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AF - 47498City of Fridley, Min.n. BLTILD�TG PERMIT N° 5859 Dg�: ��-� � ------ ... �r o�: . ��'e" B,�a� �...�...� �__ Address Address - -� � �,TION BUI�.DI G No. Street � _. � art oP Lot Lot _._..�_.-.__ Block � Addition or Sub-Divisio� � Corner Lot — Inside Lot � 5etback � Si yard �� Sewer IIevation Foundal3on IIevation DESCRIPTJON OF �UILDING To � vaea � �" ��r },,, - Front � DeptYt�� Height'� Sq. F't. ��'�'�!' Cu. Ft�� Fro � Depth � Hei ht ��, Sq. Ft Cu. Ft Type oP Constructio�� Est Cost .� _ '�� To be Completed Ea consideration of the fssuance ta me of a permit to construct the buflding described above, I agree to do the proposed work ffi accordance with the description above set forth and in eompliance with all provisiona of ordinances of the dty of Fridley. . 'r� �" In consideration of the payment of a fee oP $� , permit is hereby granted to to construct the buildiag or addition as described above. Thiape rmit ia granted upon �he express conc�ition that thep� on to whom it is granted and his agents, employees and workmen, in all work d�ne in, around and upon said building, or anq part thereof, shall coffiorm in all respects to the ordinances of , �'ridley, Minnesota regarding location, construction, alteration, maintenance� repafr and moving of buildings wlthin the city ]imits and this permit may be revoked at any time upon vio ,la�f'o any oP the provisions oP sffid orrlinances. �� .� �d Buil�tnBlnspector NOTICE; T6h permPt dees eof cover fhe ianalrodioe, tustallation Po� wirin8, plumbfeg, eas 6eeHeg, sewer or water. Be sore M ses f6s Bulidieg lespeeror for aeparate permits for f6� (tems. ,,-�-� ti �. � 4 �"�1 � �. � � APPLIC�iiTIO�T �OR BUILDING PERI�IIT C%T3C OF FRIT��EX, M3I�TESdI'A Owne�c's Name Bu�lder �� - Address P,dc'iress ��'`�� `��`�'�'°`'� �� - LOCATION OF BUI3,DI11TG No. 3 � � `� Street ' � �� • Part ot Lot �� Lo� '� Block S Addit�.on or Subdivis�.on ��' �� __,_,_ Corne� Zot ins ide Lot � Setback 3 S� � S ide-Yara � J�� _....�_ SEWE12 EI,EVATION FOULUDATION ELEVATI0I�T Applicant attach to this rorm Certi�icate o� survay of Zot and �roposea building loca�tion. DESCRIPTYON OI� BUILD7.I�TG l o be used as a ��""'''' "� �� J Front_____. Depth i3eight Sq. Ft. C.u. Ft. �xont______Dep�h Height Sq. Ft. � Cu e F't. Type of Construc�ion Estimated Co�� 'o be Compl�ted . � � The undersignea h��ce?�y makes application for a permit �or the work he�cein specified, agreeing to do a11 work in strict accordance w3th the City of Friciley Ordinances and ruling o� the Depa�ctment of Huild- ings, and hereby declares that a:l1 the facts and represen�ations s�ated in this application are true and correct. DATE �' � � � y SIGNATURE � . (Schedule of Fae Cos�s car� be found on the Reverse Side�. a e, . / 1 � ^e c.V Y BUILD�NG PERMIT FEE 3C8EDULE Sec�ion 2. The �nspector ofc Buildisn�s shall, before issuing aay permii: �or the erec•�3on o:� any Iouild3.ng or struc�uxe, or for any addition to any ax�.��in� louilding or atruc�wce, or for any alterations or repa�.rs �o ang axis�iny bu�.ld�,ng or s�rucicu��, upon application fih��e�Eor, require �he payment by the ap,plicant cor such permit of fees to the amount herein below set �ort� and in the manner herein �rovi.ded to-wito 2.7. ��'or any such permit for the erection o�E any� fi.r�-proo� building, o�er thars a garago, warehouse, fcactory o�c grain elevator, o�c �or �the erec��.on o:� any �iz^e-p�coo� add3.t3.on, far similar occupancy, to any ex3s��g building sha11 be at the rate o� $1.40 for each onQ thousancl �ic seet, or fract�.on thereof, in such cub3cal coatents. Z.2. For any such pormi� �or the erection o�E ar�y fire-proof garage, warehouse, fac�toscy or grain elevator, or for �che erection o•r' ar�y fire- prao� addi�tion� io� simila�c occupancy, �co any existing bu �ildi.ng shall be at the ra�e of $1.25 �or each �one thousand cubic feet, clas�i�ied as "�irep�cooi" by Sec�3.oa 502 oi the Minneapolis Building Code. �OUSES 2.3. For any such permit for the e�ection of any non-filceproo� build- ing other than a garac�e, warehouse, �ac�ory or grain elevafior, or any non-riseproo� addi�ion, for sirt►ilar occupancy, to any exis�ting building Permit $1.00 for each one thousand cubic feet. GARAGES _�� 2.�. �'or any such pe�mi�t for the erection o� any non-f3xeproo� garaga, wa�cehouse, Lactory or grain elewa�o�, or for the erection o£ a�y non-fireproo� addi��.or�, �or simila� occupancy, to any existing building or'for each such bu3lding or addition. Ni.aoty Cen�ts for each one �housand cubic feet o�c fraction �hereo�, in the cubical contents thereo� wi�h a min�num o� $4.00. ror �he purpose o� computing fees �or building perm�.ts the cubical con- tents o� any bu�.lding or addition �o a uniform h�ight throughou�c by multiply�.ng the ground area covered �ra�n a point six (6) inches �aelow �he floor 13ne o� the baseinent or celiar to the average heigh� of the �appe�c sur�ace or ico 'che average heigh�t of the raof surface of the main gable o� a pitched roo1. 2,5. For repairs or alterations to an exiat�tng structure, the fee shall be at the ra�ce of $3.00 per e.ach Five Hundredl DollaJCS ($500.00) or •.�xaction �thereor in �he cos�t o� all proposed worke 2.6 a In no case shall the fee .c�arged for ariy permit as sot forth in section 2'be less t�-n $4.00. �"� M.� ,�_,� � �` � � �%� � `� Larrd Plaimin9 [�nd Surveyin9 y� Sa�s Test;ny Cvil b A�lun'aipivl En9ineerin9 . � 5 � �°� �. - ; �� 6875-Hiyh,ray scs �tl.E. 'II � Minr�eaPo/is 2/, i ENGiNEERING� INC. �n��°'° i SUnset4-6066 I i En9ineers � Sur veyors -- cesrts�scate o� ssit�e �o: �+ � � a��a�r�� T � . � � �9 � � � ( � r 1 � � . I �, �-�� I � � �� , � '� lo � � I� I.� � . - ��.� 9� - �, c� 0 � �- /3� 9 � _ ,-� � z I � � � � � �f. � r O U� Y � � W -� LOT.Z , BLQC'k' /, L Y/1/0,9L,� BU/,LDE�S 7�,40��'�7�v�� / beneby cerfi�y fhu� fh�s �s o frue �d carr�cf represenFotion o�'a s�rret� �'�Itt 6ovndor'ies �i'�e o�o,r descr�6►�d land, and o�� lacvfion of'o/I �i/dirr9s ,�✓eon , ord o// ris'�6/e pxrnarfimmfs ,��'ony, �n or an.said /arnd. As sw`veyed by me fhis - a6[, `�� A�� ' SUB(1R8AAI ENGINEERIN6 , INC. L-n ineers fi' Surr�rs S'�'A �C � � 30' �y � � � � ,/' , ._�-'�'� �1. ,Yd, -.i .