The URL can be used to link to this page

AF - 47135�" _ � ,.�, � � . , , . .. �� . , � . _, . � ,.. . �� . ;. �. - E ,: , . . , , . �., _ � ��; _ Vl�� Of �rlf�.�ys �l:II�l. � - � , - �_ _ � � � ��: �° -� �� i�89 �� ., � � = �� . . :� ._ � � � BU�LDIN� P�RM�T � 'r � � , �' �� . _� _ ISate: /�p�i�� . ��:°.'�� . � �� - � - � � � - ��/ W ll� . . • D�� y��1� � .,��.di . � ��y�! � d {P � ' .�Titilil �.SS • - •�. r . a iida•• Gw�l � • .. . . . - �. �.. : � L�A'i�"[O1V 4F' BU14.L7ING ' 1�IIo. '�,�i .�,�. �� . Street �: # . � .-�. � .�':� .�'� . Part P Lut La� . �. Blcfek . � . . . .A.$cTiflon or Sub-Divisiqn y� �t�.��: .�'�.�r""`�:�.�. � - €;orner Lot , . . . . : . . . . . � Tnside Lot . . ; `. . . . . : . . � Setback 4�t��i'.� 5ideyar� . 1 . . � �:�"`fi'� :.. ... . .:. . . . .... . .. , DESCRIPTIQN OF BUILDING _ = 'T'o be Us�d as: � -_ �' ; . ' ,'' �. - , _ A ��'� # �� `��'. Front .±�¢�?. DeP�i1. :� . iie�gi�t�°:��,3;+�� Sq. F't. . . ; Cu. F't , - Front Depth ',. l�eight Sc�. F`t. Cu. Ft. . Ty�pe of Gonshuetian •.�•�.�"'�-��. _ Est., Cosi. �1�!'t'��.'� �� To be Coinplet .�`rk"�.?� .� � �� :`�..�'�1.�'�� "I��, " �� , : � . :, , .� . � -. � ,. .,.:.. . . . , . _ ' In . considerati�n of �e issuance to =�ae of a�ermi� ta construcE the -buiiding described above, I a�rae ia da . � tlie prop�ed work in aecordarice wiih"#.�ze d�scri�tfon above set forth and ' in comgliance witti all' prov,ialor� of ,' ` ardiaances of the eillage_.of Fridl�y. . - -. _ � :.:e. �. 4n � y "- ..�: . . .. .. Tn corisideratioa af �e �►a.yrnent of a fee o# $��..'�`: .., permit i� i�ereby granied tai ��`�"";'� � �'.�i- ' s v�`i��4: �� • .:'� �� ...... tar eanstruct the bul�iing;ar addition as descrii�d above. Thia Permit is grante�d upo�► � id'� - . 'Eh� �iress condition that the person'to whom: it. is granted aitd hi� agents, em.P14Ye�es antl warl�nent 'ia;all Work . sioiae in, azound and upon said buildiug; or .any Part thereof, shall conform in all respects tQ the ordinanc�s of : F'rirlley, Minnesota regairding 1a�13on, construct3on, alterat3on=.rnaiatenance, r�pair $ad moving of buil�Ings with- �ti::fihe vi�iage 3itnita and this pei�mit may,be revol�ed at'anY #�ne uEon violation o!' a2iy of �ce provisions bf asid - . .. ordinanses. - a' .� � � �� _ '� �;��' - -, - _ ., Bu$dittg Insp�tor �-� -�;.��; , 1VOTI�E. - _ �' This permii daes not cover #h �constcuclian, i►�stxllation ar aite�ation foF vsriring} plumbing, gas i�eating, , � ,. - _ sewer ar water. Be su�e to see e Butlding inspector for separate Aermits , ese items. ' ,,�z"�` : , _ _ , _ ,:. � ; - ,. •, � . ,'� � �'. . _ , - r � _ :,. � , _ City of Fridley, Min.n. BUILDING PERIVIIT N� Date: ��--� "�. �'� �N' � � ' , �' �` � �r Owner: �` � Builder �'� - .�---.- Addres.s .� �. Address — LO TION OF No. .�� Street "' .�� ,,�rPart of t ' / Lot — Block � .�-___..--. Addition or Sub-Division .�!�'y`�^^"°" "`/°"`"'""-.�� `-�^.'`'�J ��-- ��.. � � � Corner Lot - Inside Lot �P Setback �� "��-�--- Sideyard ___,,.�L Sewer IIevation � .r �'ounda,tion IIevation DESCRIPTION OF BUILDING r� �.� �� cu. �t. � �� Used as: Frant �� Depth ,��eight .�..� Sq. F't. Front ..�� Depth Height .�� Sq. F`t ��'"'_�.___ Cu. Ft ��'� Type of nstruc ---��`� ;�� F�t ��=�.� '"�iTo be Completed — In consideration oE the issuauce to me of a permit to construct the building described above, I agree to do the proposed work in accordance with the description above set forth and in compliance with all provisions of ordtuances of the dty of �idley. � Ea consideration of the payment of a fee of $..� '°'��, P�t �S hereby granted to to consfruct the building or addition as described above. Thia permit is gra.nted u�n the express condition that the person to whom it is graz►ted and his agents, employees and workmen, in all work cione in, azound and upon said building, or any part thereof, shall conform in all respects to the ordinancea of Fridley, Minnesota. regarding locat3on, construction, alteration, maintenance, repa3r and moving of bwlldinga within the dty iimits and this permit may be revoked at any tim pon violatai oP any of the provisions of said ordinancea � � 'i .�,r''� �° � � Buitcling Inspecior NOTICE: T6is permit do� eot covee ths eoeshueHon, installatton for wirPne, plumbing, 6es heatiee, sewee oe watea Be wn to see �hs Bnild'mg (nspaeMr for separate permits for �6ess items. 4 �. � —��. j'�-. .