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AF - 46704� � 0 � � � City of Fridley, Mi.nn. BUILDING PERMIT N� 6526 . ,, > . - � -..:% �:;� �%/ i.� :,.s �' - � � s %.U%.�:r�.. ; _ - �, i ... / LOCATI F B ILDING No. S�� Sireet e �.�._. P Y t � � Lot ,��_ Slock Addition or Sub-Division�� Corner Lot _ Inside Lot _..�._ Setback _.�y�� Sideyard �� Sewer Elevatian � � Foundation IIevation DESCRIPTION OF BUILDING To Used e FYont �� Depth .�� Height �.[� Sq. F'� �� C�. F'L�� Front Depth I�eight Sq. Ft Cu. F'� �►pe of Consiauction ��le�. F�t.�_a��Z___��o be Completed In consideral3on of the isstiance to me of a permft to construct the building described above, I agree to do th� praposed work fn accor�dance with the drescription above set f and in pliance with all provisions of ordinsac�es of the dty oP Fridley. �/ � . " In consfderatlon of the payment of a fee of $.�.L��'�' , permit fs hereby granted to to conatruet the building or addifion as described above. Thispe rmit is granted upon the express condition that the person to whom it is granted and his agents, employees and worl�en, 3n all work done in, around and upon eaid building, or anypa� thereof, shall conform in all respects to the ordinaaces� of FridleY� Minnesota regarding lacation� construction, alteration, maintenaace, repa3r and moving of builaings within the dLy ]imits and tbia permit may be revoked at aqy time upon violation of any of the Provislons of eaid ordinancea _ _ r� Building' Ins��ector n Nonc� 71ds permtt doa not eorsr t6s wushaefi�, 6nlalWion �er wirine. P�+�9. 6b 6�8. a�ra ee wNa�. B� sun to as ths Brtildte8 lesp�etor ioe aparab pormtts for thsa h�na. � �, � � s �I ��1 � APPLICATION FOR BUILDING PERI�QT CITY OF FRIDLEY, MINNESOTA owrr��° s� C'i��4��-� 6�°� ��.��i�� $v�n�x S.� �i�� AnD�ss � � � D (� U /' �te'� r�,�- . .Ann�ss - r�i2 �v r_- . LOCATIOPI OF BUILDING No. Street �� Part of Lot Lot ,�" �rJJ- � Block Add3tioa or Subdivision /g,�M.u,�� ` ��-�. = Corner Lot Inside Lot � SeCback j'S� Side-Yard �� j� 6 SEWER II,EVATION FOUNDATION ELEVATION AQplicant attach to this form Two:Certificates of Survey of Lot and proposed build- ing location�drawn oa the�e Certificates. �� DESCRiPTION OF BLTILDING To be used as: Sr/��•C�, �4�o�=L�t> ,�°�- Front �� Depth �,�� Height � d Sq. Ft. %�� Cu. Ft. /�� Front Depth Aeight �q. Ft. Cu. Ft. Type of Coastruction /_ /i�/Y /1�� , Estimated CosC %�, �"'```� To be Completed �� ,pj� �/S The undersigned hereby makes applicatioa for a.permit for the work herein specified, agreeing to do all work in atrict accordance with the City of Fridley Ordinances an� rulings oi the Department of Buildings, and hereby declares that all khe facts and representations atated in this application are true and correct. DA�.'E �� j9 � ) \ SIGRTATIIRE �� /�� - a - (schedule of Fee Costs can be found on the Reverse Side). � � , � � � � i� . �� n�,� °�� ,�, � � � ��' �� 0 � BUILDING PEAN[IT FEE S(�3EDULE Section 2. The inspector of Buildin�s s�all, before isat�iug aay permit fc�r thc� erection of aay building os structure, or for any addit3on to any exiet9 in� bu�lding or st�ucture, or for �ny alterations or xepai�s to any e;�is��.n� building or stcructure, upon applica�tio� therefo�c, require the pay�ent by �he applicant for such permit of feea t0 the amount herein below set forth and in the manner herein provided to-wit: 2.1, Fos any such permit fog the esection c� any fire-proof bu�lding, othes th�n a garage� warehouse, factory or grain elevator, or for the erect�.oa of any fire-psoof addition, for sim3las occupancy, to any exiating building shall be at t�ie rate of $1.40 for each ome thous�nd cubic feet, ox fractioa ��±ereof, in such cubical contents. 