Loading...
AF - 45182� �1 � � r, �� n City of �'ridley, Minn. BUILDING PERMIT Da�: _. � -�� � � � owaer: - su�uaer ., AdBresa Adc]resa — ��83� N° 644'7 �(J Q� LOC TION -BU DING 11Ta ��� stceet _ _� art Lot Lot ._.__�_ Bl�k � Addition or Sub-Divisio - Corner Lot — Ineide Lot — ��� Setback s�.3 ��� Sideyard ,_�� %f �� � ge�yer IIevation ____ ...._ Founda.tion Elevation ` DESCRIPTION OF BUILDING To Used �' �+ F'ront �;�L ,/S� . Depth � Height .��-.. Sq. �-d� Front _� Deptt► fTeight � Sq. F� �:l�� of ction Fst.rC��L��l �'% be Completed _ TYPe � � - !� In co�ideration oP the 9ssuance to me of a perrnit to construct building described above, I agree to do th� proposed work in acc�rrodanice with the d�scription above set fo in com ce with all prov3aiona oP ord9nancea oE the dty o4 Frfdley. A In conaideration of the payment of a fee of $� , permit is hereby granted to to conatruct the buflding or addition as described above. This �ermit ia granted upon the express c:onclition that the perafln to whom it ia granted aad his agents, employees and workmen� in all work daae fn, around and upon seid building, or any thereof, ahall c�nform in all respects to the ordinance� of cn Fridley, 112fnnesota regarding location, constru on, alteration, maiatenance, repair and moviug of buildinge wlthin the dty ]imits and thia permit may be revoked at aqy ti�ne upon viol�on of aay oE the provisions of said ordinaac�s. � ,. r� � ) Buildia8 Inapector NOTIC� 'llds psrmb doei uet eorer �hs wntlweHee, imtallnioe fer wlrtng, plumbtee, en 6uHee, wvne e� arats�. B� wrs to � fha BuiWiee IespKtor toe aparaM W►m6s tor thas inna. o, e t, v APPLICATION FOx BUILDING PERIKIT CI�Y OF FRIDLEY, MTNNE30TA �� � - OF�R' S NAME � BUILDER �� ADDRESS ADDRESS �� -S � ��'� � LOGATION OF BUiLDING , No. �v � O� Stree.t ,s�� � Part of Lot Lot Block Addition oY Subdivisi ,����! � ' ''� Corner Lot Inside Lot� etback P� �ide Yard �� /� SEWER ELEVATION e3� FOUNDATION ELEVATION �� Applicant attach to this form Two Certificates of Survey of Lot and pro�osed build- ing l.ocation drawn on these Certificates. DESCRIPTION OF BUILDING To be uaed as: / Front � � Depth� Height � Sq. Ft. ����� Cu. Ft. Front_��_Depth � Aeight ��� Type of Construction To be Completed Sq. Ft. Cu. Ft. t�maCed Cost r��� o � The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the CiCq of Fridley Ordinances and rulings of the Department of Buildings, and hereby declarea that all the facts and representationa atated in this application ar erue and correct. DATE � �`L�S IGAIATiTRE • `—'� � (schedule of Fee Costs ce.0 be found on the Reverse Side). r..., -��„ ^ 4 a 1 °'! ♦ - N _ 5' �. BUILDZNG PEIiMIT FSE SCHEDULE SeGtion 2. The Inspector of Puildings e6a11, befcre issuing �ny per�it for the erection of eny building or structure, or for any addition to anq ex�.st- ing building or strucCure, or for any alterations or repaiYe to any exia�ing building or