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AF - 36511f ��'� /r City of Fridley, Minn. 6431 University Ave. N. E., Minneapolis, Minn. 55432 BUILDING PERMIT Date: December 22, 1972 : - � � � �11848 p��; Richard Miller Homes Builder _.._Same __ _�__ _........._V.___.__ Address 1600_.$ice. C�reek Road N.Et�.,�.._. Address _.__Same �.______�.._.__...__.-.----.-------- LOCATION OF BUILDING No 6145 Street _..�Briardale _Court N.E. _ _ part of Lot Lot 6 Block __._.�..��.._._.....__. Addition or Sub-Division .__����dalg_.�,..ddition ______ Corner Lot .� _ Inside Lot �_?� .._.---� Setback _..--••-_35-�-----•-----_ Sideyard __._l� �_. §� 6 � _._...._..__._. ,�e�i�sfeF/Elevatian ______._._�.Q9_�_4.�__._____......_...._..`.___ H�ciui�I�l�6ii��a�iFi�i .._._ 912 .45._,Nlinimum _. �_. _.�,� �elve Ton of FootinQ DESCRIPTION OF BUILDING To be vsea as: Dwellix�g _,... Front 42 �---• Depth 23 � 6" Height ._ZO' _.__ Sq. Ft. 1031'� �. Ft 20� 268 �.6ar.�g�e. .�.._._ Front ._..19 �_.._ Depth � Height .---._1.Q'.__ Sq. Ft. .....4.1$'_--_ Cu. Ft 4.3.a..$.Q'. Type of Construction __W o o d.._F r am:e....�._.. Est. Cost ...� � 4.a 6 � 3-.-.--.--_-----.------. To be Completed ---_ Mayy_._19 7 3_____ 1 '�tipulations ; Provide a verifying survey before capping. Provide a hard surface driveway. Maintain 5' & 10' sideyards at right angles from lot lines. $406.50 storm sewer esc�row needed when water meter is taken out. WATER LOCATION: 10' South of Sewer Service. SEWER LOCATION: 12' North of manhole (Inv. 909.52) In consideration of the issuance to me of a permit to construct 'the building described above, I agree to do 'ihe proposed work in accordance with the description above set forth and in compliance with all provisions oP Orclinances of the city of Fridiey. � ` ,�i.��.�.� �L's�_,C���'f/� 12.34 State Surcharge $ , permit is hereby granted to..�i�h�rd Miller Homes In consideration of the payment of a fee o# _.. •-__.__._.__..._.__._..._._.......__ to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all wox'k done m, around and upon said building, or any part thereof, shall conform in all respects •to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildillgs yyithin the city limits and this permit may be revoked a t any time upon violation of any of the provisions of said ordinances. � _ � �� �_� fi�� � � = "` ------ Building Inspector naRR�• CT.ARK N0710E: This permit doss nof cover the construction, installafion for wiring, plumbing, gas heating, sewar o� water. Be sur� to sN ti;s Building Inspector for aeparate parmits for thase items. � la�d Plnnnin9 . tund Su�+r��ll^o 5��1� T�sr�n� c���� En��rv��.�na � h44nicipol En�ineerihp ��lf"/� t("IlI � ealS Mi�bwoy Ne. �S �I. E. Mi�n�epol�►, f �i/� ii�����'rrit/� , .(fi�. M,�� s�.3� v I v T•I�'Aw�• 7t1-e0�6 En�ine�r� dc Surveyors "••° c•�' �}� C' �,(f / r// L �,.'~.' �7 v/�/G'S Certificate o! Survey for i� U, k ���� �—, ��'��E`_ � ��� / �:�., �- � A � � c% /0 � ,/ �' � \ �� � ; � ,�- �. ' � � o�,,'\ l+ '�:-' w-_ �� , i � �� ,� '���� ..�.,. � � � . . . �%�� � NOR-jH �d c� � ,�C ��. � ��.� �^��', .:, ,. _ E- � �$ l ��� _T_ s � ,•l � s �� � � i r � n h ' i �:; � ~ �� r -� _ �.� ' � � l � � �� I � � � � �s �� ��� �r N 36.G0 � N •t M p� � 3 I DALE � ° V1no�K �ron rn�um�n� AnOk4 1�0U11Ty - -----��no�t� �ro►na� t U�i���y E.a��me��� ` I M��by c�Hily IF�e� 1Ai� i. a �ru� ow� corrtct r�pr���n►atie� e{ e•urver o/ tY�� be�niotisi •l tM dis��� IJ��c.ib�r�l lond, ow11 N�M• I�c�tiM �i wll bv�liin �� ►h�.�gn, ond vll vi�ibl• •ncroock�ntnts, if •�Y, �r�w� M�w t�id Iand A• tu►r�yrr br Mt fl�ii i�y o{ cc a:./ A.D. 1V71. i � n � �+ch �O � t4� '�ry�r�IQ• �— : l SU�URtAN ENt3tNEERING, tNC. tn��n.