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AF - 45801�, City of Fridley, Minn. BUIIIDING PERMIT ��: ... ��..`�:...:�...� ............. Owner ....................................... Addr� ...................................... �1 N° 3768 � �� suilaer ........... ....� ............ . ... .. Address .................................. .......... %� p _ LC3CATI OF BUILDING No. .1fJ �, ��. Street . ........:....... ... .!?er°.�.�.. Part of Lot .................. .... ... . Lot . ..�. . . . . . . Biock . . . . .� . . . . . . . . . dititon or Sub-Dfvision .��.� . . . �� . ��-��'.�e�z°:� .. Sideyard ,l.'�l1 :��. c: Coraer Lot ... .. ...... . 7naide Lot . �......... Setback � '.'�.` ................. . DESCRIPTION OF BUILDING To Used : �/ ., , ., . : . . . . . . . . . . . F'ront `T. .� .� �pth � T.`. .�0. / Height �� .�s. 5q. F`k/,/`.3.� Cu. Ft �/��r�A .................... Frortt ........ Depth ........ Height ........ Sq. F't. ........ Cu. Ft. ........ . . . . . . . . Fst. C�t. . . �, � �: � . . .�'�. . . . To be leted . . . . . . . . . . . . . . . . . . . Zy►pe of Constructton . .. ........ � ComP _--�, In consideration of t'he is�ance to me of a permit to construct the building desribed above, I a�ree to do the proposed work in accordance with the desrrlptton above set fo and in compliance with all provisions of ordinances oP the dty of Fridley. � .:! . . . , .��....�...�.... . . _ � !�� In consideration oE the payment oE a fee oP $�/........., permft is hereby granted to ................... ......................... to construct the building or addition as descrlbed above. This permit ia granted up�n the express condition that the person to whom it is granted and his agents� employe� and worlmnen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinance� oY Fridley, Minnesota regarding locatfon, construction, alteration, maintenance, repair and moving of buildings with- in the dty limits and this permit may be revoked at a�y time upon viola.tion of any of the provisions of said ordinances. _ P � o �i�'.��,�w��ir.r ,,:. , _ . - ,. NOTICE: Thls pa�mlt doea not cover tha construtstlon� Inetal�atlon or alteratlon for wl�ing, plumbing, gas heating, sewer o� water. Be sure to see the Bullding Inepecto� fo� sepa�ate parmlts fo� theso Itema �- _ .. ;= _ .. � BL OCK �� STMM!-JI1/� � � �� OD/T/�,�lf` INDYSTRIAL C• �. C O U 1.. T� I�C PI.nTTINo BUBINE88 FARM 9URVEYB CITY I.OTS LAND SURVEYOR LAKESNORE TOPQORAPHIC 6lAPPINO REGISTERED UPIDER LAWS OF STATE OF MINNESOTA JUDICIAL � I . Qv I \� � � � .S� � � oa � Z M N°8°36�E i2 a,,� '� �� M � O M i � � � � � IICEN9ED BY ORDINANOE OF CfTY OF [dINNEAPOLI6 3300 LYNDALE AVE. SO. MINNEAPOLIS 8, MINN. TAYLOR 4-0370 k�ltti'LIP�,iDtt'8 �IPI't�l�fP ' " � � I � �� I / /'� � Z � V ' " � '= p' i L �CA�F 1 3 I I I I v — --- I � UT/L/TY E�I SEMENT� �---------------� ------�- ---� - - � � � � N8 � °/3°E - - �—�d /RON "'�79.99-- . /RON �-- iROiv � � � I i i � /RON � � � � T -�� / RO N i /9�. �� i i Nes°28's2'° w i � I , � I f �T ' ' L � � �, (j�"lLITY EAS�MENT o., �ROti o�a �� '= 220, J �I � � � � � � h � � � � � �� /R'OM ✓ ` � / (� / �� / � �� I hereby certify that the above is a true and correct plat of a survey of: Lot Three (3), Block Three (3), OSTMAN'S THIRD ADDITION, Anoka County, Minnesota. . As s�arveyed by me this 30th. day of March 1959 A. D. Signed �� ;� � ° �°" ��' Minnesota Registration No. 2584 �; 5_�'ti i - 53/9�� _- r _ d �� a Ai'PLIC�TION FOB BIIILDIlJG PERMIT CITY OF FRIDLEY, MINNESOT� � _ Owner� Nafne c'�i � Builder• e � �ddreas � � Addr.ess ,..� `�02 % ��,�,.;; ,��'� � , � . � � �,OCATIQN 4F .BIIILDIN� No Street � .. P€irt of Lot �.—��•''C;,,_�. o � Lot � B1oek .,l ddition or. Sub. D3.ve %� �;: _- .