL BtlILDING PERMITS
iNfW, ALTERATIONS, ADDITIONS, 0 R REPAI RS)
OWN�R'S NAM�:�bt�Cl��'PS /�� /_�r/c�S�BUILDEIt: S��
/�
ADDRESS :,,1Sb �r � ��%p ti Q /� !/ ADDRLSS : �
TEL. NO.:
No• sTRrrT•
LOT: BLOCK: ADDITIOiv:
CORNER LOT: IIvTSIDE LOT: SETBACK: SIDEYARD:
Applicant attach to this form Ztao Certificates �f Survey of Lot and proposed
building location draton on these Certificates. +
U�SCRIPTIO\ OF BUILDI\G
T� �IG d ��!'A�v1PN � •
.
� �� �i�CIG Eront: Depth: Height:
Squaxe Feet: Cubic Feet:
Fxont: Depth: Height:
Squaxe Feet; Cubic Feet:
Type of Construction: Estimated Cost: �
�To Be Completed:
The undersigned hexeby makes applicativn for a permit for the work her.ein
specified, agreeing to do all worlc in sti:ict accordance �aith the City of
Fridley Ordinances and rulings of the Department of Buildings, and liereby
declares that all the facts and representations stated in this applicatiion
are true and correct.
DATE: • SIGrAT[JFE• �
(See Reverse Side For Addieionzl Information.)
��:. hil t, �� � `, V
i•
� ��
z �', G,.
�
�.
T_ . �.�
sua�ecr PER .
City of Fridley . 14333
ATTHETOROFTHETWWS BU1LD�1 `fG PERM�T
�s-�` � i. �� � �� � � � � RECEIPT NO.
� •` COMMUNITY DEVEIOPMENT.DIV.
:� � ��� !?+ PROTECTIdE INSPECTION SEC. �j
� , 4
/' s .. �. � .� ��. � ; .. �.
�� � �'�":� � � �CITY HALL FRIDLEY $S43'L � NUMBER � REV. � DATE � . PAGE OF APPROVED BY
•�••� � ,`� 612-560-3450
s�aFis 8/29J77 / /
�oe an�RESS �5fl8 Gardena Avenue
1 LEGAi ' �d�i+iQ. B�OCK TRACT OR ADDITION SEE ATTACHED
nesca.; 29' Parcel 143 Aud. Sub. #92 SHEET
? FROPEqTY pydNER MAIL ADDRESS ' ZIP PHONE
Ch�rles Fi. Erickson 1508 Gardena Avenue 57].-1488
3 CONjRACTOR MA{l kDDRESS 21P PHONE IICENSE NO.
$dm�
4 ARCH{TfCT OR DESIGNER MAIL A�DRESS ZiP PHONE LICENSE NO.
5 ENGFt+tFER MAILADORESS Z1P PHONE LICENSENO.
e ' USE.OF`BIitLU1NG
Residen i.al
? CLAS$ OF WOAK
❑ NEW ❑ ADDITION O ALTERATIQN ❑ REPAIR ❑ MOVE ❑ REMOVE
X
8 OESCR#BE WDRK
CQn�tx.ucta24'x2' di 'ont a ad 'x1 diin
9- CHANGE OF USE FRpM Tp _
STIPULATIONS. �������X Provide a hard surface driveway within one year.
Call for preconstruction conference prior to stiart.
tR D F '�ffRfNG �A�����►
SEPERATE PERM�TS REt�U E �1R � @efore d�$gina call Eac�l. utilities
MEATtt�. Pl.IiIN$ING ANO SIGNS. T£LEPNOi�c • Ef CCTRlC • c�ts Etc.
' REC,�UJ��� 6Y lAW
SfPARATE RERMITS kRE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CdNST. OCCUPANCY GROUP OCCUPANCY LOAp
1lENTtL.pTING OR AIR CONDlTIONING. WOOCI Fx'd�
THIS PERMl7; BECOMES NULL AND VOID IF WpflK � CONSTRUCTION ZONlNG SQ. FT. CU. FT.
