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AF - 36574City of Fridley, Minn. 6431 University Ave. N. E., Minneapolis, Minn. 55432 BUILDING PERMIT Date: December 29 1972 --��--��----�-------�- �----- --�-------�-----'— -_._._. Owner: _.RiGh-a:r.cL_Mi-11.e-x._H.c11�t.e-s--.-------..__.._.� Builder .._..__ C AnrTF . Aaaress __16.00 Rice Creek Road SAME --�- --------�-------�----......_.___-------••------�--•----.._._...._...._..------_ Address �_ ._.._ �1935 LOCATION OF BUILDING rro. .-----1-b-4.3------.-. street ..-----$-r.-.i.a--r-.da-l.e-----�Z-aa.d---.___.__ Part of z.ot 9 2 Briardale Lot ....................................._ Block --- - �- ----�- - -�--- --....... - ..._.. Addition or Sub-Divisian ---------�------. _____.----•--• --- . . _.._.�r, ,7�_ ��_ orner Lot ------------------------ Inside Lot ..--.---•-.--�----.---------------. Setback --�.� �-------.__ Sideyard .�r �e�� Elevation .....------_----.---.--9_07...49--.--.------------------------------------------�b�'xi��levation ----___�10..49 Minimum Wye Top of Footing DESCRIPTION OF BUILDING To be Used as: �Ide�.�-��------- ..._........ Front -•�-� �---_ Depth �1�..! ..._.•--. Height _..�Q...�__ Sq. Ft. .1..,.�.2.. Cu. FtZ.]..�..�$.Q G a T age-..----------•--•---------. Front ._Z Q. �__ Depth �.Z__ �_.__ Height .--�-Q �--. Scl. Ft ....._.�� Cu. F't ..�.Q� Type of construction _._Wo_od._.._Frame________ Est. Cost �_3.Q.�2..�.7..,.._O_Q._._.._. To be Completed _�T_11I1L 1 97 � STIPULATIONS: Provide a hard surface driv.eruay. Provide a verifying survey before ��g. �sca�ow of �3i� 3ta is �se s�n �u-ater meter is taken out. � f �>_ � � ,/ .ti` � . / WATER LOC�TION: Stopbox 10' East of Sewer. SEWER ELEVATION: "Y" 56� East of Manhole SEPERATE PERMITS REQUIRED FOR `�iItRING. In consideration of the issuance to me of a pe�b �ti3i4dtr�ic��l�t�� dlJ�Yib��i� I agree to do the proposed work in accordance with the description above set forth and in complia�}ce with all provisions of ordinances of the city of Fridley. • � ..._._,��:.�� .��'� , _ $15.11 State Surchar,ge In consideration of the payment of a fee of $._..4..�_...�—�_., permit is hereby granted to$1. r h a r rl M i 1 1 a T H ome s __._._..._.�._...._...._ ..............................._ to construct the building or addition as described above. This perxnit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects •to the ordinances og Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildillgs vyithin the city limits and this permit may be revoked at any time upon violation of any of the provisions of &aid oz�dinances. �E-- � f 7 o� ARREL CLARK NOTICE: This permit doas not cover t6e consfruction, installafion fo� wiring, plumbing, gas heating, sewer or water. Be sun to sN fhs Building Inspector for separate permits fo� fhese ifems. v \ M1� , � � �� `J C s6a3a5o l,c�t o �NidCe � � ANOKA COUNTY 6431 UNIVERSITY AVENUE NE December��, 1972 FRIDLEY, MINNESOTA 55421 TO WHOM IT MAY CONCERN: Whereas the City of� Fridley has�ssued a building permit to construct a structure at %�� C�?CrL2�k �:u�'� - Whereas the permit is dated prior to January 1, 1973 and tfie City of Fridley did not collect or receive any "Service Availability Charge". Therefore if for any reason the Metropolitan Council and or the rletrcno?itar. Sewer Board assess or bill the City of Fridley a Service Availability Charga ror this structure or sewer hook up, we the undersigned agree to and will pay the City of Fridley for said charges. %�' . . � f1� � /,-�� Witness S i•gna � " Company � � / � T tle t � � . .-.��_ �1 i�.� :��i� l:i._�iui::�l l:'tiL, -�L"i��,kZrlTlt)Iv, ��R :1llllI�rI��\ i3UII.DING PERI�II"f CITY OF FhIDLEl', �fINVESOT.a OWNER' S;vAME : BU ILDER :�« N�4 IZ'P I� � LL� �-IO N9�-5 � ADDRESS : ADDRESS : l(�G�h �iG� C,��y< (zc.�p �ipL�-Y V0:__ (G,�}-3 STREET: �j2lA2bAL� ��AD L��T : 9 BLOCK: 2 ADDITI01� : t� �� /l�D/.�L� COR:�� R LOT : lINS IDE LOT •�_SETBACK •�5-� SI DEYARD •'% � / �� p��:icant attactl to this fonn 'Itao Certificates of Survey of Lot and proposed buildin�3 location drawn on these Certificates. ULSCRIPTI�?v OF BUILDING To ce ;;sed :1s : _ w� iu rr.nt: �� Depth: ?��1� Height: ?.-La Square Feet : t'C� 7Z Cubic Feet : 2i4q,�'� �2��.� Front : ZC� � Depth : Z2� Height : (� � Square Feet ; 4.L�.� Cubic Feet • �{-400 Type of Constructi�n: '��M� Estimated Cost: S 30�, �O� To Be C�tnpleted : (�-- j — 7� � ,,�� ' / �� '� The undersigned hereby makes application for a pera►it for the work herein specitied� agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. /] �_ �� UATt : _ D �'-�' , L�' � f �/�'7 � S IGNATURE : %(,�r ,c�n.F/ /�.��d%G'`rC (5ee Reverse Side For Additional Information.) �� . � � � �� ! C � ..^ .�� ` , . ❑ City of Fridley r 4T TMf: TOP O' TM� Tr111N� 1 � i` r ra.---'^-� GOMwyNtTY DEVi1..O�MENT CIV, � � � MOTECTIV[ wf�CT10N O�K, �l 1 �'-' i pT/ NALI i11101.RY �f�� 4,._.1`�� .J N3'�W'3N0 JOD AaareSS ner Contractor 53-8�� —s-915. 