Loading...
PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT N® 3720 o �9 Date: ........ �.... ........ ...... Builder .. .... Owner ................................ ............................ Address ..................... ................. Address .......... ................................. LOCATION OF BUILDING No. �./ ... Street Part ofLot ................................. Lot ... of Block ...... .. P? ..... Addition or Sub -Division ......... . ✓�..... . ... Corner Lot ............ Inside Lot ..,�....... Setback . a �.. Sideyard �C? ;. o.�............ DESCRIPTION OF BUILDING To be Used as: f�% / �/ A ... Front .:l. o Depth 7::. � `height / .: ®: ' Sq. Ft. ?6.� . Cu. Ft/." 7 ® 7a ... Front Depth F. � Height Sq. Ft.:rr[.Q. . Cm Ft. Type of Cons ction ................... That Cost. 1lAOr .. ..... To be Completed ..............:.... In consideration of the issuance to me of a permit to construct the building Ire bov I agree to do the proposed work in accordance with the description above se and in com ante all provisions of ordinances of the city of Fridley. ...... —0.. ,..�.. ........: T . P.- ............ . In consideration of the payment of a fee of $.IV. ....., permit is hifceby 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 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 with- in the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. JA ® O NOTICE: This permit does not cover the construction, Installation or alteration for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these Items. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA Owners Name Builder r1.1 am 0'h mon & Son Address Address 2500 22nd. Ave. LOCATION OF BUILDING No. Street S lvan Lane Part of: Lot Lot 11 Block . Addition or Sub. Div. Sylvan Hi -I 7 a_ Corner Lot Inside Lot $ Set Back 3,5 Applicant attach to this form Certificate of,Survey of Lot.and proposed building location. DESCRIPTION OF'BUILDING To be used as Single Dwelling Front—'401 Depth 24 l height J51� Sq. Ft. 9 60 1 Cu. Ft. At t . as r 3 age Front .._gip.. Depth 1' ....--Height , g Sq. Ft. 2621 Cu. Ft. Type of Construction Frame Estimated Cost To be completed y=,n� onths 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 alb the.facts and representations stated in this application CLEM JOHN60M 6 ION are true and correct. fr Date rch 5, 19F� ,__r__,____ Signatur (A Schedule of Fee Costs can be found on the Reverse Jide) t BUILDING PERMIT.FEE SCHEDULE Section 2. The Inspector'of Buildings shall, before issuing any permit for the erection of any building or structure, or for any a.ddition.,to any existing building or structure,"or for any alterations or repairs, to any existing building Qr structure, upon application therefor, require the payment by the applicant for such'permit of fees to the amount herein below set;fdrth and in the manner herein provided to -wit: 2.1 For any such permit for the erection of any fireproof building, other than a garage, warehouse, factory or grain elevator,'.or for the erection of any fireproof addition, for similar occupancy,, to any existing building shall be at•the rate of $1.40 for eadh one. thousand cubic feet, or ,fra ction thereof, in such cubical contents. 2.2 For .any such permit for the erection of any fireproof garage#,.w4,re- house, factory'or grain elevator, or for the erection of any fireproof addition for similar occupancy,"to any existing building shall be at the rate of 1.25 for each one thousand cubic feet, classified as "fireproof" by Section 502 of the Minneapolis,_BuLlding Code. HOUSES 2.3 For any such permit for �he erection of any non -fireproof building other than a garage, warehouse, factory or.--grain.elevator, or any non -fireproof addition, for similar occupancy, to any existing building. Permit $1.00 for each one thousand cubic feet. GARAGES 2.4 For any such permit for the erection. of any non -fireproof garcge=. warehouse, factory or grain elevator, -or for -the erection of -any fion- fireproof addition, for.similar occupah6yi-io any existing building or. for each such 'buildirig or addition:. Ninety Cents for each one thousand cubic.feet or fraction -thereof, in the cubical contents thereof. with a minimum of $1+.00. For the purpose of computing Fees for,,building permits the -cubical contents of any. building or addition to a'uniform height throughout by multiplying•the ground area covered from -a point six 6) inEhes•below the floor line.of the basenent or cellar to the average height of the upper surface or to' the average height of :•the .roof surface of thy.-: main gable of a pitched roof,. 2.5 For repairs or alterations to an existing structure, the fee- shall be,•at"the rate of $3.00 for each Five Hundred Dollars.($500.00)' or fraction.thereof in.the cost of all proposed work. 2.6 In no case shall the fee -charged for any permit as set forth in Section 2 be less than $1+.00, Application for Power Plants and Heating, Cooling, Ventilation, Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE Dept. of Bldgs.. Phone SII 4-7470 GRAVITY WARM AIR: RATE TOTAL Lowflon z �� A 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 ............ 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 ... 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 BTI) ....................... 5.00 $ ✓ GAS PIPING (Up to 3 Fixtures) .......................... 1.50 $ L� (Add 50c each over 3) AIR CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM ALTERATIONS & REPAIRS TOTAL FEE $-1� REMARKS: 7 7 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. epridley, 1Viinn ✓� 1954 Owner (�I °195— Kind of Building J 195— Used as To be co Estimate Old New Building Permit No' DESCRIPTION OF WORK BEATING or POWER PLANTS—;OM&e7:e- Hot Water, ar No r i Trade Nam h�� — � Size No -4/ G 7� Capacity Sq. Ft. E.D.R e, � BTU H.P. Total Connected Load �' ` Kind of Ft BURNER — Trade Name Size No Capacity Sq. Ft. E.D.R. BTU H.P. RAY N. WELTER. H EATI N G G®. Signea $ a t e r. A lg Q AVE By MINNEAPOLIS 7. MIN N ESOTA I l POST IM -8-58 Business Phone NoZ City of Fridley Application for Plumbing and Comas Fitting Permit Dept. of Bldgs. Phone 5611)-& DESCRIPTION OF WORK Number, Kind and Location of Fixtures yyqU' NO. RATE T TAI. Number Fixtures .......— x $1.50 $ r U0 Future Fixture Opening ................ x 1.20 Z• New Fixture Old Opening .............. • WATER HTR. $ Catch Basin.... ....................... x 3.25 $ Water Heater (Up to 200,000 BTU) ...:.. x 2.00 $ New Ground Run Old Bldg. ............ x 3.25 $ GAS FITTING FEES: �z �a (90 F N GAS ELEG Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ Base 1st 2nd 3rd 4th _ Future Connection Openings Connected with I sewer p e New Fixture, Old Openings Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE T TAI. Number Fixtures .......