PRE 2010 DOCSi
Wage Of h`rldley.,MMun.
BU MING PERM
N° 973 Office of IIITSPEtiTO$ OF B'URMINGS
�4V11@r 2
ATCI�i*�'
Builder
Fridley, Minn. ��' ✓ 18�°�
o
U)CATION OF BUILDING
No. f S3treet Bart of %ot_
Block Addition or Sub -Division
' FSCRIPTION OF BUILDING
t Es! DePtl � � 8@ight Storles ,:?.�onOr of ConsMetiO
To be used as t ' 11 �� To be completed Estimated ikat�
Permit is hereby granted too >E_'
the building �'.- M= descrlbed in the above statement. This permit is granted
upon the express condition that the person to whom it is granted, and We agents, employees and workmen, In all
UM work done in, .around and upon said building, or any part thereof, sball conform In AU respects to the ordi-
nawes of Fridley, Mim- regarding the construction, alteration, maintenance, repair and moving of buildings
within the city limits, and this permit may be revoked at any time upon violation of any of the provisions of said
ordinances...
',iasoector of Buildings.
t
AGREEMENT AND SWORN STATEMENT
-In consideration of the issue and delivery to me by the Inspector of Buildings of Fridleyof
the above permit, I hereby agree to do the proposed work In accordance with the description
above set forth and according to the provisions of the ordinances of Fridley, and, being first duly
sworn, I hereby state and say that the facts stated by me and contained in the above permit are
true as therein stated.
-..�
Subscribed and sworn to before me at Frlq[ey,
y t^
CITY OF FRIDLEY
APPLICATION FOR RESIDENTIAL BUILDING PEIMITS
(NEW, ALTERAT10NS, ADDITIONS, OR REPAIRS)
01114BR: BUILDER:
7,751
Address: (�j �® ��. Address: S 31 U q
Tel. No. Lj L
No.: Street:
LOT: - � 13LOCK: �_ ADDITION:
CORNER LOT: _ INSIDE IAT: SETBACK: SIDEYARDS:
Applicaht attach 'to this form T<vo Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
DESCRIPTION OF BUILDING
To Be Used As:
i e
— jv -s € Front: Depth: Height:
b -z Square Feet: Cubic Feet:
Front: Depth: Height:
Square Feet: Cubic Feet:
Type of Construction: 9XVE Estimated Cost: $ ®�
6a
To Be Completed:
Alt. A Alt. B
Proposed Driveway Width If New Opening Is Desired $ $
(SEE REVERSE SIDE OF SHEET)
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. See reverse side for addition 1 in-orntation.
DATE: 7bk SIGNATURE:
Stipulations:
11
City of Fridley, Mian.. N9 9600
BUILDING PERMIT
Date: __ Jan. 24, 1968
owner: _Orville W. Ratley Bier ftbill em ft_
Address _ Address
to/
630® -qty " -)IE LOCATION OF BUILDING
,3T -*t, ,
No. ..� Street _._.. � Part of Lot
Lot E.70' of Iglu ' 16Addition or Sub -Division __ _ Hilton's Addn.to Mechanicsville
Corner Lot — x Inside Lot Setback 35' _ Sideyard
Sewer Elevation
Foundation Elevation
DESCRIPTION OF BUILDING
To be Used as:
Dwellings Front 40' Depth 241 Height —20' Sq. Ft 960 CLL Ft 19200
Garage Front 20 ' Depth 24' Height 10' Sq. Ft, 480 Cu, Ft. 480
Type of Construction _ _ Frame _Est. Cost_ 1_z $UO To be Completed
The undersigned owner of Lots 13, 14,
is to Mechanicsvilie agrees that the existing
of the Westerly portion of these lots will
June, 1971 as p ttach Council action at
itnes s
15, Block 16, Hamilton's Addition
house addressed at 5310 7th St. N. E.,
be abated and removed by the 1st of
the January 15, 1968 meeting.
Orville W. Ratley
2857 Centerville Road
St. Paul, Minnesota
In consideration of the issuance to me of a permit to construct the building described above, I agree to do
the proposed work in accordance with the description above set forth and in compliance with all provisions of
ordinances of the city of Fridley.
$100.00 Sewer Connection Charge
In consideration of the payment of a fee of $ 36.00 , permit is hereby granted to Schuler Const.
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
within the city limits and this permit may be revoked at any time upon violation of f the provisions of d
ordinances. /1"`i 1 fB�i
JM QMWFJ;W CZaPP-neQ
NOTICE. -
This ponnit dos not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sun to see
the Building Inspector for separate permih for then items.
