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AF - 45407SUBJECT BEF�MLT N�i.� c�ty of Fridley �� 12'735 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r ; � RECEIPT NO � • COMMUNITY DEVELOPMENT DIV. -�T— 1 ��: ------� � � PROTECTIVE INSPECTION SEC. �/�� 1 = � �� /��'1 � CITY HALL FRIDLE� 55432 NUMBER REV. DATE PAGE OF APPROVED BV ----� � �•' s�2-58o-sa5o 910-F15 10-1-74 / / JOB ADDRESS 546 Glencoe Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED oescR. 47 & 48 I Riverview Hei hts SHEET 2 PROPERTY OWNER MAIL AODRESS ZIP PHONE Drake Desi ns 7226 Riverdale Road 3 CONTRACTOR MAILADDRESS Z�P PHONE LICENSENO. S�, 4 ARCHITECT OR DESIGNER MAIL ADDflESS 21P PHONE LICENSE NO. 5 ENGINEER MAIL ADDHESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK 9 CHANGE OF USE FROM TO STIPULATIONS 1. Provide a verification survey. 2. Provide a hard surface Drive Sewer Location: 155' E. of M.H. (Inv. 842.93) Wye Elev. 845.51 Eop of Footing 848.75 Water Location: 11' East of Sewer Service � �:�+,',''� � �- r��d�� '��j�� (� t ° a� ��vrR�l�� -�a'�;�a"1i��+�, �Ld��I�V� �� i�lVS. TYPE OF COpLST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE HEQUIRED FOR ELECTRICAL, PLUMBING, HEATING, WOOCZ Li'SIiI VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU.�� 8O O AUTHORIZED IS NOT COMMENCED WITHIN BO DAYS, OR IF CONSTRUCTION B�iO OR WORK IS SUSPENDED OR A$ANDONED FOR A PEFiIOD OF 120 DAYS AT 2$$ L SSO ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY 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 THIS TYPE OF WORK WILL BE COMPLIED $19 � 3 6(. OO 9. 63 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- 3%. O O 3 OO . O O STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. � � PLAN CHECK FEE TOTAL FEE 346.63 � SIGN UREOFCON IR70ROR �� 7HORIZEDAGEN7 (DATEI HEN PROPERj-Y LI ATED THIS IS YOUR PERMIT � .,,�,� ��- � � �°��rs,�e�" �� 0 � 2 `�' q IGNATURE OF OWI ER IIF OWNER BUILDERI 1 A I BLDG iNSP DA7E �£ APpLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA � �1• � .�%�� !., � I�� , � �' . (� ` � • 1 1 � � � r � � . �. , 1 �' -� ►, NO : . ��Pc STREET : �! L %ICn+� LOT : y�%d' Z% b BLOCK: � ADDITION: ��Y�R y 1 E Y19 7If� !��j'�— CORNER LOT: INSIDE LOT: �r SETBACR: 3'S� SIDEYARD: /O �/d Applicant attach to this form Two Certificates of Survey of Zot and proposed building loca.tion drawn on these Certificates. 0 HESCRIPTION OF BUILI}ING To Be Used As: �&�,2y fiip �� Front : Depth : �`�� Height : 2� Squar� Feet: �� Cubic Feet: f�'�'�� ArQ� Gt�. Front : �.� Depth : � � Height : /O Square Feet; 2�� Cubic Feet: �$�° i —} � Type of Constructian: �?b �2�i'1�'� Estimated Cost: $ , �'a`, . To Be Completed: % / � � The undersigned hereby makes applicativn fox a permit for the work herein specified, agreeing to do all work in stiict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated i.a this a.pplication are txue and correct. DATE: 2 %� SIGNATIIRE• (See Reverse Side For Additional Information.) �, �� ) ��;��;C�� 1��1'�'l�v�� I �H� ��, C� � . � i c� s� c!