� V� _ �Y �►: � '� 6��° � � � a � � � 0 m §�� N � � bd � � � � p m � O � x r � � � H x � � �, r ,� o z x z � ��c�o � � � z � � � � M fA �' �7 rA � �,. 4� 4� ��s�`-�` ' � � M1 Co � w � � ro,a � x � y �o � �r�� m R'�. `�. 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M . . . . v, . v °o : y : : : : �' : : � � � : i ' ' G I I I � � : : ' � � : : : : : � •°� � I I I x : � m x �a �a o : N � � � o 0 0 � o fi! tA {fl � {A W V\ ��, �O 1 \� �ar �� I � � � W O o w Ry .. � � � � � �' �� 15� � M d � � � h�io � � � �,►� : : � : : � : : : w n� N ao 00 o° o o °o o° ffl {fl �fl {A" fA � � � � b , � d 1 � � � o x. � � � � � � � � �fD R O �y � O � n� `, O � e'h z � I8 � � � � � � � o � �� m � O 0 � � � � g � N w ��rn n+ go o °o °o o° o° � � � � � � � p, � vwi O "�� F-b � � � � ;� < ,\ � �. \ �. ., \ � � m I� � b�� ; S �� a � � � � o � '"�� 0 o d 5d � i � � � � � .� il. v ' � a,�,. . w . . � O : : o $ : . O . . O ' ' ' � � � � � en o 0 0 p O O O � � � � r,'i � � W R+ O. i� �C ��,�� M �� p�� o�� a y d�� : a R'' ��"Op�� C p � R� � �oo� � �� o�� p��'o �°'op �� M re � � A1 A � �� f�D M � A �� O � � � �. � � � �� "�'� D r � � m H � m C r m y /..� � � ~ � M � �` � °0 ro � � � � i b A � � \" o 0 � � • � � � �: � w� � = $ � .� �� .�y � � � o.:° v� e. �,. � � � � � . � v -. .-� ; :.. � _ �� e�, .. � IYS6 � i 9 HEAT LOSS CALCULATIONS / '(� ''�2 � � pEPARTMENT Weatherstrips A.S.H.V.E, Construction N Guide Windows Doors Reference Out.'Wall Int. Wall Ceiling e—No I es No 19_ �' y' Fl. Room � Length �� Width / Height �� Windows an Doors—Crackage and Area Width Height No. ot Llneal f, Area No. ot pane of pane lighte of crack eq. ft. O ��' . U . O �� L . /8;0 �� D L O•� 5�� p L. ff /% 9 Coef. Btu Infiltration 8' � Glass Eap. wall 3,S Net egp. wall � � ff Int. wall Ceiling ,3 l� !�7 ' Floor 3�� Total Btu. Required q. E.D.R. or sq. ias. W.A. Leader area / F7. Room � Lengtly ! Width/� � Height � Windows and Doors—Crackage and A�ea Wtdth Height No. o[ Lineal ft. Area No. ot pane ot pane Itghta ot crack eq. tt. � � G�— . '7 / � ��' �G . / � i� �. /S� � Coef. Btu In6ltration � S 3�° �S/% Glass Exp_wa�l `�/- Net exp, wall Int. wall Ceiling Floor TotaI-Btu. - Required .l Fl. Windows and wiach � No. ot Dgne c or sq. ins. W.A. Leader area im � Length Width � —Crackage and Area No. oL L1nea1 tt. Aree, 1lghte ot creck e9. tt. Infiltration � � ; C,laas Exp. wall Net exp. wall Int. wall Ceiling }� loor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area _r.,e _ - � S/� l� �9 .��`'�1. OF BtJILDINGS IVIINNEAPOLIS. MIMV. '� � o. Insulation Roof F1oor Kind How App / FI Room Leagth 5/'-- Width /�� Windows and Doors—Crackage and Area Wldth Hatg6t No. oE Lineal ft Area No. ot pane ot pane Ilghte ot crack eq. ft. � �� Coe1 Btu Infiltration � � � Glass E.xp. wall -� Net esp. wall � Int. wall Ceiling � �,5�} Floor ,S 'J Total Btu. Required s . E.D.R. or sq. ins. W.A. Leader area Room ( Length � Width � Height ' Windows and Doors—Crackage and Area Wldth Height No. of Lineal tt. Area No. of pane of De.ne 116bte ot crack eq. ft. .3� e2G .�• !� / , Coef. Btu Infiltration .�� _ _ _ �" _ //%�' Eap. wall �S � Net eap. wall Int. wall I Ceiling I�oor �I 7'otal Stu. -- - - - � Requued sq. k. E.D.R. or sq. ins. W.A. Leader area ' F7.� Room I Length '� Width f� Height Windows and Doors—Crackage and Area Width HefBht No. of Lineal fA Area No. ot vane ot Dsne llRhte o[ crack ea. tt B�II � , 85l Infiltration �� Glass Eap. wall /� �j Net exp. w Int. wall � Ceiling �+� Floor - ,/ �' Total Btu. k. E.D.R. or sq. ins. Q/A. Leader ana Btu d � 0 p �7 . � : � • 7'' V � �� "� �a�� o � � � � � � w � N � . o � a � o � : O . . � . . � . . 0 �a � � N I-�+ � O O C � � H . O � �y � _ � � � z � � � � � x 8 ; � 8 �' � M � � � � x � � N � � � � � � '�J . O � � �� ¢,�� °�. ° � '� � ; � N . � O . � . � � . � . . � . . . . : � : : : : 0 � � � � � � W W w r+ r+ ►�+ � C�T� p C�il O O O � fA fA {f� �fl {fl H H � � � C C D � r � m � � 2 m °c r m � • �P w p ►+ a9 "�*�, R. p, � vwi � � fD 8 • � � 0 � R� � � I SINKS � W�►, � TRAYS DRINK. ` �V�. $iiv✓�. FLOOR � DRAINS �,T� B/�SINS AUTO WASHER GAS APPL GAS RANGE �� OPENINGS WATER � URINALS earH �11� B�SINS � � � N �� o o � o y � �O � � � a� a. a x � � � � � y � a °� bi o � � ' � �, a a�a• � � � � B � � �� z � qq O � � � � � y � 1` �• M � � � � I I r � I� k � • 2 ! N D A m � � � a� � � �� `� �a� � �, oa �, �o�n°�a � �' � � � 0�5'�. ��o� b ��O � � �' � � `� � � �. � � b � � � � � � 0�� ,p W w c �'i R' o p m ,�.� �+ e+ y � ��'! � � � � a�� `° " � � �� y � � A � m � �� C �d �A M � ~ � x �: �°n p � M O M+ � � a m � � �. �i � � � � � � �o �' � � . d a �- � � e� � � � o �, � � � �. ho � o � � � A �a� A � � A V � O \ \ . .� . 1� _ � City of Fridley, Minn. � ,,� BUILDING PERMIT No , s787 Dat�: ' °- �� °°� `'�" � 7 � Owaer: � Bu9lder ' Adaress Address � ;� CATION O UtLDING ; � No. Street � � _ � Part t Lot � _ 81 � Additton or 5ub- on Coraer Lot _ Inside Lot ��back _ Sideyard �.� � Sewer IIevation _ F dation IIevation DESCRIPTION OF BUILDING To U as: , FYont � Depth � Height ._..�� Scl. Ft -��:�°' Cu. F't .,� ��..�-`' I'i Depth FTeight Sq. Ft Cu. F't. Z�►pe oP Construc�tf�� . Fast. �� -��To be Completed Ea cons4deration oP the issuance to me of a permft to construct the building described above I agree to do th� proposed work in accorrlance with the d�script3on above aet fortt► and in complian with afl provis�tons of ordinanc�a of the dty of Fifdley. • , � In con�derat�on oP the payment oP a fee of $�� , permiit is hereby granted to to vonstruct the buflding or addit3on as descrlbed above. This�� t is granted upon the express condition that the person to whom it is granted and his agents, employees an�3 workmen, in all work dane fn, around and upon said buildfng, or anypa� thereof, sYxall conform fn all respects to the ordinances of FridleY, Minnesota regardiag location, conatruct�on, alteration, mafntenance, repair and moving of bufldings wlthin the dtY limi'ta and this Permit maq be revoked at aqy time upon violation of any of the provlsiona oP said ordinancea. � _ _ .� Bualdtng' InsPector n NOflCE: 71d� p�rm8 doa eet eara� t6s eoeafraeHoe, IeshpaHoe �or �rtd�. P�+�6. 6+� 6�9. sar�r er rraf�r. B� sora to s» Na Balldin8 !