2.2. Fos any such permit for the erection of any fire-proof garage, wareh�useg �:actory or grain elevator, or for the e�recfcion of aag► fire-proof �ddiCiona for aimilar occupancy, to any ex3sting building siaall be at the rate 4f �^1.25 ior each oae thousand cubic feet, classi�ied as °1f3reproof" bp Section 502 of tae P+Liruaeepolis Building Code. �OUSES ' 2.3, For any such pe�mi.t for the erec�ion of any non-firepsoof buildiag �ther than a garage, warehouse, factory or graia elevator, or any noa-fixeproof addition, for similar occupancp, to any euisting bui�.diag - peYmit $1,00 for each one thousand cubic feet. GARAG��S 2.t�, For any such permit for the erectioa of aay non-fiseproof garage9 w�rehouse, factory or grafn elevatox, or for the erectiox� of a�xy non-fi.�-egco�� 8dditio�.' �or s3milas accupancy, to aay existin� building or for each such bnilding or addition - niaety cent� ($0.90) for each one thous�ad cubic fee� or fraction thexeof, ia the cubical cantents thereof with a minim�m of $4.OQ, Fos the purpose of compueiag fees for building permits, the cubi�al contenta of any building og �dditioa to a uniform height throughout by mu]Ltiplyin� �he gsound area covered from a poine eix (6) �nches below the floor line of t�ae basement or cellar to the averagr� he3ght of the upper surface or to the ave;rage hefght of the roof surface of the main gable of a pitched roof. 2.So For repairs or altesationa to an exis�ing structure, tlae fee ahall be �.t Che rate of $3.00 per each Five �undred Dollar� ($500.00) or fractioa thexeof in the cost of �li prop�osed work. 2.6. Ia ao �ase shall the feQ chargad f.or any permi� es eet fosth in Section 2 be less thatn $4-00. . . v - . a, ("� � �"'� „ � �_ c�. C. ��ocue��1 C�U�C� sSOCcGc�eS U�C. � �� LAND SURVEYORS Anoka, Minnesota CEItTlFICA7'E OF SUttVEY: CHESTER h,"A4 1 ASZEK A��E� t�� ,v _ . _ A5. �,5-S � 63� , __ /_ _ Telephoa�e 42i-6340 927-�i;o-I o,=,�3 � DEI�10TE5 I RO�JS �� 0.2� �EAS. --. � �� R'�� r -- µUGO LOTS 5 AND �� L�LOCK R RIVERVIcW HEIGHTS ANOKA COUMTY, NfNNESOTA 1 HEREBY CERTIFY THAT THIS IS A T&UE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF THE ABOVE DESCRIBED LAND, AND THE IOCATION OF ALL BUILDiNGS, THEREON, AND ALL VISIBLE ENCROACHMENTS, IF ANY, FROM OR ON SAID LAND. AS SURVEYED BY ME THIS .22 N D DAY OF ... P: A Y ........ ......... .. ...._................................................ A.D. 19.,,c�t`,3.. N. C. 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O r 00 � � °e �° ~ o w aa °' �� w � � � y o� �o � � � � . f�D � �D • �: �. � � � � � � � m F� N �z c� ti fV O � � � �a � � � o � � � � I 0 '1 � 0 0 � � �_ - � � � � x M O � � � a a ao � � � � � � x� � A � � ►7 ' t� � � N � � O � "j G � R° y �� b' � �� 0 0 � � � '�d �g E� N N � � cr en o 0 0 0 0 0 sn vi {n tsa � � z � � � n � � � � � � �. � � � � � / r � �m �i. 0 o' � � � �m W g � �° ,� � � � � � � � � � � � R° R° � � � ��'�'� ��° °�a�� 0 0 � � �Q� � � � 0 � � : �� a. � ' y ° o, � : G •• Y O . : Q $ : O O o . . . � � : : : � 9 � � � N � 0 0° o° °o o° � � a� � N � d a, a tmi! I�.y F�'J � _ � � v P � � � � S� + � � ' � � � � � F \. � Z � � r•• m I �' � � I � � b � � �'�� m � � � k° R° ; � y � � o � � �« � � � 0 0 � � .