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AF - 47488�` City of Fridley, Minn. BUILDING PE�IT �� 5858 Date: 4 � � � "`.- �� f-*�"' � r �' � �F .� pq,aep: �,�� Builder Address Address °�� TION O U G No � � Street } Part uf — Lot _ Block Addition or Sub-Division " I��r ,� '` � -•--,��,-�---�� '� �n�'� Corner Lot �_.—...� Inslde Lot � Setback ___._�y.,�.._.� dey�ard � Sewer IIevation —. _ Foundatton IIevation DESCRIPTION OF BUILDING a� T e Use �° Front �� Depth �� Height �� S4. F�. �� F't �.+�G+�'."' + t Depth H t�Sq. Ft C�. Ft �. - Type of Conatruct4o;p�� '�— Faat. st .y� -- To be Completed �� In consideratfon of the issuance to me of a permit to construct the building described above, I agree to do the proposed work in accordance with the descrlption above set forth and in compliance wi'tY► all Provisions of ordinances oY the dty of F'ridley. � In consideration of the payment of a fee oE $s,��----+ P�t is hereby granted to to construct the building or addition as described above. This permit is graated upon the express condition that the peraon to whom it is granted and his agents, employees and worl�en, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances oY Fridley, Minnesota regarding loca.tion, conatruction, alteration, maintenaace� rePeir and mov7ng oE buildings within the dty ]imiits and this permit may be revoked at anY�u� o�ti,,.°n..,�°f any of the Provisions of said ordinances. ,� Suflciin8 InePector 0 NOTICE: This perml� does not eover the eoastruetion, ieslallatioa for wiriee. P�o��9. e� b��e. �e� or water. Be ain to aes !hs snildieg lespe�or for separete permks for �hese ttenu. .� 4 �, .a,� � K . �u. _.._�_ __ „tr i T'�', i 94"4'i°r� �, � �cs ' ^'�' > : �+. �,.: �- � ° g , "� � t,^ " a `�� ,�_�� 2's �- ?� �N "' EX'k ��^� -: ". �. �. "�'. �" i� ' - � `,a F° . �+ �� ..yg�. ,� J M �5� /��i � � .r�� k r� . `��'�s��` zi�� t � .,. .' _.. .. , � oA ♦ � �� . 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' - �; �, � ��i�"��iCifC 6� ��s N � M DEVELOPMENT � � � � � ,:.. f.. :� /]� ..� i • y t� I /3� 9 6 — � � :� � .f. � :� � � � �� ; � � � I W r` � v � � :3� � � , C , \ � � �� I � lr� � . .. . y� � � � �: ' 0 n � i � � s r ` — I + - 9- -- � . � �. � � i � ♦ � � � � � �� ""� , :., :� � - /3`� 9 � - � � . k � + �� f k .� . �':y d. � �� L 0 T�, B� ac�r � .� �� _�� L Y/1/D�L,E� Bl//,C��,S' ��ADD/1"��Y � x�' ,�. .� F . ,�� F ::� .�-:. , ;.� � $, t.�±X " �1 � � � �)� � �� L�( / �� (� � �ILS l5 O �7AC O� G0r7��cT lI��IL'S�If�'�OV7 �0 �''�t� ��' � � �� ; ' a�'i� �ocv/�vi'l'tl� b� , �M • �'d r/ ris'iMe o�amorl�a�arfs , ��'�y • �'�'" ar ns�od lrnd. As s+w�d � � �--- � ,� ; �,� Febr��« - �t.0.�. > �� ' SU8U28AN ENG/NEER/NG, l�• -�: ; �.T n- sw s .Y � _ �� - —____ _ _ _ � ' - - � y - - — --�- — — - ,�a --- , «. . --_:-- - :, , _ � »�-.:� ' ,� � � �. � � �,� � a�� ,• � �s � k . �p a; 6�� YL'W�^$` l� k l� 4 4 � �� p " ' . " .. ' '��. . :. �-' .. -. _ :. ' { - . -:X"i '.'.�. " Y�.r.<<i,� *%�j'- " ,�.:d}e 5�' � .. ii.A � • � APPI�ICPiTIORT FOl@ BUII,D�NG PERA�IT CITY OF �e'RIDLEX, Nt�i�NESOTA Owne�'s Name Buii,der � �' � � ' ��j� � ��,,Q�,� Adclress AdtirOSS ��'°� /dG `" _` M LOCATION OF BUII,DING No. S�� Street �- Part of Lot Lo� � S1ock _ � Addition or Subdivision ��.'" - 1 Cornerc Lot ins ide Setback_ � �__ S ide-Yard ��' �� J t SEVtiTE� ELEVATION �OUNDATION ELEVATION Applicant a�tach to this form Certificate of Survey of Lot and �roposea building location. DE�CRIPTYON OF BZJILDING To Ioe used as o ��`"'�`" �� Front�_Depth Height Sq. Ft. Gu. Ft. �'ront_______Dep'ch Height Sq . Ft . Cu e Ft . iype of Construcicion Estiraated Cos�� to be Completed The under a ignecl herel�y makes appl icat ion for a pe�mit �or �the work herein specified, agree�.ag to do all work in str3ct accor�ance with the C�.ty of Fridley Ordinances and rul3ng o� the Depar�ment of eu31d- ings, and hereby declaaces that all the facts and �cepresenica�tions s�ated in this appl�cation ate true and co��ect. °7�— � � ' �° � _ SSG11TA3'UItE�� (Schedule df �ee Costs cari be found on the Reverse Siae). (� � e_ � � + ��. �iJTLD�NG PERMIT � �CHEDULE- Sec�'cion 2. The 3ns�ector of Buildin�� shall, befoge issuing any pe�rmii: ror the e�ec•4ion o£ any building� or structure, or for ar�y addition to any oxis�ing building or struc�ure, or for any altorations or repa�rs to any ex�.s�img build3ng o�c structure, upon applica�tion �here�or, require �he pay�nent by the a�plicant �or such pe�cm�.t o� iees �to the amount he�ceia below set fcor�th and in the mar�ner herein p�rov�.ded to wit o �. �or any such Pe�nit gor the erection of any fire-p�oo� building, o�:her than a garago, warehouse, gactory o�c grain elevator, or for �the erec�ion or any ��re-p�oo� addition, �or aimilar occupaney, to any exis�ing building sha11 be at the ra�e of $1.40 for each ono thousand cu�3.c �eet, or �rac�ion thereof, �.as such cubical contenfis. 