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AF - 46862City of Fridley, Minn. BiJILDING PERMIT N. s i 3 0� Date: ��4�-"�.l.�_._ �'" ' t �� i�/� �j Owner: 4.J2� " �1� ' "Builder �a�,q Addre�s L CATIO� F BU LDING No. � street ��'" .__._. Part o t Lot ____ __ Block Additiaa or Sub-Diviaion �� Corner Lot — Ittside Lot � Setback _ --�— { Sideyard ,� �w � � t ' Sewer IIevation -- --- Foimdation IIevation DESCRIPTION OF BUILDING To Used � _� Front ��d�. DeP� ti�� Height � Sci. Ft. ' �- �. F� �� Depth Height �� S4• Fk Cu. F't. Zj►pe of Construction Es� C'a� �,F` '� To be Completed In consideration of the fesuance to me of a permit to construct the buildiug described above, I agree to do the proposed work in accordance with the description above set forth and in compliance with a11 Proviaions of ordinances oE the dty of FrYdley. � In covsiderat[on of the payment of a fee oP;$..�,�+'*""'�, Pe�it is hereby granted to.— to construct the buflding or addition as described above. This permit is granted uPon the express condition that the person to whom it is granted aad his agents, employees and worl�en, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinancea of Fridley, Minnesota regarding lacation, construction,' aiteration, mainteaaace, repair and moving of bufldiuga within the dty limits aad this permit may be revoked at aqy time upon viola ' of any of the provisiona of said ordinancea �� .. !! � '-�T;i"'T' NOTICE: 'ILb p�emtt doa aof eevsr tiu eonstrnetioe, ieitall�Hoe fe� �le�o, 'Ivmb[ea �as 6.a�1e�, mw� ee rraf�e. B� sun to su th� &rfidiea lenp�ele� for s�puaM p�rmNs foe t6�a hem. !�` '�� , � � -a �, � a _ ,� _ - m APPLICATION FOR BUILDIN� PERMLT CI7.`Y OF FRiDLEY, MIPINESBTA� ' . - / � r , , ,. ,. _ _ _ � � � .- - , ,� , _ , .� �_ �� .. • � _ �� . _� �, _ __� _. : � :.� r� .1-��/, � .- .. �� . 1�� ✓.i �: � � . . � :�r�/= _ '/ " � � � � LOCATION OF BUII,�DING 1Qo. `�� Street� �� Part of Lot a �Lot Block� Addition or Subdivision � � Corner Lot Inaide Lot�_Setback �� Side�-Yard �� J� .�� EWSR ffi�TsVATiON E'OUIVDATION ELEVATION Applicant attach to this fotm Two Certificatea of Survey of Lot and proposed building location drawn on these Certificates. DESCBIPTION OF BTJII,DING Tc be used as; ' � � Front��_Depth-,��"—Height Sq. Ft,�,� ' _,_,�,Cu. Ft. - Front Depth Height ' Sq. Ft. Cu. Ft. Type of Constructioa � Eatimated Gost %�� To be Completed /,�'GJ �� . ,� - The undersigned hereby makes application for a permit for the work hesein specified, agreeing to do all �aork in strict accordance with the City of Fridley Ordiaances and rulings of the Department of Buildings, and hereby declarea that all the facta and representations stated in this application are true and.correct. . DATF ° i .�� Z SZGNATURE (Schedule of Fee Coats can be found on the Reverse Side). . ._ .. � n .� s. -- _ BUII,DTNG PERM:LT FEE SGHEDUI►E Section 2. The Inspector of Buildin�s ahall, before issuing any permit for the erect3oa of any building or atructure, or for any addi�ioa to aay egiet- ing building or atructure, or for any alCerhCions or repairs to any esiating building or structure, upoa application therefor, requira the a applicaat for such perm�tt of fees to the amount hereia below setyforthb�a�e in the manner herein provided to-wit; 2= For any auch permit for the erection of any fire-proof building, other t�� 8 g8r8�es �arehouse, factory or graia elevator, or for the erection of any fire-proof addition, for similar occupaacy, to any exiating building shall be �t the rate of $�,.40 for each one thousa�nd cubic feet, or fractioa thereof, ia such cubical coatents. 