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AF - 46869City of Fridley AT THE TOP OF THE TWINS i � � � � i L____ COMMUNITY DEVELOPMENT DIV. r � PROTECTIVE INSPECTION SEC. � � i' i ' --N� �"'1'� CITY HALL FRIDLEY 55432 � ' , 612-580-3450 SUBJECT BU ILDING PERMIT NUMBER REV. DATE PAGE OF 910-F15 5/ti/7ti � � JOB ADDRESS 411 — 413 Ironton Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION oesca. East 75.5 of 3 Bl ck 1, Froid's Addition 2 PROPERTY OWNER MAIL ADDRESS ZIP Donald Sexter 6048 Lakeland Avenue North, Crystal, Mn. 55428 3 CONTRACTOR MAILADDRESS ZIP Village Builders, Inc. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP 5 ENGINEER MAIL ADDRESS 21P . 1349� R �p� 99 . O� � APPROVED BY SEE ATTACHED SHEET PHONE 535-3361 PHONE LICENSE NO. PHONE LICENSE NO. PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK � NEW O ADDITION ❑ ALTERATION � REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK a Construct a 44' x 25'9" Double Bunqalow and a 26' x 24' Garaqe �����`����� 8 CHANGEOFUSEFROM TO TELEPHOf�E - ELEC I hIC �^�r'i� Ek�� REQ9�1��� �� L�"� STIPULATIONS pravide a hard surface driveway. Provide a verifying suxvey before capping. Provide sod in the front and side yards. Provide truss design. Front yard s��ac'lt to be a minim� of 38 feet. Sul�mit sound wall design prior to installation. ,=�Agreement on sewer service to be signed. r SEWER: No service available - Sewer main is 20' South of North RJW line of Ironton S �� WATER: MUST BE TAPPED, 12" CIP 10' South of North R/ W line of Iranton Street. � �aE cinr o� F�i�«r �o�s r�oT �u���,r���� °��L —Bi����T��T— ACCURACY �F Ul°illTY LOCATI��9S At�D E�� a�.'i.�. �,��. TriiS DATA IS FOC� Ydala Of.MA�'10�1 PU�:PQS[5 O\LY ,�� NOTIFY �THE Ff�IDLEY ENGR. F�ERSONS USIRiG IT SHOIlLD V��9FY Th9E IiVFORlv�i�C?� DIVISlON REGARD9NG GURQ OP1 Tii� SIT�. R�MOVAL AND REPLACEfVIENT i4T �RIVEWAY OPENIN�S. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, �PE OF CONST. VENTILATING OR AIR CONDITIONING. WOOd F1'33IIe THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING AUTHORIZED IS NOT COMMENCED WITHIN BO DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT R 3 ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 2 AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $39�3%S DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. � SS'rJ.1.2 � SIGNA �� �. � �� iNA7 y `T , � � AGENT OCCUPANCYGROUP OCCUPANCYLOAD SQ. FT. CU. FT, 1133 + 624 23,552 + 624( OFFSTREET PARKING STALLS GARAGES SUFTAX $19.69 SAC CHARGE $%�0.�� TOTALFEE $774.81 'RL V L ATED THIS IS YOUR PE IT ^�+ � � �/�� -.� � CALVIN H. HEDLIIND (.�nd Survpm • Cir11 Ertpirtw - . . ::::,�=�- surve orjs G��rt� �cate � 4818 Onniook Lake Circle Bl�rrtington, (�innesota fi5A37 888•�0 �lIR�G� �RI ��.����r� ly A �b� °.r���y . �J1r ��r��1.�,31° J�8 :VO. DEBCRt� ns� The East�rly 7��.5 feei �a� measu�ed alon� tT�e n�rth�rly an� �authPrlg� 101: l.�in�a �hPreof, nf T�ot 3, Bloc4c 1 FR�ID'S A�DDITIi�I�, �i�y of' I^ricil.e�F, �not�a C�unty, I�i�nn ���►d �e��rvin� e�sem�nt� of record. � � (U `� ��• � .� .__.__ � � � i � �,% � �RTIFIGA7� OF .LOC�,TIOf�I lD4LDIP16 b�re6y certify �hat qn / �D enade a surmey of the locaeion o� th� �i9d'asrg on the above i9eserib�d peapetty �d Qhat #4�e 9ocation o# s�id buildit�g is ��rectly sh �he ab e p. t. °�r#��� �►t �°,.