AF - 47490City of Fridley, M.inn.
BUILDING PE�IT
N° 860 �
Date: �_��"'� �
,� �� . �
Owner: �'-'���"����' �� ��.:� `�. :'�'�� Bwilder
Address Address — —
,� ,.�-�,,� I.pCATION�F BUILDING
No:�,��� Street ��„�,,,.!�i���t P f t
Lot �.� __ Blo �" _._..._. Addition or Sub-Divisioa,�e�- ` "':,
=r--.
Corner Lot � Inside Lot .—�.. Setback �..�:,�-� _ 5ideyard ��! �
Sewer IIevation _____. r. Founda.tion IIevation
DESCRIPTION OF BUILDING
T�{� v�ea � .� � �,
�
�i f ' � * Front �� Depth ���� Height � f � C�
�� Sq. F't ,t'_!�� Cu. F't��
-�F� Depth � p Hejght �,— Sq. F't. Cu. F't.
!1r ...�.�...�.
7j�e of Constructi� �` �`� �:.� Est, Cost .��� __ To be Completed —
In consideration of the iesuance 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 paovisiona of
orrlfnances oP the dty oE Fridley.
.Lf
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In considerai3on oP the payment of a Pee oP $ y" "�� , germit is hereby granted to
to construct the building or addition as described above. This permit is granted upon
the express condil3on thai the person to whom it is granted and his agents, employees and worl�en, in all work
done in, around and upon said building, or any �art thereof, shall conform in all respects to the ordinancea of
Fridley, Minnesota regarding locat3on, construclaon, alteration, maintenance� repair and moving of buildings
wlthin the dty limits and this permit may be revoked at any time upon violation of any of the provisions of said
ordinances. ..,.r� _ ,�`�"''�€
r �
.-��;� �-„ri;=��Building Inapector
NOTICE:
This pere�it do� eof eovee the eonstrueHon, Pnstallet9on fo� wiriug, plum6ieg, gaa heating, sewer o� water. Be sure to see
fhs Bulldleg laspecror for aeparate permtts Por fhose hems.
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APPLICATI0�1t F013 BUILDING PER1�tIT
C%TY OJE t YtIDLEY. MiI�TES�I'A
owne�'s
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Address Adclress ��1rJ' �.fnti�� �-�"�`l •
LOCATION OF �BUIIGDING
No e S��� Street '��_ Part o� Lot
Lot S Block / Addition or Subdiviaion �,�,=
^
Co�ner Lot Inside Lot ✓ Setback�S3de-Yard ��' �`� �'��
SEWEIt ELEVATION FOUNDATZOLV ELEVATIO1rT�_,_, �_,
Applicant attach to this �or�n Cert��icate o� Survey of Lot and
�roposea building 1oca�ion.
DESCFZSPTTON OF BiJTLDING
� o be used as o � �`°"`�" � � � ��
�ront_______ Depth I�eight
Sc� . Ft . Cu . Ft .
Front____,�_, Dep�h Height
Sq. Ft. Cue Ft.
Type of Construc�ion Estimated Co�•t
To be Completed —
The undersigned hereby makes application �or a permit �or the work
he�cein speci�ied, agree�.ng to do all work 3n strict accordance with
the City of Fridloy Ord�.nancea and ruling o� the Depa��memt of Huilcl-
�.ngs, and hereby declares that all the facts and represeni:a�tions
sitated in this ap�l�.cation are true and correc�.
D�TE �' �` � � � � SSGNATURE ~ w
(Schedule of Fee Costs ca� be �ound oa the Reverse Sic1e).
