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AF - 45570-. r, � City of Fridley, Minn. � BUILDING PERMIT N� --y �� . �� � 40'72 . .� �._ _�,' ,�...c �,� � � �� �----- Date: ....._.. � _._...�___.r...�___ �� . _..__�.. � � �' Owner: ���"���'�' " z� �"' ��:.:!�'�.-'v�����_'� ..�i. . �` ._---........._.._._ _...._--- ..... . Builder .--Y--.:.;�.�..C'.�.�:� ----- - '` �..�.�.+ ._.._._. � Address_.-----_______._.__.__�.�.._.._ .� Address ..._..._..____....---------------- ------ -- - LOCATI�JM OF B{JILDING � � �� ��-' �- No. ...,�..�...� � �---. Street _..�:. ��` .__ _.......�.��----_.__...!.,,tt '•"•,`..._....--•----_ Part of I.ot ----._....---____..._....-------- �... ,- /, � _ --...__........--•---_.___.._.._ Lot . ,'�:....-- �z �* � -------�� Block ---��---•----�- --• --....-------� --� -- Addition or Sub-Divis4on �:_. �,��i�.".�'' ::��___� �--�--------.. Corner Lot Sewer Elevation To be Used as: :. , j . :�,� C �`,� .:-!'a'..39._......._..... Type of Construction Inside Lot .--.--�...._ ................. Setback ....----•-..---.----.-•-•-•----------... Sideyard Founda.tion IIevation DESCRIPTION OP BUILDING � . i � � �, � / t •r Front ._:!`_'�..��.!.'�.� Depth � �..._�.'�'�. Height ,�.�'`..--..:�! �q. Ft. ���.�°. �_�'.. Front ....--------...._.. Depth .._ - - ,�' �Ieight ............_....--... Sq. F� ....._.._........-�--- _ ................... --................__ -.... Es� Co�������+7ic'1 �.... To be Completed l'" cn. F� "�� i".+�,� Cu. F� _..___..__.......... In consideration of the issuance to me of a permit to construct the building described above, I agree to do the proposed work in accordance with the deacription above set forth and in compliance with all provisions of ordinances of the dty of Fridley. � ,., . In consideration of the a �' ``` '"*' ;. P Yment of a fee oP $...,�..._...-•--•--.-•-•--.., permit 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 and his agents, employees and workmen, in all work done in, around and upon sa.id building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, ma3ntenance, repa.ir and moving of buildings within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. � - �""� _ � � _. ��''�"'�`�� ,'� B11�Ifllllg IAB�CiOT NOTICE: Thls permh does not cover fhe wnafruetion, installallon for wiring, plum6ing, gaa heaKng, eewer or water. Be sure to see fhe Building Inspeefor for separate permita for tl�ese hems. �`—�:� �� 4 � �a�-�- �PPLICATION FOR BUiLDTNG PERMIT CI3`Y OF FRIDLEY, MIlJNESOTA • : �� _ � � j ; ; . � �" f� �- �ClI'888 . � LOCATION QF BU�LDING . ..: . : .. • No. �� a�. Stree� �r� ��' � A� �° ��Part of Lo� '� i.i ;: i;'.; . . . Lot _�� �' `� Block� � -�- � A,d.dition or Sub.Div,, � �Q �S'c��� d � Corner Lot�Inside Lot.�Set Back �_�� Side-Yard $EW�R ELEVATION _ _ _ �'OUNDATYQN 'FT �ATiON � . ., : �. , Appli�ant �attach. `to this forai • C�t3.fica.te of Survey. of �ot' arid proposed buui:i3.ding . �:�: location. . � ... DESCRIPTION OF BUIT�DING To be .v�s,eti,, ass. ._ . , . -... c: . ; �: . , � �� A� �i� � 1 crl. AT'47 • 'Fi'OTl'�i . _ J_� � IiDepthr„=� �T��H21g�i�.� � � l • r. � Sq. Ft. �� � Cu. Ft. _.. t,i... � ont Depth Height �. Ft: ^' .. . � Cu.. Ft. _ , , Type of Conatruction;���/ �l a sc1 Est3mated Gost ��„�� � 4�'a� �� To be compleied � ' The undersigned hereby makes applica.tion for a permit for the wo�k herein specified� agree3.��,,to.;do all work in strict accorda,nee with the City Ordinances and ruling of the Department of Buildings,�'and hereby declaxes th�,� �.71 the facts and represen�a- tions stated�3,n this application are true and correct.. . -�``� .......__...... ., �� ._� � /,, (A Sch�dvle of Fee �osts can be found on the �tteverse aiae.l . .�, : . j .. �' ..• . � .' � � ' . � ' . . . ... . .. . . . .. � • • � o � � - � rd --e '� y ,. ... � ,•.. , „':}t:.'' "' � f•••j �:1��.. ... ' �ll� i �fy ��.L�iS'�..: 1 Y����1� i�l.,• 1r. ! . � BIIILDING . -�.�, .. .� .. t. PERMTT FEE SCHEDULE ..� � Sectian 2. The Inspee�o�r'���a�-Bt�'rci°1.ngs� shall, before �issuing any'��ermit for t,Y,�,...�rr�e�io�- of �any building or structure, or for any addition to __.-°.-'-- ,�,_.,_:.-.-----�- any existing building .r��'`�'tru�,-��are; ��or for any alterations or repairs tp. a�.y_;�e�,,s.ting building or structure, upon applica.tion therefor� require . ,�,.._..------�"""��ie payment by �the appli��t�'t.. fo�' siich permit of fees � to the -amount � here3.�. below set forth and in the manner herein provide�� _to.=�����-: °�-R-- - _. . _ 2.1 For an such er-r��--io "r" �li �-�:.. --�..- ^. y p � e erection of ang fireproo€ `b`c�ii3ing� _sLthe�---�han a garage, ,wareha�se;, ��.factor� or - g�rain elevator, or fp�' �h�t`�"i �=�� �°'"'��� � erection of any fir�p�oof addition, for .sim3.l�„r occuparic�r, • to ' any �., __,.�x�.sting�uild�ng sha11� be at the��rate' of �]..�,.0_..£or eacli ox��-L't1�o���t,nii�'`ti=�' ---°"�"�� cubic �eet, or fra.c�ion tlie"reof, 9:n such cubical conte�s:.'.. - .. . rv.. �..'3 _ .. ... .. _ .... _ •• .li... .,�, ,�:,_. -�" ��� ��� 2.2 For any , such permit for the erection of ��r- fi�eprt3of ` garage., �: war�' ' ..._hous� �tory or grain eleva�or, o� for the erection of ang fireproof �--""""����� addition :.:fo� .airailar occupancy, to any existing b�.ilding shea.11 be at the ,�,�Ef;�,��te`'of ��1.25 for each one thousan�.:,�CUbic feet, classified as "£3.x�epro��".;,� by 5ection 502 of,�;he Minneapolis Building Code. - , . HOUSES .. _. _ . . ' . „ .. ... 2.3 For any such per�ii.t for the erection ��, a�i�'� non-fireproof buildin,g. ,, other than a ara e warehouse facto �or ain �levator or_. °° � g b > > y' �' � .. ��•� -._ non-fi�:�prdt>f �d�di'tion, for aini.l�.r occupancy, to any existing building. �..