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AF - 46981sus�ecr PE IT NO. �+ City of Fridley � 132'74 AT THE TOP OF THE TWINS B U I L D I N G P E R M I T r � � R � ; y _ COMMUNITY DEVEIOPMENT DIV. �� / r � r � PROTECTIVE INSPECTION SEC. �/ � � /"'1 � CITY HALL FRIOLE� 55432 NUMBER REV. DATE PAGE OF APPROVED BY �'•"�' ,'� 612-560-3450 910-F15 10/23/75 / / JOB ADDRESS 6421 ARthur Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED oescR. 19 4 Harris Lake ES'tateS • SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Rpttlund Company, Inc. P.O. Box 32082, Fridley, Mn. 55432 3 CONTRACTOFi MAIL ADDRESS Z�P PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS 21P PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK Construct a 2' x 4' ellin an a 28' x 24' Gara e 9 CHANGE OF USE FROM TO STIPULATIONS Provide a� hard surface driveway. Provide a verifying survey before capping. Provide sod in the front and side yards. SEWER LOCATIOI3: (Approx. 11' Deep) 113' North of Manhole (N. INV. 876.96) WYE ELEVATION: 877.98 TOP OF FOOTING: 880.98 Minimuzn ��,,��,T�,��T— T WATER LOCATION: 7.3' I3orth of Sewer Service NOTIFY THE FRIDLcY EfdGR. DiVE�E�N REGARO'NG CURB REMOVAL AND RcPLACEMENT AT DR(VEWAY OP�Ni�AR��`.,��,� �%.PERAT� P�RNiiTS REQUiRED k=OR ��VI�CIfvC:�; g�fore d�gging c�':� ��! u�ilities �-��F1TIN�, PLU�'JlBiNG AND SiGNS. TYPE OF CONST. OCCUPANC ROUP OCCUPANCV LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, � � �,y VENTILATING OR AIR CONDITIONING. WOQC� F1'c11i1@ ':�w,� tR •� •,�y `' THIS PERMIT BECOMES NULI 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 OAYS AT R 1 1133+605 2I, 916+6050 ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION ]_ STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND OROINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT S34r7SO 17.38 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR L CAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF NSTRUCTION. � $'rJ1.74 $325.00 PLAN CHECK FEE TOTAL FEE � /O— 23�� $394.12 Si NA f±EOFCONiRACTORO UiHORIZEDAGENT IDarE� WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT t �/�� p �, �'.L� ec�iLJ �o a � � SIGNATURE OF OWNERUF OWNER BUILDERI IDATEI ° BLDG. INSP 4A E 1 � ___'_'___"__-__.'___'__- ._"_-'____'_-'_.-_"-_"_'_-.".____'_"__'.'_"___ ._....._ ...._... .__'_'... .._..._..___.____.__.._.._'-.__'____- __'_-. � �� . . _._'.__"'_ � -..._..._- -__-'"__._-. .- ... ' __.___"" "'_' _ "_"-_'_.._.._"__ _ __"'.__._- "_'__._.__.... _.. __"_'__ . _. _. ___.._. _"__ .._.._ .__"_" "____.'-' -'_ _-;;� �� ____ _ � -- --- - --- -_ _----- ----- -- --- - _ - - �----��G �--__---- -- -- _v.� �,� �-� � Z � 8 `1 x -. � � - - �� _ �� —�� ---- -- ---- _ _ _ __ _ _ _ -- _ _ _ -- _ _ _ _ - - _ o so 7 �.--- - ------ — ----- _ _ _ -- -- _ - -- -- ------ ---------- - -- -- _ _ _ � �1��- --___ -- _ -- a2�. � - -- - - -- - -- .� = c��'"- � �-3t,�. 0 �s j� �----- ----- ---- — -- - _-- - — �— --- _ ---- ------ __ - --- - - _ _ _A Q _ - -_ - -- - -- --- - -__--- �� G. ---,f _ - -- ---- �i = —.--- -------- __ _.____--- __- ----- __ _--- ___ __ _ _ _ __ . -- , - - p-�-� -,�- �-- _ -_.` �..,� -_ _ � __ _� -� --- -- -------------------------- --_ __------- ---- --_ a — _----- , �8'So� sZ � � tZ -----�-��.�1— - --- -------------- --_ --- -- - —_- - --- - -- t _ _ - --------- _ __--_ _- -------- - ------ - _ ----- - - ---------- _ ------ y�`� - �� -� o� � s�---- --- --- _-- - - ---- — --------- ---- - - --- -- --- �'— � --_ _ __��o�-��,�,�--- - -- - ------- _ ----- -_ _-- -- --- _ _------- ti ��------ �-��_ _ ---�- --- ---- -------t- � �.,--x -- ---- -�--� �}---- - -- -- ------ , -- ---__ _-- ----- -- - � ---- �� -��'�.�-- - - ----- — ---- --_---------- - - --- --� - -- �- _ _------ - ---- ---- ---- --�— - �c'�r- r�t� ------ — _---- -- - - --.�-� �---� -- -�-* � ------- -�� -- ----- -- ----- - "� G 'Z' � � ------Q� v �_�S,�X-�j --- ---- - . n� -- — -- ---��--- - $ - -� � � � • �� 55°� � AP��C�TIQ� �Q� �E��U�N�TA�. A�T��ATIA�, Q� A�A�TiaN ��ILAT�G ��vjT� �iTX AF FF�TT?�,�Y� MINN��QTt# IJ4�T�TP.R� � S NAS�E : ��.hf� ?`�� -.err- BUZLDER :, �i ,� f-�o ��/u� � c.� ; �.-�'�'"r t ° ADnRESS : AD�tESS :,,�•�^?,� � 3 2Q s� L , , ,�,v ;d /�y' u�� y ,3 Z �4:4+�`� Z �, ST�� 1-�'f��-'�,' ,, /. X� � �� ..., ,�.,�,., urr., �� , , �i.ocx. ____`� nn��rzorr: ,o r� ��e. ,�s7-��s �CQ�NER LOT; �I� LO'�:._.�S'. •. SETBACKi 3 5�,� SIDEYARD:� /� � ��i,s�# �#.�at� �a #�� +p��,o Certificates of Suxve� of Lat a�d propo�ed 1�ai�.d�g �.+acati,ot� d�� #�ese Ce�ctificates, � ��CRIPTION OF BUILDING 4�a B� i3�� Aa :�/.t��'�� f"� nh i/ J� �,�v� � ��x��t�___; � i�pth:� � HeiSht: squa e�se�� 3 c�►�� e�: � ""�,... T � , �.�'� ,f�'� , Fr+��: pth; � � Hei.ght: � Squa�� 'eet; Cubic Feet; ii0�'� . ._� � . �r{�+ o� �onatxue�i,�� ,fj•�e �stimated Cost:"„� °O-- � �� a ��: y -- �� -- �.s 3'1, �s� ..., . . .. Tha u��i�aed hereby a�akes apr�licatitia for, a pe�,t fa� th� waxk b+�reir� �pe��+ed# agzee�.n� t+v da a1I No€� in stti.c� aacordance witi► ths ��.ty o� F��r Q�Cd�.�s�,ce� �td aCu�.� �f � De#�artsten� pf Bu��dirtg�, +� i�exeby ��a�e� � all th� #ltcts a�d ��rese�nta�3,ans s�ated i� Xhis appl.i:catiom aa�� ru� a+ad carxecfi.� / . �-P i`T e 7-�` G`'`� ,✓ '°a - z'�'�. y!�1� ; C� — � C► �- 7.� ST/+NA��y� • �- �.s ##RA�id �� 1�+ � r w. ■ iw w� i � bST aV#�+. . . . . ��t11 :R�aNe�/e S�s� PoT Add�t�.onal Info�aticrn,) 1'�, � SI • ��' -� ! 7. 3� S�-c- 3 zs � °o � R- �%,(1 � � �_ ..OS� - " � � _ lond Pldnning �t` j�t' �'r'i � j1, 6875 Higl�wo� Na.63 N.4. � ( MinnsopOlis i la�d Survereng � � � ��`11f�lj1PP"1t�1� � �lC. M�*w. ss4�� _ sa��, te��„g � Civil E�flintering Ts{�plwn• 7S4•806� Municipol Engirre�ring E+ n�IIIBeY'S 8t SilTV@yOY'S Arsa Cod�s 6l9 ertificate of Surve fvr � O T TL l� N G� � a_- - C Y . . . , ' . � . . . ` . . . � � _ � � � � 's� o� �,�r� . � . . .. � � � � � � 1 . . .. . . ,�--- �— . _ � _ � CO , 135.00 � +'-;-�- n I �o ---i �s _"� b � �� G � h r � � - � ..