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R� �� m��: sz : � a e �T�-, o �• � � � ° �� A � � S ' � V■ � -o � � ao z � � �o rn D � Z a a � � 0 � O � v � � � � C� g � � 0 m n _ N�� c o � � �Zm� �a � � N � "� Z (�/� m� m � - z . �. � � 0 c n � � j � � sue�etT � ERMI City of Fridle�► 2 8 085 AT THE TOP OF TME TWINS g u I L D I N G P E R M I T r ; � RECEI . � `v _ COMMUNITY DEVEIOPMENT DIV. �� f � � � � PROTECTIVE INSPECTION SEC. 1 = , � /°'1 � CITY HAI,I FRIDLE� SS�JZ NUMBER NEV DATE VAGE Of APPROVED BY �""'�" �'� 612-571-3450 910-F15 10/2/98 � � 108 ADDRESS 5159 Horizon Drive t LEGAL LOT NO. 9LOCK TRACT Ofi ADOITION SEE ATTACMED oescA. g g Carlson's Summit Manor South Add`n SHEET 2 PiiOPERTY OWNER MAIL ADOR�$$ ZIP PMONE Bob & Diane Mruz 572-9510 3 CONTRACTOR MAIL ADDRESS 21P PMONE LICENSE NO Owner 4 AHCNITECT OR DESIGNER MA�L ADDRESS ZIP PNONE LICENSE NO. 5 ENGINEER MAIL AODFiES3 ZIP PNONE LICENSE NO 8 USE OF BUILDING Residential 7 CIASS OF WOiiK O NEW � ADDITION O ALTERATION � REPAIR ❑ MOVE O REMOVE B DESCRIBE WORK Reroof house and ara e(13 S) Tear-off• Reside house and ara e 9 CHANOE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. Call for building wrap inspection before covering. ' TYP� OF CONST. OCCUPANCY GROUP OCCUPANCV LOAp SEPAFATE PERMITS AqE REOUIRED FOR ELECTiiICAL, PLUMBING. MEATIN(3, VENTILATING OR AIR CONOITIONING. THIS PERMIT BECOMES NULL AND VOIO IF WORK OR CONSTRUCTION 20NING Sa. FT CU FT AUTHOR12E0 IS NOT COMMENCED WITHIN 60 DAVS. Ofi IF CONSTpUCTION OR WORK IS SUSPENDED OR ABANqONED FOii A PERIOD OF 120 DAYS A7 � ANY TIME AFTER WORK IS COMMENCED. ' NO DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIfV THAT I NAYE READ AND EXAMIN�O TNIS APPLICATION STALLS GARAGES ANO KNOW TME SAME TO BE TF1UE AND CORREC7. ALL PROVISIONS Of LAW$ yALUATION SUiiTAX ANO OROINANCES GOVERNING TNIS TYPE OF WORK WIIL �E CpMP�lEO WITH WHETHER SPECIFIEO MEREIN OR NOT. TME GRANTING OF A PERMIT 2914 1.45 DOES NOT PRESUME TO GIVE AUTMORITY TO VIOIATE OR CAMCEL TME pEAMIT FEE SAC CMARGE PROVISIONS OF ANY OTMEH STATE OR LOCAI lAW REGULA7ING CON- STRUCTION OR TME PERFORMANCE OF CONSTRUCTION ]/{.]S Fir SC Z.91 PLAN CNECK FEE TOT FEE 7 .11 �. N4TUpE OF CONCFGCTOp ON AUTMOA�2ED OGENT iDATE� NEN R VALIDA ED HIS IS VOUR PEQMIT 0 /�J�7 ��i%�� ,r `%�� ,_ � �� 5� � AE O� OWNEA�� OWNEA BU0.0Ep �OAiE� ' �NSp p6tE <_'�� rrEw ADDN ALTER [ .'] [l [l CITY OF FRIDLEY . SINGLE FAMII.Y AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Effective 1/1/98 / �� c�� o ConstructionAddress: S/S�9 �/.� r� z.r� v� 1�0 ,L�e Legal Description: c�r1 s,,r,s .5�� ,,, ,�,� ; � w��,.� �.5� ,��V �-f� � 13 /c�c,% � Owner Name & Address: f� � 6� �;c, � e I`�I r u? Tel. #,S� 7�2 — i.s��c� Contractor: s�, �.� MN LICENSE # Address: LIVING AREA: GARAGE AREA: DECK AREA: OTI�R: Atta.ch to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IlVIPROVEMENT Length Width Height Length Width Height Length Width Hgt/Ground � 0 Tel. # Sq. Ft. Sq. Ft. Sq. Ft. . � � _ .