•rs sviv.y..s by�� �� ��- _ - Y�-� �� ���.�.�--.5? ��--�'`_r ��:c�: , �� ��''z t�.��,►�, `°G.�,T � v.eJ ,/�2� �, �� /� �y, c.��v, 90 9 �� � �v � �. � � � v. — 9� � ys - 90 �- s � �o � — 9 � �. y5 (� � � o-r � 01= �a�-r ►►v l�i��ru� o� y 5 � �� ; �2 �OG � T/ v� J O I � n 0 � �- �S £ �t1 �. � ti? � �'' V I C �G- �� �2 / � `/ ...e � y � p D7 u 560-3b50 '��-� ' � (�c't o �`Ni�Cec ��_�, � � a�� � :1=��,=�°;� , � _I �_ ��:� � � J II� 6431 UNIVERSITY AVENUE NE � � J� TO WHOM IT�MAY CONCERN: ANOKA COUNTY December'�, I972 FRIDLEY, MINNESOTA 55421 Whereas the City of,�Fridley has issued a building permit to construct a structure at �/�/� ,(y�',(c����l'��C� �!P-t,c,'� Whereas the permit is dated prior to January 1, 1973 and the City of Fridley did not collect or receive any "Service Availability Charge". Therefore if for any reason the Metropolitan Council and or the rSetropo?itan Sewer Board assess or bill the City of Fridley a Service Availability Char�a for this structure or sewer hook up, we the undersigned agree to and will pay the City of Fridley for said charges. /=' � � � , � "�. � (/ S ignat�..u{e ��'�. ,> �� �-� �� d/ ii7 � . � r� Witness 0 " Company / � / T tle - City of Fridley r �T jll[ Tp� Of TME TMIINS � ; � � 1„�ar����—� 60YMVNITY OEV[IOPMEMT DIV.' �. ' 1 i �ItOrECTtYE N3PECTION D<PT. � � � �.�. � CiT1f NAI.L �RID�L� SOA2 �..«�: �,� e!='if0'SISO MIa+SER Builder Address 0 � BUILDING PERMIT FEE CALCULATION pEV �DATE Total Fee � Permit Fee � = Iength x width x((number of floors, includ. bsmt. x 8) + 4) x$1.85 Res./lOQO $2.15 Comm./1000 �/ . . �- �. �. $ �- , '/7 X �Ll�c l �t �c z2 Plan Check Fee = Permit Fee /2 /2 �� X o� �T`'��X. , "' C_: .��� 0 Valuation �� r ,d,.,J� b = length x width x average cost per square foot (taken from chart) Do separateiy for basement, each above grade floo� and�gara� e p� accessory building. rr, fl ; 7 7 � ���`.��;� � ( 3�/,� D =_�� �— X 1 � � 3 . .� � x x X X X (No. of above grade floors) Surtax I Z. = Valuation x $.SO/$1000.00 . x $.SO/$1,000.00 � � APP��C�TIQ� �QR RE�I���TTA�. A�T�R�TI�N, Q� �DA�TiO� ��ILDING P�RMT� �ITX OF �RIA��Y� MINN�sOT� OWNER'8 NAMEt BUILDERr IeicN4lZp M�LL� N0�1�� � � annx�ss: �,ao►�ss: icQOO K«e c�Er� ,��o F����cY �Q.*� (.(� jT'� ..g�'�i 1J2�Q��i�C� �CJ��r`� LaT: � BLOCI�; 5 AAA�TION� k3(Zi/� �DQi-E. �GQ�tNER LOT : �N$ �E LOT .,_ '�C , , S $TBACK g �5 � S I DEY�RD : !D i �o � + ��i,�t �#�c� ����ra�,,,ia Certificatea �f SuxvEY of Lot a�d propp�ed �tti�.��g �acati.otl dr� Qa �se Certificates. ���CR�PTION OF �UILDING Q'�a �e t3s�d A€, : i D�n.+:°_I I i n �#� 2-` De�+� : 2 3= l. Aei�ttt : "L � Squaze �'s8����,"��S Cubia F�eC: 1��=="�� . , ' G�-t-�,s}L�E Fraat * /� Depth ; ZZ' Hei�ht • lC�'i , , �qua��a �'eet; 4-18 Cubic Feet: 9-( g0 � �y#� °f �oA� truc�ioA# �iC'A 1�`l t= Es tisated Cos t: $�3�,� (�� � �c� � �vapi+q�+��i= „ `' - ( - 7 �� �et usd�xsigx►ed hereby a�akes ap�licatirnt for, a pe�ai.t for th� wo�k b+arei� �ge�i�ied, agxeein� tt� do a�l �tC►s'� in sttict accoxdance with the G�.ty of F�t��.�' �x'd�.�ances �nd ruli�,gs a�E �he Departnten� Qf Bu��din�e, � i�ereby ��ax+e� �,� a�l the� ��tcta as�d ���resentatione s�ated ��his appli.catian a�� �z'ue a�d cv�rect,� . �aA'7,"�i; � �-. - / � - 7 _"" $�VNATUR� i �C,�„_.._t(^,,.�,,.�- _;c.'1R� ���..."-... � • �. ��+� �t�ve�es S�d� Fo� �dd���.anal Inios�ation.) ; � ; ; ;, ' � � �`' . � � ; ; / /�; /i , �.- � , G 1 � : , � �,. �..