�� a. ,� � ° a � � � Q, v► . . en . . � O : : o p . . qO . . O : : : ��,�� ea o o c 0 0 o p � � C' aa� � y��H p �� _ �' °q w p �� a w � ►�i �C o �p �'' y d� °� �� b o �� °� �� aa�`� C'1' J �± E m �' M m bd �' � �� W�Mb C�� m ��ao� `t � �, ►��! �p'nW �� a� �.� �� f�DM ;�� G $ 0 r. �. �' . � �. �� D � � � � m y _ m C r m ■ M � � L '� i �. � ^[\p, � d _ Itl i� g � a a � � V O � a '�O� �. � � � O � �� 0 � 0 .�i 0' �� _ � �t� �� A � � � � 0.� v< p� �. � �i O � �s � � � � � � u ��'� i�-P s � Y _ � ±� �– � " � �� % 9 � '•HEAT LOS ALCULATIONS DEPARTMENT OF INSPECTIONS 1VIINNEAPOLIS, MINN. �eatherstrips A.S.H.V.E. Construction No. Insulation Guide Windows I Doors Reference Out. Wall Int. Wall Ceiling Roof F7oor Kind How Applied Yes—No Yes—No 19— ,vG�1. ° • Room � Length "— Width � Height � .� Room Length �� Width � Height Windows a oors—Crackage and Area Window n oors—Crackage and Area Wldth Height No. of Llneal Pt. Aree Wldth Helght No. ot Llneal tt Area No. ot pan o( pane lighta o[ crack eq. ft. No. of pane of pane Ifghte ot crsck eq. tt. �� 2 � � � �- g' a �� ✓?- ° �o � yp Coef. Btu Infiltration o �p 3 6 o a Glass �" Eap. wall �G Net exp. wall � e, � Int. wall Ceiling Floor ' 3 � Total Btu. �� Required sq. k. E.D.R. or sq. ins. W.A. Leader area l�.f'F7.� Room � Length � Width (o Height � Windows and Doors—Crackage and Area �I WIdt6 Helght No. ot Lineal tt. Area No. ot pane ot pane llghte ot crack ea. ft. Coef. Btu In6ltration �' � � �'' � Glaaa �� ,�---� Exp. wall Net exp. wall �/ / e � Int. wall • Ceiling Floor � �, Tota! Btu. � �, � Required sq. ft. E.D.R. or sq. ins. W.A. Leader area `� Room � Length � Width � Height � Windows and Doors—Crackage and Area Wldth Helght No. ot Lineal tt. Aree. No. o[ pane o[ pa�e Ilghte o[ crack aq. It. � Infiltration Glas� Exp. wall Net exp. wall Int. wall Ceiling 1� loor Total Btu. � � Btu Ii�� _ �� Required sq. ft. E.D.R. or sq. ins. W.A. l.eader area - -;::�:--; � i'�'/!? I� In6ltration IGlass � Eap. wall I Net exp. wall Int. wall � � ,' .� . _ y • Nloor /��{ o� � o a Total Btu. �d � Required sq. ft. E.D.R. or sq. ins. W.A. Leader area FI.I �� Room I l.ength j Width HeiBht � Windows and Doors—Crackage and Area Width Hetght No. at Lineal ft. Area No. of yane of pane llghte ot crack eH• tt» In6ltration /� E�� Glasa �, �^� ' Exp. wall �' Net eap. wall � �' p Int. wall Ceiling Floar __ Q� / � � a Total Btu. � Requi�ed sq, h. E.D.R. or sq. ins. W.A. Leader area �7•� ' Room I Length W�dth Height Windows and Door�—Crackage and Area Wldth Helght No. of Llneal it. Ares No. of pane ot pane I►ghte ot crack ep. ft. � � / �o �– �(�v � G � ' d;' ( Inhltration Glass 3 b'' ` Eap. wall � Net exp. wall Int. wall Ceiling Floor � Total Btu. Required sq. ft. E.D.R. or sq. ins. WA. Leader area Btu �9(f / ti � � a .L- � �" : _, . .P@T�YGLt �'68 � ...........:....»,..»_... .. . • ^- `� k3 : - �IPPLICATION FOR ME�HANI�At '�lIIARM__AIR_ #IEATtNG kERMIT . . � , � . ,. �. �. _ � Na, P_..: _ 'Da�te Q� iesu��e. --• - -, 196.. E�atio��-.- - _ -- - -- - ,, . . � . > : , . � � . .:: - _.,..... _ . � � _ ... . �, ��: . .� . _ - Jlli,r�necipol�, Minrc.,. . .., 188.... fresPeetor n� ��$8 .. u . -. <, . _ _ : ; ,� , The undersr��ned her�bj �ak"es upplieaiian for ca permit for the i�etccllativn, i�lteratio�c ar repaLr of : a heccting, icir eosuli�ionin¢ or ven�iT,citin�% system, deviee ar equipmerct, as herein 8peaifi�, a�reeis��: t<o do � � ; all sueh u±ork in �trict cccQOrdarcce uri,�h,the Cit,t�_ Ordinrzn�ces �zzccl ruli��SS Q�tlze 17epurtrris�t of In,�peotivr�,a'. �=__ and tke Rpecificatios� set ;�crth in th.i� applicaiior� ua approvecZ and fiL�d in the .D�purtm,�nt of In3pections: �. , .,.. . __ ._ ..... .... . . . _ .