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AF - 45987SUBJECT PEFtN(1T' City of Fridley ° 142 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T = r - � � RECEIPT NO. � `� _ __ COMMUNITY DEVELOPMENT DIV. �� r � � PROTECTIVE INSPECTION SEC. � � �' � /"�l � CITY HA�L FRIOLEY 55432 NUMBER REY. DATE PAGE OF APPROVED BY ""'�'� ,�� 612-560-3450 g10-F15 � � 7��77 106 ADDRESS 61 Alden CirCle N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4 1 Henriksen Addition SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE Leif Henriksen Cont. 6434 Riverview Terrace N.E. 560-4560 3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER 'MAIL ADDRESS ZIP PHONE UCENSE NO. 5 ENGINEER MAIL ADDRESS ZiP PHONE LICENSE NO. 6 USE OF BUILDING Residenti.al 7 CLASS OF WORK � NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK WAR�NG Construct a 28' x 46' Dwellinq and a 25' x 25' Garage 6 Ofl! 18Q'tD� CB�� Utl�i S �EPEi�I� PERMlTS R� � �D i TEtEPH .. c. 9 CHANGEOFUSEFROM HERTING� �CUTpIN�7.�NiJ �Cj�JS� �EQ�I'R�� 8 STIPULATIONS provide a h�rd surface driveway. Provide sod in the front and side yards. Provide a verifying survey before capping. Provide � inch anchor bolts 6 feet on center in sill plate. Provide bracing design for rafters or truss design before capping. Provide vapor barrier in ceiling. SEWER LOCATION: 45' East of Ma.nhole, WYE ELEV: 853.27 TOP OF FOOTING: 856.27 Mini.mum WATER LOCATION: 47' East of Manhole, 64' North of Hydrant. DRIVEWAY DEPRESSION: N/A Existing depression iw� Cr{Y Ol� !�y bOBR NOT �i1�RAKff� TMB ACCURIkCY O!� UT�fI'� tpG�g /�. �A�OKS. T�+�S DATA IS fOR N�Q��Q�,j 'U�p3l�6 Oti1,Y FN,i t�tS�NS tJSING R SNOINi! YE(�fl tME MFORMA110N ON THE 51T6 SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATINCy, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENT{LATING OR AIR CONDITIONVNG. WOOCl FL'alYl@ THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZpNING SQ. FT. CU. FT.. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION QR WORK IS SUSPENDED OR ABAfJDONED FOR A PERIOD OF 120 DAYS AT R-3. �.4�.2 + 625 28, 346 Tota ANY TIME AFTER WORK IS COMMENCED. NO. DWIG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION �. STAILS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILI BE COMPLIED $39, 435 y5`�.9. %2 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- STRUCTION R THE PERFORMANCE OF GONSTRUCTION. ' $l�-3.3$ \� $375.00 ` � — PLAN CHECK FEE , TOTAL FEE x 28.35 $536.45 SIGNAT Eo coN RA o o �rH R12EDAGEN IDATEI HEN PROP RLY VALIDATED THIS IS YOUR PERMIT c� ..' � r. SIGNATURE OF OWNERIIf OWNER BUILDERI IDATEI � BLDG INSP �ATE „.:,,,,� , , . ,;..,_ . . .,, .. � ; . . . r : ��gOTA, �q� 1N� `-. +:i O T A V A L L. E Y � � � —� c�� SURVEI7,� r5 & EfVGItVEERS CORP. N N � �L ' �W 12120 RIVERW00D DRIVE � BL'RNSVIIIE, MINNESOT� 55�337 �` �l'� YA..�e�. 890.)750 � y�RS�ENG ('ertifirate of Sur�ey for:___I�zF�:” `�enric�sen , �/ � � � i � � , ,; �� :t % _ WARHIN� -_ __ 8e P}iO�E ` ELEC�tRI�G�-�GAS�Etc. Y�� REQUIRED .�X�.�� _ � �, ,_ � . �, j�, lJ� ��3 � � �� .��. ,�:� ; < �, ' � ` � � �n .�, �.�:. , � ,,. .. � ,,._ , , ..._...,. ._:,. ,; . _ . ~ ` � �TA• . 1 �L � Fy� � ��-_ - � _ — ,� ,;.;,` ,.� :,.._ __ __ - � y � as;-�r.�,7•- �' 5 `��V ' ( �. \ �� di CX . '"�, v �'��, �' s ��{, . . _ � �}"� i _\ . .. . �j \ . . �V `l / � , 3,�� .� ` � � �� %, - �i �� " ..r ' ,_ r.__ rV ' /�'�< .. � " ?i` �: -- W ,� -- >�:�i�,�_.ii,t '� _ `..–_ �., '� TN� CITY p� p� �` " - �. Accv 1�i� oo�s Nor � �'':�-- RACY OF UTILITY tOCAT10NS NDA ELfVATICTH� ` cJ ~, s••�� DATA IS FpR INFOR 1'rRSpNS V �1TION PURppr,�S ONLY ,�h,� oN n�� s r r�,� R�°�u� ��r � Lot i;� o��'�c 1, ,'.e:lric�-s.:~�'s A;j��,�i�n–°��corc�ing to the plat ori file in the re�,i�ter of d��d�,, Arioka ';_�unt;,�, Minnesota. � � � ; '� � � W ��J�� 1 hereby certify fhot th�s is a true and cor�ett •epresen�nlion ��nAi30�Y �'a11ey , Surve�yor� l. �. . of u surrey of the bounda.ies o{ the above descrlbed land, Ea=inters�, COf', � ..,.,....�. . � : �:� ... i ."