srcructure, upon applicatioa therefos� require the paymeat by the appl3cant for such permit of fees to the amounC herein below set forth and in the manner hereia provided to-wit: 2.Z. For any such permit for the erection o.f any fire-proof building, other than a garage� warehouse, faetory or grain elevaCor, or foa the erection of aay fire-proof addition, for aimilar occupancy, to any existing building shall be at the rate oi $1.40 for each one thousand cubic feet, os fractioa �hereof, in such cubical contents. 2.2. For aaq such permit for the erection of say fire-proof garage, warehouse, f�.ceorq or grain elevator, or fos the erection of any fire-proa€ addition, fos similar occupancy, to any existing building sha11 be at the rate of $1.25 for each one thousand cubic feet, clasaified gs "fireproof" by Section 502 of the Minneapolie Building Coda. fiOUSES 2.3. For any sucb permit for the erection of any nou-firepsoof bnildiag other �han a garage, warehouse, factory or �rain elevator, or anq noa-fireproof additioa, for similar occupaacy, to aiay exieting building - permit $1.00 foac eac& one thousand cubic feet. GARAGES � 2.��. For any such permit for the erectioa of any nou-firepraof garage, w�rehouse, factory or grain elevator, o� for the erection of any non-f�epr� additi�,,, €or s.imilar occupancy, to any es�atiag building or for each auch � �lding or addition - niaety cents ($0.90) for each one thousand cubic feet or fraction theseof, in the cubical contents thereof with a min�um of $4.00. For the purpose of camput3.ag Eeea for building perm�its, the cubical contents of any building or addition to a uniform height throughout by multipiying t�ae ground area covered fram a point six (6) inches below the floor �ine of �be basement or cellar to the average height of the upper surface or to the average height of the roof surface of the main gable of a p�tched roof. 2.5. For repaira or alterations to an existiag structure, the fee shall be at the rate of $3.00 per each Five Hundred Dollars ($500.00) or fraction thereof in the coat of all propt,sed work. 2.6. In no case shall the fe.p,chargad fnr anp pesm3t as �set forth ia 5ectian 2 6e less than $4.00. � ° � _ r''� ,-��.. _ �-; - . _� _ MARVEY A. CARTWRIGHT ANOKA COUNTY BYRVEYS li[NNE►IN COUM:Y BURVHY8 MINNEAROLID suRVers 8410�F'ALM 9TREfiT N. W. 6UNSET 4•7833 OWNBR INDUfTRIAL - JUDICIAL BUa1NBf8 - TOPOQRAPFIICAL CtTT LOT� - PLATTING Sam Templin . � � e� � � � � . � � J� P c�rwr8t�rr � ozsoN LA1VD SURVEYORS REOIlTtR�O YNOtR LAWf OF fTATE OF MINNEpOTA LICBNS[O SY ORpINANCS OF CIT1 OR MtNNQAPOLId 926 PLYMOUTH BUILDING FEDERAL 8-8721 HENNEPIN AT SIXTN • MINNEAPOLI3 3. MINNESOTA $�rbcpor'g �crtif�catc D� �ti( . �v s � �. .� � � � 6� t�� I SPS �' u ✓ 1, � � .