The URL can be used to link to this page

AF - 47064�, � � Caty of Fridley, Minn. BUILDING PERMIT Date: � - L. � Wi11 iam� ��'� �� Ta 9146 pwner. 8562 East RiverBoad g��r A. I,. Williams _,,. Address Coon Rapids Ad�98 same ._ LOCATION OF BUILDING No. 671 � S�t �Ironton _��____ Part oP Lot � 17-18 �^y Bl� Q Addition or Sub-Division �verview Heights Corner Lot — Ins�tde Lot —X Setback 35 —_ Sideyard _ 10 5ewer IIevation Foundatlon IIevatioa DESCRIPTION OF BUILDING To be Used sa: Dwelling �t 26 �p� 38 Height 20 Sq. F't 988 Cu, Ft 19, 760 F'ront Depth ITeight ._._.. Sc1. F't. — Cu. F't. 7.'ype of Construction Frame ��, �$1_.5�000 _ __ To be Completed 6-1-67 Sewer & Water Tap-ins by A. L. Willi�ns In consideration of the isausnce to me of a permft to consttuct the building descrlbed above, I agree to do the P�P�� work in acc;ordance with the description above set forth in compliance wlth all proviaions of or8inancea of the dty of FrTdley. � � a - NSSSB $100.00 In consfderal3on of the payment oP a fee of $ 20.00��t � hereby granted to A.L. Williams to canstruct the building or addition as described above. Thispe rmit is granted upon th¢ express c:ondition that the penson to whom it fs granted and hie agents, employees and worl�en, in all work done in, around and u�n said building, or anypart thereof, ahall c�nform in all respects to the orainance� of Fridley, H�iinnesota g location, construct�on, altera.tion, maintenance, repatr and moving of bwlldinge within the dty limits�and�thia permit may be revoked at ar�y time upon violation oE any of the Provieions oi eaid ordinancea CL�RENCE BELISLE B��g �� NOTICE: Thb psrmt! do� not iorsr t6e eeearueHoe, ImtaIHlloe for wiring, plumbing, en huHeg, se�r�r or watsr. B� wn to � tha Bnilding le:peetoe fer aparm parmUs fe� fhe� i�m�. � ar�,xcA�o� �o� scrtLn�rTC ��T CY�iC OE FRiDLE3, N�SOTA . OWNES'S NAME � ann�ss � S �� a��ss �� . � �.....��_ �..�,�.. LOCATION OF BU�.DING R0. �/` 9 STREET�� -'� �� PART OF LOT .�.. .��-. r...�a.�.�._ LOTI` , % BLOCIC � ADDITION OR SUBDIVISION %I� �� °� ��_ COR1aER LOT INSIDE LQT �� SETBACR �,�� SYDE-YARD �i � �� SEWER ELEdATION FOUNDATIOF ELEVATION " Appllc�t attach to thie form Two Certificatea of Surveq of Lot and proposed buildiag location drawn an these Certificates. DESCAIFTION 0� BUILDING To Be Osed A�: � � �, A � < Front � f� Depth °�, "� fleight � �'`� ��I 1�� '�"� S . Ft . �i,-' `'; ' _:�� Cu. Ft . /� `�' �%; r=; :q � — —s�—�+-�-=-�—'�--- � —�-�-� . Front Depth Height , , • � Sq.'Ft. Cu. Ft.�,.. .�,.r..._...... . Type of Constsuction._ �.