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PRE 2010 DOCSDate: Owner: City of Fridley, Blinn. BUILDING PERMIT April 10, 1967 Dono Builders Builder Address Address N® 9183 Donb Builders, Inc. 1052 Osborne Road LOCATION OF BUILDING No. 7330 Street Van Buren St. N.E. _ part of Lot Lot 13 _ Block 5 Addition or Sub -Division __ Shaffers Sub. # 1 Corner Lot —_ Inside Lot — x Setback 5 6' — _ _ Sideyard ._.l 0' & 18 Sewer Elevation 873.31 888.31 Top of footing DESCRIPTION OF BUILDING To be Used as: Dwelling Front 36 Depth 24 Height 26 Sq. Ft Cu. Ft Garage Front 20 Depth 22 Height 10 Sq.Ft 440 Cu. Ft 4400 Wood Frame $29,000.00 7/10/67 Type of Construction _ Est cost _____ ...._ To be Completed SEWER LOCATION— 239' North of Manhole W&TER LOCATION =-- 249 North of Manhole Crown storm sewer elevation 871' In consideration of the issuance to me of a permit to construct the building described above, I agree to do the proposed work in accordance with the description above set forth and in compliance with all provisio 0 ordinances of the city of Fridley. 11 &&" $1 no on NSGn r In consid ration of the gayment of a fee of $ 27.00 permit is hereby granted to Donlo Builders fra thto construct the building or addition as described above. This permit is granted upon e 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 Bart thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits asci this permit may be revoked at aqy time upon violation of aay of the provisions of said ordinances. Clarence Belisle Building Inspector NOTICE: This permit does not cover the construction, installation for whdng, plumbing, gas heating, sewer or water. Be sure to lee the Building Inspector for separate permits for these Items. OWNER'S ADDRESS hl APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA ADDRESS. ,& BUILDING NO. r � STREET l�/�.�� ; PART OF OT LOT BLOCK ADDITION OR SUBDIVISION CORNER LOT_INSIDE LOT4- SETBACK SiDE-YARD,/, SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used Ad: FrontDepths Height Sq. Ft. Cu. Ft. Front Depth, Height ��.. Sq.Ft. 0) _Cu.%%Ft.44, Y Type of Construction eo�1 Estimated Cost AV To Be Completed The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings -of -the Department of Buildings, and hereby declares that all the facts and representations.'st4ted.in this application are true:and correct. AI DATE � SIGNATURE 4Revrse -✓ (Sch ule of Fee Costs can be found on the Side). r 7 tv BUILDING PERIL= .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 alterations or repairs to any existing building or structure# up p. application therefore, require the payment by_the.apglicaat`� for such permit of fees to the amount herein below set forth and in the manner herein provided,to-wits 2.1. For any such permit for the erection.of any fire -proof building, other than a garage, warehouse, factory or grain elevator, or for the erection of any fire -proof addition, for similar occupancy, to any existing building, .....shall be. at the -,rate of $1.40. for.-each,.,one thousand cubic 'feet or fraction thereof, in such cubical contents. „ 2._L ..For any. pgh permit ,for the erection of any,fire-proof garage, warehouse, factory or "grain, elevator, or for -the - -ere ction of any fire -proof addition, for similar,occupancy,.to,any existing building shall be at,,the rate of. U.25 for."bach one thousiiid'cubic-feet,-classified as "-fireproof" bq Section 502 of the Minneapolis Building Code. HOUSES n 2.3. For any such permit f6i.the erectiob 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 fee $1.00 for each one thousand cubic feet. GARAGES 2.4. For any such permit for the erection of any non -fireproof garage, warehouse,, factory. or grain,. elevator, or,,for the erection. ;of...any non -fireproof addition, for similar occupancy, to any existing building or for each such building or addition` -.ninety cents ($4.90) for each,one thousand cubic feet or fraction'tfiereof, in the cubical contents thereof with the minimum of $4.00. _. For the purpose of computing fees for building permits, the dubical contents of any building or addition to.a uniform. height throughout by..multiplying the ground area covered from a point six (6) inches below the floor line of the basement or cellar to the average height of the upper surface or to the average height of the roof surface of the.