` , _ � � _ �� 1 8 A�C�@88 �� / /' No APPLICATI0I�T �01.@ BUI�D=NG PERMST CTTY OP �ID�EY, MI�.'�iESOTA e zoc.�,TaoN o� eua:,.��r�a o� Lot � Lot Slock Addit�on or Subdivision� Corner Lot 3nside Lo� �� etback� Side-Yard SEGTE�t ELEVATTOIV i'OUNDATION ELEVATiO1�T Appl3.cant attach to �th3s form CertiLicate of Survoy of Zot and proposea build�.ng location. , i o Ive used as o DE�CRIPTIOiv OF BtTILDING �Depth �� Heigh� � � � � a7� s C Ir • rY� • �t • '� '�% � Front-��!��--�'Dep�h��FIeight �� ° Sq . F�t . Cu o Ft . � .�►-r� Type of Construc�cion _ -�r-�,_,i, Estimated Cos� ""�° To be The undersigned herebg makes applicat3on �or a pe�mit �or the work here�in speciiied, agree�.ng to do all work 3n stric� accordance with the Ci�ty og Fridloy Ord�.nance� and rul3,ng o� the Deparf�nent of Build- ings, and hereby declares that a11 the facts and represen�a�ions s�tated in this ap�lication are true and cqrroct. ��°�" � � Da�ITE (�i�� SIGN�ITURE � �L�Ze�� i�G�� (Schedule of Fee Cos�s ean be fouad an the Revorse Side�. ( , � ��-. .,� . �°�� s . �UILD�NG PERMZT FEE ��DULE Sec�cion 2. �l�he inspector of Bui.ldin�s shall, before issuing any per�►i�: �or the e�ec•�ion of any bu�.lding or stxucture, or for any addition to any c3x�s��anc� building or s�cruc�v�e, or'�. for any alterations or �epa�.rs �to any exis��:ng building or s�ructure, upon appiica�ion �ch�re�or, requixe �he pay�ent by the a�plican� for such pergnit of rees �o the amount herein below se�t forth and in �he manner herein p�ovicied to w3to � 2.1. Teor any such pe�,aait for the erection of any fire-proo� building, oiher �than a garac��, warehouse, gactoxy or grain eleva�tor, or for �he exec�ion or any �ire�p�oo� addition, ror s3milar occupancy, to any exis�i.ng bui].di�� shall be at the rate og $1.�0 for each on� thousand cu3��.c ceet, or ��cac�tior, thereof, in such cubical contents. 2,2. For any such perm�ic �or �the erec�tion of any fire�proof garage, wa�ehouse, fac�toxy or gra�.a elevator, or �or �he .erection o� any sire� proo� addi�ion, ios siniilart occupancy, �o any existing building shall �e at the ra�te of $g.2SYfor each one thousand cub ic feet, classi�ied a.s "�ireproof" by Sect3.on 502 0� the Minnea,polis Building Cade. I30iTSE S _.__..— 2.3. For any such peTm�t�t for the eacec��on of any non-f3reproo� build- i�g o�her than a garage, warehouse, fac�ory or g�cain elevafior, or any non-�3.xep��oo�E add�.'cj on, for s3.milar occupancy, to any exis�t3ng building Permi� $1.00 fcor each one thousand cubic geet. ��s 2ea. �or any such pe�cmi�t for �he e�cectio� of any non�fireproo� gasage, warehouse, gactory or grain eleva�tor, or for the erection of any non�-iEi�ceproof additaLon, �or s�tm3.lar occupancy, to any ex3sting buiiding or �or each such build�tng or addit3one Ninoty Cen�s �Eor each one �lnousand cubic �eet or fract3on ichereof, ia th� cubical con�ents thereof wi�th a min�nuan oi $�,00. For �e purpose or compu��.ng fees for building pexmi�s the cubical con- ten�s o� any buildi.ng or addition �to a un3for�n height throughou�. by multiplying �the ground area covered �rom a po3nt aix (6j 3nches Ioelow �he floor line o�;�e b�.sement or ce11a� to the average h�ight of the upper sur�ace or �o 'che average heigh� of the roof surfac� or th�e main gable o� a pitched roo�. _ 2.5. For repairs o�c alterat3.ons to an exis�ting structure, the �ee shall be at the ra�e of $3.00 pe�^ each Five Hundred Dolla�s �$500.00) or ��actios� �hereo:c �.n �the cos� o� all proposed work. 2.6e In no case sha11 �he fee charged for any pesmit as s�t for� in �2ctio� 2 be less t'�*� $4.00, �'�, , , t. City of Fridley, Minn. 6431 University Ave. N. E., Minneapolis, Minn. � �� 1�� Date: _.____�g�;�t., 19 7 - Q�;: F.lme P_ Kr»i�e B�d� „(�ng7it� (;onatrnrtinn $prc�iep In�- Address �5.7�.4�F1cka_��tre,�* N.F_ Addr�SS �nn7 Fa�er 9_G.. 'h S�-P t� Mp1�s_ LOCATIOIV OF BUILDING No. ...._.S..Z.��.... Street Ja�o �"F��N F' Part �f Lot Lot .�_.._.9 ..._..._ Block —._� ____..._._.._. Addition or Sub-Division ��$ Lak'�vieF7 Anor Corner Lot ...__.__..._^.._.. Inside Lot � 5etback Sideyard Sewer IIevation ._._._.� _ ._ Foundation IIevai3on ___._.. - - DESCRIPTION OF BUILDING To be Used as: Alterations to Basement �nt �p�, Height Sq. Ft. Cu. Ft _..___.... Fnont Depth Hei�ht Sq. Ft Cu. Fk Type of Construction Rnnm &. Bat�+ Est, Cost .�.�fi�...