2� 2. For any euch porm�ic �oz the �rection o� ar�y �Eire-proof gara e, warehouse, fcac�tolcy or � ' �Y grain eleva�o�c, or ior the erection or ar�y �ire- prooz addition, �o� similaY occupancy, �o any existing bu�lding sha11 �e at the ra�a or $1.25 for each one thousand cul�ic feet, ciassi�iecl as "�3reprooi" by �eet�.on 502 0� tha M�.ruieapo].is �uilding Code. E�tOFt USES 2� For any such permi�c for the erection of any non-�ireproo� build- �.�g o�her than a garage, waxehouse, fac�ory or grain alevator, or any non-�irep�oo�E addi��on, for similar occupancy, to ar�y exis�ing building� Pe�mi.t $1.00 �or each one thousand cubic feet. G__�__P�P'GE� 2= �or �Y such �e��i�t for the erec�ion o� any non�fireproo�E garage, warehouse, factory or g�a�.n eleva�or, or for the erection of any non-fireproo� add�,�ion, �Eor similar occupancy, to any ex3sting 7building or �or each such buildir�g or add�.tion, Ninoty Cen�ts �Eor each � one �housand.cubic �eet or fract3on ichereo�, in the cubical contents the�eof wi�h a mini.znum of $9,,00. � �or the pwcpose o� ca�outing fees for builci�.ng permits the cub3cal con- ter��s ofc any build�.ng or addition to a unirorm height throughou� by mul�iplying the ground area covered �xom a point six (6) inches below the rloor line o� �:he basemen� or ce11a� to �he average heigh� of the up�er surface or tco �he average heigh � of the roof sur�ace o� the maia gable o� a g�3tched roo1. 2_e5,._ For�repa�rs o�c alterat3ons to an existing structure, the ree shall be at the rate of $3.00 per each Five Hundred Dolla�s (�50Q.00) or :�LraCtioA the�eor �n �the cost o� all proposed work. 2�.6_0_ 3n no case shall �ho �ee charged for any permit as set forth in S.�c��,c�n 2 be less t3�—� $4.00. �.-� _ � �,__ .. � � m a � a � O 1 � � 0 � x � N � � � � w � p � 1 � � �1 �'�j � M y x �x � �� x x x � y � � O FP � � 7a � � � � � r-.,— � � � � H � � � � � x m x k �a � � N � °o 0 0 � � � � '� � � ` H a \� �� 1 r � � M � y� R' � „y � W � � p p � � � °: �;. C9 O � � � N � ti O F+ O y ; °o � : O • � . . � : : C� b � � � � � � b � � �d � � � � N O 4� � � � x � � '�tl 0 FP O O O 0 O � � 0 O G` �� o w �� m � � � � � �1 � � � � b � � O � a w � � ro 0 r � � Z c° � M I w 06 W w p� �� ! � �' y y O � � � � � �. �: �� E: �� 0 O � �� ,c��'. w o °o � � a-�h i-F � � x� ° � � � H ' . � � �� M � x �' y � R° � � � ��+ �ti 9 � � 0 0 � f" � � � � N � � � cn en o 0 O O O O fA" {A � �� P �` O � i d , � � �� o x x ° o � M � � � � �� O .�j � O � � � � � � �. 0 I� y � � � t�. O � 0 a N O � ��m,j- W g � �� x � n(�} � � /�Q�7 � Fi° Fi° `(� � �� `� � G �- p � R° � o � ro � � ��yj � � � � � � 0 � '� . pd p'i m � � y o a � : G �• � � . . Q O • p � � : : � N �� N � o °o °o o °o {.� {A &! ffl i � � � �n O '� ri. bd � � � \ �� \� \ � � � \ , . , i\\ �o 1 � m I� ■/ - �- x � � �w��.� � � � � � � � � � � �� 'iD' °"' R° y � p � � � �, � � o �i a � � � ¢ t» . . w . . e�i� ,°o : : O � . . Op . . O . . . � � � � � ea o 0 0 O O O p {A fA 0 � a -�-I i � � m H 2 m C m d p '+7 � C" �.a� �y �� b O w� � �° o►.�°,� � � o � �'� �4 r �� " � �. �b � �� °� � � "a' a ��c 1 �g �y. i..y `O'1 � ��ro � � .�. � . dy�� a'o°� a'�,o H �a'nm p�� ¢� �� y "�A� �� o � �� s� �' d b �. � ho 0 ,� b � , � V O � � � � � � �� w � = � � ,� 3= � `�N . � � � � Q� r vt e' �. � � � 70 �: 3 d � y_ .a � � "1 �`{P�' � �o,F �._� r� "� -�, + �ry ;� °.�, � � �► ��'-�� Dd6 ''��9 �.�r ; � , HFAT LOSS �ALCULATION9�'/ '�°`�r°, �, �� d DEPARTMENT OF BLIILDINCS MINNEAPOLIS. MINN. Weatherstrips �•S.H.V.E, Construction No. Insulation Guide Windows I Doors Reference Out.'Wall Int. Wall Ceiling Roof F1oor Kind How Applied �I es No es No 19— �' ° " ,�,t��. k� 9R Fl•��., �', � Rtiom�� LenBtl�� ' Width��,f "� Height ,� � Fl ��=�` C�a� Room Length,�"�� "°'� Width�`'� Heigh �� 'I Windows and Doors—Crackage and Azea Windows and Doors—Crackage and Area �Vldth Helgnt No. ot Ltneal f, Area Wldth Hetght No. af Llneal ft Area I! No. ot pane ot Dane 11Bhte ot crack eq. ft. No. ot pane ot pana tlBbts oi crack eq. ft. ii / :a A°� e- e� ya� t °a � � ,e e' _ ' ,�:,. ��; . �` � %:' � .I � +� °� � A r3 �' � � ¢�d ,� �':. �P 'w�'' � I °? � -.• �" s'�.' - 0� '`�F' ��' II / �� °'L �� da�", �'. I � ��°�' �.:, �3 � ��. �' ��' _ � Coef. Btu Coef. Btu Infiltration � � .�d" � � Inhltration h--�'� �� "� Glass �j, � �f�' a�� Exp. wall : ��` Net exp. wall -< s��'` /�' u�'��° Int. wall Ceiling �p�+ ,�''�d ��: 6��' /� Floor ��: � "�' ,`°' �' ��' ��r Total Btu. '��'". ��' �'d Required sq. ft. E.D.R. or aq. ins. W.A. Leader area � � Fl.�'a � � Room � Lengtb,� �'F �� Width .�°� �z ` Height � Windows and Doors--Crackage and Axea Wldth Hefght No. o[ Llneal ft. Aree No. of pane ot pane lighte of ceank eq. ft. �, ;�� {r '�' .r�6J� '� . ry`;s @"`�, .�,` � : '' °" F ,.� �f � �"' "" e .4�' G' ° 6s e u � � �� '�.+� ��'� �• (, �,IC �-� P f .' t ""�^.Y�f° s"d�-, �.ee ,��'1.. +i' .�.'�..� Coef. Btu In6ltration �°;� � �'e�?` -� �` �°%,�' C,lass ��f":" .