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AF - 43738sua�ecT PERMIT c�ty of Fridley Mo"I� 18883 AT THE TOP OF THE TWINS E��E��� P E R M I T ----- r ; � RECEIPT NO. � ' COMMUNITY DEVEIOPMENT DIV. � �?�� � �ti: ------� r � � PROTECTIVE INSPECTION SEC. ,> � � � � � /"'1 � CITY HALL FRIDLE� 55432 NUMBER REV. DATE PAGE OF APpROVED 8Y �'"""�� ��� 612-571-3450 910-F15 4/16/87 % i JOB AODRESS 1541 Camelot Lane N. E. 1 LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. ]_3 4 Harris Lake Estates SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE inTayne Pfuhl 1541 Camelot Lane N.E. 3 CONTRACTOfi MAIL ADDRESS Z�P PHONE UCENSE NO. Dale Movers Inc. 7815 Central Avenue N.E� 784-4269 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE UCENSE NO. 5 ENGINEER MAII ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CI.ASS OF WORK � NEW � ADDITION ❑ ALTERATION ❑ REPAIR �7 MOVE ❑ REMOVE 8 DESCRIBE WORK Move Garage out o� Cit�r 9 CHANGE pF USE FROM TO STIPULATIONS Camelot ta Arthur to Mississippi Street to Central to Out of City SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING S�. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR A$ANDONED FOF A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I NAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES AND KNOW THE SAME TO BE TFUE AND CORFiECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECI D EREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUM T VE AUTHOFiITY TO VIOLATE OR CANCEL THE pERMITFEE SACCHARGE PROVISION OF A R STATE OR IOCAL LAW REGULATING CON- S CTI OR E P ORMANCE OF CONSTRUCTION. �`Z SA OO ,/ Ij��� PLAN CHECK FEE TOTAL FEE �% �b $15�00 . SIGNA F oN?RACTORORAUTHORIZEDAGENT IDATEI WHEN PROPER VALIDATED THIS IS VOUR PERMIT - r �P Ci SiGNATUREOFOWNERUFOWNERBUILDERi iDATEI BLDG WSP �pT Effective Aug. l, 1981 c�ty of F�;a�ey '"�" Pexmit No. �' �� "� T°� °' "K TM�• MOV I iVG PERM I T APPL I CAT I � i� , _ � Receipt ro. . � rL-����__, COMMYMITr O[V[LO�MENT ON. 1 i M�tCTiV: M�iCT10N �[K � 3 ♦��. i pT'► M�L1. IAIOIL� N�= ����� �� �y.�p•��p I��yp . aT[ f' a/ AMIIOvEO �r 910- 21 0 2/15/73 1 1 800 ptoperty Owner Address�„� one � � � i �•� �� !� �.�� � �e� / ent Lot No B oc No Tra t or t o - 8a1 / To Be .. i Mwed To � �_.���. over ress one lcense o. �,r� - ) _y� � . Expect� xn or r gs mate Cost of Building % $ ---�., Routing _ ., a � � � �? �i�..A- Approved By: • �tilities � be Notiiied and aate Services �iscaanected Mpls. Gas Oo. ii.S.P. Northwestpsn Bell Tel. Co. �aqr. Dep� C1�st. Bus. Ofc. Bus. Ofc. 372-4850 330-554Q. 332-�4112 Date Date Date lbvinq Fees: IYbving Princi,ple 8uildinq Into Fridley S 80.00 I�ving Accesaory Building Into Fridley t+bvinq tTimugh, vithisi or out af City $ i. QO No State surcI�arge on lWving Pe:mits � � Apprw y Wate � Se�wer Department: •All Bills e Paid Services Are Disconnected The•unders gned hereby makes application for a permit to move the building deacribed above. agreeing to do all work in strict accordance with the City Ordinances and lings of the Department of Buildings, and hereby declares that all facts and r presentations stated in this applicaticn are true and correct. ��'G�P.�a c�/u- Contractor �� �� ,����� Date sua�ecT PERMIT �� City of Fridley . 13'702 AT THE TOP OF THE TWINS B U I L D I N G P E R M I T � � � , � a 7 . � ` _�___ COMMUNITY DEVELOPMENT DIV. / � L � PROTECTIVE INSPECTION SEC. �� !� r , , � , ,4 1 /���1 � CITY HALL FRIDLEV 55432 NUMBER REV. DATE PAGE OF APPROVEO BY ""'� � ,'� 612-560-3450 910-F15 8/17/76 � � JOB AOORESS 1541 Camelot Lane N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. ].3 4 Harris Lake Estates sHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE The Rottlund Co., Inc. P.O. Box 32082, Fridley, Mn. 571-2060 3 CONTRACTOR MAI� ADDRESS Z�P PHONE UCENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGWEER MAIL ADDRESS ZIP PHONE IICENSE N0. 6 USE OF BUILDING Residential 7 CLASS OF WORK � NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 28' x 36' Dwelling and a 28' x 24' Garage 5E�'ERATE �'E�2�llii"S �tEt�UtREn FOR VVIR�iVt�, TELEPH4I�E . ELECTRIC - GAS tc. 9 CHANGEQf US���Y�NG, PLUMBiNG AND SIGN. ° ED gy �:,A ,: STIPULATIONS provide a hard surface driveway. Provide sod in the front and si$e yards. Provide a verifying survey before capping. Provide City with ICBO number of inetal fireplace before installation. Provide truss design. Provide soil tests and compaction test results. SEWER LOCATION: 31.5' West of M,anhole, (Inv. Manhole 876.43j Top of Manhole 889.72 Approx. WYE ELEV: 876.31 Approx. at centerline TOP OF FOOTING: s79.31 Minimum "`�IMPpR7�NT-- WATER ELEV: 21.5' West of Manhole N4TIF'y THE �R�pL�Y ENGR. THE Ct'�Y Ot' F�IW,tY DOES NOT GUAttAt�tT� TF�� ACCI�RACY Of Vii1R1f LOCAiIONS AND EL�VATI��•. ., btVISiON REGARO�NG CURB 7H15 DATA IS FQR MtfORMATtON PUA.POSES Of�LY �W� R�MOVAL AIVD REP�ACEMEtV7 PERSONS USING ii SlWULD VERtfY �1iE WFpRMAT10N �� DR�V€V1FqY OPENtNGS. CN THE SRE. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR' CONDITIONING. WOOCZ FZ'dICI@ THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZpNING 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 R 1 1104+552 Z�.�OBS�'SSZO ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GAqAGES 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`34 �%ZO $�.%.36 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION O THE PERF RM'�%� CE OF CONSTRUCTION. y5`I.O6.43 /� 3SO.00 '—f'�l `P �O T7` P K�i N.U. T'ir P, PLAN CHECK FEE TOTAL FEE `���1 .o �-- � �^��� `" 7� 26. 61 500. 40 . � SIGNATUREOFCON'RAC OROR UTHORI2EDAGENT Ion7E� HEN PROPE LY VALIDATED THIS IS YOUR ERMIT � � �. �J+��f . SiGNATURE OF OWNER UF OWNER BUILDERI IDATEI � BLDG NSP AATE r _�S j � `i�}!/G! ,� CITY OF FRIDLEY APPLICATION FOR RESIDENTTAL ALTERATION, ADDITION, OR REPAIR BUILDING PERMIT OWNER' S NAME :`�t �P ��"y- _ /_v �cr N �°GLBUILDER:_,-�� 7`�' Iv � �/ �'o , Tit�� ADDRESS : ADDRESS :�n Gjd X 3Z d�S'Z— N0:_. 15 �l l STREET : �,c� M,� /0 7`- l A/�l e � E LOT : J 3 BLOCK : � ADDITION :/i�,A r r� S (,e .(�� F5 �"A T� S CORNER LQT: INSIDE LOT:_�SETBACK: �,S SIDEYARA: o� � rl c Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As : SI��!/e �A Mi (ir � / /,�o�s� Front: �Sf De th: �(o � Height: �� //o y� �/ 9 S Square Feet :��{'f�= Cubic Feet : �� .�oi9 r/��'e Fxont • Z F� Depth • Z� Height ; �v SSZ Square Feet; 3-��. Cubic Feet: �3� d 2`ype ot Construction : �1�,9 /� � Estimated Cost :$ Z� �' �" ^-3 To Be Completed: �(/o U 3 0 � � 97 �______ ��/'�� � J . '1'he undersigned hereby makes applicativn for a permit for the work herein specified, agxeeing to do all work in stiict accordance with the City of Fxidley Ordinances and rulings of the Department of Buildings, and hereby declaxes that all the facts and xepresentations stated in this application are true and correct. ` � �;/�!'� � /� �`� /" .�r �✓ [°� . ,�'k r DATF : � — I b ' % ,� S IGNAT[TRE : b�' %�� `'� � Y �'s . (See Revexse Side For Additional Information.) �(,¢.�.r+-u.t`' laG, S/3 � � o,lv�lt.. .t � . G / .�� e.�..— i i. 3 � S�Q.c. �3.50 . 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'.. . . i ._..... �.. . � . .... . ..... _.. . ... .... ....... �_ ��..__�.._ 1__—_�� __. __. .._.. _..— .{—..._ � _....?.'.__-.__— __ .. � _ � _ . _ _ _ _ _ . .. _.� . _ .. i,xrLi:�.oi; ����v,;LO�>>, ��v;�r���c �. ��u�� c��,�i>>u�rn�ci�;a _ = � _"` ----------r-- --- " ,Yn �, � p �►� s. n� 5ryc�o S�A:vI:f�: _ _ _ D11T:: ---�-----1-�� '�'7�'. ilZ'P'. 