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svYZn�.vG p��a� r� scr�nur�
SecLion 2. The Tnspector o� Buildin�s shall, before issuing any
pa�ni'c for the egec�ion oi any bu3lding or s�ruc�ture, or for any
addition to any ox�sic�nc� builol3.ng or s�cru��wce, or for arYy alterations
or repa�.rs �o any oxis�c�ng bu�.lding� or s�ruc�ure� upon application
�hore�or, require f�e payment by �he appl�.can� for such permit o�
fees �o the amount herein below set �orth and in the mann��e herein
pxov�.ded to-wito
2.1. �or any such p�a�it �or the erectioa o�E any fire-proo� building,
o�her than a garago, waYehouse, �actory or grain elevatog, or �or the
erec�ion of aay ��re-p�coof add3tion, for s3milar occupancy, to any
exis�ing bu3lding sha11 be at the rafce o� $1.9�0 for each oao thousat�d
cubic �eet, or �raction thereofc, �l.n suc,h cubical contenta e
2e2. ��'or any such por�t��t �or the e�ec�ion o� any f3re-proor garage,
warehouse, facto�ry or grain elevato�c, or for �che erection o:c any rire-
prooz addi�tion, io�c s3�mila�c cccupancy� �o any existing bu �ilding shall
be at the rate of- �1.25 �or each one thousand cubic feet, classi�ied
as "�izeproof" by Sec��Lon 502 of the M�.nneapolis Building Code.
a30_ USE ,
2.3. For any such pesm�.� for the erection of�any non-f3xe,proo� bu31d-
�.ng o�her than a garac�e, warehouse, �ac�ory or grain eleva�or, or any
aon-i3reproo�E add�.r�.on, go�. $�mila� occupancy, fio any exis�ing build3ng
Permit $1.00 �'otc each on� thousax�d culoic feet.
CATtAGES
2_..a. For any auch �ermit for the erec�ion os any non-fireproof
ga7cage, war�house, ractory or g�ain eleva�or, or for the erection ot
ariy non-fireproof add��ion, �os sim�l,Za� occupancy, to any existingr
bu3ldiag or �or each sueh building or additione Nin�ty Cen�s for each
one �iousand cubic �ee�t or graction �hereoi, in the cubical contents
thereof wi�h a min�mum o� $�,,00.
�or �he purpos�e oc ca�ou�ing fees for building permits the cubical con-
teat� o� any building or addition �o a uniform h�ight throughout by
multiplying �he g�ound a�ea covered •.�xom a point e9ac (6) inches below
�he floor lino o� �he basement or cella.� �to the avexage height ofc the
upper surface or ico che average heigh� of the roof surface of the main
gable o� a pitche� �cooL.
2,.5_._ For repa�rs csc alte�ations to aa exis�ing structure, the iee
shalZ be at the.rate of $3.00 pe��each Five Hun�lr�d Dolla�s ($500.00j
or �raction thereor in �the cos� of a11 proposed work e
2� 3n ao case aha11 iche fee charged for any permit as sot forth in
section 2 be les� �$4.00. n
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Lond Plonnrn9
Latd Surve�/in9
Su;lsTest;ny
Civi/ b Muniap�!
En9ineeriny
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68yS-Hiyhwoy �G5 NE.
Minn�ea�n/s 1/,
ENGINEERING� {NC. �°��°f°
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— En9ineers � Su�vec�ors
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_ HEAT LOSS CALCULATIONS� � (�, � +��,(�' DEPARTMENT
Weatherstrips �►.S.H.V.E, Construction Ni
Guide
Windows I Doors Reference Out. WaU Int. Wall Ceiling
e No es No 19_ �' �
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Windows and oors—Crackage and Area
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Ceiling
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Total Btu.
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/ �,�e ay�� Room ( Length � � Width / � Height ,�
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WidtA Height No. of Llaeal it. Area
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OF B�JILDINCS NIINNEAPOLIS, NIIMeI.
>. Insulation
Roof F'{oor Kind How Applied
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Caty of Fridley, Minn_
BUILDING PERMIT
DB�; ,_,_ June 10, 1968
pwaer. Carl Torres B�� Gorco Coastruction
Addreas 5848 Jefferson St. N. E. � Ad� 3384 Brownlow
N°
��
�3 ��
9'789
LOCATION OF BUILDING
No. 58�8 Street Jefferson St. N. E. p� of Lot
Lot ._._ 5 _ Block 1 Addition or Sub-Divisian _ L�ndale Blders . 7th Addn
Corner Lot — Inside Lot — Setback �__._ Sideyard
Sewer IIevation
Foundation IIevation
DESCRIPTION OF BUILDING
To be Used as:
Gara�e �nt 2�- �p� 22' Height _..12' sq, � 440' �� 5780
Front Depth �Teight Sq. Ft Cu. Ft
Z�pe of Construction Frame �y� �_$1500 00 __ To be Completed
In consideration of the fssuance to me of a permit to construct the building described above I agree to do
the proposed work in accordance with the desarlption above set forth and in compliance with afl pra�visfona of
ordinances oP the dty of Fridley. � C� ����—�
c,� �-
Ea camsideration of the payment of a fee oP $ 9.00 � p�t is hereby graated to Gorco Const .
