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AF - 47771r � �� i�`1 City of Fridley, 1Vli.nn. BUII�DING PERMIT nate: ..� ` .�:: .':����' ....................... N° 3254 ��� Builder '�;,r��'�� r'' °'.°: ��:::'?-: :: ' —, :�°''.� Ovener ....................................... .�, ..:. ... . . ... ........ �� Addre�ss ...................................... Address ............................................. LC�CATIO�VV OF BU[LD[NG No. � � ��.. . 5treet ��'� ��'� �4:?.�.:� : -�``f ... ... . . .. .. . . . Part ofF,Lot . .. .. . . . .. . . . . . . � � �. f. �... �. ..... . . '-' ..... .4f Lot . . . . . � : . . . . Biock �. : .: :-: :a . :�'. Addition or Sub-Division .��:'� . '�' =`�. . �'. • . ��..� . :� .-� ,'4 �'� � � .a- Caraer Lat . .... .. .. .. . Inside Lot . .. .. .... ... Setback .° �: :� . .. .. . Sideyarrl .j.� . . .. c�.:: :.".. .. .. .. . . DES�CRIPTION OF BUILDING T�Used as: .":.. ' �' ... . . ^ ... � '"�*� ^ �, ET "r 4 :. . �` a � �-?' .? r,1 �:�' � �^ • Front : i Depth � :�. �-. . : : , Height Sq. Ft :�' Gyi, Ft, � .................... Front ........ Depth ........ Height ........ Sq. Fk ........ Cu. F't. ........ � Z�►pe of Construction . . . . . . . .. . . . . . . . . . . �at. Cost. � �. . ��- . . To be Completed . . . . . . . . . . . . . . . . . . . � ,p� � .�' � �' ,�' � ��.�'. �"� � ? . ;�<!� (`� �!-C�'—�°-y _ '�i'��.-�,, , n � / !/ �� � �: ° � ,_ ..-, �'���-- -�--„%/�-� �� % ,% �..p £... _ . _- • .� s jP � �, � " � �. In consideration oP L'he issuance to me o4 a permit to construct the building desribed above. Y agree to do the proposed work in accordance with the descrlption above set forth and in compliance with all provisfons of ordinances of the caty oP Fridley. .................................................... �, � ,� ;i %E; A /�/ In consideration of the payment of a fee of $!"� :,. ."`�., permit 3s hereby granted to �°^`�r?: ':� .(.""``': �'�`�'-�' `"` . . . .. . . .. .. . . . . . . . . . .. ... to construct the bwilding or additton as described above. This p�mit is granted ugon the egpress condition that the person to whom ft!s granted and his agents, eanployees and worl�en, fn all work done in, around and upon said building, or any part thereof, shall c�nform in all respects to the ordinances of Fridley, Minnesota regardinS location, construction, alteration, maintenanc�, repair and moving oP buildings with- in the dty limits and this permit may be revoked at az►y time upon violation .of any of the provisians of said ordinances. � ` � .Yi° . . d� ! ..� '! I t i ''�-'P � BlliltliIIg In8j3@CiOT ' ,� s�. -� .,:. �''* ..��.. _. � NOTICE: / Thts pe�mlt does not cover the construotlon, Inatalla#lon or alteration for wi�ing, plumbing, gas heating, sewer o� water. Be su�e to see the Building Inepecto� fo� eepa�ate pa�mits fo� these Itema � � �. y ¢'�' - - `� i.�Iix�� ENG�,�tnn�c� Co.,IN�. ENGI NEERS AND SURVEYORS u►wo auavev�n�o so�ta TEST�NC3 GIV4L di. MtJNIC10AL BNQINSERINCi (.I�Np PLAHLNINO 6418-56TK AVENVE N. MINNEAPOLlS 2T, M4t►1N• KE 'i- 3637 ��'��'i��e�C���� 1�1� �� ��"I1E�� a. -� _� - � '` P'4 /�'r %d+I �r �i�p d. 1 � ��qa'e' �r�fu/r_f ����.. � � � l� ..''4. . ...._.. -'__`. -`-�-' . . l7 ��. ��� ��� .t+ �.