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City of Fridley SUBJECT P AT THE TOP OF THE TWINS BUILDING PERMIT RE `L ••••__ COMMUNITY DEVELOPMENT DIV. ��3y PROTECTIVE INSPECTION SEC. I /'•'1 CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY �•'•' ,'J 612-560-3450 910-F15 10/10/75 JOB ADDRESS 4687 3rd Street N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 30&S?2 of 7* 9 Plymouth Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Leo 0. Lemke 2229 North 6th Street M ls. 521 - 73;"S 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residpritial 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK —IMPORTANT— Cans-i—int a 94' 5r 471 Dwelling NOTIFY THE FRIDLEY ENGR. DIVISION REGARDING CUR13 9 CHANGE OF USE FROM TO REMOVAL AND REPLACEMENT STIPULATIONS Provide a =N hard surface driveway. Provide a verifying survey before capping. Provide sod in the front and side yards. SEWER AND WATER AVAILABLE, HOWEVER, BOTH MUST BE EXTENDED FROM MAINS. WARNING" Before digging call local utilitict. TELEPHONE - ELECTRIC - GAS Etc. SEPERATE PERMITS REQUIRED FOR WIRING, REQUIRED BY LAW 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 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-1 100$ ----20.160 ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION I 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, WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $27,300 13.65 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- STRUCTI N R THE PERFOR ANCE OF CONSTRUCTION. $37.30 $325.00 PLAN CHECK FEE TOTAL FEE i� Pi $375.95 ;%NATURE OF CONTRACTORFOR AUTHORIZED AGENT J ATS I WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT '�BLDG IN SP DATE SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) APPLICATION FOR RESIDENTIAL, ALTERATION, OWNER'S NAME: OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA Leo . 0 . Lemke BUILDER • Leo 0 . Lemke ADDRESS • 2229 No. 6th St. Mpla. ADDRESS: 2229 N. 6th St. Mpla NO:. STREET: ��`-�-T�L►z�z P� i vb( LOT:�7� BLOCK: � � ADDITION: o nfi' CORNER LOT: INSIDE LOT: W SETBACK: � S_ SIDEYARD: Applicant attach to this form Two Certificates of Surveyof Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: DLutil,U,JQ Front: ak�_ Depth: qZ Height: / sorly Square Feet :J QQ!8 Cubic Feet: a l `b Front Depth: Height: Square Feet; Cubic Feet: Type of Construction•. W, Estimated Cost: fi r r� '2 c, To Be Completed: "//® 24), Ud The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work iii 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. DATE: SIGNATURE: (See Reverse,qide For Additional Information.) IMS IC y,s 3G. od 16,6Cx 2�.