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AF - 46357Date Owner Addre r�,, � BUII.DING PERMIT r Vill e of Fridley, Minn. r � ; �, :� , i- , / �. ,_—.—f-, � � � N° 294f _.,. e �� Builder...... . ... ......... ............... Address �� . ........................ ��+°'r.'� �. '°`° "� - - � ' - �� LO�CATION OF BU(LDINt; � � No. � . . .�J. �. . . . : . Street . . . . . . . . . . .��I'. . .�. p. L.� . . . . . . . . . . . . . Part of Lot . . . . . . . . . . . . . . . . . . . . . . Lot ..! � ........ Block .. � .......... Addition or Sub-Divisfon ��!?��'��..��.y�g� � �, , � �.. {r{ � , � Corner Lot ............ Inside Lot ....''�.... Setback .�....... Sideyard ��.��!��.�,�� ', �� DES�RIPTIOlV OF BU[LDING To be Used as: � �c ` . . . . . . . . . . . Front �� Depth � . Iieight . . . . . . . . . Sq. F� f.�. .� o Cu. Ft. . . . . . . . . . .. . . .. . . . . .. .. .. . . . Front . . . . . . . . Depth . .. . . . . . Height . . . .. . . . . Sq. F't. . . . . . . . . Cu. Ft. . . . . . . . . / �� r� Z`ype of Construction . . . . . . . . . . . . . . F.st. Cost . . . .1. .� . � � . � To be Completed . . . . . . . . . . . . . . . . . . . s � • , / r ,, � i �; ;�/ � ; � �� . � f, y; ; � , f �- �� •- � ��4 y �, T y a � ;, �� ,'! , % a �j k � /', �"� �f j ; `� , �.,. � , .-� � Y. In consideration of the issuance to me of a permit to construct the building described above, I agree to do the proposed work in accordance with the description above set forth and in compliance with all provisions of ordinances of the village of F`riidley. � _ . .. . . .�►b.. .a . . . .. . r. . . . .� . . . . . . . . <, �.t' In consideration of the payment of a fee of $. ��iermit is hereby granted to ...:....�.. �� . . . . . . . . . . . . . . . . . . . . . . . to eonstruct the buil g or ad di�ion as described above. This perxnft ia granted upon the express condition that the person to whom it is granted and his agents, employees anci worlmaen, in all work done in, araurid and upon sa.id building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Mituies6tA regarding loc�.tion, construction, alteration, maintenance, repair and moving of buildings with- in the village limits and this permit ma.y be revoked at any time upon violation of any of the provisions of said ordinances. � /"'1 NOTICE: This permit does not cover the construction, installation o� alteration for wiring, plu�mb g, gas heating, sewer or water. Be sure to see the Building inspector for separate permits for these (te �, . City of Fridley, inn BUILDING PEI�MIT _� N° 5742 � Date: _�,,��- �� ''� � a � Ovvner: � �.�� - j Builder �� 7'�'�-� Address , Address ,,, L�CATIO�OF BUILDING No. �� Street � . ,,� �► P f Lflt Lot �..�_ Block �` Addition. or Sub-Division °''' ��' Corner Lot 7n.dde Lot — Setback Sideyard Sewer IIevation — —. Foundation IIevation D�SCRIPTION OF BUILDING T , �a �: '�"�, �, � �, _ Front �j�f �-�` Depth .�— Height � Sq. Ft Cu. Ft Front — Depth Height �..— Sq. Ft � Ca. F''t Type of Construction � Est.