� c ! ) � �' r . � � BUI�AIN� P�RMIT F�� S�H��ll�E S�C���� �. The Inepecto� pf auildin$s s�al�, befox� �asui�g permi�� for the ��g���on of any bu�lding p� s�ructure, oz for any addition to any �zcisting ����dimg ox stxuGture, ox fo� any alteration or repairs to any ex��ting �;�ir���� or stxuct�re, upon appli�ation therefore, require the Pgymen� �y �hs a�.;�lic�t fp� such pex�n�t o� �ees Co the amount herein below set �pr�� ��d �n �in� manr�ex h�xei� p�ovi�led �a-wi.z: UNiFORM BU�LIIING CODEt 7.'ype 1�, 2& 4� $2.15 �or each ane khousatrtd cubic ,�eeC, py� f�action the7cea�, in su+ck� cubical con�ents. Type 3& 5=$�.,85 �o7c �ac.h �na ti�oussnd c�hj.c feet„ ��p�T�ONAL �NFO�MAT�ON Fo� the �uxgvse of ramputing �ees for building pennits, the cubical contents of any building or addition, i8 detsrmined by muitiplyi�ng the g;round area �ave�eci ��om a poi�th s�x �(4) inches below the floor line of the basement p� �e C��lar to the average heights of the upper surface or to the avera�e� �i�t �f �he xoo� �,t�face o� the main gable pf a piCched xoo�, ��i.rs ox al��xations fio an existin� srn�ctuz�e, the f�e shal� be a��. the �ate o� $3,flfl �e� eat+�h five h�dred dollars {$500.Q4) or fraction thexso� in t,i�� co�� a� all pTc��sed wo�'k. ��n catae shaitl t}�e ��e ��d fox �y pez'atit as set fo��h �i.n S��tit�n 2 be l,QSS ti��n $� . 4tl. w V�R����ATiQN �F ��1UNDA'iION D�?�s YeTcnits �ox �cs�st�u�t�on wil7, be �.ssued a t+�ini.mu,m of �4 hours ��atp �he ��S o� application, �a a��cyw �ax Praper �eview of �he p7ropos�d a�ru�t�,xe �d �� t�e �struGtion �i�e. ` � CE���,�i�� �u74�ey v� �he ip�, �ar�it►$ t�e �,oeat�.a�t Qf �h� �aundatiact, ��e �� }�� �,� �o�.s�t�d�, wii� ba �rec�u�.red before proceedin� w�th �h� fr�ni�g, C]�RT�FI�A�'� QF QC�i�PAN�Y �.�►�li�,��ic�� �Qx a��x�i�3.c�� �r� Q�cupancy shal� bs made �e�n (1Q) d�ay� �xiox �o �h� �tse px r�c�up���r o� ,axcy at�.cture fax which a bui.�d�.n� pernnifi has beer� isst�ec�; �d s��d s���tu]ce i�hal� �at be used a� occup3ed until a�exkificate af Op�up�cy h�� beer� �.seued„ Applicotion for Pow�r Ptan�s and HeaHng. Cooling. Yenh'lation. Ref�iq�rafion and Air Conditioning S�st�ns and De�ric�s PARTIAL RATE SCF-IEDULE GRAY*'1'Y WARM AIR: E�►T*' TOT�l.I. Furnace ShelI & Duct Work . . . . . . . . . . . . . . . . . . . . . . . . . a10.00 � Replacement of F�rnace ............................. 6.00 : Repairs & Alterations—up to a500.00 . . . . . . . . . . . . . . . 6.00 � --- Repairs dc Alterations each add. �500.00 . . . . . . . . . . . . . . . 3.00 � ![ECH. WARM AIR Furnace Shell dc Durt Work to iZ0,000 BTU . . . . . . . . . . . .a10.00 s 10•Q� each edd. 80,000 $TU ....................... 3.W i RepIacement oi �rnace .........................._.. 6.00 $ Repairs d� Alterations—ug to �500.00 . . . . . . . . . . . . . . . . . 6.00 � Repairs & Alterations each add. ;500.00 . . . . . . . . . . . . . . 3.00 ; STEAM or HOT WATER SY81'EM F�rnace Shell & Lines—to 400 sq. !t. EDR Steam ... .$2Q.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water .. 10.00 � Each add. 20Q aq. tt. EDR. Steam . . . . . . . . : . . . . . . 3.0(1 �--- Each add. 320 sq. ft. EDIi Hot Water . . . . . . . . . . . . 3.00 � OIL BIIRNER—to 3 gal. per hour . . . . . . . . . . . . . . . 6.00 � over 3 gal. per hour�ee Fee Schedule GAS BIIRliER (up to 199,000 BTiA . . . . . . . . . . . . . '. . . . . . . . 6.0a ; 5. 00 over 199,000 BT[7 8ee Fe� Sch�dul� GAS FITTING FEEB: It0 RATE TOTAL lst 3 Fixtures . . . . . . . . . . . . . . ... . . . zi 200 � 2.00 AddiUonal Fiatttres . ............... z .7b ; Gas Range to 199,000 ...... zi �00 i AIR COlEDITiOlfIlfG FAN HEATING SYSTEI�E VENTILATIl�G SYSTEUI 11LTERATIONB t AEPAlAB ROU(3H �F�Ii.