AF - 44047�Cit of Fridle , Mi.nn. �
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BUILDING PERMIT No
Date: ... ..../.oi_...�.......�...�.......�.....` ....................._._... -- ....
Owner:
Address
43'76
Builder ..��-�.`���C�e«'�-� ...,��.����"�,G"'l -------........
Address
, LOCATION F BUILDING
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No. --([1--Ct....../. ..D.. Street ... ...� . ... -��....v... ,�G�C.!'�t. ............. Part of Lot ._....- - - - ._- - --... - _ D
............
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Lot .___..__.�_..... Block .--------rf�.--__._--_._--... Addition or Sub-Division ...... .._ .. _-�--- .. .............-�%�x�---.�.--
Corner Lot _..... ' ' V ?
-... ._.. _... -. Ins�de Lot _.....x.... _.....__ . __.... Setback . 3.�.�"._�......... Sideyard �_V...^c.. G
.--- .......__... ........._. - ...... -- ..
Sewer Elevation ......_._ ..............._.
To be Used as:
/�1d%crt���� ...............
_. .... - _ _...__ .. _ .._.....
Type of Construction
Foundation Elevation
DESCRIPTION OF BUILDING
Front .�'..`.� Depth !��"Y .::� Height !._�..`� Sq. Ft. /._�� Cu. Ft.�.oQ(O�
Front Depth .. Height __.. _ Sq. Ft. ..._ ... Cu. Ft.
------ . .
_ ....__.. Est. Co� %o�. `./ �� �-'To be Completed _. .........
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In consideration of the issuance to me of a permit to construct the building described above, I agree to do
the proposed wark in accordance with the description above set forth and in compliance with all provisions of
ordinances of the city of Fridley.
�
In consideration of the payment of a fee of $..�.a_::...._....—., permit is hexeby granted to.........._.........._.._._ .............._.._......_.....
..............................._......._........_......_............... to construct the building or addition as described above. This permit is granted upon
the express condition that the person to whom it is granted and his agents, employees and workmen, in all 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 buildings
within the city limits and this pernlit rnay be revoked at any time upan violation of any of the provisions of said
ordinances. � `�
Building Inspector
NOTICE:
This permit does no� cover the wnstrutfion, installafion for wiring, plumbing, gas heating, sewer or water. Be sure to see
The Building Inspecfor for separafe permits for these ifems.
4 �
City of Fridley, Mi7nn.
BUILDING PER.MIT
..r....�.-- .
N° 5�Q4 �
Date: """.' _..� .________�_. _
Owner: _ uiider _. � ` :
Acldress__ _..�_..........__._.___._._._....._._............_..._.._...,____._._. Address .._.._._____r.._......_.�..�.._....�.._._.. � '.-- --�-
. LO rATlbN B G �
No. ..�.���� Str�eet ` I �..����Part of Lot —. .
Lot _._ ....�.y.......___ Block ....._._..._.._..__._ ..___. Addition or Sub-Div�isian ._.___._.._.__.:_... _._:._...._.._.�..�.:_..:..-
Corner Lot _.._..__......._...� Inside Lot ......__�__.:..._._.___. 5etback _w..._.�..._.._.__._.._ Sideyard �..____r__�
Sewer Eleva#an ______..._..___�:..__._..._...._.._._ __._..__ Foundation IIevation
, _.�. .,....�r...�.�
� :' ,D�SCRIPTtON OF BUl1.DING
T d as: �
`.,��... Front �.�.._ DePtt► '�..w Height .�._ Sq. F� i�� C'��. F`t.�,
______r. __..._.._._:y.�..._ Fro ._.._�....�._.. Depth ___.:� II t _..,_. :iq. �Ft Cu. Ii't. -
�Mr � `� �
Type of ConstruCtion _�. �- Est. C' _...�..:�o be Coaipleted _
, , t:.
In cousfideration of the issuance io me of a permit to construct t12e buii+din8 d�cribed above I agi+ee � ao
the Proposed work in accwrflance with the description above �t forth and in campliance wi'I� ail panarvisiq�s oR
ordinances of the cits► of Fridiey.