� s� r= �� N r-��; � i� ;�R�>y ,,.T I � 9 i` I '� ♦ W� ` 1�� E. �c; �� , k' ,� � �c.�� A�� ' �+ • � ! � � ---,�,,,�.�. � � � BUILDING PERMIT FEE SCHEDULE SECTION 2. The Inspector of Buildings shall, before issuing permits for the erection of any building or structure, or for any addition to any existing buildi.ng or structure, or for any alteration or repairs to any existing building or structure, upon applicatio� therefore, require the payment by the applicant for such permi.t of fees to the amount herein below set forth and in the ma.nner herein pravided to-wit: UNIFORM BUILDING CODE: Type 1, 2& 4-$2.15 for each one thousand cubic feet, or fraction thereof, i.n such cubical contents. �pe 3& 5-$1.85 for each one thousand cubic feet. ADDITIONAL INFORMATION For the purpose of computing fees for building permits, the cubical contents of any building or addition, is determined by multiplying the ground area covered from a point six (6) i.nches below the floor line of the basement or the cellar to the average heights of the upper surface or to the average.= �height of the roof surface of the main gable of a pitched roof. For repairs or alterations to an existing structure, the fee shall be at Che rate of $3000 per each five hundred dollars ($500.00) or fraction thereof in the cost of all proposed work. In no case shall the fee charged for any permit as set forth in Section 2 be less than $5.00. � VERIFICATION OF FOUNDATION NOTE: Perniits for construction will be issued a mini�m of 24 hours from the time of application, to allow for proger review of the progosed structure and of the construction site. A Certified Survep of the lot, showing the location of the foundation, once it has been constructed, w ill.be required before proceeding with the fra.m3.ng. " CERTIFICATE OF OCCUPANCY Application for a Certificate of Occupancy shall be made ten (lOj da.ys prior to the use or occupancy of any structure for which a building permit has been issued; and said structure shall not be used or occupied until a Certificate of Occupaacy has been issued. E � � � F� < B. H. BRADLEY CtV1L ENOIN�R AND SURVE1fOR 9829 -7dTX AVENUE 30UTH MIPD7BAPOLtB. MR�WB�BOI'A 8l/01 ns.at� / f, ; � �l � l�� .� r � :f�-`'e-�" � r��y �'�- ��-� �� ►� �-�..� ��,�, �� o�/��'i" ��1 � �� ' �!, _ . �i: � `°� � � �r ' � � j � � �'ti ir' � �� d'°+U�� 6� �� Q" F3 � �°'.� � � � � pJ� � � � �y°� .� � h � � ,� 4 Y �� `°sb W � ��. `�� .� .� }�� L/ �d/ � � � �� , �v T � � w �� q � � � �� *� � - � � � � � � � �� tR. � � -., � � �.. .. � � � �, ' � `� � � ,� �. � � � � � � � S `� � , � �, � ; � 4� � �; • � � �� . �� ,� � �� .� � �� 1p �� • ` � � � : � °'� � '� �. � � � � � � ` � 43 � � � � �"� � � `�+ , �► �� t � � . � � '�: �� ;� � �' ` A s� � v �=I �o ! !�r�� B. H. BRADLEY f(^jl `^.�4 � CIVtL ENGIN$ER ANi) SURVEYOR �U �,/ �D jj O� J/�r7 '.�� 6 f�+'� s/� tA �+ r� /"' �� r � I.. �., c� v f 9 I �.J l. 39�29 -247H AdENUE SOUTH � M1NNfiAPOL19. HIINN6NOTA BSQCJ �� If k� v� r V �/ C.� / 1`� � L� 724-2169 ./ /��r'� L ��r� C Q �' ✓ �+ jI � � --�- J. .. / �, .