AF - 45898�
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City of Fridley, Minn•
BUILDING PERMIT x� s737
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� _. a�4aG_(�dN� Builder _. . _. ... .. _ ...._._....._..._....._..._...._..--
Addreas �...._�_�.�_.__.__.._.._.__......_...._{� ....— Address
N _ ' S lock . ���......_._._._. Addition o�� P . . t .. . ...._ r �,. ... ._.__
LnM ._.��_�� _..../ .._L _
Comer.Lot __...__.._ Inside Lot ..._:�..—.... Setback��... ��....�_._._._._ SideYexl -.��.._.�..�.. __._.—_.._
Sewer Elevatlon —�..._.__..�._.._.._....._.._._._.._.._.._...._ Foundatiaa IIevation � _. ...._. ._._____.____.__
� DESCRIPTION OF BUILDING
u�a . / �j� f
EYront _.�'�� DePth _.�-l2 Height �._. S4. �. /!1� Cu. F'�Gl�
.—..��.....�. -------, DePt6 _.. �FTeight �Sq. Ft _.__...._.._ Cu. Ft _..._.�._._
lrjpe oE C�atruction _ F�t. C
qHL,�„_ ��...__....._ To be ComPleted ....:-----._._.._.._.__._
In consfderation oP the isauance to me of a permit to cwnstruct uilding described above, I agree W do
th� propoeed work ia accordsnce with the descrlption above set � ce with all provlsione of
ordinaaces oP the dtq oE Fridley. ����/�,� ` i
� �A � %r.c� w_[ ^6Cf� �
'a�-- �`T
In condderatian of the P$Y�ent of a fee of y.p5�1.—"�� Perm►t is hereUY gi'ented to-- .--
to construct the building or additton as descrtbed above. This permit ia granted upon
t6e expreas conditlon that ffie person to whwn ft ia grented and his agents, a�nployees and workmen, in all work
done u4� around and up� said buildin8� or anS' Psrt thereof, shall coffiorm in all resP�$ to the ordinancee of
FridleY, M��� reB�ding loeation, conatructiom, alteratioa. maintenaace. and maving oY buffdinga
wlthin the �tity ]imits arai tlua permit maY be revoked at ar�V �ie uP� vfo�anY oP the Pmv�ona of said
urdinencee. / 1 � _
�
NOTICE:
lfik P�nsk dea nef cewe 1M ceMnnia. i�ll�tlee fer WIM. P��O. Yn M�Iiny, awa x wahr. B� wn b w
fM lulWisp 6y/eter for apu�M p�mils fee 16w Nwm. �
a�� ='
-r' _._ �._'/'. _. _. •
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLSY, MINNESOTA
OWNER' S NAM6 BUILDER n%/�'ST��F %YI�C'IfI S.z,C'�'C
nuDRSSS " anDaESS I 3Po C�'I �/NCY .�f�,
LOCATION OP BUII,DING
/
No, `�,j Street �,(� �(/ ('pE Part o£ Lot
Loe2 ,2 2 Blocklf�Addition or Subdivieion�(°//�,�i1'j//�� /fiE/�fJ`��
Corner Lot Inaide Lot ✓ Setback �� Side-Yard f� � o�„� �
SEWER ELEVATIUN FOUNDATION HLSVATION
Applicant attach to this,form Two.Cert�.ficatea of Survey of Lot and proposed build-
ing Location drawn on these Certificatea.
OP BUILDING
To be used as:
f//�` I�r,CE f��✓C,tL/ ,IiF Front �p Depth .2, � Height e2 !�
sq. Fe. /bYd cu. re. ��?D. k'O---C�
—�
Front Depth Height
Sq. Ft. Cu. Ft. %Z�.S°ds7
Type of Construction j.t/dO,b �,p�jtr�. Estlmated Cost
To be Completed �%Q f� /%/�!
The undereigned hereby makea application for a permit for the work herein specified,
agreeing to do all work in atrict accordance with the City of Fridley Ordinances an3
rulings of the Department of Buildin$s, and hereby declares that all the facta and
representationa stated in this application are true and correct.
(Schedule of Fee Coats,can be found on the Reverse Side),
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HEAT LOSS� CALCULATIpNS EPARTMENT OF INSPECilONS
Weatherotrips A•S'� ' ConsWction No.
