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Quershi : I� I�as been brought to my at�ention that ti�e owner of lots 35 and 36 of block A, Rivervi�dv H�ights in��nds t� cons'�vvct a hor�� on thes� two lots, w6�ich to�al 50' on t�ie street and ar� ap�aroximately 100' deep. As the owner of lots 37-�1 adjacent to the above proper�y, I v�rould like to ue on r�cord op�osing •�he issuanc� o�c a permit �o build a horne on a prop�rty vrhich is approximately 5.000 square �eet total. I have deterrnined that lots 33 and 3� also adjacent to the above listev �roper�y will be available from the Anoka Couni� in a sale to be held Augus� ZOth of this year. I si ncerely urge you and the ci t,y to wi thi�ol d a perrni t to bui 1 d on the lots 35 and 3G particularily vrh�n the adjacent prop�r�y will be available very soon. I fi rml,� bel ieve that al lowi ng t�rao homes to be bui 1 t on a 100' total street frontage ti�here the street (Huc�o) is not sufficiently wide for or� stree� parkir�g on rnore than one side in a� area that has been' innroving steadi ly over the ,years fron an area wi th sev�ral small fior�es to an area today with a majorit� of single famil,y d��ellings on a minimum of 75' frontage 1ots.. Th� issuance of a�ermit �o build on a l�t with less than ti�e necessary square.f�r►tage by� c'ity ordinance can be done if additional property is no� available. T believe in this case the additional property is sufficientl� available and that the permit should not be issued unless the requi�^ed squar� foo�ag� is obtained. Your consideration in thi;s matter vui11 be appreciated. You truiy, ��, ,�"�°°�'�i i�. E. Venne cc: Mr. Timot{�y �reider, 7550 Tempo, Fridley, ��inn. 55421 ,e � , ♦ / 4 � 4 � � I � , j �, a �_ao_w�� :",'�� .. ..� - i i'�,17'S�riX9!,. ��•�. � F�j � � :-o,, t # . � � ;,;, ,�-�� . C, ', p .. - f '.Y. F�'S�r,p,F�b Q�:I.jV� p�' !� � � :• i �--j'��'�,----- - � .�.� �-�� T FIRE DEPARTMENT MEMO T0: UILDING INSPECTIO ASSESSING SUBJECT: FIRE DAMAGED STRUCTURE FIRE HAS OCCURRED AT � r �+ /-�� 5� TE F RE FD-7 �-� � �� '�, ' � �� : �, ,,_�.: DATE : /� / � � � �r� � �, .� � sue�ecr PERMIT N0. City of Fridley 1785�� AT THE TOP OF THE TWINS g U I L D I N G P E R M I T/� r � � ECEIPT NO. � 1 L___�_ COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. .� � 1 = � , /"'1 � CITV HALL FRIDLEY SS43Z NUMBER REV. DATE PAGE OF APPROVED BV �.---� • •�� 612-571-3450 9t 0-Fi 5 2/7/8 5 / / JOB ADDRESS 200 Hugo Street N. E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3%-4I. A Riverv'iew Heights SHEET 2 PROPERTYOWNER MAILADQRESS ZIP PHONE ' John McCallow 200 Iiugo S:treet N. E, 3 CONTRACTOH MAILADDRESS ZIP PHONE IICENSENO. Chris's Construction 240 Longfelloti+rr S'treet N.E. 784-7142 d ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW �O ADDITION ❑ ALTERATION ❑ REPAIR ❑ Mi�VE ❑ REMOVE 8 DESCRIBE WORK Construct a 36' x 19t Dormer Addition and Fire Re air 8 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. ��d�� ;'�_ �� : �;-,�, �-,rV-�ti�j4,k,�-� �� j�,��9 •, , r-, �^� MVtl�63;'tiee;y C�:cas`.aad:_'tita� d 6�d."edoilaVV9�1�`,9,�� '�° °f � �:,,6C�l�.•� SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING Ofi AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OF IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS 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 WI H WHENHER SPECI IED EREINIOR NOTOTHE GRANTING OF A PERMIDT $13 � 5Q0 y�`F). %S DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMITFEE SACCHARGE OVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- S UCTION OR T PERFORMA E OF CONSTRUCTION. $IO4. SO LAN CHECK FEE TOTAL FEE $ 26.13 $137.38 Si n UaEOFCONTRACT ORAUTHORIZEDAGENT IDATEi C WHEN PROPE Y ALIDATED THIS IS YOUR PERMIT c � SiGNATURE OF OWNER iIF OWNER BUILDERi �DATEi BLDG iNSP �pT�3 /� NE1d [] City of Fridley Effeetive 4/1/84 ADDN. [ ]%� R-1 AHD R-2 pLTER. I� Building Permit Appiication Construction Addresa Legal Description Owner Name & Address :�---�U fi'`�l/ /'��,i� e,�f__�,�.� � Tel . i Contraotor: C �" /_ � � � - e'i � � Tel . � � � -Z. Addresa: ��'J �.�t�J� ��`°�� Attaeh to this application� a Certificate of Survey of the lot� with the proposed conatruetion draWn oa it Lo scale. DESCRIPTIOH OF II�lPaOYEMENT As LIVII�IG AREA: Length 3� s Nidth ��' Height �/� Sq. Ft. � OARAGE AREA: Length Hidth Beight Sq. Ft. DECB AREA: Length WidLh Hgt/Ground Sq. Ft. OTHER : ,L�� ,�� +� �` � Corner Lot [] Inside Lot [] Ft. Yd. Setback Side Yard Setback Type of Construction: � � � ` Estimated Cost: �,� �� Approx. Completion Date: � - � - �� Alt. A Alt B Proposed Driveway Yidth If NeW Openiag Is Desired: � � See Back Page for Explanation , � DATE: : � APPLICANT: � � Tel. # � �� . , `CIT7t IISE ORI.Y Permit Fee Plan Check State Sureharge SAC Charge Park Fee Sewer l�ain Charge ?0'rllL STIPULATIONS: ^ i F �. ��" .. .:�� _ �--�._- � �a � �!�-�=;�„�� ,�� a � � a �� a -- � �--- �-� � ��1 A�� `:.,, '� Fee Schedule on Reverse Side 25x of Building Permit Fee �•50/�1,000 Valuation a425 per SAC Unit Fee Determined bq Engineering Agreement Neeessary [ � Not Neeessary [ ] 0 0 BIIII.DII�G PERHIT FEE SCH$DIILS The Chief Building Official shall� before issuing permits for the erection of any building or structure� or for aay additioa 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 such permit of fees to the amount herein belot�r set forth and in the manner herein provided to-vit: Total Yaluation a�.00 to :500.00 Fees �10.00 (Minimum Fee is �15.00) �501.00 to �2�000.00 �10.00 for the first a500 plus �1.50 for each additional �100 or fraction thereof� to and including �2,000. �2�001.00 to a25,000.00 �32•50 for the first �2,000 plus �6.00 for each � additional �1,000 or fraction thereof� to and including a25,000. �25,001.00 to �50,000.00 �50,001.00 to �100�000.00 �100�001.00 and up a170.50 for the first additioaal �1�000 or including �50,000. �283.00 for the first additional �1,000 or including �100,000. a25,000 plus �4.50 for each fraction thereof, to and �50,000 plus �3.00 for each fraction thereof� to and �433.00 for the first �100,000 plus �2.50 for each additional �1,000 or fraction thereof. DRI9EWAY DEPRESSIOH ESCROiI (Concrete Curb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Drivexay 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 - Drivexay vidth plus 6 feet times �15.75 9ERIFICATIOp OF FOUNDATION Permits for construction Will be issued a minimum of 2u hours from the time of application to alloW for proper reviev of the proposed atructure and of the - construction site. A Certificate of Surveq of the lot� shoving the location of the foundation onee it has Deen aonstructed Will be required before proceeding �ith the framing. � � o C. a�—� `��`A� � �� Z ��A�� , sue�ecr PERMIT NO. City of Fridley 6-------�-� - ATTHETOPOfTHETWINS gUILDING PERMIT " 22561 ` r � ► •E-CEI��-N$:.." � `L __��_ COMMUNITY DEVELOPMENT DIV. i r � � PROTECTIVE INSPECTION SEC. I�� _ � � �"'1 � CITY HALL FRIDIE� 55432 NUbIBER REV. DATE PAGE OF APPROVED BY �""� � �'' 612-571-3450 910-F15 5/26/94 / / J08 ADDRESS 200 Hugo Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCH. 3]-41 A Riverview Hei hts SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PNONE Sharon McCollow 200 Hugo Street NE - 3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO. American Remodeling 3700 Anna olis Ln ��145 P1 - 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADORESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION � ALTERATION � REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK �� Window Replacement 9 CHAN(iE OF USE FROM TO STIPULATIONS Smoke detectors must be provided adjacent to all sleeping areas and in basement. If new installation of windows is in bedrooms, rescue windows required to meet the 5.7 s.f. fully openable. SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATIN(;, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD VENTILATING OR AIR CONDITIONING. THIS PEfiMIT BECOMES NULL AND VOID If WORK OR CONSTRUCTION ZpNING S�. FT. CU. FT. AUTHORIZEO IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOFi A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. N0. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GAqAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND OROINANCES GOVERNING THIS TYPE OF WORK WIL� BE COMPLIED �, SO WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT �SLO DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMITFEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OF THE PERFORMANCE OF CONSTRUCTION. �23. OO Fire SC �. HZ PLAN CHECK FEE TOTAL FEE License SC $5.00 $29.32 SIGNATURE OF CONiRACTOR OR AUTMORIZED AGEN? IOATEI WH P Y VA ATED THIS IS VOUR PERMInT �, � ! SiGNATURE OF OWNER iIF OWNEA BU�LDERI �OATE� °�ILDG �NSP �aiE F1EVV [ j ADDN [ ] ALTER [ ] Cons-truction Address: CITY OF FRIDLEY SINGLE FAMILY ANI) DUPLEXF_S R-1 AND R-2 Building Permit Application �c� �`� � � Effective 1/1l93 �(� �% Lega1 Description: Owner Name & Adriress: �Y\ i�� o�� Tei. #��'6 -�7 fo5— Contractor: Y-t1PY1. �� i� � e� �� MN LICENSE # O C?C� ��(� 6 • � . �., L� ° S� , Tel. � ,��5� ° � ° � �a r Attach to this application, a C--ertificare of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: Length GARAGE AREA: Length DECK AREA: Length OTHER: DESCRIPTION OF IMPROVEMENT Width Width Width Height Height Hgt/Ground Sq. Ft Sq. Ft. Sq. Ft. T Corner Lot [� Inside Lot [] Ft. Yd Setback Side Yard Se�cks � Estimated Cost: $ �� °— . Type of Conslraction: i h�a �-1�� ,cc� p� ev� Approx. Completion Date: - � V�� (Cost on Back) Driveway Curb Cut �dth Needed: Ft + 6 Ft = Ft x$ _$ DATE: � --� L/- ��% APPLICANT: ' , � Tel. #��.� -�� 0 Perrnit Fee $ �� , C� Fire Surcharge $ . c�.�, State Surcharge S � -� � SAC Charge $ License Surcharge $ �. ��' Driveway Fscrow $ Fark Fee $ Sewer Main Charge $ TOTAL � $ �% .� 2 Y _ f � .� Fce Schedule on Reverse Side .001 of Permit Valuation (1/lOth°6) $.50/$1,000 Valuation $750 per SAC Unit $S.0(? (State Licensed Residentiai Contractors) Alt "A" or Alt "B" Above . Fee Determined by Engine�ring Agreement Ne�.saiy [ ] Not N�ry [ ] p _ . e� �� - . STIPULATIONS: �,cus-�� 2�� . � -�� '�`^` � � �� ;� _ G � �� D m � 1 � � O � � m 3 � � . 