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AF - 45990sue�ecr PERMIT N City of Fridley � 13543 ' ` AT THE TOP OF THE TWINS B U I L D I N G P E R M I T RECEIP . r � ; L ��_ C�MMUNITY DEVELOPMENT DIV. ^/ _ `/�� / i � � PROTECTtVE INSPECTION SEC. o �� u� ,` � �"�1 � CITY HALL FRIDLEY 55432 NUMBER REV. � DATE PAGE Of APPROVED BY ""'� � �� 672-560-3450 910-F15 5/27/76 � � JOB ADDRESS $O A�.G�Pr21 Circle N. E. LOT NO. BLOCK TRACT OR ADDITION 1 LEGAL SEE ATTACHED DESCR. ` 6 1 H.enriksen Estates SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE Leif Henriksen 6434 Riverview Terrace N.E. Fridle 560-4560 3 CONTRACTOR MAII 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 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK � � � � 9 CHANGE QF USE FROM TO � STIPULATIONS provide a hard surface driveway. Provide sod in the front and side yards. Provide a verifying survey before capping. Submit rafter detail including bracing before roof construction begins. � THE CITY OF FRIDLEY bOES NOT GUARANTEE THE w A�� r ��t�� n ��` ityt�,a111i� 1 ACCURACY oF urnmr LOCATIONS ar�� ,�c .��.r�r ��-, geiore �dN� .�ltCi�iC • GA5 Etc. t,,, � c,�r,� �s FOR INFORMAtION PUrPOSE: v� t�� Ep}� �Y t w� PERSON:i USING R SHOULD VERI�Y iHE IN��v'.n�►t.i1G�1 R��VIRE� ,��, � YH� S�r� ..�. -�-�IMPORTANT..� , S�PERAT'E PL�RMITS REQUIR�p FOR 1MIf21�G N�y ON REGARDING C B� HEA Tt{�Ca� PLUM6lNG AND S1GNS, � REMOYAL AND R� P�- p` iN� N� SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEAT{NG, TYPE OF CONST. P OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. WOOCZ FY'clICle 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�. H92 'F 52S 17, 574 -F SZHO ANV 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 {3RDWANCES GOVERNING THIS TYPE F WORK WILL BE COMPLIED 2•� � 9�0 �`13. 9•� YVITH WHETHER SPECIFIED HER IN OR N . THE GRANTING OF A PERMIT $ DOES NOT P SUME TO GIV UTHO TO VIOLAT OA CANCEL THE pERMIT FEE SAC CHARGE PROVISION F A OTHE TE R OCAL LA GULATING N- STRU I R T P O CONSTRU i �`42. 28 $350. �� PLAN CHECK FEE TOTAL FEE $406.25 SIGNAT REOFCO iR±CTO ORAUTHORIZEDAGENT IDATEI EN PROPE LY VALIDATED T IS IS Y`Q-U��IT /� � ,. r SIGNATUREOFOWNERIIFOWNERBUII.DERI IDATEI 8 DG IN P �ATE �11'�'LICATTON I�OR R��S1I)�NTTAL, ALTfsI2ATI0N, OR /�UllITION �3UILllING I'L•RAtIT CITX OF FRIDL�Y, NtINNLSOTA Oj�INER' S NA2d� : � P,`• �' �%.� y��-„�, S� fiBUTLllI:I:: , ADDP.LSS :_� LI.� Zl ,� /r (1�v,s1;�,v u� �� Yr�_ADDRESS : NO• �Q STRE�T: � � � . � LO�:,,__��___..._.BLOCK: 1 ADDITION:�?yz r � L,-�1-�7 �S�-�.r� S CORN�i. �.OT : INS XDE LOT :�SETEACK : Sl' DL'�'AI'.D : Appl.a.cant attach to this forri i�•�o Certif9.catcs of Sui-ve�y of Lot and proposed building location dra�an on th�se CerLificaL-es, T .. Used As : . UESCP.IPTION OI' BUILDI\iG l�� Front :_ �,� Depth : ,�,5— Aeight : � r.��,� Sc�uare Feet: s/� Cubzc �eet: l� 377 _ Fxox�t : � 2 Degth : a C.� Hei_ght : %`a r . .�. Squarc I�eet; 32 8 Cubic Feet: S.2. $ d �pe of Construction: �� f�"�� 3;sfimat;>d Cost: $ �% 9i�f� � xo 13e Campleted ; Tt,e under.si�ned hereby �nalces appl.ieatinn for a pex7nit fox the wortc hr_rein specifiecl, a�;reeing to do aZl work in str.x.ci: accordancc� taitti t.he City of �x�i,dley Oruzn«a�ces azzct rulings o� the DeparL-mcnt of Buil.dings, and hcreby de�.Iares Lhat all tl�e facts and representai:ions stated in this application axe true and ccrrect, • iJ�E1TE : SIGNATUF.E : � ' n � `�� S (�ee Feverse 5icte �: ox Adda,ta.onal informat�.on. ) �/ � f Z� � . �C� . g�• �a.. �.�.q-�r .�u � ' Q skeS.i� i r ,eq.,� r�.+t ,� rx�� - ��c�.k,a.�J� Q�4c�..v4- SE�aE ,P� � �a�aP,�-� n �.,� �dE G. <�J°s i '� � � �►.�� -. , � - . �' • _ _ _. _ _ _ _ _ ___ _ _ , . , � . ._._. .�. _.. . __.. ,:_. _ _ ._ _._ __ __:.