�cLdrr�se �af Otrrn,er.. _ - � :�� .�Cind of .Build�ing .Hvzv occu�iir,�l., . _ ' . ; - 186 Wor7o :ta be completed. , 196 . . � �ork_.ta be stQrted,-- -, r ---•--� :�siimated C�t �•- ---..-. ----. .. _O� — JV'ew .Buitdin.� Pet�mit No _.-• --• _ - ' . . - -- . _ ; ,.. � . � . � , , , : DESGRIIRIi�N ` OF WGI� . . . , , _ . _ < ... ., »_, N ,,. .�.. Note� Iesert ihe word inafall, add, alter, m': repair. naording to vrchkh. te M be dene. Umle' "Ramarks:' Hemize remarols. tf mry, md.. �. '` aUeraHaiu� te aAuipmen� {: -z,: ' - .IVlee6tinical Mfarm /li� Heating Plaeia---F+�rna��..:- - -- . ..- -- ... ... - , A.k �� .. . ._ .. .�� .. ' . . � . . . .. .�ItL� .. _' . .... ...._. .aSL� •- --- _ �i47LTE�.'fiP.� �••. -'�-- • .�ilL%1CLGtitZj�. ...� .-• ". `-. ' ;, _. -' " . : .: _. . �.._ r _ Air Conefitioni�� ysiem: Su�m�r, -- 'W'in,ter — �tL I''ec�r;. -..-- -• .._ _ . " ��^. . � _ . --- ----- . -Cccpavi.t� . _.. •C� -- ..... . �, a , - __ _ _ _ } , �: '' . . ...... =j _ ... ....._...... - ..... '�/entila�ting �System: Jl2a,ke - . .Capa�city - .� Cfm _ � �' - _ , .,. , .. ..... ...... .. .. _ _....,......... _............. ......... � , _ _, _ .. .�_.___ . :_., .,. ,, , $erroaa�Jcs. -..�. ...... -- • - --- - --•-- - --- ... .. .......... .... � _ �� =-_--�- ---�—; ..��.1:.,;... --- �� ..3...,. _ �, - z� � �: ... ... .... • .. 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Q : : � x x �a � � � O 4 O � fA � � � � � � _ � � z � � z � z � a ; � � � �' c� " � � �' � � � � � � �� : o � � � � � o � � a o � � �_ � � N . � . W o : �' : � � � . O4 � . . . . 0 : � � � . � 0 �a x x k k x W N W f+ ►+ N �) CNi� p C�17 O O O � {is {fl {f! ffl 49 {A � � , 0 � � 0 Q x D � 1'D� � m � � 2 m C r m O � a � � a � y d � � � � z 0 ` V � m � z 0 � � � � � i. p ~ � � �' � � m � � @ �� \ O � Q, p � 4! b I SINKS � ai � � Wnsti � ranrs ORINK. FOUWT. sr+w�. ` FLOOR DRAINS CATCH BASINS nuro WASHER GAS APPL GAS RANGE GAS OaeNINGS WATER � URINALS enr►+ � eis�� 8 8M � ❑ �-3 � � O cr a. a. a lD m � y �, r� o � � � a o�a g �. I � u a • 2 ! � N D A m � n 70 '� A �aa� � � � a� °fs ��a" � m �oo,�a � � � � � � o co �1 oq y � � � b `� ��°� � �' � �'� �� ,o �A � � b � � � � � � � � � � p � pf p� �� O � `,,' �, O ��w � a A �� o��"' ��►°� ��w� �� O 'O'1 iYi A � �' � �A � � o. 0 �r x � � p � M � M � � m � i � �. � 0, ' � � (7 e. �. � � � � � d 0. � o �p � � � M � � � � �. o � m A A �,. � V O � � � I I I � I I � I 3`� °€-� I � �. � �� Ci of Fridle Minn. � � � � �� tY Y� � � I 1 I ' ' I � ,� .: : - � �_ �,�; ��, � . . • • ,/-. .�� ... ._. h.. �,. „i � .. .t1 �'_._. : � . .�.. -:�L/i __ < �- .a .. � .! -, u.J . � � � LOCATI OF ILDING No. �� street �._.._. Part Lot Lat �_J�_ Block Addition or Sub-Df an ' , ' Coraer Lot � Inaide Lot _.._. �� atback - Sideyard s.L 8ewer IIevation .: _ Fo tion IIevation DESCRIPTION OF BUILDING T V sa: Front � Depth � Height �� Sq. F't. ��'�' Cu. Ft �!Z� Deptin ITeight _� Sq. F't. Cu. F't. �►pe of Conatruct! _ Fst, C'o�t ��;,�� To be Completed In cwnaideratfon of the 3asuance to me of a perrnft to construct the building described above, I ag�e to do the proposed work in acc�rdance with the description above aet forth aad ia compliance with all praviaions of ortlinances of the