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O�%� � S.n.j.� IB��`� ,o,,,o ��g 3� S.fLLS $��I T��_�H 9 ( ) a11 (�j� �� pai��o9 ��f1.I.S �� P� - az�s io3 s.tuaraannbai apo� �uar.m� ii� �i�i ' S ( ) �I�i (� Sa� pauoddns �fj��as sI • � � ( ) ol�i U() �x �� Poi s�a[qo �t'�io3 ou sEg �£ T �"� () oH (.� ) sa� nor�vaoua�ap io �s�, �� aa� sI ' Z ar . � ( ) �l�I (a�) �� pautu�xa �CIIn3��q seH ' T ��w� �rx :x��s io �Cauwni� �ui�slxa ayl lECp saguan �q��.�au�tsiapun a�, ' .s � Hoii��n x�dzs a� a�u�ux� . � , a�Fa-n�� SE BiEATING iESi RECORD - Aia�owDS�owumc� evv� e�c�se. ��c. ADDRESS � � � - OCCUPANT HEAT L033 DATE HT�. If��T. Z/-/ �� SOLD BY �� Electrical Work By_ _ 4'i �d TYPE OF HIEAT GA FA� IilA9 �TEAAA� SPA� HTW.� 9 ��. �� r ��a�� 041�A9ER 9 � l til. lPdSTd1L1.ED �°f �.o L[ct� 8y 18@d1T iiYR.� O'iH�R Gd� DESIGN CON4/�p91�N MAKE �E pF �IJ�NEp -- - - - - Modol -- ---- — - - —B�etlaf — --- — — - - ------ - ---- — — - Serial � � � l9ax. � RaUnp INPUT �e V%"�t� P�E OF FUiiNA� �J � CAfV4ROl3 THERMQSTAT �y �(/ j'�-`� Hea4 Plug Valve Limit Umtt Setling Fan Setting Pilot TYpa Pilot Make �lodel e� `/�Ili $� KIBVD � UNF.R SIZ� PIOIdE ��4i Hoac1 .rt .e> Regsatae�e FiG4ev� �I� ,f 6� � s � N�+rsol�er �a8mn�gs LooatEeat Ineld� '� Outsld� Chl�nay Consteuation Pilot Model �mok� �wib Wirin� � Pilot T(ming Dr��t Tast Tag / L. W. Cut Off �r Pra�we Llghting Ins4. Pressure ' 7 P�rcerot CO$ pegs T�� o Input CFH e� Percar�6 O, GmpacoyTos9ing � Staek Temp. ° P�rcenE C� � 6�ar�o �f T��r Form 235 sua�ecT PERMIT NO. City of Fridley -�- 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 INSPECTtON SEC /� 'f � ; a� ' � �'��1 � CITY HALL FRIDLE� SS43Z NUMBER REV DATE PAGE OF APPROVED BV �'""'�' �'' 612-571-3450 910-F15 4/25/96 / / JOB ADDRESS 200 Hugo Street NE 1 LEGAL LOT NO. BLOCK TRACT Ofi ADDITION SEE ATTACHED oESCa. 37-41 A Riverview Heights SHEET 2 PROPERTY OWNER MAIL ADOfiESS ZIP PHONE John McCollow 200 Hugo Street NE 786-5765 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Minnesota Exteriors Inc 8600 Jefferson H Osseo MN 55369 391-5514 2877 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIIADDRESS ZIP PHONE LICENSENO. 6 USE OF BUILDING Residential 7 CLASS OF WORK O NEW ❑ ADDITION ❑ ALTERATION Q REPAIR O MOVE O REMOVE x B DESCRIBE WORK Reside House• Soffit & Fascia• Windows 9 CHANGE OF USE FROM TO STIPULATIONS Replacement bedroom windows must meet the State Egress Code. Provide smoke detectors in each sleeping area and on each level of dwelling. SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCV GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZpNING SQ. FT CU. FT. AUTHOFI2ED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANV TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFV THAT I MAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORREC7. ALL PROVISIONS OF LAWS yAIUATION SURTAX AND OFi01NANCES GOVERNING THIS TYPE OF WOfiK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT � 18 s OOO �9 .00 DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON• @262.25 Fire SC STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. `P $18.00 PLAN CHECK FEE TOTAL FEE License SC $5.00 $294.25 SIGNATURE OF CON'RACTOR OA AU7NOAIZED AGENT 10ATE� WHEN PiiOPERL ALID TED THIS