The URL can be used to link to this page

AF - 46031City of Fridley, Minn.. � BUILDING PERMIT NA 4 4��J � Date: _._� �' ...� ;,. �. � _c^' .�_ ,7 �',, f , Owner: �--.-� ��:�:�:�.�::G'�..�` - ------- Builder _. _ ��.�...°'`�-::�.� _._.._��°_:.� .�..__ - Address -----•------._..._.._..___.....___.�.�.. �___ Address ...�-�'�`=-�-�..,,.f.x__..._...��..+'•?r.::.... --r---- • � f,�`' I�OCATIO O_P BUILDING No. ....l--.�-•-�� Street _-;,�..�:.L=:_� ----------• ----;�-�—=•.._/`I'----`-----��---._ Part of Lot ---------•--------__..---�--�-- ---•--• x--- I.ot _ ,.e.! .:_. ._........ Block --�-------„�........ ..._......._......_ Addition or Sub-Division .....t��.=i�---�� t.`:� ...__� . ,� /' Corner Lot ......................-.---...... Inside Lot .....-.-�""�..-.------.--- Setback ...__.�:�.._E -----....... Sideyard ....._....�.� Sewer IIevation Foundation IIevation DESCRIPTION OF BUILDING To,be Used as: � ,,,,, .� ' ..��/�., . _�_.. � ..- -- ----- Front _'d�'-..- -..._.. Depth . .�"'....��Height '� =-.�'' Scl. Ft. ../.-��Cu. F� ��!--�Y� -•�-------�--.....-- ....................... ............ Fron ........................ -Depth .............. Height ....._...��...._.. Sq. F� ....._................. Cu. F� ........................ Type of Construction ..... .._�:�-:��-4? .. Est. Ca9�t . .. (��.. �: .[�'.. ."�.� "` <„�, � � -..._........ To be Completed ...-- .............---...---...-------•---...... �� THlS PE��.�IT C�OE`= f�!!?T AUTHORIZE VIOLAT- IOPJ ��F AI`±1' P;'IV�, � c �Ai �D COVENAf�dTS AND BUiLDI?JG REST�;�CTIONS. Ea 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 description above set forth and in compliance with all provisions of ordinances of the dty of Fridley. , �s cr In consideration of the payment of a fee of $..�` ."""'.."..�, 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 thereoP, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and thia permit may be revoked at any time upon violation of ,any of the provisions of said ordfnances. ,:_ , � ``j ,p �,' •� ��,./.�� a„ �� „�t�C,f'" _._.::5�-r4,.-.�:�""�.��',�!.�� BIl11�Dg II13j�CtOP NOTICE: Thts permh does not eover the eonshuetion, installeHon for wiring, plumbin8, gaa healing, eewe� o� water. Be sure fo see the Building Inspeefor for separafe permha for fhese items. �, 4 ,�+� �� y� � A. _ - Is-' "!'�_ �" ti APPLTCgTI4N 1�OR BUILDING PF.RMIT CITY OF FATDLEY, M�NNI�.SOTA Ownera Name //`�' • �i�� Builder � Addrese . � . � .� Addresa � �` � `� �� LOCATION OF BUILDIIVG : _ , / � , � �� } � Par� of Lot Nv. , Stree� � _ �� . ��,,� %ot `� Block Add�.tion or .,Sub.Div, ��'��==P �� t.:, � � ✓ Corner Lot� side Lot,�_Set Ba.ek �� Side-Yard �� - ._...__.. SE'WER ELEVATION �� , FOUNDATZON FLEVATION .��, ,, . ,, Applicant attach t,o th�.s form Certificate of Survey oi Lot and propose.d building location. '' . � . DESCRiPTIOAi OF BU�,DING • To be used ass �� ° . 6 � � Fron�� Depth � Iis3ght ...�..`_..._.. � Cu. 1s't•.��-,� � J . �. �..1...Q� . . Front Depth Height _„� - Sq. Ft. ' Type of Cona To be . '. ��; Ft. �.�� ted Cost /�� ,�.�. � The undersigned herebg makes application ior a permit for the.work herein apecified� agreeirig to do all work in �trict accordance with the C3ty Ordinances and rul�ng.of the Department of Buil:dings, and hereby decleres that a11 ; he fact��and representa- tions statetl ` �iis application are true and c� ect�.� _ .' y' . . DATE �` SIGN.t�TmiE � ,�- � �4��' �� G.T � . (,� Schedule of Fee coats can be found on the Reverse Side.) , � 1 j � '� � � � �- : 1 � / 1 ` �1' 'M �l' ` 1�#1 1 �f�il Sect� The Inspector of Buil.dings �hall, before 3ssu3ng any permit for the erection of any bu3.lding or str�,teture, or for anyr addition to any existing building or structure, or for an� altera.tions or repairs to a.ay existing building or structure, upon application therefor, require the payment by the applicant for such permit of fees to the amount hereia below aet forth and in the manner hereisi prov�.ded to-�tit: 2.1. For any such permit for the erection of any fire-proof build3n,g, other than a garage, warehouse,� factory or grain elevator, or £or the ereotion of an�r fireproof addition, for similar occupancy, to any existing bui.lding shall be at the rate o£ �1.40 for each one thousand cubic fest� or fraCtion thereof, 3n such cubicel contents. 