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AF - 45439� City of Fridley, Minn. 1~l BUII�DING PERMIT N° 3 2 i. � Date: . . ,�. . � � .a'.�� . . . . . . . . . . . . . . . . . . . . . . - Owner . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Builder l �: : ��,!�^s �"T r,f /�j?i, :'. � �i'. . . . . . . . . . . Addr�s ...................................... Address ............................................. �, LC?CATIO�V OF BUILDING No. . . . f; „N .`-�.�. . Street �:s��t; �?. �: : :� :� �. . .�`�:'. :�. . . . Part f I,ot . . . . . .. .. ... . � . . . , . . . Lot . . . . . � . � . . Black . . .�. . . . . . . . . . . �Addition or Sub-Division � : �� :4 .��' "�� -,�' : .�� . � a • .�.�5ir� • ' m i � Corner Lot . .. .... ..... Inside I.ot .... �... Setback ... � �.. Sideyard ��...:.... .�s.�.: .. .. DESCR[PTION O�' �UIL.DIIVC To be Used as: „ ,,,., � �'a.'�'��.:��?::�. . . . . . . . . Front .`:� . �. . Depth . :.^. �. .� Height . . . .`. : . . Sq. F't. .��. �. Cu. F't.�: . d. �� A`� L' ont . . . . . . . . Depth . . . . . . . . Hei t . . . .�. � Sq. Ft. . . . . . . . . /�i2!�� Type of Construction . � �2�. .2,�^��. . . . . F.st. Cost. . ,� �� ..r�. � . . . . . To be Completed . .�. . ? . .^. . . . . . �'!'�`'�ef� � �� . � x �'�� ' � ;-,�� r �° ,�' � �.--�---��,�.�.-_�, \ � e / � {� — / ' � �� '] �t In consideration of 1�ie issuance to me of a permit to construct ' the building desribed above, I agree to do the proposed work in accordance with the description above set forth and in compliance with all provisions oE ordinances of the city of Fridley. .................................................... O� In consideration of the payment of a fee of $�� ..'. -".., permit is hereby granted to .-. .�. �.?�. ......................... to construct the building or addition as described above. Ttus perrmit is granted upon the express condition that the persoa to whom it is granted and �is agenta, employees and worlunen, in all work done in, around and upon said building, or any part thereof, shall cyonform in all respects to the ordinanc�s of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings with- ffi the city limits aad this permit may be revoked at any time upon violation of any of the provisions of said ordinances. , _ e . .:-�: ".� �.��..�,, Building Inspector NOTICE: This permit does not cover the construction, inekaltation or alteratlon fo� vJiFlng, plumbing, gae heating, sewe� o� water. Be su�e to see tha Building Inapecto� fo� separate parmlts far thesa Itema � �. . �� = ""ni.r.� � _� 8�oc.� 3 %�,� �-�-vr;: ��` ��'E/Gf� TS �IOG'OT�'O /V ° N �_- . INDUBTRIAL C• E• C O U L T E F2 pLA'RINO BUBINfiSB FARM 6URVEYB arr �oTa LAND SURVEYOR {,qKE9HORE TOPOORAPHIC MAPPIN6 REGISTERED UNDER LAWS OF 3TATE OF MINNESOTA �UOIC�AL LICENBED BY ORDINANCE OF CITY OF MINNEAPOLIB SC�/L�' � 3300 LYNDALE AVE. SO. MINNEAPOLIS 8. MINN. � TAYLOR 4-0370 Svi2YEy �"DR BENSON C'O�ST�'r`J` �'�c'.�a`' � ��p�� g �� y � � ss� �O ' � _�� ` � ��i e�' �. I hereby certify that the above is a true and correct plat of a survey of: Lt�t Thirteen (13)� Block Three (3), PARKVTEW HEIGHTS.ADDITION, Anoka County, Minnesota. As surveyed by me this 6th day of August 1958 A. D. 0 Appro�ed 6y Buitding InspeC�or Sf ne �� , ti��a . _ r�..�� `�%.. g d ��•� r� . � �a��_.-.�'`". . �.� � �, v Minnesot�egistration No. 2584 � � :.. 5288 � --- �-;-� _ City of Fridley, Minn. BUILDING PER.NIIT N° �szs .:_ ' � ,� : : ,� � . ,� � - �.... ...t'�'�..�i_..a...�.L,1::..�s.�.��!.r � . - . ��// E..r.l�. ..:.e, .� �. !.�. �_ ; 1 ��"'�� .;✓^ ' � � '�:` • �� . CATION OP UiLDING No. .�� Street � � .� _ Part t Lot �_�,�;�___..__ Block _.�_ _—. A#ddition or Sub- on ..�. �'�.�� ,� Corner Lot �_ Inside Lot +�''�� 9e6back _ Sideyard �� Sewer Elevation —._.— Fo dation IIevai3on DESCRIPTION OF BUILDING To U _as: '� Front � Depth �.� Height �" +� Sq. F't �� Cu. Ft. ��'�.►' �:on Depth Height _ �� Sq. F`t. ...._ Cu. Ft Type of Construction � F.•st.-C:a��'� �To be Completed — In consfderation oP the fssuance to ttie of a permit to conatruct the building described above, I agree to do the proposed work in accordance with the description above set forth and in compliance wIth all pravisions of ` ordinances of the dty of Fridley. � In cronsideral3on of the payment of a f� of $ � permit fs hereby granted to to conatruct the bwilding or addition a� described above. Tbia permit is granted upon the express condition that tUe person to whom it is granted and his agenfs, employees and woriQnen, in all work qlone in, around and upan said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regardiug location, construction, alteratiori, maiatenance, repair and moving of buildinga Vvithiu the dty limits and thia permit may be revoked at any tiaie upon vio iaton of any of the provIsions of said qrdfnancea � ,�, ,� ,�� Buildiag Inspector NOTICE: ' This permlt does eot cove� the eonstrueHoa, imtallafion foe wi�iee, plombtng, ges heating, sewe� oe wate�. Be eure to see the Bai1dL�8 lespec�or Por separate permita for f6eae items. l�, 4 :�+�,- �..s,.