� �- - Estimated Cost "� To Be Completed � - �' � � The undersigned hereby makes application for a permit for the work herein specified, agreeing to do a11 work in strict accordance with the Citq o� Fridleq Ordinances and rulinge of the Department of�Buil.dings, and herebq declar�s that all�the facts and representations stated in this application are true and corract. �_ �. DATE i�� _,� �! _� (Schedule of Fee Coets caa be faundeoa the Reverse Side). ,�,� R /, � � fr_ - � � �!" *, `� �� l�,_, _ _� �� .. � - ' s . - r� ..r �''� � � t. _ �� BUA�DTNG PE�[T FEE SCHEDULE SECTION 2. The Inspector of Buildings shall, beEore issuiag permits far the erection of anq building or stsucture, or fo� any additioa to any existing builSing or sCructure, or for anq alterations or regeira to anq eu�ieting building or structur�, upon appl3catiaa therefore, require the_payment by.the applicant foi�such permit of fees to the amounC hereia below 8et forth and in tt►e mamner herein provided to-wiC; _ . , .. . ...• . ...n. . J� � , 2`1. For any such permit f±�r tt�e erection of any fire-proof buildin�, other than a garage, wasehouse, factory or grain elevator, or for the erectian of any fire-proof addition, for e4di�tler occupamcq, to any euisting building, ,shall be at the rate of $],.40 •�or e�c�a oae tbousand -cubic feet, or �fractifln thereof, in such cubical coatents. � 2.2. For any such permit fos� the erectian.of aap fire-proof ,�arage, warehouse,�factorq or grain•elevator, or for the erectifln of any f3re-proof �ddition, for similar occupancy, to any eicieting building ehall b� at�-the rate of $1.25�fos each one thou�end cub•ie feet, ciassified as "€ireproof" bq Section 502 of.the Minneapolis Building C�e. . 80USES � � ' � � � 2L,3s For any auch permit foa the erection of any non-fireproof building, other thaa a garBge, wasehouse, factoty or grain elevator, or anq nan-fireproof addition, for si,mi.lar occupaacy, to any existing building permit �fee •$f..00 for e+ach one thousand cubic feet. GARAG�S _ . ... . _.. - _..,_.r 2.4. For any such permit for the erectiou of aay aou-fireproof garage, warehouae, f8ctosy or grain elevator, _or for_Che erection of=aay nau-firepsoof ., ��addition, for similar occupancq� to aay exieting building or for each such building o� addit3on - ni�etq ceats ($0.90) for each aae thausaad cubic feet or fraction thereof, in the cuf�ical contente thereof with the minimum of $4.00. �For the purpoae of computin� fees for buil,diag pesmits, the cubical contenta of anq building or addiCioa to a unifosm height throv�h�t.by multiplying'�he ground area covered frem a point�six (6) inches below the floor line of the baeement or cellsr to the average height of the upper surface or ta the average height of the �roof surface of� the main gable of a gitched r'oof. � � � • 2_ 5, For repairs or alterattoae to an esistia� structure, the fee shall be at the rate of $3.00 per esch Five'fluadred Dollars "($SOO.OQ) or fraction thereof in the cost of all proposed work. 2`.6.._ Tn no. cas� _shall. the _fee cherged foz any pesmit� aB- set forth in Section 2 be less than $4.00. � , ►� � ,� � ic .R e 4 � � HARVEY A. CARTWRIGHT ANOKA COYNTY BURVEYS HEN/YEPIN COUNTY SUAVEYS MINNEAPOLiS SURVEYB 8610 PALM STREET N.W. SUN9ET 4•7658 " OWNBR INDUBTRIAL - JUDICIAL BU61NE85 - TOP'OGRAPHICAL CITY L0T8 - PLqTTING A]. ?4�1��.121T15 . • �enp��S ��4� CARTWRIG�T & O�SON LAND SUR �EYORS HEO16T6RBD UNDEI� LAWS OF YTATE OF