�
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In conslderatton of the payment of a fee of �- -____., peru�it is.hereby grantad �
to c�o�struct the building or addition as deecribed �ove. Thia t is grant4�d' tipan •
de ������
#he expreas condition that thepe to whom it is granted and his agents, o
done in, around and upon said b�uilding, or au�y part tt►ereof, shall c.onfarm in �,. rea ����
�'rYd1eY� Minnesota reS g locati�, constructiari, alteration, maintenance,
within the dty limits and�this pernnit may . be revoked a t ax�Y time upoai vi o! th� g�crvl�rrt pL`
ordinanc�s.
�
NOTICE:
Ti�& p�rmil doss not �wr 1M eonshvefioa. ind�dMien tor wktnq, p�mbin�, ps laHb�, s�wr er waNr. N wn to wu
th� BviWing le�p�eeor for sqtarata p�neits for th�a il�na.
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APPLICATION FOR BUIL�ING PE'R.MIT
CITY OF F�tIDLEY, MiAiNES(YTA
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LOCATION OF BUILDIPtG
No.0 �7 � 5treet�� -�� � Part of Lot
Lot B].ock Addition or Subdivision
Corner Lot Inaide Lot Setback Side-Yard
SEWER. ELEVATTON FOUNDATION ELEVATION
�pplicant attach to this form Certifica.te of Survey of Lot and proposed building
loca.tion.
DFSCRIPTION OF BUILDING
To be used as:
���.c� 4�'� Front�(�,_Depth �6�- Height�lS ,,,
Sq. Ft. 3.S � Cu. Ft. 3.S v� Z7
�ont Depth Height
Sq. Ft. Cu. Ft.
Type of Construction,.,_,
Te be Completed ��—� ��_
ted Cost � � a
The undersigned hereby makes application for a permit for the work herein specified,
agreeing to do all work in strict accordance with the City Ordinances and ruling of
the Depaxtment of Buildings, and hereby declares that all the facts and representationa
stated in this application are true and correct. ^ n
(A Schedule of Fee Coate can be found on the Reverse Side.)
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City of Fridley, Minn.
BUILDING PERMIT
Da�: __a�e 28� i965 _� ._.._
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N° 8061
Owner: �@��iYi �''6V@21dOwakl R�Iid�&1� SAC.
._._..._ Builder _.._..._.�.__ ._.___...----.._._...__.._..•-•._...__._____
Addt�ess ...C?830 ._BPOOlCV3.6W .�.._____...._....____r._ Address ...�i�_.��-�-s---��80tA
l��'1 � LOCATIO�1 OF BUILDING
.�jtT Brookview Drive . E,
No. .�_.._._..�_.__. Street .—...�__._....___....________._..._�----------_...----_ Part of Lot __.._.._..._ _�_.�
i.ot _._� ______ Biocx _? �__.________ aaa�tion or sub-DivisionBrookvieW Terrace, 2nd. Add.
Corner Lat .___._.._.__ Inside Lot _.�__._..._.. _. Setback _�_.___.�__..__ Sideyard __._ __ ._
Sewer Elevatiam __..._�.._.___......_.._.._._._._.._._.._____._ Foundation IIevation
DESCRIPTION OF BUILDING
To be Used as:
�i?w6113.21g .�..'_ F'ront ____ Depth _—_.�._.. Height ._._...___._.. Sq. FL _.r.. Cu. Ft _
_.._._._..__�..�...._...___ Front _�.. Depth _...__ � fIeight ._.�_._.__ Sq. Ft. _._.._�__ Gia. F'L _
Type of Construction _..�'�'� �._.._...._. . Est Cost �7-���lOG.00 _._.._.._ To be Completed _..:_ _____�_
Reeonstruction on exi.sting Foundation Storm damage repair
In cansideration of the fssuance to me of a permit to construct the building described above, I agree to do
th� proposed work in accordance with the description above forth and in compliance with all pro�visions of
ordinances of the city of Fridley.