RUTHf3RIZEp fS_NOT COMMENCED WITHIN 60 DAYS, OR CON3TRUCTION
OR WOAK IS S[J�PENDE� OR ABANDONED FOR A PERYOQ OF 120 DAYS AT
ANY TiME AFTER WORK IS COMMENCED. NO. piWLG. UN�TS OFFSTREET PARKING
1 HEREBY GERTIFY THAT I HAVE REAO AND EXAMtNEfl TH13 APPLICATION j.- STALLS GARAGES
i4NpKNfllAtTHESAMETOBETRUEANDCQRREC�.AGLPROVISWNSOfLAWS VA�UATION SURTAX
AIVO QFiUINANCfS GOVERNING THIS TYPE OF WORK WILL BE COMPUED
1NITH WFI�THEH SPECIFIED HEREIN OF NOT. THE GFiANTING OF A PERMIT S2 � SOO 2. 63
Q�ES NOT PRESUME TO GtYE AUTHORITY TO VIOLATE OR CANCEL THE pERMR FEE SAC CMARGE
PfiOYiSIDNS OF ANY 07HEFi STATE OR LOCAL LAW REGULATING CON-
�STRU 710N pR THE PERFORMANCE OF CONSTRUCT�ON. $�Q • S�: ;,
, PLAN CHECKfEE . TOTAL FEE
- $33.17
. Sl6NA"BUA,fOFCONTRAC�OROBAUTHOR�ZEDAGENT (DATEI . EN PR � �ID TED THIS��tS YOUR PERMIT ��
, 1 1 l,
' Si44i�AT� EOFOWNEAI�FOWNEpBU1L0EAI IDATE)� °� �D� . tN5? �-.- �' fJATE
�
CITY OF FKIDLEY
�: . . �
' ' APPL.ICATION FOR RESIDENTIA� BUILDING PERt�4ITS
�NEW, ALTERATIONS, �iDDITIONS, OR REPAIRS) ��f��, �`
,: �
� OWNSR: C�N Q f! PS /)' �.E�' /(' � S o iv BUILD • Sc� �y �P
Address :/SD 8 G. at�P%v cc /j� L�� Address �
Tel. No. ��� �8
. No:: lS'o� s��t: G�,-d�v4 /�v�
• D 1� y3o
�
I,OT: o� ,�'� BLOCK: i' Q►'ce 1 ADDITION: � S # 5' �
CORNER I,OT: INSIDE LOT: SLTBAQC: SIDEYARDS:
Applicant attach 'to this form Ztao Certificates of Survey of Lot and proposed
building location drawn on these Certificates. .
DESCRIPTION OF BUILDING
a�� ��-ys�� � .
� er h 4 y� Front : /� y Depth :�'! Height : � Z
Square Feet: Cubic Feet:
.
,�c�� ! �/O y � �Front: 1 il Depth: / il . Aeight: /�?
� Square Feet: ��� Cubic Feet:
Type o€ Construction: woo c� �i'Q'�t � Estimated Cost: $ a 5 DO ,
Zb Be Completed: � 24% 1� �
Alt. A Alt. B
Proposed Driveway Width If New Opening Is Desired $ $
{SEE REVERSE SIDE OF SHEET)
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all work i.n strict accordance with the City of
Fr3.dley Ordinances and rulings of the Department of Buildings, and hereby
deelares that all the facts and representations stated in this application
are true and correct. See reverse side for aclditional information.
DATE: $"i��o•� % SIGNATURE: � ,
Stipulations:
V !
�or�R+i� �
/�0�
� �
�3. o�l
.�-? '=
� ? o.��
�
�
213 .
.d
z,� 3 z
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City of Fridley _ 15 9 9
AT THE T OP OP THE TWINS B U I L D I N� P E R M I T
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'� � � PROTECTIVE INSPECTION SEC. /�6 y
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� � �'��'3 ���� CITY HAIL FfiIQLEY � 55432 NUMBER REV. DATE PAGE OF APPFiOVEO BY�
y �"""�'� ,�� 612-57.1-3450 910-F15 / /
11 3/80
JOB"AODRESS 1508 Gardena Ave. N.E.
t LEGAL ��T NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESGR. 2C.� 143Q P3� , jiud. $uYj. #�j2 SHEET
2 PFOPE'RTYOWNER MAICADDRESS ZIP PHONE
Charles H. Erickson 1508 Gardena Ave. N.E. 55432 571-1488
3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO.