— x $1.50 $ r U0 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 $ 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: The undersigned hereby makes application for a permit for the work herei 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 facl and representations stated in this application are true and correct, Fridley Minn / 1� 196? Owner Kind of Building Used as To be completed about e r Estimated Cost, $ ,� .Old New. Building Permit No �� Permit No. 14�4 Al Signe By_� Business Phone No'mr� ` 4pOC ROUGH FINAL 1 52-84-x915.51 City of Fridley Application for Plumbing and Cars FitfiinQ Permit Dept. of Bldgs. Phone SU 4-7470 DESCRIPTION OF WORK 211 Sylvan Lane Number, Kind and Location of Fixtures Location ya Q OQ Y y8Z Z W a 5 a 3(�j y q W K p f R • N WATER HTR. GAS ELEC. O t� Base listall list Ga6 &i1nerato 1st 2nd 3rd 4th • Future Connection Openings Connected with Sewer � New Fixture, Old Openings Cesspool 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 $ New Ground Run Old Bldg . ............ x 3.25 $ City 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 City Ordinance and ruling of the Department of Buildings, and hereby declares that all the facl and representations stated in this application are true and correct. Fridley, Minn 9-28-66 P 19_ Owner Darlene Sammarco Kind of Building frame Used as res To be completed about 102--3-66 Estimated Cost, $ 10000 Old—New. Building Permit No Pe t No. ' v � By Business Phone No ROUGH FINAL CCAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 $ Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ Gas Incinerator 1 2.00 REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ TOTAL FEE $ 2 --nn az 53-84-879.01 war" on. city of Fridley: I o a c�as edcc The undersigned hereby makes application for a permit for the work herei< speeified, agreeing to dna an work in strict accordance with the Qty Ordinance Base and naing of the Department of Buildings. and hereby declares that all the fact and representations stated in this application are true and correct 1st 1 2nd Fridley, Mna 2-9-7 , I9 D Samara 3rd Omer 4th Kind of Building Pram • � � ❑ ren a . ®l� er 13 Used To be completed about 2-14-72 10.00 PARTIAL RATE SCHEDULE Estimated Cost, $ Old—New. Building Permit No. Permit No. PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtuges ................ x 62.60 -. Future Fixture Opening .... m ...... x $1.50 t 0106� x New Fixture Olaf Opening ® ......... x 61.50 t Business PJAKWI a SM Catch Basin . . . . . .. . . . . . . a . . . ... x $3.26 Water Heater 'Up to 99,000 B= .... x 33.00 8 ROUGH ee.�sl.�fsrq®tp�e�'9d RQ&ffi ®Id Bldg. o a m . 0 0 0 • ey5 x $.$° .�cys �y $ , �Nt Elate �ietap . • • • . . . . . 0 0 o e o s $2.00 $ FDiAJ_ j v� GAS FITTING TEEM NO. RATE TOTAL i ai�eW 1st 3 Fixtures ... a ......... • • , • • x x200 Additbonal matum... m ............ x $ .76 3 Gan Rame to 1N.000 BTU............ x 65.00 s- 3.50 State Surcharge $ .50 VMPAnW & AL TIO for to 31.50 ow SUBJECT PER IT NO. . City of Fridley : 12 5 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. .:------� COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. r--- 1 � � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY �••" ,`J 612-560-3450 910-F15 9/23/74 JOB ADDRESS 211 Sylvan Lane N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 11 2 Sylvan Hills Plat 4 SHEET 2 PROPERTYOWNER MAIL ADDRESS ZIP PHONE Darlene Sanmarco 211 Sylvan Lane N.E. 3 CONTRACTOR Risk ConstrucaMilADDRESS 750 Ione Avenue, Spring Mke Par?.HONE LICENSE NO. �f`k(/y f ?0-//fAw ,4h ;i)qw/y AM9LAA44WA4W 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 . CLASS OF WORK �I NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK 14, Construct a /I" x 22' Garage 9 CHANGEOFUSEFROM TO STIPULATIONS Provide a hard surface driveway. Agreement for no objection signed by 201 Sylvan Lane for having no survey. SEPERATE PERMITS REQUIRED FOR WIRING, HEATING, PLUMBING AND SIGNS. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. Wood Frame 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 R-1 ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION ] STALLS GARAGES VALUATION SURTAX AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED. WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1,644 /w .89 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- STRU TION OR THE PERFORMANC F CONSTRUCTION. $6.00 PLAN CHECK FEE TOTALFEE $6.89 SIG �TURE CONT. ORDRAUTHORIZE T - (DATE)ZL MIT HEN PROVRL V AT THIS IS YW�D 3 q IN SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE)DG APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME: V PA L r//�i L - i7A J\,f c e-6BUILDER : ���� - � J -2 ,4,X/ _r 7 - ADDRESS: -.2 ADDRESS: -.2 �,�C �4 L,a x, ADDRESS : r a, NO :. ,2 f I STREET: ' �y �'f �/ L 14 -xl l= LOT: BLOCK: ADDITION: CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD: Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. To Be Used As: DESCRIPTION OF BUILDING 6- 6-- Iq / If Front: P-3- Depth: Height: Square Feet: Cubic Feet: Front: Depth • Height Square Feet; Cubic Feet: Type of Construction: I?e,6%0 I- C- Estimated Cost: 0 To Be Completed: / 0 I -r- - 7 y The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in sttict 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: / `i SIGNATURE: 'e*rrl-�z (See Reverse Side For Additional Information.) �7 � n a - BUILDING PERMIT FEE SCHEDULE SECTION 2. The Inspector of Buildings 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 repairs to any existing 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: UNIFORM BUILDING CODE: Type 1, 2 & 4 - $2.15 for each one thousand cubic feet, or fraction thereof, in such cubical contents. Type 3 & 5 - $1.85 for each one thousand cubic feet. ADDITIONAL INFORMATION For the purpose of computing fees for building permits, the cubical contents of any building or addition, is determined by multiplying the ground area covered from a point six (6) inches below the floor line of the basement or the cellar to the average heights of the upper surface or to the average height of the roof surface of the main gable of a pitched roof. For repairs or alterations to an existing structure, the fee shall be at the rate of $3.00 per each five hundred dollars ($500...00) or fraction thereof in the cost of all proposed work,. In no case shall the fee charged for any permit as set forth in Section 2 be less than $5.00. VERIFICATION OF FOUNDATION NOTE: Permits for construction will be issued a minimum of 24 hours from the time of applications, to allow for proper review of the proposed structure and of the construction site. A Certified Survey of the lot, showing the location of the foundation, once it has been constructed,•will be required before proceeding with the framing. CERTIFICATE OF OCCUPANCY Application for a Certificate of Occupancy shall be made ten (10) days prior to the use or occupancy of any structure for which a building permit has been issued; and said structure shall not be used or occupied until a Certificate of Occupancy has been issued. Is , owner of the property located at d cam., have no objection to the City allowing the construction of a Ln A J1 1C� to be located at li fl ILS L I'1 rJ without the required certificate of survey that the City ordinarily requires for all new construction. 4. Signe Address tn s Date . • e SUBJECT City of Fridley f 17813 AT THE TOP OF THE TWINS BUILDING PERMIT r �T N r.y _ COMMUNITY DEVELOPMENT DIV. SEC. %��� r PROTECTIVE INSPECTION L CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY ---.