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER.J S NAME �Ci r
ADDRESS _ .` __ T _._-ADDRESS -36- ..5
LOCATION OF BUILD
NO, °`% !Z0 SIRE]
T.nT,-' 70 wrWICI
CORNER LOT X INSIDE
OR SUBDIVISION
35' o SIDEYARD.�
SEWER ELEVATION r TOP OF FOOTING
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:
Front D Depth, Height
Square feet D Cubic Feet
ac�ier�' ®t tris Front c, Depth �r Height 4�
Square feet Cubic Feet 5� if"
Type of Construction nEstimated Cost /, IFO'0
r
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 stated in this application
are true and correct.
DATE _/:71_2- ",9
SIGNATURE
(Schedule
of Fee Costs
can be
found
on the Reverse Side.
{ r�
,sem
0
MOAN, FUCELD & HOWAK
1821 HARRIET AVE. MINNEAPOLIS, MINNESOTA
oa
r Ne
DES
CRI
13,14 and 15, lock 169
Xmmllton4o Addition '30
Keehanicavillo oxcept tG-was%-
60 feet thar**Z,
0 �Vg
We hereby certify Thal this is a true and correct representation of survey of
the boundaries of the land above described and of the location of all building4
if any, thereon, and all vi sibip encroachments, if any, Pram v, on said land.
Dated this day of E6AN, FIELD & NOWAK
li uryKbrs
j ' -)
File NO 3--17--5 -1Book No 57'04- z 17-1
ApplicaAm for Power Dmfs and Heath% Cooiings Venflhd%ne Res I valion and
Air Con0loning Systems sued Devices
PARTIAL RATE SCHEDULE
GRAVITY WARM AIR: RATE TOTAL
Furnace Shell & Duct Work ...........................$10.00 $
Replacement of Furnaee 6.00 $
Repairs & Alterations—up to $500.00 ................. 6.00 $
Repairs & Alterations each add. $500.00 ............... 3.00 $
M ECH. WARM AIR
Furnace Shell & Duct Work to 130,000 BTU ............ $10.00 $ %;a
each add. 60,000 BTU ....................... 3.00 $
Replacement of Furnace ............................. 6.00 $
Repairs & Alterations, --up to $500.00 ................. 6.00 $
Repairs & Alterations each add. $500.00 .............. 3.00 $
STEAM or HOT WATER SYSTEM
Furnace Shell & Famines—to 400 sq. ft. ZDR Steam .... . $10.00 $
Furnace Shell & Line -to 640 sq. ft. IDR Hot Water .. I000 $
Each add. 200 sq. ft. _EDR Steam ...................... 3.00 ' $
Each. add. 320 sq. !t. EDR Hot Water ........ 3.00 $
OIL BURNER—to 3 gal. per hour ... . ' ... ... .. ..... 6.00 $
over 3 gal. per hour --See Fee Schedule
GAS BURNER (up to 199,000 BTU) .............. '......... 5.00 $
over 199,000 BTU See Fee Schedule
GAS FITTING FEES: NO RATE TOTAL
1st 3 Fixtures ...................... x$ 100 $
Additional Fixtures x .711 $
Gas Range to 199,000E .......... s$ SA0 $
AYR CONDITIWAR
FAN HEATING SYSTEM
VENTILATING SYSTEM(
ALTERATIONS & REPAIRS
$
See Fee Schedule
TOTAL FEE $
Dept. of Bldga. Phone 880.3450
Location -;�'-le) 7
City of Fridley:
The undersigned hereby makes application for a permit for the work hereir.
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 facts
and representations stated in this application are true and correct.
/'. Fridley, Minn-' I9��
Owner
Kind of
n
Used as
To be completed about ®� e
Estimated Cost, $�-
Old—New. Building Permit No. Permit No.
DESCRIPTION OF WORK
BEATING or POWER PLANTS -Steam, Hot Water. Warm Air—No—Z--
Trade Name �f�l.ti� t i Size NO. A z
Capacity Sq. It. E.D.R- L42 ; d 4' � BTU H.P.
Total Connected Load 414 . � - 111e Kind of Fue r :,
BURNER — Trade Name Size No
Capadty Sq. Ft. ED -R- BTU H.P.
Mm A
RGUGH
FINAL
(REMARKS—OYER)
Original • •
PERMIT for Power Rants and Heating, Cool=
ing, Ventilation, Refrigeration and Air
Conditioning Systems and Devices
DESCRIPTION OF WORK
No. of Heating Plants to be installed—altered—repaired
Make ,Size
Oil fired _, Coal fired --L- Gas fired � ; Gas Authorization No.