�5 i � , i 1 i � i �g _ � , ! I � �- �--, � ,...��.._,�. _ �'.�...__.�—_ �ri� ; � , i � j i i � �+ ! c� f � ; � i e ' i2 = i_ ---, s fO ��g ! �� ' 10 � � � s � i a- ; o; � � o � e �+ 1 ��D��'¢ � t' , �' � �� 1 4 i y Q � � ;1 t ; � ; e , � ZLr � 1 1 y� y � � � � � O � �q i v �.l � 1 ` � _�. � �--- —�— 6 � �� 2� Y _ �� y i S'� c� 1�6 �� ` � lJ � � rn � �c's ja rop � h�y Ct�rn� ►-� , r' � � U • o �, � ,� ` J � � � � �ii ;;i. � � V i � �- � �� 4i i � � ,-� . � v � .� : .. ,1 ''�t � �.. U �` � � \ � ` j� �V} a ,Z .t'� � 3 �J � � � � � � a. � ti� � � � � � �- � t,� � I0� � � L � � `� �� 4 �� i o �, �- i1�,�r-,� ,`f ` �_ � J +�. 'J '�I v � ` V S' � � � � v � -a� v► J � `�i a �� s ` � � -u�. � :� � a � � 9 �� ; � Ii ;; � � i u i� i "'V � � � � S � o � � � +� �` F � � V � � � � � � � �� ,. � �� -- �� j i �� /�.� � � � � ,��.�.�,�/' ��y� �� - ��'.� �� '� �� ; ,��.--- � �� ' � - , �� ' r� ��r- %/ � : �y��J ��.� l�� r�� °�� L� � � � � 4 . City of Fridley r 4T TME TOP QP TME TMINa i 1. i ' rL-------� cou�+uN�Tr oev��NT o�v, � �l � MOT�CTivt wf�cTWN OAT. j �._�` � pTl NAL1. FIUOL�Y �M� ��...�� .J W' b:0' 3N0 � . actor OC.� � etion d+ I , I � I _ � _ � -- 3°�-i � � : �o � i •�a�N i •eaa� I•M►+rva m y� 9NI8VB I � H�lY� �O� sNwaa � eooid �3 0 ;0 v I sa3Ma+g IO'� '� q •tNnod � tf ,� HN�ao IVi� SAYMlI QMSVM � 8�NI8 I fNIiY/I( v 1 r J sana I � Niva �vNwn I I aaive+I � � � • � .� � � � � � � - � - �� `�GY�?i a .� � � w .� � � W � � � I li �� I I� �� (� I i i : , PLUMBI�If, PERP1IT APPLI�ATIt�i� 0 , � �/ ss Phone �� aaress Phone �//// , /� ., �/ �/// f-�- �Y / ��i,�A� ��ilr�QJC i �� /� L�'✓ se ° �a, ,_.,�� e r.�timacea �os� v , / L"�G' � • =�- ' Plumbing Fixture Rates: N0. RATE TOTAL Number Fixturea � x $2.00 /s a � Future Fixtures � x $1.50 � 1Vew Fixture-Old Open. x $1.50 Catch Basfn x $3.25 Water Heater-99,000 BTU � x $3.00 �=� Ground Run Old Bldg. x$3.25 Elec. Water Heater x $2.00 Gas Fitting Fees: ls t 3 k' ix tures �_ x$2 . 00 v� °�'� Additional Fixtures x $ .75 Gas Range-199,000 BTU x $5.00 Repairs � Alterationa See Description: Code ( State Surcharge .50 iTOTAL FEE $ �� % !The under�igned hereby makes application for a permit for �he woxk herein epecified, agreeing to do all work in strict acco�dance w ith the City Qrdinancea and rulin of the Department of Buildi.nge� and hereby declare that a11�th� tacte and repxesentationa atated in thia application are true and correct. � . :� / � /.� � ignature Date . ► « � � N , � : � s > � � . i 0 < � � � � � c-� � � � �� i� � � 0 ��o �� p � `�m�� • • � � � � � � � � 1� N y\ r � � n �rt �n � � , � � 0 � � a C� O . � y m �� a�� W n � d � � C A � � �v ••��'�� : . . � � � � � ' � � � � � M °1 �u � 8 � � y 8 M /A M � V V 1 \ ' n � � I C' L " C o w b � � � � � � �P � V � O M � v w N 0 0 � o �� ' rt G� � b � A r fD `� � � 0 r � � <� M I Ws o� w �� , � �� ~ � � E � � $ � I � �� x � I � o N � r N I N � � � � � � � �� a� � x ��o c�' A � y � %+ � � � � � y ,�'�' � � p � � � � � � s�x � � �. ��,� � � s � � O � � � � �w �u po 0 0 g�ss M � � M I f � I I � � � �J 0 � O I fD � � � � � � z O � � O1 ci. � i 0 � 0 �.! � I 0 � � � m g � �� ' � ' �a�� a�� a�� O � p � 0 �� ms s a j� , � � � : S � . ' � w w a� �: o sss�s N tA N � p\ [ � a h �D a � � �� z � x � m m � � "� �� 9 � a C � � � � y m � � � � ' � � � � a � � a ° a� � $ . . 