- � ��----3�e"rm�.t �1.00 for each one thous��d-�°�Z6ic feet. _ ___...-� �� " . . .. . • � : )r. GA�GFS , ...._ _-- °::.. . . 2.�. Fo�� an� such permit���for the erection •f ang non-firep�'oof garage,. ... _-��-----warefiouse, factory or grain el..�v�t�r; or for the erection o#':� arty non- ��-�fireproof addition, for si.milar,occupancy, to any-e�isting building or. � for each such buildirig"�ar:•�:ddir�ion. Ninety'.,Cents ior.each one thousand cubic feet or fraction thereof, in the .cut��cal�cbntents thereo� _,_._ with a minimun of �4.00. -: : � ' . ,. . , _ .. ... . __. ._ . . . - .... . . �- For the ��purpose of �omp�.ting fees for ,�ua.l.aing •pe�mits the cubica.� �y~'" �i , ' � - . . . . . r-: ,:..: ���� :.: �,conten�s;. mf=, ariy building or addition' �to a uniforiri heigh�i � throughol�t � by ` �au,lt�.pl�r�;rrg:.tTie .ground area covered �from a point six (6) inEhes below �-^;�t� 'tT� �" � l,i ' . 11 � h h�3 h�°�- f th -•- -" ._� e..�7:,�0� ° n8 of the bas�r�ent or ce ar to t e average g er - e•� upper surface or '�o the •�,�rerage heigYit:�.o� :�i�� .roof surfa,�e �of the main.. ,, gable. of a. pitchqd roof.: ; ._... . � ,,,: . '�':��:� � , _ _ .... ,t�: . 2.-5�-"�or" repairs or alter�.ta.on� to an existing structure, the fee shall be at the rate of �3:00 for each Five Hundred Dolla�s (�5�:00), or " fraction thereof in�the cost of a11 proposed work. - 2.6 In no case eh�:ll`the fee charged for any permit as set forth in Section 2 be less than �4.00. � o . �. � � � _ � ! __� N .�. �. � � m � � �. � � ti � ` � ; � Y �' � 4• :: .., . : zt � z � _ . i � � � � . b 5 �k;�u; Y �� � � �� .. � � a � � � � � � � � � � � 4+ c � O ��� �� � � ..$� z� � �� � � � � t � r�s � � � �' � E • � � � � � � � �, 1 � Ka � o � �� � � ����� �1 M Cq � [�1 N � �' `� �.o O `(� � , 1r 1� �� � � � Q. �� I � � � M 1� O r � c .�ai % � M �+ w� �w d. �C ,� r M � � ~ 0 ' i o �" � � ^ � � E n O � � � � � c. � � � � �z z � � ; � ~ �� � I � I � N � � � � ( � �° � � �� 8 � � � ° � � � q � � � � � � � I ,o � � A � N +^2�'1 `2: . r i, � � � �, �g � � � a a � � aC rA v� p W pef 7 7' r O Q �"�..' ��,"'., 0 �� ��� x � r � �ry o � 'MJ' I w .� X'! O S p$ O � � � � m � � � � � . i+1 ,� d b � � x o �' � � � � .� w�oo ��s� M 41► fA fA � �,o � � m � � � n �. � � � � � � p Q � � � � 0 '�' � I �' O � � �. d g � � � � � � �ti� R� � a � � ������.� g o � � � � � � � 7 � � � w � a � .. � � � � S : � � W Qs O� ti. O ��s�� �1 N 3 I� � � � � � � � '1 :a � � ��� � � � � � 8 Y a � '°, ���.� ti � � � c � � ° ����p 7 !� m o C4� a � o g O . . 8 ' . ��W O+ O� O �8��� � � p�yu y � '� � G. t2. n �C ���� o z _.,� ,, � ��w� � a � ���� 3 ��a�' y �oa � pAO�. t� •07• y a A �.��� 5��� y h '1 Ol � W � � � � � r. Ca�� n�j.y+V �-Hnn p• ~� \ �G�,o� � � �M � ��am � w� �� � a ��� ���� � ,��►� A 5 � � A �. � �n� 1 ,� � �e M � dd � � � � � � � � � � � � � � yti' :i6' �``�. fz5 e" �� ,� S :�,. ..«.$ ��� :�� � Y� :� � „ ,A� _ � _�. :� :< �: 5t�. .� � ;� � � -� � i': i,�� - � � n � t� , � �. - � `fy �; r � , , � � �; i;. 6J6 ..0 , ��AT.� Y�v f�� t �^ _ r" .m. � ' ��j :',-.� .� � ' I'a � � Y �_, F- ' "F' HEAT LOSS CAL�(��70NS� DEPARTMENI' OF INSPEC7'ION t-��p�� �, Weatherslrips A• ° • Conetruction No. � Guide Ianilation Windowe Doon Reference Out. Wall Int. wau c.�a�g Roof Floor Kiad � How Applied �� Yea— o I Ye�—No 19__._ — 1 F1•� Room Length ��.-� Width � Height FI,� Room Length Width Height Windows and Doors—Crackage and Area Windowa and Doors--Crackage aad Area WIEih Helg�c No. ot Llnsal ft. Area W11th Halgbt No. ot Llnea� tt. Ara; NO. ot pane ot pane IIgAt� ot crack rq. ft. No. ot pane o[ pane Ilghte o! eraek �Q. [t. � ;� ,a �� , � "'� /' y— b' G.�.<!'� � . ��. . � � .a e r � ��,. : ��� 4 ' ia Ad� '° �` d, �11��tf8�lOII D '�e �° ��• �B�U,� '. a `. f' y,i ° g P � � V° 1i' �f. Bhl Clasa � � �- ,. ,�, ���, a .� Infiltration °�° ,�-t. � �; . � �, � Ezp. wall p � �' � `a � Glasa � � �. �' �� �,�� 9 � � p `� �.' Net exp. wall �" „ d�� � � Fap. wall -- �G+ „: ^-•*� ` '� / � lnt. wall � Net eap. wall � — °! .,t . ae a "°-= �� Ceiling � ,� I dnt. wall �° Floor 'e�, Ceiling ' =� � � Floor � �` � Total Btu. � Total Btu. Required sq. ft. E.D.R, or aq. ina. W.A. I,eader area � ° Required aq. ft. E.D.R. or aq. ins. WA. L,eader area F7•� Room Lepgth Width Hei�ht F7,1 Room I Length Width Height Windows and D�rs--Cr�tkage and Area Windows aad Doors—Crackage and Area No. ot Oa e ote�ne light� ot ero k spr ft. Wldth HelgAt No. ot Llnael !t. Area No. ot ysne ot yane llghta ot craek aa. tt. �i �� Infiltration CJaamm E:p. wap Net ezp. wall Int. wall Ceiling Floor Tocal Btu. � � i�2��ui�r� sq. fc. E.D.R, or a�. we. W.A. Leader area �. R�m 1 �4� �ra� Windows and Doora—Cracka�e and Area Wldtb Halset No. ot L1ne�1 tt, qrea No. ot pane o[ pane IIg6t� oL crsct rp, tt, � �71�I��f8t1081 ��� EXp. Wll�� Net exp. wall lnt. well Ceiling Floor Total �tu. Required eq. k. E.D.R. or �q. ioe. WA. L.eadar aroa —_ � —__._ Bht B�II In6ltration Glass ' . Fap. well Idet tzp. wall Int. wall Ceiling Floor Tota) Btu. Required aq. ft. E.D.R or sq. i8a. WA L,eadzr area �►. �� i ��, w;a� �Jiadflws and Doon--Crackage a� Area �YIdtA He16ht No. ot L1nea1 ft. Area Na e! pane ot pane Ilast� o! crack �a. tt �855 E7I�1. WB�) Net eap. well Int. wa1V - � Ceiling Floor T'otal Btu. l3equired eq. h. E.D.R. or �q. in�. �HA. L�eader a�ea B�tl HOUSE HEATING TEST RECORD ADDRESS = � / - �- � F �- APT OCCUPAN � � � � � � _ OWN HEAT LOS . . Z ) � SOLD BY ��-�. � y-� 7�_ N Electrical�or y Gas TYPE OF HEAT GA GAS DESIGN . FLGOR CITY SUBURB��� ER � � . B ALLED BY � / Li ne By SPAC T. U T . OTH R MAKE� (�,-� �t�`3� z� � MAKE OF BURNER Mode � ,�, � � �- � �iode 1 Seri a •��.j �, � o ax. ati ng INPUT � �, °° MAKE OF FURNACE � Mode 1 CONTROLS �H�RMOSTAT Va 1 ve_� Lti mi a� --4, Limit Sett Fan Settin Pilot Type Pilot Make -v Heat Plug y� Vent Size ��� � IND OF L r� ft Hood lt�rs Size� imney Loca�tion imney Construction CONVERSION �`�! egul ato� --� ���X/ Number �nsiae � uts eT ��i��- Pilot Mode Smoke Bomb Wiring �' Pilot Timing � Draft est Tag � L.W. Cut Off Door Pressure Lighting Inst. � Pressure � ercent CO Date Tested �� Input C IF'F-- ( ercent 02 �� Co�any Test ng Stack Temp. �/� �° Percent CO � i� Name of Tester � � � � �.