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AF - 47182City of Fridley, 11�nn.. BUII�DING PER.MIT N° - 5'7 2 0 nat�: �_��'""` �* /� �� owaer: �r��._-�_ � � suitaer ��t�"..�r-�s.�'" Address Address — " `� LQC:ATION iLDIIaIG � No. � 5treet� � v�=2�' �,� .��,�c— Part of Lot � r r i Lot _�� __ Bloc�'``� Addition or Sub-Divisio ,,�� P�� j' � � � �` � � � .�.—_.�� .� Corner Lot ..._ Inside Lot --..�� :.— Setback .�.� Sideyard " Sewer IIevation —_ Founda.tion IIevation DESCttIPT10N OP BUILDING To. ,� vsed., # � �� 4, / � �}',+�,r�,� '' Front � Depth ,�s�e� Height � Sq. F� f-- �� Cu. Ft�-� � �� Front �� Depth - eight �� Sq. Ft. �;��-� Cu. Ft'�' Type o � onstruction �� Est :��;L�� To •� �mpleted — In consideration of the fssuance to me of a permit 'to construct the b�rilding described above, I agree to do tYie proposed work in accordance wlth the description above set forth alnd in compliance with all provisions of ordinances of the city of Fridleq. � ' In consideral3on of the payment of a fee of $�`-,� , permit is hereby granted to— to construct the building ,or addition as descaibed above. This permit is granted upon 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 �art thereof, shall conform in all respects to the ordinances oP Fridley, Minnesota regarding location, construchon, alteration, maintenance, repair and moving of buildinga within the dty limits and this permit may be revoked at ar�y time upoa vi,olatioa of any of the provisions of said ordinancea r'`"� _ ,.�:, . "'� 8uildin8 Inspector NOTICE: 'fhls permit does eot eover ths eonstruetion, PnstaqaHoe Por wirYng. plumbing, gas heaHae, sswer o� xrete�. Be surs to see f6e Building leapecto� tor seperate permNa fo� these items. �'\ �:� ` �h 4 ,^ �- R � >. APPLICATIO�T FOR BUIZDING PERMIT CITY OF F'RtDT�EY, M31�lESOT�i b� %��. Owner' e Name Buiider �-�` � � � � `� � -..�.�_.�_... Add=ess . Address � � � � ��P�- �-- � LOCATIaN OF BU�ING % n a� p DTo. Street �!/�'��I v r�` � oi Lot � � Lot ��s �1.ock Additior� or Subdivieion ��- Cornar Lot �n�side Lot setback_,__,�„Sic1e-Yard SEGdER EL�VATION � � � �'Oi71iTDATiON TLEVAT�ON � � � Ap�licaat attach to this form Certi�icate o£ Survey of Lot and propoaecl build�.ng location. To Ioe use8 as s DE�CRIPTYON OF BU2LDING � 9qe Ft. Cu. Ft. — - / '� i�9 %� . . al'� i-i -- - - - � r �/ Sq . Ft . CLt e Ft . Type of Construction � Eatix�atecl Cos•t To be Completecl C-!�ri� a� (�� f - ---- r.. , .____� The undersigned hereby makes application for a permit �or the work herein specifcied, agree�.rig to c�o a1�. �ork in strict accorda�nce with the City of Fridioy O�dinances and ruling o� the Department of 8ui].d- iags� and hereby oleclare� that all the facte an re resen�a�ions ,stat�d in thia application are true aad co DATE � �r ` '� ' (� I SIGNAT (3chedule of Fee Costs caa be rouncl on the Reverae Side). � �� - � r"1 .� _ : -• �UILD�NG PERMIT FEE �CHEDULE Section 2. The �nspector of Buildin�s shall, before 3ssuing any pegmi� �or the erec�ion o� any build�.ng or structu�e, or for any addit�.on to any oxis��ig building or s��uc�ure, or �Eor any altera�tions or repa�rs to any axis�iny� bu�.lding� or s�ruc�u�e, upon application �chore�or, require fidze payinent by the a�p].icant �or such permit of fees to the amount herein belaw set �orth and in �he manne�c herein provi.ded to wito 2.�. �o= any auch pe�nit for the erection of any fire-proo� building, o�her than a garago, wa�cehouse, factory or grain elevator� or fos the erec�ioa of any f�a.�e-p�oo£ addition, �or similar occupancy, to any ., exis�ing building shall be at the rate o� $1.40 for each ono thousand cubic �eet, or �raction fihereof, �.n such cubical contents. 2.2. For any such p�rmi� �or the erection of any fise-proof garage, warehouse, �acto�cy or grain elevator, or �o� tche erection o:� any fire- proo� addition, �or siYni.lar occupancy, ��co any �xisting building shall be at the ra�e o� $1.25 �or each one thoussand cubic feet, classified as "�iseproo�"' by Section 502 0� the M�.nneapolis Building Code. �O� 2.3. For any such pe�3.t �Eor the erection of any non-filceproof build- ing oi:her than a garac�e, warehouae, Lacicory or g�ain e].evator, or any �on-fixep�coo� addi�cjon, for similat occupancy, to any exis�ing buatlding Per�nit $1.00 for oach ona thousand cubic feet. G13i:AGES � 2;�. For ariy such �erm3.t fos the erection oi. any noa-fireproof garage, warehouse, yacto�y or grain eleva�cor, or for the erection o� any non-fireproof addition, �or simila� occupancy, to any existing, building or �or each such building or addition. Ninoty Cen�s for each one �housand cubic �eet or fraction the�ceoi, 3n the cubical contents �hereof wi�h a min�nuYn o� $4.00. For the pur�oge of compu�ing fees for build�.ng permits the cub ical con- tents o�E any buil�in� or addition to a unifo�m height throughout by multiplying the .grourYd area covered uom a point six ( 6) inches �Oelow �he floor lino o� the basement or cella�c to the average height of the uppe� surface o� �to �he average heigh� of the roof surfac� of the main gable o� a pitched roo�. 