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AF - 45545City of Fridley, Minn. BUILDING PERMIT �� N° 6192 `� nat�: �� „�' -" � .� Owner: _�-"�' � /, l;;� '�`'� _ ; � �� ;.t.,,'� Builder P _ � .._.—. Addresa A� — ,i„ LOCATION ,�F��NG NO. :��.��+".-:�.- Street '�'� �'+e L /.` P Lot Y.�__ Block � Addition or Sub-Diviston � � /.k• "�► }� Coraer Lot __ Inside Lot ��. Setback A` —._ Sideyard ��" Sewer IIevation � � Foundation IIevation DESCRIPTION OF BUILDING To vsea '� a,j '"* �,�f a,,�/ ,f '� ��+� .il ,� Front .��. Depth ' Height S4• Ft Cu. Ft � Depth fTeight � S�l. F� Cu. FL _�e `� �� ` ;'�',� ,�"_a,To be Completed Z�e �i clai�i � Fast. �.,(��,rc-�i�--- �� In consideratfon of tY►e issuance to me of a permft to construct the building described above, I agree to do th� proposed work in accordance with the description above aet forth and in compliance with all provisions of ordinancea of the dty of Fridley. � e^ In considerat4on of the payment oP a fee oP $��"'� ,�t is hereby granted to to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted aad his agenta, employees and workmen, in all work done in, around and u�n said building, or any gart thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding lceation, construction, alteration, maintenance� repair and moving oP buildiags within the dty lim�its and this peraut may be revoked at any time upon violation oY any of the provisiona of said ordinances. �'""t w .R :�""`�, �'".: �' � din8 Inspectfl ' Buii r NOTICE: 'Ibis p�rmit doa eo1 eowr ths eoestrneHoe, hulallatioe for �rieioy, 'lumbino, �a hNiin�, mwr or w�Mr. B� sun fo a� fh� BniWleg lesp�eter fer apuab p�rmhs Por f6a� t�ms. � e � Ki' - _4 '�.�a �"� d . ; �c � � APPLICATION F�i BIIILDIRTG FF�tT CITY OF FRIDI�Y, �+IIN�O`tg /%' ' Owner's Name .'��,1�- �J � ats��d fs�%�e8u31der �.5�`�� j �ddress � 2 c� � �ic�-�r�� v; �,`�Adareas SetD-�� LQCATION OF BIIILDING ��Y' G��=' Part of Lot °�°`_.__ No. �� 6 3treet � I�ot % Block � Addition or Subdivision ��'��%�s ��'"� Gorner Lot ��Inside Zot � 3etback ,3.i Sid�-Yard / v � SEWER ELEVATION FOIINDATION ELEVATION �pplicant atta.ch to 'this form CertiYice�te of.Svrvey of Lot aad.proposed building location. � To be uaed as: � � DESCRIPTION OF BUILDING � : l�' � �,�►c{ 3 a Sq. F`t. �°,�f/ Cu. Ft. 2� J�� s� l�s��. Front � Depth 2/ Aeight �, j�3' s s'�� Q - ��- sq. Ft. �ar� � cu. F't. ��v �� , ��°�-° Type of Conatruction ��'� Eat3�.ted Coat � To be Completed ��`� The undersigned hereby makes applica.t3on for a permit for the work herein specified, agreeing to do ail work 9.n atrict accordance with the Cit� Ordinances and r�z].ing o� the Department of 8ui7.d3ngs, and hereby declares tha.t a17. the faots and representationa atated in this application are true and correct. ` DATT - - - -� % .��%�� v SIGNATURE �!�v�r' �-� L s vr�.i'�' � ��'�-- (A Sched.ule of Fee Costs can be found on the Reverse Side.) �� _ .. . �''1 �1 - f�' ,� � , - � r: i ,� �� :�a�; uK a�� ,r�� 1 . Section 2. The Inspector of �i.i].dings sha11, before issuin� at�y permit for the erection of any building or stY�u.cture, or for any add3t3on tc any existing bu31d- ing or structure, or for eny alterationa or repa3rs to any ex3sting building or structure, upon application therefor, require the pa�ment by the applicant for such permit of ieea to the amount here3n below aet forth and in the moxuzer herein provided to-wit: 2.1. For auy such permit for the erection of any fire-proof building, other thaa a garage, warehouse, factory or grain elevator, or for the erection of ar�► fire- proof addition, for aimi7.ar occupancy, to �ny exist�ng building shall be at the rate of �7../�.0 for each oae thousattd cubic feet, or fraction thereof, in such cubical contenta. 2.2. For any such permit for the erection of any fireproof garage, warehouse, factory or grain elevator, or for the erection of sx�r fireproof addition, for similar occupancy, to any existing building shall ba at the rate oF �1:25 for each one thousand cubic feet, claesified as nfireproof" by Section 502 of the Minneapolis Building Code. HOIISFS 2•3. For any such permit for the than a garage, warehouse, facto addition, for s3,m31ar occupaney, each one thousand cubic feet. GARAGES erection of e.ny non-fireproof building other ry or grain elevator, or any non-fireproof to any existing building. Permit �J..