2_•?; Far any su�g pe��,t for the erection of any fire-proof �arage, warehouae f�.ctory or grain elevator, or for the erectioa of any fire-proof addition, Por similar occupaacy, to anq existing buildiag shall be at the rate of $1.25 ' for eech oae thousand cub3c feet, classified as °'firepr.00f°t by Sectiaa 502 0� the Minae�polie Building Code. HO-- USES 2, 3. For aay �uch permit for the erectioa of Qny aoa-fiseproof buildin othe then a garage, War�g�ouae, facto g r addition, for simi1ar occupancy,��or�raia elevator, or aaq aoa-fireproof ea�h ene thousend cubic feet. ��i�ting building - permit $1.00 for GARAGF.S . . 2•4• For any euch permit for the erection of aay aon-firepraof garage warehouae, factory or graia elevator, or for the erection of any aoA-firepsoof addition, for simi].ar occu anc , building or addit3,on - niaety centa �y ex3stiag buildiag or for each such or fraction thereof, in �he cubical conteatsfthereof withta�mi8n��uofc feet For the $4.00. Pur'Pose of compu�iag fees for building permita, the cubica1 contents of any building or addition to a uniform height throughout by multiplyin the ground area covered fram a poi�� 8�� 6� �nches below the floor line of the basemeat or cellar to the average heaght af the upner aurface or to the average height of the soof surface of the main gable of a pitched ro Z_ 5. For repairs or alteration8 to aa exfstiag structure the of. at the rate of $3.00 per each Fiye gundred Dollars ' fee sha1Z be thereof fa the cost of a11 proposed work. «Sfl0,00) or fractioa 2_,6._ In no case sha11 the fee charged for aaq permit as set forth in Section 2 be less than $Q,00. ..� �, � �""� � � �., .. - � lond Plannin9 687'S -Ni9hNa� �S ,v.E. La�d Swweyri� MinnreaPo/s 2/, .�;�Tst�9 EN G I NEE R I N G, I N C. ��'° Civr� & A�len,idpr� sunset4-6�6& E;�r� — En rneers � Sur vecJars -- � 9 9 cests�icate o� s��r�re �o: ��a. �a�P��:,� ��;,�� T .� ��`� �.��,�.;�r��.� �� ;_� k .�: � v , � � �ran ' � �a0 — —w � p r. / � � � � 42!� I � O 1 � ,',�' "� ?` \ \, �, P��J4=�0;� �`' , 13��iL1'�111�,�1'�._'t a� Qe, `} P.� e�- Ir�n ��r�7 "fi ZtG 1 -�- �� s ° , � B I '� r � o _� � � i �{,ei}t� e �1� 1111:N;t ��]: �tT:��f;�' `�� ' ----_._. _ _..._ _ ---.__�_e 1.._ ItOn , .� - � ��pjl ,� + (� ��.� '�� %� L� � � , � i�....i°��.�a�� a `�-i� �F� � $: �� .,�� . i,,%' �� w `�;: �� -e /ha�by cerfi�y flro/��hhis is ofir�e a►,d mrrt�# nprresenfot� o�'a su�way �'fbr 6�eos�a� �i'f�e ad�o,a ai�-.+�6�d �,and n�� laca�ii o,!!'011 dvrldur�s, �aear� , add/ risrdtr e�rr.�,vorhmerrfs ,��'axJ. �rn ar aasaid /w�d. As wnae�ed 6� n� � af y � a`� � 1�� A� �' SUB URBAN ENG/NEER/NG ,/NC. _ s Ff .Su�rufors � � � � � d�i`'� _ ��- °- , ,�� 4 �'' � ..�. � . /; �� / i � � d � n � '�� r �� p '� : y . �(�i . � m . m . y : o . a . m �7 . � : � • � � N � � � F+ � � � w � � o '�1 � � o �� N � . o � O • O � . o . � ' : � C4 �E a4 � � � O q O � 69 {/> fA H H � P � � � � � z� � z� z x � � � � � � 8 � � � M � y � � fD � F7 �� m ��a � �o � � : O � � o � � � a � � ' � a � : �- � : rn n A�. � � �- aa � � . . . . : � : : � : b � 5d �! 5� �C �C k w t� ca r+ r � � C�7� p C�i� O O O � vi {n �n rsi vi r» �� O � � C�' � � 0 Q x m a �� ► tS� � D � r'�' D � m �^ lI 2 m C r m a � ° i7" � a ° � n b � � � � � �' w � g � � � � y � �• � m ,. .. ..■�� : ..�' � :. �1 � ■■�� • • ■��, ,: : ��i � �eg $ � �� y � � �� , � � � ' a 3 P M y � � �• �` ' " � � �� \ �� I~ � � � � � I I"� a �� WATER � URINALS enrf+ � e�si�s SINKS w�, rw�rs DRINK. FOUNT. s►+wns. ROOR o�� GTCti BASINS AUTO W� GAS APPL GAS RANGE GAS OPENINGS � • 2 ! � � � P � � A.p.� � � � p" F�'4 � �a� � � �a � �� o�o�'� � �o � b ��° � � �' � � � � � � � � �.!. 7y � " � � b �� y �.� p��'o � � � p p' �, o �� ¢� �� A � � y .