2; 5. For repa3rs osc alterations to an existing structure, the ree shall be at the ra�ce o� $3.00 per �,ach Five Hundr�d Dol].ars ($500.00) or �action fihereo� in �the cost o�' all groposed work. 2�,6. In no case sha1.1 �he fee charged :�or aay permit as aet for�la in 3ection 2 be less t'►�n $4.00. n �,-ey. . � . �� . � � � x � •� , � � r. . � � . . . �;9 ,rs �. .#,�s+" s t :=" a �. :,— , - _. � �� + �' � '� '? w ,. __ . - , . ., � ��-.. ,��. .� t. ,, . .. . . . . . . . . _ � - . �, � ' � � � rs�., '�" -�, � � � t �x - -= -�-� • ,�,�- , �� -, � �,� n. � tar�d A6►�i►+y �,��I�,�� '� � : � _ � �; �fi � , ��, � Lad S�r�/in� } .�;,Sk� EN�iIt��ER�� ,��,. �� t Civr� fr Alu�iripiv� .�� t . i ` �� E�� — En9ineer�s € Sur veyo�s --- . € ;�. � t �� ce�t�ic�t� o� S f.: NG. -�=- ERCO i � � �� y� . �f ;:'i , . ,., � � �1 . - �I � ,� s� - - !2-�.5 - -� ,�� . ��c� - " _ ' "��, � 22 �-' � � r � � � � �, x �� ;. L ' -�-- � { �� *� �,.] ,�. Q � � � � � i i ZO��_ —. ^ „ I � [� I � , `�\� � i � �,: -'� � �� L ° � 1 � � �� ' `� � I �"�' �' � � i �i ` �,, � � � � , . j� ( � � ` � , � � .s�� „�. � L ` �,• � `� , r I I _ ' �� 75 24 � � �� ` � � i ��. '`. � ' � �t� ,� _ ��,� ,� _ � ��°� �� ;�•. � � ' ^ �� :��}'f ! ��''�� .� i-��T j��► -. L...��! ►2, ; �.�J�,;�. � , .. � ._� :> >ti 5 j �.. � SC ��E l.. ; ��. � . . � � � � � �� 'y � �iis is v �r�r e�r carrrct ,�x�estnto�'�on �('a su�w�sy �'�br d�n�r�its �'�!k .d.Nr d�v�d .�+d.�= �-ti �` �r ��rd �d. I!s mic �;�..� � s�'�it,�ir,�ari qt'�1► aw�fdi�s ,�k�t� , snd.rJ rrs�bk e�»arbasenfs ,,�'wy � ""Ne�'0( by � . � � '�`�� x �' �° � � Cebrv � A.D t�l. SUBURBAN ENGlNfE�1�;' �iC• .� ' �`�" � �; s fr - . : ..� �� ' � � � �Q" _ t '- j��--- . � . r ' � . . . � � � . �. � ,:, � �,, � .��. " . :. ��' �S"S '� � .,r � � `g� # ,� � s"�� .{�# r . � ... .. . � .. . . . . _ . . :, , . _ ., �,..� , .. ...r. �._ ... . ..,.� W,;t�.,�Y»'$ t�t��a.'��,.. �' � e � �. � � � o � a � � O �Y : � : M : o . � o� � : � • f: '�� i7 � a � y � � W � � � � � � �' � � N � o � O • o : o . . to : : � . . I I I x � oa �a �a � � � o O O � � � � a y ' � � r � � � � w c�a � z 'r' 8 � � 8 � � 4� y � � � � � � a��'� x � o � . ,. � �y '� . ¢ .Q �i o a ,� ' ° : � a � � � • � � . . a o : � � : � � . . . . O ' Gd : : : : : � : : : : �� a �a ?d i4 ia aa Cu t� G� r r+ r�+ �J � p e�i� O O O �� tfl fA � {A ifi &i � � O o �o,y � � � O � �� x � 1 � � � y � � p � D � r � m y _ m C r m ��o �� A 8 � C� ('� ' s`� �� `�� ,_ . ^ • \ \'�� . �� `` � • ,�' � p '"' � "�� a. a � � StOries x�� WATER � m ci.os�s ��% URtNA1S � enrH o �'� � � �� d � I SINKS � � . �..� WASH renrs DRINK. FOUNT. s►iwrss. FLOOR DRAINS �� 4i BASINS � nuro WASMER � GAS MPL � GAS RANGE GAS OPENINGS +� • 2 • � �� a � � m p a p w�+ M � � ❑❑ � I � � � �� Fn � y I'm ` � �. � � � �� y � 1� 4l � � G W � o c� �, � b � °��' :� ��o� � ��-°� �� c � �� ro � � ,� � ro o�`�� p � ��b tD y � � � � � a ��,,, � �. 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Gd O � � V � a�� . � O � � � ��o o � z 1� � d � 0 0 � � � � x � 0 � .�: � �� ' � w m � � � d' x � m � � � aa `D fD x N o � m "� 0 0 � � � �c c R° R° y �� a o � o o � � O ��:�� M ; � � . . �i � � � x � . . a � : : � � : : � : NN�� oo 0000 �.�� a � F. � � � O � N ^ � z 0 W ► � �� . �.. � � � �• R° R° co � � 3 C►' � � � & � � � � ro � � � o �g� � � � S � � � : pd v"r o. � � ° � � . � 1�+ �o: : � O O . . 0 o . . . � .° : : : � N��N� 00000 ��.� � O y r� 0g `� cr a. ' d a � n f�i1 � '�'1 � �r O � F � � � '� � �� I g _ � \° � � ,. � , \ �\ � �, A � . \ � � A �` � \ �,`\ ��' � 1, �. �r � ��a�Sy b "O "� � ,C � � � n � � � R' R° � � y � � � m o ~ m � � Re y � � � � �i� �. � � o v"r a � � � �, .� . . �.. ��:: O p . . O . . $ : : : � � � � � �000 0000 � 0 � a�.a� � � c�o��;H a �� y � � p �'�' f�'D D w � � o�p� y d�� , �b a �� °� p � �� e+ � vi ~' y �. m �� b �5'� � � y �7 `w�f�i� A f� p� �� m �aop �-`"rj lD R� M F `� P� � � b �a � �, � � �� N M s�� er� �D G�o � � �� . � � � 5' D -�-1 r � m H 2 m C m d » M � � pb' � � a V A O � � � � �' O � � s� o� � �d o = ;• 10 � � � �H 0 � o.:o A A `• � � ,�, Oi � 7s � � � � D d �� i 1 v i-Y D�76 , _'• ,az HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS FRIDLEY, MINN. Weatherstrips A.S.H.V.E, Construction No. Insuladoa Guide Windows Doocs Reference Out. Wall Int. Wall Cxiling Roof F7oor Ki How Applied --No I —No 19�� /?� --�G� ;� � FL� .� Room � Length Width/ Height . FI.� Room Len � Wid Z/ Heigh�'f '� Windows a Doors—Crackage and Area R/indows and Doors--Crackagt and Area �Yldth Hetght No. o[ Llneat ft. Area Wldth Helght No. ot Llneal 1t Area No. o[ cane o[ pane liahte o[ crack eq. ft. No. ot Dane ot pane Ilghte ot crack eQ. it. Coef. Btu lnfiltration Q / p�a � Glass � ,� Exp. wall � Net exp. wall Int. wall Ceiling Q �,l Floor Total Btu. i Required sq. ft. E.D.R. or aq. ias. W.A. Leader area F7.� oom � Length ZZ� Width f Height / Windows and Doors—Crackage and Area Wld't6 Helght No. o[ Llneal ft. Area No. o[ Dgne af Dane llghte ot crack sQ. tt. %�° ' � �L, , �i l� ./� �� ,� .i ,-�' Coef. Btu In6ltration � Glasa �,S Z-� Exp. wall Nec eap. wall (? ?