AF - 46979SUBJECT IT NO.
City of Fridley ° 136'70 �
�
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
� i IPT NO.
� • COMMUNITY DEVELOPMENT DIV. � �
' �v-
r � � PROTECTIVE INSPECTtON SEC. O
t ,
i
i.--- �����;,� CITY HALL FRIDLE� 55432 NUMBER REV. DATE PAGE OF APPROVED BV
� � � 612-560-3450
910-F15 7�2g��6 � �
JOB ADDRESS 6381 Arthur Street N. E. .
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. 1% 4 Harris L3k@ Estates SHEET
2 PROPERTY OWNER MAI� ADDRESS ZIP PHONE
Da.vid Larson
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
The RQttlund Co., Inc. P.O. Box 32082, Fridley, Mn. 571-206�
4 ARCHITECT OR DESIGNER MAIL AODRESS ZIP PHONE �ICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE UCENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
� NEW Q ADDITION ❑ AlTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
S DESCRIBE WORK
Construct a 40' x 26' Dwelling and a 22' x 24' Ga.rage
SEPERATE PERMITS REQUiRED FO � I� TElEPH01VE • ElECTRiC •GAS Etc.
9 CHA � P��g� �D. S�NS, T° REQUIRED BY LAW
STIPULATIONS ��
Provide a hard surface driveway. Provide a verifying survey bef�e
capping. Provide sod in the front and side yards.
SEWER LOCATION: 34' South of Manhole (South Inv. 873.96�
WYE ELEV: 874.10
TOP OF FOOTING: 877.60 "-tMPQRT� �+••
WATER LOCATION: 10 South of Sewer Service
NOTIFY THE. FQIO{�EY ENGR.
7iiC CITY Oi tT�IQEEY � DpES NOT GUARAN7EC THE .DIVISlON REGARDING CURB
�aCi,URACY OF 1�TIiifY 'tQ�i�1'pNS ANp ELEVATiG: :,. REM4VAL AND REPLAC�EMENT
1; �tS aATA 1s .,FOR INI'oAlIM1�M PtJrPOSES o►v1.Y �N.. AT DRIVEwAY OPEN�NGS.
��PER50N� USING IT .SlfOULD VERIFIf THE WFO�tMATIGN
ON THE 5lTE
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB�NG, HEATINCa, TYPE OF CONST. OCCUPANCV GROUP OCCUPANCV LOAD
VENTILATING OR AIR CONDITIONING. WOOC� FY'�2
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 PER�OD OF 120 DAYS AT R 1 ].].24 -I- rJ28 21 8OS+52SO
ANY TIME AFTER WORK IS COMMENCED. NO. OWLG. UNITS OFFSTREET PAFKING
I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION ]_ STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALl PROVISIONS OF LAWS VALUATION SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHEF SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT �33/44S $�-6.72
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTI N OR THE PERFg RMA CE OF CONSTRUCTION. � $�.OS.3S $350.00
�1 `C '�o�(Vk� CI �,�'/rr° � PLAN CHECK FEE TOTAL FEE
� � '�� I��-�*s . ��29� 7.09 $50Q.16
' SIGNAT EOF ONiRACTO ORAUTHOf±12EDAGENT IDATEI HEN PROPERIY V LID THIS IS YOUR PERMIT
A�
� q_a9_ �b � ;�.
SIGNATUREOFOWNERUFOWNERBUILDERI IDATEI BLDG INSP DATE �
CITY �OF FRIDLEY
APPLICATION FOR RESIDENTIAL ALTERATION,
ADDITION, OR REPAIR BUILDING PERMIT
OWNER'S NAME: ,�1JVf b L��Sc1+� BUILDER:`��P T�.n�'y' (�� d�• �'W�
ADDRES S: � 3�'% �,cj Y�}��► u r � 7`'. ADDRES S:„� • D /3 O X�;'� 2b 4'f Z.�
NO :.� 3�i 1 STREET : A �^ '�� �� �7' A/ �"
LOT : /`� BLOCK : � ADDITION : N�41' 1'7 S C 1d �-P �L�S 7`,b7'>'S
CORNER LOT : INS IDE LOT :_�_SETBACK : 3S SI DEYARD :/ 0` b. a/�
:
Applicant attach to this form Ztao Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
HESCRIPTION OF BUILDING
To Be.TJsed As: s/iY9�� �An�►t � X
l�
l�o u S� Front : t� o` Depth : � 6� Height : {`
// L f� � � a'd�'
Square Feet: �-}7''`t- Cubic Feet: _ i
��o.- p qe Front : 2 z. � Depth : 2. y` Height : jZ� �
Square Feet; S� ,� Cubic Feet : �� ��
�ipe of Construction: �v.4�n� Estima.ted Cost: $ '2 �-�r� �
To Be Completed; j�/p(� %� �'3 � ��`�' �—
The undersigned herebq makes applicativn for a permit for the work herein
specified, agreeing to do all woxk in stxict accordance with the City of
Fridley Ordinances and rulings of the Department of Buildings, and hereby
declares that all the facts and representations stated in this application
are true and correct.
�% � - � .� ' � r� �L,,,, �j �, rW�.
(,��`_ 3' `Q �
� ` � ATE: �� � � a � 7.� SIGNAT[TRE • /�--r-�1 y�%T ,av• s
� �� �___�
;�' (See Rever e Side For Additional Information.)
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�EXTERIOR ENVELOPE AVERIIGE "U" COMPUTIITION _
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• OWNER: �} //I � �,L1 Y�Of/ DATE - 2-
SITE ADDRES5: �3�/ Av7'�ivv �',T ONE: S7/" Z.DIoZ>
CONTRACTOR: %"/iY i-� o7-Y- Iv�.� c�� ��i r,
Determine working square footage of each
1. Tatal ex osed wall area...... � �
P � 9�,�,s Sq. ft. x . �� = 3aS, a�,
2. Toal roof/ceiling area . . . . . . % % � � sq. ft. x .05 = �,jS.�Si _ ��
' Total exposed wall area above.floor = �r
. _%
a. Total wall window area .............e...........e .. /pr�.� '
b. Total door area .......................... ........ �.- �,o
r
c. Total sliding glass door area . . . . . . . . e . .. . .. . . . . . . . .,;%:� 3S q7
a. To�al firzplace wall areu ........................... ,�: — -
e. Total wall �framing area (average 10�) ................� /5a, '7Z ,��
f . Total rim joist area e .�NSl;�ATr�. : . . . . . . . . . .. . . . . . . . . ,, "' /06• 75 `�� ,,�,
,� -
g.,,ii�sule�•� wall area above floor ...... ... ............ ,���y� �'-� �`
h. .or�s9c. wall area above floor..�^'su/aJ�-��1............ . ��/. 9Z ��,,,�"°
i• rrok wall area above floor ....::...................,fr 3q. O
j. wall area above floor .................. .. . •
' �„� '
Total exposed foundation area = '
�,.u��. �s•,.' ,
k. Total �����on wi�dow area ..................... .... � SO... -
� �� ��
1. Total net f " °'r �i area above g-rade . . . . . . . . . . . .... -'"�� . 3 �
Determine "U" value of each wall segment '
(e.g. window, door, each separate wall section)
a. /O�/ . O x „U„ ,S� _ _ lU. 2._ �
b. � G. n X��U„ . SS- = i� O
c. ���/ 7 X��v�, , S-� _ � o ��
d. _.._"'"'_" g ��U�� — _ �
e. I5 �. 7 Z x��U�� •/!3 = / i aS �
f. l o�. �� x,�U„ , osq _ .�
g. /o y�. Ly x„�„ -.06; _ ��, r�
� n. o?`��.9Z-- x ��U�� .o�z.. �- _1�.7
i. 3�, n ' x „U�� ,D6? _ �, �9
` `� X"U" If item #3 is the same as,
�� ^ or less than item #1, you
. k. SG . D X "U" • S$ _ �`�. O have met the intent of '
- . SBC 6006 (cj 2.