-- �°..�5 � - -e� +.e_�a�' ' v v 1PPLICATIO� FOR BIIILDIldG PF�IT CITY OF FRIDLEY, MINN�SOTg O�rae]c' � e Na�me �� 6' .� � ��d �, � N' d�' Btti.Zder �:1��4, ��=�a�^ ��f °�^,� ��T�d �.�s��s'� � lddresa � ��' G��' E�� %,��`�i�,�_��;� ��dFr"°"Address ��' � �- �f�; � �� ` � ��, �� -�'� No. Lot Cor L(ICATIQN �F BIIILDIlVG SEWER ELEVATION FODNDATION ELEVATION �pplicant attach to this form Certificate of Survey of Lot and proposed building location. DESCRIPTION OF BUILDING To be used a.s : ��'�=�pr Front -�� epth -�= °� Height Sq. Ft. � ��/'' Cu. Ft. Front Depth Heigh� Sq. Ft. Cu. Ft. Type of Conatruction ��i ��d?�dF Estimated Coat F� ��`' _ � To be Completed d� N� �_ � �r� The undersigned hereby makes application for a permit for the work herein apECif3ed� agreeing to do all Work in strict accordance with the C3ty ardinances and rul.ing of the Department of Buildings, a.nd hereby declares that a17. the facts and representationa atated i� this applicat3on are true and correct. �; �;� ��, �" �„�� i� � `` � `�� DA7T �' �°'�� r � � � �� SIGN�iTURE -:;��^,� ��' ��.�r� � (A Schedule of Fee Coats can be found on the Reverse Side.) �� n � _ � � y •,. � BUILDIlVG PERMIT FEE SCHEDIIIE Section 2. The IMSpector of Bu3ldings aha11, before isauing a.r�y permit for t.he erect3on of any building or structure, or for ar�y add3t3on to ar� existing bu31d- ing or atructure, or for an�r alterations or repairs to any exiat3ng buflding or structure, upon applica.tion therefor� require the payment by the appy.icant gor such permit of fees to the �.mount herein below set forth e,nd in the met�ner herei.n provided to-wit: 2�1. For any such peimit for the erection of a.ny fire-prcof building, other than a garage, warehouse, factory or grain elenator, or for the erect3on of aay fire- proof addition, for similar occuparac�, �o any ezdsting buitding shall be at the rate of �1.40 for each one thousand cubic feet, or fraction thereof, in such cubical contents. 2.2. For any such permit for the erection of any firepxoof garage, warehouse, factory or grain elevator, or fo� the erect3on of ar�r fireproof addition, for s3.mi7,ar occupancy, to any exi.eting building shall be at the rate of �1.25 for each one thousand cub3c feet, classified as °fireproof" by Section 502 of ihe M3.nneapolis Building Code. HOIISES 2.3. For any such permit for the erection of an� non-fireproof bui].ding other than a garage, warehouse, factor�► or grain ele�ator, or any nor�-firegrooi addition, for similar occupa�ncy, to any existing building. Permit $1..00 for sa.eh one thousand cubic feet. CAR,�lGES 2a4. For any such permit for the erection of any nor�-fireproof garage, warehouse, factory or gra.in elevator, or for the erection of any r�or�f3reproof addition, for aimilar occupancg, to any existing building or for each such build3ng or addition. Ninety Cents for each one thousand cubic feet or fract3on thereof, in the cubical confi.enta thereo£ with a minimum of $/�.00. For the purpo^� of computing fees for building permits the cubic�]. contente of any buildin� or addition to a unl�orm height throughout by multiplying the ground area covered from a po3nt aix (6) 3nches 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 surface of the main gabZe of a pitched roof. 2.5. For repairs or alterations to an exiating structure, the fee s�.l]. be et the rate of �3.OD for each Fine Hwa.dred Dollare ($500.00), or f"ract3on thereof i.n the cost of a11 proposed work. 2.6. In no ca.se shall the fee charged for any per�mit as aet forth in Section 2 be less than �4.00. �1 ,'""� �; _ ' - - - - _ �.r...,o-�. sue�ECT P E City of Fridley o 2 0 2 2 6 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r ; � RECEIPT NO. � `y _ COMMUNITY DEVELOPMENT DIV. r � •� PROTECTIVE INSPECTION SEC. � D y� 1 � i Q / L---_� ��'��,,� CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY j' 612-571-3450 910-F15 1/10/�0 / / JOB ADDRESS g�p �,.�p��ay T.ane N.E, t LEGAL LOT NO. BLOCK TRACT OH ADDITION SEE ATTACHED DESCR. I.3 3 Parkview Iie.ights: Addition SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE Jean Stinson 97Q Hathari�ra,y I,a,ne N,E. 571�0223 3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO. R& M Ass.ocia,tes 3482 Augex Avenue, Ti�hite Bear Lake, NIlV 5511Q 770-9322 4 ARCHITECT OR DESIGNER MAIL AODRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS Z�P PHONE LICENSENO. 