�o* to* +�Par+b P�rmhs Po� lhas hn�. R�, � APPLIGATION FOR�BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA � �,.. OWPd�R ° S NAtt� � � � ER � , . ADDRESS� ADDRESS LOCATIOAi 0 DING No. .�� Street ,, _ Lot_ ,.,� Block Addit o bdivision Corner Lot Inside Lot Setback S Yard SEWER ELEVATION FOUNDATION ELEVATION Part of Lot �� f-� Applicant attach to tt�ia form Two Certificates of Survey of Lot aad proposed build- ing location drawn on these Cer.tificates. DESCRIPTIOIV OE BUILDING To used , Front Depth �� Height , Sq. Ft. Cu. Ft. � Frone Depth Height Sq. Ft. Cu. Ft. Type of Construct�.on EstimaCed Coat To be Completed "� The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances ar�d rulings of the Department of.Buildiags, and hereby declares that a11 Che facts aad repreaentations stated in this application are true and correct. DATE S IGAIATUItE f%/ � �vc�.G � � n � � � �! (sch�dule of Fee Costs can be found on ehe Reverse Side). ,,, ,_ y _- � � � � oa._s v � .._ �+ C BtTILDZNG PEItMIT FEE SCHEDULE Section 2. The Inspector of Buildings shall, before issuing any permie for �he erection of any building or structure, or for any addi�ion to any exist- in� building or structure, or for any alteraeions or repairs to any e:�is�cing building or st�ructure, upon application therefor, require the paymen� by the applicant £or such permit of fees t0 the amount herein below set forth �nd in the manner herein provided to-wit; 2.1. Fos any such permit for �he erection o� any fire-proof building, Ather than a garage� wa�ehouse, factory or grain elevator, or for the erectfon of any fire-proof addition, for similar occupancy, to any existing buildin� shall be at the rate of $1.1+0 for each one thousand cubic feet, or fractio�a Chereof, in such cubical contenta. 2,2. For any such permit for�the erectioa of any fire-proof garage, warehouse, factory.or grain elevator, or for the erection oi any fire-proof ac�di;tiea, �' for similar oc�sapancy, to any existing buildiag shall be at the rate of $1.2a for each one Chousand cubic feet, classified as 01fireproof" by Section 502 of the P�inneapolie Building Code. hOUSES 2.3. For any such permit for the erection of any non-firepr�of buildiag other than a garage, warehouse, factory or grain elevator, or any noa-fireproof additioa, for similar occupancq, to any euisting building - permit $1.00 for each one thousand cubic feet. �A�A.GES 2.ts. For any such permit for the erection of any non-fireproo� gaxage, warehouae, factory or grain elevator, or for the erection of aay non-fi.seproaf addition, �or s3,milar occupaaicy, to any existing buildiag or fos each such �w3ld3ng or addition - ninety cents ($0.90) for each one �honsand cubic €aet oz fraction thereof, in the cubical contenta thexeof with a minimum of $4.00. �or the purpose of comgu�3ng feea for building permita, the cubical contents o£ any building or addi�ioa to a uniform height throu�hout by �Ltiplying ttie g:ound area covered from a point six (6) inches below the floor line of the basement or cellar to the average height of the upper aurface or to the average height of the roof surface of the main gable of a p�.tched roof. 2.5. For repairs or alterations to an exis�iag atructure, the fee aha.11 be at the rate of $3.00 per each Five 8undred Dollars ($500.00) or frsction thereof 3n the cost of a11 propdsed work. 2.6. In no c�� shall'the fep chargad f.or anp permit aa set forth in Sectian 2 �e less than $4.00. K � ,� /"� � �� 4 v � i�1 � City of Fridley, Minn. BUILDING PERMIT Da�; October 18. 1965 p�; R. R. Christiansen g�� Owner Addreas 5884 Je£ferson Street N.E� Ad�ress 3/0�� N° 8534 LOCATION OF BUILDING No. 5884 g�t - effe,-con Street N.F.__ Part of Lot Lot � Block 1 Adciition or Sub-Divfaion �Yndales 7th Add�,tion Corner Lot _ Inside Lot Sewer IIevatian 3etback Sfdeyard Fo�mdatton IIevation DESCRIPTION OF BUILDING To be Used as: Dwel,ling - SD �t -.�. Depth Height Sq. F't. Cu. Ft Front Depth I�eight 5q. Ft Cu. Ft Type of Conatruc°tion Frame �yt, �� 0� 00. 00 To be Compieted Repairs due to storm damage In conaideratfon of the fssuancae to me oP a permit to conatruct the building descrlbed above I agree to do the praposed work 9n accordance with the d�scription above set forth aad 9a � p ce�'with afl prwTsfons of o�riinaaces oP the dty oP Frldley. In can�deration oP the payment of a Pee of 1� 0.00 , permit fe heraby granted to R.R. Christiansen to construct the bufld9ng or addition aa described above. Thispe rmft 9a granted upon the egpress condition that theperaon to whom it is granted and hYs agents, employees and workmen, ffi all work done fn, around and u�n safd building, or any thereof, shall conPorm fn all respecta tfl the ordinances of ��ey� �� tt�s permft � revoked�at ani' time upon�o ati n o�f any oE the P��visions oP eaid wlthin the dty lim4ts and or3lnancea �._ _ ��` � � � � ., NOTIC6a 1h1� p�nNt doa uo� eowr �M eomm�aHoe, Ie�1aU�loe ier �rWe�, pMnnbleo, oa h�aNeo, aw�r er wat�r. B� an to a� da lQtldieo le�s� fer aparu� pumN� for 16a� �. .} �- . OW11�R' S APPLICATION FOB BUILDING PERM[T CITY OF FRIDLEY, MINNESOTA . ZOCAT30N OF BUILDING -� Street Part ot Lot � _�.... . �..____�___�__�.00K ADDITION OR SUBDIVISION ;�,� 7 ��ci�"`_'�.��"- "_�—._" Corner LoC�_Znside LOT__ , Setbeck � Side-�Yard �� .. ..SEWER ELEVATTON �'b�NDATiOR ELEVA�I01��.� . Applicant attach to this fof�m Twb CerCifitat+es of Surveq of LoC �nd propoaed building l.ocation drawn on these Certificates. DESCRIPTIOAI OF SUILDING To be used as ; �,�� v��' . Front DeP� `,_, Beight Sq. Ft. Cu. Ft. Frcmt Depth Height � � Sq. Ft. Cu. Ft. �qpe of Coa�truction ��e,,,,,�� sa E�timated Cast J11D0^ To be completed q'he undereigned hereby makes application for.a permit for the work herein specified,• agreeing to do all work in strict accordance with the C3ty of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and repres�ntations stated in Chis appiication are true and correct. DA�_ /D- / f1'—�� (Schedule of Fee Coats can be found on the Reverse Side). � �.