�i .A . � a � � n Y u � � •r. � n � � x � W [1 � �..� N � ti �p � � �' W � W .�L' � � n � C � A � � t' � ° M � � � ... q '«'.7 A rg � d ' R .� ' x ''t .G p ... ; , x o. � m, � M�, C A � .. ~.�'. H y .. �n to o � A � � � � C . o ",� N ,, a ., ,� � x' .. 70 ' p ,� � "' � x0 �� �: � y v. = J N Y � y � �' � � O p � � �i A � • � •' � • • • . • Q �p � t/J • 'p� r � • � :D tp • �' � • • . K. . • • • p� • . � M • • • � � • • • • � • • • �, • • • � Q '� . • • . � . . . . o � � . . . . . f! �i . . . . � . .. . . & . . . . ., . • ' e • . . . . . . . . . . . . . . . . •. . . . . ; : . . . . . . . . . i � . �rt , . • .. . O . O O ��'! �t X ►t M X x �t x �( K � . • y �q �q �� �l1 � N .�O N ..�J W W v � tJ '� ; 8 � � �� �' S � � b 8 a M .. Ci !A !! � fN VP 1A M N tN � ' �-�i 1 � � �� � � I .I � ' a � . . � . •' � � _ N . �t � � '� i' � -�-i m �/'� � / _ ft'1 � r m �' � S �. � o , � � � � � , fD � 1 � , . ° t• � , � v � � � L A 0 0 � G�' i a : � � � � � � ° r� C�. 0 � .x 0 • a ��y i � ! n' a' `". � n i5torlee C A � w�nR @ a,oacrs � S uR�w�t O ry tllCi a d .wsiNa tT � SiH�S d � K AS/t • � � iMK DRiNr. iOV►R. y�Y�t. Uj r �oo■ �-] onw�NS r «T� �, r ��NS � � tj AUTO � � wwvi:a � c�s uw�.. � cw� awNGE GtiS O�EHINCS .. E B � tt� � i � $ a G p � 'n s �� � � o � 3 � , � Q L � � � o. s d S » o' • 0 O W F~-� I�� � I � x 0 M � a � OQ � '1 5 �ti � aa� .� ��;� o M ~ • a q J. �D � �� w O p, � ��� N � � A 0'1• � ��a� ��o� �: �. � � � � 5' � G � ���� � O � � N ��.x ti �' � w n C .a�. '�O �� � � � �A � w y �� �"' a � � .�- �,.�o . � M � �1 � h w � ry or n V �C A � �.�E� aw�� M �`��-°� � a �? � rl � � o � K .- ^ �i� 7 j ���� . w x c � X � � � y � a 0 � !^'2 M a e O O � � '*1 :1 :t � n c "� ra 0 g�. � � � � '� � �P+� �'/ • � � � � � � � �.'� Q � �� o � M � � a p � �� � . ''D 6,;.� X o � � . :� � � � 0 � W 1 .r"� � � � �l l O U�l Y .�`�° I sue�ecr E T . City of Fridley 16 9 4 ' ` AT THE TOP OF THE TWINS gU I L D I N G P E R M I RECEIP O. r � `L ____�_ COMMUNITY DEVELOPMENT DIV. � � �� r � � PROTECTIVE INSPECTION SEC. 1 S � � /�"1 � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY �'"""� � ,�� 612-571-3450 910-F15 M21.y 4, lg 1/ / JOB ADDRESS �371 Hayes �treet N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3S Aud. S'll�� #]�2� SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE Allen Ford 7371 Hayes Street N.E. 784-0547 3 CONTRACTOR MAILADDRESS ZIP PHONE IICENSENO. Dav-Ko H�ne Ilnprovement 1325 - 42nd Avenue N.E. 788-58 4 ARCHITECTORDESIGNER MAILADDRESS 21P PHONE LICENSENO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. 8 USE OF BUILDING RP.S].CZPSl'tici�. 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOYE x 8 DESCRIBE WORK RPSOO� DfnTP.�.�.1 9 CHANGE OF USE FROM TO STIPULATIONS Roof can be 2nd but not 3rd roo�. Install ri.dged galv�nized valleys. S�PERATE �'ERIV�lTS RE'Q�11RED �OR 1�'I�f �d�� HEAT�NG, PLUMg11VG A�1D SIGi1�S. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE RE�UIRED FOR ELECTHICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WOiiK IS SUSPENDED OR ABANDONED 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 PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVEFiNING THIS TYPE OF WORK WILL BE COMPLIED tiS`].� OQQ �S`. S� WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRES ME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMITFEE SACCHARGE PROVISIO S OF NY OTHER ST E OR L LAW REGULATING CON- .�'%e SC� " STRU TI OR HE PERFORM C OF O TRUCTION. PLAN CHECK FEE TOTAL FEE � $ 8. 00 NAT FCONiRAC O RAUTHOR12EDAGENT ATEI sWHEN PROPERLY V LIDATED THIS IS YOUR PERMIT �i SIGNATUREOFOWNEAIIfOWNERBUILDERI IDATEI BLDG iNSP AT CITY Of" FltIql_CY • � A('PLICA'fIU:J F"Uft 1,l:SI[l[:i�1TI/1L [3UI�UI�1G ('CI�tlTTS (IJe�•r, /ll L-erations, /tdditions, or Repairs) � Ql•lIdER: � � ADQRESS: ,S , TCL �d0: ��S � — Q S� � � . sxz�c� , rio : L07': Corner Lot: �UI LQ�R : � . � _ �+/ci - �� � nudncss:I3�� �.�—����,�,�., TEL ��d0: � �f � -- � �� C� Consi;ruction Location ' sx��r T: . $LOC�G : ADDITIOi1: Insicte Loi: Se�tbacY.: Sid�yards s Ap�licant attach to L-}iis form tw� Certificates o� Survey of lot and proposed building .location drawn on certificates to scale. � DESCRIPTIO�ti OF COtlSTP.UC1'IOPd - � ' ��� �$�I'ront: � D�pth: Height: Squa�e.F�et: Cubic Feet: � r'ront: Square� I'cet: /`— i r',�,�' a'= Type of Construction 7b Be Oor,�pleted: � Propos�d Ariveriay �v Depth: Height: (xibic I'eet: . � EstimaL•ed Cost: $. � � � A].t. A Alt. B Yf New Opening Is Desired: $' $ . .. S�I:, R�VERSE SID� OF SHEET 2►ie undei: signed hereby ma};e� applic�tion for a permit for the t:vrfi� herei:n specified, ac�reeing to c?o ,a].1 work iri str�ct accordance �•rith the City of I'ridley Ordinances �azd rulings of the Departnte.��t of Buildii�gs, and hcz:eb declares that all tlie - cts and zepresen tat�.ans statcd ;i� this �ippl.ication ar t e and correc . D.'�T�: `� � SIGNIITUF.r:: Sti��ulations : � � � �. ��y • P �� � �_ �� . ' �° 0 ' • � • 13U11_I)lI�lG ('f�ftl�1J"(' i'i.:�: >CflF:l) _-- .