�_�_. _ __._.._ _ � __:._ .. . .. _:_. .. _ - - --*----�----± � � � � , "1 � �� , , ,, , , , , , : , t : . _. _ __ . , , . . ,- _.. . , ._ _ . ____ _ _- . ._ . . _ _ _.. _ ._ , . , � � � �, I j : , . i � _ : . 1 �- . �. : _ _ ' _ _ . , . _ _ . 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' ;_ � � � � . . . . . . _ - . — �. f .t _ ' ��._ i �__ ! . �, � : ; ; —� ' � . . _ _ . . . _ � -- - , . . . : _ . _ � _ _ . _ _ _. -?�7 l`'.�3 �� :.%_, . ... _ _ _ _ - - -�-rt-- -fi----- - -�— .� . .�. ... . .Y . � � ,w. _.r... . .. . .. , ..... .. . . . . . . , .. ...-- ♦._ a . _ _ '-«.. .1.. '.y..._ _ ; � .�. ... �. . .. ��. . .. .. . . . . . ... ......�. . � ...._ ... . . , .. .:.... . . _ . _" ' ._ . _. ... .. _ _ ' ". _ "" -r..__. _' .. "� _"_. _� 1 I �I I � . ,__ �� .�. gy�, °d : --�� .�-a� -. :_. _ .;_. ,/.�_ 9�. _: _____ _ � � . .,- �- __ _. . , _ 7 � � -� � . ' i � , ; . _ ; . _,: _ , . _. _ . _ : _ . . . _,� _1. . � --- --- . _._ ___;— --. __. _. _. _ . . . . j._ . , , . . . �.. . ___: _..:_. _;_ _ .. ; .. . . . _ __ __ . _ _ _..___. ... _ � � , , �. : : � , ._. . . . � .. _ _� , , : . : ._ . : . . . : i . ; .; ___ ___ - - - ----- __ ; � ' ; � � , . , , .._. . . . _ � � �.3��• °° � - - _ - - - - - --- ---- . . _ ,�'0 4 d , . � . , _ . -� + � � . : _ . . . . . , _ , �-- . _ , _. , , ; ; , ,_ , _ . . . . , ._ . ;, � , . � ._ _._ ._ . - - � - - -- -- - - --- : . . . . . . . . . _ _ .__ . . . ._ --t- �`�-u��`��7'�-'2 " ,�v • ; �� . _.. _ > _t_ . . � - -- _ -- - - _ . � . .. _ _ , d. ,-� � � . -� ; .� . . . � , , � � . . __. . . �- . -___ -- - - -- - -- - -- , ; �_ � , � ; _ . : . _ ._, . ._ _ , , .._ .: , �s ` �`- -� ` - - - , . , � � � . _ . . , _ . _ ; . , . _. . _, _ _ ; - - --- - , _ _+ r --t-. ,_ , , ; � ; . _ , , . _ . : , . . . :_ . ;- . , . .. , r , . _, _ t __ -.r ___�.._ _ _ . ; . ___ � ; � `� � � , ; , , ; � , ! � . ---- , . . . . . . ._- -. ,_ ,__ ._.. 1-- --+ �� ' ' � I � ` � • � , , , ;. . , . ! ___�_ , . . ._... . _ ' �. I ; : . . , _ _ _ _ + -� -, --- - _ -- _ _ � _. --I _ . . . , ! - ; � , , I ; , , � � � ( ' _ , , � �_. ' ' . . , _.. , _ ,_. _ _. _ . . _, _ . . . � .. _ _ : . ' i i i; ` � ; , ' 1� ___.: �__--.-.—. _ ._._ .. .. ._._ . _ ...1... . ._... .. ._..__ � .... ._._,._. .. . . ._ . _ __ .. ; i I r. .� _t. i _-_. � . . . . .. . . . . _._ � i � ' • ; � _ _ �t ._.�___ i � .�__ .._. . . . __ . . . _ , _. _ . . .. . _ _ _ _ . . _ _ ,.. . . . . .. . .. _ ,, r.� _.�.� � �- _�--- � . � . .. ;- _ -7'--.. � _.-. i_.�_.r •- -_ .__..._ CITY OF FRIDLEY �PPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONIN6 SYSTEMS ACJD DE`JICES PARTIAL �TE SCHEDULE canvt�rY wnrzn� nra: Furnace Shell & Duct Work Replacement of Furnace Repairs & Alterations-up to $500.00 Repairs & Alterations each add. $500.00 ��1ECHAVICAL WAR�1 AIR: �rnace Shell & Duct work to 100,000 BTU each add. 50,000 BTU Replace.-nent of Furnace Repairs & Alterations-up to $500.00 Repairs & Alterations each add. $500.00 STF�;d OR f�OT �4ATER SYST�I: Boiler & Lines up to 100,000 BTU each addn. 50,000 BTU Boiler only up to 100,000 BTU each addn. 50,000 BTU OIL BURi\ER- to 3 gal. per hour each add. 3 gal. per hour GAS BURNE R- from 100,000 BTU to 199,999 BTU (over 199,999 BTL' see Fee Schedule) R�'I'I: TOTnI. $12.00 $ 7.00 $ 7.00 $ 4.00 $ $12.00 4.00 7.00 7.00 4.00 Job Addre:,s Department of Buildings City of Fridley Tel. #571-3450 The undersigned hereby makes application for a permit for the work herein S specified agreeing to do all work in strict accordance with the City Codes $ and rulings of the Department of Buildings, and hereby declares that all the $ facts and representations stated in this application are true and correct. $ a $ Fridley, Minn. l , 19� � OWNER �Q T � � �.iL1/��it�s.�.