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AF - 46917� �. 0 p o� � � � • � . � � `�1� N � � � � � r � � � W � b7 O � �� o � � � N • o • °o � : o . . � : : 0 � � � � � � O O C � O ty `� � r � � � � m � � z x 8 � � 8 � � � � � � � � �� 1 : O � � � � a' p � � o a : � � � � a N ; � � : en � o ; �� - � � . . . . � . . . . : � � ' : : I I I I I I o � � � m � � W n� ta r� r � � C�77 p C�7i O O O � Efl ifl {fl 69 {-f! H O � O � x � � � �+al � r � c � � � � �� y � �• � p � D � i � � m N^ `I _ � C r m � • x� s �@ � � � 0�, ap �� O � � M �� s � o y � � i � � � � � w � � � y � � �o � o � � �- �,. �. a � � � ! � a I� I�d WATER CLOSETS URINALS nnni �� ew5n� SINKS W,� ranrs DRINK. FOUNT. sHwas. FL�R DRAINS CATCH B�SINS nuro Na�cr+Eii GAS APPL � OPENINGS a • 2 • D ; . � A m . � p �p.� o � �a� ►� V! OA � W �o�� " � � y ;e , o c�o � oy��' y � 0 � 'a � ��.oy � �� o f/1 � � �1.�+ � � � W I� w Qi� � � � =' � m �� p�� i � o � ��'ma° y w y ��.g� � � � �. '� � �.o�� K � �� o � � � ��x � �' p t~o � � � 5' � � g� ixi � � � ay �x �� p � M � � � � � � -� � � � C �: � � � �� -• � � � � �� o � � � �. � ro � d' � A a �.. . I A V � O ATTENTION OF: - ---- —___.- -_.__ ________. __ _ _____- - - __ __ �' � City Manager To "-Mr�-7ames H��ens]ey�ea�,'� .I__n_s�e��___ __ City of Fridley ' City of F'ridley 6431 University Avenue N.E. : __-,��Ap---B� - �________.__..___----__�___ Fridley, Minnesota �_Edina,_ Minnesota_ Page 2.. _ — - --------------J SUBJECT Aea1'th Problems DATE �ne 20, 1966 Next is 7870 Apex. Enclosed is a__coPY_of_a ]�ette� _f,�Q�_ the ih9D�e�h3nn,_j2��t�__ _._._- - .____.__._._._._..�_�-- w'hich you received also sometime in March� Tizis legal is Lbt 14, Block AA. -----��v�vi��er Iisights_Bddition,-�er--is-��ar��-B�-3{er-er�go-Zd--{�s--�e��e�e-states} ----�Ytae� -t�te--wrortg- iega�is--and--��r � � � � _. ______ :�.....I hope-�ia'E�iese a�e the correct houses and legals this time. (3) Please call Mr. Marcus at 224-3996. He called today and asked to speak _____ __.------__ _ _____-----------____—_____�_----__ to you. I:i�a,agine it is relat�ve to No��ce -on -�-?acon�on- s�ree�c: -�- "-- SIGNATURE :�` � City Manager's Office REPLY: __ _ _ . ___ _ _ __ __ __ _ _ _ _ _ _ _ _ _ _ __ __ __ _ . _ _ ____ ____ _ _ _ _ __ _ . __ _ _ __ _. _ . _ . __ _ __ _ _.__._____ __ . _ _ _____ _ ___ __ . _ ___ _ __ _ ___ _ _. ___. __ ____ __ ___. __ ____ _ - - -- DATE SIGNATURE REPLIER'S COPY—RETAIIaI FOit YOUR FILES � � il,, A�r�i �. i9�6 Ms. Suy F�ugiu� 16�4 9�ssey Av�nue S�eb l�iiaae�olie. Miante�o�a S�d�26 &�s �fl itt+n�aa ��rest �. B. �Oy �f�i2� 1\�i�l1�� Y� 11iIR�� On A�sil 4�h, the Bn�,lding. Plm�iug a� 8lests�cal InspectaPs a�ada a� iaus�ctiw of thie buil+�Ltog end bafo�e �i� building aan b� ocawpied, lteted A�low asi Ehe t�eqisir+�t� of thi� �I�pa�Cme�e, 1. A c.amplete re•��e �ab ec��ord3.�g eo �c+d�. �. A campiet� plv�bi�g job ucur�iug to code* 3. A ��ea�4�eg e�tam �e�rdi�g ta �ode. 4. �epair sn� rc+�pleQ�e dam�,�t�et walis and eeilin�e. S . �sgla+ce al1 �'loor a�verl.� mn�siat . S. Ei3mi�ate rodentr o�t tha pra�aes ss� sea�. buiiding �rmm eay fu�ure rcidette�. i. C�ean a�c! aless e6e qi�� ell e�eb��.e, e�+�. 8. ��gair and �-�aio� �h� �+��ge. Shoa�id the�re be any �atia� �q segard� �o thi,a ma��r. kisdly ee�ta�� r� a� ary of$ic�. AGJ: cixe cc; Mr. Virgil Serrick, Citq Attorney Mr. Jim fleaelep, flealth Inepector sitte�reiy, ALi.ffii G. J'�TS� &�i.ldittg Iasp�at�� .�y o� 8ridls� � � m � � � 0 � x � \� , � � ,\ A � � � � � � � � r�� y x x � � r � � ►y, y ''e� x x x � � � � O �� ,�x � � � n � (A '+7 fA o ��+ � F m � �� q y � � M �i �o W �g � p � '�* ►eDi � c�o � �. � � ��p, '�s p � � V� CO O ��y �� : �� : : m� : : � � : : ' � • . . . � . . . � . : : : �. • m � &�e k � � : g a�i � � � � � � � � 0 r � o w �ro � �. 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O . : : . . �' � w o� a� o 0 0 o g r� � 0 t' � y � c.a� � �� ras � ,:.�,� � ��-, p �,q� � � � � w �y � o�d�' � d�� , �;b o ��°� � pp�`C �E 0 y �� ro ��'� � ��b ��'�'" V�l (� f� p� �� m �R'op �� M � �n m D� �� a � �, n �.�� o �* �� , n � �� o � �. � w fD �' � �' D � r � � m � _ m C m d � �, � m x 0 m � � � �o. � 0• � � O � 7 � � o �" �o �d O = '• �� 3 � y 0 � Q. � �° � A� � .J � �i O � 70 �. � � .i � 0. � _� �`�. �.: �''� � --.,\„�. +' +r • . _: , �. � CERTIFICAT.E, OFy� SIURVEY ' JAM ES L. K�URTH °� � � . �' � . � � � � r; ��. ;, ,,. . L A N D S U R V E Y O R '.�;� ;L�:,v� µ � � �y {�, � } •.� }" ... . �� . �!"-y 4201 N£. STH STREET �]�� F r '` 1,�� „��y� �,,, .,>x CO�.�MBIA ' „ �/,��.�k `°. ' . ,MEIGNTS SS�21 ' r �'.�'/.I�I "l �h%S�l�" +°'.T�Nr%�r '��"o- , - ,.�: . � r, , � . . ` � ' f 4. , ;C?h ' '�"�+n�4" . 788-SOM /��R�Or �qTIFY TMAT TNIS SURVEY� ►1,AN. OR N[�RT WAS PRErAREO �Y Mt OR YIL iRiCT SUPERVISION ...t�:k . SY:4�1�. ; :.