� .e s=1 r ♦�� � � \ ' ;' � � � e,�� �i � �,�� _ � �, ��,�A� J,� �. ;` , ; �, �'� r , , F � � ' y `� ., � �` �� , � �, �,,`�. ,�. �, . ��i V � � �� � i� 0 �v � � �` _� tl� � aR � l � �X � � �� � Ir� COMBININQ TME RECORD8 OF J. E. HILL, CIVIL ENOIN6ER wrweusNSO �sa C. F. SANDHO�F GIVIL ENCi1NEBR esTwsuaHEO ��oe JAMEffi NELSON SuRVtrat Fsrasu�e+m �o2a MErROPOLITAN LAND SURVHVORB, E9TAYLISM[D �as+ Invoice 2287� � I I h�r�by cer�ify i,hat �:his is a tru� an,d correct representation of a survQ�r o�': Lot 5, Block l, Gard�na P�:eloland Gardens ,� As surveyed by me thie �y�.,�f�;� �" �.� i� s`� � �� .�t ,` �� N `� �� ALA • d�� Op ��� y��� SIGNlD RTW GHT �AND OL9ON � 7 �ili 1 8 � r_ .�. .� � ',,.�. . .r .�. rs' ,� ' _ ' . � � � � . . � � s � � � � 0 � x � N 3 � � � fA � p � � � � r r� � � � � � aa y �, r '�' �+ � O 41 � ,r `� � � w H� m o. `e� H ►�r �'i x7i 7. '�7 � � w(��j � o'.b m� 6: C � p��`. M � M � pp �� w ��, � t+1 � G, o �j �y � � � �w cyo N' ° A�i oa �d t� `r� i� � �' o , , ,'� w � � � 4 �. . o . � O fD 0 M � O y � � y td : . � � � �: : � � �. . . . . m . . . . . � . y—' . . . ; � ; � : : : : � : � : � � � : � : �i � x : : � m x �a �a o . . � � � N � � ��, 0 0 0 � °o � � � � � �j o � '��r w � w '�' � � � �z �� � � b � � "�o � � � � � �� � � �► b �' �' a ,Ra. 00 � � �� � � o � ��� r�i� ' H ' � � �� �d �d � � � 'd b 'd ` � �~���'� �� m p EZ° R� `� � ' � �' �y ���'�'� R° �' � � '� °' R° � �" �ft €t � d O O � � � o � e � � � � �� � o��'' . � o�' ��: �o a � : � � ' • � y H►"O : O c� � 0 : � Q � � ! : : � k7 : : : . : � N � � � °o 0 0 °o °o rn t�s �n t�r � �» H f] � � � � o � z � � � o • � O � � � ;� � 0 c� _ � �� � �d� � b � � .� ... o `� W � '�" �' �+ \ � � M � � � � � m ° Gi `� �' � � � o � � -- 0 � s) � � � � ��\ � ro � r� � �- � � � � � � � � � � 0 �� m � � � ��� N � o °o o° °o °o � � � �. ' �c� o � � G�. CL � � � � � �. � � _ 0¢ g o�� a� 1 � � � �q� � . . 5�0 � � � '�d 'd � � � � � � w m � R° R° � � '�pr a�.� � � � o � � � � � N O p � � I � � p, � � o a � � � �,�.. � . . � O : ; O $ . . Op . . O : : . � w � � � b� o b b 0 0 o a � � H y � �� '`� ..; i�` D . . '� � � � � � �i m � y _ � m v C-- - ---- . m � � � � � 0;'�j � ,t�. � � `e� . � H o p��, c� r d �. � G' Q. n `C � » '� � y ro ��p� O Q�r m�w� � o � A A �°w� � a � � /� � e� �'. , O�y f�D � qq�qq � `1 b 1� 6i tj� � � O � �i � �� o � � ° - _- ��o �. _� ._ �- 'q_ . � m � � � p � �� V \ � �b��i � p � � � �� � � b ��w � � F'e-rl Ki � W n t� � � � p` r''� � � � � ? �a�p � � � � c��e a,�, 0. � I �`��b � � � o �,�� � � ���� � � � �� �� ��� ��� � ���. , �� �� � � m ro I � � � � �� . .. �r 1 -_-.__M _ � c ��� # Ti'S6 7 9 � F".' ,�,, � ,;���3r��'�. y,�, �Y�'J'� � ���� �' �� ��� J " � � , y ������•�"'#�.-��4����}�F��� HEAT LOSS CALCULATIONS � DEPA�2TMENT OF BiJILDINGS d�'� NIINNEAPO , M�N. Weatherstrips A.S.H.V.E. Construction No. � Insulation =�' �'� ,�' Guide 1��ws `=�I�o�rs Reference Out.'Wall Int., 11 q Ceiling Roof Floor ' �°' y' �'Ye �lo ��, Ye �No 19_ "�"'."�'. � �' < �� �Fl.