__--. _'_.._ _._._.._ U l_ �. � � . SI;C'!.':COI•� 2. � 7.'t�� 7n�.c���ct•c�r. of )�ui.lc?.in�1 ; t:hril.l , t�cf��:r. i.�s:.ua.r�cJ J�ennii::; for i:lic arecL•i.on t>f .��iy l�t►:;.l.�l.i.u;j ax :st_:.�uct:tirc, c»: fc»: c�iiy aQcli.i:ir�n !.o �u,y r.r.a.;;L�.n�� 1�tiilcliaiy oL :>Lzuc�ur_c, . i�Y. l:a�' ar,y tiJ.t.c�r..it:i�;ii c.>r. r.cl,��ir.:; t:o •any c;:3.::t:inr� hui.l.di.�i-J or. �;Li:ucturc, taJ�c,n ar�j��.a.c.at�.on L'}1r.l:�:rp7�C� r.equ.i.i:c t�]i� l�a}�mc►►t: l�y Uic a7j7Z�]J.GiIII�: 1`C))" :;ucli ��cr.�hi.L• o!' fec.^, to L•I�c ��nount• hrxc.i.►i bcJ.c��•1 scl forth �inQ a.>> tJlc �nanncr_ hczc�.n r,�:ovi.dc:cl t�-t:�:�t:; . 17F.1•1 CUIJS'!'];UC'L'IOI�: Si�lg].e l.'amil.y Ilorrc� ancl Ga�'�Zqes.�: ;�4.00/J.,000 CL1li�G £ec:t:. . I?L7::7 Cil3:C1:: ?.5 I�erce�tt: af htt�.lcli_nc� }�c�-miL- ice. U1tl:�TI;I•�111' llI:1'Rc:55201•:: (Concrctc, C.'�irb �i:rcet� Only) � ' ' A1L-cin��i:e n: ltc�moval and r.ep].ac�nien� of concxe�e cur.b and guLt-cr. only; l�riveway �:�iclth plus 6 feet• r. $13. �0 hlternate 13: Retno�al and re���.acem�•nt of concrete cuzb and • guttcr and inst� 11 a 3 f:ooL �•�i.c�e approach �.►it.h '' .� 6�nch depth; brivc;�ay �•�.i.dth �pl.us G feei: x$15.75 0 J�DDI i] Ot�/1L I t�F f�'�1/�I ON 7'or the purl�se ot ca�nputi_ng �ces f��_ building �ezcna.ts,. i:iie cubz_ca1_ contents of any bui.l.d�.ng or a.ddition, i.s determi.ned by rnultiplyis�g the qround area covcrecl f-rom a pa3.n� si�: (G) inches belo:•� the i•loor 7.a.ne oi tlie basemeni: or th� cellar io thc av�r.aye heights af ihe �upper sw:face or L-o ihe aveiage height of the roof surf_ace oi i:he r�aa.n gable of a p�.tched rooi. • ' Fox reFai.xs or a].i:�ratio:�s to an existing s�riicture, the f:ee shall be at the xate ..of $3.00 ricx eacli Five hundred dollars ��($500.00) or fracL-ion '�lier�af. in tiie cost of all proposed wor.Y. - Tn •no c.ase sha�.l the fee chargec. i'c�r_ any pennit as set 3orth i.n 5ectian 2 be less � than $7.50 pl.us $.50 state surcharge. - ' ' � . _ VCRTFICl�TIO�! OF FOUt�n�l'i0(d NOTE: Pennits �or construction �•�ill be issued a minimt� af 24 hours �'rom tlie ti.me oi applicatian to a]_low for proper review of the proposed structure and o� the construction site. � A Cert.ificate � of Sui-vey of the lot, shoc,*ing the 1oc�zt.i.on oi tiie founda�.ion once it has been cons�nicted �.�a.11 be required L�e;ore pr.ocecding taith the �rami.ng. .�:RTIFIGAL� QF ���UPA�vC1� ' ' ��►PP�a-�atzc�n ior a Certific�zte oi Occ�ipancy shall k�e mad:� ten (lCt) days prioz to the u: e or. occuFancy at an}� SLL�IC�U1"t? for !J�11CI1 a��uilcling permit has been issu�d7 iiI1C3. s.iacl struci.uxc siia�]. Iiot l�e usec? ar. occu�,�ied t;riL-S.1 a Ce�:i:i.iicate or C�ccui�:inc}� h�s bcen xssuea. r. � • �� + t � PURCHASE ORDER °ATE � /� PURCHASED BY THIS GOOD FOR PURCHAS�CS $1,000.00 ONLY SUPPUER � I K(.,� � e d-J ��tiCi/ �/ � _ aooa�ss � � C� �� .� � � �� C�TY OF FRIDLEY PHONENO. /C�t1 +��/aJ 6431 UNIV. AVE: N.E. FRIDLEY� MW 55432-4�4 CONTACT 612-571-3450 PR/NTED ON RfCYCLED PAPER. � A(:cOUNT �TY. UNIT � PLEASE ENTER OUR ORUER FOR THE FOLL( ����"� �� 0 � F 52��4 THIS NUMBER MUST APPEAR ON ALl CORRESPONDENCE SENT TO US PAYMENT VQUCHER BY SIGNING THIS DOCUMENT BELOW I HEREDO AUTHORIZE PAYMENT AND THAT THE GOODS AND SERVICES HAVE BEEN RECEIVED OR RENDERED AND ALL CITY GUIDELINES HAVE` BEEN FOLLOWED IN THE PROCUREMENT OF THE BELOW STATED ITEMS. PRICE TOTAL � �d THIS Ai3ENCY HAS A(3REED NOT TO DISCRIMINATE IN HIRING PRACTICES ON THE BASIS OF RACE, SEX, COLOR, CREED, MARITAL STATUS, RELIGION, OR NATIONAL ORI(31N AND HAS AGREED TO TAKE AFFlRMATIVE ACTION TO RECRUIT MINORITIES AND WOMEN INTO EMPLOYMENT. IT ENCOURAGES FlRMS AND OTHER A(3ENCIES WITH WHOM IT PURCHASES PRODUCTS OR SERVICES TO QO LIKEWISE. WHITE, VENDOR — YELLOW, PURCHASING — PINK, ACCOUNTING — GOLDEN ROD, DEPT. HD. s�e�ect PERMIT NO. City of Fridley � e;� �� 4 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r � � � � � `y ___.__ COMMUNITV DEVELOPMENT DIV. ' r � � PROTECTIVE INSPECTION SEC. � ��� 1 � � 1 ' ����1 � CITY HALL FRIDLE� 55032 NUMBER REV DATE PAGE OF APPROVED BY ti.__.11.' '•� 612-571-3450 9t0-Ft5 6/10/97 � / JOB ADDHESS 7371 Hayes Street NE t LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. .3.5 AUd. $llb. ��].29 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Mike 0'Brien 7371 Hayes Street NE 780-3113 3 CONTRACTOR MAIL ADDRESS tIP PMONE UCENSE NO Same 4 ARCHITECTORDESIGNER MAILADDRESS ZIP PHONE LICENSENO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION �7 ALTERATION O REPAIR O MOVE ❑ REMOVE 8 DESCFiIBE WOF;K Change doorway opening from 2�" to 6'4" (Kitchen) 9 CHANGE OF USE FROM TO STIPULATIONS + See notations on plan. r r t SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD VENTILATING OR AIFi CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOFi A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. OWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS yALUATION SURTAX AND OROINANCES GOVERNING THIS TYPE OF WOpK WIIL BE COMPLIED @ WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 4'3OO �.SO DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTMER STATE OR LOCAL LAW REGULATING CON- @ STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. y�21.O0 re SC �.30 PLAN CNECK FEE T L FEE 1.8� Si FCON'RACIOAOAAUTHOAIZEDAGENT IDATEi E PfiO VALID TE HIS IS YOUfi PERMIT p � � �/ aTUaE OF OWNER �iF OWNER BU4DERi �DA E� BL G�NSP �ia7E NEW ADDN ALTER �� �� �1 ConstructionAddress: Legal Description: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R 1 AND R-2 BUILDING PERMIT APPLICATION Effective 1/1/97 Owner Name & Address: �Jjjrl/� �-�,�t �/ �� Tel. # �% ° 7�� .