`C��'"°�� To be Completed � Ia consideration of the 3ssuance to me of a perinit to construct the building described above, I agree to do the proposed work in accordance with the descripi3on above set forth and ia compliance with all provisions of ordinancea oE the dty of Fridley. � In consideraiian of the payment of a fee of $� �, P�t �S hereby granted to to cansiauci the bwtlding or addition as described above. This Permit is granted �on the express conclition that the person, to whom it ia gi�anted and his agents, employees and worlunen, in all work done in, around and u�n said buildu►g, or any part thereoE, shell coffiorm in all Tespects to 'tk►e ordinances oY Frldley� B�innesota regarding loca.tion, conatruction, �lieratfon, maiatenance, repair and moving oP buildings within the dty limfts and this permit may be revoked at any time upon viola�oP any of the provisions of said ordinances. ,r�"°""'�, ,�^ ,�` � Bgilding InsPector NOTICE: 7'61s p�rmlt do� not eover fhe wnstrueHon, inatallatioa for wie6ig, Plumbing, eas heaHng, sewe� or water. Be suro to sse the BuiWirtg lespeetor for seperate permite fo� tha�e items. � � � , _ �, 4 �",. <a= �: , �, , . j a APPLICATION �'OR BUI�DING PERI�iIT CYTY OF F1tIDLEY, P2��INESOTA � r� Owner's Name ��'�'� �4�C'1`� /7 /911� 1 Builder � l': � �� II+�� , .. ....,_..�.�..__ ,_.,_, .�' l ' ' 2.. LI �� — Address �,� � I7�R 1�� ;l'�i� Addtcess �_ _. �`�s� �1��sA� 1'�� 1 S� I i� J�j �.�� Lo �ao�v o� sva s�c = � � �^ � . � �� . �,�z��--�-- _ ___ No. °�`-� �`•_ � �treet Part Of Lot T Lot._,_,/ �' � lock � Addition or Subdiviaion� ��F , �� Corner Lot 3nside Lot Setback „�, Side-Yard SEti�'EEt ELEVATION i`OtJNDATION ELEVATION , Applicarit attach to �hi� form Certi�icate of Surv�y of Lot 'and proposea building location. � DESCAIPTI(�N OF BUILDING To be used a�o e s7 � / _�,�is� .��f�rh�� nr ��oae�Fion�� Depth�"��` !E ` i3eight,�/ " �_.,._.____ Sc,�. Ft . Cu . Ft . Front________ Dep�h �,� eight Sg. Ft. Cue Ft. Type : of Construction �,�4,�� Eatirnated Co�� a . To be Completed S � m � � � '9i�o S 1 �� P " �. � ,�,.� �°� �°�=`� ��'-�J��..�.� �� —�� The undersigned he�celoy makas application for a pesmit �or the work h�rein speci�cied, agree3.ng to do all wo�k in strict accordance with �he City of Fridloy O�cdinances and ruling o� the Depar�ac►ent of euilci- ings, and hereby declarea that �11 the facts and represea�ation� stated in thats ap�lication are true and co�crect. — t.e�-. � . L �i �� ,(Schedule of Fee Coats can be x"ound oa the Reve e de),. � ' ti � L: � � - � - c � q� � � '� �iJiLD�1tTG PERMST FEE SC�EDITLE sec�c3on 2. The �nspector o� Buildinr�s shall, be�ore issuing any pe�n�i: �or the erec�ion or any building or si:ruc�ture, or for any addition to any ox�is��ng building or s�.�cuc�ture, or for any altera�ions or repairs �o any oxis��ng build�ng or si:ruc�u�e, upon appaica�tion �horefor, requixe �ho payntent by �1rie applican'c for such permit of rees �to the amount herein belov� set �orth and 3.n tche maru�e� herein pgov�ded to-wi�to 2.1 o For any auci� p�rmit fo= the erec�ion of any fi:re-prcoo� build�tng, other than a garago, wa�eY►ouse, factorcy or grain eleva�tor, o�c �Eor the erec�ion of any r3.re-p�oo� addition, for similar occupancy, �co any exas��ng building slnall be a�t the rate �oi $1.40 for each oae thousand �ic �eet, or �raction thereof� 3.n such cubical contentse 2.2. For any such p�rani� �or the erec�ion of any fire-proor garage, war�house, �ac�oacy o�c gra�.n elevator, or ror the erection or ar,y fire- prooa adc�i�ti.on, io� sim�.ia:r occupancy, �o any ex3stir�g building shall Ioe at �che ra�te oi $�..25 �or each one thousarid cubic feet, classi�iec3 as "�ireproof° by Seci:�on 502 0� the M�.nneapolis Building Code. HO.._. USE S 2.3. For any such permi�c for the erec�ion of any non-�ireproo� bu31d- img oicher than a ga.