� k,,: � p�,,. g,� t*�''f Room � Length �� >' �Vidth � f'� Hei t�,�� � FI �, �� oom Length Width �Ieight '� Windows and'Doors—Crackage and Area r�. ~_,� Windows and Doors=Crackage and Area �Vldth Hetgnt No. ot Lineal f. Area Width Helght No. oE Llneat ft. Area No. o yane ot p q- lig s ot crack e. tt. . � �"*� No. ot pane ; a llghte � of creck eg. ft. �� ,r;.„ �� � .,,, A' . � , , ; " � � .�" �II�' � � °�+t" . ' ��I; 4�� . , .. �. � , ,s��• +"a s.•y- . � _ ef B ' e . Htu Infiltration ;,: � q , . ?":��r � � In6ltration � � Glass >� �`r -`°, � � Glasa "`? �'�'_� Eap. wall �-,� ,, -.�« ,�"' ,� Ezp. wall - Net exp.-wall --- - - , °. . �,. `` ��,;, ',` -- ---Net tap:wall= - - - - ; - — ---- �;, Int. ll In� w 11 Ceiling Ceiling , Floor .;' ` _�' - � �e • � ,: _ ..- :s Floor. .�`= 4 � T Btu. x. To Btu. , ��,,,, ; Requi ed sq. . E.D. �or sq. ins. W.A. Leader area Recfli ', sq. R. or sq. ins. W.A der area F7.� �� t�,�' Y eagth Width. ;� ,�ieight �l �` �; oom ( Len ,�-- Widch Height � Windows ana Doors—Crackage and Area � - VVindows and Doors—Crackage and Area � Wldts Hetght No. oL L1nea1 ft. Ares Wldth HelBht No. o! Linesl ft. Area '� No ' of Pane c�- a IiBhtq of k � � � ��,, ��"� , No•�� o�t pane o.- a e : Y1 , te o! cr eq. [t.� , �+ 8➢' � �" �� R� .rr �: �?! �_� ... } . �Y: � ' '. , . , - - .. ' .4�- - CO ,a COC � tll In6ltration ,� � In6ltration � Glasa Exp. wall Net exp. wall Int. . 11 Ceiling , Floor tr �- Tot "$tu. Requin� + Iq.� FI. ,;� . Y:� Windows and ! Wldth FI� N of Dane �` �,. .'"� � In6ltration ������ ��� ����� � �� � �� ��r�.��'��.�°�,�° � , . � . ��''!�!"`���'���' 9 ��: �""�" ": '� ,� � t - - t' IOOi / �" +/�"' "�' �' �. �, �, f. y� � . . � --T -- Btu. k .� or sq. ins. W.A. Leader area „" Requue a .R. or sq. ins. W.A. Leader area, ''� im � Length � Width , ` � Height F7. . .� :: . �;�. ,Room I Lengt6 Widt ' ,�":= Height —Crackage and Area '' Wi�dowa and Doora—Grackage and Area No. oL L1neQ1 ft. Area �,', Width Helght No. oi Llneal tt. Area � Ilg e ot c k eq. tt. No. , of pane a nne I1g te ot crack ap. !t. �', - , ` ' , _ ._' i�`� � •_� u.'r �� � . B 'O .., In6ltration � ;�`+ u-;� — . Glaas ` �,*^�., �,+��:,,�� Glass_ _ ; � �: � �... , � � Eap. wall � �3 .� .: � Eap. wall ; �r +r3` . �;� �`. . Net exp. wall 4�� `;�'` � �, Net e�ap. wall '�, � Int. Il "; Ceiling ' � Floor - � � :� T l Btu. � "Required aq. ft. E.D.R. or aq. ins. W.A. Leader area Int. w Il � ' ��"; Ceiling' �' "e .� ° Floor �g.• �.. �v � > -_� Toc tu. Required sq. ft. E.D.R. or sq. ins. WA. I.eader; ana k' I�' ' .. as,. ' ' � ' --'s---ar: r 1Y56 ''�9 " . ' � HEAT LOSS CALCULATIONS DEPARTMENT OF B�JILDINGS NIINNFAPOLIS. NIINN. I Weatherstrips A.S.H.V.E, Construction No. Insulatioa �+ ', Guide .. ' dows I ors Reference Out.'WaU Int. Wall Ceiling Roof Floor Kind How Applied - Ye N es No 19_ Fl.� :._ ��<: oom � Leng Width " HeiBht . Fl.