Remarks
Approved
Final Inspection Date , 19_
Inspector
S.3 47LI-
Permit No 4812
Fee $ 12076
Office of the Inspector of Buildings,
City of Fridley
City of Fridley, Minn. !1--3,1922)
Owner
Location�C�
Kind of Building Z.&r?LC-%
How Occupied
Work to be Commenced—, 19—
To be Completed �r a&j-,19-;,o
Estimated Cost, $ �� U
Old- ew, Building Permit No.
Permission is hereby granted to to install—erect—use the material and devices described in the
above statement. This permit is granted upon t express condition that the person to whom it is granted, and his agents, employees and workmen, in all the work
done and materials used under this permit, and in the operation of the devices herein mentioned shall conform in all respects to the ordinances of the City of Fridley
relating to or governing the work to be done and the operation of the devices herein named, and to the specifications set Vrth in the approved application for this
permit on file in the office j'ice o f the Inspector of Buildings.
nspector of Buildings
c- 42 2M11 -67V
Number Fixtures
x
$2.00 $
Future Fixtures
x
$1.50
New Fixture -Old Open.
x
$1.50
Catch Bastn
x
$3.25
Water Heater -99,000 BTU x
$3.00
Ground Run Old Bldg.
�_ x
$3.25
Elec. Water Heater
x
$2.00
Gas Fitting Fees:
lst 3 Fixtures x $2.00
r
Additional Fixtures x $ .75
Gas Range -199,000 BTU x $5.00
Repairs & Alterations
See
Description: Code
State Surcharge .50
TOTAL FEE
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 Tulin
of the Department of Buildings, and hereby declare that
all'the facts an4 representations stated in this
application,4rrp/true and correct.
-�t_ e,f" 7'rz
.57-"-2s—
SUBJECT
P,
City of Fridley
° 1412
AT THE TOP OF THE TWINS
PERMIT
r
BUILDING
RECEIPT NO.
• COMMUNITY DEVELOPMENT DIV.
/
r � � PROTECTIVE INSPECTION SEC.
1 = �
1 "t CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
612-560-3450
910-F15
6/2/77
JOB ADDRESS 5310 - 7th Street NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
13 +
16
1 Hamilton's Addition to Mechanicsville
SHEET
2 PROPERTY OWNER 1/2 16 MAIL ADDRESS
ZIP PHONE
Wayne F. Schroer Same
561-4960
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO.
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO.
5 ENGINEER MAILADDRESS
ZIP PHONE LICENSE NO.
6 USE OF BUILDING
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION) REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Rpsiding
9 CHANGE OF USE FROM TO
STIPULATIONS
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
Residing
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
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
$750.00
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.
PLAN CHECK FEE
TOTAL FEE
I ATUREOFCONT CTOI RAU ORIZEDAGENT (DATE)
HEN PROPERLY LI ATED THIS IS YOURPERMIT
%
{ /, •
AC-G(
2 7 7
1ATE
SIGNA V RE OF OWNER NP OWNER BUILDER)
CITY OF FRIDLEY
APPLICATION FOR RESIDENTIAL BUILDING PERMITS
(NEW, ALTERATIONS, ADDITIONS, OR REPAIRS)
OWNER: BUILDER:
Address: `�j �%(�. Address:
No..
LOT:
CORNER LOT:
Tel. No.:_ 05-6 1-
Street: '31
/rnkf'e �j J� eD 7
BLOCK: ADDITION: f Alrnt(-7 AJ5 4,00!7!-0 'J 7-0
to ara*A'V'G S i�
INSIDE LOT: SETBACK: SIDEYARDS:
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
Front: Depth: Height:
Square Feet: Cubic Feet:
Front:
Square Feet:
Depth: Height:
Cubic Feet:
Type of Construction: ,P Estimated Cost: $ OQ
To Be Completed: Ge % 77
Alt. A Alt. B
Proposed Driveway Width If New Opening Is Desired $ $
(SEE REVERSE SIDE OF SHEET)
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. See reverse side for addition ro
`formation.
DATE: Lfi/�ryla �''7 SIGNATURE: �11/I�/ Ot�l.h/P�l
Stipulations:
1d
4:D 40
City of Fridley
SUBJECT
PERMIT 1465
� ®
AT THE TOP OF THE TWINS
PERM. I`
BUILDING
ERM
RECEIPT NO.
w______ COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
1 ; )
NUMBER
REV.
DATE
PAGE OF BY
CITY HALL FRIDLEY 55432
%.J
612-560-3450
910-F15
/27/78
JOB ADDRESS 5310 - 7th Street N.E.
1 LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION
SEE ATTACHED
DESCR.
13,14,15
16
Hamilton's Addn. to
Mech'vi11e SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Wayne F. Schroer 5310 - 7th Street N.E.
