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AF - 46208
� � � l�� � � �����° City of Fridley, Minn. BUILDING PERMIT n8t�: � �-� 19b5 p�r; $�,g� G��oenke B„�� Same Homea�raer Adare�s 1t2 Hor3aoa C3rcle A� N° '7485 LOCATION OF BUILDING No. � Slseet �OPiZOn C32'Cle part of Lot Lot �-0 .._ Slock __�_____ ....�. Addition or Sub-Divisi� . ���m� �oP'�h Corner Lot _ Inside Lot Setback __._ Sideyard — Sewer IIevatlon — Foundatton IIevation To be Used as: DESCRIPTION AF BUILDING F�ont Depth Height Sq. FL Cu. F'L Front Depth ITeight 5q. Ft Cu. F't. Type of Construction Fst, Cost �sr��.� ..__ __ To be Completed R6�t8ir In consideration of the issuance to me of a germft to construct the building des�tbed above, I agree to do � ProP�d work in 8cc�rdance with the description above set fortt► aad in c�mpliance with all proviaions of ordinanc�ea of the dty of FY3dley. �� L'�-- �� .�-��zilZ� In co�afderation oP the payment oP a fee of $�-oL � permit 9s hereby granted to �'ph Gro�nke to cronstruct the building or addition as described above. Thisp�� t ia granted upon the express eandition that theperson to whom it is granted and his agents, employees an� workmen, in all work done in, around end upon eafd builciing, or anypart thereo� shall conPorm in all respects to the ordinance� of FiidleY� Minnesota regard�g la:at3on, conatruc�fon, altera.tion, maintenance, repair and moving of bufldinp within the dty l�tmits aad thia permft may be revoked at aTMy time upon violatioa of any of the Provisions of said ordinaac�s. Butlding Inapector NOTIC�a i6b psemtt do� aw ee�u ths eo�truell�, f�statladen he �ririn9. P�+�9. 6+� 6�8, aru er w�tsr. 8� sms fe ws dn Baildiu8 lesp�eto� ter aparab parmhs Por �has �. � OWNCR'S NAME ♦ V � � APPLICATION F�R Btt�ING PERMIT -, °� . CITY OF FR�DL�Yi �N1P�SQTA SS � LOC�Z'TON OF No. 1, � � St%eet_�` 7T Lot_ % � Block � Additio� or r� i • �� � � � �J� � , rt . of Lot . . e ��� Cornez Lot�Iaside Lot ����e�ls�k Side�Yard � � . � SSWER EbE1�ATIQN FOUNDAIZON EL�V'A`t'ION � Appli�ant atea�h to t�.i� farm,�o Certificates _o£ Surveg of Lot aad proposed buil.d- ing location d��wn oi� these (;�i'tificates . � DESGxIPTION dF BVILDING . Ta� used �s : . � �, . � - �'ronC . !� Depth � Height � L� � �. - 9q. Ft . ,,,.�� /`// � Cu . Ft . .�-d ' Frcnt Dspth�� Aeight Type of conscruct � s����t. � : � . Ft . � � �'timated Go ° �.Y�h�c �pJ.G1„C4. �.l .. . . . The undersignec� hereby makes applieation for a pe�mit.for,the work;herein apecified, agreeing '�c� cio a]�1 work ii� etrict accordaace with the City oF Fridley Ordinances aud rulings �� tY�e Department"�of Suildiags, and hereby declares tiist all the ff�acts and. repres.entations stated ia this application are true and correct. � °' / �lti� � ^�`Schedv.le of Fee Costs ,can be found on ehe Reverse Side) . ` % ' � 2?�� ��C�� �� � l� • 0 r� ;� � � �_ � . _ �� � � � � n � � � `L`_,* � •a";�'�,,' . �.''�'�.•���°.�.,�� ¢,: ,it� ,�A �t�y�� r��,�."i ., : �� � , . '... ' . ," . � o,.y.;; . � � . � � � �% � � � ' � � �� � � � � � SUII�D�N� �T FEE 9�� f � � � , . � Se�tion 2. The Inspector of � Buildings� •s��li, `be�ot'Q` ise;u,i� anq pesmit for �., the erection of any building or atru�t,�ure� �� for atty add,�t3� ts any �xiet- . , ia� building or etructure, or fer: an� a�,terat�iQn;s�r�.;s�epattb t�o aop esisting . buildi�g or etructure, upcsa .applicat�or� �}er�for, ��Q�a�re tUe payApegrt by �'he applicant for such permit of feee �� �he amount •hergiip•• below ��t 'forth•.. a�d : � ia the manne= herein pro�3.ded to-w�C:� �`:. .. . . .. . � .,. . . . _- . ._ __ , .: : . , ..�. , _ -�••�- —�` .1. F�r any guch permit #or the Qa�e�tiori-c��` an� fire�p�ia�� ba�Ldipg, cther �. � ••;_.,.t�hen a �ar�ge�-_.w�ehousE, factciry ox•� �iat' ��ev�E'�c�, .� for. -the ex��tioa ef- , ""� .' �ny f3re-��of addi�ion� fa�� �ia���;ar°�o�,�P,�ncY� �a: a�,y �cis�t�i�g b�.id� � �•:,� - . .. �hall �e at the ra�e �f $Z.GO for earb,,pu� �hous�nd �ewb�� £e�C. or�fr��;ion , �r- .. :t.hereof, in such cubical c�out�n�s.: . �. , ,. � :, : , , . . � , . n. . ���.. �'� 2�2.. Fot any such pe��.�fa�r�..��te erf:ction o#_ anq -firerpraag gi�ra¢e..��--��' � ' � ory sr graia elevatqr, or f����he e„�ection e�' _aa�� �C,¢r'-�p�iooi '.. •.� . f�r similar. occu anc to �a �e5�iat•i _ �" �° n� ��Tdi� slia�,� �b.e et .�'�ie . . ...,.r fo�"�aeh one .ehc�usandlcubic .feet;'., e�lass3�3ed �e. ►'fir�px'oo�" by .S� the-•�iiaacap��.3a�-B�s�,iding. C�Q..:;,�E3:ti.:=.- .. .' '� HOUSES . _ , . . � , . . . . . � _ _ __ _. � — --- - ' . • .�, >.,; ;, • � 2.�:. �dr �at�y auch pe�t fo= ihe� er�e�tion of ang •adn-f-��p�c�f b'u�t,,-diag at� � .' �,, __'than a a�� e warehonse facto or. , '�L'4: 8 �, . ry S='siu elevatos'e dr eDy tlon-ft�3ptep6►�: addition, for aica#.��� ocCyp�a'�cy� to an� e�idti�dtg i7ui�dia,g -�aexmi�t $b:�00 f�r -- .-� each -one thou�ap� c�i�, fe��., � . ' GA�RI�GES - - : ' -i = -- - - . . --- 'a�-- . . � .; . 2, 4._ For aay auch pera�iC for the erection of any non-fireproof gaaagc�� . warehouse, factory or grain. ele�rator, �ic for .the s�eation of aaq aon=fir�gr�f"� 8d�i�: ���-satmila� occupancy, to axi� exis tin� build�ing dr ior eec� such -' ._`��.�ld3ag or addition - ninety'cents ($0.96j for each oae�thousand evbic feet er fz��t_ion thereaf, in the cubical� conteats thereof witb a minimum �o£ $4.OQ.� ` � • . , . _ . _ For the purpoae of ca�nputing fees for building pesmits, th�. cubical cctttteaC.s� �� of- any bu�lding or add�.tion to a._ uniform height �hroughol�t� �'t�y mul.tig�yi�g �lt�,--"� ground are�l covered .f�om a poiat eix _(6) iache9 �'el�m Ehe �loor 13n� t�f;.�hei„ ��- ba�ement or cailar_to the average•height of the�ugper surfaae or to the avera�e he�,ght of tha r�of s�=riace of the maia gable oi a. �t�tched roof. 2.5.