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 per.each-Five Hundred-,Dollars'($500 00) or fraction thereof in the cost of all proposed work. 2 6y In no case shcll..the...fee, charged :for any._permit. as set forth. in Section 2 be less than $4.00. . . 'A 1 ppppp� r Applic®fl®n Oar Power Plauft anda p4go Coaling® Ventilatica, Rafaigor=i 'an cond Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE Dept. of Bldqs. Phone SW -34M GRAVITY WARM AIR: RATE TOTAL Location -7336 6ei.e76e? Furnace Shell & Duct Work .. $ $10.00 Replacement of Furnace JU&$ 6.00 Repairs & Alterations—up to $500.00 .................. $ 6000 Repairs & Alterations each add. $500.00 ............... $ 3®00 MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ..:......... $ ®' $10• 00 each add. 60,000 BTU ....................... $ 3.00 Replacement of Furnace ............................. $ 6.00 Repairs & Alterations—up to $500.00 ................. jLvC $ 6.00 Repairs & Alterations each add. $500.00 .............. M $ 3.00 STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... f&a $ $10.00 Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... $ Z0.00 Each add. 200 sq. ft. EDR Steam ...................... jUk $ 3.00 Each add. 320 sq. ft. EDR Hot Water .................. j.ft $ 3.00 OIL BURNER—to 3 gal. per hour ....... $ 6.00 ............ ..... over 3 gal. per hour --fee Fee Schedule , 199 000 y GAS BURNER (up toi4K BTU) 5.00 $ cg . &V GAS FITTING �Y& 199S 000 BTU NO RATE TOTAL 1st 3 Fixtures x$ e ®e° X2.00 Additional Fixture ....... x $ 75 Gas Range to i&%%........... x 2.00 $ $5.00 AIR CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $ ALTERATIONS & REPAIRS TOTAL FEE $l ROUGH FINAL City of Fridley: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. Fridley, Minn - lg 1 -,- Owner �� 46"_1 �[� it - Find of Building Used as To be completed about, ` ��^ ""We 17 Estimated Cost, Old New. uilding Permit No. Permit No. d 6g DESCRIPTION OF WORK HEATING or POWER PLANTS—steam, Hot Water, Warm Air— Trade Name ® Size No. 'Ge " %/ p Capacity Sq. Ft. E.D.R BTU H.P. Total Connected Load S54— 1'5� Kind of Fuel BURNER — Trade Name Size No Capacity Sq. Ft. E.D.R. BTU H.P. (REMARKS -OVER) Signed' HEATING AND AIR CONDITIONING INC By 441 MJ,',<2 Business Phone No 920-38006kM � \1 CRONSTROMS 11 TG. & AIR COND., INC oob Name L'f D-56 4410 Excelsior Boulevard, Minneapolis 16, Minn. d�' ZB NEAT LOSS CALCULATIONS Job Address-'� "� �� _ Weatherstrips A.S.H.V.E. Guide Reference 19— Construction No. I Insulation Windows Doors Out. Wall Int. Wall Ceiling Roof Floor i Kind How Applied Yes—No Yes—No Exp. wall Fl. Room I Length / `-Width Height Fl.l Room I Length Width f Z -Height Windows and Doors—Crackage and Area Width Height No. of Lineal f . Area ��® No. of pane of pane lights of crack sq. ft. W ( 77 Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. V Floor Coef. Btu Coef. Btu Infiltration ® 6 Infiltration feb d®'® Glass .760 Exp. wall Glass Exp. wall 7 - Net exp. wall 44L AQNet Int. wall exp. wall t c I zzgo Int. wall CeilingZAA P Ceiling yX/a I® Floor Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Total Btu. Required sq. ft. E.D.R. orsq.ins. W.A. Leader area tL Fl.� Room I Length 2, Width Z.- Height Fl,1 Room (1-ength ; Width Height Windows and Doors—Crackage and Area Windows and Doors--Crackage and Area Width Height No. of Lineal ft. Area No. of Dane of panne lights oof Brack sq. ft. Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu Coef. Btu Infiltration 4/0 Id ®® Infiltration �� Idcy 0 Glass d 0 Glass Exp. wall Net exp. wall 9F C' Exp. wall Net exp. wall Int. wall Int. wall Ceiling Ceiling Floor Floor Total Btu. Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.1 Room I Length 2- Width J2, Height jg Windows and Doors—Crackage and Area Width Height No. of Lineal tt. Area No. of Dane of pane lights of crack sq. ft. Infiltration� Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Tbtal Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.1 Room I Lenitth Width Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of -pane llghts of crack sq. ft.. Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area CRONSTROMS Flus. & AIR COND.r INC. j* 14ame l /Wax, $ t D-56 4410 Excelsior Boulevard, Minneapolis 16, Minn. •' A/Zr:26 HEAT LOSS CALCULATIONS Job Addres ®® ''� % Weatherstrips A.S.Guide H.V Construction No. I Insulation e EI Windows I Doors Reference Out. Wall Int. Wall Ceiling Roof Floor I Kind How Applied Yes—No Yes—No 19— F1.17 a iD §70. i, Room I Length V Width // Height II Fl.l A Room I Length , Width Height Windows and Doors—Crackage and Area G �f Width Height No. of Lineal ft. Area No. ofpane of pane lights of crack sq. ft. i-11 V Wm ows and Doors—Crackage and Area Coef. Btu Width Height No. of Lineal ft. No. of pane of pane lights of crack Coef. Btu Infiltration Glass Exp. wall Exp. wall fe ZIO Net exp. wall Int. wall Ceiling Cy, �® Ceiling Floor Btu Infiltration Total Btu. " Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.1 Room I Length Width / 7 -Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of Wane of Wane Ii¢hts of crack I ea. ft �4f.j Btu Infiltration C Glass Exp. wall y Net exp. wall kly Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area rn 1 r, _ I .r ff A •ar• ■.r 'a rr • 1. Tbtal Btu. ft. E.D.R. or sq. ins. W.A. Leader area Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Width Height No. of Lineal ft. Area No. of pane of pan.lights of crack sq. yyft. > fid (S Wm ows and Doors—Crackage and Area Coef. Btu Width Height No. of Lineal ft. No. of pane of pane lights of crack Area sq. ft. Btu Infiltration Exp. wall fe ZIO Glass Cy, Ceiling Coef. Btu Infiltration Net exp. wall " /0 Glass Int. wall Exp. wall 12S Net exp. wall 91 /6 / 0 Int. wall Ceiling Floor Cj Tbtal Btu. ft. E.D.R. or sq. ins. W.A. Leader area Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Width Height No. of Lineal ft. Area No. of pane of pan.lights of crack sq. yyft. > fid (S Coef. Btu Infiltration Coef. Btu Infiltration Exp. wall fe ZIO Glass Cy, Ceiling Exp. wall Poor Net exp. wall ® /0 Int. wall Ceiling Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area , F1.1 Room I Length Width Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Poor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area FI.I Rnnm I Length Width Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of.pane lights of crack sq. ft. Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area City ®f Fridley Application for PlumVing and Feng ' DESCRIPTION OF WORK Number, Kind and Location of Fixtures �J S -g9 $ iT RATE TOTAL Number Fixtures ...................... — x ;a �n > 3 Z as u. 1.20 $ �Z g a iaTJZ c� O < 3 J �U' d W C7 a� Z Z 00 . F N WATER HTR. GA$ ELEC Base GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x i $3' '30' Additional Fixtures .................... x .50 $ 1st f 2nd / 3rd 4th _ • Future Connection Openings Fixture, Old OpeningsI Connected with Sewer E]New Cesspool PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... — x I so&eob 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) ...... xgg " e c. $ 3,®� New Ground Run Old Bldg. ....... .... x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x i $3' '30' Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. REPAIRS & ALTERATIONS --Refer to Code x 2.00 $ Dept. of Bldgs. Phone SII 4-7470 Location .?'l•GCdt 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- Owner inn Owner Kind of Buildingi� Used as To be completed about Estimated Cost, $ Old ew. uilding Permit No Permit No. 2 Signe By Business Phone No. ROUGH FINAL Description ................................................