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PRE 2010 DOCSCity of Fridley SUBJECT ®13559 - AT THE TOP OF THE TWINS PERM ' BUILDING ECEIPT NO. COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. �3� NUMBER REV. DATE PAGE OF APPROVED BY /�--1 CITY HALL FRIDLEY 55432 IL ---- A"f ,�� 612-560-3450 910-F15 6/2/76 JOB ADDRESS 21 Talmadge Way N. E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 5 2 Leigh Terrace SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE S. J. Construction 6305 East River Road N.E. , Fridley 3 CONTRACTOR. MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. --IMP 5 ENGINEER MAIL ADDRESS Not1FY THE FRIDLEY ENGR, ZIP PHONE LICENSE NO. 6 USE OF BUILDING REMOVAL AND REPLACEMENT Residential AT DRIVEWAY 7 CLASS OF WORK OPENINGS. ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR CI MOVE ❑ REMOVE X 8 DESCRIBE WORK aR/������ Construct a 54' x 38' Dwellin and a 24' x 26' Garage •�•/ SEPERATE PERMIT$,. REQUI.RED FOR WIRINU9 Before digging call local utilities 9 CH pnnp� (90"PLU TO!'���rr,.����rr.ryry t'8 1[�IUD BY LAW STIPULATIONS provide a hard surface driveway. Provide sod in the front and side yards. Provide a verifying survey before capping. Set foundation back 36 feet to allow for contelever. SEWER LOCATIN: (Approx. 8' Deep) 102' West of Manhole (W. Inv. 844.00) WYE ELEV: 844.82 TOP OF FOOTING: 847.82 Minimum, WATER LOCATION: 10' West of sewer service. THE crry OF fRI m DIM NOT QUARAM THE I R UD C ACCURACY OF UT�IiY LOfMA'I�NS AND ELEVATIONS. Q E 7 S L pQ THIS DATA IS Pt)R INFOWATION PURPOSRS ONLY AND PERSONS USING IT SHOULD VWY THE INFORMATION ON THE SITE. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING, Wood Frame 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 R-1 1008 + 660 19,256 + 660 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. WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $31,690 $15.85 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMITFEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION R THE O CE OF CO RUCTION. $47.94 $350.00 PLAN CHECK FEE TOTAL FEE 'wA O,L-","P- :2 - /6 $413.79 SIGNATURE OF N ACTOR OR AUTH IZEDAGENT (DATE) WHEN PROPERLY VALIDAT D THIS IS YOUR PERM/IT / --- SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) BLDG INSP DATE APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S .NAME : � �_� f� � C�'�j�e BUILDER: ADDRESS ADDRESS:__EP__ ZD NO: _ STREET • ! /$ -2D _Z3� C- C3 fu LOT: BLOCK : ADDITION: k 1 Cy 'T -E A C_ L CORNER LOT: a INSIDE LOT: SETBACK: r SIDEYARD: Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Used As: e Front: 5-4- Depth: �'_ Height:�e , Square Feet. (6 C) Feet, Front: 47/ Depth: �Height. • �� Square Feet; 0 Cubic Feet: Type of Construction: Estimated Cost: To Be Completed. 1 tel' 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 hereby declares that all the facts and representations stated in this application are true and correct. C.F • DATE : _ .; - Z � SIGNATUIIE : E(See Reverse Side For Additional Information.) 