MINNESOTA LICENi6D 9Y OROINANCt OF CITY OF MINNEAPOLIB 326 PLYMOUTH BUILDING FEDERAL 8-8721 HENNEPIN AT SIXTH • MINNEAPOLIS 3. MINNESOTA �ur�epnr'g �ertifacatc 25 � i � � � � �r � �� '°' Ol��i� ��- 1 � �ti�� . ��a� �� is � �� o,r �� z� � �� 1 q 2 ,� � °� � 0 � � +�'o 0 >� � zi� �� q �� 24 �5 25 0.0 �1�� -� � o a �� c�� ,a � � �� . i COMBININO THE RECORDS OP J. E. HILL, CIVIL ENGINEER EBTABLIBNED IBp6 C. F. SANDHOFF CIVIL ENOINEER E9TABL18MED IC08 JAMES NELSON SuRVEroa ESYABl19MEO fY22 METROPOLITAN LAND SUAVEYORB. ESTABLISHEO IA71 Inuoice 21290 702/27 � �� .-'� 'r-�-�', f; _ '"�'' N�.��`, . � �`� . �"�' `�� ..�s �- Zi :� �,.�. �� I horeby certify tha'� this is a tru� and correct repr�sentation of a survey of th� boundaries of: Lvts 17, 18, 19 and 20, BlocL Q, Rivervi�s�r Hei�hts 4s surveyed b� me this 25th day o� �'�pril., 196+�, - �1 - - � .. -.�. :r�; •° �-'� i .. �,. 4 z ,,•� � �, - t :.d{` ��.� ,:� - t ._ � �., . � -- -�SIGN� J� �; ° °� �. .. ' vi � 'IGHT wNO OL90N ,� � .A � � I � :4 � � N O � x r t� � � �xx� � r � � � z�x� � O � � � � �� rs o � � � m � � Y � M M � 9 ~ H � � � � � W Y• � � � h� ,_„ k !+l O � � y N k y O �O O y � � : : x �e k x 0 N � o° 0 4 � � � � � �• H �� o a�i � m � o � I � e��r � � a � � z � �� b � � / � � N M aJ o � � � � ^ '� � � � m oa W � �d C ro �. 0 �P O O O � � � 0 0 � � � O r 00 C pd 'txn °e � :° � w oa " �w.+ � � N •! � .'S° M o � � o � � M m � . �: �. �: x: � : en 0 0 fn � � � 1.� �•a �z � ►�! O � � � � .� � o x � � m�* M � � �� 0 z a m c�i w � � �- � m� aa `D fD � � � O N o � � ''j 0 0 ,.. � �n � R° R° '� � � � � � � � � eb a� O �+- � x ° � o c`''o 0 0 �' o � � � � M ' 'Y � : : d � : x � � � o � : ' � � . . y . t� t� w o0 0 0 °o °o ts� fs � tfl � � � � a n � � � � � � � O � 4 � 0 m � x 0 � 0 � 0 �T W � g � � � � ,� � � �.�•� �� R° R° � � � � � � `� � G � y � M' � Oi° � Q 0 � O � (p � O � n Q � �' � � � m � : � �* p, o a � : � � C : : ,CS � . . $ 4 O . . . m � : : � � w en eai N o0 o °o °o °o o° tn � ts► vn sn a. � w o � �, � � QQ � � b �a � � � ��'� � �! y � ` R° R° � � �, � � � ep m o � � M '7 �' (�S � � M M � ►.d � I � � p, � � O -� a o : � D �, �, . r v� . � � ' � � 0 0 . : o . . � g : : : m . : : : � : : : : _ :::: m � : � C : : : : .m w en oi 0D tJ cn o 0 0 a o 0 0 sn fn ss N Hy t' p ��y� � � o..a� M fyD C� r� M �� p_ ��w ('� m°'*�� o�p� `E . � y �� . �ro o °:� a� � ° � p J �-~'�4 M �a¢ �Op� � y�y� � m �� b �:5'w� � m ��b � ��" r�/1 f'W� f! O " er ¢t � EL �aop •-• m �, y �� a�� . o��: � ��y �� G�a �� .. �� N . � M � � � pbi� � � d � A A O �� ;� `�-=-�;_�, ��'.`_:--�...< 'b '�� O � 7 �� O � �� O = �� f/1 �� 0.