51 �1�,1EGT ��"—�' PLUMn I �dr, PERP1I T QPPL I CAT I�� 161�3 N. �'. Briardale Road John Stuart Al11NNEGA5C0 Kind of Building Frame omp etian Date � —10-71 � ii� I u � I i ' � il r W I I I i :I i W � I � � �. �, W � i ; ; �� , � < < : ' ' I ; �I � I i �� a�Nra � sv�i I ( I I � i '1ddvl I � I � I � o�� , � �X��i I I I , ��s�wl I I I � I� � •saa�I i �—�I � I � •MNiva ( i ! �— I, I � I SNISVHI I I � I. CQ G •U � I�� H�1Y�I I I � I O I � aa i.. � ... �... sNrvaal I I � I I CL 0 � aoo�� o I �0.. � I saaMOHSI I I I I I � O � I •1Nlt0! I I � F G C4 d �N�ao ( I I I cc v �p'� s�vai Q� MSYMI I I I I W�' �� z o�"�SI I I I � I , sNiora sani M1Y1 4lVN1Y0 �1i901� yuvM I i � I ( a ffi � cf] � � c6 � a //-/y-75/ a� � � .� � � 1 I I� I i i 1 ress s vne �3? WIAFcCcUE�� TF AVEtVUf se MPL ., . �� 1 Res. stimate ost 10.00 Plumbing Fixture Rates: N0. RATE TOTAL I Number Fixtures x $2.00 ' �— Future Fixtures x $1.50 New Fixture-Old Open. x $1.50 Catch Basfin x $3.25 i Water Heater-99,000 BT[7 x$3.00 � Ground Run Old Bldg, x$3.25 ` Elec. Water Heater x$2.00 _ I Gas Fitting Faes: lst 3 Fixtures x $2.00 Additional Fixtures x $ .75 Gas Range-199,000 BTCT x $5.00 Repairs & Alterations I See � Description: Install Grill Code 5.00 �� IState Surchar�e .50 � � TOTAL FEE $ 5,50 iThe undersigned hereby makes application for a permit '�for the work herein specified, agreeing to do all work in strict accordance w ith the City Ordinances and ruling of the Department af Buildings, and hereby declare that all'the facts and representationa atated in this application are true and correct. . � r ...,"""' /J J .,� .....��„�''�i/ �"� ��?-G''°`,.'. 'n �. 'Signature �.fi&N"T�'!;,h.;;�-,°Tr Date ! . t . � "��`� � �, e�+� � ��diey " APP�ica�ion Ior Ph�ng aed Ga� Fhii�q hn�it D�p�t. of Sldq�. Phon� 590-3�.40 -- - DESCSIPTION OF WORlC L�� / / ` t � .1 �� A r,� �/�� Niumb�r, Kiad and Locat�on o! Fixtur�s --. �! �� ' �' y y� Y �1 � � N ' F � Y � � t Y � � _ � � 3 � �� n 3� cr Base � � � � Ist � � 2nd 3rd Sth • Fulur� Cona�ctios O'D�ni:tQs * N�w Fixlur�, Old Op�aissps � � • . WAiE� MT�. � Z Z � �� a� �� 3�� u� � 4 I N GAS fLEC. �� a i c� � � � S�w�r �P�� PARTIAL RATE SCHEDULE PLVMHING FIXTUAE RATES: NO. R11TE ?OTAL Number Fixtures . . . . . . . . . . . . . . . . �! x a2.00 E � �' "� F�.�ture Fixture Opening . . . . . . . . . . . x E1.50 S - New Fixture Old Opening.. .. . . .. . . . x a1.50 ;___ Catch Basin . . . . . . . . . . . . . . . . . . . . x a3.25 S Water Heater (Up to 99,000 BTU) •... � x a3.00 s `3. � New Ground Run Old Bldg. ........ x a3.25 3 El�ctric Wat�s H�at�r . . . . . . . . . . . . . . s :2.00 i �AS FITTING FEEB: NO. RA1'E 'IOTAL a.�J lst 3 Fixtures . . . . . • • • • • • • • • . • f x 52.00 ; Additioaal lYutures . . . . . . ... . . . . . . x = .76 ; Gas Ran�e to 199.000 BTU . . ,.. . . . . ... x E5.00 � REPAIRS ar ALTEAA?IOI�b—R�i�s to Cod� Descripdon . . . . . . . . . . . . . . . . . . ... . . . ... . . .. . .... . ... . ; 1`OTAI. �'EE _ � �J � � City of Ihidley: The undersigned hereby makes application for a permit tor the vs�ic herei specified, agreeing to do all work in strict accordance with the Cit� Ordinance and ruling ot the Department of Buildinga, and hereby declues that all the LaM and representations stated in this application are true and correct . !'ridleY. Minn �+ f/ �Y � � „ 19L 3 Owner � / G�A/�0 M / � �L�%� tcina or Builaing /`/!;MM /� usea as d 4J LlCI !.f 6'� To be completed about � V`I � Estimated Cost, a � �04�� , Ali�-New. Building Permit No. P�rmit No. Signed �_�� V� /� • �Q• sy q • _ �-j.-�i Business Phune No. � ROUaH FINAL �1 - v'Z � ' % .iT Application �or Pow�r Pfants and HeaNng. Coofing. Yentikrtione Reh�iq��ation and Air Condi�ioning �i�st�n�s and Devnc�s PARTIAL RATE SCHEDULE �RAVT'd'Y WARM AIR: A1►'!R TQT1lI. .. �f • �;; Flimace ShelI & Duct Work . . . . . . . . . . . . . . . . . . . . . . . . . . a10.00 � � Replacement oi Fiirnace . . . . . . . . . ..... . .. 6.00 i ' Repairs & Alteraiions—up to a500.00 . . . . . . . . . . . . 6.00 � -- Repairs & Alterations each add. �500.00 .......... .... 3.00 ; �cH. w� �►t� Furnace Shell dc Duct Work to 1�0,000 BTU . . . . . . . . . . . .�10.00 � 10 .QQ_ each add A0,000 STU .................... ... 3.W i Replacement oi Flirnace ............................. 6.00 � Repairs dc Alterations�up to �500.00 . . . . . . . . . . . . . . . . 6.00 s Repairs & Alterations each add. �500.00 . . . . . . . . . . . . . . 3.00 ; STEAM or HOT WATER SYBTEM Furnace She�l & Lines—to 400 sq. ft. EDR Steam ... $2Q.�J0 � Ftirnace Shell & Line—to 640 sq. ft. EDR Hot Water I0.00 S Each add. 200 eq. !i. EDR Steam . . . . . . . . . . . . . . . 3.0(1 �-- Each add. 320 sq. ft. EDR Hot Water . . . . . . . . . . . . . 3.00 a OIL BURIr"iER—to 3 gal. per hour . . . .' . . . . . . . . . . . 6.00 a over 3 gal. per hour—See Fee Schedule GAS BURNER (np to 199.000 BTU) . . . . . . . . . . . . . . '. . . . . . . . 6.0� = 5 . 0 0 over 199,000 BTL1 See F�. Seiudul� GAS FITTING FEEB: li0 RATE TOTAL �St s �Xtur� . . . . . . . . . . . . . . . . 