�� a��Qa ' Coxner Lot ,� Inside Lot �— Set Hacic � .. ------ . gpplicant attach to th3s form Certificate of Surve�* of Lot and proposed buildir�g lvcation. � ' • . . ... � � � � � , .� , �DESCftIPTION OF BUILDING . . . .. _. ,�; . . .. ' • , To be uasd as . � � • • � � . � . r �� .. _.._:_. F`ront. . : � � Depth �.....�eight �� 11/0,� �.� . NLLb a�'./p�°s�� , . . . .. . Frorit ___.Depth _ HAight . • _ Sq� F`t n Cu. Ft ,....__....--- �no of Conatruction-- Fctdm,�,+.Ari Cp�g+ a� d a� ;. ._. 5 .. . . ' . . . To be completad - _. , . .. . . The vndersigned hereb� makes application for a perniit for the work . �.. herein specifi.ed; agreeing to do a11 �aork in �trict accordance with the Citp ardina.nces a:r�d suling �of the Departnent of Buildings � and he�reby �' declares�that al]. the fact3 snd representatio�as atated in this application are trLie atid correct, ' � � Da.t� � .�._.....,� Signature _ . (A Schedule of Fee Costs can be found on the Reverse 5ide) .�, .� �'�i.; �. � � _ 1; � � ,-s << � �. � � i �� BUILDING PERMIT FEE SCHEDULE Section 2e The Inspector of Buildings shall, before 3ssui.ng an�r pex�mit for the erection of any building or structure, or for any addition to any existing building or structure, or Por any alterations or�rega..irs to an9 existing building or structure, upon applicat3on therefor, require tha pa�rment by the applicant for such permit of feea to the amount herein below set f'orth and in the m,�nr�.er herein provided to-wit: 2.1 For any such per�i.t for the erection of any fireproof building� other than a garage, warehouae, factor�r or grain elevator, or for the erection of ��.ny fireproof addition, for similar occupancy' to any existing building ahall be at the rate of �1../�0 for e�.ch one thousand cub3c feet, or fra ction thereof, in such cubical.contents. , 2.2`:��For any such permit for the erection of any fireproof garage��wa�ce- houae, factory or grain elevator, or for the erection of any firepropf addition for similar occuga.ncy, to any existing building shall be at the rate of �1,25 for each one thousand cubic feet, c7.assified as "fireproof" by Section 502 of the Mi.nneapolis Building Code. iiOIISES 2.3 For any such permit for the,$rection of a.ny non-fi.reproof building other than a garage, warehousep factor�► or grain elevator� or any non-fireproof addition, for s3milar occup�ncy, to any existing�building. Permit $leQO for each one thousand cubic feet. GARAGES . 2.L� For any such permit for the erection of an�r non-fireproof gara�e, wareho�se, factory or grain elevator, or for the erection"of any non- fireproof acld:ition, for similar occupancy, to any existing building or for each such building or addition. Ninety Cents for each one thousand cubic feet or fraction thereof, in the cubical contents thereof with a minimum of �4.00, For the purpose of computing fees for building permita the cubical contents of any,building or addition to a uniform hei ht throughout by multiplying the ground urea covered from a point six �6) inE"hes belotsrr the floor line of the�basenent or cellar to the average.height of the �upper surfac� or to the average height of the roof surface of the main gable of a pitched roof� 2.5 For repairs or �.lterations to An existing structure,. the fee shall be.at the rate of �3,00 for each Five Hunclred Dollars (�500.00), or . f`raction thereof in the cost :of all proposed work, 2.6 In no case�shall the fee ch�.rged for any permit as aet forth in Section 2 be less than �L,..00 � . � �'� �� . .. .. . . � : Y r- A... ' . - , . t . T � . �c,,J;'JO�u�. � . . roR7s-fliyhwoy *�cs uE:: . ��,:Js:�-.�y;�y . . �cr;,,��,�►isaz -. : . <<„�:� 1��,,�, � . ��! 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ROOR DRAINS CATqi BASINS AUTO WASHER GAS APPL GAS RANGe GAS � e z a � � � � � ew} Q+ P� � `a �� .