- �.. O ' � � '� i� f++� •�' - r�,,,� � �,., � ,� Q - � - ( o , � ..� � � �' �c''� � � ' ,---�� f � ` � � � a � i �' � � � I � ; `�0-�--'� r Ip Sca1c,: 1�'�� ' I� - _ �--�-, � �' f35.b0 � : 3,s ' '.oF,�..�'. � :. ,..- �I�MPORTANT� -� - � �i�fi1FY THE FRID�:�Y ENGR.� - t' ��@�N REGARDlNG Ci1RB Q �� D REPLRC�MENT - - �'' /��'C Rl��(�WAY OPEMNGS: ,�''�►�r'.� � � �"d1 �. (� s � �' � ' - - WARN��G - Before digging call local utiiitfes - � TELEPHONE - ELECTRIC - GAS Etc. � . _ REC�UtRED BY LAV�i� � t..�T 9 ��..��K � ' - - _ H ��5 w� E. Ta� - - _ : . Anvko Court�y = t herebr corfiir fhoi this is e trvs a�d correcf �cpresantotion of a svrvay of ►he bouwdo�ias of th• obsw . dssc.ibed iond, and of tl�e tacation of otl buiiding rF�ereqn, and ail vis+ble encroachments, if any, from oi o� said ia�d. As s�trveyed by ms this d�y of� `'�"�A.D. 19�. O QE�IOTtS l�N• l�ON11MENT SUBURBAN ENGINEERtNG, iNC. ,- - < E�gineers , Su►v�yo�s . .� ===^_ +JE�"�IDiES DR,�1NAii�c � UTil1TY Ef�SE�IENT � br�,' 't ��.-�- �:,�;Lt'`-: � , , � � �� /�, �oX �� ' � � � P� p 1 , � ' � � O � ��////� / I r � / V Y �f- / V !/ ✓ � � � I � � � u�� .� -- �77 9 g ��3 �� .--, �, �� - � � -� - o. 9� ��.�,,��.� v � iv G �� 9 � � ��, � '-�. � � �-�� 7� o� N, w � �� ,�t�� . ., a — � h ' . : �` . . � . . . . �i� a� �ic�►�y . � . . . . ��,9�ilCG3i�Cn �a�' PitlF��m�� .� �� r�> �z� ��^�;� - . � . _ � � ^. _ z��c. of aia�. rharie s:�.3aso ... . D�SCP.IPTI02i OF VJOI�2: �� `z � Xum�a-, t:i� and Lccr,iea o! Fl�tu-es , . V wATE4 Hr�. �City of F7idley:. � _ � ` � �Iz �, R , W z • s . � t �� p Z�� 1� � 7 g� t� Z�� '2 7� 7 W r W:�s s►cc. The undersigned hereby makes application tor a permit far tht� •ozY herri i° �� ; S� � N; s�� - o ��< 3 �� ° �� specificd, a�:-eeing to do all wo: k ia s.ric! accozdance wtth the Cit� O:�isa••ct �9c / f � / • and ruling of the Department of Buil.a.ings; and hereby decli ; t2:at aTI the f�rt ._ . and rzpresentatlons s:ated !a this aDpiicatioa are true and rrEtt 2 st � • --- F ' ey� "na �---, Ir,d _... � 3�d Owner . - {:h Kind of Bui2ding r ----�—w • Fu`.�.ro Ccnax:l: a Gp:+air_rs Cc�:.ct::,d vriin *?tse Fix�a�. Old Cr�,•onir.�s �� i Q Used as �-�--°"~ a" To be completed about P�R1'lA�. RAT� S�H�DULE Estim3ted Cost, s ------ O1d--New. iui.ding Pernnit No. Y•:mit No. ,,�(.: : LUtiSBINC FIXTiJ�E RATES: NO. RATE ?OTAL � i � Signed 4` h'urr,t�er flxtures . . . . . . . . . . . . . . . . �_... x S2.Q0. S� . _3— x si.5o s y' �/ . $y ; � . __ F�tture Flxture (�pcning ........... . -• tiew Fixture Olci Oyening.... .:.... x 51.50 =_.._:__. . Busin� Ph�ne No � � .. Catc� Basin . . . . . . . . . . . . . . . . . . .. x 53.25 S Watcr tieater 'Up to 99.000 B'I'U�..• •�L�. x 53.CA 5 3- GrJ • '', �. ' x 53.25 S ROUGH �ew Ground Run Old B:dB. . . . .•. . •• • • • E!�etr'..e Pta:ar H�atar . . . . . . . . . . . . . . s :2.CJ 3 — FINAL �- �',�o � • . f' .. NO. RJ,T'� T07AL slS i'TTTI:iG FEES: , • lst 3 Fix:ures • • • • •••• ••••• • • • •• � x S2.Cn� � �rU� , Ad�lUcaal F'iztures .. . . . ..... . .... x s .75 S ' _ Gaa RanYe to 349.000 BTU . . ,.. . . . . .. , x S5.00 L • , ,a/� °.r?i:A3 ic xLTEP.A710?t3—P.•is: so Coda � :, .50 State Suxchaxge � .�CKZ�yZi'Ji� • � � � • • � • • � � � � � • i � � �.� • • � s.�� • • � �.• • �.� r .� . • . . . ' mrai, r� s aa, a o • . ' . . ' � . � . . .. 560.3450 -,' ' �[� O Ytct�te _ � c� . :: , ANOKA COUNTY : ,. t �� 6431 UNIVERSITY AVENUf NE February 10, 1976 FRIDLEY, MINNESOTA 55432 . Mr. Roy Lund The Ratt].und Company Inc. P.O. Box 320$2 Fridley, Mn. 55432 ' ' � Res Final.Inspeetion at 6421 Arthur Street N.E. Dear Mr. Lund: A final inspect.ion was made on February 9, 1976 of the above address. The � . ioll�ring �t�as were noted and must be completed before the construction can be finaled out: l. Install house numbers - 2. Attach cantilevered joists to double header with joist hangers or blocks 3.: Install fireplace clean out 4. FiII. in around fireplace ta prevent seeinq into garage We will expect the above iteans to be completed bg March I, 1976. If any probletas arise that will �revent you from completing these items by this date, please contact us. A reinspection will be conducted on or about March 1, 1.976 to determine co�pliance. Sincerely, RON E. HOLDEN Building Inspection Officer REI3/mh • . 53-81�-879001 � ' �i�y� ��t �'icie�� . � . ' � . �j,�r4ic:�:1J7 d�`��i C'ICt�r�::ii:� �,;� �� :, � ifi; i:� h'�r�::•ig � • � ��,�,�_,�.,,.__.._. Dop't. oi Btdp�s. Phono 5;.~J•3iS0 ' � �:: ' 6 1 N� rthur . . nE5C�IP7IO2� 0: �•�oi;r 2:u�S.r. ::'� a.zd l.ccr:3�» o! Ft�r_zes. .. - . � I � U wATf� NT�. t» � f z N � � z o e �� z ? 7��.=t �$�i�2 °� � 7� 7r ► N c�s cuc. in ii� �,s� 3�,:�j��' �o�w� 3s u� �.�uFi E�:r � � i:: � I �• o ec d. �r _ 2.� � i .,.. 3:d i:`f _ � C,c: r t� • FL:.::o Cc::c:•.:�.a Crj:.c! =:- � Nav Fi;;�ar�. O:d U-��s.i.�ss �_ — ---- ' . PARTir�L RATE SCH��ULE u.a�z � Cc::.pc.ol � 0 •� ' ��' . , � ' ti� � ' �,4 • � .. �. City o1 �ridicy:. : The undcrsi�rscd hercby trakes a�p�.ica�on for � r.erm+t fcr th� �*o:Y hez s�eeil:cd, a� ecing io do a�1 �verk !n s::ict �eco:Car.ce wlth tt:e C:b O:-�:r.:" a^d ruIiag oi the Depa::meZ t o f Lui 1yt a�. aa3 hereb y declares �hat a:I t�'�e i: and ��s:escr.Lafioas stated !:=�:s 2DD�catio� are true �'d ro?�"t. .. r ridley, Laars � %-76 19_ Rotland �ompany - � Owner ' Kind oi B;uldinS frame Uced as To bc co:r�pleted about ��-?� - Estirr.aied Cost, S 10 00 e:mit No. P.:�:t.;a. (�,-,_.'_' )t o,a�. �iu;:��,na P — ; L�:SIt1G F1:CTJ?L RATES: . NO. RATE , T07AL . . Sizrc . , r'::rr.ber Flxtures . . . . .. . ... . . . . .. x �?.G�. S - . , d� - x 51.50 S _.._._ . . , By . Fti;u:e i>'xture f);�ening ..