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AF - 47872SUBJECT P IT NO. City of Fridley ° 13534 AT THE TOP OF THE TWINS B U I L D I N G P E R M I T r S � EIPT N � ; y _ COMMUiJITY DEVEIOPMENT DIV. � � � r � � PROTECTIVE INSPECTION SEC. 1 � 1 . � 1 �� � ��"1 � CITY HALI FRIDLEV 55432 NUMBER REV. DATE PAGE OF APPROVED BY •"•� � ,'� 612-560-3450 910-F15 5/24/76 � � JOB ADDRESS 1421 Kerry Circle N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 1 Heather H111S 2nd Addition SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE Joe Williams 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Brickner Builders Inc. 6245 Ben More Drive, Fridley 4 ARCHITECT OR DESIGNER MAIL ADDRESS 2iP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PF�O�F, IICENSENO. ;�'¢�r ��s k�,� r. � T!� �'' 6 USE OF BUIIDiNG RESIDENTTAT. Be#�re �i��;rg cali lecai u,ifities 7 CLASS OF WORK ' � � NEW ❑ ADDITION � ALTERATION ❑ REP I E E 8 DESCRIBE WORK Construct a 51' x 24' Dwelling and a 24' x 22' Garage iNG 9 CHANGE pF USE FROM T T NG PLUMBING AND S►GNS. STIPULATIONS �rovide a hard surface driveway. Provide sod in the front and side yards. Provide a verifying survey before capping. Provide the City with a copy of the truss design. $400.00 Storm Sewer Escrow to be paid. SEWER LOCATION (Approx. 17' Deep) 55' West of Manhole (Inv. 929.06) WYE ELEV: 929.31 TOP OF FOOTING: 933.81 Minimum WA.TER LOCATION: 68' West of Manhole (Measured to property line) -IMPORTANT- ThIE CITY O� FC:IQLEY DQ�S I�OT Gl[A4�P.NTE: lY;� NOTIFY THE �RIDLEY ENGR. ACCUr�acv oF uT��err �oc,�T�oNS Ar�e e��vATiG; :�. DIVISION REGARD�NC CuR�3 T�;�S DATA IS FOit IfdFO�l`AAiION PU^FGSES O���Y �.�;:; REMOVAL AND REPLACE�UENT PER�01�9S U�PtdG IT SFiOUID VE�c6FY THE Ii�iFOF.h1f,1lC;v AT DRIUEWAY OPENiiVC:S. ON TH� Sli'E. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. WOOC�i FY'dIIl@ THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTNORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT R 1 �.41Q +528 2% � 5�.2 �-SZSO ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION �. STAL�S GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WIL� BE COMPLIED 41, 730 �SZO. SC WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $ DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER ST R LOCAL LAW REGULATING CON- 61.64 $350.00 STRUCTION PERFORMA C OF CONST CTION. $ � ���' PLAN CHECK FEE TOTAL FEE $432.40 ; SIGNATUREOFCONTRACTOR RAUTHORI2EDAGENT IDATEI WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT � � � h ,� p S-� - • SIG TUREOFOWNERIIFOWNEPBUIlDER1 IDATEI BLDG.INSP �ATE ��'I'LICl1'fIUN I�OR R1;Sl:J)LNTIAL, ALTI�It/1TION, OR /1llllITION 13UILllING PL•RAtIT CITY OF FR�DLEY, hiINN�SOT'A 0 ot,r�ER�s N�: c,��� �-� '� � � � ' �` �'-i ,� � suzLb�x: ��/ � �/�.� ��< �� '�� i �. ,��,� z �W� .� - , � � ADDIt�SS : 1' � r L -�'' � ADDItESS : a � y iJ �� /t/ !`f'� .r � � � Ho �� l.� S��x � ��c�t. � C�e c�.- LOT : r}� BLOCK : ,� ADDITION : _ }"I r ,�,7 H F � fi / � c. .S � ��'1 �a��i T/ u � . � CORNER LOT : INS IDF LOT : ►� SETEACK : � �/ SIDL'i'�D : � Appli.cant attach to this form Ttao Certificatcs of Survey of Lot and proposed building location dratan on L-hese Cexti�icates. r BESCRIPTION OF BUILDING To $� s�a As :� � � a� � ��= �Ar=�, ��- � j� � � � Fxont:_ `�� Dep�h; 'Zy Height: � v � _ �--, . • Square Feet: �y� 4 Cubic Feet: a�� S�Z . Fxoat: ��{ Depth: Z�" � Hezght: l v / Squaxe �'eet; `� � Cubic reet: �1 �� �.r �:� � �� � Type of Constxuction: J��/�/.