1. /q {': ` g ��U„ � �Q _ .. , :�
b!� 3 v U ��"^r r., �;
.. �..�.,.. . . � �
. �-�.- P. Total = _ �,,�?�? ,' , � („�.
3 . .............................
.
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�Fxterior Envelope Average "U" Computation Page 2 of 4 ,
, Total exposed roof/ceiling area = /(�
m. Total skylight area ...................... .....
� n. Total roof/ceiling framing area (average 10$)... ///. %O
o. Total net insulated roof/ceiling area........... 10 0�. 3
.
Determine "U" value for each roof/ceiling seqment ,
m X ��U�� _
.
_ �, �
n. I I/. 7o X,�U,� , 0 3 l� _ '� o Z j''
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t; �,
o. 10 0� • 3 x��U�� , a 3/ i= � 3 l, /
,�
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4 . . . . . . . . . . . . . . o . . . . . . Zbtal = � 5 � l �
If total of #4 is the same as, or I.ess th�.n #2, you have met the intent of
SBC 6006 (c) 1. .
Alternate Building Envelope Design � .
To utilize the total envelope system method, the val,ues established by the sum of
i�.ems #3 and #4 shall not be greater than the svm of items #1 and #2.
� i. 3 �3�� �. o + a. �-s- �rs = 31�1 .��
` � 3. �� ;� s! + 4. 3� • �� = 3a a. 7� �
�Ar�9e c.vAc C
TNT�v�c r t1�r �'r/nn ^�'2._ "
/Y , J � ✓�. %YO» k N�
3 �a �NSvl�A7'io.!1 /�. D O
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• . . . � . . . � � � . . � � . . � � � . ��.
LQALL SECTIOPdS
.�OTE: ,Use 10^� of opaque wall area for
- frarne construction
.
WALL
FIG. �1
FR11tiE ttALL •
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Page 3 of �
Construction R-Value
1. Interior air film ' p,{g
2. � S ,.r�yo�° �' . ��
, . �
3 . �'r�, � �.�/y • �. 3 J
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4. � il i'- Yi7"�
5. �R' �C e�,OY S. �Nq �• / `!�
6. Exter9or air film t3.17
Tota1. �''. SiS �T
. t! 3 V
� ---...._.__._.
1, Interior air film 0.68 �
a. %i' ���r�~YoP� •Ws
3. 3�,�i � e�5 vi.t} T/o.i I �• p p
4.a�._ i��--- Y�7'�c. �. p
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s.,��P a r S� ��v s 1. � Y
6. Exterior air f ilm 0.17
Total /J•S��
� !J� J !�
1. Interior air film � 0.68
2.�'�a-- s' x� sul,�rio.r � I). o 0
3 . I�/ �/� �-0I57`' � '7 � f
4 . �' ,� �� � r-- Y � r� �. o � .
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5.'/g E� ,e r S� � t y
6. Exterior air film 0.17
Total �� , 7 �j k'
13r��� �.c�Al( •OS9 U ,�.
P
1. Interior air film 0.68
2. 3'l�i_vs v/,e7�. � //. o 0
3 .`���_ �j%l7"' - r � T�. .Z• a � •
4. /-�i� �;1�� ,S,Z.
5. 3.� �GM/�U�� /J Y/r� • 33
6. Exterior air film Q.17
Total !�-f� y�
. • .. , oby U
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: � �
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Indicate type, "r�° �value, c3ept}� and
placeMent of insiilatic��._ ___ _
,'` � ROOF/CEILING
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Page 4 of 4
Construction • R-Value
1. Interior air film 0.61
2. ���1y�Tro�'% • 5
3 . �Q � � ,�r/5 c> %A7-�� �-i 30• n C3
4. Exterior air film (sti11) 0.61
Tota1 3 J• 7 9 �
. 0 3 I t�
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l. Interior air f ilm 0. 61
2.�NSU%eTiotii �..�+��v '�a�s7-� - � �..GQ -
3 . So i s �J� :7s�:. �O � .�
f7 r� ti �' 2�
4. Exterior air film (sti11) 0.61
Total a � . � �
.036 �
' ,,.,�`"""-�.+�
l. Inside air film D.61
2.
3.
4.
5. Outside air film 0.1?
Total
Note: Use additianal sheets if more space is
needed for details and calculations
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tw�n c�t�r test�nq
and Qnq�nQannq laboratory, �nc.
`Npi��NO 662 CROMWEI� AVENUE
gd• rb� *" ST. PAUL, MN 55114
{ PHONE 612/645-3601
a ��� ��� REPORT OF: DENSITY TEST OF COMPACTED FILL
��`"`�'''� RESIDENCE'� 81 RTHUR STREET N RTHEAST
�
��
�
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PROJECT: HARRIS LAKE ESTATES DATE: Augu�t 6, 1976
FRIDLEY, MINNESOTA
REPORTED TO: RO't't UI'l CO I1C COPIES TO:
P 0 Box 32082
Fridley, MN 55432
LABORATORY No. 11-1444
TEST NUMBER:
DATE TAKEN:
UNIFIED SOIL CLASSIFICATION:
(Moisture-Density Sample
Number)
LOCATION:
DEPTH BELOW FINAL ELEVATION:
DEPTH BELOW EXISTING GRADE:
1
August 3, 1976
Sand, fine grained,
trace of gravel,
light brown (SP-SM1-1
21'N&21'WofSE
corner of building
1'
1'
FIELD DENSITY DETERMIlVATION:
Method Density in Place By $dild-Cone Method, As'rM: D1556-64 �-#4 Basis)
Dry Density (pcf) 1 � �
Moisture Content �%) ] , 0
Plus #4 Material (%) j
LABORATORY MOISTURE-DENSITY RELATION OF SOIL:
Method ASTM:D698-70� Method "A"� (-#4 BdSiS)
Maximum Dry Density (pcf) � �� . �
Optimum Moisture �%) 130 �
COMPACTION TEST RESULTS:
Compaction (%)
✓Specified Compaction (%)
.t°�'
�103
'9�5`.,�.',
REMARKS: The above test location was selected by Twin City Testing and Engineering
Laboratory Inc. Compaction meets specifications in the above test area at
the elevation showno
AS A MUTUAL PROTECTION TO CLIENTS, TNE PUBLIC AND OURSELVES. ALL REPORT9 ARE SUBMITTED AS THE CONFIDENTIAL PROPERTY OF CLIENTS. AND AUTNOR-
IZATION FOR PUBLICATION OF STATEMENTS,CONCLUlIONS OR EXTRACTS FROM OR REGARDING OUR REPORTS IS RESERVEO PENDING�OUR WRITTEN APPROVAL
Twin City Tes ng and Engineering Lobo�ator Inc.
g �- �
Y
: �% _ ��-y3`-
CITY OF FRIDLEY
» aPPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND
AIR CONDITIONING SYSTEMS AND DEVICES
PARTII�L �TE SCHEDULE
GRAVITY WARh1 AIR:
F�rnace Shell & Duct Work
Replacement of Ftiarnace to $500.00
Repairs & Alterations-up
Repairs & Alterations each add. $500.00
MECHAIvICAL WAR�i AIR:
RATE TOTAL
$12.00 $
7.00 $
7.00 $
4.00 $
$12.00
Furnace Shell & Duct Work to 100,000 BTU 4.00
each add. 50,000 BTU '7.00
Replacement of Furnace 7,00
Repairs & Alterations-up to $500.00 4.00
Repairs & Alterations each add. $500.00
gTEA.ti1 OR HOT WATER SYSTF.�4:
Boiler & Lines up to 100,000 BTU
each addn. 50,000 BTU
. Boiler orly up to 100,000 BTU
each addn. 50,000 BTU
OIL BURtiER- to 3 gal. per hour
>� each add. 3 gal. per hour
GAS BURNER- from 100,000 BTU to 199,999 BTU
(over 199,999 BTU see Fee Schedule)
S /�� .�
s
$
S
$ia.o� S
4.00 $
7.00 S
6.00 $
$lo.00 S
10.00 $
$10.00 $ / J. U o
S
GAS FITTING FEES: _� x g 3.0o S �• ��
lst 3 Fixtures X$ 1.00 $
A�ditional Fixtures X $10.00 $
Gas Range to 199,000 BTU
-1 $ —
AIR CONDITI4NING , ,
FAN HEATING �YSTEMS 1 See Fee Schedule $ — -�
VENTILATING SYSTEMS _ � $
ALTERATIONS $ REPAIRS g�te Surcharge $ .50
TOTAL FEE $ �1' S�
RpUGH INSP.