�� '�C_� $i2.00 S l�,e � 4.00 $ L,U 7.00 $ 6.00 $ $10.00 $ 10.00 $ $10.00 $ ((�. �`�% S GAS FITTItiG FEES: lst 3 Fixtures �_ x$ 3.00 Additional Fixrures x $ 1.00 Gas Range to 199,000 BTU x$10.00 AIR CO\'DITIONI\G �i FAV HE;aTING SYSTE�4S _ see Fee Schedule VENTILATING SYSTE,�1S ALTER.4TIONS �, REPAIRS ,� - � State Surcharge TOTAL FEE ROUGH INSP. Date FINAL INSP. �- %G ^ % % Date APPROVAL FOR PE&'KIT ��i� REI:JSPECTION FEE (.$10.00) MINIMUM FEE FOR ANY HEATING PERMIT IS $7.50 $_ .. ..... . �,�,.o� $ $ S S $ S $ .50 $ .-�? . S� KIND OF BU USED AS `� 1i�v�s� � � �, TO BE COMPLETED ABOUT (�a i� � ESTIMATED COST `� L C�: OLD -��BUILDING PERMZT NO. PERMIT NO. ��[J�� DESCRIPTION OF FURNACE/BURNER HEATING or POWER PLANTS, Steam Hot Water Warm Air- No. / C� Trade Name Ju QLru Size No. Capacity ��C:., �L,� '�� Sq. Ft. EDR BTU �C iiP Total Connected Load Kind of Fuel ��c✓` _ BURNER - Trade Name Size No. Capacity v�%L, l�� C�q. Ft. EDR BTU HP \ Company f ! L Signed By � �� Tel. No. S��-��3�% � �, �., '0 ° . (r't ::�.� l'• 1lG1`;�� . . V:1 �yd r o ..- �'OZ4° .1.�' n�A . w�;s`�v:?i�,`".:..�i:.::: .4:; ��siz:is:::.:� �"+:,.1 ;::,�:� �'Sld;at:� _ �i..:,. � ;r 4 • ^______,._,,.^. ,____..._.__ Do�;. o: �:u�. Pho.^.a �;�-3�S�i ` D�'SC?.IPi:O;i G:' `JIOi�:. cs ' �� 2is: ^5.:-. `:'.:..� c^.d Lc:r'ic : c! ri..�a-es Lr�: oa. °v � - � � � = � c i< 1 � ; � � � ° �r � I 1 ~ � � � 1 e'� ?. � � ;��rj�� ~ 1 � = t 1 `�� 1^y ' ( , ' `� ::� ! I � �:� _� ! I i I • F�.�o Gc�,..•.�..-... G>:.n. _ t i{sv .._�.:n. G:d G*-�s�:n�-s 1I "�FN�o�� ,�'7Z1 Y a!a c�� < 3 j� � �:i a;u `o � �,. _::� r 1:.1 � vrATC4 �+'k. v �a � c..z ciu. � ! � f � ��'.i lAL RAT� 5CH��U�� "c ac: (� G::.r.�wl (� r�r-�.:.� :10. �1i�i � TQi:�i:. � L^v.ti:3:tit: �;� V.... P.hT[.5: ::�:.�t F,X:�r�s ... . ......�... . . . _._.._..�_ x �'.G�. S �S�od— Fl::��re F'ix!u: e C�;,er.ir.g . . . . . . . '. . . . . x 5,.�„0 S , _._ ::e•:r �ir.:,.:e 0l;S Oper.:ng.......... . x 5;.5'J 5—•--• Calc`� B � . . . . . . . . . . . . . . . . . � • x 5,:.25 S :�_in . 1y':,:cr :.'eater 'L'� to �.000 E7'U� • • • • � x :3 G? � �` � � • . :�;:z Ol� $:dg. x ;"'.%5 � :tie;.r G:cJ:�d ...... .. ��,� :,'ct!:'.: Y;a:s: Y..s'ar, . . ... .. .. . . s _.C-'v - i1S l:�G i i�3: ?t0. P�'-.::. T07n!. F.: , a-(SC� • Is: 3 F:x:::res . . . . • .••.•• • . •. • • � z S_.G� � . A�d:ti�azl F�xttues . . . . . . .... , . . . . x � .75 5 - a to 1�3.� '8;J ........ ... x SS.G� � G:s F.y^t • . c;c� oi �:-:c��y: . . U + , . � ' � . � �� .�� The Lndc-s:; e� hereby .:.�kes s;�?ication !or a pe.^TMi: fcr .':� rre:Y he^ SpCC2�:^� �'.� i:C:r� .O LJ :;�I �t'C'1{ .�. S`.^�: 'sC:C:�';,.^..'Z '.�::�1 :::G' C:v G`':5.:�., � a , �g o+ i;;e 1:,�; �::r.:c.^.: o! ��....._.. a�''. here5y cec:a:es �`:a. a:i L`.e Y� ar.d r:e�cr.t.: tions s'�tc,a '-= =`:i_ z�;.'�c:.�,� s:e t��c :s� c�^�-; . r �d'.e}•, bJ::n 19. C7��c� r. e r .,r�.c ,...- — Kiad o: T3::i;<iin� �� LSE'� 2S � 7'0 !�c cc7:p?c'.ed �.�,oui -./-'��i Estir.:�ied Cos'. S j /�/� �-�� C� �� - -- � Y�Sac: �O. "" / /� O:d Neu�. iiu:.di^.s °e,::�it tio. � /'%/_ /.l,t.� r�,v N • S:g:-:cd �C/1E�� c ��4 y � . �}. .� - �`�� - -- �-��s _,2 r .�� B�sir.:.s r' ^..�r.c \3 RCUGii :-�:�:,� % o - z S� '' 2 �� 0 S�u�E S�ch:::�yc ?.�T`?l:�S � A:.�.°..�AT:OY.S—P.a:er :o Cr�e'o • • � .riC�:Z: j'�8:1 . .. .. . . . .. . . . . . . .... . . a.. . . . . ... .... • ^; ��..�� ' TO'i �+W FT'...:. S— _ _-- � . 560-345� �( � . � � ��lle � aNOKA COUNTY 6431 UNIVERSITY q�/E�UE NE Dec�er 20� 1 976 FR�'JLEY, MINNESpTA 55432 r�'• Leif HenrikSen 6434 River�ieW Terrace N.�, Minneapolis, i�n, 55432 �� rinal Inspections 1.00 A.Iden at 80 Alden Circle N. E. . Circle N.E. . 81 Alden Czrcle N.E. and Dear !�, Henriksen : Final inspections followin Were made on finale' g it�s were noted which eC�er 20• 197 � Q out. must be co 6� eior �ove addresses ahd �e � mPleted tYie str 8� Alden uctures can be Circle N.E. 1' Provide door closer on 2• Provide sod in 9ara e �e fzO�t J door bY JanuarY I0. 1977. 