� j/� � Contractor: �� MN LICENSE � Address: LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Consiruction Type: Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Lengrth Width Height Sq. Ft. �n$� . Width Height Sq. Ft. �n� Width Hgt/Ground Sq. Ft. �i 2.nr � ,,,..� ' ��.,, o a� w,B. �r�/ �'< l Driveway Curb Cut Width Needed: liJ11111atGLL C�.St. � �Q�.�r'i (Fee Schedule on Back) Ft. + 6 F� Ft x$ _$ � DATE: � � � _ APPLICANT• Tel. # o �3 //3 (� ° � ao� ��` °� � .g�i CITY U�E ONLY G`� a�lC - �aZ � ° �o�-II � ��� Permit Fee $ e� Fee Schedule on Reverse Side �� Yd% � ��� Fire Surcharge $ ,3. p0 :.�� .001 of Permit Valuation (1/lOth%) � � � State Surcharge $ .50 $.50/$1,OQ0 Valua.tion i �LL � SAC Charge $ $950 per SAC Unit C'" - License 5urcharge $ $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Controi $ �$450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ j Not Necessary j] TOTAL STIPULATIONS: $ a� � I. G� �-" �1 �L �"i 1 � �� � f�UILD[NG I'ERM[T FEE SCH[sD�'Lt? T'hc Chief Building Official shali, before issuing permits for the erectio» of any buiiding or structure, or f<�r aay addition to any existing�buiiding or structure, or for any alteration or repa�r to any existing buildin� or structure, upon application therefore, require the payanent by the appiicant for such permit of fees to the amounf herein below set forth and in the manner herein provided �to-wit: TOTAL VALUE $1 to $S00 $SOI to $2,000 $?,001 to $25,000 $25,D01 to $50,000 $50,001 to $100,000 $100,001 to $500,000 $500,001 to $1,000,000 $1, 000, 001 and up FEES $21 (Minimum Fee is $21 plus surcharge) $21 for first $S00 plus $2_75 for each additional $100 or fraction thereof, to and including $2,000 $62.25 for fust $2,000 plus $12_50 for each additional $1,000 or fraction thereof, to and including $25,(l�0 � $349.75 for first $25,000 plus $9.00 for each additional $1,(}00 or fraction thereof, to and including $50,� $574.75 for first $50,000 plus $6.25 for each a�dditionai $1,000 or fraction thereof; to and including $1Qt);000 $887.25 for first $i00,000 plus $5.00 for each additionai $1,OOO�or fraction thereof, _to and induding $5�,000 $2887.�5 for the first $500,000 plus $4.:25 for each additional $1,OQ0 or fraction thereof; to and including $1,00O,OOU $5012.25 for the first $1,000,(}00 plus $2_75 for each additional $1,000 or fraction thereof DRlYEWAY DEPRESSION ESCROW (Concrete C�rb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Drive��vay width plus 6 feet times $13.�t�_ =�lternate "B": Removal and replacement of curb and gutter�and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $15.75. VERIFICATION OF FOUI\TDATIOti :.'ci-��its for construction will be issued a minimum of 24 hours from the time of application to allow for pro�er ��.:��iew of the proposed stn.icture and of the construction site_ \ Certif7cate of Survey of the lot, sl�owin� the location of the foundation ��nce ii has it has� be�n construc° _•.: ',�? h�_ rcyuircd t�i;forc ��rc�cccdirn� �vith the fran�in�. sue�ecr E R City of Fridley 2 6 2 0 0 AT THE TOP OF THE TWINS g � I l D I N G P E R M I T r ; � RECEIPT NO. � `v _ COMMUNITY DEVELOPMENT DIV. �� �� r � � PROTECTIVE INSPECTION SEC. � ` � 1 /"'1 � CITY HALL FRIDLE� SS432 NUMBER REV DATE PAGE OF AiPROVEO BY �""'� � �'' 612-571-3460 g10-F15 6/10/98 / / JOB ADDRESS 7371 Hayes Street NE 1 LEGA� �OT NO. 9LOCK TRACT OFi ADDITION SEE ATTACNED oescR. 35 Auditor's Sub. 9�129 SNEET 2 PROPERTY OWNER MAIL ADDRES$ 21P PHONE Tracy Brownson 7371 Ha es Street NE 717-1943 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Stephens Home Remodelin 22251 169 St Blaine MN 55309 262-0020 5743 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE UCENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑, NEW ❑ ADDITION O ALTERATION � REPAIR ❑ MOVE ❑ REMOVE B OESCRIBE WORK Reroof House (West Side Only - STORM DAMAGE) 9 CHANQE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBIN(3, NEATINa, TYPE OF CONST. OCCUPANCY aROUP OCCUPANCV LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTfiUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OH ABANDONEO FOR A PERIOD OF 120 OAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWIG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO 8E TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIEO HEREIN OR NOT. THE GRANTING OF A PEF;MIT �SOO �.SO DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CMARGE PROVISIONS QF ANY OTHER STATE OR LOCAL LAW REGULATING CON- @ S�RUCTION OR THE PERFORMANCE OF CONSTRUCTION y�21 .00 Fire SC �. SO PLAN CHECK FEE TOTAL FEE �` B License SC $5.00 $27.00 siGNaru c CTO OR�ZEDAGENT IOATEI WHEN PROPERLY VALIDATED THIS �S VOUR PERMIT S�GNATUAEOFOWNEAi�fOWNEABUI�DEA� IDATEI �Dfl �NSD f�pTE l NEw ADDN ai.� [] [l [] CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: ��% � ��f'�J� �� Legal Description: Effective 1/1/98 �o (D� 1� � � �' Owner Name & Address: '�� �i2�l�JN-�'r��►i Tel. # � ( � �- /�J �� Contractor: ,�%���� ��� ��ri�bE�r,✓ c� MN LICENSE #�% � 3 Address: e� �1s'/ �� � �T � � f�2►� �3 89 Tel. # �� � - �� � Attach to this application, a Certificate of Survey of the � -----.. s_.._._�_. lot, with the proposed construction drawn on it to scale. � LNING AREA: GARAGE AREA: DECB AREA: OTHER: Construction Type: DESCRIPTION OF IlVIPROVEMENT Length Width Height Length Width Height Length Width Hgt/Ground ��� �f��J i Sq. Ft. - Sq. Ft. Sq. Ft. � � � �� Estimated Cost: $ �� � (Fee Schedule on Back) Driveway Curb G�t Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: APPLICANT• Tel. # ��- �� Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ �?� oa $ S. C� $ .� $ $ .S ° v � $ $ $ $ $ � �� CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.50/$1,000 Valuation $1000 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Nec�ssary [ ] BUII�DING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to auy 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 $5(� $501 to $2,000 $2,001 to $25,000 $25,001 to $50,000 $SO,QO1 to $100,000 $100,001 to $500,000 $500,001 to $1,000,000 $1,000,001 and up FEES $21 (Minimum Fee is $21 plus surcharge) $21 for first $500 plus $2.75 for each additional $100 or fraction thereof, to and including $2,000 � $62.25 for first $2,000 plus $12.50 for each additional $1,000 or fraction thereof, to and including $25,000 $349.75 for first $25,000 plus $9.00 for each additional $1,000 or fraction thereof, to and including $50,000 $574.75 for first $50,000 plus $6.25 for each additional $1,000 or fraction thereof, to and including $100,000 $887.25 for first $100,000 plus $5.00 for each additional $1, 000 or fraction thereof, to and including $500, 000 $2887.25 for the first $500,000 plus $4.25 for each additional $1,000 or fraction thereof, to and including $1,000,�0 $5012.25 for the first $1,000,000 plus $2.75 for each additional $1,000 �r fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50. Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $15.75. VERIFICATION OF FOUNDATION Permits for construction will be �ssued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. �a � � � O a � 3 0 y' � y � O y � (7 � � O = 3 � o: � O �� � � aa " CD .o Q' � �. m °' � � a o �D � � � a � �. � 3 O C .�r D -o � 0 < cu � W � � rn z � _ m..: � � Z �'I rn m EA .A V 0 O \ S � i I Z ' �/? 2 m —�I Q - � O c � � � � � n� 0 --I m r � � � � `Ie) � � V V � � � ' r--_ M� !'� ! O � a� a � r N � c m � m �. y � fD Ci�- r p � � . � A � � � <D Q. C °, � a� � � � n c� O � 0 -� � i� � � O � o �A �• �� r �, a� e,- . �+ v 2 �j� �' � m .:9 � � I � -� � tn —I ��.�� � j n � � � cu � ❑. .�.r �. �- cD � ,-. o� �, � � � � N = y _. � a .�- Oq � � � o � �. �o a � �•vo� � � � � � N � � � � N �'fl.N� � � � �. � � rt ='• C1 � A � ;°,. m o ° c�fl-n� c���� � y (�p � aS� � c� c� —• '+ O �+' � � � � � _ � � � — � .« ,n�. � � � N C7 � �� 0 u+ O 7c' �, a � m Q y fD � � � � �o o. � < �D N flt � � (�p � � � N• �� D c�i m m � o =► �o � y � r � � O z � n � a C7 0 a �. 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Yes O No (:)_ . The venting system is plastiGPVC and meets all current codes and manufacturer : - specifcations including sizing, length, number of elbows and termination. , -� Yes O� �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. Yes () No () The existina combustion air is sized and installed to meet the cuRent codes and manufacturers specifications. When required to install a new combustion alr. it wiil be sized and instalied �a meet-tHe-curr�nt-codes an� manufaciurer's specificatiorr�.- - � Yes ( )� No ( ) 1�es ( ) No C-� When installina a new ventina svstem, the undersigned hereby verifies that it is a fisted assembly and meets the current codes and manufacturer's specfications. This does include AGA-GAMA Category I Central Fumace � Venting Tables for fan assisted and natural draft appliances. Yes () No () 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 O No O _ Aapliance Tvae and Size/Common V�nt and Vent Cor�nector Information Appliance #1 Type BTU Input Fan Assisted or Nat Appliance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input ' Fan Assisted or Nat Total Appliances Total Btu Input Common Vent iype Vent Height Diameter inches Appliance #1 Vent Connector Height ft Length ft Diameter in Type Appli�nce�#2 Ver� C�tnnector Height ---� Lengtf� - ft- Diameter- in' i'ype. Appliance #3 Vent Connector Height ft Length ft Diameter in Type ALTERATIONS: (Describe) � HEATING CO. Signed By. _ � Date : � -- SEP-19-�0 TUE ii:19 AM DREYER.ROBERT T33498T P,05 a k , , � , { J'��%�t.,'V� C�7vl ' 1000 sq Job# � 'Lone: Entire House Q9/15100 � �auuat �. ��t tt�c�rra: a. a. �a-, s�rt izo�a � N����� Gntiro Ho•s?c ram�lcz atar.dartl 2 Rtm!!k� P;. $�rpoaed Wa11 176 . Q Bt 194 . C Fx Ft F� 3 Re»mpimm�ciatu�Ft D.0 t 25.0 x 36�C Ft x Fti x � 4 Ceiln�a Ft Capd(t Opdon 8, J fl 8. D heat/cool TYPS OF CST H1A7 Area &uh Area Btuh Ar,,a Bwh Area Eqds ID{i�OSURE NO. $t� C!S Len�11 Ht@ C16 Len�h Fk8 aB �+8� �8 C�B � �8 C�e S tiso� e 12C d. l 2. Q B92 �srr �+�� 992 �'sR� aai� ��v� eses r«se eme� �{QO�A b lAA 9b.9 9.8 :C6U �r�� Mv�a G6U M+Yee we�r ra� .r+t ��rr rsa. We118&�d c 15E ?.8 0.0 ?18 saero rssa i15 aert �ove oeam xatu s��+r am i�eYiitiuno d 0. 0 0� 0 p++wr ra+� 0 seRE so«t sxre�� ret� swr ae•s 0 0.9 C.0 p wa a�t �j ��� ��� .... �r.s uu .►.. f 0. 4 Q� 0 0 ��+r n•�« (� �Yi+� sr�w M��s ��s� r�a,� raa� 5 Wlndows�d a 2A G2.A w 124 33�2 ra�• 12A 5301 �t'e �a�« +wso CilacsDoore b 0.0 » d ¢ �w� p � �ws asss �w� ��i o Q.0 °� 0 0 saNa a p �mrs r�s� •eam d 0.6 '+� p p a�rr � � �,d,u �ses aa» e 0.0 •' 0 p �+a. � p r�s� ��+rr rwn F 0.0 �� 0 0 �sai � _ 0 ���r �an �a�w 7 li'17ido�'sepd S�orth J5.0 24 �'+�' 34� Za aase 840 toot eema O1t�87R�otH I�ilN1A' C.b p ��w � p �ars 0 wt�� sess Cflolir'$ EiW 93.0 71 �+•+� 5892 7d ••+� 6982 +s•• ttaa �v n.� a .... � � «... CJ M�Wt rtK � 52.0 25 rwr 1352 26 �o� 1382 tsss •+e� Hota C.0 p �a� p � �+�es � �iq raw 9 0lhardoare a 10E 26.1 7.7 4Z 1096 324 42 109B 32S 6 0.0 C.0 d 0 0 D D 0 9 NR a 12C 8.1 2.4 826 6691 1977 626 6691 1977 �d b 19A 45.5 4,6 c60 11�3g 2g5g 260 _i934 ;:559 We11�m�d a 18E 7.8 0.0 715 55BF � ^15 5598 6 Pta3iGcma d 0.0 0.0 C G 0 0 A 6 e 0.? p.q p C p 0 0 0 f o.o a,c� o r. n n a o 1Q �+1�+�88 e 16F 3. C 1.8 900 3078 :EC7 900 3078 160' b O.D D.0 0 0 0 C p 0 0 6.0 7.