561-4960
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 ❑X ADDITION ❑ ALTERATION 11REPAIR ElMOVE [IREMOVE
S DESCRIBE WORK
Construct a 24' x 24' Addition to front of dwelling
9 CHANGE OF USE FROM TO
STIPULATIONS Install 5/8" Type X gypsum on outside of new wall - north side.
No windows closer than 3' to property line are allowed. Provide copy of truss
design by June 18, 1978. Variance granted 4/11/78
WARNING
Before
SEP ?AT'F PERMITS REQUIRED
ONE ELEC'TRIC - GAS Etc.
TELEPHONE -
FOR WRING'
WFATING, PLUMBIn►� AND$IG '
REQUIRED BY LAW
S.
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
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� 7OO
$7.34
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SACCHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
$32.25
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTALFEE
8.06
$47.65
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE)
WHEN PROPS LY VALIDATED THIS IS YOU PERMIT
�,,-�- 7-7�'
4J 9SIdlcl1
BLDG INSP
✓ ,;27-7CS
DATE -
SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE)
CITY 01" FRIDLEY
APi'LIGhTIUi! FOR (;L'SI1)i:(aTIAI_ L'U1!_I)IIi(; f'(.ltf•1ITSfol
P1
(�'lEw, ALTERATI U6t , Am) I T I O(!S, O(Z � EPAI No-
Ot•I11EIt: � � � J3UILU'I,I?: %.e
Address: ' . r% �� 6 - ' Aciclre�s e yr ldi
Tel. No.
No.: Street:O
LOT: j BLOCK. ADDITION:
CORIQER LOT: V IIISIDI LOT: SET13ACK: SIDI:i'ARDS:
Applicant attach 'to this form Ttigo Certificate:; of Survey of Lot and proZresed
building location drawn on these Certificates.
DESCRIPTION OF BUILDING
To Be Used As: 10PIr107—
Front:
07—Front: Depth : -=0 Height %
Square Feet: �%� Cubic Feet:®�
'Front: Depth: Height:
Square Feet: Cubic Feet:
Type of Construction: Estimate; Cost: $W
To Be Completed:
Alt. Alt. R
Proposed Driveway Width if New Opening Is Desired $ $
(SEE REVERSE SIDE OF SHEET)
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. See reverse side for additioial of ~matron.
DATE: SIGNATURE:
AD
V Stipulations;
v
R
jA d joea �r
•
'3j?' a ,<.
8,06
Y -------
`f 60-
EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION
OWNER:
SITE ADDRESS: 5310 / n
"o S -r -E& 0(,EY
CONTRACTOR: A4 Am F. scditye
Page 1 of 4
DATE.
PHONE:
Determine working square footage of each
1. Total exposed wall area...... e o sq. ft. x � _
2. Toal roof/ceiling area ...... sq. ft. x
Total exposed wall area above floor =
.a. Total all window ea .................................. 5-1 5e
b. Total oo Ma ::..................................... --_�
C. Total i i glass door area ......................... Q
d. Total irep a wall area ............................. Q
�otal wa raming-area (average 100) ..................
Total rim --joist area .................................... :>
g. wall area above floor .�........................
h. wall area above floor .......................... '
i. wall area above floor ..........................
j.. wall area above floor ........................:.
Total exposed foundation area =
k. Total foundation window area ...........................
1. Total net foundation area above grade .................
Determine "U" value of each wall segment
(e.g. window, door, each separate wall section)
a. 'J�� X IfUll 5 =
b. o� x "u"
C. X "U" _
X 11U11 • f°' Grp _
6o X „U„ , ®G =
g. �9� X 11U11 _
h. X "U" _
i. X "U" _
j. X 11U11 _
k. X "U" _
X IfUll
3 . ............................. Total = ! V w
s,
or less than item #1, you
have met the intent of
SBC 6006 (c) Z.
• I
,Exterior Envelope Average "U" Computation Page 2 of 4
Total exposed roof/ceiling area =
m. Total skylight area ............................ O
n. Total roof/ceiling framing area (average 10%)...
o. Total net insulated roof/ceiling area...........
Determine "U" value for each roof/ceiling segment
M. X "U" _
n. X "U" _
o. X "U" _
4 ........................... Total =
If total of #4 is the same as, or less than #2, you have met the intent of
SEC 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. _
WALL SECTIONS
NOTE:- Use 10% of opaque wall area for
frame construction
FIG. #1 TOPVIEW OF
- FRAME VALL
1G. #3
Page 3 of 4
Construction R -Value
1. Interior air film 0.68
2.
3.
4.
5.
6. Exterior air film .0.17_
Total
1. Interior air film 0.68
2.
3.
4.
5.