81 Alden �d Side yards by June 15,1977, , Ci.rcle N.E. 1• Provide door 2' provide C�oser on garage door b by J�nuaso�la block or joist h� y January Z0. 1977. 3� Provide �10, lg��, ger on foyer fl,00r drail oh s�i .]oist J�uary 10. 1977. �aY from 4, Provide sod in the � basement to garage �, Y roi�t �d side Yards bY June ZS 100 Alden Circle N.E. . 1977. Provide door closer on We will ex 9arage door by Janua �'eins pect the above rY 10. 1977. P�ctions will be lt�s to be com on these made to dete pleted by the a ' items, p1ease feel �"ine com �'P�1nted dates free to Pjia.nce. If you have an when Sincerely, contact me at 571-3450. y�eStions DARREL G, � Cammunity Develo pmen � �� . DGC/� f ' f . ,. � . :�, ' �.' . -, � � �t � ��'� � .�� ; . �.m. __ CITY OF FRIDLEY APPLICATION FOR POWER PLANTS AND HEATIN6, COOLING, VENTILATION, REFRI6ERATION AND .AIR CONDITIONING $YSTEMS AND DEVICES PARTIAL RATE SCHEDULE ' GRAVITY WARM AIR: RATE TOTAL Job Address ��Q/(Pn (�,.,x/l.C�'� Eiirnace shell & Duct Work $12.00 $ , Replacement of Furnace 7.00 $ 7.00 $ , Q Department of Buildings Repairs & Alterations-up to $500.00 4.00 $ City of Fridley Repairs & Alterations each add. $500.00 Tel. #571-3450 MECHANICAL WARM AIR: Furnace Shell & Duct Work to 100,000 STU each add. 50,000 BTU Replacement of Furnace Repairs & Alterations-up to $500.00 Repairs & Alterations each add. $500.00 STEAM OR HOT WATER SYSTEh4: Boiler & Lines up to 100,000 BTU each addn. 50,000 BTtJ Boiler only up to 100,000 BTU each addn. 50,000 BTU OIL BU RNER- to 3 gal. per hour each add. 3 gal. per hour $12.00 $ 4.00 $ 7.00 $ 7.00 $ 4.00 $ $12.00 $ 4.00 $ 7.00 $ 6.00 $ $10.00 $ 10.00 $ GAS BURNE R- £rom 100,000 BTU to 199,999 BTU $10.00 $ (over 199,999 BTU see Fee Schedule) S GAS FITTING FEES: lst 3 Fixtures x$ 3.00 $ Additional Fixtures x $ 1.00 $ Gas Range to 199.000 BTU x$10.00 $ AIR CONDITIONING S /0, 06 FAN HEATING SYSTEMS See Fee schedule $ VENTILATING SYSTEMS $ ALTERATIONS $ REPAIRS g State Surcharge $ .50 TOTAL FEE $ ��• 5Q ROUGH INSP. Date FINAL INSP. � `,3L- ,Z� Date 1�P1>RiOVAL FOR PERMIT / S�L' � REINSPECTION FEE ($10. 00) MINIMUM FEE FOR ANY HEATING PERMIT IS $7.50 pLUS $.50 STATE SIIRCHARGE The undersigned hereby makes application for a permit for the work herein specified aqreeing to do all work in strict accordance with the City Codes - and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. Fridley, Minn. %�G��J � 3 , 19v owrrER �4_� �!l��v, n .� /�.��v---� ^� KIND OF BUTLDING ��_SL� USED AS LPi�Q.t_��2---1� TO BE COMPLETED ABOUT �T/�s� f�� l g/ [ ESTIMATED COST �✓ OO O � OLD - NEW BUILDING PERMIT NO. PERMIT NO. �� DESCRI.PTION OF FURNACE/BURNER HEATING or POWER PLANTS, Steam, Aot Water, Warm AiY- No. � Trade Name Capacity Total Connected Load BURNER - Trade Name� Size No. Sq. Ft. EDR BTU HP Kind of Fuel Size No. � Capacity Sq. Ft. EDR STU IiP Company ,_,��/ . Signed • Tel. No. ,��`� Z �S� sua�ecT RMIT NO. City of Fridley 18 0 5� AT THE TOP OF THE TWINS g � I L D I N G P E R M I T � ` ECEIPT NO. � • COMMUNITY OEVELOPMENT DIV, � ; .: - "a,, 6 r � � PROTECiIVE INSPECTION SEC. � 7 � � /'�'1 � CITY F1ALL fRIOLE� 55432 NUMBER REV. DATE PAGE OF APPROVED BV : ""�.i `.J 612-571-3450 910-F15 4/22/�3 / / JOB ADDRESS g0 Al�en Circle NE 1 LEGAL - lOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED oescR. 6 1 �Lenriksen Addition SHEET 2 PROPERTY OWNER . MAIL ADDRESS ZIP PHONE Al LaTour 8Q Alden Circle 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Richard Hastings Contractor 6331 Ri�rer�iew Terrace NE, �'ridley 574�9g66 4051 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 O ADDITtON ❑ ALTERATION �J REPAIR ❑ MOVE O REMOVE 8 DESCRBE WORK Reroo� Dwelling (23 �c�uares7 2nd L�yer 9 CHANGEOFUSEFROM TO STIPULATIONS Raa�ing can b:e th� 2nd lay�er but ncat tFie 3rd� TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY �OAD SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEAT�NG, VENTILATING OR AIF 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 FEAD AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF �AWS VALUATION SUfiTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $1�.242 $eF]2 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pEqMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $31eQO �''lY@ SC �.