$ TOTAL FEE $ 4/• e e' az PAR71AL RATE SCH52MULE GMATYM WARM AM: WAVE TOTAL numace men a Dud 7VQwk ... Replacement of Fwaace 6.00 'Repairs & Alterations—up to SPM.00 6.00 Repairs 8-F Alteraidons each add. 900.00 3.W V2— Furnace Shell & Lines—to 400 sq. tL ZDR Steam $10.00 Furnace Shell & Line—to 640 sq. ft. EDR Hot Water 10.00 Each add. 2W sq. ft. ZDR Steam ann Each add. 320 sq. ft. EDR slot Water 3.00 OIL MURIM—to 3 gal. per hour &00 over 3 saL per hour Fee Schedule BURN]M (up to UDAM BM &00 Over 190,0M FM Ewe Foe schedule MAL--� - 2.3 -76 ' ji ' 111111�111qii �v MFVTIM�4 I City of Tddlay: The undersign c4 hereby n=hes appHcafgan for a permit for t_�f,- work herein specified, agreeing to do all work in strict stFoardance with Me ate Ordhumcc-- amd ruling of the Department of Buildings, i& hereby decle-Tes thot aN Me fzez,-- and representations stated in this application are true and aonwL Fridley, Man- -- /40 Owner 214�- Kind of Building.— Used as To be completed about Estimated Cost, Builder Permit No. Perinit NO. 4-84/6 i'll 11''IF � 1111111111111 I�Ijjii6 Trade she No— capaci Total Connected KW of Fuel ov DURNM — ITIrmadke Namme Sim capacity - - - - — - - - sftq. 17ML BTU— MP. (UMA;MS--ov"1 City of Fridloy ApplicWtan for Pimbing alo G= Mailng PorMilt Dept. of Bldpa. Phone 560-344 DESCRIPTION OF WORD: Number, Kind and Locetion of Fixtures Ii o I< Estimated Cost, $ �g g3 S Permit No. PLUMBING FIXTURE RATES: gc Old—New. Building Permit No. 1 7' 7< 7$ • ► • N WATER HTR. GAS ELIC $ _. By N� o� New Fixture Old Opening .....:.... x $1.50 S� Business Phune No Catch Basin .................... x $3.25 $ Water Beater '.Up to 99.000 BTU)... • x $3.00 $ ROUGH New Ground Run Old Bldg. ........ x $.3.25 $ Bsse Electric Water H"tor...... ...... a $2.00 $ FIN�LL ZAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .................. — x $2.00 $ Additional Fixtures ................ x $ .75 1st � Gas Range to 199.000 BTU .......... x $5.00 $ REPAIRS & ALTERATIONS--R•for to Code .50 State Surcharge Description ........................................ 3 2nd r TOTAL FLE 3 _ 3rd 4th • Tutu:• Connection Oponings New Fixture, Old Openings 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 fact and representations stated in this application are true and correct Fridley, Minn 19 owner Kind of Sew®r Used as Cesspool [� To be completed about / o<_ PARTIAL RATE SCHEDULE Estimated Cost, $ Permit No. PLUMBING FIXTURE RATES: NO. RATE TOTAL Old—New. Building Permit No. 1 Number Fixtures ................. x $2.60 O $ Signed r Future Fixture Opening ............ x $1.56 $ _. By New Fixture Old Opening .....:.... x $1.50 $ _._ _ Business Phune No Catch Basin .................... x $3.25 $ Water Beater '.Up to 99.000 BTU)... • x $3.00 $ ROUGH New Ground Run Old Bldg. ........ x $.3.25 $ Electric Water H"tor...... ...... a $2.00 $ FIN�LL ZAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .................. — x $2.00 $ Additional Fixtures ................ x $ .75 $ Gas Range to 199.000 BTU .......... x $5.00 $ REPAIRS & ALTERATIONS--R•for to Code .50 State Surcharge Description ........................................ 3 r TOTAL FLE 3 City of Fridley AT THE TOP OF THE TWINS SUBJECTPERM BUILDING P E R M I T 11003 r '. COMMUNITY DEVELOPMENT DIV. r t PROTECTIVE INSPECTION SEC. t CITY HALL FRIDLEY 55432 612-571-3450 RECEIPT N NUMBER 910-F15 REV. DATE 11/7/80 PAGE OF / APPROVED BY JOB ADDRESS 7330 Van Buren Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 13 5 Shaffer's Sub. #1 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE McKusick 7330 Van Buren Street N.E. 784-1633 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Richard Hastings 6331 Riverview Terrace N.E. 574-9966 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 X 8 DESCRIBE WORK Install aluminum soffits & facia 9 CHANGE OF USE FROM TO STIPULATIONS 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 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 $1a OOO $.50 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- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $7.50 J:'�j ft ? go PLAN CHECK FEE TOTAL FEE $8.00 SIGNATURE OF CONTRACTOR OR AJHORIZED AGENT (DATE) WHEN PROPERLY VALID TED THIS IS YOUR PERMIT