�� o�� o � �b � � �.�o� �. � � �, � �,� � � �+ � m � � � �• � � y m Oq �n o � `*� p � � o � ��,oa � � �" R, o � � � cD � � ,d R.��'� �� M �� ►7 M � � � �m � � � � y~�'j � � � � M �DCd w W � p b a� rz � p � MO � � � � s � � � � � �i � � .� �� =. � � Q � • d � � m �� , `� � a � � � � �. , V � � c� � ��n� � c� o �x� �, � r � � � � � � � � » � � � x a a O� � A o p, Q. m � � O a � ., � � � � � �m � � � o 0 �'� �'�" � �� '��a "w � �°° �� `� � O q o q � O O �7" � � �� v: � �. ��, `��i • � � . � : � : : �' : : : � : ' � : : : y " : : � : : : r r � 3 a U a � � � � � � � � �'�l F. � P � \ � , � �� ,� � �; H � � m � �� ' ��t+ �� p�t p �° � � � � � �yo �� y � �.�'� �� b� �� s� b�� : � � � � � � � o � � � � � � „O a'� � �i � i�' . . � � � � � °p � m � � O : � ' my � �• `�' ' �' ,o m �-: � �.� : . r� a � � G "l.� a � : : � F9 G. . 0 t�i� O. . y� p� 0 : . 0 0 � . : '� Q O pO . . . � p • • : I � ; � � : � : ' : . I � : : : : : � : : : � �, �p, N��p� p p O O O G O t� � � � o w � � � � � � � � � � � � I � M � o � �' � �g � k� � � L�i � t�J �d ° � �+ � � �� 1"' � ' o � � � � M �±. M��r. � W N M W N � 7y � � 7i � O �D O z b b � � � N � en o 0 0 0 O P O O O � Q� �w�,o�� o 0 0 O Q O O � .p t' � � � � m tn _ m C r m � � `� � �� -� � � �. � � � � �o ,• � � O d � � _ ��a� �N a �H A `+ � � ��ay' � "' � a � � o � � `� � � �. z � � � " � �� o M � � ,°�� €�� r � A � �. �� ' � � ~ � � �� ' °'' �, �� . �` �. � m �° �lp � d �`� � g � �. g �o� � � � � � h �� a � z � � � � ,� � �• � ��a A � �+ � e „j � � °w'O,� � � o '�• �` � ° ��j � �° � m �� ' �d �\ R �, � ��w � Q�, 0 � � � �� 3. O �, p =' � � � M � �i�.�p � A � "�, c � , �i. O r �'� �'' � � �� A � ��D � 3 eF► a �``� � 1 ��y �� I��1 �\ ( � : �� -� � �'I� � I`� � � � ' � �� (- �/' ` ��r!,r r �'B � � � �' ~ ! � /�/'��'/�;7` ?s �� %1� '� � g��- /� r? a";��e • Form BDS �` � �? � '�!. ' �+` HEAY LOSS CALCULATIONS � BUILDING DEPARTMENT �/ �I�EY� �11NN:��a. � Q�y 3 � Weatherstrips A.S.H.V.E. Construction No. Insulation Guide Windows Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How Applied Yes—No Yes—No 19 � FI. �� Room � Length ,�;; ' Width �,� � Height �" �,,.. FI. ��,,� Room � Length �� Width 6/�..° Height �'A Windows and Doors—Crackage and Area Wirtdows and Doors—Crackage and Area Width Height No. of Lineal ft. Area Width Height Na. of Lineal H. . Area No. of pane of pane lights of crack sq. ft. � No. of pane of pane lights of crack sq. ft. /,' �`' '� � //� `. % L� 3 ° / . G .�/ �/� `�'��` °�6 � ��b /3.d. � � - � I Coef. Btu Infiltration , �f q� �. Glass 5/p D Exp. wall � �-� x x � � Net exp. wall �b /� / p Int. wall 'x �c � � ?� Floor �� s� 7 D Ceil. /,�� /� D Total Btu. '7 d Required sq. ft. E.D.R, or sq. ins. W.A. Leader area � FI. � f�, Room � Length /,� ° Width /� � Height js Windows and Doors—Crackage and Area Width Height No. of Lineel ft. Area No. of pane of pane lights of creck aq. ff. � " � / /e L 6a o �'� �/' Z °l.3_2- /f7 Infiltration Glass Exp, wall Net exp. wall Ceil. Total Btu. Coef. Btu 0 0 0 L// o � tv �t u � 3 / b ° // P� $ S� O• "6_ /z l�f�� Required sq. ft. E.D.R. or sq. ins. W.A. Leader area I � FI. � � �j — Room � Length ,9':�'� ! � Width /i' Height � Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of creck sq. ft. � � �� Infiltration Glass Exp. wall Net exp. wall � - b�i ., n__ � Floor � ✓ � Ceil. ,�- � Total Btu. � Required sq. ft. E.D.R. or sq. ins. W.A. Leader area \, Coef. Btu � �� G d � � j, a // D � � ��d l�. /t1/10 Coef.l Btu Infiltration I �� o Glass , s � � Exp. wall �'� � � �e ! Net exp. wall 6 , Int. wall � � Floor y�� Ceil. �v / Z Total Btu. � 9 3 � Required sq. ft. E.D.R. or sq. ins. W.A. Leader area �'►r� 3 2 a a � FI. �,�'�i Room � Length G Width 3 Height 8' Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. � � Coef. Btu Infiltration � � `� ?c ?