• • • • • • • • • •---- • x 51.50 il.:._ — Susin��..s I'h�:.e �to •. . 1cw Fixture Olci Oyer.in�.....:.... ..�_ • , • x 53.25 S ' ' . . C�(C�1 �1i1A• •••••••••��••••♦• • ' , �V:tcr liester'Up co �9.000 B'i'U�•••• --- x�3.G4 s • • ROUGH ' �ew C:ou�d Rua Old B:d�. . . . :. . •.. --- x ;3.25 S F:rcct.e P:.:.: Y..aw . . . . . : . . . . . . . . �_ : :3.CJ s � FINAL q -��5,.-! S- - sJS FZ?TS1G FLES: ' HO. R:+:'1: T07AL • . • i3j.� �1X:L:tCS •••••��••••��• .r� X SZ•� Y . • J►d; lUcaal Flztures . . . . . . .... . . . . . _-.--- x � .75 S - � C:s K:.^.ar to 1 r3.OG0 HTU ..... ...... _.--.---- X SS.CO S.�-.----- • . dryer . ' S.00 . .50 State Surcha:ge :�..r.?�:g3 ic J�L:E°JITI�HS•—P.�:�s !o Coda . ', . , .�i�:�'y:SOii •�� i � � �.� � • . s.� � � � � �.r•� �.� � M J �O . �i{2.15$•r�Fin Jl1YCii�1'("�c .��.�� ' � � TO'TAL. F�..F. S �------_ . � . � .� ' . • . ' • �� `�,�v?� S� , /lpplication � fo�wir 11a�Ms a�d H�ali�g� Gooling, Y�ntiia�ion. R�Iriq�ioa a�d � S�ns and D�rie�s P�/�R�t/1L RATE SGHEDULE c�ua�*r� wr�►�c Arn: �xr� mr�►i.. � sa��r � na�c �r� . . . siQ.oa � Repiacement of F't�rnace 6.00 � Repalrs dt Alterations---up ta t50d.00 6 00 i- -._ ._ Repairs k AlteraUons each add. fS00.04 . 3 W =--_ . ___ 1itQL 11PAltyi 1►Ilt Fttn►ace Shet� dc Duct Wark ta 190,000 BTU e�eh add. AO�OOQ B'PIT . . . . . . . . . RepIaceme�! of l�rriace Repairs dc Alterationa--up Eo �500.Ob Repaizs & Alteeatiotsa each add. =500.00 .El00o i--�'�G$ 3.W i 6.00 �_ 6.04 �_ 3.0� � _ _.._ STEAi[ o: HOT WJITEA 8YSTE1[ Furrsace Shelt dc Lines--to 400 sq. ft. F.DR Steam �20.�J0 S_--- __ _._ Iwrnace She1i dz Linr-_to 640 aq. it. EDR Hot Water 20.00 S_ _. _.��___ „ Each add. ZO�f aq. tt. EDR Steem a.(ln =_ _..__ Each add. 3Z0 sq. ft. EDR Hot Water 3.00 E—______ � 4IL SDRMER—to 3 gal. pea hour 6.pp S. -- over 3 gal. per hour�ee lree Schedule _ GAE EIIR1fER !up to 199;Of10 BTU) 6,pa s ��00 wer 19��tI0Q B'T[T 8K F�. scMdul� GA8 FI?TI1�iC PEES: l�Q AATE TOTAL Ist 3 Fixtures x� 200 S--- �' G'� Add�'tiosral ?i�ctures x .76 t_ - Gas Ran�ee ta 199.00� s= 6.OR i — � a �_ ruf �t� sY�'tnt s.. r« s�.a.�. �sz7�t S�� s� u�rse�►rro�s � ur�rnus ro�rar. rst �.�,L�� :• � ��. i � /� _ �� _ � V n.�. � s1aa.. �.,�. �ea-�ea Df CitY of 1Midley: The undersigned hereby makes applicatlon for a Detmft for the work Aere�= spec�l'ied, agreeing to do all work in strict accordance with the City Ordfnanc� and ruling of the Departm�nt of Buildings, and hereby declares that aIl tht faet� and represer►tatiuns stated in this applicatioA are true and correct. F1�id1eY. Minn�-- -6 14 � - ---y, � --/--��'��Gc� ��`_��'_�' Kind ot Huildi i!:�'"� _ UseB ac -� -._. . ---- To lye completed about - _ -- --.-- -._,_ _ . - G�L'�, Estimated !'ost. a /'��(� .. ----_ - .U� ew. uilding Permit No. ___ --- - -f- P�rmit No. ��J � D'EfCNPTtOIt OF �IO1lE HEATING or PO'WL�A PLANTS-�t�eam, Hot W�4r arm A'�'i� ' No � Trade Name�. �9�.�-�� 9�e No-�y ��'s" �7�- � Capacity---- — 89. !'t E.D.R�S'% �`�'-U gT[I HF Total Connected I,o�d ��i � S��___ �iy�4� ![ind ot tt�t BURNER — Tsade Na*� �� -J '� g� t� C�v�db� 84. !t. E.D R B'iV S� � 1 ' 1' ��/'�- / ��'�%�i�� / % ? � Q t , "✓�,,�`.s..' �,-7 �'S� Zr � 3 . -�-� I; � ) r ,�'" ,� �^ � �� S /� � .�� ea• ��(�K� . HEAT LOSS C�LCULATIONS HEATING� AIR CQNDITlONING CO. MINNEAPOLIS, MINN. ;, Weatherstr�ps A.S.H.V.E. Constr�tic�n No. Insulation Windows poprg Guide Out. Wal I Int. Wall Ceiling Roof � Floor Kind How Applied Reference Yes- No Yes—No 19 Fi.��r'/�,' G— Room Length /� Width`3 He�ght FI. ��, Room Length � W�dth He�ght VJindows and Doors—Crackage and Area Windows and Doors—Crackage and Area N�, Widrh Height No. of L�neal ft. Area No W,tlTh Heipht No. of Lineal ft. Aree of nanr. o.' oane . �iohts . of rrark sq. ft. , of oane . of oarwi Ilahts of c�ack sq. ft. Infiltration G lass Exp, wall , Net exp. wall � Int. w811 F Ceiling � Floor • Totai Btu E �� r�,� Required sq. ft. E.D.R, or sq. ins. W.A. Lead r area % FI � f%'N' Room Length Width F Windows+�and Doors—Crackage and Area No. Widrh Height No. of L�neal ft. Area of oane et pane lights of crack sq. ft �— � � Infiltration Glass i Exp wall �� Net exp. wal� Int. wall � Ceiling _ �' i Floor Total Btu. r�� -� Required sq. ft. E.D.R. or sq. ins. W.A. Leader area f F�v�i��Room � Lenyth � Width VVindows and Doors—Crackaye and Area Widrh He�pht No. oi � Lineal tt. � A�ea . No, of pane , of U,�ne � lights ; uf crack ��g�_!� Infiltration Glass _ Exp. wall � Net exp. wall Int, wall Ceii�ng Floor :-�� i Total Btu. Required sq. f!. E.D.R. or sq. i^s. NJ.A. ± eader area Btu 7 � ght Btu Coef B tu Infiltration 3 1 � Glass �L �.{f[?L Exp. wai► a % Net ezp. waU � 0 Int. wail Ceiling p2 �Q ,� Q � F�oo. / o Total Btu. ' Required sq. ft. E.D.R, or sq. ins. W.A. Leade area �FI. Room Length Width � HeigFrt V'Jindows and Doors—Crackage and Area No Widrh He�ght No. of Lineal ft. Area ., of pane of pane �i hts of crack sq, ft. 02 �-c 3 'L._ b7� - B tu ' G Infiltration � � � ` G'�"�y Glass �� i C C Exp, waU � �i�� Net exp. wali C �nt. wall � � Ceiling � 7 �% F I oor �' i Total Btu. Required sq. ft. E.D.R. or sq: ins. W.A. Leader area Height F�. 4��,E �� Room Length � Width� Z,,..Height `"�'indows and Doors—Crackage and Area � No. . ''"— ��"�—�'"`4'"' � N�. °f L�neal ft. Area ot�pane � ot e��e i�ehts oi crack sC. ft. � � , �f` ' ��, I _5'.S�' .2N ; e c�� I I inii It�ation �� GlaSS�--- � 3 �G__ — Exp. w�li -- � --'---- � � Net exp. wail + � � -- Int. wall --� Ceil�ng � �j� � - f � F!oa •.- � T;,ta! 3*,�. _ �_ �eq��rea sq. ft. E.�.R. or sq. �ns. W.A. Leader area Btu �_ � � � � -a i�' .