�d ZZ �bo. So. 21, 300 it SO ly s Ir J% C., Or COMBINING THE RECORDS OF HARVEY A. CARTWRIGHT J. E. HILL, CIVIL ENGINEER ANOKA COUNTY SURVEYS ESTABLISHED 1696 H[NN NE COUNTY SURVEYS MINNELA ND SURVEYORS C. F. SANDHOFF APOLIS SURVEYS CIVIL ENGINEER 8410 PALM STREET N. W. REGISTERED UNDER LAWS OF STATE OF MINNESOTA ESTABLISHED ISM SUNSET 4-7655 LICENSED BY ORDINANCE OF CITY OF MINNEAPOLIS OWNER JAMES NELSON 326 PLYMOUTH BUILDING FEDERAL 8-8721 SURVEYOR INDUSTRIAL — JUDICIAL HENNEPIN AT SIXTH • MINNEAPOLIS 3. MINNESOTA ESTABLISHED l9aa BUSINESS — TOPOGRAPHICAL �9Hrbe ar'g �ertiftCattMETROPOLITAN LAND CITY LOTS — PLATTING y C SURVEYORS. EBTABLISHHD 1931 LEO 0. L ElkaK E 275--108 F+ Z Wo 4 -- r `yt. '4E -HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT PLAT OF A SURVEY OF' -LOT 30, BLOCK 9 v OF PLYi iCUTH kjOKA COUNTY, NlfI,fNESOTA AND OFT -HE SOUTH a OF THAT PART OF 47TH AVE.INOW' VACATEDVADJOINING SAID LOT AS SURVEYED BY l4E-THIS -4TH DAY OF SEPTEMBER 1969. f SIGNED CARTWRIGHT AND OLSON ,,W UST �e -6X 7 - t -, e V. a ; EL .4::) City of Fridley Appl3cation for Plumbing cnd Gas N)VAN3 Pe " Dept. of Bldaa. Phone 560.3480 ' DESCRIPTION OF WO11M ,�/� z NurnSar, Kind and Loeriien of Fixtures Location City of Fridley:. w NO. RATE TOTAL $2.00. $./1' Number Fixtures ................ _ x Future Fixture Opening ........... .° x $1.50 � G S - New Fixture Old Opening.....:.... x $1.50 �N•/ Catch Basin .................... x $3.25 WAT[� MiN, Water Beater !Up to 99,000 BTU). • • SZ =p x $.3.25 S = s $2.00 g�.'�Z 2AS FITTING FEES: ` 7= 7gzg r ►+ ws ncc 0 li $ Gas Range to 199.000 BTU ............---- x $5.00 L Ow '� O S� 3 t)Ic t9a Ov 1 1st / 2nd _ 3rd 4th The undersigned hereby makes application for a .permit for the writ her el specified, agreeing to do all work in strict accordance with the City Ordirace 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 41:2 -- . 19�� r . Owner = ! Kind of Building - • Fu:u:e Ccaaoct.:a t ,�aln3a I W never 0 Used as a Xsvr Firlure. Old Op4air.,s CeamPool 0 - PARTIAL RATE SCHEDULE ': LVMBING FIXTURE RATES: NO. RATE TOTAL $2.00. $./1' Number Fixtures ................ _ x Future Fixture Opening ........... .° x $1.50 � G S - New Fixture Old Opening.....:.... x $1.50 Catch Basin .................... x $3.25 $ Water Beater !Up to 99,000 BTU). • x $3.00 $ 8-1 New Ground Run Old Bldg......... x $.3.25 S Electr'.c Water Heator.....:........ s $2.00 $_.�_ 2AS FITTING FEES: NO. RATE TOTAL X$2.00 Ist3Fixtures ......•••••••••••• �.+ Additional Fixtures ............... x $ .75 $ Gas Range to 199.000 BTU ............---- x $5.00 L To be completed about Estimated Cost, $ - Old uilding Permit No. A-3 Permit No. 6 Signed By — - Business Phone No ROUOX FINAL RIETAIRS & ALTERATIONS—Refer to Code .50 State Surcharge .De:,csiption ................ c ........................$ _ TMA.L FEE - Cg :` � X T F -r S i +o .',"'s✓. J �L �ry a�.-� .. '` •C L^*0 ,. x-. pm. ..:'� � P . k....s•� hA r, ,r R n .ag e' . r s 9 ^ � t? _ P�_. 9.., n, .--.-^ 3,.z wtir.y .+.ay.:.. �.d ..• �.:.� 4... va +. n.a .... ..... i�+ yy..:4Jv:•. .`� U..:G.... .�.....✓..•.� �L._.✓..•a+_.'m:. • !r".:J �.IYWY,i4�:Y L`iE:J:..wy OI�+�Cor'.7a"4� la.or�.^: 6as.:bs:.stii.A PA cTIAL RATE SCH (MULE GRAVITY WA -11-1 A.I"aI: T:MM '!'