� Glass I � o� ' 2e �r � Exp. wall - // o°�, Net exp. wall � � �c �t � Int. wall � �c � �c � Floor ��" s �a =• Ceil. ,�,� z � s�� Total Btu. �p Required sq. ft. E.D.R. or sq. ins. W.A. Leader area FI. � Room � Length Width Height Windows and Doors—Cracka�e and Area No. I ot ' Coef. Btu Infilttation Glass . Exp. wall Net exp. wall Int wall Floor Ceil. Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Form'"�BD5 � � �L �� `� � 9� .�; HEAT LOSS CALCULATIONS BUIlDING DEPARTMENT GOLDEN VALLE1f, MINN:�w. l.rE � Weatherstrips A.S.H.V.E. Construction No. Insulation Guide Windows Doors Reference Out. Wall int. Wall Ceiling Roof Floor Kind How Applied Yes—No Yes—No 19 � FI. ��s� �, Room � Length �� Width /3' Height �s I�, FI. I�C/��.}r Room � Length /�� Width `� Height 8', Windows and Doors—Crackage and Area � Windows and Doors—Crackage and Area � � �° y� 2 23. /�' 4/ ,r� ' � �? � �� !' �' t/' / 0, � l. Coef. Btu Infiltration � � Glass � �, / S o Exp. wall 2 � �t a( �' Net exp. wall /0 2. O� Int. wall N �l X x Floor � � as X Ceil. �� /Z � � Total Btu. o 0 R�quired sq. ft. E.D.R. or sq. ins. W.A. Leader area ��,,, ,� Room � Length /v Width � Height �' Windows and Doors—Crackage and Area ' �dth Height No. of Lineal ff. Area � hfo. of'pane of pane lights of crack aq. ff. A � � � � � 23„ Z ��'n7 Coef.l Btu Infiftration I�-3. � 90 2.� D. Glass /� � 7�0 Exp, wall ,� ,aC � � � Net exp. walF � e/ ' �8 [nt. wall �( � y� ac � Floor x �c � � � CeiL p 3.. / O o Total Btu.. � o v Required sq. ft. E.D.R. or sq. ins. W.A. Leader area f Fi: t��- �� Room � Length /� � Width �° Height � Windows and Doors—Crackage and Area ' Width Height No, of Lineal ft. Area IVo. of pane of pana lights of crack sq. ff. ' 3 ��° %�. / < . �'. ,�' 3 °�e�° � s .8� � �' 3 ° �' ,�vr.Y"'• 2,� �� Coef. Btu Infiltration I 6 Glass , G Exp. wall ; Net exp. wall � Int. wall � Flaor �s Ceil. I Total Btu. Required sq. ft. ED.R. or sq. ins. W.A. Leader area ��1) �� No. sm � � ft. Coef.l Btu Infiltration I�� ° O D o Glass � /g o Exp. wall /.�Z X x ac Net exp. wall �� s p Int wall � � � ac � Floor � Ceil. � �e �e �c � Total Btu. o Required sq. ft. E.D.R. or sq. ins. W.A. Leader area � FI. � j�,� _ Room � Length 2d Width /3 Height � Windows and Doors—Cracka�e and Area I ' �� s yo � Infiltration Glass Exp. wall � Net exp. wall J��, wall ,� o. o. � Coef. Btu c� � 2— 00 ��;� 6 a / � at a� � � /// 2� 2 �' �� l� � Ceil. �e � �2 �s Total Btu. (� O Required sq. ft. ED.R. or sq. ins. W.A. Leader area � FI. � j�'„�� Room � Length / p Width � Height � No. of pane of pana lights of crack sq. ft > %i� � 2� -.�. /s.G �-7 ,/ °� 3" / � �'' 2 &. � �� 3 Coef. Btu �� /v�v Glass Ol o � � Exp. wall �°� .��. � y � � Net exp. wall � y�.�,-,.�� „a��.��'o � � � �rrt wall ,� ��, � � � �p. Floor �� a� �±,� Ceil. x �r �t �t �� Total Btu. � _,� Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Forrrl�BDS • (7� i � !- /� `�'B'" E�'� � ,3B ti. �I HEAT LOSS CALCULATIONS BUILDIN6 DEPARTMENT 60LDEN VALLEY� MINDi-:�., Weatherstrips A.S.H.V.E Construction No. Insulation Guide Windows Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How Applied Yes—No Yes—No 19 � FI. ��,,�,,,��,°, Room � Length � 6, Width � Height ,� FI. I Room � Length Width Height Wmdows a�Doors—Cracka e and Area Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area I Width Height No, of Lineal ft. Area No. of pane of pane lights of crack sq. ft. No. of oene ef eane ��.,h+a �f �.,.�o- �., a P� I I I Coef. Btu Infiltration 0 ° a � � O• Glass � 8; C. 3 ,So Exp. wall � ��, � ��, / �O � X �,c Net exp. wall yy �� nn't. wall -,,r a . � � .