�� ,�i��,T 1 AM A OULr REa1s7ERL0 LAND iURVE1/0R 1lNQB11 TNE L/1WS OR TNE STATE OF� , �{ ce�"'� d s ' ��: � � . , . r �'�4� .', Y �T,,;� '; � ., � PAT � ^�.�. , ,y�,9 b' �` r .y�a,ar ( �,�` �_ � � w ".:ca7e'� �`�,'r�'�..' f ' . ' ' _- �'` SCAtE l " - .�_ ' � �� ♦�R�� OTA REGISTRATION NO. 5332 0.•��ON MONUMENT C.. } � aC 5 " ^ � � � . ' :y� �� Rx0(�. 1�QC. - I'Lg.-�Il i. . „i . =4' ., , ' . . . . . . . - ' . ! - - � l cZ o y -; o .�a . ' S : .'t..i � ; � .. � , • . ` - �> . 'n . } �, , _ . ' �1r�1 v`.�-� �- ir . . . ' - � �. 3 �� , �� . . � �js_ 8� � Q ' I e� . . • . . � .. . �� ..... �. � .� . : i � � �, �, �`;1 1 T • _ 1 40 � • -�—'t -��- I� f -iE--To �i � , ,� , . �� . ¢ i � _ �°°� T. �, �.. , ,,�3� � � � � 53� � r � � 50 � ' ste 1� �►8 . _o ' � o L_ ' P� J • . '("� y � � ' '�� 0 rj• I J� .. 2� & `ar _ . Q . : �;'7it/�� • I ' !O � 3 I WA�L j, + � �';� � i � ► �; � JJew , , I ' a �� • ( .1? G♦ r-, � � � . GA • � r-�,_�, . R. � : �� ' �. � \� , , S L I.s .f �"'- 1.8 � t��,: } ;- � ,;� � � i , . . i ��- , ia .��• .l .... ..r .�.:c . � . � . e . . �i�iZ1 r J r �y.,� . / �� a� -l�.n� • � �i!'�Jw�; J /.�,;v�� . �� r , , ��..,� `k D�"iv�c w °� r � ' ,�,;� � � ,; , ;_ a� ,� �1� �r � � :,:_"�YI ^ ��, F� l �"` �� ' i .r � t a:.,�p � �� - ..` Sy - � ' fJ�' � ',L�,,•. . . ,,p'� � � .�a' °Y,-,i �,i {� o,�?' {,,;� � � a�.: . , t , � �„ .�,� ' , ' � �. �� } %k �� i� �� :rri� � �� 3x, �sioat �L.te s3 aaa �y,, eioou a, �pt ;.� �r�`� eont�,e�r�► _ a�sol, Ai�srriev Heigbts, �no]os Co�mt�►, lsinn�soL ' �:'f a - .. � ' ' . - ' ��Afa Y. �y ' .�. ,. . ti'� � tfi�` t ,r . r: � . , . . ' ' ' - a , . �.t , .' .� ,. _ • i ''f �� . .. • „' • , \ `. � / ,. d� :� � ti � sus�ecr P IT N O. c�ty of Fridley o� 92as AT THE TOP OF TME TWINS g U I L D I N G P E R M I T r � � COMMUNITY DEVELOPMENT DIV. EGE�PT N0� � • ' j L' — r � � PROTECTIVE INSPECTION SEC. 07� �j � _ � l--_.� ��,,� CITY HALL FRIDLE� SS432� NUMBER REV. DATE � PAGE OF APPqOVED BV i 612-571-3450 910-F15 9/29j87 / / JOB ADDRESS 540 Ironton Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED oesca. 49, 50 G RivervieHZ Heights SHEET 2 PROPERTY OWNER MAIL ADDRESS 21P PHONE Pete Metcal� 540 Ironton Street N.E. 784-1087 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. 5ame d ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 EN(31NEER MAILADDHESS ZIP PHONE LICENSENO. 8 USE OF BUILDINCi • Residential 7 CLASS OF WORK � NEW ❑ ADDITION ❑ ALTERATION O REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 24' x 20' Detached Garage 8 CHANGE qF USE FROM TO STIPULATIONS Provide a hard surface d�iveway. SEPAR�TE PERM1TS REQUIRED FOR �NA�NiNG @�VIR9NG, HEATING, PLUMBING AND SIGNSn Before diggirtg cail �ocal utilities ��p��}t�E - ELECTRlC - GAS Etc. REQUIRED ��' i�+� SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, �PE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORI2ED IS NOT COMMENCED WITHIN 60 DAYS, OR 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 CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORHECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WIIL BE COMPLIED WI7H WHETHER SPECIf1ED HEREIN OR NOT. THE GRANTING OF A PERMIT $6, 892 $3.45 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. �S`G2. SO '�LAN CHECK FEE TOTAI. FEE $65,95 SIGNATU E OF CONTRACTOR OR AUTMORIZED AGENT IDATEI WHEN PROPERLY L TED THIS IS YOUR P RMIT �� { '87 r � �� SIG aTUREOFOWNER�IFOW ERBUILDERi �DATEi BLDG �NSP nar � � i � � 4 � ; _ . CERTI�ICATE OF: SURVEY JAM ES L. KURTH LAND SURYEYOR 4201 N.E. STM STREET � %�p�� f�� COLIJMBiA NEIGMTS 55421 - �� v� �(r� � ,� � ' , � . " �as-soes 1 MERESr CERTIFY TMAT TMIS SUqVEY. �AN, OR pEPORT WA$ PRErARED OY Mt OR t�NDER 1NY�DIRBCT SUPEqVI810N AND TNAT 1 AM A dULr REOISTEREO LAND 6URVEYOR UN061� T1iE LAryg OF TM6 OTATE OF MINNE.�p�^/� ; j� f �, . .. : , ' .� ' � � � i .,- -� pa�-E �.s � ,� � y �,q t -.,..w� �� •t- ` t�.• SCAtE 1" .. '-- ` 3_0_ MINNE50TA REGISTRATION NO. 5332 � o=- 1RON MONUMENT - ' �oG�. �oc. - 7-Z8-"11 � i � � --•� � a D � . � �o �j � � �� r�4o .� lo � �3 � . I � -� � z� _ _ l.cto...-�o.�. S :,-t` � : 40� � � # 53� � �� Pf T�s i/h _� } 3 o WiKL � 9•� � M � � ' �` �'A i�l � �s`... -- 50 . � a - sz , �n . � �• � p � . I q alc«. G�f�A � J �i � — '� _ —� —� d' �i�8 � - � - - �.s � —�`�- ....� �,g ,. � � 11 ,. } �. it �Z� .��t��e. 1 h k � � � 5' ��-v'r� ` �ri v�C. �wr�.,� � � � } ��,; �z . 