The URL can be used to link to this page

AF - 46360� �- �� Village of Fridley, Minn. �, . BUILDING PER.MIT .� Date: . .. ..��.y?... .'Z° . �. � . �..��....... Owner....................................... Address...................................... � N° 1771 Builder . . . �r.'�. . �. . . ,�. . . . C-. •et s° / S d � . Address . . . . . . . `t � �; � � . . . �v � er . . .�J . . . . . . . . . . . . . . LOCAT(ON OF BUILDING No. °�.�.3 '�. Street . . l l.4 �.'.°.�r � :�{ . . . � r.°. . . . . . . . . . . . Part of Lot . . . . . . . . . . . . . . . . . . . . . . . . . . Lot . ..� �'. . . .. . Block . . . . . .�. . . . . . .. . Addition or Sub-Division .S� �?.'•� �,� , ,��,�,". m,?: , , /..: � Corner Lot ........... Inside Lot ...�... Setback ..� �..... Sideyard ......� a ................... DESCRIPTION OF BUILDING To be Used as: �%�d! G 1.! •.!z a9. . . . . . . Front . � � . . Depth °�" �.. . Height� ' �. . Sq. Ft. �� Cu. Ft. . . . . . . . . �/ ..................... Front ........ Depth ........ Height ........ Sq. Ft. ........ Cu. F� ........ �'�� Type of Construction . �f.�.!?7. � . . . . . Est. Cost . . �.°� : . . . . . . . . . . . . . To be Completed . . . . . . . . . . . . . . . . . . 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 Fridley. �� In consideration of the payment of a fee of $. �.�'.� .:'� ., permit is hereby granted to /. .� �✓ :�. /`� ,�w r�� ......................... to construct the building or addition as described above. This permft is granted upon the express condition that the person to whom it is granted and his agents, employees and worinnen, in all work done in, around and upon said building, or any par� thereof, shall conform in all respects to the ordinances of �'ridley, Minnesota regarding location, constx��'ion, alteration, maintenance, repair and moving of buildings with- in the village limits and this permit may- e revoked at any time upon violation of any of the provisions of said ordinances. � ..� ..:.... �.... ....... Building Inspecior NOTICE: This permit d'oes not cover the construction, installation or alte�ation for wlring, plumbing, gas heating, sewer or water. Be sure to see the Bullding Inspector for separate Aermits for these items. � . , 1� 1 1� . � � !� �'4` 1 Z . � � INDUBTfiIAL _ C.� E. C O U L T E R " 8V8iNBB8 �,�e �.ar�� suRV�raA rrovoaaapN�c r�pnNO REGISTEFtED UNDBR LAW6 OF STAT6 OP M!NlVESOTA �� LICENtED BY ORDIIVANCB OP CRY OP MINMi��04W _. 3300. LYIVDAL�,AVE. SO. MINNEAPOLi8 8. MINN. l�,n LOCUST 0970 N�tut►egur'a �trrtii#�t� Scal�. 1 1"= 3 O ��°"' \ \ -• � ' � . C� 'A� PyT71N6 iAHM p1ARYiYB t�K6tNOlti � �ua�e��l ' .�. e � , �, . �� ° \oo ••� p o . �' . . �� . \` �" � ,�� . 1 � ,^ A �� ; � � \ ' iP 4 • ,q �� /� ��. �O � . (�i1 . • �� ' . ° � � ' ! A y�0 '•. � x � � � � . � �q �G� �� .'�� t Q � , j� . �o . • i . �� \ Z6 � \ . � �: J�\ ,, �° 21 � I Y a., i ' - '' �� P,\ .`�2. 4� � ��'\ . , . �ror► �4, x\ ,' . . '� �.. '°-a,\ — l. � � ' I hereby certify thst •t�e abov� is a true and cQrrect plat of a survey ofz LOt TIr7E198 (12} � Block Fd�r f!�}. CARLS�T'� S�ST N,ANCA NOF�1'f� AUDITIC�N, A�acaka �ou�ttg� l�iinnesota . . . As surveyed by me this 9th day oF 7anuary �g56 A. D. � . . , Signed � � �¢��'�, � . ��'� 4� Niinnesota Re�istrstion No.'�;584 �RVf t� E �A�L��t , fi`� City of Fridley, Minn. BUII,DING PERNIIT �;�^ -� � � � �s`—� nate: �,� . .. ... .... ............ o� .�.�-.�.�-�i� , ..4� .'...'.�. :� .. Addr� �,� . : f :�. .�.�. l':�;`: : : � �`�: . :'P. : `a . !:�� . : ! :�'� f�,' ;; �-�-� N° 33�9 c Builder . d. .'��: . . . : . :-�� . . .. . . . . . . . . . . . . . . . . . . . . . . Address ............................................. LO�CATI�I OF BUILDING � �,� ^)�� • NO. :-'. � : : . . Street . . : �. � : : .� . . . �c . _ ...�4-. : : :� : �. . . . Part OP Lot . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Lot . .. .. . . .. .. . Btock . .. .. .. ..�: .. . . .. . Addition or Su'b-Divi�sion . .. . . .. .. .. . . . . .. .. A.. . . . . .. .. .. . . .. .. . `�.� f; � Coraer Lot ............ Inside Lot . . ....:...... Setback ..'�d........ Sideyard ..:" :...................... DESCRIPTION O� BUILDING To Used as: � . � :�d": : . . :�+. . .��. . A Depth '��. `. Heiglnt .�`�d �.'�l Sq. F't. �� .�� Cu. Ft, : � .. .... P' ........ � ..........:......... F'ront ........ Depth ........ Height ........ Sq. Fk ........ G�. Ft. ........ T�pe of Construction . . . . . . . . . . . . . . . . . . . Hst. Cost. J. �� . . . . . . . . To be Completed . . . . . . . . . . . . . . : . . . . t �ye �� tP � �r (��o� Ea cons3deration of t'he is�uance to me o! a permft to co�truct the building desrlbed above, I agree to do the proposed work in accordance with the desrriptton above set forth and in compliance wYth all provisions of ordinances of the city of Fridley. : i-> , � � ,E`�' L. a , , , -- ` � i ^y� .� � " l� �° i = � � .v✓°� � _� ............................�........................ I � „r �«�," In consideration of the payment of a fee of $.., :..°.