Owner '
4 ARCHITECT OR DESIGNER MAIt ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIIADDRESS ZIP PHONE UCENSENO.
6 USE OF BUILDING
7 CLASS OF WOHK
O NEW �J ADDITION ❑ ALTERATfON ❑ FiEPAIR ❑ MOVE ❑ REMOVE
8 pESCRIBE WORK ,
r old 'tion
9 CHANGE OF USE FROM TO
STIPULATIONS
TYPf OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING. Cp��t
THIS PERMIT BECOMES NULL AND VOID IF WORK AR CONSTRUCTION ZpNING SQ. FT, CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS; -0R IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED fOR A PERIOD OF 120 DAYS AT R-1,
ANV TIME APTER WORK IS COMMENCE0. NO. DWLG. UNITS OFFSTREET PARKING
I HEFiEBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX
AND ORDINANCES GOVERNING 7HIS TYPE OF WORK WILL BE COMPLIEO
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT SOO.OQ $.5�
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE TOTAL FEE
8 0
SIGNATUREOFGONiRACTOF70RAUTHORIZEDAGENT �DaTE�. �. �WHEN'�PFiOPERLY VALtDATED THIS IS YOUR PEFMIT
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SiGNATURE 0F OWNER�tlF OWNER BUILDERI � 1-0ATE1 BLDG iNSP pTE
CITY �f' f'ItIUI£Y
t{f'f'LIC�'(I�7;� F"0�� l�ESIUf:i�11'I/t�_ [3U1L.UIiJ
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Coznez Lot: Inside Lot: SetbacY: Sideyazds:
Apl�lica.nt attach ta i.3iis fo-r.m t�h*a Certi�icates o� Suxv�1 af lot and
proposed building Zocatian drawn on certiiieates to scdle.
j,t}�f�-� L DESCR I PT i.)i� OF C����STR�� CT IOPd -
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Square- Feet: _,._... Cubic I'eet: - - - ----
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e O� CDIIStrucLion : �- � �" Esti.*naL-ed Cos �: $�
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� Be Cbr�pleted:
' Alt. A A�1�. B
Px'opased Drive�aa�r Iridth If New U�EIII.I7� Is Des:ixed: $� �, __
. S�� F'ic.ZlF:T'wE SiDE QF SiiEET
7.iie unc�� si.�ned hereh: m<:�ke � ap�lAc�-�ta.cn for. a perr.lit fcr the �:r .�fi herein �pecified,
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� sue�ecr PE NO.
c�ty of Fr�al�y o ��6� 5
AT THE TOP OF THE TWINS B U( L D'I N� P E R M I T
! ',, RfCEI .
� " COMMUNITY DEVfLOPMENT DIV. ����
� LV �"� .. . .
r � � PROTECTIVE INSPfGT10N SEG
i---' � ��'��,•� CITY HALL FRIDLE� � 55432 NUMBER � .�REV. DATE PAGE OF APPROVED BV
L �� 612-571-3450 910-F15 6/4/82 / /
JOB ADDRESS 1508 Gardena Avenue N.E.
1 LEGAL LOT NO. BLOCK TRACT OF ADDITION SEE ATTACHED
dESCR. 29 Parcel 143 } Aud. Sub• #�2 SHEET
2'PROPERTYOWNER MAIIApDRESS ZIP PHONE
Gharles Erickson 1508 Gardena Avenue N.E. 571-1488
3 CONTRAGTOR MAIL ADORESS ZIP PHONE LICENSE NO.
5ame
4 ARCHITECT OR DESIGNER MAIL ApDRESS ZIP PHONE LICENSE NO.
5. ENGINEER MA�L ADDRESS ZIP PHONE IICENSE NO.
6 USE OF BUIL�ING
Res identi.a Z
7 CLASSOf WORK
O NEW 0 ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
X
$ DESCRIBE WORK
C ns�ruct a 20' x 16' 2r�d Sto Addition
9 CHANGE QF USE FROM TO
STIPULATIONS
SEPERATE PE�2i�11'S �IEQUIRE� �OR Wt���tt�:
N��ITl���, PLl1�,+S�S�l� AN'� �(�NS.
5EPRRATE PERMITS ARE REQU1REb FQRELECTFICAL. PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
VENTILATING OR AIR CONDtTIONING. WOO� FrdlTle
THIS PEqM1T BECOMES NUI.L AND V010 IF WORK OR CONSTHUCTION ZONING SQ. fT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENpEQ OR ABANDONED FOR A PERIOD OF 120 DAYS AT 32O
ANV TIME AFTER WORK IS COMMENCED: N0: DWLG. UN1TS OFFSTREET PARKING
I HEREBY CERTlFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STqLLS GARAGES
ANO KNOW iHE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX
AfdD ORQINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECiFIED HEREIN OR NOT. TH@ (�RANTING OF A PERMIT 11 600 $5.$O
DOES NOT PRESUME TO GIVE AU7HORITY TO VIOIATE OR CANCEL THE pERM1T FEE SAC CHARGE
PfiOVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTIpN OR THE PERFORMANCE OF CONSTRUCTION. 92. 50 NONE
� PLAN CHECK FEE TOTAL FEE
23. $121.43
S16NATUREOFCONTRACTOROR�ZEDAGENT (DATE)� .N� VAL ED TH,Is IS'�YOUR P RMI .