1 � 20o a a . o 0 Additional Fixtures . ............... : .7b ; Gas Range to 199.00� . . . . . . . . . . � b O� _ ua co�nrrio�a WEST : FAN HEATING SYSTE1i! VENTILATII�G SYSTElt ]►LTERATIOIQS k AEPAIRS Rovax . FINlii, /0 � / - 7 .i'— ' i SLO-3 (3 ton-1200 CF�I) 18.00 SN F» Sch�dnl� � .50 SURCHGE ror�. �; 3 5. 5 0 Dspt. of Bldy�. Phon� 580-3450 L��a,� 1643 Briardale Road � � City o! Frldley: The undersigned hereby makes appHcation for a permit for the work hereic specified, agreeing to do all work in strict accordance with the Eity Ordinance: and ruling of the Department of BuiIdings, aad hereby declares that aIl the facts and representations stated in this application are true and rnrrect. �idley, Minn- July 17 � 1973 , 1& _ C •':� u C .•4 Kine ot suilaing f rame v�a �s _ residential To be completed about 8� 10 / 7 3 Estimated Cost, $ 1 3 5 0. 0 0 s"' ; (,, Oid—New. Building Permit No. Permit No. � DffiCAIPTiON OF WORIC HEATING or FOWEA PZANTS—Steam, i%t Water� Wazm Air—No 1 Trade Name WFSTINGHOUSE Size No-FGUB-1� Capacity 8 8� 0 0 0 gq. F!. E.D.A BTU H.P. Tota1 connectea t.oaa 6 5, 0 4 7 Rind oi 1�'ue� Q a s BURNER — 1Yade Name SAME AS ABOVE �u No CaPaatY &l. !'t E.DR BTU HP. SALESMAN: John Borry COPY OF HEAT LOSS ATTACHED. (REMARKS-OVfR) si __ �, s� �nn� ftEATING & AIR CONDITIONIIVG i2i0 Wd� Aw, • 929-6767 �L �� kw �M 55425 �� -�x'.5" \� HEAT LOS3 CALCIJLATIONS Y � . � :;� .-; : " �r'eatherstrips A.S.H.V.E. Conatruction No. Insulation Guide Windows Doors Reference Out. Wall Int. Wall Ceiling Roof F7oor Kind How Applied Yes=�lo ! 4 Yes—No 19_ � FI.I � Room Length Width Height � Fl.� ,-' '� Room Length �':' Width.- Height �" •Windows and Doors—Crackage and Area Windows and Doors—Crackage and Area t�'Idth HeigAt Iro. of Llneal ft. Area � Wldth Helght No. ot Ltneal ft. Area No. of pane o( pane Itght� o[ crack sq. fL � No. of pane o[ pane Ifght• of crqck �a.;4t. , �f " i ... - /. .. - . � - ✓ . ' . . . . , /� ,�' ; 4'. i. ,j , � =J Coef. Btu Coef. Btu lnfiltration ' Infiitration �-- . Glass ^- _ ._ , Exp. wall ` Gla�� % � .:_.".�� i ,_ Exp. wall - Net exp. wall " -" Net ex wall P• /'-.`�.�5 Int. wall ' - Ceiling � : Int. •✓ail Floor Ce�iing . , ,' G Total Btu. . Floor - Total Bcu. �= .. ,: � i Required sq. ft. E.D.R. or sq. in�. W.A. L.�ader area Re uired s ft. E.D.R. or s � q q. q. ins. W.A. Leader area ' FI•� . Room � Length Width _ Height Fl.l ` Room I Length _ i Width ' Heig t Windows and Doors—Crackage and Area Windows and Doors—Crackage and Area Wldth HelQht No. ot Llneal ft. Area No. of Dane of Da�e 116ht• ot crock sa. [t. Wldth Helght No. of Llneal !t. A�e6 ' No. ot pane of Dine Ilght• of crac!c eQ. !t. � � � � i '%, �. _ , . / ) Coef. Bcu Coef. Btu Infiltration In5lUation - - Glaa• Glass F�cp. wall ' � �' ; . Exp. wall ' � ^ ^ Net exp. wall � Net ex wall Int. wall P' '��'_ . Int. wall Cei�ing • Floor Ceiling ;; � .. f � Floor Total Btu. � Total Btu. _ - Required sq. ft. E.D.R. or �q. ins. W.A. Leader area Re uired s ft. ED.R. or s � 1 q q• q. ins. W.A. L.eader area __ F�•�: Room � Length ° Width - Height ;; �- Fl.I Room I Length a�" Width /; , Height": � Windows and Doors—Crackage and Area Windows and Doora--Crackage and Area wiecn x.i`nc xo. ot �,ineai tc. wrea No. ot pane ot pane 116hts ot crsck ea. ([. R'fdth Helght No. ot Llneal tt. Ares . _ No. ot Dgne o[ p4ne Ilghta o[ crack �Q. tt. �( ;-`' f . . ,� � ,y,,,- � _ � ' � ; � �'_: .. r ,. ` Coef. Btu Coef. Bcu lnfiltration • Glasa Infiltration .. _ . ...., - - � tI ' �.. � ii�d3S r" � Ezp. wall %-' Exp. wall . . �i� ; ; Net exp. wal! '- ' Net exp. wall � � !nc. wm!! 1nt. wall ; Ceifing "" �,, J_ / / R;�., . Cei�ing Floor - _ Floor Total Btu. - .. � Total Btu. �' -. _Required sq. ft. E.D.R. or sq, ins. W.A. l,eader area Required sq. ft. E.D.R. or s �� Room � Length /? Width /�°'+ Hei ht I q. ins. WA. l.eader arca __ --- ' g �. Fl•� . Room I Length i"%� Width : Height" W�ndows and Doors—Craelcage and Area V4'Idth x.� nc N- Windows and Doors—Crackage and Area 8 0. of L1nea1 ft. wrea No. ot pane ot pane Ilght• ot crack ep. (t, a'Idth Helght No. ot Lfneal [t. Area . _ No. o[ pane o[ pane Ilght• ot crnck �p. tt. � , - � -_ 1 ' , . � Coef. Btu Infiltration - Glass � E�cp. wall ' 1 - Net exp. wall Int. wall , Ceiling . ,, / Floor Total Btu. Required sq. ft. E.D.R. or aq. ins. W.A. L,eader area , i. Coef. Btu Infiltration Glass � ;; Exp. wall � <;, _ �, ; " Net exp. wall �. �' • ' � �i. Int. wall .... � Cei�ing � Floor . ; :� ,, .��--�Fi __ : � ` Total Btu. ' ! �..,.r. ._.r Required sq, ft. E.D.R. or sq. ins. WA. L.eader arra ; ; • ".�.". `' .�. Conatruction No. Insulation Guide « „ Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How ..' 0 19— . Room Length Width Height Fl.� Room � L.ength Width r' � and Doore—Crackage and Area Windows and Doors—Crackage and Area Idth Helght Iho. of Llneal tt. Area Wldth Hetght No. of Ltneal tt. Area ��- ot pane o( Dane ilghta of crack �q. tt. No. ot pane ot Dane Ilghts ot enek �Q. tt. � i� ;�. �'� : �. ,' _ ! � � I I � In6ltration � Glass Exp. wall Net exp. wall Int. wall Ceiling Floor ; Coef. Btu .. ,.