dty oP FrlrIIey. � �� ,� � In camaideration of the paymeat of a fee of $_�= , permit is hereby granted to to construct the buildi�g or addition as described above. Thia permit is granted upon the express condition that the person to whom ft ia granted and h3s agents, employees anc� workmen, in all work 8one in, around aad upon eafd building, or anypart thereof, shall conform in all reapects to the orainanc� of Frld1eY� Minnesota regarding la:ation, construction, alteration, maintenaace, repaitr and moving of bufldin�s �� dty limits and tbis permit may be revoked at any time upoa vio�on of any of the prov3sions of sa�d �� NOflCEs 76b peemtt dea ao1 emrer t6s eonstrudi�, tastaldfion �er '�Irin9. P��+�9. 6+� 6�8. aw�� or water. 8� wn to we tka Bvildie8 Imp�te� io� apuab parmih Io� 1h�ss hyw. ..� - � ,, . Ora�ER's NAr� • _ APPL-ZCATION FOR . $UILDING �PERMi� . - -• � � , CITY OF FRIDLEYy MINNE30TA . . �� i � - e � � LOCAZ'IOAi OF BUILDIN� No.�� A� ;` Street �� . . � �art of Lot `�-��" ., ,^.._..,: ___.�__ � Lot ��` � Block i, Additioa. ar. Subdivision_ �� ,�� a . . , � ,, . �� Corn�r Lot„_Imside Lot Z� Setback � �Side Yard _�� SE`WER ELEIIATION_ FOUNDATION ELEt1ATI0N � ApplieanC-a��ach to tliie �orm Twq Certificate� of Survey of.Lot�and proposed build- iag locat:�on dx�wn oa these Certificatee. , - DESCRIPTION OF BUILDING < �,,�, � To be u�ed as : �� . _ F. � . � - (. . ., •�- � F�ont . ��pCh � . Heigl�t � . . . - .. . �qi- Ft. � �` � Cu. Ft. `-/�,, � O ,� , .� . • ._ .� Ftont Depth� Height . Sq. Ft�, Cu. Ft. , - :; . .-_:, : . Typa of Construction .� ��_�_ Eetimated Goat %�.� �� .� To be Completed �-�� / � The undersi�ned hereby makes applicat3,on fo� a permit foir.Che,.work herein specified, a�reeiag to do all work in atrict accordaace with the Citq of Fridley Ordinances and rulings vf. the. De�artment, of Bu�ildia�a, and hereby declaxes that all .the fac�s aad representations stated in this application are true aad.cprrect: - d .` � �- �i � SIGNATim� �(Schedule of Fee Costa can be found o�djdj�be Reverse Side). . � � �'1 . /`� _ �- . - � - - a BUILDZNG PEitNlIT FEE SCHEDULE Section 2. The Inspector of Buildin�s shall, before iesuing any per�ni.t for the erection of aay building or etructure, or for any additi.on to any �:xist- iag building or structure, or for any alterations or repaira to any existing building or s�ructure, upon application therefor, require the payment by the applicant for such permit of €eea tv the amount hereia below set forth and in the maanes herein prov�ided to-wit: , 2.Y. For any such permit for ehe erection o.f any fire-proof building, other thari a garage�,warehouse, factory or grain elevator,� or for the erection of auy fire-proof addition, for similar occupancq. to anq enisting building shall be at the rate of $1.k0 for each one thousand cubic feet, or fraction thereof, in such cubical contents. 2.2. For any such permit for �he ereetioa of any ffse-proof garage, warehouse,_ factory or graia elevator, or foz the erection of any fire-proof edditioa, for similar accupancy, to aaq existing buildiag sha.11 be at the rate of $1.25 for each one ehousand cubic feet, clasaified as °1fireproof" bq Sectioa 502 of � the Minneapolis`Building Code. � HOt1SES � 2.3. For �nq such permie for the erection oi anq non-fireproof buildiag othes than a garage, warehouse, factory or grain elevator, or any non-fireproof additie�n, for aimilar occupancy, to any existiag buiiding - permit $1.00 for each one thousand cubic feet. GARAGES 2.4. For any such permit for the es�ction of any non-fireproof garage, - warehouse, factory or grain elevator, or for Che erection of-aay non-fireps�oaf additioa, €or-s3milar occupency, to any existing building or for each such __�.