•. Fvr repairs or alteratione to an exiati� s�ruct�e. ��'a gee shsll.b����°�'°; �• .. �a he rate of $3.00 per each Fi�e �uadred DQ11ar..s, .($g0�'s�)� ps. �xec�iaa' _ _ � . the�ebf i� ghe cas-t� 'of�,�ll °propased work , � . . - : ... , . °. , •'� .. . �' � �, �� 2^.6` Yn no rase shali �he , ` p-p�,.�� se�'ft�t'th ib •� ,, � � . ,Section..2 be 1.ea�-�Lhan,-$�„Ob; . . . � " . p . . � �:� .µ . . c�� • I `. "—L�, �- �i � �� • 6 . ti •' . I ��+�. Date: Owner: ►��:� City of Fridley, Minn. BUILDING PERMIT Builder Address N� � f�f 4�,� ," �,,�, r � ���'! f. _��'.:�_..� °'� ._ _ -��'' __ ,.,,. �� -� - _ ........�''�_�?�.�.. _.�,� �� _�''��....��� � ���,�r LOCATION O,� �&UILDING No. ....�''.�±.``�._. _. s�t _._..__.,�`'�... .-----. :,�'��t... �:.���.�..---- PgTt o =��.Ot --------..._._._. '_. .._._..._.._----------- I.ot ....._.... ---._ Block ....--------.._ ......._. �- . Addition or Sub-Divis�pn __.. .�:.' �' �. ...._. � _ . ..... ._ � , , .:..._......._ - ,� .,�._,,►' ..--- ��.�.��� Corner Lot .............._.........._.._..... Inside Lot .------�-...........----.. �ek �'�-�,�G=��t.:Ll.'�' Sideyard ------ - -••- , � ------•--�----�--��---..._..._....---------._.. Sewer Elevation ...................._...----------........._..--.._..----�---..._............_...._ Fo�ndation IIevation _......_..---------....-------------------- --- -- - -- - _ DESCRIPTION OF BUILDING To� Used as; .,� j �,. �, � f ..�.�� � ; �..:'_f ... f k �,�( �� %- _, _. �. � .� Front ;�,�'_.:..._.. Depth . �.��.:..,�� Height ....�r'`�. ..._ Sq. Ft ��� . Cu. Ft. ,.�,�._..�!. �°" ---......._....._......�--..__.._........ Front . � ..... .. Depth ._..._ Height ��,, Sq. F� ---��-� ---......._.. Cu. F� ....---.. ........_. Type of Conatruction '��;r..'�..>�-"� -� 1� Est. � t . ...- _ - , .. ��, ":� T be Completed ...-.----.-.•--------...- --- _ . _. �� �� . . ....... -,� , ������� T��: , �-r;r,` 'j ��_.._N�T �1UTHOFiI2L VII�LAT• � �-- ���r�v ��;�r- � `'��E LA�'r� : �, _ � �, �. � , r� CY�1t��Ad�11'�d�tV� ���_:,L_�,;��;� ���E ���!�;�_�7'lt�NS, In consideration of the issuance to me of a permit to construct the building described above, I agree to do the progosed work in accordance with the description above set forth and in compliance with all provisioas of ordinances of the city of Fridley. In consideration of the payment oP 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 gerson to whom it is granted and his agents, employees and workmen, in all work done in, around and ugon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota. regarding location, construction, alteration, ma.intenance, repair and moving of buildings within the city ]imfts and this permit may be revoked at any time upon violation Ibf any of the provisions of said ordinances. ��"`' l "d' � . � Building Inspector i NOTICE: Thts permH doea not eover the wnatructton, installation for wiring, plumbing, gaa heating, sewer oe wate�. Be eure 1e see 1he Buildine Inspee►or fo� separate permita for fhese ftems. rr, 4 �, >�- '� = e — _ � _ ��4= �-- �A�� �PPLICATION F08 BUII,DTNG PERNIST CITY OF FR.IDLEY, MINNESOTA •�.,�_� - :_�� ; � ,, �..r_ . � �� � l:.r.� � � Addr�e8 No. � LOCATION OF BIIILDING i 9 Stra,at1 �/Q�i��ii-�„�e ��z.� �'t, Of I�ot ��.. .��.�...� T�ot B].ock . Addit3on or Sub.Div. __,,,_, .,._.. Corner Lotl,Inside I,ot_ =,_,Set Ba.ck Side-Yard 3EWER ELEVATION FOUNDATION ELEVATIOAT __,__,_�,_.,_,___�..__ � gpplicant a.ttach to th3s Form Certificate of Suu�wwey of Lot and proposed bu3lding loca.t%n. DESCRIPTION OF BUILDTI�G To be u�d�� �%��,� � �J ��-� F`ront / � Depth_ ��.___. Height > o ��� �Ir�� �A�i�� �! �� �� �� �� + Y� i F%ont Depth Height �__,�,.,_,,,_,. Sq ; Ft. Cu. Ft, Tarpe of Construction ���� � Tstimated Cost !�,_ .__,._._�� : � To � completed �.`i�.e undersigned hereby makes ��plicativn for a permit for the work herein specified, agreeing to do all work in �trict accordance w3.th the C3ty Ordinances and r'u]-in8 of the Department of Bu3Id3n�s, and hereb� declares that a1.1 the facts aad repreaents- tions s'tated 3.n this application are true and correct. � DATE 'J- � , SIG�NATIktE �' �� �,. � (A Schedule oF Fee costs can be £owzd on the ReveY'se Side.) � _� - �-. ,�"'1 � i. BDII,DING PERA�IT FEE SCHIDULE Section 2. The Inspector of Buildinga shall, before issuing any permit for the erection of any bu3lding or atructure, or for eny addit3.on to any eacisting building or structure, or for an� altsrations or repairs to any existing building or structure, upon applica,tion therefor, require the payment by the applicant for such permit of fees to the amount hereit: below set forth and in the manner herein provided to-wit: ; 2.1. For a.ny such permit for the erection of an� fire-proof build�.ng, other than a�axaga, warehouse, factor�* or grain elevator, or for the erection of any fireproof addition, for similax occupancy, to any existing taiild3n� shall be at the rate o£ $1.1�0 for each one thousand cubic feet� or fraction thereof, in such cubical contenta. 2.2. For any such permit for the erection of any fireproof garage, wsre- house, factory or grain elevator, or for the erection of ang fireproof addition, fvr similar occupsncy, to any existing building ahall be at the rate o� �1.25 for each one thousand cubic feet, classifYed as "f3xeprooP�� by Section 502 of the Minneapolis Building Code. � HO-� 2e3. For any such permit for the erection of any non-fireproof building other than a garage, warehouse, faetory or grain elevator, or any non- fireproof addition, for simi.].ar occuparacy, to any existing build3.ng. Permit �1.00 for each one thousand cubic feet. GARAGES �� 2.I�o For any such permit for the erection of any non-fireproof garage� lrarehouse, factory or grain elevator, or for the erect3on of any non- fireproof additiony for similar occupanc�, to ariy existing building or for e�.ch such bu�lding or addition. Ninety Cents for each on,e thousand cubic feet or �raci;ion thereof, in the cubical eon'tents thereof with a minimu.