�?0 for 2.4. For az►yr such permit for the erection of any no�fireproof gara�e, warehouse, factory or grain elevator, or for the erection of any non-fireproof addition, for simi]..ar occupancy, to any exiating building or for each such building or addition. Ninety Cents for ea.ch one thousand cubic feet or f°raction thereof, in the cubical con�ents thereof with a minimum of �4.00. For the purpose of computing feea for build3ng permits the cubical conienta of any building or addition to � uniForm height throughout b�r multiplying the ground area covered from�a poi.nt six (6) inches below the floor line of the basement or cellar to the average height of the upper surface'.or to the average height of the roof surfac�s of the main gable of a pitched roof. 2.5. For repa3ra or alterations to an ex3sting structure, the fee shall be at the rate oF $3.00 for each Five Hundred Dollars ($500.00), or fraction thereof in the cost of a11 proposed work. 2.6. In no case shall the fee charged for any permit as set forth in Section 2 be leas than �4.00. t ^ �� \ INDUfiTR1AL sU81NES6 CITY LOTB. TOPOORAPMIC MAPPINO SG�C.I.E� 0f1 = �O� $t,Q�� \ , AARI�VI�V�P OAKS F1RST ApCa1T1�h1 C. E. COULTER LAND SURVEYOR RE615TERED UNDER LAWS OF STATE OF MINNESOTA LIClNBEO OY ONDiNANCF6 OF C�TY OF MINN[APOLIS 3300 LYNDALE AVE. 50. MINNEAPOLIS 8, MINN. ' TAYLOR 4-0370 �VRV�Y �or ARYIC� � � �ARLSC�Ir.i � �Q1J � �p,1C,, lburbepor'g �ertiticate � ��N.. -- -15,0 --- 1�N � , d2A.�NP,�e+£ � uTtl.l�`�f EASEME►3T � b� �� ^ tl i �9 G' � i e 0 ,\ ".P�or e�" l0 r�_ , — 4l �' %��FR,4P�8�'a�D � �ES�O�c�C.E. �o-�, — �, + � ;STAk6b� � � i � �� i 10 ; Z3 Z4 __f__� _ _ �� m ---- 15,0-° . '�/ � �' ��-r �a,w a�r �10 � 10 --#s b 9 � J 6� �1 � h 8 � 890 ! 02 , i _ _ - ��,� I.,�NE I herevy oertiiy that the above is a true and correet plat of � evrveg ofa Lo� 7� ffiocis 1 f P1�RBV�rt OAT�S FTR�� ADDITIO�T, �noka Count�, r��.nnesot.�., PLATTINO FARM BURV[Yi LAI(68M01�[ JUDICIAL As surveyed by me �hi.� 25th day af �eptember 196� �.�. � @d.� ��y ° 4�+ a r�. �"�.� �.— `'� 4`�F-�v'LE, — � I�'ii�esQta Rsgis�raticffi I�o. 25�4 �"'� _<_� n ��, � � � � � M d� � � fi �y p° M .� : x . � . � . m . � : o � a . m 0 ' � : � • � N � � M �� W � � O �� s � � m �� N � . o • °o � ' O . bd : : � . . x � i4 7C �a � � � o q p � � � � H O � � � z � 3 � ��m@��x � � � e n � � � � ba fD €� �� " a y � � � � � � � � � � �, o � �o � � � : � a O . N . � . � W _°o � 04 . 04 � . � . . � . . . . " td : : : : : � : : : : x � � � k � x � w t� ca ►� r � 'ad CNn p C�i� o 0 0 ,,�,� [� �.��, �f�, y (� y ° � -1 � C �. o 0 Q x )— �� , y � � D = �� r � � m � n _ m C r m o � i. �i.. 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N a � � � 0 0 0 0 0 O � � 0 0 � 0 r o� � a� � °e � y O w oa " �� .S M O � �, � � m � c�o eD • �� E �. � � � � � 0 0 � � � � o � �z 0 1 � � x M O � � � � � a a 0 0 � � �� x� °. �o 8 � ►�i • � � � � M � o m 'j G R° y �� s� � � 0 0 � � � � � �N�� 0000 � �� 0 � � m �, 0 � tn� � a � O A C� � b r°. � g � � ,� � � � �•�.� � �• � � � � � � � � `* & G � �o' °b � f� � � � � � �� 0 8 P' . (� o�i a. � ' � a � : � � � o : : � �u ° ' o � � � ' � ��N� 00000 .� � �. � �o � � � � �• GL � ��.y � � aa � x�ox�S � m � � �� i-a �° � �� w � � 8 � � a � � � � w : : � ° : : ,°c g : : $ : : : N � � � � �000 0000 � 0 � E �� ii+ Q. f� N. M (Di+�^� M � �a� � y�v m p '�*� � e � �"� � • O��'�. y doo °� �� ; o �� ° � � p � �� OyK' d ��r� b n�•' 5� �, � ��yb �V�i A n O� erp) � � ��R.�p ►+, C ''�' (�D � y � D � � � b �� a. � �o � ��: N� y f�D ►�! �� [� � �7 y � �'' r+ �D � p' m �, i �� h D '�'' i � � m � i� 2 m C r m d M M � � aror � a � A V O � d � 'O� � 0 � �' � O � � a� o� � O d� O� � ;. A � � D � � � �H A -�w � _ v< �� Q O. � �s � � � ' d � • � , - � �i� 7 9 } �� N�� d � � ` � Fr � _ � � Ar'i. �� r,� �� HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS � Weatherstrips A.S.H.V.E. Construction No. Guide Windows Doors Reference Out.'WaU Int. Wall Ceiling Roof Floor Kind Yes—No I Yes—No 19_ . Fl.