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AF - 46384J " Date OWIIi'P Addr �� BUII.DING PERMIT r� Village of Fridley, Minn. N� ..,��-- �- � ..i ........... F� .... ............... . . . . . . . . :�� . . . . . . �. . . . . . . . . � �� .�� .�.�. �. ..�.��.��.�... . � "`'� :�g Builder Address � , e ��•� ' , 2954 LOCATtON OF BUILDING No. ��. � �.. . Stree . . . �. .. .. ��. .. . . . ... . Part of Lot . . . .. .. . ....... ... ... . Lot . . . .. �. .. . . .. . Block . ..��. .. .. . . . . .. . Addition or Sub-Division �4� �:�Y!°!+!�.�:�r�!� . .�� ' Corner Lot ........... To be Used as: �, .... �..... ��:�,�:.... Type of Construction . Inside Lot ..�...... Setback ... ...... Sideyard .......................... DES�R[PTION OF BUILDING Q'% / F'ront �.L.... Depth �!� . Height .:�...... Sq. Ft. �.�..� Cu. Ft. ........ % � Front . �. . . . . Depth � . . . . Height . . Sq. Ft. . . ��. Cu. F't. . . . . . ��?�!.`�.. F.st. Cost �� 9 °! . .: .. .��. �.. ... To be Completed . ..lfe'.°?�'�.^ ^ L�� , .�,��is�� a� ��4�Zst'�!'., " �/L" ��a�G��3/Y/�'2�" _ ��✓'�� i<�„"r `° . � �' _ � In consideration of the i�suance 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. „ �� • � � � Y � n1`[ �'� � � . � � /. � � � � � � � . . • Tn consideration of the payineat oP a fee of $. ��permit is hereby granted to .� �: .� � ....................... to eonstruct the building or addition as described above. This p •fs granted u.on the express condition that the person to whom it is granted and his agents, employees and worl�nen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, consfruction, alteration, maintenance, repair and moving of buildings with- in the village limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. }� � _ Inspector NOTICE: Thts permit does not cover the construction, inatailatfon or alteratian for wl�ing, plyrrfbtng, gas heating, I sawer or water. Ba sure to see the Building Inspe�tor fo� separate pe�m(ts for these items. � City of Fridley, Minn.. BUILDTNG PE�MIT N° 5164 nate: �'�,�` �' c� � "-~ � � ",�,�. _`� r� i � o��: �� '�j�� ' �. B�taer ' Address _,..� � Address — _ LO��►►TION BUILDIIVG No I�� Street --J'��r�r=+r��.�' Part of Lot _ i.a��t+".� � __ ��k ____ Addition or Sub-Division .�...�_-- Corner Lot ._ T.nside Lot Setback .� Sideyard Sewer IIevation Foundation IIevation DESCRIPTION OP BUILDING � ,��T U es: �+�� ,�'`, Front, Depth � Height --�— Sc�. F't. �"�---�—� Cu. Ft '��l�� '�=�+` �::�� Front --- DePth � Height ��— Sq. F t. � C u. F t. Type of Constructio `� x-� � F�st Cost �� To be Completed ....,_ In consideration oP the issuance to me of a permit to constrvci the building described above, I agree to do the proposed work in accordance with the description above set forth and in compliance with all provisiona of ordinances of the dty of Fridley. � In consideral3on of the payment of a fee oP � , permit is hereby granted to to construct the buildiug or addition as describ� above. This Aermit fs granted upon the express condition that the person to whom it is granted and his agents, employees and worlunen, in all work doae in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of k'ridley, Minnesota regarding locai3on, construction, alteration, maintenaace, repair and moving of buildings within the dty limits and this permit may be revoked at any iime upon violation oE any of the provisiona of eaid ordinances. �...�.� .. � Inspector NOTICEs Thia pereeft doss not eover the eonstrueHon, installaHen for wirinB. Plumbtne, 88s heatlue. sewer o� watea Be wn to ae 1hs Buildiag lespeeto� foe sspar�e permih for these Mema � 4 ^ , . �;i� `. ;�-__ � .� � m @PPLICATION FOR HUII�DTNG PERr�T CITY OF FR.IDLEY, MINNESOTA n_ �.. a � o�ers �e 1�ddress LOCATION 0� BUILDING No of Lot .-_ . . f/ -�� t B7,o� . Addition or S'�b.Div. __ -. � Corner Lot Inside Lot= t Ba.ck Side-Yard _ 3�WER ELEVATION FOUNDATION ELEVATION � Applicant �.ttach to this �o�m Certifica.te of Survey of Lot and proposed building location. DESCRIPTIOIV OF BUILDING To be used as: Front ePth___,��.�eight Sq. Ft. (o C`a. Ft. � � _- -- Front Depth Height Sq. Ft. _ _ �• F�� C� TYP e of Construction Estimated Cost ,� l� ��i_ To be completed . The underaigned hereby makes application for a permj.t for the work herei,n specified, agreeing to do all work in $trict accordance with the Citg Ord3nances and ruling of the Department of Build.ings, and hereby declare� tha.t all the facts and representa- tions stated 3n th3.s application are true and correct. , DATE� � � � �� _ SiGN9TikiE L _°°. �_ (g Schedule of Fee costs c�n be found on the Reverse Si.de.) �� . � � � „ � _ �-4 � k;�y '�� f�.. �: � r r � . �. ,r � � a� •�� Section 2._ The Inspefctor of Build3nga shall, before isauing any pernd:t for the erection of e.ny bu3lc�ing or atructure, or for any addition to any exieting building or structure, or for any elterations or repairs to.any +sx3.ating building or struoture, upon appl3cation �herefor, require the pay�nent b�► the applicant for such permi�t o�' �esa to'e:the amouYnt herein be3o�r set forth and in the manner herein proeided to-w3t: � � � .�; 2.1. For any such permit for the erection of any fire-proof bu3lding,.other ttu�n a gara�e, �rarehou�e, factory or grain elevator, or for the erection of an,q f3reproof addition, for similar occupancy, to eny exist�ng build9.ng shall be at the.rate of .�1..L�0 for each one thousand cubic £eet, or Praction thereof, in suah cubical aontents. 