`�.., permit is hereby granied to ................... ......................... to construct the buflding or addition as described above. This perm�it is granted ugon the express condition that the person to whom it 9s granted and �is agente, employees and worl�en, fn all work � done in, around and upon said building, or any part thex�of, shall conform fn all respects to the ordinances of Fridley, Minnesota regarding location, cons�trucl�ton, alteration, maintenance, repair and moving oP bu3ldings with- �' in the dty limits and this permit may be revoked at axiy time upon vio tion of any of the provisians of said ora��. ��° ,1 _ . � :- • : • °�/S/il� : :':: . f :'. . . . . . . . . Euflaing 7napector NOTICE: Th(s permlt does not eove� the const�u�tlon, Installatlon o� alteration for wl�ing, plumbing, gaa heating, sewer o� water. Be sure to sea the Buildlrtg Inspe�tor to� separate permlta fo� th�se Itema --9.. � City of Fradley, inn BUILDING PERMIT nate: J'il-� 7, 1965 � 9 S �/ N° 8135 �; LeRoy P. Lar�oa B�� Stassel Co. �� 543� �or�.zon nr�.�e A� 18�o c°m��. �.. Pau�.;__ ;n,,. LOCATION OF BUILDING lvo �� street - Aox'j-zoa Drive Part or Lot I.ot Coraer I.ot Sewer IIevablan Block Addition or Sub-Division ._._ Inaide Lot Setback � Sideyard Fotmdation Elevation DESCRIPTION OF BUILDING To be Used as: aa�^age Frnnt �� Depth _2� Height _-1Q! Sci. Ft �.� Cu. Ft • 280 Fmnt Depth I�eight Sq. FL Gti1. F't. Type of Construction Fst, Coat �.�.�.�1��0�...__ To be Completed Ne� Garage In cxnsideratton of the �isauanc�e to me of a permft to conatruct the building described a�ve I agr+ee to do th� proposed work in acr.ordance w3th the descntption abov set forth and in campliance with a�l prov3sflons of orrlinances oP the dty of Fridley. �� C�'t-�� In ca�deratt� of fhe payment of a fee of •� � permit fa hereby granted to SamA to conatruct the building or additfon as descrTbed above. Thia permit ia granted upon tt►e elcPress canditioa that the pereon to whom it 9s granted aad his agents, employees and worlmien, in ai1 work. doae fn, aroimd end upon eaid building, or anypar� thereof, shall conPorm in all respects to the ordinance� of FridleY, M3nnesota regarding locat4on, construct�fon, alteration� maintensnce, repair and mov3ng oE build�ings a►1o�� dty ]imits and tbfa permit may be revoked at any time upon violation of aay of the P�visiona of eaid A11en Jeasen �� onc� 'lids pe�mB doa �1 eorer ths eo�fruedoe, Ie�ailaHon im �rWn9. P�+�e. 6+� 6�e, sewu er rrds�. 8� wro to ss� tM Buildi� Imp�etor ior ap�nb �/or �6ea Ihnn. _ , ..� � . � OWNER'S NAME. APP`LICATION FOR BOILDING PERMIT CITY OF FRIDLEY, MIIa1ESOTA �� -�.�� AnnxESS �y�3;� �.... ann�ss LOCATIOP OE BIIILDING N0. STREET PART OF T�t)T LOZ` BLOCR ADDITION OR SUBDIVISION CORNER LOT INSIDE LOT SETgACR SIDE-YARD SEWER ELEVATION FOUNDATIQI6 ELEVATION Applicant attach to this form Two Certificates of Survey of Lot aad propoaed building location drawn on these Certificates. -_--�--- D�SCRIPTION OF BUILDING _ .. --�----- - - .� �.�_—�-�� . To be used �as • -�` ' ��c G -�. � � � �� -�`� - . Front ,� � Depth�Height �`` �' Sq. Ft . _�, ^�- � � Cu. Ft . �� ,l Froat Depth Height Sq. Ft. Cu. Ft. Type of Construction ,,/�,�� Estimated Cost__ ��/ �C� o�"'"��- To be completed � � � � �� The undersigned hereby makes application for a permit for the work herein apecified, agreeing to do all work in strict accordance with-the City of Fridley Ordinances and.ruliaga of the:Departmgnt of Buildiags, and hereby declares that a11 the facta and��epreseatations stated in this application are true and correct. � - � • , �;/� �"'.'� � DATE ° � - � � SIGNATIIRE _fe � � �a :• . (Schedule of Fee Costs can be found on the Reversa Side). ., - _ - - ''� _ s��, � � �. � . �'. ,� � . r.. BIIILDING PERMIT FEE SCI�EDULE SECTIOR 2. The Inepector of Buildings shall, b�efor� issu4.ng any permit for the erection of any building or struc�ure�, or for any addition to any esisting buildin� or etructure, or for aay alterations or repaira to any existing , build3ng or etructure, upon application therefore, require the paymeat by•the applicant for such permit of fees to the amount herein below set forCh and in the manner herein provided to-wit: �� 2.1. For any auch permit for the erection of any fire-proof building, other tha a�arage, warehouse, factory or grain elev.ator� or for the erection of any fire-proof addition, for similar cccupancy, to any esiating buildiag, shall be at the rate of $1.40 for each oae thousand 'cubic feet, or.fraction thereof, in such cubical coutent�.. 2.2 For any euch permit for the erection of any fire-proaf garage, warehouse, factory or grain elevator, or for tt�e erection�o.f any fire-proof addition, for similar occupancy,.:to anq.esieting building shall be at the rate oi $1.�5 for each ane thoueand cubic feet, claseffied as "fireproof°t by Section 502 of the Minaeapolie Building Code. � . HOIISES 2.3. For any such permit for the erection o� any aon-fireproof building, other than a garage, warehouses, facCoxy or grain elevator, or any non-£ireproof add3tion,_for�.� im�lax occupancq, to any esiating building » pexmit $1,00 for each one thousand cubic feet.