� o Floor � b Ceil. � c°�� -,� �3' o � Total Btu. p � Required sq. ft. ED.R. or sq. ins. W.A. Leader area FI. � Room � Length Width Height Windows and Doors—Cracka�e and Area I I ( Coef. Btu Infiltration . ' Glass Fxp. wall Net exp. wall Int wall Floor � Ceil. Total Btu. 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 Height No, of , Lineal ft. Area No. of oene of oane liahh of crack sa_ ff. Coef.l Btu Infiltration I Glass Exp. wall Net exp. wall Int wall Floor Ceil. Total Btu. Required sq. ft ED.R. or sq. ins. W.A. Leader area I I � Coef. Btu Infiltration . Glass Exp. wall Net exp. wall Int. wall Floor Ceil. Total Btu. 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 Haight No. of Lineal ft. Area No. of pana of pane lights of creck ea. ft. ► I I I Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Floor Ceil. Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area FI. � Room � Length Width Height Windows and Doors—Crackage and Area �dth Height No. of Lineal ft. Area NO. of aane of oana liahfis ef ernr4 en H f Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int wall Floor Ceil. Totel Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area � d � � � o� d � . 0 : � . M . N : o : � 0 ' � , � ' � �A �1 N � � � �i t+ !'� � a � ;: � W �i �� W O � Go � N � o � o � o $ : O . . � . : � . . � O � � � � ~ � a O O G � 69 ifl \ ►] � � � Cro" � z� � z� z x a ; � a �- � � �� + 64 � � �p�� p 'd � R' � � � 0 0 : � � : � Q'' N . � o : �� : � � . . . . o . . . . ; � � ' : : 0 �a �a x �a � �a r�i w n� ca r.• �• r� pd C,Nj� p C�77 O O O „�,7 ti! i'fl �fl tiJ i� tii � H H � 0 � x � � � mr � p• � O a N i,l D � r � �"' m N^ lI 2 � C r m ¢ � o � � � e � O �; � � '� �p t�D � � �� h � O � 'w ,1'; � ,4; � ra � � z � 0 � � • � �, p ~ � � W `� � Storles 8 � WATER � � CLOSETS �� URINALS � eArr+ � �� p, p eA5tN5 � � � SINKS W� � � TRAYS DRINK. FOUNT. sNVrRS. FLOOR DRAINS �� n etisws 0 pt nuro m WASHER � � GAS APPL � � RANGE GAS j OPENING$ � • Z • ��y p� N D w m m O � p � M � � ]❑ � I � a � � fn h�fi y � � � � � Qe � 0 �� I � I �� act.� � �� ° �� o�� ' �� t '4 � �C y O fD P� w N � � � � � � O � � � �� . i%''i �C � � � � � � � � f) � � � � p �' � o � R' o p � � H � � � m � �+�� y � � A � m y � � � G �' d � � V� � ro a0 �x � p � M � � � � 0 � �� 7 "i � � � 0' t�0 � 3 �' d a �? b � m � � M � � � . O � � � � � �D V O �.� �.,� � `,.^_� \ � a �0' :,,.��. SUBJECT PE O. CitY of Fridle AT THE TOP OF THE TWINSy g U i L D I N P R T � 125 ; , G E MI � � RECEIPT NO. � `L _ COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. � �� 1 = � '` /'�'1 � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY `•�� ,•� 612-560'3450 910-F15 6/6/74 � � 10B ADDRESS 6 1 LEGAL LOT N0. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. � SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEEfl MAILADDRESS ZIP PHONE LICENSENO. 6 USE OF BUILDING RL'31.C1eI1't].3.�. 7 CLASS OF WORK ❑ NEW �I ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 16' x 12' Deck onto back of dwelling 9 CHANGEOFUSEFROM TO STIPULATIONS Use 2 x 8 joists SEPERAiE PERM�TS RE�UIRED FOR �IIRING, kIEATING, PLUMBING AfVD S{GNS. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. WOOCI 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 FOR A PEHIOD OF 120 DAYS AT R�- ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. 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 VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED. $300.00 .JrO WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHOFiITY 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. � .�SeOO r! ,� v, PLAN CHECK FEE TOTAL FEE ,� � ,��, pZ��✓'. ,�� - - �'y GNATUR OFCONTRACTORO UTHORI2EDA6ENT IDATE) y� N PROPERLV VALI E IS IS Y�UR PERMIT e SIGNATURE OF OWNER IIF OWNER BUILDEfiI IDATEI BLDG INSP DATE APpLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER' S NAME : G�� ' JJ!