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AF - 45531City of Fridley, Minn. BUILDING PERMIT �-sa�_---...., . lv� 633� Date: � `T � " �`` . � ♦ Owaer: -11� '�f, � Builder ` .�'r-� ��! Address Address = CATION ,� BUI�DING No. Street � " �;l`_��.�tPart I.ot , Lot _ 81ock r��tion or Sub-Dfvisioa ,' � �---� ��_� �� Corner Lot _ Inside Lot .—;�__ �""' Setback �'�—_ Sideyard �� f��' Sewer IIevation _.._._ — Founda.tion IIevaf3on DESCRIPTION OF BUILDING � . T� Used . � r, ' �� Front �� Depth �.�� Height �� Sq. F't. � (�. Ft � `� � F'ront Depth FTeight Scl. Ft. Cu. F't� � � �� ._ 1j►pe of Construction ��'1..%tG'-: `� F�t. Co§t �' �� .� To be Completed In consideration of the issuance to me of a permit to consttvct the buildiug described above, I ag�e to do th� proposed work fn accordance with the description above set forth and in compliance with all provisfons of ordinances oP the dty of Fridley. � ' ' ,G�'v In consfderatton of the payment of a fee o# $�p�.'� , Permft is hereby granted to— to construct the building or addition as described above. This permit 3s grauted upon the express condition tt►at the person to whom it is granted and his agents, employees and worlanen, 3n all work done in, around and u�n said building, or any �art thereof, st�all conform 3n all reapecte to the ordinance� of Fridley, Minnesota regardiug location, conatructton, altera.tion, maintenance, repair and moving of bufldings within the dty limits aad tbia permit may be revoked at any time upon violation of aay of the provisions. oF said ordinancea .,,,� _ .� .. � ��=�`�' Buildiag Inspector Nonce: '11ds penett doa not eover �hs eons�rueHoe, tmtallatioe fer �rirtno. 'lumbtno, ��s h��Nn9, snwr or wat�a B� sun to s�s �t6� ButWing lesp�etor fo� aparaf� p�rmi�s fer fka� M�es. _ _ , � J � ` N . a - ` � � � ; �� .�.�, , � �1.001� �.. � PARK�ItE�I'��'�. ;Ftt�"�' .' �i, �� .� . ,� i . � _ . .. . . . . . . . - :::A . . .. . � . . . �. . .:4�., INDVi7ylAl � � C . � E . C O U -L T � .R � . : � ... ��T�� :'�: . � �•UfiN[it � . . . . � � �fAM4�fYRMi�f-��„�.;. ,� c�rr �o�s LAND SUftVEYOR s;�KCiHO�t' .,� YO�ocR�►MiC rw��iN� REGISTERED UNDER LAWS OF iTATE OF MINNESOTA �UOIC��1 �, . - LICENfED �Y 011DINANC[i OF C1TY OF MINN[A1011f - _ � - � � � . • ' 3300 LYNDALE AVE. SO. MINNEAPOLIS 8. MINN. � "+.' � TAYLOR° 4-0370 . • '.�, . . . . . . . .' Y!u �rbcgat'�t lCcrEifica�tc ;+ . � ,�x . . . . . , , �,..,rr . . � - � _ � � . fc�. - . . . . . \ : p± � i% ��: ��""�' �`�t� M °� g, ; iS.O _ r- �?: � � � � � � dRhUSAUE � 11T ��tTY EASEMENT - � ° � ;�, SCAI.�a �. �� ='�4C' ;�.p � ��I �� . _�, . ;; =.aE.S : � �� rt � �� `& � - i � ��i,� ��} � "� 4i �'�;'. L� ,.'� .; =�: � . . .. . . - . . . . . : .. , . ' ' , . . :'rA . . . , � _ ' � _ � � � • �; . . .� - . . .. . .. � ' � . � ,!p . . . � .. . . - . . . . . . ' �I R�. � � . � . . - . . . . t, ' . . . . , '�F� � � - . � � . � . � � �..1 . . . . . - . . � . . . . . . , . . . � � � . �� . . . . � . . . . � . ' . . . . . �ti�1 � . . . � ,.,. . � � .. . .. ' - :'��i � . . � � _ . � � I i� .. . - � . rd � �.' � � - f � . � � .. , � .. . � : � � - nL��SZ,�S1�� ' . , . � . . .. . . C �c� , _ �: ,-- A:11 � b3 - 41, A1 . ��, ,,, � � � A�3�4.G5 , ��. ' • � �� . � �NATWA�WAY . L AuE - i « ��! . �� . � a� I her��y oertiFy that- the abovs is a true and correc� plat. af a suz*vey aF s ��` � ._ _ ��.� f; . ; - ,. Lot �� Blocic 1� f'�1RKVIE'�i O.iYS FIR�T- �T�iTI�N� Anoka Co�tr� I+�inrieaot�. .. `�°�; , :�� {fi�. As survdyaci by me thia 19th day of Apri1 19b0 d. D. p�,,.• :�a « , . , ` . . . - ^ "MW � , . . 5`; ,�;. �k . . ,%.!�� ' � . . � .. t . ' � .. ' �� y}-�1 ��Rw'�� i,�e, � N�i�BOt� R�g�et�t�OII �. �eg * S. �d»i w� . . ' . ' � .. . ... . . � . . � � W�� .. . . . ... � �� , . . � � - . � .. - • � j jR^*� . . . . . . .. . : ¢, r . . . .. � . . . . . . . `. : - .. -. �'�"� � � ,� . . . . _ _ . . . . ' . � � �. .. . : : ; . . � ;'. �, . .. _ . . �; � . .. � � . . � � . _ � � . . . � . �'.�� ;. •. � - - . . .� - � . . � . � .. . � r . . - ' � � � � � . . . .. � � � � � :'� �� . � '.'��s�� ',� � , .. . ga�r� �; x'" i �� Y 1 ° . . _.. . • . � s . . . . . .' : +. .�..7� , . . . . . .. .. . .� ' �;� > . . ... . �, .. i/�M,�� . . . ' . . ` C� HOl�tE� ' � ,� .. ��:, . _ . � �. . ._ . . ., ., � . " _ .. .� .. � �� Owner's Addresa ��acaTiota r�oR sv�nz�tc ��T CITY OF FRIDLEY, MINNESOTA LOCt�1TI0N OlP BUILDING No. �� /� Street �'(��.�!�.� .� Eart of Lot _.__-- � Lot �_Block__�Addition or Subdivisioa "��'�,�,! �� `� Corner Lot Ine ide Lot ��Setback � / � � Sicie-Yard �� SEWER $LEVATZOiJ FOUNDATION ELEVATION Applicant attacb to this form Z'wo Certif3cates of Survey of Lot and proposed building location drawn on thes� Certificates. To be used as: DESCRIPTTO�T OF BULLDiNG Front � Degth� -_,Seight � Sq. Ft. .