+�n� � � �o m � � y iYi fD rJ. � � � � e+- � a K � x� � ro a0 R� � �°n p � M � ►�, i�v � m W �� i a i � � � � � �7 �y � � V � � M � M � ee �`� . b � o � m � � � A V O �� . � �' _ b � � � � � a � � 0 m O � x � N � � � � � p co �;, VA 4i �y��:�~ t�l � � �� xw � � O PP � � � � � � � � � � � � � a � � � � W � p C to � � 'd � o �� .. o 0 0 o: o�: o �:: � � � : : : � : � : � oa �a oa o : w � en � '" � O O O � O � o � �G � c W � � � � � � � � � � � � � � � � � � � � O y i � " i o� � R. � � a w � � fD O r � � <� M I w o�a " � �, �� 0 �� : �: �: E: �. �� a a o O � � �� . � �. �; fA .:y -A � � �� b � �� . � �� R�j � p R� R� � � � � 3 (� � � �° � �, R° � � a � p �� $� ��RQ� �� ; �� g: : ° � $ � : : � � : : : : � � :�::: Crn tV tv Oo Oo lV en .tr lV 00 O O O O O O O O O O � � �ia � � � �� O „�� z 0 � � 0 x ° O � � � Oy �4�1' �. II � � O � � m � 0 Q 0 y � ¢ o �A ro � � g �. � � O y 7 he1 �{ Q � C ; ; � C ,4 � � � �' , 1 m � � � � �� .� �� a � �° � � � � A ��p'' � O � � �: � � � �� :: � g • : '°g $ : : � en en oe � O O O Q � 0 � a, a� `� � �� ° � � �� ' �'� � � o�� co � �ro � �' � a� �o �p}u� � �' p G`4 �`�8 � bo R' ��'�O �b � a��'� ��O p a' � o � ��m �� h � �M s�� o �� 5' � � � � m H 2 m C rm i � �! I � `�I � �%9 � �� L�V � a � V V 0 . � � . � � �� 4 .� �i 3' � � �'e . � ' a °� �� i. . - � 0. I� ' � ,� �,� _ ♦�'�- -�v ._„_ ,�. �►�r �.oss c,v..cuianoNS u�attrn�r oF Buu.nnvcs Weatherstrips A.S.H.V.E, Construction No. Guide Windows I Doors Reference Out. �jall Int. Wall Ceiling Roof Floor Kind Ye�o Ye� 19— " '� " Fl.� ,�li��i� Room � Length �� Width �/ Height � � Fl.� /` � oom � 1 Windows and Doors—Crackage and Area Windows and Doors—�Cr W►dth Helght No. ot Lineal f. Area � Wldth Helght Na No. ot pana ot pane lighte ot crack eq. [t. No. o[ pane of pane 116 �J° (�� 6�:3 �� d � � �- % Coef. Btu Iafiltration `i � �0� �� - Glass 2- � �� F.ap. wall �°J Net exp. wall � � �' '� � Int. wall Ceiling °� S � � � Floor Total Btu. �" %' �'' Required sq. ft. E.D.R. or eq. ins. W.A. Leader area �%F1.� Room � Lengeh o Width � Height Windows and Doors—Crackage aad Area Width Helght No. ot Llneal tt. Area No. ot Dane ot pane Ifghte ot crack eq. tG � � G ,�� ,� �� ca�f. B� Infiltration � � � �` 4 Glasa �� `� o� Exp. wall `r'�' �' ° �� Net esp. wall � � �' � � � � Int. wall Ceiling �� -��` `'� � �' Floor Total Btu. �� ' Required sq. ft. E.D.R. or aq. ias. W.A. Leader area c� Roum � Length,� Width Height , Windows and Doars—Crackage aad Area ---- -- Wldth— - HetBht. No. 01 Liaeal tt. Ares No. of Dgne o�Dafie IlBbte ot crack sa. tQ Coef. Btu ; Infiltraeion �/i' � � �.�' I �11853 �e � � Jl '� Eap. waU '4�'?�.(J��' ��°� j IVet eap. wall �. �� U ��" Int. waU ' Ceiling �d� o � � � � Nloor Total Btu. � f Required aq. ft. E.D.R. or aq. ias. WA. L.eader arca i B.D. 218 In6ltration Glaaa EBp. wall � �,� Net eap. wall Int. wall Ceiling Floor 1'otal Btu. � I� � -, - -=�� Iasulaaoa I' How Appli / �— Width � � Height and Area �eg� cc. area crack ea. [t /. rf fl � � ��3'�1 —� �� —� �� —� Coef. Btu ' e�� d e�0 �`t 6��' I �'� 1��. � Required sq. f� E.D.R. or aq. ins. W.A. Leader area Fl,l Room I 1.ength �� Width / Windows and Doora—Crackage and Area Wldth SelBht No. oP Lineal tt. Ares No. o[ pane of pane ItBhte o! crack eq, tt � �j� c�� 6 . �' � /�' •� � �.�" � / � , �� .o c� i� In6ltratioa ��` � � � � � a Glass F.�cp. wall � �� '- �" � Net eap. wall Int. wall Ceiling �'loor Total Btu. I�� `p /� '�� 4a� I'� '� � °� � Requued aq. k. E.D.R. or aq. ins. WA. Leader area � �.� Room I LenSth � Width Heighc �` ' Windowa and Doora—Crackage and Area ��,�-d A Wtdth Helabt Na oL L1nes1 tt. Area % Na of psne of pane Ilghts ot erack eQ. f� � � � �?, �e3, � �/ � f�� f Coef. Btu Infiltration 7 � � � � Gtass � , � `� J/ � �. �u �i' ,� - u N.