2.2. For an�r such permit for the erection of any f'ireproof �arage, were- haus�� factory or grain elenator, or for the erection of ar�r ilreproo� addition, for sim37.ar occupancy, to any existing building shall '6e at the rate of �1.25 for ea,ch one thousand cubic feet, classif'ied as "f'3reprooPn b3r Sect3on 502 of the Minnea.pol3s Buil.cling Code. NOUSES 2a3. For a.ny such perm3.t for the erection of any norr-fireproof building other tha.n a gara.ge, �aarehouse, factory or �►rain elevator, or any non- fireproof addition, for sim3lar oacupancy, to any exiet3.ng building. Permit �1.00 for each one thou�and cubic feet. GARAGES 2.4. For ar�r such permit for the erection of any nor�f'ireproof gara�, warehouse, factory or grain elev�tor, or for the erection oF any non- fireproof addition, for s3.milar occupancy, to aa.ny existin� building or for ea.ch such building or addition. Ninety Cents for each one thousand cubic feet or f°raction thereo£, in the �tb3cal contents thereof with e min3lnum of �..00. � � For the pt�~pose of computing fees for i�uilding permite the cubical coatents of ar�y buil.ding or addition to a uniform height throughout by multiplying the ground aree covered from a point six (6) inches below the f'loor line of the ba.sement or ce3.lar to the avera�e height oF the upper a�Fece or to the average he3ght vf the roof surface of the main gable of a p3tched roof. 2.5. For repa3re or alterationa io an exiating structure, the fee shall be at the rate of �3.00 for each Five Hune]red Doa.l.ars (�5Q0.00), or t'raction thereof in the coat of all proposed �rork. 2.6. In no case eha11 the fee charged for any perm3t as aet forth in Section 2 be less than �.1,..00. � _- ,�._, � l- O_ k--m Lond Plonnin9 Land Surveyin9 So;�s restiny Gvi/ b Municipal frt�ineerin9 / /' ENGINEERING, INC. � -- En9►ineers � � SurvecJo�s — ,, cetti�icate �,� su�� . ;".�. F� � o �'".� c. T � E/i�_� Cs.�F:sr .t�raiv�E � . � _ - �?.s�a�. -- _ � �� /i�a` -_82oni. '- - i�o�3 �i - �� j . � n• t� � � �, � : i4? o -- 'r � �'� . � � 6r.•S�ir� 1 �ro��o�sE � � - - --�./o fF��a . .` �. �`i3, m �r /S: ^.�� iVo�JP :�.� s �.�. /on \ \ `� .� . I �� .; � � °j_ F� N � .� � � � n �� // on � ( . �, �� p e . Q ., F . ° + �� N N ( � �i : ;� I �: "-- d � /0��45Pi7'vPi�fYJ� �� 1 �cJ1lI/f �%///i�IQS '7 ( . �, w _ �. " '_� ._ � - ------� �_ '"'a�'o.eCli -- �. � �-$0.�/l�.t3-' feq�p on �LinCll /�rag � .i'/0 /N'�ssissiPpiSt. NE MinnreoPv/s 2/, Nlinnesalo SUmref 4-6066 � �,C � �� Iv � t. � °' � P -- S� 4 �e'' e'_- 5a' ---- �, I Y � of ��'1, � /o c ,� ,� y� , � ..� - � ,�. '�*L G .� :r��>��.� ` � ��" / h�eGy �erfi�y �Iroi /his �s o fi�e a�d �rr�cf �eprtesenfotron o�'o su�retf �'�Ix bari�m►ories qi'll�e a6�o�s a�wY6�d lm�0, or� �/�afion o�'oll d vi/d,i,�s , tl�rrear , m�d �/ ris'i6✓e aw»arhinenfs ,��'o�ay, �n or a6soid /and. As sw�veyed � me !�s �° r''� af�y A�� "' SU8 URBAJV ENGINEER/NG , lA1C. En9ineers &� Stn'r ors , .� ,, � � � �� ' � �;%�,. �e � . �.: r � � �.... r� s (� �"� - '%7 ,66� ' - - � �-� � _ _ - - —�-__---- �Y=� _�-,r - - ., ----. -,� _ _- ,.__.T- - - � _ — -�: �...._.-_ �� - _ _----,-�-�';��, r .. O � � � � � �� w � p � � �'��' � M � � �� A �'��z � x � x � � � �� '� �� m Nr' � � � o � � � � � � w � � � � � � � C w c � 00 � z � � �� m = -p Z a � --i --'� � � Z � � � � a° � <� �:� � _ z z � '� m � a r � � � � yw a�. � � O � � m � � � o � � � �° N y o� 9 ' O � • o • yt� : : Q : : ,e ,� ,� o N � op9� � � � � w � O �� o w � � I � ��D � � �' z m � � b � � � � � °�, Gd o � � ` x � ro � o �, r � � 7�d � � C � � y I � w o �� o �.. O y y o � � .�y o � � � . � . . � : • � . : �: : � : : � : � � o n° {H {fl � � � � z � � �' ►�! O � � � � � � � � 0 � 0 Q 0 � � � � � O M 0 � w w p' �' IZ C3. ni o 00 �� o � � � � �7 ' � � � � m M � � � `� � � � �� 0 0 � � � 'dd F�o � �� en ca o 0 O O O O tn �n tn vi M �� m `p � � R° R° � m �n �� '�� °�� n Q �'' � � � � bd °' b' : y o ,aa. � : G ., � C : : � 4 � : : 0 � : : : � N�� o °o o $ o° �» �» rn t�n � 9 a � ° m � � � � � � � � � p K � � � � � � � g� � � � � � o � I �� F+ F+ m m I � � ��S � � � � � �• A � � R° � � � � � � � � � �� 9� �� , ro � o a. � � � � � . . w . . � o : ; O � . . O . . O ' • • ��O O O p c�s vs �s O t" �' A G. R.� e`�� O '� • �. � �° � � � a�� o� �� o� ��y �, � � �5'm ��K� ��E�'t m �¢�p �� , � P� �`� �ro � �� l�D►�! ;�� M � � lD �. n��, � � rD" � � m y _ m C m � �, oe � a 0 �� .a L � � � � �".'i �i �i � � a� �� •I � 0. Q �� _ � �� •ey � � ' � e� e� e� a A „� � �'. � � � �i � d � � �� i: -.�_ i �d6 .,_ �� ,42 HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS F'RIDLEY, MINN. ' Weatherstrips A.S.H.V.E. Construction No. Insnlation Guide Windows Doors Reference Out. Wall Int. Wall Ceiling Roof F7oor Kind How Applied es No I Yes—No 19.� � � e Fl.� Room � Length o Width / Heigh�'� FI.� Room Length � Width /Z� Height Windows d Doors—Crackage and Area Windows and Doors—Crackage and Area �Vldth Helght No. ot L1nea1 f. Area Wldth Helght No. ot Llneal fL A�es No. ot pane o[ pane Iigh[a ot crack eq. [t. No. o[ Dane ot pane Ilghts ot crack sQ. tt ..+j' �ii' / So. Il �� y �� _ i _ �/ fl �� Coef. Btu InGltration d� � � Z Glaas y — � Exp. wall Net exp. wall � � J�j � lnt. wall Ceiling �p /� �� Eloor Total Btu. 9' Required sq. ft. E.D.R, or sq. ins. W.A. L.eader area �/ F7 oom � Length Z Z� Width �� Height � Windows and Doora—Crackage and Area WldZh Halght No. o[ L1nea1 it. Area No. ot pane ot pane llahte ot crack �. tt. � 2� 2�.