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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT Date: December 4, 1970 Owner: Mr. Joe B eard Builder Address — _7..3.79_MemQz Lane N.E. Address Same Same LOCATION OF BUILDING N.1090 No. 7379 Street `Memory Lane N.E. Part of Lot Lot — 7 Block 4 Addition or Sub -Division Melody Manor 3rd Addition Corner Lot ---- Inside Lot —. X Setback 30' _ _._ Sideyard .....10' & 6' SME Elevation ____..873,.37 876.37 Wye Top of Footing DESCRIPTION OF BUILDING To be Used as: welling_ Front 261 Depth 45' Height 20' sq. Ft. 1170' Cu. Ft. 23,400' arage Front 24' Depth 24' Height 10, Sq. Ft. Cu. Ft. Type of Construction Frame Est. Cost $23,000 __ To be Completed 1 year Provide verification survey of foundation before framing. Provide Bard Surfacd Driveway. WATER LOCATION: 10 Feet East of Sewer SEWER LOCATION: 77 feet East of Manhole In consideration of the issuance to me of a permit to construct the building described above, I agree to do the proposed work in accordance with the description above setf and in c rlianwith all p�syiaions of ordinances of the city of Fridley. l/ // i In consideration of the payment of a fee of $ 58.00 , permit is hereby granted to Mr • Joe Beard to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinance& % l E BELIS NOTICE: ibis permit does not emr the construction, huRaWan for whing, plumbing, gas heating, sewer or water. Be ane to see the Building Inspector for wpamb pormiis for these Bona. _v APLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION'BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA / _ OWNERS NAME: V1®cIf FAX BUILDER: D P w ADDRESS: 7 7� /� /'�® L W ADDRESS NO:. i3 2 g STREET:- Z!&" 0A_e L.A JUE— LOT : % BLOCK: -ADDITION: CORNER'LOT: INSIDE LOT :_SETBACK: SIDEYARD: / O'Aivb 4� Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: Front: _Depth:- 4.C— Height: a 6 Square Feet: Cubic Feet: n..3�Zpz 7 12- ` Front • Z, Depth: o? Height: /.a- Square Feet; Cubic Feet:_ Type of Construction: F'&-/.�, 1,1 F- Estimated Cost: $ To Be Completed: -TUAIR l 9 I R 7 1 The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in stiict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. /' DATE : ' � �- G o � SIGNATURE : � (See Reverse Side For Additional Information." Ile r a �,, c" r <<� Fra P C x' , I, P: v j 4 - Ovt/ llk`W; k,'O I E NG I KIL"ER1 NG, INC. Fn iflecl"5 ur vepf.5 ce.retui ll,'Xicalte of.F Sn, XnzVe)r fox. C,*Tn OEVELOPMEn't w hZ f 0 DENOTES OQA,%NkGF- AND UTILITY EAStMEENT L( W%ANoR �ao AoDITION ANQ'AA COUNTY 5 4', 'ybarr k -rd vj .,M? Ihe.f-ebq ---erhj� Alai 6,,j ,',s&O o him ;dnv-�szerveq Mr boondle, Ar /ai K,� A n ve e d fie /&--4s subtipbW Wc,,,/v[,tl'A'W1,11(jl, INC. Application for Power Plants and Heating. Cooling. Ventilation. Refrigeration and Air Conditioning Systems and Devices ` PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work .......................... 8.00 $ Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 ................ 5.00 $ Repairs & Alterations each add. $500.00 ............... 2.50 $ MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ %ig.00 each add. 60,000 BTU ....................... 2.00 ; Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 ................. 5.00 $ Repairs & Alterations each add. $500.00 .............. 2.50 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... 8.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water .. 8.00 $ Each add. 200 sq. ft. EDR Steam ...................... 