��''7'`'"� HEAT LOSS CALCULATIOf�lS HEATING� AIR COND�TIONING CO. Weatherstrips A.S.H.V.E. Construction tio. � Guide Windows Doors Out. Wall Int. Wall Ceiling � Roof Floor Kind Reference Yes--No Yes—No �g F1.�=C /� Room Length Width � -�Neigttt� VJindows and Doors—Crackage and Area No. w��*h Meight No. of L�nea� ft. Area � of nacir of p� lights of crack sq, ft. �.. Infiltration S � G lass Exp. wall � Net exp. wail Int. wall Ceifing �� Floa • Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area FI, Room _ -Length Width Windows and Doors—Crackage and Area No. W�dth Height No. of L�neal ft. Area r,f r,>�a nf oane liahts - of crack sq. ft. Infiltration G tass Exp. wall Net exp. wall Int. wall Ceiling F I oor Total Btu. Required sq. ft. E.O.R. or sq. ins. W.A. Leader area FI. Fioom I Length Wicfth VVindows and Doors—Crackage and Area N�>. Widih He�qht No. u1 lineal £�, Ar6a of Dane of p�inH liyhts uf craCk Sq. ft. C Infittration Glass Exp. wall Net exp. wall Int. wall Cei�ing - { F loo► Total Btu. Required sq. ft. E.D.R, or sG. ins. 'JV.A. Leader area Btu a Co Height Btu Heiyht acu � -. MINNEAPOLIS. MINN. f Insulation How Appiied 'FI, j j Room Lengt � Width �� Height �"Jindows and Doors—Crackage and Area Nu. W��dih iie�ynt No. ot L�neai ft. Area of pa oi pa tipht, of crack sq. ft. / � � I .3 2--� Q Infiltration �. Glass � Exp. wall Q � Net exp. wall Int, wali � ,� ��i `� Ceiling Floor l Total Btu. Required sq. ft. E.D.R, or sq. ins. W.A, leader area FI, Room Length Width Windows and Doors—Crackage and Area vo. WIdTh Height No. of lineal ft. Aree of oanP of oane tiohts of crack gQ• ft Infiltration Gtass Exp. wa I t Net exp. walt Int. wall Cei I ing Floor Total Btu. Required sq. ft. E.D.R, or sq. ins. W.A. Leader area F1, Room Length Width �"uindows and Doors—Crackage and Area i 'rvinrn ��",a'„ No. of Lineal h. Area �"'' of nan�� of oanF ! liahts Of CrOCk Sq. tt Ictiltr�tion G lass Exp, wall Net exp. wa! I _ Int. Wall Ceiling' _J---- �� Floa To:al Btu. !?eGu•red sq. !t. E�.?. er sq. �ns. W.a. ;.aader area B tu Height Btu Height Btu GEO. SEDGWICK HTG. & AI R COND. CO. �,�:f._. ;� -�, �� HOUSE HEATING TEST RECORD ADDRESS �� ¢�� -^'r` �L� � CITY OCCUPANT OWNER HEAT LOSS DATE HTG. INST. SOLD BY INSTALLED BY ' Electrical Work By Gas Line By ``� � " TYPE OF HEAT GA_ FA_ HW_ STEAM SPACE HTR. UNIT HTR. OTHER GAS DESIGN CONVERSION MAKE L�-� MAKE OF BURNER Model � � � Model Serial Max. BTU Rating INPUT 1�5� MAKE OF FURNACE Modei CONTROLS �, THERMOSTpAT �� Heat Plug Vent Size �� I�� , Valve /��o �°� KIND OF LIN�R �� SIZZ��SZ��ONE Limit � %� � __ _ Draft Hood � � Rpa�lator Limit Setting -� � K� Filters Size,��x ��'�1i Number � � Fan Setting �� '� f�� Chimney Location Inside � Outside Pilot Type Chimney Construction Pilot Make Pilot Model Smoke Bomb Wiring , Pilot Timing � Draft ��l Test Tag ' L.W. Cut Off Door Pressure Lighting Inst. -a. 3 , � � Pressure 3 7 Percent CO2 G.o s. S_�. � Date Tested � Input CFH /n-r Percent 02�� 9,� /z'� Company Testing , Stack Temp. �� Percent CO �� '- �' Name of Tester � Form 235 97-81 l�16051 CITY OF FRIDLEY _ APPLICaTION FOR PLUMBING AND GAS �I�TING pERMIT m >, m �ro u • K� a Water y a� a � m E+ � ro tl1 � m ro w p�, w � Heater �.i N . .� � � '� � C � O U � � � � 1� �.-�-I N �tl •� +1 ttl S^I O .4' .-�I N rt i � A� A N.. N � v� c� o w � �n 3 a w �n u.� v a� �C 3� x� � O as lec lst tll il 2nd 3rd 4th (R) = Future Connection Opening Connected with Sewer (*) = New Fixture, Old Opening W�t�' PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: N0. RATE TOTAL Number Fixtures Future Fixture Opening New Fixture, Old Openinq Catch Basin Water Heater - to 99,000 SZV 100,000 BTU to 199,000 HTU Water Softener New Gmund 13in Old Building Electric Water Heater GAS FITTING FEES: lst 3 fixtures Additional Fix tures Gas Ranqe to 199, 000 9'1't) 1tEPAIRS � ALTERATIONS First $100.00 each add. $100.00 or fraction x S3.Q0 x $2.00 x $2.00 . x $5.00 x $5.00 x S1o.0o x $7. 00 x $5.00 x $5.00 $ $ $ S $ S S . $ $ x '$3.00 $ x 51.00 $ x STO.OU $ State Surcharge TOT)►L FEE REINSPECTIOZT FEE ($10.00) $S.OQ $ S2.00 S $ .50 S 8.00 _ Job Address �121 NE ARTHUR. STREET Aepartment o£ 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 all the facts and representations stated in this application are true and correct Fridley, Mn. 5_25�7% , 19 �R JACOB WOJCIAK KIND OF BUILUING 'f rame USED AS res TO SE COMPLETED ABOUT �j-1,-`l `l ESTIMATED COST �-O.00 OLD - NEW BUILDING PERMIT NO. PERMIT NO. �( �L�y� - ` . Company Signed By Tel. No. RWGH INSP. Date , FINAL INSP. ' Date APPROVAL FOR PERMIT �Z'�`�-r- MINIMUM FEE FOR ANY PLUMBING PSRMIT IS $7.50 pLUS $.50 STATE SU�IRGE �!, „A„ SurCha�QA ��° sua�ecT PER City of Fridley _ 16 51 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. i Ly_�� r � � PROTECTIVE INSPECTION SEG ��D� � � � � � r'��1 % CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BV � .��'.I�� .J 612-571-3450 910-F15 4/6/82 � � �oe A�oRess g421 Arthur Street N.E. 1 IEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 19 4 Harris L�C2 EStat2S SHEET 2 PROPERTY OWNER MAIL ADDRESS Z�P PHONE Jocob Wojciak 6421 Arthur Street N.E. 574-9743 3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS Z�P PHONE IICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION O REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK Construct a 16" x 32' In round Pool (460 s uare feet, 16,000 gallons) 9 CHANGE QF USE FROM TO STIPULATIONS See stipulations on letter dated April 4, 1982 �y Environmental Officer. '':, �- "x, ,��p�r� 4• {� Y� �ywr�'� s�~C ^6': �t t�,rf' {�(�� g�,�.p �:�� ur'ze . a`� .J�i"�� i.r �:_5.��; r �:3 ?"t�..�!�ia�1�� i 41i+� iY�fl��.� �nf�� (;j,T;.�;� cai� � j.al uti�iti�s N�n i+ti�a, s�i.