� — � � � G �� or , q � Coef. Btu In6ltratioa ,S% � Glaaa ,zZ Fsp. wall Net eap. wall Z,2Z,� �� Int. wall Ceiling � � Floor Total Btu. � Required sq. ft. E.D.R. or sq. ins. W.A. L.eader area F1. Room � Length � � Width `a � Hei�ht �/ Windows and Doors—Cracl�age and Area Wldth Helght No. o[ Llneal tt. Area No. ot pane ot pane Ilghte o[ cnck sq. it. Z 31- � , � , � �� , u Coef. Btu lnfiltration � y� � � Glaaa .� / - ,/� Exp. wall 6 Nec ezp. wall , � � Int. wall Ceiling (� � � p Floor Tbtal Btu. ,�' Required aq. ft. E.D.R. or sq. ins. W.A. L.eader area Infiltratioa Glaas Fap. wall Net esp. wal! Int. wall Ceiling Floor Total Btu. Coef. Btu � I �s /3� c� � .73- Z '� -�-� � r�.� �m I�og� �� w�a� i Hei�ht r 1�/indows and Doora—Crackage aad Area Wldth HelghL No. ot Llneal !t. A�ea No. o[ pane of pane Ilghts of crack eq. tf. v 3� �� > �/,yl�/ Infiltration Glass Eap. wall Nec ezp. wall Int. wall Ceiling Floor Total Btu. /�,�/�� Room I L.ength�' /_ VUidth7/ Hei�hc �/ R/mdowe and Doore—Cracicage and Area Inhltration Calass F�p. wali Nec cap. wall Int. wall Ceiling Floor Total Btu. Required aq. �oef. Btu ifi :�� 2� h. E.D.R. or sq. ins. WA. Leader area �� il� � � � e � �� o; p M : y : x : � . m : m • M . O : � . m � : � : � • . cn N � a � � � a � y � W c�i �� o � � � N � o � o $ : o . . Q : : 0 �7 �C �4 N r � °o 0 0 � � � H H �1 � a � ro � o� z��z�zx e � � � � � � y� �� o � �� ro : R' ,Q y � a N : � �• : � bd _o° : � : R � ' � : : � � : : : : ' � : : : : : � : : : : � o �C ,k' ie k i9 k � � w n� w r� � � e�» °c c�i� °o 0 0 ,.'ba � � � � � � ��1 � \H • �, � � U�� c 0 � x � ; � D � r � m N n _ m C r m o � o y R' � cr a a. � . f�D ry f! � � M a °� bd � � �� R�. 05 � � oa � � � � � � �� . � � � �� ¢� m �s �, d �� co � OQ � �o � � � �� ' p � � � � �,�,y O � i�'i b � �� pq �� 0 �p'op � a, o M pp�� y m l D � � � R. � � � F.`y.' �. ��y �� '�o � � � � mc� � �" �K �� ° � � � �� A �, � � � a A x iz �°n n � °'" O� M Dd � m � a '0 � �i � � � � �� ' . d �. �- � m � � � M � �. ro � o � � A +► L�. A V O � �a�� ! 1 City of Fridley, inn BUILDING PERMIT DB�: MAY 25, 1966 p��; RICHARD SLOSS g�� R2CHARD SI,OSS Adere� 1316 �rtr.r.r.uFST DRIVE N E A� F��, r.¢�m.a�ESOTA 5s421 LOCATION OF BUILDING �� N° 8861 No. 1316 s�t HT'�':r.r�ttFST DRTVE N.E. Part oP Lot I.ot - �L _ Block �_ Addition or Sub-Diviaion MOQRF T_eu� urr_r_� Corner Lot _ Ine�de Lot — � . Setback Sideyard Sewer IIevation Foundation IIevation DESCRIPTION OF BUILDING To be vsed es: SIIN PORCH �t s ne�, z12 ��,�,t � sq. �c. 168 cw. � 1�� F'ront Depth ITeight Sq. F't. Cu. Ft Type of Constructfon '�A'►�' Fst, Cost _$850.00 To be Completefl In con�deration oP the issuaace to me of a perinit to construct the building descrlbed above, I agree to do ths proposed work 9n accordance with the d�scription ebove set forth and in compliance with all provisione of ordinances oP the dty oP Fridley. �� In coas4deratton of tLe payment of a Pee oP � 4.00 ,�t q� h��, �� SLOSS to conatcuct the building or additfon as descrlbed above. Thfs rmit fs granted upon the express conditloa that thepe�on to whom it ie greated and hfs agente, employees an�worl�en, 9n all work 8one in, around and upon eaid building, or any�art thereo� shall conform 9tt all respects to the ordinances oP wi�Fridley, Minnesota r�agardlag �tlotn�� ct[��al t a�time u� ola�ti a�aa,y of �vieions oP�said � dty ]imits and thia �� _/ . ��Y� :1 � �.y•:�,N.�� NOflCBe 'Ihb pwmit doa not �ovu � �oeitroaH�, hahWtloe ter �rle�, ptum6leo, oa� 6aNe�, aw�� or wat�r. B� �uea te a� tln dulldlnD let�sr 1or apvata p�mM� for f6�a N�mt. APP`LICATION FOR BUILDTNG PERMIT CITY OF FRInLEY;.MINNESOTA OWNER' S NAND: ��r�1Z /�� BDILDER �+�� ADDRESS f3/� �ti�.��Q,�tv.�.� �• �_ ADDRESS _ „ LOCATION OF BDILDING N0, STREET PART OF LOT LOT BLOCR ADDITION OR SIIBDIVISION CORNER LOT INSIDE LOT � SETBACR SIDE-YARD SEWER EI,EVATION gOpNDATipN ELEVATIQIy Applicsnt attach to ehis form Two Certificates of Survey of Lot and propoaed buildiag location drawa on these Certificates. DESCRIPTIOR OF BDILDING To be used as ; � , �-r�t1 Front�Depth �4.� eight � Sq. Ft._ � � � Cu. Ft. — � Front Dept �.�Height Sq. Ft. Cu. Ft. , � Type of Conetruction__ �.e�� Estimated Co�t �`.�� . To be completed� �� Q�r.r� The undersigned hereby makea application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulinga of the Degartmeat of Bui.ldi�gs, and hereby declares that all the facte and repres�ntations stated in this applicatioa are true and correct, DATE � gIGNATpgE �� (Schedule of Fee Costs can be found on the Reverae Side). 