�/"',•j L 612-571-3450 9107F15 11/20/84 JOB ADDRESS 211 Sylvan Lane N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 11 2 Sylvan Frills Plat 4 SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE Richard Ricksham 211 Sylvan Lane N.E. 5715820 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Bob Carlson &.Sons. CContractor Not Licensed in Fridley) 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 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, reside dwelling, repair garage roofp replace windows 9 CHANGE OF USE FROM TO STIPULATIONS New rood can be 2nd layer but not 3.rd. 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 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 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 $10,000 $5 Q 00. 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- $8.0.50. STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE .$85..50 S N UREOFCONTRAC R UTHORIZED GENT IDATE I a WHEN PROPERLY V DATED THIS IS YOUR PERMIT BLDG INSP MYTE —SiG ATURE OF OWNER OF OWNER BUILDER) IDATEI NEW L ] City of Fridley Effective 4/1/84 ADDN. [ ] �R-1 AND R-2 ALTER. r4 Building Permit Application Construction Address: Z�bl Legal Description: L�'� ( L K �- '1,41 (U4^ I Owner Name & Address: 1\ 1 ' `1 Tel. # Contractor: � Tel. # Address: 1® % (D01 � yj € 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 ,n H/g^t/Ground Sq. Ft. . OTHER: Corner Lot [ ] Inside Lot [ ] Ft. Yd. Setback Side Yard Setback Type of Construction: F Estimated Cost: $ Approx. Completion Date: 3)0 C)O-,f :7j Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: See Back Page for Explanation DATE: fl-Ro-z-1 APPLICANT . Tel. Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge TOTAL STIPULATIONS• $ $ (30 CITY USE ONLY Fee Schedule on Reverse Side 25% of Building Permit Fee $.50/$1,000 Valuation $425 per SAC Unit Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] BUILDING 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 existing 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 Valuation Fees $1.00 to $500.00 $10.00 (Minimum Fee is $15.00) $501.00 to $2,000.00 $10.00 for the first $500 plus $1.50 for each additional $100 or fraction thereof, to and including $2,000. $2,001.00 to $25,000.00 $32.50 for the first $2,000 plus $6.00 for each additional $1,000 or fraction thereof, to and including $25,000. $25,001.00 to $50,000.00 $170.50 for the first $25,000 plus $4.50 for each additional $1,000 or fraction thereof, to and including $50,000. $50,001.00 to $100,000.00 $283.00 for the first $50,000 plus $3.00 for each additional $1,000 or fraction thereof, to and including $100,000. $100,001.00 and up $433.00 for the first $100,000 plus $2.50 for each additional $1,000 or fraction thereof. DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50 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 $15.75 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 been constructed will be required before proceeding with the framing. MOOG Z- `3a. -5-o W 3,C/ ,a0 City of Fridley SUBJECT PE 20255 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 1 = i CITY HALL FRIDLEY 55432 j NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 4/6/90 JOB ADDRESS 211 Sylvan Lane N, E , 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 11 2 Sylvan Hills Plat 4 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE David Wold- zahner 211 Sylvan Lane. N, E, 572--3972 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW XI ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct an upper and lower level deck -with. 332 square feet 9 CHANGE OF USE FROM TO STIPULATIONS See notations. on plan Before digging call for all utility locations 454-0002 REQUIRED BY IAV SEPARATE PERMITS REQUIRED FOR WIRING, HEATING, PLUMBING AND SIGNS. SEPARATE PERMITS ARE REQUIRED 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 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 $2,300 $1.15WITH 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- $54.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOT,A MI!1.5 SIGNATU EOFCONiRACTO`VvvOR`THORIZEDAG NT IDA %V.HENP A ATED THIS IS YOUR PERMIT 10 BLDG INSP - DATE SIGNATURE OF OWNER (IF OWNER BUILD RI iDATEI NEW [ ] Effective 1/1/90 ADEN [ ] R-1 AND R-2 ALTER [ ] ++ Building Permit Application Construction Address: 1 Y (_VA� A��- Legal Description: (� ®T 1 2>L0 Com- -Z `' L 4i A,'J M / LLS/�- Owner Name & Address: � � �� A `�,�0�-D - 7 �<��� C ��� Tel. # C�1? Contractor: w t'A Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed Construction drawn on it to scale. LIVIM AREA: length Width Height Sq. Ft. GRRAGE AREA: length Width Height Sq. Ft. DECK AREA: Length Width Hgt/ '1g . Ft. 5'CO 07HM: O2' 7-7-t17 C,� 2 ��� t 'x�' —it l o`-( Corner Lot [ ] Inside Lot F.. Yd Setback Side Yard Setbacks Type of Construction ti1(T Estimated Cost: $ Approx. Completion Date: 5 -3i_ -q0 33'jc �?, iz'7 ^ Rq 13.E Proposed Driveway Width If New Opening Is Desired: Ft. $ $ Width 6' See Back Page DATE: Permit Fee State Surcharge SAC Charge Driveway Escrow Park Fee $ sr 14•(Y) $ . 1 `1J Sewer Main Charge $ 100 STIPULATIONS: CITY USE ONLY Fee Schedule on Reverse Side $.50/$1,000 Valuation $600 per SAC Unit Alt. "A" or Alt. "B" Above Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] 23do 5�, 0o 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 existing 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: $1 to $500 $15 (Minimum Fee is $15 plus surcharge) $501 to $2,000 $15 for first $500 plus $2 for each additional $100 or fraction thereof, to and including $2,000 $2,001 to $25,000 $45 for first $2,000 plus $9 for each additional $1,000 or fraction thereof, to and including $25,000 $25,001 to $50,000 $252 for first $25,000 plus $6.50 for each additional $1,000 or fraction thereof, to and including $50,000 $50,001 to $100,000 $414.50 for first $50,000 plus $4.50 for each additional $1,000 or fraction thereof, to and including $100,000 $100,001 to $500,000 $639.50 for first $100,000 plus $3.50 for each additional $1,000 or fraction thereof, to and including $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 DEPRESSION ESCROW (Concrete Curb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50. 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 $15.75. OF FDUIMMON Permits for construction will be issued a minimum of 24 hours fruit 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. of HARVEY A. CARTWRIGHT ANOKA COUNTY SURVEYS HENNEPIN COUNTY SURVEYS MINNEAPOLIS SURVEYS 8410 PALM STREET N.W. SUNSET 4.7655 OWNER INDUSTRIAL — JUDICIAL BUSINESS — TOPOGRAPHICAL CITY LOTS — PLATTING Carlson -Lavine, Inc. LAN® SURVEYORS ORS REGISTERED UNDER LAWS OF STATE OF MINNESOTA LICENSEO BY ORDINANCE OF CITY OF MINNEAPOLIS 326 PLYMOUTH BUILDING FEDERAL 6-6721 HENNEPIN AT SIXTH • MINNEAPOLIS 3. MINNESOTA 6ttrbrpor'o Certifiratt COMBINING THE RECORDS OF J. E. HILL, CIVIL ENGINEER ESTABLISHED 1890 C. F. SANDHOFF CIVIL ENGINEER ESTABLISHED 1908 JAMES NELSON SURVEYOR ESTABLISHED 1922 METROPOLITAN LAND SURVEYORS. EsTA0l,18Hm Iasi j 13 !