� _, `>.� ti s s"' Room � Length �� Width � Height Fl �. _��` ;,^ Room � 1 Windows and Doors—�rackage and Area Windows and Doors—Cr� �Vidth Helght No. of Ltneal f. Area Wldth Hetght No, No. ot pane o[ pane Iighta of crack � sq. ft. No. of pane ot pane ligl � +" � � �-a 4 �+° b� R 0 �e�`�':r` .>_r P Y�:. �a � � Coef. Btu Infiltratioa � �'� �} �;, � �� Calass q., �-, s �� :: � Exp. wali i �a �a, � m� Net exp. wall " :, �-F �� '� �; Int. wall Ceiling - �� Flaor ,� �:° � S!; � �� ' �'f.: � ,� � �'' Total Btu. � � �= .�; Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F F7.� ,-v. � �•= a� � ,� Room � Length .� �' Width � ;� '' Height � Windows and Doors—Crackage and Area Width Helght No. of Llneal ft. Area No. of pane o[ pane 116hte of crack eq. tt. ;, s� �� -°� , _�. 'u �" � . $ `� � �9 Coef. Btu In6ltration �� i� =a ;� � q� � q� �888 Exp. wall � � � f; : Net esp. wall Int. wall Ceiling � Floor �' � � � g;�.� Total Btu. � � �4 � �g � �� Required sq. ft. E.D.R. or sq. ins. W.A. Leader area _- 'i Fl.� s ,,, �' � �'�� , Room Windows and Doora—� w�acn xeisnc No. ot pane of pane �� 'k . �+ ` �+ � �_ ✓. a � �� Infiltration G�85S Exp. wall � `�, � �! �� Net eap. wall I�a:�v►�all G� � � ,-: _ . .�� : � : Ceiling =��, Floor � ;� � � � a�� : Total Btu. ;th : � � Width . ` � � Hei and Area neal tt. Area 'crack e9•ft. � �- .�� p �`" � � ,� 9 �k � �� ,' � � � ,:�- e.i 'ta: �,, _ ,F,. `��— °� Coef. Btu � �j: �. `'�' ��' +� "� � � � � �d � r- � r �:; �� ':y � " � �� Required sq. ft. E.D.R. or sq. ias. W.A. Leader area � � � Infiltration Cslaes ESp. wall r�' �� Net esp. wall Int. wall � -; y �t '' '.+. NIINNE�►POLIS. MINN. � Insulation I How Applied r�"✓ '"f Width ,� r.; Height G� and Area �eal ft. Area ( crack eq. tt. j ;�- � u ., I Coef. Btu �; ,�'� � r i ��C 3 �,.. 'q`i > � �..' �°� ��r '�� ,� : ;? '� Ceiling � Floor a" � a.; �" ,•,e �' � �' �� d �� . Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl.l �,�. � � '. ;n. � � Room ( Length �: Width ' a � Height Windows and Doors—Crackage and Area Wldth Helght No. oL Lfneal It. Area No. of pene ot pane llghte of crsek eq. tt. � � �, :, ,r, ' � i � In6ltration ' � F; �' N. � ��, ''�r a - p �� : G�833 � � y� � G�` �� Eap. wall ` ':-• °:� �, '� `;` Net esp. wall °�° � �' �' �;,�. Int. wall Ceiling � �, s_ � A� � � ` � � �,f Floor ° ^� a d�, s�� x�:� Total Btu. ;�;; '� - Required sq. k. E.D.R. or sq. ins. W.A. Leader area '�� F7.� �"�' �% �°� ��, �°� Room I Length 9 �� '� Width � � Height � �. Windowa and Doora—Crackage and Area . Wldth Helght No. o[ Llneal [t. Aree No. of pane of pane tlghte ot crack eQ. tG . ,� '�: _?v 7.� � '� `�r�, ,�c� 4.�� Coef. Btu Infiltration ;� rs`�„ �, w.�' F�_ s� �BSS "f° `�•'' �a � g S., .) � , r Fap. wall ,� �: '�' '�:, ��t ��;." Net exp. wall p<�? s: F'y S;,; �? Int. wall Ceiling ;�a, ' F�OOC d y''d�i 5�m � h i A� � d:' ,� �_ ''� ? ,� 'fotal Btu. �; �, Required sq. ft. E.D.R or sq. ins. WA. Leader area , _ . . �. o .� , . r _ . � Dd6 ' 9 HEAT LOSS CALCULATIONS DEPARTMENT OF BiJILDINGS NIINNEAPOLIS. MINN. Weatherstrips A.S.H.V.E, Construction No. Insulation Guide Windows ( Doors Refereace Out.'Wall Int. Wall Geiling Roof Floor Kind How Applied Yes—No Yes—No 19_ Fl.� "`� rs :� :� Room � Length a�� °Width `' �' � Height `� ; Fl.� Room � Length Width Windows and Doors—Crackage and Area Windows and Doors—Crackage and Area Wldth Helght No. o[ Llneal f. Area Wldth Helght No. ot Llneal Yt. Area No. ot yane oP pane Ilghte ot crack eq, ft. No. ot pane of pane lighta � of crack eq. it. � . �`�-' . ;c:: � ;,' .< � � Coef. Btu In6ltration ° . ° ` �, �: Glass a �-' "' � - " � �_' �_ Fap. wall ;t ';� _ `� , �, Net exp. wall i" '� �' �' � a�; �_ Int. wall Ceiling � � Floor a p� �. ��,� ,� y�' g d� °�� a f �: Total Bcu. `�"�,� �- a <,4� Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F7.