� 0 0 0 C C� p 11 Flaorn a 21A 2.2 0.0 900 2999 0 400 1944 0 b U.0 U,8 0 U U U U � e 0,0 U.d �7 0 0 U 0 C 1� ��� � fi<�B 5.8 iG6 9092 969 I6� 909Z 968 l3 Sublot8tlihTl�sgKj-g„+11-11 '►y`o 4473d �+•+ �s.s i4 DYGtBtuhLo9.a 44794 �st� W��� �sa� sss� t�i99 :S 6710 •+'� 15v 6710 �t�� 15 TotalBWbLma� t3+j4 �sws Y� �twr g. �srr 51d45 ssrw �or� B1a65 �w sa+i b►rr e►»r •r�w le bu. aaine� Peopte (� s aa a•,•• ? 2 0o d...o AP➢1 i� 12GC 1�+=wt 1200 e�r� aafr 17 9t:EtotRSHG¢in�1+8±i2+16 a�,� wM i200 1 �*a 1200 �r�� ��* 18 DuClBtuhtieirt 1� 18910 �•�e in►ty 18910 wa�+ �a�a a��a sta• �ea� '1l31 jyry ��ai � 19 1'oldit511itieiri°(17-ltl)�YLk 1.00 rwr» [tl3! / ��++ e .•s� e7i47 1.06 ♦'�°�� 217y7 �ot�y �1 C�MAi: Rt�i11[ed spas �rrM 11G7 1163 �p`* 1163 ::GJ &atv� C9�k4 ��` �'lifi�l by ACCA W trn�t ali raquiremeizis vLM�nua1 d Furm � � � , HEATIIdC AIR CONDITIONING AND ELECTRIC, INC. ADDRESS OCCUPANT HEAT LOSS DATE HTG. INST. I E� � IA ° C�� SOLD BY " Elecorical Work By �' � TYPE OF HEAT GA FA� HW TEAM SPACE NTR. GA9 DESIGN �►� R� �� Serial �'��'p (���.�ii����J'��9� INPUT � �LY� CAN4ROLS THERMOSTAT Heat Plug Velue �� Limi Limit Seron Fan Settlng li'1'p�_ Pilot Type� 1� Pilot Make�� Pilot Model PitotTiming �'�' -= L.W. Cut Ott Prsssure �� d�c� ° c Percent COz � Input CFH Perosnt 02 � ��6 StackTemp. ��Q PeroentCO 0� � HOUSE hiEATIIVG TEST RECORD APT. FLOOR CITY �I � SU9URB OWNER INSTALLED BY � ��-� M�l' _, N�hte .�e ,�F � Gas Line By 9! UNR HTR. OTHER CONVERSION y„ vent size KIND OF LINER �-w� SIZE � NONE Draft Hood Repularor �'� -eei�L�-ii�� Filters Size I�lK��l x I Number Chimney Locadon Inside Outside Chimney Construction Smoke Bomb Wiring � Drait Test Tag Door Pressure Lighting Inst Date Tested °' � ` � Company Testing (1l. Yll'. � d° Plame of Tester Pressure Percent CO2 Input CFH Percent OZ Stack Temp. Percent CO s � u-r�roF FR[DLEY FRIDLEY MUMCIPAL CENTER • 6431 UMVERSITY AVE. N.E. FRIDLEY, MN 55432 •(763) 571-3450 • FAX (763) 571-1287 February 1, 2002 Ms. Therese Brownson 7371 Hayes Street NE Fridley, MN 55432 Re: Final Inspection at 7371 Hayes Street NE Contractor: Blaine Heating AC & Electric Inc Dear Ms. Brownson: A mechanical permit was issued on December 11, 2000 to install a fi�mace at your address. According to the 1991 Uniform Mechanical Code a final inspection shall be conducted on the work authorized by this permit. As of this date, no inspection has been called for. - The pernut fee that was paid covers the inspection to make sure the work was completed according to the Codes. We will keep your permit open for another 30 days and if we do not hear from you within this time to set up the inspection, we will mark the permit "no inspection called for" and no further acrion will be taken. To set up the inspection or to have any quesrions answered, please contact the Building Inspecrion Division at (763) 572-3604. Sincerely, DJ/mh Building Inspections 763-572-3604 DA� a, � � SITE ADDRESS _ THIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION PERNIIT TYPE TYPE OF WORK: MECHANICAL R�SIDENTIAL APPLICATION CIT'�' OF FRIDLEY COMPANY NAME CONTACT PERSC STATE LICENSE #1 > —'� 7�� ' 410 WEST A �. � �R $�}�, MN 55408 2- 24 � FAX `�SINGLE FAMILY ❑ TWO FAMILY ❑ IdEW [�EPLACEMENf DETAILED DESCRIPTION OF WORK ❑ TOWNHOUSE ❑ ALTERATION/REMODEL Pernut No.: Receiv By � •� R� v Date'1�'e . PER MS 16B.665 the permit fee is a minimnm of $15.00 or 5% of the total cost ap to $500.00, whichever is greatei', for the improvement, installation or replacement of a residential fixture, excluding ti�e fnctures. (This should reflect only the cost of labor ) Labor cost under $300 =$15.00. Labor cost between $300 to $500 = cost of iabor � x.OS =_ FOR PROJECTS Wf�RE LABOR EXCEEDS $ , FEEES .4RE $ D ON $10.00 PER FIXTURE, EXCEPT Wi�RE NOTED• FIXTURFS: N`IDICATE TOTAL NUMBER OF EACH BELOV� %�� � SIZEBTU �� wd Equipment Installed MODEL: --,�-E-�– " MODEL: ST�F9BTU MFG: MODEL: SIZEIBTU �,A/C $25.00 FIREPLACE (G,4S) �i15.� GAS RANGF/OVEN $10.00 AIR TO AIIt EXCHANGEER $15 FIREPI.ACE (V�VOOD) $35.Q0 —NGEAS UNiT HTR $ 0.00� $OILER $35.00 _FURNACE $35.00 CHINWEY LINER $10.� GAS DRYER $10.00 POOL HEATER $35.00 �DUCT WORK $10.00 GAS PIPINQ $10.00 VENT�,ATOR 515.00 t,�- - .. _ .. ._., pemut Fee $ Number of fixtures @$10.00 x ._ Surcharge $ .50 Number of fixtures a� $15.Q0 x$15.Q0 =$ TOTAL DLJE $ Number of fixtures @$25.00 � x$25.00 =$� Number of fixt�es @ $35.00 x $35.00 = $ State Surcharge = $ .50 Tota1= $ �C_�c THIS IS AN APPLICATION FOR A PERNIIT NOT VALID UNTIL PROCESSID I hereby apply for a building permit and I aclrnowledge that the infomnation above is complete and accurate; that the work will be in conformance with the ordinances and codes of the C' of Fridley and with the Nlinnesota �Conshuction Codes; that i understand this is not a permit but only an application for a is n'�t to start without a permit; that the work will he in accor ce with the approved plan in the case of wo � w'�' . revi and approval of�l.an� � �'1 r� /� SIQNATURE OF City of Fridley Buildiag Inspections Department 6431 University Avenue NE, Fridley, MN 55432 . 763-572 3604 FAX: 763-502-4977 REQUIRED INFORMATION NEEDED TO PROCESS PERMIT RESIDENTIAL PERMIT APPLICATION HVAC ❑ NEW HOMES/ADDIT(ONS XISTIt�G HOME ❑ MAKE-UP AIR R.EQUIRED F�R NEW/EXISTINC HQ�)IIES .:�::� .. . � � . _. _ ,;::� . �'. ���i� �, 1. Combustion Air (See note belo`�v)`� ,� ;f ' .r � , _... .