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AF - 46702Caty of Fridley, Min.n. BUILDING PERMIT Date: / � '� �/'"'" � . � t �Owaer: � � Builder Addrea4 Address N° 6281, �� - LOCA�� BUILDING No. Street �._f" �+' _ Part Lot � ,� ; f. • �—,�, Lot �� Black � Addil3aa or Sub-Diviaian Corner Lot _ Inaide Lot ��"r" Setback _.�+ +�._ Sideynrd _�� Sewer IIevatian _____ ._._ Foundation IIevation DESCRIPTION OF BUILDING T v�a • � �ont �� Depth � Height � Sq. Ft, �� Cu, Ft, L��j�� Fro t Depth fTeiSht -�-,:�- &1• F� — Ca. Fk Zj►pe of Construction p+ �-- ��_��l�� To be Completed In consideration of the �tssusnce to me of a permft to construct the building described above, I agree to do tIie proposed work in accordance with the description above set forth and in compliance with all provIsions oP or8inances oE the dty oP FrYdley. � In caasfderat[on oP the payment of a fee oP $��_+�"�'"�r , permit is hereby graated to to construct the building or addition as described above. This permit is granted ulmn the express condition that the person to whom it is granted and hia agents, employees and worl�en, �n all work done in, around and u�n safd building, or any part thereof, shall c;onperra in all respects to the ordinances of FridleY� Minnesota regarding location, construction, alteration, maiatenance, repair end moving oP bufldings within the dty ]imits and this permit may be revoked at any time upon violation of any of the provisiona of seid ordinancoes. Builciing Inspector NOTICE: '�6ts permit dea not eover ths conat�w�lloo, -1nsh11aHoe fee vrieln�, ��nt+t�a �.s h..�a awu or wat��. B� am to � f6� Butlding lesp�elo� for aparab p�rmHs fo� 16�a Num, f z.1 "� � �"'� � � ��•.-� �y APPLICATION FOR BUILDING PERMIT CITY OF F1tIDLEY, MINNESOTA owt�R ° s r� ��f/�S%e� 1'� f/// � 2.��k'' BuiLD ��,� �r � t�nn�ss C 3�-i� � ('�1�9,'� ;,�� /i/�/-° Ann�iss � � LOCATIOPT OF BUILDING No. � �� Stree� _ �(� � � part of Lot . Lot_ �'/ �� Block � Addition or Subdivision �'/[��,�r,lp ��/,/�/�-� Corner Lot ' Inside Lot�_Setback ,� � Side Yard 1Q � J/' SEWER Ei,EVATION — gOUNDATION ELEVATION Applic�.nt attach to this ,form�Two Certificatea of Survey of Lot aad propoaed build- ing location drawn on these Certificates. DESCRIPTIOAT OF BUILDING To be used as:. S l��f �»t�i_=1. � I Ao � Front_ �2 / Depeh 3� Height � D Sq. Ft. – �/ � � Cu. Ft. – ,�� p Front Depth Aeight Sq. Ft. Cu. Ft. Type of Construction__ ��h EatimaCed Cost �� 0'�"� To 'be Completed /,� 0 � f� �� The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the Citq of Fridley Ordinances and rulings of the Department of Buildings, and hereby declarea that all the facta and repre�entations atated in this appl3cation are true aad correct. D�TE � � % � �--�-- � !�' �–_ S IGNATITRE . (c�h�dule of Fee Costs caa be found on the Reverae Side). � �D •� u S�� n tJo�' � � �,�Q: . , ._ y J„� o ,�, zl 4 BUILD7.I�TG PEItMIT FEE SCHEDULE Sec�io____n 2� The Inspector of Buildinga shall, before isaui�g any pe�rmit for thF� erection of anp buildiag or structure, or for any add3,tion to aay exis�- ir� building or strucCure, ox for any► al.terations or repaixs to an� e�is��.ng bu3Zdin� or stiructure, upon application therefor, require the gaymen� U� the applicant for such permit of fees t0 the amount herein below set forth a�� in the manner herein provided to-wiC: 2.1. For any such permit �or the erection o,f any fire-proof building, other thrn a garage� warehouse, factory or grain elevator, or for the erection of any fire-proof addition, for s3mi.lar occupancy, to any existing buildis�g shal�. be at the rate of $1.40 for each one thousand cubic feet, or frac��.