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AF - 36572, � . . . � Mervyn Mindess Robert C. Raugland Da��d I. Alley Richard J. Schabert � �.i�aa ��,:F:; : _ .�- �s;v.�:� � -. ��,� - _ �.��_ ____, 6�2 8 .::.::�:� � SUBTERRANEAN . :S'/6'6�3� '•��Q'':°�" � �, r;; �^�~�`��°�� ENGIRlEERI�G INC• 2850 METRO DRIVE, SUITE 130 � METRO OFFICE PARK ; MINNEAPOUS, MINNESOTA 55420 ' � Job Na, S-71109 . December 20, 1971 Richard hiillex Homes Inc. � 1700 Silver Lake Road New Brighton, Minnesota 55112 reo Briardale Housing SubPDivisi.on Rice Creek Rcl. � Benj amin Street '�FridTey,' Minnesota � � Dear Mra Miller: A series of inspections was made a� this pr�ject-hy Subterranean Engineering Tnc.s. between October 25 and November 22, 1971. During that time general site preparation including sub-cutting of undesireable soils was inspected, the fill auality � was checked, and tests�'to ensure proper and adequate compaction of the fill were madeo .-� On the basis o£ our periodic inspections it � is our opinion that the site has probably been adequatelv ., prepared for suitable.support of foundations for resident- ial type construction. Yours very truly, Subterranean ngineering Inc. Mervyn ndess Registered Professional Engineer I�i�i/ r s SOIL AND FOUNDATION ENGIfVEERING, F1ELD LOADING TESTS. ROAD SUBGRADE INVESTIGATIONS, EARTHWORK CONTROL $ pAVEMENT DESIGN, MATERIALS TESTING, SUPERVISION AND CONSULTATIONS ?ECEIb`�J DEC � � �-' ..: . _ .,. . _ _ ri . ► � . . � �UBT�`��V �N�l�i 1�iVC�i.T1��;i+�R�f�i�;"'r 1.Lv+v. 1..,,�! N� �5U Metro Drive Minneapoli,s_ �h.884-758� Compaction �ivality Control Tests -- � . BRIARDALE HOUSING SUB-DIVISION ' � 1 - Project Report No. � Rice Creek Road � Benjamin St., Fridley, Minn. Job 11�o S-71109 �� ' � ., • Sand Cone Metl� 0 . � • - Nuclear � ❑ . . . " � • . � j . , , Other � ' Q � . , � ; De th . d�t� t�*�. Eoe:tion bct.25 1 ,See Oct.25 2 plan Oct.25� 3 � below � pct.25 4 1971 �dow wef moislun dry maximum � rads Q laboratory o �w fill densify eonfon4 °� d�neity compacfion fae� � Pcf . dry d�stty : pe ncomm�ndaliona 2.0' .122.4 3.6� 118.1 I22.0 96.80` Approved 2.0' I 123.5 I 4.0� I I1�.7 I I.22.0I 97.2%I Approved 3.0' � 126.2 � 4.5� � 120.1 � 122.0� 98.4%� Approved 1.0' 108.9 � 8.0� 100.8 118.0 8S.4o Re-ltoll ,� 1 I I I 1 1 I t No„ tes� All testa, correated for stone content, where applicable� . ASTN! Indicated Percent Compaction (�% Max. Modified Proc�or Dry Density D-1557 ❑% Max. Staridard Prootor Dry Density D-698 � Distribution t 3 cc. Richard Mi11er Homes, Inc... 1 cc.. File ��.EE(�lED QCT 2 � i�i� _. ,- - :":-.�..��. — � . ,, , � � __ ___ �. ., . . . , � . • � ��.�'S�l'�Yriui�lrL'u�i�il �1W�.�r11�{��ii,l�L�i .+�i'.�. � � i y b �r '� �850 Metr_o Dr..ive Minneapolis Ph.884-7582 i Campaction b�uality Control Tests --- . � BRIARDAI.E HOUSING SUB-DIVISION • 2 { Project . � Report No. , f Rice Creek Road � Benjamin�St., Fridley, Minn._ Job 21Io S-71109 I �� Sand Con6 M�thoai � .. . . � Nuclear . ' ❑ ' � . � � Other ❑ . � _ i � �. De th ' • dat� t��, loeatlon I . ;Oct.26 S See ',Oct.26 � 6 'i0ct.26 7 plan , .__... .�.. ' �- �; � �� =_.�-. Oct . 26 1 8 i� Oct . 26 I 9 Oct.26 10 i��i below. �_._...rA e ow � bdow Mret ,�d. a ow fill densify �fae• � P�� - 1.0' 107:1 moislur� I dry conf�nt � denoity 2.3% I 104.6 maximum � labo�atory P dryP �nsity com action neomm�nd�lions : c I23.0 85.1� Mix F, Re-Rol� l00' � � 110.7 � 4.7$ � 105.7 � 123.0 � 85.9� �Mix F� Re-Roll 1. 0' � 119 . 4 4. 8� 11.2 . 2 I 12 2.1 � 91 . 8 0 �Approved 1.0' 106.4 � 2.4� 103�9 123.0 84.4o Mix �, Re-Roll 3.0' 126.1 8a2o� 115.2 118.0 97.6o Approved 1.0' 111.9 9.30 102.6 123.0 83.4o Mix � Re-Rol:L NOTE■: Tes #9 wa a re-t ke of est #4 aken o � Oct ber 25 1971. No� All tests correoted for stone content. where applicable. � ABTN� Indiaated Percent Compaction [l% Max. Modified Proctor Dry Density D-� D% Max. Staridard Proctor Dry Density D-698 � Distribution j 3 cc. Richard Miller ' Homes, Inc., � 1 cc. File RECEIV�D� OCT 2 g ;�� Ir. � . ., . ; , .. � :...i V:.i��1..r..IxW�iNi.el.aui �:�i1��..�.V :ra..:��.v1r1�i��.:I Y .._... .._.. _.. ._ . ,. . ' . . / . � i�; o.:�i .+;..i.V �:/ . , _ /t 2850 P/Yetro Driv� 1'J�inne�volis �I-c.��•-'7532 Corn��.c �ion. ''�� ,Ii�;� � ��r�� s�� BRIARDALE HOUSING SUB-DIVISION � 3 :'roject Ive��rt iv;3. � RICE CREEK ROAD � BENJAMIN STREET, FRIDLEY, MN. � S-71109 Job � �:o ��._.- S�n1 �one Method � ' �r��.� p � � . � c'�rr�r � [� � ` . ' • De th • e ovy � � � � bolow WQp moisture maxir�um ta�� aub��ado Q dry da:o IocatFon dens9t contonf labor�;ury � e r.a. bolow fiil Y � �ansi3y camp�ction roco:tima,-,�a.io�a - surfaco i� pcf . dryP �nsit�j . . . , , � ��-�..�""' �ov.2 11 See 1.0! 127.9 8.4% 116°0 123.0 .94.3% Approved � ;ov.2 12 1.0' 131.8. 10e8% .118.9 123,0 96.6% Approved dov.2 � 13 plan . � fov.2 14 �ov.2 15 below 1971 ; � I . 1.0' I 132.1 I 80 5% I 119.4, 123.0 I 97 .O o� Anproved 1.0' I 131.0 I� 8,O o, 119.8 I 123.0 I 97.3°; � Annroved 1.0' I 130.1 I 6.9% i 120.0 I 123.0 � 97. 5 o I Approved � � � I I. . l�.ro� �.11 tests corr�oted for sLo�e content. whe�� a�plica�3e: �,�;� �-� Indioated Percent Cor,�pact:on �3°�o N:ax. Modiiied PhocLor 7D;� �er.�;�J �-��;7 � . ❑% N:ax. Si2zidard �'roc�ar D:y De:ts.�y D-EJ3 V�UY �r ZI�I�IIIO�i � cc. Richard Miller Homes, Inca cc. File \ �� ,,�lED NOV 12 iS�� c"Y�Sk � - -- ' 11/�� I ^ f. I •i � � t � . � I N: .•r�s - - - - ; . . - � � i I �; � G I i . I ' � �} i� i � + 12 � . � � . i � � � � 1 t � 1 � � � , : . . - : , • � +J a..+J:.si;.a ,�:sd:s.Ar a.yi..::..a� .u.+.�`+..� ' Ll.:.�...rt»4 ` a''.iL« ,n;,..': =J. I 2850 Metro ,Drive �inn��.polis Tt"h.8��'_-75�2 �omp�,e�ion �,��,��y C��;��1 �� °ro"ect BRIARDALE HOUSING SUB-DIVISION � � T 4 J , Re��r� t1o. RICE CREEK ROAD � BENJAMIN STREET FRIDLEY� NN. � S-71109 � � .Ycb ii?o ��.n3 �,or.e Mathod � � . . ; iV�c.e�r ❑ ' • . • . • L�t::e: � � � ` - . De th � to^t da;a n�, loca2ion �_� iov.15��16 i See �av. I51 17 iov.ISi 18 � plan . �ov.151 19 �ov.15 20 I below 1971 � , ow Q . , ��0� wot moiature d�y r�aximum � . rado Q 6onfenf o IaboruYory f0i11 den=i!y °� don�iYy dry cf'��,j co ;tipac4io� reco�mo :da3ionc t� Pct . P 1.0' 13b.3 10.30 120.4 128.0 94.Oo Approved , � .. 1.0' 134.4 6" 131.1 7. 7 oI 121. 3 I 128 � 0! 94 . 7 0� Approved 9. 3%I 119 . 9 � 128. 0 I 93. 6 0� Approved 1.0' � 130 . 8 I' 8.6 0� 118 .9 I 128 . 0� 92 . 8 o I Approved 6" I 134. 3 I 10 . 4%I 117 . 9 I 128. 0 I 92 . l o I Approved i�s�tes: ,P,11 te�ts correoted for stone content. wheTe ap�lica�aie: ��;� ;L Indicated Percent� Com�action �% ��,x. I'Jiodified Proc�or i3ry ��r.s��J �-i55� ' ❑ % Niax. ��ridard �roc �o� B: y �easzt;� �-��,3 t`ii��; ibu��o�: i cc. Richard Miller Hoines , Inc . . . cc. File �� ;�1��E� nov� � `��`il �_ - t^�r .:,r ' 1 t:c: .�„-, I i �•7 i � � ,� � � c4 ; � L __ • � I , � i o ;s .L� ' � . . . t + o I � � I •� 1 - ; � i , ► �� i� E� � �` ' ��'�n�,�.'i'�,.�Yi��d-�.�.'�' �u�L�Ii��.�i�- � ,� ,..;-- t -l- . , � .�� i.�. .� �50 Metro Drive Ninneavolis Ph.8��-75E2 ' � Co�n�actio� �u�,li�y Co�_`��mi �`es�� Project BRIARDALE HOUSING SUB-DIVISION �e�o� �T� 5 --�,.- --- . RICE CREEK ROAD F� BENJAMIN ST. , FItIDLEY, MINN. Job ilto S-71109 � Sand Cone Method � . � . . � Nuo3ear ❑ . _ . . - otr.�� (� . . • ' . D�h� . � �wtQ test location r.o. tiov.9 21 See do�r.9 I 22 dov.9 � 23 � plan Jov . 