Guide
Windowa Doora � Reference I Out. Wall Int. Wa11 Ceiling Roof Floor Kind
MINNEAPOL(S, MINN.
Insulation
How
Yes—No Yes— 0 19—
Room Length Width /�% Heig6t FI.� Room [.ength /b Width
Windowa oors—Crackage and Area Windows and Doora---Crackage and Area
tVltlt Helg�t No. o[ Llneal [t Area Wldf� Helgh[ No. at Lineal ft. Aree
Na. of De� o! Oane lighta ot crack ep. [L No. at D%ne o[ osna 116�b of crack ea. tt.
� /J 7 /G Y �c� h_ �J //_ �_ 2 /i
Glass ' SJ'� �
Exp. wall
Net exp. wall
Int. wall
Ceiling
Floor
Total Btu.
Required aq. ft. E.D.R. or eq. ins. W.A. Leader area
.� Room Lengt6 // Width
' Windows and Doora—Cracka¢e and Area
In6ltration �
Glua
Exp. wall
Net exp. wall
Int. wall
Ceiling
Flaor
Total Btu. .
Require sq. ft. �.R. or sq. ina.
. � � Room�Lengtl
Windowa and Doors—Crackaa
�.eaaer area
' Width '
Area
� Coef. Btu
In6ltration {%D //'ZO
Glau .j'a � e-o
E�p. wall 'i��
Net e:p. wall / . 7.p
Int. wall
Cei�ing /� c '"� D
Floor
Total Btw .� as�
Required aq. ft. E.D.R. or aq. ins. W.A. Leader area
.I Room I Length Width Height
Windows and Doora—Ccackage and Area
wldth Helght No. ot Lfneal tt. Area
No. o[ D�ne of DQne 116��s o[ e�atk ep, tl. .
�t ii '2 ii in
Btu �
' �p In61[ration
��^ a Glasa
Exp. wall
/I v Net ezp. wall
Int. wa11
� 90 Ceilina
Btu
Total Btu. �� �
Requir�'q� . Fy.yD.R. or nq. ins. W.A. L.eader area
i•�1.� Room I Length� Width 9 Height
Windowa and Doors—Crackage and Area
� WIdtT Hetght No. of Llneal (L Area
No. ot ylp0 a[ D�he Ilghta o[ cf�cl[ e0� «�
i(� /G /d
� �-s� /i 'y i S/ 8'
In6ltration � S/ Infiltration � t .
Glaaa u-� Glaaa �
Ezp. wall � Ezp. wall
_ Net exp. wall Net exp. wall
Int. watl Int. wall
Ceiling � � 7 �/D Cei�ing
Floor Floor
To�,{ B�u. (o O Tocal B�a
Required aq. ft. E.D.R. or sq. ins. W.A. L.eader area Required aq. ft. E.D.R. or sq. ins. W.A. Leader arca
�
Btu
19� C
/9ao
..
Permit Fee+�-......---`--- ........
APPLICATION FOR MECHANICAL WARM AIR HEATING PERMIT
.,
No. P
Date of isauance- °-- - -._ -- .......--...........- - --, T 96- ...
�titinnempobis,
196._....
Inspector of Buildings
The undzrstign,ed hereby ma,kes applicatlon for a permit for th,e insta.Elatiom, dbteration or rep2ir af
a hecctbn�', air con,r�itionin¢ or aentiluEin�s sysGe�m, det�ice or eqzr.iprroeni, a,s her•ein, sper.ifi,ed, ag'reeing to do
abl vicch u+ork in xtrict accordan,ae wi,th the City Ordz.rw-rcc�e5 aruz rubin,�'s of the Deper,rtanerzt of Zn.speetiores
an.d tTzti sprri fceatians set forth in this appliecctiom a,s mp�rorecl and fe7zd in tfre Dryartncent of Irzs�ections.
Owner - - -...._ ......