�sd�..,' I�-�:;- o' ,._�.. •, � ;:�;� e'.�.-�� �.w�,�,d ..<_-�,�. .. . � .. ' _ '�iOY�'�� er'd �i�.Y? .��C"r'i:�;,• ,- ,. .'+::i': . ° .i:��.,^v,�U�t"�. ,. _s'IC:...:-Ce , �".. � f �i�r, ..�. , ���L�Se�d'� i't :{4:vG ' v�._. < G, _ ...+19•��f��y �•i1- .�tl fA�� i�'� Fr�it?�� �?�&l�o 0 E � ,r; �=' E- e r . . � � ��� � � � �� � � � tid C� 4� - :�; `° • • .r _ � ...�.... _�.� .�� e � ,��� s �+' `1 r�l I • �J � � .��/ _ �J �. , �i � �. '� ,�'►��6��t°AN�i;a���L-:.,z�� �r�� -- .-. -,.....' ; F;- , �� � . ' ' . . �', .. � ,. �-,I • . • _ �BR� I'� ICATE OF SUitVEY _ . ^ � , I hereby cer.tif�r �that o� ����� �. I surveyed the pir4gerty described �bova� ` � �nd thae ti►e �bova glat ir a cc�rreet tepresentation �f �aid s�rvey." � • ';I � : � ,�. . •.. 1 r � � >,� .� � � ����.�.�� � . .�_ �`� '` �' ,� " ,� ;"�' ,�' "�� ,� '„� ,�..o,�. �: � � `��Calvfn H. Hedlund, � Mfnn. . Reg,�' No, � � 594�2 ��� � � _ ' � �I ApPLICATION FOR RESID�NTIAL, ALTERATION, OR AllllITION BUILDTNG PERI�4IT . � CITY OF FRIDLEY, MINNESOTA OWNER' S NAME : �� BUILD�R: � /,�f1�,�/���,�I� �G ADDRESS : �����/,i�f�d��IvDi� /�// ADDRESS : �/f1M� �— ��/���� S T NO:. STREET: � D/���' ° � OT :� 3 BLOCK : f ADDITION : r'I� �� O.f' OO COItNER LOT: INSIDE LOT: � SETBACK: SIDEYARD: Appli.cant attach to this for.m Ztao Certificatas of Survey of Lot and proposed building location drawn on these Certificates. . DESCRIPTION OF BUILDING To Be Used As: Pdu�°�E $u,�uG-�tAw , ,! � �d . ,�.�-5 Front: �� Depth: -2:i. ^ i Height: Square Feet :�/- 3�Cubic Feet : � 3,� �.J'� � �o-u84� �'4l�C' Front : � � Depth : Z '� Height ; / � 0 . � Square Feet; � � T Cubic Feet : � � � (,� �► �pe of Constxuction: �00� �11%1% Estima.ted Cost:_ $ � To Be Completed: lii�� ,� � �9� `��'� The undersigned hereby makes applicativn €or a pexmit for the work herein� specified, agreeing to do all work in stiict 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 txue and correcC. • � DATE: �r� %y SIG (See Reverse Side For Additional ��,�° ��, �z �` /_ fs�i % \� �."7/-'- ��L«�.A-ri�ros � �eov�o� ur�,�a,� �,�! ,.S3,1.�3`i , 5��� ��illR �i" IQ�Q �u2� 13 ' ` �o�e?� • � ��IOe �.�,ss � lV 07E: �4G�L • � s� 4.,J o��+2� o� � s s�•s�N � P,� �� .� �- ��i� � � � � � '?�, �'l (� "�GQ�J T �W� v 5� • � , 1 � hr ��J– 38 � °����� . _ ` . \ � ���_ � Su.�r11 �r-' �Sa�w�i-or s�'au�.- ��l�.g� { ..... � , ,. �_. . - ` / b � a--°�- _ '��r - �_� �`- . : - ' �;,.�, ;, .. u �BUILDING PERMIT FEE SCH�DULE SECTION 2. The Inspector of Buildings shall, befoxe issuing permits for the erection of any building or structure, or for any addition ta any existing building or structure, or for any alteration or repairs to any existing building or structure, upon applicatibn therefore, require the payment by the appli.cant for such permit of fees to the amount herein below seC forth and i.n the manner•herein provided to-wit: _ IAVIFORM BUILDING COD�: Zj►pe 1, 2& 4-$2.15 fox each one thousand cubic feet, -ar fraction thereof, in such cubical contenCs. Type 3& 5-$1.85 for each one thousand cubic feet. � ' ADDITIONAL INFORMATION For the purpose of computing fees for building permits, the cubical contents o£ any building or addition, is determined by multiplying the ground area covered from a point