� � - � %�� Construction Type: Estimated Cost: $ l� �� (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + Ft = Ft x$ _$ � � , i (, r� � _ , DATE: j 6 " `� � � � APPLICANT: �G��"i.C� `f " ��-' � ,� -� Tel. # ,�' � ��;�- � i �C`� � Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL . STIPULATIONS: CITY USE ONLY $ �7 %S- Fee Schedule on Reverse Side $ � 9! •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 [ ] $ '7 . /� $FP��pATION FOR BUILDING PERMIT . CZTX OF F&IDLEY, MINNESOTA ._ _ .. OWNER'�- NAME R^ �a � -e-v' ` %'• �%Q �.1. � BIIILDER ,S�f/�.e— ._ ^ �-, A�ARESS v�"��5� ^ ,(�, ADDRESS ��.4� � _ ^. -.,-�..�,.-._.�T� � � � LOCA.TION OF BIIILDING N0. .� �5 STREET �o f"s' Za.r� ��'; , � � � � � ZOT � J�LOGK � ADDITION OR SUBDIVISION C�,qYL�6.Y� S'u„Y��! /��J�'� �' ' Sd. A�d•'l.`ci✓ CORNER LOT Z1�TSI:QE LOT � S�TB9CK � S�D�X'AR.D�,,%' � SEW�i EL�V'ATZON TOP OF FOOTING Applieatzt at�aah to this form Two Certificates of Survey of Lo� and proposed bui�dia$ ].oaation drawn on theae Certificatea. DESCRIPTION pF S[TILDING �o Be `IIeed ae:__ G/9�"� F'zqnt �. o' Dep�h a�� Height f0 *, � � Sqtxase fee� �YO' Cubic Feet ��t�d � Front Depth Hei�ht Square fect Cubic Feet Type of ConetruGti.on �iPi�/l � Eatima.ted Cos� � o-ae� e To �e Com�],eted � �b � � �_,i � �' �1' _ , The undefiQ�gt�ed herel�y makes application for a pexmit for the woxk herein Isg�eo�.fi,ed, ag�eeit� to do all work in atrict accordance w�.th the City o� Fxid�.ey' prdi�na.ncea arid �u.li.nge of �he Department of Buil,d�s, and hereby dea�ax�a that a11 the facts and repreaen�a-�ions ptatpd in this ap��icatior} a,re true and correcte DATE �� " �! SiGN�.TIIRE � (S�hedu],e Qf Fee Cos can be fourid on the Rever�e Side.) �� i�' n �y,_ � ■ •- ,. ` ? � F. i 4 .! r i � M ' a�' Ir � :�� a� SECTION 2o The Iri�pector of Buildings aha,ll, before issuing permits for the erection of any building or etructu�e9 0� for any a.d.dition. to any �xisting structure or building, or .for ax�.y alteration or �epai,rs to any exi�ting building or structure, upon application therefore, requise the payment by the applicant for such permit of fee� to.the amount herei�. below set forth and in the manner herein provided to-wit: IIniform Building Code: Type 1, 2, & 4-$1075 for each one thousand cubic feet, or fraction thereof, ir� such cubical c.�nntenta. Type 3& 5- $1050 for each one thousand cubic feeto For the purpose of comgutixlg fees for building permita, the cubical ' - �x%nta _o�Y-�,y�b°cri.fid.i�i�`�-��idi��i'�'o °�, ut3�form he�i�t�'tl�'ugY.iot�'°�y -. .. multiplying the ground area covered from a point aix (6) i.nehes below the floor line of the basement or the cellar to the ave�age height of the upper �urface or to the avera.ge height of the roof surface of the main gable of a pitched roof. For repairs or alterations to an exiatin.g atructure, the fee sha�.�. be at the rate of $3.00 per each iive hundred dollare ($500.00� or fraction thereof iri the coat of all proposed work. In �.o case aha.11 the fee charged for axby permit as aet forth in Section 2 be less �tha.n $5.00. NSSSD Coxin.ection Charges baaed on location - Area 1 or 2. ^ u , ,. _ y' � , � /"'1 � r �� . . . , � . . � . ... � � . � � •� . . . . . . . . . ' , - . , '� i � . � . . � . - . . � . � -�itoDUeTAMt � V-� �r�• V O�� i�� HJitTiMO . l�UW�1698- . . � -. � . . - . . <IARN 1URYHV6 � rcrrr Wre , L/kND S1IRVEYQR u��ceexose � taodonavwrc M�vv�Na � , �uorcut � \, _ R��IQF�RE� NIiDBAI LA�lYS OP' �TAT6 OP' MiAB�H$GTA i I,rcavato o+r oaoiwwu a� Cm os e�u�►�ous M �� 3300 LYHtI]AI.E AVE. ffiO. M{NNEIIf'OLIS 8. MINN. " Q-' �-�- LdCUST 03�0 . � � � N � " >:I � � � � �c'H �LPrtific�t� � .