�rI. i "� � n l � S�e ' F« SeL�dnt� � .50 SURCHGE roT�►r. � � 17.50 . ,�\�. � � Dspt. of Bldy�. Phon� 5�0-3430 Loc.lfon 61.1i5 BI`i9.Y'dSlA C011Y't �� � City of Fridley: The undersigned hereby makes appIication for a permit for the work hereir. specified, agreeing to do all work in strict accordance with the Gity fhdinance: and raling of the Department of BuiIdings, and hereby declares that aIl the facts and representations stated in this application are true and rnrrect. �ic�tey, Nrinn- July 31 � , i�73- Owner Richard Miller em�,g . Kind oi Building frAMe Use�i as resiAen -i 1 _ To be completed about 8/30/73 Estimacea cost, g 1.500.00 Old—New. Building Permit No. Permit No. �.�r� •/� DffiCAIPTION OF WORI� HEATING or FOWEB PLANTS�team, Hot Water� Warm Air—No 1 Trade Name �STINGHOUSE Size No F(',jjR_l �� Capacity 110�000 Sq, 1+'t. E.D.R BTU H.P. Total connected Loa�1 60. 0l0 Rind oi lwe, Gas BURNER — Trade Name S�1N'IE AS ABOVE Siu No CapacitY &1. !'t. E.D R- BTU 8P. COPY OF HAT LOSS ATTACHED. SAIESMAN: John Borry (REMARKS-OYE�) i� �3 �y� 9 S �s FRED voGT � c�n, HEATING & AIR CONDITIONIN6 FRED V�� �'� �� �� A�` � 929-6767 HEA?ING d� AIR CONDITIONING ���' M��M"a 5sazs xii0 GehM Aw. • 919-6767 �L �� M. Mi�o1� 3i416 ! �" � ." -w�_�.....,._. ...a.,r.. i� _. . .. , "�_ � . , � .� �i � OS3 CA1,CtJt.ATIQNS �._.. ,_,._,�...�. _._.._. � Weatherstrips A.S.H.V. , Conatruction N� Guide Windowa I Doors Refcrence Out. Wall Int. Wall Ceiling Yes—No Yes—No 19_ / Fl•� ff - �_ ... ; : Room Length � Width . " Height . •Windows and Doors—Crackage and Area \Yldth Helght No. oI Lineal tt. Area � No. ot pane ot Dane 1lghta ot crack �Q. ft. � � % ` � c_ �� � r . �r ' F j� . Coef. Btu Infiltration _ � ,�•.- ,, ..� �. Glass 7. � .- u FJ(P.Wd�I _.- ' ."r_,,�,,. �, • Net exp. wall � • Int. wall Ceiling - . � , . � �' �,,- � ,, _ Floor Total Btu. ' ;; ;. .-- � Required sq. ft. E.D.R. or sq. ins. W.A. Leader area l F1.� c`i;',;�f�. ;% Room� Length /__ Wid►h.!,.i--. H�►ght - Windows and Doors----Cracicage and Area Wldth Hef�At No. o[ Lineal !t. Are• No. ot pane af yane Ifsht� of crack w. tt. �° ". _. , . _�: �, �.: '� _._ !% n Coef. Btu Jn6ltratioa � - ;-, ,�_� Glass �tp. wall i ,� f �," . Net eap. wall � _ � _,. Int. wall Ceiling --.- ° - , /i �' :. '� Y . Floor Total Btu. � ,� Required sq. ft. E.D.R. or sq. ina. W.A. Leader area % ' Fl• : �; Room � Length ; ; Width ,� ,i Height ; Windowa and Doors—Crackage and Area �� Wldth HsiPAt No. ot Llneal ft. Area . Flo. ot pana ot pane Ifsht� ot crack ■p. tt. �" " . � . . _. . , _ _ Coef. Btu In6ltration �$03 ,�,: " r ,r�. �p. wall e • � y, � . Net e:p. wall ,- � Int, wall ' Ceiling - ' _ - �-" Floor Total Btu. �� � � ,.�, Required sq. ft. E.D.R. or aq. ins. W.A. L,eader area / Fl. . . :', Room �Leng:h VUidt� ' � `rieight ' ' ' Windows and Doors—Crackage and Area Wldthe. Haleht No. o[ Llneal ft. Area No. of pane ot pane 116ht� of cnck •p. Lt. _. � F � .. . , . �� Coef. Btu Infiltrntion " , - - . ,, �� Glaas Exp. wall , j - � ' �, .. Net ezp. wall , : ,- ,• - - - � �_, -; < Int. wall Ceiling . ,+ .' _ ;:, . Floor Total Btu. J (; �� ;� Required aq. ft. E.D.R. or aq. ins. W.A. L.eader area % y.1 _. ._. -.�..— __�"� .�..�^! �._ _ - _ _ _ nsu ation a Roof Floor Kind How Applied / FI.� �' Room Length „? / Width /,1 , Height ° Windows and Doors--Crackage and Area Wldth Helght No. ot Lfneal tt. Area No. ot pans ot Dane Itght■ � ot crack �Q. tt. `> / "� '-r- � �G! . �'' w7 � Coef. Btu = Infiltration ;% ��'- � �/ �,, Gla�s ,��;"�,;!_. , � -� y ' G' U`!.J Exp. wall ' t'� ` CY" Net e:p. wall ,7 `'t �- ^ •y Int. •✓aU ' Ce�iing ';;=.`' ^ i� ,% ;"� /,G. Floor ; � � � ¢, Total Btu. Z Required sq. ft. E.D.R. or sq. ins. W.A. Leader area / FI.I .,�",', �- Room � Length ��'? Width : f Heig t i Windows and Doors—Crack'age and Atea Wldth Helght No. ot Lineal tt. Ares � No. o[ pane of Dane If`hu of crack sa. tt. - ,,.� C � l ��• f /. . .. 