.'9TLL ]Furnace Shell & Duca Work ... ... 410.00 � Replacernent, of 1,:rnace 6.00 � Repai-s & Alterations—up to $500.00 600 $ Repairs & Alterations each add. 1500.00 300 $ E'.EC L WA:1-M .fit rurnace Shell & Duct Work to 1 .0,00 BTU meth add. 60,000 BTU . ......... 17c'acemeut of 11urnace & Alterations --up to $500.00 r-rsfr•s & Alterations each add. $500.00 STEAM or XO T VIA'IMR CY�i E-22 Dapt. of D11-43. phanm S.M-3,2;D City of Fridley: The undersigned hereby makes application !or a permit for tte work here;,'• specified. agreeing to do all work in strict accordance with the City Ordinanear- and ruling of the Depat ;ment of Buildin'"s, and hereby declares that all the face and representations stated in this application are true and correct. ..$1000 •$ 3.tXJ S Owner 6.00 $ -- Kind of &OD $ 3MUsed-,as $ Furnace Shell & Lines—to 400 sq. ft. F.DR Steam V0.00 $ FZunace Shell & Line, --to f•40 sq. !t. EDR Hot Water 10.00 $, f� Each add 201 sq. ft. EDR Steam a.0M7 $ Each add. 320 sq. !t. EDR Hot Water 3.00. 3 OIL BUITMER—to 3 gal_ per hcur over 3 gal. per hour—See Fee Schedule o � GAS DuiI E'R (up to 11.1.1s,003 BTU) 6.0;3 $ oar': !D0,o30 B`i'II so* rao uh.-dulo GAS FITTING :.:5: 1.10 RATE TOTAL 1st 3 Fixtures e x4 .a 2C'J Additional Fixtures _ x .76 Gas Range to 1M.= xW 6.Ga $ _ rAN TSG tai �aiL.rg State Surcharge� .50 % Ir, �i3�, 1?'� ►wi'.S TOTZL F, $ To be completed about > Estimated Cost S Old --New. Building Permit No. Pormit No. 6�5D Bad::.iT�iG'i�8 OF VTOZ 4TTNG or POUTER PLANT ,—Steam,of Water Warm Air—No—/ Trade Name Size No_ !ok ` — c;2 -3 1/ Capacity—S.-k_. _ Sq. F°t. Ir.D.iiisT'U NP Total Connected Load . 5_ . XfM of Foe BURNER — Trade Na asp Sino No ira=Azta..av¢a) " HT,. G. r' ' - y NAME��/ lG,O N T R. [ADDRESS I I I I FL. ROOM LENGTH WIDTH /y HEIGHT WINDOWS AND DOORS-CRACKAGE AND AREA _ycINFILTRATION NO. WIDTH HEIGHT No. OF LINEAL FT AREA LIGHTS OF CRACK SO. FT 2 1 d la7 I zs 113 / 1 /7 TE rNAME JOB L,19 ADDRESS FL.♦ ROOM LENGTH WIDTH HEIGHT WINDOWS AND DOORS-CRACKAGE AD AREA NO. WIDTH HEIGHT NO. OF LINEAL FT. AREA LIGHTS OF CRACK S0. FT -.x-- I lr 9 I INFILTRATION GLASS EXP. WALL NET EXP. WALL CEILING FLOOR TOTAL BTU. I I I I FL. te / ROOM LENGTH & l Z $ /� _ycINFILTRATION NO. .3� COEF. BTU AREA S0. FT. GLASS COEF. BTU o2C+� EXP. WALL pz V </O �797&I INFILTRATION O �® GLASS NET EXP. WALL f�pg A5) GLASS �0 /'70 d CEILING EXP. WALL Q g FLOOR EXP. WALL s�p FLOOR NET EXP. WALL NET EXP. WALL TOTAL BTU. CEILING TOTAL BTU. TOTAL BTU. CEILING FLOOR HEIGHT 7 c FLOOR 3 ROOM LENGTH yWIDTH 2 --HEIGHT WINDOWS AND DOORS•CRACKAGE AND AREA NO. WIDTH HEIGHT NO. OF LINEAL FT. AREA LIGHTS OF CRACK SO. FT. 7-8' --.J- -7' .3 e/ 1.2 S/ TOTAL BTU. y TOTAL BTU. 1FL. ROOM LENGTH WIDTH HEIGHT 2/ ROOM LENGTH /WIDTH / HEIGHT WINDOWS AND DOORS-CRACKAGE AND AREA NO. WIDTH HEIGHT N0. OF LINEAL FT. EA LIGHTS OF CRACK SOAR FT. °2.1( /� M �3 -� d __t1FL.j0%VeX WINDOWS AND DOORS-CRACKAGE AND AREA NO. WIDTH HEIGHT N0. OF LINEAL FT. AREA