8 . � w c, a o � s$'ss� � I � I � I I � fl. o.� e AC�� j b �. a, �, io � °•,° a' � d � D ��0p�y� .. �d � � �s D ° °�' a �' n �� . � � hA 5 � "� -f n °' ?ao A y ~� � �t 6� :� � y � Ca�b ' O�y � � 41 � � � � °' � �' o N � � I �� m � a� �� m�� A 11C � s� � � A � 7 i� � n � � � � D '� � � � � \ i _ rn C �n � M � � � � � �i � � �e � � � � y �� A � �� D w � � a � s � � � � � �� _ � �-° � ry �� °� �- . � E�I11ti11RlIoiT �� "ILDIN1i3� M�T�L��S CAL�ULATIO�IS p .d. ' Conetructan No. FRIDLEY, �wcealatr�: , �1kad+etsVigs �de Roof Fl r fGnd H�v ApP rs Referenu Out. �all Iat. VUaU �a' o y 19.—. � Leag� Qfl' --#Ieight �lilidth �i'teight ea Fl.� 1� � n' � """ Wiudows and Doors—Crac�ags and �1 rs--Gitkag+e' antl AKa w�a�n x.lse� xa oc inn.at c4 we.s w__ J_� � bU ot crack . n• IpOD� e ot ' �YIdtA HN�At No. ot Llaeal tt. Are� / No. o � �� Ha ot W � I{Bhu ot eraek �Y. tt. �� Ir I__ / r ,� .Y �P�II� Colf Coe � 7„ Q, In6ltration � lrt�ltraeeoa � , , p � �iaf�a �p. wall aP �P• � Net e:p. wall r�� . ,�u io�. �►au �. ,��i � c�,��g 1 -- Ceiling °� Fjoor ' Fl�r Total Btw Total Btu. k. E.D.R. or w• �. W.�. der erea r area R�� °Q' �{(� R�qu'vesl eq. k. E.D.R. or rq. ��• W.A. �t Fl.I / ttcom 1 Lea�gt� 0�-W't�h _�. � d. m Length •�'�i �y��do� snd DoAre--C*sekaee and Ares WindmM+s and Doot�--Craekaet �d P1rea �� ,1,� wiaee �xe�snc Na ot sroQ•� n. �r°• f// e Na Lln�a t4 �►� �° Ho, ot oa DaRe �1id� ot craek �IL/ � T r� .. Q 6 ote16 u ot crsok W � l�ta, o I BtU IH�1�tlatlOII � � O 1a61tneion � �.AC Glaa Glau Esp• w�U ' J �p. wall �-�- Net e�cp. wall � yet esp• wall Int. waU Ya� wafl Ceiling _ Ceiling �' �� Floor � Floor Tatal Bcu. I E, sq. uu. WA. ekt ue� TeW Btn. der area R�' �' �. .,••�leight I Re�rvired D. or �9. ia�. W.A. He.ight F1• Fl.l � Leagt6 �Il�th I WindOww� a� Doon—Cracica�e �� w�. ,�� and Doors—Craeltae�e and Area , tltb= N�s�; _; °o�r�ac � ��e � ot � i.,��uae�.on �� a w� � N.t �e_ w8n �Rt. rVaU Ceiling L"1..... T� � � �o � � u o:c k p•� � �� '� �'�'` � ' , . � ��,�� -`� ► • . 3'��"�%t ��/I_?',� , � �r�.��1if�' �!� ;_ , - �� 1•� � 1/��- I �� ' = � �,�.�■ .�I —I � . ��I/i�: �.��I. � V !�� I � ; �'� �.-�u�-.� �—��- _;,� _��;o . � r , c.� . � aa .�� r �` � � HEAT� LOSS CALC1�1.�1i1O1�1S DEP�IRYMEIiIT OF',�BtlI�.DI�1G5 . FRIDLEY, MI9dN. Weat6eratrips A.S. .V. CQestrutcan No. iasnlatwa '- Cuide ` � e poora Reference Out. Wafl 1nG Wall Ced' Roof oor lGnd I�a► A@p1�d � Y' No I Y�1 19_ Fl,� L.ea h Jl�idth .o•�Heisht i.saet�+ �' Widt6 Height �. Win�dws a`ud Doo d rae�tage � Area Q/iedows and �ors--Crackage aed �►rea w s �Yldth Helgbt No. ot Lloeal 3t. Aro� �/' WldtA He1�9t Na ot Llaeal tt Arera 7 No. o e lis ta o! crack �0• t�• �� No. ot paa ot Daoa Na6to ot ack ` . ln6ltaEion 1nGltration Gtess • � v d Glaas Esp. waU Esp. wall 7i G'� _ ` Alet acp. waU lat. waU Ceiliag �— —°--- Floor Total Btu. ° Required sq. h. E.D.R. or aq. ina. Q/.A. Leader area FI.