to constcuct the buflding or addition as de.acxibed above. This �rmit ia graated upon
the express condition that the person to whom it is granted and his agents, employees and workmen, in all work
dane in, around ead u�n said building, or any part thereof, shall c;onform in all respe�ct� to ffie orrlinances of
Fridley, Minnesota regarding location, conatruct�fon, alteration, ma3ntenance, repair aad moving of buildinp
within the dtY ]imfts and thia permit may be revoked at aTMy time u�n violation of aay of the provl�lona of said
ordinances. �1
Official
Builaia8�
/� NOTICE:
'Ihb psemtt does nof aover ths coestroeMoe, hutalFaNen �or wtrlae, plum6tne, ea 6eating, ssw�� or watu. B� wn to �
tLo Butldiae Inspeetor for aparm pKmiti for thas thm�.
APPLTCAT:C0�1 FOR BUILDING PERMIT
GIfiY b� -F'ItIDLE�i� 1�I�iESOTA' :
OW1,�E8'S .N1�1ME � �� � � BUII,D�,R ��,-�G��u.S' �
. . � :. . . . . . , , .;4-= • . . ::
. ;�uD��si.�S`J��/ � .�.. �o��e � /��`.e � � ��J�-�nn�ss,� �; � �Ir ; , .1� /� O lA w 10 �
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.. . . • I:'O�ATt(f$T OF B11iILb11dG. • ...; . �.,�. .':r•, . . .
NQ.� STREE� � . - -
LOT_��� BL@G� _ �,' ' � ADD�TZOfiT 08 S_��IVISION� �L � �q�.�..o
� � � ' � . . �: � � a�
CORiJER LOT IPISIDE LOT SET$�CIC �. , .:1 SiDEYARD'� _____�_
SEWFR ELEVAZ"tON Tt3P OF FOaT�NG
:.�., ..... : ,�,.
Agplicant attach Co �his� f�rm�Two Cr�itificates .o.f Snrveq a€_ Lar .and� gropbeed
bu�tldiag tacation drawn qn thes� CerCitieates�.� .,�, �
. . . . . . � ' � .. � DESCRIPTION OF BiT1LDING . , _ ,
To Be Used As s ��'` �► �`e
•� :.• �
. Front � Depth � _ � ��', .�--�„ � � �eight
_ �-=
•�� P , � .� •' �. , �
Square feet �'—° Cubic Feet
t �
���'�:� �roat � �'J Depth � � t • � Height / �
-,
Square feeC ��'� Cubic FeeC ••����o
, r , r„
Tppe of ConsCruction�l� � v�� Estimated Cost �/..$�° °' —'
To Be Campleeed ��_ % � � / d, �� � �
The undersigned hereby makea appiication for a permit for the work herein
�pecified, agreeing to do a11 �ork in strict accordance with the Citq of
Fridley Ordinaaces aad rulings of the DeparCment of Buildings, and herebq
declares thaC all the facts aud representatioas stated in this applicatiou
are true aad correct. �� � ���
DATE ,�� � �e / e , � 9 � d; SIGNATURE � d-� c � _ _._..._ _
_ �-_�_
(Schedule of Fee Costa can be found on the geverse Side).
/
/ . � i,.^ � �
��
. ;,.-
�
�� _ „�3
�
• BUILDING PERMIT FEE SCHEDULE' �
SECTION 2. T��'��ns�pec�toi� o�� Builctirigs sh$11, bsfore iesuiag permits for
the ergction af �ny building or �tru¢ture. or for a�� �ddiLion to any
exiatiaffi struceure� o= �i�ildiag, . or'� far �any alt�t�atio�i c�r repairg to �ny
existing building or etsucture, upon application theregose, require the
the payment by the applicant fo�' sueh permit of iae� to the amount hereia
below set .€crth and,in Che �na�es herin provided�to-wit:
IIniform nuildin€� Code: Type i, 2, b•4- $1.75 for each une tt�assand cubic
feet. er fractioe-thereof, fa sucb cubical coateate. Tqpe 3 6 S- $1.50 for
each one theusand cubic feet.