'h F ,.1�,+ " i , . ; Lota 51 anri S�, 81oat �ts 33 cad �4, Hioat i} � �'` lYva lest theseot, Ri�risv Seigbts, le�olca Count�,l�i�8ota� ` sontbsrly - - �__�� -- . G �'b � i � i 1 , � I N� [] City oP Fridley Effective 4/1/86 ADDN. [ ] �R-1 AND R-2 ALTER. [ ] Building Permit Application Construction Addr� Legal Description Owner Name & Address : L�3� � �^ �� y � � � Tel . � � �Y -1�� , Contractor: � Tel. � Address• ; LIVING AREA: GARAGE AREA: DECg AREA: OTHER• Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to seale. DESCRIPTION OF IMPROYEMENT Length Width Height Length �� Width � Height `� Length Width Hgt/Ground Sq. Ft. Sq. Ft. �$� Sq. Ft. Corner Lot [] Inside Lot � Ft. Yd. Setback `� �� Side Yard Setbaek �/ Type of Construetion: C-ri�,✓ri� �Do�Q Estimated Cost: $--�CT Approx. Completion Date: �� ^ �'� $ � �$�a �� Alt. A Alt B Proposed DriveWay Width If New Opening Is Desired: �. $ $ See Back Page for Explanation DATE: � � / 7� � ` APPLICANT: � Tel . � �� / � /o�� Permit Fee Plan Cheek State Surcharge SAC Charge Park Fee Sewer Main Charge TOTAL STIPULATIONS: CITY IISE ONLY $ .�6 � $ �_ `S.- � � � $ �� .9�` c �'ee Schedule on Reverse Side 25� of Building Permit Fee $.50/$1,000 Valuation $ 525 Per SAC Unit Fee Determined by Engineering Agreement Necessary [ ] Not Neeessary [ ] d� �� BIIILDING PERMIT FEE SCSEDULE The Chief Building Official shall, before issuing permits for the erection of any buildin� or structure, or for any addition to any existing buildin� or structure, or for any alteration or repair to any existing building or structure, upon applicatio n therefore, require the payment by the applicant for sueh permit of fees to the amount herein below set forth and in the manner herein provided to-wit: Total Valuation $i.00 to $500.00 Fees $10.00 (Minimum Fee is $15.00) $501.00 to $2,000.00 $10.00 for the first $500 plus $1.50 for eaeh additional $100 or fraction thereof, to and including ' $2,000. $2,001.00 to $25,000.00 $32.50 for the first $2,000 plus $6.00 for each additional $1,000 or fraetion thereof, to and ineluding $25,000. $25,001.00 to $50,000.00 $50,001.00 to $100,00�0.00 $100,001.00 and up $170.50 for the first additional $1,000 or ineluding $50,000. $283.00 for the first additional $1,000 or ineluding $100,000. $25,000 plus $4.50 for eaeh fraction thereof, to and $50,000 plus $3.00 for each fraction thereof, to and $�33.00 for the first $100,000 plus $2.50 for each additional $1,000 or fraction thereof. DRIYEWA% DEPRESSION ESCROW (Concrete Curb Streets Only) Alternate "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 approaeh with 6 inch depth - Driveway uidth plus 6 feet times $15.75 VERIFICATION OF FOONDATION 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 been constructed will be required before proceeding with the framing. ,.-4 ,� ,�. i� � D � Q � � rn a � �: �o N• � N � .� O N � � � � O � 3 � 0 � ^� �� 0 �• a �• � oa " CD 'D tl O �. N � � `� Q- O � � � � c� � r-r � 0 c r+ D � � � 0 < c� fl. � � � 0 C OG �' � 0 a� .+ m � m Z � � m � 0 z � m m {A � V O O \ 2 � \ � � � n 6� � ? c� � � C� �o�� Aa�-� � � � � C. ,.F �Z�� z�, w�� n � m r � � � � � � r � � � o ��C3 � p� fD o � �� : � � . 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C�l �, COMMON VENT VENT CONNECTOR AND COMBUSTION AIR VERIFICATION �� When replacina an existina furance, the undersigned hereby verifies that the ventjng has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. . The venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacture►'s specifications. This does include AGA-GAMA Category I Central Fumace Venting Tables for fan assisted and natural draft appliances. The existinq combustion air is sized and installed to meet the current codes and manufacturer's specifications. _ When required to install a new combustion air it will be sized and installed To meet the current codes and manufacturers specifications. Yes �o ( ) Yes � ( ) Yes ( No ( ) _ Yes � ( ) Yes�o( ) When installina a new ventina svstem, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Fumace Venting Tables for fan assisted and natural draft appliances. Yes � o() Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. Yes No () Appliance Tvae and Size/Comman Vent and Vent Connector Information Appliance #1 Type — � BTU Input �fL� 1�7 Fan Assisted or Nat Appliance #2 Type � TU Input -��FT_'_ Fan Assisted or Nat � Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances ,�i Total Btu Input _?.�� — � Common Vent Type _� Vent Height 1 l�� Diameter � inches Appliance #1 Vent Connector Height � ft Length ft Diameter in T e Appliance #2 Vent Connector Height �ft Length �ft Diameter � in Type r - Appliance #3 Vent Connector Height ft Length ft Diameter �in Type �— ALTERATIONS: (Describel ie+er City Sheet Meta�, �r��. 