7t 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 if 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 application, 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. ' I I I i I 'i - - - - } I ` 14140 -- — -- — -- — A-9 I -- I I I oe I ' I I I f- i i _;—_ I I n 1 .�.d'': Ir 1.�sy 1!y' �- age EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION OWNER: S, S. C o.J $_T P_ L) G T i O'd /-1 L DATE - -2.1 7 60 SITE ADDRESS: 2.1 T A L n11 A V J E WAY CONTRACTOR: 5, p Aix T 2. 0 C" -r PHONE : 56 O- Z 4 7 O Determine working square footage of each 1. Total exposed wall area...... 2 S sq. ft.. x .17 = —3 2 2 . O z 2. Toal roof/ceiling area Q % 9t sq. ft. x .05 = 4q, q O Total exposed wall area above floor = a. Total wall window area................................. b. Total door area ....................................... 37 - 7. F c. Total sliding glass door area ......................... #.O d. Total fireplace wall area ............. ................ e. Total wall framing area (average 10%)...G.UP.P. A .... IC f. Total rim joist area ................ 3 3 g.( Phe /�Sijwall�y a above floor...... ..., h.L9Af _ wallgarea agbove floor... JP.IQ.... ... • . .. , i. ,J5Ljc„ wall area above Beer.F�'!!�? .Low ... ..... y- J .Fgywall area above floor..F 2. .M Xt 4%t,�.. .. IFA.) ,,�s �� ... ass s7 Total exposed foundation area , L. µ- i k............................ a 1. Total net foundation area above grade ..::............. _ .44 Determine "U" value of each wall segment (e.g. window, door, each separate wall section) a. 12 77• X "U" -ST'S _ 7n e Z q b. 3Z', 7? X nu" • �i3 = Z 1 . q1 C. 40 X nun., s 5-6� d. X nun e. 19(9 • X stun • //" — f. q& 3 X nun • CJ = g, 7q;,s x nun h. +3, X nun • 1 Z. m �4 S. ��' X stuff . 07 = • J. 7. 70 X nth" e / (P = k. J 15'57, S 7 X "U" .08 = 7if item #3 ,is the same as or less than iter: #1, you 2 , 45- have met' the intent of SBC 6006 (c) 2. Exterior Envelope Average -"U" Computation Page 2 of 4 i Total exposed roof/ceiling area = `iq71Fla m. Total skylight area ........... n. Total roof/ceiling,framing area (average 10%)... ti Z o. Total net insulated roof/ceiling area........... $ 9 'S Determine "U" value for each roof/ceiling segment M. S X "U" . 7 -7 n. 9q,iq x "U" 04-1 4-.0.7 4 .. ....... ... ...... Total = _ 3 If total of #4 is the same as, or less than #2, you have met the intent of SBC 6006 (c) 1. Alternate Building Envelope Design To utilize the total envelope system method, the values established by the sum of items #3 and #4 shall not be greater than the sum of items #1 and #2. 1. + 2. 3. + 4. _ 4 Vented OOP�CEILING Beat flow up FIG. 15 AWN—VIUN - LZU Heat flow up PXG- 07 Z -"V= v VA. -* Construction -R-Value 1. Interior air film 0.61 `7C 2. ec F T ?- E, 3. 'P, r —1 —( I -� 4. Exterior air film (still) 0.61 Total 1. interior air film 0.61 C.- 2. .3 5 1 4. Exterior air film (still) 0.61 Total 1. Inside air film 0.61 2. 3. 4. 