11:7D12ES5. �� 1,�,�d J1/, �0.%_ 6 IdI{�� PIIONE: S% 1-' ZO � � �U:3TFJ:C:7'OR: �/� -e I�OTT [ �.l N !� �O�J�n/ , Dstennine ��orking sq�iare footage of eacn � �, r/� d;,,� w,� � k o ��- �''��J 1. Total er.posed �aall a ..... ._��_��j`� sq. ft. x .17 = 3/ 3 • ro�_ 2. Toal roof/cei.ling area ...... 1 C� O� �oC� sq. ft. x .05 =�i�b• t{ C� To'cal ea.pc�sed �•:all area above floar = v°' a. Total �:al)_ window area ................................. 9S• 9� ,�-- b. Total �ioor area .............................. ........ � O o0 � c. Total. slidinr, gl.ass door arca. ......................... ^�,�"9+� / ' d. To`al �irel�lacP ti�all area . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . n.��TAC ��e ! _ _ r� r e. T��i�2 wa11 fr�ming area (a.cerage ].0 �) . . . . . . . . . . . . . . . . . . �, , � f . �''oi:al �_ni jo? st area . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _�6 . �^ _-"" g .�',v,5�lai�Y � �•��11 ar�a above f luor ��t�r/t�t�f�r' .�e! K. 4-YT: . . . . . . �y'+�l• ��' � h. { wall. r_rc�: abo�e floor.�n�s�lQ?'r� ,,,,,,,,,,,,,, a DO �/� v a`_ �l;o r� �� _ 3� � •S7-✓�cr_� walt � r�a a�ove rloor .xN.s . . . . . . . . . . . . . . 3 g 7 . � y _ ._. ; j . �,vT __ wall area �.bove �ioor.=NSu��Tr� . . . . . . . . . . . . . . ��, oo — „� iotal er.posel found�:tion area = ^ ,___ ��,�. � ��,,. r �c. Tot.:l. fo��nc?: +3.a� �.�ir..do�•: a��na . . . . . . . . . . . . . . . . . . . . . . . . . . . g g'• /�_� � 1. �l'OY_�1. net fou!'ic:c�.tion area a;��ve arr;, lc . . . . . . . . . . . . . . . . . _�� . o z_ Determine "U" vaiue vz car.h ti�all se��rnent �- (e.g. �,�ir,�ic:•:, d�or, eac:h sel�ar.ate wall sectia �� . �-� . ��, p� �, „�„ �-_� �_�_ - � S 6S � � — -- ?, „U„ - — ^ � � � / u ._ �� • �S?�.. •�.s------ --!�' -�- -C• _�.LM.[_[.�. X ��U�� -,._`.O� �.`_ � /�/� _ i V � � _�1-� � U. _ _� � I1iT1� -- � /� I /�� - . V �_ 1�/r L e . ��„�'�-- X �. LT �� --- /-� 3 � — ��M /�_ f . __��_o a x "u�� y_, os� ' _ _ � 6 � - � � � • ��_�►� � „ „ __ � _ _ �_�_ ; r i i tl YQ%'J ' i i � h. _�3a, or. � „�„ _ _ol<a , _ `/y 3P�_ I , _____ __ i. . { i' ;' . -: �J— ?; �,U„ , o l��-�--- - -� G- 7I _ I ' j . � `�, o U � "��" ,_C �-1�._ _ /, 9� If itcm ;�', i s tl:e �::me as, - -- - - or less th;,n iL-cri #'.� , ;�ou r� '/� �� �� � �/ /-�j Ilil\'O meY tlz� lllrl•nt: c�i' }:• _ •�,�'_� � X U ----•, 5�--•-- --�------L- $�iC [i7��) tC� �. . . �.. ___ � G. � z . ,; „�., _---- �-�- � - = - <S9_�� _ 3 . . . . . . . . . . : . . . . . . . . . . . , . . . . . . To t_a l- _ ��•� .,,_,.,,�_�►�� _. ` � .�,:. - '� - - - - -- — — _ ----=-- -� i I" -. L•'xt.c�rior EnveloPc Avcrage "U" Comp�itation Total exposed r.00f/ceiling area = �G D� m. Total skyl.ight area ............................ n. Total roof/ceiling framing area (average 10�) ... / DD. $O o . Total net insulated roof/ceiling area . . . . . . . . . . . �Q % . � � Determine "U" value for each roof/ceiling segment m. X "U" _ n. /00 • �D x ��U,� ,�3 � _ o. 90 7, a� x��U�� , o J� � 4 ........................_.. Total � - � � � ��� ia 31.�`� r�".,� 7 .,� A Page 2 of 4 If total of �4 is the sa:�e as, or less than �2, you have met the ir.tent of SBC 6006 (c) 1. Altern�fie EuildiT:g Envelope Design u To utiliz� tlle total znvelcpe systern method, the vaJ_ues established by L-he sum of ; items ;�3 and �4 shall nct be gre�ter than the sum of items �;1 a�:d n2. Li� � "��3•�3 + a. 50. ��o = 3.b�1._z��...�.� ` . _ � �,,,z...� -�s: � �• 3 . ��� + 4 . _�_ %� , �% y - _ � ��• d � �- a.,,�-- , . .� � ..._...,, . , ..,:.,w.:.,Y �-/i YA 9e c.v �s l ( . � � !�I / /4 Y � J� � �NT-rv�n�� �4ir �i/n�t •9z_ �n/T-rrior Ar� ��lM • 6�'' . � .. � .�,���-,-�c k ------- - - ' `--�� 3 �1 - s N.s u IA _r_�o � � �� ° Q-- . a � 3� .. SNSU/,c,;T/r,.�/ ll•0a ` �- --6�l7'— ri7'-c..,__ �•� -- --- -- -- - ___ _ _ _ --- -- - - --- - ---- ---------- � 3 a .� i % T - Y � � �-- -- °7 . C-'A'"" 3/� P� Yw o e� . � � . _ �� !=�/ -i '' �.�f/ y�, � J -- ---- ' v__.L.__. FX T�' 1' /C� h /Q �,� �i �i�it _/� _ iy Y$/� -�� i f, , - __�.����_la.c ._ - -�-----_ _ _ _`j_Z � d � 9 U /u . `� �- I� � . - oG7 ll � 0 a . • �anr,r, s i;c7� i oras .J1'L•': U�c 10� of oI>aque wall zr.ea for � frarne construction ---►— � , 1 r, � �� --� f 3 �� .`, � �nsTc l•�ALL � ., � —� 1'IG. #;1 TOPVIE�•d O� � . "�%L Sc;,L�-1(� :� .i.-�'� � � a I ��%^.�-%�_'_._?,; i./tC�.1; ,_.._Z'_.,,�., i i.t;�;'� ;-..•. ,i'.t,;,)��..V s I � �• �~�� 1 '�.::)1'i�_C';. ;:. ,� ; . �-,`_ � � a� j •, , ��,: � ' [i \ . . ��l y •r: ! � --- �--� �-- �'� .` . ', J - ,� c, `' ��' • ' - I �� -�---� -- -T , _ �, FRT�:t �.i � 1ALL • --_ � 3--�) :i!�1'I i .��_ —� _�--�� •',"�<:.� l i . , ' i ___-_ ' �1 � ___.____ � --:-- _-i . � , • , . �'� ��) �T"'- . �;'. ._.. _= � �/�--` �. ��1. . . / ^_r • ,` / 1 /� ' ( � � . . � . . �, � � 3G. ;!3 __ _ , __ >- v f � ` `� _.-- -�— . o - ` c_�_ . ' • �. < _ � .__� -- ' � - Page 3 of � Construction R-Va]ue 1. Interior air fi_lm 0.68 i. �j, „ S/` r�t T Y' 0�° k • 4 S 3. �rA��„vy �% � 3S ���a ����T -Y► r�c, �• O� s . /� " .�'ni s ul,�~� s. � .;v y / / �/ 6. £xtcrior air film 0.17 Total $• iCJ /� .��3v. 1, T.nterior air film 0.68 • i. � '_�5/frC7`YG r� '�%S � j 3.�'c3 /d �. .�/1/Sv�/��-Yo�/ /�. O O J _r%.4.a/3a._6i�i� Y/%�., o%. 0�� `� 5. �2 � LNSv�i���r S d I• / . i,�. f `�+ 6. �xterior air film 0.17 � Total /S J O %� . , a�s v 1, I�z �erior_ air_ f ilm 0. 68 z. 3./2 .. �.�,su�nT.o.�. �J a o 3 . � , i� � _�i �_' �• 7 � , 4. ��a �!7' - r iT-c, �� �J• �1 ZNStJI/T+� ;/�//✓� �. %� 6. �xterior a�_r f ilm 0.1 � Total /(� , 7 � � • . o.� 9 U � ST�c�^o wA�( 1. Int�r.ior air fi]_m 0.68 � � 2. 3/z ��vs��Ar�o,�, !1� o0 � y:: " 3 • � � � b %�r- - r ��--e �. o � � �. �l�� F, /� • �'� 5. ST�-��d •3 3 6. T,xteri.or air film � 0.1'1 _.^ —" Total � ' t� A 'e . -. ,db9 � _. ��.r�l�,�-�!^ t ,� a' ' ' r�� ,• • • �` G t ._---- _- � ! I :� �( . •� . ' _ _ . - t . � ��l r- �: ' „ ' � �! ' , /� ( , � ' 6 : . , �/� i t f -:� «< � . -` • � - • �/-=- � �' � � : ' � /�/ • . �_ �, . , - � %/ _, � � r ic. !;� ^ _- � . !�c ts ' •� o '` . r- - _ . �' // l „� • (l ( � � �`----X �C .: � �l r • //( ::_ !<< = !�( � . _ NO't'�;: I»dic�tc• �yne, "r„ v,ilue, dent•li and ---- - t�l �rni�inni- nf i..�-..1 -.� {...� _ --, _- _ - _.��: . . .. - , i ROOI'/CEI I.ING / (�/_ =�`r��--��1' �1L ;, ` � S '� r!-��.- .i _--�-'� � i�:==- ,..... � i , r � �'�����;� l+f''ri�►!�i.�+�'`'i�'; % � 1 , ; �.� ,����.�..�<<�-��,���.,��t�; . �T�.I•.T ; ' -. � - - ' _-- -._____ ;-- ���\�`. ; ---_- �� . �'�i; � �--� --� �Tenteci Eeat f l.oL: up rzc. t:s � � 0 :.n�_j.•.•`'�--�,c�L°'l�- � .�Y.,.t,e�L��tc'•^r,•�t.iAi.�� -�� -_=-=- �.—.-�w. � "_-:-,� - _-. � � ` � , J . ��/ . � f - . � �l ,�1 l - ; ��; }.r� � 7 i� (1 1•�;�� ! � � `%,� if 11i�;�i�1t��i;� �';�,7(�f�,;:r��� i; � , i } ;� � .; .� ��J� 1 i t � �: 1' `�� , , +. J_ �-, ,li; ,• . _s� _ �_�.,� __i��_� _;;,� ; � �}'____i �, _____. _ _ --- -- —t . l� • � . �__.� �1 �. �` ��. � -.,� 3 ?ie��: flo�s up . , ;•venL�c3 ,� .. „ . Fi�. z-u ... . � . �t� . � . _ �l� -�, � zt ' ��( ..f�.�.;.�r �.�-i � !.: .t'•� 'eli, • ,�u l� '4� S /�� .J �-� "_•. , . • 1. � . ( `.'. _ t';ca a; ..� _• `. ��� J l ..;+'� /'�1 r � . .i '. _ � � �'� /•'/, Jr ' )� _ 1 � . •`. : .; _;. � ,. si •.: f �-;' � 1.,�--�---�''" l�I 5 .., �� i �--�""_ ,� • �J �� �`'f-'l �� _ .�--''�'� . � /% �l •��� ..;�,��� � � . � .