9928 Bluebird St. N.W HEATING CO:�nr9„ ,��„�� Signed By: _ 754-2'6 q� Date :_ �� 01 _ C[IYOF FR[DLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, NIN 55432 •(763) 571-3450 • FAX (763) 571-1287 March 8, 2002 Edward Wood 540 Ironton St NE Fridley, MN 55432 Re: Final Inspection at 540 Ironton St NE Contractor: River City Sheet Metal, Inc. Dear Mr. Wood: A mechanical permit was issued on March 29, 2001, to install a fumace at your address. According to the 1991 Uniform Mechanical Code, a iuial inspection shall be conducted on the work authorized by this permit. As of this date, no inspection has been called for. The permit fee that was paid covers the inspection to make sure the work was completed according to the Code. We will keep your permit open for another 30 days and if we do not hear from you within this time to set up the inspection, we will mark the permit "no inspection called for" and take no further action. To set up the inspection or to have any questions answered, please contact the Building Inspection Division at (763) 572-3604. DJ/ls City of Fridley AT THE TOP OF THE TWINS i � � � � ; V �� COMMUNITY DEVELOPMENT OIV. r � � PROTEC7IVE INSPECTION SEC. � ; i � � �"'1 � CITY NALL FRIDLE� 53�32 �'"'"� � �� 763-571-3450 ��b�� sue�ecT � `pERMIT NO. ` BUILDIN P RMIT 3403_4 G E RECEIPT NO. ��1 NUMBER REV DATE PAGE Oi APPROVED BY 910-F15 11/20/03 � � 10B AODRESS 540 IRONTON ST NE 1 LEGAL �OT NO. BLOCK TiiACT OR ADDITION DESCR. !}9,50 G Riverview Heights 2 PROPERTY OWNER MAIL AODRESS Edward Wood 540 Ironton Street NE 3 CONTRACTOR MAIL AODRESS Same d ARCHITECT OR OESIGNER MAIL ADORESS 5 ENGINEER MAIL ADDRESS 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADD�TION O ALTERATION 8 DESCRIBE WORK Reside house 9 CHANaE OF USE FROM lace windows within exis TO ZIP �1 REPAIR SEE ATTACFIEO SNEET 763-717-4282 PHONE LICENSE NO LICENSE NO. PHONE LICENSE NO O MOVE O REMOVE reinsulate walls and attic STIPULATIONS Per Section 1402, 1997 Uniform Building Code, requires that a weather resistive barrier be placed over exterior sheathing to protect the interior wall covering. Exceptions for this provision would be if sheathing is an approved weatherproof panel or when the siding is an approved weather barrier. Vinyl siding is not a weatherproof covering unless the manufacturer states this in their application guidelines. Call for inspection of wrap before covering or take pictures. Caulk and flash all exterior openings. 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. Caulk and flash all exterior openings. TYPE OF CONST SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PIUMBING, MEATING, VENTILA7ING OR AIR CONOITIONING THIS PEFiMIT BECOMES NULI AND VOIO IF WORK OR CONSTRUCTION 20NING AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS. OR IF CONSTRUCTION OR WOFiK IS SUSPENDED OR ABANDONEO FOR A PERI00 OF 120 DAYS AT ANV TIME AFTER WOpK IS COMMENCED. NO DWIG. UN I HEREBY CERTIFV THAT I MAVE READ AN� EXAMINED THIS APPLICATION 1 AND KNOW THE SAME TO BE TRUE AND CORi;ECT. ALL PFOVISIONS OF LAWS VA�UATION ANO ORDINANCES GOVERNING 7MIS TYPE OF WORK WILL BE COMPLIED @ WITH WHETHER SPECIFIED MEREIN OF NOT TME GRANTING OF A PERMIT W3 s lOO OOES NOT PRESUME TO GIVE AUTMORITY TO VIOLATE OR CANCEI 7ME pEqM17fEE PROVISIONS OF ANY OTHER STATE OR LOGAI LAW REGUTATING CON- STRUCTION OR TME PERfORMANCE OF CONSTRUCTION �9J . ZS S�Gy4TUtiE 0� CONCAACTOA Op u � ZED oGENt IOATE� � � . �� i D� � � ,,e �N SO. STALIS NCY GROUP �OCCUPANCVLOAD CU OFfSTREET PARKING IGARAGES SUR7Al( $1.55 SAC CHAqGE Fire SC $3.10 TOTA�FEE $101.90 �ERLY VA�IOATED TMIS IS VOUA PERM �5��`^ �t � �1_Ll I NEW I I ADDN [ ] ALTER [ ] CITY OF FRIDLEY Effective 1/1/2003 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax BUILDING PERMIT APPLICATION Construction Address: `� � b ��l��ovl ST � Legal Description: , Owner Name � Address: ��Lf�Gll/`� .P (�� il� Tel. # %�� 2�5�- Contractor. �lP� n �l� MN LICENSE # . �— Address:��G � D`I /v �%- Tel. # LIVING AREA: GARAGE AREA: DECK AREA: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. Length Width Length Width Height Hgt/Ground Sq. Ft. Sq. Ft. OTHER: j� , � " �° SC�/�/� �� Construction Type: Estimated Cost: $ 6 Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: l�°-�.G�U3 APPLICANT: Tel. # Call (763) 572-3604'for Permit Fees if mailing in application. 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 Curb Cut Escrow Erosion Control $ � S� $ .1 C� $ � . �� $ $ $ $ CITY USE ONLY - Fee Schedule on Reverse Side �-� .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1275 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [] Not Necessary [] TOTAL $ • l � �6 •� BUII.DING PERMI'� FEE SCHEDULE The Chief Building Official shall, before issuing pemuts 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 $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,(�1 to $500,000 $500,001 to $1,000,000 $1,000,001 and up FEES $23.50 $23.50 for first $500 plus $3.05 for each additional $100 or fraction thereof, to and including $2,000 $69.25 for first $2,000 plus $14. QO for each additional $1, 000 or fraction thereof, to and including $25,000 $391.25 for first $25,000 plus $10.10 for each additional $1,000 or fraction thereof, to and including $50,000 $643.75 for first $50,000 plus $7.00 for each additional $1,000 or fraction thereof, to and including $100,000 $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 $SQ0,000 plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,000,000 $5,608.75 for the first $1,000,000 plus $3.15 for each additional $1,000 or fraction thereof CURB CUT ESCROW (Concrete Curb Streets Only) Removal and replacement of curb and gutter only - driveway width plus 6 feet, times the annually determined rate. Permits for construction will be issued a minunum of 24 hours from the time of application to allow for proper review of the.proposed structure and of the construction site. VERIFICATION OF FOUNDATION A Certificate of Survey of the lot, showing the location of the existing foundation will be required before proceeding with the framing. New Houses Onlv - , ,=� sue.,ec. ,�"(�71�ILN0_ - �' � City of Fridley 34 0 3 7 AT THE TOP OF TME TWINS g � I L D I N G P E R M I T - � -- -- ; � RECEIPT NO. � ' COMMUNITY DEVELOPMENT DIV. � � �: - /d r � � PROTEC7IVE INSPECTION SEC. �� `---.� ��"' �•� CITY NALL FRIOLE� SS�32 NuMBER REV D�iE o�GE O� �vvnpvEO Br s� 763-571-3450 910-F 15 11 / 21 / 03 / / JOB ADDRESS 540 Ironton Street NE 1 LEGAL ��T NO. BLOCK TRACT OR ADDITION SEE ATTACMED DESCR. �F9,50 G Riverview Heights SHEET 2 PROPERTY OWNER MAIL ADDRESS 21P PMONE Edward Wood 540 Irontott Street NE J CONTRACTOR MAILADDRESS Z�P PFIONE LICENSENO Aaron Construction 1896 Sterling St N, Ma lewood, MN 55109 651-340-2625 1 ARCHITECT OR �ESIGNER MAIL ADDRESS ZIP PMONE LICENSE NO. 20326348 5 ENGINEER MAIL AODRESS 21P PHONE LICENSE NO B USE OF BUILDING Residential 7 CLASS OF WORK O NEW ❑ ADOITION ❑ ALTERATION � REPAIR O MOVE O iiEMOVE 8 DESCRIBE WORK Reroof House (9 Sq) Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPE OF CONST. OCCUPANC� GROUP OCCUPANCV �pAO SEPARA7E PERMITS ARE REOUIRED FOR EIECTRICAL, PLUMBING, MEATING, VENTILATING OR AIR CONOITIONING THIS PERMIT BECOMES NULI ANO VOID IF WORK OR CONSTRUCTION 20NING S�. fT CU FT AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS. OR IF CONSTqUCTION OR WORK IS SUSPENDED OR ABANOONED FOR A PER100 OF 120 DAYS AT ANV TIME AFTER WORK IS COMMENCED. NO DWIG. UNITS OFFSTREET PARKING I HEREBV CERTIFY THAT I HAVE READ AND E7(AMINED TMIS APPLICATION 1 STAILS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALl PROVISIONS OF LAWS yq�UATION SUq7AX ANO OFDINANCES GOVERNING THIS TVPE OF WORK WILL 8E COMPLIED WITM WHE7HER SPECIFIED HEREIN OFi NOT. THE GRANTING OF A pERMIT �1 �O�FZ �.SL DOES NOT PpESUME TO GIVE AUTMORITY TO VIOLATE OR CANCEL THE pEqMIT fEE SAC CMARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFOAMANCE Of CONSTRUCTION ��FI.SO Fire SC �I..O�F P�AN CMECK FEE TOTA EE �`�� .�-- �/ � Licen S $5.00 .36 SIGN4iUAEOFCON•AACTOQOAAUTHONiZEDoGENT i♦rE� N qOP V ALIDATE IS IS VOUp P MIT �o � S�GNOIUQE O� OWNEA ��F pWHEA BUiLDEA� IOATE� BL �NSP r�6TE �J NEW ADDN ALTER [ ] CITY OF FRIDLEY �� [] 6431 University Ave NE, Fridley, MN 55432 � SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION �� Effective 1/1/2003 (763) 572-3604 Bldg Insp (763) 571-128T Fax Construction Address: -��o .��`N'77�ii►� S� � . . Legal Description: Owner Name 8� Address: �� c�� c SztO ��//Z�� Tel. # Contractor. �,�� 5�.✓�i?u,� MN LICENSE # Zd 3�-� 3�f � Address: /�h'9� S�I�G� S� �, . �-,�',%�� Te1. # � :�J�.3yc� -'2� Z�^ 5�7��g Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: Length GARAGE AREA: DECK AREA: DESCRIPTION OF IMPROVEMENT Width Height Length Width Height Length Width HgUGround Sq. Ft. Sq. Ft. Sq. Ft. OTHER: � �a � - - � r °' � e�.�v�;' E��fmated Cost: C�nstruc��n Ty'�: /<�52�� t H-��5� i S Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: �/ z � �� APPLICANT: �r�� e°✓��- Tel. # �S) :3Y��t� Cali (763) 572-3604'for Permit Fees if mailing in application. Fax to 763�71-1287 if using credit card and we will call you for card number. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge TOTAL $ �- o $ f_ D $ � ,S'Z $ $ S. �� $ $ $ $ $ -�� CITY USE ONLY - Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1275 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ) ,� . •� BUII.DING PERMI� 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 permit of fees to the amount herein below set forth and in the manner herein provided to-wit: � TOTAL VALUE $1 to $500 $501 to $2,000 $2,001 to $25,0(?0 $ZS,QOl to $50,0� $50,001 to $100,000 $100,001 to $500,000 $500,001 to $1,0OO,OQO $1,0�,001 and up FEES $23.50 $23.50 for first $500 plus $3.05 for each additional $100 or fraction thereof, to and including $2,000 $69.25 for first $2,� plus $14.00 for each additional $1,000 or fraction thereof, to and including $25,000 $391.25 for first $25,000 plus $10.10 for each additional $1,000 or fraction thereof, to and including $50,000 $643.75 for first $50,000 plus $7.00 for each additional $1, 000 or fraction thereof, to and including $100, 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 $1,000,000 $5,608.75 for the first $1,OQ0,000 plus $3.15 for each additional $1,0(?0 or fraction thereof CURB CUT ESCROW (Concrete Curb Streets Only) Removal and replacement of curb and gutter only - driveway width plus 6 feet, times the annually determined rate. 