2.2. For any auch permit £or the erection of exiy f3reproof garege, �aare- hbus�, fs.ctorar or grain elevator; or for the ereation of any fireproof addition, for similar occupancy, to any exist3ng building ehall � at the re,te of $1.25 for each one thousand cubic feet, classified as "fireproof'� by Section 502 of the Minneapolis Building Code. OH IISES 2.3. For any suczh permit for the erection of other than a garage, warehouse, factory or grain fireproof addition, for sim3].ar occupaney, to an Permit $1.� for each one thousand cubic feet. � ang non-fireproof building elevator� vr a.r�r non- y e�.sti.ng. buildin�, 2.4. For any sueh perm3t for the erect3on af any non-fireproof gera�e, warehouse, factory or grain elevator, or for the erection of eny noa- fireproof addit�.on, for sim�.lar occupancy, to a.tt�. existing build3n� far each auch bui7.ding or addition. Ninety Centa for es.ch one thous�and cu.bic feet or fraction thereo£, 3.n the cubical contenta thereof with s m3nimum of �4.00. � � Fofi the purpose of computing fees for building permits the cubical contents �of any buildin� or addition to a uniform height throughout by multiply3ng the ground area cogered from a point six.(6) inches below the floor line of the basement cr cellar to the average height of the upper suriace or to the e.verage hei�ht of the roof surface of the main gable of a pitched roof. � _ � '� 2.5. For repairs or alterations to an exiating atructure, the fee shail be at the rate of �3.00 for each Five Hundred Do1].ar�s (�500.00), or f%action thereof 3n the cost of all propased work. 2.6. In no Sect3�a 2" be � � ,,.�. �'' •. case ehall the fee chaxged for any permit as set forth in leas than $L�.00. G� � ��r :!'aY � 'd 0 p 0 ' � . � • fA � V N � � � ►� y �O � w � � p �� m � � � O • � � . o . o . 0 Q : : 0 � � � � ~ � O q C � 63 ifl Eti H H � z � ro � � � � m � � � � � � n 8 � �'x��a�a 0 m �A � a � � � � � �a °' � � � O ° : � � : � a • � • N . . bd _°oo : �' 04 : OaII � . . . . � . . . . ' td : : : : ; � . . . . � ie >: >C >7 �e i: W tv w r+ �+ ►�+ '�! � p C�7� O O O b �fl ifl {fl �A tA t!i � H O �� 0 � x l � � \ � �. h � � D � r � � m N ci _ m C r m °�� O � o � � v� � � � �d � N � � � n z � ° ) L i � y �\ � �l � ��.1 - : ....1 : s �i►�■1 � : ■��■, i� ;, ■�■, • • .■.■1 �� O � ►�+ M � ❑ � � � N t��b y � � � � n �. � � �Iv � s � j � � ' WATER aosers URINALS enn+ tues B�SINS SINKS WASFI �� DRINK. FOUNT. sHwRS. FLOOR o�� CATCH BASINS nvro W,� GAS APPL GAS RAWGE GAS OPENINGS � i 2 • �y in D A m � � p � �� b �� . ti � � � po�� Ot�o �' �' � y � � � b � �� a � � G �a � � � °° �, �. � y b �� '�' �` �W Qq � � `! t� :� � � � p � W o jl �p,op � x�,o � ��a�w � a.� �� y � ��x �� w � O M � � � r�� G �' � GC � a� a� �x &M °p � �� p W � �i � � � � � � � � ; ; � d a o- � � � O M � � �i� � �. � O � � A � A �� A V O � �D � � � � �� a � �, � p�, � � p � � w czn � Z � b � � W f� � � '�+ � � � �' � ~' � W! � � p � � � � � � � �► � � � � � � � m � °' ►, . `° � � � �: C c� � � � � ro � � � y � �� : ��: � a ° � rn n :m ��: �$��: a • . . . o : . . . : o : : : ' bd : : : : : � ' � � � � � � � . � m b. . . . . . . . . . N'' . . . � �. . . . : a� : : : : : : : : . 0�9 o� o � : t" : x se �a �a x x k �e k � : O�i � N N W Cr� W ►�+ � N ,� o � g�� .6Ni g� o o$ y o ca � + en � R� rta sn �s t� �<n t J N O � y � � � � N � o z � � e � � � � � � � T � 2 m C r m 0 � I �z � a W Q � � .p • �P w p ►• ai � � � � � � � � � � � @ � � � � p � � I �� 8 8 M 0 y C• � � � w O �'7 n � �M � w b � � � o � � � � �� ti � � � rn � � � � WATER cxosErs uanv�s e�rH rues eisns SINKS W,� rw��rs DRINK. FOUNT. sHw�. FLOOR DRAINS U7CFI BASINS AUTO a/��i GAS APPL �� RIWGE �� OPENINGS � • z • � N D m A m �T n � �. � � � � � � a� °N. � �a� � � � � p o � � � �� .o� � � �' p � '4 � � � ��o �� b �� o�� w �' p�� ¢od � � ]' o y R1 y ��w � a��. o��. ��y � �� m �o� � � o� � � � .� � � � � �. � �� Cn W � wM �� M p � M � �, i� � ,�a m � � 0� 7 � � � g o � � �i � � � � � � � � � M. � � � � x om � �� x � � m � � �o . N � � � � � �° c� >"' �, p z �,�, x� x z � � � � � eo n 8 � n � C � � U1 � � ^t � t" H� a � M� n x�� A $� � y.7 �°.+ " d1 � G yA i° C ""`� � � � � ° � � � a " g � � c� F+ �'' eo : O � � : � e �o . �' p y � • � � • • O ~- • � • � • � • • • O � � • `•+ �„s • a �. � to • �bd , , py � , � °° � . . . � v . � • . ' O + . . . • � . . . . . � • . . . . . . . . . . . . . . . . . � . . . . . . . ; . . . . . . . . . . � : �' o 0 ��: M �I M M �a x �e x �e k y_d � � M 5V !V W W W r�+ � i`� ��3 � 8 0� 8� 8� 8 8i �� 8� a► a� y M tn e� � i I � �! v l O O r 1 I ; I r � O O � D � r /� � �T H �i m C r m ...., � � ... ■, � � ....' ' � ■■■.� • • ■■■■� • . ..■■� � �❑ a � ° � � z � � � ° '' n ti E a � � +W n '�.+ E. � :' °' �. � � � � � � d S � � � � m � � i N 0 � r ° 0 0 �s URINALS MTM nAs awt�ut s�wcs w�� TpAK iOUDIT. SM11I�S. owuNs um-+ siWNS sW �uro w� � � � � �� OGENINGS .• :. N i T a � � � ti aa� �� O � b ��x � �� o Q � � �� . �� b �� ; �� "$-mo o ��,�� ~ � m �� . � � �. ��~ �� s �� r A ? m .. n � 3 � �. � M � � � � M � �� O � z �� p LC M � � � � � � � � �+ � � d � � m t� � �C M � � v1 .d o � z � � � � �Tl W 1 � � t G2 F�-+ � � � rr�� v - ��z ° y x x � v� � c� � r O ^� r H x MM�.� � ��.� x x x � � w � m n 6� O � �, � � � "� '��' `�7. � ~ C t+l �j � � C� c '� c"� � �d N � � � o � : 0 �N °o � : � : : : �� . . . r� � : � : ;` ' � ' : : �:; �n - � ��- � v, �.