� GARAGES 2.4. For any auch permit for the erection d£ aay aon-fireproof garage, warehouse, factory or grain elevator, or for the erection of any aoa-fire-proof addition,-for aimilar occupancy, to�any es3�sting'building or for each such building or addition - ninety ceats ($0.90) for each one thousaad cubic feet or fracCion thereof, ia the cubical contents thereof with the minimum of $4.00. For the purpoae of canputing feea for building pezmits, the cubical contente of any buildit� or addition to a uaiform height thtoughout by multiplying th� ground area covered fr� a•poiat.six (6) inches balow the floor line of the basement or cellar to the average he�tght of th� uppes surface or to the av�rage height of the roof sutface of�the m�in gable of a pitched root. 2.5. For repairs or alterations to an existing atrucCure, the fee shall be at the rate of $3.00 per each Five Sundred Dollara ($500.00) or fraction thereof in the cost of all proposed work. 2.6. Ia ao case ahall the fee charged for aay permit as aet forth 3n Section 2 be less than $4.00. �.: _ STORM REPAIR DAMAGE FEES: Reaidential; Eatimated Coat of work up to $500.00 -$5.00 Estimated Cost of work over $500.00 -$10.00 Commercial; Estimate�oat of work u� to �500.00 -$1�0 - - � Eatimatec. ,ost of work over �500.00 • $2l A �" � � 4� �� e LOT BLOCK ADD'N. NAME LF ADDRESS 543 AREA °�'�� SIZE z��Z VALUE f - �oo TYPE 1— 1 � 1 � L '� �% ./ �. � �' �� Sf�.c..tA2E ��iri-�_._'�xiST'�+.1U ��c�E'�VA°/ ° e �� Ta.rz.r �rz. o�►� p� CC n,r�� e I i�� F=�d.o�a ��arc. C�� io��. �s ' � �-� o � �.a /-R� � - � � �.xi�T�� a�uEcAray ��.,A3 ' t i �� M A ��.,rs i'� MIA�e � c� p f��+y Co�Cr��T� �ROt�T �Q�T� pIJ OF L7AP2j>CiE �v/ M�� v�V �d �� ° ��O�..iedYi-T l V � 11�E�H � �.o�.sDU�,- O�1JSTALL I' QOt�l �� PJLeiGK� Ou �- ��AES �� I�ACZlaCzE . AS �e�� x�� C��TE 6 �!�sra�c� I��w �ozr�Q,.� �� 2�►��s A s.o � l�' i� o o,z , ';. �tz�t�Eu1A�l Hp'a �Hocar_c.9 _ �\%7TH_ � I __MEsH 1 � o�€� �� Possii36� ��lt�-c-E� a� � �°�.c�o��tisC� �u__. t-tto►'��T' --�.,rw9E Jt�� _ �� _1.71�.2AC�t�. �'��z �°�T��,E--_L��r� �ctiP� �.aG (3y �c�a.�s �r�- - � a �e � � � � � �� .. .. _ _. ,�"� �, y � � �1�. �N T � . � � � � � � I� � � � � � Q � W � � � � � z � � � ,� . �� e .fl J� . .� , .. o i � • �<= A � � �i�� r� r �' ��,�"ro��+ .. � . � -7�,.�.eoi,, A�k ;x . ��, ;;' �ti �=r,:' , �.:� �•��'��AF, : �; "�;� � �,�,�;�: :-�"� ;_ ; � � N° 90735 `�� . .� �h �: Building Job Report ADURESS C��2 ��,Zd �J ��Q OWNER •� (� y� � ' � ` S:� �2 ,.1 eu��oeR � y_ S6�v X' --2, DATE �_�$�� pEpMIT NO DESCfiIPTION �rOU � �lc�•.� ,� �. (J G . INSPECTION RECORD DATE OWNER - qEp INSPECTOq ". L?' .1r�,.�� `� s ,, : �i�'f�"`r � � �� ,a�_.,�'rFA � , ��; `,�"'� .;: 1-; ::. SUBJECT NO. City of Fridley 219 0 8 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r i � , � � � • COMMUNITY DEVELOPMENT DIV. p� r � v � PROTECTIVE INSPECTION SEC. �� U � � ' i ' � /'�'1 � CITY HALL FRIDLE� SS432 NUMBER REV. DATE PAGE OF APPROVED BY �"'"'�"� �'� 612�-571-3450 910-F15 6/14/93 � � JOB ADDRESS 5432 Horizon Drive NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHEO DESCR. 14 4 Cd�'ZS�OTl �& SIlT[Illll't M21ripY' NOi'tIl SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Daryl Salazin 5432 Horizon Drive NE 571-2523 3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO. �he Cities Home Imp rovemient 6148 Olson Memorial Hwy, Gol. Val. 55427 591-0332 d ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 1839 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDINCa R2 S 1 C3.e21't]. 71 7 CLASS OF WORK � NEW ❑ ADOITION � ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Install bow window; tri�u, sof�it & fasci,a 9 CHAN(iE Of USE FROM To STIPULATIONS ZYistall smoke detectors as per � UBC 1210 � adjacent to all sleeping eas and in basement. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORI2ED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WOFK IS SUSPENDEO OFi ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCEO. 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 � QQO WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT '$ � $�-eOQ DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pEqMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUC OR THE PERFORMANCE OF CONSTRUCTION. $4Se OO �''1 ,Y'� SC yti'Z. QO PLAN CHECK FEE TOTAL FEE License SC $5,00 $53,Q0 SIGNATU OF CON i RACTOR OR AUTHORIZED AGENT IDATEI �H PROP �LY VALIDATEO THIS IS YOU `PER IT / SiGNATURE OF OWNEP �IF OWNER BUIIDERi IDATEI L. ' NS /•TE �1 NEW ADDN AL'fER Il [l [] Consbruction Addres.s: Legal �scription: CITY OF FRIDLEY SINQ�LE FAMII.Y AND �DUPLEXES R-1 AND R-2 Bailding Permit A�lication Effe�tive 5126/93 . s� • Owner Name 8c Address: �Q,�c_.��,�irl2�'.�J Tel. �S7/-Z�'z,� r�..._..�.� Coatrador: '�'�i t, �. • c f � /.l�o� �"'G�-,�i��,.p ..� �' MN LICENSE #_�/� Address: /v/`�� l�/1 �..� �� iC�,��.C12L • ��L��a� Tel. # _ �9/-r.�� Z Attach to this agplication, a Certific�te of Sarvey of the lot, with the praposed con�ction drawn on it to scale. f DESCRIPTION OF Il1+�PROVEMENT LIVING AREA: Length '6Vidth I�eight GARAGE AREA: Length Width Heaght DECK ARBA: Width Hgt/Cround OTHER: ��.� /�,/i sr�� 7lii .t�.