BLDG )NSP O E SiGNATURE OF OWNER IIF OWNER BUILDER) IDATEI CITY OF FRIDLEY APPLICATiOi>d FOR RESIDDITIN_ BUILDIiIG PEfL`MS (New, Alterations, Additions, or Repairs) OWNER: m t k" S i e i( ADDRESS: 733o L)AA1 $kkt=rV TEL NO: % 9 L� -- (6 3 3 BUILDER:/( �•c �i k D 4A_S `I ��11�5 ADDRESS: 6331 K K 01'f LJ T (Z TEL 110: S? ((" �g 6 Construction Location • STRMi T NO : 733c, STREET: L) 4 N 8 c4 iZ I" A! /S .s ,[� rG LOT: t 3 BLOCK: S ADDITION: SS11 /� F�rA' � Corner Lot: Inside Lot: Setback: Sideyards: Ap,plicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTION OF CONSTRUCTION front: Squane.Feet: Front: Square -Feet: Depth: Cubic. Feet: Height: Depth: Height: Cubic Feet: Type of Construction: AZOA t, �a ff�'ts r'Ac r A, Estimated Cost: $ Ilbv 0 • 6 n To $e Completed: z //1 S � 4Fto Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: $ $ SEE REVERSE SIDE OF SHEET . Mie undersigned hereby ma- ccs application for a permit for the %eork' 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 �m this application are true and correct. DATE: /(Z-7Z;p rv, 0 SIGNATURE..: Stipulations: • BUILDING t,umiT FEE 5Ciir:DuLE SI CT101J 2. • 'ThL 7n%:hector. of Bui.ldinfis ::hnJ.l, before pernnits for the crection of at)y bui.lcl.i.n�1 or 'A.ructalre, or. for any addition to any exiut:.i.n(j )�)ttilding or stxuctura, 6): for any alteration or repairs to -any exi. Linc.{ buil.di.iig or sty:ucture, upc,n appli_c:ati.oir thrl:efor.e, require dic payment by the applicant fo)7 such permit of fees to the amount herein below set forth and in the manner. heroin provided to-wit; 1.7EW CONSTRUC'XION: Single Family Domer and Garac{cs: ;4.00/1,000 cubic feet:. . PL70i CHECK: 2.5 percent: of building };permit fee. D111VE1• AY DEPRESS101.1: (Concrete. C1irb Streets Only) Alternate A: Removal and rcplaccment of concrete curb and gutter only; Driveway width plus 6 feet x 0,:1:;.75 Alternate B: Removal and replacement of concrete curb and gutter and install a 3 foot wide approach with 6 inch depth; Driveway width plus 6 feet x $17.85 • ADDI I1 Otti{AL, I t�!FOR��IAT I0P vor 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 ;Hain gable of a pitched roof. For repairs or alterations to an existing structure, the fee shall be at the rate ..of $3.00 Tier each five hundred dollars -*($500.00) or fraction thereof in the cosh of all proposed work. In -no case shall the fae charged for any permit as set forth in Section 2 lie- less than $7.50 plus $.50 state surcharge. ViRIFICATION 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 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. —CE.j;T I F I CATS OF OCCUPANCY Application for a Certificate of Occupancy shall be mad: ten (10) days prior to the use or occupancy of any structure for which a builLUng permit. has been issued; and said structure shall not be used or occupied until a Certificate of Occupancy has been issued. t ' SUBJECT P MIT City of Fridley 19148 AT THE TOP OF THE TWINS BUILDING PERMIT _ r REC O. 1' COMMUNITY DEVELOPMENT DIV. I a:------ r � PROTECTIVE INSPECTION SEC. NUMBER REV. DATE OF APPROVED BY ---1 CITY HALL FRIDLEY 55432 612-571-3450 910-F159/3/87 rP'AGE / JOB ADDRESS 7330 Van Buren Street N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 13 5 Shaffer's. Subdivision No. 1 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Charles McKusiak 7330 Van Buren Street N.E. 784-1633 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Ariel Remodeling 5744 West Moore Lake Drive N.E., Fridley 55432 571-9571 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 11 ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Construct a 16' x 14' Family Room Addition; and a 16' x 8' Wood Deck; finish family room in basement 9 CHANGE OF USE FROM TO STIPULATIONS See notations. on plan SEP'ARAT'E PERMITS REQUIRED FOR HEATING, PLUMBING AND SIGNS. WARNINGWIRING, Before digging call local utilities TELEPHONE - ELECTRIC e OAS Etc. REQUIRED BY LAW 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 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 14,050 ' $7.03 