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PRE 2010 DOCSCity of Fridley, NUmm. MEWING PERMIT Date: Owner: Builder Address Address 1LOCATIO O a P !BUILDING No. 3 Street ��?`�-�'_°�•► P-rZ Part ept Lot _ Block ___ Addition or Sub -D ivisio9 . Corner Lot Inside Lot" _ Setbackt. _ __ Sideyard Sewer Elevation _ __ _ Foundation Elevation DESCRIPTION OF BUILDING T Used Front +""` Depth .ems T Height Sq. Ft. loci CU. Ft.o Fr on Depth ght, Sq. Ft. Cu. Ft. Type of _Construction Est. Cost , '_"� To be Completed 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 set forth and in compliance with all provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $_'., permit is hereby granted to to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and ppen said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota re$arding,_location, construction, alteration, maintenance and moving of buildings within the city limits and this permit may be revoked at any time upon viplatio of any of the provisions of said ordinances. ' Building Inspector NOTICE: This permit does not cover the construction, Installation for whine, plumbing, gas beating, sewer or water. Be sure to see the euOdIng [Wooer for separate peiMw for these items. 4 t APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY* MINNESOTA Owner ' s Nam® Builder 40, Address Address N� 6 ,� 77 LOCATION OF BUILDING No. 4aStreet Part of Lot Lot, ' Block Addition or or Subdivision_________ Corner Lot Inside Lot setback -Yard SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. DESCRIPTION OF BUILDING To be used as: Front Depth 1ZHeighOF t�� Sq. Ft. AQ ® ? Cu. Ft.2©� l Q Front ---Depth Height Sq. Ft. Cu. Ft.—� Od Type of ConstructionEstimated Cost 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 and ruling of the Department of Build- ings, and hereby declares that all the facts and representations stated in this application are true and correct. DATE SIGNATURE e Z—, IZ (Schedule of Fee Costa can be found on the Reverse Side. City of Fridley Application for Plumbing and Gs n Fitting Permit DepL of Bldgs. Phone SU 4.7470 DESCRIPTION OF WORK "7 Number, Kind and Location of Fixtures Location t �"' 3:O.. �� uz-i 3� c� 80 5 < (�9 •d �}a ZWATER �p F N HTR. GAS ELEC. Base 1st 1 2nd 3rd 4th • Future Connection Openings New Fixture, Old Openings Connected with Sewer E] Cesspool El PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ....... x $1.50 $ Future Fixture Opening ................ x 1.20 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin ...... ..................... x 3.25 $ Water Heater (Up to 200,000 BTU) ...... x 2.00 $ d New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code ` Description ................................................$ TOTAL FEE $��-� City of Fridley: r The undersigned hereby makes application for a permit for the work hereat 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 about Estimate , Ol New uilding Permit No Signe By Business Phone ROUGH�� FINAL d2 2M 1941 9 Application for Power Plants and Heating. Cooling, Ventilation. Refrigeration and Air Conditioning Systems and Devices �o PARTIAL RATE SCHEDULE Dept. of Bldgs. Phone SU 4-7470 1! 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 170,000 BTU ............ 8.00 $ 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 -f N 8.00 $ $" O O 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 $ -I- a 0 GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ...................... x $1.50 $ S Additional Fixtures ................ x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ AIR CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule VEAL- ING SYSTEM $ \iS & REPAIRS TOTAL FEE $ Z V. S-0 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 -�..