�C� � __Cu. F�. � � Front Depth Height Sq. Ft. Cu. Ft. Type of Construction a� �/ Eatimated Cost�`,� �''�� , To be Completed � � The undersigaed hereby ma.kes appli.cation for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinauces and rulinga of the Department of Buildings, and hereby declares that all the facts and representationa etated in thia applicatioa are erue aad �orrect. : 9 � ��'�`�.° � DATE �� / =/ � �/ � 9�GNATURE �i��-. � �°��-dt��e (Schedule of Fee Costs can be fouad on the Reverse Side). :F - "'" w � � R . � . y • 1 � , d9 0 � BUII.DING PERMIT FEE SCHEDULE Section 2. The Inspectos of $uildin�a shall, before iasuing any permit for th� erection of any bui�.ding or structu�`e, or for any additcion to any exist- ing bu3lding or,s�ruceure, ot fos any alterations or.repairs to any exis�ing building-or sicructure, upon application therefor, require the paymenit by tihe applicant for such permit of feea to the amount herein below set forth and in the manner herein provided to-wit: 2.1. For any such permit for the.erection bf any fire-prbof building, other than a garage� warehouse� factory or grain elevator, or for Che erection of aay £ire-proof additioa, �or similas occupaacy, to any existing building sY}all be at� the rate o£ $Z.40 for each on�,thousand cubic feet, or fraciion �hereof, in such cubical contents. 2.2. For any such permit for �he erec�ion of any fire-proof garage, warehouse, factory or grain elevator, or for t�ie erectfon of any fire-proof addition, for simil�.r oc�cupancy, to any existing buildiag shall be at the rate of $1.25 for each one thousand cubic feet, classified as °1fireproof11 by Section 5.02 of the Minneapolis Building Code. LOUSES 2.3. For any such permit for the erectioa of any non-fi.reproof building other than a garage, warehouse, factory or grain elevator, or any non-fireproof addition, for similar occupancy, to any existing building - permit $1.00 for eaeh one thousand cubic feet. . GARAGES 2.4. For any such permit for the erection ot aay non-firepraof garage, warehouse, factory or grain elev.ator, or for the e�ec�ion of any noa-firegroof addition, for similar occupancy, to any existing building or for each such building or addition - nine�y centa ($0.90) for each one �housa�td cu'�ic feet or fraction thereof, in lthe cubical contents thereof with a minim� of $4.00. For the purpuse of computing fees fos building permits, the cubical contents of any building or addieion �o a uniform height throughout by multiplying the ground area covered fram a point six (6) iaches below the floor line of the basement or cellar to the average.heigh� of the upper aurface or to the avera.ge height of the roof surface of the main gable of a pitched roof. ?.5. For repaiss or alterationa to �.n e�cis�ing structure, the fee sha11 be at �he rate of $3.00 per.each Fivz Haindred Dollars ($SOO.00j or fraction th�reof in the cost of all propose,.�i work. 2.6. In no case shall the fee ch'ar�ed for any permit as aet forth in Section 2 be less than $4.00. � � s ` 'i / \ � 3 a � � I 0 m � � pjr�� r � � � y x n � o � w� � Q n n ''I'' ,�' r � � H r" �p is' p' � y y � � � � z x � � � n z� �� w� � o� a a o �y � � w na �' ,��, � x A °�' � �'1 '+� �"' � m m � �� c l*J �,. � W �c �n a��'�� o �� ' ° do� � ��y o�� o � � ° ~ � o � y � � � � � 5 Jy_ � ° � V' � � : : : c�o � . � ��- : : . . � ; � ; � . . . � : . . � : : : : � : : : � I' I I � � � � � � N � bd � � � p cD �� y � I I I x : : : : `� : � m �a � � o . . . � N � � � � N � � O O P � O O O O O O 4N ifl {A {fl � ffl fA di iA {/J {ii L'1 �e O r ' �� °��° �c �xx S � o b b �. �� b v b� y� M �' �' � � �' �' � � ��o �� °�°� �� c�o `j p+ � � � � � � � ' � � � � p � � p m o �° �. R° y �° R° � � � � o � � � � �� Q� � y �� ' � � � `° ° � �r '� � � ., o ,� � � : Q � a � : � � a � : . ~ a o : : o . . � tA C . � O o . . � � � � . ,�' °� : : � $: : : � o � � � � : : : : � : : : � � : : : : � • �' m � O A� '1 � � w � w �, w d � ``� � � `�' � 7r .� � � � � � .o,. m � i r�..�'.. � c �' '�, � � � �� , :� � ;� • � tn :n � . t7 ... � � �, d � � ', �'� p ' C� ! � � °�� a � � � �, ro ` �� d � � 7 O O ,.. � � �'° x c� �. � �� 30� � � � � 7 �. � � a � �.. O• 7 � fW �-► � f�D D � � N �• � O � � O _ °' a �,, � � 3 N _ "1�, o b '� � ,��; � - - b b _ .� ��NO� �w�� 0 0 0 0 0 0 0 0 0 {p {!f �69 M ifl {Jf H Hy t• � H G �'r O � �' � f� q,�„ m R, Q, m y a° � iy, n y ��,y y b r' �(p� M � � H O+ � � <D � � � � i�; �� a �° � ;-��, p �*°� � o � �. � ��:°..� �C Qy , i.°. �' m °� a fD w °� g �d � � �, � �` �, �� . � � �; � � lo � � m � z 0 � . � �I � �� _ 1� '• , � `� �� '� 0 �m �� ~ �°°� �`. � � � p� �' � b �Q.: C� �, , � � t! y � � P �, �.pyw� �p,op �.