LIGHTS OF CRACK SO. FT. Z1-3 C/ 1 a `/ I INFILTRATION GLASS EXP. WALL NET EXP. WALL CEILING FLOOR TOTAL BTU. I I I I FL. te / ROOM LENGTH & WIDTH WINDOWS AND DOORS-CRACKAGE ANb AREA NO. WIDTH HEIGHT N0. OF LINEAL FT. LIGHTS OF CRACK AREA S0. FT. GLASS .2 , v o2C+� COEF BTU. I I I I I COEF.1 B//TU. 0 ;2 a 8'0 INFILTRATION INFILTRATION 1-0 S� 02 D GLASS .2 , v o2C+� EXP. WALL EXP. WALL / �® �40 NET EXP. WALL f�pg A5) �(p 910 �0 /'70 d CEILING CEILING Q 151310 FLOOR FLOOR FLOOR TOTAL BTU. TOTAL BTU. TOTAL BTU. g HEIGHT FL. 3 ROOM LENGTH yWIDTH 2 --HEIGHT WINDOWS AND DOORS•CRACKAGE AND AREA NO. WIDTH HEIGHT NO. OF LINEAL FT. AREA LIGHTS OF CRACK SO. FT. 7-8' --.J- -7' .3 e/ 1.2 S/ ' TOTAL BTU. HEAT LOSS'-� TOTAL E.D.R. STEAM TOTAL SO. FT. H.W. HEATING UNIT COE F.1 BTU. COEF. BTU. INFILTRATION o INFILTRATION 3 C/ GLASS / S .J� GLASS' 2 4 EXP. WALL EXP. WALL NET EXP. WALL10 �,7�� NET EXP. WALL D �{ C7 CEILING CEILING l/ FLOOR FLOOR TOTAL BTU. TOTAL BTU. ' TOTAL BTU. HEAT LOSS'-� TOTAL E.D.R. STEAM TOTAL SO. FT. H.W. HEATING UNIT 16 NAME D TE NAME HTG .'CONTR . / 0B A "DDRESS < S[ADDRESS • /7.5 10 FL. -ROOM LENGTH �/ WIDTHHEIGHT FL. ROOM LENGTH WIDTH H&IGHT WINDOWS AND DOORS-CRACKAGE AND AREA WINDOWS AND DOORS-CRACKAGE AND AREA NO. WIDTH HEIGHT No. OF I LINEAL FTJ AREA NO. WIDTH HEIGHT N0. OF LINEAL FT. AREA LIGHTS OF CRACK SQ. FT LIGHTS OF CRACK S0. FT 3� a / .3.5 INFILTRATION GLASS EXP. WALL NET EXP. WALL CEILING FLOOR TOTAL BTU. FL. ROOM LENGTH WIDTH WINDOWS AND DOORS-CRACKAGE AND AREA NO. WIDTH I HEIGHT I N0. OF LINEAL FT. AREA LIGHTS OF CRACK S0. FT. INFILTRATION GLASS EXP. WALL NET EXP. WALL CEILING FLOOR ;OEF. BTU I I I I I COEF. BTU 410 ;2,36 6 INFILTRATION 5-0 17,5-0 GLASS EXP. WALL /© /®;z NET EXP. WALL CEILING -® yD FLOOR TOTAL BTU. RIGHT FL. ROOM LENGTH WIDTH HEIGHT WINDOWS AND DOORS-CRACKAGE AND AREA N0. I WIDTH I HEIGHT c!REA COEF.1 BTU. TOTAL BTU. FL. ROOM LENGTH WIDTH HEIGHT WINDOWS AND DOORS-CRACKAGE AND AREA N0. I WIDTH I HEIGHT N0. OF LINEAL FT. AREA LIGHTS OF CRACK SQ. FT. COEF.I BTU. I I I I I ICOEF.I BTU. INFILTRATION GLASS EXP. WALL NET EXP. WALL CEILING FLOOR TOTAL BTU. FL. ROOM LENGTH WIDTH HEIGHT WINDOWS AND DOORS•CRACKAGE AND AREA N0. I WIDTH I HEIGHT N0. OF LINEAL FT. AREA LIGHTS OF CRACK SQ.FT. I I . I I I I COEF.I BTU. INFILTRATION INFILTRATION GLASS GLASS EXP. WALL EXP. WALL NET EXP. WALL NET EXP. WALL CEILING CEILING FLOOR FLOOR TOTAL BTU. TOTAL BTU. TOTAL BTU. HEAT LOSS TOTAL E.D.R. STEAM TOTAL SO. FT. H.W. HEATING UNIT • 53-84-9915 51 ' city Cr7 �i IG�rJtf al1�.liCcai1Jan for Pluu'bi :. c.id•GrX � IIA1.9 P -ere -::pis ' • SSSS . Dopt. of Bldg,. Phone S.aJ•3450 DESCRIPTION OF V?0111; 68 3- Street NE Numb.Tt. KLiid and LocNi°n of Fixtures Cit ofr1,'dley• .. N0. RATE., TOTAL '" wAT(4 HT1. S Number ilxtutcsSSSS..•••••••••• .•--------x$2.00. G. x $1.50 s ..r P. ` i --» --- x $3.25 nn at an e 2 •ir Yater lieater TO to 99-000 BTU) • • • • — e . x ,3.00 3rd . Nee+ Ground Run 013 Btdg. i • • es •-.