IS VO�U/R PERMIT - 6 �:� I �� SiGNATURE OF OWNER i1F OWNER BUILDERi �DATE� �NSP paTE NEW ADDN ALTER t] [l �� Construction Address: Legal Description: _ Owner Na & Addr Contractor: Address: /,%� � LIVING AREA: GARAGE AREA: DECK AREA: OTHER: C[TY OF FR[DLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application � MN LICENSE # (�ttach to this applicatio�i, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESC�.IPTION OF I11sdP1tOVEM�N� Length Width Height Length Width Height Length Width HgtlGround Effective 1 / 1 /95 , qa� �l Tel. # �� Corner Lot [] Inside Lot [ j Ft. Yd Setback �_ Side Yard Setbacks Type of Construction� <�- Estimated Cost: $ Approx. Completion Date: � �� 5� �� (Co t on Back) Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x$ _� DATE: Pea�it Fe� Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL APPLICANT: �� _ � S� � ��-�l� $ �i �- �'� $ $ 5- � $ CITY USE ONLY Sq. Ft. _ Sq. Ft. Sq. Ft. Tel. # Fee Schedule o� Reverse Side .001 of Pernnt Valuation (1/lOth%) . $.SO/$1,� valuation $850 per SAC Unit $5.00 (State Licensed Resideatial Contractors) Alt "A" or Alt. "B" Above $ $450.00 Conservation Plan Review $ F� I3etermined by Engineering $ Agreemeat Nece.SSary [ ] Not Necessary [ ) $� � �� . . STIPULATIONS: �� ino,�c �c�7 ; h-, W�•.��o �..�� _�� I �- �J�� .�Q. �-� �,�� f�� ,�'y��. sue�ecT PER City of Fridley 3 3 3 5 % AT TFIE TOP OF THE TWINS g � I L D I N G P E R M I T � ; � RECEIPT NO. � ; y _____ COMMUNITY DEVELOPMENT DIV. r � � PqOTEC7IVE INSPECTION SEC. �� 1 . i � � �"�� CITY MALL FRIOLE� SSI,Z NUMBEP pEV DATE PAGE Oi APPqOVED B� �""� � �'� 763-571-3450 s�aF�s 2/5/03 � � J08 ADORESS 200 Hugo Street NE 1 LEGAL LOT NO. BLOCK TRACT OR AODITION SEE ATTACHED oescR. 37-41 A Riverview Heights SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PMONE Nathan Awe 200 Hugo Street NE 763-786-5515 J CONTRACTOR MAIL ADDRESS 21P PMONE IICENSE NO Same 4 ARCMITECT OA DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS 21P PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK O NEW O ADDiTION � ALTERATION ❑ REPAIR O MOVE 0 REMOVE B DESCRIBE WORK Basement a3terations 9 CHAN(iE OF USE FROM TO STIPULATIONS See notations on plan. Provi�e smoke detectors in all sleeping rooms and on a31 levels of �he dwe.'..ling per Section 310.9.1.2 of the 1997 Uniform Building Code. Caulk and �lash all e�cterior openings . SEPARATE PERMITS ARE REQUIREO FOR ELECTfiICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD VENTILATING OR AIR CONDITION�NG. TMIS PERMIT BECOMES NULL AND VOID IF WORK Ofi CONSTRUCTION 20NING S�. fT CU fT. AUTMORIZED IS NOT COMMENCED WITHIN 80 DAYS. OR IF CONS7RUCTION OR WORK IS SUSPENDED OR ABANDONEO FOR A PERI00 OF 120 DAYS AT ANV TIME AFTER WORK IS COMMENCED. NO DWLG. UNITS OFFSTREET PARKING I NEREBY CERTIFV THAT I HAVE REAO ANO EXAMINED THIS APPLICATION 1 STAILS GARAGES AND KNOW THE SAME TO BE TRUE AND CORREC7. ALL PROVISIONS OF LAWS yp�UATION SURTAX AND OROINANCES GOVERNING THIS TYPE Of WOFK WI�L BE COMPLIEO WITM WMETHER SPECIFIED HEREIN Ofi NOT. TME GRANTING OF A PERMIT �775 �.SO OOES NOT PiiESUME TO GIVE AUTMORI7Y TO VIOLATE OFi CANCEL TME pEqMIT FEE SAC CMARGE PqOV1510NS OF ANV OTHER STATE OR LOCAI LAW FiEGULATING CON- $32. 65 Fire .SCi �. 