� �, r,. � o ��. � c�p p � '� � op� �C � b ` �¢ � �. !D a�� yl�Dy �� n �� $ � �: �. x .. � �,. � w� I_ -��_ D � rD- � � rii H _ m C m • 1 � G '~ I M � `� � b � g s\" C A � � R, �. „A 4� 'b '�� O � �o 0 � � � d � O� � ;. A� � � � � � A � � 0 � 0.� v< q' �'. � �• O � �o � � �i � 0. � � o- . �� q,q.. ��e�ss �, 4 � J �l � �L � � � -_- �,�� na6 ' 9 �i�'F — � Ol �"%� � HEAT LOSS CALCULATIONS, DEPARTMENT OF BiIILDINGS NIINNEAPOLIS, MINN. Weatherstrips A.S.H.V.E, Construction No. Insulation Guide Windowa ors Reference Out.'Wall Int. Wall Ceiling Roof Floor Kind How Applied No I e —No 19_ �,� � / Fl.�.,d //�� Room � Leagth �4� Width �' Height Fl, l Room Length C.O Width V Height ! I Windows'and Doors—Crackage and Area ///��yy� Windows and Doors—Crackage and Area i �Vldth Height No. oY Llneal f. Area I/ Wldth Helght No. ot Llneal ft. Area I No. of pa e p e Ilghte ol crack � eq. Pt. � f� No. ot pane ot pane lighte � oL crack eq. [t. �� . • \ ` ` `1 � R� / ` ��\Y t � 0 � '� ( � "3-�0 / �— � Coef. Btu Coef. Btu I Infiltratioa � Q � �. � Glass y°d,'� Enp. wall � � Net exp, wall �� Int. wall Ceiling � Floor Total Bku. Required sq. ft. E.D.R. or sq. ias. W.A. Leader area Fl.� Room ( Length � Width � c� Height Windows and Doors—Crackage and Area Wldth Helght No. o[ Llneal ft. Area No� ot y ne p ne Ilghte ot crack eq. ft. � � f !� � /.3 � � � l Coef. Btu 1n61tration j/ Glass ''� � % �° � 9 Exp. wall � Net exp. wall `ji Int. wa Ceiling � Floor - --- - - - __ ota Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl. �.y Room � Length �Width Windows and Doora—Crackage and Area Wldth Hetght No. oi Llneal tt. Area No. of pane of pane lfghte ot crack eq. ft. / 1 �.�, `�i� �' l � �, Infiltration � � J C,lass � � � Exp. wall `� Net exp. wall � Int. wall Ceiling B "",,j� l�loor Total tu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader �� , Btu �, �� . - Glass Esp. wall 7C Net esp. wall Int. wall Ceiling L Floor Total tu. � � � Required sq. ft. E.D.R. or sq. ins. W.A. Leader area FI � oom ( Length Width Height ' Windows aad Doors—Crackage and Area Wldth Height No. o! Llneal ft. Area No. of p ne of pane lighta oi crack eq. tt / �r � Infiltration Glass Exp. wall e Net eap. wall Int. wall ---„ Ceiling Floor --� Total Bt Required sq. ft. E.D.R. or sq. ins. W.A. Leader area FI. Room I Length '� Width�`�.,—�ieight Windowa and Doors—Crackage and Area Width HelBht No. ot Lineal ft Area No. ot pan of pane IlBhte ot crack eQ. tt. � � � Coef. Btu Infiltration °7 �j/ Glass Esp. wall 1Vet exp. wall Int. wall CCIIIII$ �o Floor Total Btu. �- -- Bequirsd_s4 k F.D.IZ. oc.sq. -ins.li/.A. 1 � M d � � � Tt � o � p � . M . x :Y ' M • N : o � a . m � ' � : � • tn N � . � � p� F+ ►] Go � W � � p �� o�� N � O • � � : o . o . o. �:: � . . 0 �a x aa t.� N � O O O � va <n 0 l� z � t� � � m � d [�"o � � 7i 8 � � � � n�y y N ri � � �' � � "� N � �� ° � � b a o � � ��: ��.: � �o: �: ��:�:: ' � . . . . ' td : ' : : : � : : : : � �e x x x �c se W N W F+ t+ � � e�ii p e�i� o 0 0 � -�» fn v� tn tn rn � Q i� �' G� � 0 A x / - � � � � D � � � � m � n 2 m C r m o � a � � a � � p � � � � 0 � W m � .. ..��' _ ■■.1 � ; �.�1 ; : ��i�� i. ■��, : ��i� ----- �m 8 8� �❑ 4 N � � a � (D m � y n tn O � A � � �• g � �� I � � .�. i� ` WATER 11oSETs ua�wvs e�rH � �� SINKS W�, �� DRINK. FOUNT. sHw�. FLOOR DRAINS UTCti B/1SIN5 �wro V✓�� GAS MPL G/\S RANGE �� OPENINGS � • z • � �n D A � � �� c�. Q• k� y � O � �� tfi IA OQ m W ��q��w � � � � � � �• {J � ��o� ��a� �. ° � �' � � �a � �°'° � 00 � b � �� °�b o��*� p � �' o �i a' p p �'c�oa,o C M � � � � ro �� '�° " � � �� oo �aa' � � ro � 3 `� � � m �� b a0 �rx & �°n p � M o �. � � m � '�� i � � �� ' � �O i' � � � � � � ro � m � w � M � � o � � � i a e� A �. � 0 �� i q� Caty of Fridley, Minn.. �1T° 9 U�� BUILDING PERMIT � SEPTEP�ER 28, 1966 Date: �� "�� p�r; JOHN' L. ST. AUBIN Bwilder �-COMPANY BIIILDERS, INC_ Address 1217 HA�IAWAY LANE N.E. Ad� 7561 VAN BUREIV ST�1Q.E. FRIDLEY, MIlQNESOTA 55/+21 FRIDLEY, MiI�N:ESOTA 55432 LOCATION OF BUILDING No. 1217 S�t � HATHAWAY LANE N. E. ,, Part of Lot Lot 4 __ Block 1 Addition or Sub-Divlsfan ....