5. outside air film 0.17 Total Note: Use additional sheets if more space is needed for details and calculations Heat f loW. up ,-vented FIG. #6'.. -r(D AWN—VIUN - LZU Heat flow up PXG- 07 Z -"V= v VA. -* Construction -R-Value 1. Interior air film 0.61 `7C 2. ec F T ?- E, 3. 'P, r —1 —( I -� 4. Exterior air film (still) 0.61 Total 1. interior air film 0.61 C.- 2. .3 5 1 4. Exterior air film (still) 0.61 Total 1. Inside air film 0.61 2. 3. 4. 5. outside air film 0.17 Total Note: Use additional sheets if more space is needed for details and calculations frame construction WALL 3nro-,XTI :W -LL FSG. 43 FRW4E WALL Ak T s . Q- - � 0 tri � • FIG. 04 O .�- NOTB: Indicate tync-, "R" Va] u(:, dr-pth and placement of insulation. .Construction R -v._. algia.. 1. Interior air film 2.�1' 0•f9 '1 1_ 3. TO L2 s 4J = _S 4. %i o tj — 5. 61&' ! hoct 5� 6. rxtermr air f iI-n- 0.17 Total �., Interior air film 0.68 • 2. �Zr 51#E�T"poCK .4S 3. 3 /� .p A ,J S U R T t c� r�% . OQ 4 .fir =s mss' rl E C 'r' P- 0 5 -CS 6. Exterior air film 0.17 Total IZ.B$ '/� 1 • Interior air film 0.68 3 2' © i•• 3• 4• �. 5. 0.17 6. Exterior air film .Q Total -0 `,J 1. Interior air film 0.68 2. 3. 4. 5. 6. Exterior air film 0.17 Total s . Q- - � 0 tri � • FIG. 04 O .�- NOTB: Indicate tync-, "R" Va] u(:, dr-pth and placement of insulation. WALL SECTIONS COTE; Use 10% of opaque wall area for frame construction FSG. #3 Page 3 of 4 Construction R -Value 1. Interior air film 0.68 2._ +4 E C 7-2 o c w- +5' 3. JAS �, 3S 5. MA;pn1t"E d1VIAJa I.DO 6. Exterior air f ilm 0.17 Total 1. Interior air film 0.68 2. SNC-ETI-Oc,K 045 3. 3 % /,J S V - 11.00 4 • µ _ P- 2.06 5. MASa.J irr JF S, •J6 1.00 6. Exterior air film 0.17 Total 1.5. 3 6 1• Interior air film 0.68 2. 3 -z- Ai So m P, T, o 3. I z� ��Msot 1.$9 4. hf 6 A -T -H ,,J 6 2,06 5• r+ A6oj j -r£ S % z , -jG i. 00 6. Exterior air film 0.17 Total I (a. 8 1. Interior air film 0.68 2. Ill 0 �1 6- 3. '3. rvl 0 � E 4. MO til ,C Q S. / Z " (1G J C- o' G K 6. Exterior air film 0.17 Total 2.13 �L lFIG#4 tit NOW.- Indicatetypd, "?t" 'value, .depth and Placement of insnlntinn. WALL SILL Mip -FIG. #1 r � Y TOPVIEw or rMin A?ALL /rC F1G. #3 . y'•0, t V 1. Interior air film IF 0 3. �0 5. M Rr r U r niG ),Do 6. ExteriorUrn air f ri 0.17Total g. 2% .. Interior.air film 0.68 ,,l. • � 2. o J,6 p1.0��► A—S. �, p onl 4. 2s3-' =H ERTrta�iG Z 1,00 low . 6. Exterior air f ilm Tota]. 0.17 14. 9 I 1, 68 Inter0. ior air film 2. 3. 4. 5. 6. Exterior air film- 0.17 Total 1. Interior air film 0.69 2. 3. 4 5. 0.17 6. Exterior air film Total Fac. #4 NOTt. • CS Fi -i '— c jet x x �l/ /t r 1 ter Indicate tynL, "R"'value, drpth and placement, of insulation. ciiy: of aP13�;s�;a foa �,f �f'c .::°� ..wl cts ti'bt'�;a::� r, � ::is . Dept. of Bldg=. Phona SZ* -34S0 DESCRIPTIO -.?i O: W0r, M.v� t - Kim and Lccr.ica of Flmh res I.o, a+.. . City of Fridley,. The undersigned hereby crakes appllcation for a permit for the- work her'ti specified, a� eeinz to do a1 work in strict accordance with the CttU :e and ruling of the Department of Buila.'nV. and hereby declares that all; the fad ° and representations stated is this appL'cat:oa are true and correct' Fridley. Man Owner �� `� �ye-•-..