�� � �.�-�.���?��.=
In co�sideratfon o! fhe payment of a fee of �_ 10•�___..._.., per,nit is t�ereby granted to_Random Ine.
to construct the buflding or addition as described above. This permit is grsnted upon
the express condition that the person to whom it is granted and his agents, employees and workmen, fn all work
done in, ar�nd and upon said building, or any part thereof, shall oonform in all respects to the ordinaace� a�
FridleY, Minttesota regardfn8 location, construction, alterati�, maintenance, repair and maving of buildings
within the dty limits and this permit may be revoked a t any time upos� violation of any of the provisioa�s of said
ordinanc�es.
A11en Jensen B�� ��
NOTICE:
76b p�naM do�s not eowr fh� consnueiiee, MstaONkn iee wirtno. P�+�Y. Yas h�afte�, srw�r er wabr. B� sur� to sN
ih� duiWiuo Intp�elor for a�rah pwmils for t6�a It�na.
APPLTCA'I'ION FOR BUILDIPTG PERMIT
CI'1'Y QF FRIDLEY, MINNESOTA
DWNER"' S NAME ��i l r�► :,r �1.�
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ADDRESS-G.9 4�� ;1�' ,�'-ct,*,,� �L2 a,�o- ADARESS ,� �f'.t-�.ta L��,,,.�
LOCAT�ON OF BUILDING ���-�� ��� � �
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-���, ;t� Streat Part of Lot
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. . L� __�_��LUCK � ADDITION OR SUBDIVISION ,���`Y.-crc.��ri ' ,'L _ ,.�,�•��'f'
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Corner Lot Inside LOT Setback Side�Yard
_.._._.
. ._SE6�1ER ELEVATTON FOi1NI�ATIOR ELEV�TI01�.
� .._.,... _..�._..._
Applicant attach to this form Two Certificates df Survey Qf Lot and proposed
building location drawn on these Certificates.
To be use,d as ;
DESCRiPTION OF BUILDING
Sq. Ft. Cu. Ft.
Frcmt I3epth Height
Sq. Ft. Cu. Ft.
Type of Coastruction ���_ E�timated Cost j �
To be comp],ered
�!'iie undereigned hereby makes application for a permit for the work herein apecified,
agreeing to do a11 work in strict accordance with the City of Fridley prdinances
and rulings of the Department of Buildings, and hereby declares that sI1 the facts
and representations stated in this application ar ue nd co ct. .
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DAT�_ � � Str.u,aTrmF
(Schedule of Fee Costs can be found on the Reverse Side).
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�o� hs,�zt„ 6870 Brookview Drivs
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SUBJECT . PE
c�ty of Fridley 2 2 0$ 4
' , AT THE TOP OF THE TWINS g U I L D I N G P E R M I T NO.
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� • COMMUNITY OEVELOPMENT DIV.
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r � � PROTECTIVE INSPECTION SEC. 3�O �
� ' �"'1 � CITY HALL FRIDLEV 55432 NUMBER iiEV. DATE PAGE OF APPROVED BY
�.__..1�.• ••� 612-571-3450 910-F15 8/27/93 � �
JOB ADDRESS 6870 Brookview Drive NE
1 LEGA� �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
oESCa. 5 2 Brookview Terrace 2nd SHEET
2 PROPERTY OWNER MAIL ADORESS ZIP PHONE
Aleta Larson 6870 Brookview Drive NE
3 CON7FACTOR MAIL ADDRESS ZIP PHONE IICENSE NO.
Weisenberger Construction 615 Russell Ave N, Minneapolis 55411 588-8292 1847
4 ARCHITECT OR DESIGNER MAII ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAILADDRESS Z�P PHONE LICENSENO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
O NEW O ADDITION ❑ ALTERATION �7 REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroo� House/Garage (fiea����)_; I,nstall aluminum soffits & gutters
9 CHANGEOFUSEFROM TO
STIPULATIONS Underlayment must comply with. the State Building Code, Provide adequate
attic ventilation. Pravide smoke detectors as per iJB.0 1210 adjacent to all sleeping
areas and in basement,
TYPE Of CONST. OCCUPANCY GROUP OCCUPANCY LOAD
SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULI AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED W�THIN 60 OAYS, 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 CERTIFV 7HAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALIS GARAGES
AND KNOW THE SAME TO BE TfiUE AND CORRECT. ALL PROVIS�ONS OF LAWS VAIUATION SURTAX
AND OROINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPUED $6� lOO $3,QS
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pEqM1T FEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRU ON OR TH PE fORMANCE OF CONSTFiUCTION. $90.00 �'ire SC $6.IO
PLAN CHECKFEE TOTALFEE
� �,,E,`, � . License SC $5.00 $104.15
SIGNATURE O NiRACTOR OR AUTHOAIZED AG l0ATE1 WJH OPE VALIDATED THIS IS VOUA PER �
���
S�GNATUREOFOWNERUFOWNERBU��DERi IDATE� DG P ��4TE
xEw [ �
ADDN [ ]
ALT'ER [ )
Constivction Address:
Legal Description:
`I
Effective SJ26/93
: CITY OF FRIDLEY ��v� �
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application
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4wner Name Address: �
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Corrtractor. ^
Address:
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MN LICENSE #
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Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scaie.
DESCRIPI'ION OF IMPROVEMENT
i.IViNG AREA: Length Width Height
G,ARRGE AREA: Length Width Height
DECK AREA: i.ength Width �IgtlGround
C?THER:
Sq. Ft.
Sq. Ft.
Sq. Ft.
Corner Lot [] Insi� Lot [� Ft. Yc�Se��k Side Yard Setbacks
Type of Construction: t��� -� � V o v� �vz �nated Cost: � ��DO
�— -s- .
Approx. Completion Date-
( ' (Cost � Back)
Driveway Curb Cut Widt6 Needed: Ft. + b Ft = Ft x� _�
DATE: Z� APPLICANT: �`�" w�'�- �"" Tel. #��� ��
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrvw
Erosion Controi
Park Fee
Sewer Main Charge
$ C�, U
$ ��-�a
� �.D�
�
s S. o 0
$
$
S
S
11 !T:-i �i!i
Fee Schedule on Reverse Side
.001 of Permit Valuadon {1/it�h%)
$.50/$1,000 Valeation
$750 psr SAC Unit
$5.00 (State I.icensed Residential Contractors)
Alt. "A" or Alt. "B" Above
Conservatian Plan Review $45U.00
Fee Determined by Engineering
Agreement Necessary [ 1 Not Necessary [ l
T4TAL $ %r�� � �S STIPULATIONS:
sue�tci PERMIT NO.
c�cy of Fridley 32431
AT THE TOP OF THE 7WINS g u I L D I� G P E R M I T
r
; � REC .
� • COMMUMI7Y OEVELOPN�ENT DIV.
r' � y � PR07ECTIVE INSPECTION SEC:
, ,
� ,
i--_- A���"' ;•� CITV HALL f RIOLE� 55�32 NUMBER pEV O�iE P�GE OF •vnnOVEO Br �
t '� 612-571-3450 9t0-F�5 2/20/02 / /
�oe nooRess 6870 Brookview Dr NE �
t IEGAL �OT NO. BLOCK TfiACT Op ADOITION SEE ATTACMEO
DESCR. S 2 Brookview Terrace, 2nd SHEET
2 PfiOPERTY OWNER MAIL ADORESS ZIP PHONE
Aleta Larson, 6870 Brookview Dr, Fridley, i�II�T 55432 763-571-8346
3 CONTRACTOF MAIL ADDRESS ZIP PHONE LICENSE NO
Patio Enclosures, Inc, 2123 Old Highwa 8, New Bri hton MN 55112 651-631-7100
4 ARCMITECT OR DESIGNER MAIL ADDRESS ' ZIP PHONE UCENSE NO.
BC-1676
5 ENGINEER MAIL ADDFiESS 21P PHONE LICENSE NO
6 USE OF BUILDING
Dwelling .