� � �� r� � � 1C BOILDIBTG PF.R�T Fk'�, SCHED�LE ' SE_ GTION 2. The Inspector of Buildings sha].1. before issuia� any �rmit for tihe erection of any building or atructure, or for any additian to anq ezisting build- 3ng or structure, or for any alterations ar repaixs. to any esiating building or structure, uprm �.pplic,ation therefore, require the payment by the applicant for such permit of fees 6o Che amount heiein below set forth and in tha..maaner hereia_,. provided to-wit; 2.1. For anq auch permiC for the erectiun of any fire�praof building, other than a garage, warehouse, factory or grain elevator, or for the erection of any ftre-proof addit3on, for aim�ilar occupancq, to any exiating building, shall be at the rate of $1.40 for each one thousand cubic feet, or fractiou thereof, ia such cubical contenta. 2.2. For aay such permit for the erecti.on of sny fire-proof garage, �larehou�e, factory or graia elevator, or for the erectioa of anq fire-proof addition,_for similar occupancy, to any exisCing building shall be ae the rate of $1.25 for ee.ch one thousand cubic feet, classified as "fireproof" by Sectian 502 of the Minneapolia Suilding Coale. HOII3ES . . _ - � 2; For aay such permit for the erection of any nan-fireproof bu3lding, other thaa a garage, warehouse, factory or grain elevator, or any non•fireproof addition, for similar occupancy, to any exieting building - permit $1.00 for each one thousand cubic feet. GARAGES _..._..— 2r.4. For any auch permit for the erection of anq non-fireproof garage, warehouse, factorq or grain elevator, or for the erection of any non-fireproof addition, for similer occupancq, eo any esisting building or for each such buildin� or addiCion - ninety cente ($0.90) for each one thousand cubic feet or fraction thereof; in the cubical conCents t&ereof with tbe miaimum of $4.00. Fos the purpose of computing fees for buildin� permits, the cubicai contenta of any building or additioa to a uniform beight throughout bq multiplying the ground area covered from a point six (6) inches below the floor liae of the basement or cellar to Che average height of ehe upper sur£ace or to the average height oi the roof suXface�of the main gable of a pitched roof. � 2� For repaire or alCerations to an exieting structure, the fee sball be at the rate of $3.00 per each Fine Hundred Dollare ($500.00) or fractian thereof in the c0at of all proposed work. 2� In no case ahall the fee chasged for aay permit ae eet forth in Section 2 be less than $4.00. � ;� %`'� � .. �•� ..r ', sue�ecr P City of Fridley � 9 6 2 2 g ' ` AT THE TOP OF THE TWINS g U I L D I N G P E R M I R IPT N � � ' COMMUNITY DEVELOPMENT DIV. � ; V �� r � � PROTECTIVE INSPECTION SEC. 1 = � , ��1 � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY �----� • •`' 612-571-3450 910-F15 6/5/81 � / JOB ADDRESS 5884 Jefferson Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 1 Lyndale �uuilders 7th_ Addition SHEET 2 PROPERTYOWNER MAILADDRESS 21P PHONE Ron �t Chri.sti..ansen 5884 Jefferson Street N.E. 571-7153 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSENO. S�ne 4 ARCHITECTORDESIGNER MAILADDRESS ZIP PHONE LICENSENO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. 8 USE OF BUILDING R2SICIP.I1't181 7 CLASS OF WORK ❑ NEW O ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE S 8 DESCRIBE WORK Construct a 17'.x 12' Deck 9 CHANGEOFUSEFROM TO STIPULATIONS If +�, e a ar� r, �,,_ � � 'i SEPERATE PER�iITS �E UffiE ��s��:� � � a�� TELEPNONE t EIECTftIC al uiifities +�ar��, P�t��r�� a�o s� . c�s �t�. R�QtlIR�D BY L�4W SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TMPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIOIVING. Ceddi THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORI2ED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT 26L,� ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION ]_ STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS yALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT �S`�. 3OO yS`.65 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LA1A+ REGULATING CON- STRUCTION OR THE PERFORMANCE�OF COMS6RUCTION. 9.00 PLAN CHECK FEE TOTAL FEE � n �� .9f � - .� �m'' 11 90 SIGNATURE FCON� ACTORORAUTMORI DAGENT IDATEI � y�H N PROP L V I AT D THIS IS YOUR PERMIT �' �°�� SIGNATURE OF OWNER�IF OWNEH BUILDER� IDATEI BLDG INSP f1ATE �• F3 . CZTY Of' F(tIULCY • • r{rr�.rcn'fI0'J �'OR R!"SIUI"FITI/ti_ [3UlLDIt1G Pf�F'J4ITS � (tde►�r, Illl:er.�i:ions, /ldditivns, or Rcnairs) n � 01�! tlE R: �►� �.� Y' 1 S�i .a �L�� . , 1lDDP.ESS: � �8 � �e�� S �' IlN �'� TEL �0: S�� `� � ,5�3 GUILR.ER: - S �.t� �.. � . ADDRESS: � TEL (d0: ' Construction Location a sx�� rio : STREF.T: � a �.,. � � c � ,b � � � L07': BLOCK: ADnITIOi�: �� . z— ._.�______. � �.. � „ � i � � � ,' I �� 7 Corner Lot: Inside Lot: (� SetbacY: Sideyards: 1�ip�licant at�ach to this form two Certificates of Survey oi lot and proposed buil.ding location dra�an on.certificates to scale. . _ . 2 �� . � D�SCRIPTIO�d OF COF�STRUCTIOPd � ,� �'Z�� n ' . � r� � e/� I'ront: DePth: � � Height: � � / Squa�e. k'eets �. (�'� Clil�ic Feet: � _ � r'ront: Depth: Height: Square� I'ent: Gtiibic I'eet: . �� '��w�� ar - I ��d Type of Cons�truction: - e�.�, �� Estimated Cast: $ 7b $e Oor,�pleted: ` . . A].t. A Att. B Proposed .Drive��ay Width If New Opening Is Desixed: $' � , ., S�L Rc^,VERSi; SIDE OF SHEET �.5�e unc�ersignec� hereb�� nla}.e� applic�ltion for a permi� fcr the �.�ork�, herei.n speci.fi:ed, agreeing to do ,al). work iri stric� accordance �•rittr tlie Ci�y of I'ridley Ordiiiatices a�1d ru�.ings ot tlte De��artment of Buildings, and ]iereby declares thzt all tl�e iacts and r�resen t.Zti.ons stated �.n this application are true and corxect.� � D.':Tr: � —�' r � � SIGNIITUF.E : Stil�ulzLions : i�� G � qR�� p.� ��' � .0 �� . �� -� - � �� d 0 . , �� • � • T�UII_nl��lc_��r�fi111"I'� r-t��_ sr.�Ir:r.�ul_� � , :;l:C:'i'I01�� ?.. � 7.'1�� 7n�.:��cclor of l�ui.lc?aa��J:: ::Din].J., }�ef.c,�-r, i.:�::ui.►�cJ� ��c;»na.Ls for i:hc crc:c��.on a1: �,.»y l�u:i.l.�l.in�! oz :�i�.ruct:ux�c, or. tr.»� t,ny acicli.t:ir>n !:r, cu►y er,i;:Ci�uJ l�uiZcli_r�c3 or :>txucLur.�s, . ci�' !`a1� �,tiy al.i:c:rr�t_io» ar, r.c�,�iir. , t:o •any c>:5.-�:t:a.i�� }�ui.).di.�i<J ar. :;i:�:uctiirc, uJ,>�n ar��i.r.aL.i�r� �L•hcr.�:f.'ar.c, �r.equ.i.r.c tJ�� ,��r�ymr_��t: }�y tl�e �zr,z>>.�.�a��!: r��,- :,t�cl� per.��i.l• 01.� fc�e:, ta i:L'c a�no�anL-. hcr.ciri bcl.cx•� sal for:th �incl ii� t:hc �nannci: hcl:cin ��rov�_dc:cl L•�-t•::i.i�: � • . lJ):i•I CUI��l7;UC`.CIOI�: �inc�l.c l.'amil.y Iloir,c� and Gar.