six (6) inches Uelow the floor line of the basement ox the cellar to the average heights of the uppex surface or to the average� •height of the roof surface of the ma.in gable of a pitched ro�f. For repairs or alterations to an existing structure, .the fee shall be at the rate of $3.00 per each five hundred dollars ($500.00) or fraction thereof in the cost of all proposed work. . Tan no case shall the fee charged for any permit as set forth in Section 2 be less than $5.00. VERIFICATIflN OF FOUNDATION NOTEs Permits for construction will be issued a minimum of 24 hours from the time o£ application, to allow for proper review of the proposed structure and of the construction site. . A Certified Survey of the lot, showing the location of the foundation, once it has been constructed, will be required before proceeding_with the framing. CERTIFICATE OF OCCUPANCY Application for a Certificate of Oc�upancy shall be made ten (10) days prior to the use or occupancy of any structure for which a building permit has been issued; and said structure shall not be used or occupied until a Certificate of Occupancy has been issued. � � . . � . - �� i . .. . _. _ . . _ . . . .. . . . _ . __. .. _ . , ! C�LVIN H. HEDLUND I,�nd Sunr�lro► • Clvil Enpin�ar surve ar�s G'ert� �cate � 4818 Ovarlook Laks Circts Bloominpton, Minnasota 65a37 e�e•aoao SuRVE�r FO[�� Villa�e Builde�s Zne. �oe No. DESf�n� �Se 'I'h� Easterly 75.5 feet as m+easured along t�►e northerly and scsuth�rly 1�t� lines thereof, �f �ot �, Blocl� 1�'Rt�ID'S ADDITIC�S�, C�ty of �'rid1��, Ar�c��� Cau�L�', i�inn end reserving easementg ng r�QOrd. �� � �� �IJF�� f Q� � � / � ��m� � ' :� / �' �� �.1� `a, �,,,,a . ������R��� = ����'`Y i�JE �RIDLEY ENG►�. BI�I�l�N �ECaR�s�G cu�� ��M@VM�, AND REPLACEM�IVi' �!� B�3IVEWAY OPENINGS. � ��; ,� .'�� �— � � �� ,� «> �� p ���I C � .� � � y`�' t' .i L �'�i��OfC � �',>„ , J �, � �C�r�@ i��9c�1;�:; � �ELE►�H�d�����L� ih'eC_ '�� :� IOo Gri„ F� �� � � :,�n:./77'�� � a ` � � ; ��' � = h �� ,7 � l�� �, �QS� � y a �� � � � �� �; `r����� _� � ' ,} �'�o �,; :T�}t°< �7„ ii.•L a,y i'_ z., R� n _ t_,.i,e.i �t��A ►..vP�T C�9�°9�.i��� �u�C �C - Tid� c.a�r �Y' he ;� bY ��d a��ua��� �� a����a� �.oc��u��� �c�� ����a�o�.�. � �as ��a� a� �� Q�s� ��t� ��� �ea�� ' �o���i+�a�o�� � P��S0+�9S l9�@C�9G �1' �RTS� �►� OF SURV�Y � 06� T�� s9��. F I hereby eertify that on ����� �G. I surveyed the prop�rty_._described above __ --- and- that--tha-sb�ve �►lat- ii a corratt ��p'res�s�tatiam-af�zi� eu�ey�_ . � _ti � � � �� �,n ',!r � ,�, . �� �` t +°" �'`� g�r .'�_ � s' � .� � �;�,�t,� ,'�y"��' ; y • E��q���;_ tw<� s -- Calvin H. Hedlnnd. Minn. Reg. 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I ` � �a � C � � C� ;� p � o c :�z m � �' � � 3 � '; � •� � � ; �� E � � !� � tl+ m ,� S ;b � a: � �W, j �� � o � i ,'� ; � ;� j� I � � � •� , � I a � � ,� �� ,� : �c '� ! , �� i � ni � e � o � � � � R �: .. 00 � Q. w � C � � � �tt - �' ��� �. a� ! ��� � >>_..�� � 9 y ~ � � � i � � � �� � 3 � � em s !�, • j !� � � � g � 8 M �os a a+ o � g g � � r� � ; � � i � i mm� �a� � � aa� � A��� � � -• i � l � °�' � m .. , � ��� .. �� �� a . ��s a 1� w� a� `�G O a. � n �- ���� � �OE� � � ���. � � Q �xa � � �a'ti mahd i �� .... s ( ���� �" �°'°� � M '1 :.