�n tl?ereof, in such cubical coatents. 2a2. For any such permit for the erection of any fire-proof garage, wasehouse, factozy or gra3.n elevator, or for the erection of any fire-proof e�ditic�n, �or similar occupancy, to any existiag building shall be at the rate o� $1.25 fo�r each oae thousand cubic feet, classified as 01f3.reproof11 by Section 502 of the Mitsneapolis Building Code. I�4USES 2.3, For any such permit for the erection of any aon-fireproof bui�.ding other than a garage, warehouae, factory or grain elevator, or any non-fireproof additioa, for similar occupancy, Co any esisting buildiag - permit $1.00 fox each one thousand cubic feet. rARACES � ?.4. For aay such permit for the erection of any non-fireproo� garage, w�rehouse, factory or graia elevator, or for the erection of any non-f3.sepsoof additioa, for similar occupancy, to aay existiag buildiag or for esch such t�uilding or add3.tion - aiae�y cents ($0.90) for each one thousand cubic fee� or fxaction thereof, in the cubical cvntents thereof with a minimum of $4.OU, �or the purpose of compu�ing fees for building permits, the cubical contents of any building or addition to a uniform height throughout by multiplying the �sr�und area covered fram a point s�tx (6) inches below the fl.00r line of �tae basemeat or cellar to the average height of the uppes surface or to the average height of the roof surface of the main gable of a pftched roof. 2.5. For repairs or alterations to an existcing structure, the fee sha.11 be a� the rate o$ $3.00 per each P'ive flundred Dollars ($500.00j or frsction thereof ia the cost of all proposed work. 2.6. In no case shall the fee charged for any germ3t as set forth in Section 2 be leas thaa $4..p0. A M , - o I � � ^Fi 4 • ¢ �! e,r s.; :�.� , ; � i �:• �, . . � � rr' ,«.*r . _ . . . . . . �� . � . ,� ; x S. ; , ' � "„ �. aw ,�c L• -° _ . �...� . . ' � ,, :at '>^ � � r .;� � " � %. � � � . � . � ' .. '. �'��x � �-'$. �7J.� 3�- . � �1� d� �i.�� '�. $: §. �,,�. �. ��«��1 a��c� � �.,��s��a�e�� , �� - � � � �� Y'`� �� { .. °°a a � � � . . . "�.,v "�F "e€6 P �'�4ag � .. . . � :;'. -¢y � � �G,�''- IAND SURVEY4:RS %�`��~ � � qA. , �� j Ar�oka, Minneso�+n `� � GE�TIFICATE OF SURVEY: � C}-:e9ter t�leciQ�a^., �:If�_l��_1-1 �''�, s-� • � � � N � G° � �►�• , � �: 5� • � �� p�►.� t� �� 1 • 4 �� = .: , . � .. �� _ , _ -- _ _ - , .��_ .� .�. _ �i - 3s, ' :, . , _ �, \ W � �,� G � wg¢ � �cs� , �y� �'�� g,... : ;, . Y�'O - . .y�3i'''f,j; '�*'�.±;i �� x��, �' p t � - ;} � � �?i�r�tc3�'�! ' G k �- s 4�.,,4$ i ' 1 Roh�1� � L�� ' O ` i �� I �� 1 ,. � �� L � �� . ` � - � . _ �,�� __. _ _. � Y. ._ �. �.� � � _�_ . __ __ _ __ _. _ w _ - _ -�_ , �. � 5o P�,i . �: Ep,g• Lot� 51 52, b';+��k, S �; \ �-� M . � _ � � �� E'� R I J:,ti VI '�€ H El�ffia ' `�z ,�. � �'" _, : � �-, N� �Ans�t�a C un��*, Mi:�ne �� 1 NEREBY �ERTIFY THAT THIS IS A TRUE AND CORRECT REFRESENTATION OF A Si�RVEY OP TFlIf ' �� . ��.� � �. DESCRIBFD LAND, AND THE LOCATION OF All 6UIlDWGS, THEREON, AND Alt v151lI,E �ICROACNMH�iB, N' Al�'r� _ Qlit �'�Ip LAN0. �, ItS SURVfYEO SY ME iFNS c�_ � t� 1 p�y � l� C t C? � 8 i` �-<� � �� ......... ....� C.. HOIUhEt:� w�� M �� , , �� " �. hx�,�� ,,... , ,�� , ��.� � � �� .� �� . f � , �: ' � . � ,�,-�� x .1. ,/. . , : � : �� ,,,.�� ,��z> 1 r1 s ..................... ._.... .._...... �....,...... .... 