� r�a v��, °e� �`� Room � Length 4 w:� Width "'�: `° Height � 'C . Windows and Doors—Crackage and Area Wldth Helght No. ot Liaeal ft. Area No. ot pane ot pane lighte ot crack eq. it. ? '.,�,a ":� ,�, F � y _�& In6ltration �$� Exp. wall � °r � l�let eup, wall Int. wall Ceiling -..,.,, Floor =� � �aN '�°� Total Btu. � , Coef. Btu I �J- �� Y � � 'i.Y " "'k �" �.; . ? `g '•'e � ,� �•. °;,; ? ;- �'` ,`f ._ :...._' ; �. �% Required sq, ft. E.D.R. or sq. ins. W.A. Leader area FI. Room � Length Width Height Windows and Doors—Crackage and Area Width He1g6t No. ot Llneal [t. Area No. ot pene of pane Ilghte ot crack eq. tt. � Infiltratioa Glaas Exp. wall Ne� �Rp. Wau Int. wall Ceiling 1� loor Total Btu. ft. E.D.R. or sq. ias. W.A. Leader area Bhl � 1 � Coef. Btu Iafiltration Glass F.sp. wall Net egp. wall Int. wall Ceiling Floor Total Btu. Required sq. k. E.D.R. or sq. ias. WA. Leader area Fl.� Room � Length Width Height Windows and Doors—Crackage and Area Wldth Height No. of L1nea1 Pt. A�ea No. of pane of pane llahte ot crack ea. ft. Infiltration GlBSS Fap. wall Net egp. wall Int. wall Ceiling �oor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F7.� Room I Length Width Height Windows and Doora—Crackage and Area Wldth Height No. of L1nea1 ft. Aree No. ot pane ot pane Ilghte of crack ea. tt Coef.� Btu Infiltration Glass Facp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. WA. Leader area SUBJECT P c�ty of Fridley � i2178 AT THE TOP OF THE TWINS , B U I L D I N G P E R M I T r • � � RECEIPT NO. � `L _ COMMUNITY OEVELOPMENT DIV. � �� j � � PROTECTIVE INSPECTION SEC. i� = i �-_•-� ��';,� CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BV � 612-560-3450 6/ 14/ 73 � � 910-F15 JOB ADDRES�265 Hathaway Lane N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. % 1 Parkview �B.ICS IS't SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE James Wolfe 1265 Hathaway Lane N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Rite-Way Engineering Inc. 2654 Lynda.le Ave. S. Mpls 4 ARCHITECTORDESIGNER MAILADDRESS ZIP PHONE LICENSENO. 5 ENGINEER MAILADDRESS • ZIP PHONE LICENSENO. 6 USE OF BUILDING , 7 CLASS OF WORK O NEW ❑ ADDITION �7 ALTERATIOPI ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Dra.inage pipe for dxainage system in the basement 9 CHANGE QF USE FROM TO STIPULATIONS SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. P1PBS THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTFUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWCG. 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. �1100 . .55 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- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. � C).6O � �� (�' 6 e— PLAN CHECK FEE TOTAL FEE a / ?3 7.is � SGNAT REOFCONTRACTORORAUTHOHI2EDAGENT (DATEI EN PROPERLY VALID D HI IS YOUFtl�ERM1T � SIGNATUREOFOWNERIIFOWNERBUILDERI IDATEI BLDG iNSP qATE e �� .�; ,>. AFPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA ot�'s �:_ va�h-. �s 4%�..�� suzLn�:_ ��'l c.- C✓�y � � �..T��. annx�ss :— /� GS !�a°�ti�� aU anD�ss :� G.s'c� �.� h d�.l,� ��• 5 r�7p is . No : . �� S TREET : /y a % l� t�- .. , Ga ec � �e %� F' i0T : y BLOCK : C ADDITION : � r,GC /� s c.:v c� E� /s�S % S 1. CORNER LOT; INSIDE LOT: SETBACK; SIDEYA,RD: Applicant attach t� thia form Two Certificates of Suxvey of Lot and proposed building location drawn on theae Certificates. DESCRIPTION OF BUILDING To Be Uaed As; �l^GS- 1 wG .,� �.Front • Depth a Height ; � Square Feet• Cubic Feet• Front: Depth: Height• Square Feet; Cubic Feet: Z�►pe of Construction: �,/,�u,� u, �s � g gy _/q, Estimated Co�t;�T /T �pp °Q " ��s e +�. e h ! To Se Coinpleted: G - / �/— '73 The undersigned hereby makes applicativn for a permit for the work herein apecified,� agreeing to do all work in stfict accordance with the City of Fridley Ordinances and rulings of the Dep�g�ment of Buildings, and hereby declares that all the facte aad representa��ona stated in this a,ppiication are true aad correct. �n�: � -�� 3 � s�cruzvx� • 5'P' � (See Revezse Side Far pdditional Info�nation.) • �� r� � � � / � � i R e BUI�D�NG PERMIT F�E SCHEDULE SECTION 2. The Inspector of Buildings shall, before issuing peYmits for the