�'[` � Estimated Cos�: ti v,,� � . To Be Completed: 7C� � � Q D�S -�---- ��/ �,� , The undexsigned hereby ma.lces applicati�n for a pexmit fox the work herein'' specified, agreeing to do all work in stxi.ct accordance wiLti i:lie City of Fridley Ordinances and ruli_ngs of the D�partmenL- of Buildings, and hereby declaxes that all the facts and xepresentati.ons stated in �his application ztre t�:ue and corx'ecC. � • • �- _ � V i- � � , � DATE : J `� � �� S IGNAT[JFE : �ry�, -�y- /�it�' � .� (See Reverse Side ror Additional Information.) . , �G /, � �/ � �'i�t� � �9 Tc d.J 3 , �/�a�,.�"c.T' ( � � .iG, �' 6 5�c 3�a , o v ,'S 6 , DO � �� � a ,,�` $,3 2 . .9"0 a �v�iyo� GT"� t�i � ?74 �,�`�P . �' nea.�s � ,d„� ���.,� , � . .",�'�"=�� .. �.. __ _ _ ��� �..�� � _ _ / — ���,c.�,�''- v .?c _ �? , ! . _ �,�Zy ' - - - -- - — � : � _ . _ , _ _ _ - -�- ; �''� ,zv' __ /�._ _ _ _ _ _ _� , � , . __.. _ ----_ . . _. . _ _: . _ . �. .T___.. � . _ . . . �. � , - , __,._ , � - , . , � � ' � ' �.,3� z- �/ �F __ �a }.s _._____�__ __ ...�_ _: __�_—:__ �: -� -�-- ! � ' __l.._ .__ _ .__. w . _ . _ .__.� _�. ___ ._ _., #_ __�_ . � ,- ; ; i � I �;�; f� i i � i 1 �� �� � i . �i_ 1_ _ _ ., ' _._ .. _ .. . _. __ . _ . ... . - - ; ----I -- � . - — —� —�� ..__ .. .. . . . - - - � � ' � � ; , � � � 'S� �� �/ � � , � : s a- ; �'�� ,_ = �- , Y _ �_ __� _'�-- - - -- - _ _ . - -_ . . r � �- -� --}--� - . . _ � , � � � ( � ,$/ _ � � ' � ; � _ -- -- -- - - -- , . . . _ . _ �_ . _ :___ . . _. .', . , � ` ' � � � � �_�__ _ � . � ,�- � _ � -� _--;_--� _ -�-- ' 1 _ _...� ,. . � , ; - , i , � ' / ��/ � _ _ . �'i - � I 2.! 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' I I � � � � � I � � �+ � � i � , , , . . � � " ' _ �.« __.i ___..�....;... ._. __i.. _..._ .._____'!.__._'_,. �. �. __... .._...___._.—_.___.._."'}—'_t�—'� "'y..'_Y._�_�- — _ __`" ��� r... i �_i_ I ' . . . , � � � � ' ' , I i � � � i I � I I I t, . a-._._.,. .. _.._.. . : . _... ._ _ ....._ . _. .-•- .___ _. ___ .. _ .. _i._..._ -_. '. _'—.a. ...'_t'_.. i�..__'-- ... ..1__... ..._-{.—+_. '_'_'�—'--�— . - .. ; i t . , � � � . �, � . • ; � i , , ! i ' � : . . _.l I - ---'� - � . - _ - - -- - - ; � � � � : � , � . _ . . _ . _ _ . . . . . _ _ . . . . _ . _ _ . _ r i . � - �A EXTERIOR ENVE:LOPE AVERAGE "U" COMPUTATION � OWNFR : �%�- w�� DATE � Z � � � � SITE ADDRESS: � L � PHONE: �'� / ��O /� CONTRACTOR: ���'litr/�IGf1.fi�— �%C.. • Determine working square footage of each 1. Total exposed wall area.. ... . � 3� J sq. ft. x .17 = ��� • 0� 2. Toal roof/ceiling area ...... % y%� sq. ft. x .05 = 7�' 's/ Total exposed wall area above floor = b 7 3• 7� a. Total wall window area . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . � 0 � ' b. Total door area ....................................... SS. c. Total sliding glass door area ......................... 3�j•9l d. Total fireplace wall area . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9L • 33- e. Total wall framing area {average 10�) .................. �f'�, G � f. Total rim joist area ................................ E't� g. wall area above floor .......................... `3• h. � wall area above floor........ ................ i. wall area above floor .......................... �^�'��� j. wall area above floor .................. ...... � . ` "" Total exposed foundation area = ' k. Total foundation window area ........................... f 1. Total net foundation area above grade ................. % Determine "U" value of each wall segment � (e.g. window, door, each separate wall section) . �.� � . ) � s' X ,.U,. , S',� = a / , 7 s' �;� b. Ss•ya X„U., ,S-� = 3�./3L� . �/ 3�- 96 X„U„ , s S� _�i. q?� � g�. Zz X „U„ . �.z. _ �.j. /�� �. � X ,.U,. • �3 ��. �y� e. _ �. �6� X „U„ .�6 = 4. � v � � g. ,/d y�. ��p X NU.. _ . �7 _ _ //s' 06 h, , X oUo � _ 1. X ��U�� _ j. X"U" = If item #3 is the same as, � or less than item #1, you k. X°U" = have m t the intent of • . SBC 06 (c) 2. , l . � �_ x „U„ , �' � _ � �6 3. .. ........ ................ Total • _ �' ��� . � ,F... .��... . _�,., . � .. ._ . _ � _ , ... .:._:. � . �_.,.. . � � E�cterior Envelope Average "U" Computation Page 2 of 4 , � , Total exposed roof/ceiliny area = / m. Total skylight area ...... .................... - n. Total roof/ceiling framing area (average 10�)... _ o. Total net insulated roof/ceiling area........... Determine "U" value for each roof/ceiling segment m. X ��U�� _ �. X ��U�� _ o. -� X „U,. , a = � �. � � 4.. ....................... Total = J b� _ If total of #4 is the same as, or less than #2, you have met the intent of SBC 6006 (c) 1. Alternate Building Envelope Design To utilize the total envelope system method, the values established by the sum of items #3 and #4 shall not be greater than the sum of items #1 and #2. 1. + 2. _ 3. - + 4. _ 0 �� WALL SECTION5 NOTE: Use 10� of opaque wall area for fzame construction , .. WALL FIG. #1 FRAtiE jtALL .� „ -�. y � �.� f,_ � � �; _:FSG. #3 ♦ � � � • . _ ,. , � ; _ � � . . � - • `. . � , . �� ' -i - �� � Page 3 of 4 Cons�truction R-Value l. Ix►terior air film � 0.68 .; 2: ��ti•� sNcct,gock o. yr �°�``' 3.�3 ��,,' ` S t �� 3 �• 3 s� 4. ��,;� wa���Asc /.�y 5. '��j(��� I�IASoN1 fG �•:� 6. Extermr air f ilm 0.17 Total y� � �/ = � 13 7 1. Interior air film 0.68 2,. ��i,'� S NL�1' Roc.K Q.'%� � '3'�,;' �►���C�asS �Nsv� • {1 4- ��ti' NA��l�A SL l•ly 5. ��L 1'��SoNItL 0•�7 6. Exterior air film 0.17 Total `�/ /� ' d�/ /' / ' 1.� Interior air f ilm 0. 68 �3';,'' �NSv�. �iBc��� lI � 3. �,,L., R�M ,1o;sf � Fr9 4. �%;' N�����s.� �.,y 5. �'�K'� �'114Sa-r►�?� - o. �7 6. Exterior air f ilm 0.17 Total „�✓ �s•SJ s•'�� , ,, �. 1.�` Interior air f ilm 0. 68 3. ' �.�� (��OG� ��� w 4. 5. . 6. F..�cterior air film 0.17 ��� � r13 ° •`�i . , . - •. � es . r. : , �, � , . , . . f� . ' ` ..�.(ZF �� k . ' , , � t9 ` ' ��— .. � ` , � . ._. '�r.� : ' '''`' ' . .:-- , , . /l ( �' • . ' • � � . ! �Jf �- � 6 . , ,- ` �1( ' . . ( t ' � . • � • /(/^ • . FIG. #4 t"r . � . � � ! ��� � • • . . !�� � `^�•, .. � r ��� � . . _ r . �u � _.. X .r �� • • /l =. Il ( ,._ /i� �, . . NOT?�.: Indicate tyoe, "R°�value, depth and D1aCement nf inci�larinn_ . ROOF/CEILING Page 4 of 4 Construction � • R-Value ' � � � 1. •Interior air film 0.61 r � . -�'` t—� t� a.'!,; S yut 20 �k e� . . ��r/� �. � � �_ � o �i_' �,, ► ' , � l irt?�-� , . �,�-..., �o „ � � ���c�`A s s (�� o w � G-- �.