� » A �,'o � �� � � � 1 p� � � `` R �1y �' � � � �� ���p : � . ��� � � � � � � + � � -. � � . a -- ;� _. � �. _� � � � � � � �^ lJ _ � C � � &. � � � ti�i � c t �, � � :� "'�c �: ,:. j: 4 ei? K� {. � k,. 4t ��: �. � r � � �� ��� ��� ���� y� �.= �� c�� - - � -. o . HEAT L�SS CALCULATIOI� �������� ��� ������������ ��. r�iNNEAPpL°S !;�IPJN.� ►�eattie�strips A.S.H.�,�.E, Cotistruction ^io. !�sulation Wi^dows , Doors Gu�de y�, yyall lnt. YJall Ceiiing � Roof Floc�r Kirtd Referenro ( Ho�+ - �ed Yes-tio ' Yes-No �g ' , ; � � � I FI -�%L,-Ly�,, LRoom � Le�9t`� �� Width S� yeigtit �/ �1. �,"U ' � �J:i., �;,,,,,i �e�,c*'- ; � 61'idYh �/e, �e�ght �� tiamdows and Doors—Crackage and Area � �"u'indo�vs and �oors—Crackage and Area �.�. LL'�Crh Height No, c` � - °� Area I � ��f Pan.. i of pane I�gh:s �,'�"'.-��-_�� s4. ft. �:,,. 15'�drh I -- �. .� :' �_ e3� .� Arc�a - I of Pane _�� ,i�chts .rack sq. ft. z� v�- � -- i ,� � z z s;� � i �? �z o � � I � i � I I � lnfi►tration i s-� I � G iass � Exp. wal I, j� k' � ' y� � �d Net exp. wall �.�. Int. walt Ceilirtg ��X�S/' ��G< Floor • � Total Btu. Required sq. ft. E.D.R, or sq. ins. HJA. Leader area ,� Fl.��r Room � Length ja Width 6"Jindows arrd Doors—Crackage and Area No, Width He�ght No. of L,meal �> Area of pane , of pane lights �f cra-4 � sq ft G. I �i � � �.� � ��� JO) �� Coef! Btu I I I ; j��`' �. � '7 G, _� infiltration ,� ;' I I 2 � - G Z-� `/ � Glass ��I �� `Z � �, Exp. wa I I � j� � � � � / `� �' � Net exp. wal I � � � Int. wall � Ceiling a Fioor Z Z.1C.1 C-� '�ZC.� T ry G� � Y � Total Btu. � �� �� d Reqwred sq. ft. E.D.R. or sq. ins. W.A. Leader area a � ip Height � � F� ��$������ I Length Z Width Mzi ht �/ /� 9 � V'Jindows and Doors—Crackage and Area ,yo, Widrh Heig�t No. of Linezl tL Area of pane of pane I�ghts of crack sq. ft. Z �� y ' � � 7 .�� Infiltration � � I . i � Glass ' G G i Exp. wail ZC9�' g I �� Net exp, wall !� Z 6 Int. wafl i Ceiling %OxCL-� i •�yc � y Floor � Total Btu. Reauired sq. ft. E.D.R. or sq. ins. 1�.�. ��ader area ` F�i%/i�i ' f�� % Room I Le^c*., z� �Vidth /' VJindows and Doors—Crackac_ a�d Area ;�� j W�dih � He�qht No. o' _ -_ � 4'f'-3 � i of pan� of p�ne ligh•s - - -- ' cq. �t. � � j� �i�- "` ; °- c' ' G ; Z i ��% ! �� Z.? ; 4�; � ; � _ i � I � ' C:�e= (rfi;traticn �:!ass Exp. wall yy� g `4et exp, rrail �-+t. wall Ce,��,g ZZ�Cl�.- �'� ' % ��• : 2,— � � � � ��y � •----� B tu r, -� c� S� 7 �-�--�_ i �� L= � �� I' s� i Height Sf ? t,: ��� � � ����� %� � Infiltration Gtass Exp. wal I f� X� Net exp. wall Int. wall Cei I ina Floor � --?X � 5'` T�tal Btu. � �Coef, B tu Z? �L: / �y z6 �v'. � YC 1 ' �� �C�a�' � � .�a �-- _�i ' �, 1 � �.equired Sq. ft. E.C.R. �r sq. ins. Nl.�. Leader area � ^com i Lenqt� Width ��'�ndows and Deors—Crackage and Area � 6V�r.rt,�- Ys. �` ; h Area ... 1 Uf [i;i�le ' t�! ...'__� I��hLS _�f^.'•3_k SQ. ft. i ^F� l!r3tiort �� I ass =Y�. W31 � �,et exp. wal I � ... .. � � C?i�in9 �* l-: � o'.e� 3LU. -- G f ``— ' � � � `�' � t3; 3+,u. �e^.::�reC 5:,. .. =.D.R. or SG. �r.5. a, __. - -:4e• 3tE3 f .�,:. red sq. f�. _.�.