��j� -�� C ; �:��1 .i . . `'%`,� - . . � . �` � - . I ' �. �i't —�'1�'i 1 Y� � � . . . � ' . }�en� � . , , : � � flow up � _ � ' . . � r-r.�- �=� � ' -=- i�.�ar 1 oi 4 Page 4 of 4 Constniction 1. Inter.ior air film 2 . � �-,� 7� r � 3 . % "' � NSv��T/a.�/ 4. Exterior air fil.m (still) R-Value 0.61 , SO a � - 0.61 Total 31 • 7 `� R �031 (J l. Ynterior air film 0.61 - 2. yn15v(�7,�.,� �„ r v^� --�-o � sr i�f-on �G1 S% l�rA�n/N 9 7 �� 3. 5/� S/� r f r'vt r.F _ ��-- 4. Ext�r.ior air film (still) 0.61 ---_ — � Total a %. � 7 �t' -03�U 1. Inside a�.r fi_lm_ 2. 4. ` 5. U�zi:si.de ai.r fili� 0.61 _ � . � / T01_ 11 Note: L�se additianal she�ts if. mor.e s�acc is necded for details and calculatio�is �f3���'6 � �l/ C'� 1� �.c�� � � � � � ,� 1 . �,, , �^ � l.� �� �� �� /�.�� � t j � � ' / ���..� �D � �� ���� ��� � r CITY OF FRIDLEY 1J _- L �� ! � , APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRI6ERATION AND AIR CONDITIONING SYSTEMS AND DEVICES PARTIAL �TE SCHEDULE GRAti'ITY WAR��I AIR: Furn�ce Shell & Duct Work Replacement of Furnace Repairs & Alterations-up to $500.00 Repairs & Alterations each add. $500.00 MECH.4NICAL iUARtiS AIR: RATE T'OTAL $12.0o S 7.00 $ 7.00 $ 4.00 $ Furr.ace Shell & Duct Work to 100,000 BTU $12.00 $ ��' O'� each add. 50,000 BTU 4.00 $ X" � � Replacement of Furnace 7•00 $ Repairs & Alterations-up to $500.00 7•00 $ Repairs & Al�erations each a3d. $500.00 4.00 $ ST�i'�f OR H�T 6'1.�TER SYSTE,�i : Boiler & Lines up to 100,000 BT.0 eac�, addn. 50,000 BTU Boiler only up to 100,000 BTU each zddn. 50,000 BTU UIL BUR:VER- to 3 gal. per hour v each add. 3 gal. per hour GAS BURNER- iro!� 100,000 BTU to 199,999 BTU � {over 199,999 9TLJ see Fee Schedule) GAS FITTING FEES: lst 3 Fixtures �_ Additional Fixtures Gas Range to 199,000 BTU AIR CONDITIONING � FAN HEATING SYSTEDiS See Fee Schedule VEtiTILATI:�'G SYSTE�IS �� ALTERATIONS $ REPAIRS $12.00 4.00 7.00 6.00 $10.00 10.00 $10.00 x $ 3.00 x $ 1.00 x $10.00 State Surcna�ge TOTAL FEE ROUGH INSF. REIIQSPECTION FEE Date ($10.00) FINAL INSP. �- � %" / / Da te :1PPROVAL FOR PERMIT � MINIMUM FEE FOR ANY HEATING PERM.ZT IS $7.50 S $ $ $ $ $ $ /�.u:; S $ 3. � � $ $ $ S S S $ .so S L�'l. S" Job Address � � �� �� ✓� � � 0 % Department of Buildings City of Eridley Tel. #571-3450 The undersigned hereby makes application for a permit for the wor;c herein specified agreeing to do all work in strict accordance with the City Codes and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this applicatior. are true and correct. Fridley, Minn. � ' L % . �-9? G' OWNER /�d r%��...,, � � �:, � i KIND OF BUILDING ���_ �-» '�� USED AS J w t�,' r� �-- — TO BE COMPLETED ABOUT � '7 " ` �'1 •- ) � ESTI:IATED COST � � .3 (� c� -� _ _ OLD - EI� BUILDING PERMIT NO. PERMIT N0. �� ti� DESCRIPTION OF FURNACE/BL'RNER AEATING or POWER PLANTS, Steam, Hot Water, �9arm Air- No. � Trade Name /`� /"� h� �- Size No. C�� / � S� �`_ � i�r� ..� Capacity Sq. Ft. EDR BTU AP Total Connected Load e� � � G. Kind of Fue1 G��/ � BURNER - Trade Name _ Size Na. Capacity Sq. Ft. EDR STU HP Company Signed By ��^7 �v `;, CO3 a� � 1 .;� �a , ;1 ';`„� .,. ���. yl��j � i G.�i. Tel. No. � `�� ( �li � �_� , � LIF. �- � ' hr-����.h i' � . - , .:b .. " � 1{`i. - �• � ' ,K - � .�"-.as✓"� S°r-�-"°�..- �,, �: , � � � .�` ��� '��i��� � � ��.4{ ��.� �a�cv�aT��:�; HEATi111G8�AtR CQ�1tDIT1O�t�i1�G CO. '�eatne�s>_�: pS �.= ��.�. ConsTr� r } ,�r ¢ W; �+'3'�'vit� ' .^..00fS ^ .-. tS_ .�'i,1? . ►r2 � f ' I n2. W8! 1 � C-f- - .. - �O! �. +'i �i� � R �*x� __ h2�Q�...� �££' - ' . . ' t�s—tie i ��es—iVo ,s t' � t � _ ;`�; Room _�-.u^ f ;:. -f Yr r�t � t ..�� ----1— f� . m�ind�:�; a�d Qoors-Cra�r,���: an� �,rea _ �l�� __ f p9nC -„h -- ' - ,� �Q �+ � L - ( � � { � � T ----t- — +� , --r`. : � ., � _ � �, � r , �> � E i � , �':Itratlo- �-:ass Exp. urall �. 'vet exp. ,�.as� iitL. W8U �°J,���,��-',{ ��.I Y �. �eiling , -i�' f�2 F i ppr Toial Btu _ � �Y � _ . a:' . � :.~r' �I a..... ; r �; !�=,aNnr���± ��. �;�;w-�. lnsurat�on i !iCMt ��.°=42d �_ � > e�ght�____—�� �_'�.'' t: �c��,� .e_;t^ -'s-.� W�d?^ ;{ ;�e.p.,, j ��Yi!}G��tiA`�'. ��' �OC�(5-l._,_'G':,�-�� br':j %1(e8 1----r - — - - - � -T-- je... �. f�.:-�.� - ,.S t:::k � L ir . � , , L � _ ^ __'� ����, � '`'��`f " �.��I� , � E ' t " �k� � � ' � �;� .�' ,� .:< 1�, ;;, �oefi B t� —� ; � � � ,, r . ,�- -�rA; �equi�ed s;, fi. E.D.R, or sq. i�s. fi'.A, Leader are� I , � gti#i�fte`}.<'t��`'j(�°°m i Ler9t�; l;� Ws�+Lh,.'� Heigh2 Ydindou•s and Doors-�raekage and Area j Va � t5 -�� � Heiqht Nc. �.. ���ea! t±, „ra� � c° , �:>F E of pane � ligr s 3f crack � sq. -t. t � .1 i �3 �' � ? � �i � � '? i t �tf i ltrat io� � tz l�S f7cp. wall } � tiCet exp. wa� t (�t, wa{; Ceiling � ��.'�_? F{oor Tcial Btu � _�Coef B ,u � ; � �� ,�- °- -� ;':�- 5 � � !� � � ; ��� <'� � _ ...J - � Reauired s�, #i. E.O.R. or sq. +^.s. +ti.�. leac�er area 'FP.�� 1t�?�."i` Room ± e^�'� 1: �r 3" 11':dth ��' �'.jindc�v,s and Doors-Cracka:.:e and Area - He�ght 'vo. _ - ! � h . '` t -' _: of p,3nP i�9'� _ �k '• � j ! ---r-- --�-------t — � -----1-- ' . _ —�- --'�- � _. . 4oef' 1nfF:a�az���= � � ____—�__ ---- --- --------�—_-1 Height � — � �� i ' � C:.�ef B : �-'' f, �.,a, � -, •, ,� � �: . � ' j �, _r ; , � _ �: ` ; ,.�55 -- 1 �' f i � I ,�7 ` � � ,. �Xp. W811 .{ �' �! i'� 6: �`. y., �. -- �. '� � . T—.i ., Net exG va!; � '�Y - > ' �'" , ! � _ ,. �'_ J Int. wai' I � Ceilin�' �'." ��� �1 �s`;• � _F100f i i Total Btu. Required s.,. ft. E.D.R. cr sG. +�s. W.A. Leader area -- -- -- _ . ' f Fi. �,�.����� R� �o„�th,���. Width� i`Jindov s and Doors-Crackage and Area j Nc. i J-:��r;; � Heiq`. �:�c. �-_.-01 Lnea! ft. ArE�d ; � �` Da::e � of pana +g^+.s of crack sq. ft. ' ! I i - �� � �� ' � �_ � ; `� y% :� i ! I � 4 ; I � � tnfiltr2tion 4'� - 1 � lass ` Exp. watt _� `� � � � �'. Net exp. �waSl ',� � � .' int. wa!! � ; Ceilino /w /,�'� I f� ��'� r F�ppr � Total Btu. Requ�red s�. !t. E.C.R, o. sc. ��s. W.a. Leader area / Fi.�r-`-L f%5'�` �COm ' Lelgih ��_ V�idth e 4'.'ir?ao.��; and Doors-Crackage and Area ; � ^:o : .. 9., L��aal ft. 4 - �,. J=-,� s7e ' �- at Cr�Ck Sq f!. : .� �e- . ., , l � � � � ! '1�' aF�� � - j J � � -f �- � �—` y � � , �' _., i 3 � -' � t 1 `�L J f' 1j I R-'-- i � � iCee` H�ighi 82u ., r �, Height � � � iass � � 1 �� i��� � ✓ > ' ; --- -------- — -- ' - -----=----- — '_ _. . 3 � � ' � � � . E � � wa ,` � — �: � -- , i -- --- ---- I x �ti a a .�� —_> > — --- -- ---- ----- -- t _ --T _ _. ,- 1 '� _�—._ t ,: � � � i ;. �" y' � / r ._._ ._� 'Y : FC. '11" . �{. 3. _j Y .. �.n � - _ y, � ,, i � � �. °- � �: F ,; a . � . - - :� _ ____ _— _s-----_ -- -- -._ . _ �-__.- - ---= - —�- , _ _ - — --- —�- -- � � t5 _-1 . : r . . - � ' _:�— . ._(_�,1..,__._'""Y�__----�- ' � .. _ _.� . ; --- -- � � �- ? ' _�?`__— � , , � , , : : ! - .f +J � � � � , `y � A � X : �--' _ �_.� • �. -�- ---------------_ ` � �'�,'-- _ - � � : _ --+-- _ _F. ,._ __ � _ _-- � _- --------- , i� � 1 ,,�.,. � _.� +' zr^ .` � j � � — � -- � � � � - �- �� � �c az �_� , -- --- - --- -- --�-� � �. __.._ 5c . -. .: � "� R t'2eTZ_, e=i �r _.�.R. cx _>�a. � 4?n�r stN.i i .� t y �,7 -- t c., s. cr .: .. - i: .�.-� }"t ;'� . . .. _ . . . . 'M1 + na-1.� ;q.o„ '",� i�,.' . , �= � ���. ::�c�i��� ��t�s HEATlNG 8c AIF� �OMDi7'���1t�NG CO. �+►►�n���ks, �+�v. �°d:`>t i' 's:5 h.�.�."J.E. Cor,S'.r;yr'i:°,� '{e`. inSU?8t�C7�T ., �t'aft+'.�'.3Vr4 �� �i?OfS �:i:1de � � "_'.,—� ' . _.._ � f_ 0:�. Wa` :nt. VNal1 � C� -.: Roc` � sr �: �r_ ; fic�w �;�c'+�d e arence 3 i � 1 YFS- !ti�� �S—Vc f� i � r��' ' f"`� Rocxn ; Le^gth � j, i4 �^� ?