�age, vuarehouse, fac�ory o�c gra3.n elevator, or any r�on°fixeproo� addi�'c�on, �or si�nilar occupancy, to as�y ex�is�ting buildingo Perzait $1.00 £or each �on� thousand cubic �eet. G�GES _._ 2.D. For any such �err�i� �or �he e�ec�ion o� any non-fireproo�E garage, warehouse, facto�,r or graj.n e�.eva�tox, or for the erection of any non-�i�eproo� add�.�ion, for si�z►i.lar occuy�ancy, to any existing building or �o� each sueh building or additione Nin�,ty Cents for each one �ousand cubic xeet or fraction �thereof, 3n the cubical Contents i:hereo� wi�h a m3n�um o:� $4,00 0 �or �the pu�y�ose o� compu�t�.ng �ees for building permi�s the cubical con- ten�s o� any�building� o� addition �o a unirorm height th�oughou� by mulfiipiy3ng the grounc� a�ea covered yro�n a point aix (6j inches below �Yae floor iin0 0� �the basemen� or cellar �to the average height of the upper suxface or ico 'che average hei.gh� of the acoof surfac� of �he ma3.n ga:ble o� a pi�tched root. 2.5, For repa3rs or alterat�.ons to an exis�Eing structure, the fee shall be at the ra�e o� $3.00 per each Five Hundr�d Doilars ($500.00) or :`raction �thereor in �the cos� o� all proposed worke 2� r�n no case shall �he ree charged Zor any permit aa sot �orth in Section 2 be iess tl�a� $4.00. ,.� 1, O� -�- 's� �--w, Y�` ` _ �, �` '1 � G �r_ � � +� � z � � � � y,;;, b�'`- �i��o , �-� � �� M,r t. ,1�' . r \ D � ! 1 � po ' . � . . . �, �. ��r � � ' yf � � q ° � �. � � $ � n� 1 � � � r,� � � � � � �, � � � � �� y '� � ' � `L 0 � � � V -�•. SPRING LAKE PARK LUMBER CO. 8329 CENTRAL AVENUE NORTHEAST MINNEAPOLIS 21, MINNESOTA SUNSET 4-3062 "When It's Lumber — Call Our Number' . �: ., � � - � � a, �� -�.--� _..�-�__-� °--�� r _ _ 2. � _a �.�s�'_ _- ��-" .. , ��, . m, f `. � '�: 7� � r ..�..,�-.- � ..�_ ' __. . .. r-_'_> . ".—_ _-' � _._ :._� .. — _a-_._�-�_.. ,. . :�, a/° �_.�_� � _ �.. _ �� I �. � � �, q v' ,�.. .. .-.� _'.._m �� N .^ r �', � l I' eA : Y� `:,U �.' � �' ��'�. ) _. 1 � i ':B .'1- � . � { �-\�k� P4�� . " - � i �1!�`� �a `�: ��?��' ....:�_y , �� ,�iR� - --- --.-�_. ,.__�� l .�" < , ., � '�e � o � �� / \ �� a- a� - -- tTs � t` � � �^, City of Fridley, Minn- BUILDING PERMIT Datg: Jun.e ].li.s 1965 �� N° '78'7� Owaer: ftor�al.d He3t�i Bwuder n�ai � u_:��.�r�z Ad�re� 5"�09 Hor�°3.zoa �r3.ve AdaresB 72 �d,. AQe..� LOCATION OP BUILDING No. �'�9 St�eet �OT�'ti�A 'l9P7''�e Part of Lot i�ot � B1ock g Additioa or Sub-Divlsion C8P13On$ �ul�.t M�1 Or Coraer Lot _ Inside Lot Sewer IIevation S.etback Sideyard ____ Fo�mdation IIevation DESCRIPTION OF BUILDING To be Used as: Front DeP� Height Sq. Ft Cu. Ft Front Depth I�eight Sq. Ft Lu. Ft Type of Conatruction FF�t. Cost —�:+Q _.._ To be Completed Rebt�il.d St,c�rm De.ma.ga In conssderation of the isauance to me of a perinit to construct the building descrii�d above, I agree to do the P�P� work in accordance with the d�escrlption above set Po ` and in cbmp /��OL all prnvlsfons of ordinanc� oP the dty of �iiidley. y,:. � �� In camafderat[on oP the payment of a fee oP � 10•� , permit ia hereby graated to to cronstr�uct the building or addition as d�cribed abave. Thi� �ermit is granted nPoa the egpre� condition that the peraon to whom ft is granted and 1�is ageute, emPloyees and worlmnen, in all work