Date
FINAL INSP. �� %��
Date
APPROVAL FOR PERMIT /�
i0 � �� �r�a,� ,.�T
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 Codes
and rulings of the Departr.�ent of Buildings, and hereby declares that all the
facts and representations stated �.n this application are true and correct.
� % � 7 , �9 1 �
Fridley, Minn.
�y�- �/ �� „ T
OWNER 12 v// c+ v. G�'
/�vti r- -c—
KIND OF BUILDING
� �„ r ; N
USED A3
TO BE COMPLETED ABOUT �/� 7/?
ESTIMATED COST %
la3 . o.�
PERMIT NO. t/�
OLD -�UILDING PERMIT NO. "—'
DESCRIPTION OF FURNACE/BURNER
r
HF.ATING or POWER PLANTS, Steam, Aot Water, Warm Air-'NN/ v` �� 3
✓1 � � � Q Size No. ��_
Trade Name /T
gq . F t. EDR /° Si u � d BTU Hp -----'-
Capacity
Total Connected Load �� 3 '�/ Kind of Fuel � ti
gUg�g - Trade Name
Size No.
Capacity �___
Sq. Ft. EDR __ B� ---------- HP �_
REINSPECTION FEE ti ` ,.,, �����;,lP CQ,
($10.00) , ' r'. Q; H" 1��i �� �i I� �.CompanY
GL�. J�:�� ��;:1,�; �C�� i.,. � j��i,ITN � <
1�,�? XEN1l�S ��i�l. 554i6signed sy
l' : /'.
iJI1NNEAP�4 �,161 i
Tel. No.
0
MINIMUM FEE FOR ANY HEATING PERMIT IS $7.50
` � 'le✓��4��t� �'...V/ � � �
� � �
+�Ex� �;�� ca�eu�.�,z��;� i-���4T'��G ��4lR COIiiDliiC)�it1VG C�3. M1rv�a��'�, ���. '
Weat?���s�rips A,S.i-i.V.E. Cons;*�x::s:�^ ��. I�sulat�on
W i txiDws -i ppprc •`'-. �ide ._._. �.__. �.�,
R�eaertce CiR . Y1°a � t � tnt . Wa 11 �e; ��^� ; R,.,t, f t�,�y� k+..�! ►�OVV R��f+eC
' — 's ..,...�._
� Y85-�No � Yes-tvo }� i
IFI.� f� Roan s�ength��? Yu:dt* f Height � F{. �,'�� �;- cc�n '��nc#th �� Width��.t tie�u�i
'I YJinc�rn+�s and Doors-Crackage and Area ; ��'indc+ws ��ci Gocxs-Crtic(ea�e and Area 1
NO. H`;r--. � H2�5h.? , ^. oi Lineal h �+�f� f Vi:mti �-+r ..ti". �'�� 4! :tngai ft. Ar03
� �_�f �' �t' Of PSn@ i '�-�g.•itS Of CfBC 5.. • ; �C:. - C4 �8�ao �. ni�AnF : . h �c '. � t
�� � i�V' 1 � y7 �• ° .yc � 1 < 7 Q i! t_�ck sp. ft.
I
( � !
i
-- a � i � { � '
i ; � i �
� ' 'Coef Btu
I infittratia- " �
� Glass � s �- � j �
r
Exp, waf i �? +
' Net exp, rb�6[ ' �
` Int, wali
Cei+irx� �' Q / � 3
Ffoar
Total Bru_
RequireA s�. ft. E.D.R, or sq. ins. W.A. Leader area
F1. L` �° Foom Length Width � Heighi
Wind�s and Doors-Crackage and Area
� No, �"�'� He�pht sYo. of Lineal�ft. Area �
oT ya of parre [�ghts of crack ' sq. fx.
� �' 3�� � a D ��
tnfiltrdti�
Glass
Exp. wa�! �
" Net exp. swait
lnt. �i�
Ceitirig a
Hoor
Totat Stu.
B tu
Required �. ft. E.D.R, ar sq. ins. W.A, Lead r area j
F1, �Room i Length Width �Height
.
Y'din�c�ncs and Daors-Crackage and Area
. N�. ty,�.C� Heighi +`�a. of Uneal ft. A:ea
� of ��.� + of parte i'�gfits of crack sC. `c.
� i.� St' , 3 ± a 3 T�
�
Infittraiior
Gfass
Exp, wal, �
Net exp. �n.�y°
Int. watl
Ceiling �,
Flo�
Tota! 8tu. — — -
;Coes! 82u
�
� ( �
� �: ,
��51 ± ' J �.�
Required s;;,: �`_ €.F7.R. or gr,. {zs. W.A. t,eader atea
1�
■
� j Coefi 92U
Infiltratipn S � � �r �
Giass � �S
Exp. walt a� '�
Net exp. �vali ,s s
Int. wali
Ceiiang % /G/ �.2Q � �jV
Floor
Toia! Stu. " �
Requ�red sq, ft. E.D.R. or sq. ins. WA. Leader area
F1. � Room ; Length Width lieigkt
Windrnnrs and Doors-Crackage and Area
No. �'+�h He�ght No. of ��neal ft. Area
� of �roe . of Dane � 7i hts of crack sq. fi.
1 �O
B iu
Infiltratioa� aQ � �
v tass / �`a3�
Exp. wail �p
Net exp. v+rdil �' 3
{nt. wali
Ceiiing �� 3 v 3 aZ ��
Floor
Totai Btu. a Q
Requi�ed sq. ft. E.D.R. or sq. ins. W.A, leader area
Fi �' ��' Ropn � Length Width�� eigfi2
i"dindows and Daors-Crackage and Area =
No � w��a,ri j He��gM No. ef Lmeal ft. Area
! ot p3nE cf pane i!i htS of craCk Sq. ft.
� '� } 3 � ��. /6 .
{ 1 �
�
t ' •
i t i Cce . Stu
Inflitrat+Cn i � �
G lass e
Exp. waI! J �' ��
Net exp. wa�! � �
I�t. walt
Ceil�ng J''7�' � (S � �
�
F toor
iota► Btu.
�equ,red sq. tt. E.�3.P.. sc. ins- W.A. Ceader area '
`
� i�' .i�E'�'dt�G� .
HFAs LOSS CALCt,°�;r.t�� HEATING� AIR CC)�IQtfT10�'1tING CO, '����A�z�s, �E�vsv.
WeatherstriPs 4.S.€�.`J.E. Co^s:r„cticM ho. ;�utat�on
pfi_�dows_ � Doets aef�ence Out. Wal3 � i,�i, ih3;s i Csifing ! R�F 4 tioor K+r►� IiowA�lied
Yes—Na Yes— o �g � �
Fi.� Rou�n ;�e�gth W�dth �{e+g�? i. �'� Roorn ? Le�gt*, Width Height ��
V'r'indows a Doors—Crackage and Area i NJir►ci�rs and Doors—Cracka� and Area �
.ry�, Va��m Nei9n*. + Ftie. o` I Lme31 1t. Area i `
. � of �ne of P� e � a;gt�ts of crack sq. ft. I . Ns. Lk�C�'� He,ght tvo �c !��,..�.-.. f!. A.ea
. . � � . ot py� a .�f pane ', hts �� ��r3�i sp. ft. �
i � yd f; 3 �� s!� ;
� .z � � � f ac j � l� ' 4'3 � I
� ` � � �
i
infiitra!ior.