erection of any building or structure, or for any addition to any existing building or atructure, or for any alteration or repairs to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the a4anner herein provided to-wit: i1NIFORM BUILDING CODEa Type 1, 2& 4-$2.15 fo,r each oa�e thousand cubic feet, or fraction thereaf, in such cubical contentsm 1�pe 3� 5-$1.85 for each one thousand cubic feet. . ADDITIONAL INFORMATION �'ar the puxpoee of computing fees for building peatnite, the cubical contents of an� building or addition, ia deterffiined by ffiultiplying the ground area covered fram a point six (6) inches below the floor line of the basement or tl�e cellar tv the average heights of the upper surface or tto the average heigl�t 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 the rate of $3.00 ger each five hundred dollars ($500.00) or fraction thereof in ° tha cost oi alJ. proposed worko � �, . k : � Tai no caee shall the fee charged for an.y pezmit as set forth in Section 2 be lesa than $5.00, VBRIFICATION OF FOUNDATION NOTE: Pexinits for eonstruction will be issued a mini� of 24 houra fro� the time ai application, to aTlo�p for psoper acevi.e�a of the propoaed structu�e a�d af tt;e construcCion �i�e. A Certified Survsy of the lot, showi�g the loeation of the foundation, once it hae been consttucted, wi11 be required before pxoceedin� with the fxaming. CERTIFICATE OF OCC�JPANCY Appliaati.on for a Certifica�e of Occupancy shall b� t�a.de ten �10) days prior to the use ox occupancy o€ any structure for which �. bui.lding permit has been issued; and said ek7cucture shall not be used or occupied until a Certificate of Occupancy ha� beeu issued. . r � 1�'� M R � R > > � � w m t�e N M o �° � M ' � o a � a o: ,� W OI � � � w � � �� W n � d � w � 0 a r► � 0 c � ? o, n � �. n fD � 0 , � c+ Oi n < to � � � O' N O � 0 � z � � m n � � e�► M _ , � d n rD N ro3 cz (A N y3 o "� H� i=i � �7 K A �� l'�jJ N � ro C�9y 3y y N � � � 0 0 � w o r � � o °' •'c m � iA� � � �i S:! ro � °c o � x < ~ m m M 'CI R7 O • • M b fD . �� ! ' � � � rt � e m �J �b �o � � b a � � �i r `� � �' � � a M f�D ID M � � � � s '° b fD a � . � � � � � rty � � � H o ti°, °eZ ,��* � � I en r* � �' a �C K � M b(] m3 N � fD � \ `C m O. y O � � � ro C � �I � � ~ � o x �, � .� b .�� v � � � w � m ro � 0 rt w O 5 ►ti fD m N r � 0 0 N �� fD � N R n ?Q� H w m � � � e� O G 1 z � C H � 2 � b M � a O croa � H O � � O r 3C � � M n a t�+ N G H � � M (�!� f3 �o � ro � r w � � M O M � � W � `� � CJ� O fCJ� � � o O � N N � H � � r �I �° G s F~+ M � K O M� � C m rr � � � fD 'O F+� • MM � b °f a �a ~ a b� w � M � O W Mrt O a 7C � � r 0 0 0 � 0 � m C M � tzi � � �� 0 � .A .A G] W '�! N m mrom Kn o � � �� q w M N � � y � t� � F. � o r M ~ � �m � aa � � � M M r�r � �O � � �' �� tA tIi V► N r r r n� � 0 0 0 0 . . 0 0 0 o t� 0 0 0 0 � � N � � � e �i `a 'n W m H l� � � n a � � :'' �e w M A 01 1�-+ F+� � lJ� M� a� a a ►''-�na � N W 0� � W W� � M ro fD �C O fD M � m rf w c�p � G ��t m w a �p, rwi tD O M 5 �.. b �, � ' ��o� m �► � � � A W `9 w r=r ~ �D �' � � ° aMx,wo W < J� '�C 5 C� µ M m � d � � W F� W P► (t � 7 N � M F+ ? Oi t�o (I a C � � ID rawo w�n�K z i� � � � � � � �] �e � r M R d r � � � � „ � �m�� £ �n �7►�+�0 � 8 R `C )C W Q N 1�+ � 1-� p m I� �t ~� m � � J� m 4 a a a h � N W 6" � � � � r .. m D N � S O � Z r O 1�'I � O � m � a � � z � � O N Z C zn � G O S � a � � z � � -� � N -1 C") I'r1 O 3 O N r z czi C • m m r<-• � i'1 m 5 N � .. O Z a m � r G) m � D � • o Z � Z C � e v C") � � 0 T T � ._.. t� m � m � -w fD n � < ro o�i m o3i � � � � Y, � � . CHIM�JEY ANO STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack; 1. Has been carefully examined Yes (� No () 2. Is free from rust or deterioration Yes (� No () 3. Has no foreign objects lodged within Yes (�No () 4. Is securely supported Yes (� No () 5.- 4W�ets all ��rre�� G�de req��irement�for size �nd total BTU connected 6. Has To tal hea ti ng BTU' s of 7� � All other BTU's TOTAL Rema rk s �� / �� 1 Yes (� No ( ) � _ � iZ �� c%�w�� (� , e �� p� , D PARTMEri' OF:INSPECT101�' "- NIDVi�AP0I1Si. IM�Bd•' Coaatruction 1�10. laul�qoa • �'eat�erstrips �'iuide W�n�owe Doon Keierssu U+t: WaU lot. Wall Ceilio� Roof floor Kiad How Applied cr o t ti a._' 19_. Room 1.enMk Wideh Hei�ht F1•I ,: fioom Lenesh, _ Widch Heisht Fl.