� �I,�,�� BUILDER: ADDRESS • (% / �f� ` �G� ADDRESS • � \ NO • , � �/9� STR�ET :,��r�-�r �1/�,u�- . � LOT: � BLOCK: `5 ADDITION: ��ii'�� .2�� - - - CORNER LOT: INSIDE LOT: � SETBACK: SIDEYARD:. . Applicant attach to this form 'It�o Certificates of Survey of Lot and pxoposed building location drawn on these Certificates. HESCRIPTION OF BUILDING To Be Us As: / , Front• (� Depth• J� Height• Square Feet:. Cubic Feet: Front: Depth: Height: Square Feet; Cubic Eeet: 2`ype of Construction: c�V � Esti.mated Cost: $�d� To Be Completed: � i6%%d _ The undexsigned hereby makes applicatinn for a permit for the work herein specified, agreeing to do all work in st�ict accordance with the City of Eridley Ordinances and r:ulings of the Department of Buildings, and hereby declares that a11 the facts and repxesentations stated in this application are txue and correct. . DATE : �si�P �, / ��7 S IGNATIJRE : / /C� �`�'� ��%� �� — _ _� (See Reverse Side For Additional Tnformation.) � � ' =' �' � s s� 4 C�S-e ax� ��5�� BUILDING PERMIT FEE SCHEDULE SECTION 2. The Tnspector of Buildings 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 ox repairs to any existing build�ng or stxucture, .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: UIVIFORM BUILDING CODEt Type 1, 2& 4-$2.15 for each one thousand cubic feet, or fraction thereof, in such cubical contents. Type 3& 5-$1.85 for each one thousand cubic feet. ADDITIONAL INFORMATION For the purpose of computing fees for building permits, the cubical contents of any building or addition, is determined by multiplying the ground area covered from a point six (6) inches below the floor line of the basement or the cellar to the average heights of the upper'surface or �o the average � height of the xoof 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 per each five hundred dollars ($500.00) or fraction thereof in the cost of all pYOposed work. In no case sha11 the fee charged for any permit as set forth in Section 2 be less than $5.00. VERIFICATION OF FOUNDATION NOTE: Permits for construction wi11 be issued 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 Certified Survey of the lot, showing the location of the foundation, once it has been constxucted, will be required before proceedin� with the framing. CERTIFICATE OF OCCUPANCY Application for a Certificate of Occupancy shall be ma.de ten (10) days prior to the use or occupancy of any structure for which a building permit has been i�sued; and said structure shall not be used or occupied until a Certificate o:E Qccupancy lias been i.ssued. , �'.�f)ii .� , �i t2-t�j�.•Q. 1 � .'crr.�' S. �:�e��in(� � e T ��rs-y;9h„�y'�CS alE: /�flll/lQJ�fW%/S�T n e ■ .�t�'r.f i�5r.�1/7 � � �� ..� � � � ■ �� /i//�%/tLlu/V c"/ti,; <.:. a1:,r�fc`rpal SUnsef4-G066 i = �� , ��y . E�9`ineers � �Sur vec�ors . � ��r�� :, �� 1•' �1 ! 1 . ' �( { r- �•� r.�,. • � � 6 �` -" ' . � ,_. � 3t� ` ' �° P ��,� �� ' ,�� __... .__. _ � � � E i � p.ia:a�.,,�G � ,7 �^=?;, __ � ; - � � . �17'Ae� �1 • -- � } ` i •,� �;� . ! .� -r. � :} . 'l'b ffouSg- � i' � � - — - - -- . [-� t �� ' ' , �-t-. � � U !2 O �" �� - +} �24.1 � 3sc3 �} E �i �N�� :�a�' , u _ �.�. - � : ;_�� i } ! i � , � � �.. = �` � � . � r�°`'! � "' :. Y u + ��'' , i � l 'L— � j 'i. :� , � I�.`. � � � ��, ___ �.' ; t I � "� � �• �f �'oot'lNys °d, .�, �y } ; `� �� ! In `�r �� ,C �'� \�4 !. . (� • ( J ^+� ' .e �._�._�... '� �L_ k� .ti + i . -r` �:� ._. _.. . .._ _ � _1 ._ _.— � i � '°,." �� a• _ = ,, , 15 ' ,� ----______-- - --- 0 ' � � , �,.� , _'_,_�1 ti 5. r � � . � ' � � � 2�X �� A �£GG� � i� r = �� .... ' ! � �C � 7:_-.. _ •`� ��l '',. Q.♦1 .:i.. .