�00 �QO To be Completed ��I., � 97� Stipulation: Provide ventilation if no window in bath. If bath fan - 4 air changes per hour. In con�deration of the issuance to me of a permit to consfxuct the building descr3Ued �o�e I agree to 80 � proposed work in accordance with the description above set forth and ia compliance 91i� a'll provis�tons oi ordinances of the city of Fridley. // � 1.75 State Surcharge Zn consideration of the payment of a fee of $�.$.9.��, permit 3s hereby granted to S�u_ a_��,Y �'�� r'�� t i on �prvi� _ Tnc. to construct the building or addition as descxibed. above. Thia permit is granted upvri the express condition that the person to whom it is granted and his agents, employees and worl�nen, in all Work done in, around and upon said building, or any part thereof, shall conform in all respects •to the orc�in�nce� oE I�'ridley, Minnesota regarding location, cottstruction, alteration, maintenance, regair aa moving of builditig� vyithin the city limits and this permit may be revoked a t any time upon viola.tion of anyfiof the provisions oF said orrliaances. � � CLARIIV_CE BELISLE NOTICE: ii�is permit does aot eover fhe eonstruetion, installation fo� wir6�g, plumbine, gas I�eaHng� aewer or water. Be wre to s� t6s Building Inspeetor fo� aeparate permits for theae hems. ., � ;� APPLICATION FOR RESIDENTIAL, ALTERATION, OR AllDITION BUILDING P��RMIT CITY OF FRIDLEY, MINNESOTA owntnt's �;��/�e�- ��Ll s ze BUILDER. � �� T annxESS : ��/" i��J,r��.sa'-,. /�-�- annxESS :,� r� I �-- � � �� `( 4� � �%/ � ��l,�c� N� .. S TREET :\�[°�C S M � LOT :�� BL�K: � � ADDITION CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD; � Applicant attach to this form �ao Certificates of Survey of Lot and proposed building location drawn on these Certificates. � DESCRIPTION OF BUILDING To Be Used As: ; � ;' � ,. 9' �, '�, �i � �� `� � ' �� -�� `� � Front: Depth: Height: Square Feet; Cubic Feet: Front: Dep'th: Height: Square Feet; Cubic Feet: Type of Construction: �e-�.,e, '� ��{-C� Est ted Cost: $�_ � c9�_ � _ � .. To Be Completed: � /' , � � G�'2��z � The undersigned hereby makes applicativn for a permit for the work hexein specified, agreeing to do all work in stfict accordance with the City of Fridley Ordinances and rulings of the Department of Buildinge, and hexeby declares that all the facts and representations stated in this application are true and correct. � DATE : ��'S IGNATURE : < <s`" (See Reverse Sid For Additiona.l Information. ) 9 ry��, - a_ ,.� ,,� f . r �; � � �� - � ' ��,F P � �'1 .f. � �' 4 � r � yy. l0 / /� l�v �.: � .�' p�� j � l ^ i �. F�J .S� � � / � / � �� A � � /�°� — � �' � � �s ��. �, �� J� �. .� � � J BUILDING PERMIT FEE SCHEDULE SECTION 2. The Inspector of Buildings shall, before issuing pe�its fo� the erection of any building or structure, or for any �ddition �o a,ny existing building or structurea or for anv al�ega�ion o� repairs to any �acisti�� building or structure, upon applicatiQn �h�r�for�� q�� a�� ;r �� applicant for such permit of fees �o the ��o�� b�a� �� u the manner herein provided to-wit: � �FORM BUILDING CODE: Type 1, 2& 4-�2.15 fo� �ac� o�e thous��d cu�ic fe�t, or fraction thexeo£e in such cub��al con�ent�o T�rpe �& 5�$lm�� ¢o� ��ch one thou�� >ub�� £��m ADDITIONAL INFORMATION For the purpose of computing fees for building permits, the cubical content� of any building or addition, is determined by multipiying �he �ro�nd a�ea co�ered from a point six (6) inches beLow t�� loo� lin� of the basem�nt �� he cellar to the �v�� igh�s �f �h� �pp�� §�irface or to the average ��i�� of �h� ��of �� t�� in g�b�� itc��d roufe For repairs or alteratiuns to an exis�f�g st�uc�urea �fie ��e �hall be at the rate of $3.00 per each five hundred dollars ($500000) o� fra�tion thereof in the cost of all proposed worko In no case shall the fee charged for any permit as set forth in Section 2 be less than $5.00. VERIFICATION OF FOUNDAT'ION NOTE: Permits for construction will be issued a minimum of 24 hours from the time of application, to �,llow 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 �roceeding with the framing. CERTIFICATE OF OCCUPANCY Application for a Certificate of Occupancy shall be ffia.de ten (10) da,ys prior to the use or occupancy of azny structure for which a building permit has been issued; and said structure shall not �Se used or �ccupied until a Certiticate of Occupancy has been i�sued. Y '� . � �i `' � � � �� A x � � � � � v, �6 � � n ! � 69 r. � � e�a � � � � $ � � � � � � � � � � � � � � � � � � � � � � � � � ° � � �� o � : �� ° � � � � : � . � o � o .