-,... a.. Oil or solid fuel IMC Cha�ter 7 with MN Amendments b. Nafural Gas or Propane/IFGC Chapter 3 wifh MN Amendm.ents 2, Make-up Air (See note below) a. IMC Chapter 5 with MN Amendments 3. Ven.ting a. Gas appliances IFGC Chapter 5 with MN Amendments b. Fuel oth.er than gas IMC Chapter 8 with MN Amen.dments REQUIRED FOR NEW HOMES 4. Heat loss & coolin.g load. per roam a. Required on new construction IlVIC 1346.0312 5. Ventilation . - — ��e,� �I F._ r � �'�P?fi70 �r 7672___-_ 6. Duct Design Per IlVIC 1346.060�.2 � a. ACCA Manual D NOTE: Centerpoint Energy Mechanical Code Guidelines software may be used for combustion and make up air calculations Building Inspections 763-572-3604 763-502-4977 FAX DATE SITE ADDR _ THIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LIC�TISE, BOND AND CERTIFICATE OF MSURANCE PERMIT TYPE PLUMBING RESIDENTIAL APPLICATION CITY OF FRIDLEY EFFECTIVE 2-19-04 ❑ OWNER Permit Received By: �.�; �� YOUR E-MAIL ADDRESS �1�� � w ad�J,9 ,lj) �% r � � ��_ ADDRESS: CITY PHONE: STATE LICENSE � S 93 5� Q STATE BOND # ADDRESS: . O - �� CITY PHONE %b6�� � -e�a9a FAX TYPE OF WORK: I� NEW FAMILY 0 TWO FAMILY O TOWNHOUSE �REPLACEMENT DETAILED DESCRIPTION OF WORK Q,�,�„q��T_-�, �j EXP DATE EXP DATE � STATE ZIP, STATE 1'��ZIP�� FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (1NDICATE TOTAL NUMBER�OF EACH BELOW). MINIMUM FEE $35.50. O BATH SINK/LAV FLOOR DRAINS ' SHOWER ,� BATH7'UB _ GAS PIPING (NEED C1TY LIC) SWIMMING POOL _ CLOTHES WASHER KITCHEN SINK WATER CLOSET _ DISHWASHER _ LAUNDRY TRAY WATER HEAT£R ($35) _ WATER METER THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNT(L PROCESSED WATER PIPING _ WATER SOhTNER ($ _BACKFLOW PREV. $1 ) FOR lRRIGATION OTHER I hereby apply for a plumbing permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permi and work is not to start without a permit on site; that the work will be in accordance with the approved plan in the c�e�6f all�rvork �ch requires review and approval of plans. . SIGNATURE OF APPLiCANT NAME�o (1 r� ��1 ��_DA City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 �� v r� I/� L V V/ J� L I���� � B►uilding ITi$�C'C10YL5 763-572-36Q4 I 763-502-4977 FAX STl`E An�1�.SS _,,,,�[ ; `, TiII9 AFPLICANT IS: �'�tOp'�'.RTl� O�V1�1EII/ T'�N'ANT S�'� A GCUP'Y' O� YOC]R S7'A't'� LIC�VSE AND CSRT�!lCATE OF IIJSZJItANCE p�a�r��r� x^�a�� PEBMIT TYPE From: unknown Page: 1/5 Date: 11/19/2009 3:15:49 PM BLTILDIN� R�SYD�NN�T� APPLYCATYOYII' CITY OF FR.II�LEY �� �� V L I J �� i Pe�mit No.: YOTJR&MAILADDRE83 (YZ i C4�F.1 � 1E''. s, �i1 f.i`.�'.-3 �'�s �� .(rs7t',�� �� . L, CtYYI � OWNER �ON7RAGTOR p�aN�: i�� t �Q.��i.a L�� c�CS _ S'1'A'I'�i i.TC$NSfi � c� '�j �,�, y� l o l J � -- _ ,,. _ _ .... _, _ _ . . LE �AMIC.'YYN�9N CONS1RUCfYON' S� 1�AB�it/1�'W'CONS'fTtT�CrT4i� ' STOT2Yp9 O BASE[�.'+NT FINI9H O ROOF ❑ DECR � BIDIId(3 0 S'9VA9d T'Yp� �T�'GV'O1tY{s � a r��w �ron� coxsrRUCrrox a Annrrw� o a�a�tr�ra�c�a�a�a� �,tr�ron�c. D�CRIBE wORK sBNG n0A1B: Y.P�vlr,� rt° �"'� i s� J r� :� � CPi �] I C:� ,fr. , ti S1750F �YlO'VFMEN'C L.�NCr'f�i 'W'IC ptOOY+�C O C�OTJ!S� ONY.'Y' nrr��or sQun�� o xo�rs� �G.�aGB �� ❑ ATTAGI�D (3ARAQE PROPOSID SI�E: 0 DETACi�D f�ARAt�E P1tOpOS�L1 Y�GHT: ■ � •s� � � � �J�,��t 0 �IGH1` �,sr�r r.�n9ona�,nvo e� a�r,, 1. �acistingFl�rPlen 2. Pcupasedfloorpl� 3. Liat of shuchusl m�g W��� gID�� POR N�NW GON5TRUCfION 1NCiTJDTIJG DpCfCS, ❑ Ymyl O3offit A�DTITONS_ &. POIZCi�S SUHMCT• � Al�awn ❑ rrim I. Site planlSwvey ehowiag the e�risring savc0ae� ❑ Othc , � Fascia Z, 7t�WD � tonsnl�etiCm p18�a VI'YIVAOW3 ., t 3. F�ergy(`atn,dar:r,,,a �T i?7�YS 1'YNQ OPF�IIQS �.�°1'es ONo LOCATtON OF'4YlNDOWS �'[ X`� 1' � i C) �°�C � l OIi.�O�tN�aW QpII1YNt3S-DESCTt�B�s 3I2�'s O� OP�ICi C'�1AN'�S � TYPE OF WIlVDOW 1'O HE IIJSTALLID l NUMBER OF WIl+iDOW3 ALL FEES ARE BASED ON V UATION, INCY.�1riY1+TCx T� C057' O� iA�OiY AND 1�XA1'�YtYAY�: �i (USYhiC T� 1997 �l'.B.0 ��E S�1�YJY.,�) _OTAT.,_J'O$ V'AY.YTATYbN $ I "t �t��',Lc..'�`,� OCCIIPANCY TvpF Permit Fee Plan Re�riew Fire Surcharge Sarch�rge Y,icense Su�rcbarge SAC Cherge �urb Cut �scrow firosion Conlrol park T�ee Sower M�in Charge $ ,o r See Back Page �or Fee Schedule $ (p 654�0 oPBnilding Permit Fee $ _� ,(Q _.00I times the tot�l job valnation $ ' .0005 x Permit Valu�rion Minimum $.50 $ �5.00 (State iicensed ltesidential Contaa.ctors) $ $2000 per SAC CJ'nit (1'lens io MWCC for detennination) � ft+6ft° ftx$21=$ $ $4�0 Conservaiion pian Review � �ee betermYned 6y �ngineering � � Agreement necessary ( ) Non Necessary ( ) $ I,`� 1VI�ke checks pavable to: C�ls! of Frfdle� Att�ehh TE�513 AN APPLICA'i701H FOR A PffitNBT NOT VALID UNTIL PROCESSED I hereby apply for a building permit aad 1 acirnqwledge #h�tt tb�e infv�ation above xs complete and acounflte; thflt the �work will be in conformance witb tha ordinances and codes of �e City of firidle� and with the Minnesota Constiruaion Codes; that I understar,d t}uis is not a pernut but only sn tpplication f�' fl permit �d ork is not to st2rt 'wi�haut � ptrmit on site; thst the work will be in $cCOrdauce with the approved plan m the case af alk k q reariew and approval of plans. STGN'ATiri� OF APPiYCANT - � • � � �� pri�T IJ� 1 �r�j.S�i'�,�f •� L� �U��-�C; ��� DATE ' I � � � �� From: unknown Page: 2/5 Date: 11/19/2009 3:15:50 PM �� � r� I/� L V V I J� L I���� `+ �� +� V L I J �� L � � � ���' �V ��� � - 'f"14� t�Y0�7� - o ,�t- � �� ��.►s � � �,� " �4,� ' �r �L.S°--�! � z� I �i' _„ ,�'fr4.w� � � } ��C\ � -+� �lv wtb . .� w�.�,. e ���� S l�I , �.L� s(��p � .. � � �,.�1 � �.h ����1 � ��� �� - -- — . .� ����� _ .. . _ . : : . � �u b� � .;��.: � �p�,- � ,�,a .. ..� .� . .... � � � �.�� � ; : : ; : � . .. . � �. . - �� �.�. 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