<_S IC'c�,-. ��.i:,r�. , Lo�� 3 , .. ` � _ I � � �� t� ��-. - � - �._.:, ; �:� _.. � . _. . _ , � , ; F �� . -- � t =� f�,��-z- . � i �I . . / herebc1 cer¢i�� fhaf Ihis is o f�-�e one correcf �eP�esenfofivr� n�O stit'Y2[� �{,�IC Gavndpri�5 �'thc abor.r dcscr;l�d lond, c�r,d oC yi� lcrqir�n o�4/l bvildin�s , thcrea� , ond o!/ r�sible e�;crovtf/m�/�fs , i!'o�y, �i�arn or ca� soid /and. As su�re1c+ed 6� me ii�S :`� �- cfoy `-�o� p,l ,,, � A.D. �9_: __^ . a SU� cIR`8A�1 Efi(GIMEE2I�IG , INC. e. , En inee�-S E Svrreyors 9� . i... _ 1;1 j � � �f --- % °� ' . SUBJECT P � City of Fridley 16 7 3 0 ' ` AT THE TOP OF THE TWINS g U I L D I N G P E R M I T R EIPT NO � � `L __�_� COMMUNITY DEVELOPMENT DIV. �� r j � PROTECTIVE INSPECTION SEC. � � i � � �"'1 � CITY HALL fRIDLE� 55432 NUMBER REV. DATE PAGE OF APPROVED BV �----� � ,'� 612-571-3450 910-F15 8/17/82 � / JOB ADDRESS 6996 Hickory Drive N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 3 Ostman's Third Additi.on SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE Carter Knutson 6996 Hickory Drive N.E. 571-7678 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSENO. Same 4 ARCHITECTORDESIGNER MAILADDRESS ZIP PHONE LICENSENO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW O� ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Construct a 20' x 20' Addition t� Back of House 9 CHANGE OF USE FROM TO STIPULATIONS Provide products of combust%on fire alarm in bedroa� hall. Provide outside combustion a:i.r to fireplace or existing furnace. �� Sefore di�i�� li lac�i t�tiii#�es r��.��+c�� • ��.��s ��. SEPERAT� PERMITS REQU1REt� .fOR W'fRII�G, ��iRED SY LAW HEATiNG. PLU�IBItdG AND SIGM�. SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OP CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. WOOCI FTd1R@ THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION 4OO 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 CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF �AWS VALUATION SURTAX AND OiiDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $14,500 y�`%.ZS WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE STRUCTONSOR�THE PERFORMANCE OF C NSTRUC ONEGULATING CON- $111.50 NONE PLAN CHECK FEE TOTAL FEE � . ,,..5 27.88 $146.63 SIGNATUREOFCONTRAC ORORAUTHORIZEDAGENT IDATEI WHEN PROPE Y VALIDATED THIS IS YOUR PERMIT � "� �A _ �� SI � ATURE OF O J E II R BUILDERI IDA I BLDG INSP q E CITY OF FRIDLCY Effective Aug. 1, 1981 APPLICIITI�� FOfi RESIOCNTIAi. BUILQIi�G PCRi�IITS (Nc�r�, Alterations. Additions, or Repairs) O�Jr�ER: � � S � `� BUi LO�R : � . ADDRESS: , �e %�(� h� !C K 6 /� � �! , TEL N0: ��/ — � � � � • STRITT NO: % �l� STItEET: I10D1tCSS: TEL t�0: Construction Location � . � � IAT s BLOQC t 11DAITION : Corner Lot: Insiile Lot: �_ 6etback: Sideyazds: Ap�licant attach to tliis fo�cm 4a� Certificates of S1�rvey of lot and p�coposed building locatic� Arawn on certificates to scale. ��a�, � /'J`�� DESCRIPTIOiJ OF COtJSTRUCTIO�i gU �� O(�� Fs+�nt: � L� Deptha � Height: 6quane Feets �� Cnbic Feeta Front: Depth a Neight: Squar.e FePt: Wbic I'eet: C�.�z.e � ��. �c� � / �Z � � �� ► Zype of Corstruction: � Esti�nated Cost: �c Rb 8e Cbr.�pleted: ,�— �� '`� Z Alt. A Alt. 8 propose8 Driveway �ri8th If New Openfng Is Desired: $� S , , SE� REVER: E SIDE OF SHEET . 9'iie wn8ersigned hereby ma3;e� application for a permit for the a�rk� herein specified, agreeirn� to do ,all Work ir, strict nccord.�cc ��ith the City of Fridley Ordinances rnd rulii�g� of the Delk�rt�ac�t of t3uildings, and hereby c]eclares that all the fact� and repres�ntatiens statec] 3n this application are tzue and correct. D.�TE: �'^! SIGNATUI�: Stipulations= �- P�� )II ��' , ` � � � P �. � � � �� l� �� .��.�� . _ ` f � � �rfA�i��J►. � - � �� : , • . � , . r•, P, o�, l �, �� / 1��'� r �.�( . � �v�/. � � fr � . �� s � _ ,. � ' • , : , �9� .