� 2 G �o I hereby certify that this is a true and correct representation of a survey of the boundaries -oft Lot 11, dock 2, Sylvan Hills Plat 4. and of the location of all buildings, if any, thereon., and all visible encroach- ments, if any, from or on said land. As surveyed by me during the year 1957, A.D. Poo< 01 SUBJECT City ®f Fridley 5 9 9 4 AT THE TOP OF THE TWINS BUILDING PERMIT P 1 , o I _ COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. cw CITY HALL FRIDLEY 55432 1 J` NUMBER REV DATE 4/27/98 PAGE OF APPROVED BY 612-571-3450 910-F15 JOB ADDRESS 211 Sylvan Lane NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 11 2 Sylvan Hills Plat 4 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE David Wold-Zahner 211 Sylvan Lane NE 572-3972 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. 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 ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct an 18' x 8' Deck 9 CHANGE OF USE FROM TO STIPULATION S See plans for stipulations. 'WARNMG MPAM'M ' or wait uti ty locations PERMITS REQUIRED FOR WIRING, HEATING, PLUMBING AND SIGNS. 454.0002 REQUIRED BY LAW 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 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 1 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 $.63 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1,800 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- $43.00 Fire SC $1.26 STRUCTION OR THE P RFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $44.89 SIGNATURE OF CONTRACTOR0 AUT IZEDAGEN 10AT I WHEN PROPER VALIDATED THIS IS YOUR PERMIT 9 d BL G INSP w BATE SIGNATURE OF OWNER OF OWNER BUILDERI IDATEI 01 NEW [ ] ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: - e Legal Description: 2. �1 Owner Name & Address: Contractor: Address: LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Effective 1/1/98 a4 0F MN LICENSE # Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width Hgt/Ground 101 Sq. Ft. Construction Type:V\oT Estimated Cost: $ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: APPLICANT: CITY USE ONLY Tel. # $ . 6f3 Fee Schedule on Reverse Side $ ., .001 of Permit Valuation (1/10th%) $ m 63 $.50/$1,000 Valuation $ $1000 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 [ ] X t'w ^-Lm1JJ` BUILDING 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 existing 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 FEES $1 to $500 $21 (Minimum Fee is $21 plus surcharge) $501 to $2,000 $21 for first $500 plus $2.75 for each additional $100 or fraction thereof, to and including $2,000 $2,001 to $25,000 $62.25 for first $2,000 plus $12.50 for each additional $1,000 or fraction thereof, to and including $25,000 $25,001 to $50,000 $349.75 for first $25,000 plus $9.00 for each additional $1,000 or fraction thereof, to and including $50,000 $50,001 to $100,000 $574.75 for first $50,000 plus $6.25 for each additional $1,000 or fraction thereof, to and including $100,000 $100,001 to $500,000 $887.25 for first $100,000 plus $5.00 for each additional $1,000 or fraction thereof, to and including $500,000 $500,001 to $1,000,000 $2887.25 for the first $500,000 plus $4.25 for each additional $1,000 or fraction thereof, to and including $1,000,000 $1,000,001 and up $5012.25 for the first $1,000,000 plus $2.75 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50. 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 $15.75. 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. HARVEY A. CARTWRIGHT C=2'W=G1ffT & OLSON ANOKA COUNTY SURVEYS HENNIFPIN COUNTY SURVEYS LAND SURVEYORS MINNEAPOLIS SURVEYS �` 8410.PALM"STREET N. W. REGISTERED UNDER ;LAWS OF STATE OF MINNESOTA SVNBET 4.7655 LICENSED BY ORDINANCE OF CITY OF MINNEAPOLIS OWNER '326 PLYMOUTH BUILDING FEDERAL 8-8721 INDUSTRIAL - JUDICIAL, HEN NEPIN AT SIXTH • MINNEAPOLIS 3. MINNESOTA BUSINESS- ,-' TOPOGRAPHICAL �i�Ir�jetlOr'Sf �erti�tcatc CITY LOTS -,PLATTING Carlson--LSVine, Mae. � 1 - 1 O "_.-7 �i COMBINING THE RECORDS OF J. E. HILL, CIVIL ENGINEER :.ESTABLISHED ISYS " C. F. SAN DHOFF CIVIL ENGINEER ESTABLISHED 19" JAMES NELSON SURVEYOR ESTABLISHED 1922 METROPOLITAN LAND SURVEYORS. ESTABLISHED 1991 �Z 6 I hem -11:7 cte Wy tilt this is a true and correct representation of >� taurvlery Of the boundaries of: . Lot 3.1„ Block 2s sylvan Hills Plat 4. ani of the locator of all buildlxW,# if awl►, themonjoand all vieZla 10rarcach- mentn, if awr frcu or on said laW. As su meyed by me during the rar 1957, A.D. 01 SUBJE& PE City of Fridley 2 9165 AT THE TOP OF THE TWINS BUILDING PERMIT r RtO. N TY DEVELOPMENT DIV. 04I �,ry TIVE INSPECTION SEC. f j Cyd( ` � ---i CITY HALL FRIDLEY 55432 NUMBER REv GATE PAGE OF APPROVED BY '� L s_-• 612-571-3450 910-F15 4/9/99 JOB ADDRESS 211 Sylvan Lane NE I LEGAL LOT NO. BLOCKTRACT OR ADDITION SEE ATTACHED DESCR. 11 2 Sylvan Hills Plat 4 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Dave Woldzahner 211 Sylvan Lane NE 572-3972 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Mr Builder Corp. 17527 Xenia St NW, Andover, MN 55304 566-4646 2370 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 5 ENGINEER MAIL 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 DESCRIBE WORK Construct roof over deck; Reroof House & Garage (25 Sq) Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. 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. 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 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 J 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 @@ 142 $2.57 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $5, 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- $112.25 Firs SC $5.14 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTAL FEE License SC $5.00 $124.96 SIGN A TUBE OF CONTRACTOR OR AUTHORIZED AGENT IDATEt WHEN PROPERLY BLDG iNSP ' VALIDATED THIS IS YOUR PERMIT TTATE S,GNATURE OF OWNEROF OWNER BUILDER1 IOATE1 01 NEW [ ] Effective 1/1/99 ADDN [ ] CITY OF FRIDLEYo - ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: Legal Description: Owner Name & Address: I a .7� f -- Tel. #—�/��%� Contractor: —16 2 � B U I L D -f?>—z CC)p>—P> MN LICENSE # Address: �"7Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: GARAGE AREA: DECK AREA: OTHER: DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. Construction Type: 'm FA Estimated Cost: $ (Fee Schedule on Back) -j y2 Driveway rb ut Width Needed: Ft. + 6 Ft Ft x = $ DATE: ' 9 9 APPLICANT:-44Tel. # CITY USE ONLY Permit Fee $ 11,9, J Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $1050 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 [ ] �y TOTAL $ STIPULATIONS: BUILDING PERMIT FEE SCHEDULE The Chief Building Oficial 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 existing 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 -wits TOTAL VALUE FEES $1 to $500 $21 (Minimum Fee is $21 plus surcharge) $501 to $2,000 $21 for first $500 plus $2.75 for each additional $100 or fraction thereof, to and including $2,000 $2,001 to $25,000 $62.25 for first $2,000 plus $12.50 for each additional $1,000 or fraction thereof, to and including $25,000 $25,001 to $50,000 $349.75 for first $25,000 plus $9.00 for each additional $1,000 or fraction thereof, to and including $50,000 $50,001 to $100,000 $574.75 for first $50,000 plus $6.25 for each additional $1,000 or fraction thereof, to and including $100,000 $100,001 to $500,000 $887.25 for first $100,000 plus $5.00 for each additional $1,000 or fraction thereof, to and including $500,000 $500,001 to $1,000,000 $2887.25 for the first $500,000 plus $4.25 for each additional $1,000 or fraction thereof, to and including $1,000,000 $1,000,001 and up $5012.25 for the first $1,000,000 plus $2.75 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times 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 $ 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. i� '� , . s ,?z`[;�g{SAt� ? a 'h+ c a•e � H n'i c ���,�t �,� . T : .. ° Yid• s"Sstt. Yy�=� '\�, f•, 4. r T7 '�kF ��TJ���4 ���y trk.'f �",.