�•o ` i�;�'Jt� '� ! � 4. Exterior air film (still) 0.61 f I .l,r �,�� � � • V�I�T �;.� r. ����=,"�1�-� Total , � :: ,� i�. .�.._..�. , �.�ri . ,(� � :, y ��- � � - - Vented Heat f low � up _ .. . FIG. �i5 . . � �: : .. 1. Interior air film 0.61 . _ _ . _ 2. �ra, t t,.., c ac -; �C, �,-''�?. � ^�:Li,Y�'�' e.,.;�.�s c�r ^_ �-c �� .. - = _ ��. ' l��r-=-----�- 3• 4. Exterior air film (still) 0.61 : r . Total . �n� �;> > ( .� �► l�i!j , � . 1a.� � . . . . � .1 7. 3 �- � � i:eat floe� vp � . , ••venCed � ,FIG. #k6 �.: ... . . • "- . � . 1. Inside air film 0.61 . . . � 3. _._-- _ � ' ,. : 5-- : a . � . � + .�t� s. . . . � � . � .. Q� a��,�e�°•.•t 1i'•�''�1 .,,, � 4.. . . . ' ��t� „nRU�•����L � �//�!!�� 5. Outside air film 0.17 � .w � � 1.�1�i�+��'��' . / ►. . � . � . ft� .�--; .1'�..;�' . ��� • � .�"1 . Total �-�%� : �. ' � - , Note: Use additional sheets if more space is '� • needed for details and calculations � 1 �. . �� . . - Ho. -v�v�u � . - ' ... . . . . . . _ .. : .. '. . . . , . ' Hent . , . , , ` , , � • ' f law up - .. � • . . � • _ •; . . . .. � �''�:r. 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S °i8'U O F��:ure F:xtu:e C�;,cr.ing ••••••••••• . x S?.:A S. -•- :;ew Fix:ure O;;i O��ering.••••••••• x 5:.50 5.__-_.__. , C�tch Ba<_ia . . . . . . . . . . . . . . . . . . .. x S'.25 S . ��'a!er �:eatet 'L'p to �3.000 ETli�• • • • � x ,3 GO : �. U� • . . • 1ew G:ou�d Rua Ol� B:dg. ....�.... x:3.25 S ; .'.ctj�: Y..:.: Y..s:,u . . . . . . . . . . . . . . s ��.CJ � :3: ?ZO. :.�. � T07nL ilS F•?;:4G Fi � • ls: 3 F;x:ues . . . . . . . . . . . . . . . . . . � x 5'_.G� 5 �' �� r . A.a.�!ticaal FZxtt:ses . . . . . ..... . . ... ------ x „ .75 S � r G:s P.:�.::it to :�3.OG� 9:V ..... ... ... , x SS.C4 y Estirr.ated Cos'. $ ____.. =e:�i!::.a �✓�• O:d ?v'ew. uitd:ng ?e:r.;it \o. —" . Sia::ed . � •-- . pY . �U�lfi�`�..5 P::J.^.t :10 /�� r'���� nCUGH FI:I:�L � ' � 3 • % �_ � . 50 S�a�e S�c?::�.:5� °.rr.?1:�S k JIL:.°..°ATI�Y.S--P.a:et :o C�a � . � ' � •Y',e�..:S;.'�on . .. .. . . .. .. . . . . . . . .... . .... . . . . ........ . -. �3 � • ' TO'i t.L FT'.:.w S d� . . , ' , � : � s�e�ecT PERMIT NO. c�cy of Fridley 2 L��� AT THE TOP OF THE TWINS g U I L D I N G P E R M I T � ' ' RECEIPT NO. � � , � COMMUNITY DEVEIOPMENT DIV. � �y---�-- � r � � PROTECTIVE INSPECTION SEC. ���� � � 1 i _ ' � �'��1 � CITV HALL FRIDLE� 55432 NUMBEF REV DATE PAGE UF APPROVED Bv �""'�"� �'' 612-571-3450 910-F15 8/19/94 / / JOB ADDRESS 1421 Kerry Circle NE 1 LEGAL �aT NO. BIOCK TRACT OR ADDITION SEE ATTACHED oESCR. 2A & 2B 1 Heather Hills 2nd Addition ' s"EET 2 PROPERTY OWNER MAIL ADDRESS 21P PHONE Frank Wibel 1421 Kerry Circle NE 3 CONTqACTOR MAIL ADORESS Z�P PHONE UCENSE NO D& D Home Improvement Inc. 7401 Central Ave NE Fridle 55432 7 4- 3 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PMONE LICENSE NO 5 ENGINEER MAII ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK O NEW O ADDITION ❑ ALTERATION O REPAIR O MOVE O REMOVE % 8 OESCRIBE WOHK Reroof House (2nd Layer) 9 CHANGEOFUSEFROM TO STIPULATIONS Roofing ean be the 2nd layer but not the 3rd. TYPE OF GONST. OCCUPANCV GROUP OCCUPANCV IOAD SEPARATE PERMITS AFE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WI7HIN 60 DAYS, OR IF CONS7RUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. OWLG. UNITS OFfSTREET PARKING