� — '�' � � � Total Btu. ;� Required sq. ft. E.D.R. or sq. ins. W.A. Leader area ' FI•� Room � L.ength Width Windows and Door�Crackage and Ar�a Wldth Helg�t No. ot Llneal tt. Area No. o( pane of psne if`�t� ot crack ea tt � Heiahc ' I Coef. Btu lnfiltration � •._ Glas• - n' E�cp. wall Net exp. wall �- Int. wall � j, Ceiling Floor . Total $tu. � ; � = � Required sq. ft. E.D.R. or sq. ins. W.A. L.eader area - ' FI• Room Length Width ' Height Windowa and Doors—Cracl�age and Area Wldth HN�ht No. o[ L1nea1 [t. Area No. ot Dtn• ot Dane Ifgh!• ot crack �p. tt. � �J Coef. Btu In6ltration - �i , Glaaa � Exp. wall , ' / Net exp. wall �, Int. wall _ - Ceiling Floor -• Total Btu. _ _ , __Required sq, ft. E.D.R. or aq. ins. W.A. L.eader area �• Room � Length Width Height Windows and Doors---Crac�age and Area R'Idth � Helght No. ot Llneal tt. Area No. of y4ne o( Dane Ilghf• ot craek sq. ft. Coef. Btu lnfiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or aq. ins. W.A. Leader area Inbitration Glass Exp. wa�l Net exp. wall Int. •�all Ce�iing Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area FLI : Room I Length Width Windows and Doors—Crackage and Arta R'Idth Helght No. o[ Llneal [t. Area No. o[ DQ�e of Dane llaht■ ot crack �c. [t. Infiltration Glass Exp. wall Net esp. wall Int. wall Cei�ing Floor Total Btu. Required sq. ft. E.D.R. or sq. iris. W.A. L.eader area FI.� Room I Length Width Windows an� Doors—Crackage and Area Wldth Helght No. ot Llneal ft. Are• No._ of pane ot D`ne Ilghte ot crack •p. tt. In6ltration Glass Exp. wall Net exp. wall Int. wall Cei�ing Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. WA. Leader arca Fl•� Room I Length Width Windows and Doors—Crackage and Area W Idth Helght No. ot Llneal [t. Area No. of pane o[ pane Ilghts of crack �C. !t. Btu Btu Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Cei�ing Floor Total Btu. Required sq. ft. E.D.R. or sQ. ins. WA. Leader arca � 53-t�4-S-915. 51 � Cit�► of FridteY A�plic�ioe lor M�aabi�q aad Ga�t FhtL�q �t � n�c. .� 8�... nr.,. eea.sa�o II�� 16�3 Briardale Rd. ll�i��. Kir �wi [.os�tiM �[ ticttir�� • � �d� � � s� � � ��?��f � �$��s� � � � t � Hase Ist � ��i��l � ■��, '' �■��■� � � �. .. � 3�� O� • M WS fttC. v M+� G.�.0 P�RT(AL R�►TE SCHEDULE t[AN1I1�G iIITVaE MTi�: NO► M'1't TO?�L Kna�er !1a hetes . . . . . _ . . . . . . . . . . s fi00 i � R��e (�e� . . . . . . . . . . . : =I _60 �_ . l4�r R�O�e dd Oprnia� . . . . . . . . . . : :t.6� i Cste� Ha�hr . . . . . . . . . . . . . . . . . . . . : �S:i � R�ter i%�ter ,'tlp to M:� S'tV� «... ::i.A4 i Ne*r Cround Rua Oti Htct� . . .. . .. . : �.ZS � iiebie Ratr S�w . . . . . . . . . . . . . a M�0 i CAi !�7"f'AtG i'Eti: wR 1uT6 Z+O'tiL. 1st i �we+a . . . . . . . . . . . . . . . . . . 1 = itpp � 2 • �� Yilffaa�l Ziai�ees .. . . . .. .... .... s � 7i Z. Q� A�t to !l�AOb H'!'�J ..... ...... 1 s l6.M i�. nC1_ State Surcha=gs • $ .SO �►�� t i1.T�t�Tip�a�—a.t.r i� C./� O�e�l/Ii� . . . . . . . . . . . . . . . . . . � . . . . ... . . . . ► . . ... . .� �� 5.50 civ os tYim.�: �±�1t UOdlT'f1�!'d hli� [Ili�lS �p1lOfl iOf a�T411i �O! Z�1C tOf� 11!!O '-+ sv�ctfled. atree{ns to ao aII �rork m sMd �co�dance w►itl� the (�y Ord�sana�r and nalins of tAe Depart+e►eat ot Bui3di� a� Aeeeb� deeLrss t!►at all tIur tad: . and tepresentatbos statad ln tAi: apoileatio� are true asd eorreet �� 7/25/73 . »� �� Richard Miller Homes Inc. ' Kuid ot Buildi� �'• p,ed a, Res . _ To nr ca�tea aeone 7/3�/73 Bstimated Cost, f 10.00 "- �te.. nuua�o� P�+,nis � 11...�r N.� �c. /'� /�� - � ' � . • . s+i-�_ � � . . 'i, Bwi■es !'Y��e � FO�� ,,,�_�� C1��s F`A" Surcharge .5�� sue�ecr PERMIT N City of Fridley o 319 \ AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r ; � RECEIPT N . � COMMU�JITY DEVELOPMENT DIV. � � L'--��'� /`F' r � PROTECTIVE INSPECTION SEC. 1 � ' -�'�/'��1` � CITY HALL FRIDLE� 55432 NUMBER REV. DATE PAGE OF APPROVED BY � "' '� 612-560-3450 / / 910-F15 9/12/75 JOB ADDRESS 1643 Briardale Road N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 9 2 Briardale SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE John Stuart 1643 Briardale Road 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSENO. 1 Avenu South Minnea olis 4 ARCF�j1�C� OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ,7,IP PHONE LICENSENO. 6 USE OF BUILDING 7 CLASS OF WORK ❑ NEW IX ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESC1Ft19E v�K12' and 16' 4 9 CHANGE QF USE FROM TO STIPULATIONS ��t�' �� 1TS ��i�� i��i�i�, �Tt�1�►. P�.UN981tVG A�1�lD �iCty.S� TYPEOFCONST. OCCUPANCYGROUP OCCUPANCYLOAD SEPARATE PERMITS ARE REQUIRED FOF ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. WOOCI frame THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTtON ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCT�ON OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT 2�$ 2,496 ANY TIME AFTER WORK IS COMMENCED. N0. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE REAO AND EXAMINED THIS APPLICATION STALLS GAFAGES 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 $S�OOO 2.35 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- 16.41 STRUCTION f�THE PERFO ANCE OF CONSTRUCTION. � PLAN CHECKFEE TOTALFEE / _ r y �a.�6 sicNnruae G RACTORORAU O 12EDAGENT IDATEI EN PROPERLV V{�LIDATE TWIS IS YOUfi PERMIT G_— C.. ' � -�� ?, __ 7�._ /� -1�,1,`{.�� ' �, �_/_� �5 �� SiGNGdURE OF OWN R11 �OWNER BUILDERI .� IDATEI BLDG iNSP DATE � f�PpI,ICA'1'ION FOR RLSIDENTIl�L, AL'T�RATION, OR AllllI'TION BU.ILDING �PERMIT CI'I'Y OF PPIDLLY, MINN�SOTA -�-- OWNER' S NA1�TE� BUILDER: � G�•�L- �, � ��1 ADDRESS : �. �} � �,� � ADDRESS :,�� i.�-�_�4 �-,-�-� � i.� � f O�n 1��5 NO:. STR�ET: LOT • BT�OCK: CORNER LOT : II�'S TDE LOT : ADDITION: SETBACK: SIDEYARll: NpUlicant attach to this form 'Ita� Certificates of SuxveY of Tot and prupos�l building location drawn on these Certificates. To Be Used As : DESCRIPTIOiV OF BUILDING Front: Depth: Height: /S� Square Feet: �o g Cubic reet: �l./Cj�O rront: Square Feet; Depth• Height: Cubic Feet: � � � �pa of Construction: �.�.��,,�,,J Estimated Cost: $'� �r�� To Be Completed; � � ��'�- � 1'he undersigned hereby makes applicati�n for a permit for the work herein specified, agreeing to do all work in st'rict accordance with the City of Fxidley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and'representations stated in this application axe true and correct. DAT� : c�t 1`L- � S IGNATIJE (See Reverse Side For Additional Info� �70�� l�(� _ ��16 �� , . . .G�� g,�2U ' ��G 3Z �Z �� 4i �� oU�,�U��°',w� 2,3� . �, r�, � � � . � � c BUILDING PERMIT PI:� SC1�LllULL S�CTION 2. The Inspector of Buildings shall, befpre issuing permits for the erection of a.ny building ox structure, or for any addition to any existing building or structure, or for any alteration or repairs to any existing , building or structure, upon application ther.efore, require the payment by the . applicant for such permit of fees to the amount herein below set forth and in tl�e manner herein provided to-wit: UNI�ORM BUILDING COD�: Type l, 2& 4-$2.�15 for each one thousand cubic feet, or fraction thereof, in such cubical contents. Type 3& 5-$1.85 for each one thousand cubic feet. AllDITIONAL INFORMATION For the 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 ox the cellar to the average heights of the upper surface or to the average.�- �height of the xoof 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 an� permit as set foxth in Section 2 be less than $5.00.. , VERIFICATION OF rO�JNDATION NOTE: Permits for construction will be issued a minimum of 24 hours from the time of application, to allow for proper revie�o of the proposed structure and of the construction site. A Certified Survey of the lot, showing the location of the foundation, once it has been constructed, will be requixed before proceeding with the framing. CERTIFICATE QF OCCUPANCY Application for a Certificate of Occupancy shall be made ten (10) days prior to the use or occupancy of any structure for which a building permit has been issue�l; and said structure shall not be used or occupied until a Certiiicate of Occupancy has been issued. ,. � � � �� al�, " � . � . - . . �€�p�ic��on f4r PI�rnl�i�s� �� e� ��r�� '��i� .: • ]�^ept. sf $ld�. '?honm � 3.4� . . ..• • . . ' DESC$TFTlOTi OF WO�C, . • •Lo�Lo _��r� r,-�-;,..a.,� , ��,,.,,a ' r -' � .._—T�. - - � Krsa�be.r,�Kine snd 3.oeatiea o¢ FtxswESs , . . � . . . ' ' I �u WATI1 N711. ■ Y p O z��= ��I:��i��pz��=io�l ��;� � _ ' ' ' : � � s ,, a � _ ' � 1 � .. � 7 I � K crs EuEG q � � .,�.�7 < 7��7 I ° ��C � js� jl �:;�� a;;o��o�'<';iuz�u��$I E � ?r � 1 I :� i "= � ::� i I I I I t �� I I • i:.....:• Gc=:.c:•.:�-.. O7ca. �;s � t ?Caw [ �:.-:ti:rs. O:d O� :.~..,^s PA R7lAL RATE S� t-i��U l.E � $or�ad. �, Ceup� � PLTSMSING IF'I'XT[iaE iV►iES: h0. R.`.TE TOTAL . :r'ur.^.'xr F:x:ures . • • • • • • • • • • • • • • • ...—._---- x S2CA S � � . ' Fstcre F:xtu: e O;,cr.ir.g . . • • • • • • • • • x 51.5� S _.. :�e�v Fix:u:e O:d O�rrtii^6.. ••.•••• x 51.50 S_ __. C�ich B�s1n . . . . . . . . . . . . . . . . . . . . �.., x �3.25 S k a:c: iiea:cr 'L'p to �3.C•�0 S'i U� •••• X��'� S . - ::e:+ Crour.d Run Old B:dg• • • • • • • --�-- x S3.25 S— — �'K:... i'J�:6: F-:s.:t.n:, . . . • . . • . . • . s $?.� s G1�S FITTLfiG FES4: 2i0. P,nTE T07AL Ist 3 Fixti:zes . • . • • • • • • • •• • : .. . • - x S2.00 � . - .r1C.'.i:ic�al F:xtt;,res. ... . . ... ...... �---- x $ .75 S -- ' ' ' x S5.00 6 G:s ?:: �e :o lA.000 B:V . ... . . . . .. . , . 0 � City o1 �`c-idlcy: . ' - s Thc uade:sie cd hc:eby m��ces 8�7�t1�3UOn for a pe•^^it fcr L`:c ao:� 2:e:�*_ spccifrd, a°,recing .o �o a:: «'crk :n s: :c: accc ��^•e w•:;:� the C:� C:'-'::�-c and nling oi the ':`^_ra::r.�ent cf �u::c�'��, anC he: =�Y �e��==� L'�=� a=I L*e f:c and repr.se:�taiions sta;ctii . Lz .`s �.�p::ca �c.n :: e ir�e :�d �'°%� � r'- �'�-'' r t 9_.,. �:dley, b:ir.n.. �• n7,.�W� l ?,,�d Comp?n�� -' . Qwncr .�,Y.=.-..:;�.