9 24 � Jov.9 25 below 19 71 � � - ,� . e�ow � , b►ado Q We� mois4ure d�y maximum g/ . low fill de�Q+tY cont�nf � denaity �abora;ory com�actian �ecoz�c;�on�.:tEcna rfacw � Pcf . �ryP f si{y 1.0' 130.2 5.3% 120.7. 128.0 93.8% Approved , 1.0' I 129.6i 4.6% I120.3 � 128.0 � 93.9% � Approved 2.0' � I19.8I 403o II13.8 I 128.0 � 88.90 i Re-Roll 1.0' 127.0 5.4% 117.3 1.28.0 I 9I.6o � Approved 2.0' 118.7 4.40 111.7 I28.0 87.2% Re-Roll 1Vates: All tests correoted_ fortstone content. where applicable: �•. �: � �,�_L� Tndicated Percent Compaction �% Nlax. Modi;ied Proc�or 3�y i��n�itJ �i5�� • � � ❑% Nlax. �taridard Proc�or I�ry i3eaz�zt� D-698 D:�*ribution: 3 cc. Richard Miller Homes, Inc.. 1 cc. File� � �EG�1��D �N�V 12 `��.1 ■ r � o tTBT�RR�i11�]EAN JE�GINEERI�TG INC. � .. ,�85o Met�ro Drive Minnea„_polis Ph.884=758�, Compaction Quality Control Tests - P�'ojeCt Rri ar� a 1 P H� nii�_i n,�r �db -ni vi S i nn , , RepOrt NO. 6 RICE CREEK RD. � BENJAMIN ST.�t FRIDLEY, MN. Job 11io S-71109 Sand Cone Method � . . Nuclear � . ❑ ; � . . . , Other a • . De th � . e ow � , : • b°�O1"� wet motatun d� maximum test su rads a y �O datt loeation • denait contsnt � d�i ' laboratory com acflon �ecommendalions no. b�low fill y � dry dgnsity p - surfae� � P�f • , pc 1ov.Z2 26 see 1' 141.9 12.7 122.4 128.6 95.6 Approved � Jov.22 27 1! 135.6 13.1 .114.4 118.0 96.9� Approved Jov.22 28 pian • . 1' 139.4 13.2 121.8 128.0 95.1 Approved Jov.22 29 2�' 136.7 12.5�` 116.2 i22.0 95.2 Approved �tov.22 30 below 1' 132.1 12.9 114.8 118.0 97.2 Approved Vov.22 31 � 2�' 126.7 �6.6 113.8� 118.0 96.4 Approved ATotes : All tests correoted for stone content. where applicabie, �g��,� Indicated Percent Compaction �% Max. Modified Proc�or Dry Density D-1557 �% Max. Staridard Proctor Dry Densxty D-698 Distribu�ion: 3cc Richard Miller Homes Inc. lcc file � �;;�;-•'r- r��t"J `' �:��Y • � �.,.�� - - /� / Y —_— . . . . K ,c'�f �'� < o•� • ► _. � � - �� • b . AIGMAAO MN.�.ER MIC. ' - . . . . /, �� v� - � l. `" � � SP�L� " _ 4 . . . �. . � . • . � � ' :vf{ i, .��_::Y . . . . � � - � . �-./ '� � - .. . . . . . . � . - . . j _' �. '._�� . . . . . . _ #. •`,-j,� � . , � ' , ' � • ' . . :� `�:, � ..r - -' - . _ . . ' � � .. : (.-..w ,`"�-.�e�ry.. .. ,..- , _ '.��.'.-. , . , ' � � � . . .' . . .. � .... .. .:... .. . . . . . _ � INAAGINlEEF�S _ -r August 17s 1972 � . . : Mr°. Nasi� M. Qureshi, P.Eo ,_ Cit� Engineer - Director of Planning - ' Ci t� of Fri dl ey 6431 University Avenue N. E. Fridleya Minnesota 55421 Dear Mre Qureshi: .. � In accordance with ouw telephone conversation we agree as follows: To sub�titute Lots 12 and 18a Block 3 for Lot 149 81ock 3 as a temporary retention basin, as provided in our° agreement wit� the City of Fridley .: dated April 179 1972e 41e have the understanding between us that when �. another lot is sold in this now six 1Dt area, we will again discuss this � temporary retention basin to determine whfch exact lots will be used if the need for a temporary retention basin becomes evident before the � permanent outfall is condemmed. We agree to hold the City of Fridley harmless from any claim or cause of action, with respect to the owners of Lot 14, Block 3, arising �_. because of the substitution of Lot 14 for Lots 12 and 18 as above described. � . S' c re��y, t - � i• � %� .. '' � ��.._. �� • f � , - `' ; Ri chard N. t4i 11 er • �� ` r� RNM: cf � E . :..,. 0 1600 RICE CRECK ROAD, MINNEAPOLIS, MINNESOTA 55432, AREA CODE 612-633-7464 < . City of Fridley, Minn. 6431 University Ave. N. E., Minneapolis, Minn. 55432 BUILDING PERMIT Date: ._._._..__..,�.0 ly_...1.2.,...._12Z� _._.._..___.._._.._.._.___.__..___._ Owner: ...._Stephen.37_,wNus,_pl_,�__.. . Builder �.i��_Miller Ho�� Address ....._--------------.--.---.----.-------..._...----...------.-----------.-.---._._....__---------_ Address __1600 Rice Creek_ Road N. E. 633-7464 LOCATION OF BUILDING No. .----------1640------... Street ----------Briardale--_Road _N.E.__...___.._ Part of Lot Lot ........._2 ..............._....._ Biock ___...__..._3.........__.._..._.........__......_. Addition or Sub-Division ....._..Briardale Addition . c t i� � Corner Lot ......------X--._........ Inside Lot ..._._ ............................-..... Setback _...._....�...__.._.__... Sideyard _.._]_7 6 5��'� Elevation ..----------.._....-- ----__....------•---------------._.-------------------- FpY��'�� •---• ---...._-- - Wye Top of Footing DESCRIPTION OF BUILDING To be Used as: ,�� : i l� _.Ihd.�.�,.�,.i� t r�� •g _...20'_..._.. Sq. F� Cu. Fk g ..............._......_. Front _.44�..__.. Depth _.�.G... 4_ He� ht __Gs�.xs�.g-�--.--------_-----.-.-.--.._ Front ..__22 �-- Depth --19 �----- Height -- 10 �-----. Sq. Ft. Cu. Ft Type of Construction ..___W..00d__Frame.,.._____._______ ��, Cost ___.�.21�_39_8_..._........____... To be Completed � 6 months Stipulations: Provide a hard surface driveway. Provide a verifying survey before capping. $270.00 escrow must be paid before water meter can be picked up for this house. In consideration of the issuance to me of a permit to construct the building described above, I agree to do the proposed work in accordance with the description above set forth and in compliance with all provisions oY Ordinances of the city of Fridley. ,� _ _ ., 0 Sta�Ee Sur In consideration of the payment of a fee of $_�Q..�.�.__.., permit is hereby granted to �lC_��G�. illeY HomeS _.__........__ ............._....._....._.._..._......_....__ to construct the building or addition as described above. This permit is granted upoA the eacpress condition that the person to whom it is granted and his agents, employees and worl�nen, in all work done in, 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 buildirigs yyithin the city limits and this pernut may be revoked at any time upon violation oi any of the provisions of said ordinances. P�� CLARENCE BELISLE �. . � NOTICE: This permit does nat cover the eonstruetion, insfallafion fo� wiring, plumbing, gas heating� aewer or water. Be sun to sN ths Building Inspecfo� for separate permits for these ifems. a , / •aPPLIC�TIO,ti FOR RESIDENTIAL, A�T�RATION, �R .4llllITION BUILDING P�R1yIT CITY OF FRIDLEY, MINNESOTA OWNER' S NAME : S 7t PN �� .. �J V S�L gUILDER :� I G I�I A Rp IV1 I L� E,� ��1 o I�/I ES ADDRESS : /�� /J�.�:�-�G� �7�/� ADIiRESS : �U : I lv� STREET : �,��.-�v (� d,. 7'% � LOT: � BLOCK: 3 ADDITION: � R I��D14 �� CORNER LOT: `� INSIDE LOT: SETBACK: SIDEYARDs __.....�...... Applicant attach to thie fox� 'iwo Certificates of Survey of Lot and proposed building location drawn on these Certificates. DE5CRIPTION OF BUILDING To Be Use3 As: � Front : �T �(� Depth : � � � T w Height : � ' � Squaze Feet: Cubic Feet: G �Rf�G � ' Fzont • ��' ` C� Depth : / � � C� Height ; /� I C� w Square Feet; Cubic Feet: Type of Construction: Eatimated Cost• � To Be Completed: The undersigned hereby makes application for a pe:mit for the work herein specified, agreeing to do all Work in etlict accordance with the City v# Fridley Ordinancee and rulinge of the Department of Buildinge� and herebY declares that all the facte aad repreeentationa etated in this appliaq��on are true and correct. IaATE : (� � 7 - �`2 SZGNATURE : ( G C / / (See Reverse Side For Additional Infosmation.) j' `'°� '� '�` �� "� ,., ' . . . , � � . . � � � � � �. R� ��G, �. � }'1 i; .:� fi�3'T � '�� ''� ��. 