�> -, + .....�,::i': .
. . k � . . .. . Yt'i • /.tl ._. i.� _ . . • .... .
��� ��F�r the pus�ose ef ct�puting fees �for buildiag permite,,, the cubical
_. , eot�teata ef an�.���.c�iag..ot addition�`•t• •a u�sifotm heiglit tbtaughaut by
�ultiplyi�g Che ground area covered fr�m a point eis (6.� inches below the floo:
2lne �f the basement or the ceilar te-.the.avarage heigl�t of t6e upper surface
or t• the average height of the roof surface of the main,gabie of a
. . . , : pitched. ,roo£. .. :• . . , ... .. . ; . �i= . + . . .. .. ..
. . _ :s= . , _ . -. -�;. ,:. . , . . . ;�.. .: �,
.For repairs or alterations to.aa e$i�tia��structure, the fee sha11 be at the
rate of $3.0�•�per each��five tivadr�d�dollare �$500.00) or fraction thereot
iq the cost sf �11 -proposed work. ,
. <:. , • ::.�.
In no tase shali th� fee cliarged for aaq permit as.aet #orth in Sec�ion 2 be
. �.eas, than $5,�. � . . . .. . . . . , ... . , . .. .. .
NSSSD C+�nneetion Charg.ea.l�ased p�='locati�a- Area 1 or Y.
, • • . .. . �• ���'.... . ,�•a.. .. � ,.
�
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: ;� _ .. . . . ;,.. � � � -. � � ... . .
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. . . . . . ., � � � �.�� . .
1
, • . • �,� , , .':, ' r.� . •:�,�: .
�
� R7
sue�ecr PER
City of Fridley �``�� 2 2 6 8_
AT THE TOP OF THE TWINS g � I L D I N G P E R M I T
r
� � RECEIPT NQ.-`
__. -
� `y _ _ COMMUNITY DEVELOPMENT OIV. ��� �
r i � PROTECTIVE INSPECTION SEC.
1 = i
� ��"1 � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BV
�""'� � �'� 612-571-3450 9t0-F15 12/20/93 / /
JOB AODRESS 5848 Jefferson St NE
1 LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
oESCa. 5 1 Lyndale Builders 7th Addi,tion SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Carl/Krister� Toxres 5848 Jefferson St NE 574--0434
3 CONTRACTOH MAIL ADDRESS Z�P PHONE LICENSE NO.
Twin City Exteriors Co Inc 5uite 108, 9060 Zachary Ln, Maple Groge 425-4737 2535
0 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS Z�P PHONE LICENSE NO.
8 USE OF BUILDING
Residential
7 CLASS OF WORK
O NEW ❑ ADDITION ❑ ALTERATION �7 REPAIR ❑ MOVE O REMOVE
8 DESCRIBE WORK
&�� Reside Dwelling
9 CHANGEOFUSEFROM TO
STI PU LATION S
TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IP WORK OR CONSTRUCTION ZONIN(i S0. FT. CU. FT.
AUTHORI2ED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS APPLICATION �- STALLS GAFAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WOHK WILL BE COMPLIED $5, 999 $3. OO
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR IOCAL LAW REGUTATING CON- $81eOO Fire SC ySG.00
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE TOTAL FEE
License 5C $5.00 $95,00
S�GNATUREOFCON7RACtORORAUTNORIZEDAGENT �OATE� WHEN PROiP LY VAUDATED THIS.IS YOUR PERMIT
i�-,'��--9�
SiGNATUREOFOWNERtIGOWNERBUILDERI � IDATEI f�.,t,. pG i p qaTE
� [l
ADDN [ ] CITY OF FRIDLEY
ALTER [ X1 SINGLE FAMILY AND DUPLEXES R-1 AND R 2
Building Permit Application
Effective 3/1132
-����
�� p��- 5848 JEFFERSON STREET NE
I,egs�l Descr�tPtion: � -
Oam� Name & Address: CARL & KIRSTEN TORRES SAME Tel. � 574-0434
Cont�rs�cior': TWIN CITY EXTERIORS C0. � INC_ MN LICENSE #�,002r��,�!