� Roam I Leagth Widt6 Hei �'/'endows ae� paort.—�Crackage aad Area ld b elsht No. eL Llneal tt. Area Na oi Osns ot p�ae Il�ha ot erack sa. [t. _ Fsp• wall Net e�cp. wall lot, �wll ' Ceiliug F'i�r • Total �n. Required aq. k. E.D.R. or sq. isa. W.A. L,eader area Fl. Room � Length Width th Wiadowa and D�rs—�Crackage aad Area Width Helght No. of Llosal tt. Are� Pa ot oaee ot paae IfsAt� o[ ersek N. tt G�'iltration Glaa E�Cp. wall Net esp. wa� IaG waU Ceiling !'loor Taal Bta �a. �� ; � � � � Ceiling _� Floor %tal Btu. u�ed W. k. E.D.�t. or �q. ina. �.A. Leader erea �t Fl.I Windows aad �VIdt6 1 No. ot pane e �iY ,�o ]�1��i8elOa �— Glau F.�cp. wall Net ezp. vaal) Int. wall Ceiling F7oar Total &w Itoom ( t•�� 'c� brs�—rCraekage and Aaea �h` ��w°.: s�i er:ak mr n. Rec�uired �q. k. E.D.R. or sq. ms. W.A. L.eader area Fl.� Room I I.ength Width Windowa a� Door�--Crackage aad Area Wldth Heli6t No. of Llneal tt• Aroa No. ot Dane o( pan� tl6hlo ot cr�ck sa. tt f'�"r'I�� E�p. wall Net e:p. wall Ia� well � Ceiling Floor �� Tow e�. I � _�'�� . �� ,� u -� __ sue�ecT PERM c�ty of Fridley � 9 7 317�� AT THE TOP OF THE TWINS g U I L D I N G P E R M I T f ; � > RE . • COMMUNITY DEVELOPMENT DIV. ' j L �"��', /� r � � PROTECTIVE INSPECTION SEC. �1��(/ I i � ' ��1 � CITY HALL FRIDLE� 55432 NUMBER REV. DATE PAGE OF APPROVED BY �'----� • •�J 612-571-3450 910-F15 11/2/83 � � JOB ADDRESS 546 Giencoe Street N. E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 47��H I Ri.verview Heights SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE Rich Tinker 546 G�.encoe Street N.E. 786-7009 3 CONTRACTOR MAILADDRESS ZIP pHONE LICENSENO. Metropolitan.Fireplaces 1162 North I�.ndmark Hopkins, N.�i 55343 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION �7 ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a ma.sonry fi._replace 9 CHANGE OP USE FROM TO STIPULATIONS Provide combustion ai.r to either fireplace or furnace. Provide products o� combustion (smoke detectors) in all hallways leacling to bedro�ns TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. MdSOII THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING S0. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONEO FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPIICATION �- STALLS GAFAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF IAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2�700 $1.35 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OF CANCEL THE pERMIT FEE SAC CHARGE PFiOVISIONS F ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION O THE PERFORMANCE OF CONSTFUCTION. �3H. SO PLAN CHECK FEE TOTAL FEE � $39.85 SIGNAT aE O TRACTORORAUTNORI2EDAGENT IDATE� WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT • �£1� � � / .� SIGNATUREOPOWNERUFOWNERBUILDERI IDATEI BLDG iNSP �ATE CITY OF FftIOLCY . Effective Aug. 1, 1981 �iPPLICATla1 fOft RCS1DCi��Tllt�. DUILDIiSG P�('viITS (f�th�, Alteratiansq fldditions, or Repairs) .