� � � � v� o. �' ° � �OI ' o0 • , • � ,°c� - �' . � � � � Q o pg . . � � • a �° • e � : � H : : : ' � � a o . � � � . . s • o e o s . � e o s • �e � • • .. e o o • o � � . • • • • e e . : � i f • • • • • . • s � • i �: Q � � • 11 N N M M !0 i M M at �I : � M �p �r �p i�a Wp 4t r�. a�¢"� � � � � � O . y O � O � � O � � [9 � �i�� {/} M M M fw N - M i M 1 1 1 rl" �, t' O � I .,,, . � � � �� o � � V �p 1 _ � b� � �. � 0 . � � a � � i � � � 601 � � � � i17 .. �' � x � � � p n E ° a '� � « oa b � �o 0� � . � ; �'� � � a � ��fi��■'. ,,s�� ,—� p .I. �� I� : � � t _ i�:� 1 � -- '��`- -� - � �� I��i'� ��.� � ��if�� ❑❑ � � � � � � � � � � � � N w�� AlR98�S � �� s�� w�ve r�aers 9�BN[. �, �� . � QA4�L o� 0�4NIN�SS o • a • w � � � � �. � � Q � �� a � �' A �. �� . � � �� . � �� ' � o, �r' � � � O � �»� �`��.� 00 v �� n d o � � s��; � ° ��^ �p A� �. � ��. a�;� �� A� m 3 .�. � � � �� O £Z � � is � � � 0 � � � � � � � � � a' � � � � � � � � ��r sue�ecr PERMIT NO. City of Fridley ° 15487 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T � t ; � RECEIPT NO. � �y _ COMMUNITY DEVELOPMENT DIV. �� r � � PROTECTIVE INSPECTION SEC. � � � � /��1 � CITY HALL FRIDLE� 55432 NUMBER REY. DATE PAGE OF APPROVED BY �""'� � ,�� 612-571-3450 910-F15 9/26/79 � � JOB ADDRESS 5714 Jackson Street N.E. 1 LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE AT7ACHED DESCR. 9 6 Donnay's Lakeview Ma.rvor SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE Elmer Kruize 5714 Jackson Street N.E. 3 CONTRACTOR MAILADDRESS Z�P , PHONE LICENSENO. Mi.lton L. Johnson Co. 2513 Central Avenue N,E. 781-9548 4 ARCHITECTORDESIGNER MAILADDRESS ZIP PHONE LICENSENO. 5 ENGINEER MAIL AODRESS Z�P PHONE LICENSE NO. 8 USEOF BUILDING Resi.denti.al 7 CLASS OF WORK � NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE O REMOVE X 8 DESCRIBE WOHK s 11 aluminum tr� 9 CHANGEOFUSEFROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING S�. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PEFiIOD 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 GAiiAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIfIED HEREIN OR NOT. THE GRANTtNG OF A PERMIT y�`2 OOO S�-.QO 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 PERFOFiMANCE OF CONSTRUCTION. ].Z.00 PLAN CHECK FEE TOTAI FEE � � --� '7 $13.00 SIGNAT REOFCONTRACT ORAUTNORIZEDAGENT �DATEI WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT SIGNATUFEOFOWNERi1FOWNERBUILDER� IDATEI BLDG INSP nAT �:��t��t: fr( i�� boi4� �✓E^ f�ii��itl_�.a� �t('�'LIC�7'�Uf; �=G(Z �,L:SiI)[:!l�f�I/�l_ :�UILDiIlG {'Gi4f°1,T:e . ��`�LW, r��l��(a/1TI U�dS, l�l?I)I T 1 C�(dS, Oi: �ZCI'�`11 �2� � Elmer Kruize ' �`��j,U�,�i: iiilton L. Johnson �Gor��any 5714 Jacksan St N E �,�a�C��;, 251� Central N� ��.cl�.r�:ss . - 7.�cle iio. 781-9548 � , pa�.: 5�14 �t�,eGti% Jackson St N E � j�;Jm; }3I.�O:Y.: _� TaD�].J`ZOP�: ____._.. ��:;dEi; LOT: IT�JSIDE L/JZ': SLT�IICJ:: _ SiT)1�YI:RDS e_ . sA�,�pl.ir��r'�i: aL-taeh 'tc� L-his forn 2`��o Certificat�� ef Survey o� Lot and pYOToscci �t�iluing lor_ation drawn on these Certificatese � T« }3e L s ed 1�s : ]3�S(:RIPTjOid OF �UILDI�!G Fre�?�t : �eptl, - ' 1?e?. c�ht : �_„ � Squa�-e I eet: � Cubic Feet: .�...�_ T'roni.a � L�epthe �_�� Heic�ht: _ .� ' �quare I'�at: . (�bic Fe�t: � ' Type or �oristruczion e Aluminuru t1e�Em �s�cimatel Costs $ �� 000.00 %.b 23e CoanpZeted: __ _- 1�.1t. A Ai�. �� proposed Drive�aay tti'id�F:h if l�tew Openi_ng Ts Uesa.red $ $ (s�r ��i�.s�, szDL• o� S�iL•:ETj The unclersigned hereby makes a�plic�tion for a per.mit fur �he ��or}: lierein speci.�ieci, agree? n9 to do a11 tbork in s criet c3CCCJ]: C�ciY1C� taith f:tae Ci ty af l�xidle�� Ordin.�nces and. ruliilqs of the Departmerit oi' }'aiildings r ayad herab}^ declare� ihat all the iacts �and represei�►i:atic�ns si.z�ted. i�� t}iis ap�licaL-i�n �xe trt�e ar.d coa:xect. S�e revezse sidc fc�r acldi�ion.zl zai�'a:.mr��.ivn. � b� . L�AT�: _ �� ° Z SiGIvtlTUl:E: � 0 -� .i � i �I �� - ,V a 1 -� i �'-? :� � � f / / � ; i i ___./ Sti.�ul�tios�S � � /�-�� . ' r - c� o � �� v� � . � � ; �; . , 4/ . � . �', . ' � / � , �. . ��__ f � (si.; � t...i1ldG c'�h;l•�i a r�L`= ��i,��c;.i�ii..�. �i:.�`.i.'7C�?T�' �. rl';'t°_ �l.IiS;�r-.�'i.