7 CLASS OF WORK
�1 NEW O ADDITION O ALTEFiATIQN O REPAIR ❑ MOVE O REMOVE
8 DESCRIBE WORK
Construct a 3-season sunroom
9 CHANGEOFUSEFROM TO
STIPULATIONS
SEPARATE PDER�MR�TS
see notations on plans. REaUIRE
WIRING HEATIN
�'LUMBIN� AND St6
"V�'AR�VI1��
Before digging call for
aii utility locations
454-0002
��������� �i ���
TYPf OF CONST OCCUPANCY GROUP OCCUPANCY LOAO
SEPARATE PERMITS ARE REOUIRED FOfi EIECTRICAI, PLUM8ING, MEATING.
VENTILATING OR AIR CONDITIONING
THIS PERMIT BECOMES NULL ANO VOIO IF WORK OR CONS7RUCTION ZpNING SQ. FT CU FT.
AUTHORIZED IS NOT COMMENCEO WITNIN 60 DAVS. OFi IF CONS?FiUCTION
OR WOFK IS SUSPENDED OR ABANDONEO FOF A PER100 OF 120 OAVS A7
ANY TIME AfTER WOFK IS COMMENCED. '' NO DWLG. UN17S OFFSTqEET PARKING
I HEREBY CERT�FY THAT I HAVE READ ANO EXAMIN�O THIS APPLICATION STA�LS GARAGES
AND KNOW THE SAME TO BE TRUE ANO CORRECi. ALL PROVISIONS Of LAWS VAWATION SURTAX
AND ORDINANCES GOVERNING THIS TVPE OF WORK WI�L B� C(JMPUEO $$3�SZ2.96 � $l.%C)
WITM WHETMER SPECIFIEO HEREIN OFi NOT. THE GRANTING OF A PERMIT
OOES NOT PRESUME TO GIVE AUTMORITY TO VIp�ATE OR CANCEL THE pEqM1T FEE�� SAC CNARGE
PROVISIONS OF ANY OTNER STATE OR LOCA� LAW REGUTATING CON• �(��.25 �3.52 Fire SC
STRUCTION OR E OF CONSTRUCTION
PLAN CHECKFEE TOi FEE
_ �
$5.00 L' nse 107.53
N41UAE FCON'RA(;TQFOAAUTtiOp�ZED1GENT i0 E� HEN ROPERL� VALIOAT THIS IS VOUR PERMIT
� „a?p . p �—
S�GaatuAE OF OwtiEQ ��F OWNEp BU�LOEiii iD�tE� � B� ��NSo � - � ����E
NOV-04-1999
N�w � � �
ADDN
ALTER '�
11�05 FROM CITY OF FRIDLEY TO 6516312521 P.01i02
Ef�ective 5/10/99
C1TX OF FRIDLEY
SINGLE FAMII,Y t�ND DUPLEXFS R 1 AND R 2
BUII,DINC PERMIT APPLICATION
Construction Address: ��`lC� �O�-JI�,�J �
Legal T)escription:
Ow�,ez Narr�e & Address: ��� ���� �'�� �;S c.�,�,�r� Tel. # T71�3-��I—�i 34�
Contractor:��0 ���-i-��tS 7'.ti/1L _ MN LICENSE #�,�C; ��071P
Address: Z��.�j C:�� ��tvJ� `U ��w'�_c�C�,2� �.L� l\� Te1. � �DS1' (�3l'1\l�
T
Attach to this application, a Certificate of Surve�► of the
�ot, w�tb� the proposed consuvcdon drawz� or� it to scale.
DESCR�TIQN OF IlviP'ROVEMENT
LNIN� AREA: Length Width He�ght Sq. Ft.
GARAGE AREA: Length Width �Ie�ight Sq. Ft.
DECK �A: Length �� 'Width �� Y�gdGround Sq. Pt. �
oT�R: .C�� .��s��rv lof� x� �-2 . �02
Construcdon Ty�e: �j �A�s�l �9.i� �`�\, Estimated Cast: $ �� . �� 4► (� �3 � Z � � / C�
Driveway C�ub Cut Width Needed: Ft. + 6 Ft = Ft x$ =�
DATE: � l7 APPLICANT: C� '` Tel. #� �-�3�-" 1��J
Permit Fee
�ire Surcharge
State Surcharge
SAC Ck�axge
License S�rcharge
Drivewa� Escrow
Erosion Coz�lxo�
Park Fee
Sewer Main Charge
TOTAL
STYPULATIONS:
$ 9.