� _ � ���'0'�✓ 6���F �
�SIGNATUREOFOWN aIF�OWNERBUtLDER1 � IDATE� BIDG iNS�� DPTE �
�
CITY 0% FRIDLCY Effective Aug. 1, 19s1
APPLIGII7I0:� FOf� RCSIDCfVTIfl� (3UILQIi1G PLFtiiITS
(��t�t, Alterations, Additions, or Repairs)
O�J(IER: �, h u.V��s �i- r c�'So iv
ADDRESS : 1�' O 8 �- c�, v� P.✓ �- ����
TEL N0: �%� 1 � �
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I3UILDER: .�? � � Q .
ADORCSS:
TEl EiO:
Construction Location
• ST7tl�T NO: ` �J-��_, ST . ��,� (,nA�P�,F.J�.�i �it.�f'�U-� N �C',.�
��'-f� <� � .
r.o�r: �q ai,ocx: AnnzTioN: �.� , -� R ?�
Corner Lot: Insiiie Lot: � Setback: Sideyards:
Ap�lieant attach to this form two Certificates of 5lirvey of lot and
pzoposed building �ocatioa� drawn on certificates to scale.
�p DESCRIPTIOid OF COhJSTP,UCTIO�i
�
1 . � �/
�.S�oI� Front: Depth: Height:
7'U ��11�,�� (� Square Feet: � Qibic Feet:
_ Front: Depth: Height:
� Squar.e� Fept: Cubic I'eet:
`� . a = 1), ��.3 Z - � �� l, �j
c��`� � .
Type of Cor,struction: �� ,� Estimated Cost: $ ,
Zb Be Obr,�pleted: ��% �� �
Alt. A Alt. B
Prop�sed Drive��ay width If New Opening Is Desixed: $� $
, . SE� REVERSE SIDE OF SHEET .
�iie unc3ersigned hereby makes application for a permit fcr the �:�ork herein specified,
agreeinq to c3o ,all work ir, strict accordancc with the City of I'ridley Ordinances and
ruling� of the Delk�rtment. of Buildings, and hereby declares that all tl�e facts and
representatiens stated in this application are true and correct.
.-
D.3TL: � ` �� '�� SIGNATUI�:
Stipulations: � �
p �a. �
p. C a�. �3
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l01 �� �'3
BUILDING PE•RMIT FEE SCHEDULE
The Inspector of buildinqs sha"11, before issuing pezmits ior the
erection of any building or structure, or for any addition to any
bxisting buildfnq or strxcture, or for any alteration or`repairs
to any existinq buildinq or structure, upon application therefore,
require the payment by the applicant for such permit of fees to the
amount herein below set forth and fn the manner herefn provided to-wit:
TOTAL VALt)ATION
$1.00 tc $500.00
$501 to $2,000
$2,001 to $25,000
$25,001 to $50,000
$50,001 to $100,000
FEES
$10.00 Minimum Fee $15.00 plus surcharge
$10.00 for the first $500 plus $1.50 for each
additional $100 or fraction thereof, to and
including 52,000
$32.50 for the first $2,000 plus 56.00 for each
additional $�,000 or fraction thereof, to and
including $25,000
$170.50 for the first $25,000 pins 54.50 for
each additional $1,000 or fraction thereof, to
and including $50,000 -
$283.00 for the first $50, 000 plus $3. 0� for
each additional $1,000 or fraction tl�ereof, to
and including $100,000
$100.001 and up $443.00 foz the first $100,000 plus $2.50 for
each additional $Z,000 or fraction thereof
PLAN QiECK: 25 percent of building pezxnit fee
DRIV�nTAY DEPRESSION ESQtdW: Concrete G1irb Streets Only
Alternate "A": Removeal and replace�nent of curb and gutter only
Driveway width plus 6 f eet x$13. 50
Alternate "B": Resnoval and replacement of curb and qutter and install a 3 foot
wide approach with 6 inch depth
Driveway width plus 6 f eet x S15. 75
VERIFICATION OF FOUNDATION
Permits for construction will be issued a miniminn of 24 hours from the time of
application to allow for proper review o£ the proposed structure and pf the
construction aite.
A Certificate of Suzvey of the lot, showing the location of the foundation once it
has been constructed will be required before proceeding with the framing.
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