.4ddrexx of Owrzer----...--.__.....--'--.. .. ..---
Kind o Buildin °--� •- -How occunied...._......- -- --- - --� �- ....... --- .................
f g--_. - --.._ --......_...-�:�- ---- --
Wark to be started.----._....- --------------�=--°-----, 196...... Worh; to be completed.-------------------._...-----.., 196-----
Estimated Cost
— �y'eu� Bu.ildin�' Pernait ��1"0._ .............._....
DESCRIPTION OF WORK
Nate: �naert the word inslall, add, alter, or r�poir, y¢ording to which is b 1» dona. Und�r "Remarke;' ifemize removals, if eny, and
alrowtions to aquipment.
..................._.---_-.---.--_..----.....Meahanical Wcrm Air Nea�ing Planh—Furnaaes
Connzcted
Air Condifioning System: Sacmmer — Winter —.Rll Year :................._......_----_......-_-----_.......
�A1ake ............. -• .................°° °--....----..._ -----......... - --- ..._Capacity - --- �----�----- - - Cfm.
VenfiloNng System: .M
Itemurlcs:
./Ipproved- ...... -° - ...._-� .....-- --_...._...-- � 196......
Inspecior.
0.2p ��s
- -- --°�--- Cfm.
Tel ephone..-�------------ -----------------------------------..
•
City of Fridley, Minn.
BUILDING PERMIT
Date: _._..__ June _20,__1967 _..�
�3�a 9�s
1V'° 932�
pa•ner; __...__Joseph T_. Kno1li.Jr. _ g�g�. _ Sussel Co.
qg�� ,,_,_565._Glencoe_Street N: E_,_......___ Aaareas 1850. Como._A�e�..,_SC_. Paul __._
LOCATION OF BUILDING
No. —565 _.__.. Street .__.._.._Gl°ncoe _St� _ __.._._._.__.._..._.... Part of Lot ...—..__...---.._..---.__.._._..�....____._
Lot .� 2.��.?�__ 81ock _..._.._._H....._.._......._...__._. Addition or Sub-Division ...._�?veryiew,Heig,�its._.._._.._..--.—
Corner Lot ...__.._..._.._.._ Ix�de Lot
Sewer Elevatioa
Setback _—__—..___..._ Sideyard
--...._ Foundatlon Elevation .�...._
DESCRIPTION OF BUILDING
To � u�a s.:
.D�'+�ACHED GARA�E FYront ?2�..._. DePth 24� Height _1��......_.. S9. Ft 528 (,y�. FL �280
---..--�—._..._._�...._ Front _.._..�.._ DeP� _..__......._ Height ._._.....—� 94. Ft. _._..._.._ Gii. F't. _.._�
FRAME $2000.00 To be Completed ....._Segt_! _20, 1967
lype of Conatruction _.._.._........_.._..._..._._...._..._ Est Cost _......._.—....._..._..........._.
In camtideratlon ot the issuance to me of a permit to construM the buildinB descrihed above, I agree W do
the propoeed work ia accordance with the description abave set forth and in cwmpliance with all proviaions of
andfnances M the d4v of FY3d1eY. l n , d, � iv
Ia condderatlon of We payment of a fee of �--. $.4�_.., permit b herebY 8+'a�� �-+�u�� L Co .
to construM the building or addition as described above. This permit is granted upmi
the �expresa condition that the person to whom it is granted and hia agenTa, employees and warlunen, in all work
done in, amund and up� asid buildin8� �' eili' Pert thereof, ahall confoim in all reepecte to the ordinancee of�
Frldley, bIinnesota reg�¢ location, constntetia�, alteration, maintenaace, repair and moving of buildlnSe
within t6e dty limita and th�s permit may be revoked at any hme upon violallon of eny of the provleions oE sa�d
aa'dinaaeee.
9 :-:' �
I NOTICE:
� Th6 pnmk dea �ef eswr IM �wqwtilee� im1allMbn fer wirMy. Pbmbiny, ou h�Hfna, aw�r x wN�r. N mn ro w
Ih� BuiHliog Imparor for wpv,M ywmiM Ier 1h�a (he�s. �
A.°7"uACA'fF.fi'� �?OZ 3!Txr,D�iiG ..°� LL tT
Ci.'� 0; i�k�.Ji.�ZJ D,�'1�:i�SCTA
OWNER'3 NA2� �pSe p� ��no��, ��— R`v�:i �iR. �u S Se� �
�
nnnt�ss ,�`�:.� �%sueo e �f Ao��,�ss l8's� ('�r.�rL�.�'�`�
LOCATYON QI' BUILDI:iG .