� �r„_ wall /�� 0� o�G � �� Ceiling �� F7oor �� Total Btu. � � �� Required aq. k. E.D.R or aq. ias. WA. Leader area � SUBJECT City of Fridley AT THE TOP OF THE TWINS g U I L D I N G P E R M I T � � � COMMUNITY DEVELOPMENT DIV. L PROTECTIVE INSPECTION SEC. � _ � � .'_� , r , "; � . , � � �"'1 � CITY HALI FRIDLEY 55432 NUMBER AEV. �----� � •'� s�2-56o-sa5o 910-F15 JOB ADDRESS 382 Ironton Stxeet N. E. 1 LEGAL �OT NO. BLOCK TRACT OR ADDITION oescR. 3 1 Choua.nard; Terrace 2 PROPERTYOWNER MAILADDRESS A. R. Erke Sr. 382 Ironton Street N.E. 3 CONTRACTOR MAIL ADDRESS SamO 4 ARCHITECT OR DESIGNER MAIL ADDRESS 5 ENGINEER MAIL ADDRESS 6 USE OF BUILDING Residential 7 CLASS OF WORK � NEW ❑ ADDITION 8 DESCRIBE WORK Construct a 14' x 22' detached 9 CHANGE QF USE FROM STI PU LATIONS DATE S/17/77 ZIP PAGE Of � � PERMIT r 4087 R CEIPT NO. APPROVED BV SEE ATTACHED SHEET PHONE PHONE LICENSE NO. PHONE LICENSE NO. PHONE LICENSE NO. ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE ro Letter of release is to be signed by neighbor and returned to the city. Provide a hard surface drineway. �� 8efare digging calt local ufiili TEtEPNONE - ELEC7RIC • GAS I RE�2UIRED BY 1�A SEPERA'f'E PERMIT5 R�QUlREQ F�R �liRiNG� �tE/�'ili�G. PLUMBlNG -AND SiGNS. TYPE OF GONST. c�ocurwn SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATINO, w�d Frame VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTAUCTION ZONING SQ. FT. AUTHORI2ED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION R 1 322 OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION AND ORDINANCES C30VERNING THIS TYPE OF WORK WILL BE COMPLIED. $2� 2')9 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMITFEE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- 12.32 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $ PLAN CHECK FEE S�GNATURE OF CONTRACTOR �OR 'THORIZED AGENT IDATEI �% � /y„ .� _ � .S'�� 9 � �.. ,,� GROU OF P OCCUPANCY CU. FT. 3220 iTREET PARKING GARAGES fAX $1 14 CHARGE TOTALFEE $13.46 D THIS IS YOUR � CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS �NEW, ALTERATIONS, ADDITIONS, OR REPAIRS) OWfdER: ��, �, (�,,�f2r��/�� • BUILDER: L/�' �� r�,°� �- Address : ��j �� `��, � �, � Address : '3 Q �. � �,,," �i�. � � Te l. No . '� ��-- � F y 4 � No. : ;�j �" � Street: �,�, /� �� / ! LOT: � �j BLOCK: � ADDITION: L�/l�.J __ , _ �" �� , � .. . . �� CORNER LOT: INSIDE LOT: � 5;TBACK: 5IDEYARDS: Applicant attach.to this form 7.tao Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: � � — � Front: _� Depth: Height: Square Feet: �oZ Y Cubic Feet': �� Front: Depth: Height: Square Feet: Cubic Feet: � Type of Construction: Estimated Cost: $ To Be Completed: �. � f — 7"1 Alt. A �lt. B Proposed Driveway Width If New Opening Is Desired �� $ $ (SEE REVERSE SIDE OF SHEET) The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. See reverse side for additional information. DATE : \�— % % — 7 �I 5I GNATURE : �___� /)�� Stipulations: ' a�3� G��, � . i � �� J 3.�� 4� BUILDII�G PER��IIT FEt SCHEDULE SECTION 2. The Inspector of Buildings sha�.l, 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 repairs 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: ' NEW CONSTRUCTION: 5ingle Family Homes and Garages: $4.00/1,000 cubic feet.. PLAN CHECK: 25 percent of building permit fee. DRIVEWAY DEPRESSION: (Concrete Curb Streets Only) Alternate A: Removal and replacement of concrete curb and gutter only; Driveway width plus 6 feet x$11.75 Alternate B: Removal and replacement of concrete curb and gutter and install a 3 foot wide approach with 6 inch