78 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION P�AN CHECKFEE TOTALFEE $33.93 S�GN4 �/q/� OF CON'a �a OR AUTNOA�ZED AGENT IOAT � � /I/��j � � NEN PROPERLY VALIDATED THIS IS VOUR PERMIT v '� � � ' '�— Cv - � �$�GN41UqE O� OWNEp ��F OWNEp BU�LOE�7i ATE� � �NS� �lv1E { � NEW [ ] ADDN [ ] ALTER (�,`] CITY OF FRIDLEY Effective 1/1/2003 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bidg Insp SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax BUILDING PERMIT APPLICATION Construction Address: � �� I-1 � GO � � �IB E } �R I � t � '� � ,�t � S S' �-j3 ,� ��m � Legal Description: �c!� 37 3�'� �`�. �Co ,��ll r� S�e�r�� art o3co��'�l'' R�v�a�r¢� H��l�f-ftS e��.�-T% Owner Name & Address: ��TN�� A�� d�vC[.v� ow+Y�.�� _��0"�'s S��a ` s�� Tel. # 763 7�r6 °SSl S Contractor: .N��E MN UCENSE # Address: Tel. # LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Certificate of Sunrey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Nepvf LCUSr'� Sq. Ft. �S) wrr�-� �cvs�� Length Width Height Sq. Ft. Width Hgt/Ground Sq. Ft. Construction Type: Estimated Cost: $ � � �� Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: �- �3 APPLICANT: �i4TFl �ti �I `"' � Tel. # 7G3 � 7&6-»> S �K� �Iz- G� 6 ° 3�i��, Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763�71-1287 if using credit card and we will call you for card number. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge $ o �P a � l� $ , `J� $ $ % $ $ $ $ CITY USE ONLY - Fee Schedule on Reverse Side _. .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1275 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 [ ] TOTAL $ ��- � � BTIPULATIONS� BUII.DING PERMIT FEE SCHEDULE The Chief Building Official sha11, 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 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,OQ0 $25,001 to $50,000 $50,001 to $100,0� $1�,001 to $500,000 $5�,001 to $1,000,(?00 FEFS $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 $25,000 plus $10.10 for each additional$1,000 or fraction thereof, to and including $50,000 $643.75 for first $50,000 plus $7.00 for each additional $1,000 or fraction thereof, to and including $100,� $993.75 for first $1(�,000 plus $5.60 for ea.ch additional $1,0� or fraction thereof, to and including $5�,(T00 $3,233.75 for the first $500,000 plus $4.75 for each additional $1, � or fraction thereof, to and including $1,000, (�0 $1,0�,001 and up $5,608.75 for the first $1,0�,000 plus $3.15 for each additional $1,000 or fraction thereof CURB CUT ESCROW (Concrete Curb Streets Only) Removal and replacement of curb and gutter only - driveway width plus 6 feet times $17.00. Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed siructure and of the construction site. VERIFICATION OF FOUNDATION 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 � �� -�/�� - �U�16 -��c� Proposed Office & Rec. Room UTILfTI' 12'5 x 12'1 CLOSET ' 'n�j 6'B x Z'B - — 7� _ _- 6'5 - — � � � � -- 1 13'9 - � — 0 P � FiALL N � 6'1 x 6'6; � �o I , I — � 6.' UP � SHOP 9'11 x 8'4 -- " — ,Qfo�o,ec��o�v�i'��; v � ��'1� � �Cl�� Y' / FiNISHED REC. � /e ROOM 19'11 x 11' LiVING AREA 960 sq ft P(AN APPROVEp �ECr o FrE�n �TION �� .PANTRY L3'1 x 4'S� r � .��. CURRENT REC. ROOM UTILITY 12'5 x 12'1 W CLOSET N 8'5 x TB i;-- 6'5 - � --+-- � CV 0 � � i HALL N ! 