��s��a�� `�D �I�a�VS. � L�F��'{l}!Y� � �L��it'i� � �AS E�� . . , . RE��3i�ED BY LAW TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZpNING SQ. FT. CU. FT. AUTNORIZED �S NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOfi A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION �" STAL�S GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF IAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OP WORK WILL BE COMPLIEO $7,g50 $3.92 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $68.50 None STRUCTION OR THE PEFIFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE None $�2•42 IGNA7UAE TRACTORORAUTH � IZ AGENT IDATEI WHE VAL D THIS IS YOUR PERMIT � K6,/ •, � �-ts�j� RE F OWNE IIF OWNER BUILDER IDATEI � BL�G INSP �iPTE CITY Of FRIDLCY Effective Aug. 1, 1981 APPLIC/1TI0'1 FOft RCSIDL"i�TI/l� I3U1L�Ii1G PE(L'�ITS �rr��, Alterations, lldditiflns, or Repairs) ,-�, ' - , � /`' , � ' _ , OblNER: ,�' p,��T �=; �-' ��tr�r� 1�� QUI LDER : n�' �- �. , �J,� ADDRESS: �:`:�.. �'--�/ ��' ADDRCSS: /%�' / i�x� �Y,�Y� � e ,�� w : —7z—�— �/ f�-�—� E+�--�----------ve=, �---m.� TEL n10: __�i %�%G�.3 TEL f�0: ,j��.� � �- y �� '�—" Construction Location - ST]2I�T NO : L�� STItEET: l��i"� � /(� � � LOT: � � BIAQC: _�_ ADAITION: �!'?�;�,�_p�� Corner Lot: Insic3e Lot: � SetbacY.: Sideyards: Ap�licant attach to this form two Certificates of Stirvey of lot and proposed builc3inq locatian drawn on certificates to scale. ,t�b � DESCRIPTIOi� OF COi��STP.UCTIOtJ a� �� ?�°��I' onts� ` De ��' �� Hei ht� P m � G��rl�22� Pth: ,3 g ,� • Square.Feet: Ctibic Feet: . Front: Depth: Height: Squar.e� Fept: (�,ibic I'eet: Type of Cor.structien: � Estimated Cost: $ ��,U`� ' �7 Zb Be 4�r.�pleted: � ' ��_ �/� �� _ Alt. A Alt. 8 Proposed Drive��ay Width If New Openinq Is Desired: $' $ , . SE� I�VER�E SIDE OF SHEET . �iie undersicned hereby maz;e� application for a permit for the �•rork� herein specified, agreeing to do .all w�rk ir, strict accordance ��ith the City of I'ridley OrBinances �nd ruli»g� of the Department of Builc3ings, and hereby declares that all the facts and representatiens stated zn this application are �aeuae and co� ,{t. . --`�.'` � D.1T�: ��'�TT`_ SIGNATUItE: � , � �' Stipulations : Z ,5 � . :,�.�,tis . ,� t �8S� y �;^""ri -� . .. Q �,,r.s.--- � � � f' � . � ., '�� °� 1 � � `� • � ,,�,,�. .,� � : r �-�t r� _ � � �� x �� • � t� �.� ° April 6, �� ' �� :::;: � , 1982 CITY OF FRIDLEY 8431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 55432 Mr. Jacob Wojciak 6421 Arthur Street N.E. Fridley, MN 55432 TELEPHONE ( 612)571-3450 Re: Swinaning Pool Construction at 6421 Arthnr Street N.E., Fridley, MN Dear Mr. Wojciak: This letter is to make clear this departanent's requirements for the sw�aning pool construction at the above address. 1. 2. 3. 4. 5. 6. 7. 8. 9. As indicated, two (2) skimmers approved by the National Sanitation Foundation will be provided. As indicated, four (4) inlets of approved design for fresh and/or repurified water will be provided. As indicated, a main drain of approved construction will be provided. 'I'he filter and pump shall be approved by the N.S.F. and be of sufficient capacity to provide a miniminn turnover of at ieast two (2) times in 24 hours. This department recon¢nends a turnover rate of 6 - 8 hours. A deck of at least three (3) feet wide, measured from the pool waters edge, shall be provided which extends completely around all private residential pools. Above ground private residenti.al pools may be provided with decking of a minimum size of 4 feet by 4 feet at pool entYy points and provided that such decking has the approval of the City. Z'h e diving area will be acceptable provided there is no overhead obs truction . Fencing or other effective means including but no t limited to walls or buildings, acceptable to the City, shall be provided to positively control all access tA public and private residential swimming pools. Fencing shall meet the follaowing 'criteria: (a) The fencing shall prevent the entrance of children and be without hand or foot holds that would enable a person to climb over it. (b) The fencing shall be at least 6£eet high and entrances shall be equipped with self-closing and self-latching gates capable of being locked. (c) 5elf-closing and self-latching devices shall be placed at the top of the gate or othea�rise inaccessible to small children. (d) The opening between the bottom of the fe�nce and the ground or other surfac� sha21 be nat more than four inches. An automatic chlorinator slmuld be provided with a suitable test kit. All electrical and plumbing installations shall be inspected and approved by the Ci ty Inspection Depari�nent. Mr. Jacob Wojciak April 6, 1982 Re: Swi�aing Pool Construction Page 2 10. All overhead electrical lines must be a minii;tum of 10 feet horizontally fro�n the pool surface and 18 feet straight line distance from the waters edge. An alternative is to bury said lines. 11. The pool fill spout must be protected by a vacuum breaker or air-gapped. 12. Suitable safety equipment to include but not limited to a ring buoy and rope that is 1� times the pool diameter, and shepherds crook pole must be provided and maintained with the pool at all times. Furthermore,.these and any other requirements must meet the provisions of the Fridley City Code, Section 115, Swim¢ning Pools. The building permit is approved o�ntingen� on final inspections and approval, by the City. If any questions or problems arise fro� this letter, please feel free to contact me at 571-3450. Sincerely, 5TEVEN J. ON, R.S. E nvi ronmen tal Of f i ce r 5J0/mh CITY OF FRIDLEY • APPLlCATION FOR PWMBING AND GAS F[TTING PEFMIT >+ „ a u x u Flater � � b � � [ � � � N a w �5 Heater .r m b � M �.