6. Exterior air film 0.17
Total
Interior air film 0.68
(� J
2.
L' - 3 .
. 4.
5.
6. Exterior air film 0.17
03 {
• Total
1. Interior air film 0.68
w 2•
3.
4.
5.
6. Exterior air film 0.17
Total
. i
Nt
r_
FIGOp.
JNOT)3: Indicate type, "R" Value, depth and
placerient of insulation.
Page 4 of 4
ROOF/CEILING
s_Pi
Vented Heat flow
up
FIG. ;"15 '
• M�lt:�.�SN� �r"lo�_�1iti�'.;t�Pi .�'4?`y+"'C�i�J•'/S�..G y_TiTa�
Construction R -Value
1. Interior air film 0.61
2.
3.
4. Exterior air film (still) 0.61
Total
1. Interior air film 0.61
2.
3.
4. Exterior air film (still) •0.61
Total
LT L02 3 LG)
Hear
flow-up. .-vented
• •FIG. #6'. • 1. Inside air film 0.61
' 3 _ 5 2.
3.
�.�..��
S. Outside air film 0.17
s- '„+i•� i� / ••� Total
Note: Use additional sheets if more space is
i Z needed for details and calculations
Heat
£low up
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SUBJECT
PE.iw:� Z�
City of Fridley
16 6 9
AT THE TOP OF THE TWINS
BUILDING PERMIT
i
R EZ
• COMMUNITY DEVELOPMENT DIV.
Q
I � PROTECTIVE INSPECTION SEC.
(� [
�"'3 CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
612-571-3450
910-F16
7/27/82
JOB ADDRESS 5310 - 7th. Street N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
13,14,15
16
Hamilton's Addn. to Mechanicsville SHEET
2 PROPERTY OWNER MAILADDRESS ZIP PHONE
Wayne F. Schroer 5310 - 7th StreeteN.E. 572-8126
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.
Ii
8 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct a 22.25' x 22' Garage Addition Toward Street (7th)
9 CHANGE OF USE FROM TO
STIPULATIONS Provide a hard surface driveway. THIS PERMIT VOIDS THE LOT SPLIT
THAT WAS APPROVED 6/20/66.
p G SEPERATI: PERMITS REQUIRED FOR W'"Im I
tail local utiti►►>.eti
HEATING, PLUMBING AND SIGN.
OiB�i%110"�t,v.GASEtc.
to{oc�
jELE?"0%t �Y LA►
ILvaum
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
Wood Frame
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
$4, 985
$2.49
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMITFEE
SACCHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTAL FEE
52.99
S URE OF CONT ACT OR Ro EDAGENT DATE)
WH N PROPE Y E HIS IS YOUR PERMIT
+� 7 97
r
G INSP DATE
SIGNATU OF OWNER IIF OWNER BUILDERI 11 LOATEi
CITY OF FRIDLEY Effective Aug. 1, 1981
APPLICATIGN FOR RESIDENTIAL BUILDING PERP4ITS
(New, Alterations, Additions, or Repairs)
OWNER:
ADDRESS:�SD
TEL NO:
BUILDER:
ADDRESS:
TEL NO:
Construction Location
• STRMT NO: STREET:
LOT: 0 �, S BLOCK: / ADDITION: �� �r%�% �l�/ �D 7t_0 /*&N i e.SVI L 12
Corner Lot: x Inside Lot: Setback.: Sideyards:
Applicant attach to this form two Certificates of Survey of lot and
proposed building location drawn on certificates to scale.
DESCRIPTION OF CONSTRUCTION
Front: a.
Square. Feet:
Front:
Depth:. 0 Height: �_1W,4fAg DC7
Cubic Feet:
Depth: Height:
Square -Feet: Cubic Feet:
Type of Construction:
%b Be Completed:
7 1 �
' av
Estimated Cost: $
Alt. A Alt. B
Proposed Driveway Width If New Opening Is Desired: $ $
SEE REVERSE SIDE OF SHEET
Tile undersigned hereby makes application for a permit for the %-vrk' 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
repres:7t�L
istated in this application aY-A
true and rr t.�
DATE:�Z SIGNATURE:
Stipulations:
t*J6
v
°
•��izuv
r
�. C.5
'tt iEGA►N, FIELD & N i ELD & N OWAK
SURVE.YORS�'' SURVEYORS
2825 FI RI@'1' AVE. �' F MINNS E F MINNEAPOLIS, MINNE307A
E11A lir Estii.. fl)t
CERTIFICATE OF SUR ATE OF SURVEY
For s _ , - L. S. #64-087 0-77
�• Z4 LS
N �
A �!
*
77.