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FLOOR DRAINS CATCN BASINS Auro w�sw� GAS APPL GAS RANGE GAS OPENINGS a � z • c� � � A r � n aR.� � � � .� � A � .a,fD �p, y � m �P+ � �.D,y r� W F�+ � � � � � � y � � fD o�a °� ��a� r��o W �p �� e°y �, � � �i b � �� 'tl O � `r A� p�mo � p' o p � a° H � � � � � � � � fs.��'� ��y '' A �''r m. � � w ► 00 � a yw' � ., � � 3 `� � C �' � � A � � ao R� & �°, p � .�i. � � � � Y ,�a � � ' � \ I �G � � � 7 � C O. � b � ;� � � M � � �i b � o � W � A �i V V O � � � � � r 0 � N (n � � � � � �; � r . r � r M � � �o ��g Y °x x � � fA � G± C �� M � � W � � � � � o � � � m � {li � 4 � Z � n O � D Z -c n M• � M � y m ¢' � r+ � `� � � w k � � � o � k � N �� 0 � � O � • o . �y : : Q : : �a ,e oa o � � °o 0 0 � � � � � � o � � W H C1 � o �w o � I � � �r � N } a z � � �� b � � � � � � w Gd o � � ro � � � � � � �. O � 0 P O 0 0 � � 0 0 � � � 0 r � W c° � y O W � � � � �� . �: �. �: �� : � 0 O � � � � � �� w w y apc''. `° `° �C � � 0 H o °o G G � ;�� °�°� � � � � � �� o � o o � � � :� ,� �� : : �� x � . . o � . . r,. : : � � : : � : N � � � en cn o 0 O O O O {Jj ifl tfl fA � �� R° �° �D p�o � � � � � G � �ro�� a � � � � �n Q ry 0 � c� : � � a � ' ° g, � : G � o: � � �o: � o ��: : o Q : : : � N � � � � o °o °o e� °o {fl �fl if! &! • � '7 � O � O y � � � l � � � � � � y7q � „1 t � � 8 � � od � ��9 � l�D � � � o � � � � � � w \ � p � �� ro � � , `� � N � � � � �'° � o ro � � � '� � e , � p � '� . � � o � �. � � � i� b� �� r � 0 a 4 J� �'" �T'I I I I` N � �� .�•�m� �� R° R° � � � p+ m � � o � � � M �° � � � �� ''° � � � 8 � � � a � � � �,�.. �.. �°:: o$.. o . . �: : : N � � � � en o 0 0 O O O Q -Ef! FH iA 0 � aa� � � � � G� r��s � �� p�m� � � � o � � `° � �04 �b �� fD � O .�fpy� Rp�� e+ � ��'y �. � ��'� ��'�� p y � F,A'L � c�e�op ��.o �" y ro ��m � �� o�� f�DM �� o � �' � �. �� f > � � � m N 2 m C r m G b �. � � pb' � � b A A V 0 a� . � � �b � �. � � � �� n � �• � � �� -'w �W �� o.`•� e� e� e. � �� . . 0. �� ti ��/�v � � .�.�1��//2-s�-N� .� s D�J6 � q � CJ '°� f� � ,�/GC-t� �.: HEAT LOSS CALCULATIONS� . DF� A.S.H.V.E, ��^ W�atherstrips Guide Consti Windows ( Doors Reference Out. Wall Int. Wall Yes—No Yes—No 19_ •� �0� � Room � Length �r Width /� Height Windows Doors—Crackage and Area �V1dth Height No. oP Llneal ft. Area No. of pane o[ pane lighta oY crack eq. Yt. a`C !v 2- � '.� � � � .� 3 e� l�` ✓ � •._.r / T �.� MENT OF BUILDINGS � � ion No. ling Roof Floor Kind � Fl ' , Room 1 Windows and Doors—Cr+ Wldth Helght No. No. of pane o[ pane 11g � �� /�a e � f ' � Coef. Btu In6ltration c, ��) Glass �� ^�, � g--� Eap. wall H Net exp. wall �� Q Q Int. wall � Ceiling Floor �� /� 9� � Total Btu. `� n � � Reqaired sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl.� �' , Room � Length � Width � Height � Windows and Doors—Crackage and Area Wtdth Helght No. of L1nea1 [t. Area No. ot pane o[ Dane lighte of crack eq. ft. � � i �n �'""` �� / % Coef. Btu In6ltration � ��, ��'';� Ce Glass � �"' � S'c� Exp. wall ,rf'� Net egp. wall �/ / o �j p Int. wall Ceiling Floor Total Btu. ' Required sq. ft. E.D.R. or sq. ins. W.A. Leader area . � �Room � Length f � Width / Windows and Doora—Crackage and Area Width Helght No. of Llneal ft. Area No. ot pane of pane llghte ot crack eq. [t. � �{� - .`�. /" � �� `�� Coef. Btu , Infiltration � � g! �/ � � Glass /� ��, � �-� Exp. wall / Net exp. wall - , � �, o � Int. wall Ceiling l�loor %� �j' j� �. � Total Btu. �` �G, Required sq. ft. E.D.R. or sq. ins. W.A. L.eader area Infiltration Glass Esp. wall Net esp. wall Int. wall � - Ceiling Floor I Total Btu. MINNEAPOLIS. NIIMV. Insulation How /' � Width and Area ¢eal ft. Area ' crack eq. ft. � Coef. Btu �c� /�-c� / 6 � �'�� i� °/''�2 0 // � f� 3�' i5 �oi� o �� Requffed sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl.� ��Room ( Length / �—Width Windows and Doors—Crackage and Area Wldth Helght No. of Llneal ft. Area No. of pane ot pane IlBbte ot crack aq. ft. � !� �.� %�. �-. � �S � Q In6ltratioa /� �C� � Glass e .�� Esp. wall �, . Net exp. wall �'� �C, �� ) Int. wall Ceiling Floor O� /S � � Total Btu. �, �d Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F7.� a Room I Length `�— Width Height �' Windows an rs—Crackage and Area Wldth eight No. of Lineal tt. Area No. of pane � o[ pane ItghtB of crack ep. tt � � / �_ / i a ' l � � i �''' � " -� ! z.-o Coef. Btu Infiltration efa l � � Glass � � �-�, � Q � Exp. wall � � Net eap. wall �� S� Int. wall � Ceiling Floor /�3 / y� � 1'otal Btu. � � r��- � � .. � • r« `' ' �� ; �.,, ,:� � k�,��, : •. : <�'" s .,�, � N� 70836 �----$uilding Job-� A DRESS � � '� � �a� ��.r, �,: OWNER �QS j\ i �� - — �� BUILDER DATE ��?gT� PERMIT NO. IO�•QQ__ DESCRIPTION , �� ,�.Q 0 e J INSPECTION RECORD DATE REPORT �'� .�89 ��n ,� �J �n � �,�� . J r� � )C 1 v�'� 41�7 i/�'�, .`��'�� t � OWNER - REP. IN$. ECTOR � .; �': �` � r .;. � r� -'s r r--. � �, a:: �: f C ? r. 10. Sound. An oscillation in pressure� �tress� particle displacement, particle velocity, etc., in an elastic or partially ela�tic medium� or tha superposition of sueh propagated alterationa. 11. Souad pre�sure Le�el (SPL). 20 times the logarithm to the base 10 of the ratio oP the pressure of a sound, p� to the reference pressure, Pr. For the purposes of theae regulations� the reference pressure shall be 20 micronewtons per square meter (20 u N/m2 ). Ia equation !'orm� Sound Pressure Level in units of decibels is expressed as: SPL (dB) _ 20 log 10p/Pr. 12. Sound Receiviag Onit. A person, activity� animal life� or property which is affected by noise. 124.03. RECEIVIlR: LAIiD OSE STAfDARDS 1. The sound level requirements oP this section shall apply at the property or zoning lines of the sound receiving unit. Measurements may be made at any location on the property for evaluation purposes and to aid in the enforcement of other sections of this Chapter. 2. The sound levels as atated below �hall be the highest sound levels permitted in each of the zoning districts as defined in Chapter 205 of the Fridley Code. Zoning Districts Residential and Public Commercial and Planned Development Industrial DAY L50 L10 (7 a.m. v 9 p.m.) . 60 65 65 70 75 80 NICHT L50 L10 ( 9 P. m. - 7 a.m. ) 50 55 65 ?0 75 80 3. Sound levels resulting from cumulative travel of motor vehicles on State and County highxays and railroads are exempt Prom these Receiving Land Use Standards but not other sections of this Chapter relating to motor vehicles and railroads. Thi� does aot exempt individual motor vehicles from any and all federal� State� or local regulations. It is the intent of the City to reduce highway noise in the various land areas surrounding highxays to, or belox, the requirements of this section when and wherever possible. 124.04. NOTOR 9EHICLES NOISE LINI?S No person shall operate a motor vehicle in the City in violation of the motor vehicle noise limits of the Minaesota Pollution Control Agency. (M.S. 169.693) 124.05. CBIiTRAI. AIa COBDITIOpIl�1G DQDIPl�HT No person shall permanently install or place anq central air conditioning device. except a Window air conditioning unit� in any front or side yard without a permit from the City. Windox air conditioning units are exempt ��a-� Noise Receiviag Land U�e Standards Motor Ye6lcle Noise Limits Ceatral Air Conditioning Equipment 4 � - CITY OF FRIDLEY 8131 UNIVERSITY AVENUE N.E.. FRIDLEY� MINNESOTA 55�3� TELEPHONE ( 812)571-3050 .