- -building or add3t3on - aiaety cents ($0.90) for each oae thouaand cubic feet or fraetion thereof, ia the cubical contents thereof with a minimum of $4.00.- For the purpose of camsgut3ag feea for building permita, the ct�bical coatents of any building or addition Co a uniform height throughout by multiplying the ground area covered from a poiat si� (6) inchea below the floor line of the basement or cellar ta the average height af the upper surface or to the average height of the reof surface of the maim gable of a p�.tched roof. 2.5. For repairs or alterations to an eaciatiag structwce, the fee ahall be at the rate of $3.00 per each Five Huadred Dallare ($500.00) or fractioa thereof ia the cost of all proFosed work. . 2.6 . In no case sha11 the fee� .charged. io.r .-aay- permi� as set forth in Sectiaa 2 be lese. than $4.00. � � � � , '"� _ .� .�,: a _ -t _- � ��. � D m n � o � � 0 � � � � o � 3 � Q o � -� � n -� Q � ' m � � �' im � m � � O � �i � � m Z � n Z m � �' -, Z � � Z � N D � � � z Q. � � � pz � 0 c� . I 7 � m N o � �r � � �a � m � 0 j � � �� °°� c� � � o � o °. � < � Q � m c 7� o m m m a , o � � � � � � � � �. �. � n � � m � � o o � � o � � � � -� 0 z D 3 fA t!i :fl � � � � � , m � %P � � , � . .i ... � .. --.1 '\ �� n ,, ,� � � � � m z � 2 'O � m Z O ml. 0 � 4R � � � o m Q - �o � � m m � � � 1 N I� � 'n O n w �, O � > > � � � (�D � � � � V � � O � O � � .��. � � - � . .. � � N � 'N D(1f- � N c tlf N f!1 p ' � v �o -o N �o � � a ' ��'QV�� C � � . ar � � u m_ � � � � m � m � � � � n.�� v � �� . �3 � �,° `D ° m � o �' � �� _ � tfl � � t� c� N � � _l � O O O O O � l� fA (� Efl Efl � � � � m -�_-1 . � v O � � � m � � --I Z O v, �. ��. c 6 � C m v � �, � � `�,��Q,,�2'�� `° N � Q � . ° Q' � � 3 m � Noo�m � � � a �g�� Q�°m � � o � � � � � � o � � o m ; � � � N — a � � N �• � � �! � fD .-�i. �� DJ O f� 7 ^► a' O O � � � � � � � 7 y n �N `~� � 3 � � 1 O �. � ,_�,, '�� m s � � nm m .� � 0 ., 1 N t� �- 0 3 � n. �°n m � � �. � N n _ v C � V, � � n N. p, � -G I � C � ""Z� � � v ", � D � ro � Z � m � n . � O Z � a o � z C '0 a m � Z � � � . Z � � � v� � � �N z� v _� o o= z o z -� m � Z v c�n g � � � C NZ � �� yti v� �T c5,' � m� � O " Z � � m O � � � � � c'� C�IIlVINEY AND STACK VERITICATION The undersigned hereby verifies that the existing chimney or stack: t . 1. Has been carefully examined Yes (� No () � 2. Is free from rust or deterioration Yes (�.�j' No O 3. Has no foreign ala;jects. ladged within Yes .(�'o () 4. Is securely supported Yes ( r�No () 5. 1Vleets all curremt Code requireznents for size and total BTU's connected Yes (� No () 6 Has total heating BTLJ's of "�� Uf1 a Ail other BTU's — • TOTAL BTU's %�j �� 7. Has a liner been provided for water heater � Yes () No (� 8. Has combustion air been provided for water heater Yes' O No (� Remarks: j .� List ALTERATIONS Bein Done: HEATING CO: Signed By: Date: � � 0 a r '� m m � � � � � m � � A � N � � - D� �a �fD � o � 'y0 O = � d � � c � -n o� z � v � �' o .� � �� o 1 0 o m3 �D D_ -� � v � �v D �"� m � z G� �� N N �� C N N W� O �D N 01 Ol � 7 f� � n � � � � � (� � I�D -C �' ' � �'1 � � N � (D (=D (�D A� � y W � �. C � � � N rt rt Q1 (p � � p> j � �D � �� m��• r v+, y� v� � � � � m � � � A � � � � � � � � ° � '� � _ � � m a .