done in� around and upon safd building, or anypart thereof, ahall confarm 3n all reapects to the ordinanc� of Fridley. Minnesota regarding la�tion, conatructtam, alteratlon� maintenance, repafr aad mov3ng of bufldfngs within the dty ]imits aad this permit may be revoked at any time upon violalion of aay oY the provisions ot said ordinance& . �71.en Jensea �� NOTICEs 16b peemh doss � ceva ths eonshueH�, I�tal�ttm tee �rWeg, phrmbing, ea 6�aNng, aw�e er wals�. B� wn fo ae Nn &riWloe Iespsetar ior ppuab � fo� ��. ^i h _ ► ow�x's � . APPLICATION FOIt BUILDING PERMIT CI1i OF FRIDLEY, MINNESaTA � �� f � _�� . � /' , � � A LOCATION OF BUILDING Kn.. �� L) � Street ,- � � Part of Lot�� LOT �� BLOCR �A�DI��01� bI! StiTB�IVtSION ' p Corner Lotllnside LOT_�_,Setback �' �� Side-�Yard_��,.�5' ,� `� �p SL�1ER ELEVATIUN_,�k�-� a� ��o FOUNDATION ELEVAfiION� w �,�z�:�e�`" Applicant attach to t�is form Two CerCificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRiPTIOAT OF BtTL�DII�TG �� - !� To be used as ; � I f� �' e� ! �t �r � P� � Front � Depth Height Sq. Ft . �.1 � `7 Cu. Ft .� � e�- =-- - Front Depth�Height ' � SQ. Ft . �'� � � �' � Cu. Ft. Type of Coa�truction ��'�{� ��`� ��,2,,Estimated Cost� � a _ �l— To be completed The unders3.gned hereby makes application for a permi� for the work herein apecified, agreeing to do all work in strict accordance with the City of Fridiey Ordinances and rulinga of the Departma�at of Bu3ldiags, and herebq declarea that all the fact� and representat3ons stated in Chis application re true and correct. DATE �t�Q.. L SIGNATIIRE (Sch le of Fee Coats can be faund on the Reverse Side), r'`� �-� — — ..—� � e . � iC��"" - � �`L�� • � .�� J- _' . 8�1Ii.DING PERMI� FEE SCHEE�LE SE_G�ION�,2. The Inspector af Buildi�ags shall�, before isauing any permit for the erection of any building or structure, or for einy addition to any euisting build- ing or atruceure, or for aaq alterationa or repaira to anq ex3atin� building or structure, ugon appiication therefore,.require th� paymeat by the applicant for such pes�mit of fees to the amount hereia below aet forth and in the manger herein_ provi.ded to-wit: , . 2.1. . For anq auch permit for the erect3on of any fire-�proof building, other than a gerage, warehouae, factory or grain elevator, or for the erection of aby fire•proof additioa, �or aimilar occupgncq, to any existing building, shall be at the rate of $1.40 for each one thoueand cubic feet, or fraction thereof, in euch cubicai conten�s. 2.2. For any such permit for the erect�on of anq fire-proof garage, Warehouae, factory or graia elevator, or for the erect9.:aa of at�q fire-proof add3t3on, for similar occupancy, to anq existing building shall be aC the rate of $1.25 for each one rhoueand_cubic feet, claesified as "fireproof" by SecCioa 502 of ehe Minaeapolie Building Code. � HOUSES 2_3. For anq auch permit for the erecCiou of �nq non•fireproof building, other than a garage, warehouse, factory or grain elevator, or any non-fireproof addition, for eimilar occupancy, to anq existing buildiug - permit $1.00 fo� each one thousand cubic feet. GARAGES 2 4. For any such permiC for the erection of any aon-fireproof garage, vaarehouse, factorq or grain elevatos, or for the erection of anq non-fireproof additien, for similar occupancq, to anq exiating building or for each such buildia� or addition - ninety cents ($0.90)_for each one thousand cubic feet or fraction thexeof, in the cubical contents thereof with the minimum of $4.00. For the purpoae of computing fees far building permite, Che cubic�l conCentis of any building or additioa Co a uniform height throughouC by multiplying the ground area covered from a point six (6) inches below the floor line of the baeem�at or cellar to the average height of the upper eurface or to the average height of the roof�surface of the main gable of a pitched roo£. 2_.5_ For repairs or alterationa to an�existing structure, the fee shall be at the rate of $3.40 per each Five Hundred Dollars ($500.�0) or fraction thereof in the cost of all proposed work. 2,_ 6. In no case shall ehe fee,charged for•-gay�permit ae set forth in Section 2 be lesa than $4.00. �" .- �_ . ' �"� ^ �� . . _ : � � �� _ a � , � - �`/ 9.,�° �� • ■ S�JRV�Y FQRt . Ma. DON�►t,� SGHWt�RTZ .`""o S°-R"�"oR� _ , �.�.._.._.�__. 1�arr�s: Johnson : , ��,i�,•�� • S��t►� �►r � C = y _ . s�OCZ�i �'� • . , 10836 FRANCE AYE. &QUTH MINNEAPOL153T. MFNNESOTA •- , _ � � TY%6D0 �8•8f00 , ' . . - _ � .. . ' ; . \ � , ,. , \ . \ � ' � _ �`1 ` . _ . . ' . . - . . \. . . . . . . . . = •�, . . . . . . . _ .. - - , .. ' ' . ;��.� . . - - _. . __ � _ _ . ' � ' -� � � � . - . - �,. �. _ . �.��. � .- _ � _ � -. -- : . 69 �. _ - - - ,. , � � . - . , � � . o,� . . _ . + �� - � ._ � �,- �z . _ , �� . :Z � y: _ -.Z . : � . �, . ._ \ , ��,,,/ � . _ - �_��- a - ," - . . . , � �� , - �. �a i� -y� � - _ � .o, P 30 D � � 39'2 � ` � . �s - . ��' � - � ti� . � � , , ; ,� � Q�G�' � �� ; �, � _ ; _ i � � �r�. �� , ., � _ . �' 9 - � _ . �71 .�" �,K "; � - � � �� \ ' 0 � �� , : _ - - � �� %� _ . �:: i�G �ti , � � � . a r,. 5 � . � ,, , ��,G , ��. E+ �r,u ` . ' � E a. �; � S � � F?�� G�� _ � - _ �� 1 C � �� I �/ —, _ . . � _ � . � � s � , ' � -;. ` , � . . o `. t , - � —o�. �Z�. *�I . _ . - _� . .-� �,_ _ . . ti E � � f�� ,` !, .• - - - : - . � a, ��r�>. o� � - - , 4 ., C) � � t�'i (L,��6: _ - _ _ ' r '' - � 0.1 - , � ��R. - _ `�. f . . .. . _ . v , - - - . t \ , . . .. - .. , .. �B �O . � � .. ..-,. ... - . , _ . -� fieteby certi fy th0t this is .+� t rue arrd correct represe'nt�ticin � � � of a su.rve of ` the bcun€��ri �� mf LAt t 0 a., B 1 ack 6,, CAR LSON �� SU�MI T NIANOR NOR� A DO IT ION, :: Anotc� ;�� Count�r�, Mi.Anes�t�, and of th+e : i vca - t.ions of al l bul.ldi�gs therec�n-, irrd al t viaible encro�ehments, . if an�r, frQrn or can sald -iand. It ats� shows the to�atian of a pco- posed house. As surv�yed by -me this t�.th �y. of June, 19b5. . - . . . ._ . . � ~ i'� ' � . �., �h..�a' �� -. �'', �� d; - ��ry . nsa� .. . . , . _ � �.�arid Surv�e�yor fnn. Reg. No.5065 � - . r''�, . , � � � _ ��.• sue�ecr PE City of Fridley 19422 \ AT THE TOP OF THE TWINS g � I L D I N G P E R M i T r � � � � • � 1 y_ COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. �� i � � /"'1 � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OP APPROVED BV �.