2.50 $ Each add. 320 sq. ft. EDR Hot Water .................. 2.50 $ OIL BURNER—to 3 gal. per hour ....................... 5.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 400,000 BTU) ....................... 5.00 $ GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ...................... x $1.60 $ ° Additional Fixtures ............... x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ AIR CONDITIONING FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $��^ ALTERATIONS & REPAIRS TOTAL FEE $woe c ROUGH FINAL Dept. of Bldgs. Phone SII 4-7470 Locatlon 7399 Memory Lane City of Fridley: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. Fridley, Minn_ � 19%J— Owner Joe R. Beard Kind of Building Frame Used as Dwg . Tobe completed about Estimated Cost, $ Q Old—NewXBuilding Permit No. Permit No.C7 �O DESCRIPTION OF WORK HEATING or POWER PLANTS—Steam, Hot Water, Warm Aiz-No_ 1 Trade Name AFCO Size No GB 1105-12B Capacity. Total Connected _ Sq. Ft. E.D.R 105 , 0 0 0 BTU H.P. 60,424 Kind of Fuel Nat. Gas BURNER — Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P. (REMARKS-OVER) Signed Mill City Heating Co. By .QV 42 Business Phone No 544x1501 Total Btu. Required q. JW.R. or sq. ins. W.A. Vader area IEI.� m Length ®"Width eight iT Win ows and I2oors—Cracl{mee cnd Area widthHaight No. of Lineal ft. Area 140. of pane o a e lights of k eq. ft. e Coef. Btu IV Infiltration Class Exp. wail Net exp. wall Int. wall Ceiling Floor Tot Btu. Requir . ft. E.2t. or sq. ins. W.A. header area F1.1 V oom I Length Width I�lf igl►t Windows and Doom—Crackege alnd Area Width Height 1 lie. of Lineal tt. Are® No. of pan* o o Il,hte of erac►t oq. ft. I' YA1 MMWA Kum BMW= F rM 6A vsmim F�n'' del baim RKAAMU Infiltration Glass Exp. wall Not exp. wan Int. well Ceiling Floor Total Btu. - Requi: raft.E.D.R.or sq. int. W.A. Leader area Infiltration Glass A Exp. wall'} .— Net exp. wall Int. wall Ceiling Floor Total Btu. Required s* ft. F-D.R. cc sq.ima. Wim. Leader am HE.A.i Li% U**k I. NS DEPARTMENT 01 INSPECTION N� ea;htratri a '�' S Constmction No. Insulation Caulde Vs rs Reference Out. Mall Int. Wall Ceiling Roof Floor in Flow LTVes4Zo 19-- m Fl.j Roofs LengthWidth Leight ir F1.1 / Dom LengthWidth Windo rackane and Area Windows and Dors—Cracksge and Area Width No. of pane HNo. of Lineal rt. Area of.lights of cr k sQ. Y width Heltht No. of Lineal ft. Arae No. of pane of n lights of erae e,. t I I Total Btu. Required q. JW.R. or sq. ins. W.A. Vader area IEI.� m Length ®"Width eight iT Win ows and I2oors—Cracl{mee cnd Area widthHaight No. of Lineal ft. Area 140. of pane o a e lights of k eq. ft. e Coef. Btu IV Infiltration Class Exp. wail Net exp. wall Int. wall Ceiling Floor Tot Btu. Requir . ft. E.2t. or sq. ins. W.A. header area F1.1 V oom I Length Width I�lf igl►t Windows and Doom—Crackege alnd Area Width Height 1 lie. of Lineal tt. Are® No. of pan* o o Il,hte of erac►t oq. ft. I' YA1 MMWA Kum BMW= F rM 6A vsmim F�n'' del baim RKAAMU Infiltration Glass Exp. wall Not exp. wan Int. well Ceiling Floor Total Btu. - Requi: raft.E.D.R.or sq. int. W.A. Leader area Infiltration Glass A Exp. wall'} .— Net exp. wall Int. wall Ceiling Floor Total Btu. Required s* ft. F-D.R. cc sq.ima. Wim. Leader am - ?�+SS 11',U1.xflov, )t�'�%a rv I OF INSPEC 11CIN navr°��.tion Alo. Gu:dc Insulation_ y t�Y:r• I °:` r r Reference 1 Out. Mall Iilt. Wall Ceiling hoof Floor Kind How Applied 'le19..