—�'°��, o. � .,.- s . .- h /0� '� ' ^_� , .. � ,.-�'" "� . � °'R � '� � S . � � , _� ��� r �,�-'' .t � i�'� °�-�f' �� . ��° ` r`,� ` . 1 �0 4+ i �k � \ �`� . � � 1 � � � ` v y, � � \ � � .. ; �� ,^� � �,�' � f� /' �� � �� � � b Bu�l�ing lnspect�� � �., �.�>��, � ���rt�v� y .�� � � ' .�� �:. � �/j _ '_���i"_R . �W�` _'___'_'______'_`_`_______��� � +� \� . � � � � � SCCa'e��- � �R' .�� � .�, �"� , W �_� ____-- --�-�------ -a�- � `6 � \ vd �A ° �' 1 � � '�� iU - I �d r 0 `�°.� . , �\ ' `� ,4 � � �'"� � . � �-� � . �� : N� � j �� � � � (/7} ,e py 4a. "" � ��p �� � �.- �/ . �� . . j�' � a .._ , f � � ��� . / �+ 1 �("� �� ' q . ` `� � �� �y". � . �� `� f� � ���..� �;, r ,� �.��� � �" f'�-�'. �i i�� � � ��' _ ;�` WE hlE�lEBY CERTsFY 7NRT 1'N35 IS A TRUE MiD CORREGT REPRESENT11T10N OF A SURYEY OF THE BdUNQARIES OF THE UWD A�?YE OESLRIBED AN� OFTII� LOCATION OF ALL 9Ull�iNGS, IF IWY, TNEREON., AND AI.L Y1S18LE ENCROACHM�NTS' ti� a��r, �QOM oRON s�.io u�NO. 1�lItNDER ENGtI�lEE�lNG CO., INC. OATED 'f1U5 Ot�`r DG �Fa`� �' �.��8 �� ' �lSCs1�.1'�ER$ Allf� �SUy�LYaeYORS . . . . � V '1 ._1 ``" ��.-f.._!.. f � � r:� C , . �„&�- -'-� , - — ,�.._� —'' �-,,"s"';,��.�r.. - ..�._� � � � �� � ,�,i� � > � � � � Ciity of Fridley, inn BUILDING 1'ERMIT Date: SEPTEMBER 1, 1965 N° • •• � - �;. �� _�+��:�:_t_� t �� � � - � ��' Ka i _ K�� . : 1 1�115M:i�+lt � � - � . _ a _�. +_ - o � 0 � � �'. a � �°..• 1/ � �° • �O3�g 8425 LOCATION OF BUILDING No. 6840 S�t JE;EFER��N ST. N'vE. Part of Lot � 6 _ Bl� 3 Addition or Sub-Divis�tan Rice Cre�k Terrace, Plat 6 Corner Lot Inside Lot S�tback Sideyard Sewer IIevation ____ Foundation IIevation To be Used as: Front Front Type of Constsuctfon DESCRIPTION AF BUILDING Depth Height 5q. Ft Deptln I�eight Sq. Ft. r, �, � ,.��.,.�.._ To be Completed f��. FL Cti. Ft. REBIIIGD FROM CAP IIP � STORM DAMAGE in consideration of the issuance to me of a permit to construct the building described a}mve I agree to do th� propased work fn accordance with the d�scription above set Porth and in campliance with a�l pr�tons of ordinanc�es oP the dty oP FricIIeY• �"�°' � !� � ,� � /�� /f� Ia ca�siideration of the payment oP a fee of 1$ �•�� , pernzit is hereb3► �ranted to �'�-R� ��F �- INCORPORAT�D to construct the buflding or additlon as described above. This permit fs granted upon the express condit%n that theperson to whom it is graated and hie agente, emPloyees and worl�en, in all work done in, asotmd and upon safd building� or anypart thereof, shall conform 3n all respects to the or8inanc� of Fridley� 8iinaesota regarding lacation, construcl3on, alteration, maintenance, repair and maving of bufldin�s within the dty ]imfta and this permft may be r�voked at aTMY �ne upon violatlon of any of the provisiona og Batd ordinanc.�. ALLEN G. JENSEN g��g �� NOTIC� 71� pqemB doa ao� ee� t6s eomirucHen, trt�ta0eton fs� �ri►tae, plumbh�g, en 6aHee, sewa� or w�ar. B� sun to as da Boildt� i�e toe separat� pamNs for tha� It�nn. s � APPLICATION FOR BtT�bING PERMIT CITY OF FRYDLLY, MINNE$OTA OWNER' S NAME ��� ��������--e - BTJILDER �r �.