---� � •'� 612-571-3450 910-F15 4/27/88 / / J08 ADDRESS 5409 Horizon Drive N. E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. �.0 6 Carlson's Summit Manor North Addn. SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE Ron Hirth 5409 Hoxizon Drive N.E. 572-9587 3 CONTRACTOR MAILAODRESS Z�P PHONE LICENSENO. Manion's Master Roofing 3841 Hayes Street 781-7228 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 0 ADDITION O ALTERATION � REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WOHK Reroof Dwelling 9 CHANOE OF USE FROM TO STIPULATIONS ' Roof can be 2nd layer but not 3rd. Install ridged galvanizecl valleys. On ail �euv roofis or tear-offis and repiacer��f rot,fs, State Code requir�s ti�at � I�yers �o� �� b. �elt, mopped together, be in�tall�ed � a poi�� 4 i��h�s up from exterior w�N iin�, �r th� �� fi e�,�r approved underl�ym�nt membr�n�. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORI2ED IS NOT COMMENCED WITHIN 60 DAYS, OF 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 I. STALLS GARAGES AND KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF �AWS VALUATION SUfiTAX AND,ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $1�lOO $.55 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO YIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- TRUCTION O THE PERFORMANCE OF CONSTRUCTION. $19.00 �A`9 LAN CHECK FEE TOTAL FEE 1',� f � r f-�7 ��.�'�� $19. 55 SIGNAT REOFCONTRACTOf70RAUTHORIZEDAGENT IDATEI WHEN PROPERLY V TED THIS IS YOUR PERMIT SiGNATURE OF OWNERiIF OWNER BUILDERI IDATEI � BLDG iNSP � �ATE � I�A [ ] A�N [ ] ALR�R [ ] City of Fridley R-1 AI�ID R-2 �,;�ding Permit Application EEfective 5/L88 �nstruction Address: � 7�� /`7 / Legal Description: :�� /O aail�S �c�e� �+� � r°�t1a /�o. 7�4�1 Owr�er N�¢ne & Address: ^�, • T�. ��5�7�- ?Sr� 7 (b�ractor : � � � � � � � �1� � �-`T � iQ � 0 � r i � � Tel. # - �-Z� . 1�,ddr ess : _ _ ? �' '�f 1 I� �i- `� I � � �s 7-, Attach to this appl ication, a Certif icate of S�uvey of the lat, with the proposoed wnstruction c7rakm on it to scale. �sat�rioN oF ir�w�rr i•�vrNG 1e,REA: Length width Height 9q. Ft. C�,RAGE ARF�A: Length Width Height S1q. Ft. pE(x AREA: Length � wi Hgt/Grotma Sq. It. �,� °�G `�Y� O � o� S . s O�rner Lot [] Insic3e Lot ] Ft. Yd Setback �ipe of Constructio�: - Approx. ComFletion Date: _ Side Yard Setbacks �� Estimateol Cost : S� � /, /�� Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: S S Wic7th + 6' See Back Page DHTE : � � � 7'� � APPLICAIJP: ( �l �� +�. Tel. # Ae�i.t F�ee Stat� �urch-�c�e SAC QZarge Driveway F.scraw Park F�ee Sewer Main Qiarge z�vr� STIPCTI�TIOI�LS: $ ��i. Do � $ �� S S S s r9��s �� , �— CQY USE C�Y F�ee Schedule on Reverse Side 5.50/51�000 Valuatio� 5550 per SAC Unit Al� '�," or Alt. '�" Above F�e Determined by Engir�eering Agreenerit Neaessary [ ] Not Neaessary [ ] N=:�l� �. �. ' �+;�v 4 �� `M:I�� The Chief Building Off icial shall, before issuing permits for the erection of any buildi.ng or structure, or for any �7dition to any existing building or structure, or for any alteration or repair to any existing building or structure, t�pon application therefore, require the payment by the applicant for such permit of fees to the amount herein belaw set forth and in the manner herein prwided to-wit: �'I'AL VALUE S1 5501 FEES to 5500 S15 (Minimtm� Fee is S15 plus surcharge ) � to 52,000 $15 for first 5500 plus S2 for each addi.tional. 