� �! � 3� � � � 0 � 7� � � � ' � 0. � +. - M � � � �- N 0 � � �� N � � � � � 0 Y. x r�� yxa� � A ►• � y r o x x x � tA � A 0 � � � z � � � � �M � � . W �' � � � o � � � m � � � v T N � �o j O ~ O ; � Z �a Y N 2 �� c� '' n � � d � n �� >� � :� � z � n b m � � M w p�. � '�i Uj � 1�1 �W c�i d � ►� � k o k � y NN o�.o. O � • o . � : : � : : � � � x oa x �a o N � 0 o p � � � � � 0 r bd � � I � � � � 0 � � bd � � � � � � 0 0 0 0 0 0 � � 0 0 � 0 r � � x C � �' o w aa �`' �� ! � � � o � � o � � m A . A • N • � � P. • �: �. � 0 0 � O PAi �"y! � � � m � � � � � o , � ro � A m �� d � � � '� � � O p� x � o � � m � � � D� � �r�i �1 � � � o � � o I � \" � � � � � � � cv o 0 0 � � �� x� ° � � � M ' H � � � � � �° x � O G y R° y �� 0 0 � � � � � � � N � � � � o 0 0 0 0 0 � � � � Q y � � 8 � � o � � � � � �. � O� � C � lJ � � 0 o@ � �/� M N � ♦■ �b,� � ,�� c� �� .� � � � °e � Re 0 0 � � �� oe !] Q �� o 0 � . � _ �, � � � o a, ��,,, : � ��V. EH G : • O O � . . � o . . . � N � � N � 0 0 0 0 0 �� (j � � � b � S C � �� v3 c��yy � � � � � � � � � �� 0 0 � � � �� €r, �' � °� � a � � � R, rn . . � . . � o : : O p . . Oq . . O : • . � � � � � � o 0 0 a o 0 0 �� 0 � > � � � � T � 2 m C r m o y o d�b � r d a. � � � °'°'� � � » O N � y � p,, � ►i O µ M � b�i q � ps .. � �' � �� o b w y om�� 1 d' g � ��o�, \ g ��° � b hci � � �f p�� V �� F�.yy � O � m �� 1 � � b ��'w � n�� ! p pN� `� pS � m �P.np � t* m o� ° dy ro ��m N a� �.� g"� � � ��y � ��n� �� ' ��o � � � � � �. � �� 5' � � � 'b � • � � �� n d,� � .o. � �o `�y . � N a � �a �� e. � Hl p• 3. � �o � . d �� II �� /�fr''.*�c-� -... IY16 x ° � �� Q' � � � HEAT LOSS CALCULATIONS DEPARTMENT OF INSPECTION NIINNEAPOLIS. NIINN. Weatherstrips �•S.H.V.E. Conatruction No. Insulation Guide Windows Doors Reference Out. Wall Int. Wall Cxiling Roof Floor Kind How Applied �- �1 Yes—No ( Yes—No 19_ .1 � Fl. � Room � Length 'L Z�Width /`% Height Fl.� oom Length /�/ Width Height Windows and oors—Crackage and Area Windows and Doors—Crackage and Area �Vidth He1gIlt No. o! Llneat tt. Area Wldth Height No. ot Llneal tL Area No. ot pane o[ pane Ilghte ot crack eq. Pt. No. ot pane OI pane Ifghte of crack eg. tt. � i ?i0 °� `L �ro Z- / Z �}� 1 � � �s Coef. Btu Infiltration � .(,� s�, �,g' y�e/ � Glass �, ! �,,,a' ,� � � Eap. wall � Net eap. wall � /� �,� '� lnt. wall Ceiling `5° ,,,� � � Floor 7'otal Btu. � /�i �J Required sq. ft. E. .R. or sq. ins. W.A. Leader area� F7•� _ � Length � Width /'� � Height Windows and Doors—�Crackage and Area Width Hetght No. ot Llneal ft. Area No. ot pane ot pane llghte ot crack sp. tt. � �f1,� /(n "!.i � � / � Coef. Btu In6ltration � � � � G? Glass 'p � o Exp. wall Net exp, wall �� Int. wall Ceilin8 �P�' �� / �ZJ r'' Floor ?otal Btu. � � �.'� Required sq. ft. E.D.R. or aq. ina. W.A. Leader area Fl. ��a.� Room � Length � Width Windows and Doors—Crackage and Area Wldth Helg�t No. bt Llneal tt. Ares IVo. ot Dane ot pene Ifghte ol crack eq. ft. �nfiltration I � � �',laaa � �cp. wall .�,� riet eap. waU � � � gnt. wall Ceiling � � 1'r loor Total Btu. Required sq. ft. E.D.R. or sq. ias. W.A. Leader area Infiltration Glass Esp, wall Btu /il� � ' Net egp. wall ' / - /�� O Int. wall Ceiling �' �j / d� � �' Ea Floor Total Btu. :� '�e � Required sq. ft. E.D.R. or sq. ins. W.A. Leader area I Fl.l �`,�` '�� I Length ? Width / Height Windol4s and Doors—Crackage and Area Wldth Helght No. oL Lfneal tt. Area No. of Dane of pane llghte o! crac4 eH• [L - If- !r ! � Y.