��•�� IG.HT� Coraer Lot _ Inside Lot x Setback 35 �—_ s�cleyara Sewer IIevation �____ — Foundation IIevation DESCRIPTION OF BUILDING To be Used as: AT°r. GARAGE �nt 18 �p� 24 Height 10 �, � 432 �� 4z320 Front Depth fTeight Sq. Ft G�. Fk �pe of Conatruction F�ME F�t, Cost —`2,.5 00_ _ To be Completed In consideration of the issuance to me of a permft to construct the building descrlbed above I agr�e to do the proposed work 9n acc�rdance with the descrlptton above set forth and c� pliance with a'll pravisfona of ordinancea of the dty oP FridleY• � _ I��/ /�° In conaideration of the payment of a fee of $�' • 00 , permit fa hereby granted to �I'CO BIIILDERS, INC. to construct the building or addition as descsYbed above. This permit ia graated u�t the expr�a crondition that the pereon to whom it ia grant�ed and hia agente, employees and worl�nen, in all work done in, around and upon satd building, or anypart thereof, shall conform in all reapects to the ordinanc� of Fridley, Minnesota regardiig location, conatructfon, alteration, maintenance, repafr and moving oE bufldings within the dty ]imits and this perrmit may be revoked at a�y time upon violation of aay of the proviaions oY said ordinancea CLARENCE BII,ISLE $�� NOTIC� 'fhis permtt dess no� eovsr �hs eo�rndEoe, testalla�toe hr wirlag, piumbWe, ea heaHeg, wws� or watsr. B� suro to � Hn Bntldiu8 IeapMa� for aparal� parmits fo� �has i1�ms. OWNER' S ADDRESS APPLICATION FOR BUTI.DING PERMIT CITY OF FRIIILLY,.MINNESQTA LOCATIOAT OF BUII.DING S �� -��`�_ � /� N0. /�� Z��tyz�E� "��` PART OF LOT 7 �—...- `` o LOT BLOCK � ADDITION OR SDBDIVISION��%�,�- �� CORNER LOT INSiDE LOT �:� SETBACK �� SIDE-YARD SEWER �EVATION FOURDATION ELE�ATIOft Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BtTiLDING To be used as; � Front�Depth � � HeighC � � d Sq. Ft. �� Cu, Ft. 3� � Front Deptli Height Sq. Ft. Cu. Ft. Type of Conetruction ��z� Estimated Cos.t �� ' �'' � To be completed��-/ , The undersigned hereby makes application for a permi�t for the cvark herein apecified, agreeing to do a11 work in strict accordance with the City of Fridley Ordinances aad rulings of the Department of Buildings, and hereby declares that all the facts and repreaentations stated in this applicat3oa are true and correct. � � , ;..� "dl/� �. i r (Schedule of Fee Coste can be found on the Reveres Side). � � � , � � ,� , _ ,'"1 i�'1 .,,, �� , � . . 4, �� _.. .. .. , ..'.;- -, . . . ,f BIII�DING �PE1�IKIT°' i��E SEHEDtTLB _. SECTIOP 2. The Inapector of Buildings shall, be�£ore isauing any permit for the erection of any build3ag or structure, �r for any �ddition to aay existing building or structure, or for any alterationa or repai�s�to any existing building or atructure-, upon,application therefore, require the paymeat by the applicant for such permit .of fees -to ttie amount. Yee�eiri below sefi forth and ia the manner herein provided to-wit; 2.1. For any euch parmit for the erection,of any fire-proof building, othei thau a garage, warehouse, factory or grain elevator, or for the erection of any fireTproo£.addit�.on,.for sim�i�ar occupancy, to..any ex�etin$ building, ahall be �t the.rate of $1.40 for each oae thousand cubic fset, or fraction thereof, in such�'cubical contents. 2.2 For any such permit for the erectioa.of any fire-p�oof.garage, wareho�ae, factory or grain elevator,.or for the erection of any fire•proof addition, for similar occupancy, to any existing;building ahali be at the rate of $1.25 for each one thousand eubic feet, clae�ified as "fireproof" by SectiQn 502 of..the Minneapolis Buildiag Code. SOIISES .... 2•3,._, �For any such..pe.rmit, for .the erection :of aay non-fireproof building, other,than a garage, warehousa,�factory or grain elevator,-or any non-fireproof addition, for similar xcupaucy, to any esieting bui],ding - permit $1,00 for ea.ch oae thouaand cubic feet. � GARAGES 2.4. For auy auch permit for tha erection of �ny non-fireproof garage, warehouse, factoxy or grain alevaeor, or foar the erection of any non-fire-proof addition, for similar occupancy, to anq exi�ting'buildiag or for• each such building or addition - ninetq cents ($0.90) ior each one thousand cubic feet or fractioa thereoE, in the cubical content� thereof with the minimum of $4.00. For the purpose of camputing fees for building permita, the cubical contents of any building or additioa to a uniform height throughout by multiplying the grouad area covered fram a poiae six-{6) inches below the floor line of the basement or cellar'to the average h�aight of the upper surface or to the average height of the roof surface of the main gable of a pitched roof..,. 2.5. For repaira ox $lterations to an existing atructure, the fee sha11 be at the rate of $3.00 per each Five Hundr�d Dol].are ($500.00) or fract3.on thereof in the cost of a11 proposed work. 2.6. . In no case �ha11 t�e fee charged for any permit as aet forth in Section 2 be less than $4.00. e � � � STORM REPAIR DAMAGE FEES: Resideatial: F � C�ms�rcial; < � � 'f [ Estimated Cost of work up to $5�?0,!!� _�5,!�� Estimated Coat of work over ^'.�:;�:;..^-"r �;;�,�,�+0 Estimated�t Of WOi�I L�� _�� .'-*+'�, iZ'� -� "�r;�'� `} "— Estimated _ �C Of �ti0i�� Qif'::� y.ld:l:cuv� " 4<.(:� � ' , r . �!� ,�. S ( t lj � 4. 