N0. S%S STREET /1L.L'-Yy1-G�e-Q� PART Ox' LOT'
LOT ' ��g BLOCK # ADDITTON OR StJBDsVI5I0��
CORNER LOT INSIpE LQT SETBACK SIDE-YARD
SEWER ELEVATI013 FOUNDATEON ELEVATION
Applicant attach Co this forns Two Certificates af Sutvey of Lat and proposed
building location drawn on these Certificates,
To Be Used A�;
DESCRIPTION OF BUILDTNG
/�
v
Sq. Ft. S� Fi Cu. Ft. �r ��
_
Front Depth Height
Sq. Ft. Cu. Ft.
Type of Coastruction �-a.�_c �Estimated Cost �o oo, ov
„ r. ,
To Be C
U
, �
The ssndersigned hereby makes appiication £ar a permit for the work herein specified,
agreeing to do all work 3n strict accordance with the City of Fridley Ordinances
and rulings of the Department ot Bui�dings, and hereby declares that all the facCs
and representations at2ted in this app:ication are true and correct.
DATB � v �.,._e_. �-c: — � % �i % SIGNATURE d � 5 S'� � � �-_�:C"�",
(Schedule of Fee Costs can be found on the Reverse Side). %�.
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Building
Inspections
763-572-3604
dY��
BUILDING
RESIDENTIAL APPLICATION
CITY OF FRIDLEY
SITE ADDRESS � l0 J tr[en (, D S
THIS P.PPLICANT IS: ❑ OVJNER
PROPERTY OR'NER/
TENANT
SUBMIT A COPY OF
YOUR STATE LICENSE
WITH APPLICATION
YOUR E-MAIL ADDRESS
Received By:
Date Rec'
nn�xESS: S(es [Tl�,..w c+ c�rY �• d l� „ srare�iP .�5Y3a
rxorre: �l0 3 - �8(� - 4So (o
NnME: j,.� r�c V.. a- n..} }-�py� 5ev-.li Ge s
srnrEUCe�sea Rc-a05oY86�o EXPDA,T1E 3_/�(oc�
ADDRESS: Jf�C��'�ii �(1y1�7�cG(l0 �.H N CITY/{i�0ia_T /r/UVG STAT�tP SS36�'
Pxo� �3 - Y93- a3a'� F.vc �3 - 493 - a�aG.
❑ BASEMENI' FINISH �AOOF
❑ DECK ❑ SIDING
DESCRIBE WORK BEING
SIZE OF
OFSQUARES�_
GARAGES
PROPOSED SIZE:
PROPOSED HEIGHT:
SIDING
❑ Vinyl
❑ Aluminum
� Other
R'INDOWS
IN EXISTING OPENINGS �Yes ONo
OR FOR NEW OPENRdGS-DESCRIBE SIZE OF
OPENING CHANGES &
TYPE OF W[NDOW TO BE INSTALLED
❑ HOUSE & GARAGE
❑ ATTACHED GARAGE
❑ DETACHED GARAGE
OSoffit
❑ Tnm
❑ Fazcia
IACATION OF WINDOWS
NUMBER OF
❑ DRAIN TILE
❑ O'f'HER
BASEMtiNT REMODELING SUBMIT:
1. ExistingFloorPlan
2. Proposedfloorplan
3. List of stiucwral members to be used
FORNEW CQNSTRUCT[ON INCLUDING DECKS,
ADDTTIONS. & pORCHES SUBMIT:
1. Siu Plan/Survey showing the eristing swctures
and proposed project
2. Two sets otconstruaion plans
3. EnergyCalculazions
ALL FEES ARE BASED ON VALUATION, WCLUDING THE COST OF LABOR AND MATERIAL5:
(USING T�1997 U.B.0 A'EE SCFIEDULE)
TOTAL JOS V
Permit Fee
Plan Review
Surchazge
Fire Surcharge
License Surcharge
SAC Charge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
�
$
$
$
$
$
$
$
See Back Page for Fee Sc6edule
65% of Building Pennit Fee
(.0005) times the total job valuation — Minimum $.50
.001 x Permit Valuation (1/10%)
$5.00 (Sta[e Licensed Residential Contractors)
$1450 per SAC Unit (Plans to MWCC for determination)
ft+6ft= ftx$20=5
$450 Conservafion Plan Review
Fee Determined by Engineering