'a . � . � � � ��` �� 1� � „ r � t� - '�. BIIILDING PERMIT FEE SCHEDULE 3ECTTON 2. The Inapector of Buildinga shell, before isauing any permit for the erection of any building or structure, or for any addition to any e�istiug building or structure, or for any alterations or repairs to any existing building or structure, upon applic�tion therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein providefl tt5-wit; 2.1. For any such permit for the erection of any fire-proof building, othei thau a garege, wasehouse, factory or grain elevator, or for the erection of any fire-proof addition, for aimilar occupancy, to any existing building, ahall be at the rate of $1.40 for each ane thousand cubic feeC, or fraction thereof, in auch cubical contents. 2.2 For any such permit for the erection of anq fire-proof garage, warehouse, factory or grain elevator, or for the erection of any fire»proof addition, for similar occupancy, to any existing building shall be at the rate of $1.25 for each one thousand cubic feet, classified as "fireproof°1 by Section 502 of the Minneapolis Buildiag Code. � HOIISES 2.3. For any such permit for the erection of any non-fireproof building, other than a garage, warehouse, factory or grain elevator, or any non-fireproof addition, for similar occupancy, to any esiating building � permit $1.00 for each one thousand cubic feet. GARAGES 2.4. For any such permit for the erection of aay non-fireproof garage, warehouse, factory or graia elevator, or for the erection of any non-fire-proof addition, for aimilar occupancy, to any egi�ting building or for each such building or addit3.on - niaety cents ($0.90) for each one thous.and cubic feet or fraction thereof, in the cubical contents thereof with the minimum of $4.00. For the purpose of computing fees for building permits, the cubical contents of any building or addition to a uuiform heighC throughout by mu].tiplying the ground area covered from a point six (6) inches below the floor line of Che baseanent or cellar to the average h��ght of the upger surface or to the average height of the roof surface of the main gable of a pitched roof. 2.5. For repaira or alterations to an existing atructure, the fee shall be at the rate of $3.00 per each Five Sundred Dollars ($500.00) or fruc`�ton thereof in the cost of a11 proposed work. 2.6. Tn no case 8ha11 the fee charged for any permit as set forth in Section 2 be less than $4.00. STORM REPAIR DAMAGE FEESt ResidenCial; Estimated Coat of work up to 5��;�1.i!0 - 5,.�0 Estimated Cost of wox:: c;:��,: _;;st �. _�;� .. �' „�^0 _ � .t : Coffiercial; Es timated �oe t o': c. »��i=. sa;� t� c, C a �,�; s;;°� w�? �r'°,� „ Estimated� 1st of y;�r�c o�;�t� ; ±C��.f)v - $�i3..yJ , -``, - ,� _ _ x. , t < ,'�,, ' . �.. .� �, _ ��, � � m � m � O � � � N ao � � � p A � O � x r�� y x x � y r � o � � °z x x � � � � O � � � Z � � � � � �Q � � o � � � m � � � o �, y r M w �i !w/J a � P'� � � a� ¢ � � °' � � o �d p�' � K„�1', ,� � y � m °; � dl '� W o o �� y o w w N � y 0 � � 0 0 4 ,� o�. � �� 0 � . p .� ti �i • . � y � . � M : : : � � : : : ' � � : . . . ; � : . . . ; � � E� : � . oe ae � o � N � � a o Q � o � � � � 4A ^ � � � �.�i o b � o m � � � p � � � � � � x � � � � b � �o C� b w � � � � � 1 I � z � � o � b b � A � � 0 � � M O � .�� 0 � � � � 0 y w w � � x x mo a a `� ° x � � O 0 0° ,.��'.. � ~] �a si R° � y � � � � � �� O � � � � � M : � � . . eb v � � x �d . . o � : : � � : � : � N N � � 0 0 0 0 0 Efl {ii {!! iA {H � � �. � � 1 � � �z 0 � a � x � ' � O � m � z 0 "�. � � � �Ox� � ��o��S � '� � � � p7 01 m � �'�� !� R° �o $�� R° R° �� y � � � � � p � � �+ � '� a `. C �ro � �' o' R° � � � �* (� �, FL k� � � tx �' r� � �I �y p � j o O e� ib tn �� ,��o a� � : pd �' � : p�. ,�Q,. � � c u� v, ' : u, � : . '"'� a o : w °o : ' � � o . : g � : : o ,o° $ : : OO: . . � � � � : . . . . . . . N � � N � � w � � � O O O O O O O O p � � � � 0 � �' a f) y 0 � �M bd � on aa� � �-�i t~D � � � O b�,�� y�p �, �.,s� � !� � do�¢ � ��o ��• ��o � „� pp�`C ... � ¢ 0 � �� m b�� '�� a�� a�m,x a� a �+a' o d�p� �� . a � �, ��► �y(DM �� B "�� .. � m � �� % � � G' a e D � r � � m H 2 m C m d � �. m � x � m � � � �. � ' � O � �' � � 0 � �i � ' � •'w W � ■ � �N � � d � A � �� O D � � � � .i 9 d ,��,�-...�, �� .� �B_} j ��`� � � `' � , i.�, ��'� � _ _, • � �i : _ �" � �� , � f� ,-� ; � c ; �� o � � w �1� � , � � � � � � � � M �� 7 P -� �. r � ". � � � �� . j3� � '' : , � �: ' 3 . �_ 'r ,� Y 5 ... '' 1 � +. � s:: � � rt � '� T \v � � �� °aV ' � «� � � � � x� n� � � � � � � � � � �� • � � �� • � � I . � � l• � i'� � � � � � � � � � � W V � »««� I V y � �� o o �. �a �n 0 I � � � �' � �' � �� D O � � � o � � « � I� � a � \ �� •� rj � r � a � � � M r W v QO W �. Opi7� ,� r � � S `� O � = o � � A ^ � � � � � � � � � O p W � a .� � r "'� �� , �� a a � � 5C ,,n cn p N "' � n •,� � a� R° k' � x � r r � � 5 C :7 � " � � �r o S a x � � � � � � � ; �'1 ~ � C+1 � � b M � 0 � � � `�1 (R !it ;+7 O O ��s� �� ; . O � m � � � « � � z Q 0 � � 0 � � y7 3 m n � � � �b.'