�ae�� , 19 6 z Kind of Building Used as To be completed about Estimated Cost, $ Old uilding Permit No. /Permit No. ew. DESCRIPTION OF WORK HEATING or POWER PLANTS—Steam, Hot Water, Warm Air—No / Trade Name f2 2�e - O - a, Size No Capacity Sq. Ft. E.D.R t%B BTU H.P. Total Connected Load ro , ya % Kind of Fuel BURNER — Trade Names Size No Capacity Sq. Ft. E.D.R BTU H.P. 1 i� .��42 2M Business Phone No HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS MINNEAPOLIS. MINN. Weatherstrips A.S.H.V.E, Construction No. Insulation Guide Windows I D ors Reference Out. Wall JInt.WalI I Ceiling I Roof I Floor Kind How Applied es No a No 1 19— F1.1 ,Q _ .,..Yfoom I Lenath 4 Width 2 & Height 57 II Fl.l Room I Lensith Width Height Windows and Doors—Crackage and Area Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Width Height No. of Lineal ft. Area 140. of pane of pane llghts of crack sq. ft. o ®Z 3 Coef. Btu Infiltration Glass Btu Exp. wall L Bae Net exp. wall '20 /0 Z o o Int. wall /5- Ceiling /,5:2-0 Floor /Z1 Total Btu. d Required sq. ft. E.D.R. or sq. ins. W.A. Leader area 3' 46 FI.1 Room I Lenath // Width i Heiaht F Windows Q Doors—Crackage and Area Width HeightNo. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Width Height No. of Lineal ft. Area 140. of pane of pane llghts of crack sq. ft. o ®Z 3 Coef. Btu Infiltration Coef. Btu Infiltration L Bae 3 Y 7 7 Glass /5- � /,5:2-0 Exp. wall /Z1 Net exp. wall Inc. wall Z Ceiling Floor 1 77 /d o Total Btu. 3 y $ Required sq. ft. E.D.R. or sq. ins. W.A. Leader area ' Fl.1 Room I Length Width Height Windows and Doors—Crackage and Area Width HeightNo. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu Infiltration Glass d d t`a Elis. wall L Bae Net exp. wall Int. wall �Bddri Ceiling Floor Total Btu. Windows and Doors--Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu Infiltration Glass d d t`a Exp. wall L Bae Net exp. wall Int. wall/p®,,j B �Bddri Ceiling e Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.1 Room I Length Width Height Windows and Doors--Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu Infiltration Glass Exp. wall y1 L Bae Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. iris. W.A. Leader area F1.1 Room I Length Width Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. 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 — II Required sq. ft. E.D.R. or sq. ins. WA. Leader area A. Ddb r v®iBs� 1✓ c[C LL-'t��� ®� I:l�x HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS MINNEAPOLIS. MINN. Weatherstrips A.S.H.V.E. Construction No. Insulation Guide Windows I Doors Reference Out. Wall Int. Wall Ceiling Roof I Floor Kind How. Applied Yes—No Yes—No 19— R F1.1 ' . _ Room I Lenath / t? Width / / Heiaht II 9 F1.I q _ -,.-® Room I Length 7 Width -? Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of Dane of pane lights of crack sq. ft. Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. AfCoef. 149 {{2 iCoef.1 Btu Infiltration 23 118 Btu Coef. Btu Infiltration EW. wall /0 4 S Net exp. wall 2":V 7 0 Glass a7 7- O Exp. wall �"Q . �, 1Y ® 0 Exp. wall Net exp. wall /2.®1,6 y 6 34 as Net exp. wall Floor1 NO YO Int. wall Floor Ceiling !e. / Z o e. Floor 11FR r® /1?F0 Total Btu. 1117 20 Required sq. ft. E.D.R. or sq. ins. W.A. Leader area 1 /5- ,,', -:, _ Room I Length / 6 Width s Height JO Windows and Doors—Crackage and Area Doors—Ciackage and Area Width Height No. of Lineal ft. Area No. of Dane of pane lights of crack sq. ft. Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. �? A / 2S AfCoef. 1 ' ® 6� / iCoef.1 Btu Infiltration 23 118 Btu Infiltration /S z U EW. wall /0 Glass Net exp. wall 90 4S a7 7- O Exp. wall Net exp. wall /7f - /4% /730 Net exp. wall /2.