� of $4eQO, For the p�.�_•pose of comFuting fees for building permits the cubical contents of any buildi.ng or addition to a uniform height throughout by mult3plying the ground axea covered fro� e. point six.(6) inches below the f7.00r line of the ba.sement or cellar �to the average height of the upper surface or to the average hei�ht of the roof surface of the main gable of a pitehed roof. 2.5. For repa.irs or alterations to an exiating structure, the fee sliell Ue at the rate of �3.00 £or each Five Hundred Dollars f�5fl0.00), or f`raction � thereof 3n the coat of all proposed work. 2.6. In no ca,se shall the fee charged for any� permi.t as set forth in Section 2 be less tha,n �,4..00. n � . '� Y �' � � sus�ecr PERMIT City of Fridley � 14512 ' ` AT THE TOP OF THE TWINS g U I L D I N G P E R M REC NO. � � ; L ____ COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. ^ y� � _ � %C� �l ���'1 � CITY HALL FRIDLEv 55432 NUMBER REV. DATE PAGE Of APPROVED BV L"-'� � ,'� 612-5803450 910-F15 �2�1�%'] � � JOB ADDRESS 112 Horizon Cascle 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. �.O 3 Carlson's S1IICIl'L7.'t Mc1TlC)i SHEET 2 PROPERTYOWNER MAILADDRESS 21P PHONE Ral h Gro�.nke 112 Horizan Cascle 3 CONTflACTOR MAIL ADDRESS Z�P PHONE LICENSE NO. rJC'liC� 4 ARCHITECTORDESIGNER MAILADDRESS ZIP PHONE LICENSENO. 5 EIdGINEER MAIL ADDRESS Z�P PHONE LICENSE NO. 8 USE OF BUILDING 7 CLASS OF WORK ❑ NEW � ADDITION 0 ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 �ESCRIBE WORK wa.u`°.�� 9 CHANGEOFUSEFROM TO STIPULATIONS 1. Call for inspectian as soon as possible. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAO SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, 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 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 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 � S� WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT L� .O DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGU�ATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. 'rj PLAN CHECK FEE TOTAL FEE yS`8.00 SIGNATUFEOFCONTRACTORORAUTHORIZ OAGENT (DATEI 1I�IH PROP RLY �(A DA ED HIS IS YOUR PERMIT ��!�LO-P��.(s� 12 77 ,�-° L� t 1211177 SIG TURE OF OWNER IIF OWNER BUILDERI IDATEI � BLDG �NSP DATE CI�Y OF fltIllLEY . ' APPLIC/1TIO�d FOR RESIDC'NTI/�L BUILDING PERt�1ITS ' �NEW, �LTL•R/1TIONS, ADDITIO(JS, OR REPAIRS) 04�fJ�R: � �� �� � � }3UILll�R: �-����� ° : . --- �a�7".` Address : ��� . ,��0��� �/�tllddress : Tel. No.: No. : ) ,� Street: �� L°/�G� �, LOT: �,� BIACY.: � ADDITIO : ���,'�,.�_'jS cS'G��i`/GT �1e����l� CORNER LOT: INSIDE IAT: SLTBACK: SIDEYARDS: Applicant attach 'to this form �ao Certiiicates of Survey of Lot and proposed buil.ding locatian drawn on these Certificates. � DESCRI PTION �OF BUI LDI NG - To Be Used As: � C�lo�%%��i� Front: Depth: ' ' Height: " 5quare Feet: Cubic Feet: Front: � Depth: � Height: ' 5quare Feet: Cubic Feet: ' Type of Construction: Estimated Cost: $���� � To Be Completed: Alt. A Alt. B Proposed Driveway Widtlz If New Opening Is Desired $ $ (SE� R�VERSE SIDE OF SHEET) The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all worfi in strict accardance with the City of Fridley Ordinances and rulings of the Deoartment oi Buildings, and hereby declares L-hat all the facts and representations stated in this application are true and correct. See reverse side far additional information. DATE: �� °��, � SIGNATURE: Stipulations: , • / �, , � n i ,J - � e 0 � � i � �� .►-,.. � ;::: , _ r. � J � . . � I / I � BUILDI(�G PERt�IIT FEt SCHEDULE • SECTION 2. The Inspector of Buildings shall, before issuing penr►its for the erecti��n of any building or structure, or for any addition to any existing building or struc��re, or for any alteration or renairs to any existing building or structure, upon application therefore, require the payment,by the applicant for such permit of fees to the amou.-�t herein below set forth and in the manner herein provided to-wit: NEW CONSTRUCTION: Single Family Homes and Garages: $4.00/1,000 cubic feet. PLAN CHECK: 25 percent of building permit fee. DRIVEWAY DEPRESSION: (Concrete Curb Streets Only) Alternate A: Removal and replacement of concrete curb and gutter only; Driveway width plus.6 feet x$11.75 Alternate B: Removal and replacement of concrete curb and gutter and install a 3 foot wide approach with - 6 inch depth; Driveway width plus 6 feet x$15.40 _ADDITIONAL INFaRMATION 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 th� cellar to the average heights ot the upper surface or to the average height of the roof surface of the main gable of a pitched roof. � . For repairs or alterations to an existing structure, the fee shall be at the rate of $3.00,�ier each five hundred dollars ($500.00) or fraction thereof in the cost of all proposed work. � In�no case shall the fee charged for any permit as set forth in Section 2 bs less than $7.50 plus $.50 state surcharge. „ VERIFICATIO� OF FOUNDATIOfV �� NOTE: Permits for construction will be issued a minimum of 24 hours from the time ot application to allow for proper review of the proposed structure and of the construction site. A Certificate of Suxvey of the lot, showing the location of the foundation once it has been constructed will be required before proceedir,g with the framing. : : � '�� . Application for a Certificate of Occupancy shall be made ten (10) days prior to the use or occupancy of any