���. ��, �=��-�-c, . ` ADDRESS � � ADDRESS �°Z � � �'-�—��%�� f�OCATIO�T OF BIIILDIDTG N0. STREET PART OF LOT LOT BLOCR ADDI1`ION OR SIIBDIVISION CORNER LOT INSiDE LOT SETBACK SIDE YARD SEWER ELEVATION FOUNDATION ELEVATI014 Applicant attach to this form Two Certificates of Surveq of Lot and proposed building location drawa on these Certificates. DESCRIPTIOR OF BUILDTNG To be used as ; � ����� �. � _ �� v Front�_ th Height Sq. Ft. Cu. Ft. Froat Depth Height Sq. Ft. Cu. Ft. Type of Construction Estimated Cost � �,� 1" To be completed The undersigned hereby makea application for a permiC for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and repreaeatations stated in this application are true and correct. DATE �. �SIGNATUItE .'�� C��� (Schedule of Fee Coste can be found on the Reverse Side). .�.3- `,1_ � o� -- � �s � � � � , �� - = BUILDIIJG PE1tMIT FEE SCHEDUL� � . SEL'T20N 2. The Inspector of Build�ngs shall,��beiare iesuing any permit for the erection of any building or atrticture� or for any addition Co any existing build�.ng or structure, or for any alterationa or repaira to any existing building or structure� upon application therefore, r,equire the payment by the applicant for euch pe=mit of fees to the amount herein below 8et forth and in the manner herein prov3ded to-wit; 2.1. For�auy euch permit for the erection of any fire•proof building, othei than a garage, warehouse, factory or g�'ain elevator, or for �he erection of any fire-proof �additionf for similar occupancy, to any esistiag building, ahall be at the rate of $1.40 for each one thousand cubic feet, or fraction thereof, in such cubical conteats.� � 2.2 For any auch pera�iz for the e�ection of any fire-proof garage, warehouse, factory or gxaia elevator, or�for the erection of any fi�e•proof addition, for similar occupancy, to any exi�sting building shall be at the rate of $1,25 �or each one tliousand cub�t�;f�et, ciassified as "iireproof01 by Section 502,:of the Mi�neapolis Building Code. . .r HOIISES � � � .: 2.3. For any such permit for the erection of ariy�noa•fi�eproo� .. buildiag, other than a garage, warehouse, factorq or �rain elevator,.or any non-fireproof addition,.for aimilar occupancy, to aay esisting bui,ldittg » permit $1.00 for each one thousand�cubic'feet; � _ GARAGES 2.4. For any such permit for the erection of aay non-fireproof garage, warehouse, factory or grain elevator, or for the erection of any non-fire-proof addition, for similar occupancy, to any egisting buildiag or for each such building or additioa - niaety ceata ($0.90) for each oae thous.and cubic feet or fraction thereof, in the cubical contents thereof with the minimum of $4.00. For the purpose of computing fees for building permits, the cubical contents of any building or addition to a uaiform height throughout by multiplying the ground area covered from a poiat six (6) inches below the floor line of the basement or cellar to the average hc��tght of the upper surface or to the average height of the roof surface of the main gabla of a pitched roof. 2,5. For repairs or alCerations to an e$isting strucr.tzre, the fee ahall be at the rate of $3.00 per each Five Hundred Doliara ($SJ�3.GJ} or fraction Chereof in the cost of a11 proposed work. 2.6. 