��%�� . � --_--=:_:^__._ __:-_..-- � l , . s . <, �r � ' i � ' : . . . _ _-- -- - - - -- . , � � .. -- ----- _ ---- --- � , -�--- — —�----,--�-- ----- -- , -�- � i I i -- �------- --- --- - --_ , _ _ _ --- � \ 3 1 V � � � _` �l_ i � � �.�`�� ; - - -___ _ : �.G - - - - ---- ___-___ �6 � � � , __: . 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' ' i-- - -- � � - � •� � _ ._., :. _ i _ . � -...' �_ _+ . L _.- --- `--- _ a� �s �. - - - fi � - , . � � � �f . ' ' , � p _ - --� -- . . .. - - �--- -� ! -- - - 1- � � - - - � 1 X .= 1 - . - I - - �_ .. -- � --! __--! � � ( I ; � : s _ .._ -' - - ; p � i ' � , � i t , . -- - -- - i p, , I � , t � - ----..__ ,_- ---' - i -�- i -- .i• _'r _ i - -- ; ' � , � � � • --- — -- F - ---- -_--- - � � . q�� i -- •------ -- - , _ - - � , . �_ ' `s�"' ' _ . . __ _ . . _ . � , _ � a Q��l` �r�� ,;, ' —_____-------- ---,---- - . _---- , � , � Building Inspections 763-572-3604 763-502-4977 FAX DATE � G � SITE ADDRESS 1'HIS APPLICANT IS: BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY EFFEC7'IVE I-1-09 O OWNER PROPERTY OWNER/ I Np�:�� TENANT �,nDxESS: l CONTRACTOR SUBMTT A COPY OF YOUR STATE LICENSE AND CERTIFICATE OF INSURANCE PROPERTY TYPE PERMIT TYPE TYPE OF WORK: Permit No.: Received By: �` Date�: � ��i.l YOUR E-MAIL ADDRESS .� Gi/e �e✓- �FJ ry'�✓ �1'�-5 hr�c �;�n . Ca/j'� 67CONTRACTOR � �+1� v1 � C[TY r-r..,C� STATE�II✓ ZIP �S �3 o`Z STATE LICENSE # �� o2m�3a. O EXP DATE ADDRESS: �q?� %�t2 ��o�si'� � /�/ � CITY r -`� STAT�/VZiP S �3� PHONE �(e'� ` S'�/ ��.33 FAX � 77- GI'70 '//33 � SINGLE FAMILY/IVEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES ❑ ADDITION ❑ GARAG ❑ BASEMENT FINISH ❑ ROOF ❑ DECK ❑ SIDING ❑ SWIMM ❑ NEW HOME CONSTRUCTION ❑ ADDITION ❑ MAINTENANCE/REPAIR � REMODEL[NG ❑ DRAIN TILE ❑ OTHER DESCRIBE WORK BEING DONE: �eQ�"�� e �� - ��i� �� MPn-� /n��oG✓ S1ZE OF ROOFING NUMBER OF SQUARES _ GARAGES PROPOSED SIZE: PROPOSED HEIGHT: SIDING ❑ Vinyl ❑ Aluminum ❑ Other wnvnows. IN EXISTING OPENINGS 1�1'es ONo OR FOR NEW OPENINGS-DESCRIBE SIZE OF OPENING CHANGES & TYPE OF. WWDOW TO BE INSTALLED� ❑ HOUSE ONLY ❑ HOUSE & GARAGE ❑ ATTACHED GARAGE ❑ DETACHED GARAGE HEIGHT BASEMENT REMODELING SUBMIT: 1. Existing Floor Plan 2. Proposed floor plan 3. List of structural members to be used FOR NEW CONSTRUCT[ON INCLUDMG DECKS, ❑Soffit ADDITIONS. & PORCHES SUBMIT: ❑ Trim 1• Site Plan/Survey showing the existing swctures ❑ Fascia and proposed project 2. Two sets of conswction plans 3. Energy Calculations LOCATION OF WINDOWS NUMBER OF ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: TOTAL JOB VALUATION $ �� SI�N�Ga � 97 U.B.0 FEE SCH OCCUPANCY TYPE Permit Fee Plan Review Fire Surcharge Surcharge License Surchazge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due $ $ G $ �D 1 $ � $ $ $ $ $ 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) $2000 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$22=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks payable to: City of Fridley Attach THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is comp(ete 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 1 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 work will be in acc rdance with the approved plan in the case of a�wo w ,� u�res review and approval of plans. SIGNATURE OF APPLICANT��l�'Kw►-- ��f `�% `--� PRINT NAME aJ 6�j /�_��. ,�DATE � l � Page 2- Building Residential Application BUILDING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing pernuts for the erection of any building or slructure, 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 Pemuts for construction will be issued a minimum of 24 hours from the time of application to a11ow 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 Fax: 763-502-4977