�� Int. wall Ceiling �' � Floor Total Btu. G�' Required sq. ft. E.D.R. or sq. ins. W.A. L.eader area �"� � F7. Room � Length i Width y/ Height / Windows and Doors—Crackage and Area Wldth Helght No. ot L1nea1 tt. Area ' No. ot Dane of Dane IlBhte ot crack eq. tt. Y �-/. � , �� S— �Y� � Coef. Btu lnhltration � �d J/ Glass , � Exp. wall Net exp. wall /�j Int. wall Ceiling -�i /l�' ,f Floor Tbtal Btu. ,,� �, Required sq. ft. E.D.R. or aq. ias. Q/.A. Leader area Infiltration Glasa Esp. wall Net eap. wall Int. wall Ceiling Floor Total Btu. Required sq. k. E.D.R. or aq. ins. WA. L.eader area F7.1 Room I Length Z/ Width 11f/iadows and Doors---Crackage and Area Wldth Helght No. 01 Lineal ft. Aree No. ot nane ot pane )lghte ot crack _ eQ. [Q In6ltration C,lass Eap. wall Net eap. wall to�. wau Ceiling Floor 'fotal Btu. Bill I �5�/ �i Y Requued aq. ft. E.D.R. or aq. ins. WA. I.eader area Fl.� . Room I LenBth / Width / Hei Windowa and Doora—Crackage and Area Wldtd Helght No. oL Llneal 1t. Ares No. ot pane ot Dane IfBhts ot crack sa. tt 1i �.� ,�1i � /�i� �� Infiltration Glaas ERp. wali tv�< <�. Wau Int. wall Ceiling Floor Total Btu. k. E.D.R. or sq. ins. WA. l.eader area sc� 3l/ /,� � 3� ' Y � � � Caty of Fridley, inn BUILDING PERMIT nat�: dvne 9, 1965 N° oovner: David F�iluad B„��. McCa]1 anc� Comr�anv � b739 Jackson Street N. E. Ad� , 161� ti�J. Iake Sttreet � 7793 � � �� LOCATION OF BUILDING No 6739 S�t dacksoa Street N. E. p� of Lot I�ot � _ Bl�k � Addition or Sub-Divisiaa �eadowlaIIds� �d 14dd. Coraer Lot — 7nsSde Lot Setback Sideyard 3ewer IIevation � Foundation IIevat3on To � v�a es: DESCRIPTION OP BUILDING Front Depth Height Sc1. Ft. Cu. Ft Front Depth I�eight Sq. F't. C�. F'� 7.�,ie of Construct4on F�t. Cost —�-�-� To be Completed Storm dama.ge repa3r Ea consideration of the issuance to me of a�nit to construct the building described above I agree to do th� proposed work in acrardance with the drescrlption above set forth in pliaace with afl pravisfons of ordiasnc� of the dty oP Frldley. n`��' �4�' `"� �/, . �'� In camsfderaLion of the �yment of a fee oP $1Q.�.--, P�t is herebY graated to��'�.a_1 �� Co. to constr�uct the buflding or addition as descrlbed above. This t is granted upon the eapress c�ndition that the person to whom it is greuted and lus agenta, employeea workmen, ffi all work done 94 asound end upon eaid building, or anypart thereof� st►all conform fn all reapecta to the ordinanc� of wit�hin the��lianits and loc�tion, conaLructt��on, alteration, me3ntenance, repafr and moving of buiidinga ��=this permit may be revoked at any time upan violation of aay of the Provis�lona oP said ordinances. Al].en Jen�en g„il�g inspector NOTIC� '�s perm8 doas ee1 eovar t6s coeatwcN�, IeslaWtlen �or ri+te6. P��9. 6p 6tatleg, �v►u or wats�. B� son to ses t6a BuiWiug Iesp�eto� for aparat� parmhs Po� t6a� hems. � �, . � ;. ,- � � • APPLI-CATION FOR PERMIT CITY OF FRID�Y � v OTA � % '�� OW1�R 3 NAME DA9ID IDI�7ND��, BUILDER �� ➢, `�' ��' � . - - ,�. � . �. � _ �_ ,ADDRESS 6739 Jacitson NE , - - - ADDRES3 � � �1`�, � � ��. .� t�: ,.-- - � �- - k � .. - , � LOC4TTOPI OF Bt�NG No. Stf��et - -- �'att of Lot�_�____ Lot � o� BLock � Additiot�r or Sut�d��*i�sicat�, ��J��.�,�,.��.�,z�,� ._ �,��!(_ �� - - "'�' . . . i Coraer Lot Inside %ot __;��e��k ' 5ide-Ya� S�6JER �ATIQN FOUPIDATION �A'tT�„ " , . _--.-- Applie�nt ate'ach to thi.� forao� �'wo Certificates ai, Survey of Lo� and pro�sed�b�d�' ' ing location d��wn ori. these G�f��ificatee . . DESCRIPTION OF B�)II.DING ' T�c be used �s : , ' . �'ra[tC 1?epth �ieigk M ._ _.i,-.. �' ' '�q. Ft. Cu. Ft. k'ront Depth Height - ��,. Ft. _ Cu. Ft. � . � Type of Constructioa " Estimated Coat � lt000.00 �. � ,�,. The undersigned hereby makes applieation for a pexmit for the work herein specified, agreeing �o cfo el,l woxk 3i� str�ct accvrdance with the City of Fridley Ord3.�ances and ruliags i� e�e Depart��' �bf Buildings, and hereby decla�ces th;at aT� the f-�cts and represe�tatinns stated ia this applicatiaa are true and correct. .�.of Fee Cost� caa be found on the Reverse Side). Roof. Siding. Ql�.s.ss, screena. Painting and gener�.1 r�;pair. �� n 0 ,�� 4M.�'�, �� C�r .��i o : ,:r�.',��< .. �y,��.. � . S�«i, � . , • u .. . ;r. � ' .�;p' � BiTILDZNG P'ER�JI� irEL. SG�� . � '+ .. � Seetion 2. The Tnspector of �Bu3ldings �s�al�, be�ors' issu� any pesro�it fax , eh� erection of any building or atru�t�,ure, �ar � for any add,�ti,� ts aay, exlst- , iug building or structure, or for, any aj,teratt�s�or'.r'�patri� t� anq e�IsCing hvildi.�g or structure, �upon applic8t�:o�ti �e�:e�or, �e�;re the pa��art by �he applicant for such permit of feee �� h"e amouat •herpip��below set 'forth._�a�d : � in the manne� herein prmnided to-w;t:� ��.•. ``•'� _ _. .. --- �� .1. Fa�s an guch � . . . . .. _ . .. . � t � _ . � y permit £or the e�e��iori-o�` any fire. p�� but],d��g�. o��er �. �:�-��eu :a ge��ge� �ar•ehouse, factory. oz� g�l�t' ��ev��c';, .� for. the es'�ti�a m�f =;"' •� �Y �H�'e-�r�of addi�ion. fo�� 3m�];a�"o�'�P�tayr �o; a�,Y �xia�i�tg btM.l•r�� ' y.,,' �• . �halt �e at the ra�e �# $i.4� for e.asb::RQ� thou�s�ad �e�bie feet, or�Pr�a .� , J �- .. �hereof, ia such cubical coat�n�s.. � . ,•�- " ' . , . . �\ � • • .. , . . . � 2•2. For any such permi.t f�tC:... e.erectira o� .an firer reo� � y P ��rn¢e.: �-��, � �ary sr grain elevator, or f��t�e �Q�tion sf aa�� ,,.� . for aimilar occupa�cy, to ea�► exist•fn�� a�ildlaag si�ii,• •be �t �t 'e ; �"' . ...,.,:fo�"�s� one ,Chbusaad cwbic .fee�t,'., c�tase�iiied . �, "firep�roo�" hy� S� thc�-b�inaeaP�►�• �SuiidYtpg Cati�..:i'�:',r.