�... '�'.'u,�a. .'.y. November 24, 1982 Mr. B. A. Ruusisto 620 Hugo Stree�•N.E. Fridley, NAT 55�2 Re: Placement of Air Conditioners in Side Yards Dear Mr. Ruusisto: In answer to your inquiry about the placement of your neighbor�s central air conditioner in his side yard adjacent to your house, We offer the following: First, ve have enclosed a copy of the appropriate City Ordinance. Please note that to place an air conditioner ia the side qard, he needs to obtain a Citq Permit. The City poliey is that prior to the issuance of the permit, he Would need your xritten permission on the installation in the side yard. If he is unable to obtain the xritten statement from you, We will then test the sound transmission level of his unit and if it does not meet the standard� they Will either have to move the unit or install a sound control device to bring it into eompliance vith the Code. Please take special note to the statement in the Ordinanee that WindoW air conditioners must also meet the sound transmission standards. This means that unless the two of you can resolve this issue, We must undertake the sound tests oa both units and enforce the Ordinance uniformly. We Will make the tests, if necessary, at your eonvenience or certainly not later than June 1� 1983 so that the situation can be resolved prior to the 1983 cooling season. . If qou have any qustions on thia matter� please eall me at 571-3450. Sineere�y, DARREL G. CLARK Chief Building Official DGC/mh ENC: 1 CC: 630 Hugo Street N.E. � � � City of Fridley, inn BUILDING PERMIT � ,o .: _ �� %, ,� � / �q � � f • • • � : ..!"...aat/. :/ .,' � .r�' : J _ 'r/�= i(!, ,.�:i � . : e . . �1J� f/:ff . '� ;1 No. _j�� Sireet Lot .r _ Block Coraer Lot � Inside Lot Sewer Elevatfan Type oP � � L�� Part of Lot Addil3on or Sub- on .+_ _._..�back Sideyard � � � - .� Fo dation IIevation DESCRIPTION OF Dep,�th � Depth � F�t � ��. � rsl�/�I� �. ��T� � Sq. Ft �-... To be Completed m C'.u. F� . / s � � �� ' In consideration oP the issuance to me of a perrn4t to construct the diug described a ve to do orainaa� oP the d of FrY�ce with the drescripl3on above set forth and in complianc� with a�l one of �► �►. � ` �' - ( _ �i�-:� ��= _� i� �� t� -?<`°� ;;1 In cwnsYderat[on of tlne payment of a fee of permitis hereby granted to to construct the building or addition as described above. This permit fs granted upon fihe exAress condition that the penson to whom it is granted end hfs agente, employees and worl�en, in all work daae in, around and upon said building, or anypart thereof, shali �nform in all respects to the o�iinanc�a of FridleY, Minaesota regardia�g locat3on, construction, alteration, maintenaace, repair end moving oP bufldings �� dtY limits and thia permit may be r�voked at any�time � viol�, of aay of the provis�lons of said H�lding Inspector n NOTiC� 'llds pseedt doa do� cerer t6s eoesln�etioe, InstalHden 1or �rWeB. P�+me, 6+� 6�& iew�r er wtlar. B� mre to sss ffis BuiWtnB ��efor hr ap�rah p�rm6s Ior fke� h�an. � , �f�� . APPLIGATION FOR BUILDING PERMIT CI'1`Y OF FRIDLEY, MINNE90TA OW�1E�i' S laAME ADDRESS �r� Ga �dt�� ADDRESS � ,�}.