� Wiadowi aad Doo��--Cnckaee �ad_A►ea �'�dowa and Doora--Crack�ge and: Ans - wa�e H•►�ra No..t i.►e..� t� �.,. �vm�n M��sE �. Ne. �t ...L1wwl�it.' An� No. el ww� ef W� Ilsau et e►ut �1. �t. t1e. et pss� . ot Wws . - 11RAt� . - �f n�ck� �O. tl. . . � i "'. � �1 � ,- �� / '� . � � yt, �,�,-, ,s , � 3�( � � � � L -1 f � � . t 2 � . Coef. �u � � � � Coef. Beu .; ; ; ' �— DnFiBu�eioD ,�_ 1n61tration Cilasa CJ.,. �p. wall . Fsp, wall Nee csp. wsll Nei tzp. wa� lnt. ev�►II lat. wall Ceif ing Ceiling Floor �,,,,�� Floor 7oa1 Btn. : Tovl Btu. _., �,__ Revuired w. ft. E.II.it. or sq. ins: WAr Leader area Re4nired +q. fc. E.UR or sq. ins.:W.A. Lwder area — �.I �� i.ea8ek, W�deh Hus6e , fl.� �m t�n� w�� ;s�� ,Windown and Doors--�raek:ge snd Area Windaws rnd DooTr—Ceack+�gr and Area w�a�c }f�1�U� No. ot laual St. Aru wwin H•►sni NO. OI L1A��I ll. A►�a Ne. oc w�• oc ws• �IU�►s� :.'et er.ek ra. t►.. No. ot yano et p�w Ilibu ot cnek w. t� i %� _ � � _ f, �� tu � � �- f " 3 ` � C`�Ca Wiicrttion lnfiluation � Giaaa � -; �� C' Cilau Ea�: .vall C, Z EsF. wa11 hiet ezP. waU L C�— Net ezP. wall 1n� wall Ini. wall CciGng :�' - Ceiling Floor �' e c / Floor Tocal Bcu. : Total Btu. Reouired iq. ft. �.D.R: or sq. uu: W.Ai l.esde� area � �$� R«Nired'sq. ft. ED.R o: sq: insa WA Leader area Room l: Let�gth Q/idth Heis�►t }�, Room i�n8tk� 9VidtF He�sht I Fl. _ :Vindows aess3 Doors--�CTatkag� and Area Windaw� and'IieoT►—Crstl�aBE and Area w�d�n M�1sAt Plo• o! - Lfe�al tt. Ar�a w�atn i1�tLbL Na OL LOYY) [L nn� Ne. of oan• et Osm � � II�SN o[ eraet w. tt. No. et 7►a� ot p�e� IILA4 ot enek � �0. tt Cocf. Bcu ^—• l;oef. &u Inbltration Infilt:atioa Giu� Ciau Fsv. wall Esp. wall Net e:p. wail � Net esP. waU Inc. wall `Iirt. wail Ceiiing �" Ceiling _ / Floor Floor ,. Total &u. 7oCal Btu. R�ouired �a. fe. E.D.R or �o. ina. W.A. C�ead�T a*�� Repuired s4. fc. ED.R. or �q. ins. Q�A Leader area 6' �_ SUBJECT c�ty 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. � LV � � r � � PROTECTIVE INSPECTION SEC. � ` �"'1 � CITY HALL FRIDLE� 55432 NUMBEF �""� � ,'� 612-571-3450 910-F15 JOB ADDRESS 1265 Iiathawa Lane NE t LEGAL �OT NO. BLOCK TRACT OR ADDITION DESCR. ] 1 Parkview 0 2 PROPERTY OWNER MAIL ADDRESS Jim Wolfe 1265 Hathaway Lane NE 3 CONTRACTOR MAILADDRESS GFH Construction 3845 Park Lane, Spring 4 ARCHITECT OR DESIGNER MAIL ADORESS 5 ENGINEER MAIL ADDRESS 8 USE OF BUILDING Residential REV. DATE PAGE OF 5/3/94 / / First Addition Park, MN ZIP ZIP PHONE +21-E PHONE PHONE PERMIT NO. 224�F ii'ECl-=fPT NO. / W �� APPROVED BY SEE ATTACHED SHEET LICENSE NO. 7535 LICENSE NO. LICENSE NO. 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR O MOVE ❑ REMOVE x 8 DESCRIBE WORK Reroof House (25 Squares) Tear-off 9 CHAN(3E OF USE FROM ro STI PU LATION S Underlayment must comply with the State Building Code. SEPARATE PERMITS ARE REOUIRED FOR ELECTR�CAL, PLUMBING, HEATIN(3, VENTILATING Ofi AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONIN(i SQ. fT. AUTHORI2ED IS NOT COMMENCED WITHIN 60 DAYS, OFi IF CONSTRUCTION OR WOHK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED �1 87S WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT ° DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pEf;MIT FEE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING coN- $43.00 TRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE License SC $5.00 SIGNAT EOF TRACT O U NORI2EDAG NT IDATEI WHEN PROPERLY VA � �f �— a ' ' ' _wiwrnoe ne nu��CC �6 /1WNFR Fllll.�ERI IDATEI BLDG �NSP _ GROUP OCCUPANCYLOAD CU.FT. OFFSTREET PAiiKING IGARAGES $.94 SAC CHARGE Fire SC $1.88 TOTALFEE $50.82 TED THIS IS VOUR PERM NEW ADD1�1 ALTER (1 (1 r� CITY OF FRIDLEY SINGLE FAMILY AND QUPLEXES R-1 AND R-2 Building Permit Application Construction Address: � o� � Effective i / 1 /94 Legal De.ticription_ _ Owner l�(ame & Adciress: � 1 N� en� o��Y Tel. # � 7! � G�"/L�� Contractor: �•� �` , S a�,�-- MI�T LICENSE # 7. 