��; .. . , � `'*: SOUSES � � � . , . • 2+r�i.. FGr �ly such permi� ;for tbe er.�otion af �n noa- - ' • . . . .. � ''` �'`--.then a Y Hrep�f �'u1ldi�g . - gargge, warehouee, �actory or. graia elevator, or any �toa-fis�Fr��' ,; , eddi.tion, for aimi�� o�� `� . P�CYr to en�+ e�istit�g �tiuildit� - Pesmi�t $�.� fQr ... each �one thou8aint� �c�1ai�. fe��.. . GARE�GES . . . . . . .. . , .. . .. , . � 2� For anq such pes°a�uLt f�r the erection of any aon-fireproof a warehous�, factory or grain elevatQr, ot� for the erection'�of an aon�f�� --�ori-similar� occupaucq, to an exist y ��'"~ �.. �a � aa � iag build3ng tir for eec� such .• � ag or additioa - ainety cent� ($0.90j far each one thou� cubia feet � or fra�� ereof, in the cubical� coateats thereof witt� a mini�um of $4.OQ...r� � � , ., For the purpose of comput3ag fees for,baildi � � �' of any bufldi � Permitss th�. cnb3cal c�te�ta-` ` �8 or addition Co a uni,form height throughottt �'by r�l,ty,plyi�tg t1��-� �rouad ares Covered.ftom a point six (6) iach�� bel�m Ehe basement or�cellar to the avesage height of the.0 �'O°r lia� t�frthe- _.., �..... average height of the rQOf $�irface of the maia gable of af�itchedtroo€ ��. •-� .�_5.�. For repairs or alteratioas to aa exis,ti.� sCruc .. . f ,, . . ;, at the rate of $3.0p par each Five �vadred. Dallara '. ; �� e s1�11 �b� %� °�: • : ;. therebf in �he cos�t 'of •�1.1 ro . . �i$50�':.,, %.•�' �tiaa' . , .; P E'�aed work a � . . '�' . r - � 26�`��nnocee . .. . . ' . �•:,., r . .. � ��_ -s� $ �hali the. .� �, � � • ,Secti�.� �be .1es � . .. . . .: set "f��'th �tn. � . � � . , � . . . • • • .�, . . _ , •,� �, � . � . ' }�ti` 4 � �' � ' \ � , .. . . � .M • ��J� sue�ecr PER . City of Fridley 18 9 9 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r � . � � � � • COMMUNITY DEVELOPMENT DIV. � �� LV �� r � � PROTEC7IVE INSPECTION SEC. 1 = � � �°'1�� CITY HAIL FRIDLE� 55432 NUMBER REV. OATE PAGE OF APPROVED BV �""� � �'� 612-571-3450 910-F15 6/10/93 / / JOB AODRESS 6739 Jacks.on Stxeet NE 1 LEGAL LOT N0. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. IZ 3 Meadowlands. 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Tim Moore 6739 �`acksQn Street NE 571T0784 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Top Gun Roo�ing 9644 X�.�mines Lane, Ma,ple Grove, MN 5536� 425-1455 3 d ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAII ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Res i den tial 7 CLASS OF WORK � NEW O ADDITION O ALTERATION � REPAIR O MOVE ❑ REMOVE 8 DESCRIBE WOHK Reroo�' C_Teax'--a�£1 9 CHANGE OF USE FROM TO STIPULATIONS Underl ent a�zg �}ust co�ly Fr,.�ti�_ the State Bui.lding Cc�de, Install smoke detectors as per UB,C 121Q a,d j a,cent to all sleeping axeas and in F�a.sement. Provide ad�uate attic ventilation. SEPARATE PERMITS ARE REQUIRED FOF ELECTRICAL, PLUMBING, HEAT�NG, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTFiUCTION ZpNING SQ. FT. CU. FT. AUTHORIZED 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 ANO EXAMINED THIS APPLICATION STA�LS GARAGES 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 $2 L�OO WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT r $1.20 DO S NOT PRESUME TO GIVE UT RITV TO VIOLATE OR CANCEL THE pEHM1T FEE SAC CHARGE P IONS OF ANY OTHER AT R LOCAL LAW REGULATING CON- ST UC ON OR THE PERF R NC CONSTRUCTION. SS4.00 Fire SC �`2.40 /� _� � a^ ` PLAN CHECK FEE TOTAL FEE l.� CJ License SC $5eQ0 $62.60 SIGNATU OFCO � ACTORORAUTMORIZ AGENT �DATE� - �yH PE VALIDATED THIS IS VO R fPE //IT� . ...� ��` ��/ ! SiGNATUREOFOWNERiiFOWNERBUILDER� iOATEi ��BLDG INSP DaTE � ]iSi9d11N]ifLi.t.ua:.�. wavuu�.x�..aw.r�xi.w•�u.au.wnun. w � uasszci.i.o.av�a,v.vaa......� .e.�...a.e�.+�, ----- _____.�.�,. , NEW [ ] Effective SI26/93 ADDN j] CITY OF FRIDI�Y G�-� ALTER [] SIN(�LE FAMILY AND DUPLEXES R-1 AND R-2 Buitding Permit Application Constcuction A�ress: (� � � Legal I��ription: Owner Name & Address: 1 1 1 , M 1 Addre.cs: `�`� � rh S'�' G�d� P :� �. �i,�`� - .,�, % � 3 � �� so� �. �`�� Tei. #�S'"7/-D7��/ l� `at MN LICENSE i� �3 8 ffi ��s �a r� v � �s-3 � � Tel. # ��l.S =/ .�s� At�ach to this application, a Certific�te of Suivey of the l�, with the propased cat�truction draw�t on it to s�aie. DESCRIPTION OF IlHIPRUYEMENT LMNG ARSA: Leangth Width Heigl� Sq. Ft GARAGE AREA: Length Wi�h Heaght �. Ft. DECK AREA: T.�gth Width HgtlCroumd �. Ft. o�R: �'� s�� "a� C�� , r,�.Q ��2 f a Corner Lot [] It�.cide I�ot [ j Ft. Y Seibxk Side Yatd�Si�etbacks Type of Construction• m " Estimated Cc�: �h -� �� Approx. Co�lstion �: �� i � � - .�u�� (Cost on Back) Driveway Curb Cut Width Ne�ded: Ft. + 6 Ft = Ft x$ _$ � ` '��.�--� DATE: � �%� � �3 APPL,ICANT: � � � � � I.� Tel. # ��.