-. � N v Z O ( I I I�I I I I I I I I I Efl tfl ER l�i �fl � EA EA bq EA �fl i,A EA C�71 O O O� O� v� V� A�I °o °o °o °o °o °o °o °o °o °o °o o° °o � �/i � y � a Z � 3 °� t�o p � � � a W Z a W � n o � � D � � I o �c y � � � � � � v � o0 o �w p m I ?'� � •'a P Q� � 'S-� � 7 N v d �. m � � c ;� � 0 � � e..�. � O � I' � � N � N � � m � � � � � v o� � m o � � W m r" � � � � 4 ; � � � C W Z � � � c � m � m u� � � m O D r � � W � ��N; �. . �., _ � e�� CI"IYOF FRIDLEY .� FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(763) 571-3450 • FAX (763) 571-1287 March 16, 2001 Debbie I.ewis 621 Hugo Street NE Fridley, MN 55432 Re: Final Inspection at 621 Hugo Street NE Contractor: Norbloom Plumbing Co Dear Ms. Lewis: A plumbing permit was issued on December 28, 1999 to install a water heater at your address. According to section 4715.2800 of the State Plumbing Code, a final inspection shall be conducted on the plumbing authorized by this permit. As of this date, no inspection has been called for. The permit fee paid covers the inspector's time to make sure the appliance was installed correctly. We also check to make sure combustion air has been installed and that the vent and vent connectors have been sized properly. If you would like the installation inspected, please contact us within 30 days to arrange the inspection. If we do not hear from you, we will expire the pernut and note that no inspections were called for. Any questions can be addressed to me at (763) 572-3603. . � c�ty of Fridley AT THE TOP OF TME TWINS � � � L D I N G P E R M I T ;, � � � ; v ___�__ COMMUNITY DEVELOPMENT DIY. r � � PROTECTIVE INSPECTION SEC. 1 = , � �"'1 � CITY NALL FRIDLEv s$IJ2 NUM9Ef1 nEv �'"'"�" �'' 612-57�-3a50 s�aF�S JOB ADDRESS 621 Hugo Street NE t LEGAL �OT NO. BLOCK TRACT OR ADDITION oesca. 5,6 R Riverview Heights 2 PROPERTY OWNER MAIL AODRES$ Debbie Lewis 621 Hugo Street NE J CONTRACTOR MAIL ADORESS Window Lite Home Improvement 8400 89 Ave N, Br 4 ARCMITECT OR DESIGNER MAIL ADOFESS 5 ENGINEER MAIL iATE I VAGE Oi 4/11/00 / / ZIP PMONE Park, MN 55445 21P PNONE 425-2227 21P PIiONE 30810 RECEIPT NO. �ov � �I►vrtOVED Br SEE ATTACMED SHEET LICENSE NO 20039258 IICENSE NO. IICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION �7 ALTERATION O REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Bathroom remodel 9 CHANOE OF USE FROM TO STIPULATIONS See notations on plan. Provide smoke detectors in all sleeping rooms and on all levels of the dwelling per Section 310.9.1.2 of the 1997 Uniform Building Code. �EPARATE P�RMI�� REQUIRED FOR: PLUAA� NG� A DnSI�� SEPAHATE PERMI7S ARE REOUIRED FOR ELECTqICAL, PIUMBING, MEATING, '`�� vr vvna�. VENTI�A7ING OR AIR CONDITIONING THIS PERMIT BECOMES NULL ANO VOIO IF WORK OR CONSTRUCTION 20NING AUTHOR12ED IS NOT COMMENCED VjIITHIN 80 DAYS. OR IF CONSTqUCTION OR WORK IS SUSPENDEO OR ABANDONED FOR A PERIOO Of 120 DAYS AT ANV TIME AFTEii WORK IS COMMENCED. NO DWIG. UNITS I HEREBY CERTIFV TMAT I HAVE READ AND EXAMINED TMIS APPLICATION 1 AND KNOW THE SAME TO BE TRUE AND CORRECT. ALl PROVISIONS OF LAW$ VALUATION AND ORDINANCES GOVERNING TMIS TYPE OF WORK WILL BE COMP�IED @ WITH WME7H R SPECIFIEO H EI OR NOT. TME GRANTING OF A PERMIT �pH � OOO DOES NOT R SUME T E A�i1THORITY TO VIOLATE OR CANCEL TME pEFMITfEE PROVISIO S f ANY T R S ATE OR LOCAL LAW flEGULATING CON- S�Ry N TM R OR�d°ANCE OF CONS,�UC7ION _ �],53.25 