1 � �`�� d �v ��,.gc� � {�,�` i : - � • � � i,, - � land Ila�nino • � A�75 M�qhwa� No• AS N.! r��riil��j �o,.d s,,.�.r�„9 (/ 1t //l�'�'II11� � M��,,.a'oi�., /� �/1��'. M�nn. ss.s7 Soil• T�ti��np (1 ��l C�v�l E�O�n�e.i�g lelephon• 7i4-A00� Munitipoi Eng�n�e►ino Engineers & 8urveyore Ar�a Coda O12 Cert if ica,te of Su rvey for /`�i.:,ya,�c> ��4� .:=k /`loM�-S ��f �' � ^T �.� NOR�i N ,�. �� ., ��i� K��:�L � � . �.' �A� �!�' A � ��'° �k�.'"�--'°,-, ��9S �z=�6� �o , :� � � 0 U � Q � � � � O�• ��----, � ,yW, I Q � � • , / �1 Q �! �� \ � a � � i,;. � ,I "� , ��a 7� y � .; ``- / . �� O �! �' ,�� i Q Y�� `��y�a `� � A � �_ �, /� . ' ,� ..: �� , :n o `y '-. � ('v _..�—_�--- --- r" .i �L.�l� �j Ol � m � a � ' �QT 1 3 ��IA DALE � veno�eS ►run mur,um�n} �.nO�Q 1,0u11�y ;� n � ------- lJ�no�1t Jro�a►�t E U��y EoSQmQ�� I Mr�by c�.tifr thal tl�i• i e �r�• on�l cs.r�c• r�p��nt�lion •f o�u�v�r •1 tA• bw�dari�• •1 th� �r�w ' ��.�r�� lond, on� •1 th• I�coti�n �1 0ll buildi�y�, th�r�on� •nd all vi�ibl� •nc��atAew�wt�� i/ �rryr, I►�w� �► sw � �oid lond. A• t�rv�r�d br m� ►hi� doy e/ A.D. 10 1� SU�UR�AN ENdINEERING, INt. . - y�QI�� If1�_ �(��Q �n�in��r• irrv�r�r• . �u� ' ar_ . � i� � �U.� � r� C-o'��9 r�l�<�r� �03' �'.�'� o� ��, �3 % 2S 2 �,�r, �ff� ��.� V, — °�l4 % .� �. � � F ��o�� -- � l 1. od �� x � /a � � � /'�( / N / n'! v ny �l"� � D�� ;% ,° ��sJ � 7 _.. .. � �9' � C� �o,� ' �. w; �'�� . a �' �� Q� ��t�. �� 1�� a•�c. E D�, ��' � y ry, N � �/8. �� " s_ , � __.. � o� �� i /a�1�/�L f ��"' � , I � I �il� Of �71C��e�/ APP�icafion �or Plu�nbing aed Ga� Fhii�q hn�it DESCHIPTION OF WORlC Numb�r, Kind and Locatioa oi Fixtur�s Base Futur� Coan�elioa Op�niaqs N�w Fialur�, Old Op�ni�s _ s..►•= ❑ PARTIAL RAT� SCHEDULE PLIIMSING FIXTURE RATE3: NO. R11TE TOTAL Number Fixtures . . . . . . . . . . . . . . . . �_�, x 32.00 E_,�[� „ J F�ture Fixture O��ening . . . . . . . . . . . x 1.50 � J —� a s--�: � New Fixture Old Opening . . . . . . . . . . . x a1.50 ��___ Catch Basin . . . . . . . . . . . . . . . . . . . . x a3.25 3 --' - : t Water Heater :Up to 99,000 BTU). ••• � x a3.00 t -'' ` New Ground Run Old Bldg. . . . . . . . . x �3.25 $ El�ctsic Wat�r H�atu� . . . . . . . . . . . . . . s :2.00 i �AS FITTING FEEB: NO. A11'IE 'fOTAL lst 3 Fixtures . . . . . . . . . . • . . . . • __� x 32.00 ; `' `�� ') Additional Flxtures . . . . . . . .. . . . . . . x = .7b ; Gas Ran�e to 199,000 BTU . . ... . . . . ... REP11IR8 A� ALTERATIOI�b—R�f�s !o Cod� x a5.0� i , � J ��`�" Y✓ Description ........................................_ TOTAL !'EE _ � �i � `J Dept. of Bldqs. Phort� 590-3�.40 /�'�Q �3►� iA R DAL� 5/.�/Y.�'% City oi Ptidiey: The undersigned hereby makes application for a permit tor the work herei specified, agreeing to do $ll work in strict accordance with the Cit� Ordinance and ruling oi the Department of Buildings, and hereby declues that a1I the tact and representations stated in this appllcation are true and conect Fridleq. M3nn�l,U� �� , 19� Owner �%�i�i�% ,/�/�`�/Q Kind of $uilding ` /Q/,�� i Used � P�rCI �.�� To be completed about _ OC� �d Estimated Cost, � � ��d�� 91d�--New. Buitding Permit No. Pe:mit No. �19�J i Signed �� v�� , By Business Phune No. 3�� s�� ROU�H f'IN1W L��2.- , �► � Application �or Pow�r Ptants and HeaHng. Cooting� Yentilation. Rrf�igtration and Air Conditioning Sxstans and Devic�s PARTI�4L RATE SCHEDULE GRAV!'d'Y WARM AIR: !lJ1T& TOT�1I. �rnace ShelI dc Duct Work . . . . : . . . . . . . . . .. . . . . . . . . . $10.00 i Replacement oi F1u�nace ............................. 6.00 ; Repairs & Alterations—up to �500.00 . . . . . . . . . . . . . . . . 6.00 � -- Repairs dc Alterations each add. #500.00 . . . . . . . . . . . . . . . 3.00 = MECH. WARM AIA Furnace Shell dz Duct Work to 1'0,000 BTU . . . . . . . . . . . . $10.00 ;1Q.._Q�_ each add. 80,000 BTU ....................... 3.W i Replacement oi F�rnace ............................. 6.00 � Repairs & Alterations—up to �500.00 . . . . . . . . . . . . . . . . . 6.00 ; Repairs & Alterations each add. ;500.00 . . . . . . . . . . . . . . 3.00 ; STEAM or HOT WATER SYBTEM Furnace Shel� & Lines—to 400 sq. ft. EDR Steam ... $2Q.�J0 $ F�rnace Shell & Line—to 640 sq. ft. EDR Hot Water . 10.00 ; Each add. 20Q aq. tt. EDR Steam . . . . . : . . . . . . 3.0� �___ Each add. 320 sq. ft. EDR Hot Water . . . . . . . . . . . . 3.00 E OIL BURFER—to 3 gal. per hour . . . . . . . 6.00 � — over 3 gal. per hour�ee Fee Schedule G113 BIIRNER (vp to 199,000 BTiA . . . . . . . . . . . . . . '. . . . . . . b.OU ; S . 0 0 over 199,000 BTCI See Fe� Seh�dul� GAS FITTING FEEB: NO R11TE TOTAL lst 3 FYxtures . . . . . . . . . . . . . . . . . . . . 1 xa 200 � 2 . 0 0 Addit9onal Fixtures . ...... ........ z .7b S Gas Range to 199,000 . . . . .. . .. . x=`6.0� ; AIR COI�DITIOlfIi1G FAN HEATING SYS1E![ 1/El�ITILATING SYBTEI�( ALTERATIOliB � REPAIRS Rovax ^ FINRL /O - �! - 7 �/ � Se� FM SelNdub � ,50 ror�►r. �e ;17 . 5 0 nept. o� s��. ��.. seo-saso L�� 1640 Briardale �. ,. City oi �iidley: The undersigned hereby makes application ior a permit for the work hereir. specified, agreeing to do all work in strict accordance with the City Ordinance: and ruling of the Department oi BuiIdings, and hereby declares that aIl the facts and representations stated in this application are true and correct. F�idtey, Minn- 8/ 2 9/ 7 2 , �� _ owner Richard Miller Homes Kind of Building frame vsec� as residential ' To be completed about 9/ 3 0/ 7 2 Estimated Cost, � 6 80 . 0 0 OId—New. Building Permit No. Pe:mit I3o. � DffiCRIPTION OF WORR HEATING or FOWER PLANTS--,Steam, Hot Water� Warm Air—Nol Trade Name �'�STINGIiOUSE FGUB-137 Size No Capacity 110 , 0 0 0 �� E�� g•� g,p Total Connected Load 61 , 3 3 0 Rind oi I+Ue� G� BURNER — 1Yade Name SA1�'IE AS ABOVE Size No Capacity Sq. Fi. E.DR BTU H.P. FiEAT LOSS ATTACFiED. SALESMAN: John Borry (lEMARKS—OVE�) Si . , � FR� • g�� pti�A�IG � AI � NDITIONING 3Z60 Go�� St, lwis Park. IM��+°t� 55426 . i � � . . : . .- � . ,� ,�jY} r }�'`(t a� Y �e. k (r J ✓ � .L-�� r� � 1 P,_ , � �r ;��.;£�y., % �ldoe,�'' �.`�f �� -� �� 1 rE � __yNC�eLO�.S f.�I.CtJi..�TIONS , _ } —=� > _. w. A.S.H.V.E. $ 'j ' We��eistii�s Constrtactios� Na ` � � � ��su�aeion: : ' ; , Guide �{/indows Qoors Re#erence Out. Wall Int. Wall Ceiling Roaf f�loor � Kusd ,� �c�v Appli�d ��, �z� � �-�— Yes—ho Yes—IVo 19_ . ; � � il< � V. . F7•� /.�.a.�r>, Room Length /?_ �lidth /� I-�eight �-° / Fl.� ��:�?'.� �oam i.c�gth r�` .; �lic�eh j� - I-F,.i�h3:u� � �' �lindows and Doors—Cracl�age and Area U L1 L��u `Tlia�aws aacD Uoors—Crac�a�c and Azea� � �;;'r� � \�':dth Heignt P:o. oL Llaeut 4t. Area �=��i' W(dth HelgLi No. oF Ltneai t�; Arr� �� ' �� No. of Dane �[ Dane Ughts of crack �a. ft. '""� � No. ot yanm ot Danc+ U�h4� ot crack _ �tt. LG � � � � 4�`•^ `^�t � � - 5� .� �N iv � f�� . � �� v � u�� P;�, r �f . ...�� { t�. . Infsltration Glass Exp. wall = � ` Net exp. �vall lnt. wall ' Ceiling Floor Tatal Btu. Coef. Btu ± � �� fs' c`>C'_7 �/�'L? ��3 �� i� �� I � �'" G�$J� - 7�e �� /i�� Required sq. ft. E.D.F2. or sq. ins. �.A. l.eader area L �F1.0 J��'�_=r= R��Length /y �,'lidth q l�eight g� . " �/indaws and ITaors�sacka�t and A�ca ti'ldth Height Aa ot Ltnea! tt. A�ea �� - No. of pane ot Fana U&hts of crack aq. fL . . ✓ ci'-� %�i / '�"'_^ �� . ` Glasa , E�cp. wa[I � Net e�p. wall Int. waI4 Ceiling Floor Tqtal ��u. � —■ �oef. Beu r' 3�/ % �:t^ zdC� 3 `/ :' / , / .F.