�� H � x � m � � � o . :� � � p O Q � {p . {fl ffl {fl � w � H r. � � r 4 = A , �: � , � ? < ._. m �. :� � N � � � � d'�' p fD �d w � � � :� � � � b Od � � � � � � � 0 � � � � � � � 0 � 0 0 0 0 O S� CT O O � w b n � � � b � � !b 0 r Oi � � z °e � �I w Qa " m �o, � m � ~ � � 'S ►! � � y OC � y � • � . n - �� : � � �, _ � �� h �' �' � a+ i�+ �n a. a L : n�i o n 0 0 ;. � � k � � � � � � o � � � � � � : F y . � . . � : : F . . � : : � � ' i . �� yw r� �� ? � O : G y e �o � { � � � @ ' �* f��A ' � �i �' �Cl � � j � d ,� , d� �� cn W W Oo Oo O O O O O tn vi' vi � � �� ro � � � .� � � � 0 � � � � � � x � 0 � �1 � � �. �� > � � � Q. 0 a' � � � � � �' � � �,x� �� o�� S �o b �, � m w � �� i �� `�� R° R� ' � � ' � �' R° � w y ��'G� ��""�� c3 ro a' R° �°�+' �' R° �: et et P' � o o G�d � ��, � � � � � � � � I� � o � w � c� � �, b o €� " : m' o a �. : i� Hl . � .FA ; � r• R' cn . . tA � O : . � � � � • d � : ` o � � : : � . . . � � . . . : i' : : � : : : : n� rn �xn n� ao � cn ca a� � O O G O O O O O O 4fl d! CA {fl iA � (� � 'V , A � � � r � � m � 2 m C m m � � � � � �� 0. � � _ � � `�y . � � I y m ��'. � r � � • I � � � aa'� � � » a � n r�s y '�d �� t��s O r�e �� , v < � �� .�,, I � . b � � � o � �.� • q ', M � I � u� Q • I ��o� � � ° � �b �. � 70 � � ab�� ' � �. g V A ��'°y� � � I � �, bd �' � I ��b m�� p o=� ��' p p� Et ! � ��o � � �� P p� � �� ob 1 ��.� � ��r►� � � � y �� o �,.��' � ►+ � � � �� ( � $� � .� Dd6 ..��"• .az HEAT LOSS CALCULATIONS Weatherstrips A.S.H.V.E. Cppg��C�IOA NI Guide Windows Doors Reference Out. Wall Int. Wall Ceiling e No I e` No 19— �� , � .� / Fl.� � d– (�p;, Room � Length �� Width % Height � Windows and Doors—Crackage and Area �Vldth Helght No. ot Ltneal it. Ares No. ol Dane of pane Ilghte of crack eq. ft. � ��' � Q � 6 � �� o C�– F> �u g a e Coef. Btu Infiltration � p 2 ' Glass Lf p b � p Q Eap. wall �.7iZ Net exp. wall � �%' � � �' �' Int. wall Ceiling � /G � p Floor 2 � � Total Btu. � Required sq. ft. E.D.R. or aq. ins. W.A. Leader area / Fl.� Q/ Room � Length /�Z Width l/ Height � ° Windows and Doors—Crackage and Area W1dt6 Helght No. oL Llneal tt. Area No. o[ pane ot pane Ilghte ot crack sq. ft. a� o�Lf oZ0 r� ?/J /� I �� e a �.�z,, u.�- �.e� � �,� . � DEPARTMENT OF BUILDINGS FRIDLEY, MINIV. 1n61tration � � Glasa % �b Exp. wall � Net eap. wall Q Int. wall Ceiling � /� % Floor / Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. L eader area / FI. � Room � Length f� Width /eZ H� Windows and Doors—�rac�age and Area Wldth Helght No. ot Llaeal tt. Area No. o[ Dgne ot Dane llghts ot crack eQ. it. 2 �% o2.D o`� � � a0 �. Inaulatioa Roof F7oor Kind How Applied .T/.s, � � 6 i/Ga rJ' ce t� /�� e'� �° Fl.� �t'; �c.G� e�oom Length Width��Z Height � Windows and Doors—Crackage and Area Wldth HeigLt No. ol Lfneal ft Area No. ot pane ot Dane Ifghte o! crack sp. it. ,3 " � a � � � / – � � � � � p Coef. Bcu ' In6ltration � r� � .3 b' � o �'. Glaas � � O F.�cp. wail e '� Net eap. wall p� �' f� '� Int. wall li Ceiling $ /d � G I Floor � Total Btu. Required sq. ft. E.D.R. or aq. ins. W.A. Leader area F7.� �� Room I I-enSth .2 Width �}' Height � Windows and Doora—Crackage and Area Wldth Helght No. of Lfneal [t. Area No. of Dane of pane Ilghte ot crack aq. tG �' 02- � v� � .�. .s c� t2 Btu '� In6ltration p r Glass Exp. wall , � Q Net ezp. wall Inc. wall ,, � (� Ceiling � -f F'loor � � Total Btu. ;�ht � I Coef. Btu In6ltration �'S �� T 0 Cslaaa � ,� C� � p C� Eap. wall � � � Nec exp. wall � � / �p � � I Int. wall ; Ceilin8 ,�'�, /C.' �S �O � � N loor �'.�� '� d �, Tbtal Btu. T" '� I Required sq. ft. E.D.R. or sq. ins. W.A. L.eader area �� 3� '�� S� S�o � / � `� %. p /� � G' 1��8 � �.5� uued aq.. k. E.D.R. or aq. ins. W.A. l.eader ares . � Fl•I e�u �k �m �� VNidch Windows and Doora—Cracicage and Area Wtdth Helght No. o! Llneal ft. Ares No. of pane of D�oe IlBbts ot orack ro. iL. J �� !� Infiltration Glass Eap. wali Nec eap. wall Int. wall Ceiling Floor Total Btu. Coef. Btu I �� o � �C� �O S O � �� `� c�` �� r, � % � 6 � � � 'I �� 9� q` I k. E.D.R. or sq. ins. QIA. l.eader area � � Gn 1 : a > . � r 0 < s [ � � c � n � � � � � -� �� r � � � � � � � � � p Q O �� a �S iW : `� � � � M �e O � �' � � � � � � °° � a � � �: W �� ° � c � � G ��ti s�� .$o � � � � �� . . � . �� s w �i $ o�i 8 � « �. a � � � o � �r � � a $ >� � � [ o � �� O � I � � � � � ") x � � � � � e � � � � � � o � 0 � ;Y � A � x � U) O r a � < � �� ., s W � � � � �' � �o �` � � � � E w $ � � � � M � � � � � � � � 0 00 � m � �r�� a � � x ��o o� � �o y S � � � � � � � y ','�' �•�' � p � A � � � � � o��o� ��:�� , . � � � x � o � � � � e.� ao 0 0 8 3 8 8 � � � � ( ' � I1 � � O � E � � � O s � 0 � � � � m � � I� � i� (` � �� g � �� a�,�� ' � � � � � � � � O o,�. �S `� g : � � � : � � � : � � w w w � o 8 8 $ � 8 « « � ° � �� n r0i, � I � �. ! a g I � � i � � !� i � I ' I �i� I� � 1' V W � � � � � � � � � � � R� R° � � ��o� ��"�'� � o � � .. � � � � � � ��: ��. o $ . . 8 : : w ai Q+ o � 8 $ 8 8 � � � � � � � � m�GO A p a. f�.C� � � A C A ? � "-�°'� �p, d�� D m � oA�'� � d00 � � �s �wa� (' �,�� y� m Y � py�! � o' � o 0 A y �n' `� � t� � � � qG' � �p C ... � Cy�b �� n � � �� o,�p x � �'" ,� o, m �a � o, � � � ) C �. � �� J �� o'!� � A C�' M � �� e � � � -'I A 7� � � � T � z T C �n � M � ,� � � �i � � �� i = � N �� A � � � 0 w � � D � �ti . � �'i `' . . .� � �� p Y :� � � m m � � � � � � t� 9E � � n � � � � � r � � �i' �7 � � � a� � � � � w � � � � � p � � � a � � � � 5 � � e g � !