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AF - 47024sus�ECr PERMIT City of Fridley 381 � AT THE TOP OF THE TWINS g U I L D I N G P E R M I T ' � � RECEI T NO. � • COMMUiVITY DEVELOPMENT DIV. r � y � � PROTECTIVE INSPECTION SE0. � �, � � � � i � i �4 � /��'1 � CITY HALL FRIDLEV SS43Z NUMBER REV. DATE PAGE OF APPROVED BY """� � �'� 612-560-3450 910-F15 10/8/76 � � 10B ADDRESS 1561 Camelot Lane N.E. 1 LEGA� LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. ZI. 4 Harris Lake Esta.tes SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE Brickner Builders Inc. 6245 Ben More Drive N.E., Fridley 574-9871 3 CONTRACTOR MAI� ADDFiESS ZIP PHONE UCENSE NO. Same 4 ARCHITECTORDESIGNER MAILADDRESS ZIP PHONE LICENSENO. 5 ENG�NEER MAIL ADDRESS ZIP PHONE LICENSE NO. "YtSIdN SAFETY CON i ROL ZONE"' 6 USE OF BUILDING ' ' " - Res idential THiNG tN THl5 AR�A t�dil-NOUT AP• 7 CLASS OF WORK � NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR p MOVE ❑ REMOVE 8 DESCRIBE WORK � Construct a 30' x 48' Dwelling and a 22' x 22' Garage Befor� digging caH � �til' e:� Ri 9 CHANGE QF USE FROM � ME�IT1NCs� PLUM8ING AND SIG��. � STIPULATIONS provide City with copy of truss design. Provide vapor barrier in the ceiling. Soil borings and/or compaction tests may be required. Call for excavation inspection. Provide a verifying survey before capping. Provide a hard surface driveway. Provide sod in the front and side yards. SEWER LOCATION(Approx. 12' Deep) 137' East of manhole (Inv. 876.43) WYE ELEVATION: 876.98 �'tmZmyae� TOP OF FOOTING: 879.98 Minim�n —iMP�RTANT-- WATER LOCATION: 10' East of sewer service NOTIf'Y THE FRIDLEY ENGR: TME Ci�1C �F M�DF�i1f. DOES NOt GtJARAN�EL' 'iME DIVISION REGARDiNG GURB AtCURACY "OF UiA1YY lOCA110N: M� EF,EVAT1Ck�. REMOVAL AND REPLACEMEN7' i:NS DAtA iS FOR WFCRMAi1QN Pi1RP0$ES ONLY �N� AT ORiVEWAY OPENINGSa �ERSONS USING li SHOUtD VE�7 1HE M�IFORMA110N TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD SE T R ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. Wppd Frd�le THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION i 904 To 1 OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT R-�. 1288+484 $�� ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATtON 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED 36, 030 $ZS. OZ WITH WHETHER SPECIFIED HEREIN OR NOT. THE GAANTING OF A PERMIT $ DOES NOT PRESUME TO GIVE AUTHORITY TO VIOIATE OR CANCEL THE pERMITFEE SACCHARGE PfiOVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTIO E PERFORM E OF CONSTRUCTION. � $99• 62 $350. �� . PLAN CHECK FEE TOTAL FEE � d - � - % 1 $24. 90 $492 . 54 . SICaNATUREOFCONiRACTO RAUTHOFIZEDAGENT IDATEI WHEN PR PERLY VALIDATED THIS IS YOUR PERMIT ' �U iv -8-�,6 SiGNATURE OF OWNERIIF OWNER BUILDERI IDATEI BLDG iNSP fiATE • � �p„d .�o��,�, �S't�l�rr%rjl lood Surveyiwy ��1./� !!1 PE' `l t�l/] ��it *• SNrits T�stin� �! '�I Civil Enyiw�erinq (! �� Mv�icipal En�i�a�ri�+9 Engineere & Surveyora ,.---�=.` _ 6875 Hiqhwp� No.6S �.E. kY►ine�apo , �►�,wn. 351� r.i.