•24 S7RUCTION OR TNE PERFORMANCE OF CONSTRUCTION. a � ---�—� PLAN CHECKFEE TOTALFEE <; ��ti�� ' ��tie.GG��.,o 2,zr � L�,cen�e SC $5 , QO $37. 86 � SiGanruaE OF Conirc�nCTOR OA A ORiZED nGENT DATEi HE P lY VA ATED THIS IS YOUR PERMIT �-z z - �3 S�GNnT�iqF OF ObvNFA riF OWNER BUILDEA� �DATE� BLOG �NSP ��,�„�� tiTE �w [ ] Effective 1/1/93 �"( a �% ADDN j] CITY OF FRiDLEY ALTER[ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Appiication Construction Address: � p }I� L�c`�s/ C �� c L� Legal Description: Owner Name & Address: /a L �. R�o � n Tel. # Contractor: � � t l� � ;Z � �i�-s ?� i •Y �' S MN LICENSE !� yo S / Address: �' 3 3 / � �c v� ,2 t�r ��_ �...' �� . Tel. # S � �- i i�� Attach to this application, a Certificate of Survey of the lot, with the proposed construcdon drawn on it to scate. LIVING AREA: L,ength � GARAGE AREA: Length , DECI� AREA: Length _ OTHER: � �-' � DESCRIPTION OF IMPROVEMENT Width Width Width Height I3eigttt Hgt/Ground Sq. Ft. Sq. Ft. Sq. Ft. Corner Lot [] Inside Lot [] Ft. Yd Setback Side Yard Setbacks Type nf Construction: ��,� o a� ,. Est�mated Cost: $ ��'` � �,. _ Approx. Completion Date: :' . L 3 s� �� ___._ _ ,.- (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$_ DATE: � 2 2- � 3 APPLICANT: �-�' /'`�w`.c,�,`.i,e Tet. # S? f- 5'9l.L' Permit Fee $ � % ° `� Fire Surcharge $ /. � � State Surcharge $ .- (�� SAC Charge $ License Surcharge $ � . ° ° Driveway Escrow $ Park Fee $ Sewer Main Charge $ TOTAL STiPULATIONS: $ ')- ��- CITY USE ONLY Fee Schedule on Reuerse Side .00I of Permit Vatuation (1/lOth%) $.SO/$1,000 Valuation $750 ger SAC Unit $5.00 (Sta.te Licensed Residential Contractors) Alt. "A" or Ait_ "B" Above . Fee Determined by Engineering Agreement Necessary [ j Not Neces.sary (] ,� � � < � CITY OF FRIDLEY INSPECTION DIV. 643t University Ave NE Fridfey, MN 55432 572— 3604 Effective On January 1, 1993 APPLICATlON FOR PLUMBING AND GAS 1=1TTING PERMtT MAaK NUMBER OF F(XTURES TO BE INSTALLED ON EACH FLOOR PLUMBING FIXTURE FiATES: New Fixtures Oid Opening, New Fixture Beer Dispenser Blow Oti 8asin Catch Basin Rain Water Leader Sump/Receiving Tank Water T�eating Appliance Water Heater —Electric Water Heater — Gas NO. RATE TOTAL _� Gas Range � Gas Dryer � Back Flow Preventer Required ()Yes () No $ 7.00 $ 4:00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 /a ,a � $10.00 $10.00 � Type ^_ �$5,00 � �, Reinspection Fee $30.00 � ALl OTHERS AND/OR REPAIRS AND ALTERATIONS , � 1 R�o of Value of Fixture or Appliance � � � � � State Surcharge TOTAL FEE Is,vo $ ,50 $ � ,S � JOB ADDRESS !�D F�L %%F n1 �� -� E The undersigned hereby makes app(ication for a permit for the wark herein specified agreeing to do a(1 work fn strict accordance with the city codes and rulings of the Building Diviaion, and hereby declares that al! the f�cts and representations stated tn this application are true and correct. � `]� � �� 1� ._ � l.�- L✓ �� > v�a S 1993 Owner !-� L L�. T o��c 2 � Building Used As � orr� F_ l� � �,.., Estimated Cost 5a s�G� � PERMIT NO. �_ PLUMBlNG COMPANY I i rr� 5 QuA L► �' 4 �Lu�'"'6"`�L' SIGNED BY 'fEL N0. S� �"0 y S y Approved Rouc�h—In Date Final Date ^ 9 '. MINIMUM FEE FOR ANY PLUMBING/GAS PERMiT IS 3t5.00 PLU S 7H E.50 3TAT� t� �' E!� ..