8 USE OF BUILDINf3 Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION �1 REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WOFK ReXOOf Dwelli,ng; Tnstall dx�ain ti];e a,x^ound �loo�C B CHANaEOFUSEFROM TO STIPULATIONS Roo£ ca,n b�e 2nd layer Y�ut not 3rd. Install ridged va,lvanized valleys. r TYPEOFCONST. OCCUPANCY(3ROUP OCCUPANCYLOAD SEPARATE PERMITS ARE RE�UIRED FOH ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WOHK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORI2ED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WOfiK IS SUSPENDED OR ABANOONED FOR A PERIOD OF 120 DAYS AT 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 PROYISIONS OF IAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WIIL BE COMPLIED $L,� r2Q,Q, $2 Q1.Q. WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOIATE OR CANCEL THE pEqM1T FEE SAC CHARGE ROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- y�`72 e OQ- RUCTIO OR THE PERFORMANCE OF CONSTRUCTION LAN CHECK FEE TOTAL FEE s�4�ia SiGN U OFCONTRACTORORAUTNORI2EDAGENT �onTEi ,� � WHEN PROPERLY LIDATED THIS IS YOUR PERMIT � /-1�-�� SiGNATURE OF OWNER�IF OWNER BUILDER� IDATEI BLOG �NSP �IATE I • � �, •�� [ ] [J R-1 AND R-2 Building Permit Application Effective iJl/90 CorLStruction Adclress: _ � 7� ,, � 7�j � � �. `, j�; �� Legal Description: 1�T /.3 �G�L'/1 � !�� l� /rl � !J i-�/91.Tg�� owner rrame & ��: tT c � rt� � � vr� �� ,.a �el. # � 7/ a�Z2o3 c;oritractor: I� -f z�.t. # �� -� 3 ��, . � �dares.s: � � � � ,�c�'� �'��v-�_ i��..r l � js Q �v � �C, ts'��',/fo Attach to this application, a Certificate of S�vey of the lot, with the proposed oonstruction drawn on it to scale. DESCRIP'IrI�1 OF Il�VII�Tr LIVII� AR�: Lerigth Width Height Sq. Ft. C�F,R�►,�GE AREA: Leax,�th Width Height Sq. Ft. DDQC ARE�i: ��' Width Hgt/Gra�nd Sq. Ft. �: �K � .��a � � es��3",[.�� L�.� �= o ./1��,e� ��, ��d� ,�1�� Corner Lot [] Inside t� ] Ft. Yd Setback Side Yard Setbacks Zj�pe of Construction: �i e� - Estimated Cost: $ ��UI� Approx. �letion Date: Proposed Driveway Width If New Opening Is De.sired: Ft. $ $ Width + 6' See Back Page n�: I— ia- Ip �c�rr: z+e.t. # 7�0 -`3 3 z1� Permit Fee $ f%�.1� CJ State Surcharge $ �.�G SAC Ct�arge $ Driveway Escrvw $ Park Fee $ Sewer Main CY�arge $ • v Sl'IPUTA'�IONS: $ �'`� �� CITY IISE ��II,Y Fee Schedule on Revexse Side $.50/$1,000 Valuation $600 per SAC Unit Alt. "A" or Alt. "B" Abave Fee Determined by IIxJ��J Agreement Necessaiy [ ] Nat Necessazy [ ] :?1 � � � ' 3i'+ � ";�' :�.:171� 1 ' 7�e Chief Building Official shall, before ��*n �*+++; ts for the erectian of ariy building or structure, or for any addition to ariy existing b�ilding or structurn, or for ariy alteration or repair to ar►y existirig building or structure, upo�n application therefore, require the payment by the a�licant for such �m+;t of fees to the amaunt herein belaa set forth and in the n�aruler herein provided to-wit: TO►�1L �TAIIJE S1 to SSOo $501 to $2,000 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,001 to $500,000 i�a��. $15 (Mininnun Fee is $15 plus surchaYge) $15 for first $500 plus $2 for each additional $100 or fraction thereof, to ar�d iricluding $2, 000 $45 for first $2,000 plus $9 for each additional $1,000 or fraction thereof, to arid includirig $25, 000 $252 for first $25,000 plus $6.50 for each a�litional $1,000 or fraction the.reof, to ar�d includirig $50, 000 $414.50 for first $50,000 plus $4.50 for each additional $1,000 or fraction thereof, to and includixig $100,000 $639.50 for first $100,000 plus $3.50 for each additional $1,000 or fraction thereof, to and including $500,000 $500,001 to $1,000,000 $2039.50 for the fiYSt $500,000 plus $3 for each a�ditional $1, 000 or fraction thereof, to arid incltuling $1, 000, 000 $1,000,001 and up $3539.50 for the first $1,000,000 plus $2 for each aclditional $1, 000 or fraction thereof DRIVEWAY DEPRESSI@T ESCimp (Concrete Gtirb Streets On1Y) Alternate ��A�� ; Removal arid replac�ment of curb and guttQx only - Driveway width plus 6 feet times $13.50. Alternate "B" : Reamoval arid replac.c�exit of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet time.s $15.75. ' �1' � r- • • " • 11 1� • •) Piermits for oonstruction will be issued a minim�un of 24 hours frn� the time of ap�lication to allow for propet revie�a of the proposed structure and of the aonstruction site. A Cettificate of S�r.vey of the lot, shcywing the location of the foundation once it has it r�,s been constructea will be requirea before pr«�eairig witn tne fzaming. - - - � sue�ecr PER City of Fridley 2 0 4 5 ' , AT THE TOP OF THE TWINS g U I L D I N G P E R M I T RE NO. r � � � i L_ COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. 3� 7�� i ` � � /�"1 � CITY HALL FRIDLE� rJS43P NUMBER REV. DATE PAGE OF APPROYEO BV �.__..11.' '•� 612-571-3450 910-Fi5 ��2�90 � � JOB ADDRESS 970 Hathaway Lane N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED oescR. 