� ! � � � � � � O ffi • i � � � � � � � ° �' � � � : � � O � o � � . � : � : � a 2, ° . � �! . . � � . oa : t-a n, � . o, Q o�a . . : cn '�° � ' ' °•° Z5 : a ` � � d� : : . . � m m e , � a : : � a e � i : a . . ' �]� � � � . � . . . o e o • e e i al � • • • • • o . : (n � i i • • ► • • • • • ,`„ � e� i � • ~ �i � �: � 0 �� fl M N M 11 fe i�I x al il � " ?� �3 �33 :: � 'A ,� . � � ; � � 8.�8 � $ 8� $ � � � ,� � M M � N M I I � � y � p O �� O O � ~ � � � ' � I I r� � c ,,, ' � �. � � � � � � � � � � � � � P m O a a � b � � a • �� 3 � a a v n°, � r� $ N � �N $ � � � I N � I �� E a � � � � �-3 � � � � ��+ i� N �'�i G I � �� c � �� M � c�� o A � � �� a� 8.�� »� �� c ��m C b O �C Q � ii � � � O � � ��" O' p A � a$ �� r � Iq �� : �s A � m 3 ., � �� o` O � x � � � � � � � � u � � � � n � � � � � � � � � � W 1 � �" CA 1 � �~7l � SUBJECT i City of Fridley o 1913�-1 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r � � RECEIPT NO. � ; L __�__ COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. 1 � , l-_-_ � /'�'1`� CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPqOVEO BY L J�' ' 612-571-3450 9�0-Ft5 8/24/87 / / JOB ADDRESS 5060 Hughes Avenue N. E. 1 LEGAL �OT NO. BLOCK TRACT OFi ADDITION SEE ATTACHED DESCF. ( % CaT.'ZSOII � S SUIC�7.'t M8I1.OY' S Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Michele Bush same 572-3540 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSENO. Roncor 9029 � 9ont Avenue S 888-5578 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. 6 USE OF BUILDING R-1 7 CLASS OF WORK ❑ NEW ❑ ADDITION OX ALTERATION ❑ REPAIR O MOVE ❑ REMOVE 8 DESCRIBE WORK Sidin roo� 9 CHANGE qF USE FROM TO STIPULATIONS SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY pROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING S0. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCE�. NO. DWLG. UNITS OFFSTqEET 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 �� S1O�000 $S.00 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pEFiM1T FEE SAC CHARGE PROVISIONS F ANY OTH STATE OR LOCA� LAW REGULATING CON- STRU ION THE P AN OF CONSTRUCTION. $HG. SO PLAN CHECK FEE TOTAL FEE $91,50 TUR T R AUTH � D AGENT IDATEI H PRO E Y A I T T I� YO� I � ; r,.a SiGNATURE OF OWNERUF OWNER BUILDERi IDATEI � BLDG INSP naiE N� [] City of Fridley Effective 4/1/86 ADDN.-� R-1 AND R-2 pLTER. [ ] Building Permit Application Construetion Address: Legal Description: � Owner Name & Address: Contractor:__..� �� Address• � � � � CP �l /L ��1�. nr�� 2 � �.S � N �� v- � I N' l - � �+ �='1- ,��v �" �iBN��s�1� Tel . 4 �72 3� ��'' Tel . � �SQ S� �► i° EJ Attach to this application, a Certificate of Survey of the lot, with the proposed construetion drawn on it to seale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: DECg AREA: OTHER: Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. Corner Lot [] Inside Lot [] Ft. Yd. Setback Side Yard Setbaek Type of Construction: �!'�� Estimated Cost: $ � �d � Approx. Completion Date: Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Baek Page for Explanation C� � \ �j�� DATE� Z / APPLICANT. Tel. CITY IISE ONLY Permit Fee $ �C�� Fee Sehedule on Reverse Side Plan Check $ 25� of Building Permit Fee State Surchar�e � �b��- �•50/$1,000 Valuation SAC Charge $ $ 525 per SAC Unit Park Fee $ Fee Determined by Engineering Sewer Main Charge $ � Agreement Neeessary [ ] Not Neeessary [ ] TOTAL $ STIPULATIONS• .� . _ BUII.DING PERMIT FEE SCHEDIILg The Chief Building Offieial shall, before issuing permits for the erection of any building or structure� or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applieant for sueh permit of fees to the amount herein below set forth and in the manner herein provided to-wit: Total Valuation Fees $1.00 to $500.00 $10.00 (Minimum Fee is $15.00) $501.00 to $2,000.00 $10.00 for the first $500 plus $1.50 for each additional $100 or fraction thereof, to and including $2,000. $2�001.00 to $25,000.00 $32•50 for the first $2,000 plus $6.00 for eaeh additional $1,000 or fraction thereof, to and ineluding $25,000. $25,001.00 to $50,000.00 $170.50 for the first $25,000 plus $4.50 for eaeh additional $1,000 or fraction thereof, to and ineluding $50,000. �50,001.00 to $100,000.00 $283.00 for the first $50,000 plus $3.00 for each additional $1,000 or fraction thereof, to and including $100,000. $100,001.00 and up $�33.00 for the first $100,000 plus $2.50 for eaeh additional $1,000 or fraction thereof. DRIYEWAY DEPRESSION ESCROii (Conerete 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 9ERIFICATION 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 coastruction site. A Certificate of Survey of the lot, showing the location of the foundation onee it has been c:onstrueted will be required before proceeding with the framin�. � a_ . � sue�ecr PER c�ty of Fridley 19 4 90 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T i • � � . � �y �_�_ COMMUNITY DEVELOPMENT DIV. r j � PROTECTIVE INSPECTION SEC. �� /� i i . , i , /'�'1 � CITY HALL FRIDLE� SS4$2 NUMBER REV. DATE PAGE OF APPROVED BY �'�� ,�� 612-571-3450 910-F15 5/24/88 / / JOB ADDRESS 5060 Hughes 8�X Avenue N.E. LOT NO. BLOCK TRACT OR ADDITION 1 LEGAL SEE ATTACHED DESCR. ( 7 Ca.rlson�s Summit Manor South Addn. SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE William and Michele Bush same 572-8230 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. same 4 ARCHITECTORDESIGNER MAILADDRESS ZIP PHONE LICENSENO. 5 ENGINEER MAILADDRESS ZIP PHONE IICENSENO. 