� Perinit F� Fire Surcharge Sta.te Surcharge SAC Charge License Surch�rge Driveway Escrow Er�ia►a Contml Park Fee Sewer Main Charge TOTAL � S4 °= � 2�¢D � I,Zo $ $ S'a-�►� $ $ $ $ � �2�� Y M. .. .' � ..l_ . F�e Schedule on Rever� Side .001 of P�t Valuation (1/1(�h�) $.50/$1,000 Valuation $750 prer SAC Unit $5.00 (State Lice,nsed Residential Contract�ors) Ait. °A" or Alt. "B° Ai�re Conservation Plan Review $4g0.00 Fee D�te�mined by Engiaeering Agr�ment l�iec�ssary I l Not N�ary i l STIPULATIONS: ; A . - .. . . • . , `t�h:' _ 0 BUII,DING PERMIT FEE SCHEDULE The Cluef Building Official shall, before issuing permits for the er�tion of any building or structure, or for any addition to any existing bailding or structare, or for auy alteration or repair to any existing building or strucbure, u�n applic�tion therefore, require the pay�ne�nt 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 $10(?,001 to $5�,000 $500,001 to $1,000,000 � $1-,U00,001 and up FEFS $15 (Minimum Fee is $15 plus surcharge) $15 for first $500 glus $2 for each additional $100 or fiac,tion thereof, to and including $2,000 $45 for fiist $2,000 plus $9 for �ch additional $1,000 or fraction thereof, to and including $25,000 $252 �for first �$25,(�00 plas $6.50 for each additional $`1,00Q or fiaction thereof, to and including $50,000 - $414.50 for first �50,000 plus $4.50 for each additional $1,000 or fraclxon thereof, to and including $100,000 $639.50 for first $1�,OOQ plus $3.50 for each additional $1,000 or fraction thereof, to and including $500,(�0 $2039.50 for the first $500,000 pins $3 for each additional $1,000 or fraction thereof, to and iacluding $1,000,000 $3539.50 for the first $1,0�,000 plus $2 for �ch additional $1,000 or fraction �thereof � DRIVEWAY DEPRESSION ESCROW (Concrete Ctirb Slreets Only) Altemate "A" : Removal and replacemem of curb and gutxer only - Driveway width plus 6 feet times $13.50. Alternate "B" : Removal and replaceme� of ciu�b and gutter aad install a 3 foot wide . approach with 6 inch depth - Driveway width plus 6 feet times $15.75. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to atlow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be r�uired before pr�ing with the framing. -� _ . _ , M � * � � � n O �� . o ui m o' u, � � O � � o a "�' O (�p � � � n -a a. -�o � �o � � � � � � � � � � a � � 0 � rn � �r O n C -� � W � � �C� L � m D � m "�' � n � m � � D � O z 0 z � rn Z � '� m C7 � O Z � m m � A N O _ � c "T' z � 37 _ � C m � � � Z O DD7�7 m�� z° �--� Z mZn � O I� �o O � -i �' � � r � � m � � co m N' CTI � O ,� O O Z . � � �, o � � � D � � � < i � Z �� O � � � z DZ 3 .-� !� �v a 1 ,� � � � N m o � o _"• � m � � � �, � � o � � � . w �� N � o � o � w � � N� 7 o � D N � � �. pi � n (D O � 0 � � O � O S m % � � O � w D �� n � (D p� p O. G � o `� �- r � -� O Z a c� 3 � � � �D --� Z �p � p� O _ @ o Z �� 1i � --I � � n �°�, � � n � o � � � � � � � Q- Cn n�i ��' 3 m a � a � �p • S O � � � . D A n O � a O� � �- cn i D � N (D N � � � � � m � � � � � � co m c� c� c� � �i � Q Q °o °o g � m =-i . r�r v v � m o � � � O � Z ,�.0 O C C 'rt ` � '� D c� m. , o � O � �7 � � Z C � � Z � � � � � n, G� D � � l�J) p � N � � � n � �• O_ � � •�i• Z � � � Cu (D � w Q I > > � � a n. �'• � o � _ • � � ,.n.' S � � � � � O � � = o0 � � m � I � � 0 0 � g O O � c� � t� � '�U O �' D � r � W c 6 � C � m � D Cn � � � � �U � � � ? � 3 �i_ m � � N � � � � � N � 3� � t O (D -� � � � � � � � � tn, _• � Q � in Q; � �r m � o � ct � Q m � o o .� � v_i a—' 3 y o" a� ? o � � Q, �' u� � � m � .,. � o' �D � �' e � � C � � � �� n � G��oo 1 `° � � n' � � \� � � � n � � 1 0 � ...: � � � sv ,�, ° sA-► S tD S � � m n m � � � 0 y C� �- �_ o a M� Q�� -7 v j 7 � � D rn � i� _ m � C m � � D � v � rn � � 'v W � �� n � . � �J � F� � v � °' n N Q � � W �G � � � Z m � � � .�A. � � �w D `D z Z � m -n rn n ---1 � Z � < rn � �� r � n m a � O Z Z � � � D � � � O � Z -� � � � O ,..� Z � Z � cn v � � � � Z � � m � S � n C Z � � �L � � 0 Z rn � c� <" � O � L v � c � � � � V CHIlI�NEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been cazefiilly examined Yes i �Y No () 2. 3. 4. 5. Is free from nist or deterioration Has no foreign objecLs lodged within Is securely supported Meets all current Code requirements for size and total BTU's connected 6 Has total heating BTU's of �� 1eu All other BTU's ��e � c,� Yes ( � No ( ) Yes { � No ( ) Yes ( �No ( ) Yes ( �No ( ) TOTAL BTU's l � ;� �� ,, � --- 7. Has a liner been provided for water heater Yes (`� No () 8. Has combustion air been provided for water heater Yes (�No () Remarks: . List ALTERATIONS Being Done: HEATING CO: Signed By: Date: ��.��-a— � � ��`c� � ° Yt� lc�� /-9� �= sue�ecT PE City of Fridley �2 �4 2�1 AT THE TOP OF TME TWINS g U I L D I N G P E R M I T � ; � RECEIPT NO. COMMUNITY DEVELOPMENT DIV. r � L � PROTECTIVE INSPECTION SEC. 29� � � ' ../O i = � ' �"'1 � CITY HALL FRIDLE� SS432 NUMBER REV OATE PAGE Of APPROVEO BY �"'_� • •'' 612-571-3450 910-F15 �/1/98 � / JOB ADDRESS ( 739 JgCiC.30ri STreet 1 LEGAL ��T NO. BLOCK TRACT Ofi ADDITION SEE ATTACHED DESCR. 12 3 Meadowlands 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDiiESS 21P PMONE Moore, 6739 Jackson Street, Fridley, NIl�T 55432 3 CONTRACTOF MAIL ADDRESS 21P PHONE LICENSE NO. Pacesetter Products, 1110 New Brighton Blvd, �pls, MN 55304 331-9303 2414 4 ARCHITECT OR OESIGNEH MAIL ADDRESS ZIP PMONE LICENSE NO. 5 ENGINEER MAIL ADDRESS 21P PNONE LICENSE NO 8 USE OF BUILOING Residential 7 CIASS OF WORK ❑ NEW O ADDITION ❑ ALTERATION C� REPAIR O MOVE O REMOVE B DESCRIBE WORK Siding 9 CHANCiE OF USE FROM TO e STIPULATIONS Install building wrap and call for inspection before covering. SEPARATE PERMITS ARE REOUIRED FOR ELECTFiICAL, PLUMBING, NEATING, �PE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZpNING SQ. FT. CU. FT AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANOONE� fOR A PERIOD OF 120 DAVS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORREC7. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OFi NOT. THE GRANTING OF A PERMIT � 1 s 600. OO �.8O DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pEFMITFEE SACCMARGE PROVISIONS OF ANY OTNER STATE R LOCAL LAW REGUTATING CON- STRUCTION OR THE PERFORMANC O CONSTRUCTION. �S 1. LS ire SC � 1. C)O I� / � PLAN CNECK FEE TOT FEE ' �Eai P Licens C $5.00 58.65 SIGNATUREOFCON�i7ACTOAOFAU�M0�71 E GENT IDA I _ N OP VALIDA THIS IS�QUR PER /'� rr ,�► 'G/ SiGNATUREOfOWNEAi�iOWNEABUILDERI IDATEi BL �NS� l qo E � � � Effective 1/1/98 ADDN [ l , ; ; : - .: CITY. OF FRIDLEY . . , - ALTER [] SINGLE FAMII.Y -AND DUPLEXES R-1 AND R-2 I . � BUII.DING PERMIT APPLICATION . �� ,� � � ConstructionAddress: � � � � �%!�� S � � ' � Legal Description: Owner Name & Address: ,�1VI Q�� i � � .� '�1 c.%G. fs� �'il.i Tel. #. Contractor: �E � �'t, J MN LICENSE # �y�� Address: . C �� jl.�C vU 4^r Ca `7 �� ✓j� S Tel. #�� 3C�� Attach to this application, a Certificate of Survey o e�� lot, with the proposed construction drawn on it to scale. LIVING AREA: GARAGE AREA: DECK AREA:' OTHER: DESCRIPTION OF IlVIPROVEMENT Length Width Height Length Width Height Length Width � � Hgt/Ground �� Sq. Ft. Sq. Ft. Sq. Ft. Construction Ty�: � � � � ��7 Estimated Cost: $ %�� . , (Fee Schedule, on Back) , Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ � DATE: �o CITY USE ONLY Tel. � �� r'°— �1 �O � Permit Fee $ ,�j�r • ZS'� Fee Schedule on Reverse Side Fire Surcharge $ /•�r� .001 of Permit Valuation {1/lOth%) State Surcharge $ , � $.SU/$1,�0 Valuation SAC Charge $ $1000 per SAC Unit � License Surcharge $ S� C�`� $5.� (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering � Sewer Main Charge $ Agreement Necessary [] Not Necessary [] TOTAL STIPULATIONS: $ 5 �•�5� ., - ,s „^ } . . . � _„ j BiJILDING PERNIIT FEE SCHEDULE . ._: s. . The Chief Building Official shall, l�fore 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 $2,0� $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,001 to $SOO,OQO $500,001 to $1,000,000 $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 fracdon thereof, to and including $2,000 $62.25 for first $2,0� plus $12. 50 for each additional $1, 000 or fraction thereof, to and including $25,000 0 $349.75 for first $25,000 plus $9.00 for each additional $1,� or fraction thereof, to and including $50,000 $574.75 for ``first $SO,Q00 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 $500,000 $2887.25 for the first $500,000 plus $4.25 for each additional $1,000 or fraction thereof, to and including $1,000,�0 $5012:25 for the first $1,0�,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 $13.50. Alternate "B" : Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $15.75. VERIFICATION OF FOUNDATION .. Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will l� required before proceeding with the framing. SuBJECT . City of Fridley 2 6 6 3 4 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T � ; � R IPT NO. � i �__�� COMMUNITY DEVELOPMENT DIV. �� ,/ [../ r � � PROTECTIVE INSPECTION SEC. � i i � , /"'1 � CITY HALL FRIDLEr SS43Y NUMBER REV DATE PAGE OF APPROVEO BY �'"""� � �'� 612-571-3450 910-F15 7 / 15 / 98 � � JOB ADDRESS ' 6739 Jackson St. NE t LEGAL LOT NO. BLOCK TRACT OR AODITION SEE ATTACHED DESCR. 12 3 Meadowlands nd dd t on SHEET 2 PROPERTV OWNER MAIL ADDRESS tIP PFIONE Tim Moore 3 CONTRACTOR MAIL ADDRESS ZIP PMONE LICENSE NO Top Gun Inc. 5014 Parrish Ave. NE Ro ers MN - 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PMONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PMONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASSOFWORK �1 REPAIR p MOVE ❑ REMOVE ❑ NEW O ADDITION O ALTERATION B DESCRIBE WORK R�roof house and ara e 21 S Tear-off 9 CHANGE OF USE FFOM TO STIPULATIONS Underlayment must comply with the State Building Code. SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL. PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR Alp CONDITIONING. TFIIS PERMIT BECOMES NULL AND VOIO IF WORK OR CONSTRUCTION ZONINO SQ. FT. CU. FT. AUTHORIZEO IS NOT COMMENCED WITHIN BO DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOO OF /20 DAYS AT ANY TIME AFTER WORK IS COMMENCEO. N0. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES AND KNOW TNE SAME TO BE TRUE AND CORRECT. ALl PROVISIONS OF LAWS yAIUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 1 51 88 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pEfiMIT FEE SAC CMARGE PROVISIONS OF ANY OTHER STATE OR LOCAL lAW REGULATING CON- STRUCTION OR TNE PERFORMANCE OF CONSTRUCTION ir , PLAN CHECK FEE T07AL FEE SIGNATU1iEOFCONTRACTORORAUTNORIIE�AGENT IDATE� WHEN PROPER ALIDATED THIS IS VOUR PERMIT - � �� SiGNATUAEOFOWNEAi�fQWNEABU�L�E:�1 IDATEI �01}, dINSp f1GTE r�w ADDN ALTER [] [l �� 1' � CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: (� %��j �G��2S� cS�. 1� � Effective 1/1/98 � E3� ��,�� }> Legal Description: Owner Name & Address: 7e� i%'?(fi�2Q !� �3 `� �,��.e'iZ.SOYi Sf ��Tel. � Contractor: Tc� a Ca l� ►�J .-i- I� C. MN LICENSE #� C� /�d� !/ Address: �p ( y ��.