13 3 Parkview Hei.ghts Addition SHEET 2 PROPERTYOWNER MAILAODRESS IIP PHONE Jean Stinson 970 Hathaway Lane N.E. 571-0223 3 CONTRACTOR MAIL ADORESS ZIP PHONE LICENSE NO. Rejman's Home T�nprovements 627 - 109th. Avenue N,TeI., Coon Rapids 55433 755-4382 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE IICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK � NEW C� ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 24' x 22� Living Area Addi:tion; a 16� x 18' Deck; a 10� x 10� Deck in ron o we ing an a' x Ramp in ront o ouse 9 CHANOE qF 11SE FROM TO STIPULATIONS See notations on plan. Wi�R�IN� Before digging call for ail utility loc�tions SEPqRATE pERp,�dTS �q� � 454-0002 WIRING, HEqTIN� P Q ORED �pR REQUIRE� RY LAW , LUlI��,IN� qN� S��NS. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PEFiMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONINO SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED 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 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 2� 563 S�-4.75 WITH WHETHER SPECIPIED HEREIN OR NOT. THE GRANTING OF A PERMIT $ � DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OF; CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $317�00 STRUCTION R TH PERF RMANCE OF CONSTRUCTION. /G�� PIAN CHECK FEE TOTAL FEE ��i Gf'� $331.78 NATURE OF CONTRACTOR OR AUTHORIZED AGENT IDAT EN PROPER Y AT TNIS IS YOUR PERMIT � R � � �°��d SiGNATUREOFOWNER�IFOWNERBUILDERI IDATE� I iNSP DOTE � [^ �7 Effective 1/1/90 � [VJ R-1 AND R-2 �'� [ ] Building P�exmit Application Construction Address: �%l% � ih�rs�a� /,%' �' � P� v� � !L , � I�'dl D2.SCrlj�10112 owner xame & Address: � � cs T1 n/S' 'I�1. #�7� �'�? � � Contractor: �!� �,e � i%'��t � Te7.. # % �.s �� Addres.s: _ �� /� ei th �� it� _p��. �� s ��/%/lf SS' 5�.�� Attaclz to this application, a C�stificate of Suzvey of the lot, with the proposed construction drawn on it to scale. DESQtIPPI�T OF LI��' L�T1qth o` �'% width � � l�RF�: Length � wiath / � DDCR ARE�,: Length �� Width / C� �i G Yn .� �'�/"l- l� (6� � ��+r �� po ��o . I� �r,�`��; � `�r� `��`'�k`�. �� `�� .rr��"x �y �-��^��,�,��'�a��. Corner Lat [] Inside Lot [] Ft. Yd Setback � Side Yard Setbac�s '�n ��,T p-_�' ;,�' ;, ,r� Type of C�nstruction: Est�mated Cost: $,-��'3�- �>,U Approx. Cbanpletion Date: - � � � A �� Pra�ed Driveway Width If New Opening Is De.sired: Ft. $ $ � Width + 6' See Back Page LIATE: �� i - �'-t� AP'PI�CI�NT': � ' � Tel• # ?SS �/'i �� Height 0 �� /� � sq. Ft. S�� sq. r�. ��'s.s.� Sq. F't. %t� � Ppxmit Fee $ � �� state sur+charge $ � � . `�,� SAC Charge $ Driveway Escrc�w $ Park Fee $ Sewex Mair1 Charge $ � v�� rVJ.l�11V147 i $ ��, � . gR p ' ..,(' � �.: ,y�`±d Aki�°�-�' � � ,� . T�' CITY USE �bY Fee Schedule on ReveYSe Side $.50/$1,000 Valuation $600 per SAC Unit Alt. "A" or Alt. "B" Abave Fee Determined by EncJ�x'�'! Agreentent Nece.ssary [ ] Not NecessaYy [ ] � 4 � 1 / � VY �' � �'� � P�' �� ,� � p�, � �� . �.� � �-�--- :�i i�� L ��+�y��+ �+�+� =;«:i��,�1 �ve Chief Building Official shall, before issuing �r++;ts for the erection of ariy building or structure, or for any addition to any existing building or structure, or for ar�y alteration or repair to any existing building or structure, upon agplication therefore, require the payment by the applicant for such �n++;t of fee.s to the amount herein belaw set forth arid in the manner herein provided t�o-wit: 210►I'1�,L VAIDE $1 to $500 $501 to $2,000 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,001 to $500,000 i ��. $15 (M�ninnan Fee is $15 plus surcharge) $15 for first $500 plus $2 for each ac�i.tional $100 or fzaction thereof, to ar�d includirig $2,000 $45 for fiYSt $2,000 plus $9 for each additional $1,000 or fraction thereof, to and including $25,000 $252 for fiYSt $25,000 plus $6.50 for each additional $1,000 or fraction thereof, to ar�d including $50,000 $414.50 for first $50,000 plus $4.50 for each additional $1, 000 or fraction thereof, to and iriclt�ding $100, 000 $639.50 for first $100,000 plus $3.50 for each additional $1,000 or fraction thereof, to arxl including $500,000 $500,001 to $1,000,000 $2039.50 for the first $500,000 plus $3 for each additional $1,000 or fraction thereof, to and ir�cludirig $1,000,000 $1, 000, 001 arid up $3539. 50 for the first $1, 000, 000 plus $2 for eac� ac�iitional $1,000 or fraction thereof DRIVE�iY DEPZ2E'SSI�IJ ESC[�W (Concrete G1irb Streets On1Y) Alt�rnate ��p,�� ; Removal arid replacement of curb arid gutter arily - Drive�ray width plus 6 feet times $13.50. A1terT�ate "B" : Retnaval ar�d replacement of curb arid gutter and install a 3 foot wide approach witii 6 inch depth - Drive�ray width plus 6 feet times $15.75. �31; ■y v_ {� •)� •)' S� 11�1� _ Y •i.l P�rmits for construction will be issued a miniimun of 24 hours frca�i the time of application t:o alla�w for proper revie�a of the propo�-.,ed stYUCture and of the c�onstruction site. A Certificate of Stiirvey of the lot, shvwing the location of the faundation once it has it has bee.n oonstructed will be required before proceeding with the fYaming. � . � � s % V V ' � � � � � � s �� ..J � � � � � V � � � m V � � � �� i� \ �, � � � ; � � N O � N � (� � N r � � L.L LL � H Q N /8 N [ O O � � �t O � � � � � N � � � � � � � � � Z V � N .