Address: SUITE 1Q8 9060 ZACHARYLANE N MAPj, ES`;ROVE Tel. 1� 425-4737
Attach to this applic�tion, a Certificate of Suivey of the
lot, arith die proposed c�uction dr�m on it to scale.
LMNG AREA:
GARAGE ARFA:
DBCK AREA:
OTHER:
DFSCRIPTION OF II1�ROVEMBNT
Leng� Width Height
Length ��h Height
Length Widdi Hgt/Ground
Sq. Ft
Sq. Ft
Sq. Ft
Corne,r Lot t _] {i�de �.Lot � (. J Ft' Y.ti �Se�ack � � ;; - ��Si�de �lard �� - �
Type of Cor�sti`otctican:' R�-5IUE ` _ � ' ' '� Cost: $ 5 , 999 .00
Approx. Completion Date: 12-20-93
, (Cost on B�ck)
Drivevvay Curb Cut Width Needed: F� + 6 Ft = Ft x$ _$
DATE: 12-15-93 AppL,ICANT: �-- ---- - Tel. # 425-4737
p0
Permit Fee S
Fire Surcharge $ � �
State Surcharge $ �
�
SAC Charge $
Lic�se Surcharge � ,� � �'
Driveway Escrow $
Park Fee $
Sewe,r Main Charge $
D�
TOTAL $ ��
STIPULATIQNS:
� I�M , � ,
Foe Schedule on Reverse Side
.001 of Pe,r�it Valuation (1/lOth�)
$.50/$1,000 Valuation
$700 per SAC Unit
$5.00 (State Licensed Resi+dentiai Comrac�rs)
Alt. "A° or Alt "B" Above
Fe� Determin� �by Engineering
Agreement Neces.sary [ ] ... Not Nece.�sary [ ]
`�-�� �
����
��._
- .� 5,
SUBJECT
c��y of Fr�aley
AT THE TOP OF TIiE TWINS g U I L D I N G P E R M I T
i ♦
� �
� �v ����� COMMUNITY DEVELOPMENT DIV.
r � � PROTECTIVE INSPECTION SEC.
�
� ` �
� �"'1 � CITV HALL FRIDLEV 55432 NuMBER
�..__ll.' `•� 612-571-3460 910-Ft5
JOB ADDRESS
5848 Jefferson St NE
t LEGAL LOT NO. BLOCK TRACT OR ADDITION
DESCR. S 1 L ndale Bu:
2 PROPERTY OWNER MAIL AODRES$
Carl Torres
d ARCMITECTOROESIGNER
5 ENGINEER
8 USE OF BUILDING
Residential
7 CLASS OF WORK
8 DESCRIBE WORK
9 CHAN(iE OF USE FROM
STIPULATIONS
MAIL AODRESS
MAIL ADDRESS
OATE PAGE Of
7/30/98 / /
Addition
ZIP
PNONE
i�o
PHONE
PNONE
26911
RECEIP� .
� l � C�'
APPROVED BY
SEE ATTACNED
SHEET
LICENSE NO.
Z�
LiCENSE NO.
LICENSE NO.
O NEW ❑ ADDITION ❑ ALTERATION � REPAIR O MOVE ❑ REMOVE
TO
Building
Underlayment must comply with State �.-��ag Code.
SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATINd, �TP
VENTILATING OR AIR CONOITIONING.
TNIS PERMIT BECOMES NULL ANO VOIO IF WORK OR CONSTRUCTION 20�
AUTHORIZED IS NOT COMMENCED WITHIN 80 pAYS, OR IF CONSTRUCTION
OR WOHK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANV TIME AfTER WORK IS COMMENCED. NO.
I HEREBV CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION
AND KNOW THE SAME TO BE TRUE ANO CORREC7. ALL PROVISIONS OF LAWS VAL
AND ORDINANCES GOVERNING THIS TVPE OF WORK WILL BE COMPLIED
WITH WHETHER S IFIED HEREIN OR NOT. TFIE GRANTING OF A PERMIT
DOES NOT PR ME T IVE AUTHOi;ITV TO VIOIATE OR CANCEL TME pEp
PROVISIO S f ANV T R STATE OR IOCAL LAW REGULATING CON-
STRUCTI N R THE P ORMANCE OF CO STRUCTION (
o � PLA
�� Li
SIGNATUfiE OF CONTRACTOR OR AUTNOAl2ED AGENT 1 TEI
CONST. OCCUPANCY(3ROUP
SG. fT.