®1,6 /Z / 6 34 as Int. wall Floor1 NO Ceiling /'410 6 Floor z® !e. / Z o e. Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area I a ,, Fl.l ,e R ,r " Room I Lenath / A Width '? Heiaht P Windows and Doors—Crackage and Area Doors—Ciackage and Area Width Height No. of Lineal ft. Area No. of Dane of pane lights of crack sq. ft. a � 41® Z 2-3 is �? A / 2S g 1 ' ® 6� / iCoef.1 Btu Infiltration 23 118 Infiltration Glass /S z U EW. wall /0 e. R Net exp. wall 3 �� Int. wall Net exp. wall Ceiling /4% /730 Floor /2.®1,6 /Z / Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Windows and Doors—Crackage and Area Doors—Ciackage and Area Width Height No. of Lineal ft. Area No. of pane of pane light. of crack sq. ft. �? A / 2S g 1 ' ® 6� / Coef. Btu Infiltration /P 3e 99 Glass 7 e. R 7 4 Exp. wall 5-4 Net exp. wall 41 q /4% /730 Int. wall 137-1 Ceiling Net exp. wall Floor1 NO /'ear 1 /'410 6 Total Btu. JZZ b 1'/ Required sq. ft. E.D.R. or sq. ins. W.A. Leader area P F1.1 1 . ' ' Room I Length ® 7 Width / 2- Height „f? Windows and Doors—Crackage and Area Doors—Ciackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. �? A / 2S g 1 ' ® 6� / Coef. Btu Infiltration Coef. 3 9 q -S -d Glass 19 e. R 1.2-72- 2. 2 - Exp. wall Exp. ® L Net exp. wall ®7 3 1 /O /730 Int. wall 137-1 Ceiling Net exp. wall Floor NO /'ear 1 /'410 6 Total Btu. IS '2, Required sq. ft. E.D.R. or sq. iris. W.A. Leader area 9 AA FI -I /_, . _ 'a Rnnm I Length /S Width // Heiseht Windows an Doors—Ciackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. g 1 ' ® 6� / Coef. Btu Infiltration '9'2- 1,3P Sq 1. Glass 3 Z Exp. wall 137-1 Net exp. wall 7 1 A> f 7, Int. wall Ceiling Floor /S -O / / 5� p Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area A® D-ts HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS Weatherstrips A.S.H. ide a Construction No. Gu Windows Ds Reference Out. Wall Int. Wall Ceiling Roof Floor Yes No I Ye Doors 19____ / Fl.l . e _ _ Room I Lenath 9 s. � Width Heiaht ee II Fl 0 Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights off crack sq. ft. Width Height No. of Lineal ft. Area No. of pane of pane lights of crack eq. ft. Q2 -f 4,l Coef. Btu Coef. Btu Infiltration 7,5-3S- Infiltration w_ r-5- 0 Glass / M 8 3 S70 8 Exp. wall ,S< Int. wall r 7 Net exp. wallJJ-3/2- r /® 232-6 Int. wall 0.7- f 20740 Ceiling 00 312-a Floor Ceiling Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area 0� ' FLU', .t Room I Lenath .2-3J, Width 91-r- Height P Windows and Doors--Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights off crack sq. ft. Width Height No. ofrLine�al Area No. ofpane ofpane lights sq. ft. Q2 -f 4,l Coef. Btu Coef. Btu Coef.1 Btu Infiltration Glass / M 31 Glass Exp. wall ,S< Int. wall r 7 9 r Net exp. wall /7 11 F 0 Int. wall 0.7- f 20740 Int. wall 4 4 C, Floor Ceiling 2-- y 6 Floor Required sq. ft. E.D.R. or sq. ins. W.A. Leader area 1 JZ/ . M 11 D D — (1 __..L --v <Q/]1.L � A L.r_7_L. Sl' Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights off crack sq. ft. Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. 7 Coef. Btu Coef. Btu Infiltration Btu Infiltration Glass / M Net exp. wall Fxp. wall ,S< Int. wall Net exp. wall Ceiling Exp: wall /7 11 F 0 Int. wall /7 Ceiling 4 4 C, Floor Int. wall Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area 14 9 MIINNEAPOLIS, MINN. Insulation Kind How. Applied d VU.'A.L S LIe;e6t Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights off crack sq. ft. Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. <q 4Z Z o / -?