..w�..�•-..,.. and oi ihe Iocation of vll buildings� thereon� ond all vit�ble �'� � �` �- . . R ��+ by _ ri =... . .. . ,�> _ _._,._r.'� Y-. o encroachments, ii any� from or on suid land. ' � — --------� �-- �� - As surveyed by ��»e ehis �'(J doy of�-�f:_`;_� - A.D. 19/:v. _4` -f :: � � --- '�tinq. ReQ. lVa. '��- — - �. �. . 4,.. ' �'' ' l ; �� .:......-,�-�""� L,� � �� -`� / �! � /�'f�r y.,, �� G��-g��.�� _ � � . � � �/f�„�,� v,� � � �� r�� ..: ' �7 t� y ' � � � � �� , o � %��Yn. ��,� �� .s�-.- �%i� .�/� �'� ��' � � ��«, � �� € ��. � „ ��.�. i� .r; Y r} 4.i��, .�' „W..A � �' � ,w � � -r cR'�"tl`:'� � . as .. �....�j .. 0 �- � � y5 .� s �-.� � �� 1 r;z �� . � �. ,� ��.�..; ��`� �� 4 �� , i. � � `� � r�.: _� � -� ` � � �� *� �\� �� e��. ' �� 3°,: .; � rvf F��. �� r� ; � CI'I�Y QC= FRIllL�Y� . . � APPLIC/iTIOPJ FOR RESIDEtJTIAL BUTL.DING PERI�IITS. -�' iNEW, ALTERATIONS, ADDITIONS, OR RCPAIRS) �.� - �,i�. OWI7E;R: ��.` � � Y'_.,��- �-�.._ BUILDER: L� �`� � � Address : ��l��UP_ r r,`p u j� r,--Address :. Tel. No. S�Q- �%j"� � No .: Str ee t: Q f�� , � r,. �o LOT: _�_i BLOCK: �_ ADDITION: � �,kCP v, ��L�i`�t)7 CORNER LOT: INSIDE LOT: 5,?.TBACK: _� SIA�YT�FtI�S: Applica'rit attach to this form Z1ao Certificates of �u.r.vey of Lot and proposed building location drawn on these Certificates. h DESCRI PTION OF BUI LDI t�G To Be Used A.s: � �r u C � Front: � �' Depth: ---�-�-- Height : _��_� � Square Feet: /� Z' Cubic Fee�: _ 2 2� C S�p {�� C �� ____ .K:Q.� Fron t: Dept 1:� .•�� He ig hi: : E� Square Feet: �� 7 Cubic Feet. Z � Type of Construction: _�,__�� Esti.mated Cost: $ !y�� ^-� To Ee Comple�ed: �'J�-��.�� e ►�' ,I%7-7 / Alt. A Ali:. B Proposed Driveway WidtYi If New Opening Is Desired $ �J $ (SEE VERSE SIDE OF 5HEET) The under_signed hereby makes application for a permit for the work herein specifie�, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Depar.tment o£ Buildings, and hereby declares t}iat aIl the facts and representations stated in this application are true and correct. See reverse side for additional information. � DATE: �--�� SIGNATUP�E: Stipulations: I //3, 38 � ��z�(,� �2 � �% �Q� G O,� C�� O'� P . „� g�. � ,,� a,« ��.9-7-e. � �u�� / 9, �'z o?. �,eav� o� �e��v �,� ��, g,J �� c., 3 �.s� v d �e� �t' �F r ��.s o� �u.ss ��, ,3 G , �.� aa s�q .J a �,� � �o,o, .�G� �- � 3 ��.�.� �'q�-1��. � ��, � �� , • � . y ` ' . 'L ��;"�Giy� i,- .� - o • _ d/ ��'x I�JC.� �� y�= GyY X 8�= ��C�,�` ��!�,�.- y.� `x � � ' = !/ �'CQ —�- 0?,3 x � _ ! �� / �` Jr / 5-' – �..� � e�� i � z / �/ � X /o't ' �" �� / � 0�,3` �X � � � - / �,:� 2� C79lo� � z � ,r � � = 6 z �-a c�?8J 3S�G �2 81 �.3 s�6 3 a �'� �im � a�� - 6 �y� x �� = � 898� /-' /��2.. X 2 2. 6 d_ �3/ j' /,/, z., �� G L�'' X� 4�0 � �j G 2r?", �y �� L Y� 3� �3 � � �', e�,� . � .G-�,�,G.�•�.-� .�,E'.�-�� C�% �� C'� �� , L �S � � //3. 38 a 8, �.s� ll`� yZ. �� 3 7S� oa � �y c,3(P, '�� EC3L•'RGY CONSEI'.'VATTOI�3 SUPPLEMENT TO BUILU7NG PERMIT APPLICATiON pL1�NNTNC� ANCl INSPF�:CTI�<)N t�i;}'ARTML:ivT rITY OI' r'RIllLI:Y, M�it[di::iOT/1 Tl,i�s ;�u��>lement is providcd to assist the applicant in computing EXTERIOR EP7VELOPF AVERAG� "(J" FACTOR INI•'QW'I�ITION. This information is required so the BUILDING UE�'i�'7C1AL c�n deterinine tliat submitted plans comF�ly with the �NERGY COfVSEKVATZON UESIGN CkITLRIA of the STATE BUILDING CODE (Section 6000). It is the �PPLICANT'S responsibility to accurately compute the data; reflect the proper DESZGPI CRTTERIA in the ��lans; suk�mit product specifications, if needed to support the "R" and "U" factors used; and to assure construction is per approved plans. JOB LQCATION: OWNER/CONTRACT ADIIkESS: A. Determine the Total Exposed Wall Area as follows: 1. Total wall window area 2. To tal door area 3. Total sliding glass door area 4. 'Ibtal fireplace wall area 5. Total wall framing area {average 10�} 6. Total net wall area above floor(average 90�) 7. Total rim jaist area Subtotal: Tc�tal exposed wall area above floor 8. To tal faundation window area 9. Total net foundation area above grade Subtotal: Total exposed foundation area GRAND TOTAL EXPOSED WALL AREA PHOI3E : � O � �� 60 �� + �� .Z. Z �$ � L /3 � 2 3 . /3.