�2� � LOGATION OF BUII�DING No. �,� C� Street �cs�Lp part of Lot ! Lot Block '�_Addit3on or Subdivision Corner Lot Inside Lot_ Setback Side-Yard SEWER ELL�VATION FOUNDATION ELEVATION Applicant ateach to thia form Two Certificates of Surveq of Lot and proposed build- ing locaCfoa drawn on theae Certificates. DESCRIPTION OF BQII�DING To be u� as • � �,�� ' Front_ �'� Depeh �— � Height � � � � Sq. Ft. � �� Cu. Ft. � % � � Front Depth Aeight Sq. Ft. Cu. Ft. Type of ConstrueCion Eetimated Cost To be Completed g'he undersigaed hereby makea application for a permit for the work herein specified, agreeing to do all work in atrict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all ehe facts and representations atated in this appl3catioa are true and correct. DA�'E ��✓SIGNA7,'i1ItE O �,.P� (schedule of Fee Costs can be found on Che Reverse Side). " ,�r�aw .r,� i� � � �� a. _ . � -�, tM�.°� , � � ' t� C BUII.D?NG PEItN1IT FEE SC�EDULE Section 2. The Inspector af Buildinga ahall, before is's�iag anq perroit for e�ie erection of any building or atructure, or for anq addition to any exiet- ing building or structure, or for mny alteratioas or repairs to any e�is�ing bu3ldiag or etructure, upon application therefor, require the pag►men� by the applicant for such permit of fees to the amount herein below aet forth �nd in the manner herein pxovided to-wit: - 2.1. For any auch permit for the erection o.f aay fire-proof building, othex �han a gar�ge� warehouae, factory or grain`elevator, or fos the erectioa of anq fire-proof addition, for similar occupancy, to anq exiatiug building shall be at fi�ie rate of $1.40 for each oae thousand cubic feet, or fraction thereof, in such cubical contents. 2.2. For aay such permit for �he erection of any fire-proof �arage. warehause, factory or grain elevator, or for the erection of any fire-proof additioa, for similar occupancq, to any existiag buildiag shall be at the rate of $1.25 for each oae thousaad cubic feet, clas�ified as "firepraof" by"Section 502 of the l�•inneapalis 8uilding Code. �OUSES 2.3. For any such permit for the erectioa of any noa-fireproof building other thaa a garage, warehouse, factory or grain elevator, or aay non-fireproof addit3on, for aimilar occupancy, to any exisCiag building - permit $1.00 for each one thouse.nd cubic feet. GAL�AGES 2.��, For any such permit for the erection of any aon-fireproofc gara�e, warehouse, factory or.graia elevetor, or for the erection of any non-firepsoof addir.ios►, tor e3milar occupancy, to aay exiating building or for each such ��ld3ag or addition - ninety ceats ($0.90) for each one Chouaand cubic feet or fraction thereof, in the cubical caatents thereof with a minimum of $4.00� For the purpose of compu�ing fees for 6uildiag permits, the cubical contents of any buil.ding or add3.tioa to a uaiform height throughout by multiplying tlie ground area cov8red from a poiat sis (6) inches below the floor line of �be basement or cellar to the average height of the upper aurface or to the average height of the roof surface of the main gable of a p�ttched roof. 2.5. For repaira or alterations to an exiating structure, the fee siiall be a� the rate o€ $3.00 pet each Fiv� Hundred Dollars ($500.00) or fractioa thereof 3n the co�t of all propased work. 2.6. In no case ahall the fee charg�d f.or any permit �s �et forth in Sectiaa 2 be leas than $4.00. .._ � . , �,-:��T -� r � ,�� -- J '� � �`r�_y 7 \I 0 m a �n" m � � �� o � 3 � Q o o m� �� A � Q. o �� m � � N � � � 1 a � � 0 � v � �o nc m -+ � � D � � � m m � � n � rn � � D � O z O Z � m z � m � 0 z rn rn � 3 � Im � o D �, m . � C r c Z � � � � ' -rn � � � -a -a < m � � � 0 c cQ .