-�" Neigh! �!. K;,*x-•, _� Width +-'esg+�t , t'ti--- — � �~ ,r�,,�ea- �°?d Doors—Craeka�e and Are� J --~R�— C���v-��= a�.� ;r_��r�—C-a:.�a�e and Area ' , � - ^� ±a�--� �_,n a� i f—'T_ , j{ >v- �� _ �Pai n. � �•ey _ � _ = '^ r{,]�li r3 K " 1 '1rJ. ' .' _ i � : � �"4 � � . "� . i� .� . " - zl- _ +:f3Ck SQ• 'i�• i '7� .� .0 tj. ' ,.c� '"� 1�� i _ � �� i , --'-,/--}�- ` � ' —+ � ' ' � �._L_.:__a '� �`� I "� �1 ` 7 -- l � _ � ._ i i j � F i �Coef! B• � f ����f� B t� -. t��'r3'. �`�� . / i� j ✓��� �*'f ;•'�c. _�. � � �—�SS �_ .� � _____,__� ' �'�,:� j —�;ass � ; . Ex; , wa i � �� �`' _ _�_ ..�_� _�_ � Y' --l�; --;— Exo. ,�� i Nat ex� v.�.. °/�( �' , _ •`'..�'` Net ex,: .va� � °�t, wa!! � � � " Ir�f. wair i ; Geiiina , / Ceil'rnt ' � F'^or :� F:-,�'` ;�.� 1i;:�ri� `3� ' Floor � i 1 —�----- , � ''- ! � 1 Tatai Btu. � ��� „� `'"� —r Tota1 �t�. �equired sa. `-. E.D.R. er sq. ins. W.A. Leader arEa ` ReG;.��-ed sG. !t. E.D.�. or s�. :^:s. W.A. Leader area fG. Room � length ih'sdth Heigh? FI. Room �! e.^.gth Width Height � �"JinciQ��s and Doors—Crackage and Area � Vkinciows and Doors—Crackage and Area �°' �1h r, Height � tVO. of Line01 ft. «.rea ct ��� of paoe � Ilgfits of crack � s4. tt. ho ti,. .'. � "",9�2 h-,- �°E Uneaf ft. Area . p�r.� o! aane � rg!�ts t of crack sq. ft. i i ' 1 � , � . i � � ' � E E � Coef B�� i � ICoefl StL I�eiiltratio� ; lnfiiVat�sx-� G lass G i ass i � Exp. wafi � � Exp. wait ' hiet exp. w�:! i � Net exG. r�ali l Ini, walf � Int. wali j Cei I ing i Cei i;nfl i F`tOOT I FIOOf � � � 7otai 8tu. Totat 9!u. s Re�uired s�, `'. E.Q.R. or sq. i.^,s. W.A. Leader a�ea Rsqu;r� s�. f?. �.�.n, c- s�. �:s. PJ.A. Leader area �?. Aoor,± � Leng2h W�c+t� Heigh: FI. Room ; Le^oth Width Neigh2 YJinCC�r;� ��c �aor;—Crackage and Area � - � � r��. < �,�s , ,. � , .•�� � � - ' � �f ;rg�:s of c ack i �_. ; -- i 3 ; , i r�•,fi f.i�t! nr � ic?SS fX7, Wdii '�t ex`tia�-_ : ^2. K'3! i �f It�r��� �� � � �� _�__... C:,ef E?,; I � � J , ; ; _. �____ — �- �-- 1-- ----�-- -.... i y _'___.__..__._ i _ _ �' ,__. __"�__-.___�.�-_.._�-.a.�._.. *._� I � t 1023; Btu. F2k�ry.�ir��t s�__ -t-�_ r_,_�rs. t.. ;. Leader ��ea �5���n�o�,��s ard Doors—G-ac��ge and Area t,��. �. - _�neal ft. cf crack --�. _ � i - - � - _ ; � i i i Ex�. vr3: � -^ _ �-- PL PX: � _-_-` ; �.... ::�'�� _. __— �� i^G '""__'. ____2""' .._—'______ . _ �oTa1 3?3. _ ___. _ --- ---_ �('.�t,;•a:� c�, c. . .'.�'.� , . � -c .`.= a �1 oar+o. �.oa B Lct �: ,. —_ T ,�. �= `� � � � ; ; a � �� �,��;� ��„� �� + � � � � :� � � � � � �� � .. � _ • ".;; , , ,. � �,. - - . , ,� _ �'., '�! �� � � September 10, ]976 �� . .. ���'� � . : , � _ �-� , _ �ottlund Co Inc : <P 208 ° �� r= 0 �ox 3 2 - � Fr�dl@y, MN �5432 �� � � , � ,� Centlemen % � �� �. Subj: Harris lake Esta�tes ftesi�nce ��. j�q amelot Lane NE � Fridl�y, P�innesota Lab�or�%ry �9�7208 ' � ` T�f�s l e�ter c�ncerns v�tr recent inspec��an nf ' the s�i'� �+�dit��� the �onstruction of the proposed residence. We rver� auth�ri�� � . Mr R�y Lund an Augus,t 20, 1976, to dete�mine if. t�he'; nat�ral sc��-� er�countered w�ithin the excavation were su:ita6le fr�mm� w�:ic�t�.t�.;�� fi1 T plac�t�ni. _ A prelir�inary smil investigatfi�n. cor��#�c�e� a�:this site � Sct��,. . 'Explera���n C� .and repor�d to �he Ci ty �� Fr�idl ey t�n �p���'}:;� : was arrailable �Qr prar use durir�g the i�s�e�ctiQn. The- report ��� the qene�°aiixed sQit prafile near the area in quest�i+�r� c��s�€��:��.k app�°oximatety 8° of granula�^ fi�l mat�riai, which cvntai�s ��a� material, underla3:n_ by a fine grained 4SP-SM) wat�rbeaw`i�rg s�;; 4� understartd the pr�pvsed canstructiQr� wi�} be a s`�ngle fa��'i� � 7ite prcapase� house wiil have a split-�n�ry �esigr� a�d wi1i b� a� : 28' x�36` in plan, wit�t an a�t�ched '28' x�2+�' 'gar���. .�Es� r���' your si'te plan, the t�p of bl�ack elevat��n: r�ouTd b�`3�;1�rT' ��.e;. design bearing laads were not :available, howe��r: �te assca� �t�� ]asdfrtg �wii1 be relattvel:y light,�with les� thar� 15QC3 {�sf, The f4undatic�rt p1a.n� a�s we un�e�stand it, was ta ��cav�� �tfie` �.�� fi 11 d�wn to �ompe�ent rratural soi1 s, tt�n refil i the exr,�����F�:= desi gn�d grade wi th an engi n�ered f i 11. TM 9 s`pl an was to ir�c't� suitat�ie lateral aversize be�and �the bu;ild�r�g iimi�s t��.�►c� ` the f i 11 req�i red ar�der foat�n� e��va ���n:. At the� ,tirr� �f �ur" inspe�ti�n, ; f�e �xcava�tion terminatect in �a�� � c�arse gr��ned ��a��%�be�mring ��P-SMj sat�d,, at ��r��im�t.e��y 5, ��`"°� �urreur�dirtg gra►d�. Hand auqer bar�ings rev�rr� :'��mi�e� '�. �A t� ,`of surf�c�alTy d�tsturbed and saturat�d ��,il �s�i'ts a�t tF�`���t�c A3 A MUTUAt PROTECTION TO CUENTS, THE PUBIJC AND'AUF48ELVES,-ALI, i�PbRTB ARE,SU�A(TYfD. A,� THE (.Y�,I�FI��i PUBUCATION OF STATEMENTS, COI�LUSIONS �t £X'�WACfiS FROM OR RE(kAFi0tHE3 OUR REPOFtTS IS RE$ERVED PENdIt+K�; C7� �71 , w.cF�.;vss..n,�rwr. . v� :.' . 9rs��v .;: ����'�; „..... . . . .... _. ._. `,� �'@�k°ti�± _ _ _ V�1"� '�f°lt�� :�1�1� '..!''� ir � � Jr ` � � R�,.R/ TKv/ �s �` � . i F� r j: `. _ . ... . _ _ , _ . 'x> ��:��. ;: C I TY OF F�t Dl.�Y APPLICATION FOR PLUMBING AND GAS FI�TTING PEfZ+1IT � � v '� � v • x v I Wa ter � c �' '' ^�' "� °' xcatcr d m t� 1 a L., .a c� a I� s� �' � ui t, u .-� F r H .+ r, L �n � i •^� !J Y C 4: �� I : � ~� G�`'� � U U .•+ y '" ^ - � }.Vi r � i� ✓, N r �n c p � ,.7� �� � r��, ,.�i �,7 N G I " � r3 r; I " �' i; ^ � �j :�1:; :1 CC Vi �,: �J � � C1 . N 3 � t+• V; 4. U C7 �:L .-. C� -- I I �' / � . � i 1sL / � � i � �� — -- � �::� � �, , i I � � 3r� i M , 1 ` � �_ ! rL � .��� I(a} = Futcre Co:u:ec*_ion Gnening Cornected aith Sewer 4 (*) _.r,•,� . i•r.*_•lzc. G_a �.�,::ain<� Watns 1 PARTIAL RATE SCHEDULE PLL'�'.BI�G FIXTURE R.�TES: :: •..-....'�� Fir. �i:zes �1�:lre ::wKture Caeaiag ;�G�W .1Xtll�Cr DiC+ ��E•IIlIIQ ^,�.*_cn 3as:z ii.3:e� i?e2.�e� - `..0 99�G'JO BTJ ico,cco ar� �o �S�,00c a��- •r:a`.er So°ter.er I:�:+ Gra•�::_d R,:r. Cld Buildina Electric �•�a=er Hea:er GaS FIT:I::G FEES: l�t 3 :ir.:szcs n :G'1tiOT.d1 .°]3C :1YES Gas'�.Ttar.ge to 199, 000 BTU REP�?P,5 �, :+LTE??TIOtiS ?i=St .�'i?GO.G:1 eaah a�3. S'-OG.00 or _raction Nd. � x �7 _x X x / x Y. Y. RATE 53.00 $2.00 52.00 $5.00 $5.00 $10. .^i0 s�.00 X ss.00 X 55.00 3 x S1•00 �_ r. S1.00 x 510.00 State Surcharge � .J TO:AL FE� %a � S � ';''� �----- �:IN;?�C:YCti F�E ; � G G� � . (S10.OG) 55.00 $2.00 TOTAL $ ��: UG� S f� , G U S S $ . cU $ S s S $ ,a.UcJ S S S S �— � �T S �� �-�1 Job �ddress �� y� �}�t�- � ��� Ucpartm��nt e£ IIuildings �.ity of r^ridley Tcl. #571-3450 Thc undersiyned hereby makes applicatioa for a per:�it for the wrozk herein specified ayreeing to do all work in strict accor�ar.ca w:th the City Codes anci rulings of the Departr,icnt o£ IIuildinqs, and hereby declares th�t a:2 the facts and r.epresentations stated in this a�plicatioa are true and eorrec Fridley. :!�. r}' :9� OFNER KiND OF IIUILDZNG USED AS ` TO BE COMPL2TED I�`OUi ESTI.IATBD COST OLD - NEW BUILDZNG PERMZT NO. PERHIT h0. _�_-_�� Company �/ ^ Sigr.ed Sy --"f��" ' �vw� Tel. ho. G Rovcx =xsP. Date FIN�1:, INSP. 10 -24 - ? 6 Date APPROVAL i• OR PEn^.�1IT � f^b' N,INIMUM FEF. FOR A.VY PLUM.BZNG PER�SIT IS S7•50 0 0 H "b '4 4 A 0 n / a. c ..+ 9 .-t � � a O O ar .-i +r'� a v Q -.i e� �+ s� � c w .-s o r E �r �n a� O � 1+ /a �. - n, ,� .-r m -.