� r--- / . L B. Multiply the GRAND TOTAL EXPOSED WALL AFtEA X.17 = C. Determine the Total Exposed Roof/Ceiling Area as follows: /937 oZd�B zt� z 3Y�1� 10. Total skylight area 11. Total roof/ceiling framing area (10�) /3,�•/ 12. Total net insulated roof/ceiling area GRAND TOTAL EXPOSED ROOF/CEILTNG AREA D. Multiply the GRAND TOTAL EXPOSED ROOFjCEILING AREA X.OS = Item II �" 7� . 1 a � F. lletcrminr� th� "t7" value of each s�.c7ment (1.-9} an�3 multiply by the area as f v .a. i �,: � ��:; : � ` /� � ____ Y „t;t, . �� _ _' _ � .I � � _ _�r,-Z - -- �� "`'" ' �g - ---�±�-�'�-�- '. T L. v ��.� �� / l��''�' = G�► 3' � �. ZS x��c,T° • Z 2 — L�_ � . �5 i X „U„ , � Z _ ,� 8'� �� . /3��s x ��TJ" s . 0�' - 6 •o� �. ♦3� X „U., , pG _ g, 3 �. --� X „�,,, � " 06 9• l�� X ��U�� _ '� ADD 1-9 �'OR TOTT,L 6JZiLL SEGP�IENTS z��M zzz 32 �• �L F'. Determine the "U" value of each segment (10-12) and multipiy by the ar�a as follows: � 10. � X ��U�� _ � ... 1�_. /3�j � „U�� '_ �2. 3i3 X „U„ �� ADD 10-12 FOR TOTAI: ROOF/CEIF.ING SEGMENTS = ITEM IV G. If I�em III is *h� same as, or Iess than it/�� you have met. the intent of State Building Code 6006 (c) 2. H. If Item IV is the same as, or less than Itera II, you have met the intent of State Buildi:i� Code 6006 (c) l. I. Add Item I -F Item II J. Add Item III + Item IV e a K. If the sum of It.ems III and IV are less than Items I and II, you have met the intent of the Code for total envelope system. The undersigned, as appZicant for a building pea�snit, hereby affirms the above znf_�nnation has been �:repared and submitted by himse.l£ or under his direction, hereby acknowledge� the inf.o tion to be correct and accurate; and hereby presents the inform<�tion 't rec�uired plans in support ef the buiZding permit application. � BY= DATE: i- • i I:tJI,l:(;Y CUPISLE:Vf�'I'IUi! SUPYLL•'.�1t.P3'I' TO PUILUIFJ�. P[:I�.;4I7' APPLICIITION P)�1liidTfJC, /1PJO TPJ:;F'f•:C'7�TrrPJ l.�i:F'11f'.'I','.E•:P:T CITY OL' Ff;IULI:� , f3lidiil:�0'L'!1 T..i:: �;u;�r�Ic:c;��•n� i:s j;zovii:c_•c} to assist thc aF>I;>licant in computing EXTERIOR EIi�IELOPF, �1Vi;FJ+��?. "[," F'11CTOk INI�GR'7ATION. This information is required so the BUILDING ui:i'�.C:ll:L can tiete.t�ti.tte tii�t �;uhmitted pl�n� cot;lpl.y with tl�ie I:idEkGY COtfSEft'JFiTiON UESIGri CFtI�'?;RIA of the STiITE BUILDING CODE (Section 600Q) . It is the APPLICANT'S responsi�iility to accurately comPute the data; refiect the proper DESIGt7 CRITERiA in the plans; suLmit product specifications, if needed to sup�ort the "R" and "U" factors used; and to assure cor.struction is per approved plans. JOB: LOCATION: O�^�Y3EP,jCOi3TRACT ADDRESS: A. Determine the Total E�posed «al.l Area as follows: I. Total wall window area 2. Total door area 3. Tatal sliding glass door area 4. Total fireplace wa].Z area 5. Total wall framing area(average 1Q�) 6. Total net wall area above floor(average 90�) 7. Total rim joist area Subtotal: Tatal. exposed wall area above floor 8. Total foundation window area 9. 'Ibtal net foundation area above grade SubtotaZ: Total exposed foundation area PHONE c � �j " ��`�� (I 7:. �� i�, __�._.�..� •� � /�. /'.� �' � • 3 ,e`� /�`.� 7' �-�--- ` f " �; o�t.��3 GRAND TOTAL EXPCJSED WALL RREA B. I�iu�tiply the GRAND TOTAL EXPOSED WALL AREA X.17 = I�p� I �1'�. f� �.r C. Determine the Total Exposed Roof/Ceiling Area as follows: 10. Total skylight area , 11. Total roof/cei linq framing area (10 0) �� ,f �,�. f' 12. Total net insulated roof/ceiling area �_ GRAND TOTAL EXPOSED ROOF/CEILING AF.EA D. Riultiply the GRAND TOTAL EXPOSED ROOF/CEILING AREA X.OS = � r..+ Item II � •?'> CITY OF FRIDLEY APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRI6ERATION AND .AIR CONDITIONING SYSTEMS AND DEVICES PARTIAL RATE SCHEDULE � J,�,�' / � GRAVITY WARM AIR: RATE TOTAL Job Address [�_� (�f.