� a�+ 3 ►a .0 � a d �i P� N a U a n g o� u"�o 3 i Q w° a�i g U a� 3 u � t� i � S 1@C � lst 2nd 3rd 4th (R) � Puture Oonnection Openinq (:onnected wiRh Sewer (�) � ltev Fixture, Old Openlnq Mater PLUMBING FIXTURE RATBS: RATE SCHEDULE N0. NeM Pi:turer • lutur• li:ture• Old Opsniaq, �I�r li:tur• Bswr Dispsnaer eloM Off Baain CaLch Basin Rain Water Laader Nydraulic Valve Susp or Receiving Tank Mater Treating 1lppliance uot Water Heatsr Gas Ranqe Gas Dryes V RATE $ 5.00 g 3.50 S l. 50 S 4.00 g 5. 00 $ 5.00 s 5.00 S 5.00 S 5.00 g 7.00 S 5. 00 $ 10.00 $ 10.00 ALL OTHERS ]1ND/OR RSPAIRS 11ND ALTERATIONS 1• of Valua o! lixtuse or 7lpplianca Reina State Suraharge paction Pee $ __ ($15.00) TOTAL P88 TOTAL S S S $ $ S $ S S S 8 8 S ' a . so S�LL•� . OLt9Ct;vf At1q• l� lytll n Job Addreea 6 y� I ��L.ii��L � Z_ ��r Department of euildinqs City of Fridley Tel. i1571-3450 The undersiqned hereby askes appllcation tor a permit for the wrk herein specified aqreeing to do all work in atrict accordance with the City Codes and rulinqa of the Departnent of Buildings, and Aereby declarea that all the facts and representationa atated in this lict�tion are txve and oorrect FridleYr l4�. , 19�jd� aWI�iBR � `l/V �1%Pr..c1( KIND OP USED !18 ro s8 aoe�rr.eTeo ee«rr 6— 7— s's :t �-,-, -- BSTIM11T8D OOBT 2 3 0, o 0 OLD - llE7i BUILDING PERMIT N0, pgglllT Np, C�� ( C-� i Oo�Pa�Y /h 8lgnad Hy r Tel. t�to. S7�^��1�/ IWUGiI II�P. nate FIN71L INSP. � ' �.�J ' 0 y Dats APPlOdV11L FOR PBRNIT �C�'1.1L � HINIMUM FEE FOR ANY PLUMBING PSRMIT IS $10.00 PLUS THE S.50 STATE SURCHARGS � � �-� �� _� - �, r `� '� ��;: � ; � ��; - .,�� ., �� ;�+ � Apri1 6, ��- '�,:r�'� �'ti M � 1982 CITY OF FRIDLEY 6431 UNIVERSITY AVENUE N.E., FRIDLEY, !NlNNESOTA 55432 TELEPHONE ( 612)571-3450 Mr. Jacob Wojciak 6421 Arthur Street N.E. Fridley, MN 55432 Re : Swinani ng Pool Cons truc tion at 6421 Arthur S treet N. E., Fri dley, MN Dear Mr. Wojciak: This letter is to make clear this department's requiremen�s for the swim�ning pool construction at the above address. 1. 2. 3. 4. 5. 6. 7. 8. 9. As indicated, two (2) skimmers approved by the National Sanitation Foundation will be provided. As indicated, four (4) inlets "of approved design for fresh and/or repurified water will be provided. As indicated, a main drain of approved construction will be provided. The filter and pump shall be approved by the N.S.F. and be of sufficient capacity to provide a minim�tt turnover of at ieast two (2) times in 24 hours. This department recoimnends a turnover rate of 6 - 8 hours. A deck of at least three (3) feet wide, measured fram the pool waters edge, shall be provided which extends campletely around all private residential pools. Above ground private residential pools may be provided with decking of a minimum size of 4 feet by 4 feet at pool entzy points and provided that such decking has the appraval of the City. The diving area will be acceptable provided there is no overhead obstruction. Fencing or other effective means including but not limited to walls or buildings, acceptable to the City, shall be provided to positively control all access to public and private residential swimming pools. Fencing shall meet the following`criteria: (a) The fencing shall prevent the entrance of children and be without hand or foot holds that would enable a person to climb over it. (b) The fencing shall be at least 6 feet high and entrances shal]. be equipped with self-closing and self-latching gates capable of being locked. (c) Self-closing and self-latching devices shall be placed at the top of the gate or otherwise inaccessible to small children. (d) The opening between the bottom of the fence and the ground or other surface shall be not more than four inches. An automatic chlorinator should be provided with a suitable test kit. Al1 electrical and plumbing installations shall be inspected and approved by the City Inspection Departlnent. , ' Mr. Jacob Wojciak ,�� April 6, 1982 �: Swi�irig Pool Construction 0 Page 2 10. All overhead electrical lines must be a mini.r,ium of 10 feet horizontally fro�n the pool surface and 18 feet straight line distance from the waters edge. An alternative is to bury said lines. 11. The pool fill spout must be protected by a vacuiun breaker or air-gapped. 12. Suitable safety equipment tA include but not limited to a ring buoy and rope that is 1� ti.mes the pool diameter, and shepherds crook pole must be provided and maintained with the pool at all times. Furthermore, these and any other requiremen ts must meet the provisions of the Fridley City Code, Section 115, S�ai.�ning Pools. The buil ding permit is approved contingent on final inspections and approval by the City. If any ques tions or problems arise from this letter, please feel free to contact me at 571-3450. Sincerely, � � STEVEN J. OISON, R.S. Environmental Officer SJO/mh sue�ecT .-Efi1Vf1T NO. c�ty of Fr�a�ey ;� ,� , � �^! � 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. r �,.