depth; Driveway width plus 6 feet x$15.40 _ADDITION L INFpRMATION For the purpose of computing fees for building permits, the cubical contents of any building or addition, is determined by multiplying the ground area covered from a point six (6) inches below the floor line of the basement or the cellar to the average heights of the upper surface or to the average height of the roof surface v of the main gable of a pitched roof. For repairs or alterations to an existing structure, the fee shall be at the rate of $3.00 lier each five hundred dollars ($500.00) or fraction thereof in the cost of all proposed work. In no case shall the fee charged for any permit as set forth in Section 2 be less than $7.50 plus $.50 state surcharge. _�/ERIFICATIOV OF FOUNDATION NOTE: Permits �or 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 SuYVey of the lot, showing the location of the foundation once it has been constructed will be required before proceeding with the framing. CtRTIFICATE OF OG�uPAtdCY Application for a Certificate of Occupancy shall be made ten (10) days prior to the use or occupancy of any structure for which a building permit has been issued; and s�.id structure shall not be used or occupied until a Certificate of Occupancy has been issued. t ,,� t -� t, -.4 AGREEMENT � � �' �� ' � L �. tic�.,�y ��1�'rz� �T11.=` � �i�� <<��"�� l f�C� ► owner of the property located at � ,_„�i��°,� .�t,� �� e h�ve no objection to the � City allowing the construction of a � f__,.� to be located at ��' 7 ��«1�� without the required cex�tificate of survey that the City ordinaxily requires for all new construction. �L- �_ �f r . �;.� Witne cF I� � - -� � � � � _� —� � � ��`� . il-��i�c-�.'si � C �/�i cc a �� ,, 1 �— � _ I �� C�� t:;-� ;,� �i �'� l�%r'�'t - ��.� ` ��" F / �i.gnature ��' �� - �%� �.��=-"��,/�� Address -- °� � l� � /�� Date SuBJECT City of Fridley AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r � . � � � • COMMUNITY DEVELOPMENT OIV. r � y � PROTECTIVE INSPECTION SEC. � 'j �"'1 � CITY HALL FRIDLE� 55432 NUMBER pEV �"""'�'� �'' 612-571-3450 910-F15 JOB ADDRESS g82 Ironton Street NE 1 LEGA� �OT NO. BLOCK TRACT OR ADDITION DESCR. 3 1 Chouinard Terrace 2 PROPEFiTY OWNER MAIL ADDRESS 3 CON7RACTOR MAILADDRESS Stock Roofing Inc 289 Liberty St NE, Fridley MN d AiiCHITECT OR DESIGNER MAIL ADDRESS 5 ENGINEER MAILADDRESS 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW 8 DESCRIBE WORK Reroof House (12 9 CHANGE OF USE FROM ❑ ADDITION Tear-off DATE PAGE OF 9/5/96 / / '��_�5 � RECEIPT NO �� APPROVED BY SEE ATTACHED SHEET ZIP PHONE ZIP PHONE UCENSE NO. 32 780-3561 3112 Z�p PHONE LICENSE NO. ZIP PHONE LICENSE NO. ❑ ALTERATION RO REPAIR TO O MOVE ❑ REMOVE STIPULATIONS Underlayment must comply with the State Building Code. TYPE OF CONST. OGGUPAN S�PARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTII.ATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTHUCTION ZONING SO. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERI00 OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED NO. DWLG. UNITS I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION AND OHDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $990 DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pERMIT FEE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING coN- �34. %S �3�F. 7SIF RUC OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE �I -'�� -�� Lic se SIGNATURE O: CON � RACTOR OR AU?HORIZED AGENT IDAT6 PAO VAU . / . �DATE� GROUP OCCUPANCVLOAD CU. FT. OFFSTREET PARKING GARAGES SURTAX $.50 SAC CHARGE Fir SC $.99 TOT F E $ .99 fE S IS Y PERMI % � qqTE r�w ADDN ALTER i] [l [l ConstructionAddress: CITY OF FRIDLEY SINGLE FAMII,Y AND DUPLEXES R-1 AND R-2 Building Pemut Application �c�� 0 �� '"� � � i C� ot' �� Effective 3/ 1 /96 Legal Description: � _ � I � � �� L • � , C..: �O l,�- � : � !