� �r � �- d Sq. F� �. Ft. �. Ft. Cornea Lot [] In�ide I.ot [] Ft. Yd Sstbxk Side Yard Se�backs 1�rpe of Construction: Eslimated Cost: $ ��' �� L � ApptOR. COl�IetlUtl Date: ' �?.�(e �' �� (cast on Back) � � � ��,; � Driveway Gurb Cut Width Ne,eded: Ft. + 6 Tt = Ft x$ _$ DATE: `��/� APPLTCANT: ��i� Tel. # .5��'/- v ?�-� Pea'mit F� F�ire Sutcharge �te surchazge SAC Charge License Surcharge Driveway Fscrvw Brosion Conirol Park Fee Sewer Main Charge TOTAI. � �� $ Z �° � 1( `� $ $ S= � � $ $ $ � $ �, �i. 11. ' � .�l_ Fee Sch�ule on Reverse Side .001 of P�mit Vaivation (1litith%) $.SU/$1,000 Valuation $750 psr SAC Unit $5.00 (StaLe Iac� Residential C�ntractors) Alt °A" OT Alt. "B° A�r'e Conservation Plan Review $450.� F'ee �►��eimi�d by Engineering Agreement N�ry I l Not Na�ssazy [) STIPULATIONS: � BUII,DIN(i PERMIT FEE SCHEDULE The Chief Building Official shall, before issving permits for the ere�tion of any building or structure, or for airy addition to any existing building or structure, or for a�► alte�ration or repair to any existing building or structure, upon application therefvre, re.quue� the paymeut by die �applicant for such permit of fees to the amount herein t�low set forth � and in the manner herein provid� to-wit TOTAL VALUE $1 to $500 $501 to $2,000 $2,001 to $25,0� $25;001 to $50,000 ' $50,001 to $100,000 , $100,001 to $500,OQp $500,001 to $1,000,� -$�1,OOQ,(JOl and up � ; . FEES $15 (1Viiuimam Fee is �°$15 plus surcharge) , _ , . �. _ . $15 for first $500 plus $2 for each additional $100 or fraction thereof, to and including $2,000 $45 for first $2,000 plus $9 for e�ach additional $1;OU0 or fraction thereof, to and including $ZS,000 $252 for first $25,000 ples $6.50 fc�r each additional $1;OOQ or fraction thereof, �o and including $50,000 - $414.50 for first $50,000 plus $4.50 for each additional $1,000 or fraction the�eof, to and inclading $100,0U0 $639.50 for first $100,00Q plus $3.50 for each additional $1,000 or fiaction d�eof, to aad including $500,000 $2039.50 for the first $500,000 pins $3 for each additional $1,Q00 or fraction thereof, to and iacluding $1,000,(I00 $3539.50 for the fiist �1,OQ0,000 plus $2 for each additional $1,000 or frdction �thereof � DRIVEWAY DEPRESSION ESCROW � (Concrete (�nfi Streets Only) Alternaie "A" : Removal and replaceme� of cnrb and gutter only - Driveway width plus 6 feet times $13.50. Alternate "B °: Removal and replacement of c,urb and gutter and install a 3 foot wide . approach with 6 inch depth .- Driveway width plus 6 feet times $15.75. VERIFICATION OF FOUNDATION Permits for constructioa will be issued. a minimum of 24 hours from the time of application t,o allow for pro�r review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proc.eeding with the framing. �., ----� sue�ecT -RERMIT NO. c�ty of Fr�aley � � � � 2� AT THE TOP OF TME TWINS g U I L D I N G P E R M I T �- r -- � � RECEIPT NO. � ' COMMUNITY DEVELOPMENT DIV. � � a: ------� r � � PROTECTIVE INSPECTION SEC. `�� ' ' /'�'1 � CITY HALL FRIDLE� SS4$2 NUMBER REV DATE PAGE OF APPROVED BY !'.---'�; �.� 612-571-3450 910-Fi5 8/6/96 / / 108 ADDRESS 5432 Horizon Drive NE t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED oescR. 14 4 Carlson's Summit Ma.nor North Addn SHEET 2 PROPERTV OWNER MAIL ADDRESS ZIP PHONE Daryl Sarazin 5432 Sorizon Drive NE 571-2523 3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO Panelcraft of MN 31I8 Snellittg Ave S,Mpls, MN 55406 721-6628 2179 4 ARCHITECT OR DESIGNER MAIL ADOFiESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION p ALTERATION C� REPAIR O MOVE ❑ REMOVE 8 DESCRIBE WORK Reside and trim 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 IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHOqIZEO IS NOT COMMENCED WITHIN BO 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 1 HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GAFAGES AND KNOW THE SAME TO BE TRUE AND CORREC7. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TVPE OF WOHK WIIL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTiNG OF A PERMIT �6�922 �3.46 DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- fi1Z�F.JS Fire SC �G.92 STRUCTION OR 7HE PERFORMANCE OF CONSTRUCTION •P PLAN CHECKFEE TOTALFEE License SC $5.00 $140.13 SIGNATUAEOFCON�AACTORORAUTNORIZEDAGENT �DnrEi WHEN PiiOPERLY ALIDATED THIS IS VOUR PERMIT .0 SiGNATURE OF OWNEA ��F OWNEA BUILDER� IDATE� BLD �NSP piTE Q �, NLW /�DUN n��reii Construction Aciclress: Lcbal Descri��tion: CITY O� C2IDL�Y SINGI.0 rAMILY AND DU['LCX�S R-1 AND R-2 Builclinb Pcrmit Applicatic�n ��3� �Or i �� _ �� i V� LileCUVt; l/ll`J� O�vner• Name & Aciciress: �� (�.r' � Tel. �/_�� 5� Ccmlractor: _��/?�L��'`_g,� � %� • MN LICCNSC �f�1 % �-----� Aelclresti:__��y�je /. �/h�.�e. `�Q Tel. # "7�/- �p�pZ,O Attach to this application, a Certificate of Survey of the lot, witli the proposed construction dr�wn on it to scale. LIVING AR�l1: GARAGC ARCA: llCCK ARrA: OTHCR: D�SCRIPTI�N Or IMPROVCM�NT Lengdi Width Height Length Width Height Length �� Width HbdGround sy. rt. s�. rt: s�. rt. Corner Lot �) Insicle Lot ( � Ft. Yd Setback Side Yard Setbacks _ TyPe of Cc�nslruction: Esdmated Cost: $ �q�� .