-------, asg� � � PROTECTIVE INSPECTION SEC. � � � � �____ � �/"'1,'; CITY HALL FRIDLE� 55432 NUMBER REV DATE P�GE UF AvPROVEO Bv J` b12-571-3450 910-F15 6J10/96 / / JOB ADDRESS 6421 Arthur Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1(� 4 Harris Lake Estates SMEET 2 PROPERTY OWNEF MAIL ADDRESS IIP PHONE �� Mike Papillon 6421 Arthur Street NE 574-9717 3 CONTRACTOR MAIL ADDRES$ Z�P PHONE UCENSE NO. Same d AFCHITECT OR DESIGNEFi MAI� ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK C) NEW 0 ADDITION ❑ ALTERATION _O REPAIR O MOVE ❑ AEMOVE X 6 DESCRIBE WORK Remove existin deck• Construct an 18' x 14' Deck � 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. �� B�bre digging call for afl utiliry locations � 4�4•OOQ2 RE�UIRED BY� LAW TYPE Of CONST. OCCUPANCV GROUP OCCUPANCV LOAD SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOIO IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAVS, OFi IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONE� FOR A PERIOD OF 120 DAYS AT ANV TIME AFTER WORK IS COMMENCED. NO. OWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE REAO AND EXAMINED THIS APPLICATION 1 STA��S GARAGES ANO KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF �AWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WOiiK WILI BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING Of A PERMIT �L,234 �1.12 DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pERM1TFEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION �%�I.7S Fire SC �L. Z�F •- PLAN CHECK FEE T L FEE $78.11 �GNA7URE OF CON � RA , R O AUTH0�711ED AGEN� 1 TEI P{�O Y VAL DA D THIS IS Y R PER/M�IT �i�U ♦ Y SiGNATUREOFOWNEA��FO�NNEROUILDEAi �OATE� (� � P f�pTE NEW ADDN ALTER C] �� [l CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Effective 3/1/96 �a �� ConstructionAddress: (� ��"��" 1 !� �'Y� ��, 7v � Legal Description: Owner Name & Address: .�L7 �� e_ �,4 Pl �- �c9� Tel. #�7 y cj %� 7 Contractor: � o „� cs. (�✓' a ,� (C /ri�,,�, � �^� MN LICENSE # Address: 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. DESCRIPTION OF IlVIPROVEMENT Length Length � Tel. # Width Height Width � Height Width � Hgt/Ground � Sq. Ft. Sq. Ft. Sq. Ft. _�� S� �% -��s 2 y Corner Lot [] Inside Lot [� Ft. Yd Setback Side Yard Setbacks Type of Construction: G</ o a D Fstimated Cost: $ /Sd �� 23� Z y Approx. Completion Date: J�� 3 p K�� _ (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = x$ _$ DATE: ,J� / O . � ApPLICANT: Tel. # S ? r �/ % / 7 � � 7� �0 8�3 Cw � CITY USE ONLY Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ � %� � �,2 �_ I, / Z $ $ $ $ $ $ $ � � Fee Schedule on Reverse Side .001 of Permit Valuation (l/lOth%) $.50I$1,000 Valuation $900 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 [ ] `�: 7 � T C.�t �C UZ_LUC/ , : _ LPwd 1►ltrwniR� ��[��R.vjl 0�75 N�y6waY1�,6,�T!I�{� �` ., . :tdal�lurwrlsM �� • �/ Mlde.w��,r �.{ �.: . .. -soti; t�sliny (!�ll�GllPe.�d.�fil2�-'� eY'�('� Minn SS4i? ' = F ' . �.. A : ..' : CiVit E+hie��Onp i�l�piqnt 7i4 pO�Ii� �„._R �r�i�i ��t�...c�,9 . Engin�ers & Surveyvrs �:ea �+�ir�bf� , . - - r •, �r �a� •. Y ;� y Mortgage lGoa�n, Survey �or ROTTLUND�� . VQ;, _ w�� .� : � .. _ �:;: . _ �; � .� � � . ti' � l35, h� � n r ,`T,V { IV �� GaR4GF a � . � � � I ,o � ^ �t i { � � � � ,, ' .. ,,y n ExiSTrN�, ``' E � , �� ' i � �asEMFNr .� ,� � . � �„�1��.r� ~;� f ;, ! . l;�i.� I t � , ,-7 i ;�� fl � i ��,' - • , r�-! �� 135.Dt� . � . : � � . �� 'J_ . . � � � - . • . . . _3:- . . .. . _�.T.::"r.�i _.{,,� i� . . � � . ' .�j•� .. ' • � " . . . . y� ,`i .� �.. , 1 `. . . . . . . . - .:��.: rv/�. • . . .. , { e�' r��: k .. �, i.F.�;.wi�i.;{�- !i' . . .� w .- ::�,. C:Y.t : . . � `�1}�;;�:b� •+' � � � � . . ' . �� . . . � � . ,_: t '�`�. . . . . . _ - . . •`3 �::x;; '�'. . . . � . . : `'�•"f, % . . . .. . ' . ' _ " ..'•,�y.'r , :.� . . . - . . � . . . .L:�1� •!•.�' . .. • ��1 1 ,. k • hyv H, � 1 OT � � . �� k� . � i�..O� � � *` = Yw. � �., , . , . ;x �; r�� f ,A! , ., . . - .��« �� - , ...� � �-. . �§R �ie�'r..e•� � � � t . . . . i �'��,.�� :i . _ � A� (' � `- '� , ��.�� . Ti►is h• 1►ti�`en� so�r�ct ��rh,N�i+.,rl'��-sii�vh!•N4fie ��.hi 91•Nw.tewd�,iflri{�fi;�l�, • �; M�eeN.►w. ii aU buiNr^!� t� +Mri �h��w,' b�i olf:itstbl�"+ocrri�hw�nth N�!yr f�►e+ r: �I',►i�fd- ti, ; wui� � le;:ten��lr+► .with .�I �►t�/�.l�eii �w�w 1�tiwj.,pli��t ;M MM �tr rwi/ 1q► li�i�; �� Me11dK. �f Wcl� isM/if�f�. M', !Mr ��i �w1Mr�f st�Yit�� i�r. b� fNSM !E i�Klr wNr r� � . f an�► ��N.�.� �a � ..iw.�iA1: Jr: 1►e.K I.se�il 4�+M .�w•i�+f � �:�.�,it�1wM�_ 1�� #i�:} Ari�. ' ' a�w..s.+� • � r .��,A;bf,1� � . -'w . .'' . , . �. : �.. � ' { �,� �� / =:,` � � �s1�l�tit�riN ��NOINRRRiN�,�JN�::��,�u' �: t '�i� .r..�.. �M�lr,7 r : ., f� �!!/ , ��:� . .� �� , � .� �`'. �� J�',� y �� . r � .,.........�...,. �..:.�;..,..:w • ' ' y ,. �*: . ��, k..x ,._ - , .F' � .'A�' .n�- ��t�sigr� Works (R}, E�nox L�nnher, # 212 Little Car��:��, �� Wed �ay B2 21:07:12 1996 "Clie Qnaterials in tlhis deck will cost $1037.46 3D V�ew \ A 1 . '> �. � � :_e_k. �-�C �� `l �� j �J C � � _ � �f�c? r- ` t � .0 �C_ ��-r.�',.t � � � � � , , , ,1�,'�" .�1� �� G1� � :,,. ._ . ,� �� :.�1�. � xc� x � J� ; � r�, •� 1��,,-, �-.� A-1-}� � L-�E }� �u s� h�� (�� - �� t � � s s� � � Sr' S� X I S TZ'� �-' �� J i �sl�� C�rP (� �� ,� � ,� . J x lU �<��+ _,r s�dC J ",s(� c, � : cii J� c< : �Gv� �i ..�. :.1.-� �- i.' j / � ��. X �%'fL ._�l ' "� �(� �t S ,5� � �: � � �> -rz �� -� �,�: ;_ � � ��f�c�"x `f�.�.< �v.�„� Q �`1�..� ,� , �—� j � S /�c'ic.c;,�(i ----�---t---- - ---�1 �/ < �� ,s� % - ----, g v� .: �Ll �? r � 4�{.�r�� ►?e�-� L ��,1 -, �i �S ��d�9� ,��.5� 3 <, ,� �� % r�w � U� .�a�°��r��r��w .. . . . . . .. . . . . SEE YO�JR SALESPERSON FOR A CONSTRUCTION DETAIL �SHfET BEFORE V4U BEGIN 1F'C�UR PR�JECT. 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N� �) CITY OF FRIDIEY Effeetive 4/1/2004 ADDN [] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALT�R [ I SING4.E FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-7287 Fax BUtLDING PERMIT APPLICATION Construction Address: �� i tYU(-1�Y� ��- ,�� Legat Description: . Owner Name & Address: ContraCtor. Addr�ss: ��w� BY �ERSEN 1920 COITNTY ROAD "C" WEST ROSEVII,LE, MN 55113 LMNG AREA: GARAGE AREA: DECK AREA: onaER: ( Tel. # ��03 � �� %� MN LICENSE#_ ��I3OQ��J Tel.