��c{es: ;:4.00/7.,000 cuLic fcet:. • I'7..1::•2 Cit}•�'!:: 25 },�cr_cc��t: oL• hui.lcli.n�� }��e�:mii: Lee. I)R]:Vl;t•;Al' llL•'L'P.L•'55:[:UI•:: (C�ncrcL-c, L'�irb �i:rcci:s On1y) � ' ' nl.ternrit:e R: lt�inoval ai�d ret�l.�xcement oi concrete cuzb and qutter. only; I�riveway c:�idth plus 6 feet r. $13. �0 111L•erneltc B: }�rmaval and rep�.acen�cnt of concrete curb and • guttcr ar,d inst� 11 a 3 iooi: ��ide aPproach �.�it�h -' � ,� 6 inch depth; llra.vc,•ray wic:�h �plus 6 iect- x$1�, 75 • . ._1��I��or,�n�. r1:.�.r-oR�1�nYror�. 7?or the purl�se of compuL-a_ng tees f�r buildir►g perrnits, L-Ize cubica3, contents of any buil.cl�.ng or. addi�ion, is deL-er.mi.ned by rnultiptyax�g ihe qround area covered from a p�a.�it �ix {6) inches below the iJ.00r ].ine oi i:lie k�ascment or tha cellar to 'tiie averuc�� lleights oi' ihe •upper su�:face or t-o ihe average 12eiPub of the roof: surf:ace of t�ie raain c3a.}��.e of a pitched roof. For xepzi.rs or aJ.terations i:o an exa.sting sti-�icture, the £ee shall be at the xate of $3 .00 �iex- eacli Five hui�dred doJ�lars �� ($500. 00) er fraci:ion L-lzercaf in the cost oi all pro�osed wor.Y. . . • zn •no case stia�.l the fce cliargeci fcsx any penni.t as set i'orth i.n 5ecti,on 2 be less � thai� $7. �0 plus $.50 state swrcliarge. � • ' ' _ VERTFICATIOi�! OF FOU��D�11"IOt� NOTE: Penni.ts : or constructian v�ill be issued a minim� o� 24 houxs fr.om i=tie tine �i application to �ll.ow for proper revie�o of ihe proYosed stxucturc and ot ihe construction site. ' ; . A CerL-ificate � o£ Su�.ve�� of the l�t, sho�,TS.ng the locata.on of ihe £oundati.on onc� it has been cons�ntcted �.*ill be required befare �r.oceeditlg �•��th the trami.ng. .�RTIFTC�TE OF ��UP�I��CI' ' ' I►PP�.icaiion far a Certii'icate of Oceupancy shall be mad;a ten (10) c3ays pri.or to the use ox� accupancy a� an�► stz�ctuLe for ��hich a builcli_ng pezr,►it I;as been �.ssued; and s��:ic1 struct:ure s}iaJ.l �io� l�e uscd ar. o�cupied tu�ti.l a Ceri:�.t•icZ�e oi' OccuZ�ancy has been xssued. 0 � , � • , i • sue�ecr PERMI NO. City of Fridley 20 2 9 4 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T � � � RECEIPT NO. � ; V _ COMMUNITY DEVELOPMENt DIV. r � � PROTECTiVE INSPECTION SEC. �C��q�� /��1 � CITY HALL FRIDLE� 55432 NUMBER REV. DATE PAGE OF APPROVED BV �"'"'� � �� 612-571-3450 910-F15 4/11/�0 / / JOB ADDRESS 5884 Jef�ers:on Street N,E, t LEGAL LOT NO. BLOCK TRACT OR ADDITION DESCR. 2 1 Lynda,le B•uilders 7th. Addition SEEATTACHED SHEET 2 PROPERTYOWNER MAIIADDRESS ZIP PHONE Ronald/Janice Christiansen 5884 sef�erson Street N.E. 571-7153 3 CONTRACTOR MAILADDRESS 21P PHONE LICENSENO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW � ADDITION �7 ALTERATION ❑ HEPAIR O MOVE ❑ REMOVE 8 DESCRIBE WORK Install bay window R 18 inch_extensian 9 CHANGEOFUSEFROM TO STIPULATIONS Insta.11 wi�.dow as: Qer zganu#'�.ct�u.x`er�s. specifications, SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL. PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY 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 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 FiEAD AND EXAMINED THIS APPLICATION �. STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS yALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIPIED HEREIN OR NOT. THE GRANTING OF A PERMIT $�-�SOO $.%S DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OFi LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. 535. QO LAN CHECK FEE TOTAL FEE $35.75 SIGNATURE OF CO ACT R OR AUTNOR12ED AGENT IDATEI WHEN PROPERLY IDATED THIS IS YOUFi P MIT ��/�2/� s C�y�%��r�.�� 1- __ // r' Q � SiGNATUREOFOWNERIIFOWNERBUIlDER1 IDATEI BLDG^�NSP pA � [] ADIIJ { ] �� [,�l •. .; � .. - I�gal De�iption: Owner Na�ae & Aadre^�s : •.� .► . Ad�IES.St CITY OF FRIDLEY 12-1 AND R-2 � Permit Appiication �'�.��::�� 1.�.� ��.��.�` � EffeCtive 1/1/90 'l�1. # � ��- ��3 �1. � Attach to this application, a Certificate of S�rvey of the lot, with the pr� oonstruction drawn an it to scale. �IPPI�T O�F � LIVII� ARF�: IE?�c3th Widtl'1 H21C�lt Sq. F't. GARACE A�: Ierx�th Width Height Sq. Ft. D�CR AREA: Width Hgt/Gran�d Sq. Ft. , pr�• ,. .� O�rner Lot [] Inside Lot [] Ft. Yd Setback Side Yard Setbacl�s Type of O�nstivction: Estimated Oost: $ ��d0 - Approx. Oca��letion Date: 1'roposed Driveway Width If New Openirig Is Desired: Ft. $ S �1 Width + 6' See ffick Page LIATE: 0/- � lypp� � Te1. #�f� %/.�i� u' Permit Fee $ � �,� , state Surcharge $_ `� `� SAC Q�arge $ Driveway ��ow $ Park Fee $ Sewer Main Clzarge $ Zd1'AL $ �' � — ��: �NS�. � ►a�� i�F � d�� CITY Q6E �Y Fee Schedule on Reverse Side $.50/$1,000 Valuation $600 per SAC Unit Alt. °p�n Or Alt. "B" AbOVE Fee Detesmiried bY D�9i�erin9 A�nent NeoessarY [ J Not Neo�ssatY L] � I�� s ��.� ��a � �a � � � -� lu��!- ; ,- �.� � �:_�� _ ��;.,,�y :y�+' _�:i�� 1 s The Chief Building Official shall, before issu.ing �*�*�;ts for the erectioa� of ar�y building or stn�ture, or for ariy additi� to ariy existir�g builclit�g or stxucture, or for any alteration or repair to ar�y existing buildirg or stnurture, upo�� application therefore, require the payment by the applicant for such ��++;t of fees to the �nt herein belaw set forth ani in the m�rmer herein provided to-wit: 'I�0►�,L VAIDE $1 to $500 $501 to $2,000 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,001 to $500,000 �� $15 (Mininu.an Fee is $15 plus surc�azge) $15 for first $500 plus $2 for each additianal $l00 or fraction thereof, to ar�d ir�cluding $2, 000 $45 for first $2,000 plus $9 for eac� additional $1,000 or fraction thereof, to a�d including $25,000 $252 for first $25,000 plus $6.50 for each additional $1,000 or fraction thereof, to arid includis�g $50, 000 $414.50 for first $50,000 plus $4.50 for each additional $1,000 or fraction thereof, to ar�d including $100,000 $639.50 for first $100,000 plus $3.50 for each additional $1, 000 or fraction thereof, to arrd iricluding $500, 000 $500,001 to $1,000,000 $2039.50 for the first $500,000 plus $3 for each additional $1,000 or fraction thereof, to and including $1,000,000 $1,000,001 and up $3539.50 for the first $1,000,000 plus $2 for each additional $1,000 or fraction thereof DRIVEWAY D�P"R�S.SI�T FSC.