8 USE OF BUILDING Residential 7 CLASS OF WORK �] NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE O REMOVE B DESCRIBE WORK 14' x 12' decl� 9 CHANGEOFUSEFROM TO STI PU LATIONS SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, �PE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. 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 $ 1 �SO $.S7 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOIATE OR CANCEL THE pERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW FEGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. 29.00 PLAN CHECK FEE TOTAL FEE 29.57 IGNA EOFCON�R R rHOai2ED GENT �DaTEi W N PROP R LI A E THIS IS YOUR PERMIT . 6 - `� / �• � � Si EOFOWNE F W E BU�L R� TEi OG �NSP fjqTE 1� L�� City of Fridley EEfective 5/L88 �1V [� ] R-1 Ai�ID R-2 AL'!ER [ ] Building Pennit Application o�nstruction Ac�laress :� D�D �� 1� �S A U E N�. Legal Descriptian: Owner Na¢ae & Adclress: Ul I L� 1,� I'Y1 F. �/)')Irl�l�L lc �4 f� Il S� Tel. � '� O�ntractor : Lv l.l �. � Addre�s : Attac� to this appl ication, a Certif icate o� Slirvey of the lat, with the proposoed construction c7rawn on it to scale. �.SQtIPrIOTi OF IN�'RWII+�1T T.TVf11r ARFA • j�n�j W1C�1 I�Ql t --- ---- gh St3. Ft. (�RAGE AREA: Length Width Eeight 9q. Ft. ' DnC[c ARFA: Length / 4' widkh �_ Hgt /Grou�a 9q. I�t. �.��_ �:. �; 1� �� , �rner Lot [] Insicle Lat [] Ft. Yd Setback Side Yard Setbacks Type of oonstructio�n: __ DECK Estimatec] Cost: S 3��f� Approx. Completion Date: 1�� Alt. A Alt. B Prop�sed Driveway Width If New Opening Is Desired: $ $ Width + 6' See Back Page �: s-a � ��: ��. C�.�� Pe�i.t Flee State Surcharge SAC �iarge Driveway Fscrow Park Fpe Sever !lain (barge Z�AL 9TIP(JI�1�I�: (�TY DSE Q�S�Y Te�.. � 59�-��3C� l�e Schedule on Reverse Sicle 5.50/51,000 Valuation 5550 per SAC Unit Att '�i° or A1� "B" Above l�e Determined by E�gineering Agreenent Neoessary [ ] Nat Neaessary [ ] 0 1�� 1� � �..�°-�---'- °�_ �►�, �D� .. _, .. � =: l �_ �. • �;�v [+ �+�� :i��. 1 The Cgiief Building Official shall, before issuing permits for the erection of any building or structure, or for any ac3dition 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 and in the manner i�rein pravid�ed to-wit: TOTAL VALUE EFES $1 to $500 S15 (Minimtm� riee is S15 plus surcharge ) �501 to $2,000 S15 for first 5500 plus �2 for each additional $100 or fraction thereof, to and ir�luding 52,000 52,001 to 525, 000 S45 for f irst S2, 000 plus S9 for each additional �1, 000 or fraction thereaf, to and including 525,000 525,001 to $50.000 5252 for first �25,000 plus 56.50 for each additional 51,000 or fraction thereof, to ancl inclucling 550,000 550, 001 to �100, 000 5414.50 for first �50, 000 plus $4.50 for each ac�ditional $1, 000 or fraction thereof, tro and including 5100,000 5100, 001 to 5500, 000 �639.50 for f irst $100, 000 plus $3.50 for each additi�al. Sl, 000 or fraction thereof, to and including 5500,000 5500,001 to $1,000,000 52039.50 for the first $500,000 plus �3 for each additional $1,000 or fraction thereof, to and including 51,000,000 51,000,001 a�d up $3539.50 for the first 51,000,000 plus $2 for each additional �1,000 or fraction thereof DRIVETi�Y EPRESSION E9QtQn1 (Concrete Curb Streets Only) Alternate °A": Renwal and replaaement a� curb and c,�tter o�ly - Driveway width plus 6 feet times 513.50. Alternate "B": Renaval and replaoement o�f curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times �15.75. ��+: :� � M . , • - ;�•:��, �,; � • � Permits for construction will be issued a minimtun of 24 hours f rom the time of application to allvw for proper review of the proposecl structure and of the oonstruction site. A Certif icate of S�uvey of the lat, shaving the location of the fotmdation once it has been aonstructed will be required before prooeeding with the fr�ning, � �� .. € # � ;'��,�; `. ;� "�, _ � ��5�-',: �. � . ,�r'� _, CI"I`rOF FRiDLEY CIVIC CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MINNESOTA 55432 • PHONE (612) 571-3450 November 2, 1988 Mr. Til�lliam Bush 5060 Hughes Avenue N.E. Fridley, MN 55421 Re: Final Inspection on Deck Dear Mr. Bush: 0 Oa November.2, 1988 a final inspection was conduc.ted on your new deck Iocated behind your h�use. Plea.s�e be advised that we found a Code yiolatio� on tfi.e way your deck stair is constructed. The maxtmum rise in a stair can not exceed 8 inclies and the minimum run ts 9 incfiss, Yon also vms•t� prc�vide a fiandrail on at least one side of a stair havi'ng fonr or'mo�re r�s-ers. To correct this prob:lem, you must add one more ri�er to the stair and make sure the.mini:mum run is at least 9 inches. If you have any questions with reference to this matter; pleas�e call me at 571-3450. After you have made the correction, please call me for a reinspection. Your cooperation in tiiis ma.tter will be appreciated. � Sincerely, DARREL G. CLARK Chief Building Official DGC/mh • sue�ecT PE u0. City of Fridle� 3 2 07 6 AT THE TOP OF TME TWINS g u f L D I�J � P E R M I T r � �` �� COMMUNITY OEVELOP�ENT DI1[. ��-��F qECEIPT . i� �r � y � PROTECTIVE INSPECTION SEC. � _ � � �"'1 � CITY HALL FRIOLEr SS13i NUMBER REV OATfi pAGE OF AVpROVED B� � ��-'� � �'' 612-57�-3a50 s�aF�s 8/13/01 / / IOB ADDRESS 5060 Hughes Avenue - 1 LEGAI ��T NO. BLOCK TRACT OR ADDITION SEE ATTACNEO oescR. 