}s. /$ �•. :I; .. .. . � ,...r SV.�'- Ali ,•x«{� yti+'r..F+•.u.,Y.sutr,i•+•ry t • •�;" I•Q - �' tt ^�y�'� � �.+ obi �` '� � O.O�j�' ��7 • b Z C .. 1?Y�a3r �'$' is a ' tras =d correct rlepzresentation . of > .Sy of ut iar3.as Off Block 29 Sylvaxt Hi7.ls Plat! af#3>mlooat+pfr1],7." prod ].ding�� 1f a�r�18x'®Ori�' And 811 rY3�b]+0 f �e i' at4�►� 1" 'a�a cr. an wdA laaad. As smve me � d . OhpS110 0 pDs 4T L " .{gig {,'r!f`i,.• ; ... ^y�� j''� ��� _ Gv ���•'x� AA\' , � • ri . -'� � :.. ,t � �,�01 47 `moo ��y��a71� o-�� t ►: C/1RTWRIGHT "x'tG &; o=on . COMfINING THE. RECORDS J. E. HILL, CwIL' ENa1FtR 4 C u T+, �YNTY fYRV[Yf�@'ot r', c wr7,a ''`LA�Y17 t.t�TAD61aM[D f coYNTirSsuRvtYs� a q ,fin "S URi!EY.ORS: Vic. R.':sA140HoRF !ouf� futtvEYf" '� �°� , � ,I , tt "Rif 'N`W • CIVIL ENa1N[ER ��••' JAkl�TRRtfillTtRLD 'YNDtR ;LAWS+OF. STATE OF MINNt80TA E1TAiL1EMRD IiOE �; ;4� an,b7fll6r`} , r yLICENSED MY ORDINANC[ OF CITY OF MINNEAPOLIS JAMES NELSON 1w-c�Y , DRi 328.,PLYMOUTH BUILDING t " FEDERAL B -B721 $uRVtYOR *€ MiENNEPiN, AT SIXTH • = MINNEAPOLIS 3. MINNESOTA urwsus++sD uu' +�.JUDICIAL•; H� �, �..;: , ,,. *,TOPOGRAPHICAL $►1lC11tpOY g �atiiicatc METROPOLITAN LAND SURVEYORS. ESTAsusM[D 108 i� '� , . s ,?z`[;�g{SAt� ? a 'h+ c a•e � H n'i c ���,�t �,� . T : .. ° Yid• s"Sstt. Yy�=� '\�, f•, 4. r T7 '�kF ��TJ���4 ���y trk.'f �",.}s. /$ �•. :I; .. .. . � ,...r SV.�'- Ali ,•x«{� yti+'r..F+•.u.,Y.sutr,i•+•ry t • •�;" I•Q - �' tt ^�y�'� � �.+ obi �` '� � O.O�j�' ��7 • b Z C .. 1?Y�a3r �'$' is a ' tras =d correct rlepzresentation . of > .Sy of ut iar3.as Off Block 29 Sylvaxt Hi7.ls Plat! af#3>mlooat+pfr1],7." prod ].ding�� 1f a�r�18x'®Ori�' And 811 rY3�b]+0 f �e i' at4�►� 1" 'a�a cr. an wdA laaad. As smve me � d . OhpS110 0 pDs 4T L " .{gig {,'r!f`i,.• ; ... ^y�� j''� ��� _ Gv ���•'x� AA\' , � • ri . -'� � :.. ,t � �,�01 47 `moo ��y��a71� „0.1 �iIOr . � X G�c� �c.-r- ��, .y e CITY OF FRIDLEY INSPECT10N DIV.�1� 6431 University Ave NE /r Fridley, MN 55432 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT 572=3604 MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR 1by3$� 4 Effective On January 1, 1999 PLUMBING FIXTURE RATES: NO. RATE TOTAL 0 tel/ JOB ADDRESS oI\` Y\ �� �� 9 V(7, New Fixtures $ 7.00 The undersigned hereby makes application for a permit for the work herein Old Opening, New Fixture $ 4.00 specified agreeing to do all work in strict accordance with the city codes Beer Dispenser $ 5.00 and rulings of the Building Division, and hereby declares that all the fads Blow Off Basin $ 7.00 and representations stated in this application are true and correct. Catch Basin $ 7.00 Rain Water Leader $ 7.00�i-egg _ --- Sump/Receiving Tank $ 7.00 Water Treating Appliance $10.00 Owner Water Heater -Electric $ 7.00 Water Heater - Gas** $10.00 Building Used As Gas Range** $10.00 Gas Dryer** $10.00 � Estimated Cost®® PERMIT NO. 13 Back Flow Preventer Required ( )Yes O No Type $15.00 PLUMBINVCOMPANYReinspection Fee $42.00/Hr SIGNED B TEL N0. q Sa rr'31-ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or ApplianceApprovedough-In Date Final Dat State Surcharge $ .50 r nU 50 MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $20.00 TOTAL FEE $ D - PLUS THE $.50 STATE SURCHARGE **COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. MINIMUM SIZE 9 SQ INCHES. OF FRIDLEY FRIDLEY MUNICIPAL CENTER - 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 - (612) 571-3450 - FAX (612) 571-1287 June 29, 2001 Mr. Dave Wold-Zahner 211 Sylvan Lane NE Fridley, MN 55432 Re: Final Inspection at 211 Sylvan Lane NE Contractor: McGuire & Sons Dear Mr. Wold-Zahner: - A plumbing permit was issued on May 15, 2001 to install a water heater at your address. According to section 4715.2800 of the State Plumbing Code, a final inspection shall be conducted on the plumbing authorized by this permit. As of this date, no inspection has been called for. The permit fee that was paid covers the inspections to make sure the work was completed according to the Plumbing Code. We will keep your permit open for another 30 days and if we do not hear from you within this time to set up the inspection, we will expired the permit and no further action will be taken. To set up the inspection, or to have any questions answered, please contact the Building Inspection Division at (763) 572-3604. Sincerely, A NSM N Build g Inspector rol7�7 11 SUBJECT City of Fridley 3 3 8 5 5 AT THE TOP OF THE TWINS BUILDING PERMIT 1 LV ------ COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. � 45) -f) d�p_ r � PROTECTIVE a 1 . � NUMBERREV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 763-571-3450 910-F15 9/4/03 10B ADDRESS 211 Sylvan Lane NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 11 2 1 Sylvan Hills Plat 4 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Dave & Carol Wold-Zahner 211 Sylvan Lane NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Accent Home Solutions 4549 Taylor St NE, Columbia Heights, MN 55421 612-290-5154 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 20383074 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW f�7 ADDITION O ALTERATION ❑ REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Construct a 16'8" x 25' Addition 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. "ef0le digging call t®Er all �eta� IOc�ti®ns SEPARATE ER1T REQUIRED F E IRED By LAW WIRING ® SGN$ �u SEPARATE PERMITS ARE REOUIRED 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 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 'HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 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 $30,226 $15.11 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT PERMIT FEE SAC CHARGE DOES NOT PRESUME TO GIVE RUTH 1 TO VIOLATE OR CANCEL THE PROVIS Y OTHER TAT LOCAL LAW REGULATING CON- $451.85 Fire SC $30.23 ST` TION R THE PERFO A CONSTRUCTION PLAN CHECK FEE TOTAL FEE en SC $5.00 $502.19 SI ATUREOiCONTRACTORORAUTHORIZED AGENT IDATEI N PROPERLY VALIDATED THIS IS YOUR PERMIT CAA .` DG INSP r�d TE SIGNATURE OF OWNER,IF OWNER BUILDER, IDArTEI 11 NEW [ j CITY OF FRIDLEY Effective 1/1/2003 ADDN 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER j ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax BUILDING PERMIT APPLICATION Construction Address:—,) kl s4jt L-0 Legal Description: L—d+ I t �to�k `�, 1, SPeo/a 1- i%tS. Owner Name & Address: Tel. # Contractor. Pk_ce4 � e So1�4io,nS MN LICENSE # �OSS:56 4 Address:_ SLJ'i Sfi JOE 601--V-Ab`oC-k lieu Tel. # 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 Y Width 2�Height Sq. Ft. VIL GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground -— Sq. Ft. OTHER: 1 Construction Type:Estimate Cost: $ Drivewrb Cut Width Neded: Ft. + 6 Ft = Ft x DA is 4k1`APPLICANT: _ Tel.