� ,0�� ! � � i � � � Owner Name & Address: Contractor: �� L�L� Address: � LIVING AREA: GARAGE AREA: DECS AREA: OTHER: -��(S� Tel. # � rt-�� itr�, MN LICENSE # � ! lol � ��C , f i�t � �� y..� Tel. # ��C� ° 3� � % Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IlVIPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. I,� Width HgtlGround Sq. Ft. '/�- \ _--� S- ��) r� r�� r r C�. l 1� S 2 1 /�` r�Z �-r ��r Corner Lot [ ] Inside Lot [ ] Type of Construction: � Approx. Completion Date: _ Ft. Yd Setback Side Yard Setbacks � Estimated Cost: $ �� (Cost on Back) Driveway Curb Cut Width Needed: F 6 Ft = Ft x$ _$ DATE: � �I � APPLICANT: � Tel. # %'�� ! Permit Fee Fire Surcharge Sta.te Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Pazk Fee Sewer Main Charge TOTAL STIPULATIONS: ��.�ls � �3<-. � $ � $ � �� $ � S .D� $ $ $ $ CA'Y USE ONLY �� Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.50/$1,000 Valuation $900 �r SAC Unit $5.00 (State Licensed Residential Contractors) Alt. °A" or Alt. "B" Above $450.� Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] �r�'# , � �� _ � BUII,DING PERMIT 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 pernut 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,(�0 $25,(�1 to $50,000 $50,001 to $100,000 $100,001 to $500,000 $500,001 to $1,000,0� $1,000,001 and up FEES $21 (Minimum Fee i� $21 plus surcharge) $21 for first $500 plus $2.75 for each additional $100 or fraction ther�f, to and' including $2,(�0 $62.25 for first $2,000 pius $12.50 for each additional$1,Q00 or fraction thereof, to and including $25,000 $349.75 for first $25,000 plus $9.00 for each additional $1,000 or fraction thereof, to and including $50,000 $574.75 for first $SO,OOQ plus $6.25 for each add.itional $1,0� or fraction thereof, to and including $100,000 $887.25 for f�rst $100,0� plus $5.00 for each• additional $1,D00 or fraetion thereof,.to and. including $5�,000 $2887.25 for the first $5�,000 plus $4.25 for each additional $1,Q00 or fraction thereof, to and including $1,000,000 $5012.25 for the first $1,(�0,� pius $2,75 for each additional $1,000 or frdction thereof DRIVEWAY DEPRESSION ESCROW (Concrete C�rb Sireets Only) E1lternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50. Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $15. 75. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of tiie construction site. , A Certifica.te of Survey of the lot, showing the location of the foundation once it has it has been constructed `"''' will be required before proceeding with the framing. sue�eer P City of Fridley 3 0 8 6 4 AT THE TOP OF THE TWINS � � I L D 1 N G P E R M I T i . R PT NO. � � � ; y ____. COMMUNITY DEVEIOPMENT OIV. /�� r � � PqOTECTIVE INSPECTION SEC. '�� i � � /"'1 � CI?Y MAIL FRIDLE� SS132 NUM�Hii REV OATE pAGE Oi AOPROVED B� �""� � �'' 612-571-34b0 9tQ-F15 4/26/00 / / 108 ADDRESS g82 Ironton Street NE t LEGAL �OT NO. BLOCK TRACT OR AODITION SEE ATTACNED oescR. 