�(�t?,r� (' .�f'� � Furnace Shell & Duct Work $12.00 $ , Replacement of Furnace 7.00 $ Repairs & Alterations-up to $500.00 �•�� $ Department of Buildings Repairs & Alterations each add. $500.00 4.00 $ City of Fridley 2e1. #571-3450 MECHANICAL WARM AIR: Furnace Shell & Duct Work to 100,000 BTU each add. 50,000 BTU Replace�tent of Furnace Repairs & Alterations-up to $500.00 Regairs & Alterations each add. $500.00 STFAM OR HOT WATER SYSTEM: Boiler & Lines up to 100,000 BTU each ad3n. 50,000 STU Boiler only up to 100,000 &TU each addn. 50,000 BTU OIL BURNER- to 3 gal. per hour each add. 3 gal. per haur GAS BURNER- f.rom 100,000 BTU to 199,999 BTU (over 199,999 BTU see Fee 5chedule) $12.00 4.00 7.00 7.00 4.�Q $12.00 4.00 7.00 6.00 $10.00 lO.OQ $10.00 The undersigned hezeby makes application for a pexmit for the work herein $1 2,0 0 specified agreeing to do all work in strict accordance with the City C6des.•- $�y'j�_ and rulings of the Department of Buildings, and hereby declares that all the $ facts and representations stated in this application aze true and correct. S r-, $ Fridley, Minn. � r 19� OWNER �� y�iiv, n� /Yr'/1.0 $ KIND OF BUILDING Fn-��7�'�-t./ $ /. $ USED AS �s/? �(1�-1 S TO BE COMPLETED ABOUT o v � ,� !� $ ESTIMATED COST �-�}��J fi;�"�� $�O QO OLD -�UILDING PERMIT NO. PERMIT NO. /�"� !L_,- S �� GAS FITTING FEES: ' lst 3 Fixtures x$ 3.00 $,3. 0 Q Additional Ei�ctures x $ 1.00 $ Gas Range to 199.000 STU x$10.00 $ AIR CONDITIONING g , (� FAN HEATING SYSTEMS see Fee Schedule $ VENTILATING SYSTEMS $ ALTERATIONS F, REPAIRS $ State Surcharqe $ .50 TOTAL FEE $�� ROUGH INSP. Date FINAL INSP, l " Date APPRiDVAL FOR PERMIT ��i� REINSPECTION FEE (.$10. 00) MINIMUM FEE FOR ANY HEATING P�I2MIT IS $7.50 PLUS $.50 STATE SURCHARGE DESCRIPTION OF FURNACE/BURNER HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No. �� G Q �� O Trade Name f�.Q�vt/�^-o��. Size No. ��r/. �O � Capacity Sq. Ft. EDR BTU HP Total Connected Laad Kind of Fuel �'_ BURNER - Trade Name� � Size No. � Capacity Sq. Ft. EDR BTU H�' Company o� ��/l.Ci, Signed By e-ic�G� � Tel. No. �j 5�� — Z �l�� CITY OF FRIDLEY APPLICATION FOR PLUMBING aN� G�s FI�TING �E�SIT N � N �m u • X e� Water �� c. c A u c�, m o �u� fl, w c Heater � i .-i � c� H•� � N u� ro s+ R, � •� 4 J 7 G vl X" U) 1J .L' C E N iC • � i.+ •� _ ^ �.a ,�( .0 C C 3 O U•.�1 O F.' U aJ p � O ••� i� ;n 4 v: •� .^_ O O s-� N.0 tn tq� v1 �n .0 - � �. ,� a •.+ � �+ o .c � m ro � m ro .� ro � �� u� _ � �n 3 Q�� n a. U w R 3 �7 � c9 O;as lec i ' � /. f I 's ` / I� � /' — ^3 3 r c4 � '} : 7 i in) _.�=�r� Conn_otion Opening Corinected with Sewer (•) _ ��_w Fixture, Old Opening Water PARTIAL RATE SCHEDULE PLU'•i�I't� FI\TUi:I: It.1TES: NC. RATE Nu^';er Fixtiues �KO x 53.00 K ra::::e Fixture Opening ^_y� x $2.00 Ne•« Fixture, Old Openiny x $2.00 . . Cdt:ii S,�s:n X $5.00 hat�r ii_;:��r - to 99,000 BTU ,� x $5.00 '_C;J, Oi;O HTU to 199, OUO BTU x S10. 00 Water �of Cener • x $7.00 New ;,reu:i3 R�t� Old Building x $5.00 Elec*_ric Water F:eater x $5.00 GAS FITTI\G FEES: lst 3 fi:ttures Ad�itioaal Fix tures Gas i<a;�:ye to 199, 000 BTU �� x $3.00 x $1.00 x $10.00 RF:PAIRS F, �LTLR�TIO�S Firs � .1C;0. 00 aact: a.i,3, S.CO.OJ �r fraction ' State Surcharge TOTA;.. FE£ REINSPE�TION FEE (S1Q.OD) •roTAL ��_GLSL $ $ $ $ y� .f�� S S $ S $ �� $ $ $5.00 $ $2.00 $ $ .50 $ �� Z� Job Address �/ '� Department of Buildings City of Fridley Tel. #571-3450 The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Co�es and rulings of the Department of Buitdings, and hereby declares t!:at all the facts and representations stated in thi pplication are true and correct Fridley, Mn, �,�p � lg�� GWNER � `/' � I� P N �( \ � ► C . [ C !a A � KIND OF USED AS TO BE CC ESTIMATED COST �� U U� U [� OLD - NEW BUILDING PERMIT NO. PERMIT NO. 7��_ t Company Siqned By — �-- Tel. No. � d ` '7 3 ROUGH INSP. Date � FINAL INSP. / 2� J'� �% 7 ' Date APPROVAL FOR PERMIT �� MINIMIIM FEE FOR ANY PLUMSING PERMIT IS S7•50 pLUS $.50 STATE SURCHARGE �. sue�ecr ERMIT NO. c�ty of Fridley � 16 9 AT THE TOP OF THE TWINS , g U f L D( N G P E R M I T � � � , � RECEIPT NO. . COMMUNITY DEVELOPMENT DIV. i 1 V �� . r � � PROTECTIVE INSPECTION SEC. � � � � � /'��1 � CITY HALL fRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BV 4""'�� `�� 612-571-3450 910-F15 ��2��8� / / JOB ADDRESS 61 A1 d2rt Ci rcl e 1 LEGAL LOT N0. BLOCK 7RACT OR ADDITION SEE ATTACHED DESCR. q, 1 Henri ckson Addi ti on SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE Richard Hillsdale 61 Alden Circle 57 - 7 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAI� ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING 7 CLASS OF WORK O NEW �9 ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Woddburning stove 9 CHANGEOFUSEFROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTFEET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPIICATION STALLS GARAGES ANp KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUAT�ON SURTAX AND ORDINANCES GOVERNING THIS TVPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 900.00 , 5O DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMITFEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- �. cO STRUCTI OR THE PERFORMANC OF CONSTRUCTION. J - PLAN CHECKFEE TOTALFEE �l �! ,� ��1 $8.00 SIGNATUREOFCONTRA TORORAJTHORIZEDAGEN� � 1DATE1 �a � WHE PROPE L A T THIS IS YOUR PERMIT � .._.._.... � I �� V � SiGNA7URE OF OWNER iIF OWNER BUILDERI IDATEI � G iNSP DaTE CITY �f f'(tIULEY • I�f'('L.IG/1�{'IU`d i�tlf; i?ESI(?l:+•iTiP,i, t3UIL()?i�G I'GRafTTS � (�Je►•r, Al tcr.al:ions, /Idditioij,;, or E:epairs) . � Q1�JtJCR: r L LS_ �if�-L-F,� ._._.. ADDRES S: cd �.��% � o��.� F� Tc�. no: __ �'��l ��'t��1 t3UILDLP,: _ �-�dY1�. r . . 11DDRESS: - TCL i�d0: ' Construction Location ' s�czu�;x rio : s�.��r:T: Lor. : BLOac : �nnrrzov : . • � � Corner Lot: Insicle LoL-: SetbacY,: Sideyards: Ap�licant attach to i�his form two Certificates �£ Survey of lot and proposed building Locai;ion dra�vn on certificates to scale. � , �,,�_,��.t �J�,�� DESCRIPTIOid Ol= CO�dSTRUCTIOPd • - � -_.�l.�t�� ront: Depth: " Iieight: � Squa�e. Feet: G7zbis; Feet: _ • _ r'ront: DePth: Heiglzt: Squar.e� reet: Gl.ibic I'eet: - Type of Construction: Estimated Cost: $ g�� 7b Be Oor,�pleted: . . Alt. A Alt. B Proposed Drive��ay tividth If New Opening Is Desired: $� $ . . SEE Rc^�VERSE SiDE OF SHF.t3T 2►1e undexsigned hereby ma};ey applic�-�ticn for a perniit for the t.�ork herein specified, �greeing to c?o ,all work iri s�:rict accordance c•�ith the City of I'ridley Ordinances and ruling� of i�he Del�artme��t. of Buil.dings, and hei:eby declares that all the facts and rcpresen t�it�.ci�s stated :si this applicatian are true anc� correct. D.'�TE: �( �L SIGNl,TUF�:: Stipulations: . . . s �%, ��` SZ� � ��, �� ; CIN OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 RATE SCHEDULE Effective On January 1, 1997 APPIlCATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES �f �� JOB ADDRESS � [ r � J� %-��%� Residential Furnace She{I and Duct Work, Burner – Also Replacement Furnace (Side Vent – Fill Out Back) Gas Piping (Needed with new furnace) Gas Range Gas Dryer Rate $ 30.00 $10.00 $10.00 $ 10.00 The undersigned hereby makes application for a permit forthe work herein TOTAL specified agreeing to do all work in strict accordance with the City Codes and rulings of the Building Division, and hereby dec4ares that all the facts and $ representations stated in this application are true and corr . �� ,�� $ OWNER $ BU{LDIf� $ *Air Conditioning – AI Sizes $ 25•00 $ All Others/Re airs & Afteration (LIST�AC�� p 1% of Value of Appliance or Work Commercial/I ndustrial 1.25% of Value of Appliance or Work State Surcharge TOTAL FEE $ $ $ .50 � MINIMUM FEE FOR ANY HEATINGJCOOLING/VENTILATION REFRIGERATION AIR CONDI110NING PEHMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining prop�rry owner. ESTIMATED COST �i�� .PERMITNO. '�G: �� DESCRIPTION OF FURNACE AND OR BURNER No. of Heating n�ts Circle One (Steam) (Hot Water) (Warm Air) Trade Name� � Gt,) 1�,,.