1 n 1 J �,z f In5ltration �,.,1. c; .,.- �- Glass „d i' � " Exp.wall �`;'s ,/�,- Net ezp. wall � -�-�,� �T Int. wall Ceiling f E'r� r' Floor ,/�' 4_ "-+ Total Btu. Required sq. ft. ED.R. or sq. ins. W.A. L.eader area y F7.� i ��j � Room I L.cngth .__. Width /`, Windows and Doors—Crac�age and Area � R'idth Helght No. of L1neal tt. Area No. ot pane ot pane Ilghte ot cracfc �Q. tt. �" � , , f '7< T' "�i �..� Cocf. Btu In6ltration -� .� f= �', Glass - � �A� �.; Exp. wall � �'i:� Net exp. wall �-�.�:- T� •,� ,� Int. wall Ceiling � � - � �: / .�-�Q Floor ��,;; �. Total Btu. ; � Required sq. ft. E.D.R. or sq. ins. WA. L.eader arca J �'- Fl.� � Room I Length __ Width �' � Height ;�`r,. Windows and Doors—Crackage and Area � Wtdth Helght No. ot L1nea1 [t. Area - ���^^^ � No. ot Dane ot Dane Itghts o[,crack �Q. tt. �� ,�; , - , � c'a �� .�: _ .� ,�._ , ,, s� � - ;' ;, . � � ;, 1 , r _ `�r, ,, Coef. Btu ; Infiltration c� - �� � Glass ,� Exp. wall � " -'�'� Net exp. wall ,;;, �_ ;_ . ''> j �„'�:; �,"_ Int. wall Ceiling _ Floor " , � � Total Btu. � � Required sq. ft. E.D.R. or sq. ins. WA. Leader area / .e... _, r t �, � � a �tES1i l�OS3 CALCUtATi�NS Weatherstrips A.S.N.V. , Conatruction Na Insulation Guide /indows I Door� Reference Out. Waq Int. Wall Ceiling Roof Floor Kind How Applied Yes—No Yes—No 19_ :%' Fl.� �, Room Length Width Height FI.� Room Length Width Height `,; .Windows and Doors—Crackage and Area Windows and Doors—Crackage and Area �Vldth HeiSht Iyo. oI Llneal tt. Arca Wldth Helght No. ot Llnea� ft. Are� No. ot pane ot DB�e lights ot crack �C. tt. No. ot Dane o[ Dane Ilght• ot crack �Q. tt. � �� ` - . . � --- - . � !' : �.P Coef. Btu Infiltration ° _ � ( �=;' '� �. , Glass � � ' " r,• Exp. wall _ ,r i,; Net exp. wall � ,/ � ,r. lnt. wall Ceiling __. Floor - ' � 1' �.. Total Btu. �� �" ,�;:' ,� Required sq. ft. E.D.R. or sq. ins. W.A. Leader area / FI.� Room� Length :'.;-' Width :';� Height Q/indows and Doors—Crackage and Area Width HelYht No. o[ Lineal tt. Are• NO. o[ pane O! psne ltsht• o[ ertck sp. ft. � s � � � :. , ��, �'� L� IJ' l� / , ^7 . � Coef. Btu a Infiltration � � � i ��"' � Glass / � a -� � f.xp. wall �: � " Net exp. wall � -I �'_ . � Int. wall q _ _ � Ceiling .. � Floor � - �,�; „ � Total Btu. ,�-� , • �, � - '; Required sq. ft. E.D.R. or sq. ins. W.A. L,eader area / FI. Room Length Width Height ' � Window� and Doora—Crackage and Area � Wldth Heltht No. o! Llneal tt. Are• � . No. of pan� ot pans Ilshta ot crack �Q. tt. �' COtf. BtU � In6ltration :� � Glass �, ExP• wall � Net exp. wal� �, � Int. wall � � Ceiling � � loor Total Btu. �� Required aq. fc. E.D.R. or sq. ins. W.A. L.eader area '�' Fl. RoeT � Length Width H�ight �iWindows and Doors—Crackage and Area .: �'.� Wldt$-� HeiQht No. of Ltneal tt. Area .. No. ot pane o[ pa�e 1f6ht• ot erack •p. tt. Coef. Btu Infiltration Glaas �: Exp. wall Net ezp. waU - Int. wall ' Cei�ing `, Floor Tota) Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Inhitration Glass Exp. wall Net exp. wall Int. •vall Ce�iing Floor ' I Total Btu. Required sq. ft. E.D.R. or sq. ins. WA. Leader area Fl.{ : Room I l.ength Width Windows and Doors—Crackage and Area No. ot Da e ofeDane Itght• o�f crec!c pr tt. I ' Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. rZequired sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl.� Room I L.ength Width Windows and Doors—Crackage and Area Wldth Hefght No. o[ Llneal [t. Area Vo. ot pane o[ D�ne Ilght� 02 crack �p. tt. � Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Bt11 Coef.� Btu �I.