� -F� - ' Kind of Building���"`� • F::.•.:o C:.a:....s�ca Gp:.r_i-„ Cc:.,-..:�' _ : �•i.� Soc�or Used as — t ?isv Old CT.•srr.Ls Cc::.prol — — To be completed about — wAtra NTK. �Z Estimated Cast. $ qq ��1a �. o a< 7 7 _ •7 g -g o v H ras MC. tf XZ-• SIved Number Fixtures .......... o'v < u U a jU V �`��'2.e' Business Phone No ::ew Fixture Old Opening.......... x $1.50 - C:tch Basin .................... . - x $3.25 $ so c� . ,. Water Iieater 'Up to 93.000 Bp • • • • x $300 $ • ROUDH • New Ground Run Old Bldg....:.. o . x ;3.25 S r1&ctr1.c Vlatar H&aLar, .............• s 52.00 $ - F1NAL ' - / e , • . 2AS F:T:ING FEES: NO. R.; $ TOTAL Lt 3 Fixtures .................. _ x $2.00 $ . Additianal Fixtures ...... x S .75 S Gs R�snae to 193.000 BTU ......... x $5.00 *o . State Surcharge RM?M S & XLTEIRATIOY•S—Refor to Cod* .50 .Dc;cri;�'Jon........ .. ..... :........,...............� " TOTAL FT.s.F. $ e L� • 3rd L -L City of Fridley,. The undersigned hereby crakes appllcation for a permit for the- work her'ti specified, a� eeinz to do a1 work in strict accordance with the CttU :e and ruling of the Department of Buila.'nV. and hereby declares that all; the fad ° and representations stated is this appL'cat:oa are true and correct' Fridley. Man Owner �� `� �ye-•-..� -F� - ' Kind of Building���"`� • F::.•.:o C:.a:....s�ca Gp:.r_i-„ Cc:.,-..:�' _ : �•i.� Soc�or Used as — t ?isv Old CT.•srr.Ls Cc::.prol — — To be completed about — PARTIAL RATE SIHEDULE Estimated Cast. $ Ol h'ew� nu' :ding Permit Ivo. Po:nit 40. -- L Bill- F'IXTUBE RATES: HO. RATE TOTAL tf XZ-• SIved Number Fixtures .......... F uture Fixture Opening ........... x 51.50 S -• By �`��'2.e' Business Phone No ::ew Fixture Old Opening.......... x $1.50 - C:tch Basin .................... . - x $3.25 $ so c� . ,. Water Iieater 'Up to 93.000 Bp • • • • x $300 $ • ROUDH • New Ground Run Old Bldg....:.. o . x ;3.25 S r1&ctr1.c Vlatar H&aLar, .............• s 52.00 $ - F1NAL ' - / e , • . 2AS F:T:ING FEES: NO. R.; $ TOTAL Lt 3 Fixtures .................. _ x $2.00 $ . Additianal Fixtures ...... x S .75 S Gs R�snae to 193.000 BTU ......... x $5.00 *o . State Surcharge RM?M S & XLTEIRATIOY•S—Refor to Cod* .50 .Dc;cri;�'Jon........ .. ..... :........,...............� " TOTAL FT.s.F. $ e L� • 560-3450 city.0 %''a�e1/ ANOKA COUNTY 6431 UNIVERSITY AVENUE NE October 12, 1976 FRIDLEY, MINNESOTA 55432 S. J. Constkuction 6305 East River Road N.E. Fridley, Mn. 55432 Ree Final Inspection at 21 Talmadge Way N.E. Dear Sirs: A final inspection on October 7, 1976 of the above address noted the following items which must be completed before the construction can be finaled out; 1. Provide house numbers on structure. 2. Install joist hangers. 