- Coef. Btu Infiltration 37 Coef. Btu Infiltration Exp. wall / M Net exp. wall Glass / a /776 Int. wall Net exp. wall Ceiling Exp: wall ,,57� 2 - Floor /7 Net exp. wall Floor Int. wall Ceiling Floor Total Btu. 1.5-151 7 Required sq. ft. E.D.R. or sq. ins. W.A. Leader area I Er- / FLI w"7 ja_ J Room I Lenath Y,,,) $ Width,' -�r Height 2 Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights off crack sq. ft. Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. <q 4Z Z o / -?- Coef. Btu Infiltration 37 3 e' Z - Glass 3r Exp. wall / M Net exp. wall /77 / a /776 Int. wall Net exp. wall Ceiling 1_45- ,,57� 2 - Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area R.1 7, R _ 0 Room I Lenath ®^ -� Width /o 5 Height A Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. <q 4Z Z o / -?- Coef. Btu Infiltration 2 0 3r Glass / M Exp. wall 9--5- Net exp. wall / 73,9 Int. wall Ceiling Floor Total Btu.. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area - 9 -? J:;�a City of Fridley, Minn_ ZIT° 9462 BUILDING PERMIT Date: Sept. 20, 1967 Owner: Gary E. Brossard Builder Same Address 6373 Pier,ge St. N, E. Address Sapne No. 6373 Street Lot _3 _ Block Corner Lot _ Inside Lot Sewer Elevation LOCATION OF BUILDING Pierce St. N. E. ____ Part of Lot 1 — Addition or Sub -Division .__ Don r s Adda. Setback Sideyard Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Garage Front 24' Depth 24' Height 101 Sq. Ft. 576 Cu. Ft. 5760 Front Depth Height Sq. Ft. Cu. Ft. Type of Construction game Est. cost $ 1.800, 00 To be Completed In consideration of the issuance to me of a permit to construct uilding described above I agree to do the proposed work in accordance with the description above set fo p#i�nck with �a'll ovi�ons of ordinances of the city of Fridley. %?m i In consideration of the payment of a fee of $ 9.00 , permit is hereby granted to -Gary E. Brossard 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 oP Fridley, Minnesota reg d� location, construction, alteration, maintenance, repair and moving of buildings wI thin the city limits anad tide permit may be revoked at any time upon violation of nay of the provisions of Bald ordinances. CLARENCE BELISLE NOTICE: This permit does not cover the construction, installation for whing, plumbing, gas heating, ower or water. Be an to see the Building Inspector for separate permits for thea Items. FOR BIPILD "NIG n -1:MIT CiTy OF MINNESOTA OWNER'S NAME ����,� �iL.ir:"t•DER ADDRESS ADDRESS LOCATION OF BUILDING NO. S- WW STREET � FART OF LOT LOT BLOCK ADDITION OR SUBDIVISION Z)ew� � CORNER LOT INSIDE LOT It SETBACKZSIDE-YARD SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Two Certificates of Survey of Lot and proposed building location dram on these Certificates. DESCRIPTION OF BUILDING To Be Used Ad: Front�DepthHeight Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Estimated C f`'',��� 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 and rulings of the Department of Buildings, and here clares that all the facts and representations stated in this application ar tr and co rect . DATE 02 el/co Z SIGITATU (Schedul of Fee Costs can be found on the R- rse Side). 53-84-S-915.51 4V MNEGASCO aril- j°/ of Fridley Applicralan fQ7 PIaMbtr,S CC - d Gas P—Cra i? Dqn. of Bldga. Phone M-3450 DESCRIPTIOIr O: V1011r, 6373 N. E. Pierce. Street Nuinbor, Kind end Locr len of Fixtures Location - -�° �'► �. i� � � ii r y Z i S��-t: _ .n �!3 ► G r 8`IU � ��. C iV OI ' r YI p� 2 e O WAT(4 "TR. GAS ttEC. Barr S Eleetr'x Water Heater.....:........ x $2.00 $ 3AS FITTING FEES: i Ist3Fixtures ......•••• x$2.00 $ , Additional Fixtures .. .......... x $ .75 $ Gas Range to 159.000 B a U ......... 4. 