6 7 Carlson's Summit Manor South Addition SFIEET 2 PFOPERTY OWNEFi MAIL ADQRE$$ 21P PMONE X��CX Christi Buckner, 5060 Hughes AVe., Fridley, MN 55421 763-586-0201 J CONTRACTOR MAIL AODRESS ZIP PMONE LICENSE NO Sela Roofila.g & Remodelin , 4100 Excelsior Blvd, St. Louis Park, MN 1050 d ARCNITECT OR DESIGNER MAIL ADDRESS ' ZIP PMONE LICENSE NO. 952-823-8046 5 ENGINEER k1All ADDRESS 21P PNONE LICENSE NO 8 USE Of BUILDING Residential 7 CIASS OF WORK ❑ NEW O ApDITIpN O ALTERATIpN �. REPAIR p MOVE O REMOVE 8 DESCRIBE WOfiK �$ Re-roof (flat roof) 9 CHANOE OF USE FROM TO STIPULATIONS � Install per manufacturer's specifications. SEPARATE PERMITS ARE REQUIRED fOR EIECTRICAL, PLUMBING. NEATIN(3, TYPE OF CONST. OCCUPANCY G1i0UP OCCUPANCV LOAO VENTI�ATING OR AIR CONOITIONING THIS PEFMIT BECOMES NULL AND VOID IF WQRK OF CONSTRUCTIOM IONING SO. fT CU fT. AUTHORIIED IS NOT COMMENCED V�1ITHIN 80 DAYS, OR IF CONSipUCTION , OR WORK IS SUSPENOEO OR ABANQON�D fOR A PERIOD OF 120 DAYS AT ' ANY TIME AFTER WORK IS COMMENCED. ° NO DWLG. UNITS OFFSTREET PARKING 1 HEfiEBY CERTIFY THAT I MAVE READ AND EXAry�IN�O TMIS APPUCA710N STALIS GARAGES AND KNOW THE SAME TO BE TAUE AND CORRECT. ALL PROVISIONS Of LAW$ yq�UAT10N SUq7AX AND ORDINANCES GOVERNING THtS TVPE OF WORK WI�L 9E CpMPLIED WiTH WNE7HER SPECIFIED HEREIN OF NOT. TME GRANTING OF A PERMIT �5,650.00 �2.82 DOES N07 PiiESUME TO GIVE AUTMORITY TO VIOLATE OFi CANCEL TNE pEqMIT FEE SAC CMARGE PROVISION OF ANY O R STATE OFi LOCA� LAW REGULATING CON- STR 10 OR TM ORMANCE OF CONSTNUCTION �],2,rj . 2,rj Fire .SC, �.ri . 65 � PLAN CMECKFEE TOTA�FEE �'� � � ��'� nse SC $5 . 00 $138 . 72 s�GNnru �CON'FACTOpOpNU�NOp�2EDoGENT iD�iE� WHE ROPERLV VALIOATED THIS IS YOU ERM S�GN4TUAEO�OWNEQ��OWNEpBU4DERi �DAfE� LD �NS� �ptE c.,, � N� [ l Effective 1/1/2001 ADDN [] ', CITY OF FRIDLEY (763) 572-3604 Bldg Insp ALTER [] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMITAPPLICATION Construction Address: � Legai Description: Owner Name & Address: C�'l.f ��°�-i ��c��r��r Tel. # ��r� — OZ6 � Contractor. MN LICENSE # / O S� +n., Address: _ 4100 EXCELSIOR Ri vn Tel. #�iS�-�Z� -�"� �� ST. LOUIS PARK, MN 55416 Attach td�tl��Q�Oation, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Length Length Length DESCRIPTION OF IMPROVEMENT Wdth Height Width Height Width HgUGround Sq. Ft. Sq. Ft Sq. Ft. Construction Type: �P��' �(lSl�� (a.�- �a-��5 1 Estimated Cost: $ .� �, � [j �. � Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x$ _$ DATE: � U �C� � APPLICANT: � �;�C� Tel. # �'S� � 3- �� CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL Call (763) 572-3604 for Permit Fees if mailing in application $ ��5 Fee Schedule on Reverse Side $ �-(oS .001 of Permit Valuation (1/10th%) $ �- v� $.50/$1,000 Valuation $ $1150 per SAC Unit $ � - C�Z� $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 [ ] $ l�c�- � STIPULATIONS: �� BUII..DING PERNIIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such pemut 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 $1,000,001 and up FEES $23.50 $23.50 for first $500 plus $3.05 for each additional $100 or fraction thereof, to and including $2,000 $69.25 for first $2,000 plus $14.00 for each additional $1,000 or fraction thereof, to and including $25,000 $391.25 for first $25,(�0 plus $10.10 for each additional $1,000 or fraction thereof, to and including $50,0� $643.75 for first $50,000 plus $7.00 for each additional $1,000 or fraction thereof, to and including $100,000 $993.75 for first $100,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $SQ0,000 $3,233.75 for the first $500,000 plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,000,0(� $5,608.75 for the first $1,0(?0,000 plus $3.15 for each additional $1,�0 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 $15.50. 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 $23.25. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed 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. New Houses Onlv . Residential Contract Minneapolis St. Paul 612-823-8046 651-644-5362 Fax 612-823-1078 S o60 ind ZIP CO -� Y' ,1 1 .k r��E � � �� *r5tate of Minnesota License ID #0001050 * Bonded R�FINGAND * Insured REMODELING 4100 Excelsior Boulevard St. Louis Park, MN 55416 PHONE ?��--S�-b2v, JOB N(A'�ME� f!l(�� ( _�� V �121 . ATTN: ;S�ol W@ PiOpOS@ hereby to furnish material and labor — complete in accordance with specifications below, for the sum of: Payment �r � � � � O � to be made }— C ,,. � as follows: 1 1�i � O u�►�G �� .� �%� V h �� i' � fi-� d`'o,� c$ S S ,. When Signed $ Upon Start $ Balance to be Paid in Full Upon Completion $ /J/�G/y/lJ(�' All material is guaranteed to be as specified. AII WORK to be Estimated Start Date: ` �1 s¢-�- completed in a workmanlike manner according to standard y�leather Permittin J^°� �'�'� V practices. Specified work and quoted price subjact to change 9 upon discovery of hidden defects. All agreements contingent upon strikes, accidents or delays beyond our control. Owner to carry Authorized flre, tomado and other necessary insurance. Our workers are fully Signature covered by Workers' Compensation Insurance. Products and materiais may be substituted for equivalent products due to Note: This Proposal may be „�,� availabilriy. withdrawn by us if not accepted within !�� days. ,�' -`IAI6 h�[Ab�l 8Ubrttlt specifi ' ions and estimates for: • Page No. of Pages i = � '? � 1- C i � i' i x: a_ � �' V� � oF � �: �� r k �"� ��R,.; �R tL a r � �'� �. t , t .� h . y ' � � '.