5�3 � Address: 3 � �'� ��.� � �o►'Yl�. �QC '' Ils�,��*S� �1-.h � Tel. # �/7/ � �ti�1 �7 Q , LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Certificate of�rvey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. Length �dth Height Sq. Ft. Length Width cs ( d �' � � CQ Cc� Ft. � —�c:� ) c �-_ �C_i S i� Corner Lot [] Inside Lot [], b�� Y Setback Si� Yard Setbacks � Estimated Cost: $ .�.-�:�--`"�� z Type of Construction: �c' .Of'�� , Approx. Completion Date: (Cost on Back) Driveway Curb Cut Width Ne�ed: Ft. + 6 Ft = Ft x$ _� DATE:� ^� " � � AI'PLICANT: Tel. # `— Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erasion Control Park Fee Sewer Main Charge TOTAL � $ '�� U �° $ ,�. �^ �:;, $ �� $ $ �. c7 c:, $ $ $ $ � � �: �� "� CITY USE -01�LY Fee Sch�ule on Reverse Side .001 of Permit Valuation (1/1(�h%) $.50/$1,000 Valuation $800 per SAC Unit $5.00 (State Licensed Residenti.al Contractors) Alt. "A ° or Alt "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Ne�sary [ l Not Necessary [ l STIPULATIONS: � � � � �;. BUILDING PERMIT FEE SCHEDULE The Chief Building Official sha(1, before issuing percnits for die erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or stcucture, upon application therefore, require the payment by the ap�licant for such permit of fees to the amount herein below set forth and� in ,the . manner herein pcovided to-wit: TOTAL VALUE $1 � to $500 $501 to $2,OOp FEES $15 (Minimum Fee is $15 plus surcharge) $15 for first $500 pius $2 for each additional $100 or fraceion thereof, to and including $2,000 � ��1 � $�,� $45 for fitst $2,ppp plus $9 for each additional $1;000 � . or haction thereof, to and including $25,OQ0 _ $25;001 to $50,000 $50,001 to $100,000 $100,001 to $SOO,OQO �� $500,001 to $1,000,000 $'1,(}00,001 and up $252 for first� $2S,ppp pl�s $6_SO for each additional $1;OOQ � rn' fraction thaeof, to. and iacluding $50,000 $414.50 for fir� $Sp,ppp pl�s $q,.sp for each additional _$1,000 or firacnon t�ereof, t�o and including $100,000 $639.50 for first �$i0p,ppp plus �$3.50 for each addi6onal- $1,� or frac:tion, th�eof, to and including �$SOU,OQO $2039.50 for the first $SOO,OOQ plus $3 for each additional $1,000 or fraction thereof, to aad iacluding $1,000,000 $3539SU for the 5rst $1,000,000 pius $2 for each additionai $1,0(l0 or fractioa thereof - DRIVE�i/AY DEPRESSION ESCROW (Coacrete G�rb Streets Only) � Alternafe "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet ti�es $13_S0. Altemate "B": Removal and replacement of c�rb and gutter and instal! a 3 foot wide. approach with 6 inch depth - Driv�way width plus 6 feet times $15.75. VERIFICATION OF FOUNDATION Permits for construction wiil be issued a minicnum of 24 hours from the time of application to allow for proper review of the proposed structure and of die coast�uction site. A Certificate of Survey of the lot, showing the la�tion of the foundatioa once it has it has been constcucted will be required before proceeding with the fi�ming. �_ _ -� * � � D Z � � v � m � � � . � O � � Z Q °��' m � � n � N o m g 7 "p 3 � n 1 v a � ' � � � N � m � � � Q � 0 � �� 0 m -�+ � Z TC� � � � ^ � � � � � v m T m'� � 7�C c° � � � � � � � v � � � Z � z � w v � � m ;°,�_ �m � � m r" d'! � �� Z^ Y/ � � �cfl � � m � z � � � � � �n N � \ � O � C � `D a o � � � j, p1 � (D O � � 0 � � „" � r � � c m � m � � � D o Q o � C C � co �m o �, D � � � j � n � m o � � O ON � � � � Z D C� � D n 0 � Q. O � � � i D v� m N � .cNn g � � � � 4'1 C � �� 1 Q. m z 3 _� �. rn v � � N z 0 c � � a m �' — �- o Y�iZ= � � O � � Y' O C 7 � �A r =P o � � n � A fD O � > > ��p � A � � � � � � �. a m Z � 0 3 0 � m � 01 � � � m � � v 0 � 4 � m � 3 � z O �,ti �, � N v (�D � � a�i D � H �n v, � � a � � a-a � rt N (fl � SLl N A1 � � � � 7 .-r � j � Q. � .=-n Q. 4 °' ?