�;/W�-��► �,t� ��- (�pc��tS ` F`nn Tel. # 5/� -'S�� `� �i LIVING AREA: GARAGE AREA: DECK AREA: Attach to this applicarion, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IlVIPROVEMENT Length Width Height Length Width Height Length Width Hgt/Ground OTI�R: / �'ff�t Sq. Ft. Sq. Ft. Sq. Ft. � ,� � �l�S� �� Construction Type: %� Estimated Cost: $ ;� (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: APPLICANT: Permit Fee Fi�e Surc%rge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ , $ $ � $ �"' $ �d $ $ $ $ $ ��.�� Tel. � CITY USE ONLY Fee Schedule on Reverse Side .001 of Peranit Valua.tion (1 / l Oth %� $.50/$1,000 Valuation $1000 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 PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such 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;Q00 $100,001 to $500,000 $500,001 to $1,000,000 $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 $25,000 $349.75 for first $25,000 plus $9.00 for each additional $1,000 or fraction thereof, to and including $50,000 $574.75 for first $50,000 plus $6.25 for each additional $1,000 or fraction thereof, to and including $TD0,000 $887.25 for first $100,000 plus $5.00 for each additional $1,000 or fraction thereof, to and including $500,000 $2887.25 for the first $500,000 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 $13.50. Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $15 .75. VERIFICATION OF FOUNDATION Pemuts for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once if has it has been constructed will be required before proceeding with the framing. �- o C� � W C -i O Z D � s � r � m � 0 < v m v -v m � C � C) � m � Z � 0 � � D z v D � r m � ,D O a r T m m � � � � � � � c � � n� � � r� � a � � < a � � � rn � � � O � °.m�= �n= � � Z t�D o, o � �tOo �o 0 nmz o "o � -+ D � � v_ cn •D � v D � m � 0 Z � � � z m 0 � � w w Z Z Z ��' �" m` 'C � y N (�D N N � � s � � � `i a -� p � -, � -, � � � .a � � °� � � cZo � � m � � � � � � � �* N N �: � � � w 3 � N � + � � � <; � � � N c � � cc s � -, m cc Z � � m v --� m � m � �►� w � � � ° � � � � m � ,• �u o. m � � I � I I I—I I I I I I I I I � �� w w w � � � � � � � Ut O O�� O O G O O O o ;o 0 0 0 0 0 0 0 0,0 0 0 0 0 o a o o.o 0 0 0 0 0 0 v r c � W Z � n O � a � i � X1 �0 c � � � � � m � -' I � m r „ z �' ° < o � °.: c� � � � � m � r� v C) O � �. � 1$ v m � � =i Z O � � � � ��^ ' W \� `�1 O m c v z � c � m v � � N � Q� 0 z T V-n°�g W v o 0 � m D m � �., . �Z�3 ��,Zo N ,-�-ij -f m � Z O � x � � � N O _ 0 � � N � Q n � � � c � 9 Q a N � N o, � cQ m � � � o. � �°grn Q. a � �G N � v — � < o m N� ��,, y � 7' -�p � � 'o a c=i' n�i �' m o � � � �a � o o. m � � c'� �° m fD °' � � m N �:-�: O � � � �'. cD � d � m r's `� o � o i�- -� a � N � � r= C W Z � � � C � m � m u� � � m --I O � r � O � � FILL IN COMPLETELY FOR REPLACEMENT FUEL BURNING APPLIANCE PERMITS COMMON VENT. VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacina an existina 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. Yes () No () The venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes () No () The undersigned also verifies that the replacement unit 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. __ The existin�t 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 manufacturer's specifications. Yes ( ) No ( ) Yes ( ) No ( ) Yes ( ) No ( ) When installina a new ventina svstem, the undersigned hereby verifies that it 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. Yes O Is the common vent and vent conne�tors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. 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 Applianc�s Td�a1 Bcu Inpgt--- - 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 �y: Date : CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 572-36U4 I+AX: (763) 571-1287 . �_� PERMIT NO.: 2004-00999 >' �_ DATE ISSUED: 06/25/2004 ,, ADDRESS : 6739 JACKSON ST NE PIN : 143024140109 LEGAL DESC : MEADOWLANDS 2ND ADD : LOT 12 BLOCK 3 PERNIIT TYPE : PLUMBING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION VALUATION : $ 400.00 NOTE: COMBUSTION AIlt SHALL BE PROVIDED PER UMC CHAPTER 6 AND TABLE 6-A. INSTALL A GAS WATER HEAT'ER. # ELEC WATER HEATERS 0 # NEW FIXTURES (EXIST OPENII�TGS) 0 # GAS WATER HEATERS 1 # GAS DRYERS 0 # GAS RANGES # WATER TRMT APPLIANCES APPLICANT NORBLOM PLUMBING CO 2905 GARFIELD AVE S NIINNEAPOLIS, MN 55408-2173 (612)827-4033 OWNER MOORE TIMOTHY W& LUCILLE M 6739 JACKSON ST NE FRIDLEY, MN 55432 0 # OF NEW FIXTURES 0 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 tlris application and lmow the same to be true and conect. 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 violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. Ap ican A Date � � Bldg PLBG PERMIT MINIMUM FEE PLBG FIXTURES (NEW OPENII�TGS) PLBG FIXTURES (EXIST OPENINGS) WATER TREATMENT APPLIANCE WATER HEATER - ELEC WATER HEATER - GAS GAS RANGE FEE GAS DRYER FEE STATE SURCHARGE, PLBG FLAT TOTAL PAID WITH CHECK # 28524 5EPARATE PERNIITS REQiJIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 0 0.00 0.00 0.00 0.00 0.00 35.00 0.00 0.00 0.50 35.50 Building Ins�ections 763-572-3604 763-502-4977 FAX BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY Permit No.: Received By DATE�+ "C�� -�fi YOUR E-MAIL ADDRESS �, I'✓�Y►��+� �, F ra.,1-i e� H e i, rI P� srrE nvnxESS � 73 � 1 ac�� .5� N� �r �d' le� vh h THIS APPLICANT IS: ❑ OWNER i�(CONTRACTOR PROPERTY OWNER/ NA1vt�: / i�� !Ie b�d� TENANT ADDRESS: � � 3°I .