A�eement uecessary ( ) Non Necessary ( )
Make checks oavable to: Citv of Rridlev Attach
THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED
I hereby apply for a building permit and I aclmowledge t6at 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
pemut but only an application for a pe�mit and work is not to start without a permit; that the work will be in accordance with the approved
plan in the case of all work which requires review and approva�pf plans. ,
SIGNATURE OF APPLICAN'I
Building
Inspections
763-572-3604
DATE IO � Z O�O S
SITE ADDRESS � S�
7T{IS APPLICANT IS:
PROPERTY OWNER/
TENANT
CONTRACTOR
SUBMIT A COPY OF
YOUR STATE LICENSE
WITH APPLICAT[ON
PROPEATY TYPE
PERMIT T'YPE
TYPE OF WORK:
BUILDING
RESIDENTIAL APPLICATION
CITY OF FRIDLEY
YOUR E-MAIL, ADDRESS
❑OWNER �OON1'RACTOR
STATE LICENSE
DESCffiBE WORK BEING
NUMBER OF SQUARES _
GA2AGE5
PROPOSED SIZE:
PROPOSED HEIGHT:
SIDING
❑ Vinyl
❑ Aluminum
❑ Other
❑ BASEMENT FINISH
❑ DECK
WINDOWS
IN EXIS1'ING OPENINGS fa.Yes �No
OR FOR NEW OPENIlJGS-DESCRIBE SIZE OF
OPENING CHANGES &
TYPE OF WINDOW TO BE INSTALLED �
ALL FEES ARE BASED ON V
TOTAL JOB V,
Plan Review
Surchazge
Fire Surchazge
License Surcharge
SAC Chazge
Curb Cut Escrow
Erosion Control
Pazk Fee
Sewer Main Charge
Total Due
DATE
2^2
❑ ROOF ❑ DRAIN 7'ILE
❑ SmING ❑ OTHER
❑ SWA4MING POOL
n
❑ HOUSE ONLY
❑ HOUSE & GARAGE
❑ ATTACHED GARAGE
❑ DETACHED GARAGE
OSoffit
❑ Trim
❑ Fascia
�
fION, WCLUDING TfIE COST OF
THE 1997 U.B.0 FEE SCHEDULE)
�d?��.0� � OC('[TPANC"
$
$ /r 2 S�'
$ 2,' )'�
$ ,•s,v a
$
$
$
$
c
Permit No.:
Received
Date Rec'd:
}T��Z
Ft.
BASEMENT REMODELING SUBMIT'
1. Existing Floor Plan
2. Proposed floor plan
3. Lis[ of swctural members to be used
FOR NEW CONSTRUC7ION INCLUDING DECKS,
ADDITIONS. & PORCHES SUBMI�
1. Siu PladSurvey showing the existing stnacmres
and proposed project
2. Two sets of conswdion plans
3. Energy Calculations
MA
See Back Page for Fee Schedule
65% of Building Permit Fee
(.0005) times the total job valuation —Minimum $.50
.001 x Permit Valuation (1/10%)
55.00 (State Licensed Residential Conhactors)
51450 per SAC Unit (Plans to MWCC for detemunation)
ft+6ft= ftx$20=$
$450 Conservation Plan Review
Fee Determined by Engineering
Ageement necessary ( ) Non Necessary ( )
Make checks pavable to: Citv of Fridlev
THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED
I hereby apply for a building permit and I aclrnowledge that the information above is complete and accurate; that the work will be in
conformance with the ordinances and code of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a
permit but oniy an application a pe and rk is not to start without a permit; that the work will be in accordance with the approved
plan in the case of all work wJ�e �,rey'�'�and approval of plans. .
SIGNAT[lRE OF APPLICANT � J/� � v��� PRINT NAME �Ld N aI CI GW /�/b.vr�� nATA � O^ 2 �-O