5100 or fraction thereof, to and including 52,000 52,001 to �25,p00 S45 for first $2,000 plus $9 for each additional fraction thereof, to and including 525,000 525,001 to $50,000 5252 for first 525,000 plus $6.50 for eaah additional fraction thereof, to and including 550,000 550,001 to $100,000 5100,001 to $500,000 5500,001 to 51,000,000 51,000,001 and up �1, 000 or 51,000 0� 5414.50 for first 550,000 plus $4.50 for each ac�itional $1,000 or fractian thereof, t�o and inclucling 5100,000 $639.50 for first $100,000 plus 53.50 for each additional 51,000 or fraction thereof, to and including �500,000 $2039.50 for the first 5500,000 plus $3 for each additional $1,000 or fraction thereof, to and including 51,000,000 53539.50 for the first $1,000,000 plus $2 for each additional $1,000 or fraction thereof D�VEWAv DEP��n��; �� (Concrete Curb Streets Only) Alternate "A": Renowal and replavement aE cvrb and gutter only - Driveway width pl us 6 feet times $13.50. Alternate °B": Renoval and replaaement of c�rb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $15.75. �/�; ' : M • � � � a�'�� • 4� �Ji Permits for construction will be issued a minimum of 24 hours f rom the time of application to allow for proper review of the proposed structure and of the wnstruction site. A Certificate of �rvey of the lat, shawing t,he location of the foundation once it has been o�nstructed will be required before prooeeding with the framing. � 4� Building Inspections 763-572-3604 763-502-4977 FAX DATE •�.L(� C SITE ADDRESS _� THIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR-- SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION PERNIIT TYPE 1VIECI�A.NICAI, �SII)EloT'�Y�I� APPLICA'I'IOl�T C� � 3� ��I'��'FOF� F� ,1�IDI�EY �� ❑ OWNER YOUR E-M� L ADDRESS aZC�a'l 03� Q ; K7CONTR.ACTOR 1�/ Permit No.: Received By i��,�. y: - �, TATE Iifi �ZIP� � coMpa,r�YNAME:----CENTERPOINT-ENERGY--- - -- __ _____ __----- ----__-_----- ----- corrrACT PERSON: JOANN ZINKEN STATE LICENSE!{ BOND 22013346 EXP DATE fwDxESS:9320 EVERGREEN BLVD NW SUITE B ci�nrC00N RAPIDS sTATE MN ZIP55433 pxoNE 763-757-6202 Fi+x 763-757-6701 TYPE OF WORK: I � ��'' DET. FAMILY 0 TWO FAMILY �REPLACEMENT OF WORK O TOWNHOUSE ❑ ALTERATION/REMODEL � FEES ARE BASED ON $10.00 PER FIXTURE, 7�CEPT WHERE NOTED. FIXTURES: (INDICAT TOTAL NUMBER OF�� BELOW Equipment Installed MFG: ° MODEL: �� C�(p(� SIZ TU �� MFG: � fl-+�t� ►�r MODEL: t?�� i��a� SIZEBTU �- !'C� n°� MFG: MODEL: �A/C $25.00 . FIREPLACE (GAS) $ I5.00 AIR TO AIR EXCHANGEER $IS FIREPLACE (WOOD) $35.00 _BOILER $35.00 �FURNACE $35.00 CHIMNEY LINER $10.00 GAS DRYER $10.00 _DUCT WORK $10.00 GAS PIPING $10.00 SIZE/BTU _GAS RANGE/OVEN $]0.00 NEW GAS GRILL $10.00 GAS UNIT HTR $10.00 POOL HEATER $35.00 VENTILATOR $15.00 THIS IS AN APPL[CAT10N 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; 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�all work whi h r�` �uire •eview and approval of plans. � . �r `� �n, �� t`z � ROGER HOFFHEIN `l SIGNATURE OF APPLICANT"�4�1 ' PRINT NAME DATE BC..�' 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 NEEBED TO PROCESS PERMIT RESIDENTIAL PERNIIT APPLICATION HVAC ❑ NEW HOMES/ADDITIONS �EXISTING HOME ❑ MAKE-UP AIR REQUIRED FOR NEW/EXISTING HOMES l. Corribustion Air (See note below) 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 5 with MN A.mendments 3. Venting a. Gas appliances IFGC Chapter 5 with MN Amendments b. Fuel other than gas IMC Chapter 8 with MN Amendxnents REQUIRED 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 Design Per IMC 1346.0603.2 a. ACCA Manual D NOTE: Centerpoint Energ,y Mechanical Code Guidelines software may be used for combustion and make-up air calculations.