� �� a R� � � � a a « � � � "_ � y � a a � � � ° � € � n � � � � 7 � 7�' m � g � �p � O C� � � ; 9 . g � � W Q1 41 4; Q $ss�s a �� o� 0 p � � S � � �. � � �'� �� 1 ;� � � \ � !. � � � � i� 1 i � V � �� '� � . m � � � � � > a � � � � � � � � � ' � � . u � • '? c � �p S � ry_ m s �� a $ O $ O S ' W W 9f O � �� w ao �+ aa� ,� �� 'e _. R ,� ��0. •� ��, '�°��a � �� 3 y �� o�. �ti .°:� a� ��o� ��=`� N 'o "( � �� O1 � b�� ] M � . �v�iAA p � S: � �� "�� O °1 � � � � O. a �� M �� O � � A � �� a � � � i° � ii�� 6� � � � � � � �. � � � � � s . e � ac� � � � � � �� s �� sF��. CSJ�p � ' 9 �� l�� -� � �: �� HEAT LOSS CALCULATIONS DEPARTMENT Weatherstrips A��H'V' ' Construction T Guide Windows I oors Reference Out. Wall Int. Wall Ceilieg es No Yes ' No I 9— �: �: Fl.� "'" �- M Room � Length ��„ y;� Width x�; Height '" Windows and Doors—Crackage and Area � \Vidth Helght No. o[ Llneal [. Ares �� `:�'�'�'`=� No. ot Dane ol Dane IfBhte ot crack ea. tt. , M1 i �f�rl� '� � � � R a. � .i � � Coef. Btu In6ltration � � � ' Glass :� � - � � � Exp. wall � � ' 3- �;� Net eup. wall ___ _ _ � � 3 a�- � "' m �' Int. wall Ceilin8 � t i � �, � �E � � Floor � ,�. �' �.�,�;,�� 7'otal Btu. ` '° ..�"r � Required sq. ft. E.D.R. or aq. ins. W.A. Leader area F7.� Room � Length � Width �+� Height ;� Windows and Doora—Crackage and Area + Wldtd Helght No. ot Lineal f� Are� ��' "`�� No. ot pane ot pane Il�hts o[ crack �Q. !f» �k �"F � � �. 7� ��- � '� ° p � � � � � *1 �. 'l% �'_ Coef. Btu Infiltration �'" � a _ � �8l8 3� .- <.�� , �,. Exp. wall ,� � t� �, Net e:p. wall ;;� �,.. � P � Int. waU Ceiling a*� � 4��, 1'�' �',�° Floor 1° {: f s w�' y�+,�1� Tocal gcu. - _- - _ '�� Required aq. ft. E.D.R. or aq. ins. W.A. L.eader area Fl. a��. Room � Length �, Width x Height Windowa aad D�ra—Crackage and Area Wldth Helght No. o! Lleeal [t. Area � In�,�-. y,, No. ot nans ot vans Iltht� ot � Infiltration Glaaa Exp. wall Nec e:p. wall Int. wall Ceiling ---r- F Ipor Tac— �I Bt � __ -_ __ �� sq. ft. E.D.R. or eq. ins. W.A. Leader area � � ��o� / ��p�?� : � e� � :'f � ,iw�TM A�:`p ; C� �k 4 �' � � �� OF BUILDINGS o, Insulation Roof Floor Kind How Applied Fl.) Room Length Width Height Windows and Doors—Craekage and Area Width Helght No. ot Llneal tt. Area Na. ot pane ot pane llghte ot crack eQ. tt. Coef. Btu In6ltration Glaaa Eap. wal) Net e�. wall_ _ _ __ _— - Int. wall Ceiling Floor Total Btu. Required sq. k. E.D.R. or aq. ina. W.A. l.eader area FI.I Room I l.ength Width Height Windows aad Doors—Crackage and Area Width Helght No. o[ Llneal tt. Area No. o[ pane of Dana Ifshb ot crack eQ. tt. Coef. Btu I��tlBitOO �88s INet ezp. wall Int. wall I Ceiling Floor Total Btu. Requued sq. f� E.D.R. or aq. ina. W.A. L.eader area F1.� Room I Length Width Height Windowe and Doors--Crackage and Area Width Hel�ht No. o! Llneal [t. Area No. of pana ot paae Il�ht� ot craek �p. tt. Infiltration Gla�a E.up. wall Net e:p. wall Int. wall Ceiling Floor Total Btu. _� �� W. h. E.D.R. o� sq. ias. WA. L.eader area Btu �°i H y z u y o 'O � 0 o H v°z t9 ay c� �v w w 'fl � ii w �' � m w a�� c o rt � a p, n � s n n n E n� w`� t�i� ►�r'• w ►..a �rt c� n r►fDi � ro�i �, E � o c" � a� ''" �,�i � o w uwi �� M � o �t r rr � � a n o rr r• p.t r�t '� y' 9 O M� M " r � °„ � � � K f" N O + p� � r % N M I�t � M H 1 O W a � o � � c cn x o c�+ a� � ° o m� �' w a o � �u n 0 0° a � oo r� w � � K (Z11 H � ►µ�' `� O � � tytl �--I a a , � o o �c N a o � w� � r � . �� m � � . .� x C M G I I ,o i n I I I rn I I I I m x x x x x x x x x x x. x i/l N N tq Y N iA N N N!-' N tA N tA N � N N O F' W lJ� U1 �l O l/� U� N N W O O O O O O O.O O O O O O O �3 O o O o O O O O O o O o O O [� N N N N �' . o° � M z N C `3 M M M 0 � � c � z � M � H N � � N O ifl N N N tA N fA N tA iIl i/l N H O a r 0 � 0 .b r 0 � ro n � H � � � N t� H z N ro � d � �q m ; N 0 C x H y ro H m C� ~ � ro o °' � � . � � Z � �� O ' a w N r Storics : p � n. a n n o .� cr � Closets C M � Uzinals H � r� o Bath 7Vbs � m IIasins � a o sinks O � � � n Wash Trays � M. � Drinkinq `Q � ��p Fountains c+ Showers n �, Fl�r Drai 0 � � catch � �t � � � 1 � � O F�-� � Basins n � Automatic � p' Washer r � Gas Appl. D "'' rtisc. Fixt p Z w � Gas Range � n E x �° H Other � E " ' �' w � b3o -.�G � KK .. z � � � T � y � y�J z H3 tr1 G O Z H O ai M S C m c o � � H Hy � G�� czi I ro ° I, � � � � � H U� I� O � • � . `' r � � �. � ?0 � d 0 O � L��J a z ty T � G7 ►-� D C .•e � �/1 m N H f) l� 04 , � � � °' c�Di x ~ � a °r -"�i Fq /{ W fD F�T'{ S� ..r Q F• FM�- G l�J� M 8 W 'Z � riY, � a a � h7 � f�D N N W�i W W K fil � m p' r�n m w o t~o � `3� 'fDO � � w � w � K �o w � ; '�O � � W na ats m F' w K o '< �-`' a � � � g � w �r�c E M � M%,� � m o. W y w t'i �7 :� ►•- a w m � � � M W �� t�n O � F� . N , � M 1� �`'�1 '��O a O � F � � ►~�- m [~L 'tl LTJ � � n a � � I� �� ' � � N w M F-� M ►�p��' S' �1 � b� �t rt '�,► . � ►� a t�o � • � 'J Y � �p :� A �. �c' I�a►�'-�an � a � sue�ecT , PE NO. City of Fridley _ 19 8 4 3 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r � � EIPT N � `y � COMMUNITY DEVELOPMENT DtV. � �� r � � � PROTECTIVE INSPECTION SEC. 1 . � � � /"'1 � CITY HALL FRIDLE� 55432 NUMBER REV DATE � PAGE OF APPROVED BY �•__.