T •
i n
We hereby certify that this is a true and correct a true and correct represental
t'he boundaries of the land above described and of ve described and of the locatic
if, any, thereon, and all visible encroachments, i le encroachments, if any, from
gated this_i__•day of c7cr� T�-�r�•� �=C:r EGAN, FIELD
Q 3Sur„
r
suB�Ecr
PER
City of Fridley
!1623.4
AT THE TOP OF THE TWINS
BUILDING PERMIT
_
r
�
• _____ COMMUNITY DEVELOPMENT DIV.
-
r PROTECTIVE INSPECTION SEC.
"RECEIWPT�N
CITY HALL FRIDLEY 55432
NUMBER
REV,
DATE
PAGE OF
APPROVED BY
,.j 612-571-3450
910-F15
6/10/81
JOB ADDRESS 5310-7th St. N.E.
1 LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION SEE ATTACHED
DESCR.
13,14,15
16.
Hamilton's Add. to Mechanicsville SHEET
2 PROPERTYOWNER MAILADDRESS ZIP PHONE
Wayne F. Schroer 5310-7th-St. N.E. Fridley 55432 561-4960
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Owner
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 IN REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Rexoof
9 CHANGE OF USE FROM TO
STIPULATIONS
Roof can be second but not third.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
Asphalt
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
R-1
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
$500.00
$.50
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMITFEE
SACCHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
$7.50
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTAL FEE
$8.00
UREOFCONTRA TOROR UTHORIZEDAGENT (DATE)
WHEN ROPERL V IS YOUR PERMIT
4S6IGNAREOFOWNEI
MIDVEIS
�
II FOWNERSUILDERI (DA E1
G INSP DATE
CITY OF FRIDLEY
APPL.ICA'FIO:d FOR RESII)i-NTIAi_ BUILDING PERMITS
Wevi, Alterations, /additions, or Repairs)
OWNER: c/veoC-
ADDRESS. 0
TEL NO: /
BUILDER:
ADDRESS:
TEL 1.10:
Construction Location
STRI,T .NO: .�%G� STREET:
LOT: Z-21 �Sr BLOCK: ADDITION: /il/L%ON ,90D
Corner Lot: Inside Lot: Setback.: Sideyards:
Applicant attach to this form two Certificates of Survey of lot and
proposed building location drawn on certificates to scale.
DESCRIPTIO14 OF CONSTRUCTION
Front: Depth:
Squane.Feet: Cubic Feet:
Front:
Square Feet:
Height:
Depth: Height:
Cubic feet:
/ �N � L r Estimated Cost: $ S 0
Type of Construction: � �
To Be Completed:
_ �-- Alt. A Alt. B
Proposed Driveway Width If New Opening Is Desired: $ $
SEB REVERSE SIDE OF SHEET .
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
rulinDepartment. of of the Departmeof Buildings, and hereby declares that all the facts and
representations stated in this application are true and correct.
DATE SIGNATU1,2:
Stipulations;
's0
�� Q( � �`
City of Fridley
AT THE TOP OF THE TWINS
SUBJECT
BUILDING PERMIT
P
q 6 g
rp
• COMMUNITY DEVELOPMENT DIV,
PROTECTIVE INSPECTION SEC.
1 � i
CITY HALL FRIDLEY 55432
612-571-3450
RECE
47561
NUMBER
910-F15
REV.
I DATE
5/26/83
PAGE OF
APPROVED BY
JOB ADDRESS 5310 - 7th Street H.E.
1 LEGAL
DESCR.
LOT NO. BLOCK
W32 of 13, 4,15 16
TRACT OR ADDITION SEE ATTACHED
Hamilton's Addn. to Mechanicsville SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Wayne F. Schroer 5310 - 7th Street N.E. 572-8126
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
S dICle
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
Construct basement under existing house
9 CHANGE OF USE FROM TO
STWU LATIONS
WARKING
Before ding call local utilities
TELEPHONE'- MTRIC - GAS Etc -
REQUIRED BY LAW
SEPER'ATE PERMITS REQUIRED FOR W#RAN.
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
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
ZONING
SQ. FT.
CU. FT.
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
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
VALUATION
$5,000.00
SURTAX
$2.50
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.
$40.50
NONE
PLAN CHECK FEE
TOTAL FEE
10.13
$53.13
I IATUREOFON- ACTOR UT ORIZEDAGENT (DAT
_�YVU
WHEN PROPERLY VA ATED THI IS YOU RMIT
JBLDG INE T ATE
SiGNATLkFIE OF 01
1 11
CITY OF FRIDLEY
APPLICATIM FOR RESIDENTIAL BUILDIING PEPJfITS
(New, Alternations, Additions, or Repairs)
WIER: IYAIXI&
ADDRESS: 4
TEL NO:
STRICT NO: ii
LOT:
Construction
STREFT:e? -
1 v -
Effective Aug. 1, 1981
BUILDER: 01111 11E /Z
ADDRESS:
TEL 110:
atio
BLOCK: ADDITION:
Corner Lot: Inside Lot: Setback.: Sideyards:
Applicant attach to this form two Certificates of Survey of lot and
proposed building location drawn on certificates to scale.