structure for which a building permit has been issued; and sa,id structure shall not be used or occupied until a Certificate of Occupancy has been issued. �a SUBJECT R City of Fridley 14'730 � AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r � � REC NO. i Vy � �'� COMMUNITY DEVELOPMENT DIV. �/�/ � r � � PROTECTIVE INSPECTION SEC. 1 i � , /"'1 � CITY HALL FRIDLEY SS432 NUMBER REV. DATE PAGE OF APPPOVED BY �•�«� � ,•� 612-58D-3450 910-F15 � , 31 7 � � JOB ADDRESS 11Z Horizon Circle 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. lO 3 Carlson 5�7.'t McZt10Y NO. SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE Ral h A. Groenke 112 Horizon Cir. Fr'dle 5 43 5 2 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSENO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LIGENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OP BUILDING RES 1.CIP.,Ilt111 7 CLASS OF WORK ❑ NEW � ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Construct a 12' Xj.�''�Addition onto the House. / 9 CHANGE QF USE FROM TO STI PU LATION S 1. Provide 1" styrofoam insullation on base�ent wa11s above grade with �" sheetrock covering. 2. Provi.de frost footings for the. deck. 3. Install a Fire Wall and Fi.re Door in garage area adjacent to house. 4. Bui.lder agrees to supply I-beam in kitchen area ceiling. i�ED fOR VYtRt@�GA ���G 5���� p�ERN�IITS REQU� :.. . . Befo�e di�R� c�tf locai utt��tt�s H�A'itNf; PLUlK84[�G ANa. S1�1'�5e °� ' : ^� , � . `iELEPNON� - ELECTRIC - GAS Etc. REQU�RED BY LAW TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REDUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. WOOCZ F1dIRG' THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING S�. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION R�. ZO� 4OSO OR WORK IS SUSPENDED OR ABANOONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OPFSTREET 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 ORDINANCES GOdERNING THIS TYPE OF WORK WILL BE COMPLIED. �S`(�2SO $3.1.3 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 PROVISLONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $� $16.32 none -STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $4.08 $23.53 IGNATUREOFCONTR ORAt1THORIZEDP�GENT IDATE) HEN PRO ERLY VALIDAT D THIS IS YOUR PERMIT s a�- 7$' P, ��J � �� 1'�s� SI NATUREOFOWNERI WNERBUILDERI IDATEI BLOG iNSP DATE �„ " ! .�_ , ... -.. ; . ... . . . , r :r..�a , � • .; ...� .�, .. . . ' • - � __.. _7T�e�< "a9.3'i� _.... -- _ � m�-�. . � �j�__ ._..� � o�� �... .e.--..m�� -,..v_.,_� � /� /�. �� Cp �yg�ey -V���.d3. �Pih j� �,,,=. � � ���,f��D�::l .0� e�� 's��''�a � . . � . @ C . b' � . :; � ': ; �� F..� �� ~�v6'���Ni..3k�IT' nCY'�:L�T a��'�I �Yf1 ��� � �,���� ��� 11 �.�� � � F.�a i�� _ t:6 '-�"t y �.�7't j� e - '� , � � 'i°v T.ii3t�(�CtJ�V3t3 V1�,+ll�ulit9n,-; � : �`���.\l��I , ee_4 aqb° � � J s U1�t �4„ 'idl r'ft�fi ;~v j n ] �� � i �� n. »i _ 7,'.,.�. , y - ---. . __. _..� ` ..i.�uc� Y'd�P Fa J.t,4H 1,T � y..... �/. ' -��8 �_ ,,�; ,c ! .� ._ . � yTM7� �Y3a�". . _ f ^�_, c° a r � i �. , p �... � ' \r. -�.`. ' r 4' - � I ,.'�. f� i; i�� UC'B��CiCiF.,'^ ( 7 . ti_a �a.d l'>» e o. 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T 1)i�idT I f�a! 4�i.'• I i_i; J I;t3 �'�(�f�l � TS �1`���:.a�Y� lii_i����i L'�'1t;1l-"_•f �i'�ti� ; _l")°�Jp OiZ ��E!'/1IIZS� ct:.��;r<: ���_� �- r � ,��� _ �:v�.r�u�:�z: �� z -�� =� — T-- ' 1i��.1.z� � 3�:s�c?,°c•.-;: � P� e 2�� (' /Pe I��?c3ress: ��� . t�ro . � � � ; ' y—�,2_: S— � . � i .� i�oo __�� st�_-ee�:���� a� �a--C�� � � � � . 7GQ7'� � 33ZC't:.Y.': J1DUI:TIOt?: %��q .._� __--_ � _.__ . . C � �-i� � � .� _ S e�.� `T �� �- 1 �� , CO}?1a1:R I,(i�: �__�__ �•35Ti��� Z(1"L°: _� �b.TRAC1:; __ SIUI:l'I:RDS: A��plicar�'� attach to t:hi�• fc�•ri!t 7�ao C:;x+:ifir.�te= of Si:�_ve}� cf .i�ot and pro�sed Luildi_�g lc�cat.io;� K?ra�:,i on these Cc�rt.iticat�s. � DESCR> i� i Ti�''�< 0� P�II L�1 i�,';� ." To 33e Used �,� : l� 1 . . i , � �L( $ G �'xon�� � ��� De�ath : _ m`? , Heigh r ; � G� ' � �c1 ��� -�r�' Squure I�ee�: ���j � Cul�ia reeto �Q�Ci I's' �•ri � : Sr�u�.re Pee��: Dep�h: ��__ ki�ignt: L�b>>c Feet: `�j��D �i Censtructien: °�j ��o � �rc�,�, p . �tima�:ed Cest: $ C•� O '3� k3� Cox� , fol 2 �GS . ��° i??�eted.: — 731i:. A n,lt. B Frop��se� Driveseay t9id'� if New O�ening Is Dasired $ $ • �51aI� P.�VF;FFSE STDE O�' �Iii:FT) �'he t:nc3er�,ic���ed 11c� eLy mal:es applica�ion far a pc�aa3_t f�r the wor};. lierein s��ecifiE:c?, ag�eLir.c; to do all c:�or.': iii strict accor.c��.r.ce :aith ti�e Cit1 oi iAi31c�� �?-ciin,�r.cc:> aild ruli:�gs o� tlie I`•�;��c�.rtmexit of F,uild�ngs, a�id hcreby� dec:tazes t; s�� a:l:!. tl:c zacrs ar�d represer,t:atians stated i» tl�is u�_�alicatiatz c'lY:C: �:.'l1L' :iTd�� CC�'1"C�.^.�. S�C Y�'JC1�C Sl(�C 9:0!" c"1C7C�11.10:1�1 llliC.�27t1��i:�.�.�. n . ��z�: ...�.�_____�._a-- �x�n�TVr.�,: _ ���i',�i �: ���—G� ..�. 5�?pulatic�:isz . �Pil�x� /�v�.3� � � � � � <• ��� y� ��usu Lr�-� d,.., u�.. , Q�„ �� � D F� �.,���v ( � � ��•� t�rT e.vs�t� ��/� �l�� � e�in� ���i 3� /3 . �" �"/l�E��crG C^o-� ��.�� . . �� � �Z.rrl�Pf 5�� °��� �e2- a� � ._ _-_ `__ • , � °� ,�j. ✓ 3 �j ,���,�e! .� L, .�o � -� �, —�.___ . �.. �, �; � , • ���y � ��G,� . � w;,r�,���„ � . , -� � ,�,� :.,. Ke�r AA�_ � _� �L1T' DIi�G F��!���lTT �F�. 5Ci-��T�l��_`: S�;CTION 2. The Ins,.:�_�ctor of F�u.ildiny.� sha].l� }?f.LG1C. .`;511�11C� ���e:zr:i�5 for th� ��rec'�io� of any bu.ilcling or structure, or tc�r �ny sdditi:.m to i:�,� t:;;1�:�=.!.Il:] ��,aildiri_r, c�r s:�-urtur.�, or for any alteration ar repair� to any ��:istir�q L:»�lclinq :�. st��ucturc, �.z��or< <��,}�lic�:�.tioil th: refore, require t]ie payment by the appllC�Llt {4Y' su��h permit a� f��e� to t'.:e �ur,�u:it herein below set forth at�d in the manner h�rein ��rovided to-���it: IJ�W CODISTRUCTIOIV: Sil]qle Fzunily Homes and. GaY-�c�es: ,54�.