-� o p U H � v � V � x �, u � o+ �. u n a � 3 � � � (� a+ o O a � � �� O � u s� 0 t� t r+ �+ q Y U b M � � ; 'C C ao �, -�+ � � A � ti w c o d � p°4 q o � E ��� � '��b� r;. S� U c 4 � D 'e 'o M � y � � � v m c - p ..� o� u � � sa C y L -.� C ,Q ov-+ T U � „a G -.-� 'b o � �„� � � �-1 � ¢j 1.7 'f� �.-1 � H +-+ L M 0 o a w ,�p � Y a X �1 C C - d .-1 O O E 'a �P "� u �, o f+ 4 R 'o a a.r �y a, c s+ o o m m u o m � - C Qs C L b C � 4 p �-1 m � O 1+ � � V .,.� H O 'O w L. c y� q e� 4 o a+ c � c � Gu -.-� u � -.-c r+ v aa 7 d Q � S.7 w F.. m �o 0 � C �c a ' r1"+ � .'r'. 4-I • U11 i� � I Z 4-1 Mq ra � a � 0 4 G: O Q z3 z w O X � i ' I I � N � � 1• - Q � ! .�. r E+ 7 0 � W N yH� tpn .-1 U � a Pi G' E W . � �o F E+ � W . U cVia . Q C.7 - • C7 LJ �►� z zz z� � �� . � p . • C b 2 O � � . Z E C� ►a N U h E+ � _ o � o a� � ud V � v Q Z ra � a H � °' o; a 3 `� y � _ z z ra ►-+ � V � a � _ a " O d- G � F � U 0. � O c. a .� 0 � a a � O v� P� o� . M E� - N � . W R. . V Z M�q Y ..7 a �+ � � O �. 62 w 6. E � Y M N � GEO. SEDGWICK HTG. & AIR COND. CO. /� HOUSE HEATING TEST RECORD �C/ —' r�°� ��� ADDRESS � � �,� ����L�-����� CiTY OCCUPANT OWNER `� � � HEAT LOSS DATE HTG. INST. - SOLD BY INSTALLED BY Electrical Work By Gas Line By � f �� '� �� TYPE OF HEAT GA_ FA_ HW_STEAM SPACE HTR. UN17 HTR. OTHER GAS DESIGN CONVERSION MAKE ,G�i'�"+'�°-�?�-' MAKE OF BURNER Model �'�- ln `� - � � Model Serial Max. BTU Rating INPUT %C ? � CJ�) �� _ MAKE OF FURNACE Model ; CONTROLS � THERMOSTAT�%.��_z4 Heat Plug Vent Size 'C ��"�v �/ ? Valve �����'-� KIND OF tINER d'�i � SIZE 11 �� NONE . Limit � " `EpLp �?`i ___ _ _ Draft Hood Li�'��`f�-u / Regulator ��/��"tf�� i LimitSetting I�� Filters Size 0��'��% Number � � Fan Setting �'� ��-�% Chimney Location Inside �f Outside , Pilot Type �%r'� Chimney Construction Pilot Make Pilot Model Smoke Bomb Wiring �'� Pilot Timing f`% ,�Q�°�i � Draft �r '� Test Tag L.W. Cut Off F � � Door Pressure Lighting Inst. Pressure �- � Percent CO �`�� `-''� Date Tested � �� �nput CFH �� � Percent 02� r�� ��� Company Testing � Stack Temp. �-�� ° Percent CO�°� �� � ��� n Name of Tester �� Form 235 _�. __--� - . _-. � =���ojJ -R� � � - .a .., n � � � ', i ] aui u u ,l o u' u vr� wq � 1a u ��1�••L � V 0. �� ti� S 2 z w � .�+ �C U G" a o . W N� 9 M .__1 � — U � � yJ[301$ . �r1 : (V r� v � __ _' _—_ — __1 --- CITY OF FRIDLEY 97�8�!-9915051 APPLICATION FOR PWMBING AND �AS FITTING PERMIT N >. cn �ro u . � v Water 'Qa � c a N A �� w w � Heater ..�, ,� u � �" G m F x^ a�i u .c c E d a w •.1 �G � C 3 O yVj N 1.� N N N VI .0 ° C= ° �i ro � ..�i � �u � ° �° ro ro � �; ro •a ra .0 w � c� � ra a v� 3❑ a m w u ra Q� c� �. � o as • lec lst 2.:d � 3zd i 4 th (R) = fLtuze Connection Opening Connected with Sewer (*) _ ;7ew Fir.ture, Old Opening Water PAR7IAL RATE.SCHEDULE PLUJIBING FIXTURE RATES: N0. EtATE TOTAL h�.:..:er Fixtures FVture Fi.xture Opening 2:ew Fixture, Old Opening Catch Basin Water Y.eater - to 99,000 BTU 100;000 BTU to 199,000 BTU Water Softener 2.er Grour:d Run Old Buildinq Electric 47ater Heater - GAS FITTI\G FEES: � lst 3 fixtuzes A3ditiozal Fix tures Gas Ranqe to 199,000 BTU REPAIRS $ ALTERATIONS FizSt 5100.00 each add. 5100.00 or fraction x 53.Q0 X $2.00 x S2.o0 X ss.00 x $5.00 x 510. 00 x 57.00 x $5.00 x $5.00 S $ S s $ S S $ S x $3.00 $ x 51.00 $ x 57:0.00 S State Surcharge TOTAL FEE SS.00 $2.00 REINSPECTION FEE ($10.00) � S S $ .50 S 8•� Job Address i5�41 CAMELOT LANE � Department of Buildings � City of Fridley Tel. #571-3450 The undersigned hereby makes application fo� a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true ar.d correc Fridley, Nn. �--1-1-77 , 19 owr��x ROTHLUI3D COA'�'AATY KIND OF BUILDING frame � USED AS reS. TO BE COMPLETED ABOUT l�lfi-77 ESTIMATED COST �.O.00 OLD - NEW BUILDING PERMIT N0. PERMIT NO. /Q II _ � Company ��� c� signed sy MINNE(;A$(�� _ Tel. No. ROUGH INSP. Date FIt3AL INSP . j" � Z' 7/_ Date APPROVAL F'OR P�RMIT __� MINIMUM FEE FOR ANY PLUMBING P£RMIT IS $7.50 �1 f � = � `/ , _ CfiYOF FRIDLEY CIVIC CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MINNESOTA 55432 • PHONE (612) 571-3450 January 29, 1987 Mr. Lee Magle All State Insuranoe 965 Prairie Center Drive Eden Prairie, NN 55344 Re: House Fire at 1541 Caanelot Lane N. E. , Fridley Dear Mr. Magle: As you know, there was a fire at 1541 Camelot Lane N. E. on Sunday morning, 3anuary 25, 1987. Our office made an inspection of the �amages on January 26, 1987. Zhe cause of the f ire is being investigated by the Fridley Fire Department. Zf�e house was severely damaged and in its present condition does constitute a public nuisance and must be abated by renwal because the structure is damaged beyond repair. Zhe garage did not suffer as muc}� structural damage, however sinoe it is attached to the house, it would be very dif f icul t to remove the house without damaging the garage (the common wall between the house and garage is damaged beyona re�ai r) . The house was constructed in 1976 and at that time there was some extensive soil correction work done and the footing system was constructed with reinforcement bars included. For this reason an attempt should be mac3e to save the foundation systesn. Also the size and location of the structure should not be dzanged. We hope that the renoval can be acc�mplished as soon as all arranc�anents can be made. If you have any questions, please c,all me at 571-3450. Sinoerely, � I I � jli - - � � �...; • � - . . • DGC/mh OC: Mr. Wayne PFuhl sue�ecr R MI . City of Fridley w��I�G 18 8 81 AT THE TOP OF THE TWINS ����,�� P E R M! T i � i ♦ • � ; L __._� COMMUNITY DEVEIOPMENT DIV. � �D r � � PROTEC7IVE INSPECTION SEC. � � ' , �'��1 � CITY HALL FR�DLE� 55432 NUMBER REV. DATE PAGE OF APPROVED BY �'""'�� ��� 612-571-3450 910-F15 4/16/87 � � JOB ADDRESS 1541 Camelot Lane N.E. 1 LEGAL �OT NO.' BLOCK TRACT OR ADDITION SEE AtTACHED DESCR. �.3 4 Harris Lake Esta.tes SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Wayne Pfuhl 1541 Camelot Lane N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Daco I-94 &. Co. Rtl. #36, Rc�gers, MN 55374 497�-3900 4 ARCHITECT OR DESIGNER MAIL AODRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADORESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW CJ ADDITION ❑ ALTERATION ❑ REPAIR O MOVE C� REMOVE 8 DESCRIBE WORK Wreck Fire Damaged D�nrellin� (�Gaxaqe to be Moved Off Site) 9 CHANGE QF USE FROM TO STIPULATIONS Clean s.ite o� all debxis� SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PIUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIF CONDITIONtNG. THIS PEfiM1T BECOMES NUIL AND VOID IF WORK OR CONSTRUCTION 20NING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENOED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEFEBY CERTIfY THAT I HAVE READ AMD EXAMINED THIS APPLICATION �. STALLS GAqAGES AND KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISiONS OF LAWS yq�UATION SURTAX AND,ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OF NOT.JHE GRANTING OF A PERMlT .,53 SOO N/A DOES NOT PRESUME TO GIVE AUTHORITY TO VIOIATE OR CANCEL THE pERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL lAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUC710N. �`33 E 7S ��� / PLAN CNECK FEE TOTAL FEE �.i ..../� ��/ $ 33 . 7 5 ' ��°"'" SIGNATUAE FCONTRACTOf70RAUTHO IZEDA T ,,.