��1 G`C.�+� S'r �[E CITY �` r� � � e`/ STATE I� ZIP PHONE: �%L+ 3 J� � I' D7 � _ co�►cTOR �D�S: a3� 3 ► �� y s r �� r�.s � �-�� STATFiM�! _ZIP� SUBNIIT A COPY OF PHONE T� di� °� 7�� F� YOUR STATE LICINSE STATE LICENSE #�� L S�j % 0 EXP DATE 3' ,� I�+ DQJ PROPERTY TYPE PERNIIT TYPE ❑ SINGLE FAMII.Y/NEW CONSTRUCTION ❑ TWO FAMII.Y/NEW CONSTRUCTION ❑ BASEMENT FI1�iISH O ROOF T�DECK O SIDING ❑ SWIMM TYPE OF WORK: I❑ NEW HOME CONSTRUCTION ❑ ADDITION ❑ MAINTENANCF✓REPAIR �'REMODEti DESCRIBE WORK BIING �NE: /C�l�9it�' . l a vt�o � �� e� SIZE OF IMPROYEMENT LENGTH _ WII gpp�G 0 HOUSE ONLY NUMBER OF SQUARES 0 HOUSE 8c GARAGE GARAGES PROPOSED SIZE: PROPOSID HIIGHT: SIDING ❑ Vinyl O Aluminum O Other O ATTACHED GARAGE O DEI'ACHED GARAGE ❑Soffrt 0 Trim ❑ Fascia SIZE STORIES o wnJnows ❑ DRAIN "�7T.R ❑ OTEIER fG v2 � - 1 � -� K !`f wmmows IN EXISTING OPENINGS �Yes ONo LOCAITON OF WINDQWS�� ` � ORFORNEWOPIIVINGS-DESCRIBESIZEOF 4�NF�C�c �i'YS'd'j f� � �� 1�� OPENING CHANGES 8c ��°ji°� TYPE OF WINDOW TO BE INSTALLID �� d' NUMBIIt OF WINDOWS � ALL FEES TOTAL JOB VALUATION Permit Fee Plan Review F've Surcharge Surcharge License Surcharge SAC Charge Ginb Girt Escrow Erosion Control Park Fe,e Sewer Main Charge Tot�l Dae ►ED ON VALUATION, INCLUDING THE COST OF ��(U ING� THE 1'�7 UBC FEE SCHEDULE) OCCL $ $ $ $ $ FT BASEMENT REMODELING SUBMIT• 1. Existing Floor Plan 2. Proposed floor plan 3. List of structural membeis to be used FOR NEW CONSTRUCTION INCLUDING DECKS, ADDITIONS, 8c PORCHES SLJBNIIT: 1. Site P1an/Survey showing the existing atr�ctiues � P�P�� P�.1� 2. Two seLv of construction plans 3. Energy Calculariong MATERIAIS: See Back Page for Fee Schedute 65% of Building Permit Fee .001 times the total job valuation .0005 x Pennit Valuation Minimum $.SU $5.00 (State Licens�i Residential Contractors) $1825 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$21=$ $450 Conserva#ion Plan Review Fe,e Detiermined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks aa�able to: City of Fridley Attach THIS IS AN APPLICATIOAI FOR A PIItMIT-NOT VALID UNfIL PR�ESSID I hereby apply for a bwlding permit a� I acimowledge dmt the infarmation above is complete amd acc�ate; that the work will be in confoimam;e with the ordinances and crodes of the City of Fridley azid with the Mia�sofa Construcdon Cades; t6at I imderstand this is �t a permit but only an agplic�dan for a permit and work is not to start without a petmit on site; tl�t the w71 be in wit6 Ute approved glan in the case of all work which requires review and approval of plans. SIGNATURE OF A�P LICANT � l� �'� PRINT NAME 5��1 �1 %� Y�%�'� DATE ��i�"d�' APFROVED r �+ �� - :�. �y. PLEASE NOTE: $�PA�ATE PBRMITS ARE REQUIItED FOR PLUMBING,_ELECTRICAL AND MECHANICAL �esign #:76710 * * * Take this s e� You selectetl a 1 level deck with: Pressure Treated Framing Material remium Gold Square Drive Screws Galvanized Framing Fasteners Handrail selections: 42" Vertical Handrail to Joist wlo �asps Railing 2" x 2" x 96" Cedar Spindles 2" x 6" Cedar Hand Rail � You may buy all the materials or Menards cannot guarantee that mat for lan compliance and building perr nm �hnca nictured. We do not guaran MENARDS � � � � I ; �: ��- \. �.,�`�,.,�� :.� n�. ��' � �� • \�`��:\` '�: �\>��.`��:i' :` ..,.:.�. � �. � � � Below is a section o lected forg ourld ck. options you have se y �� o ` I�z� . S��.l y part at low cash and carry � ils listed will meet your code These plans are suggested the completeness or prices a� N1►�1 � placeme�t is approx.4° apart depending on style BeCause of the w►ide variable in codes, . mer�s. Check with your local municipal�y and material lists only. Some items may vary �uctures. Tax, labor and delivery not included. `�/.�, `d� st�� .11u� ��°�t�1 VV�� . 9e � C`1S� � . � 3��1 �� , � �e� . ��` � :_. . + �� s�� .+' .�,..: �,�� ' .l�'J��'j�'••i�/e,'y� �' 1 � I � � �i .:. j �; .. �� , :.:.'•:: • % f�+.'/,/.��,� ♦ , �ration inten� �� " ow general deck size and shape. e options selected may not be shown for picture claflty. ►'s cost for materials estimated in this design with �The base price includes: 40 PSF deck live load, AC2 treated - honzontal Zu6 deck boards, 4x4 posts, 2x8 ' fasteners, AC2 treated 36" Ue�ical handrail to joist wiithout posts, and premium screws. �C�i C +s� ♦ _ ,. ns:$1394.19 � r. Mark Len th A � 3�9,� g 13'3" C 13'10-1 /2" p 13'6" Joist Layout for Your Deck The Scale is 914":1' Design# 7671�0 ��S _ Descri m - Green Treated 1- 8 Green Treated 2 8 Green Treated - Green Treated � a� � ��ry�� Joists to be on 16" centers. Joists to be hung ftom the ledger with joist hangers. Joists to be toe-nailed to beams with 3-1 r2 (16d) galvanized nails. ,� Rim joists to be face-nailed to joists & iedgers with 3-112" (16d) galvan¢ed nails �I�S � � � � � �.�,,-��v� . �`�� , i� /1 r� � v , I�� 1� �� u� �� , ��a�a_�`" Joist Ledger Rim joist Rim joist �� ,C `� .. � r� p � -�,�IC� � � �, �� . - � r intended as a cons�truction aid. Not all options selected are shown. Layout dimension sheets a e i _ ; - -. _ _ _ . 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