� � / �- //.Sr' �,!�� ..�" 1 Y ft. E.43.E$. or sq. ins. �/.A. l.cad.r area , ! Fl • �.�'.r� �L, y` �'i�z� Len�th i -� �°lidth 2 " Height � `-'- i�indow�s assd Doors=-Crac�agc and Ana �� v � Wldtn Hatsnt tic. ot LSaeal [G- wns � �-�� No. of psr.e ot Dave Ilghta ot cnch a4. tt. � � � - �-J SD �2 5';'? �� _r �`-�_ � Z; 1� / {� Coef. Btu lciC�lt:ataaa �1 •s-. /9�c f,�las� S&" .5�.i �7S$D. Wa� �L/ ` r.+% f � IVet e�,. wall . '��,, a It�t. tioail ;, Ceiling : P� loor - .', '� ' i'ota! �tu. _�equir�d sq. ft. �.11.�t. er aq. ins. �.A. Lrader area � �• r`-�;%��4 %�•^" �QQ�i �LenEth � �Llidth /� �Z � Zl�aadov�s aLd �r3--Cracltag� aas� A:cs � `'� � R �dtli.. He1gIIt Na of Llacal tt. � Area •� `-No. ot �ar.e of pane �� ❑gEta ot crack cq. tt. .::r ..,.;� -�/ �—Sl '`P.:;'`-��^'' ""�"��--- �:-.:�'�.=•. '�C�•� ......_. /` 2_G� • � �' � .�SrO �3 ' � Heiahe Q- ; I Caef. Btu y, �; � � `�S qt}f F { ' ��. �,�_' �fi# � � f�- Infiltration ,�% 3G `%i.�-= `� �` � /�� -}� S � WaSi . . �. ., ' .. , �'"'?'. � LicJ. :.�,'�_:�"i :�;Ar F.xp. wa11 ? y ' ` '1� � x Net ex�. wall `/fo,.�,^ `� _ �,� �s,� , �� . Int. •+all , ��s � ` �_4 Ce��ing .''-�' , :: Floor �!�p ' :/.u:� �..�� "•�,,,� �. Total Btu. - ;:�:� �' �� Required sq. ft. E.D.E�. or sq� ins. ��.A. �.ead�r area � +'' �e / Fl.l f� Room Len th �Jidth I�.a ue .:�� ! -y�y� a� 6"�'.7✓J�• f`�- � S t" .� ..C� . � P p �. A ��/indo�vs and Doars—�rac�ane aad �z►' ' ' � t V✓tdth Hel�ht � No.o! LSnaal�ft. -�Area � ""`�'��rt,,rZ. No. ot �una of Cano ilghte oY crack e.7. t� �" s , s: _+ .� , t . . _ . -.� �,: . . � ' - ��. ... z�� _ t � � tnfiltration r -.e:^,sy' `;;�`,��,�".-� ' Glass Eap. wall t �.' tVet eap. wali : - �'' Int. walt - ., `.1 Ceiling . - ',_<. � . � .� Floor . ?-G �" ' l�= �'� ay Tocal Bw. ` ,'! `,�°� �1� �� Infiltraeiun ?'? :.°�'r3 /�. /�,.� I ...-. Glass ��:� .�w� 'F'c^��-� �xxp. wali /r�' �:� IVet es�. w�ll -- ° / `? ..3%� Int. wall Ceiling ^�;,,. Floor � : � : �'� S'� =/,:�c� Tota! Btu. : :.��i��i� ,;I.,. E�equired sq. ft: E.D.l�. cs� eq. ins. �1.A. I.eadPr aiea . . ,----------- — - --- - ----_---- ---- Required aq. ft. E.D.R. ot sq. ins. �d.�i: L.�$�zr area i `'. -;�s� � F1•� ,.�'/i Room 1 I..en�th % -.�'Jidet►': // �` � `li�igh2 � `'- ;. Windows aad Doors—�racL•agc and Aita_ :: `` r:;' Wldth Hel¢At No. oE Ltn2n! :t; Ar2ay Y`' �� No. ot yane ot paae lic::te o4 crack a�: iL �; i i� �''O � -��" i`%� y A., ,� C`` � i, : �/j '` ii f � .t�'/ ' ' '"%� - t;`: - . .��:, _ " �Ag�. ;,.: �id lnfiltra4ion ` �.�� - ,.�'d /�Slc.` . Glass °�`a�a �...' : ,�',✓�� f.xp. v�all 2 _r' . _- �� - ,� Net exp. wall '-; .:!'7� . `iG�� :s. Int. wall Cei�ing � :.5�rf v • i�?'.� "� � � Floor " ' �.. Total $tu. . , F,N.:,�;� � � , � .� Requircci sq. ft. E.D.R. or sq. ins. �1.El. l�:d�s area _ �" -= �.I � .��E�.�, �� a�t� � �� r��t�; rv c��ri �-� � ��Jiadofva and Daors--Crac��ge att�=Ar a ~ _ ,;.�r ,� ;', Wldth Het3ht� NC. of � LinGA! it., �-htca �- '� �� Y I No. ot pnno ot pnne IlgAta o4 sp:.ek ` e0. Yt " :�. �� _ , ' . ' � �� . ��. ---� � '- � w� ' � � � � / _ .. y�s __ � ✓ .r ..c.z_.> _ - >: � �•'s? z� � .:. : �Otl. ��ia ` 'i:. In6ltration.. �c,�'�, � ,�� :' Glass � - `.�ci " ,�,^�`�'.� �,�e�,�;;'; a F.�cp. wal! �-� -. . + � _ Net exp. wall .3+c� . c tf a� ,'a Int. wall � = � Ceiling ` ..�i�� i',�'`<�..,C.'�`�,", Floor ,4 4.,;, ,I � Total Btu. : ;,: , �!� P.'�.�,,,�''; Required sq: fL E.D.R: ;or sq,.ins. W.A: [.e�.cl�r ar�a ` _ , x�•u - ' , �: - -- =_-_ - - ----____� ___ -r-;;, � . _ . " ' .Y: � . . � 7 L , y � t aq � f A� . '. � . . . . . . . 'LOS� CAf.CiJt.�'?IONS � "' 'ea(�crstiips . ��.�.V. Conatruction RI� "" �ildldG ��mdows � Doors Reference Out. �$faD Int. Watl C.eiling �� es—No Yes—jv`o i9_' ! Fl.j t:,;//ry�H Reom� I.�ogth � l�/idch / Height ,�, � ' �/indcws ahd Dooes—Cracka�e and Area -- 1Yfdth Height PIo_ o[ Ltneal it. Area .� � �No, ot Dane of Dane � tighte af erack aa. tt. � 1� '� �. �r._ .. _� . ..- t� . -. fe � � /,✓/'?. ' . _ - . . Coef. Btu Infiltration f�. < 3� �� ?,.J Glass . .�.�� G�'c� �ttp. wall _� � � �.» J T1ei exp. veall --'�,� !� ? c�,I C:,� Ine. dvall Ceiling �� ^ .� ��/ e� C. r F? FIOOI Total $ta. �=' ; t^, �_ , Required sq. ft. E.D.R. ar sq. ins. W.A. L.eader area 2 Fl•� !Y' L �L�, Room � Len�tla 12 Width � r Height ��-- Win�aws and D�aors---�rac�a� aad Arca f., �;�� Wldc9 �£elgnt 3vo.of Llneattt.� Area � �-�� No. ot pane o2 paae iigAts ot eraek sa. ft. j'3 ft� � J ;�. ' ��.°� l 1 t/ �Y �� Coef. Btu 1n51trapoa 2t,� 3� `�� Glasa . , � ; " 1 p7 Ea}l. Wa�� " ! .J, Net esp. wall "��- y^ '�s /� Int. wall Ceiling ' /Ft b }� ,, t.'.c,�� Fioor, --� Totat Btu. Requ�Yrd zq. fc. �.D.#i. �r s�. ir►s. �/.A. Leader arra _ F7. �, r. ��r � E�aon (t,.rc�zh �- �eath ->~ Window�s aad rs—Caac�a� and Area TVld+th 2ial�ht Na. of Liaeat tt. Area No. ot yane cf D%no Ilghts ot crnck sa. tt. � 2- � � ^ , � _ _ � � % y Infiltraciaa � 2_S� , :�8 CJmss ,�� ;,� �'acp. ws�! �'i ' � 2 IVct txg►. v�al� �-� � 1nt. avgl! �• � y'& � + 'r �a ;-; ! � ^�: � �� ,,LL � � � � � ; � 4 S�� $� � �,, ��. � � �� , . =t �: � -� � �''t ` e '•}�, k,. � , / ��': s r:� Y ��_ 1� � xr� � �� . . � . .. � # ..�4�,er... � - f,r`.'',�. __.,,.I� 7• � . � . � . - . ��i%�,SJ@.idio�RVM , . R�✓3, 7i. [toof Floor .tCind . %; H�=d+r Agspli:.d ` y , • �, , , ?_ F1.1 �Rr%? ' . �oo�n l:ength .:<. �Iid?�: jp � i-ieight''}�`� `Winda�vs and Dcar�--Crackage aad. f4aea. ' � � � Widih Helsht Na oi Lfae�t iL. Area '!"$ , � No. otpane �otyaae 'llShtr� otcrsch� ca.�1t: ,_ �' i � � �,3.G.�� : � '? ,a �: r - ... , , ' � . �;�'':,�t # �!. i. J f w� �>�.. . '. ' . . _. .. }.'," ;'{;,� �e�. .. .�� ', r . lnfilteation � �-.' ; �� '� �� :+.`. Glaaa .; ;j : � ��}�'� :`.� Exp. wali 2 � � . ' %. c�- � t. �'s Not exp. wal! =• /c.'�� . `, y� !y' Int. •rall ,.._;.. �� 'z. Ce,�ing �!� � �� : Floor .A''; Total Sta _ ' 4'�j;°�� Required sq. fL E.D.R. or:sq. ina. �I.A: LCdK�gr:IIYE$ '' . � 'E 7 FI.I �, - - . � l�oam f L.ea�th ,/�, , ;.. .�tisi3� /c� �e:.;�t. �' � Windows and Doois—�irackaga ac:d'A€ea .- ��` P�Idth Height No. 01 Linesi ft, -. Area "� . - . �' }.�,w�g; No. ot pane of D+ne lt8da ot cr$c� s,2: tC' s �%. i t�� r� i ��'�' ' A� •' , r�. - �`� �a�f. 1�2� Infiltratian ��' �:�:. '�� '°� . Glass �" � ' . �� t F�p. wall ,/ � i , �� Net eap. wall : ��?. : E�� 1 Int. wald �" ;,:_ _ _ Ceiling .¢ ff� � _ � J ?�.�:: � .. . �,a' � .`�, Floor � b Total Stu. ,� Required sq. ft. E.D.E$. or ; ►t �" � � Fl.� l-,�-.�� L Fioarx� l Windows end Daora—C Wtdth Halght N No. ot pane ot pnae tl Stu 2 Infiltration �-'% Glass EAp. wall �.�. N�t exp. wall In� wall Ceilm� �sS� �' 7. ' 1'loor _ _„A. _ - Toia� �tu. _ � �t,/ �� Required sq. ft. £.I}.�t. car aq, ins, �a/.p. L,eader area 2 FI. .�?�� ; Rcso :i � L.�n�th � �lidth � Heiaht ,s�4 � Windnws and t)r�r3-$rac�:a�e and Area_. .. � N16th Height No. of Llneal tt. Area � No. of ya.ne of Daae Nghts ot crack eq. it. Caef. Btu Inhltratian ,.�,�; �, �� Glass �cg�. svall c,� ' :�.,�- Ii�et e�p. wail ��, � �,�� , Int, wmli Ceiling __ � r5' }' i00[ �' Tsstai $�u. ,�,.: r�.�- Required sq. ft. E,D.R. og sq, ins. �l.A. I.rader area . '�} - . . � , �� ::; ins. �I.A.-�i:eaii�r arza : _ - ;::� n�th ,�:. �Jid� .�� Eie;,�bt �i'� . ;�� W�O LIi� �IC3 ` � `.y, t L1neal,ft. ' Ase¢ . .: t s of crac� aa- P�.;- Y� 3 � ,r`:. � .. . � �, � ' . t . t� � . �;.