� c v,� � �' � 0 � � �" r � n �` v � � � 1 � � � { v ' ¢. �� t� rs� t� vi 0 0 0 ,�' � g g g g �. m � � � � 0 � c � 6 � y/ c � � m v a � � Q I P m 2 � s � � � � � N ='! � � ��'� c�n � �. c�u u, S. � a 01 Q: � � Q� o � � °p� � �• °' 3 �a'�� w � o m v � � N �j p, 7 '�O "a o � � � � m �. a � `� A 7 •+ Q' O O � � �' A1 ��m �°'" �D � o � � � � �' -" � � � � m n � n `� O y O � � Q�p � � Q. �/l c�D � � '. a � N n _ m v CC �7'1 O � v � m � � 4� � Na�� `< j O Z m T � � � � "C N � z Z m U' m � Z � � Z � � m � � O Z Z � Z � v� a �� o� z� v� � o� z� z� � cn v � � �'^ � v' Z � � v� � O n C z �� Z � � � O � � � c N � <O � t0 I � I CHIlVINEY AND STACg VERIFZCATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefiilly examined Yes (�) No () 2. 3. Is free from rust or deterioration Has no foreign objects lodged within 4. Is securely supported . 5. Meets all current Code requirements for size and total BTU's connected 6 Has total heating BTU's of All other BTU's TOTAL BTU's 7. Has a liner been provided for water heater 8. Has combustion air been provided for water heater Remarks: . List ALTERATIONS Bein� Done: yes ( ) No ( ) yes ( ) No ( ) yes ( ) No ( ) Yes ( ) No ( ) yes ( ) No ( ) yes ( ) No ( ) HEATING CO: Signed By: Date: Building Inspections 763-572-3604 763-502-4977 FAX DATE �i'/�Q/vo. SITE ADDRESS �_,�0� THIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE PROPERTY TYPE PERMTT TYPE TYPE OF WORK: DESCRIBE WORK BEING I) BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY EFFECTIVE 1-1-08 YOUR E-MAIL ADDRESS 0 OWNER ��ICONTRACTOR � PHONE /lIS � STATE LICENSE # SINGLE FAMILY/l�(EW CONSTRUCTION TWO FAMILY/NEW CONSTRUCT[ON 0 ADDTfION GARAGE(SHED ❑ BASEMENT FINISH OOF , ❑ DECK ❑ SIDING ❑ SWIMMING POOL � � / .� ,/,,� �, `` t . � �,. ' - - . : /' i!` �� v � :�� ,�. , � • �� • . :. CITY /'/"JI�//d,/� STA CITY , � � FIe1X � � u�� EXP DATE SIZE STORIES 0 WINDOWS ❑ DRAIN TILE ❑ OTHER ❑ NEW HOME CONSTRUCTION ❑ ADDITION ❑ MAINTENANCEIREPAIIt � ❑ REMODELING ROOFING NUMBER OF SQUARES � GARAGES PROPOSED SIZE: PROPOSED HEIGHT: SIDING ❑ Vinyl ❑ Aluminum ❑ Other WINDOWS M EXISTING OPENINGS ❑Yes ❑No OR FOR NEW OPENINGS-DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED ❑ HOUSE ONLY �-IOUSE & GARAGE ❑ ATTACHED GARAGE ❑ DETACHED GARAGE ATF�ZIP �Syl/ � BASEMENT REMODELING SUBMIT: 1. Existing Floor Plan 2. Proposed floor plan 3. List of structural members to be used FOR NEW CONSTRUCTION INCLUDING DECKS, ❑Soffit ADDITIONS. & PORCHES SUBMTI': ❑ Trim 1. Site Plan/Survey showing the existing structures ❑ Fascia and proposed project 2. Two sets of construction plans 3. Energy Calculations LOCA1'ION OF WINDOWS NUMBER OF ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: �J (USII� THE 1997 UBC FEE SCHEDULE) TOTAL JOB VALUATION $ �� 0�(�4 � OCCUPANCY TYPE Permit Fee Plan Review Fire Surchazge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee � Sewer Main Charge Total Due $ �`T.Q?,� See Back Page for Fee Schedule $ 65% of Building Permit Fee $ .001 times the total job valuation $ Q,� .0005 x Permit Valuation Minimum $.50 $ � .� $5.00 (State Licensed Residential Contractors) $ $1825 per SAC Unit (Plans to MWCC for determination) $ ft+6ft= ftx$21=$ $ $450 Conservation Plan Review $ Fee Determined by Engineering $ Agreement necessary ( ) Non Necessary ( ) $ �,� ,� Make checks payable to: City of Fridley Attach THIS IS APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building perrr►it and I acknow ge at the info 'o ove is complete and accurate; that the work will be in conformance wi[h the ordinances and codes of the City of Fridley and with the Minnesota ons ction Codes• a nderstand this is not a permit but onl an application or a permit and work is not to start without a permit on site; that the work will be in accor �th the app ed in the case of all work which require iew and a r al of s. SIGNATURE OF APPLICANT PWNT NAME T l DATE ��d �y APPROVED BY DATE Page 2- Building Residential Application BUILDING PERMIT FEE SCHEDULE The Chief Building Official sha11, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to-wit: VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the existing foundation will be required before proceeding with the framing. New Houses Onlv City of Fridley Building Inspections Department 6431 University Avenue NE Fridley, MN 55432 ' 763-572-3604 Faz: 763-502-4977