� � Size No. BTU HP EDR Fuel Total Connected Load Burner Trade Name Size No. BTU HP EDR HEATING COMPANY �— Signed By _ Tel No. ��`�' �`� r�l Approved By Rough–In Date Final Date �y'�(� FILL OUT BACK SIDE OR STACK VERIFICATION ON �� REPLACEMENT FURNACE CHIli�IINEY AND STACK VERIFICATION 1'he undersigned hereby verifies that the existing chunney or stack: 1. Has been carefully examined Yes O No O 2. 3. 4. 5. b Is free from rust or deterioration Has no foreign objects lodged within Is securely supported . Meets all current Code requirements for size and total B�''U's connecteci Has total heating BTU's of All other BTU's ��.� � TOTAL BTU's 7. Has a liner been provided for water heater 8. Has combustion air been provided for water heater Remarks: . List ALTERATIONS Bein�LDone: HEATING CO: Signed By: Date: Yes()No() Yes ( ) No ( ) Yes()No() Yes ; ) �c� ( } Yes()No() Yes ( ) No ( ) S�B�EC. .._� �� 4 - 4 City of Fridley � AT THE TOP OF THE TWINS g U I L D I N G P E R M I T ` r � � COMMUNITY DEVELOPMENT DIV. RECEIPT NO. � • , ��------ . �6�8 r � � PROTECTIVE INSPECTION SEC. � � 1 i _ ' � �'��1 � CITY HALL fRIDLE� SS432 NUMBER REV OATE PAGE OF APPROVED 8� �'""�� ,'� 612-571-3450 910-F15 6/12/96 / / JOB ADDRESS 61 Alden Circle NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. (+ 1 Henriksen Addition SHEET 2 PROPERTY OWNER MAIL ADDRES$ ZIP PHONE Jon Koppes 61 Alden Circle 3 CONTfiACTOR MAIL ADDRESS Z�P PHONE LICENSE NO. Sussel 1852 Como Ave, St Paul MN 55108 645-0331 1934 d ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE UCENSE NO. 5 ENGINEER MAIL ApDRESS ZIP PHONE UCENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK CL NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X B DESCRIBE WORK Construct a 24' x 16' Garage Addition 9 CHANGEOFUSEFROM TO - STIPULATIONS Provide a hard surface driveway. See notations on plan. � �� EPARaTE PERI►+�ltS REQU1Rfp FOR �f01� �ig�fig call far iritIRING, HEAT1(VG, p�UMBiNG AND g{��,, att utitity locations 45�•0002 . REQUIRED BY LAIN TVPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTfiICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NUIL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTpUCTION OR WORK IS SUSPENDED OR ABANDONEO FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED ?HIS APPLICATION 1 STALLS GARAGES AND KNOW TME SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SUATAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIEO WITH WHETHER SPECIFIED HEREIN Ofi NOT. THE GRANTING OF A PEFMiT �%,034 �3.SZ OOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS F ANY OTHER ST TE OR OCAL lAW REGULATING CON- STRUCTION O THE PERFORMA CE OF ONSTRUCTION. �137.ZS Fire SC �7.03 PLAN CHECK FEE TOTA� FEE a ± �� License SC $5.0 $152.80 rvA�uaeoFCON-�ACTOROanuTr+oa¢e�ncervt �DnTE� WHEN PAOPERLY UpATED THIS IS �OUR PERMIT � i SiGNATURE OF OWNEA i�F OWNER BU�LDERi IDATEI BL .�NSP ��4TE NEW ADDN ALTER il �. [l ConstructionAddress : Legal Description: _ _ _ _ L � � � �,�� Effective 3/1/96 CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 s�y� � Building Permit Application �� (; f � rJt �/r'.�: Owner Name & Address: � {� .�/� ,� ,,� o !n� � S Tel. # Contractor: �u 5��_ � MN LICENSE # �� 3. y Address: / `��=; � ��„��' ,� �— S� �,4uc_ ��iri -s'�.�J 5l Tel. # � �i� �- e1 '�� . Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: GARAGE AREA: DECK AREA: OTHER: DESCRIPTION OF IMPROVEMENT Length Width Height Length �g/ Width �� Height Length Width Hgt/Ground Corner Lot [) Inside Lot [] Ft. Yd Setback Side Yard Setbacks Sq. Ft. Sq. Ft. s��1.,��.u-'32 Sq. Ft. Tyge of Construction: �7�d,�2, ./��, q�,� �-T-r�,r� Estimated Cost: $_? � 3 y, � Approx. Completion Date: ,� J � � �' (Cost on Back) Driveway Curb Cut Width Needed: Ft. + b F= Ft x$ _$ DATE: � APPLICANT: . Tel. # Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL /37, z S � C $ � �J 3 � 'Z $ $ 5 , c-� $ $ $ $ � /��Z - � CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valua.tion (1/10th%) $.50/$1,000 Valuation $900 per SAC Unit $5.00 (State Licensed Residential Contractars) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary ( ] Not Necessary [ ) STIPULATIONS: ' � SuBJECT • City of Fridley 2 76 5 2 AT THE TOP OF TME TWINS g � I L D i N G P E R M I T r � � RECE�PT NO. � • COMMUNITY DEVEIOPMENT DiV. r �~ � PROTECTIVE INSPECTION SEC. � . `---- A;/"'1,'� CITY HALL f RIOLEr SS43Z NUMBEF REV DA7E PAGE Of AGPROVED 8Y i . �" 612-571-345Q � 910-F15 9/9/98 � � JOB ADDRESS 61 i�s Alden Circle 1 LEGAI LOT NO. BLOCK TRACT OF ADDITION SEE ATTACHED DESCR. L} 1 Henriksen Addition SHEET 2 PROPERTV OWNER MAIL ADORESS 21P PMONE Jon Koppes Same 571-0524 3 CONTRACTOR MAIL AD�RESS Z�P PMONE IICENSE NO. Four Seasons Roofin & Remod 7930 Univ Ave Fridle 5 4 4 - A ARCHITECT OR OESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL AODF;ESS ZIP PMONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WOFK ❑ NEW D ADDITION O ALTERATION C} REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Reroof house & garage (265Q) Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPEOFCONST. OCCUPANCYGROUP OCCUPANCVLOAD SEPARATE PERMITS ARE REOUIRED FOfi ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOIO IF WORK OR CONSTqUCTION ZONING SQ. fT. CU. FT. AUTHORIZED IS NOT COMMENCED WI7HIN 60 OAYS, OR IF CONSTpUCTION OR WORK IS SUSPENDED OR ABANDONEO FOR A PERIOD OF 120 OAYS AT ANY TIME AFTER WpRK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIfV THAT I HAVE READ AND EXAMINEO THIS APPLICA710N STA�LS GAHAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VAlUAT10N SURTAX AND ORDINANCES GOVERNING THIS TVPE OF WORK WILL BE COMPLIED $2 � 22$ , OO � 1. 11 WITH WHETHEF SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL TNE pERMt7FEE SACCMARGE VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- �](F.7S Fire SC �2.23 STR C N OR T P RFORMANCE OF CONSTRUCTION. _� � PLAN CHECK FEE TO L FEE / Licen SC $5 0 $83.09 SIGNATURE OF CON' TOR OR AUTMORIZED AGENT iDATE� HE PROP VALI T�O THIS IS R PERMIT // .+ SiGNATUREOFOWNEAi�FO�NNEABUILDERI iDATE� 8 G iNSP ��TE r � NE�� [ ] Effective 1i1/98 ADDN [ ] :,: CITY UF FRIDLEY � ALTER [] SINGLE FAMII.Y �AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION g� � . �.'76 S� ConstructionAddress:��A�l �'.fU.+�l r�'�� ' � Legal Description: Owner Name & Address: �O��S � �_�5' j2,/ /�L �n1 � � re% Tel. # .h �/- �,� o� � Contractor: ` � ,� 1� MN LICENSE # Address: . �9 �� ✓l ( r5 � �1., �� __ Tel. # %��'�`7�1� LIV�TG AREA: GAR.AGE AREA: DECK AREA: OTHER: Attach to this application, . a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Length Width Length Width Height Height Hgt/Ground Sq. Ft. Sq. Ft. Sq. Ft. . w - - � - Construction Type: Estimated Cost: $ �� (Fee Schedule.on Back) Driveway Curb Cut Width Needed: Ft: + 6 Ft = Ft x$ =$ � DATE: � '" APPLIChNT: Tel. #_� `Y`� ; `° CITY USE ONLY Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee � Sewer Main Charge TOTAL STTPULATIONS: $_ �� Fee Schedule on Reverse Side � �• �,.3 .001 of Permit Valuation (1/lOth%) $ �, t / $.50/$1,000 Valuation $ $1400 per SAC Unit � $ � � � $S,QO (Sta� Licensed Residential Contractors) $ Alt. � "A" or Alt. "B" Above $ � $450.00 Conservation Plan Review $ Fee Determined by Engineering $ Agreement Necessary [] Not Necessary [ J � _ 8�� . � CITY,OF FRIDLEY INSPECTION DIV. 643'i Unive�sity Ave NE ;�ridiey, MN 55432 '572-3604 Stories Basement Floor 1 Floor 2 Floor 3 Floor 4 Urinal APPLICATION FOR PLUMBING AND GAS FITTtNG PERMIT MARK i�UMBER OF FIXTURES TO BE INSTAILED ON EACH FL�OR `«>�::�<::::::: �i;;;:::�: Wash �ri;�t�;:::::,�<::: Floor �a��=::<._:__:: Auto. :..;�::: �-X:4i+:'•:::i:?::;:: � . I....... > Sh w o er Tr i'":�`<::�::. � a .,. ... . �!. .. ..�t3 . .. Dr i . .�C<r:;;.:: y :�E��tl��:��..