• / = D . �� , � ,� � � �.S�c'.9.��' ,. .Z . . I �� , � � ; � i � � � � � � � � - � i.�� T� p .� �,; �� w --�zs- - �� - � � , �=; h�- � , -� a � c -�~�' . � � �� 0 v . v - 'y c�`I� � �?'a' . � .. � i � 1 t1 -. ` . 4 � ry " .. � � � - � '%? � _ � � � r I� � ,,� ' `_ --�zs-- ' . _ .' /�o,� /�an � ': � • ( ' , � _ � >, :� _ _ � I bereby' Qerti� tha� the ab�e is � true �sd +cu►rrect plst �f a�rvey aPc _ . . I�t Ei�b� {$�. S�,cc�k Niue (9}. CARISCi�i'S S�T A96ATOR S�TTH ADDITIC[d. Aaoka G,aastg. �33nn+�s�ta. . . �A�� s�ey�d by m� this llth de�y vf aa�a�q 19SS A. D. � � `� Sf �ed ' � Minnesata 14eg�siratfo�a I�. 2� � � m � i �� 0� ��Y�i �d�l �� ., r :�: v.r�1 � �,��tSr�l�' �" ��+�-�....-..._ ,. � ��',��, 0 __ ''a� � � __ - � ,_ ._, - - ' - - a� .�'...,�".-....-.+..---- � � � :� - _ _. .._ . � ._ � . . - — �- sue�ecr PER �OOFi City of Fridley � AT THF� TOP OF THE TWINS g U I L D I N G P E R M I T • ' � RECEIPT NO. � `L _._� COMMUNITY DEVELOPMENT DIV. � n f`�� r � � PROTECTIVE INSPECTION SEC. Q�� 1 = i � /"�� CITY HALL FRIDLEV 55432 NUMBER REV. DATE PAGE OF APPROVED BY �----� • �'� si2-5so-sa5o 910-F15 �� 6-75 / / JOB ADDRESS 5159 Horizon Drive N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 8 g Caslson's Su�unit Manor South SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Ro ert Mruz 5159 Horizon Drive N.E. 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSENO. North Central Builders 7401 42nd Avenue North Mpls 55427 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS Z�P PHONE LICENSE NO. 8 USE OF BUILDING residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION C3X REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK A1111R].1117In tY73ll 3I1C1 S].C3].ri 9 CHANGE OF USE FROM TO STIPULATIONS . SEPERATE PE��I�i� �� `�1��M�r �1.�T1�i� PL�iM�1N� �� N�, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. j,�� 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 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 2 OOO I..00 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T F@E ' SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $12.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. �/�_ ��G� � � PLAN CHECK FEE TOTAL FEE �� , $13 . 00 NATUREOFCONTRACTORORAUTHORIZEDAGENT IDATE) EN PROPE Y ALIDATED THIS IS YOU PERMIT <<��°°�-- ' �O (vr S SIGNATUREOFOWNERIIFOWNERBUILDER� (DATEI BLOG iNSP DATE ,_:� ' .•a, � -= .APpLICATION FOR R�SI'DENTIA�, ALTERATION, � � OR AllllITION.BUILDING PERMIT CITY Or FRIDLEY1 h1INNESOTA owrr�x � s N� : ' _ �� BUiLDEL� : �.� ��.,� W �,d �.DDRES S • � ^/ v�% %�i �--�'y� �� ADDRES S • � � � � �- � �' �' � -�� ` NO : . ��,� STREET : � �� L(3T : �4 BLOCK : �' � AUDITION : �� r� ��► �E'� EORNER LOT: INSIDE LOT: i SETBACK: SIDLYARD: Applicant attac�� to this form Two Certificates :�f Survey..of LoC and_proposed . buildi.ng location drawn on these Certi�icates. BESCRIPTION OF BUTLDING To Be Used As : ��.