` � '�.fi � �,,""'*` e '.". w � �� l h'T°i b o � � ��'k 1 c�r�'- � �' �ns��.L foo �.L ��A��2 � a� �, � ��` � „, W �_� ,�'r�1/' f� Aa .3,A ,r{: 1 , �1 �� c�.�,,��. � c � 1� �eu1e � ei C °� e � ti � t Q � � � �"�. Y� � �i � � � " ; ` : �n�.�` t � � ., � � : � � �� i� .` ""�` ' �,�r .`�1��1 1;1�� .�� }: , ;� '° ,��, '�� r•. s � � t / �� / � �, � .. � , � � ` �( t � � �� r �f � �� :1�. `'C" �' '� � 1�1 U ��+1�:1b\ G . 5.�,► �` Vl- �a 'r' i . � � �� , �� :� � �x '` .y,r� 1 +yyry. rp:.�'} j � � saaLi�- ti, '"�� <]a� 4 }:r �� x,, � r, Rn� � R �i�� .� :�� 7•,� Gp W F: A' �� a�t � ��y�et� �/1�m �� ' �'rr'F " � �' �.+��' �'. 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Yes () No () /�� The venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes () No ()�'� The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturer's speciflcations. This does include AGA-GAMA Category I Central Fumace Venting Tables for fan assisted and natural draft appliances. The existinq combustion air is sized and installed to meet the current codes and manufacturers specifications. When required to install a new combustion air. it will be sized and installed To meet the current codes and manufacturers specifications. Yes � No ( ) Yes ( ) No ( ) /��' Yes f� No ( ) When installin4 a new ventina svstem, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Fumace Venting Tables for fan assisted and natural draft appliances. Yes (� No () Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. Yes fxj No () Apaliance Tvae and Size/Common Vent and Vent Connector InfoRnation Appliance #1 Type 'r BTU Input ��v Fan Assisted or Nat � Appliance #2 Type Lt,� �, � BTU Input � Fan Assisted or Nat �t�—T Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances �_ Total Btu Input � Common Vent Type Vent Height a?L� � Diameter S�� inches Appliance #1 Vent Connector Height �- ft Length �ft Diameter �in Type � Appliance #2 Vent Connector Height �ft Length �- ft Diameter �in Type � Appliance #3 Vent Connector Height ft Length ft Diameter in Type ALTERATIONS• (Describel �isr� ,� D � g— � ��,� HEATING C�. Si ned B e� �' I1C. 9 Y- 99��ea:.a �+ .�..�: Date ��.��--0,/ Coon Rapids, AAlV 55433 754-2199 ,�. � '� ' ,� � �n,� ; � _ CIIYOF FR[DLE.Y FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(763) 571-3450 • FAX (763) 571-1287 February 7, 2003 Tim & Christine Buckner 5060 Hughes Avenue NE Fridley, MN 55421 Re: Final Inspection at 5060 Hughes Avenue NE Contractor: River Ciry Sheet Metal Dear Tim & Christine Buckaer: A mechanical permit was issued on May 25, 2001 to install a furna.ce and an air conditioner at your address. According to the 1991 Uniform Mechanical Code a final inspection shall be conducted on the work authorized by this pernut. As of this date the inspection has not been requested. The permit fee that was paid covers the inspecdon to make sure the work was completed according to the C�es. Please contact us within the next 30 days to schedule this inspection. To set up the inspection or to have any questions answered, please contact the Building Inspection Division at (763) 572-3604. DJ/mh Building Inspections 763-572-3604 BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY Pernut No.: Received By: Date Rec'd: DATE OS - oz- 2� s YOUR E-MAIL ADDRESS I�►° I�� itcan:u l� bi: STfE ADDRESS S� 4�e� �i.e�� c /� THIS APPLICANT IS: °�.OWNER ❑CONfRACTOR PROPERTY OWNER/ Npiv�: �L� /�?dK TENANT ADDRESS: ,� o�-� /�s...f�r .dv� CITY �r. J/o.�. STATF�iZIP .fS.�� `f' PHONE: ��.�s . Z �/2 • 372 s CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION PROPERTY TYPE PERMTT TYPE TYPE OF WORK: STATE LICENSE # EXP DATE ADDRESS: CITY PHONE '�.SINGLE FAMILY/NF ❑ �rwo Fa,rau.Ym�w ❑ ADDTTION ❑ BASEMENT FINISH ❑ DECK CONSTRUCTION 0 ROOF O SIDING FAX SHED dG POOL STZE ❑ DRAIN TILE � OTHER ATE ZIP DESCRIBE WORK BEING DONE: R.c (ae�e. T �nJi�.�.� — SIZE OF IMPROVEMENT_ NUMBER OF SQUARES _ GARAGES PROPOSED SIZE: PROPOSED HEIGHT: LENGTH WIDTH HEIGHT ❑ HOUSE ONLY O HOUSE 8c GARAGE ❑ ATTACHED GP.RAGE � DETACHED GARAGE Ft. BASEMENT REMODELING SUBM(T: 1. E�sting Floor Plan 2. Proposed floor plan 3. List of str�ctural members to be used SIDING FOR NEW CONSTRUCTTON INCLUDING DECKS, ❑ Vinyl ❑Soff►t P nni'►'iONS & PORCF�S SUBMIT: ❑ Aluminum O Trim 1. Site Plan/Survey showing the existing structures p p�� ❑ Fascia and proposed project. 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS .1�Yes ONo LOCATION OF WINDOWS OR FOR NEW OPENINGS-DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEE5 ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $!S� �C�� T�E Permit Fee Plan Review Surcharge Fire Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Tntal Due $ � �� $ � $ - �� $ �°,�� $ $ $ $ $ $ See Back Page for Fee Schedule 65% of Building Pemut Fee (.0005) times the total job valuation — Minimum $.50 .001 x Permit Valuation (1/10%) $5.00 (State Licensed Residential Contractors) $1450 per SAC Unit (Plans to MWCC for determination) $+6ft= ftx$20=$ $450 Conservation Plan Review Fee Detemuned by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks pavable to: City of Fridley Attach THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I aclrnowledge 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 Construcrion 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 requ'ues review and approval of plans. SIGNATURE OF APPLICANT PRINT NAME %�RA�bV �. /�v � DATE O S- Z- Z�o.