� �; �� ° �,:;,�; Exp. wall ,��,o� � _ ��=� �`, Net exp. wall �°�'�' r�"„t�'", - � •;,�'�' Iat. wall Ceiling r r�; �� r-��>�� '�'�� Floor ,-,� �'' � a"��``� �'� Total Btu. ✓:�',.�� Required s. ft. E.D.R. or sq. ins. W.A. Leader area ` Fl. ��" �v �{ p oom � Length s' � Width „ �" Height �° Windows and Doora—Crackage and Area Wldth Helg6t No. ot Lineal tt. Area No. ot pane of pene 1f6bte o[ crack eq. ft. � .m., , .�. �_. �r e .�!°r b� . +� C% Coef. Bm Infiltratioa �`�` � d ��:: �� Glass / � �'"�- �°: ;� Exp. w811 a-�.�' ,-r °�." .� Net eap. wall ,.��"� , Int. wall �eiling ,�'r�� ^��0� �� rTotal Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area S� � °; .� Glass F.�p. wall Net esp. wall Int. wall Ceiling Floor Total Btu. .�� , � �. Required c� ft. E.D.R. or sq. ins. W.A. Leader area � , 6��;t ��A �� . oom � Length �.� ` Width d � Windows and Doora—Crackage and Area Wldth Helght No. o! Llneal tt. Area No. of pane ot pane 1lghte ot crack eQ. ft. w� i( �°., � - ;.r y� q<��: , y�: .t .�os° �' v�. E°S�+ r`� �': � Infiltratioa �-' � Glass — Esp. wall °°' �` Net esp. wall Int. wall Ceiling Floor Total Btu. �'` � ��`.`' � � �'' ,,� � a�. �':" ��, �' ,�;.� � °�'� �'�'` �'��.`�'' � �''�- �� -�� r �'� �-� � '�% , - 8�-�� Required sq. k. E.D.R. or sq. ins. W.A. Leader area /' FI.� a��_n� � Room I Length �� Width Windowa and Doors—Crackage aad Area Wldth Hetght No. 01 Lineal ft. Ar No. of pane ot pane IfBhte of crack ea. ,p .�f+�•-E. !,a �:, �x`?L « ,��°` = e � I ,!' f Coef. Btu Infiltration .�' �^ �e�"'� Y, � �' C,lass `�'�. � �� `- '" �' -' F'�.` b,.r Exp. wall `�' °°� � Net exp. wall °4'`� �°�+ %" �� `` Int. waU ICeilin F�OOi I� Total Btu � �� .f'r,< � �;� �.� a � .�, � �yC q G, a'd�' �� 47•� a sq. ft. E.D.R. or sq. ins. W.A. I.eader ana � d � Eo1'. p 0 ' � � � � ts� �./ 9, a ��} �#� .� � fi r+ !'� 7 � ' a � � W c�i � � � � � � � � � � • o � o � o � : o . bd : : � . . 0 i4 oa �a N r � o q p � e.� rss sn O G� I � '� � � � � � � � � � � � x � � � � � � � � 5' � �� 1 : O � � � ,d : a' O a, 0 0 : � � : � a �, , � , en W o : �' °n : 0�7 � . . . . O O : W : : : : . � . . . . � O � � � � � � w n� w �• r• � ]p C�ii p C�ii o O p � va �n v3 �» tn sn �, . H , O � �� C. 0 � x � � r � m t^/f ` I m C r m ¢+ � � R' � � � �' aa � � � O � �{ � I , .� �� Q � � � � � b a a' � � � • � R. p ~ � W � � Stories � � WATER � � aOSETS �f % URINAIS � ,� enrH o �� p. � e�s�Ns kf � I SINKS ,� �� W�, � rRnrs DRINK. FOUNT. sHwns. `� FLOOR �° DRAINS CATCH �i BASINS �! AUfO � WASHER � GAS MPL � GAS RANGE GAS � OPENINGS � � ►� M 71..�7. � � � � a. c�. tn Qb H � a �� c � � � a t�'O �� N a • z • � � � A m n A �. � � � a�y !!yy � O � � a � �s � � � � p�,�� °a fD o�a. °t� �,�o� ro ��o � � �' � � � e+ �p.y � �O,y O R' '! w �� o�� p � o � � � p �' �, o �7 � � � � � �� " ;�� . � � m � yO ,O9 i�"i fD �. � ef E� � �' d r`� n � ro a� A � �°n p � O� o �n v�'a � � � � �i � � � • � � � �' � � 1 • d � � � m t�► � � M � �� ro � 0 � A A � A O ! !��`. �1 � � � City of Fridley, Minn. C 1 ' ' I , „ , � �- :� � , : : ,, . _ � � �� ' � - ., . •• � ;rs �,r � ..., Qz9��! _:� : s � �%//_ .' �� .i..� �,� � � ' � F : � . � . � � No. Street Lot � _ Blocb Coraer I�t _ Ina3de Lot 3ewer IIevation ,TION Addition or Sub- 'an � .� �etback G��' � � Fo dation IIevation � • • � �. . ,�/%��ry`1 .1 � '' y �i l I ' I .►:� .,y � � .s. . � - � � � . - . � • �I • .s�.(� _ �� 1..� � �' � � / � ' �i .� i 1,�� fI � ., �// �� •.� ��- :�..i�- �� .� �� . .�� -� In canaideration of the isauance to me of a germit to construct the buildiug described above, I agree to do th� proposed work ffi acc�rdance with the description above se� rth �}nd in c�Pliance with all proviaions of ordtnaaces oP the dty of FrfdleY• . �' �/ � / In consideration of the payment of a fee oE �� , Permit is hereby granted to to construct the buflding or addition as described above. Thiape rmit is granted nPon the express condition that the person to whom ft ia granted and his agents, employees and worl�nen, in all work done in, around and upon said buildiug, or anypart thereof, shall conform in all respects to the or8inancee of Fridley� Minnesota regardtag location� construction, alteration, maintenance, repa3r and moving of bufldiuga �� dty ]ianits and this permit may be revoked at eny tina �� violation aay oE the Provisions of eaid � NOTICEs 'llds p��mit doss not eowr ths eo�teualloe, Ias�alFatloe ier vr6�fe9. P��6. 6a hatteg, sewe� er w�sr. 8� arn to sss Na Baildiee lesp�eta� hr s�parat� parmW fai fh� h�s. � � � City of Fridley, Minn. BUILDING PERMIT Date; _ Jzuze 10, 1965 N° '784� p�: Jahn K�per �� Dalber� Bu.il.ders, Inc. Ad�re�s 5536 Jeifereoa Street N. E. A� i i�i gp�g A�enue �.