_G. UNITS pFFSTR
STALLS
)N SURTAII
.96
EE SAC CH�
5 Fire
ECK FEE TpTA� F
OCCUPANCV
CU. FT.
� PARKING
GAqAGES
1.92
N� [ ]
ADDN [ ]
�-T� [ l
ConstructionAddress:
Legal Description: _
CITY OF FRIDLEY
SINGLE FAMII.Y AND DUPLEXES R-1 AND R-2
BUILDING PERNIIT APPLICATION
Effective 1/1/98
�i�\ ,�1�
� ��
�I"
Owner Name & Address: _ ( � �.�-j,�� �,,,� Tel. # s��^d�� �L
Contractor: I �' MN LICENSE #����
Address: ��� � 7''� �� %� � Tel. # S?� ---���
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale. �'
DESCRTPTION OF Il1�IIPROVEMENT
LIVING AREA: Length Width Height Sq. Ft.
GARAGE`AREA: ��ngcn w�ac� Height Sq. Ft.
DECK AREA: Leng h Width HgtlGround Sq. Ft.
C� : � L
;
e
0
Construction Type: Estimated Cost: $ j/ J �
�' �(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ �
DATE: 7 �c�}
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surchazge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
,
Tel. # �°'%�� 1 �'�C�
CITY USE ONLY
$ ��S Fee Schedule on Reverse Side
$ � �- .001 of Permit Valuation (1/lOth%)
$ J� $.50/$1,000 Valuation
$ - $1000 per SAC Unit
� $ � . C�C� $5.00 (State Licensed Residential Contractors)
� Alt. °A" or Alt. "B" Above �
$ $450.� Conservation Plan Review
$ Fee Determined by Engineering
$ Agreement Necessary [ ] Not Necessary [ ]
$ d. �3
- - -�
0
BUII.,DPi TG 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 $SQO
$501 to $2,000
$2,001 to $25,000
$25,001 to $50,000 .
$50,001 to $100,000
$100,(101 to $500,000
$500,001 to $1,000,000
$1,OOQ,001 and up
FEES
$21 (Minimum Fee is $21 plus surcharge)
$21 for first $S00 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 $E.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
$1,00{) 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 $1,000,000 plus $2.75 for each additional
$1, 000 or fraction thereof
DRIVEWAY DEPRESSION ESCROW
(Concrete Curb Streets Only)
Altemate "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 be required before proceeding with the framing.
�
�S
SuBJECT
c�ty of Fridley
AT THE TOP OF TNE TWINS g U I L D I N G P E R M I
r
� �
� �
� ; y _____ COMMUNITY DEVELOPMENT DIV.
r � � PROTECTIVE INSPECTION SEC.
, . ,
� _ �"'1 � CITY HALI FRIDLE� SS432 NUMBER
�----� • •'� 612-571-3460 910-F15
JOB ADDRESS 5848 Jefferson Street NE
t LEGAL LOT NO. BLOCK TRACT OR ADDITION
DESCR. 5 1 Lyndale Buil
2 PROPERTY OWNER MAIL ADORESS
Carl Torres
3 CONTRACTOR MAIL ADDRESS
Twin City Exteriors Co. Inc. 9060 Zacharv
4 ARCHITECT OR DESIGNER MAIL ADORESS
5 ENGINEER MAII ADDRESS
B USE OF BUILDING
: Residential
7 CLASS OF WORK
8 DESCRIBE WOFiK
Reside house
9 CHAN(iE OF USE FROM
REV DATE
8/26/98
ZIP
ZIP
PAGE OF
� �
PNONE
[�
PNONE
PMONE
27402
RE .
S
AVPROVEO BY
SEE ATTACHED
SNEET
a34
LICENSE NO.
5_1+73.�25.9,'
LICENSE NO.
LICENSE NO.
O NEW ❑ ADDITION ❑ ALTERATION � REPAIR ❑ MOVE O REMOVE
TO
STIPULATIONS
Call for building wrap inspection before covering.
SEPARATE PERMITSARE REQUIRED FOR ELECTRICAL, PLUMBING. HEATING, 'rrcvr VV1��71.