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- $110.50 None S UCTIO OR ��ERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE /_-'_ ,, $ 27.63 $145.16 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATEI WHEN PROPERLY V L TED THIS IS YOURRMIT BLDG INSP pT SIGNATURE OF OWNERIIF OWNER BUILDER) IDATEI NEW [ ] City of Fridley Effective 4/1/86 ADDN. R-1 AND R-2 ALTER. [ ] Building Permit Application Construction Address: -)336 v a`l 8"I, -_A Legal Description: Owner Name & Contractor:_ Address:_ ldress: C 4trte E u. ( 14 &I/".e /✓ r, Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Tel. # o 'r-" Tel. # �2— 9.E7/ LIVING AREA: Length Width , Height A Sq. Ft. a 2 y GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Widt H/Ground �'�Sq. Ft. OTHER: 22,y �C t� I�I� .�C� 12?� K �t3z $ N-61 . U , Corner Lot [ ] Inside Lot ] Ft. Yd. Setback Side Yard Setback Type of Construction: W uL % n AA.e Estimated Cost: $ Approx. Completion Date: Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation DATE: APPLICANT: Tel. CITY USE ONLY Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge TOTAL STIPULATIONS: ,r6 35,6 u /yo --W Fee Schedule on Reverse Side 25% of Building Permit Fee $.50/$1,000 Valuation $ 525 per SAC Unit Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] •Z 0 0►t,•� ��.50 i ►o.sa 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 $1.00 to $500.00 $501.00 to $2,000.00 $2,001.00 to $25,000.00 $25,001.00 to $50,000.00 $50,001.00 to $100,000.00 $100,001.00 and up Fees $10.00 (Minimum Fee is $15.00) $10.00 for the first $500 plus $1.50 for each additional $100 or fraction thereof, to and including $2,000. $32.50 for the first $2,000 plus $6.00 for each additional $1,000 or fraction thereof, to and including $25,000. $170.50 for the first $25,000 plus $4.50 for each additional $1,000 or fraction thereof, to and including $50,000. $283.00 for the first $50,000 plus $3.00 for each additional $1,000 or fraction thereof, to and including $100,000. $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. CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 (763) 572-3604, FAX (763) 571-1287 C2609- 66' q Effective April 1, 2004 MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR PLUMBING FIXTURE RATES: NO. RATE TOTAL JOBADDRESS VCAn �)Uy.:P—"n Ist New Fixtures $10.00 The undersigned hereby makes application for a permit for the work herein Old Opening, New Fixture $10.00 specified agreeing to do all work in strict accordance with the city codes Beer Dispenser $10.00 and rulings of the Building Division, and hereby declares that all the facts Blow Off Basin $10.00 and representations stated in this application are true and correct. Catch Basin $10.00 Rain Water Leader $10.00 DATE: � l 0c:5, 20 �� Sump/Receiving Tank $10.00 t,�$! Q UUP Water Treating Appliance $35.00 OWNER Water Heater -Electric 1 $35.00 f 1� -e S Water Heater - Gas** $35.00 -(D(:) BUILDING USED AS fA Gas Range** $10.00 - �� ` C) c) Gas Dryer** $10.00 ESTIMATED COST PERMIT NO. Back Flow Preventer Required ( )Yes () No Type $15.00 PLUMBING COMPANY H.P. PIPEWORKS I, W70 DODD ROAD Reinspection Fee $50.00/Hr MN 55125 SIGNED BY ALL OTHERS AND/OR REPAIRS AND ALTERATIONS )8651809 1.25% of Value of Fixture or Appliance ` c� Approved By Rough -In Date Final Date State Surcharge $ coo MINIMUM FEE ILOR ANY PLUMBING/GAS PERMIT IS $15.00 or 5% OF COST TOTAL FEE $';t6 OF THE IMPROVEMENT WHICHEVER IS GREATER PLUS THE SURCHARGE. COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. **PROVIDE COMMON VENT INFO ON BACK SIDE P _35.50 f+0 0 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 verifies 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 O No( ) Appliance Type and Size/Common Vent and Vent Connector Information Appliance #1 Type Appliance #2 Type Appliance #3 Type Total Appliances _ BTU Input _ BTU Input _ BTU Input Total Btu Input Common Vent Type Vent Height Fan Assisted or Nat Fan Assisted or Nat Fan Assisted or Nat 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) HEATING CO: Signed By: Date :