� `�� / .. Infiltration Glass Eap. wall Net esp. wall Int. wall Ceiling Floor 7'otal Btu. � � Required sq. ft. E.D.R. or aq. ins. W.A. Leader area FI.� � Room I Length �/ v' Widt6 O�i Windowa and Daora—Crackage and Area Wldth Hefght No. of L1nea1 ft. Ares No. ot pane of pane Ilghte ot crack op. tt � _ °.^ t� � � `�%` � Y� �� Btu �� Infiltration c� � C,lass Fap. wall /� Net exp. wall Int. wall � Ceiling Floor �� Total Btu. !� � ired sq. fe. E.D.R. or sq. ins. WA. L.eader ana /r� � �_5""C7 i �� ef. Btu ? i �� J f�' f_3...'a` �`J SUBJECT City of Fridley ° 14036 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T • � � � RECEIPT NO. � `L _��___ COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. � � �� i � CITY HALL FRIDLEV 55432 NUMBER REV. DATE PAGE OF APPROVED BY ---•� � �'� 812-580-3450 910-F15 4�28�� JOB ADDRESS ��t�X 671 Ironton Street N. E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHEO DESCR. �],18 Q Ri vervi ew Hei ghts SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE Michael D. McCoy 671 Ironton Street NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. SAME 4 ARCHITECT OR DESIGNEfi MAIL ADDRESS 21P PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING garage for resi.dense. 7 CLASS OF WORK C� NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK construct 20' x 22' detached garage 9 CHANGE OF USE FROM TO STIPULATIONS 1. Provide a hard surface drive. R�I{TS REQ�iRED FOR N11R1�� SEPERA� PuMB1N� AND SIGN�• � �IEpTING, P� SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, NPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. �F1�alI1@ THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION p OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT `t4O �I' ��I'OO ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX WI H WHETHER SPECIF ED ER IN'OR NOTOTHE GRANTING OF AOPERMIDT �3,256 �.63 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. � XY�X � 7.60 PLAN CHECK FEE TOTAL FEE 19.23 S^IGNATUHEOFCONTRACTOROR TH RI AGENT (DATEI �I�IH N P OPE Y VALIDATED THIS IS YOUR PERMI a E. 'f � � . �9v ` �- , ,� �t�L. � � F�=e�� SIG�JATUREOFOWNERUFOWNERBUILDERI IDATEI`^� BLDG iNSP DATE CITY OF FRIDLEY APPLICATI�N FOR RESIDENTIAL BUILDING PERMITS �NEW, ALTERATIONS, ADDITIONS, OR REPAIRS) OWfJER: ��C Ut �e-` �%�C �0 y BUILDER: S��f%� • �.— Address : ��/ �2o Gvro ti s'% Address : /� � . , Tel. No.. Str eet :�/�O �/ Tp �l1 S l LOT: _/� g� / Sf BLOCK: (� ADDITION: IP� u Fi� (Jr� �u i��'��i �.1�c CORNER LOT: INSIDE IAT: S;TBACK: SIDEYARDS: Applicant attach to this form �o Certificates.of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: ��k'�G� Front: � r Depth: � Height: /� Square Feet: G/�/!J Cubic Feet: �,�r��pG Front: Depth: Height: Square Feet: Cubic Feet: Type of Construction: -��'!