[iOW (�ricr�ete C1�rb Streets On1Y) Alternate "A" : R,e�moval ar�d replac��nent of curb arid gutter only - Driv�way width plus 6 feet times $13.50. Alternate "B" : Re�noval arid replace�nent of curb and gutter ar�d install a 3 foot wide approach with 6 incfi depth - Driveway width plus 6 feet times $15.75. C��a�:U��yM��:l Permi.ts for construction will be issued a minim�n of 24 ha�rs froan the t�me of application to allaa for piroper review of the pro�OSed stru�ure ar�d of the oo�ction site. A C�stificate of S�vey of the lot, showing the location of the frnu�dation once it has it has been constructed will be required before pr�ooeeding with the �i�g. �: � � o City of Fridley AT THE TOP OF TME TWINS i� � � � ; V �� COMMUNITY DEVEIOPMENT OIV. r � � PROTECTIVE INSPECTION SEC � j �"'1 � CITY MALL FRIOLE� SS�S2 �----� � �•� 612-571-3450 JOB AOORESS � 5884 Jefferson Street E t LEGAL LOT N0. BIOCK TfiACT OESCR. 2 1 L 2 PROPERTY OWNER MAIL AODRQ$$ Ron Christenson 3 CONTRACTOR MAIL ADDRESS Richard Hastin�s Contr. 6331 Ri• 4 ARCMITECT OR DESIGNEp MAIL ADDRESS 5 ENGINEER MAIL AODRESS 8 USE OF BUILDING Residential 7 CIASS OF WORK � ,��, EU ILDiN� PERMIT �BE11 REV DATE pAGE Of s�aF�s 9/7/99 / / 21P PMONE _AQh PHONE PMONE 3017�7 RECEIPT NO. �� vvnovEO Br SEE ATTACMED SNEET LICENSE NO 4„0 � 1 LICENSE NO LICENSE NO O NEW ❑ ADDITION O ALTERATIpN �c REPAIR p MOVE O REMOVE 8 DESCRIBE WORK 9 CHANOE OF USE FqOM STIPULATIONS TO Underlayment must comply with the State Building Code. SEPARA7E PERMI7S ARE REOUIREO FOR ELECTRICA�, PLUMBINCa. HEATINCa. �PE OF VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL ANO VOID IF WORK OR CONSTRUCTION 20NING AUTHOFiIZED IS NOT COMMENCED Y111THIN 80 OAYS, OR If CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONEO FOR A PER100 OF 120 DAYS A7 ANY TIME AF7ER WOiiK IS COMMENCED. NO OW I HEREBY CERTIFV THAT I HAVE READ AND EXAMIN�O THIS APP�ICATION AND KNOW THE SAME TO 8E TRUE ANO CORREC7. ALL PROVISIONS OF LAWS VALUATI AND OFiDINANCES GOVERNING TMIS TYPE OF WORK WILL BE COMPLIED WITN WHETHER SPECIFIEO MEREIN Oii NOT. TME GRANTING OF A PERMIT w1923 DOES NOT PRESUME TO GIVE AUTMOpITV TO VIOIATE OR CANCEL THE pE�iMIT I PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGUTATING CON- STRUCTION OR TME PERFORMANCE OP CONSTRUCTION .�,FiA _ 2 �6�'�! /�}�^r+�L � � � S�GN4IUAE OF CON'AACTOA OA THOAi2ED sGENT iDAfE� �O�TE� IST. OCCUPANCYGNOUP OCCUPANCVLOAD SO. FT CU FT UNITS OFFSTREET PARKING STA�LS GARAGES SURTAX $.96 �IT � r rE � � � NEW [ ] Effective 5/10/99 ADDN [ ] CITY OF FRIDLEY ^ ALTER [] SINGLE FAMII.Y AND DUPLEXES R 1 AND R 2 �� BUII..DING PERNIIT APPLICATION � J� (� � � , _: ' J Construction Address: �� d � U �'�t'� ��+ Legal Description: Owner Name & Address: %Z c� tir C� �� s?'L�- ,� S� � Tel. # Contractor. Z ` c � � � d �fi;4 �( �� S MN LICENSE # �� Address: �33 i �cU��ra��, �'a=� Tel. # ..5�7�-�i'�� LIVING AREA: GARAGE AREA: Attach to this application, a Certificate of Survey of the lot, with the praposed construction drawn on it to scale. Length I,ength ?�FS�G��N OF ��L��M�1'� Width Height Width Height Sq. �t. Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: � �` ' Construction Type: ,,:� � � �� '2 � 1� �� r- Estimated Cost: $ / �� /`��5� � j��.• ` . . Driveway C�rb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ - DATE: 7� r APPLICANT: s�� Tel. # Permit Fee Fire Starcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer iVlain Charge � j TOTAL STIF'ULATIONS: f,y $ '��5� � % � $ $ $ -�O $ $ $ $ $ �, /�' CITY USE ONLY Fee Schedule on Reverse Side .t�i of Permit � :�uat��n (1!i0th� ) $.50/$1,000 Valuation $1050 per SAC Unit $5.00 (Sta,te Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] _-,.. BUII.DING PERNIIT 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 e�sting building or structure, upon application therefore,- require the payment by the applicant for such permit of fees to the amouait herein below set forth and:in the manner herein provided to-wit: TOTAL VALUE $1 to $500 $501 to $2,000 -$2,�1- ie $2�4,� $25,001 to $50,000 $50,001 to $1�,000 $100,001 to $500,000 $500,001 to $1,000,000 $1,000,001 and up FEES $23.50 $23.50 for first $500 plus $3.05 for each addiri�nal $100 or fraction thereof, to and including $2,000 _$69.25 for fi�st $2,� �lus $14.OQ for each addi�io�a.l ��.,� or fraction thereof, to and including $25,000 $391.25 for first $25,000 plus $10.10 for each additional $1,(�0 or fraction thereof, to and including $50,000 $643.75 for first $50,000 plus $7.00 for each additional $1,000 or fraction thereof, to and including $100,000 $993.75 for first $100,000 plus $5.6U for each additiorlal $1,000 or fraction thereof, to and including $5�,000 $3,233.75 for the first $500,000 plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,0OO,OQO $5,608.75 for the first $1,000,000 plus $3.15 for each additional $1,�0 or fraction thereof 1lP.I��IVAY ��'�SSSi�i�?_�.SCIt�yV (Concrete Cbrb Streets Only) Alternate "A" : Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $15.50. Altemate "B": Removal aud replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $23.25. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for pro�r review of the proposed slructure and of the construction site. A Certificate of Survey oi the lot, showing the location of the foundation once it has it h� been c��a��..� �r�ll be required before proceeding with the framing. -- --_ _ .. __ _. • sua�etT � pE c�ty of Fr�a�,�y � 3278 �, A T T M E T O P O F TM E 7 WIN S g � I L D I N� P E R M I T � r ; � REC�. � • COMMUNITY QEVELQPMENT OIV. /J�j� r � v � � PROTECTIVE INSPECTION SEC. � I 1 . . i_--•� ��'�' �,� CITY HALL FRIOLE� SS�32 NUMBEi1 11EV O�Tfi v�GE OF APPqOVEO Bv L 612-571-3a50 9�aF�5 7/12/02 / / JOB AODRESS 5884 Jefferson St NE � t LEGAL ��T NO. 9LOCK TiiACT OR ADOITION SEE ATTACHEO DESCR. 