� �, A��rox. Cocn}�lction Date: - - � � (Cost on B�ck) llriveway Curb Cul Wicith Ncecled: rl. -I- G�t = rt x$ __$ __ _ _ DAT�: Perrnit Fee I�ire Surchar�e �€ate Stirctiarge S/1.0 Ci�arl;e Liccnse Surcltar�e D�riveway �scrciw rrosion Control Park Fee Scwcr Main Ch;u-�;c. �roTA r STIPULATIONS: APPLICANT: Tel. # %? /- iG'�O� g �ITY IJS� QIVLY J bb $ 2 ' . � ree Schedule c�n Reverse Side $ __�p, �Z .001 of Permit Valuation (1/lOth!) $__,�� $.50/$1,000 Valuation $�_ $800 per SAC Unit $___ -r,�. � $5.00 (State Licensed Residential Contractors} �_ ! 11�. �� A n or Alt. n B�� 11�UVf'. $ $450.00 Conservation Plan Review �_ ___ __ ____ ree Determinecl by �ngineering $---------------- Abreemcnt Necessary I I Nc�t Ncccssaiy I I � � . �3 �, # /�� ?f� � 'J � � _ C�TY OF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(612) 571-3450 • FAX (612) 571-1287 January 12, 1998 Whitetail Construction 7435 Oakley St NE Fridley, MN 55432 Re: Construction Without Obtaining a Building Permit (Reroof at 5432 Horizon Drive NE, Fridley, MN) Dear Sirs: According to Section 106.1 of the 1994 Uniform Building Code as adopted by the City of Fridley, no building or structure regulated by this Code shall be erected, constructed, enlarged, altered, repaired, moved, improved, removed, converted, or demolished unless a separate permit for each building or structure has first been obtained from the Building Official. You have been notified of your need to obtain a building permit and have failed to comp7�y as of today's date. As a result, a special investigation fee will now be added to the permit, equal to the permit fee. The City of Fridley will give you 30 days in which to comply before turning this matter over to the City Attorney for his legal consideration. Please contact me at 572-3603 if you have any questions on this matter. Sincerely, �� BARRY RIESCH Building Inspector BR/mh sue�ecr P ^- c�ty of Fr�aley 26 9 34 AT THE TOP OF THE TWINS g � I L D I N G P E R M I T r ; � T NO. � `L �_�__ COMMUNITY DEVELOPMENT OIV. � �� r � � PROTECTIVE INSPECTION SEC. i i � � �"'1 � CITY MALL FRIDLEV $$43Y NUMBER REV OATE PA6E Oi APPROVED BY �"'"� � �'' 612-571-3450 9t 0-F15 7/ 31 / 98 � / J08 ADDRESS 5432 Horizon Dr t IEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED oesca. 14 4 Carlson' Summ t Manor SHEET 2 PROPERTY OWNER MAIL AOORES$ 21P PMONE Dar 1 Sarazin 3 CONTRACTOR MAIL ADDRESS ZIP PMONE LICENSE NO Panelcraft of - 4 ARCMITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PMONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION O ALTERATION �7 REPAIR p MOVE ❑ REMOVE 8 DESCRIBE WORK Sidin , soffit fascia trim 9 CHANGE OF USE FROM TO STIPULATIONS Call for building wrap inspection before covering. SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBIN(i, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV �OAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENOED OR ABANDONED FOR A PERIOD OF 120 DAVS AT ANV TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFV THAT I HAVE READ AND EXAMINEO THIS APPLICATION STALIS GARAGES AND KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND OROINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED NEREIN OR NOT. THE GRANTING OF A PERMIT �2888 �L.�F4 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pEliM1T fEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION �%�F.7S Fire SC �L.S9 PIAN CHECK FEE 70 L FEE Lice c $5 0 4.08 SIGNATURE OF CON'RACTOA OR AUTNOR12ED AGENT IDATEI HE PRO Y VALI T THIS IS OU PE M� P , SiGNATU�7E OF OWNEA ��F OWNER BU�LDERI �DA7E� 8 G iNS� r� TE NEW [ ] Effective 1 / 1 /98 ADDN [ ] CITY OF FRIDLEY ALTER [] SINGLE FAMII.Y AND DUPLEXES R-1 AND R-2 ,�_i;� BUILDING PERMIT APPLICATION � -� � �� . �� ConstructionAddress: S� 3 a-- l�0 �! 2 0►�1 � r� v-� Legal Description: Owner Name & Address: � a r y � s�l�'q z�rr� ,��f 3��D � l Z c�� ra Tel. # � 7l -� Sa 3 - Contractor: � e �C � Q �� %��/�/ MN LICENSE # 02 � % � .� Address: 3/�� .sh e�� - �. �� /��' LIVING AREA: GARAGE AREA: ^ • DECK AREA: OTHER: � .� .S �D�a Tel. # �a / - � �O �.� V Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height � Length Width Height Length Width Hgt/Ground Sq. Ft. Sq. Ft. Sq. Ft. Construction Type: �id�h �. , Sa �` � ��;5�� , "l rim Estimated Cost: $ o� ��, `' � ;�— (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: ��1 �� APPLICANT: � L��%� Tel. �` 7a / ' � � � � Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge $ `� , �� $ $ �y� $ �� $ $ $ $ TOTAL $ ' �� 4 � � STIPULATIONS: CITY USE ONLY Fee Schedule on Reverse Side .001 of Pernut 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 ot Nece [ ] , �� l ��" �� . � BUII.,DING PERMIT FEE SCHEDULE The Chief Building O�cial shall, before issuing pernuts for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any e�sting building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to-wit: TOTAL VALUE $1 to $500 $501 to $2,000 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $100, 001 to $500, 000 $500,001 to $1,000,000 �$1,OU0,�1 and up FEES $21 (Minimum Fee is $21 plus surcharge) $21 for first $500 plus $2.75 for each additional $100 or fraction thereof, to and including $2,000 � $62.25 for first $2,000 plus $12.50 for each addirional $1,000 or fraction thereof, to and includ'uag $25,(}00 $349.75 for first $25,000 plus $9.00 for each additional $1,000 or fraction thereof, to and including $50,000 $574.75 for first $50,000 plus $6.25 for each additional $1,(}00 or fraction thereof, to and including $100,000 $887.25 for first $100,000 plus $5.00 for each additional $1,000 or fraction thereof, to and including $500,000 $2887.25 for the first $500,000 plus $4.25 for each additional $1,000 or fraction thereof, to and including $1,000,000 $5012.25 for the first $1,000,000 plus $2.75 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alternate "A" : Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50. Alternate "B" : Removal and replacement of curb and gutter and install a 3 foot wide � approach with 6 inch depth - Driveway width plus 6 feet times $15.75. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. � � " *- � , sue�etT • PERMIT NO. . c�ty of Fridley � 3 � �29 AT THE TOP OF TNE TWINS � � � L D I N� P E R M I T -� � � ; � RECEIPT NO. COMMUNITY DEVELOPMENT DIV. ��0� �� r � v � PROTECTIVE INSPECTION SEC. i_-_- � ��'�' �'� CITY NALL FfiIOLEV j81�2 NUMBEP REV DATE vAGE Of AGVROVEO Bv t �� 612-571-3450 9t0-F15 4/5/O1 / / JOB ADpRESS 5432 Horizon DY�ive NE t LEGAL �OT NO. BLOCK TRACT OR AODITION SEE ATTACMED DESCF. 14 4 Carlson's Summit Manor North Addition SNEET 2 PROPERTY OWNER MAIL ADORf$$ 21P PMONE Daryl Sarazin 5432 Horizon Drive NE 763-571-2523 3 CONTRACTOR MAIL ADDRESS ZIP PIiONE LICENSE NO Window Lite Home Imp. 8400 89 Ave N STE /�60, Brooklyn Park, MN 55445 20039258 e AHCHITECT OR DESIGNER MAIL AOORESS ZIP PMONE LICENSE NO. 763-425-2227 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILOING Residential 7 CLASS OF WORK ❑ NEW O ADDITION O ALTERATION C� REPAIR O MOVE O REMOVE B DESCRIBE WORK Replace 8 windows within existing openings 9 CHANGE OF USE FROM TO STIPULATIONS Provide smoke detectors in all sleeping rooms and on all levels of the dwelling per Section 310.9.1.2 of the 1997 Uniform Building Code. Caulk and flash all exterior openings. Permit Insp�ction Card� INiIB �e Mailed To Hom�ow�er To P�s� TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD SEPARATE PERMITS ARE fiEOUIREO FOR ELECTIiICAL, PLUMBING. MEATING, VENTI�ATING OR AIR CONDITIONING. TMIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION 20NING SQ. fT CU FT AUTHOR12ED IS NOT COMMENCED V�1ITNIN 80 DAYS. OR IF CONSTqUCTION OR WORK IS SUSPENDED OR ABANDONEO fOR A PERIOD OF 120 DAYS AT ANV TIME AFTER WORK IS COMMENCED. NO. DW�G. UNITS OFFSTREET PARKING I HEREBY CERTIFV TMAT I MAVE REAO AND �XAMINED TNIS APPLICATION 1 S7ALlS GARAGES ANO KNOW TME SAME TO BE TRUE AND CORiiEC7. ALL PROVISIONS OF LAW$ yp�UATION SURTAX AND ORDINANCES GOVERNING TNIS TYPE OF WORK WI�L BE COMP4�ED �� 189 � �4.09 WITH WMETHER SPECIFIED HEREIN Ofi NOT. TNE GRANTING OF A PERMIT � DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL TME pEqMIT FEE SAC CMARGE PROVISIONS OF ANY OTHER STATE OR LOCAI LAW qEGUlA71NG CON- STRUCTION OF THE PERFORMANCE Of CONSTRUCTION �167.25 Fire SC �5.19 P�AN CNECK FE TOT F E Licens S $5. � 84.53 S�GNOTUpEO�CON•AACTOpONAUTMOp�ZEDAGENt �DAfE� EN E ALIDAT TNIS IS VOU P MIT / S�GNnTUAEO�OWNEp��OWNEpBWIDEp� iD�TE� Bl �NSO � p�fE �.. Y-' b � •�� . : � ��, �o � l- 3 �J � � ,� Effective 1/ 1/99 [ l`� �� / CI1'X OF FRIALEY /�G% 3 [] 3INGL�E FAMII.Y AND DUPLEXES R-1 -2 � �� BUII.DING PERMIT APPLICATION � � ConstructionAddress : Legal Description: Owner Name & Address: �r�C/ c'�f,Zq �;i�.. � yt/�r-,`Z� �/�, Tel. # f%/�3�v`�%'/—o�v�,3 Contractor: Address: ` ` , MN LICENSE # o�OD3%7J`�� g � � Tel. # %p3� �aJ� =ZZ2% Attach to application, a Certificate of Survey of the °�S �'�S' lot, with the proposed construction drawn on it to scale. - DESCRIPTION OF IlVIPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Ixngth Width Hgt/Ground Sq. Ft. OTI-�R: Construction Type: ` S Estimated Cost: $ S�� (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ c na�:� APPLICANT: � Tel. ��3- 39/-�'�/S� Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL $� .� $ �� $ , $ $ �� . $ $ $ $ $ ��- vr� CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Vahiation (1/lOth%) $.50/$1,000 Valuation $1050 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 [ ] � /�� o / t� Z"� G�Tc��- ��-��-, s�ui.A�orrs� v � � � ��. 9 �. ,�. �� . 3�c. ��1�.�,.�� s��-�� , � ,�� z��t��-��:��- Building Inspections �,I�a 763-572-3604 763-502-4977 FAX DATE � � � � SITE ADDRESS � THIS APPLICANT IS: PROPERTY OWNERJ TENANT MECHANICAL RESIDENTIAL AP'PLICATION CITY OF FRIDLEY EFFECTIVE 2-19-09 YOUR E-MAIL ADDRESS ❑ OWNER �EICONTRACTOR � Permit No. Received By: ��` — .'� _ r L��. CONTRACTOR coMr�YNAME: CENTERPOINT ENERGY SUBMIT A COPY OF corrrACT pERSON: JOANN ZINKEN YOUR STATE STATE LICENSE # BOND 22013346 E7{p DATE - � LICENSEWITH �nxESS:9320 EVERGREEN BLVD NW SUITE B crrxC00N RAPIDS sTATEMN ZIP55433 APPLICATION pHONE 763-757-6202 Ff+x 763-757-6701 PERNIIT TYPE TYPE OF WORK: F�°�INGLE FAMILY � TWO FAMILY ❑ NEW ❑ REPLACEMENT DETAILED DESCRIPTION OF WORK 1 � TOWNHOUSE G3.