6'1 x 6'6 �o �c —� ,1� - � UP�- 6'1 I `� . - 34' LIVING AREA 960 sq ft SHOP 9'11 x 8'4 s�s _ _ FINISHED REC. ROOM 34' x 11' PANTRY L3'1 x 4'5� � D �� o � � m �: "i � �' � � � y. '-t O N � � � �' o � � � 0 a� O �•-° �• � � n N .o n" � _. � °' � � o `D m � � � . � � � 0 c � D '� '� 0 < m Q W � � 0 C O�i � � 0 � N � � � � a� m � � m Z � � m � O Z '� m rn � � � 0 0 \ _ 1 X � oq � � � a � m r � � w i -1' o� f h � � o rt d D u r � � c m � m � � n� aa fD � o D N � ~ — cn� �O O n � � m 1 � � � \ °' � �m m m e. >� °, � C �' '�n'*' C -a �. � 01 � �• a � � n f�D � � o� N C O _+; o �� N � -10 ^ o �- r � � � '� z � W D C� � � � � � � C o O _ -t � N -i � � �' �D � -s � n � � N � � � G� � � O p. �p n �: � o�U �'. � p m � 04 I v=i W �?. c�o � Q ,�N+ -' Oq � � �'o m a °p n, o- �•oo� <� � � �' tN� p� � j• � y � � � � n �'y�0 '-p�r �. � A. yj N .n-� =� p' O � � � � � m ma�-� � A ° o � ��o.c� �p � N � � � � N � � N a�� O .+ � -�. p � �, � o , 9 n = �- ,�. v- ,..,. � cu �- N Ci CD � � o N O � � a � N � Q y C�D � _. � W C � � m � � � � a m z � _ � � N N z O m' � � D C7 O 7 0 � �� On a N m N � N � 0 0 � � o�i d D c v�i v, v, tn �' � a 0 � � � � '� � � �� c,�u � � � � � m' � o- � < � m �� .� �, � a . > > o�T�a .� a _ � p � � � � O � n � �� W � o � � n � �� v � v W � � -� m � t� t� t� tfl r-� �--` ►--� GJ 0 0 0 0 o° °o °o °o � m b9 EA Ef� {�9 � 0 D r � W � Z � -I � o - C � O z= � � � � m � ov C � N �.,,°� � � m..� 0 � �. � � n m . o p > > � fp ,c�-f ^ N � � �� O N � � �T1 z v �.. p �o,� _ 0 n�i � � v � 3 D v m � � D --� m v c� O � --I W C r v_ Z � C � m � � � � c � C:. �/' � � � � � m � � � z O 11l �� i � O Z m R1 C � r \ � � a � i � -D-I rn � C� _ m v C r m � O W D � � O C � I � '�I � d � \ 2 S w 1 9 ^�rnC� 5C WQW� � V cT� =� C � O� V 7 w �V 3 �' -n � W Z N � � � � H 0 �, o�,+r �a �P � `G I�l r W < � � N � � v z ..� mm � O z � C � a � � z 'O r � -�i � O �Z m� a° -� � O �� ZO � Z� v aa �Z OH zy vz �v °z� '� Z � � m 30 NZ Z -n v< om z �� n � y0 Z t�J � h� N f� rr e � � d � w rs � � N O 0 w THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNED (_�MMON VFNT� VENT C�NNECTOR AN� C�MBIISTInN AIR VFRIFICATInN When �e �a�in� a��.� ��p, the undersigned hereby verifies that the ventlng has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes ( i No () The venting system is plasticJPVC and meets all current codes and manufacturer speci�cations inGuding 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 specifications. This does inGude AGA-GAMA Category I Central Fumace Venting Tables for fan assisted and natural draft appliances. "j'he eY e�ine _emb ��n 9�r is sized and installed to meet the cuRent codes and manufacturers specifications. When �BqUl�d to inctall a new _emb ietien ai ; it will be si�ed and installed to meet the current codes and manufacturer's specifications. When ips�lljp� a new venttn�iy�, the undersigned hereby verifies that it is�a listed assembly and meets the current codes and manufacturers specfications. This does include AGA-GAMA Category I Central Fumace Venting Tables for fan assisted and natural draft appliances. 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 ( ) No ( ) ", . Yes ( ) No ( ) Yes ( ) No ( ) Yes ( ) No ( ) Yes( )No( ) ... .� - .- .�. - .��.� -� ... -� .��- . � ..��.�.� Appliance #1 Type BTU Input Fan Assisted or Nat Appliance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input Common Vent Type Vent Height Diameter inches Applfance #1 Verrt 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 N � � : � r•► .- �..- HE4TING CO: Signed By: Date :