� � ,•� 612-571-3450 910-F15 4/24/89 � / JOB ADDRESS 13].3 H1Z�.CrG'S't Drive N.E. 1 LEGAL LOT NO. BLOCK TRACT OH ADDITION SE� ATTACHED DESCR. ].1 4 Moore ?�SC: H].�.�.5 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Robert Al1ie 1313 Hillcrest Drive N.E. 571-7010 3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO. Rick's Roofing & Siding 77 Second 5treet SE, New Brighton, N�T 55112 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PNONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZiP PHONE LICENSE NO. B USE OF BUILDINO Residential 7 CLASS OF WORK O NEW ❑ ADDITION ❑ ALTERATION C� REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof Dwell'ing (13 Squares) 8 CHANOEOFUSEFROM TO STI PU LATION S Roof can be 2nd layer but not 3rd. On all new rc�c'=.`� �- +^-�-^"� ..^a r�^l�cerrtent roofs,, State Code req��:.c ,':t�-� :��;�� . �'�f i� Ib, felt, mopped together, te _ irs: a.:;;d �o a Roint 24 incf� � 'up fr�n exterior waf� I:ne, or the use of othe� appraved underlaym�nt mem�rane. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATtNG, �PE OF CONST. OCCUPANCY aROUP OCCUPANCY LOAO VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OH 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 CORHECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ,ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $650 yS. 5O 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 PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. S�-9.00 PLAN CHECKFEE TOTALFEE $19.50 SIGNATURE OF CON i RACTOR OR AUTHOR12ED AGENT IDATEI WHEN PROPERLY VA ATED THIS IS YOUR PERMIT �Q.�- b SiGNATUREOFOWNER�IFOWNERBUILDERI IDATEI BLDG �NSP aTE � �� [ ] �'i'� [ ] Construction Address: � ��►: _ owr�x xame & �dre�s: Contractor: _�� : � �7 � �, R-1 AND 1�2 Huilding Permit Application i �� L� �{ �r� �� -��-r�� Sc�e t/�J Effective 5/1/88 ! �� ,�� s �. # -� i l- ��0 �.# -�l�S —�� ".�7ra. Attach to thi,s application, a Certificate of S�vey of the lot, with the p��osed oonstructiari drawn on it to scale. �C'RIPrI�T OF II��liOVH�Tr LI�TII�1G AREA: Iet�gt2i Width Heic�t Sq. F't. C�RIAGE ARF�: I�,ngtti Width Height Sq. Ft. D�CR AREA: Lengt�l idth Hgt/GrOUrld Sq. Ft. �: � .P R �, �, �, i �, _ 1��— ' C.brner Iot [] Inside Iot [] Ft. Yd Setba%k Side Yard Setbacks Zj�e of O�nstruction: � p �e�o � Estimated Cost: $ %f� � �[v� <J Approx. �anpletion Date: � - � � -- � L'/ —'T ;� Pro�c�ed Driveway Width If New Opening Is Desirad: Ft. $ $ � Width + 6' See Ha,ck Page ' �- OATE: ' .� APPLICAi�r: !'1 � e �. �' Zie1. # � � � � � S � Permit Fee � g / � DO . state surcharge $ S� sAC charqe $ Driveway �scrow $ Park Fee $ sew+er' rlain c�arge S . �. srix�zz�: $ /q. ��a .��5' o� ' � f� �2� CL'1R � ��II,Y Fee Schedu].e an Reverse Side $.50/$1,000 Valuation $s7s per s�AC Unit Alt. °A�� Ot Alt. nBn AboVe � Fee �eteYmirzed bY �1i�'�9 Agre�ent Neoessary [ ] Not Neoes.sary [ ] ;� 4_ �, � :�� • :�•. � °�:�- ;-�:i �� he Chief Buildirg Official shall, before ��Q>i *� permits for the erection of any building or structure, or for ar�y additio� to ariy esdsting building or structure, or for ar►y alterati6n or regair to ariy existing building or stzucture, u�pon application thexefore, require the payment by the applicant for sucfi permit of fee.s t� the amount herein belvw set forth and in the manner henein pmvided to�,rit: TO►rAL �TAIIJE $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 � a. $15 (Mini�� Fee is $15 plus surchaxge) $15 for first $500 plus $2 for each additional $100 or fractica� th+ereof, to ard i�luding $2, 000 $45 for first $2,000 plus $9 for each additional $1,000 oZ'iTaction 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 fiust $50,000 plus $4.50 for each additional $1,000 or fraction thereof, to arid including $100,000 $639.50 for first $100,000 plus $3.50 for each additional $1, 000 or fractiori thereof, to arid including $500, 000 $500,001 to $1,000,000 $2039.50 for the fixst $500,000 plus $3 for each additional $1,000 or fraction thereof, to and including $1,000,000 $1,000,001 and up $3539.50 for the first $1,00O,OOU plus $2 for each additional $1,000 or fraction thereof �tIV�IY �PRESSI�iT �W . (�ete Gt�rb Streets On1Y) Alternat� "A" : Remwa7, and replaoe�oent of curb arid gut�er aazly - DriveWay width plus 6 feet times $13.50. Alternate "B" : Removal aryd re�laa�aer►t of curb ar�d gutter and install a 3 foot wide approach with 6 irx31 depth - Driveway width plus 6 feet times $15.75. • :�- .- �� .; . - -.�� . � .� P�mits foY' �tiaa� will be ]ssued a mi*»�m+ of 24 ho�1Y's fl� the tlme of application to allow for prc�er revietia of the pro�d stnicture and of the ooa�struction site. A Certificate of S�rvey of t12e lot, st�vwir�g the locatioai of the fa0.urlation or�ce it has it has been wnstruc.