----- x . e 1.2 .--.----- Vvctec Yiatsr Hsaw.. .. s S240 co:=& -cud with • FL �o Ge::uzen Cf�;,o.r.� uowaz � 11::tun. Old 0;4z1r:ss 1st 3 Fixtures .................:5------- Cc:;,paol PARTIAL RATE SCHEDULE 1ILM+18111CFiXTU?E RATES: N0. RATE., TOTAL S Number ilxtutcsSSSS..•••••••••• .•--------x$2.00. Future Fixture (Opening ......•.... . .�-- x $1.50 s ..r New Fixture Old Opening. ••. • • •'• • • • -------'• it $1.50 i --» --- x $3.25 S Catch I31stn ............... • . • .. -----• Yater lieater TO to 99-000 BTU) • • • • — e . x ,3.00 S . Nee+ Ground Run 013 Btdg. i • • es •-.----- x . e 1.2 .--.----- Vvctec Yiatsr Hsaw.. .. s S240 S 1�S FIT TING YLES: N0. R:+Tr TOTAL 1st 3 Fixtures .................:5------- . U411.1e011 Fixtures .......... Soso ...... C:s Rs: ±e to 159.000 BTU ...........-------- x $5.00 5-• - d The undersigned hereby strikes applkation for a permit far the- work specified, a, seine to do all work In strict occo:__4arce with the Citj 0--d.- and sd:anal ruling of the Dtpartrnent of BuildtaZs, and hereby declares that a%1 t.1 • , and teprescrtatlons $tated !a .his appllcatiost are true asd eo:tetit' , Fridley, Minn 8-24-76 Owner Kind of Building Used as To be completed about 8-31-76 Estimated Cost, S 10.00 P•Tait tio. Old—New. Building Permit • StZT;c • By Busin�w,s Phare Xo _ ROUGH FINAL, -,z 72 .50 State Surcharge . P.:?.l:gS Zr ALTERATIONS—P.sfet to Cods -Pr or(7Ya.,M � .0 ING,, SUBJECT RMIT City of Fridley 13920 AT THE TOP OF THE TWINS BUILDING PERMIT r R CEIPT NO. COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 1 � I CITY HALL FRIDLEY 55432 NUMBER REV. PAGE OF APPROVED By %.J 612-560-3450 910-F15 TDATE 2/1/77 JOB ADDRESS 4687 - 3rd Avenue 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 9 Plymouth Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Leo Lemke 2229 North 6th Street 521-7450 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Detached Garage 7 CLASS OF WORK NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK 22 x 24 detached crarage 9 CHANGE OF USE FROM TO STIPULATIONS 1. Hard surfaced driveway within a year. --IMPORTANT-- NOTIFY THE FRIDLEY D VIS OPS REGARDING CURB SEP.ERAT'E PERMITS REQUIRED FOR Wf REMOVAL AND REPLACEMENT HEATING, PLUMBING AND SIGNS. AT DRIVEWAY OPENIN.GS.. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. 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 528 s . ft. 5,280 cu. f ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 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 $3,907.20 $1.87 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMITFEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTI OR THE PERFqRMjNCE OF DNS TRUCTION. $21.12 PLAN CHECK FEE TOTAL FEE 22.99 SIGNATURE OF CONTRACT& OR AUTHORIZED AGEN ATE) HEN P OP V LID ED THIS IS YOUR PERMIT A _L JL` I��� BLDG INSP DATE J ft SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) ING,, CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS (NEW, ALTERATIONS, ADDITIONS, OR REPAIRS) OWNER'S NAME: BUILDER: ADDRESS: 2_22 `3 106 ",Sr, ADDRESS: me NS TEL. NO.: NO • . STREET • 3 P-0 QuaLOT: Lc -r Sr BLOCK: -9 ADDITION: PL Y k'h 6 UTt4 CORNER LOT: INSIDE LOT: X SETBACK: SIDEYARD: Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: Cri, (2),9(zPr 2 Front: 2 2 Depth: 2q Height • / sr6" Square Feet: Cubic Feet: .Front: Depth: Square Feet; Cubic Feet: Height: Type of Construction: F-BlAVv" rL Estimated Cost: $ 356i, 2v To Be Completed: 0-0v\PLZ_J7L_Q PROPOSED DRIVEWAY WIDTH IF NEW OPENING IS DESIRED D� �- The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in stxict 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: Y-41) (See Reverse Side For Additional Information.) Pp "" I<- 21, 1-.- sue,,Etr PERMIT NO. City of Fridley2 8 4 8 9 AT THE TOP OF THE TWINS BUILDING P E M I T r -AW 1 • �- _ _ ___ COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. r � � 1 NumqEo REV DATE PAGE Of APPROVED er 1 "'1 CITY HALL FRIDLEY 55432 612-571-3450 910-F15 111/2/98 JOB ADDRESS 4687 3rd Street NE I LEGAL LOT N0.30 & BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. S1 2 Of 47 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE LemkeLeo 0. - 3 CONTRACTOR MAIL ADDRESS 553-1566 L Re Plymn,11] ZIP PHONE LICENSE NO 55442 2()()r,3167 4 ARCHITECT OR DESIGNER MAIL A DRESS ZIP PHONE LICENSE NO 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION a REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and garage 21 S Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. 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 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 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 1799 .90 DOES T PRESUME GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PRO ISO S OF ANY THER STATE OR LOCAL LAW REGULATING CON- T CT N O THE PE F MANCE OF CONSTRUCTION 56. Fi SC 1.80 PLAN CHECK FEE TO A FEE 4.45 SSG TURE OF CON"tACVRORAUTHOWIZED AGENT IDATEi HE P O VALID T THIS IS YOUR P MIT S-GNATURE OF OWNERoF OWNER BUILDER, iDATE, e G INSo gArE NEV ` [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER . ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION�ah ConstructionAddress: f-1 31Ze-( A) - " a Legal Description: l `�/� Leo LGe��-a � s Owner Name &Address: / � - �� � � ,�,.,,, Tel. # Contractor: 1;k ZLe1A—'C /�1z1n'd0e-L&)n MN LICENSE# Address: //&/a LlIq�' At -e /1), 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 Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Leng Width Hgt/Ground Sq. Ft. OTHER: Y.�LUo� � ?