__ � )~1 Length idtl'. - -Hxigho F1.1 Room Length -Width HeightZk Windoevs and Doors—Crackage and Area i Windows and Doors—Crackage and Area Width Hs'ah No. o; Lineal ;t. Area Width Holeht No. of Lineal ft. Aroa No. o e of a to of crack eq. ;t No. of P. of pa lights of crack eq. t vb M Fr ® t 1 0' InMtration - Glass Exp. wall .� Net exp. wall Int. wall Ceiling Floor Tota Btu. R quired s R. or sq. ins. W.A. Leader area Room Length Vidth 4VVindows and Door rackage and Area Width Height No. of Lineal ft. Area Pypan® of an lights of cr ck sq. ft Infiltration Gas$ Up. wall Net exp. wall Int. wall Ceiling Floor Total Btu. 6iqu sq. ft. .Id.oraq. ins. W.A. Leader area m I Length width Windows and Doom—Crackage ind Area NV I Width t Noof Lin rl tt. Area of pane o(p�isyCle Ila to . of rack an/rr Infiltration Glass Exp, wall Net cap. wall Int. wall Ceiling Floor Total Btu. required sq. ft. E.D.R. or sq. ins. W.A. Leader area Infiltration Class Exp. wall Net exp. wall Int. wall Ceiling Floor ' Total Btu. quire . E. .R. or sq. ins. W.A. Leader area o fI•I oom I Length 17 Width b -;�-Heiaht Windows and Doors---Crackage and Area Width HelplRt No. of Lineal tt. Area f No.of pane o , an ll)Shte of crack eq. ft. to 9 Infiltration Glass ® 25 Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. itis. W.A. Leader area r1•1 doom I Length Width Height Windows and Doors--Crackage and Area Width No. of pane Height No. of Lineal ft. Area of pane of crack sq. It. —lights Coef. Btu Infiltration _ Glass Exp. wall Net exp. wall Int. wall Ceiling Floor —Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area p0 •�•• I.p�.'•a, a p.� k C D aehii Tat of Ba36�i 1 ' S :`�,''.i•5.44 ci jig .ii �. Sem 9'3 _ ;•:�.:..� Job :lama '� •� _.� Address ��` r Room: V4 Lergth Height Time: A. M. P. M. D_esig� CXditions: Outside: Dry Bulb Wet .Bulb _ Inside: Dry Bulb Wet Bulb Well Color: Dark ❑; Light Cl; Medium Roof: Dar>< IA&t ❑; Medium ❑. Windows: Shad Awnings ❑; Bare ❑. V 26. _ _ Sensible heat ratio=Item 24 x 100 AREA ------ - SEMS111LE 61►MT N®. ITEl1F - D6+1i So. FT. _ �_-.- -- K D HEAT HEAT LOAD OF VENTILAaINO AIR HEAT - __ ---------- - - --- cONDuCTI®N 14EAT c,Ailei§ � _ B.T.U. per C.F.M.= 1. Exterior wall, gross Total cooling load = Itm 24 + Item 25 + Itcm 30 r Item 31 se oe meso 12000 12000 eoev 2. F-xterior glace -- ® - eome 3 Exterior wall, net 4. Partitions, net o ass 5. Floor os es 6. Ceil:z,g or roof EXCESS SOLAR GAINS MALLS (dared¢®ea $mc-"` 7. - 9. sees 10. Roof woes 11.IL LASS (directionfaced) f I2. -- ____W_ w77 f apse 13. •see 14. Skylights Boss 15. BODY HEAT GAINS Sensible _ No. of people x 225 16. Latent (quiet) j Q No. of people x 175 e e a o --- 17. Latent (active) _ No. of people x 450 sees _ EQUIPMENT HEAT GAINS 18. IIectric lights Watts x 3.4 ossa 19. Electric motors (total H.P.) r 2515 x Power Factor ® sAee 20. Other electrical equipment 21. Gas burning equipment C. F. 11 x 1000 h_ 22. Miscellaneous heat gains 23. Miscellaneous heat gains a - 24. TOTAL HEAT GAIN ( SENSIBLE) 25. TOTAL HEAT GAIN (LATENT) mss'' lip 26. _ _ Sensible heat ratio=Item 24 x 100 x 100 _ % Item 24 +Item 25 27. Temperature of air supply Dry bulb, Wet bulb 28. Total air supply= Item 24 1.1. [room d.b. - Item 27 d.b.] C.F.M. HEAT LOAD OF VENTILAaINO AIR 29. No. of people x C.F.M. per person= C.F.M. Outside Air. 30. Item. 29 x _ B.T.U. per C.F.M.= -_ B.T.U. per hour 31. Total cooling load = Itm 24 + Item 25 + Itcm 30 r Item 31 _ = B.T.U. per hour 32. Tonnage equivalent of cooling load=- 12000 12000 Tons rl F $� A City of Fridley APPiication for Piuwbg and Gas Fktkg Poem* Dept. of Bldgs. Phone 980-3450 DESCRIPTION OF WORE igen Number. Kind and Location of Fixtures � QQQ Number Fixtures ................ + FFFF $ Future Fixture Opening ............ x $1.50 $ G 81 x $1.50 t3 V Catch Basin .................... ` 8 4 c7 I N WATER "U. Mj ELEC. Base s $2.00 $ %AS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures ............... _ x $2.00 $ .2-00 Additional Fixtures .................. x $ .75 $ Gas Range to 190,000 HTU .............. x $5.00 $ t 1st 2nd 3rd 4th • Future Connection Openings * Now Fixture. Old Openings Connected with Sewn Cesspool °a PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ................ �� x $2.00 $ Future Fixture Opening ............ x $1.50 $ New Fixture Old Opening .......... x $1.50 $ Catch Basin .................... x $3.25 $ Water Heater :Up to 99,000 BTU) .... x $3.00 $ J–' 00 New Ground Run Old Bldg......... x $3.25 $ Electric Water Heater .............. s $2.00 $ %AS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures ............... _ x $2.00 $ .2-00 Additional Fixtures .................. x $ .75 $ Gas Range to 190,000 HTU .............. x $5.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ........................... 0..... ... .... ....._ TOTAL FEE 0?7.60 rty of Fridley: The .undersigned hereby makes application for a permit for the work herei specified, agreeing to do all work in strict accordance with the Cita Ordinance and ruling of the Department of Buildings. and hereby declares that alit the fact and representations stated in this application are true and correct Fridley, Minnn , 18Z Owner Kind of Building - Used as To be completed about Estimated Cost, $ n Old—New. Building Permit No. Permit No. `S � 7 Signed. - Business a No ROUGH p October U. 1972 Mr. Joe Seard 7119 MOOOVY Loa* 14.B. ftidi(W-0; HUme0oto 55432 our XT# Beardt A check of mr records WicatAn that you ere the holder of ButUius Pelt Na. 10907 dated Mier 4y 1970 Siuce . Goldenstoin to not licensed to work In Pridley-O the respMo011ity for eny Code violation rest$ With you. The U'nifom Bull4ims Oade Scotion 3702# Wo, states 01can out opminp Shall be provided at the Us* of evezy Conry ey." No where in our Codes does .it permit Installation of a ager at the top of the flue. Oontrol of such Place - mat in lafteet*4 by UnUovm Building Cede Section 3103w 16 thot atat+ s 'Cross sectional area of the flue and of to Ori boween bowthe firebox and the sancta cher of a ft raplace shall be not Ums than as set forth in Tsible No.37-All, which is where the dmper shmld be., U this chtimay 49eV not: tact A epeCLUCAUOUS s the firebox will Uva to be raduged to n 6 lac depth,, r$ It an WtEtt on fireplace into vhlc% age log * 14 be stalked with a deeper of raced area, At your pleas 4= 4090 to beva Wo GOIdMattin end UP619 Met you at this PrOPOMY to p t: and revise the fixoplace to agetgod". in the tW -ear ase of thU unit shall be at your Ma risk.. record Uo show that you have never submitted d Verification survey of the dwell govm4ation that Vao stipulated on 7MV bull4ig pamit. Please site th4t this is suWAM4 before an Inspection or fel Inopectim eau be sado. A may of We letter 11 be sent to Mr. Cold teff only if you request that we do eo . �aat�u 'Stineerelys City of Ridley Application Gas Ming Dept. of Bldgs. Phone SM -3450 DESCRIPTION OF WORE 7-2 -79 Number, Kind and Location of Fixtures Lowen` PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...... ...... x $2.00 $ Future Fixture Opening .... .... ...... x $1.50 $ New Fixture Old Opening ......... .. 