- -;� _ . _. sa- -- - � -ea�e -ieight Coz` Btu ,� I� I� / n CITY OF FRIDLEY PUBLIC WORKS DEPARTMENT %–%� �� �' - - 4 9 - , TAPPING APPLICATION AND PERNIIT FOR INSTALLATION OF WATER & SEWER SERVICE I) This form to be completed before a tap is made to aay esisting water or sewer �e� � / , � / Lo loc ddition � Address ��' � � Owner i Plumber CHARGES BE PAID BEFORE TAP IS MADE — WHERE ASSESSMENT HAS NOT BEEN LEVIID AGAINST PROPERTY II) Water & sewer connection permit must be registered before this Tapping Permit can be issued. City supplies all material and labor for 1" or under water tap. Con- tractor supplies all material and labor for water tap over 1", and all sewer taps. WATER TAP: SEWER TAP: Materials Used: $�02.�. D�d Street Patch: .� x� :$/ D-a . 4 D / TOTAL: $���. O� Street Patch: Y . $ III) If this property has not paid a full Lateral Chazge for its share of the water and sewer system, additional charges will be placed against it. This will be in addition to the normal connection and tapping permits, meter deposits, etc. Water ASSESSMENTS TO BE LEVIED: I,a, r; $ • �_/� TOTAL ASSESSMENT: $_T� D D,!� r1 Clerks Signature Supt. of Public Works M/P 3/76 White P.W. Cenary Finance Pink Prop. Owner Gotdenrod Plumber 560-3450 �i� o �iat�e � � ANOKA COUNTY 6431 UNIVERSITY AVEIVUE NE November 8, 1976 FRIDLEY, MINNESOTA 5sA32 Village Builders, Inc. 6048 Lakeland North Crpstal, Mn. 55428 Re: Final Inspecti.ons at 411-913 Ironton Street and 421-423 ironton Str�e� Dear Sirsa Final inspeations were made on November 8, 1976 of the a}mve addresses anc� the following items were noted which must be completed bef.ore the structures can be finaled out; . 411 Ironton Street N.E. � m PrQ�i3� door elos�r �an �,00r -�tivea�-� ka;isz �3 garage. -- 2. Pronide non-combustible floor under fireplace. 413 Ironton Street N.E. l. Provide door closer on door between house and garage. . 2. Provide non-combustible floor under fireplace. 3. Repair smoke detector. ' 421 Ironton.3tree� N.E. 1. Frovide door closer on door between house and garage. 2. Provide non-combustible floor under fireplace. 3. Provide smoke detector. 423 Ironton Street N.E. l. Provide door closer or� door between house and garage. 2. Provide non-combusti.ble floor under fireplace. 3. Provide smoke detector. We will expect all of the above items to be completed by November 19, 1976 when reinspections will be conducted to determine compliance. If you have any questions on these items, please feel free to contact me at 571-3450. Since ely, � � � :�'i,2t , /� - �,� DARREL G. CT,ARK I v� 9� Community Development Adm. GEO. SEDGWICK HTG. & AIR COND. CO. HOUSE HEATING TEST RECORD �-�o.`�a�/� ADDRESS `��� ,��%'���- CITY �_ . OCCUPANT OWNER �°l� .�-� -�� � HEAT LOSS DATE HTG. INST. SOLD BY � INSTALLEp BY Electrical Work By Gas Line By f� �� �� �� , TYPE OF HEAT GA_ FA HW_ STEAM SPACE HTR. UNIT HTR. OTHER GAS DESIGN cnnivFRCinn� MAKE ��z�-..�.�-- Model �ti/��O Df Serial INPUT ��-d�� CONTROLS THERMOSTAT .L�'r� Heat Plug Valve A/-�4c� Limit_ �°°����`� Limit Setting ! �� Fan Setting �d �/a � Pilot Type - �� Pilot Make Pilot Model Pilot Timing �O�° L.W. Cut Off MAKE OF BURNER Model Max. BTU Rating MAKE OF FURNACE Model i�� �i Vent Size � KIND OF LINER —/'�� SIZE �`� NONE Draft Hood �/�'✓'�l�=c� Regulator����'r��o� Filters Size �� r��c! Numtrer � Chimney Location Inside �� Outside Chimney Construction Smoke Bomb Wiring � Draft d� Test Tag Door Pressure - Lighting Inst.� Pressure � e � Percent COa �L� � �" Date Tested '' ' � Input CFH _�� Percent OZ ?