�: . .. � .� . . . _ � =:'.-?r a.' "> Coef. . .; �4� :: �-" - s� ,. :; . � Ceiling --- o `� �` .. �r��.� s Floor '_: Total �tu. - ��,��,, Required sq. fe. E.D.R, or sq. ins. W.11:'I,eadar acra � � Fl.� R�en R {:.ength �.`.° �idth_ ' ' �a�ht�. 'F : , .., . . , . � '_, � �iado�vs aees� �iaass--Crac��e an� Area ,;: ;, c Wldth Het�ht Na. ot Linent,.ft, �. prea ' � No. ot yane ot pm�e Ilght• of crack ?sa: ft. ... . . , - . z.�- ___"'�^�$.,.�.�„ �,.' . -.� . ` ;d .'._ �a��. � �r.a Infittratioa - �, Class � .� , ,. ;� Exp. wall '� � Net exp. wall � Int. wali Ceiling °'` iF F�oO[ ` m� � �� s Totsl Btu. z - � Required sq. ft. E.D.R.`or a�. ins. �J.A. l.�adei'r�i�a , �� _; ..;:,._,,,,: _.^ ; : , - . . _ - . - :_. ._.,. ,_.. , � � City of Fridley r AT TME TOP O' TME TWINO i` r rL-""--� GOMwVNITY pEVEt..OrNENT CIV. � � MOTECTtvR �N11�CTIpq ptK, � � i--- � pTr ►u►�� s��o�RY �Mt �.._.11.� �.� Ms-sw-a.w Job Address .,� ► _ s � � `� � Contra or , Kind of Buildin' Comp etion Date i' - �� i ; � II ~�WI i ; � , , _, � � — � W I � ! ; i � ` " � , 3 � I I I I ' I� a�NVa i � I II sv�l I � I � 'lddY � I I II YY9� I I : i � •�s�wl I I I � I � , � •sao� I 'MNrval I � d I SN19Y9I I I I a. � H�1V�I I kl a� iN�raal I I I. 0 � � [ doo,d 0 w� I O � I saaMw+SI I I I O� •iNnoi a b �N�aa I I I U q i � �n � U i � II I i � � �. O � w � I 'a i � � i v� p� sArail I I I � q� HsvM Z s�Nisl � 'N � I � � sNi�r■ soni H1YY 9irNwn Y71YM I I B � — � � � �s I ( � � � a ffi r� � �8 � a � ,��- 2 3 - � 7��``� I I tu��[cr , ��i PLUMBI�vr, PERf1IT QPPLICATi+��d � !�l.i�i'i A / Y�, ress eaaress �Q� -- , 1 ��"� �� P one ¢�c�-�� " �:a .� �- �;sLimacea c;ost - - -- `�`-��''�y �- _ -- - --- --.------ Plumbing Fixture Rates: N0. RATE TOTAL Number Fi.xtures x $2.00 �_ Future Fixtures x $1.50 New Fixture-Old Open. x $1.50 Catch Basfn x $3.25 Water Heater-99,000 BTU x $3.00 Ground Run Old Bldg. x$3.25 Elec. Water Heater x $2.00 Gas Fitting Fees: lst 3 Fixtures x $2.00 Additional Fixtures x $ .75 Gas Range-199,000 BT[J x $5.00 Repairs & Alterations See Description: Code State SurcharQe .50 I TOTAL FEE $ � !The undersigned hereby makes application for a permit 'for the work herein specified, agreeing to do all work in strict accordance with the City Ordinancea and rulin� of the Department of Buildinge, and hereby declare that a11'the facts and representatione atated in this application are t and correct. l _�'°"��-7� 'Signatur Date . 1 . HOUSE HEATING TEST RECORD ADDRESS APT. FLOOR � CITY SUBURB OCCUPANT OWNER HEAT LOSS DATE HTG. INST. GAS C0. METER BADGE # SOLD BY INSTALLED BY i-� ;' Electrical Work By Gas Line By TYPE OF HEAT GA FA a=' HW STEAM SPACE HTR. UNIT HTR. OTHER _M. GAS DESIGN CONVERSION MAKE MAKE OF BURNER Modsl ` / ''` Model $erial Max. BTU Rating INPUT :,� 1 MAKE OF FURNACE Model CONTROLS THERMOSTAT ��" ��• Heat Plug Vsnt Size Valve KIND OF LINER SIZE�'� NONE Limit °�' ` >+-- ' ✓ ` . Droft Hood . ! Reguloror •` Limit Setting n•' , Filters Size Number Fan Setting "' � Chimney Loeation Inside t�. Outside Pilot Type Chimney Construcfion Pilot Make . Pilot Model " $moke Bomb Wiring Pilot Timing �%A ��-' % Draft Test Tag �l4 L.W. Cut Off Door Pressure Lighting Inst. P � P C D T d .. "� " ressure ereent 02 � ate este �. Input CFH Percent 02 Company Testing ,' $taek Temp. Percent CO - ' Name of Tester , Form 235 sua�ecr PERMI . City of Fridley . 122'71 . AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r ; � R EIPT �. � • COMMUNITY DEVELOPMENT DIV. � r � L � PROTECTIVE INSPEC710N SEG /, 7��, 1 ; CL 1 � /��'1 � CITV HAIL FRIDLE� 55432 NUMBEFi REV. DATE PAGE OF APPROVED BY ` "-'�' ,�� 612-560-3450 910-F15 8/9/73 / / JOB ADDRESS 1640 Briardale Road N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Stephen Nuspl 1640 Briardale Road N.E. 3 CONTRACTOF MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. 6 USE OF BUILDING Res idential 7 CLASSOF WORK C NEW ❑ ADDITION � ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Alterations in ground level of h�use 9 CHANGE OF USE FROM TO STIPULATIONS IRED FOR Y+11R1NG, EPERATE PERMITS REQD SIGNS• S PlUMBING AN HEATING► TYPEOFCONST. OCCUPANCYGROUP OCCUPANCYLOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. WOOC� FTSRIe THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZON�NG SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WOFK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION ay 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 WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 1� OOO . SO 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- �j . OO STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. I ) PLAN CHECKFEE TOTALFEE �' .��1,��..,.. . ✓ L.��.-u. � q - $6 . 50 , SIGNAT aEOFCON�R croaoaAUTHOa EDAGENT A7Ei WHEN PROPERLY�K TED THIS IS YOUR PERMIT / � C �l � J (, � ; r� , , r -�� ;,�.:�: �_ SiGNATUREOFOWNERIIFOWNERBUILDERi IDATEI BLDG iNSP �A � APPLICATION FOR RESIDENTIAL, ALTERATION, OR AllDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER' S NAME :__ �✓ ( H��/L /�f J, lU(,(.5 PL BUILDER: M YS C� � E ADDRESS :/ 6�O BRlgt?l?A � L' 1�p lU L-' ADDRESS : FR�v��( NO:. 16�0 STREET: �3�i�j�p,q�.E LOT: BLOCK: ADDITION• CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD: Applicant attach to this form T�ao Certificates of Survey of Lot and proposed building location drawn on these Certificates. �ESCRIPTION OF BUILDING To Be Used As: • Front: Depth: Height; Square Feet: Cubic Feet: Front• Depth• Height• Square Feet; Cubic Feet; Z`ype of Construction: �uT�Rio/1 �jN;;N�NG, Estimated Cost; $!,B'�� A�.�,. ' To Be Campleted: _ ,� / �1' 7c� The underaigned hereby makes applicativn for a permit for the work herein specified, agreeing to do all work in stiict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representationa stated in this application are true and correct. . DATF ; _'�"' '-� / c/ � '3 S IGNAT[TRE : ._a.,,, � ,.� °� (See Reverse Side Far Additional Tnformation.) • •r � ,...1 1 � , ' ,� �,,j , . . . �! --_ .._.... . . ..,...�.e►rw�rn-�. f � c� ,� � hl; ;:';,>>ING PEFcNi' T' r��E SCHEIIULE SECTION 2. The Inspector of Buildings 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 repairs to any existing building or stx'ucture, 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: UNIFORM BUILDING CODE: Type 1, 2& 4-$2.15 for each one feet, or fraction thereof, in such cubical contents. Type each one thousand cubic feet. ADDITIONAL INFORrSATION thousand cubic 3 & 5 - $1.85 for kor t�e purpose of computing fees for building permits, the cubical contents of any building or addition, is determined by multiplying the ground area covered from a point six (6) inches below the floor line of the basement or tl�e cellar to the average heights of the upper surface or to the average heigl�t of the roof surface of the main gable of a pitched roof. For repairs or alterations to an existing structure, the fee shall be at the rate of $3.00 per each five hundred dollars ($500.00) or fraction thereof in the cost of all proposed work. In no case shall the fee charged for any permit as set forth in Section 2 be less than $5.00. VERIFICATION OF FOUNDATION NOTE: Permits for construction will be issued a minimum of 24 hours from the time of application, to a11aw for proper