� Page 2- Building Residential Application BUILDING PERNIIT FEE SCHEDULE The Chief Building Offici�.l sha11, before issuing permits for the erection of any building or structure, or for any addition to a.ny existing building or structure, or for an3� alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to-wit: . VERIFICATION OF FOUNDATION Pernuts for construction will be issued a minimum of 24 hours from the tune of application to allow for proper review of proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the existing foundation will be required before proceeding with the framing. New Houses Onlv City of Fridley Building Inspections Department 6431 UniversiTy Avenue NE Fridley, MN 55432 763-572-3604 Fax: 763-502-4977 3uilding _=nspections 763-572-3604 �.�� 1/ 3 o a r� �DxESS SO �IS APPLICANT IS: ='R��ERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION PROPERTY TYPE PERNIIT TYPE �E oF woxx: BUILDING Pernut N RESIDENTIAL Al'PLICATION Received By:�V CITY OF FRII�LEY Da� �� Yo E-MAIL ADDRESS _� (i �i 9 Ga t��',� 0 n.l 5.! 0 m � ��,�t y t�Vt !11' � ❑ OWNER `�CONTRACTOR .�DDRESS: � O l. O �,t C�TI,( � ,�j� Pxor�: ?L 3� ZSY - S o 0 3 N��— The Home Depot A.H.S. Inc. sTA� Lic 3200 Cobb Galleria Pkwy. a�Dx�ss: Atlanta, GA 30339 PHONE 763-542-8826 �� License #20268257 ❑ TWO FA ��ESCRIBE WORK BEING ?IZE OF Il��PROVEMENT dLTMBER OF SQUARES _ �ARAGES �ROPC}SED SIZE: 'ROPOSED HEIGHT: :IDIlVG 7 Vinyl 7 Alutninutn 7 Other ❑ BASEMENT FINISH ❑ ROOF ❑ DECK O SIDING ❑ SWQvA�IDJG POOL n LENGTH ❑ HOUSE ONLY O HOUSE & GARAGE 0 ATTACHED GAR.AGE ❑ DETACHED GARAGE OSoffit ❑ Trim ❑ Fascia ' 'INDQWS � EXISTING OPEI�IINGS I�Q'es ONo IACATION OF WINDOWS :� FOR NEW OPENINGS-DESCRIBE SIZE OF L! u�n 4 fb o�1. �'i'�1 �J,l1 � br drsn� PENING CHANGFS & "YPE OF WWDUW TO BE INSTALLED NUMBER OF WIl�IDOWS � �� r� STATE � 5-s �ra� or�� p��d1r ofl� } Q5a �345- Ld�-!7 CTTY STATE ZIl' ES �WIIIDOWS ❑ DRAIN TILE ❑ OTF�R 1 D TH IGHT S . Ft BASEMENT REMODELING SUBMIT: 1. Existing Floor Plan 2. Proposed floor plan 3. List of structvral members to be used FOR NEW CONSTRUCTTON INCLUDING DECKS, ADDITTONS. & PORCHES SUBMIT: 1. Site Plan/Survey showing the existing structures and proposed project 2. Two sets of cansiruetion plans 3. Energy Calculations ALL FEES ARE SASED ON VALUATION, INCLUDING THE COST OF L.ABOR AND MATERIALS: (LJSING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ 4 O 0 � OCCUPANCY TYPE ermit Fee lan Review urcharge ire Surchazge icense Surcharge :AC Charge :urb Cut Escrow rosion Control ark Fee ewer Main Charge otal Due $ 4`�. ? S� See Back Page for Fee Schedule $ 65% of Building Permit Fee $ 2, o o (.0005) times the total job valuation — Minimum $.50 $ �/, O v .001 x Permit Valuation (1/10%) $ j' , Ott $5.00 (State Licensed Residential Contractors) $ $1450 per SAC Unit (Plans to MWCC for determination) $ ft+6ft= ftx$20=$ $ $450 Conservation Plan Review $ Fee Detenmined by Engineering $ Agreement necessary ( ) Non Necessary ( ) $ ! b .� Make checks payable to: City of Fridley Attach THIS IS AN APPLICATTON F�R A PERMI'P-NOT VALID UNTIL PROCESSED hereby apply for a building permit and I aclaiowledge that the information above is complete and accurate; that the work will be in �nformance with the ordinances and codes of the City of Fridley and with the Minnesota. Constxuction Codes; that I understand this is not a :rmit but only an application for a permit and w rk is not to start without a permit; that the work will be in accordance with the approved an in the case of all work wluch requires review �� approvat of plans. _ , _ GNATURE OF APPLICANT // /� 1 fi � n 6� Page 2- Buildi.ng Residential Application BUILDING PERNIIT FEE SCHEDULE The Chief Building Official sha11, before issuing permits for the erection of any bui.lding or .structvre, or for any addition to a.ny e�xisting building or structure, or for �ry alt-eration or repair to any e�sting buildi.ng or s�tructure, upon application therefore, require the payment by the applicani for such permit of fees to the amount herein below set forth an.d in the manner herein. provided to-wit: TOTAL VALUE FEES $1 to $500 � $23.50 (Minimum Fee is $23.5.0 glus surchazge)- $501 to $2,000 $23,50 for 1�` $500 plus $3.05 for each additional$100 or fractian, to and includi.ng $2,000 $2,001 to $25,000 $69.25 for 1�` $2,000 plus $14 for each additaonal $1,000 or fraction, to and including $$25,000 $25,001 to $50,000 $39125 for 1�` $25,000 plus $10.10 for each additiona,l $1,000 or fraction, to and includin $50,000 $50,001 to $100,000 $643.75 for 1�` $50,000 plus $7 for each additional $1,000 or fraction to and including $100,000 $100,001 to $500,000 $993.75 for 1�` $100,000 plus $5.60 for ea.ch additional$1,000 or fraction to and including $500,000 $500,001 to $1,000,000 $3,233.75 for the 1�` $500,000 plus $4.75 for each additional$1,000 or fraction to aad includi.ng $1,000,000 $1,000,001 and up $5,608.75 for the 1�` $1,000,000 plus $3.15 for each additional $1,000 or fraction VERIFICATION OF FOUNDATION Pernuts for conslrU.ction wi.11 be issued a minimum of 24 hours from the time of application to allow for proper review of proposed structure and of the con.struction site. A Certificate of Survey of the lot, showing the Iocation of the existing foundation wi.il be required before proceedi.ng with the framing. New Houses Onlv City of Fridley Building Inspections Deparbnent 6431 University Avenue NE Fridley, MN 55432 763-572-3604 Fax: 763-502-4977