� I � v � m � w v ?: tl � � � � � a _ � z 0 � i � 0 �� ; a � z � .� 2 � ao a�°� � N � C� �mo a � a � n n�� . p �: � � � z O �i O N � O � O A n��u � m � o � � � v m � m 0 O �- � O o � <� m � o �, a� � � � � � m � o �'• -. o o� �� --� 0 z a C� 3 t� .tfl c � � o � g - �o Z= �m � � � c � N SN � o � n � n � o � � � � � � � � � � � � � Z g � � o --1 � f� � � r � � � D 0 � 0 _ � � i � v� � � N v � � W � � � � cfl � � n C y �' ��a '� a �N �p �+ � � �, � a� ��`D �w a� .�-�. a a ?� � v �03� �' c''' °i � � � m o i � �- C � � , � � � � i � cfl cfl � t� ,c'"i, o 0 0 ,�b' � � � g � g � � � t� c� ts� O , � m � r�i v c� 0 � � 4 � V �( -� Z O � � � i c 6 � c m v � O � � ^� �... m 2 � � v � � � �`�=� � a � �. `�- m m s n� �, N � � f=p �,=_.�Q. s s- �° �- Q � O � � �o� s a—, a' 3 � n � o m � n.�v o � � �. � cu � P3; � `C A � � �' O O 1 1 � � � � �� f/j n (�D a .. �° � --o � � � �'' � � � o `3^'c�D � � � � � n � � y O 7�' � �' N L:. U�1 f�D �.ii � � � � � n _ rn v C � O �. g � rn � � N Q � � � � � � C Q � � �zm � cn � C7 �<� fD z z �„ m � n � O z v � m � � z m a � oa z ,� Z � � v� D � � n O � Z � v� � O � z� z� � {v v� _ � � �z� v�v � O �c z �� O Z � m O � w � ¢1 � tD � e 0 � O✓ " � s e •�rm'��a�� •o.ua 3�vit�►s :B�EQ :�g ��is � o� �i�.d� � :auoQ uiag Si�IpI.LH2i�i,'I� ist-I ( ) oN � sa� � oN ( ) sa� ( ) ox� sa� ()oH�sa� ( ) oN � sa� ( ) oN (� sa� ✓' ( ) oN �jj sa� �V :x��s .�o �Cauuz�� inlsixa aq� 1Eq� saguan �Cqa�aq pau�isiapun aq1, : sx��uiag �a��aq ia�Em io� papinoid uaaq n� uoi�snqcuo� s�g .za�Eaq ial�nn �o� papino.zd uaaq iautj � seg � a S�l1ZS 'I�',LO,L �.Q � � S�llsg ia�o ii� � �� do s�flyg �utlEaq �o� s�g pa��auQO� s��yg �ol pu� a�s iQ� s�uauiaimbai apo� �uaun� I� s�aa�� pa�oddns ,Ciam�as sI �a�tnn pa�poi s��a[qo u�iaio3 ou sEg uotiv.�oua�ap io �sn.� mo� aa13 sI pautu�exa �Cljn3a.n� uaaq sEg � 'L 9 'S .� '£ 'Z .T I�tOI.L��I3Ri�A }I��ZS QI�t� 1��I�IIH� ��1N� AIR GONDITIONING FiOUSE HEA'TING TEST RECORD AND ELECTRIC, INC. ADDRESS � � -- � ��, OCCUPANT � J iL � C: /P �s9 1.�.. HEAT LOSS DATE HTG. INST. ��- 12 —� � SOLD BY ° • t y�,� �9 � Electdeal Work By �� TYPE OF HEAT GA FA �HW 3TEAM_ SPACE HTR._ GAS DESICiN MAKE '�� Model � Serlal �9/ Z�_� �� (d INPUT _ 7 �' � � THERMOSTAT Valve Umk Limit Setling _ Fan Setting _ Pilot Type _ Ptlot Make _ Pilot EAodel Pilol Timing _ CONTROLS L W. Cut Off Prasaure � i � Percent CO, Input CFH Percent O� � a Stack Temp. �i S� Percent CO Form 235 �'�d- t� dPT.—�1 FLOOR CITY Sl18UR8 OWNER <% � INSTALLED BY�� ql� �C� � Gas Une By UNR HTR._ OTHER CONVERSION NAAKE OF BURNER Model AAax. BTU RaUng NIAKE OF FURNACE Model Vorrt 31ze � �� KIND OF UNER g�g r �NE Draft Hood � c Regulator lo� � Flltere Slze �� X L'i� f Number � Chimney Locatlon Bnslde i� Outalde Chlmney Construction __ � / � Smoke Bomb Widng 1 /�.v13 Draft Tast Tag Daor Pr�ure UghUng In�.�Y.��i Data Teated Compeny Testing Neme of Tester sue�eti MIT c;ty of Fridl�� 2588 AT TME TOP OF TME TWINS g u I L D I N G P E R M I T r ; ` RECEIPT NO. � `y _ COMMUMITY DEVEIOP►iMENT DIV. � �� r � � PROTECTIVE INSPECTION SEC. 1 . � � � /"'1 � CITY FIALI FRIDLE� SS�32 NUMBEA REV OAT@ PAGE Of AVPROVED BY �""� � �'' 612-571-3450 910-Ft5 5/13/02 / / JOB ADORESS 620 Hugo Street NE t LEGAL �OT N0. BLOCK TRACT OR ADOITION SEE ATTACNEO DESCfi. 