�,, �: Xont • Dep�:h : � � Hei�ht • � '.. �._' • �quare Feet: Cubic.Feet: Front : Depi:h : Height : Square Feet;� Cubic FeeC: � �ipe of�Constructfon: _°�-�_�� _ •._ Estimated Cost: $ �� To Be Completed: ,� � . The undersigned hereby ma.kes applicativn for a permit for the work herein specif ied, agreeing to do all work in stiict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representaCions stated in this application axe true and correct. ' �� . �.��_.�--� � UATE : � ' � -y `� � SIGNATUP.E • � �.._ _ (See $everse Side For Additional Info�tion.)� . � �I � , , . �, d•-+J . . �/� . � � ,- � � �BUILDING �'.�RMIT FEE SCtiEDULE SECTION 2. The Inspector of Buildings shall, before issuing permits for the erection of any building or structure, or for any addition to any existing buildi.ng or structure, or for any alteration or repairs to any existimg building or struc.ture, upon applicati�n therefore, require the payment by Che applicant for such permit of fees Co the amount herein below set foxth and i� the manner herein provided to-wits . UN'tFORM B�JILDING CODE: �pe 1, 2& 4-$2.15 for each one thousand cubic feet,�ox fraction thereof, in such cubical contents. Type 3& 5-$1.85 for each one thousand cubic feet. ADDITIONAL INFORMATION For the purpose of camputing fees fox building permits, the cubical contents of any building or acldition, is detez-mined by multiplying�the ground area covered from a point si.x (6) inches below the floor line of the basement ox the cellar to• the average heights of the upper surface or to the average� �height of the roof surface of the mai:n gable of a pitched roof. e 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 ia the cost of all proposed work. ' In no case shall the fee charged for any permit as set forth in Section 2 be � less than $5.00. � VERIFICATION OF FOUNDATION NOT�: Permi.ts for construction will 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, showi.ng the location of the foundation, once it has been constructed, will be requir�d before proceeding 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 issued; and said structure shall not be used or occupied until a Certificate of Occupancy has been issued.. . . ,. � • sue�ecr PERMIT c�ty of FP�aley 4679 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T • ! � EIPT NO. � � COMMUNITY DEVELOPMENT DIV. �/� � a r � L � PROTECTIVE INSPECTION SEC. � 1 = � � �"'1 � CITY HALL PRIDLEV 55432 NUMBER REV. DATE PAGE OF APPROVED BY �----� • •'� s�2-5so-saso 910-F15 / / 5/8/78 JOB ADDRESS 5( 59 Hor i�on Dr i ve NE t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. � � �� ,p�� SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE Mr. �ob Mruz 5159 Horizon Drive NE Fridley, MN 55432 3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO. Bob � Sons Roofing, I.nc. 4553 Xerxes Avenue, S. 920-1251 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. .. 5 ENGINEER MAILADDRESS ZIP PHONE LIGENSENO. 6 USE OF BUILDING 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION � REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroofin 9 CHANGE OF USE FROM TO ' STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IP WORK OR CONSTRUCTION ZONING S�. 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. $cjrjO.00 . SO WITH HETHER SPECIFIED HEREIN OR NOT. THE ORANTING OF A PERMIT DOE T PRESUME IVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE PRO ISI NS OF ANY TH R STATE OR LOCAL LAW REGULATING CON- STR CTI N OR THE P O MANCE OF CONSTRUCTION. �7.50 PLAN CHECKFEE TOTALFEE �� / . ��.