��^ Cir i:t1�l.CiiY1�:., S�rlclil.� iif:1"C�t`(: 3:.^:liliif �i.�i'lil].t:S 1O�L" ��?�:: �Y'�',�i'._i_c,Yl Caf: 4ilj�' ��:71�L7�.?"i�7 C�Y ;'.��-?=:tC�::tJY':!r OI' f'Jr c�,.17V 9.CI��T_�1("�I1 i.:; 7- `1� C`}tLcdl:iCj ilt,lll.f.�lll'.� C`I :: �'y�7�'�'i� ^d :rT' ii:�' .1i1°; 3.1 t.,-,�^�?;�.ur��c b;= i,..).:)i.r:; 'r:. �I1j� C'_X'A��:1.iiCj i7�17.iC�1I'Y�j �7r' :;tt'UC�l2; E?� ll��c7Y: di�r�? 1C:�.C.I,;JYi t'h�rei�re, Y'�Cy'il'i'i: *.hr.'. ,�i,:,iT::�,::T: 1'j��r {��n at''nl."�Ci:i�1: �^d: ';11Ci7 j��SP.it. Ui f�fl�°. i:^ �f"1C c1[il0«�lh iZt�i"F:7.it belc�:l. 5t?� y(?tr.i: c?i"t�l, �n fhe 111117i1EY :iC.:C�112 ��rove�lecl �:C:—:h'1'�: tv'Et�; CUi�;�TF,Ur?Iv�;� :::i:��.�.r_; �aniiy ii�mes ae�c� G�.r�aaes: $�4.00/1,000 cur_,i.r_ i�er. F'T,�� C:tii,L.Z:: 25 y;�:rcn:�!'_ nf 3��:;�lc�in�� Pe2'rnil f_a.e. i7:c�IVn57�s DE;F�`'.I;S�IG:+:. �Cr�rz�.Y � +-r � t�� CurL Stre�� irc� •; r�: '�E�i 1? ��E'. .i�; t.�ZROV 71 'u21C7 2 r;; 1_ ,. �'�TR�?;1 � U'E CO1'2!`Y'r�.tE' Ci111� 3i1�a � �u'r.ter oni.��; ur_i.veway wic.3th �:ius 5 feec :� a1=�s�C ��_��:,,�t_� E: he_noti•��.1 arid re�lacemcn � af concz�� e curk� nn� gu�t� r aisd inst�il. a 3 raot iti�; �3e �.� pro:�ch w�:t�t� 6 is.cii dep�'ra; Dri°.�e4aay vaidth plus 6�eF�t x �]_7. it; _ � za►v�_��cR��;�a�rTaN � �"�` �=j1� �"s'='F��e o�= �o-t1t.7�ti_�a �ees for buil�inc� �armi�s, -�he cubi��1 cont.ents of. ar�y ��iic'in�x c�r acd.�•�;��.�•r:: i� �et�rmi_ned by :��ulti�lying fihe �round area ccvered f�o:n a ao�n L si:� ;F,) �_ne!zes below t�e fl �o� ].ia.c of the base.�nent or th� cellar to th.e �"=��a��'° �',�i�{�tG ��' �:'�u �?.��ar suri�ce or to 4he average height of the rocf sur�ace �aT ;-.iic� r��:;.�; �aL-l� oi � pi.?-.c�,ed roof e rQ� �=EI�a`'-s ��r a:L��rai:iai7� to an e?cisting structt�.re, the �'ee siialJ. i�e at the x�ate oi �3-Q() }::�r Each ;i.Je Yi�,�id.red ciol,laxs ( f500.0U} or �i-acti.n �.hereof in �e cost Of tt.Ll _ j?YU;�US e�l 'aio7'k . T?', ��, �:as? s?�a�1 -t.he ��:e chu:°g�� frar any �e�zn.it ,�s set .forrh is� S�cticn 2 b•� :.css i::r�a.n $7» 5G plias $e50 s��te s��ch.ar�;e. V�RI�?r,�TION pF Fc�L►N�ATIQI� TJG`rE= ��z'�:►i�s� •�a� eo„st'�'uc�i�n �ill L,e is:;ue� � niiniII:� o� 24 hours zrom tne tir,ie '.��' ar�;�iica�.zr�Ti �tc� a11ow �o-r pr_o�er review o� th� proposed structure and of the co�s � s'��t:�on -s; i�. �� i��=''=�t� �f Su�'��ey cf the lo�t, shQwinq the location oi the foua�dation once it �s been �c�.�truct�d caill Y�e required be�ore proceedir.q wit� the frami.r.g. \.� � �.t�r Z F Z c��r� o� �cc p . . , c�,r ; �•:�r'l�cati�r, fv.r a. Leztifica,te r�f Qccupancy shal? be made ten (10) days prior to the � t'sC Ul° o:�c�xpanc�- of any sfir�tctare Lor which a 3�ui.lding ger_mit has been issue:l; and �4iiu st�-aetuz� �ha�:l raot b� t�ed or occupied until a Cer_i�.;�ficate of Occupanc�� has bE1'v'.Ci .1SSLlE:�. � s =` -s s `� ` � D � � � n 3 0 � a 3 � . O N; (D 3 � O 7 3 � Q o O � � � w ci -a Q � � � `G � o � � `c � �' . Q � .T O .=i � � D r 0 m� z� � � �v zm D � �� m � n � � `n D � O Z � z � m z � . -v m c� � O 'z m m Efi w 0 O O 'a -� < � � � � 0 c � S t 3 � � �, � v � � � . �� . � 2 o. � W z � � 0 0 � � � � I� � � n � 3 °. <� a� � c �y (D p � D a � � 3 � � — m O � 0 � --1 tn 0 � D � r cn T ' m �- � cQ � J � O � 0 3- � w N � -��. ID N � � A � tD ¢� O � �� N 0 � � � � 0 Z . o0 O � � � � o c `� 3 � � -� � a � Z m .� 2 v rn v � m z O ��;z � m o — °- o � „�, �_ � � m � � c N _ -t � C� o � w � n O a � 3 � � w N a fD v� � � � 3 a�o.� � • 2 0 � � m � � � D D � � � N w ° ° � 3 � � �-. ._�_ _� O � � � I D � . N N N � � � ...I. ...► J � � � O O O � � � m � � � � v O � -i � � � m � � -i z 0 � � z � c � rn v � � �c w �' ��a � Q� � � ��,cnw 2 � A �.: � 3 m � + .�. d a ?� � v C � O � � �� m oo � o � n � �� 3 � � v , � � op '`�' � O O �,. � tfl t� O � � � -� -�a� � � � �D � �- _ � N � 3 ��'�-c� �► � � �- cfl . N�� N c � Q .�,Q.�� a �' °Q � � �o� z�� u ? o � � � � � � a � � � � �* �a 3 � � � � � A 7 � Q � � � � o 0 m � � � s� "' � y � N . n' " 3 o � � �; � �, o � r' m �r '� ? � fD C7 � '� O y � � %y L7. � l � � `° � 3 � N S m � �, c� N Q � � � � � ,°A�< � cn �' �O-- � � '' � N � Z Z mN m n -� � Z v_ < � � mD � --� O OZ Z O � � v -� D �� C7 � Z 'p v_� _' a 0 z c�r� �z ` �v o N= � v v�, =i v � � � m �n � m0 � <i J m� � N- r m �- Z -_I � � � O Z �� cf°i � 0 � m 3 C A1 � ...