�'FERATI ONiREMODEL FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: ( NDICATE TOTAL NUMBER OF EACH BELOW) Equipment Instailed MFG: [Dl.�`�C'i�.►/ MODEL. - �+-� SIZEBTU MFG: (':1�.� C\ e� MODEL: Pr� �% �011-I- SIZE/BTU U Yl MFG: MODEL: SIZE/BTU _,]_A/C $25.00 . _FIREPLACE (GAS) $I5.00 _GAS RANGE/OVEN $]0.00 AIR TO AIR EXCHANGEER $IS FIREPLACE (WOOD) $35.00 NEW GAS GRILL $10.00 _BOILER $35.00 �FURNACE $35.00 _GAS UNIT HTR $10.00 CHIMNEY LINER $10.00 _GAS DRYER $10.00 _POOL HEATER $35.00 _DUCT WORK$10.00 GAS PIPING $]0.00 _VENTILATOR$15.00 THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; 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. � �ri . SIGNATURE OF APPLIC "�-� �' � • p�'('NAME ROGER HOFFHEIN DA.r� `�O' d � 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 REQUIItED INFORMATION NEEDED TO PROCESS PERMIT RESIDENTIAL PERNIIT APPLICATION HVAC ❑ NEW HOMES/ADDITIONS �EXISTING HOME ❑ MAKE-LTP AIR REQUIRED FOR NEW/EXISTING HOMES 1. Combustion Air (See note below) a. Oil or solid fuel IMC Chapter 7 with MN Amendments � Na#ura� Gas- or ��apa�/IFGC E�iapter 3 with MN A�e�dments 2: Make-up Air (See note below) a. IMC Chapter 5 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 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 Energy Mechanical Code Guidelines software may be used for combustion and make-up air calculations. Building pI,��G Perm.it No.: ��i ` Inspections � �SIDENTIAL APPLICATION ReceivedIP. �B :� 763-572-3604 CITY OF FRIDL Date R��.?� E� DATE � � YOUR E-NfAIL ADDRESS SITE ADDRESS Sn„�.tt ae.s � w�/ THIS APPLICANT IS: ❑ OWNER �ONTRACTOR Daryl/Patti Sarazin PROPERTY 5432 Horizon Drive Northeast NAN�: • OWNER/ �D�S: Fridley, MN 55421 � � TENANT 7635712523 • PHONE: CONTRACTOR N�: --- -- - -- ----- SUBMIT A COPY OF STATE LICENSE # sd, EXP DATE YOUR STATE �,nnxESS• � r,�rl crrY ,' � �r STATE�i� SSY� LICENSE WTTH . PHONE '— �0� FAX 2, — APPLICATION � � ' PERMTT TYPE �SINGLE FAMILY ❑ TWO FAMILY - CI TOWNI-IOUSE TYPE OF WORK: ❑ NEw ' ' �REPLACEMENT DETAILED DESCRIPTION OF WORK PER MS 16B.665 the pernut fee is a minimum of $15.00 or 5% of the total cost up to $500.00; whichever is greater, for the : improYement, installation or replacernent of a residenrial fixture, excluding the fixtures. (This.shoul�rEflect only.fihe cost of labor ) Labor cost under $300 =$15.00. Labor cost between $300 to $5�0 = cost of labor x.OS = •=•FOR�,'ROJEGI's WEIERE LABOR IXCEEDS'�i00;�EES ARE BASED ON $10.00 PER F�'C[JRE.�IXCEFT:W;[�REN��1��:RI�CT>{3A£5:..(A�DIC�ATE T.O�TAL NUMBER OF EACH BELAV� _ BATH SINK/LAV _FLOOR DRAINS _ SHOVHER _ WATER PIPING BATHTUB _ GAS P�WG �nEeocrrvucasE) SWIMIVIDJG POOL WATER SOFI7VER ($35) _ CLOTf�S WASHER _ KITCHEN SINK WATER CLOSET BACKFLOVJ PREV. ($1 � DISHWASHER _.LAUNDRY TR�1Y ,�WATER I-�ATER ($35) FOR IRRIGATiON _ WATER MEfER OTHER � _ . . _ - , ,. . ,.. : � � bx,. � _ �- Permit Fee , $ Number of fixtures @$10.00 x$10,00 =$ Surchar e .50 Number of fixtures @$15.00 x$15,00 =$ TOTAL DLJE $ Number of fixtures @$35.00 � x$35.00 =$ 3� . . . . ... State Surcharge = $�-�._ Tota1= $ G�� THIS IS AN APPLICATION FOR A PERMIT NOT VALID UNfIL PROCESSED ' I hereby apply for a building permit and I aclmowledge that the information above is complete and accurate; that the work will be in conformacrce with the ordinances and codes of the City of Fridley and with the Minnesota Construcrion Codes; that I understand this is not a permit but only an appli ' n for a gernut and work is not to start without a permit; that the work v►�ill be in accordance with the approved plan in the case o w' r uires review and approval of plans. SIGNATURE OF APPLICANT PRINT NAME �e.'C'C' /UO/�IOI�Yi DATE 1 � City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 ,1 " 1 f�ro�:�� o; PageJ1/2 �� D4te�.,9,�28/201010:38:38AM VLl{tD�_ �ualding ��Cri� ' PLUII�ING �ex�trro.•� (�-- �n.specti.aras _ � A��,.�CATI�N R�`'� s 763-572-3b0a ' ��CI: � 763-542-4977 FAX C�'�.'Y C�� LEY �kkxC�l� 1-1-Z0�0 DATE�' �. T�< <! YOUR E-MAII. ADD�$S srrEnnnx�ss . ��f :3 � �UR.�'�i�/ AR .r/GG � �vnxxT stnz� xo. �eao�r��x�r NnME: �� y � ��e �� r TENANT ann�8:� � L �hi-2�2`d�rv" D�r �i`�C�i s'ra'r�� 53�42� pxor�: 7G 3— S Z J- Z��.•� CON'�'RAC�'OR Na,�: L3 TT''�+✓� � J� SU�M1T A CQPX U� STAT16 �C&�tS� �! U C� S� s' �I xou�. s�r�.� f� .r._.._. � nA� 1 L 3J �' � LICENSE, BOI3D AND PLUN�IIYG BOND #��O'S 3d� EXP DATE cq�7npFZC,�'z� o�' ann�ss: �� s s crrx� �ork� srA� zn►� bvSURArrCE pgolvE��c/�2S'l �'LS d5 F.4x •5� « PERMIT TYPE C7 iNBTP1iJT[OMAL � Cl M1n.Tf-FAMII.Y C] SWIMIv,QNTG P(�L G Tt?WNFIOUSE O COMMERCIAlJIIdDUSTRIAL p p� T1(�E Qk WQ�: O NbW �,A.CEMII�IT ❑ ALTb'�tAITON/REMODEL ��.a,�a.�a �scxz��trnv o� wa� � ..: . , . : .:< : . .:.. :'�TSC1�9: (�CA,'� T07�'A�. NUA�ER QF:�AL`Hj :; :>; . „ � , ' . . . . . . . ... .... . . .. . . . . . . .... x:': .... . • . . • i:fiy.Yir .. _ C�,OT�FsS dHA5HER _ kZ�O�t I3�#IN5 _ xtPL VA.LV� _ UR[NAL _ OISHWASHEIt _ OA,S PIPING BACK�LOW PREI►. _ Wp,'r'�� p� _ DWNitING FOUNTAQf _ GREA3E TRAP _ R�F DRAINS W,p'� yyg� _ FAUCET _ K.TFCFffiV $1NK _ SHOR'ER W,A'�'ER PIPINQ _ rtinru[l�ras� wnS1E 'rnrnc _ tnVrrriltY 'iRAY _ SLOp Smuc ,� w�T�t SOF.t�NER _ LAVATORY _ SWRVIlufi1VG pp�}Z, _ wA'�R CLOSET • .: .