I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALIS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF �AWS VALUATION SURTAX AND OADINANCES GOVERNING THIS TVPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT �1�210 �.C)1 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- @ STRUCTI R THE PERFORMANCE OF CONSTRUCTION. y�31.O0 Fire SC �1.21 PIAN CHECKFEE TOTALFEE q License SC $5.00 37.82 S�GNATUAE OF C � RA .T OA AUTHOA�ZED AGENT I nrEi WHEN P Y VAUDATED THIS IS VOUR PERMIT _�-l� S�GNATUF7EOFOWNENiIFOWNEABU�LDEAI IDATEI . BIOG INSP �14TE NEW ADDN ALTER �l Il I) Construction Addres,s: L,egal Description: Owner Name 8t Address: CITY OF FRtDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application m Effective 5126/93 ���D � Tel. # Contractor: D& D Home Imnrov�m n, Inc MN LICENSE � 4840 q��; 7401 Central Avenue N.E., Fridle�, MN 55432 Tel. � 784-7543 _ Auach to this application, a CeRificate of Snrvey of the lot, with die proposed consh uction drawa o� it to scale. DESCRIPTION OF IMFROVEMENT LNING ARSA: I.eitgth Width Height Sq. Ft• t�ARAt�E ARBA: Longt6 Width Height Sq. Ft. DECK AREA: Length Width Hgt/Gro�nd Sq. Ft. OTHER: Corner Lot [] Inside L� [] Ft. Yd Setback Si� Yard Setbacks Type of Construction: /QR-.s�?�,�tl.�� �its�� Estimated Cost: �/02�� Approx. Completion Date: � � ���/QQ� �� � = (Cost on Back) Driveway Curb Cut Width Needott: Ft. + 6 Ft = Ft x S � = S DATE: _����� APPLICANT: Tel. � �`8'�i'L7S� Petmit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Emsion Control Park Fec Sewer Main Charge TUTAL s �l,Do � �,a� � �/ $ S �-v0 S a s S � '%, c� M ' ��- Fee Sche�tule oe Reverse Side .001 of Permit Valuation (1/lOth9�) $.50/�1,000 Valuation �750 per SAC Unit 55.00 (State Licea�ed Residential Contractors) Alt. "A" or Alt. "B" Above Conservativn Plan Review 5450.(l0 Fee Dttermiaed by Enginecriag Agreement ATecessary [ ] Not Necessaty [ ] STIPULATIONS; � - f + � ► I s�e�ecr PERMIT.N City of Fridley /-� � f � - BUILDING PERMIT �` � `�'� AT THE TOP OF THE TWINS f ; � RECEIPT NO. � COMMUNITY DEVELOPMENT DIV. ' j L-�-'��- O� r � � PROTECTIVE INSPECTION SEC. � _ ( � 1 � CITY HALI fRIDLE� 55432 NUMBEA AEV DATE PAGE OF APPROVED BV �""'�" ' ,'� 612-571-3450 910-F15 9/30/94 � � J08 ADDRESS 1421 Kerry Circle NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCF;. 2A, 2B 1 Heather Hills 2nd Addition SHEET 2 PROPERTY OWNER MAII AODRESS ZIP PHONE Frank Wibel 1421 Kerry Circle NE 574-9494 3 CONTFiACTOR MAII ADORESS Z�F PHONE LICENSE NO. D& D Home Improvement 7401 Central Ave NE, Fridle 55432 784-7543 4808 4 ARCHITECT OR DESIGNER MAIL ADDRESS 21P PHONE LICENSE NO. 5 ENGINEER MAI� ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential ' 7 CLASS OF WORK O NEW ❑ ADDITION ❑ ALTERATION � REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Soffit & Fascia 9 CHANGEOFUSEFROM TO STIPULATIONS TYPEOFCONST. OCCUPANCYGROUP OCCUPANCVLOAD SEPARATE PERMITS ARE FEQUIRED FOFi ELECTRtCAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORI2E0 IS NOT COMMEtJCED WITH{N 60 DAVS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOF A PERIOD OF 120 DAVS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFV THAT I HAVE READ AND EXAMINEO THIS APPLICATION ]. STAILS GAHAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TVPE OF WORK WILL 9E COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT �1,640 �.HZ DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- @ STRUCT N THE PERFORMANCE OF CONSTRUCTION �p39.