1 1 ► � � � �� '`,, � , ��" � ��.: �� ate: S�i��t2��:3 2�, ��}�� 1�� 9031 / � � � G i � � �� Owae�c: �Q3��`3 '� � ��• �� Builder -- R'RY-COMPANY BDII.DLR3,, �NC. Address � 2�� A°�.�i .4[�A� �� Ri.�. Adalress 7g61 VAN BURBN ST. l'�.8. �a�,i��L�t� P�3��A �S�OZg F�IDLEY, MIt�NESOTA 55432 • 6.��V0��9 O� 8iU1LD11VG l�i'o. �� Street Z�A�I�Yt�.� Y.Ag� I�.E. Part of Lot Y.o� ., �% —__ Block � Addition or Sub-Divlsion .��IB6+1 HLiGETB Corner Lot — Inside Lot � Setback 3� �� Sideyard Sewer IIev�tion Foundation IIevation ��C�OPT606V O� �UILDING �o � t.r�a �: ��° ��'"�'�� oat �� Depth a4 Height 10 �_ � 432 � � 4�320 �oat Depth ITeight __ Sq. Ft f�. P't Z�+y�e of Construction �'� Est Cost ._ -�2.iS0d To be Completad SURVEY ATTACHED AS PER COUNCTL RULING - SEPTEN�ER 19, 1966 Tn cosasideraiioa oP 4he issuaaxce to me of a perinit to construct the building described abave I agree to do tYae progosed work in accordance with the description above set Porth and in complianc� with a�l praviaiona of oroiinances oP the ci�yy oP Fridley. isx consider�fion of tlae paymeni of a fee oE $�•�0 , pernzit is hereby graated to T�I�CO ��'�"'�`� s��`�' • to construct the buflding or addition as described above. Thiape rmit ia granted upon the express condi�ion that the person to whom it is granted and hia agents, employees and workmea, in all work done in, around and upon said building, or anY Part thereof, shall conform in all respecte to the or�di�oancea of Fridley, Mianesota regarding location, construction, alteration, maiatenance, repair and moving of buil� within the city limiis and this geraut may be revoked at aqy time upon violation of au�► oP the provlsiona of sedd ordinances, CI.ARENCE BELISLE gy��8 � 4�lOY6C�: TAia pomlt doao aot co�rer tfis coaslrvcNan, &ist�ArNaa fw rrLls4, Ph�abbp, 0� �r �M M�rMM N wM� b�M t�hc Euildiap laspsc�a� for aopaiafs �srmlta fot th�as I�, ��1 C � • ~ u� a � a � `` M • � �, � �� „,. . , � . _. � '.:�*� ' � -- _-. r: _ . � y .- � ” � = � ..y �_ E�� , .. . � 5�F/�� a�� ; � , � -� J . . O 'A . _ . �t, ... 6�`hn � _. �� 'd. - _ r v .'3� . �'�. • s . ' ..A � . �� N '� .� 4 � � Y � ' ' � " � 1��`_ • i; i►. a" 'a , � „ . . — _ `.� , ±:- 119 WF'� __.. � v.vf:, � � - � v�� .� � � � . %,`�.-� .� , . � , . . : _ _. __ MGE� . UF _ ��i��}� _ . ' � � � � � , . . :_ � � - _ _ �- _�..�'�° __ ...u.�. __-_. . i �,�,r , �l` u� rz7 . ... _.. . � a I< _�__ _ - .�,d -._ _ , - _ = T — - - - . �— I - F , -�' � - - �a — � . l I�lc� � - � � . " �� 1 �� . � . { �� _j - . _ • . __ � . -" ,ci4 �' . •: Lo r _ I. PA aKV 1 Ew - � �,ng — � . �, i ��p . • .:�< . �bo�T�cn,. . t � � ; ± `� � � _ � � �'. . . _ _ - � � �, . �� , .i _ � ?__'— � ^? �,'"�:R � _ _ .4 �-� _ �`\ _� � � �, � ^ 0 .�_ t/ `�'�. �' / e� 1�/ � ':�-3tj �0� -� t. � �Q � �d o? � _ (�tYNBlf'i_ ED1r1 N P/1UL MUELLER� a1R. _ ,a , � �'� , . � � V _� =- -- � ` -L � _�_ - : . _, � •, � .3o:�,b, --. 4�.41 ��r• - �-1 �T � �. F i � � . '� . ��1�►� �� A �,,; �- r- :� , r �� we hereby certlfy �his is a true and correct repr�se.ntatian of a survey � of the bouna�rie� a: land ebove described and of r�e locetion of ell ' bu i l d i ng�, ' f an� th� a- r►, and a 1 I v i si'b l e encro��- �3, i f eny, from or an _seid ten� ,PS -vey s made only en connecti�.1 � mortgag� loen now be i ng p 1� n t property nnd no I'; ab i 1 1 ty i s :�s•: excep t to -the ho 1 der of such n_ -.�e c; any other intere� acquired � .:eson of such mortgage. � is urd�=- •�tood and agre� no monumer. -- � been placed for the purpose of ��ztabl i�� .;g lot I ines or �. _�,ndary cor : ' Dated this �i3`dey of IW►acM � ,_ 1963 . EGA ;—�IEI :s NOWAK � . �•° Surve s _ � �l le. No� ��q9 Book No � �% �j y � �'' ,; =��- � �' -- � I � � � i� ��7"iC:,,..._►�. . 2-•• ' �! 'i .._._.. . . � - � �- --` - ._ - . ,�� - . � -. :�- -� . . -_. - � . .a�. C;i� �I.;' i,' �� , �, V+�. � , i. k��i _ � "� , .�;� j ,% ' j �� i�� .� Pl; ;� �,�,� ; �, `;� j - a?� �� 9 � �� ,: �h,i �„� s _ - , ii ��!': � �' �i�: r--== , , , ,s ��:� "s �4 • �w, � sh�� i' C � B�GU�R COUt�1CI1. ��NG6 NOVEI9E�i 7, 1966 ��r+"-,. ��rough a�re�t �ather than a cui de s�►c for eamer�ency vehicl�s sucS� as �:x:: �truck8, aad tiae caa�c� will decide if Chere is a�nefit. Tbe Citq .At�a�ey asl+�d iiE we were i.n agx�em�nt �hat it must be co��;�e�e«� sug�ested tha� ir Lb��e vae suf�icient agr�u�ent, they could proce�� a�� ._. d� open the �u��s�ion of ic1a� 8sses�meat. A�c. ��xteac said tha� he w�� :�� , au �. �orrow �oe�ey to put ia res�rve to complQte �he s�r�et. 8� asid s�� r�ad ;:;e.:t �:rouble with tiee sew�xr aud water r�hich baa ��n aa additional �scp�n�g ��., �.T� o� $2500. He aaid 1na eiiCd not mind p�ying his �aar�, bat wt�en tbe 8tr�� t r��.e au��, � to b�nefit �a►rr� �le� 6ia ex�aense s�ouid no+L be ao high. flQ �mid h� �es�lize�► t�aC evegytct�in� ia ru�nicng. hi�i��c Q�a, but thia was high becau�� tn� wa� donaei�g bis gree � ead th�a buy►it� t6Q �ereet da�an by Lynde D�iv�. TYa.: C�2;� A��osasgt said tha� thia will eielaer be re�olved b�tween ;�. Seu�o� nnd t6� �u��:itag tP�eir attoriaeqa, or .by .