#fes-`�Se�-�/S5� Call °763)-672-3604 for Permit Fees if mailing in application. Fax to 763-671-1287 if using credit card and we will call you for card number. CITY USE ONLY - Permit Fee $ Fee Schedule on Reverse Side ��\ :✓ Fire Surcharge $.001 of Permit Valuation (1/10th%) State Surcharge $ e u �.p $.50/$1,000 Valuation✓' SAC Charge $ $1275 per SAC Unit License Surcharge $ �S_ , 00 $5.00 (State Licensed Residential Contractors) Curb Cut 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 $ a STIPULATIONS- 'C)./y r , BUILDING 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 existing 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 $2,000 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $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 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 additional $1,000 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 $5.60 for each additional $1,000 or fraction thereof, to and including $500,000 $3,233.75 for the first $500,000 plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,000,000 $5,608.75 for the first $1,000,000 plus $3.15 for each additional $1,000 or fraction thereof CURB CUT ESCROW (Concrete Curb Streets Only) Removal and replacement of curb and gutter only - driveway width plus 6 feet, times the annually determined rate. 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. VERIFICATION OF FOUNDATION A Certificate of Survey of the lot, showing the location of the existing foundation will be required before proceeding with the framing. New Houses Only Permit Number MECcheck Compliance Report Checked By/Date 2000 Minnesota Energy Code MECcheck Software Version 3.3 Release lc Data filename: C:\Program Files\Check\MECcheck\ACCENT.cck TITLE: POURCH ADD. COUNTY: Hennepin STATE: Minnesota ZONE: 2 CONSTRUCTION TYPE: Single Family DATE: 09/03/03 DATE OF PLANS: 08/15/03 CO �, ANY TION: ACCENT T HO LUTIONS INC QOMPLL4NQE: Passes \ 'I \ Maximum UA = 324 Your Home = 314 3.1NBetterThan Code Proposed and Maximum U -Factor Averages Proposed Average U -Factor Above -Grade Windows and Glass Doors 0.310 Includes Foundation Windows > 5.6 ft2 Maximum Allowed U -Factor 0.370 COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the 2000 Minnesota Energy Code requirements in MECcheck Version 3.3 Release lc and to comply with the mpudatory requirements listed in the MECcheck Inspection Checklist. Builder/Designe Date �(G� Gross Glazing Area or Cavity Cont. or Door Perimeter R -Value R -Value U -Factor UA Ceiling 1: Flat ng or Scissor Truss 550 44.0 38.0 7 Ceiling 2: Flat Ceiling or Scissor Truss 1000 44.0 38.0 13 Wall 1: Wood Frame, 16" o.c. 603 19.0 0.0 16 Window 1: Above Grade, Vinyl Frame, Double Pane with Low -E 338 0.310 105 Wall 2: Wood Frame, 16" o.c. 1170 13.0 0.0 95 Crawl 1: Masonry Block with Empty Cells, 4.0' ht/3.5' bg/3.8' insul 1273 13.0 0.0 78 Proposed and Maximum U -Factor Averages Proposed Average U -Factor Above -Grade Windows and Glass Doors 0.310 Includes Foundation Windows > 5.6 ft2 Maximum Allowed U -Factor 0.370 COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the 2000 Minnesota Energy Code requirements in MECcheck Version 3.3 Release lc and to comply with the mpudatory requirements listed in the MECcheck Inspection Checklist. Builder/Designe Date �(G� MECcheck Compliance Report 2000 Minnesota Energy Code MECcheck Software Version 3.3 Release lc Data filename: C:\Program Files\Check\MECcheck\ACCENT.cck I ffKaBZali�;Z�l`./_ b 0 COUNTY: Hennepin STATE: Minnesota ZONE: 2 CONSTRUCTION TYPE: Single Family DATE: 09/03/03 DATE OF PLANS: 08/15/03 COMPANY INFORMATION: ACCENT HOME SOLUTIONS INC COMPLIANCE: Passes Maximum UA = 324 Your Home = 314 3.1% Better Than Code Permit Number Checked By/Date Gross Glazing Area or Cavity Cont. or Door Perimeter R -Value R -Value U -Factor UA Ceiling 1: Flat Ceiling or Scissor Truss 550 44.0 38.0 7 Ceiling 2: Flat Ceiling or Scissor Truss 1000 44.0 38.0 13 Wall 1: Wood Frame, 16" o.c. 603 19.0 0.0 16 Window 1: Above Grade, Vinyl Frame, Double Pane with Low -E 338 0.310 105 Wall 2: Wood Frame, 16" o.c. 1170 13.0 0.0 95 Crawl 1: Masonry Block with Empty Cells, 4.0' ht13.5' bg/3.8' insul 1273 13.0 0.0 78 Proposed and Maximum U -Factor Averages Proposed Maximum Average U -Factor Allowed U -Factor Above -Grade Windows and Glass Doors 0.310 0.370 Includes Foundation Windows > 5.6 ft2 COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the 2000 Minnesota Energy Code requirements in MECcheck Version 3.3 Release lc and to comply with the m)edatory requirements listed in the MECcheck Inspection Checklist. -.7Date2� '/ "A - to u �o 'A S ovvne?c c:- % % Oil st�arl % on sia3 i of ina ovan'.. j I i 7, 7 oe, -0e a's 2 ovvne?c c:- % % Oil st�arl % on sia3 i of ina ovan'.. j I i 7, 7 COA481NING THE. RECORDS 6iV C+ORDt�Sq OR HARVEY A.ART AAb6�a@;T_f J. E. CaY16 Ql�<3��aR ®t '. COUNTY SUFr��°ES�� 9Jd®a !$! lg6b lPd COUNTY SURVEYS ASURVEYORS C. F. SANDHOFF $ POLIS; SURVEYS CIVIL EeclEER .. YA-PAL -STREET N" A � 'I iYli' �d� MINNESOTA E6Tdafe3d_12H6II 1943 . ; SUstI5"' A-76-55 LIC�KSMD my OwfivolmA" CITY ®F man NEAFOIJIS JAMES NELSON �WcaPLYMOUTHBUIFEDERAL S-8721 Sa RVEYOR , .. 1���i R �. didDlGi�1 mENNE'IN AT SIXTHtPditlEA MINNEAPOLIS S. MINNESOTA��Ta�aa.sss�a�® 1�afS" METROPOLITAN -LAND �Li�19� _ A giR ��W9C•af �� � � �f����� SURVEYORS. ESTASLISHF0 1991 CITY LOTH' PLATTING Carlson-Lavims Inc. B k lq -� a true � a . � c� ��,' r) the bo p_eE O° g Bluer 22 SylVan 91113 Plat 44 xan*w�, if frm or an said land. As 6mmy6d by wa during the year 1957p, A.Do p" 1 1t f tGMto r-®i--4,w?1f'eHT AND OLSON J �� i American Watnut a 1 A 4U SG The Right Quality, Inside & Out Inside, all CrestWood windows and patio doors feature the warmth and beauty of wood. Enjoy clear natural pine or opt for hardwood, distinguish- ing your home with rich American walnut, select Tennessee cherry or refined Wisconsin red oak interiors. All interior frames, sash and panels are ready for you to finish and enjoy. On the outside, the frames, sash and panels are built with extruded SelectVinyl-components, which are fusion -welded at the corners for optimal strength, energy efficiency and weather -tightness. The SelectVinyl compound is specially formulated with titanium dioxide stabilizers to resist dents, scratches and color fading. Available in White and Almond, CrestWood vinyl exteriors will never need painting, staining or caulking. And they won't ever rust, peel or crack. a r � Y y0-0 t Y Y C � L x i44 ^ 40A r � Y Sypv ec iff.5 ca tion s Accent Home Solutions Inc. proposes to: build shell 17x25 addition on back of house as proposed in blue p?,ints, and design build agreement. with the following specifications. 