2 1 Lyndale Builders, 7th Addition SMEET 2 PROPERTY OWNER MAIL ADOR�$$ Z�P PNONE Ronald Christiansen, 5884 Jefferson ST NE, Fridley, MN 55432 763-571-7153 3 CONTRACTOR MAIL ADORESS ZIP PMONE IICENSE NO Ronald Christia�sen (same as above) a ARCHITECT OR DESIGNER MAIL ADDRESS 2tP PMONE UCENSE NO. 5 ENGINEER MAII ADDi;ESS 2�P PHONE LICENSE NO 8 USE OF BUILDING Residen��ial 7 CLASS OF WORK ❑ NEW ❑ ADDITION �l ALTERATIpN ❑ REPAIR O MOVE O REMOVE 6 DESCRIBE WORK Remodel basement & bath 9 CHAN(iE OF USE fROM TO STIPULATIONS See no�ations on plans SEPARATE PERNflTs REaUIRED FOR: P�INB�ING� ANDnSIG�IS� SEPARATE PERMITS ARE pEOUIREO FOH ELECTRICAL. PLUMBING. HEATING, TYPE GF CONST. OCCUPANCY GROUP OCCUPANCV LOAD VENTILATING OR AIR CONOITIONING. THIS PERMiT BECOMES NULL AND VOID If WORK QR COt�3TRUCTION ZONING SO. FT CU FT AUTHOR12E0 IS NOT COMMENCED Yj(ITHIN 80 OAYS, OR IF CONSTRUCTION ; OR WORK IS SUSPENDED OR ABANQONEO FOR A PEHI00 OF 12Q OAYS A7 � ANY TIME AFTER WORK IS COMMENCED. ` N0. DWLG. UNITS OFfSTREET PARNING I HEREBY CERTIFV THAT I MAVE READ AN� EXAM�NED TMIS APPLICA710N S7A�L5 GARAGES ANO KNOW THE SAME TO BE TRUE AND CORRECT. ALl PROVISIQNS t�F LAWS yp�UATION SURTAX AND ORDINANCES GOVERNING THIS TVPE OF WORK WILL q� CpMP4�ED WITM WHETMER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT �S9OOO.00 �T.SO DOES NOT PRESUME TO GIVE AUTMOFITV TO VIOLATE OR CANCEL THE pEqMIT FEE SAC CNARGE PROVISIONS OF ANY OTMER STATE OR LOCAL LAW REGULATING CON- @ STqUCTION OF TNE PERFORMANCE OF CONSTFUCTION W�.11.25 FaY'e SC �5•Q� P�AN CMECK F TOT L FEE � ,�18.75 S�GN4TUpE O� ON7AA � TQi1O AUTMOp�ZEUOGENT �OpiE� EN R P � VALID THIS �S YOUR PERMIT � �-1 � - L✓� �-/�lS S� N4TUAE0 O EA�� NEpB RD f7i i��iE� ' � iNSp � � < <��TE �i ; � N� II ADDN [] ALTER [t � Construction Addre Legal Description: Owner Name 8� Ad Contractor: � c r•� e� � v°� v�$. V` MN LICENSE # �-- Address: _ S a w� �� t �, � o v+ � Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCR�PTION OF IMPROVEMENT �o w�r j �v� LIVING AREA: Length �,`7 Width 1"�, Height � Sq. Ft g GARAGE A�REA: DECK AREA: Length Width Length Width Height Sq. Ft Hgt/Ground Sq. Ft OTHER: G3a.Semer�� Construction Type: v� a, 11 s �� a�� Estimated Cost: � � S� � � Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x$ _$ DATE: Z--� �^-' � APPLICANT: _--G��n!�� C// . 1 Tel. #�u� 3��/ l r% l cS�j CITY USE ONLY - Permit Fee Fire Surcharge �tate S�arch�rgP SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: Call (763) 572-3604 for Permit Fees if mailing in application $ l�f. � S� Fee Schedule on Reverse Side - $ �66 .001 of Permit Valuation (1/10th%) � Z.S�_ $ ��/�1,QQ� Val�a�tion __ $ $1150 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 [ ] $ / . %S � 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 elcisting 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,�0 $25,001 to $50,000 $50,001 to $100,000 $10U,001 to $500,000 $500,001 to $1,000,�0 $1,000,001 and up FEES $23.50 $23.50 for first $500 plus $3.05 for each additional $100 or fraction thereof, to and including $2,000 $69.25 for first $2,000 plus $14.00 for each additional $1,000 or fraction thereof, to and including $25,000 $391.25 for first $25,000 plus $10.10 for each addirional $1,000 or fraction thereof, to and including $SO,Q00 $643.75 for first $50,000 plus $7,00 for each additional $1,000 or fraction thereof, to and including $100,000 $993.75 for first $100,(�0 plus $5.60 for each additional $1,000 or fraction thereof, to and including $5�,000 $3,233:75�for the first $500,000 plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,0OO,Oi� $5,608.75 for the first $1,000,000 plus $3.15 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 $15.50. 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 $23.25. 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. New Houses Onlv . .�-r � a �v � � 3 d s� � � � o ° 3 a .s Q. � �" � �' N 0� � h � 3 CD � � �- m � � •`; A. . � � � � � 0 � m o• � � � v � � � � w � � 7ni �TGi'.1 � � � � � -� m m s�+ V � O � � � a � o �' � � � � �' � r" a � � � � � � :'1'1 � �V r � � � �� / CGt9R�lL 1 z; �. r.� 'p' y � {V � Y ... �3 �� C� og • o �- o o � �' � -.. < '� II: < °—' � '° � ° i�P (�p � -.w�� 0=Q o .; ?� �, � � A �o — 'L'7 ^ �' y y D� � � IN+J � � O � O � � N O � 1�` � � O z � w � � ��y� � �'�� . i.r ..Oi. (�D �'�rO�a`-" `o m � m.i N W�•� � �. � �' ��o� �. ci � � Q°� � E w �; ui -- � � � � � � .�� $�� A Q y � :', � =� � � � '� o � � � A p a -, = y- � t� rn�� .�� t�'' � � o w � �� o N (� � d � � � Q � m_ � � � O1 � i � � � N C�t � C N N V� t/1 0 � � v �o ��? ,.• � � � ��°�� NO` ��o� � � � � 7 a � � O �p „n .+ GZ. �- = -� a �3�—�c � �d� r'� . � � � � O ep n ,�' 7 "'O v v -�a � n � � rt t�i t� e� t�a � ►.. ti r� $ � � $ � � � � c� � m�a c w�,� a �� c� I � � o ' � d A �+ � � � � � � ' � I y I I � ` �� ! 2 � � A -� � � � �. � � 0 0 � 3 w �' � � � � rt N R I � � � r � N �' � � mZ� c7 � ti� � 3 � o � � : � R � � � \l � 0 o � � � 0 -� � � � � -.� m a � � -� m � � -� 0 O, �� ^q� 1 � m c � � c � � a I� �' i� � � v� �'�! <n1 ..Q-•. �,�.. '� ;� co w�� p �K Prn D '� N � Z z� m� --1 � � Q � � O z � �� O �! Z rn .,� a° �� 00 z� Z v� b �.� dz �v L �x o°o z � � �z � � ci N 30 �1 �' � �, Z � � v� � �� a �1 �� z J�3"1Q S Z3�1 �0 A.l i � WOil3 BS =Zt 090Z-ZZ-f10N � m � � O � � � d � � 0 Q 0 Z9 ' d �ti101 COMMON 1/ENT, V�N� CONNECTOR ANo C�MBUSTlON AiR VERIFICATEON When tenlacitl,q �n exi�tin� furance. �ha undersigned hereby ver�fies that the ven�ng has been examined and is tree fror+� rust, deterioration, obstnx:tions, and is seaarely supported and �►resto�aped where tequired. Yes () No �� "ne venting system is plas�r/PVC �nd meets ail cx�rrent codes and mana�facturer speclt3cations including sizing. Een�4h, num�r of elbow� and terminatio�i. Yes () No ; Th� u�tdersEgned also verifies t�iat the replacement unit is a lisied assem�ly and me�ts the current caod�s and arja�ufacYuPet's spea�ic�tions. T'his do�s inctude AOA-�ANlA Categary 1 Cer�l F�amace Venting iables for fan assisted and naiturai draft appiiances. The existino tambustion air is sized and installed to meet the cumetlt codes and manufactUrer's specific2tions. When `equired to instald a �ew combustion airR it wiil be sized and iru2aUed To meet the current codes and rnanuf�cturets s�ciflcations. Yes ( ) No Yes ( } No �, Yes ( ) N� 4Nhe� instatlin� a new ve�ntin� sXstem, t�e undersigned hereby verifies that � is a ltseed assembiy and meets the cuRent cedes and manufat�urers specificatlons. This does lndude AGA-GANP6� Categ�ry I C�traf Fumace Venting Tabtes for fan assisted( and natur�l draft appliarices. Yes () Ive ; ts the common vent ar9d ver�t connectors sized and irts't�diled correctly a�er an appliance has been� removed from the :ammon vent and v�r�ted separately as per cuRent codes. Yes () No t: Ant�liance 7'vp� a�d SizelCammon Vent a�d Vent �ntteator Infonmation Appliance #1 Type ��„�BTU Inpu��Q�,. �an Assisted or Nat _.,,. A�pliance #2 Ty� �TU lnput Fan Ass(sted or Nat ____�_._,, Appliance #3 Typ� _ B�ll input Fan Assisted or Nat _.. Total Appliances � T�ta! � lnpc,t � Common Vent Type _ �ient Helght Diarrteter inches Applianc�3 #1 V�nt ConneCto� H�igF�� Lectgth �t �i2�meter in 1'ype Apptiance #2 Vent Connect�r t�t�ighi f4 Lertgth it Diameter in iype _„ Appliance #3 Vent Connector Heigh� ti Lengfh ft Diametet� _in Type _, AL�'ERA'ifONS: lDescribe� �,�,_.. 