�� Fire .SC, �1.6�F PLAN CHECK FEE TOTAL FEE %l, �� � � License SC $5.00 $46.46 � S�GNATUAEOFCONTRACTOAOAAUTHORI2EDAGENT io Ei WHEN PqOPER VALID ED THIS IS VOUR PERMIT� r , y � _/v-�y SiGNATURE OF OWNEAUF OWNER BU�LDERi IDATEI � "'� BLD �NSP �1tiTE NEW ADDN ALTER [l [l �� ConstructionAddress: Legal Description: CITY OF FRIDLEY SiNGLE FAMILY AND DUPLEXES R-I AND R-2 Buitding Permit Application � Effective 1!i/94 `� ' `1" � `�' Owner Name & Address: �=,� l�� � Tel. 1� ��-�-9'��j� --�- �--- Contractor: �� � �� �, /J MN LICENSE # ��g 7�� Address: ��� l �°f',�//�I� �!%� • Tel. # . %�� 7.S— S' Attach to this apptication, a Certificate of Survey of the lot, with the proposed consdvction drawn on it to scale. DESCRIPTiON OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width H+eight Sq. F� DECK AREA: Length Width Hgt/Cnound Sq. Ft. 4THER: Corner Lot [] Tnside Lot [ Ft. Yd Setback Side Yard Setbacks Type of Construction: ,�- 7�G,5�.. Estimated Cost: $��L�r9 � -r,- � Approx. Completion Date: (Cost on Backj Driveway Curb G�t Width Nceded: Ft. + Ft = Ft x$ —� DATE: APPLICANT: Tel. # Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: � -� �' o� $ /. � � $ v� � $ .5-- D C� $ S $ $ $ �- �� ��� � -- Fee Schedule on Reverse Side .001 of Permit Valuation (1110th%) $.50/$1,000 Valuation $800 per SAC Unit $5.00 {5tate Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservadon Plan Review Fee Determined by Engineering Agreement Necessary [] Not Necessary [ j � CITY OF FRIDLEY INSPECTION DIViSION 6431 University Ave NE � Fridiey, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572•3604 REFRIGERATION AND AIR CONDIiIONING SYSTEMS AND DEVICES RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner • Also Replacement Furnace (Side Vent • Fill Out Back) Gas Piping (Needed with new furnace, G.a� � but not replacement) %'`�� Gas Range Gas Dryer *Air Conditioning • All Sizes All Others/Repairs & Alterations (LIST ON BACK) 1�'/0 of Value of Appliance or Work Commercial/Industrial 1.25�Jo of Value of Appliance or Work Rate $ 30.00 $ 10.00 $ 10.00 $ 10.00 $ 25.00 State Surcharge TOTALFEE MIN{MUM FEE FOR ANY HEATING/COOIINGIVENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $47.00/Hr JOB ADDRESS � OWN ER �/'u-�,1'C � -� d �(" TOTAL n�''„��-c.�l BUILDING USED AS ��5 Effective On May 10, 1999 $ �� ESTIMATED COST ��v``� PERMiT N0. �,,'���J ! $� DESCRIPTION OF FURNACE AND OR BURNER $ $ $ $ $ $ .50 $ 5,� No. of Heating U its � ircle ne (Steam) (Hot Water) (Warm Air) Trade Name_ �2v Size No. � BTU �3- �HP EDR Fuel a� u!` Totai Connected Load Burner Trade Name Size No. BTU HP EDR The undersigned hereby makes application for a permit for the work herei� specified agreeing to do all work in strict accordance with the City Codes an rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are�true and correct. NEATING CO ��� �� � �S : �t �l���1�� � � *Air Conditioners can not be placed in a side yard without Approved By/ 4 Rough-!n Date Final Date written permission from adjoining property owns. , �� �,`�eS��'e��FILL T BA K IDE F R STA K VERIFI AT REPLA EME � , �, �/ � �� ��� �� �53�9