�l GL%� Estimated Cost: $ �`,�S6 7.b Be Completed: o� {�/oivl�� S Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired $ $ G�` iS T�'� � Dle l�/ ��^s�"� �.I°� ,�, �- (SEE REVERSE S IDE OF SFiEET) d 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 decZares that all the facts and representations stated in this application are true and correct. See reverse side for additional information. DATE : '7 - � � - 7 � 5I GNATURE : �2�Z�,-o-�' � A�� 5tipulations : , '`�� '�.�� G� �� . �3 �� 9"�� -� ,.� - � � � BUILDI(JG PERt�IIT FEt SCNEDULE SECTION 2. The Inspector of Buildings shall, before issuinq 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: Single 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 :ll � : ► �' : � 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 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 ger 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 5ection 2 be less than $7.50 plus $.50 state surcharge. VERIFICATIO� OF FOUNDATIO(� NOTE: Permits for construction will be issued a minimiun of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has been constructed will be required before proceeding with the framing. CtRTIFICATE OF �CCUPANCY Application for a Certificate of Occupancy shall be made ten (10) days prior to the use or occupancy of any stzucture for which a building permit has been issued; and said structure shall not be used or occupied until a Certificate of Occupancy has been issued. � ,�, �,:1 civil municipal planning environmental land surveying soil exploration Denolee Iron Monument O sca�e /"= 40' ■ ■ erti i ca � � O � FOI' �Iicy.�E� �. Mc C�o y �or /7 f/8, B� O c�� Q �/!/EiP f//El�V .yE�� yrs �J�vO,�A C'o�rvTY /�%NNESoT� \ 1, `' .l5 �E%�S \ -� -3� .. D��r � "�:J- 5Q. _� i N � � � Q � � � � O p �� .� 1 ' aA�A ._, �-; \ <, ; i �o m , � \ / �� e 34 " � Q �► �a� �� 0 � �pUyE � � i4.5 / ,_,, \ j P 1 � ', � t O�A .(D' ��EAS � � � �RON�O!�/ N � � � 7 N s�� _� 1 � � _ � � We hereby certify that this is a true and correct repreaentetion of a survey of the bounderies of the land described above and of the location of all buildings thereon, and all vielble encroechments, if any, from or on said lend, that this survey was prepared by me or under my direct supervision and that 1 am a duly Registered Lend Surveyor under the laws oi the Stete of Minnesote. As surveyed by me this �5"� day of APRiG , �g 77 W� I�ut� �f"1C�(1�"S p.o. box j. osseo, minnesota 55369 0(612) 425-2181 dli�i$Ifl� ,� by ` - � ,:/ • . �• �� - � Ffle No. 28�°4�z eook S�j Paye �� Mfnneaote Repletration No. �iS9 * s n O � � �J J O Z DT �l � 2 D r r � m � — �_ O < 0 m 0 � m � c � n � � � 0 z � 0 A D a Z 0 � 00 r m � � D � z � C � � N m cn � O /z� l/ S m � � O � '�I m m t� � � � D � .� rr, m 7� o Q '� � � ° _ � < � j A1 m D � o Z m � Q .L� �, � N c t� � m o m � D c � � 1 � � — D � � Z cQ m � m � -� m D — - --� — O z � � � �0 D "Q � < m Q � I� � � � � � z m v W � ��` �.d 0o L� L� g g g cn ]7 n m OD p Z w � -� c� cp'n c�'n �'. �. w c m, w o� a� `� 7C fD (D fD a � �- � �' O � O� j 2 2-i ]7 p�i W�� X � fD co �° m m m�� -a � c iF (D � � Cl � N w j 7 = � * * � � 7 Z� r 7 tA y f� N < I I �Q � a�i � � � � m �� m 1 m � W � -�p p�j � � '� N - 7 il N * ' w � c�i � c � (p 1 c m m II. r. % � m � I o I_ I I_ _ I I�I _ 1 I_ � f_ 1__1 � �� n�� cn o 0 0 � o:v v v.