�0/:�,000 r:�lbic fe�i. PLAN CFIECK: 25 percerit of Luildin� per�nit f�e. DI:IVEWAY DEPRESSION: (Concrete Curb Streets Only) Alternate I�: Removal and rerl_acement of concrete cur'� aa',d gut�er only; Uriveway width plus 6 f�et x$1i.50 Alternate �,: Remova]. and re�lace�ent oL concrete curb and gutter and instail a 3 foot wide approach v3�th 6 inch depth; Dri'veway width plus 6 fe��t x$i�-�'-� AI�DITIONAL i.��)R"lAiION For the purpose of computing fees for building permits, the cubical contents of any building or addition, is determined by multiplying tne ground area covercc� from a point six (6) inches belaw the floor line of the basement or th� cellar to the average heights of the upper suriace or to the average height of the roof surface of tlie main gable of a�ii:ched :�oof. For repairs or altera'cions to an existing structure, the fee sliall be at the ra;:e of $3<00 �er each iive hundred dollars ($500.00) or frac'tion thereof in the cos� of all proposed work. Ira no c�se shall the fee charged for any �ezmit as set f�r�h in 5ection 2 be less than ;7.50 plus $e50 state surcharge. �RIFICATIOU OF FQUNDATIO� NGTE: Permits �cr construction will be issue�-i a minim�: oi 24 hours �rom the ti..ne of a,pplication to allow for proper review of the proposed struc�:ure and af the construction site. � A Certificate of Survey of the lot, showing the location of the foundution once it has been constructed will be required before pr�ceeding �vith the frami�ig. _Ci�RTIFICATE QF OCCUP�`,NCY Application for a Certiiicate of Occupancy`shall be made ten (1C1) days pr�_or to the u�e or occut�ancy of any structure for which a buildj.ng permit has beeri issu.ed� an� said stru��ure shall not be used or occupied until a �ertificate of Occupancv has been issued. . ' a , $ , . Page 1 of 4 � . EXTF.RIOR ENVELOPE AV�; E"U" GOMPUZ'ATION + ��g� � � . V�' ��. . �( ` !F� %``�" .� "P� `� '� OWNER. �' �.-,..� , a � � ,r^ ; ��;�, __ DATE � _`,,�° a �' � h_ , <t-�" � r �' �_ '��z=-�-°? * .. p�� � , � ,, ,' �a ' �PHONE ��s � �? ,-�,•- ,� � - --� . SITE ADDRESS: � ,�, - � � �� y �j 3�� �'� %�% �%� CONTRACTOR: � - '— �? "� �.-� / � `0.'� �.1-= �-. � fi��5� � H�/.1,:�e 3�$�'�-�-�/� �4 a cr" e-�,-'� _'�^�� a � � �•.J .s Determine working square footaye of each ,' l. Total exposed wall area...... r� �� � =_'�'�� �. �' sq. ft. x _ 7� _ � �/ � ----��-�--`� c�`i 2. Toal roof/ceiling area ...... �.�?"�' sq. ft. x� = d,� �� Total exposed wall area above floar = ,,.3� �i � a. Total wall window area ..................... .......... �'`�� b. Total door area ....................................... c. Total sliding glass door area ......................... ��y � � d. Total fireplace wall area ............................. � � e. T�tal� wall framing area (average l00) . ............. .. ��(o y f . Total rim joist area .� :� c :�: :,. . �^ l . : ':'��. �� :^: .�: . . r"i. : : �''. . . g. / ,� ;�, ��; wall area above f loor . . . . . . . . . . . . . . . . . . . . . . . . . . °' �' h. ?{ wall area above floor .......................... ,��j� 2 2 �e ' i.,�� �, wall�area alaove floor .......................... �?�� j, wall area above floor .......................... ✓ Total exFosed foundation area = ��5 t'�. � ��� � k. Total foundation window area. �.�: : �": .�.�`: . . :'":9.'�:: �r. . �' �-:�. . . ' 1. Total net foundation area above grade ................. ��'� Determine "U" value of each wall segment (e.g. window, door, each separate �aall section) a. .�C, � X ��U�� , 5 S = �� � % , b. X "U" _ � c. �J.� g ��U�� � 5 5 = fq� �i�J �y / d. X ��U�� - � `/ — e. � `�. (� 5� X ��U�� r f � - � `� `7s 9 D/ f . �2 � X nUn � �� o ��/ Y � i g, X .�U�� _ . h. �� • x ��U�� � � �, _ �� i: X ��U�� - j. X"U" = If item #3 is the same as, or less than item �1, you k. �(� g ��U�� , �� _ �� have met the intent of . ,�� 'SBC 600G (c) 2. . 1. r�� X ��U�� , �� _ �9�� �� 3 . .................... ........ Total � ��e� (13 � . t�cterior Envelope Average "U" Computation Page 2 of 4 . Total exposed roof/ceiling area = m. Total skylight area ............................ - n. Tota.l roof/ceiling framing area (average 10�).:. o. Total net insulated roof/ceiling area........... .�' Determine "U" value for each roof/ceiling segment m. X "U" _ n. X "U" _ o. X "U" _ 4...... , ................... Total = If total of #4 is the same as, or less than #2, you have met the intent of SBC 6006 (c) 1. Alternate Building Envelope Design To utilize the total envelope system method, the values established by the sum of items #3 and #4 shall not be greater than the sum of items #1 and #2. 1. + 2. _ 3. + 4. _ � / / � 0 � WALL SECTIONS Page 3 of 4 � NOTE: Use 109s of opaque wall area for � ' s frame constructian � WALL FIG. �l � .� ,, ` .� � " • , ,� � `'� �'; ' ' :1G. #3 FRIitiE �3ALL • ei T ��`/��. 1}�._. � � ' � ' � � ' : -�' . ��) � 4� � l�/ . 1 .�� �(� ( �(� . . . � �-. � . a � .� , _ � � . , o � � ♦ � . . • � r � : . �! , � ' � - Construction " R-Value 1. Interior air film 0.68 2.� "��� �='��_ 3. l � "' ` 4. � , _ , 5. ��.—��e �,f-�-�f�J� � ` 6. Exter�r air film . 0.17 Total 1, Interior air film 0.68 2. c��r0�cf' �i ' �''_ _9 3 . � et� $ �.a � � O� �� � � 4. 5. 6. Exteriar air film 0.17 1, Interior air film 0.68 2. 3. 4. 5. 6. Exterior air film 0.17 Total �l. Interior air film 0.68 . 2. 3. � rf ��_T �j�-° ,— .�; � �• a�4. �� — , �� 5. 6. Exterior air film 0.17 i' �` . . Total �' � _ �--�,_ • � . • . • r- • � ` a ` � � , .�I2Fj��—T t. . � ` t-=� ' ` ' � / ( � � < < '� �� ♦ � _ . •�6 � � /l(:'�= , . . � /� / 1 , \ V ` ' • ' � i ^ 6 . ! I11 ` , =. • " i ((1 , ,� •` , • � . � ....