----� OI��IIER: i , J S �l_ �� - _ ADJRESS: � �� '�-e�t � � r� S � � TEL �0: ,��?' �%�� 'l3UI LOtR : ��! c�aa.ti � � � � �v(� � ADaZCSS: ,�(�� '�1�-c7� ��z� �t� r TEL I10: Z�z� f� ��'�lr`� �� S�'3��' Construction Location . ��' STItEF•T: 5 • STJtI�T NO : �— `��ti° e'� a � - L07': �. WL5 HL0�1C: � 11DAITIO:i: � � Corncr Lot: �__,_ Insidc Lot: y _ SetbacY.: __ Sideyazds: Ap�licant attach to tl�is fo�tm two Certificates of Slirvcy of lot and pzop��ed building location dzawn on certificates to scale. ��S�N DESCRIPTIO�� OF C0�lSTF:�JCT10�� 2�`�_ Fzont: Depth: Heiqht: Square Feet: Wbic Fcet: Front : Depth : Heigl�t: Square FeAt: Cvbic Teet: _ • j��, ' �"� �jG 7�pe of Cor,.truction: •// 1�SoN EstimaCed Cost: S4 L . � Rb Be O�r.�pleted: ��G ^� � � Alt. A Alt. 8 Prop�sed Drivet�ay Liidth Zf New Opening Is Desired: __ S s $�� pEVFR;� •SIDi OF S}IE�T . 9i�e unclessianed hereby m�l:e� npplic�ticn for � perrcit fcz the �:vzk herein specified, agreein3 to �.all wo:k ir� striet accozdance yith the Ci�y of I'ridle�� Ozdin�nces Eiid ruli»�s of the nel�.�rtm��r. of Bui2�ings, an�ereby declares that all t)�e facts and reprecc� �itiens stated +n this applic�tion z true and correct. � DT.TE: �� ' e� — �� SIGNAZV I� : S t il�u la tions : � �_�� , ��_ ��. v�-° . _ _ � � gs � f��ifT1?'i' -17��" - - Tbe Chief Building Otficial ahall, betore issuing permits for the erection of any building or atructure� or for any addition to any ezisting building or atructure or tor aay alLerati�n or repairs to any existing building or atructure, upoa application tberefore, require tDe paymeat by the applicant for aucD permit of fees to tbe amount berein belo�► aet lortb and ia the manner herein provided to-xit: ?otal Yaluation =�.00 to =500.00 i501 to =2,000.00 Fees =10.00 (Minimum �15•00) =10.00 for the fir�t =500 plus �1.50 for each additional a100 or fraction tbereof, to ar�d iacluding �2�000 =2,001 to =25,000 =32•50 tor the tirst �2,000 plus a6.00 ' tor each additional �1,000 or fraction thereof, to and including a25�000 i25�001 to =50,000 =170.50 for the firet =25 � 000 plus =4.50 for each additional �1�000 or fractioa thereof, to and including =50�000 �50,001 to =100,000 =100�001 and up =283.Om Por Lhe firat �50�000 plus =3.00 t'or each additional �1�000 or fracti�n thereof, to and including �100,000 =433.00 for the first �100�000 plus =2.50 for each additional �1�000 or fraction thereof Plan Cbeck: 25 percent of Duilding permit fee. Drivexay Depresaion Escroy: Coacrete curb etreets onlq. Alternate •A": Removal and replacemeat of curb and gutter only - Driveway Width plus 6 feet times =13•50 Alternate •B": Removal and replacement of c urb and gutter and install a 3 foot Wide approach vith 6 inch depth - DriveWay width plus 6 feet times =15.75 - .