�ho,+� ?s�_eo_ A reo Cod� 61 Z Certificaate o! $urvey for �� _� �.,C��c'•�' T � �d• . 4z.7{ s, �'' QG �0 � � �.,- � i � t�` �.. L I r i � \ �r � � � � d �� : G yo : o z .o � � � � . . � . . N. __.' \ . � PRoPOSEp +� � � / v'sE/ , o � . � � � \ hiARIVIN/ .�.o o ; - V f ° N � � � �� djbrBfA _ � 8 e81! 1t�� _ 22.0 ��nE-FCECtR��. • s _ r /� ♦r Et�, ' � / r . R�`��I�i.(„� � . " BY -- "' = - �- -�-- -' ..� _ �. �.� � ,.,•. 0 ii� —1MP4RTANT-- � � NO'f11K THE FRtOLEY EN . , �. �� DIVIS�N REGItRDING C R�MO�VAL AND REPLAC�MEMT � AT DRIVEWAY OPENI�IGS. _ "' � ' ��, CauT[oN ,, �_ . "�sioN sR�En co�urRO� toNe� DO NOT P�I1NT OR PLACE ANY TNING IM 7HtS AREA WITHOUT AR I�ROVAL Of 7'HE CITY UF FRIt'�F1�, �A�.� �..�E N.�. �;+. k�� r.oF � �° ncu: . <<Y `o€ �� ~� �`�' r. . ��: �.�x �� TMiS � � �0�� A: I�� '� �; ` �� F►OUtp �' �, :t r � :� � t � �C q, '��w��, a ` UF FRtDLEY . .; ,CY pp �E5 t , : GV U11itiY LOGT�c.r..; A��s '� H.�►S L�. �STATES �.� S ��N�R WFORIIA�q11�� E �; Q�� .. Ano ka C�u S1TE �� '�' � V E t�;°Y iHE � Y � 1 F��`r sorli}r �h�t Ibis h• tr�e and cor��ct repr�seMatisn f o �urv�y •f /1►t bouAderi�s �� d�tcribtil lond, �nd �f �i�� locotie� oi all buildi�g tl�e.��w, ond oll visibl� •ncreochn��nt�� i} an�r, Ir�rw K� , soid lowd. As Wrvtrfd br m� tbis day of_ ��____I�.D. 1V�. —�— � 3 � ��5 � ��= SU:UR�AN ENQ�INEERlNG, IN�. . `; r En�� ry Surwy��s }.: ----�-,�lO�Eg DIaAUJPGE �. UTIUTY EA9�MENT ' �,, � �� { .r : , . .� �� - � � - -- . �� ,... , �,�, :. � ,� �..:P � ' �J ;,''"" . ,�y/ ��/ � r. � �..✓ �,c �' ��S'�s,.°�,::��' � "�?.., ��s'�+�'� �,.,. . � ��i/� � �}��' � /�2 �,� � � � � �,�� .� � �7�. y � � i �- . C 3 �7 �, Gv f'� ��. � v, - �7� . �� !�'i�i��.. � � � � �" �� ., �,,:. (J , � �- (� � ��__�. _.�.--y ° � �`/� � °-M 4 , �` ��'/� �v!/�v nT, � g � � � � � � �'��.3____.� �'��../ S � Q�r � ��l� .{ .:�.� �. :�r,. :� : ��x . �. : . �.�'!//G �..,.. �'� � 4 �� . ; . — — CITY UF (=RIDLEY �� _ � APPLICATIO�J FOR f.ESI DENTI/1L BU ILDING PEF�1ITS (f�lEW, /1�TERATIONS, ADDI7IONS, 0 R REPAI RS) owN��.'s N�: T3UILDER:�:�c /c�� /�/7� /��e � ADDIt�SS : ADDR�SS : �L `�SJ ��'(✓ �J� ° %��' � TEL. I�O. : � � �� .i� � . �C�l, / � / No:. � � � sTRr:ET:�-%7iZ^`�'L�i G�I�,!�~ _. . LOT : �� BLOCK: y ADDITTON : T/�/;f'' r ��!�Y CORNER LOT: V II�SIDE LOT: S�TBACK: �� SIDEYARD: � Applicant attach to this form �oo Certificates of Suxvey of Lot and proposed building location drazon on these Certificates. r IiESCRIPTIO\ OF BUILDI\G To e Used �s : S4�' �;�(n" �� Fxont: �� Depth: � V ,�� Height• ��=sr�' � Square Feet : �� 8 � Cubic Feet : ��j � / Front: Z z' Depth: � Z' Height: � 6 Squaxe Fset; ��.y Cubi.c Feet; 7`p �� Type of Construction: �� Estimated Cost:� •3 G� � 3� � —� �To Be Completied: � fihe undexsigned hereUy makes applicati�n fox a permi� for the work herein sp�cified, agreeing tv do all wortc in stxict accordance �aith the City of Fxi.dley Ordinances and rulings of tlie Department of Buildings, and hereby declaxes ttiat aIl the facts and repxesentations stated in this application are true and corxect. -,. � � J% v- _ � � �/` �,, _ � � DATE : � � � � • SIGNATEJFE : �'�'� �d'�? �� ,� �i�.; (See Reverse Side Fox Additional Tntoi-mation.) j'P-�''''�`�` '�99, G� 5'7`i.