� � Z � CITY OF FRIDLEY INSPECTION DIV, 6431 University Ave NE Fridley, MN 55432 572-3604 . RAT� S�,CHEnULE Rasidential �: �",��,- � /� �� }/,��. � . f rcC�j��`l �� 4PPL.ICATION FOH PdWER PLANTS AND HEATIMG, COOLIh1G, VENTILA�ION, REERIGERATlON AND AlR CONDITIONING SYSTEMS AYJD DEVI�ES Furnace Shell and Duct Work, Burner - Also Replacement Furnace (Side Vent - Fill Out Back) Gas Piping (Needed with new furnace} Gas Range Gas Dryer *Air Conditfoning - All Sizes All Others/Repairs & Alterations (LIST 01� BACK} 1% of Value of qppliance or Work ��rs }��,�r- �n-- F�ao�.,�.� C o m m o rcia i/I n d u stria l 1.25% of Value of Appliance or Work Rate TOTA� $ �0,00 $ $ 10,00 $ $ 10.00 $ $ 10,00 $ $ 25,00 $ $ �-.S $ State Surcharge TOTAL FEE 50 ��.5-� MINIMUM FEE FOR ANY HEATING�GO LIWGNENTILATI(JN REFRIGERA710N(AIR CONOITIC?NIlVG PERMIT IS $2S 00 PLUS TH� $.50 STATE SURCHARGE REINSPECTION FEE ffi42.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. Effective On March 1, 1996 • : ' �' t / ��i ! -�� = t ♦ i .. — The undersign�d hereby makes applicatian for a pErmit for tFie work herein sp�cified agr��in� to do all work in strict accordance with the City Codes and rulings of the Building �ivision, and hereby cleclares that all the facts and represer�tatlons stat�d In this application are true and correct. �,16�____��,�� — ,1996 OWNEFi ��7+�� 7 `i _ � 7 5� $ BUILDING USED A5 �,� � � > .1�.�5 � -- , ESTIMATED COST,�� PEAMIT N0. ,. I��SCRIP'TION OF FURNACE ANL� �OR�3URNER No. of Fleating Upits Cirole Ono (Steam) (Hot Water) (Warm Air) Trad� Name ��-- N� Size No, �TU_�,�/Y� HP EDR Fuel Total Connected Lo�d BurnQr't'rade Name Size No. BTU Hp EDR HEATING C�MP SignEd 8y, �� Tel No. ��5� l� � �-t��- ApprovQd 8y Nough-In Date Final Date /y c!� FlLL OUT BACK SIDF OR STACK VERlFICATION ON REPlACEMENT FURNACE CHINII�TEY AND STACK VERIFICATION The undersigned hereby verifies that the e�tisting chimney or stack: 1. Has been carefully examined Yes (� N() 2. Is free from rust or deterioration 3. Has no foreign objects lodged within 4. Is securely supported 5. Meets all current Code requirements for' size and total BTU's connected 6 Has total heating BTU's of J��5� 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 Being Done: HEATING CO: Signed By: Date: Yes ( �No ( ) Yes (1�No ( ). Yes (�o ( ) Yes ( --��To ( ) YesONoO YesONoO c�ty of Fridley AT THE TOP OF THE TWINS r � � � � � ' COMMUNI7Y OEVELOPMEWT DIV. ' �V-""' r � � PROTECTIVE INSPECTION SEC. � . � � � �"'1 � CITV HAIL FRIDIE� 55432 �""�' �'' b12-571-3450 SuBJEC� BUILDING PERMIT NUMBEF AEV DATE VAGE OF 910-F15 5/23/97 � � JOB ADDRESS g0 Alden Circle NE t LEGAL �OT NO. BLOCK TRACT OR ADDITION DESCFi. (j 1 Henriksen Addition 2 PfiOPERTY OWNEF; MAIL ADDAESS Z�P A1 Latour 80 Alden Circle NE 3 CON7RACTOR MAIL ADORESS Z�P Dimension Builders Inc 6461 Riverview Terrace NE, FridlE 4 ARCHlTECT OR DESIGNER MAIL AOORESS Z�P 5 ENGINEER 6 USE OF BUIIDING Residential 7 CIASS OF WORK NEW � MAIL ADDRESS ZIP ?��1 RECEIPT NO. a�� APFROVED Bv SEE A7TACHED SHEET PHONE 574-9798 PHONE UCENSENO 55432 474-OOI2 PHONE LICENSE NO. 2621 PHONE UCENSENO CJ ADDlTION � ALTEAATION O REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Construct a 16' x 12' Deck 9 CHANGE OF USE FROM STIPUI.ATIONS See notations on plan. TO 1IY�R�t��G Before digging �a�� ar a!I u#iJity iocations RF�vi�Ea B Y („A1�` TVPE OF GONST. SEPARATE PERMiTS ARE REQUIRED FOR ELECTRICAL, PWMBING, HEATING, VENTILATING OR AIR CONDITIpNING. THIS PERMIT BECOMES NULL ANO VOID IF WORK OR CONSTRUCTION ZONING AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTqUCTION OR WORK IS SUSPENDED OR ABANOONED FOR A PERIOD OF 120 DAVS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS APPLICATION 1 ANO KNOW THE SAME TO BE TRUE AND CORRECT. ALl PROVISIONS OF IAWS VALUATION AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPIIED � 1� 7O3 WITH WHETHER SPECIFIED HEREIN OR NOT. 7HE GRAN7ING OF A