1�..�� 1.s�� r�,�.� I i� 1� _.. .� HEATING Signed By: . _ ___.� ze��•d 5098581. ot ��tta� �o ��.�� wa�� es:zz �, n D � p �r m r � C o O � � � m � o��i � � � D o Z m Z7 � 0 {fl � � � V _ � � °o rD- m � � 0o n� ° � m � DD � c _°-. � � � � � Z rn D �° � D � � � � m m m � m � � � O n � � m � O Z � � � A D � o Z � v D W r � �3 m � ,D y z n � � O Z m z � z � � � z D n � CA v m W�� n W W O z d N N�� c c� m a� Q m � � �� v� m m m� � s� � p T v, -o � � � � m m � m �.' w � � � � v * � � � °► � � �� co � -, � � �: � �'. �n N � � � cc � � � m m cn Z � y � � � m � � * _ - � � � � � � C � � m n .� G � ... Z 0 -o r C W z � � � C :Z1 m � m � I I I I I I I I I I I I �^'1 O I � � � � � � � � � � � � � w o 0 0 � o y �;� v cn � � 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 � � ,O �1 i/i "r� y W � � j� L C - a � � v W � � m Q � °�c° � � n m 0 � a 'S N a I _� {� � k m r Z 0 °� � _{ V � v � � w � �. � � � � �, v m �� Z a� s I� � % `'� � � W 0 IO N N N U� --� C. Q. (�D � m m 2 �; � � �a rn �' tc �. .�. � N � � � � � � � �' � o � � a Q � �a c° °' � v - 03, � z• � x S tI1, �, y oNi ? � v v � � -c -o = ,.� �• � � � = � � n 7 � �' � O � `� n "' m Q � m .- � � -a � m m °' 3 o� m ?, r; � �n g -� a ... S � O � � S � d � m r�' � `� o O � N � ? N�, m �' � m 0 D r � u � �� , � � � � W � 0 0 0 0 � '� �, o O O O O � _ A W N � ' N. ,.. C � :::::::>: ::::::::::: � •�,:::.:.:;.;: D s � � � z � C � � � �t�i:::>:::::<::: m �::>:<;:::;; � :.�.�,.>�,.',��::�;:;� �:;:; � �:::::: � ::.;:.; T C X � pGj C � �, � m � '�::;"�' � �i:::::::. �:: �:.»:��: o0 �:�:::�: m «:` z '�'•>��' :>::::::: Cn �.�T D �• O r ' � m v �..�t"!; Z :>::'tt�:: �>::::�� >::::�:: :>::'s :<;:>::� (� ><;:;:: _ �.� C'fl r s � O m �-, � o� y N � m m �� , y� �'c �°�,,dw� m N � c '� w Z m . o��' :: ls � .� ';: N C r N _ z° m� a � � r n � 0 Z � O � � r c 3 � Z �ii � z 0 � N � 2 � � m � 3 R c�o � <- � m` h c. R THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNED •"��•► � ► � ► •►► •: �►. •�,: •► � - � : •�-ri�l►�I �g� J�el, acin0 an eYis6n0 �ran __, the undersigned hereby verifies that the ven6ng has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes ( 1 No () The venting system is plastic/PVC and meets all current codes and manufacturer speafications including sizing, length, number of elbows and termination. Yes ( I No () The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturers specifications. This does indude AGA-GAMA Category I Central Fumace Venting Tables for fan assisted and natural draft appliances. The pY�a ��mh��en air is sized and installed to meet the current codes and manufacturers specitications. Wh811 requl�ed to �� a new cemh�i�ien air� it will be sized and installed to meet the current codes and manufacturers specfications. �en �� a ne�y venting��, the undersigned hereby verifies that it is a listed assembly and meets the current codes and ra�anufacturers specifications. This does include AGA-GAMA Category I Central Fumace Ver�ting 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 M' • ' . � • Y " • 11 11 • � " 1 , 1 � - � � � 1 ' M • � • �11 . • � Appliance #1 Type BTU Input Fan Assisted or Nat Appliance #2 Type BTU Input Fan Assisted or Nat Appl'iancs #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 � ,�,�.:�:.�.:,e,:�.�,� �,� - _ HEATING CO: _ Signed By: Date : , rrom: unKnown rage: ut uate: 4in�uuy s4o: i� rivi Building MECHANICAL p��t No.:, Inspections RESIDENTIAL APPLICATION ��ceived B 763-572-3604 CITY OF FRIDLEY e� 763-502-4977 FAX BFFBCfIVE2-19-09 DATE 'l' � V'�„'� SITE AIIDRESS J CS2��IE?� TI�li5 APP[.iCANT IS: CI OWNER PROPERTY NAMEt� ° OWNERJ ADDR�SS:,�`� TE{VANT ,_.,. _,. YOUR ErMA1L AbDRESS �,v,....r��.. � vw COMPANY NAME: S � � SU13M:lT A COPY OF COiVTACT AERSaN: l.,r,,.,� �^ YOUR STATG STATE LICENSE # F.XP AAT� LIC�iYS� WI'I'I1 ApDRGSS�I�aC�� • �. Y1P CI1'Y � i� STAT�]y�,,2r�..d,��`� APPL(CATIOiV PHON�I �?�� ` �� AX � LO ��; �,� P�RMiT TYPE TYPE OF WORK: I� N� DETAILED DESCR1PTil3N C3F � � �"Z�.Q,��'-�._ PAiNILY ❑ TWO FAMILY O'POWNMOUSL� ❑ ALTERATION/REMODEI. (�EE3 ARE BAS�D ON $iQ.OD PER FIXTURE, EXCEPT WHERE NUTCD. FIXTLFRES: (INDICAT� 7' TA[. NUMBER OF EACII .IAw� `�ro �yu;��,c insmn�a �F�: L�n -�+c Maosu:C�t.�i]��`� 3�e+4 siz�a�rv t7 MPG' MODEL: 5FZf:/HTU AAF(�: MQDEL: SIZFlR7'U „�„� A%C' $25.�0 F�RRPLACE (CiAS) $15.00 GA$ RANdI:lOVEN $10.00 AlR'('0 AfR EXCHAIVOBER $IS plREPLACE (WOOD) $35.� �,,,NL�VU GAS CRILL $ IO,QO BOIL6R $35.00 ✓�URiVACE $35.00 GAS UNIT H'CR, $ lO.pQ ,,CHIRANEY LiNER $10.00 GAS DRYER $IO.OU POQI, FIEATER $35.00 _„DUC'f WORK $lO.OQ _GAS PIP1Tid $10.00 YP,NTILATOR $15.00 Number of fixtures @$10.00 x$] 0.00 �$ Numb�r of fixtures {r� $15.00 x $15.00 ° $_,,,,________ Number of flxture8 � $25.00 _� x $25.00 = $ Number of fixtures �n $35.04 � x $35.00 = $ State 5urcharge = $ .50 rnatturt�n mrr �r eae am r.,*b� = e�3°�.� ��J THIS !3 AW APP4ICATION �pR A PERMIT-NOT VALID UNT1L PROCESSED I hereby apply for a buiiding permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ' ances and codes ofthe City of Fridfey and with the Minnesota Construction Codes; that [ understand lhis is not a permit but onl an ap lication for a p it and work is not to start without a permit; that tha wdrk will be in ac.cQrdance with the appraved plan in th case f II work which u' review and approval of lans. SIGNATIJRF, Oi% APPLI AN'f INT iVpNil��... I?ATE ' `'' City of Fridley Building Inspections Departm�n�t 643Z tJniversity Avenua NE, F�idle�, MTl 55432 763-572-36Q4 FAX:763�.50�-4977