'p�CTOpOpAUTMOp�ZEDOGENt IOAiEi ATUAE O� OWNEA, �D�fE� 6 o�� STALLS C $5.00 P OCCUPANCY CU FT OFFSTREET PARKING GARAGES SURTAX r $4.00 SAC CMARGE Fire SC $8.00 TOTALFEE $170.25 IA1E0 THIS IS Y UR ERMI � �� / �[ ] ADDN ALT'ER � Effective 5/10/99 [ ] CITY OF FRIDLEY � SINGLE FAMII.Y A1�JD DUPLEXES R-1 AND R 2 BUII.DING PERMIT APPLICATION Constcuction Addless: � � Legal Description: ' Owner Name & Address: Coniractor: �i n alpcJ Aaa��s: R�- �qs� � LIVING AREA: GARAGE AREA: DECB AREA: 01'HER: � I_�j S a. �� ,� %, . ,� . - i " :i� � , � << _.« _� 1 � / ♦ ' : � , , , . i/ �[�� i / _ � i - - � � _ Attach to this application; a Certificate of Survey of the lot, with the proposed construction drawn on at to �scale. DESCRII'TION OF IlVIPROVEMEN'� Length Width Height Length Width Height Length Width Hgt/Ground Sq. Ft. Sq. Ft. Sq. Ft. Construction T r1r� Estimated Cost: $ �d QQ, � � �,�.CC: � IQ�C/il.d • �r?2t�i n� _ Driveway Curb Cut Width Need�d: �- Ft. + 6 Ft = Ft x$ _$ . DATE: � 3 D Permit Fee �ire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Pazk Fee Sewer Main Charge TOTAL STIPULATIONS: CI1'Y USE ONLY Tel. � -o aa $��- 3- ��^ Fee Schedule on Reverse Side $ � - Ofj .QO1 of P�a�nit Valuatioa� (1/1Oth%) $ , � $.50/$1,000 Valuation $ $1050 per SAC Unit � � DG' $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 [ ] � 70, 5 BUII,DING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing germits for the erection of any building or structure, or for any addidon to any existing building or structure, or for any alteration or repair to any existing. building or str�ucture, upon application therefore, require the payment by the applicant for such permit �f 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,�1 to $25,000 $25,001 to $SO,OQO $50,001 to $1�,OOQ $100,001 to $SOO,Q00 $SOO,QOl to $1,U00,000 $1,000,001 and up FEES $23.50 $23.50 for first $500-p1us $3:DS�for each additional $100 or �° fracrion thereof, to and including::$2,0� ��: $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 ttaereof, to and including $50,� � $643.75 for first $50,000 plus $7.Q0 for each addidonal $1,000 or fraction thereof, to and including $1Q0,000 $993.75 for first $100,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $500,O110 $3,233.75 for the first $500,000 plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,�0, 000 $5,608.75 for the first $1,�0,000 plus $3.15 for each additional $1,Q00 or fraction thereof DRIVEWA� DEPRF:SSION ESCROW (Concrete C�rb Streets Only) Alternate "A" : Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $15 .� e'; . Aiternate "B": Removal and replacement of curb and gr�tter and instaL a 3 foot wioe. . approach with 6 inch depth - Driveway v�+idth plus 6 feet times $23.25. VERIFICATION OF FOUNDATION Permits for construction will � issued a minimum of 24 hours from the time of applicadon to allow for �� ;�er review of the proposed structure and of the construction site. A Certificate of Survey of th� lot, showing the location of the foundation once it has it has been coa��acted will be required before procee�ing with the framing. ;� ..._'� - • . . � - .. �f � � - .- ° _... _. .� ._. _.. . .. . . . . .-��.. . . . ._ _ . . . _ _ : ; .. _. . « . .•� _ . . . . . . _ I ..�.��.._ . _ �.� ._..._ ... ...... .. . . .. �, � _ . ....� . '� � i � t � . .. . . �.."�'.. . .i _� � � . , � 1 : � ' . �ew., . ._ _ ._. . . . � . . . . . 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