� Room I Length �iidth i-Ieight Windows and Doors—Crackage and Area R'Idth Helght No. of Llneal tt. Area No. of pane ot Dane Ilghts o[ erack �Q. [t. Inbltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. R/.A. L.eader area Btu �iiy of Fridley . APP�ica�ion 1�or Ph�q and Ga� Fhii�q h�it Dept. oi Bldq�. Phon� 9�0-3490 DESCRIPI'ION OF WORR �� �S � %��% Numb�r, Kiad aad Loeatfoa ot Fixlur�s LOd�°° � Is�4 � � � ��3 � �" Zrz � �ZS �yZ Ok` z � � � S � i � � � o � � � E � i I 3 � � u � u $ Base � j lst f � 2nd 3rd dth � - -Fu�u� CoDa�etsoa Op�nit►ps Cona�ei�d w!!h t li�w Fixt�r�. Old Op�attr�s PARTIAL RAT� SCHEOULE WATE� wT�. • • I N GAS ELEC. Srw�r ❑ �«w�� n PLQMBING FIXTURE AATES: NO. Rl►TE TOT11L Number F`Ixtures . . . . . . . . . . . . . . . . � x 32.00 a `l. Ll Ftiture Fixture Opening . . . . . . . . . . . x a1.50 = _ New Fixture Old Opening . . . . . . . . . . _ x a1.50 ;__._ Catch Basin . . . . . . . . . . . . . . . . . . . . x �3.25 f Water Heater ;Up to 99,000 BTU) .... � x a3.00 i°� `� New Ground Run Old Bldg. . . . . . . . . x a3.25 $ El�ctria Wat�r H�at�s . . . . . . . . . . . . . . : =2.00 i 3A8 FITTING FEE$: NO. RA?E TOTAL lst 3 Fixtures • • • . • • • • • • • • • • • . _—.�_ x s2.00 ; � U J Additional lri:tures . . . . . . ..... . . . . . x = .?b � Gas Ran�e to 199.000 BTU ..... ...... x aS.OD � City of PYidley: ;�'�'�1�- c� ���'`'���p ll !,'� .� The undersigned hereby makes appllcation tor a permit for th� �sori herei specified, agreeing to do $ll work in sMct accordance with the Cit1 Qrdinance and ruling of the Department oi Buildinge, and hereby declues that all the fact and representaUons stated in ihis application are true and conect Owner Kind of Buildiag Used as " To be completed about � � Estimated Cost, a___r__�/ ��' � � G�k--New. Building Permit No. P�rmit No. � r � ,n, ROUGH FINAL � REPAIRS � ALTERATIOIfb--R�i�s to Cod� Descriptlon ........ .................................. TO'PAL !'EE � � a �-- � , �"' °Z � �'� Signed. By ����� Business Phune ' Y /�L� v�t v�� �� � sua�ecT P c�ty of Fridley AT TME TOP OF TME TWINS g � I L D I N G P E R M I T ���� O ' ` RECEIPT NO. � � � • COMMUNITY DEVEIOPMENT DIV. 1 ; y_ _ � � r � � PROTECTIVE INSPECTION SEC. O � � � � FRIOLEY SS�J2 NUMBER REV O�iE PAGE OF •vonOVED Br �""�'��~��2-571-3450 9�0-F15 9/13/00 � � 10B ADDRESS 6145 Briardale Court NE t LEGAL LOT NO. BLOCK TRACT OR ADOITION SEE ATTACHED DESCR. �j 3 Briardale Addition SHEET 2 PROPERTY OWNEH MAIL AODRES$ ZIP PMONE Leo Otto 6145 Briardale Court NE 763-571-9716 3 CONTRACTOR MAIL ADDRESS Z�P PMONE �ICENSE NO Nutzmann Bros Construction 736 1 Ave NW, New Brighton MN 55112 651-628-0128 � ARCHITECT OR OESIGNER MAIL AOORESS ZIP PHONE LICENSE NO 20043453 5 ENGINEER MAIL AODRESS ZIP PMONE LICENSE NO 6 USE OF BUILDING Residential 7 CIASS OF WORK O NEW D ADDITION O ALTERATION � REPAIR p MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House & Garage (23 S) Tear-off 9 CHANGEOFUSEFROM TO STIPUTATIONS Underlayment must comply with the State Building Code. tYPEOFCONST OCCUPANCYGROUP OCCUPANCVLOAD SEPARATE PERMITS ARE REOUIRED fOR ELECTRICAL. PLUMBiNG. HEATING, VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL ANO VOID IF WOFK OR CONSTRUCTION ZONING SQ. FT CU fT AUTHORIZED IS NOT COMMENCED WITHIN 60 OAVS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONEO FOR A PER�00 OF 120 OAYS AT ANV TIME AFTER WORK IS COMMENCED NO DWIG. UNITS OFFSTREET PARKING I HEREBY CERTIFV THAT I HAVE REA� AND EXAMINED TFIIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF �AWS yALUATION SURTAX AND ORDINANCES GOVERNING THIS TVPE Of WORK WILI BE COMPLIED WITM WHETMER SPECIFIEO MEREIN OR NOT. THE GRANTING Of A PEFIMIT �2,352 � $1.18 DOES NOT PRESUME TO GIVE AUTMOAITV TO VIOLATE Ofi CANCEL THE pERM1T fEE SAC CH GE PROVISIONS OF ANV OT ER STATE OR IOCAL LAW REGUTATING CON• @83.25 F1Y C�2.35 STRU TION OR TME ERf RMANCE Of CONSTRUCTION y� � PLAN CHECK F TOTA F E J � m� ^ � -�`�1:� Lice C$5. 