� Room Length Width Height Windows and ors—Crackage and Area � Windows and Doors—Crackage and Area ��Vidth He gh . No. ot Llneal ft. Area Width Halght No. of Lineal tt. Area I N" ot pane o Ilg e ot crack eq.. . No. ot pane ot pane Ifghte ot crack ep. tt. I� �� i � , i Infiltration - � � Glass � � 1 Exp. wall � Net exF. wall _° _ - - Int. w ll , Ceiling" > Floor� To Btu. � Required sq. ft. E.D.R. or sq. ins. W.A. Leader area � F7.� . Room � Length Vf/idth Height Windows and Doors—.Crackage and Area Wldth Height No. of Llneal tt. Area No. ot pana of pane llghte ot crsck e4. !t. Coef.1 Btu In6ltration Glaaa Exp. wall Net esp. wall Int. wall Ceiling Floor 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 Aelght No. ot L1nea1 tt. Area, "No. ot pane o[ pane Ilghte ot crack eq. it. � Infiltration Glaas Exp. wall Net exp. wall ` Int. wall Ceiling Floor Total Btu. ft. E.D.R. or sq. ins. W.A. l.eader area � Infiltration Glass Eap. wall _ l�l�t eap: wall" - - —_ _- - Int. wall Ceiling Total Btu. Reguired sq. ft. E.D.R. or sq. ins. W.A. Leader area F7.1 � Room ( Length Width Windows and Doors—Crackage and Area Wldth Helght No. ot Llneal tt. Area No. ot pane ot Dane lighta of crack eq. tt. Btll I Infiltration � Glass Eap. wall Net eap. wall Int. wall Ceiling �oor Total Btu. � Requued aq. ft. E.D.R. or sq. ins. W.A. Leader area ' F7.� _ Room I Length Width Height Windows and Doora—Crackage and Area � Wldth Helght No. of Lineal ft. Area No. oi Dane ot Dane Itghte . ot crack eQ. ft. Btu ( � InFiltration C,lass � F�cp. wall ,Net exp. wall Int. wall Ceiling Floor T'otal Btu. Required sq. k. E.D.R. or sq. ins. Q/A. Leader ana Btu I � � M � � � � �. r k2 y p M ' � : x :Y . m . m ; M : o � a . � o� � : � • O.i �:.-.. . N � . W Fi � � � �. �o W � � � � � o � � � N � o � � $ : a . o . o. �:: � . . 0 � � � N � � O O O � 69 �ff! �/► 0 � � � � � b� � � m � � z z 8 � � 2 � n � ~ � � � � N � m � � � � � � � � . O � � � � o � � � � ,� � : � a °n, ; � � : en ��: ��°° : OII � . . . . � . . . . bd : : : : : � : : : : 0 �a x x x �e �a W LV W o-+ ►+ ��-+ .�) C�11 p C�il O O O ��a7 L•l &i {fl {fl {fl fif! {f! �' �' •° o � �� � � � � � � 0 Q x i � � i � D � � � � m H n 2 m °c r m � • � p. � ~ � x � f�. '�`'�' � .StOl�eB � � WATER � � ctos�s :3 • �. � � ua�wws enrH �' ' TUBS O a `�, e�s�rs k! � I 1r StNKS � � W�, �n � � 8� i � � ° � ��� Z °' � � � '�' $ a � bd �o o � � � � � � �� �' w � g � � � 1,� � a� � 1 \ � �� � � ',,� � � �q � ' p v N z 0 nV \ � � ; .y i 0 .� . , DRtNK. FOUNT. -- s►+w,ru, FLOOR ORAINS �,T�, ��� nuro WASHER GAS APPL � RANGE GAS OPENINGS �1 ♦ Z • � � � A m � n A � ��� �a�� � ��� b ��q�� � � � m "+ ;d � � fD• �.. ���o� � � �'��� � ���� � �ro� � m �' b ��b o��b � p � �' o �R'on ���o M ~ � � � m A a��� ��� � ���y '� � � �� � 1���. � ��� � m � M�/,I 3 � w � m N tl �� � ro ao Rx �� n � M � �, i� a � -�p � � � � • �=• � _ O � �� r d p. � �� � » � �t M � � � . � ro � d' � '0 a A A ra . �,. � � ., , � � � � � c���yQz��x�� x �a � w x �� �� C n �� o �' c� " �, � � � � o � �Y p � '� � 'x p' � � � a � � o � � �, � y �. � � � � . 