3. Install double header in basement. We will expect the above items to be completed by November 1, 1976 when a reinspection will be conducted to determine compliance. If you have any questions about these items, please feel free to contact me. Sincerely,- DAR.REL G. CLARK Community Development Adm. DGC/mh -0. ,.`"':? r",°i.•..�r,., j,.....,r} ?i` .•�`�-+r? CT'r.....%,^...�.a %p,,..,+ :-tem-. S'i.s°.'-•+C'..«...-��....•r. r? ..;.� i:mw:�"... i•... n �ut::-4 a r.d:+ .i'. �......•.,:...y- �..,+�.:oi: ......•..c�v:.g .....--✓...c�,.:ovJ �•:.. G7!A V :: d7 .M T.? S`.rii is A:;r-�:.c^s-- u� tc 1- 0 -OJ nrp3.. L• A*-t—a"'ons each add. 3,130.10 r r -a -e S-..c':I $; ^,::; r?nr3c to I.M"Ca B TJ Cc i ^..:Cr ... ;t to $500.00 .._ $c A:tr .tie'w each add. $3400.Do t: xvT rn.L.:i SYSTZM :in i"Z TOT AL .. yIQ.CO b 6.00 6:)p s 3 OX) S :��....... S: :i - ^CS--tp i,-�O 3Q. :: 7Z? 5:--csn .s 1.0.CUD a CnLt it ..MC - Ic 641i ✓G at. E"R Hot Water 10 C-4 S, Eac^ Add EPi S!v): l .ft M 4p :ac.': 2?3. 33^ :.;.:t EDR Ho; watcr 3.00- S _ 3 Ea'. per hou. 6.00 S. over 3 Zai. per hour --.Sec Fee Schedule s Gds 3v r=R (;:p :t; L' S w BTU) 5,03 3 o„;..? Vs �. �+ � S.: Fro vchrc.'ulo Gia F:i ,I:4C: t::�: .YO RAli r. TO -:AL Is- 3 nx:..res Add,nrnna: = Sztv:rs C23 fL-^e: tb lsr2 .m •. �...rl. ter. V V l .I . 'J �.(•rr.r SiJ�.V GiTJi �� r. .73 Yv 5.00 $ State S=-c.arse ."0 s• So* rca Sc:s�r.'a a 7� a :r:•. City of The- :or- a p-c-m:it for a work h.e:-` specfi_•d ag r• -a ;ri do ail •A^,_t :n -ict acco:d' nre w•i' ind rt:i.^.g•of 'he -t•pa:nnent jf?:.:,3i^ ='d hereb., Lha: a:l :hr f:x and rtpr•:sr:I1;c6un5 s,atr'd It] IItI5 app'ucati(,,n a:. tr.:e ar,d c--t--L e f Own t -r S4641 Kind of Buildi:Ig Tn be cor*IpieIed about Es:ir�a? Did ro:ait so. CM CJio� i�.. ATfNG or PO.; Z:? Ect A—? --,140 I Trade Na„ Ie r— SS: a NO Capacity__._._..__ B U �. Totz-1 Cca.^ccted Lc,:!d Cf .tir Can city sq. 1-- Z: -'3R V Suburban Air Conditi®nine ' `% � /a 8419 Center Drive esota 55432~ � �v�--�-- MinneaPo s.r s 3.G? :��....... S: :i - ^CS--tp i,-�O 3Q. :: 7Z? 5:--csn .s 1.0.CUD a CnLt it ..MC - Ic 641i ✓G at. E"R Hot Water 10 C-4 S, Eac^ Add EPi S!v): l .ft M 4p :ac.': 2?3. 33^ :.;.:t EDR Ho; watcr 3.00- S _ 3 Ea'. per hou. 6.00 S. over 3 Zai. per hour --.Sec Fee Schedule s Gds 3v r=R (;:p :t; L' S w BTU) 5,03 3 o„;..? Vs �. �+ � S.: Fro vchrc.'ulo Gia F:i ,I:4C: t::�: .YO RAli r. TO -:AL Is- 3 nx:..res Add,nrnna: = Sztv:rs C23 fL-^e: tb lsr2 .m •. �...rl. ter. V V l .I . 'J �.(•rr.r SiJ�.V GiTJi �� r. .73 Yv 5.00 $ State S=-c.arse ."0 s• So* rca Sc:s�r.'a a 7� a :r:•. City of The- :or- a p-c-m:it for a work h.e:-` specfi_•d ag r• -a ;ri do ail •A^,_t :n -ict acco:d' nre w•i' ind rt:i.^.g•of 'he -t•pa:nnent jf?:.:,3i^ ='d hereb., Lha: a:l :hr f:x and rtpr•:sr:I1;c6un5 s,atr'd It] IItI5 app'ucati(,,n a:. tr.:e ar,d c--t--L e f Own t -r S4641 Kind of Buildi:Ig Tn be cor*IpieIed about Es:ir�a? Did ro:ait so. CM CJio� i�.. ATfNG or PO.; Z:? Ect A—? --,140 I Trade Na„ Ie r— SS: a NO Capacity__._._..__ B U �. Totz-1 Cca.