( S9 /E.Q—/� -[l�� Construction Type: ?'o- &9c Driveway Curb Cut Width Needed: DATE: ` S' APPLIC� -- a % Estimated Cost: $ 9% (Fee Schedule on Back) Ft. + 6 Ft = Ft x $ = $ Tel. #�1J� 6 STIPULATIONS: CITY USE ONLY Permit Fee $ S�,%�� Fee Schedule on Reverse Side Fire Surcharge $ 1,60 .001 of Permit Valuation (1/10th%) State Surcharge $ 961 $.50/$1,000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge $ S,00 $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 [ J Not Necessary [ ] - vs TOTAL $ STIPULATIONS: Inspections 7.63-572-3604 SITE ADD S � T H§ APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION PE.JNHT TYPE TYPE OF WORK: MECHANICAL Permit ed B RESIDENTIAL APPLICATION Received 7M By: CITY OF FRIDLEY Da1Wdo" " YOUR E-MAIL ADDRESS "'&SnA1 �nalrMior4lpgltt.a 'tie .�Qirl O OWNER CONTRACTOR r l L_ l_'. l - llij - PHONE-ADDRESS:q122LU AW • 1' � �95111•a�di'JTfI►i(Lys-E.S�_ r 1] f�I�1�I�T�fff� if1i7<�T'iifir� SINGLE FAMILY 0 TWO FAMILY 0 TOWNHOUSE p NEW 0 REPLACEMENT VALTERATION/REMODEL DETAILED DESCRIPTION OF WORK PER MS 1613.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the improvement, installation or replacement of a residential -fixture, excluding the fixtures. (This should reflect only the cost of labor ) Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor x .05 = FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (WDICATE TOTAL NUMBER OF EACH BELOW) MODEL: t 1 a 4za to S1ZE/3TU -�� — Equipment Installed MFG: �. SIZEIBTU MFG: MODEL: MFG: MODEL: SIZE/BTU GAS RANGE/O A/C $25.00 _FIREPLACE (GAS) $15.00 GAS GRILL S10.00 $10.00 AIR TO AIR EXCHANGEER $15 _FIREPLACE (WOOD) $35.00 NEW $ .BOILER 535.00 _FURNACE $35.00 GAS UNIT HTR $10.00 ^HIMQEY LINER $10.00 _GAS DRYER $10.00 POOL HEATER $35.00 )UCT WORK $10.00 GAS PIPING $10.00 yENII1,ATOR $1500 MOM ..." .. -v.,�•'.: tr �,LC+.d.:l.�;. lilB.'flr",.�p' Fls?T+t��aa-..ris•.m:...*p?-•s - Permit Fee $ Number of fixtures @ $10.00 x $10.00 = $ Surcharge $ .50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE $ Number of fixtures @ $25.00 x $25.00 = $ Number of fixtures. @ $35.00 _j -_-x $35.00 = $1_ State Surcharge = $ .50 Total = $ �`7, -5'0 THIS Is AN APPLICATION FOR A PERMIT NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota- Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of)# work which requires review and approval of plans. SIGNATURE OF City of Fridley Building Inspections Department . 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 PAY. 76'1_S09-4977 REQUIRED INFORMATION NEEDED TO PROCESS PERMIT RESIDENTIAL PERMIT APPLICATION HVAC NEW HOMESIADDITIONS ❑ EXISTING HOME ❑ MAKE-UP AIR REQUIRED FOR NEW/EXISTING HOMES 1. Combustion Air (See note below) a. Oil or solid fuel IMC Chapter 7 with MN Amendments -- - b. Natural Gas or Propane/MGC Chapter 3 with MN Amendments 2. Make-up Air (See note below) a. IMC Chapter 5 with MN Amendments 3. Venting & Gas appliances IFGC Chapter 5 with MN Amendments b. Fuel other than gas IMC Chapter 8 with MN Amendments REQUIRED FOR NEW HOMES 4. Heat loss & cooling load per room a. Required on new construction TMC 1346.0312 5. Ventilation a. Per MN Energy Code 7670 or 7672 6. Duct Design Per IMC 1346.0603.2 a. ACCA Manual D NOTE: Centerpoint Energy Mechanical Code Guidelines software may be used for combustion and make up air calculations