— . iCind of B;zi:dir.g =��:'-`�°r.c° /rr�m° ' , U$CCj 'd5 Y`c�c i lonrt� 1 %�_f�_7 5 � _�— To be completed abot:t � ��n nn � �Esiima;.:d Cost. S. -� / � �eT�li NO. W�� Old—A'ew. Bui:ding F'erm:t t�o. - . T,�, n; r -r„� ; " . . S:�c� � �- . _. _ By -� BL'�:A�:S P:^.vAe 10 R��—�nn1 RO'JGH_�__ �:�u, � - l — �? ' � . 50 State .Surcharge � REPNRS � I4L•T�1�J►riONs—��s�t�o Cod�. - .. � ' nn , , � Destti � � � +: � a : � ; 1- l- � �. . . . . . . . . ... . ... .' .S - • . . j'IS01f . • • . : • . :` . � . •.. . . . � ' • � ' . , , • �'rtLl. �"='...E • � � �.r--.-------- • . . . • � . � . . . � , , � • � . • • . HOUSE HEATING TEST RECORD ADDRE55 APT. FLOOR CITY SUBURB OCCUPANT OWNER HEAT LOSS DATE HTG. INST. GAS C0. METER BADGE #. SOLD BY INSTALLED BY Electrical Work By Gas Line By TYPE OF HEAT GA FA �' HW STEAM SPACE HTR. UNIT HTR. OTHER GAS DESIGN CONVERSION MAKE ' ~ MAKE OF BURNER Model �"` � �'' "' Model Serial Max. BTU Rating INPUT �' • MAKE OF FURNACE Model CONTROLS THERMOSTAT ' A Heat Plug Vent Size Valve KIND OF LINER SIZE NONE Limit - Draft Hood Regularor r Limit SeNing Filters $ize Number Fan Setting Chimney Location Inside Outside Pilot Type Chimney Construction Pilot Make Pilot Model " Smoke Bomb Wiring Pilot Timing --, `. Draft Test Tag L.W. Cut Off Door Pressure Lighting Inst. Pressure '~! -`'" Pereent COZ r Date Tested ' � '�'' Percent 02 Com an Testin i' f`f Input CFH;' p y g Stack Temp. '�- Percent CO Name of Tester Form 235 CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 RATE SCHEDULE Residential �4PPLICAI`ION! F�R ��WER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION ANQ AIR CONDITIONING SYSTEkU1S A�1� DEVICES 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 ar Work Commercial/I ndustrial 1,25% of Value of Appliance or Work Rate $ 30.00 $ � 0.00 $ � 0.00 $ 10.00 $ 25.00 State Surcharg�e 70TAL FEE: Effective On August 1, 1995 ' JOB �4DDFiESS ��'��'i �t'i�/'�+.:�F7 /.� J�;�'/. The undersigned hereby malc�s application for a permit for the vvork hei•ein TOTAL specified agrpeing to do all work in strict accordance with the City Codes ar�d rulings nf the 6uilding Divi�ian, and h�reby declares that all the facts and $ represec�tations sdated in this application are true and correct. -./C.,� %�� oC / ,1995 $ � �,� / OWNEFI �!��-/ �?7"�"i /'.%C�� $ /C.c � � -��"—E� BUILDING USED AS_��;[�:/�/C_-E �:� % , � ESTIMATED COST % , �'� � PERMIT NO. / %�% / DESCRIPTION OF FURNA�E AND OF1 BURNER _ � -- �'� �T, $ No. of Heating Units�_ Circle One (Steam) �Hot Water) m�,ir� P';j Trade Name -`;��E. Size No, � 7c7�T -� �BTU . ��`� cScX� NP EDR \ $ �,c�y Fuel r 1�' ��,�e� Total Connected Load $ .50 _ ,��"� / � SZ� MiNIMUM FEE FOR ANY HEATING/CnO�LIWG�NTILATION REFRlGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SU�iCHARGE REINSPECTION FEE $42.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner, Burner 7rade Name Size No. BTU HP EDR � HEATING COMPANY -�r ,�� /`n.i�' e- ��,�C�- Signed By ,�ix�� Tel No. X�{� � - � '' �' � - � :�"= Approved IBy �'/ Rough-In Da#e Final Date �%-�2l-� � FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE � CHiMNEY AND STACK VERIFICAT[ON The undersigned hereby verifies that the existing chimney or stack: l. 2. 3. 4. 5. 6 7. : Has been carefully examined Is free from rust or deterioration Has no foreign ohjects lodged within Is securely supported Meets all cunent Code requirements for size and total BTU's connected 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 Yes ( ) No ( ) Yes ( ) No ( ) Yes ( ) No ( ) Yes ( ) No ( ) Yes ( ) No ( ) Yes ( ) No ( ) Yes ( ) No ( ) Remarks: 1 , �=x� �'r-v ✓LJ/ o�a L/.� -"�o�//�= .Ssit%G-- i�llV i� rr- —� �- — _ k-� � �n�-��►/7� «�;-�� A �/�w on��_ List ALTERATIONS Bein Done: HEATING CO: --f/-�,�L / � �, n/C� �- ��-in��- Signed By: � � ��,�� Date: � ��_� /_. {� ; . � _ CI�IY OF FR! DLEY FRIDLE� neNJ�t ��,9�NTER • 6431 UMVERSITY AVE. N.E. FRIDLEY, MN 55432 •(612) 571-3450 • FAX (612) 571-1287 1 Lori Stenger Steven Sjolund 1643 Briardale Road N.E. 244 116th Avenue N.W. Fridley, MN 5532 Coon Rapids, MN 55448 RE: First Notice of Noncompliance at 1643 Briardale Road N.E. Dear Ms. Stenger and Mr. Sjolund: The City of Fridley has established a City Code for the purpose of promoting a pleasant and attractive suburban environment. A recent inspection of the property at 1643 Briardale Road N.E. revealed that not all Code requirements are presently being met. Listed below is an item which does not comply with the City Code: Fridley City Code states that vehicles having a licensed gross weight over 12,000 pounds, whether attended or unattended, must not be parked upon the public streets in any residential district unless in the process of loading or unloading, and then only for such a period of time necessary to load or unload. Please discontinue the parking of the Ford truck (license YU19051) on the street. Your prompt attention in correcting this situation would greatly assist us in helping make Fridley a better place to live. An inspection will be conducted on or shortly after July 3, 1996, to determine compliance. If you have questions or would like to discuss this violation, please contact me at 572- 3595. Thank you for your cooperation! Sincerely, Kurt Jensen-Schneider Code Enforcement Officer KJS:Is CE-96-177 t � �� S � � � ��`� ITY OF FRIDLEY INSPECTION DIViSION (�� ;�� n� �) �� .