+I, �� . LOCATION OF BUILDING No. � sts�eet deffersoa Street N. E, Part of Lot Lot �_ Block �- Addition or Sub-Divisian �d818 Btt37-deY'9, 7th Add. Corner Lot Sewer IIeval3on To be Used as: Inaide Lot Setback Sideyard Foimdation IIevation DESCRIPTION OF BUILDING Front �. DeP� Height Sq. Fk Cu. Ft Front Depth fTeight Sq. Ft Cn. FL Zj►pe of Construction F�t. Cost �1�, OO.,Q� To be Completed Storm Damage rep�3r In constderatton oP the 3ssueacae to me of a permft to construct the building the proposed work fa accordance wlth the drescription above,,s�t f� and ffi co ordinances of the dtq of Frldley. / � o � �� above I agree to do �ith a'11 p�oviaions of In canslderation oP ti►e payment of a fee of $�...� , permit ia hereby granted toD&.7 beTg Bld Te .?.23C • � to construct the buflding or addition as described above. This� t ia granted upon the exPress condition that the person to whom it fs gi�anted aad his agents, employees an� worl�nen, in all work done fq araimd end upon said build9ng, or anyp� thereof, shall conform ffi all respects to the ordinance� oE FrialeY, Minnesota regardiing la:at3on� conairuct�on, aiteration, maintenaace, repair and mov3ng of buildinge wlthin the dty ]imits and this permit may be revoked at aTMy time up� violatalon of any of the Prov9siona of said ordinances. A71en Jensen 8�� NOTICFs 'Ihis perm� dea � wwr t6s sens�rucN�, InstaDa�On �or �rI�In9. P��B. 6as 6uftee, swr�r ee w�sr. B� san ts � ��8 �� ' pW►+ia p�ha ter th�a It�. c � g � -� � , ,, � ' ,,, • � • � APPLICATION FOR ING PERMiT . CITY OP' FR�IDL�Y� , NN�30TA , OWN�R' S NAME � � ,� � . BtTU,DER �C.J � �. . ,ADDR�S� �. ,�'� � .to+�.t �> �.:�' � t_°„� ADDRESS //� �C ��°'� �. %� � .. rr�.�..r� 1� j' . �j LOC�TTON OF ��iNG - No. �� Y°G�r�� ° S qf Lot,-, - - Lot B1ock " Additioar or Subdivi�ri.oq��—.,--t�- e��,, ��,Cc4,,�. Corn�s Lot Inside %ot �__�.:�e�is�k 0 Side-Yard, _ S °• � SF6dER �ATIQN FOUI►IDATION EL��° TOI� �—�,�_„_ Applieant at�ach to .thi9 form, Two Certificates oE. Survey of Lot and pro�aed�b�rii.d� ing loc�ticm d��.wn o�i these CLl�tificates. <�. _ m / . � -e�, .��k�.� w. DESCRIPTIOPT OF BtJiLDING �-� �� " �°- ~ 1b be used �s : �� f.�� _�� _ . � � � �� ronC 5� �f Deptl� ; � H�ight. 3$. Ft.� � 2� Cu. Ft. �� b , �_ �'ront D�pth Aeigh� ; 5t�. Ft. Cu. Ft. Type af ConsCruction �.�,�,,� - Estimatad Cost �S Dl�� --� --�-�_.5•�'�ed,-�•� � �S� � 9 C 5 The undersigned hereby makes appliaation for a permi`t for the work �erein sgecified, agreei�g tio civ all work ii� atr�ct accordaacr� with the City of Fridley Ord3.nances and xulings o� tY�e Departmeat��of Buildiags, and hereby declares tihat aIl the f�cts aad represeutations stated in this appl3catioa are true and corr�ct: -- • �Sr:�e�ul�e ,of Fee Costs caa be found on the Reverse Sid )�� W + � � u`` . iM I '� I�1I %�!�r�r� � . � `4, �'� Fa, •� ��, ' '`• ,'ti a� �'�°' �:• .:' wy ,q-L�eP' .� 4'{fr�� .y ' . ` J' ' , . i4 •. . . �;;a . Bi�ILDIN� PERMIT FEE SCB�p� � e . '� . � w ♦ \ � Se�tfon 2. The Inspector of Buildings�spal�, be�ox�.is�tz�,� any per�it for , th� erection of enq building os struFt�.ur.e., �ie.� for atty �add�,t3�� t, auy e��t- , in� building or attucture, qr for: au� a�Cerat�bsi+s�r�s'`: sepaitb t� any esisting . buildi�g or structure, upon applicat�:o� �er,e�tor, �et�ire tbe paq��t by �hs apgl3.c�nt for such permit of fees �� tiie amount 'her�ip��below eet 'fosth._�ad : �in the mannez herein provided to-w�C:� �',�. . . . _ .. • ,. . . .Z • . �. . Tn------��.1. F�r any guch permit for the �s��.�ion-c��e� any fire+�p�f bui�],d�pg, oXher �. '�•.:.;�-&�aa a�ar�ge*. �aar•ehouse, factoxy or��;�ixr e��ev�}#�;, ��oY: the ex�ti�ort of ;�', .' any �f�re-��of addi�ion. fo�� ain,�,�;ar°�oc�P.�Yr �a a�y �i.s��i�g bu�.i-d� � }•:; � :`�•• �. sha].Y �e at the rate *# $�,.40 for .��cl�.,p� thbsxe�d .�eub�¢ feet, or�fr�n , � �- .. . t,hereof , in sucb cubical aont�n�s . � ` • . ` : � . . , ' . , . �. . • . _�.� . ��• Z ��_. For aay euch permit f�t:.��e erection c� anq firerpra�E g�aae.: ��- €actory �r gra3a eievator� or fq�•the �Q�tiaa.e,f sa � g � ��►�aoS , .� • fer aimilar occupancy, to aay exist-fag ��Lld�pg s6aa;1� •be at .t�ie : �'� • •�-�.r�fo�'�'�aeh vne .thousand cubic .fee��'.,c�.lassi�ied �;e,,�fir�proQ�" .'�y� .S� � thr�-Mina,eap�l:.3rs..-Sui�,d�ibg Coi(Q4.-iaCSr.�=': ': . .� '` HOUSES • .� , � • � 2.1'. Fcir aa�q sueh permi� for the er.�atioa of �ny nan-tirep�lf. �'uil.ding . '�:'"'��_; �n 8 8ar��e, warehouae �acto . ry or, grain elevator, or any aou—fi��'�� additi�n, for simf�8� ocCupal�y, to a�y e�t�titig tiuild3�g - pexmit $b.�f0 fQr -•l each �oae thouBa�n�3 ctbi�, fe�6.. GARA�ES • � � . • . . � � . ,�. �•4• For any such pet�i,t far the erection of any non-fireproof garage�,, w era hou�e� factory or grai�, e],evator, o�t for the erection of any nan-fir�' �T-�-0r-aimilar occupancq, Co as� existin� build3ag br for esc� guch -_, ... ��-�i].diag or addition - niaety ceats ($0.9fly for e�ch one thousat�d ct�bic feet . O1 ��ton Ehereaf, in the cubical� coateats thereof with a miaimum.. �of ,44.04.