0 � � : � p �o °. O � y �S � a Q E_ M a� '� �- �n �° � 0D : oo � �• � M n" � O4 : M � : . � ; � � ; . � : �' ~ � � 5� �: • N . . . : v . . r . �..i. • � . • � : � : �� � • � ci Q � � � M PC �C iC iC i� iC � � � � � � � � � � � H� H�N� 8�� g 8� � � � � � � � NO I O g 8� I I " � o C' � ) Q D � � D � m �^ l I m v � m ° � o a � � w � g � o � � � a '� a o��¢ &' w � � S � � I w o � m � 0 � co N N N �O � t� ' ��� .�.' ��, � a ' ��, • • �■, ��—�== �� � 8� �D �. � � M ��+ a � � a � cn c�o � I i � "1 I � � � URINALS �►rM � awar�c SINKS w� rn�rs DRINK. FWNT. SMM0.S. �� GTQi BtiS1N5 AtlTO WASHH� GAS APPL. RANC.E GAi �ENIN05 ,. :. � N ; M a � � � a o� � � ���� h � M � '-" o � � ;� � tyb.�. �B �� a� �o � °� �' �a �� � � a o m � bd b � �� � b � �p � � �7 • p � � � � � � ry ���'� � �.��� ���� �m�� ��� A M :p 3 '� � � � � �� � O �x � d � M � � � � �/ � � a � a� � �M � 1 pr' � � � * � � W 1 O� �" � � � rt ci O � � � O z D �1 � _ � r � m v � O < � m 0 v m � c � n � m n -� O z � 0 .p D a z Q � � r m rn � � � Z � c � � N m � � 0 z � _ m � O � � m m a � J �� � ° � � � _ �m�: m � 7 � a T p� Z m '� O � C � O �' �u m � m � D c � v�i � � �- p�• D � Z � � v � � -� m � O Z � � � ! � � 0 Q � � � � � � � w � °—° m � m -I o �, �, ,a�' n; �+ - o � n. v.� v�o m m m� ��� o-�n, � o'� � s=��� oo��m �. � m co m� m m�� v� c iF tD .�m. �► � m � N. � m 7 N � * * � � 7 z� � 3 tA � (fl Ul < i i � � m � m m m W$ m� ^ g � � � � � m * 1• � � . ° o c c m � a � m � � I I � I I I I ( I I I I f� ��t� Ey�EntnN��v�d►�r (Jt O O O v O v V V V tJl A V O O o O 0 0 o O o O O O O 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 d D v� 'v � +n C � m � � a � z � -< I �1 \ � � � � O C � � i � � � m 0 ,� • �i \ � „ '1 � C. ► �� \ f{ G ��� s �, � � 3 � a n O .y�► � � ��o \ _ � m � � � J � Z 0 � � � � 00 c a � � C N m O_ 0 O � � � m � a � -o m, � � �i � 0 � y � � m � �. 7 � � w . J � � � v r c � � Z � '�1 x � m � � z O D --1 I7l � O � O � � 0 � � � 0 � D � � z c � m m � 0 � � X c � m � -i O W m O Z � n _ �1'1 r O O � � � � � �l '�. A N Q W � i w � c O � � � � A Z � � � � v w A �N C � Z Z �m � n � O Z v < � � a <' fD O � m � C w � � � � SuBJECT - City of Fridley 3 3 4 9 3 AT TFIE TOP OF THE TWINS g U I L D I N G P E R M I T � ; � RECEIPT NO. � • COMMUNITY OEVEIOPMENT OIV. � j V �'��� , �� � � � PROTECTIVE INSPECTION SEC. 1 = � � /"'1 � CITY HALL FRIOLE� SS13Z NUMBER pEV OATE PAGE OF APPqOVED BY �'""'� � ��� 763-571-3450 s�aF�s 5/5/03 � � 108 ADDRESS 6UO3 Gardena Lane NE 1 LEGAL �OT NO. BLOCK TRACT OR AODITION SEE ATTACHED DESCR. 6 1 Gardena Meioland Gardens SNEET 2 PROPERTY OWNER MAIL ADORESS 21p PMONE Brent Carlson 6003 Gardena Lane NE 763-586-0266 3 CONTRACTOR MAIL ADDRESS 21P PHONE LICENSE NO Americas Best Roofing 10303 Lyndale Ave S, Bloomingto�, MN 55420 952-884-1656 4 ARCMITECT OR DESIGNEli MAIL ADORESS 21P PMONE LICENSE NO. 20157905 S ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUI�OING Residential 7 CLASS OF WORK O NEW O ADDITION O ALTERATION �] REPAIR O MOVE O