- / I � � ' r— ' ' /(/ � ' p FIG.. �9 ��c k � ` � •. � o = �'� � . � -_ • t'iir � E � �ir � � � x � ��� , ° • /I � = l« =. 1rt ._ NOTl,: Indicate type, "r" �valuc, depth and placcr.►�nt of insula�ion. ; � r � Page 4 of 4 ,' ROOF/CEILING ' ,�.��-� � � t'� ^ /;�"..� �.. � ("� � ) l: i rV/? ..�� I `-� VEIZT . %i, i-(?.,) `� ._ . , �'ented fleat flow � uP . FIG. �5 . � ' . 'iA�! .�.�!N� °:+.c�_'r_1i:L'] �yV%t�>.nF.'�iy'..ln,.l.,�.� .. �� �� �� �� � Heat floc•� up � . �, ;•ven[ed . .FIr. �k6 `.. .. : . • �. � - . : � ' I `-.r ^' 1 r-:..' � � 1 � �+ • ►ru.:—V1.:14d� . , .. . , • . � � � . � Heat • `� � � . •, , - . � £low up - . • , , . .� . . ,. , . 1?'T.G. �7 • • • • ' Construction R-Value 1. Interior air film 0.61 i , �i ; �,--�- � ,.� -, -- �, ` 2. � �- f- � , , � -; � � � 3• � ��, �!? l' �a " �_� ��,� �� rY�' � ,A �"�� - ��. 4. Exterior air film (still) • 0.61 •-a -- Tot81 � � r��, ��. 0 l. Interior air film 0.61 ' 2. 3. 4. Exterior air film (still) 0.61 Total l. �nside air film 0.61. 2. ' 3. 4. 5. Outside air film 0.17 Total • Note: Use additional sheets if more space is needed for details and calculations �._. _...__.�-�--_, . __. ----_..__.� � �. �' � , ± _ ; � _ � _: --- . : , . . , . . � . ' . . , , . . . , � • ; ; , ' ' I � ; �,T�'" ' _ , � . �- ; ' � . . _ . . . . t _ I �.Pq� , � , � _ - � , ; . � _ : : _ :. . : . , ; 'i �- �AAf� � � , : . . , . . . ; .. � , . � , , . . . . . , . . , . . _ . � .. . , � , .. , : � a>; ; i ' : � ' , � -� -- -- � , . , , . } , . j --r � ; � ' , ; I ; � ; � i I � f � ± + � -1 � � : . , . , � - - r- , ; , � � i I . . � � , ; � : , ; _ _ , � i . , : . � I � ., I , . 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I ( ! ,, � ' %�� � i ,� � i � I - -- ' --1-_- �. _-'- -�- . ; _ V`-r�'�� - �-- --+.r-- _.� _ - i ' i ; � � � � �. -j— � - — _ � � r � , _ � __ _I _ _. � ---I----� I - -_ - --- _ _f- _� � - . , , r__- -1- - ._ :___ _-- �__ _� - , _i -- } � � � � -- . - . -- -- - - _ _ .�....� ; , . i .. . , , -. -, , � ; � ; ; � � . _. - --- — —� —' - . �. i , _. - � - �- .- J _ __ � � ��� ��.�i� �.�"�i'S:T" - � _� � �_ � i� _. _ _� - � t ; i � i , , ; ; ! � � � �� ���,fl��:cT�°��� �N� -_ _ _- --�-- _} _I _ f- � t . : __ a 7_ 1_ _ 1 --; - �� ;��-�:L .�° T E �� �;t �� H - f_ _.. _. __ . _.� ._. ; . ._;. �_._.� � '__� . 1_. _ _ ___.t ���35�fdUCTi��a;'SIT�. + . .. , ( '_ . , � ' � 1 } � � ' � � �--�w.: - =="-'----� -'-}=---� -- _ -__ , __ ; ___ i f . _ i _ � --- --- --- f � - . -- - ,--- � � .fi-; � � _ �_ , ,, � , I � i � � - -- -- -- _ _ ._ � 1 1--- - - � - -- . -- � � � � —• � ' � ; 1 - , - -t---r , ; ; �-S�XIELb� � 1 I ' i ' � ' ' I � � , ; �1VIND0`WS, and �GLIDINC� �DOUf�S-WOOD �VINbO S and; GLTDING �OORS � � ���. . , � ` � . . � � I, _�� _ Q` 1"���, hereby give permission to Ralph A PRINT NAME � Groenke at 112 Horizon Circle, Fridley, MN 55421 to have his cement drive way and retaining wall come within 6 inches of the lot line. `,.: �'°"• �y w:. BARBARA E. BRYANT �!�.l.1 }�� NO7ARY PUBLIC — MII'dAScSOTA �;,��. �A ArvoKa cou�+�r� Y C�mmiesio� Expirea lfar. t. 1F9f "� �a,sasva�m :, Witness �'y" � �. � �•r �.� . / �� ignatur f Own r of Property located at 100 Horizon Circle, Fridley, MN 55421 � -------- Ralph . Groenke sue�ecr PERMIT NO. City of Fridley o' 9 6 6\1 AT THE TOP OF THE TWINS g U I L D I N G P E R M i T r � � � � . � • COMMUNITY DEVELOPMENT DIV. � Ly ������� r j � PROTECTIVE INSPECTION SEC. 36/3 s� i1 = � .-__� �'�� �,� CITY HALL FRIDLE� 55432 NUMBER REV. DATE aAGE Of APPROVED BY i 612-571-3450 910-F15 9/7/88 / / JOB ADDRESS 112 Horizon Circle N. E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. ]„0 3 Carlson's Summit Manor North SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE R. Gr�nke 112 Horizon Circle N. E. 572-1018 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO- �ain City Storm Sash Inc. 10825 GreenUrier Road, Mtka 546-8160 d ARCHITECT OR DESIGNER MAIL ADDRES8 ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. 8 USE OF BUILDIN(3 Residential 7 CLASS OF WOHK O NEW ❑ ADDITION ❑ ALTERATION X REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Reside & add Gutters 9 CHANOE OF USE FROM TO STIPULATIONS SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PEFiM1T 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 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 APPIICATION 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT S8�OOO 4.OQ DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE OVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- S UCTION OR THE PERFORMANCE OF CONSTFiUCTION. y�`99. OO '^ � c r AN CHECK FEE TOTAL FEE � �d ` $ �-� 3 . � 0 SIGNATUREOFCONTRACTORORAU oa DAGENT IDATEI WHEN PROPERLY VA TED THIS IS YOUR PERMIT C� SIGNATUREOFOWNER�IFOWNERBUILDERI IDATEI LDG �NS �aTE 1�W [ ] �N [ l AL'lERR [ ] Construction Address r�� Description:— Owr�er N�ne & Address �ntractOr : �[� :� City of Fridley R-1 ArID R-2 Builc�ing Penait Application ��� - Y' v �a1 c G V` � Z � �� �� �' � Sa c �•. `T,�, � ,. EEfective 5/L88 Tel. � � C� 1 �" /�� , 1 �. � C G At3dlE.ss : �(J �� S- �1r v�n �r i e�(' ��• Y1�i ► Vl n� o tn C� � Attach to this appl ication, a Certif icate af S�rvey of the lat, with the propos�oed cor�struction dradvn on it to scale. DFSCRIPPIOAi OF II�ROV@+�NP ``" - �� �. ; - . �'•;;N :;�: - . � a �; , � �'; - . �ay:i�; Width Beic�t SL�. Ft. Width Height SLZ. lt. width Sgt /Groima 9q. %t. Gbrner Lot [] Insicle Lat [] Ft. Yd Setback Side Yard S cks Type of Constr�ion: � e S o�-e a- �°�°}� S Estimatec] Cost: ��CJ CJ < G G Approx. Completion Date: Al� A Alt. B Prop�sed Drivc�vay Width If New Opening Is Desired: S $ Widkh + 6' See Back Page �: �� l� ���: P �' ��� T�.. � S�.C' P�.