review af the proposed structure and of tY�e construction si.t�a. A Certified Survey of the lot, showing the loeation of the foundation, onee it has b�een constructed, will be required before proceedin$ with the framing. CERTIFICATE OF OCCuPANCY Application for a Certificate of Occupancy shall be ma.de ten (10) days prior to the use ox occupancy of any structure for which a building permit has been iasued; and said structure shall n�t be used or occupied until a Certificate of Occupancy has been issued. , CITY OF FRIDLEY APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES FATE SCHEDULE QESIDEIuTIAL Furnace Shell and Duct Work, Burner Gas Pipinq (pipinq needed with new furnace) Gas Ranqe Gas Dryer fiATE TO'PAL $ 2U.00 $ $ 10.00 $ $ 10.00 $ $ 10.00 $ Air Conditioning (all sizesl $ 10.00 $ All Others/Repairs and Alterations '>�'` �- `�� 1$ of Value of Appliance or Tdork� y S `� ��C�'J / COMMERCIAL/INDUSTRIAL 18 of Value of Appliance or Work State Surcharge T�'iAI, FEE Reinspection Fee ($15.00) Rough Insp. Date Final Insp. � , � �� — Date Approval for Permit 1��4' j_ MINIMUM FEE FOR ANY HEATING PERMIT IS $10.00 PLUS $.50 STATE SURCHARGE $ Effective Aug. 1, 1981 Job Address �([� �7' d � j� j � t' � %9 ! � Department of Building$, 6431 University Ave. N.E., Fridley, MN 55432 City of Fridley Tel. #571-3450 The undersigned hereby makes application for a permit for the w�ork herein specified agreeing to do all work in strict accordance with the City Cades and rulings of the Depart�nent of Buildinqs, and hereby declares that all the facts and representations stated in this application are true and correct. Fridley, Minn. � , 19 � OWNER KIND OF BUILDING /'X � t'� USED AS /]'�G�'L TO BE COMPLETED AHOUT ESTIMATED COST $ .50 OLD - NEW BUILDING PERMIT NO. PERMIT NO. ��S S S �� ✓� DESCRIPTION OF FURNACE/BURNER HEATING or POWER PLANTS, Steam, Kot Water, Warm Air- No. Attach stack verificati.nn foxm with replacement furnace pezmits Trade Name Capacity 7bta1 Connected Load BURNER - Trade Name Size No. Sq. Ft. EDR BTU HP Kind oi Fuel _ Size No. Capacity Sq. Ft. EDR BTU HP a�• : � �- Company �r, � � r ✓ Signed By Tel. No. CITY OF FRIDLEY APPLICATION FOR PWMBING AND GAS FITTING PERMIT m a� m a u . x u Flater � � � � � E e � m �i � ro � w a °� Neater ii a�i m a a „ X� a s w 'C �� a u � a�i ,9 .-°� �►�i a � � a�w o.°e g ro d o ro a " " a�s vi u � oq � m 3 Q w m w u ca �s 3 u � u� o as lec lat 2nd � 3rd atn (R) � E1�ture Connection opening Connected with Sewer (�) � New Fizture, Old Opening ilater RATE SCHEDULE PLUMBING FIXTURE RATES: Nsv Piaturea � Puturs tl:tnre• Old Openinq, Nav Fi:turs Beer Diapenear Blor Oft easin Catch eaein Rain Nater Leader Hydraulic Valve Sump or Receiving Tank Mater Treating 1lppliance 8ot Nater 8eatsr Gae Ranqe Gas Dryer N0. � RATE S 5.00 S 3.50 S 1. 50 S 4.00 $ 5. 00 $ 5.00 S 5.00 S 5.00 S 5.00 S 7.00 S 5.00 g 10.00 g 10.00 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS ls of Value of lixture or l�ppliance State Surcharqe Reinapection Fee $ ($15.00) TOT11L FEE TOTAL s /,�� S S S S S S S S S S S S S ' S .50 S /,�'.5b � aaaec uve wuy. 1, 1yd1 Job Addresa /� ��</ ��- 7 y� � Q"� � � � Department of Buildings City of Fridley Tel. N571-3450 The undersigned hereby makea application for a permit for the work herein specified agreeing to do all work in atrict accordance with the City Codes and rulings of the Department of Buildings, and hereby declares that all the facts and repreaentationa atated in thie application are true and correct FridleY. Mn. Z , 19� owr►�R s � . �l/1.� � L KIND OF BUILDING l/�ZT �i FR�-?-�-�'��- • USED AS /7`CTri�%� TO BE COI�LETED 1180UT � y!��'? �"�\ ESTIMATED OOST �/ SG�C7 .� OLD - NEW BUILDING PERMIT NO. pggMlT pp, � 8�� , .. � � �, , oompanyl � �,�/. , �;," L �'" �,�'� ��-(. siqned By � � i� % ( � Tel. No. T�%'" �i� �r l� 1 � RWGH INSP. nnte FINAL INSP. � ' � aste 1►PPR(Nl►L FOR PERMIT . ( ' �% (�� HININUM FEE FOR ANY PLUMBING PERMIT IS S10.00 PLUS THE S.50 ST?1TE SURCHARGE sue�ecr PER City of Fridley � 16 6 41 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. ' j ti: ------� r � � PROTECTIVE INSPECTION SEC. /� 6/ i 1 (�i 10 � � /"'1 � CITY HALL FRIDLEV 55432 NUMBER REV DATE PAGE OF APPROVED BV � ��'�./ �.J 612-571-3450 910-F15 6 17 82 � � JOB ADDRESS 1640 Briardale i�ad N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 3 Briardale SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE S. J. Nupsl 1640 Briardale Road N.E. 571-6647 3 CONTRACTOR MAIL ADDRESS ZIP PHONE IICENSE NO. Sundown Construction Inc. 4509 Heights Drive N.E. 571-8979 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WOFK Construct a 22' x 7' Gara e Addition and an 18' x 28' House Addition above ara e 9 CHANGE OF USE FROM TO STIPULATIONS VIiaRNIH+G �>'��ERATE !'EKf�1i(�5 kEI�UtKEU f�0�2 1Ka�t�►. Befae digg+�►¢ �1! �� r��AT1�NG, PLUMBI[dG AND Sf��. TfLEPNQNE - ELECiR1C - GAS Etc. �EQU�RED 8Y LAN�1 TYPE OF CONST. OCCUPANCY GROUP OCC!!pqNC'; LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. WOOC� FL'aIRE THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 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 $19, 850 $9.93 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PEFiM1T 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- $1l�O. SO NONE STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. /Jl PLAN CHECKFEE TOTALFEE � �'��Gl.a� L� / �� `�� 5.13 $185.56 s Na.7uaEOFC rv7anc70aOAn�7HOaiZEOncENr �DArE� WHE PROP R V ID TED HIS IS VOUR PERMIT i t * � '-17 ^$1-- SiGNATURE OF OWNER iIF OWNEA BUILDEPi IDATEI - gL'JG �irySP f�FTE � CITY Oi" FRIDLCY Effective Aug. 1, 1981 APPLIC/ITIO.'1 FOf; RCSIDL"i�TIlIL I3U1LDIilG PEfL'�ITS (Ner�, Alterations, AddiLions, or Repairs) ONJt�ER: � � , /i/i��%'� �- ADDRESS: / � �D ��'��`�1�'�9G f� %� � : TELNO: jvll -'�� L�7 � / T I3UILDER: �G�u1l�D�� C.%J��/�7'� ,�j�'/C ADDRCSS: `�� 1�,r�� "-� �//;�" , 7-- TEL t�0: � �� i - ` �' f �� i Construction Location - ST1tt�T NO : � =�� Li STItEET: i � � � �? �,� t L`_�"" �'�` ' IAT: °'� - BLOC7C: �� ADAITION : �j� / ��' � i �-. � Corner Lot: �C Znside Lot: Setback: Sideyards: Ap�licant attach to tliis form two Certificates of Slirvey of lot and pzoposed building location drawn on certificates to scale. DESCRIPTIOi� OF C01•JSTP.UCTIOW -. — ��" � ' �l� ' �� k- I'ront: � �-- Depth: �% Height: Square Feet: Qibic Feet: �[�� J Front: � � Depth: �4 � Height: /� �i /�, U� �� Squar.e Feet: Llx.bic Teet: /7��"� �� :,'� S(7��C3(o �� z I�S'��?'S�0`� �= 1�l��I, � S`i � ��,�� .�,�. ,- . � f , . Zype of Cor,structi�n:� �� —1�=5�;% f%'�=�� `�''�� Estimated Cost: . T �' f � Zb Be Oc�r,�pleted: � �-�-/ . , Proposed Drive�•�ay kidth If New Openinq Is Desired:/'��'�� ,�5� $ J Alt. A Alt. B $� S SEE REVERSE SIDE OF SHEET �iie undersianed hereb�► maS:es application for a permit fcr the work herein specified, agreeing to �o ,all work ir, strict accordance with the City of I'ridley Ordinances a�id rulii�g� of tl�e Departm��t. of Buildings, and hereby declares that all tl�e facts and repres�tatiens stated in this application are true and correct. r t. .� D.