11, 11 e , WATER HTR. x $3.00 $ New Ground Run Old Bldg. . .... .... x $3.25 $ Electric Water Heater = $100 $ 3F 3 O 3 <6 Additional Fixtures . ..........•....... —x$.75 $ N GAS EIEC. Base lat _ 2nd 3rd -- 4th _ •Future Connection Openings Connected rvlth + New Fixture, Old Openings Sewer Cesspool ❑ PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...... ...... x $2.00 $ Future Fixture Opening .... .... ...... x $1.50 $ New Fixture Old Opening ......... .. x $1.50 $ Catch Basin ... ................. x $3.25 $ Water Heater (Up to 98,000 BTU) .... x $3.00 $ New Ground Run Old Bldg. . .... .... x $3.25 $ Electric Water Heater = $100 $ GAS FITTING FEES: NO. RATE TOTAL lot 3 Fixtures .......................... x $2.00 $ Additional Fixtures . ..........•....... —x$.75 $ Gas Range to 199,000 BTU .............. x $5.00 $ REPAIRS R ALTERATIONS—Refer to Code Description ................................................$ TOTAL FEE $ City of Fridley: The undersigned hereby makes application for a permit for the work here: specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated in this application are true and correct. Owner Kind of Building Used as To be completed abou Estimated Cost, $ Old—New. Building Permit No Permit No. i Signe Business Ph--- mv I • E 's ROUGH q� FINAL i/ o� a CITY OF FRIDLEY APPLICATION FOR PLUMBING AND CLAS FITTING PEw4 1T RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE y� New Fixtures $ 5.00 Nq Future Fixtures $ 3.50 u Old Opening, New Fixture x w $ water A � a Blow Off Basin $ 5.00 -ci 4 � $ 41 p, 1% � Hydraulic Valve Heater M $ Sump or Receiving Tank $ 5.00 $ Mater Treating Appliance ��ec ' $ not Mater'Neater $ tyy $ Gas Range $ 10.00 'as 'lec $ O $ M . Yes ( ) No ( 4 M '.t y a w $-5.00 S N N M YI '� N N C u a is a li TOTAL u14i w u s 3 o let 2nd ]rd 4th (R) - Future Connection Opening Connected with Sewer V) - Now Fixture, Old Opening water RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures $ 5.00 $ Future Fixtures $ 3.50 $ Old Opening, New Fixture $ 1.50 $ Beer Dispenser $ 4.00 $ Blow Off Basin $ 5.00 $ Catch Basin $ 5.00 $ Rain Mater Leader $ 5.00 $ Hydraulic Valve $ S.00 $ Sump or Receiving Tank $ 5.00 $ Mater Treating Appliance $ 7.00 $ not Mater'Neater $ 5.00 $ Gas Range $ 10.00 $ Gas Dryer $ 10.00 $ Back Flow Preventar ftquared. . . Yes ( ) No ( ) Type $-5.00 $ ALL OTHERS AND/OR RL'PAIRS AND ALTERATIONS It of Value of FiltUre or Appliance $ Rertns(�action Fee S_ State Surcharge S .50 ($1:.u0► TOTAL FEE S �""SD Effective May 1, 1990 Job Address\ Department of Buildings City of Fridley Tel. 1571-1450 The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct Fridley, Mn.19(7 0 OWNER A.,_.._'-_.._1- KIND OF BUILDING ;:. s USED AS ._�-...: r +..... i ;'... - - . TO BE COMPLETED ABOUT ESTIMATED COST J/� OLD - NEW BUILDING PERMIT NO. PERMIT NO. ! (7 / company _ Signed By Tel. No. ROUGH INSP. %Date /Z —� Fe�;' FINAL INSP. ` Date APPROVAL FOR PERMIT !11NIf1U4 FEE FOR ANY PLUMBING PERMIT IS $15.00 PLUS THE $.50 STWE SURCHARGE SUBJECT P IT NO. City of Fridley 26278 AT THE TOP OF THE TWINS BUILDING PERMIT t ` RECEIPT NO. ______ COMMUNITY DEVELOPMENT DIV. r v PROTECTIVE INSPECTION SEC. 6('l NUMBER REV DATE PAGE OF APPROVED By i CITY HALL FRIDLEY 55432 612-571-3450 910-F15 6/18/98 JOB ADDRESS 7379 Memory Lane NE 1 LEGAL LOT NO, BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 7 4 Melody Manor 3rd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Arnelda