Glass
I
Exp. wa I t � �'
Net exp. waf! '
lnt. waii
cg���� i (x
� f pOr
TotaD Stu_
Required sq. ft. E.D.R, or sq, fns. W.A. Leader area
�I.��C� Room � Length �� Width
Pdindows and Doors—Crackage and Area
No. K'jd*R Height No, of Lineal ft. . Area
of parte of pa�e ��ghts of crack sq. ft
� � �C ��
lnfiitrati�
�i�s -- , /
Exp. wal i �
Net exp. wa!!
int. waii
Geiting
floor �
Totai Siu.
�t� - ! � � {�i Bt�
� � sn�iiira*io� 3v2 / qt- ' � S/ f ' .�
G1aS5 � � '�'
Exv. wa� � ✓'�X �
;�et ezp. x2i1 a3
sna. watl
� ,3 j Ceiting
a�/ F��� � �
� Tatai 8tu.
Requ�red gq, ft. E.O.R. or sq. +ns_ W.A. Leader area
Neegf�t i.� Room � Length � Width Heigfit
Ydindows and Doors—Crackage and Area
ryp, i W;dth Neight Nc. of L�neei ft_ Area
! ot pane of pane ligh2s af csack sa. f
OC � ��
f
$ tU C08f B LU
� infiltratitm `�
h Glass
Exp. walt �
/ �et exF.. walt ��Y
lnt. wail
Ceiiing
�ioor �, X � 3►
Totaf Btu. �
�
- Required sq. fL E.D.R. or sq. ins. W.A. Leader area iiequired sq. tt. E.D.R, or sq. ir�s. YYA. Leader area
�• Roan I Length � Width � Height I.�f���/ � Room � Length Width�� Height
Ydindows and Doors—Crackage and Area 4�indows and Doars—Crackage ar�d Area
�` �Na. � ow' atne , of Dane , j°' c� L�neal ft. Area - p�� l��cfr, ' Herght Ne. ef L,neat fi. Area .
P __ gnis of crack sq. ft. " af ane � of an r � f f
9n€iltratiCti
�tass
Exp. waN
tiet exp. wat!
f �tt, v�! i
,. Cei!'ir.�
f �aor � '1
Tatat 8tu.
---
e�asrec sq_ ft. f.�.R. os s�. i:�s. W.A. Le<�der are�
- F P P. i�g .ts e r�ack sq. t.
o`I � 2 � ! � �'
i ;
� 8 tL 1 coe'
j Inftiir3t�a� i os � �
G tass
� Exp. wal! � � �
: � � p '�ei exp. waf? i �
!•^t. w3!1
I Ce+�:na
� F 1 c�ar � � C
! zotai $tu.
� RP_[7t�+ror1 S,^. fs C.E1.P. nr cn. �nc 1W �,'. c.�-%�c�.. -�.n� ..
�
m�
.�
Btu �
��
;
GEO. SEDGWICK HTG. & A!R COND. CO. ��> �
HOUSE HEATING TEST RECORD
,G� f' r ;,, —�
ADDRESS � , ��" r ��-�`�'�' ��C! CITY
� � ��
OCCUPA4VT OWNER
HEAT LOSS DATE HTG. INST.
SOLD BY 1NSTALLED BY �
Electrical Work By Gas Line By �� � � ��
TYPE OF HEAT GA_ FA HW^ STEAM SPACE HTR. UNIT H7R, OTHER
GAS DESIGN CONVERSION
MAK E
Model tl � U S " —
Serial
INPUT —� U��
�� � � CONTROLS
THERMOS AT Heat Plug
Valve �' ��J
Limit C� "��� ��: "�'
r}
Limit Setting
Fan Setting U � � `�'�
Pilot Type r�
Pilot Make
Piloi Model
Pilot Timins �
L.W. Cut Off .�-
MAKE OF BURNER _
Modei
Max. BTU Rating —
MAKE OF FURNACE
M�odel
��,�� ��
Vent Size
KIND OF LINER �� SIZE� NONE
Draft Hood /'���-y`��-�7 � Regulator ��/�!'r�/= ��
Filters Size� ��''� X � � Number _
Chimney Location lnside � Outside
Chimney Construction
Smoke Bomb Wiring
Draft �� �' Test Tag
Door Pressure Lighting Inst. �
� s Percent CO �•c �-Z �"� Date Tested r'2 '4 `��
Pressure --��
Input CFH /2` � Percent O�•4-� 7�� �° 4' Company Testing �
Stack Temp. �. �� Percent COO �` �' `� ( ��(.7 Name of 7ester
Form 235
CITY OF FRIDLEY
APPLICATION FO R PUIMBING AND �AS FITTIN� PERMIT
. °
. N. � N ro � • x � v Water
.4 '� tr' � �' � q, w � Heater
�.�i a�i ro � c a� E x� a�i Q � c E a�i R • o�., �+
S� u tn C .0 ••i .�C .G C� 3 O U•'i O.0 . U � C7
•.f .I� N C N-•.i 7 O O 1� N 11 N� tll N N .0
� .; � w ro ro •a ro u o.� .� rs m� ra rt a ra " as lec
u� U a m co rn 3 o w v� w U m Q 3 � � c� O
l � �
lst � � � %
2nd
3rd
Y 11t
(R) = Fliture Connection Opening Connected with Sewer
(*) = New Fir.ture, Old Opening Water
PARTIAL RATE SCNEDULE
PLU�lBING FIXTURE RATES: N0. RATE
hv.:3er Fixtures � x 53.Q0
FVLUre FiYture Opening �_ x $2.00
hew Fixture, Old Opening x $2.00
Catch Basin x $5.00
Water Y.eater - to 99,OOd BTU _L x 55.00
100,000 BTU to 199,000 BTU x$10.00
Water Softener x $7.00
t.ew Grour.d F�n Old Building x $5.00
Electric Water Heater x $5.00
GAS FITTI\'G FEHS:
lst 3 fixtures _(_ x $3,00
Additional Fix tures x Si.00
Gas Ranqe to 199,000 BTU x$10.00
REPAIRS $ ALTERATIONS
Fizst 5100.00 SS.00
each add. $100.00 or fraction 52.00
State Surcharqe
TOTAI. FEE
R£INSPECTIqN EEE
f$]0.00)
TOT�IL
a��
$ rGCi
S
$
$ � od
$
S
$
S
$ 3r rJ U
S
S
S 3 a-�=
$
$ .50
S ��
Job Address E� 3 � / �DK ��-�s" �� �i
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 Codes
and rulings of the Department of Buildings, and hereby declares that a12
the facts and representations stated in this applica ion are true a^d �rrect
n. I /^Fridley, N'�. O . 19 ��
r /
OWNER _ �{�-C�
xirrp oF Bu=r.n�ac
��
USED AS ,�1.
� e�_ 1� e 4-�`` i _
TO BE COMPLETED ASOUT
ESTIMATED COST
OLD - NEW BUILDING PERMIT NO.
ROUGH INSP.
Date
Company _
Signed By
Tel. No.
FINAL INSP. %Q '/ y 'f �°
�
Date
APPROVAL POR PERMIT _1Y�/�
PE&'KIT NO.
M2NIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50
Sb0-3450
�r f o r���e
� c�
ANOKA COUNTY
6431 UNIVERSItY AVENUE NE Noaember 8, 1976 FRIDLEY, NtINNESOTA 55432
The Rottlund Company. Inc.
P.O. Box 32082
Fridley, Mn. 55432
Re: Final Inspection at 6381 Arthur Street N.E.