�-- � , .. For-the purpose of comput3ag fees for buildin � � � of any buildi g Pe�itm, th� �ubicsl c�te� ag or addition Co a uni�form height throug'hol� �'by �1.t�p2ying t1�__-' ground area Covered .from a point six (6) iach�8 be1�3� Ehe �loar line of�he_•�,�1.. basement or cellar to the average height of the upper su�face or to ti�e average height of�the rpof seirface of the maiQ gable of a,�itched roof. . • � .�•5. . For repaire or alteratiaas to an eaciati� a�ruc � �°�° .. a he rate of $3.00 pe; egch Five I�uadred Do1lar,s �..' ,"�te iee si�t]►1 �� y> '� ,. .hChereDf in �he cosot 'of •� , �i�sOb',�r, .� •+o= �ractia�" . . 11_BroFosad work� . " . 2,_.6._ Ia no case �hali � the � ". . ,. . . . ��a" . �_ � , �� ', � � Sectia�a....2 �be : � . . set fif�h � . ,.: • �- . ��-�--$4..Qb: . , . . . •a ..,: ., . ;: �: � . � �, . . e � � �•.� . . .. ' .: • tw�t SUBJECT / City of Fridley AT THE TOP OF THE TWINS g U I L D I N G P E R M I T� i � � � � ; L ____� COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. , _ , �� /"'1 � CITY HALL FRIDLEV 55432 NUMBER REV. DATE PAGE OF ""� � ,�� 612-580-3450 910-F15 11/9/76 � � JOB ADDRESS 5836 Jefferson Street N.E. 1 LEGAL LOT N0. BLOCK TRACT OR ADDITION DESCR. 6 1 Lyndale Builder's 7th 2 PROPERTY OWNER MAIL ADDRESS Z1P Pomeroy 5836 Jefferson Street N.E. 3 CONTRACTOR MAIL ADDRESS Z�P Lee Cook Jr 18660 Territorial Road Osseo 4 ARCHITECT OR DESIGNER MAIL ADDRESS Z�P ..SdItl@ 5 ENGINEER MAIL ADDRESS Z�P 6 USE OF BUILDING PHONE 428-2493 PHONE �E NO, . 13866 ��/o j APPROVED BV SEE ATTACHED SHEET LICENSE NO. LICENSE NO. PHONE LICENSE NO. residentia]. 7 CLASS OF WORK ❑ NEW ❑ ADDITION � ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK remove window and construct fireplace 9 CHANGE OF USE FROM � STIPULATIONS l. Call for "fire place" rough in. TO TYPEOFCONST. OCCUPANCYGROUP OCCUPANCYLOAD SEPARATE PERMITS ARE REQUIRED 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 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 I HEREBY CERTIPY THAT I HAVE HEAD AND EXAMINED THIS APPLICATION STALLS ANU KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED 2� rjOO WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- � l.rJ.00 STRUCTI¢JJ O FO MANCE OF CONSTRUCTION. �/ �j� � PLAN CHECK FEE � � G- SIGNATUREOFCONTRACTORQ A H0°RIZEDAGENT IDATEI HEN PRO LY VA IDATEI f OFFSTREET PARKING IGARAGES SU RTAX � /, �s SACCHARGE TOTALFEE �e /�, �� THIS IS YOUR PERMIT ile.� ��, CITY UF FRIDLEY APPLICAI'ION FOR� RESIDENTI/�L BUILDING PEFtNIITS �NEW, ALTERATIONS, ADDITIONS, OR REPAI RS) OW1V�R'S NAl�i�:_ �.�` IM Y� e„ -� BUILDER: �e �� S r ADDRESS : �� v LTr�'-�e.r Sc� S � /1/� � ADllR�SS :_ /8G �o � %�r, Ta.p„ i 7� f! • �ssc � • T�L. IdO. : �� / 9 3 No : . s��rx • I.OT: BLOCK: I ADDITIO�': �y��_��,1��,,re. J��' tg��y�.. CORNER I.OT: INSTDE LOT: SETBACR: SID�YARD: Applicant attach to this form �ao Certificates of Survey of Lot and proposed building location dra�an on these Certificates. . ll�SCRIPTIOiV OF BUILDING To Be Used.�s: �,�j��,o � g . °'�� a e� � =FioT1i: : Deptt► : Ne igh t • Square Feet: ' Cubic Feet: Fron�: Depth: Height: Squaxe Feet; Cubic Feet: Zj►pe of Constx'uction: Estimated Cost:_ $��o � . �To Be Completed: _ �J�� The undersigned hereby ma.kes applicatinn for a penuit tor the work herein specified, agreeing to do all caorlc in stxicr accordance �aith the City ot F�i.dley Ordinances and rulings of the Department of Buildings, and hereby declares tliat all the facts and representations stated in this application axe true and correct. DATE: • � STGl�1TiJ1tE• / - (See Reverse Side For AddiCional Information.) ` �T��u � � i�v�� s ,� �� ,� �,�-�-- o�, s-� ��-�� ,.�--- � t � �� C�L� F6� �f �� f �� . �� -/�`' - �, .- . �' � � E �� 13UILDING PERMIT FEE SCHfillUI�L• SECTION 2. The Tnspector of Buildings shall, before issuing permitis for the erection of any building or structure, or for any addition to any er.isting buildiang 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 manr.er herein provided to-wit: . %iEW CONSTRUCTIOT3: 5a.ng�e Family Homes and Garages: $4_.00/1000 cubic feet PLAN CHECK: 25 percent of building permit fee. ADDITIONAL INFORMATION 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 Uelow the floor line of the basement ox the cellar to the average heights of Che upper surface or �o the average.r �height of the roof surface of the main gable of a pitched roof. For repaira or alterations to an existing structure, the fee shall be at the rate of $3.00 per each five hundred dollars ($500.00) ox fraction thereof in the cost of all pxoposed work. Tn �.o case shall the fee charged for any permit as set forth in Sectior� 2 ba less than $7.50. VBRIFICATION OF FOUNDATION NOTE: Per.mits for eonstruction will be issued a minimum of 24 hours from the time of application, to allo�a for proper review of the proposed structure and of the construction site. . A Cextified Survey of the lot, showing the Iocatien of the foundati�n, once it has been constructed, will be required before proceeding with the framing. CERTIFICATE OF OCCUPANCY Agplication for a Certificate of