�ted will be required before prooeeding with the fYamirig. > . �� sue.;ECT RMIT NO. City of Fridley 3 016 4 AT THE TOP OF TME TWINS g � I L D i N G P E R M I T i � � �`V �� COMMUNITY DEVELOPMENT DIV. IPT NO. ! � � PROTECTIVE INSPECTION SEC. ,I—i�� 1 = � �� LJ `---.� ��,•� CITY MALL FRIOLEV sj�J2 NUMBEF NEV DATE PAGE OF APVROVEO B� L 612-571-3450 910-F15 9/2/99 / / J08 ADDRESS 1316 Hillcrest Drive NE t LEGAL L.OT NO. BLOCK TRACT OF AODITION SEE ATTACMED oesca. 31 3 Moore La.ke Hills SNEET 2 PROPERTY OWNER MAIL AODRESS ZIP PMONE William J Donohue 574-1593 3 CONTpACTOF MAIL AOORESS ZIP PHONE LICENSE NO Owner 4 ARCNITECT OR DESIGNER MAIL ADDRESS 21P PMONE LICENSE NO. 5 ENGINEER MAIL ADDRESS 21P PMONE LICENSE NO 8 USE OF BUILDING Residential 7 CIASS OF WORK ❑ NEW O ADDITION O ALTERATION � REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Reroof house and ara e 29 S Tear-off 9 CMANOE OF USE FROM TO STIPU�ATIONS Underlayment must comply with the State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD SEPARATE PERMITS AFiE REOUIFED fOR ELECTRICAI. PLUMBING. NEATINfi. VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WOtiK Op CONSTFiUCTION 20NING SC. FT CU FT. AUTHORIZED IS NOT COMMENCED WITNIN 80 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 OAYS AT ANY TIME AFTER WORK IS COMMENCED. NO DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIfV THAT I HAVE READ ANO EXAMINEO TNIS APPLICA710N STA��S GARAGES AND KNOW TME SAME TO 8E TRUE AND CORRECT. A�L PROVISIONS OF IAWS yp�UATION SURTAX ' AND ORDINANCES GOVEFNING TNIS TYPE OF WORK WILL BE COMPLIED WITH WMETHER SPECIFIE� HEREIN OR NOT. TME GRANTING OF A PERMIT 25 5 1 2 DOES NOT PFESUME TO GIVE AUTMORI7V TO VIOLATE OR CANCEL THE pEqMIT FEE SAC CMARGE PiiOVIS10NS OF ANY OTNER STATE OR LOCAI LAW REGULATING GON- STRUCTIpN OR THE PERfOFMANCE OF CONSTRUCTION PLAN CMECK f TOTA F E ON'AACTOpO UTMOp�2 G NT �o�rE� EN RO ALIDAT HIS IS V PE IT � �� S�GNAT (iE O� OWNEA ��F Q NE B ILDEAi �D�rE� B� S ��pTt -� ., rr�w � � ADDN ALTER Effective 5/10/99 [ ] CITY OF FRIDLEY � l SINGLE FAMII.Y AND DUPLEXES R-1 AND R-2 BUII,DING PERNIIT APPLICATION Construction Address:- Lega1 Description: Owner Name & Address: Contractor• Address: � LIVING AREA: GARAGE AREA: DECK AitEA: OTI�R: Construction Type: MN LICENSE # Tel. # Atta.ch to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. Length Length Length DESCRI�'TION UF IlVIPROVEIVIENT �^ ��- \ �� Width Height Sq. Ft. Width Height Sq. Ft. Widtt� Hgt/Ground Sq. Ft. � ,�, .� o ,✓ ll,�►�A � 9 � , � Estimated Cost: $ �,��^ Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ � DATE: Z/Q� APPLICANT: f Tel. �# �/ ��3 Permit Fee �ir� Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ v3. �s.— $ a• sz/ $ ,� $ $ $ $ $ $ $ �� CITY USE ONLY Fee 5chedule on Reverse Side .(�1 of Permit Valuation (1/lOth%) $.50/$1,000 Valuation $1050 per SAC Unit $5.00 (State L�icensed Residential Contractors) Alt. "A° or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] .= - - BUII..DING PERNIIT 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 $100,0� $100,001 to $500,000 $500,001 to $1,000,000 $1,000,001 and up FEES $23.50 $23.SU for first $SUO plus $3.05 for each additional $100 or fraction thereof, to and including $Z;000 $69.25 for first $2;000 pl�s $14.00 for each additional$1, 000 or fraction thereof, to and including $25,OQ0 $391.25 for first $25,000 plus $10.10 for each additional$1,000 or fracrion 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 additionai $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 $1,000,01� plus $3.15 for each additional $1,Q00 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete C�rb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $15.50. Altemate "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 $23.25. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed siructure and of the construction site. A Certificate of 5urvey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. � D m Z ' � � � m � � -n-I . 0 O � ° z o � m 3 � Q � N o m g 7 'Q 3 (fl n � v n. �° � m � � N � � � � m a � O � m „ �F m o � �� ` m --1 7C O' C � � � v m T n rn � � � � � S � � � � v � � � �� z `-° Z 0 � m �' v � ��r � V ^\ � � C`� x � Z � � AZ � � � ��'^ :� � O D r rn m � �� F � 0 � c � w � � � �� N c°-D z � (D ■ l� � Z 0 rn v � � N � O � O A N � � `D a o � � 1 a � A1� � A � O 0 � � D O Q o � < C � �� O � D � � � � � � � m o � � O O � � r � -� � Z D c� 3 � � � � � o m Q' — �o Z= � � a�i cu = 1� cn � c �'� N � _ o � n � �A m o � � � m � � �� o m o.00�. � ' o � .-► � � � � D D n 0 � Q O � � cfl � D v� m N a�i N v � � � N � � t0 (D � � � N � � C11 O O g g g � � � "� � m � � v 0 � � l` � m � � � Z 0 ii tr�� C 6 � C � m v � \ � 0 � � rr � � � � � l � D �7 � N � � � � � � � c�'o . Q -o w � � � � S A1 � c. � 3 _ r. �, � � .