$ 3 . 5�
$ i
CITY USE ONLY
Pee Scb�edu�e on Zteverse Side
.001 of permit Valuation (1/1(hh�)
$.50/$1.,000 Va�uation
$ � $ lOSO per SAC �Unit
$ `7� � $5.00 (State Licensed Residential Contractors)
$ A1t. "A�" ��r .A,lt. "B" Above
$ $450.00 C;onservation Plan Review
$
$
$ �
Fee Determined by Engineeri�g
Agreement Necessary [] Not Necessary [ J
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THIS DRAWING IS THE PROPERTY 4F PATIO
ENCLOSURES, INC. A!L RIGHTS RESERVED.
OUPLICATION OF THIS ORJIYYING IN dNY FORM IS
NOT PERMiTTED WITHOUT THE EXPRESSED
WRITTEN COPISENT 4F PAf10 ENCLOSURES, INC,
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NEIA/ BRIGHTON. MN. 55112
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THIS aRAVYING IS THE PROPERTY OF PATId
ENCLOSURES, INC. ALL RIGHTS RESERVED.
DUPUCATION OF THIS DRAWING IN AN1f FORµ IS
NOT PERMITTED WITHOUT THE EXPRESSED
WRITTEN CONSENT OF PATIO ENCL05URES, INC.
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ENC' LQSURES INC.
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2123 OLD HIGHWAY d N.W.
NEYV BRIGHTON� MN. 55112
(ut)631-1100
SNEET t 0�
A�Era �AeSOu
6810 BQOOICVIEW DQ.
FeIOLEY, M�1. 55�32
3oe No. 3044
0
„�� y y��,y� �.�,� ,, From: 7634974263� Pa�e: 2/8 „� Date: 8/11/2010 8 05:02 AM
_ „���. �.��. � ��..�, � � � ..� .�
........ .�. 1VJ u.IVL 1J1V 1•V V
, �3uilding MECH,ArTICAL
Inspections ����ENT�AL APPL��ATION
763-s�2-��oa CITY C?�' FRIDL�'Y
763-Sa2-4977 FAX EFFECl'IVE7-1-201U
DAT6 � YOUR E-MAtL AUDRGSS
SPfE ADDRFSS 11 �°,tz.J �r' � ,
TfIlS APFLICAM IS: O OWNFR $iCQNTRACTOR
PROPERTY
OWNEW
TENANT
sunn�rr n coPY oF
YC�UR STATC
LiCEN86 WfTH
APPi,TCATfON
PHUNE: `x�. �'— ��/ �” � ,7p t/°�
CCSMPANY 1VAMi:
CONTACT P�,ItSON:
��
cmr
Permit N
Received By;
srn��z�r�
STA7E L1CF SF N_ EXP DATE
ADDRE55;�.5— J�� � r� C� C�TY S' . e� STA'I��/7.tP
FIIONE �� �'��%�?-��� �� raX �� 3 —4'4 �--
PERMIT TYP� �INGLE FAMILY fl'FWO FAMILY
TYPE OF WORK: � �' �' RE�wtCEk�NT
DETAILED DESt:1�IPTfON OF WORK
O TOWNNC�USE
O AL'CE[tAT10h1/REM�nEL
M L�ES Att�: liA5�L ON S10.00 PER F1)c1'tiRE, L�XC�P'i' WIIERE NUTRD. F1X'1'U12L�3: (INDICATR Ti)TA[, NiJMDER OF F.A{:H BL�LOV1�
PRqV1DL� HLAT LOSS CALC'S PER MANII J 2bOb A3IlRAE HANDR(x)K.