� � �N d r � � � m � w � . �_ � 0 � �� a� �c s � U .� a � � � � � � N � U � � � Q \" cU � N C N i.� INDUfT111AL ou�u+ts� CtTr LOT• TO►OOI�MHIG MArrINO Sc��E B�ac.4- 3, �A^'�r v�� :� frf-i�� rs ,� ov� r: v �v .• . N C. E. COULTER LAR1D SURVEYOR pEGIbTERHD UND6R 44Wi Oi STATE OR MINNE60TA 410ENf[D OY ORDINANCE OF CIT/ OF MINN[APOLIt 3300 LYNDALE AVE. 50. MINNEAPOLIS B. MINN. TAYLOR 4-0370 �^✓h'yEY �'DoP BENSON CO� `Tr'v��''%o''� / "= jo' i�uru:�ar�� rrritir�ap y �� q� -,� �- �, �� -��,. I�° o�rN, �'�,_ q,� - - - .- _..._ --_ _ _ . __ _ -___ _- �- - --- -- . _ _ _. . _ . �. . �9� ��¢��^ �� "�.* �\ PLATTIH4 uqpy 6�RYLT6 LAK1l9HON[ JUDIG�AL ��^ <� -��,� _ .. , �, , i ��° I hereby cer'tify that the above is a true and correct plat of a survEy ct: Lot Thir�e�n (1'?). Block Three (3)� PARKVIEW HEIGNTS ADDITIGN� Ano�:a County� Minnesota. As surveyed by me thi s 6th ciay of Augu st 1958 A. D. o , Sighed . `` � � t� nnesota aegistration No� ?`�.�� r �O � r . " O � o .9 M S e�i < �o n Y N o" +� � v �e o � � � o � y '7 � u+ r �p 8 k � � N M � � N O n y Z � O N �O 9 � � r p r r] R O F7 � r�i y y A � H n Z a � v� r d ti 'i �c Df A � m e n � �� .- �g A ° < � �' ti C �1 �. 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Rf m� J; Pi�r Mn M .�i m � � �, e'•' �,�° � � a, M r p � ~a � �n � rr � C � � � � K tll y y N 0 0 0 0 � 0 0 0 o tn 0 0 0 0 N h M h � t' M Y W n•a� � c : � d � �• a��.m h ■ r ti �� m� a � � o�°� 5�g� ��, rr � r � o� EE 6��'do � c � � so~.m m w r er rr ��. �0 r• O r m n 3 N O 0� O i°'�s �"�� • ac �+ W M 2 s � ~ 0� � i � �s s-•. 67+,w0 8 �� .�i o n � r+ O r D m �p �rWn� IV\ • w � � G ►� r• r z p• o� N N �� o� °o 7 0 < � a W r C 7 � � M w r• K K e • z M � M a r � � � W N b' � � m • � :v b a� � r m � n � � 2 C O �n a O � m �o a��o e�-: Z O N Z v = �1 O O S ? D � � 2 < � N �1 Cy � O N r 2 G� C � O m < � n m � N � 0 Z ► � m � � G� T � � -r 0 Z � 2 0 � --i � O T T .�D t7 m � � M M fD n R r• < 6 v o+ r � � C� O c d ►s � r r � � r - - �:� _� -- — al �0 �f8 pau6�g �'u ed wo� s �.� ewaa lt/101 S�f118 �a4�o llt/ �o s,(u8 6u��eay �e�ol seH •g i i�� i)��11 pa��auuo� (118 le�o3 pue az�s .co� s�uawa.��nbaa apo� lua.�an� ��e s�aaw •5 ( ) oN ( ) oN ( ) aN ( ) oN ( ) saA pa�,�addns �f�a.�n�as sI 'b O sa,� u�41�M pa6po� s��aCqo u6�a.ao� ou seH '£ () saA uo��e.�o�,�a�ap ao �srw woa� aa�� sI.� 'Z (') sa� pau �wexa �f� �n�a,�E� uaaq ,s�{.4 • t `.��e�s ao �'auw�y� 6u�ls�xa ay� �py1 sai�iaa� �fqa.�ay pau6�saapun �ayl NOIlb�I�Ia3A ��tllS GN11 A3�1WIH� ,� , _ Cl'iYOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(612) 571-3450 • FAX (612) 571-1287 N�y 7, 1991 Ntr�' Kleser/NLs. Jean S`tinson 0 Hathaway Lane N.E. Fridley, MAT 55432 Re: Letter Appmov�ng Side Yazd I�.l.atio� of Air Oonditioa�er at 970 Hathaway Ian� N.E. (S�Q.Y�ID 1�1'ICE) D�' NI�° Klese�' & Ms. Stir�son: We have riot to this date �oe.i.ved the lettpr fi�an y�.� ne.i.c�bors a�ov�ng the ir�stallati.on of the air oo�'�diti�et in yaa�' side ya�l. Section 124.05 of the Fridley City Qode rec,��;�es that we reoeive this letter befor� tl�e i,nstal.lation of the tmit can be ap�aved. Pl� Y�ave yot� r�i� sicp� the fo�m at the bott�can of thi.s lettpr ar�cl return it to a¢' depart-ment. We will expect t�Lis to be cx�nplefied i mrrr�; atp7 y. Tf you r�ave any questi� cn this nratter, plc�se c�ontact me at 572-3603. Sinc�e].y, �� S �� 1 �LL Bldg/Mech :Cr�pector C�1/mh �� I�� , a�mer(s) of �Q. HatY�y Iane N.E., have no � om.s to an air nmx7itia��r being instal.led �n o� adjoi ni m side yard with 970 Hathaway Iane N.E. by Mr. Iee Kl.eser' & Ms. Jean St.insc�n. ��-�� C�-� �.,L L � s � �O'� �7� �� +�� (�D��T L, r�� o,.� ��-�-.,v� �. o� sc ti�.,�.� �Ooa �,�.. c� � i � � �..� � �,r�.�✓e.,r� . ooc,� � t �' � ,ra�s c�c�S � R� �N1.0�� 5'��,,�..��8 �- �i�ln �-!'Z �lS� 7'�irz.a0 � ` � ► �o ��s c��. C.� b �� /V �' '�� a-�� ,�v �rst.t; �v I �' D�P.�n. r�.3 � � l !< �. �3 � � ° ��'S � l�R- (�- � ��- qr.� ��. vr�,^ �T � �.o CLas�, � % �tiv� � v t � � r� �1�c�1 �(1� 1�.� �,' �Ae-Id�- � U, e. V��.0 �'�, r^�'1� �� CG �� ('ti C��-� � (�t.) � J�-� 13-� � `�T,2,� r�� ' ,� � � �,"� a`�- / "�..