� cn �a � 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 v r C � � Z � i� O � v D z -G m � 3 �. m n. n 0 � � � I� � "0 m � � -� z O � � � � c II. � � c N (D a :' 1 O � � m O ` � v !O � ti w w v, � > > a �- O. 0. fD W 1 1 �!� m c = � m' °-m ca � � m � ,7,� O � IQ � � s m, m � m � a y � � 3 � o m w a °- a- m g o .� a � m � � s � o m � � Ul 0 -. Q1 � ? � a a � � �. o a c,�, m °'*. 3' w o' o � � � � m � �. �, � o 0 1 � a � Q � �i ; � � -Q c c� o c� m � m � � � � � a y 3 -.. � o s -� � � � m � � w.� m m � �� 0 �� y � (D 7 v r C � � Z � � X � C � m D -� � z O � -� m O � � O m v � � � � � r� � � � z c � � m '� 0 � „ x � � m � � O 00 m z � D r r m v O z D n 2 � r Q O � � � rn � �1 �. A N p. W - I �p " ca � C C o ,� � � A Z � 7 � 1 A `� r w D R N � "� m � m z D -o � r- n a 0 z � O � � r c � � Z � a z v � D � � � Z �li '0 m � 3 -� � m Q <' m O � � � � � � � (O t0 V Building Inspections 763-572-3604 � DATE `� SiTE ADDRESS,�� THGS AP'PLICANT IS: PROPERTY OWNER/ TENAPiT CQNTRACTOR SUBMIT A COPY OF YOUR STA1'E LICENSE WTfH �i APPLICATION PERI�RIT TYPE TYPE OF R'ORK: �M• \� 1 • ■ � . . � RESIDENTIAL APPLICATION CITy OF FR�DLEY YOUR ■ . +.�.�= Pernait No.:,,;��-, l� � i ?L� � Received By� �L Date Rec'd: '� "� � �. �• � �c��-� .:T_�� . _ _ L - - ► : ��. � � ��.L11� � •�• . ••• :- , , -, : � - :,•*' '. PHOAIE ❑ NEW DETAII.ED DESCRII'TION OF WORK ■ �� ti ■ .,,.•. � . a•. � �� o�� ATE ZIP PER MS 16B.665 the perrmit fee is a minimam of �15.00 or 5% of t6e tota! cost np to $SUQ.00, whichever is gre�ter, for the improv�nent, instsltation or replacament of a residential fixture, excluding the ffittuu�s. (T7�is sliould reflect only tt�e cost of labor ) %abor cost under $300 = 515.00. Lahor �st between $300 to $5� s cast of labar x.OS = FOR PROJEC!'S WHERB IABUR IXCEEDS , Ffi.�F�S ARE BASID ON $10.� PF.R FDt7'URE. EXC�T � N01ED. PUCiURE,S: (AIDICA'lE TOTAL �� B�� D�,Id�.�.90�-- �onn.: � s�z�alv� �N�P ' N�G: MODEL: SIZI�IBTU SIZFJBTU *� A/C $25.� �� F'IREPLAGE (C�,4S) SIS: �� GAS RANCiFlI?YEN $10.� AIR TO AIIt EXCHANGEER S15 �CE iWOOD) $35.� �� 10.�� BOILL"R �i5.00 FfJIWACE $35.00 GEIIr9�EY LIIJER $10.00 CiAS DRYER S1D.0� Pt�L HFA1�R 535.00 DUGT WORK S1Q00 (3AS PIPiN(3 $10.� VENfII.A70R $15.� ��--��r� Pe�mit Fe.e Surcharge TOTAL DUE Numhsr of fixtures � $lO.OQ x $lO.OQ = $ Number of fuctures (a� $15.aU x�15.00 = S Numher of fixtures (u; $25.00 x $25.00 = $ Number of fxs�res (� $35.b0 x $35.00 = � State Surcharge ° $__,Q Total a $ TFIIS IS AN APPLICATION FOR A PERNIIT�JOT VALID L1NT1L PROCESSED I hereby apply for a building � I acknowledga e�-in ation abave is complete �d acxurate; that the work will � in confoimance witb the ordinan d es of ' o ri ley and 'th the l�innesota �Construction Codes; that I understand this is not a pe,rmit b t only an eppli 'on for rt an w is ot to start 'thout a permit; that the work will be in accor ce with dic approved plan e c�se o w 'ch revi d appmv of plans. � SIGNATtJRE OF MPPLICANf � �. City of Fridley BuiIding Inspections Depaa'tment 6431 University Avenue NE, Fridley, MN SS432 ��z_��_ztina. �CT-17-20H5 13�04 CITY OF FRIDLEY 3►u�.11d.i�g C1Specti.bn5 'G3-572-3644 _�_� rrE,Anr�x�ss,,..