Bryan 7379 Memory Lane NE 784-5748 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Midwest Siding & Roofing 18979 Gladstone Blvd, Maple Grove MN 55311 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 416-4804 20010277 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION] REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House & Garage (31 Sq) Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL. PLUMBING. HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 ISTALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $2,586 $1.29 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 LOCAL LAW REGULATING CON- $74.75 Fire SC $2.58 STJ1UC,T4ON OR THE PERFORMANCE OF CONSTRUCTION. V*_ PLAN CHECK FEE TOT L FEE -4f —6`/% Licensepi $5. Oy 83.62 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI OP VALID IS Y9FJR PERMIT 't1tL0CfINSP '- JTHIS BATE SIGNATURE OF OWNER OF OWNER BUILDER$ IDATEI NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY p ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 0 BUILDING PERMIT APPLICATION ConstructionAddress: 113 ?�; W44ne Y Z-� Legal Description: Owner Name & Address: e rw Tel. # % 61- 571T Contractor: ,Iniwwe-s � MN LICENSE # c;7 yo,'®,ol72 Address: 19y7 i C Odes -fol-- r 31Z Tel. # W6 ` Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: AS C J- ( 1�r'I $� r - If $.50/$1,000 Valuation SAC Charge Construction Type: j / 5 Ze-ar -a ktc Estimated Cost: $ $ $5.00 (State Licensed Residential Contractors) Driveway Escrow (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: 6 ^ /7 , `l,f APPLICANT: 4 AelC— Tel. # q l/° .6 6d STIPULATIONS: CITY USE ONLY Permit Fee $ �� S Fee Schedule on Reverse Side Fire Surcharge $ �° .001 of Permit Valuation (1/10th%) State Surcharge $ 9 $.50/$1,000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ ��• (v� STIPULATIONS: NEW dW,9- '11 LI,2 CITY OF FRIDLEY Effective 1/1/2003 ADDN [ j 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Ins ALTER [) SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571428 F BUILDING PERMIT APPLICATION " Construction Address: �%��(� C7r� Legal Description: Owner Name & Address: D `)' (br) Tel_ s-70 f7ho —0079 Contractor, liz✓ 1 �t--jlJ>,af1 c%vo MN LICENSE It 9.3/9 Address: 91;03,5 Hwri6b1 otf i{Lfp . Tel. # g52—,yAq- (j S)(1 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on ,t to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: L ng w h � . Ground Sq. Ft. OTHER: SSI D � / /-YP Jl AAII Construction Type: . C C C YP Si Gstimated C st:�� 7, YO _-_ 38 9 7, -ela Driveway Curb Cut Width Needed: 4R.Ft = Ft x $ = DATE:-4-4:��APPLICAAIT: Tel. # Cali (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-5714287 if using credit card and we will call you for card number. Permit Fee $,-z2S -7`Is- Fire Surcharge 13.90 $ State Surcharge $ (� , SAC Charge $ License Surcharge $ 1 00 Curb Cut Escrow $ Erosion Control $ Park Fee $ Sewer Main Charge II $ �1R1-u►�w�x —'cf, TOTAL $ l CITY USE ONLY - Fee Schedule on Reverse Side .001 of Permit Valuation (1110th%) $.50/$1,000 Valuation $1275 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. " X or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary ( ] , -�] r,.. J J Jf , THIS JOB COPY SHALL BE AVAILABLE ON THE JOB SITE FOR THE FRAMING AND FINAL INSPECTIONS y Lh 7� 3 - 7 rg cv ?y t Y `` ar. tsc� VF rim CotVk364, laN 2- 4 ti s6l� 9. a, it Goa cis 124osa P a K/o 1 - I I ol lqa- : I- [a,- 111-mme f mcl-111, -1 0 Im 001, & yl I � C-4-5 A e *4 $k ita.! �- 3 to