__ a n �2�i�:�`;:'�:::: Washer A�i� � PLUMBING FIXTURE RATES: N0. RATE TOTAL New Fixtures $ 7.00 Old Opening, New Fixture $ �.00 Beer Dispenser � , $ 5.00 Blow Off Basin $ 7.00 Catch Basin $ 7.00 Rain Water Leader $ 7.00 Sump/Receiving Tank $ '.00 Water Treating Appliance $1 J.00 Water Heater -Efectric $ '1.00 Water Neate� - Gas** ,�_ $10.00 Gas Range'* $10.00 Gas Dryer" $10.00 Back Flow Preventer Required OYes O No Type $15.00 Reinspection Fee $47.00/Hr ALL OTHERS ANDlOR REPAlRS AND ALTERATfONS 1.5% of Value of Fixture or Appliance Effective On May 1 Q, 1999 Gas r �'� :i: Wate e ...�<;;;:::.:. H ater Ranqe �i�'�>` <<��:;: Gas Elec (� I f�� -Gt- �-- JOB ADDRESS S i'Z{-� �' S Q(�lU�� L�l� The undersigned hereby makes application for a permit for the work herein specified agreeing to do aN work in strict accordance with the city codes and rulings of the Building Division, and hereby decfares that alf the facts ' and representations stated in this application are true and correct. tl � ( � , �sss KOPPES, JON Owner 61 ALDEI•I CIRCLE NORTHEAST FRIDLEY, MN 55432 Building Used As (612) 571 •0524 Estimated Cost PLUM8ING C ANY SIGNED BY Approved B PERMIT NO. �F� �C�'U r 6� r��v�►�,� ^._, TEL N0. 7�Z 7'��'3 3 I Rough-In Date Final Date ��i'l�� J�- �S'L � State Surcharge $ .50 �. TOTAL FEE $ ,Z4. "rJO *'COMBUSTION AIR SHALL$E PROVIDED PER UMC SECTION 504(A)AND TABLE 6-A. MINIMUM SIZE 9 SQ INCHES. �__- � - _ C[1YOF FR(DLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(763) 571-3450 • FAX (763) 571-1287 February 23, 2001 Jon Koppes 61 Alden Circle NE Fridley, MN 55432 Re: Final Inspection at 61 Alden Circle NE Contractor: �Norblom Plumbing Dear Mr. Koppes: A mechanical permit was issued on November 30, 1999 for the installation of a gas water heater at your property. According to Section 305(a) of the 1991 Uniform Mechanical Code a final inspection shall be performed on the mechanical permit. In checking our old records it was noted that no inspection was called for. You will be given thirty (30) days from receipt of this notice to respond. If we do not hear from you, your permit will expire and any inspections on this installation will require a new permit. Any questions can be addressed to myself at (763) 572-3603. Sincerely, �NSEN Inspector DJ/mh ±' � NEW ,AQDN `` ALTER a � DS - C��{ �O �� [l I] CiTY OF FRIDLEY 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bidg Insp SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax BUILDING PERMIT APPLICATION Construction Address: %v� �f�'��'I Lt�PPG� Legal Description: Owner Name & Address: �E.vA7E� �Uti ��PS Tel. #%�.3 � 5 7/– 45�y Contractor: (Ti¢�JS/« �rlC � MN LICENSE # ��1� Address: ��/�U SQcui� p �i2. Tel. # 76 3- 57��9679 LIVfNG AREA: GARAGE AREA: DECK AREA: Attach to this application, a Certificate of Survey of the bt, with the proposed construction drawn on it to scale. Length Length Length DESCRIPTION OF IMPROVEMENT Width Width Height Sq. Ft. Height Sq. Ft. Width Hgt(Ground Sq. Ft. OTHER: Construction Type: G��~— Estimated Cost: $�� U U.G'O Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ � DATE: S�� '� � �S APPLICANT: Tel. # !G'�'� ��`/'�� Call (763) 572-3604 for Permit Fees if mailin n application. Fax to 763-571-1287 if using credit card and we will call you for card number. Permit Fee Plan Review Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge CITY USE ONLY - $ ,�� Fee Schedule on Reverse Side $�--� 65% of Permit Fee $ /. �-�� .001 of Permit Valuation (1/10th%) $ . l U $ _ � �U $ $ $ $ $.50/$1,000 Valuation $1450 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] TOTAL $ �� C� STIPULATIONS: . • 8480 SQUIRE DRIVE FRIDLEY, MN. 55432 •(763} 574•9679 • LlC. NO. 8618 Project information sheet Project: Kitchen Remodef Project Address: Renate & Jon Koppes 61 Alden Circle Fridley, Mn. 55432 Owner: Renate & Jon Koppes � Ph. 763-571-Q524 Contractor: Jansick Inc Contact Person: Gary Jansick Mob. Ph. 612-701-4486 Hm Ph 763-574-9679 Fax �63-574-1330 � WORK TO BE DONE: � -MOVE DOORWAY -REMOVE SOFFI7S GARAGE SERVICE DOOR -NEW CABINETS -NEW COUNTERS -NEW SINK & FAUCET -NEW LIGHTING -NEW FLOORING -NEW PAINT NEW COMPUTER STATION \J