�he court. �e su�g�s,�ted �h�y go ab�ad ��.�, an escraa� agreeom�a�� and 6old i� in abayan�e unrii �t �a r�aolveu, and i� �}��s way r�e� cauld �ee the projec� doaQ. Councilrma Ga�' ;�a�: said �:�sat perh��a tis� Counci�. couid go �o �ar as �o S�ate that tlais ac�iou wou�d•not p��udiae aitber �ex�sr �� the City► on the b�sie of t�ia asaea�eut. '��e City Managea ao�d that �he City would ne�d five coasecutive w�m d�y�w o�: 55 dsgreme or i�at�e�c tio get �ie �one. Mx. 8sanlc �togsrs a roa3danrc who �,,vta� ��► the coacnc�r o� Poilc aad Y.ynde D�3v� said �hat tlie peopie have b�� p�a�E�ed �a sCreet would be pu� in by the C�.tiy ACtornay. '1''�e City Maaager gaid the�e wae no saas�a to exp�et ie c�oul�I �ot� be puC ias Mr. Rogers �aid �hat the caoney iaom his prope�tg� i.e �m esc�ow and Chia ha� b�en going on for evao yeara. �Iriyor Kirkham said F�e was doubtful tihat it �cauld be don� c�ow. Mr . Rogeaca a�ked how ��e v�hicles aro gofng Co get in oa flac[m�ana.in �he Sprin�, The Coua�c�tl �aid t:lnere �oas ��posa�.biliCy ehat so�e kind of a bas� could be put dos�►a ��r. Sexte� sa3d t�� 3f ie wss ju�e a ma�g��- of the escrara monay, 1� wil�, eonsult wi�'ii his at�ortney, and he imagined ghey coubd pu� i� in'� �:ouaac�tY�c� W�ighC s�,id �e w�a sua� the Council wili caQn� a stixe�tc, and �hey rai11 pu� os�e �.a as eaoa aa posa:b�.ea H� sa�td t6a� this wi11 aot b� pre�udiciar to �be aas��;��►��ic. ��ae City Pganager said ti�eat one rer3tdeat �ad t�eara a rumor �h�t t6e Gity� �aou �d aot plaw �tbis iLn gb� wi[nt�r. He sa�id th� City mosa�l�y does no� p►lASa ua��%c�$�� stre�t�, bug in �his case ehe curb �ts ia and it is a normal wid�9� ��ree� :�o �1�� will plowo He �aid also tha� ttaQ stYe�t a�me siga� will go i� as soon a�: ��.�: �re r�cefved by Cbe 1�ublic Worka Depart�at. CounciElman T�lr3gizfc safd th.�t por�ibly ti�e Public �o�ks 3epagta�ent aetd City $ag�.na�r couid �se� if eome kiad of ��rfa�i�� ase could be pur in for 3priag. 7�te Councii al�c discuseed stcop gigns c�3�+��:, ::�f of . Polk S :�e�Y- . . i�i0TI0P1 �� :..�un��P�� '�.:��nC ti�ae l�dlk St��t �av� bouYevarei stop ��igns at Ly�d� Dr3ve, botcb oa Y.Iie north a�d soutl.a sides o�ecoa�de� by Couuciladan SamuelsoR. Upoa a vo�,ce vote, , ti��r�e baing ao nay`s, A'�eyor Rigkh�m d�cZared the m�tion corrf��, �STSACR VARF.�►Nt� �. 5T. ATJH�N �D D� CE�OI� QTABY�D l0i'17/66} �, !�� Cou�acila�n Wrigbe s�+�i� �hatt Couacilmaa Samuel�o� was the only.on� be had not � talked to about tche re�que�sced va�iaac�,for M�. Cerbll. He said �his.wa� a e�as� variaoce, 1.6°, bu� tpt�re waa a�i�b 8. foot hed�e on the� neighboYing pr�*pex�y.. �� ... �. �!%'l � � l�! t� � V ,' L�" A�'�u � Z � `„�� , �S . �"� -1 n. �� BBGULA� COUNCEL I�ETYNG, N0� 7� 1966 ; . PA(� 1Z � �' :; ' fle eaid �here w�s a let�r fraa tias naiglaboxa giying their ap�roval, but he. had � not brou�6e ie �o P.t� ��t�Lng. �'ne Councii loo'�d aC a l�tfc�er received ir�m Mr. Da�•le Mullin $ta�ing be &�ad r��a ob jafcti�a to �he varieace sequested by I�9 Joiu4 St. An6in. � I� �OdPiON by Councilman WrighC Co rar.eive t.he cau�n�n3cat3om� fr� tfi�c. �yle 4�za�� S�eonded by Councilmaa Sac�el�on Upoa � vuice vote Ct�exe b�id � . . g no imsys�, ,_ ___ A�ayor Bird�ham declared tbe �notio� cairri�d, ��TZON by Councilla�aa Hri�t fio co�c�t wi�h �tse �oard of Apg�al� a�i �ra�� Li�e ° �:.aquested variaace to Soha Z. St. Aubin, 1217 H��i�av�y �sae Alorti►e�� :.�:� ' aive� of side g►ard requir8m�aat #°�om 5 f�et �0 2 fe2t to pezmit coe��tir�s��-w�rrx of ��, attacPaed garage, and to granC �h� reque�red v�riaace to Mic, Doyi� Cerr�l�., ��i51 • 3rd 5scse�E No�crci�easz, go�c a wsivet� a� sid� yard requi�ceraec��t �romc 5��: �0 1� feaC �o pemai� coastructic�a of a dete�hed garege. Secoc�ded by�CouuciY�n � ��mu�le�on. vpoR a voice vote, t;��:�re 'bei� �a nays, Mayor Rirkham deolazed tba � ��ion carried. _ �___--� ;-�-�-.,-,_ � �A T O�iA1°��.�(�I�D lOf 17/66� � '��te Citq I�anage�c said �e iaad rAa� � ved aom�a ��se�rch 3afoYmatioaY fro� D�s��sc► ��rys�l 5a1� Company, alChough t�i��y had �oti snbe�itted a bid. Am�a�g t�►e c�mtegial �as a repor� f�aat tb� St. Pau1 Supe�intend�a►t of Public Wozks vi�£ch 1i8��d �o� of the drawbacks of t1�e rust iaY►ii�itor. 1�oag atheg thinga, it laav�� a g�easy re�idue on tm� sL�ceet, it 6as a� cerCain a�oun� of tox3city �d �%�y �eecc��ad ��loye�s use face o�aslcs. �Fi11ia�. stiations an� parking ramps ca�piaia �Caat itc 3.s D�ard to clean tihe wiadows and �iiat iC congeals on��me floox like jel�q. �ti�TION by CouYncilman Sea� laon the Couacil riward tfne bid �� Car$ill � Ir��o�o�a�sd ¢or the re�ul.ar �alt at a grice of $9�.80 per goa► deiiv�red. Seconc�ed by Council- man Tdr3.