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. VERIFICATION OF FOUNDATION A Certificate of Survey af the lot, showing the location of the existing foundation will be required before proceeding with the framing. New Houses Onlv . �, ADDRESS PIN LEGAL DESC CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDI.EY, MN 55432 �63) 572-3604 FAX: (763) 571-1287 : 540 IRONTON ST NE : 033024230062 : UNAVAILABLE : LOT BLOCK PERMIT TYPE . PROPERTY TYPE . CONSTRUCTION TYPE . BUILDING RESIDENTIAL ADDITION/ALTERATION i'ERM[T NO.: 2005-00007 DATE 1SSUED: Ol/04/2005 VALUATION : $ 2,500.00 NOTE: SEE NOTATIONS ON PLAN. CALL GOPHER STATE ONE AT 651-454-0002 FOR UTILITY LOCATIONS. PROVIDE SMOKE DETECTORS IN ALL SvEEPING ROOMS AND ON ALL LEVELS OF THE DWELLING PER R317 OF THE 2000 INTERNATIONAL RESIDENTIAL CODE. APPLICANT WOOD EDWARD L& GLADISANN H 540 IRONTON ST NE FRIDLEY, MN 55432 OWNER WOOD EDWARD L& GLADISANN H 540 IRONTON ST NE FRIDLEY, MN 55432 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of worl� will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulatin construction or the performance of constructiqn. Annlican� � Date � i i � _ �, � ��1%��:c� ) . • /�t �► BUILDING PERMIT FEE FIRE SURCHARGE STATE SURCHARGE, VALUE TOTAL PAID WITH CHECK # 8048 SF.PARATE PERMITS REOUIRED FOR WORK OTHER THAN DESCRIBED ABOVF,. 83.25 2.50 ] .25 87.00 IVCVY ADDN ALTER � � [] IJ .. - Construction Address: v� � � v� . � •.v�..�.. � .�..��...�. .. ..�� ' 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax BUILDING PERMIT APPLICATION Legal Description: Owner Name & Address: '`-� -�i�2�i /a� �� Tet. # 76 3-7/7 —�f� d� Contractor. MN LICENSE # Address: Tel. # LMNG AREA: GARAGE AREA: DECK AREA: OTHER: Construction Attach to this application, a Certificate of Survey of the � bt, with the proposed construction drawn on it to scale. � DESCRIPTION OF IMPROVEMENT � Length �J� Width 2� � Height � Sq. Ft �� Length Width Height Sq. Ft Length Width Hgt/Ground Sq. Ft I.�. � �c��►� � � • �� Estimated Cost: $ � _ �...___.. _ Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x$ _$ DATE: /� �' � � APPUCANT: � .� �, G�� Tel. # Call {763) 572-3604 for Pertnit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will call you for card number. Permit Fee Plan Review Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge 1%��:I� CITY USE ONLY - $�� •�� Fee Schedule on Reverse Side $ 65% of Permit Fee $ � �s � .001 of Permit Valuation (1/10th%) $ /� Z� $.50/$1,000 Valuation $ $1350 per SAC Unit ,$ $5.00 (State Licensed Residential Contractors} $ Alt. "A" or Alt. "B" Above $ $450.00 Conservation Plan Review $ Fee Determined by Engineering $ Agreement Necessary [ ] Not Necessary [ ] � $ '�� STIPULATIONS: 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 alterati;�nt for psuch permit of fees o the amount� structure, upon application therefore, require the payment by the app herein below set forth and in the manner herein provided to-wit: TOTAL VALUE $1 to $500 $501 to $2,000 FEES $23.50 $23.50 for first $500 plus $3.05 for each additional $100 or fracdon thereof, to and including $2,4Q0 9 $2,001 to $25,000 $69.25 for first $2,000 plus $14.00 for each additional $1,000 or fraction thereof, to and including $25,� $25,001 to $50,000 $391.25 for first $25,�0 plus $10.10�0 � h additional $1,000 or fraction thereof, to and mcludmg $, $50,001 to $100,000 $643•75 for first $SO,�Q plus $7.00 for each addidonal $1,000 or fraction thereof, to and including $100,000 $100,001 to $500,000 $993.75 for first $100,000 plus $5.60 for each additional $1,�0 or fraction thereof, to and including $5�,�0 $500,001 to $1,000,000 $3,233.75 for the fu�st $SOO,�D plus $4.75 for each additional $1,000 or fracdon thereof, to and including $1,�,0� $1,000,001 and up $5,608.75 for the first $1,�0,000 plus $3.15 for each additional $1,000 or fraction thereof CURB CUT ESCROW (Concrete Curb Streets Only) Removal and replacement of curb and gutter only - driveway width plus 6 feet, times the annuallY determined rate Permits for construction will be issu� a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construcdon site. VERIFICATION OF FOUNDATION A Certificate of Survey of the lot, showing the location of the existing foundation will be required before proceeding with the framing. New Houses Onlv A ADDRESS PIN LEGAL DESC PERMIT TYPE PROPERTY TYPE CONSTRUCTION TYPE CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 s�z-36u4 r��: : 540 IRONTON ST NE : 033024230062 : UNAVAILABLE : LOT BLOCK : PLUMBING : RESIDENTIAL : ADDITION/ALTERATION 571-1Ztf7 PERMIT NO.: 2005-00008 DATE ISSUED: Ol/04/2005 VALUATION : $ 0.00 NOTE: COMBUSTION AIR SHALL BE PROVIDED PER UMC CHAPTER 6 AND TABLE 6-A # ELEC WATER HEATERS 1 VALUE OF FIXTURE/APPLIANCE # NEW FIXTURES (EXIST OPENINGS) 0 # GAS WATER HEATERS # GAS DRYERS 0 # GAS RANGES # OF NEW FIXTURES 1 VALUE (FOR MINIMUM CALC) I # WATER TRMT APPLIANCES APPLICANT WOOD EDWARD L& GLADISANN H 540 IRONTON ST NE FRIDLEY, MN 55432 OWNER I WOOD EDWARD L& GLADISANN H 540 IRONTON ST NE FRIDLEY, MN 55432 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced vritin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of wor} will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to v o r cancel th provisions of any other state or local law regulating stru ion or the performance of constructio/l. Applicant Date s Bldg 0 PLBG PERMIT MINIMUM FEE PLBG FIXTURES (NEW OPENINGS) PLBG FIXTURES (EXIST OPENINGS) WATER TREATMENT APPLIANCE WATER HEATER - ELEC WATER HEATER - GAS GAS RANGE FEE GAS DRYER FEE PLBG REPAIR/ALTERATIONS STATE SURCHARGE, PLBG FLAT TOTAL PAID WITH CHECK # 8048 SEPARATE PERMITS R�QUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 0 0 0 300 0.00 10.00 0.00 0.00 35.00 0.00 0.00 0.00 0.00 0.50 45.50 p a O O N � .` Q Q N > U � w � Z � �. U � W P 0_ � � Z � �.. Z � W � X J � N Q �¢ c�� o � � Z � LL C � N O j �� , �. 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I N � � f!1 � W � � '� � c � � 't�_i = ca, � * �, � � � m o. � � � F- a3i � v � ¢ w (� °� X Z a� c � c�� m 5 � 'i " °; .� * � a Z ��C N m N+� N� N N C N � m � aoom��== � z� � .c n � � � � p o. ,O p U C N N I�0 �" � 3� `m 3�. . � m a� a� N� �>, a ZOmmU�c�n��C�(7m N �. � � � � O Z J W F- m 0 w z c? � m l0 0 N C LL m co � C t rn � 0 � m -o > 0 a Q � � � l� 1� � � � Z O H � w J � U Q � �a Q� �a O 2 w a� o� � o�� O�- �� o a� Z � �Q � c� j � . j W O �, = o Q �- � � C J N � Q P w W LL � �c� � o � � � � � Q � W J m H � Z a Q � 0 � Z O W � U � � � W 0.. � W 0 � 0_ w m J J 2 � Q Z O H � � m � U i FILL IN COMPLETELY FOR REPLACEMENT FUEL BUF�NING APPLIANCE PERMITS COMMON VENT; VENT CONNECTOR AND COMBUS710N AIR VERIFICATION : * VVhen reulacina an existin� furnace, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. � The venting system is plastic/PVC and meets all cuRent codes and mainufacturer s�ecfications including sizing, length, number of elbows and terminatidn. The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturer's specifications. This dbes include AGA-GAMA Category I Central Fumace Venting Tables for fan assisted and natural draft appliances. Tk�e existina combustion air is sized and installed to meet the curren# codes and manufacturer's specifications. When required to install a new combustion air, it will be sized and in�talled to meet the current codes and manufacturer's specifications. Yes ( ) No ( ) Yes ( ) No ( ) Yes ( ) No ( ) Yes ( ) No ( ) Yes ( ) When installinq a new ventinq svstem, the undersigned hereby verif�es that it is a listed assembly and meets the current codes and manufacturer's� specifications. This does include AGA-GAMA Category I Central Fum�ce V�nting Tables for fan assisted and natural draft appliances. , Yes () Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. No ( ) No ( ) Yes ( ) No ( ) Appliance Tvpe and Size/Common Vent and Vent Connector Information Appliance #1 Type BTU Input Fan Assisted or Nat Appliance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Tatal Btu Input Common Vent Type Vent Height Diameter inches Appliance #1 Vent Connector Height ft Length ft Diameter in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type ALTERATIONS• (Describe) HEATING CO: Signed By: Date : � m � � o ? 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N 0 . � O � � r : a}ea :Rg pau6ig �O� JNil�/3H ( ) oN aqu�saa :SN011�31�b' ed�(1 w �a�aweia � y�6ua� }� �y6iaH �o��auuo� �uan £# a�uei�ddy ad�(1 ui aa�aweia }� y�6ua� � �y6iaH �o��auuo� �uan � a�uei�ddy ad�(1 ui �a�aweia � y�6ua� }} �y6iaH �o}�auuo� �uan �# a�uei�ddy say�ui �a�aweia �y6iaH �uan adi(1 �uan uowwo� 3�dul n38 I��l sa�uei�ddy le�ol }eN �o pa�sissy ue� �d�l f118 ad�l � a�uei�ddy }eN ao pa}sissy ue� �ndu� �19 ad�l Z# �uei�ddy �eN �o pa�sissy ue� �ndul f118 ad�l 6# a�uei�ddy uo�ew�o�u� �o;�auuo�;uan pue �uan uowwo�/az�S pue a 1 a�uei� d ( ) sa� •sapo� }ua.un� �ad se ��a�e�edas pa�uan pue �uan uowwo� ay� wo� panowa� uaaq sey a�uei�dde ue �a}�e �(��a�o� pape�sw pue pazis s�o}�auuo� }uan pue �uan uowwo� ay} �� () oN () sa� ' •sa�uei�dde }}e�p �e�n}eu pue pa�sisse ue} �o} sa�qel 6ui}uan ; a��wn� �e��ua� � tio6a�e� yWy�-y�y apnl�ui saop siyl •suoi�e��ads :s,�a�n}�e�nuew pue sapo� �uaLn� ay� s�aaw pue �(�qwasse pa�sg e si }� t }ey� sa�}uan �(qa�ay pau6is�apun ay} 'wa�s s u�uan nnau e w��e�su� uay� ( ) oN ( ) Sa�L ( ) oN ( ) SaJI •suoi�e��}i�ads s,�a�n}�e�nuew pue sapo� �ua�n� ay} �aaw o} pa��e��w pue pazis aq ��inn �i aie uoi;snqwo� nnau e ��su� o� pa�inba� uayM •suoi��}i�ads s,�a�n}�e�nuew pue sapo� �ua�n� ay� �aaw o� pa��e�sw pue pazis si �ie uoi�snqwo� u�s�xa ayl O oN O sa� •sa�ueJdde }}e�p �em}eu pue pa}sisse ue� �o� sa�qel 6w�uan a�ewn� �e��ua� �/(�o6a}e� ywy� y�y aPn�w saqp siyl �suoi}e��i�ads s,�a�n��e,�nuew pue sapo� �ua�n� ay� s�aaw pue �(�qu.