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING
AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOFi A PERIOD OF 120 DAVS AT
ANY TIME AFTER WORK IS COMMENCED. NO. DWIG. UNITS
I NEREBY CERTIFV TNAT I HAVE READ AND EXAMINED THIS APPLICATION
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION
AND ORDINANCES GOYEi;NING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OF NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOIATE OR CANCEI THE pERM1T FEE
PROVISIONS OF ANY OTNER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. Q7[, 7S
OCCUPANCY GROUP OCCUPANCY�OAD
SO. fT. CU. FT.
OFFSTREET PARKING
STALLS IGARAGES
:CMARGE
re SC
AL FEE
.r � vv VY GJ
SIGNATUREOFCONTRACTORORAUTMOR12EDAGENT IDATE� EN ROPE LIDATED IS IS VOUR RMIT
fiGNATUREOFOWNEAi�FOWNERBUILDERI IDATE� m1r �reo ,� � .....
NL'�'V
ADDN�'
ALTER
[]
Cl
�)
ConstructionAddress:
CITY OI�' I+'RIDL�Y
SINGLL FAMII,Y AND DUPL�XES R-1 ,A1YD R-2
BUILDING PERMIT APPLICATION
�•
�ffective 1/1/97
Legal Description: �
Owner Name & Address: ���',� Tel. #,s'7�,1�d �l � y
Contractor: L�� ��-y �X T�i2/Dl�S n MN LICENSE # a����
Address: '�'ID a �AeH�2y��1 �'/�S /%i¢�P1E:�_� ,S✓�3/.� Tel. # '`��Ol�S�7 '�—
LNING AREA: �
GARAGE A►REA:
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
�n� Width Height Sq. Ft.
�nS� Width Height Sq. Ft.
�ng� Width Hgt/Ground Sq. Ft.
Construction Type: � S Estimated Cost: $��� �
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$� � —$
DATE: , A,PPLICANT:
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
CITY USE ONLY
Tel. � _ 3
$ Fee Schedule on Reverse Side
�___ 3, O .001 of Permit Valuation (1/lOth%)
$ $.50/$1,000 Valuation
� $950 per SAC Unit
� D $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 j]
,o
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THE BELOW MUST BE FILLED IN 1NHEN REPLACING FUEL BURNING APPLI�WCES OR THE
APPLICATION WILL BE RE-RJRNED
C(�MMON VFf�'�' �e�� (�nNNP(`TOR t11�D nllAAl ICTIC�I� ,41R I�RIFIC`L1TI[1 i
When re la _ine an pY�_c+i`n,a f iran e� t�e undersigned hereby verifles 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 plastiGPVC 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 manufacturers specifications. This does
include AGA-GAMA Category I Central Fumace Venting Tables for fan
assisted and natural draft appliances.
The pY�a remhuetien atr is sized and installed to meet the current codes
and manufacturers specifications.
When �equi�ed t0 incfall a new r_emh �ctinn ��r�it will be sized and installed
to meet the current codes and manufacturers specifications.
Wh2n ins allin� a npw vpntina� tpm, the unde�signed hereby verifies that
�t is a listed assembly and meets the current codes and manufacturers
specifications. This does inGude AGA-GAMA Category I Central Fumace
Venting Tables for fan assisted and natural draft appliances.
Is the common vent and vent connectors sized and installed correctly after
an appliance has been removed from the common vent and vented
separately as per current codes.
Yes ( ) No ( )
Yes ( ) No ( )
Yes ( ) No ( )
Yes ( ) No ( )
Yes( )No( )
�.. .. .-
�..� - " � • � �1 11 • � ' � . � � - • • � � ' M • � • /11 . • �
Appliance #1 Type BTU Input _ Fan Assisted or Nat
P,ppliar.�e-#��'y�- — BTV Itrput -- ran Assistect�rt3at -
Appliance #3 Type BTU Input Fan Assisted or Nat
Total Appliances _ Total Btu Input
Common Vent Type Vent Height Diameter______ inches
.
Appliance #1 Vent Connector Height ft Length ft Diameter in Type
Appliance #2 Vent Connector Height ft Length ft Diameter in Type
Appliance #3 Vent Connector Height ft Length ft Diameter in Type
Al TFRATI(11�c• inPC�
HEATING CO:
Signed By: Date :