(V 1" 431 University Ave NE . �idley, MN 55432 APPLICATION fOR POWER PLANTS AND I�EATING, COOLING, VENTILATION� 63•572•3604 REFRiGE1tAT10N AND AIR CONDITIONING SYSTEMS AND DEVIC�S RATESCHEDULE esfdenlial Furnace Shell and Duct Work, E3urner • Aiso Replacement Furnace (Side Vent • Fill Oul Back) Gas Piping (Needed wilh new turnace, bul nol replacemenl) Gas Range Gas Dryer "Air Condilioning • All Sizes All Olhers/Repairs & Allerations (UST ON BACK) 1°jo ol Value oi Appliance or Work Commerclal/Induslrial 1.25°Jo o( Value o( Appliance or Work Rate $ 30.00 $ 10.00 $ ] 0.00 $ 10.00 $ 25.00 State Surchar�e TOTALFEE MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 S7A7E SURCHARGE REINSPECTION FEE $47.00/IIr 'Air Conditioners can not be placed in a side yard without wrilten perrnission irom adjoining property owner. T07AL $_�� $ Etlective On January 1, 2001 �oB noo��ss j-L��13 �1' ��C�-I-e cl OWNER Sf v�e � lu�i�l� � � BUILDING USED AS ��'� � � I �iC� ' ESTIMATED COST JCr �'�J , UZ� _ PERMIT .NO. ` DESCRIPTION O� �URNACE AND OR BURN�R $ No. oi Heating Units�_ Circle One (Steam) (P-Iot Water) ( rm "'r) $ Trade Name__��y_'`�C� G'1�" Size No. ��5:f1`1 L�- �� BTU �L��- H�' EDR � Fuel i� .(�, . � Total Connected Load $ $..._ � .50 $�� E3urner �lrade Natne Size No. B1�U HP EOR . Tl�e unders+gned I�ereby makes application Ior a permit for the work herein specilied agreeing to do all work in slrict accordance with the City Godes an rulings oi the Building Division, and hereby declares that all the facts and represenlations stated in tliis application are true and correci. 6-IEATING CO Signed ' �A�E �' � � -U ( BLAINE HTQ• ��C ELECT. INC. i3562 VENTI�AI. AV�• �•E• '"._..� ...• r�afn♦ TEL # � l��j"�r�� lU�� Approved By Rough�ln Date Final Date �� `� � f311CK SIU� MUST E3� FILLCD IN ON VENT SIZE, VENT CONNECTORS I1Nd COMgUST10 AIR VE�tIFICATION COMMON VENT, VENT CONNECTOR AND COMBUSTiON AIR VERIFiCATiON When replacinq an existinq furance, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstn�ctions, and is securely supported and frrestopped where required. Yes� No () Tfie venting system is p(astidPVC and meets all current codes and manufacturer specifications inciuding sizing, length, number of elbows and termination. Yes (� No () The undersigned also verifies that the replaceme�t unit is a listed assembly and meets the current codes and manufacturers specifications. Tfiis does include AGA-GAMA Category 1 Central Fumace Venting Tables for fan assisted and natural draft appliances. The existinQ combustion air is sized and instalfed to �eet the current codes and manufacturers specifications. . V`t"�er r�Guired to tnst�!! a ne�r comb�stion air, it yvi!! be sized and iRStailed to meet the current codes and manufacturers specificatio�s. When irtstal(inq a new ventinQ svstem, the urtdersigned hereby verifies that it is a listed assembly and meets the current cades and manufacturers specinca�ions. This does include AGA-GAMA Category i Centra( Fumace Venting Tabies for fan assisted and natura! draft appliances. !s the c:mmon vent and vent connectors sized and installed correctly after an appfiance has been removed from the common vent and vented separately as per current codes. Yes � No ( ) Yes Na ( ) Yes� No ( ) Yes`(�) Na ( ) I` Yes (� No ( ) A�piiance Type and SizelCammon Vent and Vent Connectorinfortnatio� App(iance #1 iype �1 c�I�VIL'tC� BTU fnput ?��%��L% Fan Assisted or Nat ��-� App(iartce m2 Type BTU Input Fart Assisted o� Nat Appliancz #3 Type BTU input Fan Assisted or Nat Totat Appliances Tota( Btu lnput C�mmon Vent Type Vent Neight Diameter irtches Aprli�^: y�1 Vent C�nrtec:or H��ght f� L�ngth �t Diameter . in i ype- App(iaRCe #2 Vent Connector Height ft Length ft Oiameter in Type '. App(iancz #3 Vent Connector Height ft Length ft Diameter in Type '°� A_LTErZATIONS: (Describe) . ' ��r BLAINE HTG. A/C � .. INC. 13562 CENTRAL AV�. N.E. HEATING CO: N 5s3oa Signed By: e^- Date : �'-% ��C�� _ C["iYOF FR[DLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(763) 571-3450 • FAX (763) 571-1287 August 23, 2002 Mr. Steve Jucick 1643 Briardale Road NE Fridley, MN 55432 Re: Final Inspection at 1643 Briardale Road NE Contractor: Daves Appliance Heating & Air Cond Dear Mr. Jucick: A mechanical permit was issued on August 21, 2001 to install a furnace at your address. According to the 1991 Uniform Mechanical Code a final inspection shall be conducted on the work authorized by this pernut. As of this date the inspection has not been requested. The permit fee that was paid covers the inspection to make sure the work was completed according to the Codes. We will keep your pernut open for another 30 days and if we do not hear from you within this time to set up the inspection, we will mark the permit "no inspection called for by homeowner after notification" and take no further action. To set up the inspection or to have any questions answered, please contact the Building Inspection Division at (763) 572-3604. Sincerelv. DJ/mh City of Fridley AT THE TOP OF TME TWINS r � . � � � • COMMUNITV DEVELOPMENT DIV. ♦V�� r � � PFOTECTIVE INSPECTION SEC � � � � �"'1 � CITY HALL FRIDLE� 55132 �'"""�� ' 763-571-3450 SuB�ECT BU ILDING PERMIT NUMBER pEV DATE vAGE OF 910-F15 10/14/02 / / ioe nooRess 1643 Briarda�e Road NE t LEGA� �OT NO. BLOCK TRACT Ofi AODITION DESCR. 