0 excavation and, removal of extra dirt and import of necessary back fill and gravel. footings and block for proper foundation to proposed structure( 48in deep block wall built on a 24x8 footing) trusses and vaulted framing labor and materiais for basic 2x6 wail structum, with floor trusses for ceiling. sheating to match house. insulation labor and materials supplied by Accent poly and drywall with Finnish taping crumplete by Accent Doors and windows suplied and instaled by Accent (windows and door to be Prestfine) �1— Cresptw-,E�d claded window. as specified in, dralelnngs- —,M6Livil) ,1�de' A 316r siding labor and materials supplied by Accent. ( siding to match exising as close as possible from local stock ) t -) Gutters labor and materials suppfied by Accent ( 25 foot run plus down spou s Removal and disposal of construction relateddebfiS- Ownersupplied Items: 0 T&G ciefing G painting inside and out. a trim, casing, and finnish 0 fireplace with all finnish detail G flooring 0 electrial permit © plumbing permit 0 heating permit and labor I (we) the home owners understand and 2gree to terms snaspeciffic-ations and authorize Accent Home Solutions Inc. to preforme above iscfibed services. Mth 1he f)11o» ,�,, ng payment schedule. % on acceptance k9_1 69D % on start (5, v 6at % on start of insulation 000 4—" - %on compleati 1 less deposit 7 Acc64R—,Vr-n CM b b �s In Date Homeowmer bate I�T'� SpecfficaVons Accent Home Solutions Inc. proposes to: build shell 17x25 addition on back of house as proposed in blue prints. and design build agreement. with the following specifications. excavation and removal of extra dirt and import of necessary back fill and gravel. footings and block for proper foundation jG proposed structure( 48in deep block wall built on a 24xG footing) framing labor and materiaisfor basic 2x6 wat; strructFjTe, %qjtjj floor trusses and vaulted trusses for ceiling. o sheating to match house. insulation labor and materials supplied by Accent poly and drywall with finnish taping complete by Accent Doors and windows supfled and instaled by Accent (windows and door to be Crestline) claded window. as specified in drawings. — Mcvvij 6/1-de.r CCY16�96r siding labor and materials supplied by Accent. (siding to match exising as close as possible from local stock ) Gutters labor and materials supplied by Accent ( 25 foot run plus down spouts.) fl Removal and disposal of construction related debris. Owner supplied Items: ® T&G cieling 0 painting inside and out. ® trim, casing, and finnish a fireplace with all finnish detail 0 flooring a electrial permit 0 plumbing permit LA ® heating pen -nit and labor I (we) the home owners understand and agree lo terms and specifications and authorize Accent Home Solutions Inc. to preforme ahoy" services. wirth the foliawing payment schedule. % on acceptance % on start % on start of insulation % on compleatiop, less deposit Acc6k'R-,�66161-,60c— Date Home owmer Date I •£ ` n. ., Y.. .�1_�`i, .I [ `.; 1 , 43i'1Y"� 1i 1� b , ((}}r//./`y //� t/s' /I` �(Q ty�! 7pIIc y71PY(✓'��;u,17,i6,,;�; -rMu tF{(f�' h, �, VCT-.- LT. L0V� ��,:"f3Alll' I.',' Y`.� I 1\VV•� N� x,{135.1�� i�'� X�• ;��?' p d - 4� s=' •�'��1�,,� :'9 t, b �' T•.a E c �+'��� � ri�b;'lY r �';�"r'y`'�� �a�{[�y. � �'�,''€ t I d<+{ ;M{a�° (> ,6� �. a 'S�,' $uc�rt�c ��. { i I�lda4•. .b ,1� �. C �+'�'� ty,(f aril l�f--. �f�t.� P t4, `� +r4 { �F�ml �b'>^�a ,r,,,� � I� � �, �Y�' Y q.� i.. ?i' �.i d{�'I -' ti•$ {9�{`•, j t s'� r ti '� P �• dM r ' h r, ,,, .'i I ifU�C"14yglf��{:ili�1�� �n Ik { {4v { }} �utgifo DA � '' �' A; I Ghaterfield, Mo M017-5746 f Re: 031075 '� Telephone 91414341200 t "4 "" P& 314!434-5343 r tr ,^#C91r k� L.. , '•�'` t`:. F�,.. ,,,Jti 1 j yrj'a3A u'�� fs^a{'I a �i crt�.t � �"•�:. h�'•�„ a� rA�n i. w 4,.==-.+ t ,{ 7 r�. lk a ^ G, f; as fT ^@"k d �, ti's 4R •- ��''' 4 Y+ r R;_ a, Ry 7THtae wings) refer aed below hive been p %mcd by MiTek tees, Ina >Xpci+�r my," supetvisi n r v n k 1°I t U�i �n iii et b Pt M 4 i K f t � it ,p pry A �����"�4 l:•9t , y day �,., i'ag. or r�.1(rii1G1► n' 1� ill ll.�q, � 1 F �I'[�f��'�I'iddd�4 +''�a 't ')Wn �`i{.S• I" t�',� kirr t:�i �,'. My ice= r ewal date fdf,' ae state of Mumesota is' lune 30; 2Q04 a.w,rc "ri" ....cecw _s_,_. „,h n;✓m.».e:r.....z,.._...—w.,....,.r..a......... .... a, fain JF a+3�tY, 5t r"..� L I' , a ,, t . q �. � 7 r �4 a , moi,• a. {-..Yri.v •y r�',. tir IT, si' i' a���ti � � .�� .� a YEA'-, r �nrl t ";�>�,✓,k �il � ¢t��� � ,� � I�'4��{ � i� a �Yy.j, I ` a � '��x � �a�; {r }{d + , •' y s 1 fi¢ �,' `^ 7 jY{�i•yC is fr�. t + l e ,5 4S1,I i'R awl "tjX;fa�:_. Itl 1'I Ih3i this plan, v a� r�r rl > 4'Kc �ti 1,�`", a y,i Fi del, .'I 1 al, .,�'•l{,{,� 1 a t �[ o, , ,;, : 1 PSi Y ,htl1�'tbw � i I 1�4d,� r ties ion ort W" PUP �g iu i dI at 8i1Q6i . aad !hat ( duly licensed hfrt r { 1 E er under the 1140 at, :is i seats ;':13 ,a ly ?y l a F �� a%l-S'st n. , tf f h [-i v, Ir �.' , � ,.. ➢ �,a r ,' hf + ai �, -, �1ic 7 '�a �•sx+ >e 9 k +{t" *d r i , ��.' 1 + il b,°�;✓ (iARCiA [ +,5 t,{,;'. dC81a , r,�p{Y ["' , • S;y I say 6kr , nr',a. -I 1 y78 t�I'a}+STP Yt, 2{ ti: '[ r. s!1 r: rR di..` r;i �, d�il + NB, { g tlf; { �r '�{�. 'Jj t{ ?fgt�r y .r{i , LICENSE f41. 1 `V " <s i ,Mrl� I,�>1'°�y�,Y a ar + i..= t k14,r•. 4�!�( y. ca s•:} d a200 I1 My �S iy v P,)IS an�,,.i4y 5"r a � � � � � i.• tiEl"`p• � *� 4� ��, g � � , �h' k� Ih"� gq� `�,'r7 ,tt a � l{ 1.. �'.. , 1 ', fel14 j i' N geM dd ese't'! eke C aiftal f"y£1 9 14 : �� t v.4"i! 1" �I ,�, , a , dL� a 1°, 7 2 i r`• aa�-f 1 ;H 1" v4 ['^ g�. OSP bx ' of Z v_tu$ ��{ s rik ���` '{.. a `. ,, I `t� ,{' �, H r ' m � �;P al lIy •., r r ' �'r { ° � �, Ifs f{'�� i'�IjZ tIdF" 5� , kl_1{�•:.,}'W ri ":lifr r� r i �i'lii{e �J �,�. �.:{ , ..•� rr a a h1 0 I� �M ib }4 �➢. �, t - i �, �Ly`� ',4 %, drr W I, {J'4 ,�. i rt+k -I .t,r 1 �. -.,ar f..:ai ..' i '':•... "ri� �.� �A"I �.„a 1p �;�1: § 'l�^ ifi r+���r J r�:3 P �,a r`]frir�411,1, v �� �«='•'{ s't3aw w,, -s: � k ,.q a $j #'��� t �..� �G��y�t�s. {���yt�'ttx "__�iPs 1�, �%v+r ��'` '+al��ufi �,a �6°"`� + , (( is ;a'{ ,4 r'I ��,1 ,., I n4„ l�l r�} �a'i f < �nr•{+ '��ti� l^#.. {r 2•-,Rf1$,(,;'f�`°` t�a'.� it�I,. '-�� � �.�� �11�d 1. 1 I t t h •� '1LA 1 'k' [ r Po ,1 1 W ,,Jy. tl y°rs a -..l' -� q' 7 k' (.;-r.;. _ C _ y i t •;Ca° q, Y�F:',p� �jj "'+ ai r ,�sF� t � ti jkC f Ik z $,-ISI { �` ,�: -�.. .. t I, �a tf 91; ;�'” I. s.{l!Yt�.:Br'•w .!.. t J1, "r-lia,�''`•o,,'a. gid^`, ��', E4. •:,, ti,� rau 4 t�"�`.. 1 . a 01 C 24: 2003-10:43AM—P AND M TRUSS � 0.3775-P. "3 e stoss ----•• I r ' 1 3496'11;„ 031075 Ai � SCISSORS' 8 7 '� �. - o efer ctl on s toss: no., sand, t,1 5 un f! ug agp Al" 12.71 t4 ,.1B -8.01&2.a { j, i 16 5 9.9.2 4.7.19 4.7.14 416, ' n+ 7.00 12 a. ,6i �'- 1t iIX12 � d .,:' V , ti .. r, . i 1. I • . u' .�4k i g 1R4 t4:�(( p ?4 � - gyp, , �4 i A I I I GX7 s� u* 'a r§yl ,I I 982 840 " I yrrIeerY }is} s �.tilpa eA& Ga�llY, ati I . �.. r i 1 1 -td r I H-2 47-14 _ -14 9819 8 , �OAVING {paf) SPA ING 2-0.0 Cal DEFL In Aors) Utefl PLATES GRIP LLPiet g Increase 1.15 TC 0.75 Vert(LL) -0.24 17 >814 M1120 1971144 OL 10.0 LLu r Increase 1.15 BC 0.71 VertITL) •0.39 11 >505 a+ ._. - LL 0.0 tress Incr.__ YES_ ;,..,_ . WB...._O.BT........ -, H DL 10.0 --Co - JBC2000 - - Tst-LO ILL Min lidefl = Wafght �Ib LtiM9ER w Vie' BRACINQ x� tt t} r trop CHORD 2 X 4 $PF No.2 TOP CHORD Sheatllarttr 2 Fp SOVCHORD 2 X 4 SPF No,2 BOT CHORD Ri � 2 X 3 SPF Stud `Except,( trili{t{j diYly apA°rTQ 4Qoc fara5-11 X 4 SPP tudL10BR left X 4 SPF tud 2 T•13, Right 2 �4 4 SPF Stud 2 T 13 I ftiq CTIONB: Ab/siz1 2-104910-5-8,8-1040/0.6-$.,4 a h�1 Max rz 2=83 load case e) `�. Max v 2=11 811oed case 2), go Max cage 3)-`'1 + t, i ROES (lb) - First ad Cage Only OP;CHORD 1-2 20, 2-3--28113, 3.4•=-2819, 49�-2282, 5 8.;2282, 6-7-2818, 7-8=-2818, 8.9 OT CHORD 2-1 =2473, 11.12w2473 10-11ma2473, 8.10.2479 6' 5-1 =1883, 412>=92, 6.10Po82 �l1 m-316, 6-110.319 t ; OTE$ (} ) Wind: ASCE 7.9 per IBC20 ; 90mph; h-2�ft, DL=S.Opgf B0PLm6.0psfl gowl2ancy category 11; pc ®8; 1 r . , ✓ enclosetl;MWFRS Interior ;Cantilever tefthafld ght eWsad "d vertical left kid right axposed I wl* L ■ 1.33 w rip DOL =1.33. r� , 21 Roof design food based at 50.0 Psf ground 6ftL it 4oad; terrain e4osure categary 6, Partially exposed tfti' ;Warm obstructed roof Ith build' length c 46 0 O; Yob Mal structure 90wpancy cafagoty. �,• 1 31 Unbalanced snow loads hav been consldered f9r, *14:design } i r 4) This truss has design for 2.00 t)meg fl�a4 load of 35 0 'or, overhangs'non-concurrent with} lave Io$dm., d ,' r js 51 This truss has n design for 10.0 psf chord live load ncurrant With any oth�'llve load$ TabIQ;4 { , of 18C-00.' 0) 88erinq at joint(al 2. 6 con ers parallel to^ rabi Uaitle`ugi AN81/ °I 1-1996 *M that r g n9 englo to grain formula 8ulid�lg desiqneY shoWd verify Cep city of ring surface, itR teeart q by (l ., 1"_ P b a f4OAl� CASE($! 6t dart 1+•`;' a° - N il+ r ` „ tk1� °,'. "A Jlo-9ua;.Ili1�t i 4 A �t K.LQii rI AA �ii••;...;,...ra* .17. c, +..•b'�'�hi.;:.:.,., ,. .!,� °,..�.'t� w 141 y.jt ;� "1t,°` l;h�fa1`a, ill h'F'Hirl6wrp„.?' r ,`� irk'♦. Ji nS, r ix?,r ii 3T,�, i .i ptl+"eq, , +i ir9ar a N ,flt F ' WAIfi111IlYG Yep IIQI{ t.rt and "'"OMA ON 721W A tw mmosL r�E iA�OAS f/Ee6,41,C rt, d vxr4�� '� - 1 11y+ �drF YaAa ler use e y wpm r,1lf `Connealexa tryh rl lk on u a1,n rt ^t �p CY�y 4 'Ai 0919M91816 a1l�uik4hd a for On Ntl 'lputld4'r p lb ba a C 1 1bl+ed end loaded 110 o8Y. Ad OaaDary v1 deripn elbll and prvwr drPererien lil sT }ibiginl it +ape ^ygd8 4.QM�s9rtli f ig1 tnda .i1�Mi+ifi: 9rooinsl rho a tor, lalipt wpt»rl e1 uldlvi l !u�9 iMmt�re onb Ar tabnpl Ignpe)gW Moot to "to 110p., ou +Rl 1Y is • gniRrglly all a ler. ACcGI I pelmonenr waxiln'q 14 J9 * overau sirgoun r IM t�Y of tr* pysprnq eoarcBnp roDlkwlkm, ' uaUIY canl Hong*. oolverY, eleedi 'and broornd, ria romf46 Qva NY me nderd, DSI a0 SsxCr' °�Mkaffbn: drrbYl WI P1 t, 1 . a�ON Irulunho and we" Rot mendcllon aroaaWf flof6 floss Plore Indll Jia 6G9 D Onaab Qlh►, MadIA914 YJI9g710 11��Tek Ai S CITY OF FRIDLEY INSPECTION DIViSION 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING 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, but not replacement) Gas Range Gas Dryer *Air Conditioning - All Sizes All Others/Repairs & Alterations (LIST ON BACK) 1% of Value o[Appliance or Work Commercial/Industrial 1.25% of Value of Appliance or Work Rate TOTAL $ 30.00 $ $ 10.00 $ 10.00 $ 10.00 $ 25.00 State Surcharge TOTAL FEE MINIMUM FEE FOR ANY--HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $47.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. i; Effective On May 10, 1999 ESTIMATED COST PERMIT NO. DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units --/—Circle One (Steam) (Hot Water) &arm, b :52- Ai$ Trade Name � a:52 -U Size No. BTU HP EDR $ Fuel Total Connected Load Burner Trade Name Size No. $ BTU HP EDR $ 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 an $ .50 rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are *true and correct. $ IL HEA ING CO Signed �� C DATE —Jg-0 Approved By Rough In Date Final Date FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE List ALTERATIONS Being Done: HEATING CO: Signed By: Date: ?, 0 CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes �0 No ( ) 2. Is free. from rust or deterioration .. Yes k) No ( ) 3. Has no foreign objects lodged within Yes) No ( ) 4. Is securely supported - • Yes) No ( ) 5. Meets all current Code requirements for size and total BTU's connected Yesk<) No ( ) 6 Has total heating BTU's of All other BTU's YO, oy D TOTAL BTU's ele 10090 J 7. Has a liner been provided for water heater Yes) No ( ) 8. Has combustion air been provided for water heater . Yes No ( ) List ALTERATIONS Being Done: HEATING CO: Signed By: Date: ?, 0 CITY OF FRIDLEY BUILDING INSPECTION 6431 University Ave NE Fridley, MN 55432 763-572-3604 FAX 763-571-1287 RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner & also Replacement Furnace Gas Piping (New Furnace, Fireplace, Insert) Gas Range Effective 4/1/2004 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION REFRIGERATION AND.AIR CONDITIONING SYSTEMS AND DEVICES Fee Total $35.00 $ $10.00 $ $10.00 $ Gas Dryer $10.00 $ *Air Conditioning - AllSizes $25.00 $�/•�� All Other Repairs or Alterations (List on Back) 1% of Value of Appliance or Work $ Minimum Fee $15.00 for Residential or 5% of cost of Improvement whichever is greater. on work less than $500.00 JOB ADDRESS;& �Y�®.9 AILJ OwnerRft (i&.1 — &40V -K0 -- Building Used As ESTIMATED COST a , PERMIT NO t DESCRIPTION OF FURNACE AND BURNER # of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Trade Name Size No. BTU HP EDR Fuel Total Connected Load Burner Trade Name BTU HP Size No. EDR The undersigned hereby makes application for a permit for the work herein Commercial/Industrial/Institutional specified agreeing to do all work in strict accordance with the City Codes 1.25% of Value of Appliance or Work (List on Back) $ and rulings of the Building Division, and hereby declares that all the facts Minimum Fee $35.00 for Commercial/Industrial/Institutional and represn this application are true and correct. State Surcharge $ .50 HEATING C= TOTAL FEE $ao Signed Tel # 2 (a0 REINSPECTION FEE $50.00/HOUR • FAX # *Air Conditioners can not be placed in side yard without written approval from adjoining property owner - copy to City FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE Approved by Rough -in Date Final Date FILL IN COMPLETELY FOR REPLACEMENT FUEL BURNING APPLIANCE PERMITS COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing furnace, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes () No( ) The venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes () No( ) The undersigned also verges that the replacement unit is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes () No( ) The existing combustion air is sized and installed to meet the current codes and manufacturer's specifications. Yes () No( ) When required to install a new combustion air, it will be sized and installed to meet the current codes and manufacturer's specifications. Yes {) No ( ) When installing a new venting system, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes () No ( ) 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 ( ) Appliance Type and Size/Common Vent and Vent Connector Information Appliance #1 Type BTU Input Fan Assisted or Nat Appliance #2 Type BTU Input Fan Assisted or Nat Appliance #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 ALTERATIONS: (Describe) M no w"Im