� �� Company Testing �'l.�,�. , Stack Temp. ��� a Percent CO 0°� �s� Name of Teste�� Fomt 235 GEO. SEDGWICK HTG. & AIR COND. CO. � HOUSE HEATING TEST RECORD �,� , � -- �� �S ADDRESS �r� , CITY � OCCUPANT OWNER HEAT LOSS DATE HTG. INST. SOLD BY INSTALLED BY Electrical Work By Gas Line By _ �/ e� �/- � TYPE OF HEAT GA_ FA HW_ STEAM SPACE HTR. UNIT HTR. OTHER GAS DESIGN CONVERSION MAKE MAKE OF BURNER Model ��,�� � Model #, Serial Max. BTU Rating % INPUT _ /a� MAKE OF FURNACE Model COIVTROLS THERMOSTAT_�� Heat Plug Valve v� �� Limit �-`�l%%� Limit Setting �'� fl Fan Setting �� �3� Pilot Type - � C' � Pilot Make Pilot M�lel Pilot Timing � ��.��- L.W. Cut Off Pressure • -�-� Percent CO2 ' • � � � Input CFH {�� Percent 02 �; . �-7, � Stack Temp. S� Percent CO �%�% �.%� Form 235 Vent Size - ���� � �� KIND OF LINER SIZE �–°� NONE Draft Hood �G°1- Regulator _�r�C�'"" �'"� Filters Size /� X Z' �� Number / � Chimney Location Inside +/� Outside Chimney Construction Smoke Bomb Wiring _v` Draft �� Test Tag Door Pressure Lighting Inst. Date Tested s� –3' 7 � Company Testing � Name of Tester sue�ecr PERMIT City of Fridley � ^� � �D 9 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r � . ' � NO. COMMUNITY DEVEIOPMENT OIV. � �a.------- � �� / r i � PROTECTIVE INSPECTION SEC. � � ' � /'��1 � CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY �"'""� � ,�' 612-571-3450 910-Ft5 4/25/95 / / J08 ADDRESS 411-413 Ironton Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED oesca. pt. 3 1 Froid's Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Gerome Thompson 731-98 Ln NE, Blaine MN 55434 784-1247 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Ricks Roofin & Sidin 77 2 St SE New Bri hton MN 55112 633-6395 3566 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential Du lex 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE O REMOVE x 8 DESCRIBE WORK Reroof Buildin (28 S ) Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, TVPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIQNING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTqUCTION ZONING S�. FT CU. FT AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OH IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION 2 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORREC7. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WOFiK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A pERM1T �2� lOO �L.OS DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pEFM1T FEE SAC CHARGE PqOVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- @ STRUCTION OR THE PEFFORMANCE OF CONSTRUCTION. �pS�F.00 Fire SC �Z.lO PLAN CHECK FEE TOTAL FEE License SC $5.00 $62.15 SIGNATUAEOFCON'RACTOROAAUTHORIZEDAGENT �DATEi WHEN PqOP LY VALIDATED THIS IS Y UR PERMIT pr�j�/// r SiGNATURE OF OWNER UF OWNER BUILDERi � " �� � iDATEi � BL � iNSP pATE NEW ( � . . � AI}DN L l � ALTER [ ] Effective 1 / 1 /95 � : � ClTY OF FRIDLEY � . � � .: SI�IGLE FA1I�ILY AND DiTPLEX�S.�R-1 �AND R-2 . :'�� �� 7 B ild' P 't A lication � � . �. u tng ermi PP . � . � � . �;�. . . _ . . . , ConstrucfionAddress: — ` :G . � . . �'�� '� G . � � . �l C.��L y��' . � .Legal Description: � � .. _ �� C;�` � . �� � Owner Name. &. �Address: �� z� oo�n . . . � G �. � Tel: � : �� .