9 2 Briardale Addition 2 PROPERTY OWNER MAIL ADORES$ Steve Jucick 1643 Briardale Road NE 3 CONTRACTOR MAIL ADDRESS B& B Remodeling 6760 Madison St NE, Fridley, MN 55432 � ARCMITECT OR OESIGNEfi MAIL ADDRESS 5 ENGINEER MAIL ADDFESS 21P ZIP PERMIT NO. RECE�PT NO. �� APVROVEO BY SEEATTACNED SNEET PHONE LICENSE NO 763-443-1694 9042 PHONE UCENSENO PHONE LICENSE NO 6 USE Of BUILDING Residential 7 CLASS OF WOFK ❑ NEW D ADDITION ❑ ALTEFiATION p REPAIR O MOVE O REMOVE 1i B DESCRIBE WOFK Reroof House & Garage (27 Sq) Tear-o�'f 9 CHANGEOFUSEFROM TO STIPULATIONS Underlaymer.t must comply with the State Bu�lding Code. TYPE OF CONST SEPARATE PERMITS ARE REOUIRED FOR EIECTRICAI., PLUMBING, MEATING, VENTI�ATING OR AIR CONDITIONING TMIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTfiUCTION 20NING AUTHOR12E0 IS NOT COMMENCED WITHIN 60 OAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONEO FOR A PERIOD OF 120 DAYS AT ANV TIME AFTER WOqK IS COMMENCED NO DWLG UNITS I FIEREBY CERTIFV THAT I MAVE REAO AND EXAMINED THIS APPLICATION 1 AND KNOW TME SAME TO BE TRUE ANO CORRECT. A�L PROVISIONS OF LAWS yqLUATION AND OROINANCES GOVERNING THIS TVPE OF WOfiK WI�L BE COMPLIEO @ WITH WHETHER SPECIFIED HEREIN OR NOT. TNE GRANTING OF A PERMIT W3 � I26 OOES NOT PRESUME TO GIVE AUTMORITV TO VIOLATE OR CANCEL TNE pEqMITfEE PROVISIONS Of ANY_QTHER STATE OR LOCA� LAW REGUTATING CON- STRUCTION OR T E ORMANC F CON TRU N �97 . ZS PLAN CHECK f EE Licens S� 4TUpE CON�RACTOQOp4UT�OA�2EDeGE iD�iE� MEN PR( S�GN47UQE O� OWNEQ�� OWNEQBUI�OEA� �OA1Ei Ri , iti50 OCCUPANCVGROUP �OCCUPANCVLOAO SO. fT STAIIS $5. CU f T ' PARKIN( GARAGES $1.56 SAC CMARGE Fire SC $3.13 TOT � FEE 106.94 TMIS IS VOUR PEfiM . . . / ar NEVN (] CITY OF FRIDLEY Effective 1/1/2002 ADDN [ J 6431 University Ave NE, Fridley, MN 55432 (763) 5T2�604 Bldg Insp ALTER (] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Cohstruction Address: ,�t(�C/� ,��i�r �t�iee � Legal Description: Owner Name 8 A� Contractor. LNING AREA: GARAGE AREA: DECK AREA: OTHER: .[3a7�',�� ,� GCC�"c K� Tel. # MN LICENSE # �Dyo1 �� G � Tel. #%G3- �/y� �/6 9�/ Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. Length Length Width Height Sq. Ft. Width HgUGround Sq. Ft � �� o?�S� / v Construction Type: �e —��— Estimated Cost: $ T,��-�� / a� Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: l� "�y � G ci- APPUCANT: Tel. # 7C3 � y�3"l� �`� Call (763) 5T2-3604 for Permit Fees if mailing in application or Fax to 763-571-1287 if using credit card and we will call you for card number. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL CITY USE ONLY - $ �'� �s� $ �� $ /�S� $ $ .S U U $ $ $ $ $ ��L� . � � �� Fee Schedule on Reverse Side .001 of Permit Vatuation (1/10th%) $.50/$1,000 Valuation $1200 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 [ ] . . STIPULATIONS: 13UILDING PLKMIT I+EC SCI-IGDULL The Chief Building Official shall, before issuing permits for tl�e erection of any building or structure, or for any addition to any existing building or structure, or for any altcration 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 FCES $23.50 $23.50 for first $500 plus $3.05 for each additional $100 or fraction thereof, to and including $2,000 $69.25 for first $2,000 plus $14.00 for eacli additional $1,000 or fraction thereof, to and including $25,000 $391.25 for tirst $25,000 plus $10.10 for each additional $1,000 or fraction thereof, to and including $50,000 $643.75 for first $50,000 plus $7.00 for each additional $1,000 or fraction thereof, to and including $100,000 $993.75 for tirst $100,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $500,000 $3,233.75 for the t7rst $500,000 plus $4.75 for each additional $1,000 or fraction thcreof, to and including $1,000,000 $1,000,001 and up $5,608.75 for the first $1,000,000 plus $3.15 for each additional $1,000 or fraction thereoti DRIV�WAY DEPRESSION E5CROW (Concrete Curb Streets Only) Removal and replacement of curb and gutter only - Driveway width plus 6 teet times $17.00. Permits for construction will be issued a minimum of 24 i�ours from tl�e time of application to allow for proper review of the proposed structure and of the construction site. VERIFICATION Or FOUNDATION A Certificate of Survey of the lot, sl�owing tl�e location of tl�e existing foundation will be required before proceeding with the framing. New Houses Onlv �1 .