2n no case sha11 the fee charged for any permit as aet forth in Section 2 be less than $4.00.. STORM REPAIR DAMACE �?rES: Residential; Commercial; � �- Y, Esti:nsted Cost of work up to $5��.00 -$5.�D0 Esri�a�ted Coat of wo�k over y.S�J4:d�� •$i.GoL10 Est�?m.ated%'`�at of wor.k up to ;;5!��a a0 -$10� Estimated „�st of we�t°�e -a�r $.�C0.00 - $`0. _J i � n���i_ �.uy ui r��vroy IU. (VJ/ ILICidJ rQ�G. IlL LJQIG. WG�7/GWf �J.LJ.W � Ifl �LllIC11Ylg BUILDING' PeTmit No.° Inspections . RESIDENTIAL APPLICATIC�N R�iv� B3'= ° 7b3-572-3604 �ITy aF FRIDLEY Date Rec'd: DATE i0� �D$� YOUR E-MAII. ADDRfiS3 _�G,u�� a0� otea I� •�1� r..al o� 31TE ADDRF�S (r��il� �,�FFic�c�r�v �i � THI5 APPLIGANT LS: ❑ O�UIVER �GONTRACfOR PROPERTY OWNERI N�; �,� �-p���A�1e,� TENANT ,�ntt�ss: loSy� rT`F�,e,�� s,° � crrsr fn�o�v s1'AT�L�.�}%3z p�r�: ��03".��/ _3Y�� . , CONTRACTOR N�;��� �`;,:� SUBMTT A COPY OF �TATE LfCENSE 31 �77v// Z/�� E3� DATE ,�I3/ �D9 YOUR STATE LICENSE ADDRES3: !�Q� �/3�z At•te. ClTY C�/�na/i.✓ STATF�/�(�ZIP,�S3//� 9JITH APPLICATTON pHp� �g -�iZ - 0757 FaX °�� 3- 9/� - PRUPERTY TYPE � sINGLE AAMIt-YRVE9V CON9TRUCTIdN s� ❑ T6�10 FAMIiY/NEDC CONSTRUCfION STORIES PERIVIIT TYPE � �Dr�orr ❑ c�axA�Flsi�D ❑ �vnvnoevs I ❑ BASEMENf FIIVISFI �OdF ❑ ARA.IN TII,E _ � DECK O SIDING Q OTIiER ❑ 3WII4flNIII�T(3 POOL TYPE OF WORK: ❑ �w ❑ nn�rrriox ❑ MAINTENANCFIREPAIIt O RE&IODII.ING DESCRIBE WORK BEING DONE: PE�-�� SIZE OF IlY�ROVEMERTT LENGTFi WIDTH HEIGIiT . Ft TtQOFING D FiOUSE ONLY . NUMBIIt OF SQUARES �(�_ �EiOTJ3E & C3ARAGE BASEMEN� REMQDELING SUBMIT: � , tL�ATTACHED GARAGE Z: E�ng ��� � PROPOSID SIZE: O DETACFIED GARAGE 3. L� �ncdual�members to be �sed PROPbSF.d HEIGHT: SIDING ' FORNEW COPiSTRITCTION INGiUDING DECK5, ❑ Virryl OSaffit ADDITION5 � PpRCHE.4 SL3SMIT' ❑ Alumim►m ❑ T[im 1. SRe P�.nt3urvey sfrowing the e�ng structures ❑ Other ❑ Fa�cia �d P►'��d P�.I� WIIVDOWS . 2. Two s�s o€con�rucEion glar� IN EXISTING OPENIIdG3 QYe� CINo IACATIQN OF WIIVDOWS 3� �� ����ffi OR FOR NEW OPEN1rTGS-DESCRIDE SIZE OF OPENING CHANGFS 8c TitPE OF WIIJIIOBV TO BE INSTALLED NUMBER OF WINDQW3 ALL FEE5 ARE BASED ON VALUATION, INCLUI?ING THE COST OF LABOR AND MATERIALS: � Permit Fee Pl�n Review Fffe Surcharge Surcharge License Surcharge SAC Charge C,iub Gt�t Escrow Erosion Control Park Fee Sawer IVIain Gharge !� / (USIl�TG THE 19S'7 U.B.0 FEE SCHEDULE) vA1;IIATION OCCUPANCY TYPE $ � See Back 1'age for Fee Schadule $ 65% of Buildsng Pern►it Fee $--��-- .