�' �e (9TY SE �Y Pe�i.t Plee State Surcharge SAC Ct�arge Driveway Escrow Park F�ee Sewet Main Q�arge z+om�� St'�UI�A�'IOIdS: $ �,� � � S S $ � l O � .d� F�ee Schec7ule on Reverse Side 5.50/51,000 Valuation 5550 per SAC Unit Alt '�i" or A1� '�" Above rlee Determ,i.r�ed by E�gineering Agreenent Neoessary [ I No� Neaessary [] : Il . � �. ' �;�u14 :�� ��:��;�, 1 �e Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any additi� 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 belaw set forth anc7 in the manner herein provided to-wit: �TAL VALUE S1 to $500 5501 to 52,000 S2, 001 to $25, 000 525,001 to $50,000 550,001 to $100,000 5100,001 to 5500,000 FFES S15 (Minimtan F7ee is S15 plus surcharge ) S15 for first 5500 plus S2 for each additional $100 or f raction thereaf, to and ir�luding 52,000 �45 for f irst $2, 000 plus S9 for each additional $l, 000 or fraction thereof, to and including 525,000 5252 for first 525,000 plus $6.50 for each acYlitiona]. �1,000 or fraction thereof, to and including 550,000 5414.50 for first 550,000 plus 54.50 for each additianal �1,000 or fraction thereof, to and including $100,000 $ 639. 50 for f irst �100, 000 plus $3. 50 for each additiona]. �1, 000 or fractian thereof, to anc] including �500,000 5500,001 to 51,000,000 $2039.50 for the first 5500,000 plus S3 for each additional �1,000 or fraction there�, to and including $1,000,000 51,000,001 a�d up 53539.50 for the first 51,000,000 plus $2 for each additional $1,000 or fraction thereof D�TVETn4�v F�RF�STON � (Concrete Curb Streets Only) Alternate °A": R�nwal and replaoement a� curb and gutter a�ly - Driveway width plus 6 feet times $13.50. Alternate °Ba: Ranwal and replaoement af curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width glus 6 feet times �15.75. l�; al ; y • � • ' ��:U� �-: M ��� Permits for construction will be issued a minimtnn of 24 hours f rom the time of ap�].ication to allaw for proper review of the proposed structure and of the a�nstruction site. A Certif icate o� Survey of the lot, shawing the location of the foundation once it has been wnstru�eted will be required before prooeeding with the fr�ning. p �� � � � O � � m m � w m � C O � m � m � �d � 0 m � m �, � � �� � 0 D 7D ... rr, m \ �. � Q N O � �' _ � a�, m � • C � j N �% � Z m � � p w � 0 om °o D � -o D � � ai Cn � D � z � D r -� m � � O •Z � D u� v � � Z o m O. � � � "� � r � O � � S � 7 � � m -� m � r Z � o � 0 °' } � � � � � � � �� w��`� �� w 0° m° � m -i A y N.� f� � 3 �. r. O � p, � � � � � (D (D (D � C � O v � x � . O `G 7 = 2 -I ¢� � rn N � � t0 � � lD n �p y �"Q 7 C � � N (D `-'- N � � W 7 � N � -. -. 7 z' r N y(Q t!1 < I I tQ � w �� Z m m D cn n_ � � � � � � � (D � (� � N � � . � �o o � '� � � W c c � m fl. � m .-, � I I I I 1 I I I I I I� � � .*i . � t� � t� � � �r► 6n i� t�i � O O O V p V V V V U� A V ° o 0 0 0 0 0 0 0 0 0 0 0 ° o 0 0 0 0 0 0 0 0 0 0 0 6 v m C '= � 3 � � Z Q � n n o O � � � D z � � O " J � � -U 1 37 � � � -i z 0 G � c Q. � � C N m a D N O � � m 1 1■ � � � c 1 i � � � � � ti � i Q - cu � i y � co � m Q � . � � • � K : � ¢1 � � . N . A1 � . � . Q . � 0 � 0 . �, v m . � 0 : � � � .� � �- .� � � � � � � �� ��o� � r C � � Z � "T1 X � C � m � D -� m � z O � � m -� O � L � � D 0 � � m � � � � � � \ cn � rn � N Q W - ' � � � � C � O � � � A Z � 3 � � C p, � r W D R N C (D - z � m � � m � � -a � � � < c� C � � � � .� � � .. City of Fridley AT TME TOP OF TNE TWINS i � � � � ; � __��� COMMUNITY DEVELOPMENT OIV. r � � PqOTECTIVE INSPECTION SEC. l•_"� ��"' �.1 CITY HAII FAIOLE� SS1�2 L 612-571-34b0 JOB ADDRESS 112 Horizon Circle NE 1 LEGAL LOT NO. BLOCK TRAC1 DESCR. 10 3 CaY, 2 PROPERTY OWNER MAIL AOpiiQS$ Ra.lnh & Joan Groenke 3 CONTiiACTOR MAIL ADDRESS Vikin� Home Improv. Co. 4832 2 1/ e ARCHITECT OR DESIGNEF MAI�. AODFiESS 5 ENGINEER MAIL ApDRE$S 8 USE OF BUILDING Residential 7 CLASS OF WORK IJi{. � �U IIDING PERMIT � �BER NEV DATE PAGE Oi 910-Ft5 � � �q�qQ � � u North IIP ZIP 2849' RECE� 7��0 ►6pnOVED Br SEE ATTACNED SMEET 572-1018 PHONE LICENSE NO 4772 PMONE LICENSE NO. PHONE LICENSE NO ❑ NEW O ADDITION ❑ ALTERATION � REPAIR O MOVE O REMOVE 8 DESCRIBE WOFK Reroof house and C3S�IIg 9 CHANf3E OF USE FROM STIPULATIONS e � TO Underlayment must comply with the State Building Code. I SEPARATE PEFiMITS ARE REOUIqED FOR ELECTRICA�, P�UMBING, MEATING, TYPE OF CO VENTILATING OR Alq CONOITIONING THIS PEFMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTtON 20NING AUTHORIZED IS NOT COMMENCED V�1ITNIN 80 DAYS, OR IF CONSTAUCTION OR WORK IS SUSPENOED OR ABANDONEO fOq A PER100 OF 120 OAYS A7 ANY TIME Af7ER WOiiK IS COMMENCED. NO DWLG. I MEREBY CERTIFY THAT I HAVE READ AND EXAM�N�D THIS APPLICATION AND KNOW TME SAME TO BE TRUE AND CORFiECT. ALL PROVISIONS OF LAWS yq�UATtON AND ORDINANCES GOVERNING TMIS TYPE OF W(�RK WIL� BE COMPlIEO WITH WMETHER SPECIFIEO HEREIN OF NOT. THE GRANTING Of A PERMIT 828 DOES NOT PRESUME TO GIVE AUTMORITY TO VIOLA7E OR CANCEL TME pEAMIT FEE PROVISIONS OF ANY 07HER STATE OR LOCAL LAW REGULATING CON- STpU TION OR THE PERFORMANCE OF CONSTRUCTION PLAN CMECI 1-3 -1 � S�G A1U�7E OF CO �QACTOA OR MOp12E0 aGENT iOATEi S�GN4IUAE O� OWNEQ ��� OWNEA BUILOEA� iOATE� � e, r.n SO. fT STA�LS n ao OCCUPANCYLOAO CU FT ET PARKING IGARAGES ARGE C 3.82 �EE I$ is r PEqI � � y q6fF NEW � ADDN ALTER �[ � �l [� ConstructionAddress: Legal Description: Owner Name & Address: � Contractor: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION 2 Address: � � 3 Z� A� � � �, .� 9I LIVING AREA: GARAGE AREA: DECK AREA: 20 � Q n�. Q �T—��--�- � Effective 1/1/98 �� � �� �� �� °e-- Tel. # S' � 2 — %���" . MN LICENSE # L� % 7�- �_Tel. # _�S � 2 — /� 2 0 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT �ng� W idth Height �ng� Width Height �ng� Width Hgt/Ground Sq. Ft. Sq. Ft. Sq. Ft. OTHER: • � 2G - s i� I a� S.0 /•v �1�°� �DUe�Z�.