3 1 Chouinard Terrace SHEET 2 PROPERTY OWNEp MAIL ADDiiES$ 21P PMONE Michael Kane 382 Ironton Street NE 783-5655 3 CONTRACTOR MAIL ADORESS 21P PFIONE LICENSE NO D M Hawkinson Home Improvement Inc 4891 Olson Lake Trl, Lake Elmo MN 55042 A AiiCNITECT OR OESIGNER MA1 ADDRESS ZIP PNONE IICENSE NO. (651) 777-8219 2325 5 ENGINEER MAII ADDRESS , ZIP PMONE LICENSE NO 8 USE OF BUILOING Reside 7 CLASS OF WORK p NEyy ❑ ADDITION O ALTERATION � REPAIR O MOVE O REMOVE B DESCRIBE WORK Reside House 9 CHANGEOFUSEFROM TO STIPULATIONS Call for building wrap inspection before covering. TVPE OF CONST. OCCUPANCV GROUP OCCUPANCV �OAD SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAI, PLUMBING, HEATIN(i, VENTIIATING OR AIR CONDITIONING. TMIS PERMIT BECOMES NULL AND VOIO �F WORK OR CONSTiiUCT10N jONING SC. FT CU FT AUTMOR12E0 IS NOT COMMENCED Vj�ITMIN 80 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENOEO OR ABANOONED FOFi A PERIOD OF 120 DAYS AT ANV TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CEpTIfY TMAT I MAVE READ AND EXAMINEO THIS APPLICATION 1 STALLS GAFAGES AND KNOW TME SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS ypLUAT10N SURTAX ANO ORDINANCES GOVERNING TMIS TVPE OF WORK WILL BE COMP�IED �(F�OOO y�L.00 WITH WHETMEp SPECIFIED MEREIN OR NOT. TNE GRANTING OF A PERMIT DOES NOT PFiESUME TO GIVE AUTMORITY TO VIOLATE OFi CANCEL THE pEqMIT FEE SAC CMAiiGE PROVISIONS OF ANV OTNER STATE OR LOCAL LAW REGULATING CON- @ TRU TION OR TME PERFORMANCE Of CONSTRUCTION � �97.25 Fire SC y+4.00 � � e PLAN CMECK FEE TOTA FEE Licens C $5.00 08.25 SIGNOTUAE OF �ON'RACTOp OA AUTMOR�ZED AGENT ioATE� EN PFOP ALIDA THIS IS Y EpM T � � �� S�GNATUpE O� OWNEA�� OWNEA BU4DEp� IbATE� � �'pa' �NS� � ��T NE1N [ ] ADDN [] ALTER [ ] EffecWe 1/1/2000 CITY OF FRIDLEY (763) 572-3604 Bldg Insp SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Constru�tion Address: Z /'U • � _ � �Q_o ov � N , 4�"�ae� Legal Description: Owner Name 8� Address: �'lil � c�+�L (-(� �.q Tel. # � � z "-I� � � �S Contractor: �� wl ,(—j�.c�U k� �n�., ��,,.p�,�,,��{� vvG, MN LICENSE # � 32 � Address: LI4�I c T� ��„ tc+►� �TG-� r � � d� �(wc� J/�t�t/ ��el. # � .� � �- �?`1 �Z t �t , Attach to this application, a Certificate of Suniey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LMNG AREA: Length Width Height Sq. Ft GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft OTHER: Construction Type: i� � �t� �«�-�-- " �-�iN�2 Estimated Cost: $ � � � 0 a Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x$ _$ . DATE: °� � Z �P I 00 APPLICANT: �P� iM ' �C��.t� Tel. # � � � � � � CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application Permit Fee $ %�S� Fee Schedule on Reverse Side Fire Surcharge $ , d .001 of Permit Valuation (1/10th%) State Surcharge $_ �eDd $.50/$1,000 Valuation SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee $ $1100 per SAC Unit $ � �O $5.00 (State Licensed Residential Contractors) $, $ $. Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [] Not Necessary [] TOTAL STIPULATIONS: $ �� 5�' z �s BUII,DING PERMIT FEE SCHEDULE The Cluef Building Official shall, before issuing permits 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 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 $2,0� $2,001 to $25,000 $25,�1 to $50,000 $50,001 to $100,000 $100,001 to $500,000 $5�,001 to $1,000,000 $1,000,001 and up FEES $23.50 $23.50 for first $500 plus $3.05 for each additional $1� or fracdon thereof, to and including $2,000 $69.25 for first $2,000 plus $14.00 for each additional$1,0� or fraction thereof, to and including $25,000 $391.25 for first $25,000 plus $10.10 for each additional $1,IX?0 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 $100,000 $993.75 for first $100,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $500,000 $3,233.75 for the first $500,000 plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,0OO,OQO $5,608.75 for the first $1,000,000 plus $3.15 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete C�rb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $15.50. Alterna.te "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 _ �-. _ .