✓� � A 1 1/�IH PR E Y I ED THIS IS VOUR PERMIT � I ��. � SiGNATUAE Of OWNEA i�F OWNEF BUILDER� iDATE� � Bl G iNSP qa7E sue�ecr PE . c�ty of Fr�a�ey � 8 s 3 s_ AT 7HE TOP OF THE TWINS g U I L D I N G P E R M! T r � � � � � 1 y_ COMMUNITY OEVELOPFAENT DIV. � r � � PROTECTIVE fNSPECTION SEC. ��� � � , � �t � �"'1 � CITY HALL FfiIDLEV 5b432 NUMBEF . REV. DATE PAGE OF APPROVED 8V `'��'�i �.J � 612-571-3450 910-F15 5/11/87 � � �oe a,00Ress 1541 Camelot Iane N.E. t LEGAI ��T NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. �3 4 Harris Lak.e ES'td.teS SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Friday Custom Homes Tnc. P.O, Bc� 12653, New Brighton, MN 55112 785�1514 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 0 AACHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILAODRESS ZIP PHONE LICENSENO. 6 USE OF BUILDING Residential 7 CLASS OF WORK � NEW ❑ ADDiTION ❑ ALTERATION ❑ REPAIR O MOVE ❑ REMOVE 8 DESCRIBE WORK Rebuild Hous.e A,fter Fire 37� x 28' Dwelling; 24� x 2Q� Garage; 14' x 12F Deck 9 CHANGE OP USE FROM TO STIPUI.ATIONS 1 L{/�-?j� C�:2 � 2iYJ/% � Re�air fonndatian wall where necessary, (�}�, . ��R�►�'�+�G 8�.���g.ca�1 local ut;tit;es �����������GASEtE. �SEPARATE PERMITS REQUIRE[� FOR �� �Y �A�/ W;r�ING, HEATING, PL�iMBING P�ND SIGNS. ����� . SEPARATE PERMITS ARE FEQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENT{LATING OA A1R CONDiTIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IP CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PEfi100 OF 120 DAYS AT ANY TIME AFTEF WORK IS COMMENCED. NO. DWLG. UNITS OFF3TREET PARKING 1 HEREBY CERTIFY THAT 1 HAVE READ 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 NO7. THE GRANTING OF A PERMIT $7��2SO 537.63 DOES NOT PRESUME TO GIVE AUTHORFTY TO VIOLATE OR CANCEL THE pERMITFEE SACCHARGE PROVISIONS Of ANY OTHER STATE R LOCAL LAW REGULATING CON- STRUCTION OR THE PEFiFOFMA F CONSTRUCTION. $3 Fi�l � OO None � PLAN CHECK FEE TOTAL FEE � ��--� $ 90.25 $488.88 S NATURE OF Ct a o AUTHOFIZED AGENT �onTE� � WHEN PROPER LIDATED THIS IS VOUR PERMIT � � SiGNATURE OF OWNEA ��F OWNER BU�LDER� IDATEi B�OG �NSP DFTE NEW [ � ADDN. [ ] pI,T ER . [ J Construetion Addre Legal Description: Owner Name & A ress: Contraetor• Address• �_ City of Fridley Effective 4/1186 R-1 AliD R-2 Building Permit Application LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Tel. # i Tel. # �5�y r �� .n,� . Attaeh to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. SS?ia - DESCRIPTIOA OF IMPROYEMENT � Width � Height �._ S9• Ft. _______ Length �� - Length �., width �_..._ Height Sq. Ft. - Length 1�____ Width 1�� Hgt/Ground Sq. Ft. - Corner Lot [] Inside Lot [] t. Yd. Setback Side Yard Setback __ Estimated Cost: � � � Type of Construction: ''L� T Approx. Completion Date:��%nA� �� ����"— �""' °�� Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: C s B �k Page for Explanation DATE: � Permit Fee Plan Check State Surcharge SAC Charge Park Fee SeWer Main Charge � APPLICANT: Tel. CITY BSE ONLY � �� 0 Fee Schedule on Reverse Side $ �Q ,�'� 25$ of Building Permit Fee $ _ �,(o $.50/$1,000 Valuation $ -- $ 525 per SAC Unit $ �""y Fee Determined by Engineering �� � 8� �� � �� ���� �� $ Agreement Necessary ( ] Not Necessary ( ] TOTAL $ ' STIPULATIONS: '�� '�� _` � �'�`�S �� �3 . � ��.�„ ,���,. � Owner: Si te F�c��iress: Contr-actor: L�1 dg. G1 ass: n - . . . .I.. ' � :: - COMM. NO. F'lanning Ae�ign Inc. • 1611 Hi ghway i�� N. E. Minneapnlis, MN 5�43'� . 612-78u--192G hlinnesota St�t� Er�ergy�Code Calcuiations HaSed nn Chapter 5 nf the Mcrdel Ener-gy Code 198:� Editinn -- Adapted 1/1/84 COMM. NO: Ff,IllLEY F�C(7F'ERTIES, INC. , F'hnnes , ; Ai Ai fnr- Single ';Family/Duple>: A�, residential < 3 stories Ov�r :r stor i e� Othe� � r '', 7b297 GEh1E1�AL I IVFO�";{"IA'T I O{V {Vote: �The se�ti vn de�i gnati nns t"Secti on A" ,"Seeti on B" etc. ) ar-e f c�r c�vnverii�nr_� in calculatians onlyy �nd �re not related from one �et of cal cul at i ar�� be1 vw to the ner, t. i. E+1 dy. W�1 1 s F'er-i meter x Wal l hei ghts, Are� ground to e�ve Sec t i on F� : 1 i6 14 . 95 = i E38.� . 7 Secti vn H: 18 9. 67 a 174. C�6 Sec t i an C s t:� c_� , � p Sectian D: U O , _ • U Vross W�11 Area � = 2�:�57.76 �. Pui 1 di ng di mensi ons i F1 aor or ' Ceiling Lenyth :•; Wi dth ' = Area S�ct i on A: �,6 �a = 1 c���6 Set�ti on E+ : 1'� 8 - 9b Sectiori C : V « = U Sectiori U : u �� _ �� Tot�l floor or ceiling �rea = 11U4 �. �i rn Jai st F�er-i meter � 144 f=lr�car jnist � by t�l", iu", 12" or ib") ): it� � �ii m Jai st � Area � � ; = 1 �U 4 . Drac�r s Area: 4�,.8 ThicE:ne�s (inches) : i� F'er i met �r t f Pet ): U T�ype of con�truction: 5. °I�ot�l dour's perimeter: ' . ' . C� b. Wi nd�ws M�nu�f�ct�ir-er: CARAL7L0 U �Factor: t�.52 St�-�te approved: YE5 - �Yp� Hei ght .< Length ;. 4U��mber = Total (inch�s) (Inches) of g1�ss SqFt 4�ni ts � T XE.D 5c:� 44 1 15. �8 CASEh1EIVT 5c� �U � 13.89 GLIDEFi .,,2 ib ? i.11 Gl_ I�?E:Fi ;:�2 ^6 2 1 1. 5E� C�L I DE�'t :�6 L,� 8 b4 C�L I llER ��:� �� 4 44 . 44 t_i t� �� L� C� Ca �� �� �-� � � C� Cl L"J (;� t�� C1 C) ' U c.1 Cr c�a �� � C� U c:► p 7. Wir7dow g1a�� area tSqFt) = 156.28 �Yp� Height �e L�nyth >: IVumber - Total ifeet) ifeet) Units SqFt �3. F='�t i. �a L1avr : b.�3 r .; � 41 . 1 9. Fttrium: tj G V U 1G. �irepl�ce �rea Wicith: C� I-�eights c:� Tat�-�1 Sy F1: = u 11. Exposeci F�c�un�iation Hei gt�t ar�� A: C�. 67 F'eri meter area A: 142 Sy Ft are� A= 95.14 E:;�o�ed Fcaundation Heir3ht are� Es: C� F'erimeter are� E�: C? Sq Ft area � = C� . 1= • 5qFt U factar U r A vrc�ss ��all ar-ea �i_�57.7b mi nus � Wi r�dc�w �r��,-� 156. ; 8 0. �2 B1 .: 7 I'-'atio dor�r ��rea 41.1 �.47 19.:r� �ltr-i um are�� c:U ' �a �j kim jai at ar-e� 1��:� i:�. G41 4. 92 Daar �re� 4�ti.8 G.14 6.13 Fireplace are� �:� � i� E::;posed Found. 9�. 14 U. 14 13, w,2 * Fr-�mi ng area ��:�5. 77b t7: ��95 19. 55 equal5 , Tot�ls �far net wall: 1395.6b4' G.u4�+ bU.u1 �1"otG�l� for grUSS wa11 `�r��.�: � f'=r�ming �rea is i�:�% of gross wall area 1._,. Grra�s Nia11 �r-e� s; �actor bel�w � U x A per code F��actnr ia , li far A-1 single .family £ti duple>e .2�.� far A-2 �nd other re�identi�l . �:'� f or ott�er t�ui 1 di ng� . i8 f ar- pver ti stor i e� Factvr iss t��.li L�'T'UH = 2.� 6. .�,5�6 h1US1' E�E .• 0�"t = tc�l cul ated above) 14. vro�s c� i 1 i ng �r-ea = 15. Cei 1 ing fr-�ming are� t it�"/. of cei 1 ing area) = I6. Jai st Ar�a (1�'�"/. af cei 1 a ng �rea) _ 17. Net c�i 1 i r��g ar-e� t Gross cei 1. area - Joi s�k area? _ 18. U c�ci 1 ir��g: �:�. C�yS >; Net cei 1. area = 15�. U framing: ��. U: 7 s; Jai �t �rea = ¢t>• Tatal c�f i tem 18 x i tem 19 = ':?1. Gross ceiliny area :•; factor belaw = U;. A per code F=�cw�tar• is .�:��b fnr A-i singlE� family ?: d�.�ple:; .C�•�.�Y for- �-2 ��nd r�ther residential ,�:�b far- ather b�.tilding� F`�ctnr� is: �i.C��6 E+'iUH •== :�i3.7�i4 MU57 E�E ;• C1R = tcalculated �bave> 2�:?4. 52 2Cf4. 52 1 1 �:�4 111�.4 11c:�.4 99�,. 6 :4.84 c.98GB 27. 8: i �8 2'7. 8�C�8 f� m 2 � 6 / BUILTRIT�. STtID SECTION ZND SJALL SEC2ION �� JO IS .....-v •.r.ryG {r/�LLVI.l�1 lV1?.:. �_ u v_ Instd• +�ir film . .68 Interior wsll � .4S (Wall) U • � . insulation 19.00 � Sheathing 2.06 .04 Siding ,('j Oueatde atr Eilm .17 __. R roraL 23 . 0 3 I��tde atr ftlm , .68 Intecivt Mall .45 � scud — 6 �� R= � 6 .5Q(graming) U . � � Sheath ing 2.06 Siding , .6 % .0 Out�ide air film .1� . __ bt TO?AL 1 �• S 3 Instde •1r film Ra .68 Interior vall ' Insulation ({�iall ) U • � . Sheathiag Z Exterior v311 cavering Exter Lor air f i lm R•.17 _� R TOTAL � � *�terior air Eilm R= .68 .sulation i9.00 � t inch soEt r+ood R=1.88 y�Rim � s�, �OiSt� . ,eathing 2.06 .041 �tetior wall tovering .67 � � �� �ter ior air f i lm �, j 7 � �� _ R TOTAL 24 . 