� � �. .. Perinita !or eonstruction vill be iasued a minimum ot 24 bours from the Lime of application to allox Por proper review of tbe proposed structure and of tbe construction aite. • Certificate of Survey of the lot, ahoviag the location of the toundation once it has Deen constructed vill be required before �roceedin� witb the framiag. �. _ � �-.. Building MECHANICAL Perrnit 1vo.:�c�/�' Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date�� DATE �� YOUR E-MAIL ADDRESS � � C SITE ADDRESS S � �o �B/U� C � THIS APPLiCANT IS: �OWNER �CONTRACTOR PROPERTY NpME: ° �WNER/ ADDRESS: �� o `e/lI C� � ST CITY STATF��I ZIP TENANT PHONE: ,7G� 3 —' %I� °�OO�' CONTRACTOR COMPANY NAME: SUBMIT A COPY OF CONTACT PERSON: YOUR STATE STATE LICENSE # EXP DATE LICENSE WITH pDti�g; C[TY STATE ZIP APPLICATION pHONE F.43t PERMTT TYPE �SINGLE FAMILY O TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK' �EW ❑ REPLACEMENT ❑ ALTERAT[ON/REMODEL DETAILED DESCRIPTTON OF WORK I N � C 1� � PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor ) Labor cost under $300 =$15.00. Labor cost between $300 to $500 = cost of labor x.OS = FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $]0.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOVi� Equipment Installed MFG: MODEL: SIZEBTU MFG: MODEL: SIZEBTU �r,: MODEL: SIZFJBTU �A/C $25.00 _FIREPLACE (GAS) $15.00 GAS RANGE/OVEN $10.00 AIR TO AIR EXCHANGEER $15 FIREPLACE (WOOD) $35.00 _NEW GAS GRILL $10.00 BOILER $35.00 _FURNACE $35.00 _GAS UNIT HTR $10.00 CHIMNEY LINER $10.00 _GAS DRYER $10.00 POOL HEATER $35.00 DUCT WORK $10.00 GAS PIPING $10.00 _VENTILATOR $15.00 - n.,. -; q �"s' � n ��.a �`'. '� �, s��'�� "'� �?' H .- . r �::r �'�� !�� '�,�`, "��.,��"� ;�t� � ' � : �.,. " <. , . . `<-':. . . � . � � , :: � . ., ,�. ,:�. _ . ,. � . . _� ,� u -. ,..... .. > -_ . , . .. . _ ., ....�,.. ,.. . �, .. .. . . . _ _ .., y ,: -. . . _ .. . , � . . . Permit Fee $ Number of fixtures @$10.00 x$10.00 =$ Surcharge $ � .50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DLJE $��.� Number of fixtures @$25.00 x$25.00 =$ � Number of fixtures @ $35.00 x $35.00 = $ State Surchazge = $ .50 Tota1= $ THIS [S AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acla�owledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case all rk hic u' e review and approval of pl s , ��t�R� � • 1)/V J`��DATE�`��/ SIGNATURE OF APPLIC T i PRINT NAM "�.t � � � �� ' �+�� " � � ��.� �, �� , �f �� » S _ � � � _ ��: , z _ ��4 �" , (:ity of 1+ ridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 City of Fridley Residentia.l Mechanical Application Page 2 REQUIRED INFORMATION NEEDED TO PROCESS PERMIT RESIDENTIAL PERMIT APPLICATION HVAC 0 NEW HOMES/ADDITIONS ❑ EXISTING HOME ❑ MAKE-UP AIR REOUIRED FOR NEW/EXISTING HOMES 1. Combustion Air (See note below) a. Oil or solid fuel IlVIC Chapter 7 with MN Amendments b. Natural Ga.s or Propane/IFGC Chapter 3 with MN Amendments 2. Make-up Air (See note below) a IMC Chapter 5 with MN Amendments 3. Venting a. Gas appliances IFGC Cha.pter 5 with MN Amendments b. Fuel other than gas IMC Chapter 8 with MN Amendments REOUIRED FOR NEW HOMES 4. Hea.t loss & cooling load per room a. Required on new construction IMC 1346.0312 5. Ventilation a. Per MN Energy Code 7670 or 7672 6. Duct Design Per IMC 1346.0603.2 a. ACCA Manual D NOTE: Centerpoint Energy Mechanical Code Guidelines software may be used for combustion and make-up air calculations. ��—��.