� Building �� MECHANICAL Permit Ivo.: 0�7 -�a�� Inspections �' w �+ SIDENTIAL APPLICATION Received By: � 763-572-3604 CITY OF FRIDLEX �'�e'�, • DATE �`� � LG ` U� YOUR &MAIL ADDRESS SrrE twDx�sS �� a ��-o�n o� C� re e-� THIS APPLICANT IS: O OWNF,R �]CONTRACTOR PROPERTY N�: ,e � OWNER/ ADDRESS:�� ror� v� �� CTfY � � STATE�IN ZIP �S�I'3� �N�t'r PxorrE: °1 l�3 - i� 3° SCOSS'� CONTRACTOR co�arn x�: C�E�OINT ENERGY SUBMIT A COPY OF CONTACT PERSON: '7OANN �a INREN YOUR STATE STATE LICENSE # EXP DATE LICENSE WITH ,�D�ss: g3�p �vERGREEN BLVn STE �rrx ��coc�i� °RAP.zns sTn�MN z�55433 APPLICATION PHO� �63 — 757 -- 6202 F� 763--757--6701 PERMIT TYPE �� GLE FAMII.Y ❑ TWO FAMII.Y 0 TOV�NHOUSE TYPE OF WORK: ❑ tvEw o x�r�cEMErrr �Tgtn'['ioN/x�MOD�, DETAILEDDESCRIPTIONOF WORK �.r�5�c�...`\ '��-� c. Ai C` ��S `C � PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost np to $500.00, whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor ) Labor cost under $300 =$15.00. Labor cost between $300 to $500 = cost of labor x.OS = FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASID ON $10.00 PER FIXT'IJRE, EXCEPT WHERE NOTED. FIXT[JRES: (INDICATE TOTAL NUMBER OF EACH BELOV� EquipmeM Inslalled MFG: ��+►.v..� MODEL: U �'� S� N�1 � o7�c �% SIZE/BTU �,12 "i0 V1 MFG: MODII.: ' SIZF/BTU 1Vg'G: MODEL: SIZFJBTU �A/C $25.00 _FIItEPLACE (GAS) $15.00 _GAS RANGF/OVEN $]0.00 _AIR TO AIR EXCHANGEIIt $15 FIR�PLACE (WOOD) $35.Q0 NEW GAS GRILL $10.09 _BOII:ER $35.00 FURNACE $35.00 _GAS UNTf H1R $10.00 _CI�IDVllVEY LINER $10.Q0 GAS DRYER $10.00 A00�, IiEATER $35.00 DUCT WORK $ lO.OQ GAS PIPING $10.� VIIVTILATOR $15.00 : f .: t �tti i ''�� .�,�i i-' t�� ..`-�� '�G�r,� �t'�.i�a �! � ''� "a .;a �,m� � v. . _.._, •� , .;.�: , . i. - . . .. ... . . . .,. _ ��. . _.. . . , .,, , . -. . . . .� . . . ' , �: . . ,' .:� �'ermit Fee $ Number of fixtures @ $10.00 x $10.00 = $ Surcharge $ .50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE $ Number of fixtures @$25.00 �_ x$25.00 =$ S. Number of fixtures @ $35.00 x $35.00 = $ Sta.te Surcharge = $ .50 Tota1= $ a s , � THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTII, PROCESSED I hereby apply for a building permit and I aclmowledge that the information above is complete and� accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only a.n applicarion for a permit and work is not to start without a germit; that the work will be in accordance with the approved plan in the case of all work which requires review and approval of plans. SIGNATURE OF APPLICANT ��. �• � � x� ROGER HOFFHE IN DATE I I' Olo " O� �. `�n; .� r�'f.7� _ � \ ll� g S . � # s '�� .. � �;y 'k . � W "i, , � �--� - .�.a , d City of Fridley Building Inspectionsj Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 City of Fridley Residential Mechanical Application Page 2 REQUIRED INFORMATION NEEDED TO PROCESS PERNIIT RESIDENTIAL PERNIIT APPLICATION HVAC 0 NEW HOMES/ADDITIONS �EXISTIl�TG HOME ❑ MAKE-UP AIR REQUIRED FOR NEW/EXISTING HOMES }. C�bastiQn-Ai� f See �c�e belovv} - -- ----_ — -- a. Oil or solid fuel IMC Chapter 7 with MN Amendments b. Natural Gas or Propane/IFGC Chapter 3 with MN Amendments 2. Make-up Air (See note below) a. IMC Chapter S with MN Amendments 3. Venting a. Ga.s appliances IFGC Chapter 5 with MN Amendments b. Fuel other than gas IMC Chapter 8 with MN Amendments REOUIItED FOR NEW HOMES 4. Heat loss & cooling load per room a. Required on new construction IMC 1346.0312 5. Ventilation a. Per MN Energy Code 7670 or 7672 � 6._ Duct Design Per IMC 1346.0603.2 - - — --- - - a. ACCA Manual D NOTE: Centerpoint Energy Mechanical Code Guidelines software may be used for combustion and make-up air calculations.