► � � w NOTE: ��1 through 4�8 required when using a side vent furnace. C�,IMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has bexn carefully examined Yes {) No () 2. Is free from rust or deterioratian Yes () No () 3. Has no foreign objects Iodged within Yes () No () 4. Is securely supgorted Yes () No {) 5. MeeLs all current Code requirements for size — a�d �o#air ��'U'� �nnec�ci Yes i ) N� ( ) -- 6 Has tatal heating BTU's of All other BTU's TOTAL BTU's ?. Has a liner been provided for water heater Yes () No () 8. Has combustion air been provided for water heater Yes () No () Remarks: C: �� :- �� .�ir HEATING CO: Signed By: Date: . i,: '. . ,. :. � �� - F�� p 2�t Y �� , . --�,� sue�ecr IT N . City of Fridley 2 6 4 4 8 AT THE TOP OF THE TW�NS g U I L D I N G P E R M I T r � �• COMMUNITY OEVELOPMENT DIV. RECEIPT NO. r � L � PROTECTIVE INSPECTION SEC. �� g� i '_ � � /'��1 � CITV HALL FRIDLE� 55432 NUMBER REV DATE PAGE OF AVPROVED B� �""� � �'� 612-571-3450 910-Ft 5 7/ 6/ 98 / / JOB ADDRESS 5714 Jackson Street NE 1 LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHEO DESCR. 9 6 Donnay's Lakeview Manor SNEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PNONE Elmer Rruize 5714 Jackson Street NE � 571-7873 3 CONTRACTOR MAIL ADDRESS Z�P PMONE LICENSE NO. Quality Contracting 11412 W River Rd, Champlin, MN 55316 427-7733 7035 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PMONE LICENSE NO. 5 ENGINEER MAIL AODRESS ZIP PMONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW � ADDITION ❑ ALTERATION l� REPAIR O MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House & Garage (23 Sq) Tear-off 9 CHAN(iE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPE OF CONST. OCCUPANCV GROUP OCCUPANCV LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBIN(3, MEATING. VENTILATING OR AIH CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION 20NING SQ. FT. CU. FT AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOii A PERIOD OF /20 DAYS AT ANY TIME AFTER WORK IS COMMENCED. N0. DWLG. UNITS OFFSTFEET PARKING I FIEREBY CERTIFV THAT I HAVE READ AND EXAMINED TNIS APPLICATION 1 STAILS GARAGES AND KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS yALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WI�L BE COMPLIED @ 1� 91S �. 96 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT � DOES NOT PRESUME TO GIVE AUTMORITY TO VIOLATE OR CANCEL THE pEqM1T FEE SAC CHARGE @ PROVISIONS ANY OTHER STATE OR LOCAL LAW REGUTATING CON- @62�2�r Fire SC �p1.92 TRUCTI N P ORMA CE OF CONSTRUCTION � � PLAN CHECK FEE TOTAI FEE �lp License SC $5.00 $70.13 �� SIGNATUpEOFCON'pACTOROfiAUTMOp12EDAGENT �D TEi EN PROPERLY VA TED THIS IS VOUR PERMIT �� ' --/ �_- S�GNATUREOF OWNERdF OWNERBUILOER� IDATEi � BLDG �N QaTE ' �w [ ] Effective 1 / 1 /98 ADDN [ ] CITY OF FRIDLEY ALTER [] � SINGLE FAMII.Y �AND DUPLEXES R-1 AND R-2 P1 BUILDING PERMIT APPLICATION c,� `� r��p �� vl ConstructionAddress: 5 7�� c �S o v�- ' S� Legal Description: Owner Name & Address: �' � � P v� � �/` U�. � Z � Tel. # � 7 � `-- � � 7.3 Contractor: C�l, e� � c rt c�f �' 0.�- `f c � MN LICENSE #`� �� S^ Address: . / � �{ C � (.J � �� v ev� Tel. # �Z7 � 7 7 .3 '� LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IlVIPROVEMENT I,ength Width Height Length Width Height Length Width � Hgt/Ground �� % SS� !X 1s >• `� Sq. Ft. Sq. Ft. Sq. Ft. �-' w o Construction Type: �P� v� o� �� c�a ''� Estimated Cost: $ D � C� % , �'J � (Fee Schedule on Back) Driveway Curb G�t Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: �' 1'� APPLICANT: Tel. ��27 � 7 7-�,� Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Pazk Fee Sewer Main Charge TOTAL STIPULATIONS: $� �� $ f � $ � $ $ �� $ $ � $ $ �e / � CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.50/$1,000 Valuation $1000 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.