1 ' x $5.o0 s 5-00 In s 11 Rai ge 3:d � w4 • Futuro Con :o:x'.ra Oponin,s e X&w F:cturv, Old Openings PARTIAL RATE SCHEDULE Sarr�r Cc=pool 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 S3.00 $ New Ground Run Old Bldg....:..:. x $3.25 S Eleetr'x Water Heater.....:........ x $2.00 $ 3AS FITTING FEES: NO. RATE TOTAL Ist3Fixtures ......•••• x$2.00 $ , Additional Fixtures .. .......... x $ .75 $ Gas Range to 159.000 B a U ......... 4. 1 ' x $5.o0 s 5-00 City of Fridley: f The undersigned hereby maces application for a permit for the work herei specified, a,^,recing to.do all work in strict accordance with the Cit7 Chdirance and ruling of the Department of Buildings, and hereby declares that all the fad and representations stated in this app' catAon are true and correct Fridley, YJan 8-4-75 Owner James Kviecien _— Kind of Building Frame Used as Res. To be completed about 8-11-75 Estimated Cast, $ 10.E r Old--DQMucBuilding Permit No. Permit N • Signed MINNEGASGO By Business Phune No ROUGH P.EPAMS & ALTERATIONS—Refer fo Code .50 State Surcharge Description.........................................5 TOTAL FEE y 5.50 ° Ciass'7Y Surcharge .500.' . SUBJECT P City of Fridley 29237 AT THE TOP OF THE TWINS BUILDING PERMIT _ COMMUNITY DEVELOPMENT DIV. � PROTECTIVE INSPECTION SEC. r � NUMBER REv DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910415 4/16/99 JOB ADDRESS 6373 Pierce Street NE I LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED oEscR. 3 1 1 Don's Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO United Construction Inc 1500 McAndrews Rd W STE 115, Burnsville, MN 55337 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 892-8415 20160711 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential Duplex 7 CLASS OF WORK ❑ NEW O ADDITION ❑ ALTERATION X7 REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof Duplex (29 Sq) Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. CONSTRUCTION WORK HOURS: 7:00 am to 9:00 pm, Monday thru Friday; 9:00 am to 9:00 pm on Saturday; No work on Sunday. Permit Inspection Cards Will Be Malled , TO Homeowner To Post SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CON T. OCCUPANCY GROUP OCCUPANCYLOAD VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 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 T 2 STALLS 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 @ $1.24 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2,485 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE CHAR/ SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $74.75 Fire $2.48 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEETOTAL F Licen e $5 $8 .47 SIGN A TURF OF CON TRACTOR OR AUTHORIZED AGENT IDATEI EN O LDATE Is YOU PER 0r BLD -NSF' qA F S-GNATURE OF OWNERJF OWNER BUILDER, IDATEI MAR -09-1999 15:44 FROM CITY OF FRIDLEY TO 8928474 P.04i07 VV 1.1' Effective 111199 ADIYN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 � �7 e1 BUILDING PERMIT APPLICATION ConstructionAddress: ,k5 7.3 �i�` �Li�` `5r' , Legal Description: �lad,� ,�/�� ��-/s��� /�og Owner Name & Address: �Ia 3 23 /2,&We t J2' I,c Te1. k;0 1'�3 -IV16 Contractor:�/1Jr T,D �QrS�y� T�rJl�j� MN LICENSE # ,9D/ /l0 Address:/&07,9 ��,�,,P�/,.�s �o�Lc/��<�//.3",,(��/��i%��1�/,� Tel.l�/2%®-1��/.s Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IlOPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Construction Type: --g- '�?DU"p �9s ' ® Estimated Cost: $ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: ��% APPLICANT: Tel. # gy� Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.501$1,000 Valuation 1.19' $1050 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $ $450.00 Conservation Plan Review $ Fee Determined by Engineering Sewer Main Charge $ TOTAL Agreement Necessary [ ] Not Necessary [ ] STIPULATIONS: r