51,52 S Riverview H2�ghtS SNEET 2 PROPERTY OWNEii MAIL ADOR�S$ ZIP PNONE Wade Crittenden 620 Hugo Street NE 784-5165 3 CONTRACTOR MAIL ADDRESS Z�P PMONE LICENSE NO Same a ARCNITECT OR OESIGNER MAIL AODRESS 21P PMONE LICENSE NO. 5 ENGINEER MAILADDRESS IIP PMONE LICENSENO 8 USE OF BUILDING Residential 7 CLASS OF WORK O NEW ❑ ADDITION O ALTERATIQN �E] REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Reroof House & Garage (23 3q) Tear-oif 9 CHANGEOFUSEFROM TO STIPULATIONS Underlayment must comply with the State Building Code. v TYPEOFCONST. OCCUPANCVGROUP OCCUPANCVLOAD SEPARATE PERMITS ARE RE�UIREO FOR ELECTRICAL, PLUMBING, FIEATINfi, VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULI AND VOIO IF WORK OFi CONSTRUCTION 20NING SO. fT CU FT AUTHORIZED IS NOT COMMENCED VjIITMIN 80 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANqONEO FOR A PERIOD OF 120 DAY$ AT " ANY TIME AFTER WORK IS COMMENCED. ' NO DWLG. UNITS OfFSTREET PAFKING I HEREBY CERTIFY TMAT I HAVE iiEAO AND EXAI�IN�O THIS APPGICATION 1 STA�LS GARAGES AND KNOW TME SAME TO BE TF]UE AND CORRECT. A�L PROVISIONS OF LAWS VALUATION SURTAX ANO ORDINANCES GOVERNING TMIS TVPE OF WORK WILI BE CpMPLIED WITM WHETHER SPECIf1E0 HEiiEIN OR NOT. THE GRANTING OF A PERMIT �2�465 �1 .23 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE Oii CANCEL THE pEqM17 FEE SAC CNARGE PROVISIONS OF ANY OTHER S7ATE Ofi LOCAI IIAW REGULATING CON- STRUCTION OR THE PERfORMANCE Of CONSTRUCTION �83.25 Fire SC �Z.�F7 PLAN CMECK FEE TOTA FEE $8 .95 �S�j�NAT REOFC0P1. - TO Op4UTMONi2E04GENT,, �DATE� E�P Y A�I� E THIS I$ rpUA P RMI ^ ' ��/ �/ �,Y� � Q �, I�7!/w � r S�GNOTU�7E O� OWNEA �� OWNEA BU4DEii� iO�iE� �� ip5v - .rE NEW [] ADDN Ij �T� Il Construction Address: CITY OF FRIDLEY Effective 1/12002 6431 Universiiy Ave NE, Fridley, MN 55432 (763) 572�604 Bidg Insp SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATiON Legal Description: Owner Name 8� Address: � � � � evt e Tel. # ��3 - �� Contractor. _ I IVSP L 7' MN LICENSE # Address: Tel. # LMNG AREA: GARAGE AREA: oECK a�a: oniER: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length V1hdth Height Sq. Ft Length Width Height Sq. Ft Length Width Hg�`'round Sq. Ft ��h1�� _ / ��_�'� � . %�!►� _i,% Construction Type: Estimated Cost: $ ��/ �� Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x$ _$ oa�: �' ��- APPLICANT: _ G��t �e C�'i�,li� e� Tei. # 7�� 7�'�f �165� Call (763) 572-36Q4 for Permit Fees N mailing in application or Fax to 763-571-1287 if using credit card and we will call you for card number. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL $ �3.�.� $ �� N7 $_ /- �.� $ $ $ $ $� $ $ ��-� CITY USE ONLY - Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1200 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 [ J Not Necessary [) STIPULATIONS: � BLTLDING 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 applica.tion 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 tawit: TOTAL VALUE $1 to $500 $501 to $2,000 $2,001 to $25,000 $25,(�1 to $50,000 $50,001 to $100,000 $100,001 to $500,� $SOQ,001 to $1,000,000 FEES $23.50 $23.50 for first $500 plus $3.05 for each additional $1� 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 $1,0{10 or fraction thereof, to and including $1(�,000 $993.75 for first $100,OQ0 plus $5.60 for each additional $1,Ot� or fraction thereof, to and including $500,000 $3,233.75 for the first $500,0(� plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,000,000 $1,000,001 and up $5,608.75 for the first $1,000,000 plus $3.15 for each additional $1, 000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Removal and replacement of curb and gutter only - Driveway width plus 6 feef times $17.00. 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 