- ..: ���`� ,/` . � � � c MN LICENSE # .? ��, -� . Contractor: ,, � Address: '` . . . . T�el. # � � — �� � � Attach to .this .appl;cation, a Certifi of Suive3+ of the . : � .. . � :lot, with the pro�sed construction drawn on . it to scale: . . . � � DESCRIPTION OF IMPROVEMENT LIVING AREA: GARAGE AREA: DECI�� AR�A: � � ' OTHER: . - Length Width Height Sq. Ft. Length Width Heigb.t Sq. Ft.. �Lengtii � ' ° Width � � . � . �igt/Ground � Sq. Ft. . Corner Lot [] Inside Lot [ j Ft. Yd Setback Side Yard Setbacks Type of Construction: Estimated Cost: $ � L�� Approx. Completion Date: (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$. DATE: APPLICANT: CiTY USE ONLY _$ Tel. # Permit Fee s 5�1 •� Fee Schedule on Reverse Side Fire Surcharge $ .(' .�1 of Permit Valuation (1/lOth%) State Surcharge $ t _ �,� $.SO/$1,� Valuation SAC Charge $ $850 per SAC Unit License Surcharge $ �� $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Conuol $ $450.� Conservation Plan Review Park F� $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [] Not N�essary [] TOTAL STIPULATIONS: �J , '°1 � $ �� o` • •., � , . 13U1L1)iNG l'I.RMI�r��r.�L��SGfiE�cJLC . . - : '1'1-ic C;liiet. t3t�ildir��; Otticial st�all, 1x;lorc issuins �er�its for thc erc�ciion. of- ai�y t�uilding c�r struclurc, ur (i�r. any •aciciiti��ii. tu a�ny cxisting buildin�; c�r structurc, br for .apy altcration or repair to any .cxistin�; (w.ililing cu� su-u�tur'e, �.�u�n ap�licat,icm : lherefore., � require tfie �iayment by d�e; aliplicac�t .for suet� Permit . r�f t�i;s t<� tlic;'::amc�unt � hcrein.: ��ciinv �,tct . lorth �:�nd in � 4he: manner •I�crcin ��FOViiltxi to�wit: - : . � . . � 'i�o°��n� v�r,uc : . _ .r-rE�s . . .� : � � . �1 to �:`$SU0 � � . $13 (Miniznum Fee is� $15 plus surcharge). . . .: �=�$15 for fust $S00 plus �$� for each additibnal S t00 � c�r � fraction thereof, to and including� $2,000 - $SQ1 � ;� to. $2,000 $2,001 to �25,OQ0 �25,001 to �SO,OOU a $SO,OQ1 to �1Q9,000 $100,001 to $500,000 $SOO,OOi to $1,000,000 $1,000,001 and up $45 for ficst $2,000 plus $9 for each addidonal $1;000 or fraction thereof, to and inclu�dmg $25,IX}0 � _ $252. for first $25,000 pt�s $6.50 far each additional $1,000 or fractiou theteof, Go. and including $50,000 $414_SO for first $�0,000 plus $4S0 for each additional $1,000 or fraction t�eof, to and including $100,000 � $63950 for €ust -$100,000 plus- $3S0 for each additiona2� � $1,000 or fraction ifiereo� to and including -$500,000 $2039_50 for ifie first $500,000 plas $3 for each additional $1,000 or fraction thereof, to and includiQg $1,000,(}00 $353950 for the first $1,000,000 plus $2 for each additional $1,QU0 or fractioa �thereof - DRIVEWAY DEPRESSION ESCRO'1N (Concrete Curb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width pius 6 feet times S 13_S0. Alternate "I3": Removal and replacement of curb and gut�e� and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $15_75_ VLRlFICA"CION OF FOUNDATION Permits tior cor�suuction will be issued a minimum of 24 hours from the Ume of application to allow Cor pro�er re:view of the propc�se;ci stn�cture and of the construction site_ A Ccrtitic;:ite oC Survey of tlie lot, shvwing the location of the founclation once it hat ii has heen conswcieci �vitl be re;yuired ix;fore proceeclinb with the fcaming_