Dear Sirs:
A final inspection was made on November 8, 1976 of the above address and the
following items were noted which must be completed be%re the structure can
be finaled out; �
1. Provide house numbers on structure by November 19, 1976.
2. Provide nuts on garage anchor bolts by November 19, 1976.
3. Provide sod in the front and side yards by June 1, 1977.
We will expect the above items to be completed by the appointed dates when
reinspections will be conducted to determine compliance. If you have any � .
questions on these itesas, please feel free to contact me at 571-3450.
Sincerely,
�
RONALD E. HOLDEN
Building Inspection Officer
REH/mh
�_ �b�.��
►
.
In Effect for 1987
... .......� „w,. . .•��. �
C11Y OF fRIDLEY
AI►LICATION FOR POMER PLANTS AND NEAT1►�c',, COOLIt�. VENTILA110N, REfRIGERATION ANO
Aip Cor+oiTionir+� SrsTEr+s �No DEv�cEs
RATE SCHEDULE
�ESID�I.TUL
�ure�c� Shell �nd �uct Mork,
Burner lAl.o r�pl.cwnt tu n►.c�)
G�� !'lpinq
tplpin� n�.i� vt W uwr t�rw�cy)
G�• Il�nye
RATE TO'fAL
a 20.00
s io.00
G�• Drr�c
���,��t S� � 6Jo d �t (�aTV„�
• r itlonin� l�ll •Ise•
All Oth�r�/11�p�1r• •nd �►iter�tion•
lt ot Value ot Appliance or Mork
CdMLRCIAL/INOUSTR I11L
1• ot Y�lu• ol Appllsnc� os Mork
S l0.00
5 10.00
s �o.00
tt�t� t�rcharq�
�u �
A�in�p�ction r�. tsis.00�
ao�,yn tn.p.
Date
!'inal In�p.
•te
Appro��l [or t�rwit -��«-
s
s
S
S
s lo. o0
i
a
S .SO
s /D.SU
s
NIM1Mll11 fEE FOR AMY HFJ►TIMC �ERM1T IS 510.00
tLUS i. SO STATk: SURC111►Rt;L
.�
Att�eh •facl� •erlfir.at�oe foes v�th r�E�lwcewcnt turnarc ��wcsits '
•11i� u+e�lt�oner� r�n n�t tw• placeA in •:�d.• y��d vitlwut
vrttt�e �Nrs�s.eua lrn� w�1�ni�u�p �ri��l�l.,r,
J�b AdAre�s �.y; � � L�CJ/lA1//JL. W�- /LC
ck,..«..�c or w�ie��,. ���� u��••��►cr ,a►.. M.c.. r��si.r. w� sss�:
Cley ot rrl�tey
Tel. •S71-1�50
r.a
Tt+► unAersl�wN Mr�y w�k�� W1�llc�tlow [or • perslt te� tlw wtk A�r�L+
s�cltle�f �qreeln� to do •11 �rR In •trtet �ccorA�nc� vltA tl» City �•
•nd rul�n�s of tM Dep�rta�nt o[ �uildlnq�. �w. Atr�� �Kl���� tA�t �11 th�
l�ccs �wd re�C�Nwtsttows • uted !n tl+1• �ppilc�t/on •r� trw corr�ct.
/tl�l�. 1Yww. � . 1l��
A�II[� ►CY� �1 /� Tl' !L_/_—�v, �.�..�.�i��
RtMO or wti.otMc
USEO 1`f
*o K tdi►I�tsD �aR __�,,,
nc 00
iSTI1MTEp CCOLT � � /U
pLp - Md aUl{��MG KINIT ID. __ �tlMl! N0. ��
ocscurrlaM or ruw��cc/suwes�
NGTIMG or ►oltt� �U►M1S. Stw. Not we�r. IMn �l[= �.
Trad� M+�e Ns� 14.
c•wctcy sq• rc. coR �'R► "r
Tnt�i Cown�ct�1 {�N _ K/n� e[ fwt
w�wc� - r�.ae M..s s�.• M..
c.Nsc,cy — sa. rc. cuR� � — MP —
co.y,.�� `G��f.��C'� � i7� �
Siqnrd �Y
r� 1. w,.
SUBJECT �,NO."-�
City of Fridley � �; �^ �;, ��,~
AT THE TOP OF THE TWINS g U I L D! N G P E R M I T
r
� � COMMUNITY DEVEIOPMENT OIV. RECEIPT NO.
r � V � PROTECTIVE INSPEC710N SEC. � /1
' ' lJ� �
� , /"'1 � CITY HALL fRIDIE� BS432 NUMBER REV DATE PAGE UF APVROVEO BV
�.____1l; �., 612-571-3450 910-Ft5 7/21/95 / /
JOB AODRESS 6381 Arthur Street NE
t LEGAL LOT NO. BLOCK TRACT Ofi ADDITION SEE ATTACHED
DESCR. �.7 4 Harris Lake Estates s►+eer
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Scott Kotchen 6381 Arthur Street NE 571-8433
3 CON?RACTOF MAIL ADORESS ZIP PHONE UCENSE NO
Same
4 ARCHITECT OR DESIGNER MAtL AODIiESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDHESS Z�P PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
CI NEW C� ADDITION ❑ ALTERATlON O REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Constxuct a Z3' x I2' Deck
9 CHANGE OF USE FROM TO
STIPULATIONS
See notations on plan.
WAR��l�
8efore dig�+nB �aq tor
all utility locations
454-fl042
REQUIR�D BY LAiN,
TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD
SEPARATE PERMITS ARE REOUIpED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING Ofi AIF CONDITIONING.
7H15 PERM17 BECOMES NULL AND YOID !F WORK OR CONSTHUC710N ZONING SQ. F7. CU. FT.
AUTHORI2ED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONEO FOR A PERIOD OF 120 OAVS AT
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING
I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPIICATION 1 STALLS GARAGES
AND KNOW THE SAME TO BE THUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WOFK WILL BE COMPLIEO
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2 282 1. iL}
DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEI THE pEFMITFEE SACCHAqGE
PROVtS10NS Of ANV 07HER STA7E OR LOCAL LAW REGULA7lNG CON-
STRUCTION OR THE PERfORMANCE OF CONSTRUCTION ,S�F.00 Fire SC Z. ZH
PIAN CHECKFEE TOTALFEE
Z
SIGNATUAE CON'RACTOAORA TM q2EDAGENT ID.4TE1 HEN PfiOPERLY V I ATED THIS•IS VOUR PERMIT
- • � � �G�
S�GN TURE OF OWNER UF OW R BUILDEP� iD TE� ; BLDG NSP 06TE
NEW
ADDN
ALTER
l�
P�
I. 1
CITY OF FRIDLEY
S[NGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application
Effective 1 / 1 /95
� �,�, ��t�L�`f
Consti-uctionAddress: � 3� l ��T�-i V(z T,
Legal Description: � O T �% Qt_o G��- i-� � 2. (� l� �— P� 1� �S �S i�"t�E C>
Owner Name & Address: S�oTT � �� o TG�t �4 Tel. #�� S�7 �— g4 33
Contractor: � u1►U�2 � Doo2 8'Y �i4N�LG2�lFT/)� MN LICENSE #
Address:
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
Tel. #
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 Height Sq. Ft. _
Height Sq. Ft. x F�i�
Hgt/Ground 9�- O Sq. Ft. Z 8 �y�
� �(2. �
�
Length Width
Length 23'-O Width 12� o
Corner Lot [] Inside Lot � Ft. Yd Setback Side Yard Setbacks ��
Type of Construction: D�cK C��A2%____� Estimated Cost: $ � C� K �'�--
Approx. Completion Date: S C�"', �'i S
(Cost on Back) U
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$
DATE: -7 C�°3 `�� APPLICANT: Tel. # S� 1—�433 _
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
� � CiTY USE ONLY
��
$ , '� Fee Schedule on Reverse Side
$ �,?�?� .001 of Permit Valuation (1/lOth%)
$ ,.Z,a•.�%%� $.50/$1,000 Valuation
$
$
$
$
$
$
� 7 �''%2
$
SS50 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 ( ]
.._ . _. _ .