REMOVE B DESCRIBE WOFiK Reroof House & Garage (28 Sq) Tear-off 9 CHANCiE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Bui4ding Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD SEPARATE PEFMITS ARE FEOUIRED FOR EIECTRICAL, PLUMBING, FIEATING. VENTILATING OR AIF CONDITIONING TMIS PERMIT BECOMES NULL AND VOID If WOFK OR CONSTRUCTION 20NING SO. FT CU fT. AUTHORIIED IS NOT COMMENCED WITMIN 80 DAYS. OR IF CONSTqUCTION ON WORK IS SUSPENDED Oii ABANDONED FOF A PERIOD OF 120 DAYS AT ANV TIME AFTER WOpK IS COMMENCED. NO DW�G. UNI7S OfFSTREET PARKING I MEFEBY CERTIFY 7HAT I MAVE flEAO AND ExAMINEO TNIS APP�ICA710N 1 S7ALLS GARAGES AND KNOW TNE SAME TO BE TRUE AND CORREC7. AlL PqOVISIONS OF LAWS VAlUAT10N SURTAX ANO ORDINANCES GOVERNING TNIS TYPE OF WORK WI�L BE COMPLIEO WITN WMETMEii SPECIFIEO MEREIN OR NOT. THE GRANTING OF A PERMIT �3 � 242 � 1. 62 DOES NOT PRESUME TO GIVE AUTHORI7Y TO VIOLATE OR CANCEL TME pERMIT FEE SAC CNARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON• $97.25 Fire SC �p3.2�F STRUCTION OR TME PERFORMANCE OF CONSTRUCTION PLAN CNECKFEE TOTA�FEE License SC $5.00 $107.11 - S�GN4TUNE OF CON��7ACTOp OA oU�MOA�2ED 4GENT iOATE� � M N PROPERLV VALIDATED TMIS IS VO R P MIT S�GNATUQE O� OWNEp��F OwNEa BuitDEA� IDATEi BLOG �NS� / f�b E� NEW ( J ADDN [ ] ALTER ( j Consttudion Add�ess: G Legal Descnption: � Owmer Name � Address: Contractor. �fY1P.�C`iGL LNING AREA: GARAGE AREA: DECK AREA: OTN�R: I � C1N OF FRIDLEY • Effedive 1H/2803 8431 Universiiy Ave NE, ��idley, MN 55432 (�b3) 672-3604 Bldg Insp SINGLE FAMILY AND DUPLE)(�S R-1 AND R-2 j763) S7l-1�87 Fax BUILDING PL'RMITAPpLlCATION Te�. �� 3:��LZ2 6� MN LIC�NSE #_ �� 7 � S Te�.��5'Z'�L)-' 656 Attach to this appltcation, a Certiflcate of Survey of the lot, with the p�oposed constnution drawn on �t ta acale. DESCRIPTION OF IMPROVEM�NY Length Ulfidth Heipht `�_ 3q, Ft �_� Length � Wtdth ,� Height Sq. Fi. Width . 59_FI. . . • �. Construction Type: Estimated Cost: a_ ��I'�� `� Driveway Curb Cut Width Needed: Fl. + 6�l = Ff x$�,+ _$ DATE: `� � APPLICANT: � ^ � � —( � i'� C Tel. # Z � �c ' . � �� Call (i63} 57Z-s6041'or Permit �'ees if r�ailing in applicadon. Fax to T63S71-1287 if using credit card and we wil) call you for card number. Permit Fee Fire Surcharge State Suecharge SAC Charge License Surcharge Curb Cut Escraw Eresic�n Control Park �ee Sewer Main Charge TOTAL CI'TY USE ONLY - $ �. S� Fee SChedul� On RevePSe Sfde $ .�01 Cf Pe�mll VelUa�ion (1l10th°/a) $ $.50/$1,000 Valuation $ $1275 pet SAC Unit $,,.�D O _ $5.00 (State Licensed Residential Contradors) $ Alt. "q�� or Alt. "B" Above � $450.00 Consecvatian Plan Review S Fee D�termined by Engin�ering $ Agreement Necessary [ ) Not Necessary [ ] $ 1 ���-�. � STIP 1 oTIdNS• ;, • . : r, �� � � � l. � � � � � � m \ a °� � � � � �L � ��� � � . ��f - c���' c� �'`�-�-�� c�� . �' � ����ks! �, S'd 9i09�BBZS6 ���}��t1��sag se�t�aWd G-.f�?�� y . eSS�iT TZ SO �eW