kquipmectt Inslulle�l MFG: �✓[ MODEL: �%tl6��%�� � 312E/BTU �l-/�
MFG: �_ MAllEL: �,'�O�`J�T�� SiZFJBTU_��.:---
MFG' NiODEL� SI'LFJI3N
�,A1C 525.00 _FI R�YLAGE (GAS) S 15.00 GAS RANt,ElOVGN 516.00
AIR 7"U AIR EXCHANCEEk S�5 F�K���,c� �wuon> a3s.ao _NSw GAS c:x��� sio.00
_BUILER 535.00 � �FURNACE 535.00 GAS VN�T HTR S]Q.00
_CHIMNEY LlNER S�O.Q4 _�}AS DRY�R S10A0 _POC)LHEAT'ER S35.W
_I)UCI' WORK $1Q.Op 1CGAS P[PIN('rSIO.W �, ,.%. � �.� � ___VLSNTILATORStS.QQ
THI3 IS AN APPI.ICATIUN Hptt A P�;RMIT-N4T VAL1D UNTIL PROC6S5ED
I hcrcby apply for a building permit and 1 acknowledge thet the information above is c�mplete and accurato; that the work wiq bt in
conforn�ance with the arc�inances and codes of the City of Fridley and widt the Minnesota Construction Codes; that 1 undersffind this is
not a permit hut o��ly �n application fpr a permit and work is not to slt�rt without a permit; that the work will be in at�ordance with the
approved plan in the Case pf I work which rcquires revi�►v and appruvnl of lans.
S1G3dANRE OF APPLICAN'� � n�. -��D. RINI' NAMh�G1� S f�! r•� �c'�c � DATE ,��,lC's�.� ca%Cl
APPROVA�, iNSPEC'�'�RS 31GNA'�'IJRE llATE
�1%y O� �'1'ldl�
Building Inspectians Department
643I University Avenue NE, Fridiey, MN SSA�32
763-572-�G04 �AX: 763-502-4977
� � �.�,� ,, �,,, ��� From: 7634974263� Pa�e: 3/8 `� Date: 8/11/2010 8:05:03 AM
y�„� } � 1 1�A L% 1 1 1 J 1 1 V• 1 VJ VL � V
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Oato: T-01-10
p L'ntir�e House 8,,: �. o.
4 88D Pfumbing� Heating & AC
4145 MOCK0�0 COUi NE� St, Mi�hiol, MN 55378 Plw�ie� 76�487-2290 Fme 7,69.a97�3iC1 Emiil: ldakhow�bdplunbers.00m
• ' • �
For. Aleta Larson
8870 Brookview Dr., Fndley, MN
� � • f
Ntg Cig tnfiltr8tiqn
Outside db (�) -16 91 Method $Implifi�d
Inside db (�) 70 75 Go�struction quality Average
Design TD (�j $6 16 Fireplaces p
�aily ran9$ - M
InSide humidity (°i6) - g0
Moistur� diPfersnce (grilb) - 3p
HEATING EQUIPMENT
Mske
Tratl�
Model
Efficiency 92 AFU�
Heating input 0 Btuh
Heating output 0 Btuh
Tempenture nse Q F
Adua! air How �p� �
Air flow fa�tor 0.029 cfrrJBtuh
StaSC pressure 0.00 in H20
�p8oe themiostat
ROdM NAME
Main Flopr
Lower Jevle
Entire House d
Ventilation air
Equip. � 0.96 R$M
i..abgnt coaling
TOTALS
COOLENG �QUIPMENT
Make
Trade
Cand
Coi!
E�iaenc,r
Sensible o�ling
Laterrt aooling
Totsl cop�ing
Actua� air 8ow
Ait flow factor
Static pressure
Load sensibie heat ratio
Area Fttg load
(ft') (Btuh)
1056 23042
1056 13966
2412 37408
2004
2112 � 39p13
Clg lo�d
(Btuh)
18$36
0
1�33r
373
1892'i
1587
2Q508
0 E�R
� Bt�h
0 gtuh
p etuh
1 q66 cfm
O.a55 cFm/$tuh
0.00 in H2d
93 96
Htg AVF Cig AVF
t�) (�)
664 1068
402 0
10B6 1066
1066 1066
Printout certified by AGCA to meet all requfrements of Manual J 8th �d.
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