�TE: � � SIGNnTUF�: � ;� ��-�� _ �; -- � � ,� stiI,�lations : Iy�,S'd 3�. �3 � �.9'3 1 � y� �� : � BUILDI1�iG PERMIT FEE SCHEDULE The Inspector of buildinqs sha'll, before issuing permits for the erection of any building or structure, or for any addition to any bxisting building oz structure, or for any alteration or`repairs to any existinq buildinq or structure, upon application therefore, require the payment by the applicant f or such permit of fees to the amount herein below set f orth and in the manner herein provided to-wit: TOTAL VALUATI�1 $1.00 tc $500.00 $501 to $2,000 $2,001 to $25,000 S25,001 to $50,000 $50,001 to $100,000 $100,001 and up FEES $10.00 Minimum Fee $15.00 plus surcharge $10.00 for the first $500 plus $1.50 for each additional $100 or fraction thereof, to nrid including $2,000 $32.50 for the first $2,000 plus $6.00 for each additional $�,000 or fraction th ereof, to and including $25,000 $170.50 for the first $25,000 plus $4.50 for each additional $1,000 or fraction thereof, to and including $50,000 - $283. 00 for the first $50, 000 plus $3. 00 for each additional $1,000 or fraction thereof, to and including $100,000 $443.00 for the first $100,000 plus $2.50 for each additional $1,000 or fraction thereof pLAN CHECK: 25 percent of building permit fee DRIV�WAY DEPRESSION ESCROW: Concrete C1irb Str eets Only Alternate "A": Removeal and replacem ent of curb and gutter only Driveway width plus 6 feet x$13.50 Alternate "B": R�noval and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth Driveway width plus 6 feet x$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, showinq the location of the foundation once it has been constructed will be required before proceeciing with the framing. 1� ► 8�so Z,c�ov � 3a.S� ��t� - �n� � - � � ,�o � - � �«.� r��:.,� rJll�lltfL'l.1�1� / u�s �.r r�..�t�.t. �.wa sr...y:.» � . . � M�..».p.�l. , �.�� TNfi1M ' !��ll�('P1lll�'� *�I�l�'. Miww. H�3= c;�f� i.�.o...iw� r.t.�A..• fs�-1o�• "�""�'*'� E'�"�K+"+ Sa�ine�rs � Survyor• •^" �'�' •�� Mort�a�e Loean Survey !or K�CN�4�Qp !r!�[�C-,Q �!t'�S j� � � � � U Q /� � ' � � BR/A Rp,q� �- RO A� /y,E- eb a-�° 4R• 37g/ �_ I61.10 yi. O � . � � � o �9, tri � �4 � . � �� r � � Q _ $ �o (� � ♦ O M +y �f .S - �C _D� � � ` . N r0 � � ;,, � A . i- (>,.i �6. j j � _ % M � \ -� �' � - - - .��- - - � -� � 81.93 �'r I LOT 2 gLOCK f `� 3 � 1� 0 3 �R��R�A�.� �►�� a c�y , —�— — — �s ��` � u�,l,�y C�� . TAis i� • tr�s aw� c�rr�ct rtp.ea�wfa�ien •� • s��w� �f tAt Vsrw�ori�s e� M� I�n� •6�ve d�scrirer ��I'M! I�c��i�w �l sti Mrildin�� i( �wy� t1�e��on� ond oll visi►le •nt.00ctsa+�eu� N ony� h��w �� en s��r bnJ Thi• ��wr {a w.ed� M�r iw cenn�cti�w wi11� • m�r1,�y� Is�e n�wr wiw� 'I��sd �n tM pr�p�rtr �nd we l!�►ili�y is •farA�� •ac�♦ te Me held�r ef s�cA w�ei�0e�e �r �wr �tbe. iwsrr�s� ec��inr ►y tM r�as�w �I svcA wwrr�N. lt h vwM•+ao�d ew/ a��d ne w��+w�r�ra A�r• V��e'I��d 1�. fhe p�rp��e �f �sNbfi�Ain� 1�♦ liw�• w Nvwr►y c�rn�n. Oat�d �Ai�_�d�r ei�o. �.0. 1�� sUSURSAN ENGINEERtNG, INC. � ��QIQ� 1 ~ �►V/ I h V�,r � - sv�w r - . /` �' i i �� ;. �*.. ; � 6 i , � . : �_ � ':�'fii ;# ' rt , � i j f n;f ' �� ,�; .�N i i. p �,� �.� . i'` �t, �) y��.'i , � a: �- �:� ��,�., a.` ; .�` ;, , aa yt� ��;t i ' �:�' �' 4 f' i� 3j; � � `', � �,i1! t �'i�r �i1 a !i�f.� �i{� p�( � r �,� �kl 5 � �� ' �'� �1 � i �F Y�E�! e S ��f ��: Y ��# � : ) i- d< i .� �`� i{'� "� � ,� �� y ��rf � � � � � � � � �� t . 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Effective On August 1, 1995 6431 University Ave NE Fridley, MN 55432 /1/% r� APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 %. " REFRIGERATION AND AIR CONDITIONING SYSTEIvIS AND DEVICES RATE SCHEDUtE Residential -� Furnace Shell and Duct Work, Burner — Also Replacement Furnace (Side Vent — Fill Out Back) Gas Piping (Needed with new furnace} Gas Range Gas Dryer *Air Conditioning — All Sizes All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work Commercial/Industrial 1.25% of Value of Appliance or Work Rate TOTAL $ 30.00 $ •�G� - C%O $ 10.00 � $ $ 10.00 $ $ 10.00 ''� $ $ 25.00 $ � � �' � � $ $ State Surcha�ge. , �.50 TOTAL FEE . . � --� < �Z� MiNIMUM FEE FOR ANY HEATING/COOLIPVGNENTILATION REFRlGERATION/AIR CONDITI�JNIIVG PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. . JOB ADDRESS : ��te ,�� i�-��i �� i <<(' , The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in stric# accordance with the City Codes and rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. ,199� �,, OWNER �� '�� , � � .,��-��c..� i ,? � i BUILDING USED AS � � -, � ESTIMATED COST PERMIT N0. J�� / �' DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Trade.Name � � � Size No. BTU < HP EDR Fuel Total Connected Load Burner Trade Name Size No. BTU . . . . HP �r��,� EDR • Heating and Air Conditioning � 4o.i4 Ce�trcal Ave. N� HEA7ING COMPANY Co�{umbia F�ieic�n+s, i�.�',N 55421 f �6�2;��z-ca.�� ,>' Signed By �' � Tel No. � Approved By Rough—In Date Final Date �� J FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the elcisting chimney or stack: 1. Has been carefully examined Yes () No () 2. Is free from rust or deterioration 3. Has no foreign objects lodged within 4. Is securely supported 5. Meets all current Code requirements for size and total BTU's connected �� 7. 8. Has total heating BTU's of All other BTU's TOTAL BTU's Has a liner been provided for water heater Has combustion air been provided for water heater Remarks: L�t ALTERATIONS Being Done: HEATING CO: Signed By: Date: Yes ( ) No ( ) Yes ( ) No ( ) Yes ( ) No ( ) Yes ( ) No ( ) Yes ( ) No ( ) Yes ( ) No ( ) Building BUILDING Permit No.: - Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY �at��: Q% DATE R�S � 0� YpUR E-MAIL ADDRESS NL� �/�L � 7 L-� L- L, Q� C� SITE ADDRESS ___�� (= �� /� 1%� Y� �)� L L-' ��% _/V L � � i2 1/% L. �� 5 S y 3 2. TH1S APPLICANT IS: �OWNER ❑CONTRACTOR PROPERTY OW NER/ NqME:_ 7 j� ��N L �tJ �f' M i4 [21 L; �. Lis � L TENANT ADDRESS:_ I C� �(' D �� /� I A J�l% ALL- �� CITY F/2 1 UL L � STATE K P�L� 3� PHONE: 7�� — S� l — i ii �- % CONTRACTOR NpME: SUE3MI�I� A COPY OF STATE LfCENSE # EXP DATE YOUR STATE LICENSE ADDRESS: CITY STATE ZIP WITH APPLICATION pHONE FAX PROPERTY TYPE SINGLE FAMILY'NEW CONSTRUCTION SIZE � l'WO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ �DDITION ❑ GARAGEiSHED ❑ WINDOWS ❑ BASEMGNT FINISH j�ROOf ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEw ❑ ADDITfON MAINTENANCE/REPAIR ❑ REMODELWG DESCRIBE WORK BEING DONE: I�L /� D�r' i tiCc SI"./.E OF IMPROVEMENT LENGTH W[DTH HEIGHT S. Ft. ROOFING ❑ HOUSE ONLY NUMF3ER OF SQUARES �� ❑ HOUSE & GARAGG BASEMENT REMODELING SUBMIT: GARAGES ❑ ATTACHED GARAGE 1. Existing Floor Plan PROPOSED SIZE: ❑ UETACHED GARAGE Z. Proposed floor plan PROPOSED HEIGHT: 3. List of structural members to be used SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffit ADDITIONS, & PORCHES SUBMIT: ❑ Aluminum ❑ Tnm t. Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia and proposed project. W INDOWS Z. Two sets of construction plans IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS 3. Energy Calculations OR FOR NEW OPENINGS-DESCRIBE SIZE OF OPENING CHANGES & TYPE OF W WDOW TO BE INSTALLED NUMBER OF W INDOWS ALL HLN;J AKN; t3AJN;U U1V VALUA7lUIV, IIVCLUllIIVG'1'HE CUS7' UF LABORAND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ �, i�j� .