Occupancy shall be made ten (10) days prior to the use ar occupancy of any structure for which a building permit has been issued; and said structure shall not be used or occupied until a Certificate of Occupancy has been issued. i R•'^ ► d SUBJECT P City of Fridley _ 15 6 6 6- � AT THE TOP OF THE TWINS g U I L D I N G P E R M I r ; � RECEIPT NO. • COMMUNITY DEVELOPMENT DIV. � �ti: - ---- r � � PROTECTIVE INSPECTION SEC. �� D y i � � � /�"1 � CITY HALL FRIDLE� 55432 NUMBER REV. DATE PAGE OF APPROVED BY �"""� � ��' 612-571-3450 9� 0-F15 4/16/80 � � JOB ADDRESS 5836 Jefferson Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. G 1 Lyndale Bui.lders 7th SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE Walter Pomeroy 5836 Jefferson Street N.E. 571-4066 3 CONTRACTOR MAILADDRESS Z�P PHONE LICENSENO. Twin City Storm Sash 2641 Louisiane Avenue South 927-6534 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW O ADDITION X ALTERATION ❑ REPAIR � MOVE ❑ REMOVE 8 DESCRIBE WORK Install altuninum trim 9 CHANGE QF USE FROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING 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 AND EXAMINED THIS APPLICATION 1 STALLS 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT �. SQO .7rJ 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. 9.00 PLAN CHECK FEE TOTAL FEE $9.75 SIGNATUREOFCONiRACTORORAUTMORIZEDAGENT tDnTEi WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT a �—A(9—�� SIGNATUREOF OWNERdF OWNER BUILDER� IDATEI - BLOG INSP DATE CITY OF F�IDL�Y • Af'('LICIITIO�J FO�t Rf_SIDCfdTIJ11. fsUlLl)IP�G PERf�1TTS . (i�e��r, /1lterations, Addii;ia��s, or Repairs) 04J�dER: � � � � �O' iM � � ADQRCSS: g , TEL N0: �% f L%� � � 6UILDER: � � AqDRCSS: �% �ov�r°� I ��u J7�1� �� TEL l��Q: �� % � .�3 � Construction Location • ST12�T NO : �_�� STRL•'ET: e_1�,� �' � � d �� LOT. t ` � BLOCK t � ADDITION : � /J /� Corner Lat: Inside Lat: SetUack: Si.deyasd.s: 0 �PPlicant attach to tt�is forra -�wa Certificates of Suxvey of lot and. proposed buildi.ng location dratian on certificates to scale. DESCRIPTIQt•� OF CO1dSTRUCTION Front: � D�epth: Hea.ght: Squa�e Feets G'ubic Feet: • Front: Depth: Height: Square� reet: � Cubic I'eet: -�' � Type of Construction : �� 1.� 1(`�� Estianated Cost: �� -� Rb Be (bmpletec3.� � Alt. A Alt. B Proposed Driveway Width If New Opening Is Des3red: .$ � $ _— .. SEE k:E��RS� SIDE OF SHEET . The undexsiqned hereby makes application for a pe-rmit for the wor}; hei-ein SPeoifiedr agreei.ng to �o all work in s�trict accordance with the City of I'ridley Ordinances and xula.nc3� of the Depari!uent o� Buildings, and hereby declares �:hat all the iacts and representations st.ated in i:his applica n�2��: �l- /L% � ��. szcN��rvr�: S�.ipulations : � �� . � /y� , / � %� � � ,� , .� � /-1V11e7J11-{U 1 L!'�I'IJ 1 � L.l� J4111.//1J41.. , aJ.C'�T.OI? 2. '�'he 7nr.,1�ecLor ot litu.J.cla.n�J:: ::lu�).7., }�cf.or.c� i.::s.u�.r�� 1�enn�.L:; fox Lhe ez'ecL'i.on oL' any l�ui.J.cl:i.r�y oz :ct.ruc:t:tirc, or. l:o�' unX ac:lcli.Lic>i1 to aiiy es:a.:;l•iti� ?.�tii.lcli.nc� ox' strucLure, . cii' fo�- r�r,y .1�.1:C1'r�t.i_o�i oz� �:c�>air.:; Lo •uny cf:i:�L•in�� I.>ui.lcli.>>�J or :�L�:ucturc, u��uai a��].icaL'a.on '�I►er.e.to•r_c, �:ec�ai��e thc pr�ymc,�L• hy t1�e a��?�].icanl iox- sucl� ��exmit oC fees to tlic a�nounL- hcr.ein i�clow sc� for.Lh �it�cl i�� L•lu� manncr J1C'�CJ.Il j)L"O�rl.[�CCI %.U-WJ.i:: • � 1J1.41 CU2�STl:UC7.'T�I4: Sir�cJ1� 1'a�ni].y lIomes and Gar.ac�� : $4 . 00/1, OOd cubic Lee�. , P1,At� C!I):CY: 25 �,�ercent of bua.7�ding }?e.r.mi.t .�co. D1tTV1'sl•7nX 17�PItL•'SSIUi�: (Concreic, C'�irh �tr.ec.i�s Or�ly) �' ' Altern<�t:c I�: I:c�nova�l. and rep]_<�cemenL- o£ concrete cuxb and guL-L-cr oiil��; p.r.�.veway �aa.dt�li plu:; 6 feeL- x Y�,$o75 111tern�ifi.c 13: Fentov�ll and re}�J.aceme��L of cancreL-e curb and - • � ' gui�ter_ arid �.iista].J. a 3 �ooL- wide approacli c�iU� '' � ,� 6 a.iich d��i:li; DrS.vccoay wa.dth plus G feet r. $17. f35 ' • � �nDt T ror�n�_ I I�o��LoI�L. I'or the purPose oi compui�ing fees for bui�.ding �erm5.ts, L-he cubica]. con�ents of any buS.ldinc� or addii:ion, 5.s deLerm�.ned by �nu1��.pJ_ying ilic c�r.ound ar.ea covered irom a poi.�it si�c (6) i.nches belo��, thc iloor line of Ll�e k�asement or the cellar L-o the aver�ge }ieiqhts ot the upper surface or to ihe avGrage 2aezJkit of ihe roof surf:ace of ilie r►ain gabJ.e of a pitched roof. � Fox re��ai.rs or alterations to an existing siruci�ure, the fee sha11 be a� the rate oi �3. p0 Pex� eacii �ive hundred dollars �($5Q0. 00) or fr.ac�ion ther�of in -Ehe COSt oi al_i_ pxoposed work. • Tn •na case sha].l the �'ee cl�arged for �z�� permit as . set forth a.n Section 2 be less � tl�aii $io5p plus $.50 state. surcllarqe. • ..�!