��.. '�. Q' 3! c �p � � � � � � � O N � � n �� m e�i � m � v ' � � O � � g g Q« m t� ts� � O �� m 2 -n � a � � � �N�= � ° °- m .�., ? � (�/ � � � � � .� ��.� � p: II; � � �� O � � �o� ? �• °' 3 �n o m � o m '�D� � � N � Q � a a o � � � � m � ��'`�� 2 � o 0 m � � su ��' � � � �o �� s -. i# r' m� � m m n n `� O N n � � T�]= � '� ii. VI � `�' > > � fl. � n 2 m v Cr �7'1 O � g � rn � � � � � a � N p. � � � � 0 � � � T � Z �� T � v+ � v w � � Z Z m � i�i '_1 � Z v 5 � O Z � C m a � O Z Z � Z � � � D � � Z � v� �� o .� zN z� � �n v � � � Z �� 08 � O n C z �� D O z � � � a 7 ¢1 7 � � � J co <o � �� ' �� b � CHIlVIlVEY AND STACB VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes (°�'� No () 2. 3. Is free from n�st or deterioration Has no foreign objects lodged within 4. Is securely supported . 5. Meets all currenf Code requirements f'or saze and total BTLJ's connected 6 7. � Has total heating BTLT's of �� v� All other BTU's �� '`� TOTAL BTU's /c� -� � �-°� Has a liner been provided for water heater Has combustion air been provided for water heater Remarks: Yes ( � o ( ) Yes (�No ( ) Yes ( �No ( ) Yes ( �No ( ) Yes ( ) No ( ) Yes (.,j� No ( ) �,ist A-i.�ERt��'IC3�i� �e-:i�� -��: _ HEATING CO: Signed By: Date: -�. - - _ _ C[ZYOE FRlDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(612) 571-3450 • FAX (612) 571-1287 August 9, 2000 William Donahue 1316 Hillcrest Drive NE Fridley, MN 55432 Re: Final Inspection at 1316 Hillcrest Drive NE Contractor: Lakeland North Heating & Air Conditioning, Inc. Dear Mr. Donahue: A mechanical permit was issued on June 25, 1998 for the property located at 1316 Hillcrest Drive NE for a furnace and an air conditioning unit. According to Section 305(a) of the 1991 Uniform Mechanical Code a final inspection shall be performed on the mechanical system. As of this date no inspection has been called for. You will be given thirty (30) days from receipt of this notice to respond. If we do not hear from you, we will expire the permit and any inspections on this installation will require a new permit. Any questions can be addressed to myself at (763) 572-3603. Sincerely, ► / .�/ �_� .._ . , - ��. : • � •- • Building Inspections 763-572-3604 763-502-4977 FAX BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY EFFECTNE 1-1-08 Permit No.: Received By: Dat��:� DATE O /( �� YOURE-MAILADDRESS �Po/i11��L-�K19�/LV� 1� j��0�a1CI�GiC�C�cG�ClP�/r'cl/.Bd'� SITEADDRES (3 G, /��/t�r�5 l7r'i�'C � �i2��LC-�y, /�/lN S 5"`/3L THIS APPLICANT IS: LtJ�OWNER �CONTRACTOR PROPERTY OWNER/ NAME:� CV i/� O �/� (/� TENANT pnDltESS: ��( i �%�'S f• cr[�t �� L L�I� CTATE /�tl�lir � S'S�� Z �7 _ -- PHONE: ( i0 � .S % c'O— /} (° � � NAME: CONTRACTOR .4nnRSSS: CrrY STATE zu� SUBMIT A COPY OF pHONE ppX YOUR STATE LICENSE STATE LICENSE # EXP DATE PROPERTY TYPE PERMIT TYPE TYPE OF WORK: L�'SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES ❑ ADDITION ❑ GARAGFJSHED INDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE D DECK ❑ SIDING ❑ OTHER � SWIMMING POOL ❑ NEW HOME CONSTRUCTION O ADDTI'ION 0 MAINTENANCE/REPAIR L9'[lEMODELING DESCRIBE WORK BEING DONE: F�o FZ�.�S V✓�N �0 Vie C� N �'3 f} S� /�I E/V%� r ir SIZE OF IMPROVEMENT LENGTH !� WIDTH r� HEIGHT �p S FT L ROOFING O HOUSE ONLY BASEMENT REMODELING SUBMTf: NUMBER OF SQUARES O HOUSE & GARAGE l, Euisting Floor Plan GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of struchual members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffit ADDITIONS. & PORCHES SUBMTf: ❑ Aluminum ❑ Trim 1• Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia and proposed project. 2. Two sets of construcdon plans WINDOWS 3. Energy Calculations IN EXISITNG OPENINGS L9'�'es �No LOCATION OF WINDOWS OR FOR NEW OPENINGS-DESCRIBE SIZE OF f3�l�S'�M FNT �l%��T .S�/ /� r OPENING CHANGES & / TYPE OF WINDOW TO BE INSTALLED �� /�[ �� NUMBER OF WINDOWS � ALL FEES ARE BASED ON VALU ION, INCLUDING THE COST OF LABOR AND MATERIALS: S THE 199 UBC FEE SCHEDULE) TOTAL JOB VALUATION $ D 4°=� OCCUPANCY TYPE Permit Fee $ �� S"� See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ ,�� ,°�'� .001 times the total job valuation Surcharge $ e y,� .0005 x Permit Valuation Minimum $.50 License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ � $1825 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft+ 6 ft= ft x$21 =$ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ �� Agreement necessary () Non Necessary () Total Due $ .= ��" Make checks payable to: Citv of Fridlev Attach Stinulations THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; I unde d this is not a permit but only an application for a pemtit and work is not to start without a permit on site; that the work will be in accord th approv d an ' the ase of all work which requires review and approval of plans. SIGNATURE OF APPLIC � � f �G PRINT NAME �CF✓�� .�� I�O N(J � DATE y/�6 �� . . . � : ��..��ir�� . .