DESCRIPTION OF CONSTRUCTION
Front: 0A Depth: 2 / Height:
Square Feet_ Cubic Feet:1
'0
")sFront: Depth: Height:
Square Feet: Cubic Feet: _
aU
Estimated Cost: $
Type of Construction: 2L�%12C%1V l
To Be Completed: '� 0A_V
Proposed Driveway width If New Opening Is Desired:
Alt. A Alt. B
Lfw � SFE FEVf:RSf' SIDL OF SHEET ,
Mie 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 applic4
DATE: r13 SIGNATURE.:
Stimulations:
P 40,0
P� to ,13
.�--33
• I ,c✓r:,e,� ' _' `' /.�"�� 1: C / , Imo.^•.
EGANy FIELD
SURVEVORS
762't HA�I�i i AVE. •JS F MIi�SBE '• E F MINNEAPOLIS.MINNEWTA
J tpa. qtr • �sUa.• 1111
e
CERTIFICATE .OF Std ATE ® SUitVEY.
L. S. #64-0$
• _ .'. � Pore _ _ _, , _ _
o
Z99 is
10 A �.
`o -.9
,SCr?G � /'x;20• e � E ..
'f
1
n
r
� 0` ,• 7.13 •,'P; "._ - • �' �, ...�,� .- .
i•
1
• ,R�pr. ..� ,-. �"�9 2_Ci I � �• S'_ _. F .,.. �`�'-.CsJ" _''/ :.^. •t � " "Z!� Ifs �"
We hereby Certify that this is a true and correct a true and correct represe•nta'
the boundaries of the land above described and of v described and of the locatio:
if any, thereon, and all visible encroachments, 14l14le encroachments, if any, from
Dated this
a y of rG �F �� ,f E G Int, FIELD,
C
!
to
.O yI
1
I T
1
I
3
1
a
t
I
�
to
5TORPSE
_._ srAiR WAY
DEN Room
Z4
REC ROOM
i� s
ME
24'
l'
7� I
r � �
r
-- • ci
t!1
J'
V34
CL V
(�
r
ei
------- ---
E
�
NLT
=
-I
.•
Y t
f
7� I
r � �
r
-- • ci
SUBJECT
PERMIT
City of Fridley
o 17972
AT THE TOP OF THE TWINS
P,
BUILDING PERMIT
_
Ir
RE T
• COMMUNITY DEVELOPMENT DIV.
______
y
r PROTECTIVE INSPECTION SEC.
1 ` i
CITY HALL FRIDLEY 55432
NUMBERREV.
DATE
PAGE OF
APPROVED BY
j 612-571-3450
910-F15
5/13/85
JOB ADDRESS 5310 - 7th Street N.E.
1 LEGAL
LOT NO.
TR ACT OR ADDITION SEE ATTACHED
DESCR.
TBLOCK
13 ,14,15
16
Hamilton's Addn. to Mechan. SHEET
_T PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Wayne Schroer 5310 - 7th Street N.E. 572-8126
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
Ck, NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct a 121 x 20' Storage Shed
9 CHANGE OF USE FROM TO
STIPULATIONS
ARMR
BefOre drgg��g
call local utllltle'
TElEp1lp�yE
W.
ELECTRIC .
FOR
REQUIREDAND
sEPARATS PERMITS SIGNS- L'A�j/
HEATING,
SEPARATE
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
l
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
$2,925.60
$1.46
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-
SM $38.50.
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
P AN CHECK FEE
TOTAL FEE
$39.96
EOFCONT CTOROR TH iZEDAGENT ID EI
WHEN PROPERLY V ATED THIS IS YOUR PER AIT
/�o
4SiGANAKME
BLDG INSP ATE
OF OWNER OF OIAINER BUILDER) 1 TEI
NEW [ ] City of Fridley Effective 4/1/84
ADDN. [ ] R-1 AND R-2
ALTER. [ ] Building Permit Application
Construction Address:
Legal Description
® -S-7- N C-1
,o6--R/DL— F
(;dp hrL/�?0'S -- A&J,
MN
ree-W.
Owner Name a Address: &�2%yg Tel. # &
Contractor: _Tel. f cT�ZZ-PZeP
Address:
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: -.57V9
Axl
DESCRIPTION OF IKPROVEMENT
Length Width Height Sq. Ft.