�RTFICATIDV�.F FOUhdD/11'IOfV ' NOxE: Permits �or construci:ion �oill be issued a min9.mum of ?.4 houa:s from tlae time hi a}�p�.ica�ion to allow for pxoper review of the prop;�sed structure and of �he const=z-uctioi� s�te. 1� Certiiicate of Surve�► o� tlie 1ot, shocaing the location oi' the iounciation once it has been constz-uc'�cd wi11 be rec�uired before proceedinq wi.fili the fiaming. _ _ cGr,-r r r- i cb�r� QL.._��u�n �c � � �pplication tor a CerL-ificate of Occupancy shal.l b� made ten (10) da��s pric�r_� ta the use or oer.u��anc�� oS� aiiy struc�:ure ior �,li�_ch a bu:il�iiiig ,�>ei�iit has been �.ssued; aiZc� said sia:ucfi:ure sliall noi: ve used ox occupied unti_l a Ce�i�if:icai:e oi Occupancy has been �.ssued. '� - -. ,. • . � f ' =. D � 1 � n 0 � a 3 0 �m Q 1 � y o � 3 � a� o � 5� � p m � a o; �� y � m � m 1 1 �. � 0 c � �o ?� D r 0 nc � Zn -� � �� v zm ao c� � m � D n � < m � n � z z � m Z � � n �i z � m m w 0 0 0 D � �o < � a m � � 0 � cc � I 7 v � m � � m m � W � � 0 > r � m m � � N m � � � Z � � n 0 D �z � � �;� j J o '0 ' � � . 2 � r-�i � ' o � . � '�� , �� m N c s � m � ir c3 m 1 � a m Z 3 m S � � m z 0 m v � _ . _ --� -��_ � A D �3 �_ � Q � � <m S3. � � � m m � � o � ..w � � D w � � Ae � D $ � m 0 0 � c 1 ; � p .� �N � a D c� 3 � � c m � o m c a • — � �, �' � � � m � �' :� � N _ o � n " A m n � � m m m N a tn � r N 3 � m°�' a�o = � o .. m v � � D� v v � c� � � i O C � z A m z v � m c Z m � . D n � a � � a � m � � � � m � � � � � m � � � J J J O 0 � � � � � � � � � N � > m v � � W �' r,�a � � m � 3 _� z O j� J r, � C v Z � c � m v �� . tA � � � m � ��'� m , � � � m a� � °� � a a 'n G c � � m � m � o g R 1 � c � ' � m � � � c� o �o � � � � � -i � �, o �' ° rD- � �' � ? .�-� m � m �� m � ��'�>> a .» � y a �,m�,�m n y m � d - � .`'� m c � a >>m� nm m � v � � � � �m � �a� m � o �a�, � � � Q � �v��r. 0,0�3 7 P'� y 3 � � m v��ia�'� ►�m�3 � �� o �ag � � � � a��'�° m � � Q � � � tD � a m _ 8 � � � � � c� N�,�� :� C O ��< � 2 c� � � �' v '� r N � � Z Z mN � n � Z v < �� r �ii �% m� �Z 0 � �u D � Z � vp D � �m n� O� vZ �� oD zz �v �n m �� '� Z m 3 .n �� Z vg vz � � nm �� O m z m < m O � � c � � � � J R,_p i� '- � - ,. �_ ,� _l� _��I A 's �' ^� =� CSIlrIIdSY l�iD BT1�lClt VBRIFIClITION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes () No () 2. Is free from rust or deterioration Yes () No () 3. Has no foreiqn objects lodqed within Yes () No () 4. Is securely supported Yes () No () 5. Meets all current Code requirements for size and total BTU's connected 6. Has total heatinq BTU's of All other BTU's TOTAL BTU's Remarks List Alterations Heing Done: Yes ( ) No ( ) HEATING COMPANY Signed By � Date r T.T -��1 AN1�A1�� 1�i�� 1 1 Nf; t� �ri�--E;�-RF13i ��#� �- SERVING THE TWIN CITIES SINCE 1930 HEAT LOSS CALCULATIQN FOR POMEROY 70392 DM ------------- ---- MAIN LENGTH 25.5 WIDTH 39 HEIGHT 8 N0. 2 1 5 2 2 1 1 1 WINDOWS WIDTH PANE 21 23 19 23 21 23 32 36 & DOORS HEIGHT PANE 68 35 35 27 27 25 8Q 80 - CRACKAGE AND AREA N0. LIN FT AREA LIGHTS CRACK SQ FT 1 32.7 25.3 2 19.4 14.2 2 92.1 60.7 2 33.5 22.5 2 32.5 20.8 2 I�.1 10.5 D 18.7 17.8 D 19.3 20 COEFF INFILTRATION ................. 264.3 20 GLASS ............................ 191.8 50 EXP WALL .. ........................ 129 NET EXP WALL,.... ................. 1098,2 13 BELOW GRADE...... 6 ................ 774 5 CEILING ............................. 994.5 4 FLOOR. .......................... 994.5 3 VENTILATION...... 0 ................ 0 0 TOTAL BTU ................................................. B5286 9590 14276.6 3870 3978 �2983.5 39984.1 � 129 R.FT TOTAL BTU OF ALL ROOMS/FLOORS ....................................... 39984.1 410 W. LAKE ST. 1072 PAYNE AVE. p MINNEAPOLIS, MN 55408-2998 ST. PAUL, MN 55101-3892 612/824-2656 EATING AND AIR CONDITIONING CO 612/772-2449 iServinQ Ttre Twin Cities Sinu l930' ORSAT TEST RECORD ADDRESS ��'( � ��+�,F'�� 5� � CITY �j2�,{�Z-� OCCUPANT o � � OWNER�� ,��Lq Tj DATE HTG. INST. 7� 7r- � INSTALLED BY 5��_ GAS LINE BY �� TYPE OF HEAT: GA FA�HW STEAM SPACE HTR. GAS DESIGN MAKE �i2e� �4� ��' MAKE MODEL ('�,�°p(�b�'b�a�}�nl MODEL SERIAL �� f�oo(�p�'p MAX. I NPUT _,� � a a a� MAKE CONTROLS MO UNIT HTR. OTHER CONVERSION BURNER BTU RATING OF FU THERMOSTAT�_(� HEAT PLUG VENT SIZE 3 l� Y� N t VALVE �.�� KINQ OF LINER�_�/,�N� SIZE�_NONE LIMIT��s („�� DRAFT HOOD REGULATOR LIMIT SETTING / 7d� C�iIMNEY CONSTRUCTION��- FAN SETTING Ja�f=°��N --�/d�'G �,�,F DRAFT �a�-i� TEST TAG PILOT TYPE �� ,��,��,�� LICHTING TNST.� �S/p-� .�°(��, P I LOT MAKE (,.��f / �-� / � � PILOT MODEL ��' PILOT TIMING /,��°T.��'1 PRESSURE � � PERCENT CO2 �� DATE TESTED �- � - ��. INPUT CFH �� PERCENT 02� /,, , � STACK TEMP.�PERCENT CO NAME OF TESTER SuB�Eti � � , '� City of Fridley 2 8 3 3 6 AT TNE TOP OF TME TWINS g � I L D i N G P E R M I T � � � � ♦ • � ; v __�� COMMUNITY OEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. /� '��j 1 .' � C/ ✓ `----� ��;.