(`l('� OCCUPANCY TYPE Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Pee Sewer Main Charge Total Due $ � 7 �� $ $ �� _`� [i $ $ $ $ $ $ � /l ?i i See Back Page for Fee Schedule 6�% of Building Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $1675 per SAC Unit (Plans to MWCC for determination) ft+6ft= ttx$21=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks pavable to: Citv of Fridlev Attach THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSF.D 1 hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all work wh' req �res ev'ew and a proval of plans. SIGNATURE OF APPLICANT �� PRINT NAME ��G��(-�ENi U� �I �S ��L DATE�S D _ Building BUILDING Permit No�' --� Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date Rec'd: �' r� 763-502-4977 FAX EFFECTIVE 1-1-08 DATE �. � I�7 �C� t> YOUR E-MAIL ADDRESS N �� S P L- �.r S,� �^F' ' f�� C�� e�� SITE ADDRESS l� �'�! I�%� (� 1-Z L%/�} L L. /l i%• �V C � ��. L� l/'- L% TH1S APPL[CANT IS: �OWNER ❑CONTRACTOR PROPERTY OWNER/ NAME: � % � ! � �.I 'Qq" � � �_- U S �-, TENANT ppDRESS: (�� (77,21 A R D�c1 L(; i� �% n/ L= � CITY F!2 /(i L L'-! STATE �ZIP S�� PHONE: �� j" S % i��' �i' % E��l G L' 6S`l — C 36 —cu 3( "� NAME: CONTRACTOR ADDRESS: CITY STATE ZIP SUBMIT A COPY OF pHONE F.� YOUR STATE LICENSE STATE LICENSE N EXP DATE PROPERTY TYPE SINGLE FAM[LY/NEW CONSTRUCTION S1ZE 2�" �c � 0 ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ��DITION ❑ GARAGE/SHED ❑ WINDOWS 2 ❑ BASEMENT FINISH ❑ ROOF �l DRAIN T[LE Q L, ❑ DECK ❑ S[DING �OTHER �� L��R 7 ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION �� L� p� G /-� �G �{ �V � I ��J� ❑ MAINTENANCE/REPAIR 1ZEMODEL(NG DESCRBE WORK BEING DONE: �'l`��- G(_ �R��7`J `l�'I�A%l f' �� S ��2%�� C�'{ D� f�L k11 ��'� ��! I L( �G(�,6� SIZE OF IMPROVEMENTr a� �� HEIGHT S FT ROOFING NO �`�CjG� NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: I. Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffit .'aDDIT10NS. & PORCHES SUBMIT: ❑ Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia and proposed project. 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENiNGS ❑Yes ❑No LOCATION 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, INCLUll1N(i �fHN; CUST UN LAIfVK AIVll 1V1A11�.1(lALJ: (USING THE 1917 UBC FEE SCHEDULE) TOTAL JOB VALUATION $�O!'�►�. � 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 $ ��,�.. jS $ '�-- $ /.- o ..� $ ,� U $ $ $ $ $ $ $ . � 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+bft= ftx$21 =$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks payable to: City of Fridley Attach Sti THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED ns [ hereby apply for a building permit and [ acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that 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 accordanc the a pro ed n m the c e of all work which requires review and approval of plans. SIGNATURE OF APPLIC�T �� , � PRINT NAME g i G�Nt�U �, N�( S Z�L._, DATE �� 3( °O APPROVED BY �� '/%��,C�,�� _ DATE z Page 2- Building Residential Application 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 FEES $1 to $500 $23.50 (Minimum Fee is $23.50 plus surcharge) $501 to $2,000 $23,50 for 15` $500 plus $3.05 for each additional $100 or fraction, to and including $2,000 $2,001 to $25,000 $69.25 for 151$2,000 plus $14 for each additional $1,000 or fraction, to and including $$25,000 $25,001 to $50,000 $391.25 for 15` $25,000 plus $10.10 for each additional $1,000 or fraction, to and includin $50,000 $50,001 to $100,000 $643.75 for 15` $50,000 plus $7 for each additional $1,000 or fraction to and includin $100,000 $100,001 to $500,000 $993.75 for 151$100,000 plus $5.60 for each additional $1,000 or fraction to and including $500,000 $500,001 to $1,000,000 $3,233.75 for the 15` $500,000 plus $4.75 for each additional $1,000 or fraction to and includin $I,OOO,OQO � $1,000,001 and up $5,608.75 for the 151$1,000,000 plus $3.15 for each additional $1,000 or fraction 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 proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the existing foundation will be required before proceeding with the framing. New Houses Only City of Fridley - . Building Inspections Department 6431 University Avenue NE . Fridley, MN 55432 763-572-3604 Fax: 763-502-4977 0 Drti�N� �o�� ,��`� I7/i f 1 L� 0�� 1� � G :�7G. �� G �.1✓� i� � f �I � �s �� 7�� " �. � � S� � �c �l l � �UN�J� ��,�y ��M � �� F�Zo.t7 ( �vo � � ti, ��L /1 c G;R/� �"iU ( d/G� ��7�� s /s,/ �Gli �G��i/��- � , 2- G� ��Q d� /��_ �� G�-- J� /% r� ��f� � G ��, p i�R �� r2 (7 /-1 L L^ S��J� ��c5(��. �6;� -- � 71 - �' 6 �E �7 oF�� C h c- C� 3 6- C� 3i '� Building MECHANICAL Inspections RESIDENTIAL APPLICATION 763-572-3604 CITY OF FRIDLEY 763-502-4977 FAX EFFECTIVE 2-19-09 DATE ��L; SITE ADDRESS _ THIS APPLICANT IS PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION n 7a/`O�R � ❑ OWNER YOUR E-MAIL ADDRESS � �ONTRACTOR Permit No Received By:�� CT ��i LUU� ec`d. ADDRESS ��/yU �riw/'GQK/C l�/� CITY STATE ZIP PHONE: 7(i.3 • S% I' LG N% COMPANY NAME: CONTACT PERSON: HeaRh 8 Home Technologies, Inc. STATE L[CENSE # dba res e ea o �e.,ee �na� �nan EXP DATE ADDRESS: 2700 N. F8lrview Ave. CITY STATE Z[P PHONE 651 /633-2581 FAX PERMIT TYPE �SINGLE FAMILY ❑ TWO FAMILY TYPE OF WORK: �NEW ❑ REPLACEMENT ❑ TOWNHOUSE ❑ ALTERATION/REMODEL DETAILED DESCRIPTION OF WORK ��S�s� I� �jc. s �`/'�A ��ce �,+/ G�S 1�'1�- FEES ARE BASED ON 510.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BEL;OW) `- PROVIDE HEAT LOSS CALC'S PER MANUAL 200¢ ASHRAE HANDSOOK. � 'r�, Equipment [nstalled MFG: {•e� I o MODEL: � SIZEBTU �� MFG: MODEL: MFG: MODEL: A/C $25.00 FIREPLACE (GAS) $15.00 AIR TO AIR EXCHANGEER $15 FIREPLACE (WOOD) $35.00 BOILER $35.00 FURNACE $35.00 CHIMNEY LINER $10.00 GAS DRYER $10.00 DUCT WORK $10.00 �GAS PIPING $]0.00 Numb�r cif f xi�.tres �,1a � I O.U{} ; x$1 U.00 -� Number of fixtt�res �) $I5.00 x $1�.00 = $ SIZE/BTU SIZE/BTU GAS RANGE/OVEN $t0.00 NEW GAS GRILL $1Q.00 GAS UNIT HTR $10:00 POOL HEATER $35.00 VENTILATOR $I5.00 N��nber of fixtures a� $25.00 x,$ZSAO -$ Numb�r c,f fix#ures � $35.Of}' x $35.00 - $ State Surcharge — $ .50 r";_ �f �-, s a (MiNYMUM FEE �35.50) Tatal =_ $< THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to star[ without a permit; that the work will be in accordance with the approved plan in the case of all work which requires review and approval of plans. SIGNATURE OF APPLICANT y�� _ PRINT NAME f��l(/%�^ �/�:S h i C DATE O/� 0 APPROVALINSPECTORSSIGNATURE DATE City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 I .. City of Fridley Residential Mechanical Application Page 2 REQUIRED INFORMATION NEEDED TO PROCESS PERMIT RESIDENTIAL PERMIT APPLICATION HVAC � NEW HOMES/ADDITIONS ❑ EXISTING HOME ❑ MAKE-UP AIR REQUIRED FORNEW/EXISTING HOMES �� e�'s�''�:;��±'� ,ti�.:.�,>� �, � n•; 1. Combustion Air (See note below) a. Oil or solid fuel IMC Chapter 7 with MN Amendments b. Natural Gas or Propane/IFGC Chapter 3 with MN Amendments 2. Make-up Air (See note below) a. IMC Chapter 5 with MN Amendments MN Rule 1346 Sec. 501 3. Venting a. Gas appliances IFGC Chapter 5 with MN Amendments b. Fuel other than gas IMC Chapter 8 with MN Amendments 4. Heat loss & cooling load per room a. MN Rule 1322, Sec. N 1104.4.13 5. Ventilation a. Per MN Rule Chapter 1322. Sec. 1104 6. Duct Design Per IMC 1346.0603.2 a. ACCA Manual D NOTE: Centerpoint Energy Mechanical Code Guidelines software may be used for combustion and make-up air calculations.