� Conservation Plan Review Fee Determined by Engineering Agreement Necessary [] Not Necessary [ J BUII.DING PERMIIT FEE SCHEDULE The Chief Building Official shall, lxfore 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 $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,Q01 to $500,000 $5�,001 to $1,OQ0,000 $1,000,001 and up FEES $21 (Minimum Fee is $21 plus surcharge) $21 for first $500 plus $2.75 for each additional $100 or fraction thereof, to and including $2,000 $62.25 for first $2,000 plus $12.50 for each additional $1,000 or fraction thereof, to and including $25,OQ0 $349.75 for first $25,OQ0 plus $9.00 for each additional $1,000 or fraction thereof, to and including $50,0� $574.75 for"first $50,000 plus $6.25 for each additional $1, 000 or fraction thereof, to and including $100, 000 $887.25 for first $100,000 plus $5.00 for each additional $1,000 or fraction thereof, to and including $5�,000 $2887.25 for the first $500,0� plus $4.25 for each additional $1, 000 or fraction thereof, to and including $1, 000, 000 $5012:25 for the first $1,000,000 plus $2.75 for each additional $1, 000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alternate °A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.�. Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $15.75. VERI�+'ICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundadon once it has it has been constructed will be required before proceeding with the framing. � _ _ �.. _ �� sue�cet IT NO. c�ty of F�ia�ey 30147 AT TNE TOP OF TME TWINS g � I L D i N G P E R M I T r ; � RECEIPT NO. � `L _ COMMUNITY DEVELOPMENT DIV. �� S �y rs r � � PROTECTIVE INSPECTION SEC. � J � i = � � �"'1 � CITY NA�L FRIDLE� 55132 NUMBEF REV O�Te ,��1�99 �GE � �PVrtOVED Br �"""'� � �'' 612-571-3450 s�aF�S � JOB AODRESS 5714 .Iackson Street NE 1 LEGAL �OT NO. BLOCK TRACT OR AODITION SEE ATTACNED DESCR. 9 ( I}onna 's Lakeview Ma.nor SFIEET 2 PROPERTY OWNER MAIL ADDRESS 21P PMONE Elmer F� Ilene Kruize 571-787 3 3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO Ad.vance Altaminum S 1 Inc. 7701 Ma.in St Fridle 55432 571-3440 7983 A ARCHITECT Oii DESIGNEF MAIL AOORESS ZIP PNONE LICENSE NO. 5 ENGINEER MAII ADDqES3 ZIP PMONE LICENSE NO 8 USE Of BUILDINO Residential 7 CLASS OF WORK O NEW O ADDITION ❑ ALTERATION � FiEPAIR O MOVE O REMOVE B DESCRIBE WORK Reside house and ara e• Soffit d fascia 9 CHANOE OF USE FROM TO STIPULATIONS �� Gall for building wrap inspection before covering. Provide soffit ventilation �Co meet the State Building Code. �ermit Inspection Card� W��i �e Maile� Yo Homeo�►n�r To Post SEPARATE PERMITS ARE REOUIRED FOR ELECTfiICAL, PLUMBING, NEATING, �PE OF CONST. OCCUPANCV GROUP OCCUPANCV LOAD VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION 20NING SO. fT CU FT AUTHOR�ZED IS NOT COMMENCED WITHIN 80 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANOONE� FOR A PER100 OF 120 OAYS AT ANY TIME AF7ER WORK IS COMMENCED. NO DW�G. UNITS OFFSTREET PARKING 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED TMIS APPLICATION STALLS GARAGES ANO KNOW TME SAME TO BE TRUE ANO CORREC7. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TVPE OF WOHK WII,L BE COMPLIE� WI7H WHE7MER SPECIFIED MEpEIN OR NOT. TME GRANTING OF A PERMIT 10 648 OOES NOT PRESUME TO GIVE AUTMORITV TO VIOIATE OF CANCEL THE pEqMIT FEE SAC CMARGE PROVISIONS OF ANY OTNER STATE OR LOCAL LAW REGUTATING CON- STRUCTION OR TME PERfORMANCE OF CONSTRUCTION Fire SC ZO. C)S PLAN CMECK FEE TOTAL FE Licen C 5.00 21 2 S�GNGTUpE OF CON • AACTOA Op 4UTMOpIZEO OGENT iD�rE� EN P OPER IOATED IS R P IT ��. .,� -- S�GN4TUAE O� OWNEp�� OWNEA BU4DEp� �DATE� BlD �h5p q�fE a. Co $ 612 571 2260 RDURNCE RLUMINUM 01 '� � � E�factive 1/1/98 ' t l CITY OF FRIDLEY :[) SIlYGL� FANIIiY AND DUPLE� R-1 AND R-z/� �,� � � o BUILDING PERMIT APPLICATION a \ (.� � � � � ,�1„� Desc�ipcion: ' • - - - - - , r Nafne & Address: �- ' ' Tel. # � ��-• %�� — � ictor: �,0�/A^.,t,�� A�u��.t-v�• �o� T i-�.c, MN LICENSL- f� ��9'$ 3 . 55: u ,.�- r,�,.�- Tet. #__ s71-- 3 Y.� Attach to this application, ,a Certificate oP Survey of the lot, with the proposed constcuction drawrt on it to scale. DESCRI�ION OF IMPRO�'�MENT G A: Leq�th Widrh Height Sq. Fc. CE A: Length Width Height Sq. Ft. ' A: Length � Width HgdGround Sq. Ft. �, �: — ��f�I� f� �l.Cl�� , .�i :tion Type: ,� �� , �. � Estimated Cost: $ • %�, /� (Fee Schedule on Back) Cttrb Cut Width Needed: Ft. + G Ft = Fc x$� _$ D�►1�E: ,.,* _ � APPLICANT: Tel. � ,� /~ 7 CTTY USE ONLY Pern�it ee $ ��J� •�� Fire � harge $ %() • (�� 5tate j Su harge $ �. �� SAC ICi Licer�se �rive�vw :rosibn >a�rlt �r �ewe# b T�T, �ge $ irct�arge $ �- 4� Esc�row $ ont�ol $ Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.SO/$1,000 Valuation $1000 per SAC Uniz $5.00 (Sta[e Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review $ Fee Determined by Engineering (Thazge $ Agreement Necessary [ J Not Necessary (] $ �1�.