4 6 � �. : tertot air film R= .68 • . sui.cioR 5.00 . . . �undation � 1.28 � ..� 1 . . . � (Fdn. ) U � � •� . ;terior air film R= .17 � �. . � .14 R rorAL �.7.�3 � ---�-. � � � ... . posed 91uck . .� � :���—� � � � �� :L I?tr, d I'H �l E�lTc� �T � IC SFaCE A80VE �-�$ d .:il�.:c � . • . �� �E ,. . FrZ��4ItsG � � : CEILtNG _ O.cl i i ' . �Air Fiim � .' 0:61 r � �Q►� �Insuiatiort 3�,Qp . ' � :—____4�� �ai�t � � . . � � � � _ : , . � .. Ceilfnq . , �(o � ' . , . � 0.61 � Ai.r Fi1m �a.6T � . ?(�� �� Tatai �R . 3�. 7$ . � :' ' b27 U �, R' .. . ,, . , . . � � , � .. � � , F! .aT aCOF OR C�r�EaRat C�IL I�iG �, �� � . '�a ue R YaIUE FR;;��IPIG . �._ � � 3 . � CEItIP�G • � ` � . ti f - �` 0.61 Irtsfde air fi]m 0.6T k �•�—.�. • Cei i i ng •�....._..._ • Jc i s t( s tuo •••..•�... ' insuTatian . � � •...._.... • Ai r spacs � � � • . Rocf de�kfng . � • Insutatian • � Bui 1 t-up roafi . 0.17 �Outsfde air.fiTm �.1T - ' Tota1 R ' . � 1 � �' � �indow infiltration .5 cfm/1irte31 -f�ot of cr.ack •� �� � �esidential door inrii tracion O.S cfm/squsra fcot or doo� and minf � � tcn-residantial door infiltration 11.0 c%n/Tineal �oct af crack ���`�e. requiremertt ' �b 12" concr�te black na insuiatfon � ' � � � 'b 12" concrece black fnsuTated cores .�47 R 2'� . � Jb 12" 1 ight�.veicht bTock .26 R 3.8 %b 12" lfgnttveight block irtsuTatsd cores ,•32 R� 3.i . . � .1248.3 � .. � 1 sinqle glass� = 1.13; with storm .cyind��� .54 . ' ' . � 1 double qTass = .y� , � : � • ' 1 tripie giass = .41 . � � � • �il e.r'terior waiTs and ceilinqs mctst have a vapor �arrier 'a�or barrier must be on the i�side (heatad side) of �.,a;1,��'10 PeR"'�3x.): •. apor 6arriers af the polyethelene thin film have no R vaTue. � . �, , ,, � � F.ltective Auq. l. 19N1 CITY OF FRIDLEY APPLICAT{ON FOR POMER PLANTS AND NEATING, COOLING, VENTILATION, REfRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCNEDULE tLSIOEt�i?1AL �urnsce Shell snd Duct Nork, 8ucner tAlso r�pl�cu�nt turnacyl Ca• Pipinq (Pipinq n��dd vltb nw� turn�c�) Css tlsnge Ca• Dryar • Air Conditioninq (�ll •ise�) All Other�/Repeir� end Alteration• 1� ot Vslue o! 1lpplisnce or Mork COlMERCIAL/INDUSTRIAL 1• oi Value oi J►ppliance o; Mosk R/1TE TO'fAL S 20.00 S �� �•C�CA/ S l0.0o S ���GYY� S 10,00 S S 10000 S S 10.00 S �D'C� S S Stet• Surcherqe 'PO'1'11L !CE Rein�pection Eea (515.00) Rough Insp. �ate !'insl In�p. ate Approval for P�rwit !�� MINIMUM PEE POR ANY HFATING PERMIT IS 51�.00 PLUS 5.50 STATE SURCIIARGE S .so s , ��) S. Att�eh stack veri[Le�tion [oct viN r�placment turnace {�ecwtts •Air On�d►t�oncrw cen n�t lw� placcd in ��d�• yard ��itlwut . rritten p�rwisvion [res ndl����i�p ne��lldn,r. O Job Addrese ���! �LLl,}�����%4.- ����� Departrnent of Buildlnq � 611! Univecsl�y 11v�, N.L., FTidl�y, MN 55�12 Ctty o[ Frldley Tel. 11571-1150 The undecelqned hereDy w�ke� appl/c�tlon tor • pecwlt lor th� wrk h�r�ln ��xcltled �qreel�q to do •11 wrk in •trict �ccord�ne� rltA tM Ctty Cbd�• end rul►nq� o! the Dep�ru�e�t ot eulidlnq�, ��d hereby d�clara• th�t •11 N� [�cts and represe�t�tions •t�ted ln th1� •pplicatlon •r• tru� �� eorr�et. ►rtdl�y. Klnn. �>!'ZE_ � _. 19�% OMNER � �� L � L�.� �F�I � ( 1'.0 � RINO OF eutt.otNC �f"�/YLC-� useo ws `�l� i7 %�,� � ee coMV�rto �►sour esrcw►re� casr �.3C_�`:�C_%, o0 OLO - N�1 SUIIDING PEPM1? N0. PLIMIT N0. DESCRIPTICtI OF tUPNJ1CL/�UIINLA MFJITING or POMER PUINTS, St�a�, Hot M�t�[, �rf A�% No. �1 r7 .��7`�/ Oc��C'C�/ r,�.a� � _�i7��f��t� sts. �a. J��-4GCC O _ c.P.�i cy i� G�U sa. rc. eoa s�v �,Q� e► 1bta1 Connected Load ,__ Klnd o[ r11�1 ��/�''J��1���:�.� BURNER - Trade Nue Slse No. Capecity Sq Ft . EDR S'Rl NP ^� —�N� w r�n��c, �o� c�aui�OOHewc Cc�nNa�y a 8 13562 CENTRAL AI9E. N.E. Sf7nr y Tcl. Nn / .° ,,� _ ___ _ '" �� ,� � / 9(f � � � �� r / � � . . 7 f� �,/� �n � 1'�% � S'�'� .��.�.����., ��� `� � , .,,!����;�/ /� � � � yn .�.�c..��� ��- L�ti � ' 1 J"' JI ' :��i��. �' �� �.e� � ✓��� ��� �-e� � , �" �'� ...��.� � �-� , i��� .��-- ,..��'� � 2.��z..�� � � �L� / .e..1 � � �'� � ( �� � �r j � ,��"�'/ ��y��� ����:� �� �� 0 CITY OF FR[DLEY APPLICATION FOR PWMBING AND GA5 FtTTtNG PEPMIT ,� T � e u • x u Water u� m � 4 c� m o � a s °� Heater t''i d m e a m t'c� c a � u�� x � u � a~i usi u � m cB � s o t.°. u<i g u m< 3 u� � c� o.as 'lec � �' � ) 2 I �.� I I � � ' 2nd 3rd 4th (R) � FLture Connection Opening Connectad with Sewer (�) � New Fixture, Old Opening Water � RATE SCHEDULE PLUMBING FIXTURE RATES: Nav si:tures tuture PiYtures Old Opaning, Nev PSsture eeer Dispenser 81ow Off easin Cetch easin Rein Mater Lead�r Hydreulic Valve SuWp or Receivinq Tank Mater Treating Appliance Hot Mater Heatar Gaa Rartge Ces Dryar NO � T RATE $ 5. 00 g 3.50 S 1. 50 S �.00 S 5.00 $ 5.00 S 5.00 S 5.00 S 5.00 S 7. 00 f 5.0� S 10.00 S 10.00 ALL OTHERS AND/OR REPIIIRS AND ALTERATIONS 1� ot Value ot ilYture or Appltance State Surcharge Reinspection !ea $ (515.00) TOTAL PEE TOTAL 5.� � S S S S S S 5 S S S 5 �% S S $ S .50 5�0.�'6 T k:ttective Auy. 1, Lvcft � Job Address f� ! / � . Department of euildings City of Fridley Tel. �571-3450 The undersiqned hereby wakes aNplication for a permlt for Lhe w rk here.in specified agreeing to do all vork in strict accordanca with the City Codes and rulings of the Departme�t of Buildinqa, and heraby declazes that all the facts and representations stated tn thia appltc4tion ere true and correc:t Fridley, Mn. �—G ( , 19� OWNER KIND OF BUILDING _ USED AS 1`O BE COI�LETED ABOUT ESTIMATEO COST O[.D - NE41 BUILDING PEPMIT NO. PERliIT NO. 9�t�G Comp�ny /�,-a"`�' ,�i� �`t ( Y (�G+� Signed ey � Tei. wo. 2�Y —S�zK ROUGN INSP. oace FINJIL' INSP. �' p` � � � � Data APPROVAL FOA PERMIT %�4t�'��" HINIMUM PEE FOR ANY PLUMBING PERMIT IS $10.00 PLUS TNE S.50 STATE SURCNARGE CITY OF FRIDLEY INSPECTION DIViSION Effective On January 1� � sss 6431 University Ave NE Fridley, MN 55432 APPLlCATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner — Also Replacement Furnace (Side Vent — Fill Out Back) Gas Piping (Ne ed wittr new f�e) � . Gas Range Gas Dryer *Air Conditioning — Alf Sizes All Others/Repairs & Afterations (LIST ON BACK) 1% of Value of Appliance or Wo�k Commercial/I ndustrial 1.25% of Value of Appliance or Work Rate TOTAL $ 30.00 $ $10.00 $ �D,�^C $10.00 $ $10.00 $ $ 25.00 $ /% JOB ADDRESS �.5�� �'� �-z� �s`(� L�rt�. The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes and rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. / / — /�, ,1998 —� �/ OWNER ��J�rt���^ ��`t�-f-�%" �t c� �� N � BUILDING USED AS � ESTIMATED COST ��� %��}. G�' PERMIT N0. ' � DESCRIPTION OF FURNACE AND OR BURNER $ No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Trade Name ,�e���-C /� Size No. BTU_ �3,��-c�` HP EDR $ Fuel �(:"�_��- ��4 � Total Connected Load � ��, �ii�' � � � �_ ,.n ,�.— State Surcharge $ .50 _ r , ; .�.�, � � �� �.�s ��� • �� ���Q, �,k �,+. j,,�� �� TOTAL FEE � �� MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION REFRIGERATION/AIR CONDITIONING 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. Burner Trade Name BTU HEATING CO Signed By HP ��1 / c%C Size No. EDR �� ��_5.