PERMtT DOES NOT PRESUME TO GIVE AUTHOFITV TO VIOCATE OR CANCEL 7HE pERMl7 FEE PROVISIONS OF ANY OTHER STATE OFi LOCAL LAW REGULA7ING cow- �56. %S STRUCTI OR THE PERFORMANCE O CONSTRUC7iON. PLAN CHECK FEE Li ns SIGNATUAEOFC �RACTORORAU7HORIZEDAGENT IDATEI y E pq f � Sif,NnTURF OF OWNEF iif OWNER BU�L�fR� iDATEi . B G�N OCCUPANCYGROUP IOCCUPANCVLOAD SQ.FT. STALLS C $5 ( O VA CU. FT. OFFSTREE7 PARKING IGARAGES $.85 Fire SC $1.70 OTAL FEE $64.30 TED THIS IS YOUA PEAMIT � . � ��`] � �14 7 NEW ADDN ALTER [l [) L� CITY OF FRTDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Cffective 1/1/97 C7`"�O� . CanstructionAddress:�(� /�i�� I �2L-.U-i. � Legal Description: �.--� Z" (o �. �.�,iK- � f�-I�-t�Y�iLlc. � 1-=� �4a�i�'7GJ� Owner Name & Address: __ �L.,. L�--f--C�f r�- Tel. # � 7`� - `��7 `� � Contractor: �� j�j�,,�J S i U '' i �..('� i�2 5 j�<, MN LICENSE # Z�v Z% Address: � �lc� j i2�v��2V� �c.0 �T�2�r�c �- Tel. # ��-}� ��-OC9 � 2 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION UF AgPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: I,ength 1�, Width ( 2� Hgt/Ground �`-� � Sq. Ft. �j q 2��, �% OTHER: _ = I7�� Jy Construction Type: T2f�t.t� �� t,�`c; � Estimated Cost: $ :� �v �(J ' (Fee Schedule on Back) Driveway C�rb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: .`'� Z� � PLICANT: X� z�=-� Tel. #'"i %-C)t� 1 Zr; � � Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control. Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ . %� $ , 7C� $ $ CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (i/lOth%) $.501$1,000 Valuation $950 per SAC Unit $ � � $5.00 (State Licensed Residential Contractors} $ $ $ $ r-!< ,S'D $ �3U Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [] Not Necessary [ � � . , » ._ sua�etr IT NO. � City of Fridley 2 8 3 �$ AT TNE TOP OF THE 7WINS g � � L D I N G P E R M i T � �72-3604 , RE NO. � `y �_�� COMMUNITY OEVELOPMENT DIV. f � � PFiOtECTIVE INSPECTION SEC. �Jl�� ! i___-�,��"" �'� CITY HALI FRIQLE� 55�32 NUMBER REV O�TE P�GE OF 4PVAOVEO Br L 612-571-3450 9t0-F15 10/22/98 � � �oe Aooaess 80 A1den Circle NE 1 LEGAL LOT N0. 9lOCK TRACT OR AOD1710tJ SEE ATTACHED oescR. 6 1 Henriksen Addition SHEET 2 PROPERTY OWNER MAIL AODfiESS 21P PHONE Al & Joan Latour 8 3 CON7RACTOR MAIL ADORESS ZIP PMONE IICENSE NO Ron Miller Const. Inc. 9 M" - � ARCMITECT OR DESIGNER MAIL ADDRESS ZIP PHONE I.ICENSE NO. 5 ENGtNEER MAIL ADORESS ZIP PNONE LICENSE NO 6 USE Of BUIIOING Residential 7 CIASS OF WORK ❑ NEW O A�DITION O ALTERATION � REPAIR D MOVE O REMOVE B DESCRIBE WORK Reroof house and ara e 21 S Tear-off 9 CHANGEOFUSEFROM TO STIPU�ATIONS Underlayment must comply with the State Building Code. TYPEOFCONST. OCCUPANCVGROUP OCCUPANCYLpAD SEPARATE PERMI7S ARE AEQUIRED FOR ELECTWICAL. PlUM91NG, HEATING. YENTILATING OR AIR CONDI710NING TMIS P�RMIT BECOMES NULL ANO VOIO IF WORK OF CONS7RUCTION IpNING SO. FT CU FT. AUTHOptZEO IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OF WOfiK IS SUSPENOEO Ofi ABANOONED fOR A PERI00 OF 120 DAYS A7 ANY TIME AFTER WORK IS COMMENCED NO DWIG. UNITS OFFSTREET PARKING I NEREBV CERTIfV THAT I HAVE REAO AND EXAMINED iH15 APPUCATtON STALIS GARAGES AND KNOW TME SAME TO BE TRUE AND CORRECT. ALL PpOVIS10NS OF LAWS yq�UATION SURTA% ANO ORDINANCE$ GOVERNING TNIS TVPE OF WOiiK WILL BE COMPLIEO WITM WMETMER SPECIFIEO MEREIN OR NOT. TME GRANTING Of A PERMIT $1799 $.9O OOES NOT PRESUME TO GIVE AUTMORITV TO VIOLATE OR CANCEI TME pERMIT FEE SAC CMARGE PROVISIONS OF ANY TMER STATE OR LOCAL LAW FEGULATING CON- STRUCTi OR TME P fOFMAN E OF CONSTRUCTION �SE).%S Fl SC �I.HO PLAN CNECK FEE TO l EE Licen 5. 