�� TIOl�T5: � j n� , t�i�� a� rta/uc � �c/` 9J �. ADDRESS PIN LEGAL DESC PERMIT TYPE PROPERTY TYPE CONSTRUCTION TYPE CITY OF FRIDLEY 6431 iJNIVERSITY AVENUE NE FRIDLEY, MN 55432 57"L-36U4 l+'AX: : 5714 JACKSON ST NE : 233024140075 : DONNAYS LAKEVIEW MANOR ADD : LOT 9 BLOCK 6 : ELECTRICAL : RESIDENTIAL : ADDITION/ALTERATION 571-12if7 PERMIT NO.: 2004-00096 DATE ISSUED: Ol/22/2004 VALUATION . NOTE: ELECTRICAL PERMIT BECOMES VOID 12 MONTHS AFTER PERMIT ISSUE DATE. INSTALL XCEL ENERGY SAVERS SWITCH # INSPECTIONS APPLICANT HUNT ELECTRIC CORP 2300 TERRITORIAL RD ST PAUL, MN 55114-1614 (651) 646-2911 OWNER KRUIZE ELMER P& IRENE A 5714 JACKSON ST NE FRIDLEY, NIN 55432 1 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 goveming 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 violate or cancel the provisions of any other state or local law regulating construcrion or the performance of construction. Applicant Date Bldg Insp ELEC PERNIIT FEE - NIlN (RESI) STATE SURCHARGE, ELEC FLAT TOTAL PAID WITH CHECK # 113375 SEPARATE PERNIITS REQUIltED FOR WORK OTI�R THAN DESCRIBED ABOVE. 20.00 0.50 20.50 Building Inspections 763-572r3E DATE_� STfE ADD S � THIS APPLICANT IS PROPERTY OWNER/ TENAN'T CONTRACTOR MECHANICAL RESIDENTIAL APPLICATION CIT� OF FRID�EY ❑ OWNER CoMP.ANY YOUR E-MAIL r� Pernvt No. Received By: CONfACf PERSC .��! ; l..F.�. 410 WE T L SUBMIT A COPY OF ��t}�, MN 55408 YOURSTATE STATELICSNSE� 2-tl24- LICENSE WTTH pDDRESS; �A� � AP�LICATION PHO� gpX _ � PERNIIT'TI'PE �rYrE oF woiuc: `�SWGLE FANIII,Y ❑ TWO FAMILY ❑ NEw �EPII,P,CBMENT �� . DETAILED DESCRIPTION OF VJORK ❑ TOWNHOUSE ❑ pLTERATIOWREMODII. r, -- � _.... ...._.... .. — .. . . . _ -- - -- _ . .. ----.__ . ....._. .. pER MS 16B.665 t�e permit fee is a min�mnm of $15.00 or 5% of �he total cost np to �SOO.00,.whicheve� is greater, fox' the improvement, installation or replacei�ent of a residential fixi�e, e�ccluc�ing .�.te. �es• .('li�?s.should reflect.only.the cost of labor ) Labor cost under $300 = $15.00. Labor cost between $300 to $S� = cost oflabor . _ . . x .05 = . .' : � . � FOR PROJECfS WHE?RE LABOR EXCEEDS., Si , FEE.S ARE B� ON 510.00 PIIt FIX1'U1tE..EXCEPT �E NOTFA. �� I Q� NU1vBIIt OF EACH BELOWj ,.. �� •. MODEL: s��. . SIZUBTU E4uiPmat►tinstalled • �: SD�BTU�.� � MODEI,: �: MODEL: S�BTU AIC $25.00 FIREYl.ACE {GhS) $15.� (�A5 RANGF/OVEN $10.00 AIIt TO AIIt fiXCHANGF,�R $15 FIItE'�'LACE (WOOD) $35.00 NEW (�AS QR1LL S10.00 BOILER 535.00 gFUlWACE 535.00 (�AS UNiT HTR 510.00 CEIINII�EY LWER $10.00 liAS DRYFdCS10.00 POOLHEATERS35.00 DUGi' R►ORK 51�00 OAS PIPIN(� $IQ.00 VEN1�r�1TOR;15.� Permit Fee $ Number of 5� @$10.� x Slo.tw =� �� $ � .50 Numl�r of � � $15.00 x $15.00�= $ TOTAL DUE $� Numhar of fixbues @$25.OQ x$25.00 =$ � Numt�r of Sxlures @ S"35.00 Z x$35.00 =$� State Surchazge = $ SQ Total � $,�►$�O THIS IS AN pppLICATiON FORAPFdthIlT NOT VALID tINTII. PROG�.SED at ihe infornnation above is complete and accura�; that t�a work will be i� ?rldley and witi� the Nfinnesota�onshudion Codes; that� understand this i is nat to start widiout a pemni� that the work w�71 be in accor�ace with th� and apimoval of Alans: . .r"'1 / � � � I hereby apply for a bu�ding pemiit and I i conformanca with the ordiaances and code.s not a pernnit but only an app ' r a P� approved plsn m�a c�se o all w SIQNATURE OF �- City of Fridle� Bnilding Inspections DePartment b431 iTniversiiy Avenue NE, Fridley,. MN 55432 � . 763-572 3604 FAX: 763-SU2-4977 REQUIRED INFORIUTATION NEEDED TO PROCESS PERMIT RESIDENTIAL PERMIT APPLICATION HVAC ❑ NEW HOMES/,ADDITIONS ��XISTlMG HOME ❑ MAKE-UP AIR REQUIRED F�R NEW/EXISTIN��F�Qb��,S :_�>}:,:,:.. � ..� � .. .�, _% n� _ � Y i 1 / -j'�ti . . .. 1. Combus�ion Air (See note belot+�j�.', �L'-`r, ..�` �', ' c':. _. a. Oil or solid fuel IMC Chapter 7 wiYh MN Amendments b. Nat�u�a1 Gas or Propane/IFGC Chapter 3 with It�Il�T Amendments 2. Make-up Air (S� note below) a. IMC Chapter 5 with MN Amendments 3. Ventin.g a. Gas applianc�.s 1FGC Chaq�ier 5 with MN Amendments b. Fuel other tlian gas IMC Chap� 8_ with MN Amendments REQUIRED FOR NEW HOMES 4. Heat loss & c�oling load per room � a. Required on new consi�uction IMC 1346.0312 5. Ventilation . _ a, P� MN Ene�y_Cc�de 7670 or 7672 _ 6. Duct Design Per�IlVIC 1;346.060�:2 .. a. AOCAMam�al D � NOTE: Centerpoint Energy Mechanical Code Gnidelines sofiware may be ns� for coambnstion and make np air calculations . .