�asse pa}si� e si �iun �uawa�e�daa ay� }ey� sa�}uan os�e pau6is�apun aiLL ( ) oN ( ) oN () sa� �uQi}ewuua� pue snnoq�a �o �aqwnu 'y�6ua� '6wz�s 6wpn��ui suoi�pa��ads aa�n�e�nu�w pue sapo� �ua�n� ��e s�aaw pue �nd/�i�se�d si wa�s�(s 6w�uan ayl � ; () sa� , •pa�mba� aaaynn paddo}sa�� pue pa}�oddns ��am�as si pue 'suoi��ru�sqo 'uoi�e�oua}ap '�sru wa� aa�� si pue pawwexa uaaq sey 6ui�uen ay� }ey� sa�uan l�qa�ay pau6is�apun ay�'a�eu�n� ur�sixa ue u��e� a� uayjN ` N011t/�I�Rl3A 21M NOIJ,Sf19W0� ONd 2i01�3NN0� 1N3A ;1N3A NOWWO� S1iW213d 3�Nt/I�ddd JNIN�lf18 �3f1,� 1N3W3�tfld3?1210� A�3131dW0� NI ��I� ; Building Inspections 763-572-3604 BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY DATE //^ lO °� D� YOUR E-MAII, ADDRESS srrEa,DDt�ss ��Fb �Rn�,�`.�.,, �T �f1� �,�/ THIS APPLICANI' IS: ❑CONTRACTOR PROPERTY OWNER/ NAME: �� /.�l 01 ►�� LP� D!�� TENANT Annx�ss: 5�� G19%ay S/�j' crrx nv.,,.�. '�l `� _ '7/7.... /1 7 � ^ CONTRACTOR SUBMIT A COPY OF STATE LICENSE # YOUR STATE LICENSE ADDRESS: WITH APPLICATION pHONE PROPERTY TYPE 1T1GLE FANID.Y/NE ❑ TWO FAMILY/NEW PERMTT TYPE I � �DTI'ION ❑ BASEMENT FINISH ❑ DECK �E oF woRx: o �W O MAIf DESCRIBE WORK BEING DONE: SIZE OF IlVIPROVEMENT ROOFING NUMBER OF SQUARES � GARAGES PROPOSED SIZE: PROPOSED HEIGHT: SIDING ❑ Vinyl ❑ Aluminum � , �', o�� u �fs 5��.. 5� � WINDOWS IN EXISTIl�iG OPENINGS DYes ONo OR FOR NEW OPENINGS-DESCRIBE S1ZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED ❑ SVJIlvIIvIIIJC ❑ ADDTfION ❑ HOUSE & GARAGE ❑ ATTACHED GAR.AGE �DETACHED GARAGE � �� X offit Trim Fascia LOCATION OF WINDOWS � �� a ❑ WIl�TDOWS ❑ DRAIN TILE ❑ OTf�R PernutNo.:` J 'v Received By: Date Rec'd: 1� STATE��G 3 HEIGHT STATE ZIP. Ft. BASEMENT REMODELING SUBMiT: 1. Existing Floor Plan 2. Proposed floor plan 3. List of structival members to be used FOR NEW CONSTRUCTTON INCLUDING DECKS, .ADDITIONS. & POitCHES STJBMIT: 1. Site Plan/Survey showing the existing str�ctures and proposed project. 2. Two sets of construction plans 3. Energy Calculations ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ ,, OCCUPANCY TYPE Pemut Fee Plan Review Surcharge Fire Swcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Ma.in Charge Total Due $ ��y-�s $ $ � $ $ $ $ $ $ $ $ See Back Page for Fee Schedule 65% of Building Pemut Fee (.0005) times the total job valuation — Minimum $.50 .001 x Permit Valuation (1/10%) $5.00 (Staxe Licensed Residential Contractors) $1450 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$20=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks payable to: City of Fridley Attach THIS IS AN APPLICATION FOR A PERMIT NOT VALID UAITIL PROCESSED I hereby apply for a building permit and I aclrnowledge tha.t 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 Construcrion Codes; that I understand this is not a pemut but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all work whic requires revi w and ap oval of plans. SIGNATURE OF APPLICANT � � A�'° PRINT NAME �L��l�� /�� L. GV� DATE i(�� — D S/ Page 2- Building Residential Application BUILDING 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 buildang 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 to-wit: TOTAL VALUE FEES $1 to $500 $23.50 (Minimum Fee is $23.50 plus surchazge) $501 to $2,000 $23,50 for 1�` $500 plus $3.05 fo� each additional $100 or fraction, to and includin $2,000 $2,001 to $25,000 $69.25 for 1�` $2,000 plus $14 for each additional $1,000 or fraction, to and including $$25,000 $25,001 to $50,000 $391.25 for 1�` $25,000 plus $10.10 for each additional$1,000 or fraction, to and including $50,000 $50,001 to $100,000 $643.75 for 1�` $50,000 plus $7 for each additional $1,000 or fraction to and includin $100,000 $100,001 to $500,000 $993.75 for 1�` $100,0U0 plus $5.60 for each additional $1,000 or fraction to and including $500,000 $500,001 to $1,000,000 $3,233.75 for the 1�` $500,000 plus $4.75 for each additional $1,000 or fraction to and including $1,0OO,OQO $1,000,001 and up $5,608.75 forthe 1�` $1,000,000 plus $3.15 for each additional $1,000 or fraction /_ � I �i = M_ � � � _ � 1�� : M_ � �1 Pernuts for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the existing foundation will be required before proceeding with the framing. New Houses Onlv City of Fridley Building Inspections Department 6431 University Avenue NE Fridley, MN 55432 763-572-3604 Fax: 763-502-4977 •