0 1.78 S�G 4 UAE O� CONCP TOQ OR �uiHOAi2ED �GENt �O�rE, W N E ALIOAT IS UR P MIT r� S�GHnTUQEOaOwtiEQ��fpwrvEABUi�DEA� �DATEi B�0 �ti5� � ����F NEW ADDN ALTER [] [] [l CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: (p ��s �;°�i C'� /� �'til� �f' � Legal Description: Owner Name & Address: . � Contractor: i �i �)� � Address: � ��(,r; - l �'��l � LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Y-1 � ;l�) � /'�,�L' �_ �, e Effective 1 / 1 /98 ����,I�o�Q Tel. # �71�3- �S 7/ - �� 7/(� MN LICENSE # �(���3 Tel. # (o �7 - ��-Dl�� Attach to this app�ication, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. Length Length Length DESCRIPTION OF IMPROVE�lZENT Width W idth `1.i�f�1 Height Height Hgt/Ground Sq. Ft. _ Sq. Ft. _ Sq. Ft. _ --� -� � - Construction Type: ��i� - � Estimated Cost: $ .] � (Fee Schedule on B k) Driveway Curb Cut Width Needed: / Ft. + 6 Ft = Ft x$ _$ q,��°2 � \ � � -.�.�+._.. / i DATE: �I � �.' ( L� ) APPLICANT: � , r `�� �� Tel. # �j,S I �p�-d' (�'/ ��' Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ ��3 �S� $ n ��S $ /� /� $ $ � -C�O $ $ $ $ $ � � CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.50/$1,000 Valuation $1000 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] � BUILDING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to-wit: TOTAL VALUE $1 to $500 $501 to $2,000 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,001 to $500,000 $500,001 to $1,000,000 $1,000,001 and up FEES $21 (Minimum Fee is $21 plus surcharge) $21 for first $500 plus $2.75 for each additional $100 or fraction thereof, to and including $2,000 $62.�5 f�r first $2,000 plus $12.50 for each additional $1,OQ0 or fraction thereof, to and including $25,000 $349.75 for first $25,000 plus $9.00 for each additional $1,000 or fraction thereof, to and including $50,000 $574.75 for first $50,000 plus $6.25 for each additional $1,000 or fraction thereof, to and including $100,000 $887.25 for first $100,000 plus $5.00 for each additional $1,000 or fraction thereof, to and including $500,000 $2887.25 for the first $500,000 plus $4.25 for each additional $1,000 or fraction thereof, to and including $1,000,000 $5012.25 for the first $1,000,000 plus $2.75 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alternate "A" : Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50. Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $15.75. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. From: City of Fr(diey To: 6516467388 Page: 215 Date: 3/26/2C}09 10:43:19 AM Building MECHANICAL Permit No.� � Inspections R�SIDEI�ITIAL APPLICATIOl'� Received By: 763-572-3604 CITY OF FRIDLEY �a��d 763-502-4977 FAX tr•rtcTivt 2-i4-0� llATt O(., � � YnUR t-MAIL ADUIZtSS SIT� AUDIitSS TH1S APPLtCANTIS: ❑OW�IEIi �CONTIL4G70R PROPERi'Y �AMt: . OWNER/ ADllKtSS: �t� TEPiANT '- � ��rY STATE 'LIP PHON�: CONTRACTOR COMPANY NA `: INC. SUBMITACOPYOF ��NTACTrtxs : a „�a�60Rn�Q YOURSTATE STAT�LICtNStt� �-r' f7All1 N 55104XPUATt LICE}VSEWtTH qUVxtSS: e��_Rq,�7�'� CITY STATE LiP APPLICAT[ON PHnNt r.ax PERMIT TYPE INGLti HAMtLY � TWO HAMILY ❑ TOV1'NHOUSE TYPE OF WORK' � ��� �:PLAC.'tMtNT ❑ ALT�RHTIC}N/KEMOUEL DfiTA1LED DESCRIPTION OF WORK �— F'�L�S AK� BA.SND OV S1Q.(k) PL�'It FIX"CUNL�',EXCLtP7� WH�P/:Rk: VO7�U. F7X-CUR�S: y�V �iC/A/y"l��'��� AL VUNBLtIl�}' L�'ACH B�LOW) �:qui�nent lrt�talled MNCi: ��A Mt�ll�L- S;�-�C�-j-� �r � $i"LtJBTU M H'G: MODtL: Sl"LtR3TU M NG: M011EL: S IZt7k3TU A/C $ 25.00 F l ILEPLAGE (C,AS) S 15_0(I GAS ItANG t70 V EN S! 0.00 Allt TO AUt EXCHANGEER 515 F'IKEPLACE (WOOU) $35.00 NEW GAS GKILl 510.00 _i301LEK s35.00 �h'UItNACfi S3S.00 GAS UNIT HTR $10.00 CHIMNEY LINtKS10.Ob GAS URYE}tS��.00 POOL HEATERS35.00 DUCT WOKK �)0_00 GAS PIPING �10.00 VthTlLATOK S 15.00 —.:... .