� CITY NALL FRIDLEv SS13$ NUMBER 11EV OATE PAGE OF APPROVEO BY i 612-571-3450 9t0-Ft5 10/20/98 � � JOB AODRESS 5836 Jefferson Street NE 1 LEGAL �OT NO. BLOCK TRACT Oq ADDITION SEE ATTACMED DESCR. ( 1 L dale Builders 7th Addition SHEET 2 PROPERTY OWNER MAIL AODRES$ 21P PMONE Walter Pomero 1 -822-2969 3 CONTRACTOR MAIL ADDRESS 21P PFIONE LICENSE NO Master Remodelin Inc. 32 th A - 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PMONE LICENSE NO. 5 ENGINEER MAIL ADDRESS 21P PNONE IICENSE NO 8 USE OF BUILDING Residential 7 CIASS OF WORK ❑ NEW O ADDITION O ALTERATION � REPAIR O MOVE ❑ REMOVE B DESCRIBE WORK Reroof house and ara e 18 S Tear-off• Reside 2 sides of house - hail dama e 9 CHANdEOFUSEFROM TO STIPULATIONS Underlayment must comply with the State Building Code. Call for building wrap inspection before covering. TYPEOFGONST. OCCUPANCY GROUP OCCUPANCVLOAD SEPARATE PERMITS ARE REGUIRED FOR ELECTRICAL, PLUMBING. FIEATIN(3, VENTII.ATING Ofi AIR CONDITIONING THIS PEFMIT BECOMES NULL AND VOID If WORK OR CONSTRUCTION 20NING SO. FT CU FT AUTHOR12ED IS NOT COMMENCED WITHIN 80 OAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANOONED FOR A PERIOD OF /20 DAYS AT ANV TIME AFTER WORK IS COMMENCED NO DWI.G. UNITS OFfSTFEET PARKING I MEREBY CERTIFV TMAT I HAVE READ AND El(AMINEO THIS APPLICATION STA�LS GAFAGES AND KNOW THE SAME TO BE TRUE AND CORREC7. ALL PAOVISIONS Of LAWS VALUATION SUR7AX ANO OROINANCES GOVERNING TNIS TYPE OF WORK WILL BE COMPLIED @ WITH WMETMER SPECIFIEO MEREIN OFi NOT. TME GRANTING OF A PERMIT $1542 y�.7% DOES NOT PRESUME TO GIVE AUTMORITV TO VIOLATE OR CANCEL TME pEqMIT FEE SAC CMAqGE PROVISIONS OF ANY OTNER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION �,rj1.25 Fire SC �1.54 P�AN CNECK FEE TO L FEE License 5.0 8.56 S�GNATUpE 0� CON"AACTOA Op oUTMOp�2E0 oGENT �o�rE� EN ROP VALIDATE THIS IS VOUR PEpMIT 1 � � � S�GNa7UAEO�OWNEp��OWNEpBU�IDEN� �O�TE� BLO �NS� ��tE NEW [ ] ADDN [ ] ALTER [ ] s�� Effective 1/1/97 CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R 1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: $� 3G� 3e�-�.rs o�J ST N L-� Lega1 Description: Owner. Name & Address: Contractor: Address: LIVING AREA: GARAGE AREA: DECB AREA: II�TC. 68349 �J�� o� Tel.# 7fS'FS�.�-�9�9 MN LICENSE # Tel. # �Q?�1�plication, a Certificate of Survey of the ��ODEY.IImiG, II�TC. lot, with the proposed construction drawn on it to scal � T�� 8�� A�h DESCRII"rION OF IlViPRO`�EMENT � �� g�°��l � � �, uc, �+�+e Length Width Height 5q. Ft. Length Width Height Sq. Ft: Length Width Hgt/Ground Sq. Ft. OTHER: � � 7-�.� of� a s�� f s,� ��/1E�� • � .....�.�, .� Construction Type: c� o� E�� Co�: $ P �� S%. S(� (Fee Schedule on Back) Driveway G�irb Cut Width Needed: Ft. + b Ft = Ft x$ _$ �°�°� � DATE: � 4 / S APPLICANT: ��% , �� Tel. # %O/ � Fl. .� g' �j Permit Fee � �• �'� $ Fire Surcharge l -y7 $ � State Surcharge , `1 � $ " SAC Charge $ License Surcharge $ � U �1 Driveway Escrow $ Erosion Control Park Fee $ $ Sewer Main Charge $. TOTAL STIPULATIONS: � .��.5� CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/l0ih%) $.50/$1,000 Valuation $950 per SAC Unit $5.� (Sta.te Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review F� Determined by Engineering Agreement Nece�sary [ ] Not Ne�sar3' [ ] • a . ., 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 st[ucture,� or for any alteration or repair to any existing building or structure, upon application therefore, re�uire the payme� by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to-wit: TOTAL �ALUE � � $1- to $5(}0 . $501 to $2,� $2,001 :to $25,-0.{�Q :, �y . . : . F b ... - ��. ��`r-�-T� _ _ _ : �. _ .,:�_�„� � :,: $25,001 to $SO,OOU $50,001 to $100,000 $100,001 to $500,000 $500,001 to $1,OQ0,000 $1,OOO,Q01 and up FEES � ��;:� �:��,��! , $21 iMinimum Fee is $21 plus��.� �A �!�``� _ �� $21 for first $500 ius $2.75 for �� p ��.. .�. or fiaction thereof, to and including $2, 000 $62.25 for first $2,� pius $12.50 for each additional $1,000 er fractioa thereof, to and iac�luc�i8g $�5,000 - $349.75 for fi�t $25,�0 plus $9.00 for each additional $1,�0 or fraction thereof, to and including $50,0� $574.75 for first $50,�0 plus $6.25 for each additional $1,� or fraction thereof, to and .including $1p0;000 $887:25;for fust $1�,000 pius $5.00 for each additional �� $1,� or fraction thereof, to and includuig $SOU,000. ,_ �,; _ tr ` $2887 25 for�the fust $S�,O� plus $4 25 for each additiomi _- _ _ - $1,000 orrfraction thereof; to and' including �$1,�;p00 : " . � ,, . $$012.25 for the .first $1,�,� plus $2:'75 for each, addittonai $1,000 or fraction thereof : �... _. . :,.-� - --D�w�Y.DEPRESSIOAT,F�,SCRO� °' - - -- — - {Concrete ,C�rli 5lrcets Only) :. , t.�_ .. � Alternate "A°: Removal and replacement of curb and gutter only - Driveway�width plus 6 feet times $13.50. Alternate "B": Removal and replac�ment 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 proger review of the proposed structure and of the constriiction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been consttucted will be required before proceeding with the framing.