(HTl times the total job valuation $ t' .00US x Permit Valuetion ivtinimuxn $.50 $ � , $5.00 (State Licensed Residenti�l Contraetors) $ $1675 per SAC Unit (Plans tv AtIt�CC for determiaatian) $ ft+6�= 8x$21 =$ $ $454 Cons�rvation Pl�n. Review $ Fee Determined by Engineering $ Agr�ment necessaiY ( ) A7crn 1Vecessary ( ) R a MaEze ch8eks navable to: Cit9 of Frid�y Att�c TEII3 IS AN APPLICATION FOR A PERI�IIT NOT VALID UIVTIL PRQCESSED I hereby apply far a bwlding permit ancl I acImowledge that the mformation aboee is complete and accurate; that t�e �vark wi11 be in conformance with the ordinances and codes of the City of Fridley and v�ith the Minnesota Constructi+on Codes; that I understand tlus is aot a p�rrmit but only an applicaRion far a peamit and wvrk is not ta start veithotrt a permit; that the wark w1I be in accordanee wiih the approved plaa in the case of all work whic raquires review and approval of plans. ` SIGNl�TURE OF APPLICANT ��,/ PRINf NAME-l�r�`- c- ia,^wf.��-„DATE �•S — Building Inspections 763-572-3604 763-502-4977 FAX SITE ADDRESS _ THIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION MECHANICAL RESIDENTIAL APPLICATION CITY OF FRIDLEY � �o� �l �J�o EFFECTIVE 2-19-09 �� aO I� YOUR E-MAIL ADDRESS ❑ OWNER �1CONTRACTOR Permit i� - -. : ��7J\ I � -�.���. � . ����� I� . - �� ., ,���i � �� � Ewnxsss: (a$,�k,U J�e 4-F�e.r�'son �f N�'c» E-v- � d l-�e.�.� STATE MNLIP SS4� PHONE: ��O�J'SZ � • 34'18" comr,�r�YNa,ME: CENTERPOINT ENERGY CONTACT PERSON: JOANN ZINKEN STATE LICENSE # BOND 22013346 EXP DATE � ' a,nDx�ss:9320 EVERGREEN BLVD NW SUITE B cr�C00N RAPIDS sTATE MN ZIP55433 pHONE_763-757-6202 FAx 763-757-6701 PERMIT TYPE ��GLE FAMILY ❑ TWO FAMILY TYPE OF WORK: � �W �PLACEMENT 0 TOWNHOUSE O ALTERATION/ftEMODEL DETAILED DESCRIP ON OF WORK 'S,�s�wll I�e�\a�� �u.rnG� � p",n � Q�,r ��ci. c �i 01r'1 � � FEES ARE BASED ON $10.00 PER FIXTURE, CEPT WHERE NOTED. EIXTURES: IN CATE TOTAL NUMBER OF EACH B LQW�6 Equipment Installed MFG: MODEL: (��C�OO SIZE/BTU � Qe MFG: f �r MODEL: au ���J a�{ SIZEBTU OZ.� l A/C $Z5.00 AIR TO AIR EXCHANGEER $ I S _BOILER $35.00 _CHIMNEY LINER $10.00 DUCT WORK $10.00 MFG: MODEL: . _FIREPLACE (GAS) $15.00 FIREPLACE (WOOD) $35.00 �FURNACE $35.00 _GAS DRYER $10.00 _ _GAS PIPING $10.00 SIZE/BTU GAS RANGFJOVEN $]0.00 NEW GAS GRILL $10.00 _GAS UNIT HTR $10.00 _POOL HEATER $35.00 VENTILATOR $ I5.00 THIS 1S AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case all work whi h r uire �eview and approval of plans. .� SIGNATUREOFAPPLICATIT� �' �` � B • pRINTNqMg R06ER HOFFHEIN DATE S l ld City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 City of Fridley Residential Mechanical Application Page 2 REQUIRED INFORMATION NEEDED TO PROCESS PERMIT RESIDENTIAL PERNIIT APPLICATION HVAC ❑ NEW HOMES/ADDITIONS �EXISTING HOME 0 MAKE-UP AIR REQUIRED FOR NEW/EXISTING HOMES 1. Combustion Air (See note below) -- -- ---a. 4ii�-sa�id fue��ivl£ Ci�apt�� �kr�#A���dmer�ts — -- — --- b. Natural Gas or Propane/IFGC Chapter 3 with MN Amendments 2. Make-up Air (See note below) a. IMC Chapter 5 with MN Amendments 3. Venting a. Gas appliances IFGC Chapter 5 with MN Amendments b. Fuel other than gas IMC Chapter 8 with MN Amendments REQUIRED FOR NEW HOMES 4. Heat loss & cooling load per room a. Required on new construction IMC 1346.0312 5. Ventilation a. Per MN Energy Code 7670 or 7672 6. Duct Design Per IMC 1346.0603.2 -- --- - - - - --- - -- - a. anua -- - ------- - - NOTE: Centerpoint Energy Mechanical Code Guidelines software may be used for combustion and make-up air calculations.