{� H15 APPLICANT !S: TENANT SUEMIT A COPY OF YOUR STA'T'E LICENS� wrrx ,��.YCAr�orr QF VVORK: �3LT.��DYNG R�S�DENTLA�L A�"�'LY�CA►TI�N CYTY �F �'RID��Y .—. - rovRE-Mnu.,��ss G�f7r�t�� Y�� t� '� �CJ � ❑ OWNER �C`�GNTRACTOR i�, �, � e. ,�5� � v� h ' �� ' -e �: - �� .. n v,,, �. � �+ . �'�Y STA'IE ilCEhiSE D BASE1vI�TTf FWISH ❑ DECIC �ESGRIBB WORt� BEING 3TZE OF �ROVE1v�N`f SQUARBS ^� ,� ?ROPC75ED S!Z£: _ ''ftOPOSID I�TGii7': 8Tri G �r� � Alum'u�+m � tkhet � OP�t+iINC+�S �Yss ONo pR FOR NEVU OPENINGS-DESGR�E SIZE OF QPEN1NCr CHANG�S & ALL FE�S ARE Perm�it �ee Plan Ft�view Surcharge Fire Stu�cbarge Licensc S�charg� SAC Charge Cur6 Cut Escrow Erosion Caatrol Park Fte Sewer 14xait� Charge Perrnit No.. Received By:_ ,��1L �P F�P DA'fH ca 'S 1 �/` [ � i� ' CITX � � �/ � -c� q c c� �� fD �, �b0 ��"-- ' Gb 3iRUCfi01� BIZE �1SgRtJ�7fOlr' STCli.�ES O GB.RACrFJSI�D W5 ��F � DIL4I1r1 TII.� II•tG D OxHER SR►�G Pb4L _ D ON ,� ODELD�IG P /A�i 0,� ?/V� � �f l E� LENGTH WI�JT�i I�.IGHT O Ii0U5E ONi.Y l7 HOC7SE & GARAG� C ATfACI�D GA�ACrE ❑ IIEFACkxED GARAGE OSaffit � T�m G �asaia Lpca,�oN OF wn�nows � 5 �L f Cr1Y� AT��:�l,� �'t $ASE1v�NT RHI��Oi)EL[IJi' SUBMIT: 1. ��dstdg Flaar Plan Z. Froposed Soor plffi 3. List of strucnual mcmbcrs ta be uscd FOR 3VEW CONSTRUCTION INCX.IJDING DECKS. ADDn'IONS_ & PbR.CHES S�IBMIT: t. S�te P►aNSurvey showing ttee existir�g savice�es � � prar�scd prsi�, �, Twa seES of co�truc�ion plans 3. Ette�gy Catcul�.ioffi iAS�.D ON vAY.UATxUN, YNCLUAA�i'G'T� .�OST OF LA�OR A1�tb 1vIAT�RTALS: (USA�iG '1'�E 1997 U.�.+� FEE SG��YJLE) i��.if.�'�i�i�t' � U ��'FtP.A�C'Y � - --- �1E -_ _-- �_- - -� - - � -__ $ �.� j S� Back Page for Fee Scheduie � 65°h �f Building Fermit Fee � �f : C� i.000S� tinaes the tot�l job val�an �- Minimum �.SO $ �. �� .00� x �armit Valu�tion (1/10%) $ �� S. U'� $�.00 (State Licensed �tesidengal Co�tractors} $ $l450 per SAG Unit (Plaus to M'WCC for determination) $ �+Sft= �tx$20=$ $ $450 Conservatian Plan �teWew $ Fee Deternoivaed by Engineering $ Agreement necessary ( ) Nom Necess�an+ ( ) S�!/�_�� 1Vlake ebeclss �oavable to: Citv of Fridle�v A,ttach StiDala TFIIS IS AN APFi.ICATi4N FOR A PERMIT-NOT VALiD C�TTIL PROCLSSF� I hereby apply far a build�g persnit and I ac�wl�ge that the isformatian above is camplete and accurate; that the work will be in con;�vrmance with the ordinanc�s aad cvdes af the City af �ridley and witb tlie Mianesota Constrt�cticrn Codes; that I umderstaQd this is not a p�m,it but o�y an application for a�etz�xit and w�rk �s not ta stact withont a per�it; ihat Lhe wprk will be ini accor�t'tce witb the appfoved pIaa ia the case of ell work hich ret�uires revi��yy�1d a�proval of pians. SIGNATURE OF APP�.iCAN�/ 9/ /. ��.L (��UV G��%RR�i�73AARE �fiL / G �! �� 9f/�c��/ �� G