� ��� �
cand pra��i�g �f l(:'!l !/fl %/ aars ►+;gka►o�► No.as k.E.
Lnnd Surveying � ' /�/) , ' ( : Minnra�iis�
Soils Testing /'J1 l��rC l�j�/� ) r����• ` MinA. '1S�3Z
Civil Engin�ering �� `" Tat�pi»wi 7b4-60`�
Mvnicipol Engineeriwy �.+'�gin�'er9 �t 5112'VByOY'S - Ar�a tod� �12
. Cer�ificate of Survey for [�Q�/� �%��S�N
��
•3.'� •► .7•0 •fo/� O/c ��r Gk Fre � _
(� B � 57'r,��aT, 7'�1rr�/ $*'rA i�1►l`
� t!% �~� � � Of' PA►A''�. •
� 135, 00 _
D �p { ° � It}
� � � � . . � �i . ( � . . .. � . � .
S.. � �� N a • e
... ,. .... I � � - N � ' -
� �► 2 (
,� �. °a : �
-� ,`, � '" Y � p
V� � • b
o t � n f C , �
r_ �� �
� � � --�t t,., V ! f I { �
,� io ; I �o �_______ sC1�G• i�'���.
� � �35,00 � .
- _ ,,?� t
x� _ ; - -
. . .� _ _�
. . - . .�
r Y y-',� v Y 5 7;` .. ,
,, 135� � _ _
. 7 �- . .
�.o� � ����� _ .. .
� ARR15 K�. � TA'C!E - - : �
a.�ka �o���
i hereby certify thc�t this is o frve ond corrett reprssentotion �f a susvey of the bovndari�s af thi obow '
dsscribed land, ond of tfie lorotion of u!i building thereqn, and ati vis;b4e ensraoch+nsnts� if anp� frorn or Qf�
soid tand. As survey,ed by me fhis doy af` ��, ,�'�"' ^A.D. 19�.
Q �1kGTE�i iRON t�'WP�llN�Nr su�uR8AN ENGiNE�RiNG, !NC �,
fngin�e�r4 r5urvsy4rs
------ DEN�ZES D �I 1" � T � �'' �'-:� �"�'' � �..r- • � - � .
R� t�� �. UT111 i Y�r��EMkNi' br :...t � �
�
� � � � SUBJECT . � � PE . ,
City of Fridley 3 0 2 0 0
AT THE TOP OF TNE TWINS g � f L D I N G P E R M i T
f
; ` EIPT NO.
� • COMMUNITY DEVEIOPMENT DIV. ���a
' ; V��'���� . . .
r � � PROTECTIVE INSPECTION SEC.
l.--_ �;�'��;•I CITY MALL fRIDIE� SSI,�IZ NUMBEN NEV OATE PAGE OF AVPROVED BY
t J` 612-571-3450 910-F15 9/13/99 / /
J08 AODRESS 6381 Arthur Street NE
t �EGAL LOT NO. BIOCK TRACT Oii AODITION SEE ATTACMED
�esca. 17 4 Harris Lake Estates SNEET
2 PROPERTY OWNER MAIL AODR�S$ ZIP PHONE
Scott Kotchen 571-8433
3 CON7RACTOR MAIL AOONESS Z!P PHONE LICENSE NO
Owner
a ARCHITECT OR OESIGNER MAtL AODRESS ZIP PMONE UCENSE NO.
5 ENGINEER MAIL ADORESS ZIP PHONE IICENSE NO
8 USE OF BUIIDING
Residen�ial
7 CLASS OF WORK
O NEW O ADOITION X]C ALTERATION O REPAIR O MOVE O REMOVE
8 OESCRIBE WORK
Construction of 3-Season P r h � �
9 CHANGE OF USE FiiOM TO
STIPULATIONS
See stipulations on p1an.
Vr��Ni �
8�ote diggi� vel! tot
an ,�htp bcationa
S�i�ARAi'E ��1�Mi'!'S #�'�R�9 �t �►5��0002
�V1RtNG, H£A�tNG, �.�a��;n� � „�j��,�,�,, RE�U1�;��s �Y �.�1i�f► .
?YPE Of CONST. OCCUPANCV GRQUP OCCUPANCV �OAD
SEPARATE PERMITS AFiE REQUIRED fOR ELECTNICAI., PLUMBING, MEATINCa,
VENTI�ATING OR Alii CONOITIONING
TMIS PERMIT BECOMES NULL AND VOIO IF WORK OR CONSTFUCTION 20NING SO. FT CU fT.
AUTHORI2ED IS NOT COMMENCED V'IITHIN 60 OAYS. OR IF CONSTqUCT10N
OR WORK IS SUSPENDED OR ABANDONEO fOR A PERI00 OF 120 DAYS A7
ANY 71ME AFTER WORK IS COMMENCEO. NO. DWLG. UNITS OFfSTREET AARKING
I MEREBY CERTIFV THAT I MAVE READ AND EXAMIN�O THIS APPLICATION STALIS GARAGES
AND KNOW THE SAME TO BE TRUE ANO CORAECT. ALL PROVISIONS OF �AWS yp�UAT10N SUR7AX
AND ORDINANCES GOVERNING THIS TVPE Of WORK WI�L BE COMP�IEO
WI7M WHETMER SPECIFIED MEREIN Oft NOT. 7kE GAANTING OF A PERMI7 �HOOO .�4. OO
OOES N07 PRESUME TO GIVE AUTHOiiITV TO VIOIATE Oi± CANCEL THE pEWMIT fEE AC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAI LAW REGULATING CON-
STqUCTION OR THE PERROfiMANCE OF CONSTRUCTION $153.ZS Fli@ SC �H.00
PLnN CMECK PEE TOia FEE
65.25
S�GN�7U OF ON" CTO NOA�2ED�GENT iD�TE�
� N P P �IDAT THiS IS PE MI �
�I����� O�v "�/ /
S�GNniUQE O� OwaEQ OwNEA BU4DEA� �O�TE� � � g� �50 : � r it
•F ^!
� *�+ �T
1`I�iYr � �
ADDN
ALTER
Effective 5/1
pQ CITY OF FRIDLEY
[] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
Construction Address: !03 8l A�Z T N U f2. ST. IJ .�. F f2. t t7 l.
��� �
U
�� b
� �.�'
Legal Descripdon: L OT 17 � B t- D� IC 4, (-� A� R l S L6�1� E E'STATES
Owner Name & Adciress: S� orr �oTG1�1�1 l0381 �4 R:�'H�v2 �T', Tel. #!01 Z-�� I- 8433
Contractor: >� : O w N�. MN LICENSE #
Address: S�t r�E. �s A�Sov � Tel. #
LIVING AREA:
GARAGE AREA:
DECB AREA:
OTHER:
Attach to this applicadon, a Certificate of Survey of the .. �
lot, with the proposed constraction drawn on it to scale t: :: ; _
DESCRIPTION OF IlVIPROVEMENT "
Length 1'I � Width 1 Z� Height 7- lo Sq. Ft. 204
Length Width Height Sq. Ft.
Length __ Width Hgt/Ground Sq. Ft.
Construction Type: 3-�EA-�O N. Pv 2.G 1�.( Estimated Cost: $
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$
8 . c� � c�
_$
DATE: 8/24f 99 APPLICANT: Tel. #!o I z- 571- 8433
Permit Fee
Fire Surcharge
State Surcharge
SAC Chazge
License Surcha�ge
Driveway Escrow
Erosion Control
Pazk Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
$ /S . �S
$ �
$
$
$
$
$
$
$
� (S, �S
CITY USE ONLY
Fee Schedule on Reverse Side
.001 of Permit Valuation (lllOth%)
$.50/$1,000 Valuation
$1050 per SAC Unit
$5.00 (State Licemsed ResidentiaL��ont�actors}
Alt. "A" or Alt. "B" Above
$450.00 Conservation Plan Review
Fee Determined by Engineering
Agreement Necessary [] Not Necessary j]
.