� ��,a- �OY� sue�etT p -yfl,.. City of Fridley 3890 �' AT THE TOP Of TME TWINS g � I L D I N G P E R M I T f ; � CEIPT NO. � ; y __.._ COMMUNITV OEVELOPMENT DIV. `,��J [ / r � � PROTECTIVE INSPECTION SEC. ' i ' � /�"1 � CITY HALL FRIOLE� SS13Z NUMBER 11EV OATE PAGE Oi APPROVEO BY �""'� � �� 763-571-3450 9� o-F/5 9/ 17 / 03 / / 10B AODRESS 970 Hathaway Lane NE 1 LEGAL ��T NO. BLOCK TRACT OR ADOITION SEE ATTACHED DESCR. j3 3 Parkview Heights Addition ShIEET 2 PROPEfiTY OWNER MAIL ADDRESS 21P PMONE Public Health Solutions 736 Pierce St NE, Minnea olis, MN 55413 612-331-8998 9 CONTRACTOR MAII ADDRESS ZIP PMONE LICENSE NO Same A AHCNITECT OR OESIGNER MAIL AODRESS 21P PMONE LICENSE NO. 5 ENGINEER MAIL AODFiESS 2�P PNONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK O NEW O ADOITION O ALTERATION � REPAIR O MOVE O REMOVE 8 OESCRIBE WORK Replace two windows within existin o enin ; install one e ress window in altered opening 9 CHANCiE OF USE FROM TO STIPULATIONS Install egress window to meet the State Building Code. Apply for r�ntal license before occupancy. Call for framing and final inspections: Provide smoke detectors in all sleeping rooms and on all levels of the dwelling per Section 310.9.1.2 of the 1997 Uniform Building Code. Caulk and flash all exterior openings. TVPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD SEPARATE PERMITS ARE HEOUIREO FOR ELECTFICAL, PLUMBING, NEATING, VENTILATING OR Alq CONDITIONING THIS PERMIT BECOMES NULI AND VOIO IF WORK OR CONSTRUCTION 20NING SO. fT CU FT. AUTHOR12ED IS NOT COMMENCED WITHIN 80 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENOED OR ABANDONEO fOii A PERIOO OF 120 DAYS AT ANV TIME AFTEfl WORK IS COMMENCED. NO. DWLG. UNITS OfFSTREET PARKING I MEREBY CERTIfY THAT I NAVE REAO ANO EXAMINEO THIS APPLICATION STALLS GAiiAGES AND KNOW TME SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS Of LAWS VAIUATION SURTA% AND ORDINANCES GOVERNING TMIS TYPE OF WORK WILL BE COMPLIED WITH WME7HER SPECIFIED HEREIN OR NOT. TNE GRANtING OF A VEFIMIT $950 �.SO DOES NOT PRESUME TO GIVE AUTMOfiITV TO VIOLATE OR CANCEI TME pEqMIT FEE SAC CMARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON• @ @ ST U£T OR THE PERFOfiM C OF CONSTRUCTION y�38. 75 Fire S�', �p .9.5 PLAN CNECK FEE TOTAL FEE �' U �4o.zo � a AE OF CON'AACTOA Op AUTMOA�2ED AGENT iD�7E� MEN PROPERLV VAUOATED TNIS IS VO p PER IT �� S�GNniUAEO�OWNEp��O�NNEpBUILDEAi iD�fEi BLOG �h5o ��E � NEW [ ] ADDN [ ] ALTER [ ] Construction Address: Legal Description: _ Owner Name 8� Add Contractor. CITY OF FRiDLEY 6431 University Ave NE, Fridley, MN 55432 SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION �� Effective 1/1/2003 (763) 572-3604 Bidg Insp (763) 571-1287 Fax C�� -�-� � � �� i. # (el � .331 f�yf �' >E # �"' 3 Address: Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT i.� -�,�- ��,s� LIVING AREA: Length� Width Height _ Sq. Ft. GARAGE AREA: Length �dth Height Sq. Ft. DECK AREA: Length � Width HgUG�ound Sq. Ft. OTHER: �l��U CC'. nIGCRM2,n� W► �CiWS � O►� v�2�,•1 bGt,Srl_W�2r��'-- �rGSS vJ�Y�n c vv Construction Type: Estimated Cost: $ � � �� Driveway Curb Cut Wdth Needed: Ft. + 6 Ft = Ft x$ _$ DATE: �-- D APPUCANT: �., �D�^'�-.�— v��a-w— Tel. # � J L ' � � /— ��?% � Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we wiil call vou for card number. � Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge CurS Cut Escrow Erosion Control Park Fee Sewer Main Charge TOTAL /� CITY USE ONLY - $ ��7s $ • �' $ �� $ $ $ $ $ $ $ ' Q.o2C� � � � � I c� ° Fee Schedule on Reverse Side I 1� � .001 of Permit Valuation (1/10th%) � ` � � � $.50/$1,000 Valuation $1275 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Pian Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] � , � � , .. , S ��oLa � �lu r �� -� BUILDING PERIVIIT FEE SCHEDULE The Chief Building Official shall, 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: TOTAL VALUE $1 to $500 $501 to $2,000 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,001 to $SW,000 $500,001 to $1,000,000 $1,000,001 and up FEES $23.50 $23.50 for first $500 plus $3.05 for each additional $100 or fraction thereof, to and including $2,000 $69.25 for first $2,000 plus $14.00 for each additional $1,000 or fraction thereof, to and including $25,000 $391.25 for first $25,000 plus $10.10 for each additional $1,000 or fraction thereof, to and including $50,000 $643.75 for first $50,000 plus $7.00 for each additional $1,000 or fraction thereof, to and including $100,000 $993.75 for first $100,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $500,000 $3,233.75 for the first $500,000 plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,000,000 $5,608.75 for the first $1,Q00,000 plus $3.15 for each additional $1,000 or fraction thereof CURB CUT ESCROW (Concrete Curb Streets Only) Removal and replacement of curb and gutter only - driveway width plus 6 feet, times the annually determined rate. Permits for construction will be issued a minunum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. VERIFICATION OF FOUNDATION 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 ,�;�I ,� I ��I ■��I �� I� �e�ci , �■�� i �� :� n O W C � --I O Z D � � 2 D r r W rn 'D � O v m v -D m � C � n � m � O z � 0 A D Z v -� D W r m rn .