�ht. Upon a voice vote, thare being no neya, M,ayor Ki�ckha� declared �be motioa carried. WA`a�R t�ATE S'T[YlD� �I�D 10l17 66 s Because of the absence a►f two Cou�c3l�n and becaua� the City �ag��c dea�.red �nare ti�e to wozu witb t6e Fiaauce Direc�or oa tYii�, it was ciecidsd tio t�Tnle thie it�m. MQrl7[ON T�y Courrcilman Samuelsoa to tsble the water rate studq untiY the aext regular Councfi M�e�ting. Secoadeci by CouncilmaQ Wr3ght. Opon a voice vore, there be3ag no nays, I►3ayor Kirtch�ea declared tbe moeioa carried. WA� AND �� 1%��T �3 x^AS � 10,(17/66) $ � �i�i� li �s�� r�r �TYON by Councilman Sa�uelsom to table this itera unCil the nex� regul�tc �ou�c�l Meetiag. Secanded� i�y, Councilc�an Ws3ght. Upon a �oice vote, t6ero bei.q� �o naq�. Mayor Rirlcttam declrised tl�a m�tion carsied, 701 � � 10 17/6b) o. Gouncilman Wrigh� said that t� h�d �sked that tteis ite�n be oa the agendu. l� �a3d•that it is the Qityos move and thay now bave e Seaolution prepared b� th �� ! t + .'S ,/�!� � � r e � I� " tr': a N t/l N O � y ro ro � � � M N r� � u� � ro ro p M pi � � � H W N W � � � o°i `�e � .ep 1 T �� N y �' ro o � 0 � M ... 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W 0 �' R. o. n m w N y '9 �D � n D ��-. O z '71 O � � 0 � m � � -D .Z7 D Z C'7 -I O f/� z d � � z "'i ri o z z ma z -� � � z N � -< � � -� c"') �n o O N r n z z c� C7 � t� < m m G �n m � N --I 0 z � m 'TI � � m � D -� 0 z D z b n � --� 0 T T � t� r m -< r. + 0 /"'�1 V SuBJECT City of Fridley AT THE TOP OF THE TWINS g U I L D I N G P E R M I T i� � � COMMUNITY DEVELOPMENT DIV. L PROTECTIVE INSPECTION SEC. � _ , � ____', r � � , � , i----� ��"' �'� CITY HALL FRIDLEv 55432 NUMBER AEV DATE i 612-571-3450 9�0-F15 6/20/95 JOB ADDRESS 1217 Hathaway Lane NE 1 LEGAL LOT NO. BIOCK TRACT OF ADDITION oescR. 4 1 Parkview Oaks First Addition 2 PROPERTY OWNER MAIL ADDRESS Z�P Norma Iacono 1217 Hathaway Lane NE 3 CONTRACTOR MAIL ADDRESS Z�P Ron's Roofing 1567 Ferndale Ave NE, Fridley, NIN 55432 4 ARCHITECT OR DESIGNER MAIL ADORESS Z�P 5 ENGINEER MAIL ADDRESS 6 USE OF BUILDING Residential 7 CLASS OF WORK � NEW ❑ ADDITION p ALTERATION 8 DESCRIBE WORK Reroof House & Garage (20 Sq) Tear-off 9 CHANGE OF USE FROM STIPULATIONS TO ZIP 4 REPAIR PAGE OF � / I N . � ,� 1 Yd � RECEIPT NO. �� APPROVED BV SEE ATTACHED SHEET PHONE PHONE UCENSENO PHONE LICENSE NO. PMONE UCENSENO O MOVE O REMOVE Underlayment must comply with the State Building Code. SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENOED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WOfiK IS COMMENCED. NO. DW I HEREBY CERTIFV THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATI AND ORDINANGES GOVERNING THIS TYPE OF WOfiK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT ], S DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pEFlM1T! PROVISI OF ANY R STATE OR LOCAL LAW REGULATING CON- SbRUCT N OR THE P RF RMANCE OF CONSTRUCTION. 3S. ' PLAN CF 6 - �'�s GNATUAE OF CON7RACTOR OA THOaIZED nGENT IDATEi a.� , S�GNATURE OF OWNEP UF OWNER BUILDERI IDATEI I57. OGCUPANCY GFiOUP OCCUPANCV LOAD SQ. FT CU. FT. UNITS OFFSTREET PARKING STAILS GAFIAGES SURTAX .75 SAC CHARGE Fire SC 1.50 FEE TOTALFEE � 2 �RLY VALIDATED THIS IS YOUR PERMIT � �� I f1ATF NEw i] ADDN [ ] CITY OF FRIDLEY ALTER (] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Applica.tion Construction Address: ! '� j't � v.� 1� � �,,, �y �� , _ Lega1 Description: Effective 1/1/95 Owner Name & Address: V � � � �°�.7'Ve(Sl - � � mi� Tel. # Contractor: � �� 'S �O � �r � � � � MN' LICENSE � 37 % Address: L�� '1 � �� c,.�,-e %� � � �- �� al Tel. # 7 � - �� — � . � � � Attach to this applicabon, a Certificate of Survey of the � � �� lot, with the praposed construction drawn on it to scale. . LIVING AREA: GARAGE AREA: DECK AREA: . OTHER: Length Length DESCRIPTION OF IMPROVEMENT Width Height Width Height � Sq. Ft. Sq. Ft. �Sq. Ft. �� P �� G�Si. Corner Lot (] Inside Lot [] Ft. Yd Setback Side Yard Setbacks Ty� of Construction: j°� Y� Estimated Cost: $�� °��' �� Approx. Completion Date: � � (Cost on Back) Driveway Curb Cut Width Needed: Ft. + = Ft x$ _$ DATE: "v��-�' APPLICANT: Tel. # �%� �� _ � CITY USE ONLY Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL $ ij�: �G� � /. S-c: $ �� $ $ � $ $ $ $ � �`�.�5 Fee Schedule on Reverse Side .