Length Width Height Sq. Ft.
Length Width Hgt/Ground 11'?�16q. Ft.
Pe /• l f� ° e, /Le 6.'?I? �
Corner Lot [A Inside Lot [ ] Ft. Yd. Setback Side Yard Setback
Type of Construction: lIV996F® Estimated Cost: $
Approx. Completion Date: 4z ��� y c-2
Alt. A Alt B
Proposed Driveway Width If New Opening Is Desired: $ $
See Back Page for Explanation
DATE:
112�S APPLICANT: Tel. #
-2&
C USE ONLY G(w 't- 3 9�
frTa®7
Permit Fee $ Fee Schedule on Reverse Side
Plan Check $ 25% of Building Permit Fee
State Surcharge $ / $.50/$1,000 Valuation
SAC Charge $ $425 per SAC Unit
Park Fee $ Fee Determined by Engineering
Sewer Main Charge $
y, �y Agreement Necessary [ ] Not Necessary [ ]
TOTAL a
STIPULATIONS:
i
IEGAN, FIELD & N i ELD & N OWAK
SURVEYOR.; SURVEYORS
UZI t"RtET AVE. E F WINE E F MINNESIPOUS, MINNESOTA
Es1S�. 111 Est►�. 11))
- N
CERTIFICATE OF SUR ATE OF SURVEY
For y - L. S. #64-08:
• � �• t s is
Asa S3 i 0 a -
Woo
t
we
hereby certify
..
that this is a
o _
true and
correct a
true and correct rezresertta-
t*he
if,
boundaries
of the land above
described
and of ve
described and
of the locatic
any, thereon,
and all visible
encroachments,
i le
encroachments,
if any, from.
Oa ted
this _�_day
of_ c7cr� r�,.
. ar r
L?L;
EGAN, F I ELC
i^I
No Sz ! \1
@C.: • ho %7a¢ -2s[
'i
' '
C� rm' ; qf.:
our
SUBJECT
RMIT NO.
City of Fridley
-243-2-2-
AT THE TOP OF THE TWINS
BUILDING
PERMIT
r
RECEIPT NO.
• COMMUNITY DEVELOPMENT DIV
PROTECTIVE INSPECTION SEC
r i
NUMBER
REV
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
612-571-3450
910-F15
12/10/96
/ /
JOB ADDRESS 5310 7 Street NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DEscR.
13-15
16 1
Hamilton's Addn. to Mechanicsville SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Bruce Lambert 5310 7 Street NE
574-0985
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 ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
X
8 DESCRIBE WORK
Finish basement
9 CHANGE OF USE FROM TO
STIPULATIONS
See xm-kirm notations on plan.
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 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
$2,000
$1.00
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SACCHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON -
OR THE P FORMANCE OF CONSTRUCTION
$62.25
Fire SC $2.00
PLAN CHECK FEET
TAL FEE
�'
$65.25
ATURE OF CON. ACTOR OR AUTHORIZEDAGENT (DATE)
PA
RLY VALI ATED THIS IS YOUR PERMIT
YJ�_ f�
'F ,
- (_ - /' le -
SIGNATURE OF OWNERUF OWNER BUILDERI I ATEI
DG INS
MATE
our
NEW [ ] Effective 3/1/96
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application
ConstructionAddress: 5 3 U 721 S
Legal Description:
Owner Name & Address: J L e LA,,., b e 14 S 3 ► o /J t- Tel. #
Contractor: MN LICENSE #
Address: Tel. #
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF EUPROVEMENT
LIVING AREA:. Length Width Height Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Length Width Hgt/Ground Sq. Ft.
OTHER:
Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks
Type of Construction:���Q
, �� Estimated Cost: $ o�vvu
Approx. Completion Date:
(Cost on Back)
Driveway Curb Cut Width Needed:
Ft. _+ 6 Ft = Ft x $ _ $
DATE: 010 ( APPLICANT:
�� �_ Tel.
CITY USE ONLY
Permit Fee $ �� ��
Fee Schedule on Reverse Side
Fire Surcharge $ �' �'
.001 of Permit Valuation (1/10th%)
State Surcharge $
$.50/$1,000 Valuation
SAC Charge $
$900 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 [ ]
r
TOTAL $
STIPULATIONS:
I
91
)
es
I -e 106340S t, P/Oce, p
V s PC"
la e- c C/ Cr?
4
���>
.'e(Il
Ct)
10
cu
co
CD
CD
=1 w
I
91
)
es
I -e 106340S t, P/Oce, p
V s PC"
la e- c C/ Cr?
4
���>
.'e(Il