�,rjmnl � n lTOCd .}�y,f.t'if y e, ° Construction T e: 2 � � °�`� ���v YP �'/�.v � -� � Estimated Cost: $� (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ —$ �/DATE: I � 3 � �� APPLICANT: Tel. � �72 -%�� 0 �� Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: � c�% �?s $�� $ /: 9 r $ $ .��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 $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] s= ° 'i" •�uTUZ�.�� au� q�inn �uipaa�oid aio3aq pasmbai aq Iitnn pa��n�suo� uaaq s�u �t s�q �T a�uo uot��puno� a� 3o uoi���oi a� �uinnoqs `�oi a� �o �an.�ns ;o a���t,�i�a� y •a�is uoT��ni�suo� a� �o pu� ain��n.��s pasodo�d aul �o nnaina.� .�adoid .�o� nnoij� o� uot���iidde �o aun� au1 woi� sanoq �z �o u.muiTUiw � panssi aq jitnn uoi��nr�suo� ao3 s�iuuad 1�i0IS�'Ql�if103 30 l�iOIS�'�I3I?I�A 'SL"SI$ saun� �aa3 9 snid u�pinn �C�nnantaQ - q�dap q�ut 9�inn ���o.�dd� apinn 1003 £� Ii�sut pu� ia�n� pu� qin� 30 �uauza��idai pu� j�nowa2I ���g�� a��a�Id 'OS'£i$ sauit� �aa3 9 snid �pinn ��nnanTaQ -�Cjuo ia��n� pu� q.�n� �o �uacua��jda.� pu� tenouzag :,,d„ a��ua�id (�iiu0 s�aa�1S qin� a�ai�uo�) M02I�S� l�iOISS�d�Q ��'Ac��AI?IQ 3oaaa� uotl��i� ao 000`I$ I�uot�ipp� u��a ao3 SL'Z$ Snid 000`000`I$ �ssg a� .�03 SZ'ZiOS$ OOp`000`I$ $utpni�uT pu� o� `3oa.�aui uoi���.�� io 000`I$ i�uoi�ipp� q��a �03 SZ'�$ Snid 000`OOS$ lsi� au� �T�3 SZ'L88Z$ 000`OOS$ $utpnj�ur pu� o� `3oa�aul uoi���.�� .�0 0{}0`I$ I�uoi�ipp� u�ea io3 00'S$ Snld 000`OOt$ �sii.3 �TO3 SZ'L88$ 000`OOi$ $utpni�ui pue o� `3oa.ta� uop��.�� Zo ppp`I$ i�uoi��pp� u��a ao3 SZ'9$ Snid 000`OS$ �sn.3 �TO� SL'�LS$ 000`OS$ �uTpnj�uT pu� 01 `3oa.zau� uoi���.�3 .�o 000`I$ I�uot�tpp� u�ea io� 00'6$ Snid 000`SZ$ �Si� ��3 SL'6�£$ 000`SZ$ $uipni�ut pu� o� `�oa.�au� uot���13 to 000`i$ i�uopipp� u��a ao3 OS'ZT$ Snld 000`Z$ 1s1I.3 �03 SZ'Z9$ � 000`Z$ �uipni�ui pue o� `3oaiaq� uop��.z3 ao OOI$ I�uot�ipp� q��a io3 SL'Z$ Snid OOS$ �saT.3 io3 iZ$ (a�.z�q�ins snid IZ$ si aa3 tunLUiuiy� IZ$ s�aa dn pu� I00`Q00` I$ 000`000` I$ �� I00`OOS$ 000`OOS$ �� I00`OOT$ 000`OOI$ o� I00`OS$ 000`OS$ o� i00`SZ$ 000`SZ$ °; t00`Z$ 000`Z$ �� IOS$ OOS$ �� I$ i an�n �dioi :�inn-o� papino�d uia.zaq iauu�ut a� ut pu� �o� �as nnoiaq uta.zau �unoui� ac� o� saa3 �o �TUUad u�ns .�o� �u��iidd� a� �q �uaui��d a� aimba� `a.�o�aia� uoi���tidd� uodn `a.�na�tu�s .�o �uipimq �utlsTxa �u� o� .�T�da.� .zo uoi��.�a�i� �Cu� io� ao `a�n��n.��s io �uTpimq �ut�sixa �u� o� uopipp� �ue .�o� .zo `asn��n��s .�o �uiplmq �u� 3o uoq�aaa aq1 io� s�tuuad �umsst aio�aq `II�IS i����30 $uipimg 3aiu� aus �'If1Q�H�S ��3 ZINi��d �I�iIQ'IIflg Building Inspections ew 763-572-3604 DATE l C� STfE ADDRESS _ THIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION PERMIT TYPE �rsrrE oF woRx: � MECHANICAL RESIDENTIAL APPLICATION CITY OF FRIDLEX ❑ OWNER �]CONTRACTOR rvwmr;: tga.\ b v� l:y �P � e rl K-e ADDRESS: \ �� t�0 t� i ZO ✓1 �i r PHONE: ,�3 ^ s-� a- � o ��r � Permit No.: Received By: �S�r coNrnarnr x,�: CENTERPOINT ENERGY CONTACT PERSON: '7OANN 'I� INREN STATE LICENSE # EXP DATE �n�ss: 93�'0 EVERGREEN BLVD STE �� "C0011i' °R�P.IDS sTA�MN z�55433 rxor� �63 — 757 -- 6202 F,� 763--757--6701 93fNGLE FAMILY ❑ TWO FAMILY ❑ NEW ��EPLACEMENT DETAII.,ED DESCRIl'TION OF WORK 0 TOWNHOUSE ❑ ALTERAITON/REMODEL PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the unprovement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor ) Labor cost under $300 =$15.00. Labor cost between $300 to $500 = cost of labor x.OS = FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASID ON $10.00 PER FIXT[JRE, EXCEpT VViIERE IVpTED, gD{T[JREg; (INDICATE TOTAL NUMBER OF EACH BELOV� /� Equipment Installed �G; �.Ca r r i�r MODEL: S� uV Q a%O ,,,,�-� MFG: �� er SL'� (p 0. ODU ��r . MODEL: ol�� � Oc�l� SIZEBTU aZ-°i�C)►'� MFG: MODEL: SIZF/BTU �,A/C $25.W FIREPLACE (GAS) $15.00 _GAS RANGF/OVEN $10.00 _AIIi TO AIR EXCHANGEER $15 _FIItEPLACE (WOOD) $35.00 1VEW GAS GRII,L $10.00 _BOIL.ER $35.00 .l FURNACE $35.00 _GAS UNI1' H1R $10.00 CHIMNEY LINER $10.00 _GAS DRYER $10.00 _POOL HEATER $35.00 _DUCT WOAK $10.00 GAS PIPING $10 00 _VENTII,ATOR $15.00 �'ermit Fee $ _ . Number of fixtures @ $10.00 ~� x'�� ��� rr �� � � $10.00 = $ Surcharge $ .50 Number of fixriues @ $15.00 x $15.00 = $ TOTAL DUE $ Number of fixtures @ $Z5.00 _� x $25.00 = $ �5.cp Number of fixtures @ $35.00 �_ x $35.00 = $ g ,�o State Surcharge = $ .50 Tota1= $ , �p THIS IS AN APPLICATION FOR A PERMIT NOT VALID UNTII, 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; that I understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all work which requires review and approval of plans. SIGNATURE OF APPLICANT �. �• � � x.� ROGER HOFFHEIN )ATE U Q U � City of Fridley Building Inspections' Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 City of Fridley Residential Mechanical Application Page 2 REQUIRED INFORMATION NEEDED TO PROCESS PERNIIT RESIDENTIAL PERNIIT APPLICATION HVAC ❑ NEW HOMES/ADDITIONS �XIS'TIl�TG HOME ❑ MAKE-UP AIR REQUII2ED FOR NEW/EXISTING HOMES � . -�e�. ����=ri nr (�€�-�-be�ov�} - _ — - - - --- — -- - — _ - -- -- i a. Oil or solid fuel IMC Chapter 7 with MN Amendments b. Natural Gas or Propane/IFGC Chapter 3 with MN Amendments 2. Make-up Air (See note below) a. IMC Chapter S with MN Amendments 3. Venting a. Gas appliances IFGC Chapter 5 with MN Amendments b. Fuel other than gas IMC Chapter 8 with MN Amendments REpUIRED FOR NEW HOMES 4. Heat loss & cooling load per room a. Required on new construction IMC 1346.0312 5. Ventilation a. Per MN Energy Code 7670 or 7672 _ � _ _ 6. Duct Desi�n Per IMC 1346,0603.2 _ __ _ ___ __ _ _ _ _ _ _ ________ _-- - a. ACCA Manual D NOTE: Centerpoint Energy Mechanical Code Guidelines software may be used for combustion and make-up air calculations.