^ccted Lc,:!d Cf .tir Can city sq. 1-- Z: -'3R V Suburban Air Conditi®nine ' `% � /a 8419 Center Drive esota 55432~ � �v�--�-- MinneaPo SUBJECT PERM City of Fridley MOVING 11 19566 AT THE TOP OF THE TWINS PERMIT f RECEIPT NO. `y ______ COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 6/27/88 JOB ADDRESS 21 Talmadge Way N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 5 2 Leigh Terrace SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Anoka County Caununity Action Program 784-2443 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Ernst Home Movers 9400 - 85th Avenue North, Mpls. 55445 425-2822 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 Move House & Garage out of City 9 CHANGEQFUSEFROM TO STIPULATIONS Route: West on Talmadge to lst street to north to 75th Way to East River Road to 85th Avenue to University to out of City 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 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 $11,000 N/A 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- $15.00 R CTION OR THE PERFORMVCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $15,00 IGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) WHE PROPERLY PERMIT r � LDAA SP �EDISUR DATE SIGNATURE OF OWNER OF OWNER BUILDER) IDATEI [ sF] Moving [ ] Wrecking Job Address: Legal Description: I -C' I' S- City of Fridley (oe!f E ✓ S f • 4&w-< �r :.e K.t1- Owner Nene &Address: _ o Tel # Garage Area: Length ` Width ��ee Height Sg. Ft. _ Cu. Ft. Oontractor : 26Y K = ,, .,, f _ Tel # Address. Utilities to be Notified: State License # Living Area: Length DESCRIPTION OF BUIIDINC Width Height gh f� Sq. Ft. cu. Ft. e Garage Area: Length ` Width ��ee Height Sg. Ft. _ Cu. Ft. Other Length Width Height sq Ft. Cu. Ft. arm— Estimated Cost of Wrecking/Moving //000-0— - Approx. Completion Dates Utilities to be Notified: City Water/Sewer Mpls. Gas Company Northern States Power Northwestern Bell Tel Co. 571-3450 [ ] 372-4720 [ ] 566-9120 [ 1 293-0665/293-1319 [ ] /0- Water Bill Paid: Yes M mount To Be Collected [S �y���� ] Initials Moving Route: of T, -v - o i T6 -2-r gf-- 0--e -S% 6 ��- 7 S o,c. Moving: Principle Building into Fridley . . . . 80.00 R e `� r5� P.ccessory Building into Fridley . . . Y( - Through, within or out of City . . 15.00 v- JMINIDUM FEE: $15.00 Wrecking: ' For each 1, 000 cubic feet or fraction . $ L25 For structures w1dch wculd be impractical to cube, the fee shall be based on the total cost of wrecking at the rate of $6.00 for each $500.00 or fraction. The undersigned hereby crakes application for a permit to wreck/move the building described above, agreeing to do all work in strict accordance with the City Ordinances and rulings of the Building Department, and the State Code which requires any water well on the property to be sealed by a State licensed water well driller, and hereby declares that all facts and representations stated in this application are true and gDrrect. PERMIT FEES Stipulatio :_ Signature V