� n O � Z � m Z -i z � O Z W n � � 0 m � � m � c -i n O � D�O r �D � m m � � � io �I D � � �m � � O� m ° m� � � � C � � D m m 0 �v� � O ;.i c � o � � o m= � D � D — � � 'a (n °1 D � Z m O D � m � O z � D � v � �° z o m a v � W � �./ �0 c cc � 7 v d m � � T � fl? Z v ° � m � ' � �` � ' � cn � c� ov oo O Z � � � � �2 � c tu au �n � �c � a' a' m m m�� i i� O v .n 0 � -, -, � '� � ? p p -o -n � d � � N � � � � � � v m � � � W � � � � � " : � � � <' r N. cn - N fD � � t0 � � � N Z m � m D �° �- fD � � m -v -� m � -, m � v* n w• �' � � m m c m Q � -< m � � Z o I I I I I I I I I I I I I � �t�En�Ent�ts+t�t�t��+ o, o 0 o y o'� � y� �' �� 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 � r c � m z Li n O � D z � , N W 3 °- rnf° a C o n � D � � �' � � � 'o m � � _� z O � m -, � > > v � a a � m cp c =i � � � � n � (D y � � � o � cp ..., ? . cD o � � � �' c� o � 'N' a �- Q rn � d � � ° o � ? N, j� tA N � _ � N � a � ^; c� � a � � � � � � � Q, � � � o 0 m a. v � '� A n N `V' � � � � \L11 (D � '.: � y � �- � � O o °: rn � �+/ � v � m ` cn- � � o � O 7�' '� p, (D N N (D 7 i � r C � Z � � � C .� m � -�i m'^ V/ � � � � w°-�-� m cn `_< C C 'v 3 T iaZm T 1 �. A �'� r 'yi1 N � ,,,m�' X � Z � w m m � � � C ..� � N C o� � � D � � Z C W m � 0 � 'n -�i C � m � I� O � m Z � D r r m v O Z � 2 T � � � a � � r n � O � � O :0 'o r C � z � n Z v � D � � z ci �O m � 3 f f C C c � n t c C C THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNED C:nMMC)N VENT� VENT C(�NNECT(�R AND G�MBIISTInN AIR VFRIFICATInN Whefl r� In acin� an _Yic in,� �ran __, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes () No () The venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes () No () The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturers specifications. This does include AGA-GAMA Category I Central Fumace Venting Tables for fan assisted and natural draft appliances. The pYi�nO ceme�tien a�r is sized and installed to meet the current codes and manufacturers specifications. V1/he� �eqUi1'ed to inc all a n_w _emb �ctien air�,i� �� be sized and installed to meet the current codes and manufacturers specifications. When i�� an� Q a new vpntin0�e m, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturers specifications. This does include AGA-GAMA Category I Central Fumace Venting Tables for fan assisted and natural draft appliances. Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. Yes ( ) No ( ) Yes( ) No( ) Yes ( ) No ( ) Yes ( ) No ( ) Yes( )No( ) �.. .. .- ... .��.. -� ... -� ...-«. . ..��. .� Appliance #1 Type BTU Input Fan Assisted or Nat AppGance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input Common Vent Type Vent Height Diameter inches Appliance #1 Vent Connector Height ft Length ft Diameter in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type Al T ROTInNS• � ' ' (�SG�� /��ii„-r �� / L'�! �.fZ � HEATING CO: Signed BY Date : Building _ BUILD][I�TG Permit No.��$ -�� I� Inspections �i ,�jDEl\T7['IAL A.P]PI_,ICATIOl\T �te�eived By: . � 763-572-3604 CI�'Y OF FRIl)]LEY Date x.ec'd: �-17--0$ 763-502-4977 FAX EFFECTIVE 1-1-08 DATE � � � d— ' � �i YOUR E-MAIL ADDRESS � SITE ADDRESS Ci ?f� ��' 6 �% � /�('-i,�i�-S� THIS APPLICANT IS: ❑ OWNER �ONTRACTOR PROPERTY OWNER/ TENANT NAME: CU ADDRESS: CITV STATE 2IP PHONE: CONTRACTOR ADDRESS:_` `f SII� �' p�'Kf_,G/��Sf" C' i��.' CITY .S�u��STATEJyr�L� 353� SUBMIT A COPY OF PHONE `1��--- ��O— a-�-�- $ FAX �T� �sJr G'�-� C'i � YOUR STATE LICENSE STATE LICENSE # PROPERTY TYPE I� SIIVGLE FAMILYMEW CONSTRUCTION ❑ TWO FAMILYMEW CONSTRUCTION PERMIT TYPE ❑ BASEMENT FINISH ❑ DECK ❑ GARAGE/SHED ❑ ROOF ❑ SIDING � O SWIMMING POOL EXP DATE SIZE STOR[ES ❑ WINDOWS �DRAIN TILE ❑ OTHER TYPE OF WORK: ❑ NEW FIOME CONSTRUCTION ❑ ADDlTION �vIAIIdTENANCFJREPAIR � REMODEL[NG DESCRIBE WORK BEING DONE: S(ZE OF [MPROVEMENT ROOFING NUMBER OF SQUARES _ GARAGES PROFOSED SiZE: PROPOSED I�IGHT: SIDING ❑ Vinyl ❑ Aluminum ❑ Other LENGTH ❑ HOUSE ONLY ❑ HOUSE & GARAGE ❑ ATTACHED GARAGE ❑ DEfACHED GARAGE �Saffit ❑ Trim ❑ Fascia wnvnows IN IXISTING OPENINGS DYes DIVo LOCAITON OF WINBOWS OR FOR MEW OPENINGS-DESCRIBE SIZE OF OPEMNG CHANGES & uY1�� :I� BASEMENT REMODELING SUBMIT: 1. Existing Floor Plan 2. Proposed floor plan 3. List of struchiral members to be used. FOR NEW CONSTRUCTIOid INCLUDING DECKS, ADDITIONS. & PORCI-IES SUBMIT: 1: Site Plan/Survey showing the existing structures and proposed project 2. Two sets of construction plans 3. Energy Calculations � TYPE OF WII�IDOW TO BE INSTALLED NLJMBER OF WINDOWS � , ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING TAE 1997 UBC FEE SCFIEDULE) TOTAL JOB VALUATION $_ �� O� '� OCCUPANCY TYPE Petmit Fee Plan Review Fire Surcharge Surchazge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due $ !