0 4.45 �GNATUAE O� CON'PAC � O s�rHOAiZEO 4GENT iOATEi N OP IDA THIS IS VOUii PERMIT /�` � i S�GtiaruaE 0� OwaEa��c OwNEaBW�DEQ� �D�iE� B�D � So � r,�rE ~ 4 � NEW ( ] ADDN [ ] ALTER [ ] CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: �Q{� 1��G/� ��,��r �e Legal Description: Effective 1/1/9$ �6 �� Owner Name & Address: ,�,G �'' � f r�� .,�� c%� Tel. #�L�-� ��,,,5� Contractor: , , / � � � � �C MN LICENSE # � �� Address: .S` � � �� —�G� t Tel. # �j %/""�S /i� LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. Length Length Length DESCRIPTION OF IMPROVEMENT Width Height Sq. Ft. Width Height Sq. Ft. Width Hgt/Ground Sq. Ft. 0 �� `� Gs�2/�6 c 0 Construction Type: Estimated Cost: $ � %�� (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ UATE: �� APPLICANT: Tel. # , S ��,�%%S� 0 Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIP'ULATIONS: $ S� �s- $ / °0 $ �d $ $ � (�O $ $ $ $ $ S� CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.50/$1,000 Valuation $1000 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 [ ] n Building MECHANICAL Permit No.: `�? . Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY nate Rec'c�: �v �-�' DATE -S ^ Y L1R E-MAIL ADDRESS SCTE ADDitESS '�A� ��C�'. THTS APPLICANT IS: O OWNER '�CONTRACTOR PROPERTY Np�; OWNER/ ,�DRESS: ^ � � CITY � STATE ZIP TENANT PHONE: S CONTRACTOR COMPANY NAME: f� !f SUBMIT A COPY OF CONTACT PERSON: S� YOUR STA1`E STATE LICENSE # EXP DATE _ LICENSE WITH �DRESS:��%�L! �, N,�� CITY � STATE�ZIP_��;1� APPLICATION pHONE �� - .�%� ^QT�� FAX PERNIIT TYPE s�NGLE FANULY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: W ��PLACEMENT ❑ ALTERATTON/REMODEL DETAILED DESCRIPTION OF WORK . , PER MS t6B.665 the permit fee is a minimum of $15.00 or 5% of ihe totat cost up to $500.00, whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixt�u-es. (This should reflect only the cost of labor ) Labor cost under $300 =$15.00. Labor cost between $300 to $500 = cost of labor x.OS = FOR PROJECTS Wi�RE LABOR EXCEEDS $500, FE S ARE BASED ON S10A0 PER FIXTURE, EXCEPT WHERE NOTED. FiXTURES: (IlVDICATE TOTAL NUMBER OF EACH BELOV� �jd n `''� Equipment Installed , MFG: MODEL: V�J �/ SIZE/BTLT _�- /U� MFG: MODEL; SIZEBTU MFG: MODEL: SIZE/BTU X�A/C $25.00 FIREPI,ACE (GAS) $15.00 GAS RANGFJOVEN 510.00 ,AIR TO AIR EXCHANGEER $15 `FIREPLACE (WOOD) $35.00 T1EW GAS GR]I.L �10.00 _BOILER $35.00 _FURNACE $35.00 GAS UNTt HTR 510.00 CHIMNEY LINER $10.00 _GAS DRYER $10.00 �POOL HEATER $35.00 DUCT WORK $10.00 GAS PTPING. $10.00 VENTILATOR $15.00 Permit Fee $ Number of fixtures @$10.00 x$10.00 =$ 'Surcharge $ .50 Number of fixtures Q $15.00 x $I5.00 = $ TOTAL DUE $ Number of fixtures @$25.00 -� x$25.00 =$� Number of fixtures @ $35.00 x $35.00 = $ State Surcharge = $ 50 Tota1= $�,5. � THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I aclrnowledge 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 uttderstand this is not a permit but only an applicarion 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 ll work h' re uires revi and agproval of pl s. f SIGNATURE OF APPLICANT PRiNT NAME E 1 �I�_DATE � (;ity oi- r'ridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 REQUIRED INFORMATION NEEDED TO PROCESS PERMIT RESIDENTIAL PERMIT APPL{CATfON HVAC ❑ NEW HOMESIADDiT10NS �EXISTlNG HOME ❑ MAKE-UP A[R REQUtRED FOR NEW/EXiSTtNG HOMES 1. Combustion Air (See note below) . a. Oil or solid fuel lMC Chapter 7 with MN Amendments b. Natural Gas or.Propane/IFGC Chapter 3 with MN Amendmenxs 2. Make-up Air (See note below) a. IMC Chapter 5 with MN Amendments 3. V enting � a. Gas appliances ]FGC Chapter 5 with MN Amendments b. Fuel other than gas IMC Chapter 8 with MN Amendments REQU{RED FOR NEW HC}MES 4. Heat loss & cooiing load per raom a Required on new conshuction IMC 1346.0312 5. V entilation . a. Per MN Energy Code 7670 ar 7672 6. Duct Design Per IMC 1346.4603.2 a. ACCA Manual D NOTE: Centerpoint Energy Mechanical Code Guidelines software may be used �or combustion and make up air calculations