___.._. _____.. _ _ _ __— __ __ _ _ _. . _ _ .:. __.._ ___. —___ _ __ _ _ _<_: _ _............_ ............._........................__..................... --- -- .. .__.... ...._._ _.....__......_._.._.._._ .__...._._........._................__... .. ...__............_...._......._...._.................. _.. -- - – -- - -- __ -- _ _ -.. _ _._.._ _ --- - _.. _- - - _.. .____ _ ____ - _ __ _.... _._.._.. . .. _...._. . _...._. . ._ _ _________ _ __..._. _.. .._...... . . - - - _..___ .__ ___ _ -_ ___......__. ____.. _... _ ........................__.._._............._._.............._................_._. .. _...... _..._._..._.. ..................._......__.__..__ ___. __.._..._._......_....._ ___.. __......__._._..........._. _ . --____ _ _ __ -_ _ . __ _ _ _ __ _ _.__ .._. _ .__ _ _ _ _ _ ____ __ __ _ _.........._._ ....................__..................._.........._....._._ ._ ..._...._._......._........._......__ _............_........._......_.........._._ ............._....... __ _ . _ .__ _ . ___ __ _ __.--._ _ _ _ - _ _____ _ . . __ ._ __ _ __ _ ____ ___ __ __. ; , �"dt#1Ik�3Gt g� �fttiF�r �4�,. �1 Q,�l _T„ 7C � � � �: �'^ . ; ;: > ;; _ ; ; I�u�c,r.v�f?ttt�rca�a $L�.�. . . z $��#TE3 � ' ; _ � > Nz�mbct offixtz��.�,��� �10 x $3af�#: $ ;: ' ,, _. �u tu�w Of f x�as+� �r`,� $3a �(k z ��S tl£f: � > `: Sraic ���c.#iar�c — $ ;5#} ;: - _ _ . _ -: ; ; 11�1.��i�iti�FE�:535.5t� Fotal .:� ' ; > THIS tS AN APPLtCATION F'C�1Z A PE1tMiT-NOT VALtll UNTIL PKOC:tSSEU 1 hcrcby apply for a building permit and [ acknowlcdgc that thc information abovc is compictc and arcuratc; that thc work will bc in conformancc with thc ordinanc�s and cadas of thc City of Fridlcy and with thc Minnasota Construction Codu�; that i undc;rstand ti�ir is not a permit but only an applic ion for a p it and work is not to start wlthout a permir, that nc� woric witl bc in accordancc with thc approvui plan in thc casc: of a work w� ' 'r�s rc ' proval of plac�. SlridATUREC�H APPLiCANT DATE \ . . :�c..c',��' ��'[�: s�'�-1����>i��'��r , "+.���:t�' �a� a�i�::�%i.€�.�,;r''€.z"c.��[��.::��t��►'��'�a�r:�r«�.._w���€,: :: Ci f Fridley Building Inspections Departmeat 643I University Avenue N�, Fridley, MN 5�432 763-572-3604 FAX: 763-502-4477 HOUSE HEATING TEST RECORD . � , ADDRESS '� ' �, � �� `�'�^�� �' � ' APT. FLOOR r CITY SUBURQ OCCUPANT , ;.�{ '� .s -�' ; ,. OWNER ,:� ,' �` �: HEAT LO55 DATE H•TG. INST. GAS CO. METER BADGE #— � ,; , SOLD BY ,r� ' " INSTALLED BY �'` Eleetrical Work By Gas Line By ' TYPE OF HEAT GA FA ��'� HW STEAM SPACE HTR. UNIT HTR. OTMER � GAS DESIGN CONVERSION MAKE -'> -•�' '' �'=�� <-�=-� `` MAKE OF BURNER Model v'� ' : ,://�: � :: '1'�A 4'� :d� Model Serial Max. BTIJ Rat�r,a INPUT ���% �' } -�~�J �% MAKE OF FURNACE � Model CONTROLS THERMOSTAT #'"���� Heat Plug Vent Size `- Valve ``` �'<`'�� KIND OF LINER � ��'"�' � SIZE '" NONE Limit �''{> ,(. �{' � � ""`E Droft Hood � = •' n Regulator �� Limit Setting s-° ��� Filfers Size Number Fan Setting %'� °'�-' �' Chimney Location Insid.p y' Outside ,�,,, Pilot Type �'- Chimney Construetion f` -�� '" ` Pilot Make *:'' �' " Pilot Model Smoke Bomb Wiring Nt�'� Pilot Timing �zi�•=+f•t�r Draft �� Test Tag � L.W. Cut Off Door Pressure LighTing Inst. '� Pressure � ' � Percent CO2 �' � Date Tested ' � s " �1, InpuT CFH r- - Percent OZ �"" Company Testing/ Stack Temp. - Percent CO ~° "�t Name of Tester %` - Form 235