�(�.'7 � See Back Page for Fee Schedule $ 65% of Building Permit Fee $ �, �(� .001 times the total job valuation $ .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 paya6le to: City of Fridle THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNfIL PROCESSED Attach I hereby apply for a building permit ar►d I aclrnowledge that the infarmatian above is complete and accurate; that the wark will be in wnformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that ( understand this is not a permit but only an application for a permit and work is not to start without a permit on site; that the wor(c will be in acca ce with e approved pl in the case of all wark which requires review and approval of plans. SIGNATURE OF APPLICANT � ��T NAME �+0}-�v�/�'G � GiH2�/U�f�ATE �-'�o`Z ��! APPROVED BY DATE �, Page 2- Building Residential Application �UILDING PERMIT FEE SCHEDULE The Chief Building Official shall, 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 perznit of fees to the annount herein below set forth and in the manner herein provided to-wit: � VERIFICATION OF �'OUNDATION 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 Oniv City of Fridley Building Inspections Department 6431 University Avenue NE Fridley, MN 55432 ' 763-572-3604 Faz: 763-502-4977 Building Inspections 763-572-3604 DATE � Q / STCE ADDRESS < THIS APPLICANT IS: PROPERTY OR'NER/ TENANT CONTRACTOR SUBMIT A COPY OF YOURSTATE LICENSE WITH APPLTCATION PERNIIT TYPE � MECHANICAL RESIDENTIAL APPLICATION CIT�' OF FRID�EY ❑ OWNER YOUR E-MAIL ADDRESS Permit No.r �:- -�: �' :�� , � 1 NAME:�,.'L�^ ��.YI C:i1�1 ^ ^ _, ADDRE� � L ��-1 � � yi _ - PHONE: �� ,�Z ` � � `+� �� COMPANY NAA�_ � I ANUA�n N�nriwn z CONTACT PERSC ,� ;�1�.; 1�, . 410 WE T l STATE LICENSE �l �� ADDRESS: � PHQIdE �'SINGLE FAMII.Y FAX ❑ TWO FANID.Y \ . : ,_ 55408 STATE ZIP ❑ TOWNHOUSE TYPE OF WORK: I❑ NEw �EPL.ACEMENT � Rp.TION/REMODII. �� DETAILED DESCRIPTTON OF WORi� PER MS 16B.665 the permit fee is a minimnm of $15.00 or 5% of the total cost ap to $SOO.00,.whichever is greater, fo�r the improvement, installation or replacement of a residentisl �ire, exclac�ing #he. �u+es•. (This.should reflect: only.t�e cost of labor ) Labor cost under $300 = $15.00. I.abor cost between $300 to $500 = cos� of labor . � . . � �c .OS = -: .. . - . FOR PROJECfS WFIERE Id�BOR EXCEFAS., SSQO FEES P,RE $�. ID, ON $10.00 PIIt FI3CfORE..EXCEPT �Vf�RE NATED. �TURES: N`IDICATE TOTAL NUMBEIt OF EACH BELOW9 •' �' � . SIZFJBTU � z _�✓`"' Equipmentln�teUed MFG: •. MODEL: MFG: � MODEL: � �T� �O; MODEL: STLIBBTU A!C 5�5.� F1RE�1�A(;E (GAS) 515.� QAS RANGF/OVEN 510.04 AIR TO ATR fiXCHANGEEIt $15 FIItF•P'L.ACE (R'OOD) $35.00 NERT (iAS QRILL 510.� BOILER $35.00 �F[JRNACB S'35.00 GAS UN1T HTR 510.00 Ci�1VII�1EY LWER $10.00 QAS DRYER SI0.00 POOLilFATfiRS35.� DUCT WORK SL0.00 GAS FII'Wa $10.00 _ VENTII.A1'OR;15.� Permit Fee $ Namber of fixdues @$10.00 x�1 o.ut► _� �h� $ � ,gp Nmnbar of Eocd�res � $15.� x $15.Otr= $ TOTAL DUE $� Number of fi�cdu�es @$25.00 x$25.� _$ � Number of fixb�res @ �35.00 � x $35.� _ $ � S�te Surc�rge = $ .SC Total = $ THIS 1S AN APPLICATION FOR APFdtNIlT�IOT VALID UNTII. PRO�S.SED I hereby apply for a building pen}nit and I aclmowledge that the informaflo�► above is comPlete and accucate; t3�at tha work will be n confoimaace with t�e ordinancas aad City of Frldley and with the A�'mn�ota Consl�udion Cod�s; th�t � unders�nd this i not a pern4it but only li� for work is not to statt widiout a� ti�at the work will be in ce with th� approved plan m the o o wlu _ review an�l a�proval of SI(�NATURE OF �/Yt are ( C� � c�t� of��ai� Building Inspections Department 6431 University Avenue NE, Fridley,. MN 55432 � . 763=572 36Q4 FAX: 763-502-4977 REQUIRED tNFORMATI�N NEEDED TO PROCESS PERMIT RESIDENTIAL PERMIT APPLiCATION HVAC ❑ NEW HOMES/ADDITIONS EXISTlMG HOME ❑ MAKE-UP AIR REQUIRED FOR NEW/IXIS.TIN��F1aM�,S :j>:�:.:.. � � . �• . :a"�s'._ :1;:� _ 4'a:i�t ';�. . � . .. :i.. ',��4;:,��, • 1. Combvstion A.ir (See note be%'�crj� : . . .:, . � � . . ��;3f'-i�`� �. . a. Oil or solid fuel IMC Cl�apter 7 with MN Amendments b. Nafizral Gas or Propane�IFGC Chapter 3 with 1VlN Amendments 2, Make-up Air (See note below) a. IMC Chapter 5 with MN Amendments 3. Venting a. Gas a�pliances IFGC Cha�ter 5 wifh MN Amendmenis b. Fuel ofh.er tlian gas 1MC Chapter 8 with MN Amen�ents . REQUIRED FOR NEW HOMES 4. Heat loss & cooling load per room a. Required on new const�uction IMC 1346.0312 5. Ventilaiion . � . --� -��-1��e��de 7b7_0 a� Z612_ - -- 6. Duct Design Per�IlVIC 134b 060�:2 .• a. AGCAManuai D NOTE: Centerpoint Energy Mechanicsdi Code Gnidelines software may be nsed for co�nbasfion and make up aiur calc�ila.tions . . 0 0 