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' � �� SuBJECT . � .
C�cy of Fridley 30393
AT THE TOP OF TME TWINS g � I L D 1 N G P E R M i T
r
; � RECEIPT NO.
� •
COMMUNITY DEVELOPMENT DIV. � `� `
� ; V�������' � Z �
f � � PR07ECTIVE INSPECTtON SEC.
i-___�; �"' �'� CITY NALL FRIDLE� SS132 NuMBEB pEV o�TE P�GE oi �PVqOvEO Br
t 612-571-3450 9to-F�5 10/13/99 / /
JOB ADDRESS 6381 Arthur Street NE
t LEGAL �OT NO. BLOCK TRACT OR ADOITION SEE ATTACMED
DESCR. 1'] 4 Harris Lake Estates SHEET
2 PNOPEiiTY OWNEF MAIL AOOiiES$ ZIP PHONE
Scott � Ma.ry Kotchen 571-8433
3 CONTqACTOF MML AODRESS Z�P PHONE UCENSE NO
Custom Remodelers Inc. 474 A ollo Dr Lino Lakes 55014 651-784-26 6 1748
� AiiCHITECT OR DESIGNER MAIL ADORESS ZIP PMONE LICENSE N0.
5 ENGINEER MAIL ADDRESS ZIP PHONE IICENSE NO
8 USE OF BUILDING
Residential
7 CLASS OF WORK
O NEW O ADDITION O ALTERATION X� REPAIR O MOVE O REMOVE
8 DESCRIBE WORK
Reside house and gara e; Soffit Fascia and Trim
9 CHANGE Of USE FROM TO
STIPULATIONS
Call for building wrap inspection before covering.
Provide soffit ventilation to meet the State Building Code.
TVPE OF CONST. OCCUPANCV GROUP OCCUPANCv IOAD
SEPARATE PEfiMITS ARE REOUIREO FOR EIECTi;ICAL, PLUMBING. MEATING,
VENTILATING OR AIR CONOITIONING
TMIS PERMIT BECOMES NULL AND VOIO IF WORK OR CONSTRUCTION 20NING S�. FT CU iT
AUTMOAI2ED IS NOT COMMENCED VyITHIN 60 DAYS. OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONEO FOR A PER100 OF ti0 pAYS AJ
ANY TIME AFTER WOFK IS COMMENCED. NO DWLG. UNITS OfFSTREET PARKING
I MEREBY CERTIFV THAT I MAVE REAO ANO �XAMIN�O TMIS APPIICATION STA��S GARAGES
AND KNOW TME SAME TO BE TRUE AND CORRECT. ALl PROVISIONS Of LAWS VALUATION SURTAX
AND OROINANCES GOVERNING TMIS TVPE OF WORK WILL 8E COMPUED
WITM WMETHER SPECIfIEO MEREIN OR NOL TME GRANTING Of A PERMIT �13�000 �C).SO
DOES N07 PRESUME TO GIVE AUTMORITY TO VIOLATE OR CANCEI TNE pEqMIT FEE SAC CMARGE
PROVISION F ANY OTMER STATE OFi LOCAL LAW REGULATING CON- Q�2Z3.2S Fl SC .��.3.00
TRUCTI R TME PERfOqM CE OF TRUCTION �p
PLAN CNECK F E TO AL" FEE
�.3' Li cen $ 4 7. 75
SiGN�tu � ON'AACTOQ �UTMOQ�ZEOAGENT ipATE� E p .:r VALI 0 TMIS IS VOUR P RMIT
/��
$�GNaTUAEO�OwNEAi��OWNEpBUILDEAi I�ATE� � � . � B G �h � � r�c�E
NEW [ ]
ADDN
ALTER
Effective 5/10/99
[ ] CITY OF FRIDLEY
[] SINGLE FAMII.Y AND DUPLEXES R-1 AND R-2
BUII,DING PERMIT APPLICATION
��
p� ��D
3 ,�
�
Construction Address: ((j3�� /���%j�� � ,(�� �%ft�� v /�.0 �..��
e a
Legal Description:
Owner Name & Address: SGGi�� f�'%G� d�' �j Q��t'� Tel. #���,5'T/-��.��
Contractor:�C �j�j �t-�e���f �//i� MN LICENSE # l.Q�-/��
Address: 7 ��,� �,�i ,�.� L,�..rf,l� /�,�� /i'f,U ,Q"O'/yTel. # ��/���o� �
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTI�R:
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 IlVIPROVEMENT
Width Height
Width Height
Width Hgt/Ground
Sq. Ft.
Sq. Ft.
Sq. Ft.
Construction Type: ,St�ii n � ,. /'�,<,{i� „���-�l.p��� Estimated Cost: $ �3 (��
Driveway Curb C�t Width Needed: Ft. + 6 Ft = Ft x$
_$
DATE:� " - C APPLICANT: Tel. #��j"���y1f�`'
CITY USE ONLY
Pemut Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPiJI,ATIONS:
$ �3.�5�
$ i3 a�
$ �L
$
$ � - c�C�
$
$
$
$
$ �� ,Sl
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/lOth%)
$.50/$1,000 Valuation
$1050 per SAC Unit
$5.00 (State Licensed Residendal Contractors)
Alt. "A" or Alt. "B" Above
$450.00 Conservarion Plan Review
Fee Determined by Engineering
Agreement Necessary [ ) Not Necessary [ ]
CITY OF FRIDLEY INSPECTION DIV.
6431 University Ave NE
Fridley, MN 55432
572-3604
APPtICATION FOR PLUMBING AND GAS FITTING PERMIT
MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR
Effective On Jan 1, 2000
PLUMBING FIXTURE RATES:
NO. RATE TOTAL
New Fixtures �
Old Opening, New Fixture '
Beer Dispenser :
Blow Off Basin �
Catch Basin
Rain Water Leader
Sump/Receiving Tank
Water Treating Appliance
Water Heater -Electric
Water Heater - Gas"• �,_
Gas Range`*
Gas Dryer"'
Back F1ow Preventer Required OYes O No
Type
$ 7.00
$ 4.00
$ 5.00
$ 7.00
$ 7.00
$ 7.00
$ 7.00
$10.00
$ 7.00
$10.00
$10.00
$10.00
$15.00
Reinspecction Fee $47.00/Hr
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
1.5% of Value of Fixture or Appliance
State Surcharge
0
JOB ADDRESS_ `3�I�t� �"s dt��.1'E� =
The undersigned hereby makes application for a permit for the work herein
: specified agreeing to do all work in strict accordance with the city codes
: and rulings of the f�uilding Division, and hereby declares that all the facts
.and representations stated in this application are true and coRect.
KOTCHEN, MARY
6381 ARTHUR STREET NnRTHEAST
FRIDLEY, MN 55432
(763)571-8433
Owner
Building Used As ��S � fl�'N C�C,
�/!S ,20d2
� � ��
Estimated Cost PERMIT NO.
_ PLUMBING COMPANY � OIZC�.�J� ZU/'✓1CaI/vG��
_. SIGNED BY TEL N0. ' O
,.,. Approved By Rough-In Date Final Date J �- _ 0 a-
�: MINIMIlM FEE F� ANY PLUMBING/CeS pFa�urr �g �20
TOTAL FEE $�_� PLIJS THE 5.50 STATE SURCHARGE
COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE
CITY OF FRIDLEY INSPECTION DIViSION
6431 University Ave NE
S�
� c�'
Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
(763) 572•3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
RATE SCHEDULE
Residential �
Furnace Shell and Duct Work, Burner •
Also Replacement Furnace
� (Side Vent • Fiil Out Back)
Gas Piping (Needed wi#h new�furnace�
but not replacement)
Gas Range
Gas Dryer � �
*Air Conditioning - All Sizes
All Others/Repairs & Alterations (LIST ON BACK)
lqo of Value of Appliance or Work
Commercial/Industrial
1.25% of Value of Appliance or Work
Rate
$ 30.00
$ 10.00
$ 10.00
$ 10.00
$ 25.00
State Surcharge
TOTAL FEE
'IIiI1►iLiPi • : � :7IiLr7l��Z� -- - - ► __ • �
� �' • � � � :u ��
, � ; s�
REINSPECTION FEE $47.00/Hr
*Air Conditioners can not be placed in a side yard without
written permission from� adjoining property owner.