��� Tel No. �5�- }� �� Approved By Rough—In Date Final Date "'�,�'��� FILL OUT BACK SIDE FO STACK VERIRCATION ON ��`�'/ REPLACEMENT FURNACE sue�ecr P City of Fridley 9 65 3 AT TNE TOP Of THE 1'WINS g � I L D I N� P E R M 1 T r ; � T NO. COMMUNITY DEVEIOPMENT DIV. f � � � PROTEC7IVE INSPECTION SEC. � , , .��3� , . , � _ �"'1 � C�7Y MA�L FRIOIE� 55�32 NVMBEF REV D�TE v�GE Of �PnROVEO 6r �---•�•• •�� 612-571-3450 910-F15 6/9/99 � / �oe Aooaess 1541 Camel ot Lane NE t LEGA� �OT NO. BLOCK TRACT Oii ADOITION SEE ATTACHEO OESCR. 13 4 Harris Lake Estates SHEET 2 PROPERTY OWNER MAIL A�DRESS 21V PNONE Spencer Betterman 502-0991 3 CONTRACTOR MAIL A�DRESS IIP PMONE LICENSE NO Tacheny Roofing & Siding Inc. 49 S. Owasso Blvd. Little Canada 55117 651-484-1466 4 ARCHI7ECT OR DESIGNER MAII, AODRESS ZIP PHONE IICENSE NO. 7596 5 ENGINEER MAtL ADDfiESS 21P PMONE LICENSE NO 8 USE OF BUIl01NG Residential 7 CIASS OF WOfiK O NEW ❑ ADOITION O ALTERATION �DC REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WOFK Reroof house and ara e 26 S Te - ff 9 CHANGE OF USE FROM TO STIPUTATIONS Underl ayment must comply wi th th eState Bui 1 di ng Code. ?YPEOFCONST. OCCUPANCYGROUP OCCUPANC�LOAO SEPARATE PERMITS ARE REOUIRED FOR ELECTfi1CAL, PLUMBING, NEATING. VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID If WORK OR CONSTRUCTION ZpNING SO. fT CU fT. AUTHORIZEO IS NOT COMMENCED WITHIN 60 DAVS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANOONEO fOR A PERIOO OF 120 DAVS AT ANY TIME AFTER WORK IS COMMENCED. NO DWIG. UNITS OFfSTREET PARKING I MEREBV CEFTIFV THAT 1 HAVE FlEAO ANO EXAMINEO TNIS APPIICATION STA�LS GAAAGES AND KNOW THE SAME TO BE TFUE AND CORRECT. ALl PROVIS�ONS Of LAWS VALUATION SURTAX ANO ORDINANCES GOVEANING THIS TVPE OF WORK WI�� BE COMPLIED r� WITH WH �MEfi SPECIFIED HEREIN Ofi NOT TIiE GRANTING Oi A PERMIT ��LZ%G 1. 14 OOES NO PRESUME TO GIVE AUTHORITV TO VIOIATE OR CANCEI TNE pERMIT f£E SAC CHARGE PROVISI NS Of ANY OTHEfi STATE OR LOCA� LAW REGUTATING CON- S UCTi N OR THE PERFORMANCE Of CONSTRUCTION $83. 2�j Fi re SC Z. Z7 � � ; � ,�j, PLAN CMECK FEE TOTA� FEE � � �,* - S a � "� - � r' f � '�?�j,,.�.,�J �c„ � �:� °� ` Lic nse SC 5.00 91 66 S�GNATUAEOFC N'FACTOpOQAUTFIOQ�ZED�GENT iO�iE� WHEN PROPERLV LIOAT 0 THIS IS V fi PEAMIT / � r' S�GNnTUaf O� OwNEQ��F OwNEpBU��DEQ� iD�rE� B�0 �ti5� ����E NEW A,D�7N ALTER . L) �� L ConstructionAddress: Legal Description: Owner Name & Address: , CITY OF FRIDLEY SINGLE FAMII�Y AND DUPLEXES R-1 AND R-2 BUILDING PERNIIT APPLICATTON - � 5�I � Cc� e-�i 6-�-- L►,�. . , .. . , .. . r .. �. . �� ,. Effective lJ 1199 � , "J� � a� � � ,�ti� Contractor: ��.L 1�1 P.✓e v1_ 1��'�'�ti1 cj,r ��'c�. �1'1qc '�M�T LICENSE # 7sq �o . • Address: �� �>�1 dl.vaS�D k7�1:� �. a�-'i� � C C�WI�iD�Tel. #[os �" Tby `i y�oin Attach to this application, a Certificate of Survey of the .��[ ` lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IlVIPROVEMENT . ' ,._. ; LIVING AREA: . Len�th Widi� Height Sq. Ft. GARAGE AREA: Length '' Wic�th ` Height Sq. Ft. `: DECK AREA: Length . t: : :: Width �� �� HgdGround Sq. Ft. OTHER: � , �, �S � � � �� . _ • �I% Construction T e: �« � rP' Estimated Cost: $�4 , Yp . . : (Fee Schedule on Back): � Driveway Curb Cut Width Needed: '`Ft. + 6 Ff =�" Ft x$ _$ ..., . DATE: APPLICANT: ; _ - Tel. # CITY USE ONLY' . , _ Permit Fee $ D���ee Schedule on Reverse Side Fire Surcharge $ �. � � .00l of Permit Valuation (1/lOth%) � State Surcharge $_ '� �'$.50/$1;000 Valuat'ion ' SAC Charge $ , - $1050 per. SAC Unit : : � License Surcharge $ �, � $5:00 (State Licensed Residential Contractors) Driveway Escrow $ ., Alt. "A° or Alt `"B" Above . , Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering � Sewer 1Vlain Charge �$ `� Agreement Necessary []� Not Necessary [ J "` � ,; , . .. �. - �. , � TOTAL . $ I. �^�: : � STIPULATIONS: �� c�ty of Fridley AT TNE TOP OF TNE TWINS g � I L D I N G P E R M I T r � � � � � ; y _._.� COMMUNITV OEVEIOPMENT DIV. f � � PROfECTIVE INSPEC710N SEC. � . � � � �"'1 � CITY NAI,L fRIDLE� 55�J2 NUM6Ep pEv �'"'"�"� ,'� 612-571--3450 9t0-Ft5 J09 ADDRESS 1541 Camelot Lane NE 1 LEGAL �OT NO. BIOCK TqACT OR ADDITION pESCR. 13 4 Harris Lake Estates 2 PROPERTY OWNER MAI� ADORESS Kennedy WazWaz 1541 Camelot Lane NE 3 CON7RAGTOF MAIL ADDRESS Same 1 ARCHITECT OR OESIGNER MAI� AODRESS 5 ENGINEER MAIL AODRESS �TE I P�GE O: 9/8%00 / � � 31374 R EIP7 NO. � � �6nROVED 8r SEE ATTACHED SMEET 763-502-2193 21P PHONE �ICENSE NO ZIP PMONE LICENSE NO. ZIP PHONE LICENSE NO 6 USE OF BUIIDfNG Residential 7 CLASS OF WORK ❑ NEW �J ADD{TION O ALTERATION O REPAIR p MOVE O REMOVE 8 DESCRIBE WOfiK Construct a 20' x 34' Deck (NOT ATTACHED TO HOIISE) 9 CHANGEOFUSEFROM TO STIPUlAT10NS See notations on plan. WARNlNG , Before digging cali for all utility locations 454-0002 REi�UIRED BY LA11V SEPARATE PERMITS REQUIRED FOR: WIRING, HEATING, PLUMBING AND SIG�IS SEPAFiATE PERMITS ARE fiEOUIRED FOR ELECTRICAL, PLUMBING, NEATING, "� v. Vv..v. VENTILATWG OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOIO IF WORK OR CONSTRUCTION 2QNING AUTHORI2ED IS NOT COMMENCED WITHIN 60 DAYS. OR IF CONS7qUC710N OF WORK IS SUSPENDED OR ABANDONEO fOFi A PER100 Of /20 DAYS A7 ANV TIME AFTER WORK IS COMMENCED NO DWLG. UNITS I HEREBV CERTIFV THAT I HAVE READ ANO EXAMINEO THIS APPLICA710N 1 AND KNOW THE SAME TO BE TRUE aND CORRECT. ALL PROVISIONS OF LAWS yq�UAT10N AND OROINANCES GOVERNING THIS TVPE Of WOaK WILL BE COMP�IED �6 392 WITN WHETHER SPECIFIED MEREIN OR NOT. 7HE GRAN7ING OF A PERMIT � DOES NOT PRESUME TO GIVE AUTMORITY TO VIOLATE OR CANCEL THE pERMITfEE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGUTATING coN. �139.ZS STRUCTION OR THE PERFORMANCE OF CONSTRUCTION S�GN4TUAE OF �ONCRACTQR Op �UTMOQ�2ED sGENT �OATE� ��� OWNEa Bw�DE:i� �O�TE� fT STALIS LOAO CU FT. OffSTpEET PARKING IGARAGES $3.20 SAC CMARGE Fire SC $6.40 TOTALFEE �X�'s . ss �� � NEW (�^ Effective 1/1/2000 ADDN [] CITY OF FRIDLEY (763) 572-3604 Bldg Insp ALTER (] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLlCAT10N Construction Address: � S�� � rnC (� E L N N� Legal Description: Owner Name & Address: � .� 1� �'(�-� 1,� �i � Tel. #'76 3� So o�i a193 Q Contractor: 1'Y1 � S Q� MN LICENSE # Address: ��� �, a�s o��e., Tel. # 76 �— SVQ 93.g'S' � LtVING AREA: Attach to this appiication, a Ce�tificate of Survey of the fot, with the proposed construction drawn on it to scale. DE�CRI�'TtO�! AF !".'lPR:)VEMEi�T Length Width Height Sq. Ft. GARAGE AREA: Length Width Height DECK AREA: C���:L�:� Length � ` Width �� Sq. Ft. a F I Sq. Ft. Construction Type: j'�r �'1 -�v Q�'�P� Estimated Cost: $(,tJ� /� ° Driveway Curb Gut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: g"' E�'�� APPLICANT: �F. W Tel. # 2-4 �1 8� 33 �,� CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application Permit Fee $/ 39. �� Fee Schedule on Reverse Side Fire Surcharge $� (o .�f0 .001 of Permit Valuation 11/10th%) State Surcharge $ �, �D $.50/$1,000 Valuation SAC Charge $ $1100 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Aft. "A" or Alt. "B" Above Eros+on Control $ $450.00 Conservation Pfan Review Park Fee Sewer Main Charge TOTAL STIPULATIONS: � '' �� Fee Determined by Engineering Agreement Necessary ( ] Not Necessary ( } ���'/ ���i �( �1 � 112 r5 �'�/ � U� ���� 5' S �i � a � -� � � T z � j-�.�,�n.Q, O.It,�., �. ��l St�-P-�'S 6 �� � � �� � � � {`� N� E y�(��- �? U�.' S�'�� riS I�'1 � ��y � �� si�►�� 0.n� sPQca✓�y a� �1�� ��� sfi - ,� - , ,� ��� . 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