�o Building II1Sp8Cf10i1S 763-572-3604 DATE � � I �-1 b� srrEAnn�s ��(c TEIIS APPLICANT IS: BUILDING RESIDENTIAL AFPLICATIDN CITY 4F FR.IDLEY YOURE-MAII.ADDRESS �1� �@0. CU Sf-• IJ �- ❑ owrmt �cox�x.acTOx PROPERTY OWNER/ x�: F� lc(t Ti TENANT EwDx�ss: CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE VJITH APPLICATION PRO}.'ERTY TYPE PERMIT TYPE TYPE OF WORK: crrx 0 �.�3�� Petmir Jo.:� ' �" � �, "1; Receiv d Sy: Date R c'd: �$� �� 9� r�.— _s� � __zz� N�: r�.��"A�[itrd L�ons �-�. c.��.,� , STATE LICENSE# � Oa-�'C�� EXP DATE __ nnn�ss:5(o�f7 /�7�r»cr r��./ �' iV CITY �S�/�i�, �iv PHONE �PSI• �% �• S��U FAX �+57� 3S� •c�0 i(p =°-- 0 SINGLE FAMILY/NEW CONSTRUCTION SIZE n �xrn Fe�rrt_vnvFw rn�mTx[irTroN STORIES ❑ BASEMENT FINISH 4iROOF ❑ DECK O SIDING POOL ❑ DRAIN TILE O OTf�R DESCRTBE WORK BEING DONE:��(�- 9 F� � l�� _ SIZE OF INBROVEMENT �OOFING NUMBER OF SQUARES � GARAGES PROPOSID SIZE: PROPOSED HEIGHT: SIDING ❑ Virryl ❑ Alumirwm ❑ Other Y�'II�QWS IN EX[STING OPkNINGS QYes QNo ORFORNEW OPENINGS-DESCRIBE SIZE OF OPENING CHANCiES & TXPE OF WINDOW TO BE INSTALLED NUMBFR OF WINDOWS I ALL FEES ARE BASED ON VALUATION, ]NCLUDING THE COST OF LABOR AND MATERTA i.S: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ ` � � �'3f1 OCCUPANCY TYPE _ � Peimit Fee $ See Back Page for Fee Schedule Plaa Review $ 65% of Building Peimit Fee Fire Surcharge $ � .001 times the total job valuation Surcharge $ .0005 x Permit Valuation Minimum $.50 License Surcharge $ d�� $5.00 (Stata Licensed Residential Contractors) SAC Charge $ �r $1550 par SAC Unit (Plans to MWCC for determinati � t) Curb Cut Escrow $ ft+ 6 R= ft x$21 =$ Erosion Control $ $450 Consarvation Plan Review Pazk Fae $ Fee Determined by Engineering Sewar Main Charge $ Agreement nacessary () Non Necessary () Total Due $�--� Make checks payable to: City of Fridley A1 t �ch LENGTH ❑ HOUSE ONLY ❑ HOUSE 8t GARAGE ❑ ATTACFIED GARAGE ❑ DETACHED GARAGE OSoffit ❑ Trim ❑ Fascia LOCATION OF WINDOWS STATF/fj/j%ZIP,��- WIDTH HEIGHT Sq. Ft. BASEMENT REMODBLJ ' G SUBMIT: 1. F�tisting Floor ": ►n 2. Proposed floor � an 3. List of structur. I members to be ased FORNEW CONSTRUCT � �N TivCLUDINGDECKS, ADAITIONS. 8c FORC��.f ` SUB_MIT: 1. Site Plan/Surve showing the existing strucwres and proposed p iect. 2. ltvo sets of cot � ntction plans 3. Energy Calcula � �ns THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PAOCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; hat the work will be in conformance with the ordinances aad codes of the City of Fridley and with the Mr[mesota Consiruction Codes; tli� ' I understand this is not a parmit but only � application for a perniit and work is not to start without a permit; that the work will be in acc� �i �ance with the approved pl� in the case of all work which requiras review and approval of plans. SIGNATURE OF APPLICANf I�'1° � PR1Nf NAME M- l=�.M�''l1AC� DATE__ I� I�.{ d