�1 of Pernut Valuation (1/lOth%) $.50/$1,0� Valuation $850 per SAC Unit $5.00 (State Licens� Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Con�tvation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] STIPULATIONS: - " � 4 �;u��,v�rvca �>cKn�t��- rcc scrce�rlr_r_ �I�he Clii�f� t3uilding Otticial shall, t�cfoce issuing permits for the ereciinn of any buiWing or structure, ur ti�r any a�iciilic>n t�� any cxisting building or structure, or for any altcraiion or rcpair to any cxistin�; I�uilding or structure, u�n application therefore, rc:quire the payment by the applicant for such permit <�f fcc:s tc� thc amount hcrcin t�clow sct fi��th and in thc maaner herein provi�tcxi to-wil: '1'O"1'AL VAI,i11: . � 1 . to $S00 $501 to $2,0(}0 $2,001 to $25,000 $25;001 to $SO,OOU - $50,001 to �100;000 $100,001 to S5W,Ot}0 $500,001 to $1,000,000 . $ I , Q00,001 and up r-r_i� $IS (Mininium Fc:e is $i5 plus surcharge) $15 for fust $S00 plus $2 for each additxonal $100 or fraction' thereof, to and including $2,000 -- � � � � ` $45 foc first $2,000 plus $9 for each additional $1;000 or fracrion theroof, to and inclu�d�ing $?_5,000 � $252 for first $25,000 pt�s $6_SO for each additional $1;000 or fraction thereof, to. and including $50,000 $414_SO for first $50,000 plus $4S0 for each additional $1,000 or fraction ti�eof, to and including $100,000 $63950 for f3rst -$100,0i� plus- $3_50 for each additional� $1,000 or fracbion d�-eo� to and inciuding -$SOO,Ot}0 $2039.50 for ttie first $S�10,000 pins $3 for each addition,al $1,000 or frac�ion thereof, to and including $1,000,000 $3539_SO for the fust $1,000,000 plus $2 for each additional $1,OOQ or fractiou �thereof - DRiYEWAY DEPRESSIOM ESCRO'IN (Concrete Curb Streets Only) Alternate "A": Retnoval and replace�nent of curb and gutter only - Driveway width plus 6 feet times S13_50. Alternate "f3°: Removal and rep(acement of curb and gutier and install a 3 foot wide approach with 6 inch depth - Driveway width pius 6 feet times $15_75_ VLRIF[CA"CION OF FOUNDAT[Oh1 Permits for construction will be issued a minimam of 24 hours from the time of application to allow for proper review of tt�e �roposui stnucture and of the co�strUCtion site_ A Certitic:�te o! Sucvey of die lot, showing the locaUon of the founclation e�nee it hac it has l�een constructe�i �vill be re;yuirul l�efore proceediag with the framing_ �, . Building Inspections 763-572-3604 763-502-4977 FAX DATE�(��= SITE ADDRESS _ �.� ,[� THIS APPLICANT IS: PROPERTY NA OWNER/ � TENANT � �r��: �_ � : SUBMIT A COPY OF YOURSTATE LICENSE WITH APPLICATION �i'� �3 MECHANICAL RESIDENTIAL APPLICATION CITY OF FRIDLEY �r�cTtvE t-�-ZOio YOUR E-MAIL ADDRESS � OWNER �4 ON er� s: , � i � d�} �� i/_ ;�� :��% _ co�,� N�: � CONTACT PERSON: r�21 D i. SLc� .� 6 (Z r(� O� � Z �t�v �.1, � L � Ce.' /� �.►a'> � � a�— e� � �r,--, P-t� �T S � . 1-�JaU` U 1� Permit No.:� �- Received By: �, Date Rec' d: � �0 °' STATE LICENSE # EXP DATE ADDRESS:�� E�'� I V� I(_(J CITY ��l�� STA�ZIP�]� PHONE / �, � � �.. a � �� t�,, FAX �6��a — g ( �e 9� PERMIT TYPE SINGLE FAMILY O TWO FAMII.,Y TYPE OF WORK: � �W ��LACEMENT DETAILED DESCRIPTION OF WORK o row�vxousE ❑ ALTERATION/REMODEL FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) PROVIDE HEAT LOSS CALC'S PER MANU L J,� 2006 _ASHRAE HANDBOOK �GQ ��T C EquipmentInstalled MFG/�lR� �_l� MODEL. !J�% V� (� SIZEIBTU n�c:� I �2.F —��O nnon��: � I� L s�z�s-ru �, S�j7-� MFG: MODEL: �A/C $25.� _FIREPLACE (GAS) $15.00 AIR TO AIR EXCHANGEIIt $15 FIREPLACE (W�D) $35.00 BOILER $35.00 �FURNACE $35.00 CHIbIIQEY LINER $10.00 GAS DRYER $] 0.00 _DUCT WORK $10.00 GAS PIPING $]0.00 SIZEBN _GAS RANGF/OVEN $10.00 _NEW GAS GRILL $10.00 GAS UDTIT HTR $10.00 POOL HEATER $35.00 VENTILATOR $15.00 THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge 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 work which eyuires review and approval of plans. SIGNATURE OF APPLICANT�C)-vL � PRINT NAME I�C C �-/ /, ��1�-A � V�"�✓ bATE � r� U— I� INSPECTORS DA `" � City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 City of Fridley Residential Mechanical Application Page 2 REQUIRED INFORMATION NEEDED TO PROCESS PERNIIT RESIDENTIAL PERMIT APPLICATION HVAC ❑ NEW HOMES/ADDITIONS � EXISTIl�IG HOME ❑ MAKE-UP AIR REOUIRED FOR NEW/EXISTING HOMES 1. Combustion Air (See note below) a. Oil or solid fuel IMC Chapter 7 with MN Amendments b. Natural Gas or Propane/IFGC Chapter 3 with MN Amendments 2. Make-up Air (See note below) a. IMC Chapter 5 with MN Amendments MN Rule 1346 Sec. 501 3. Venting a. Gas appliances IFGC Chapter 5 with MN Amendments b. Fuel other than gas IMC Chapter 8 with MN Amendments 4. Heat loss & cooling load per room a. MN Rule 1322, Sec. N 1104.4.13 5. Ventilation a. Per MN Rule Chapter 1322. Sec. 1104 6. Duct Design Per IMC 1346.0603.2 a. ACCA Manual D NOTE: Centerpoint Energy Mechanical Code Guidelines software may be used for combnstion and make-up air calcnlations.