70TAL
$�
$
$
$
$
$
Effective On January 1, 2002
JOB ADDRESS � 3� I ���1/ S`{' I�� ,':
OWNER c�Cl'S�'{` ��U'J�Y1 �
BUILDING USED AS (JL� � � �
�(�..i,1��1
ESTIMATED COST ��� � � pERMIT N0. �_��
; , „�
,QESCRIPTION OF F,�,�RNACE AND OR BURNEF� ; c•;s,';:
� � � _ •; r
No. of Heating U its Circle One (Steam) (Hot_Wat,ery-tl arm '
Trade Name Size No. ' �4�P'C..(�'�T E`�12I�
BTU_`�S DO HP EDR � �
Fuel Gl,t . Total Connected Load `�''' �'
Burner Trade Name Size No. �
BTU HP EDR
$ The undersigned hereby makes application for a permit for the work herein
specified agreeing to do all work in strict accordance 'with' the City Codes an
$ .50 rulings of the Building Division, and hereby declares that all the facts and
���� representations stated in this application are true and correct.
��..AINE HTG. A/C EALECT. (�f �/(� ��
i356? CENTRAL AVE. �I.E. �
HEA7ING CO ANOKA. I�N �53p4 '
Signed � �. �- � _ TEL #�tC��J''��J7-(.P�-��
FAX # � I'
. `
� � � � � � ' � �
Approved By Rough-In Date Final�Date ,-ra -(�a
� . .
THE BELOW MUST BE FIL�ED IN WHEN REPLACING FUEL BURNtNG APPUANCES OR THE
APPLICATION WILL BE RETURNED
lu�i•► ► ► •►► •: !►� •u� •► : � 1•►
When _r� �F1 a-in�?n pYictine f iran __, the unde�signed hereby verifies that the
venting has been examined and is free from rust, deterioration, obstructions, �
and is securely supported and firestopped where required. Yes � No ()
The venting system is plasticlPVC and meets all current codes and manufacturer
specifications inciuding sizing, length, number of elbows and termination. Yes (� No ()
The undersigned also verifies that the replacement unit is a listed assembly
and meets the current codes and manufacturers specificaiions. This does
indude AGA-GAMA Category 1 Central Fumace Venting Tables for fan
assisted and natural draft appliances. �Yes � No O
The pY��ti cnmh ,�en a�r is sized and installed to meet the current codes
and manufadurers specifications.
Whet1 fequlfed t0 inetall a n w_nml� �etien air�it will be sized and installed
to meet the current codes and manufacturers specifications.
Yes Q�, No (
Yes � No (
Wh2t1 in_e#allin� npw vontinQ��,y�, the undersigned hereby verifies that
it is a listed assembly and meets the current codes and manufacturers
specifications. This does include AGA-GAMA Category I Central Fumace
Venting Tables for fart assisted and natural draft appliances. � Yes � No O
Is the common vent and vent connectors sized and installed coRectly after
an appliance has been removed from the common vent and vented
separately as per current codes. Yes �No ()
! • • - � - � ' . � • ' • 11 �1 • ■ ' � . � • ' �I • � t ' M • �I • /11 . / • �
Appliance #1 Type T v�t' I�t..(�L. BTU Input � 5,� Fan Assisted or Nat ►�101� �
Appliance #2 Type BTU Input � Fan Assisted or Nat
Appliance #3 Type BTU Input Fan Assisted .or Hat
Total Appliances � Total Btu Input r .
i
Common Vent Type Vent Height Diameter '- inches
- ,N .
Appliance #1 Vent Connector Height ft Length ft Diameter ��� iri'Type
Appliance #2 Vent Connector Height ft Length ft Diameter � in ,Type
Appliance #3 Vent Connector Height ft Length ft Diameter ` in�Type
�� .,
. y�
..
,
HEATING CO: ��s? CENT MN 55E. N.E.
Signed By: �. � - � � � Date : � � � �1 '� �
�
HEATING
AIR CONDITIONING
AND ELECTR C, INC.
ADDRESS ' �1 �
OCCUPANT
HEAT LOSS DAT HTG. INST�j.
SOLD BY �� � �f �� � ✓t T`
Electricai Work By i�, t 1
TYPE OF HEAT GA FA� HW STEAA�,_,_ SPACE HTR.
GAS DESIGN
MAKE — �
Mod21 �
Serial � � i�.
4NPUT _�� 61��b
CONTROLS
THERMOSTAT Heat Plug
Value
Limi�
Limit Settin
R
Fan Settin ►�
Pilot Type �
Pilot Make
Pilot Model
Pilot Timing
L.W. Cut Off
Pressure ,� � PeroentCO2
Input CFH '„�. �� Percent Oz
Stack Temp. � %�6 Peroent CO
HOUSE HEATING TEST RECORD
,APT. FLOOR--�—�-- CtTY� SUBURB
OWNER ��'�'G-h.��
INSTALLED BY �__-r��777� ` �c^� � N-�
Gas Line By � 1 1 �
UNIT HTR. OTHEH
CONVERSION
//
Vent Size
KIND OF IINER n SIZE _�_ NONE
Draft Hood � Regularor
Filters Size _ j�� � �S Number
Chimney Location Inside ___��� Outside
Chimney Construction �
Smoke Bomb Wiring
Draft l'? � Test Tag
Door Pressure Lighting Inst.
Date Tested 1 O �-b °L
Company Testing r �
Name of Tester (�
Pressure Percent CQZ
Input CFH Peroent a2
Stack Temp. Percent CO
ADDRESS
PIN
LEGAL DESC
PERMIT TYPE
PROPERTY TYPE
CONSTRUCTION TYPE
CITY OF FRIDLEY
6431 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432
►631572-3604 FAX: (7631571-1287
: 6481 ARTHUR ST NE
: 133024410078
: HARRIS LAKE ESTATES
: LOT 24 BLOCK 4
: BUILDING
: RESIDENTIAL
: ADDITION/ALTERATION
PERMIT NO.: 2004-02141
DATE ISSUED: 11/19/2004
R6�.��
VALUATION : $ 8,000.00
NOTE: SEE NOTATIONS ON PLAN.
CALL GOPHER STATE ONE AT 651-454-0042 FOR UTILITY LOCATIONS.
PROVIDE SMOKE DETECTORS IN ALL SLEEPING ROOMS AND ON ALL LEVELS OF THE DWELLING PER R317 OF THE
2000 INTERNATIONAL RESIDENTIAL CODE.
APPLICANT
SKYLINE EXTERIORS (20215480)
6491 ARTHUR ST NE
FRIDLEY, MN 55432
OWNER
KENDALL MARGARET A
6481 ARTHUR ST NE
FRIDLEY, MN 55432
AGREEMENT AND SWORN STATEMENT
This permit becomes null and void if work or construction
authorized is not commenced witin 60 days or if construction
or work is suspended or abandoned for a period of 120 days
at any time after work is commenced.
I hereby certify that I have read and examined this
application and know the same to be true and cotrect. All
provisions of laws and ordinances governing this type of wor�
will be complied with whether specified herein or not. The
granting of a permit does not p sume to give authority to
violate or cancel the provisio of any ther state or local law
regulatingconstruct' n or perfo nce of construction.
Applicant Date , �
:�� � ��%�f/,�� �.-/
BUILDING PERMIT FEE
FIRE SURCHARGE
STATE SURCHARGE, VALUE
TOTAL
PAID WITH CHECK # 2883
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
153.25
8.00
4.00
165.25