� "•�; :.��'?:: . '';;�Q • .�: ° � �: ' ..s> :�... �';:,. :n; • •.•<:�. , ;r., .. :';� • . � •� �: . • . •, . . . : � ::;. ' • � • ..:: :. :<?s'rr • .. .. Tota� Job $ �� .� Al l fees are besed on valua6on, i�cludi�ag th�e cost o� �abor and materials. v�ualiap � Permit F� $ � u ""� (1.25% of Job Valuatian /.Minimwn fee: $35j Surcbmga S �"�" Valualalan 7� .0405 or MinImum .SO rr�u �'01�1 Due $ �C} Make C$ecks Payable w: City of �'ridley '�iIS I3 AN APPLICA'�[ON F�R A PF.RNQ'f NOT VALIA UN7TL. �ROCESSb'A � k�etebY aPF�Y £a�' a plunabuo� permat a�nd � ackn;owledge thst tho itrFormaean above xs coAap�et� and accurate: that the work wiIl be in con�'ornneuce wit� the ordin�s,aces and cades of the Ci�ty of �ridley and with the Minneso�a Co�struction Codes; tb,at � wo;de�r.stand tb,�s fs aoc a pe�mii but only an e�lic�tion foe a�ermitt aud wv�lc ts not w s�art without a permit oa site; tbat r1�e work will be in accordance with the a��rov� plen it► the case of all woek which �+equires revflew arxd appmval of plans. NAME OF AI+PLICANT . DATE_�,�?+�%'r `�% 3ICyNATURE OF APPLICANT . . ... . , ....PLEA�5E NO`TB: • �'�T� T',��S . . �� '. �O� �3T�I��,t.1?,�T. ' ` C't��:'�AhT�;i1�CEiA%ffCAL # • . ��ty ai r�r�aley �u�tawg tnspections Dep�.rtment 6431 iiniversity Avenue NE, Fridley, MN 55432 763-572�36U4 �,A,X; 763-502-4977 � ,,., From: 612,827 8129„ �,„Page: 1/3 Date: 2/15/2011 8:55:12 AM , �.,� �, �„ � � „ ,„ „ , � r L� �L�� G 29�'s Garfi.eld �venue Soufii � M➢nn8apo•I�is, MN. Ptior�e. 67 2-� 829 - 4033 - Fax 6'[ 2- 82�� S'i; 29 www n�csrfslompla,rKrrbir•eg_��rt.7 � �� Attention: Ci� � t i..t j�i%� F C4117' .,. Fax: ��)��Z'�'Q7 Date: Phone: Rages: � l�/ I I GOMN�ENTS: � a''t � �` �fV2�Y�- $�'��t� � �f-3� t�I�pr,�Z r�. �r. N �. � � �P�1'' IrYt i -� � 20 � (� - � !"7 �g �� From: 612 827 8129 Page: 2/3 Date: 2/15/2011 8:55:13 AM �,. ,,,,,,,,,,, ,.�,�,�.,, , ,..,,,., ,o ,.�, ,,,� �� r �'�l�1' `+.�= p�ete verfbed �ion applian� ��rformation Roon1 Furnat�+JBot1� r,ll�� I't Q�3rd� ❑ F2v'i A�ed [�i'2ct V�r'd s �- (i�[ot fan assi ) �& paanr�' Vent [nput:'��~ Btu/h � x i�x 7' Water . � �Power� a �'rect V�,t f /Cd �'a's"`'`� (N� far+ �ssis Input ��j � 6� 18tu/ft T "�7 ICUk�te the vofume vf fpte Comb�4n Appliance Spaae (G4S) containing cvrr�busdon appliartoes. �- The C�,9 indud � all s ces cnnnected to o»e �er b cade c�m li,�rlt ,� `X 9` x 7 p openin . CAS v,�me; � �� rmine Air Chenges pet� Hour (ACH)1 � ��/�^, Q��y DeFault AC�1 ueS have been in�orpora#¢t1 ir�b� Table E-1 for use with Meth� 4b (KAIR Method). 1� the o�F ction or ACN is not known, use methcui 4a (Standard �h,od . ine 1�equired Volume for Combuslion Air. 4a. Standard I��'►od Total Bt�ulhr i�pt� of ait cvmbustion �pplianc�es (DQ NOT Caunt pRect Vent qppr2mo�} Input: �/�etu�h ilse Standard Mphod r.plr,unn iri 'Table E-1 to find Total Requfred Volume (TR1� �y;�idLtiV {�g If CAS Volume (f rom Step 2) is gr�ater tltan TRV thE�1 no otrt�oar operlings are needed. li CAS Valume ({'ropm Ste� 2) ls les� tfian TRV then go to ST� 5 �b. Kr�owm Air �rrfiltra�pn Ra�e (KAfR) Metl�od ; Tc,tal Btu/hr In of all fan-as9is�d and pawer �ent eppliart�s �n�; g�� 8 (DO NOT CpU DIRECT VENT qppLlAl�1(�$) Use Fan-Assist� APpli�►�ces calumn in 'fabla �1 W find �A � Req�red volum Fan,4ssisted (RVFA) To�l Bi,dlhr irtpu� of ell non-fan-assist� appfierfoes �nPu� Btu/h Use Non-F�rr t � AppPano� oofumn in 'i�ble E-1 ta find Required RVNFA R3 Vaiume Nan-� Assisted (RyfYFA) T4tal R�uired �/Glume {"fRi� = RVFA + RVN�A R�/ ; + - ft�i if CAS Volum� (f�m Step 2) � greater than TRV then no qutdoor openirtgs are ne+�ded. [f CAS Volume m Step Z) is 1� than 7RV � gp tu S'1'EP 5 Ica�lat� the r�tio of �wailable int�iar vo(ume to the to�al required v+alume. RaiiC � CAS Vof ine (frc�m S`t�p 2) d�ided by TRV (from St�p Ba o� Step 4bJis6a = 1 - h�te Radtr�io� Fac�nr (RFj. - R� =1 mliu�e tio RF=1- - culate single outdoor op�ing as iE �II combustion air is from oulside. To�� 8h�,r �r of al� Combu9Gon Appliances in tPfe �me Cqg (EXCEP7 PIRECT V�M} � Combuation Air ��' � p� Area (CAdA): 'Fo�l Btu/hr dN 6y 3UOQ 8tulhr per fi2 CAOA =-- -/ 30� Btu/hr per in� _ culate Minimum CAOA. � �� AAinimum CAOA CAOAmtt/�f�af by RF Minimum CAOA = x = i �� Gombust�On Air Opening Diamot� (CAdD) GAOD =1.13 m ipit� by the square �ot of NGnimum GAQA CApD =1.13 Min�mwr+ GA�A = a� 1f desired, At�i r1 be determined using A3HRA� c�l8fion or blower dacr test Follo�w procedures in Sacbon G304,� From: 612 827 8129 Page: 3/3 Date: 2115/2011 8:55:13 AM , �., �.. �,,, � ,,..,,,,,,, ,.�,.,�,,, , ,..,,,., ,o ,,.. ,,,�� „ � .AD�RESS: 5432 HORTZON DYt NE PERMLT KO. 2010-01758 e �DATE: ?114/2011 TIlk�: INSPEGTOR: (None) INSPECTION TYPE: �'LUIv�ING FINAL p'�.�VIIT hII�ID: PLLTMBING - Fixaue ]3esecllliE5IDEN7.TALlOVATER HE NOTES: PROVIDE COMBUSTdQ1V .4IIt TO TI3B UT'JT.,Ti"Y ROOM OR PROVIDE PROPER DOCUN�IV�A'xT4N Z�JAT COMBUSTlON An2 �2,EQLI�REMENT5 ARE MET. ST$TCTS: y11Ti5PECTION NOTES: INSPECTOR