�� $.�Q SIGNATUREOFCONTRACTORORAUTHORIZEDAGENT IDATEI WH N PROP RLY L A D HIS IS YOUR PERMIT ti/R/7R �' s 8 78 SIGNATURE OF OWNER IIF OWNER BUIL�ERI ��EI �' BL�G INSP �ATE CITY QI= F(ZIULEY � , ' /�I'I'LI C/tTI 01� r-ori .rii:S I ll(:tdT I 11L I3U 1 LD I(JG f'Cf2MI TS ' (�'�L"W, �1L1'GRl�TIUtdS, f1UDIT101J5, OR REP/�IIZS) OW12�R: D �I�� s� , • . Address: ,.�� i id�� y �e� Id,�. �,,�'� 0 . ' � �3UILll�R: �OP� � ��i°I ` �� , nY�� Address : J�S � ��y'�f .�I'r� J v Tel. lvo.: �a-�%-!�5 0: . No. :_ .� d.��d 5treet: F�Y'i �� LOT : BIACY.: ADDITIOP� : ° CO12I�L'R LOT: It�SIDE IAT: S;'TBACY.: SID�YARDS: �nn�-i�ari�: attach �ta this iorm T��o Cc�rt-ificatcs of Survey of Lot and proposed buS.ldir�g locaL-ian drawn on these Certificates. • DESCRI PTI OIV OF BUI LDI i�G ,. . To T3e Used a1s : Front: Depth: � Height: � Square Feet: Cubic Feet: I`ront: � Depth: � Height: ' S u - •eet: • Cubic Feet: � Typ� af Construction: �,p ,� l� � a Esi:imated Cost: $� L%� •�':� �ib B� Completed: �� s�` Alt. A Alt. B Pxoposed Drivetiaay ltiTidth If l�ew Opening Ts Desired $ $ {S� r�VEF�SE SIDE OF SHEET) The undersigned here�y makes application for a pe�mit for the work herein specified, agreeing to do all �.�ork in strict accardance caith the City of Fxidle�� Ordinances and nilings of the Depa�i�ment ai Builc�ings, and hereby deela�:es that all tlZC facts and repres n-ations state ' n L-i�is application are true and correct. Se� revcrse sid, f r acldiL-ian 1 zi'ormation�. . , ' D71T�: � % d SIGNATUP.E: � � � Sta.pulaCions : . �� a�o 0 � /� � o S, o� f r � � � � u BUILDI(JG PERMIT FEt SCHEDULE SECTIODI 2. The Inspector of Buildings sYiall, before issuing pezmits for the erection of any bvilding or structure, or for any addition to any existing building or structure, or for any alteration or repairs to any exis ting building ur structure, upon application therefore, require the payment by the applicant for such germit of fees to the amount herein below set forth and in the manner herein provi�ded to-wit: NEW CONSTRUCTION: Single Family Homes and Garages: $4.00/1,000 cubic feet. PLAN CHECK: 25 percent of buildinq 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$14.50 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$17.�20 � 1 1 � � � � ' � � � For the purpose of computing fees for building permits, the cubical contents of any building or addition, is determined by multiplyi.ng the ground area covered from a Point six (6) inches below the floor line of the basement or th� cellar to the average heights of 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 per 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 be less than $7.50 plus $.50 state surcharge. ' � � � � �1.: �� NOTE: Permits for construction will be issued a minimimi of 24 hours from the time of application to allow for proper review of the proposed structu2-e and of the cons'truction site. A Certificate of Suxvey of the lot, showing the location of the foundation once it has been constructed will be required before proceeding with the framing. f ' � � 'i� Application for a Certificate of Occupancy shall be made ten (10) days prior to the use or occupancy of any structure for which a building �rmit ha.s been issued; and said structure shall not be used or occupied until a Certificate of Occupancy has been issued. • . -� + d �-_ . c> -'�oa N r� pn ~ � CZ �o� N3 � a v, c ►� � N a s °� m � N � H � � �� nx a� �� -� C�f H � o�i nJ M aa � � • ai _ � � a "j � : M � N d a � c � 0 0 0 c . r � 0 c � C d n � n � � i � � e� m n � < � A � �—f. d � n O � O 7 � A � d � � ~ _3 C � 7 d n A N y > � O f+ < r a o 'O . � M r► � � �:) � ., �'� g �o � N 7 m �o . 0 � �. � � � � � v1 �� 1 ` 1 �! � m C n � � � � ti d Z � �o � � � - '—�° - + � L � H N L • � S 7 � � F► � m � r► w � �n � N r � 0 0 � N R �� m � y G M n ? � � � � h� • � � M a r r � O � � � M r' r � O � � � � � �' N N N N `\\ \\'' �� . `° o � � ! � � a ? � � � � 6 � a � � � .O � � � � V I7 6 � «� � � r � a m � N m O s � z n 0 M � A �o � N � C � d R O M � > M � O � f� H i � C � \ � � � O � z ■ c � z � � � C t�o � H � � � _s�, � � � a a o � y � � � C N 0 N 1 ' � � . � � �I . F~+ M • o ii 0 M m � o � r�- r �o 0 ma � ° h `° � A y a �•°•'o. `� ab w mh m Mr► O 7 ►{ y iP N �+ 0 0 0 � O � m e Mr M �\ � g �, � � (L C� c� c� m ^n � m m�om n►�i O o rb �'d � � �� ~ � 7 " �$Po �� r $ o r N ~ ' s, � a = R� � �g M � K � ° o a " � =` . N N N fR r r+ � n� �t o O o P �„3 0 0 0 o t*� 0 0 0 0 y N N N N N Z � O� � � i� � � jo m h r� m M � O� ►+ r• C t!� M� a� a a r�� e ee � w n v M�� C O m T � 7 m � � � ►' NR � O w� � �� m �°. o �c �' f` �; � � g1L a „\ � 6 n ~ N y r �` a a°�� - -�- � � � c � K � ti � = �am m ►� ;► r� R P� � 0� m n 7 �' < � R m r O O O r� 7 !1 '7 Z v1~ � �'o :� ` ��° �n � . o �e � � '+ �� O G� [ R r ► �s ' � C d � ~ � • S � � � ■ O O 6 T r � w � A 8 1'� 'C 7r W � w N w o � ��s � � � !' 0 Q a a K m m N � m N � _ m v rC T c � g r n a � 0 z � O � O Z � � a � a > O N v a -� C7 O S ? a � � < � � n [*� O N O d � o t m m ^ � n m � N � O z � m T � i:1 m - D -- � 0 2 D 2 O f"1 --1 � O T T � O r rn -t � M Ffl � fi rt C (D � � �"� � r � � 0 CHIMtdEY ANJ STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack; 1. Has been carefully examined Yes (,) 2. Is free from rust or deterioration Yes () 3. Has no foreign objects lodged within Yes (� 4. Is securely supported Yes () 5. Meets all current Code requirements for size and total BTU connected . Yes ( ) 6. Has Total heating BTU�s of All other BTU's TOTAL Rema rk s '., L � i e i� No ( ) No ( ) No ( ) No ( ) No ( ) Campa ny Signed By Oa te � ,�� y � s. �lir ur �'Kt111 tY � APPLICATION FOR hlEATING REPLACEMENT CHIMNEY AND S7ACK VERIFICATION • THIS FORt4 MUST AcCOr�PAr•�Y ST�t�o4R0 APPLiCATiOrI FOR HEA7iPlG PERMtT FORrq. , � LOCATION �5�,� ��l Z..d�+l � �� DATE 1 `��'-'� �1 OWNER _ GVI,�.��„� ADDRE5S S��rn.,�� The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined - , 2. Is free from rust or deterioration 3. t�o foreign objects are lodaed within � 4. Tt�at it is securely supported� °5. That it meets all current Code requirements for size and total BTU connected 6e Total Neating BTU All Other BTU / �� TOTAL �ss r �� y� � < � J� � . � � t�r�►�cs >�t►i �� /� r,� � `� �� 1�� e✓ � � �1- � �'C^/��_�" 2'�AN.�tt� �� l� o � � � � � �� C��/ � �; . HEATING PERMIT � u SYGNEO . Licensee by Addres s Telephone. Fridley City License � � � �