# �pSI_��ry�� cate of Survey of the � drar+vn on it to scale. DESCRIPTION OF IMPROVEMEN7 Length � W�� Height Sq. Ft Length Widti� Hei�ht Sq. F�. Length �_ �dth HgUGround T Sq. Ft. —�1 "� T� i Construction Type: Estimated Cost: $ �� priveway Curb Cut Width Neaded: t+ 6 Ft = Ft x$ _$ DATE: D� �Lrti� b S qpPlICANT Tel. #��- 3� J�� (�v1 � Call (763) 572-3604 for Permit Fees if mairng in application. F�x to 763-57'1-7287 iF using cl'edit cerd and 1Ne 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 TOTAL CIIY USE ONLY - � �� T� aJy Fee Schedul� on R�verse Side � 65% of Permit Fee $ �'. O O .001 of Permit Valuation (1/90th°1o) $ �i. 52� � $,50/$1,000 Valuation � $ $1350 per SAC Unit S S, d C� $5.00 (State Licensed Residenfial Contractors) $ AI�. "A" or Alt. "B" Above $ $450.00 Conservation Plan Review $ Fee Determined by Engineering $ Agreement Necessary [ ] Not Necessary [ ] $ � � STIPULATI N : a �uilding inspectians �s�-s7z-36oa. SITE ADDRESS �J THIS APPLICANT IS: i'R07�ERTY O'WNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLIC:4TTON PRO�'ERTY TYPL PERMI'I' TYPE �rE oF woRx: BTJILDIivG RESIDENTIAL APPLICATIOI�I CITY OF FRII�LEY ❑ OWNER l��1� . � 7'�/ �" AUDRESS �� Permit No�l�D` �� Received By: Date Rec'd: Zo 1 , Q� r STATE ZIP rr.aME:_ RENEW,AL BY ANDERSEN . STATE I; 1920 COUNTY RD. "C" W. �D�� ROSEVILLE, MN 55113 crrx s�ra�_z� Pxorrs - 651-264-4777 o �o F. LICENSE #20130983 A,�� ❑ BASEMENT FINISFi ❑ DECK u >ESCx�E woxx BEn1G IZE OF UMBER OF SQUARES 'ARAGES E�OPOSED SIZE: �OPOSED TiEIGHT: �ING i v;r,yt ' Aluminum Otlier �nmows f EXISTING OPENINGS DYes pNo 2 FOR NEW OPENINGS-DESCRIBE SIZE OF 'ENING CHANGES & " ❑ ROOF ❑ DRAII�I TILE ❑ SIDING ❑ OTFIER o sw��•rG rooi LENGTH _ ❑ HOUSE OTiLY O HOUSE 8c GARAGE 0 ATTACFIED GAR.AGE ❑ DETACf�D GARAGE oso�c ❑ Trim ❑ Fascia IACATION OF WINDOWS iI'E OF WIIdDOVJ TO BE INSTAL,LED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION INCLUDING THE COST OF ] TOTAL JOB V ;rmic r ee an Review �rcharge re Surcharge cense Surcharge LC Chazge �rb Cut Escrow asion Control rk Fee wer Main Charge ta! Due � T_ (CTSI�TG ^HE 19�7 U.B.0 FEE SCHEDULE) � B�1,SEMENT REMODELWG SUBMiT• � 1. P.xisting Floor Plan . 2. Proposed 800r plan 3. List of shvcuual membas to be used FOR NEW CONSTRUCTION 1NCLUDINQ DECKS, ADDTTIONS 8c POR c S� 1Rtum'• 1. Site Pian/Stuvey showing the existing shvctures and proposed project. � a. 'It+vo s�.c of oonS�h„a6on plans 3. Energy Catculatio� AND ----- ■ �v i . va.�.vJ[.[it�a,.1 � � 1 IXl�i - $ � 3R • Z See Back Page for Fee 5chedule $ 6�°/a of Building Permit Fee� • $ 2 (.0005) iinies the total job valuation — Minimum $.50 $ .001 x Permit Valuation (1/10%j _ $ �.00� $5.00 (State Licensed Residential Contractors) $ $1450 per SAC Unit (Plans to MWCC for determination) $ ft+6$= ftx$20=$ $ $450 Conservation Plan Review $ Fee Detenmined by Engi.neering $ Agreement necessary ( } Non Necessary ( ) �S 3• � Make checks pavable to: City of Fridtey Attach THIS TS AN APPLICATTON FOR A PERNIIT-NOT VALID UNTIL PROCFSSED ereby apply for a buildmg permit and I aclmowledge that the information above is complete and accin-ate; that the work will be in iformance with the ordinances d codes of the City of Fridley and with the Minnesota. Construction Codes; that I understand this is not a mit but only an application o a permit an rk is not to start without a permit; that the work will be in accordance with the approved , n in the case of all work whi eq�i,r�s rev��and approval o�plans. �� —, . I NATURE OP APPLICANT �3uilding Inspections 763-572-3604 763-502-4977 FAX BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY EFFECTIVE 1-1-08 DATE YOUR E-MA1L ADDRESS SITE ADDRESS i,� LIT 1 ,I�4_ �- ✓� S� �_LF � THIS APPLICANT IS: ❑ OWNER �ONTRACTOR n PROPERTY OWNER/ I NAME: %1'1. TENANT �.,...,,, t , CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE PROPERTY TYPE PERMIT TYPE TYPE OF WORK: ADDRESS: PHONE � e�� . tO ��b / ,, 2, �/� - STATE LICENSE # 2 G 2�� SINGLE FAMILYMEW CONSTRUCTION ❑ TWO FAMILY/NEW CONSTRUCTION Permit No.: �� -.- -. : .1� � �.,�� ' -' . � � � • � • � t � ■�� CITY � t STATE�ZIP, FAX EXP DATE — I � Q SIZE ❑ BASEMENT FMISH �OOF ❑ DRAIN TILE ❑ DECK ❑ SIDiNG ❑ OTHER O SWIMMING POOL D NEW HOME CONSTRUCTION O ADDITION ❑ MAINTENANCE/REPAIR O REMODELtNG DESCRBE wORK BEING DONE: -�'�� ✓ d SIZE OF IMPROVEMENT ROOFING NUMBER OF SQUARES � GARAGES PROPOSED SIZE: PROPOSED HEIGHT: SIDING ❑ V'snyl ❑ Aluminum ❑ Other � HOUSE ONLY ❑ HOUSE & GARAGE ❑ ATTACHED GARAGE ❑ DETACHED GARAGE HEIGHT ATF�_ZIP � 01 b 2 BASEMENT REMODELING SUBMIT• 1. Existing Floor Plan 2. Proposed floor plan 3. List of swctural members to be used FOR NEW CONSTRUCTION INCLUDING DECKS, ❑Soffit ADDTT(ONS. & PORCHES SUBMIT: ❑ Trim 1. Site Plan/Survey showing the existing structures ❑ Fascia and proposed project. 2. Two sets of construction plans WINDOWS 3. Energy Calculat�ons IN EXISTTNG OPENINGS ❑Yes ONo IACATTON OF WINDOWS OR FOR NEW OPENINGS-DESCRIBE SIZE OF OPENING CHANGES & . TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: � I�VG THE 1997 UBC FEE SCHEDULE) � TOTAL JOB VALUATION $ � OCCUPANCY TYPE Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due $ �(•a'� _ $ $ $ $ .O $ $ $ $ $ $ n: See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $1825 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$21=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( Make checks aavable to: City of Fridley THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED Attach I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be +n conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that 1 understand this is not a permit but only an application for a permit and work is not to start without a permit on site; that the work will be in accordance with the app� ved plan in the case of all work which requi s review nd proval of plans. SIGNATURE OF APPLICANT ��j�- "-�"7� PRINT NAME ��• �I ,I' U'O �S�t 1�('� DATE �'�-Og r�I% APPROVED BY DATE