�u. ��--T� a-� s . �t,�°'t c,�`�'`,�L, -Z 4�. 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I , , , , ' __ ... .. __.: . . ... . . .. .. . ... ...._.._.. _ ...... .. . ._. . �.. ! . . _--- �_ :_ __. __ :.. _ �3�� .Z� 3.�, o-d _ _ . _._ - �a-� - - �--� __�� .v�� t' � �. � I i _ ;_ . . _. : . . . . . , - . , _._ _ . ;- -- --- - - --- ---._ _�- _ , . _. . _ � � : ± .r � . . . . : . :._.. .. : . :. , ._ .0 __,. ._.._ _ ;. . _ _ ._ _-- -- - --- -- ---_-�-- - i � � ; i -� I '—� r � � '� � ; � � � �� . _ t__ _. __ ; . . . .. : . } ._ — . �T �✓ � - - � - - } - -- � ( � . _i 1 � ` ` � � � � — a , I i I , . _ _ . . , _. . _ _. . _ _ ._.., .�__... ._ � ._.� _.. ...._._ . .. � __ _ - - --. ...- - - - -- - ----1 , ' I^ r � , � , ; �-- ,- _ . . :. . :- - : _. ._ _- - _._ _ . __ _ _ : �__ . t --- - --- - -- -- - . � � � ! � , , ; _.... ,._ �_..__ . . . _ __ . __ _ - - .__-. -- - - - -� - ... _ __. _._ ._ __ . . _ :_ _. �. � ��_��s'�_ ; , ; i , �� I � : .i.... . .... . . ._._"__• . . �... .. _._ . ..._.L. f _ __ _... � ! .. . . .. ... . . . _ .. _......... . . . . ... �.. . _. ___j, t ..... .'�_ __.. . _ . . . , ' . � . . , � . . � � I ' ; j �- I r .._... .__..: }. ... ._ ... «... .._:.. y..__._-{--._._..... �. . �. �.�.._...... _.i' " .-... . ..._.._._Y .._ __ _... . _-r�_' � � , ' I , .1.- --�--�- � 1 � i �. P , ' . . � . . ..-- ._.��.. . . .. ._... _.. . . . ... .. ._. .._ ... . ... .. :.. .... .__.. ._..... ....: . . _. .._ _�. . __ N . .- �- . .. � ._�.. �' {�__ _.:-_'� i . . . _ . ._ _ .�.r.." ...-. t � �. i . , : � � � , _-__. i- - . �l.. .. : . .. _ . . . . _ . : : . _ . .. _ . . . .. . � ... _ � . _ � _.. _ --- � I , � , � . ._ _ . . . _ . —.. . _ � L t — . , i � _ � . ' .. . .. . .'. .__._....._. .. _.... _._. .. .... .. .._ i_." `_. "__. . r...._.i,._Y'____ 1'__ __..�. r + ' � _" ' . .. . . _ . .. . .... . . � � . ; i j 1 � . . '- . . . ' . . , ' , � i : � ; �. . .. .�._ :: . . . ... _ , . . .. _ . .. . _.. .: . f . _' ' ' '__ ;_...._ _". _. .. i 1 _ .. I i T � � , �. : �, I ! . . . �. � i _,_ . : _ : . _ . � _ ___ .. _ . �- --_ __ __ __ .., _ _ _ __ . .__� .:_ . _ . _ : �._- - - - ----�-- —j ---�---t , I � j ` � � , ; � � i j ; ' ; � � . ,. ' '. . ' I I � i � i . . . . _ . .,. _ __.i—.._. _.. ___. _ _ ...t_.._.�.. . _ _ _ _...... ..._._.1�.�_._ . «_._. .+—_. _. ...__ .__�___�__--�— V � � ` � � �� ! �' I . _ � __ I � _� _ � _ ,_ � ---+-- +--- ' � ��-- ' -� � L__ I ' i a I ��__ , _ -f- - � --; J ! � i -- - fi- � - I ---� I I� � __ t_ _�__1 r � I I � � � i _. _I- _..i-_.;..__.7 � �_ � _'"�!_ �? w i -_��- .�.-- I Page 1 of 4 EXTERIOR ENVE;LOPE AVE;RAGE "U" COMPUTATION OWNER: DATE I (/ ' � - �� SITE ADDRESS: ��ly% C��/YJcGo7 .lfjitl�C. PHONE: � s 7�' f�%J / J1r/ %!` �'e x � � cor�Tx�cTOR: , �O,R s l �/G . . Determine working square footage of each .../ - /7CCs' 3oa 3b 1. Total exposed wall area...... • sq. ft. x .17 = ' 2. Toal roof/ceiling area .... �� `� b'6 sq. ft. x .05 = '� Total exposed wall area above floor = a. Total wall window area ................................. b. To�al door area ................................ ..... c. Total sliding glass door area ............... ........ d. Tctal fireplace wall area ............... ............ e. Total wall framing area (average 10�) .................. f. Total rim joist area ..................... ......... . g. wall area above floor .......................... h. wall area above floor .......................... i. wall area above floor .......................... j. . wall area above floor... ..................... Total exposed foundation area =� V ../ k. Total foundation window area .....................�...... N� N<- 1. �'otal net foundation area above grade ................. a"1� Determine "U" value of each wall segment (e.g, window, door, each separate wall sectic � a. �3S-.z�X .,U,. ' .ss' _ � �y-y�° b. 3 �. �,,g X ,.U,. � . � � _ � � . $b �. �g, g� X „U„ � -1� _ �.►.g� d. s,.�' X .,U,. � . Lv = >>. � g . e. l33•s'S' x u ' ' ►3 •_ �1 •3�0 „„ f. /�N X „U,. '. �� . _ g, $L g. 1'� o ti, v ti X „U„ '- o�, _ �y. i h. X "U" _ i. X "U" _ � � X ��U�� _ k. X "U" _ � 1. � 'V .X ��U�� _ 3 . ............................. Total = S� 'v ✓ If item #3 is the same as, or less than item #1, yau' have met the intent of. S 6006 (c) 2. � � �• � g- 9 � � � Er.terior Envelope Average "U" Computation Total exposed roof/ceiling area = � /"�'" Page 2 of 4 m. Zbtal skylight area .................... ...... n. Total roof/ceiling frar.iing area .(average 10�) ... �o. Total net insulated roof/ceiling area........... Determine "U" value for each roof/ceiling se t �. 3� X.,U„ . e s' - ► Y' � v n. �S�'%b X ,�U�� - p� = 33,�� o. X "U° _ 4 ........................... Zbta1 = �� If total of #4 is the same as, or less than #2, you have met the intent of SBC 6006 (c) 1. Alternate Building Envelope Design - Zb utilize the total envelope system method, the values established by the sum of items #3 and �4 shall not be greater than the sum of items #1 and #2. 1. + 2. _ 3. + 4. _ . WALL SECTIONS TJOTE: Use 10� of opaque wall area for � frame construction FIG. #1 FRAPiE ZdALL ., _ , , -, � � `'~�� ; ' :.��G. #3 � 5� ' • V � . : : �.' �- . . � �' �� . ._ , o , ' . d ` � . . . • •• : .� . , ,� _ �. � . r• �. Page 3 of 4. Construction R-Value 1. Interior air film 0.68 a• '�ti'' sN�et�o� o_ y 3. �'t•� sr�o y_3� 4. �/1,•, NR�� %3/4 S ,L � � � t� s. �/�" /'n�45ar�r�- 0.67 6. Exter ior air f ilm � 0.17 Total �,1// r �/3 I +� " 1, Interior air film 0.68 r a.';." S//� �1 Qo�,C d• ys' 3. ��L., �/►r fJL • // 4. `/w'' N�/� f�I:S�G �•/y s. '��„ i%'l,��D�rrr� D�� 6. Exterior air film 0.17 �� y.,, � , b� � 1, Interior air film 0.68 2. � ��,,'' /NSV� � 1J s . / '�ti'' �2�r►� �, t °j 4. �y �� N/��L ��S'� �- �y 5. ��L � ��s0/vLT'L- �' 61 � 6. Exterior air film 0.17 Total � is,rs :..�1 i 1. Interior air film 0.68 2. 3. /z �' �acK �.tr 4. 5. 6. Exterior air film 0.17 Total 'j, . / 3 " ' �% , . . � � ' .' t e . � . . f � o, � ` , � �f�-��?��k _ . � . . ._.. ��r f ` ', � : . ',� .' : • . /!( � � ' � � � ^ b ` !ll — ,.. , . , � � �� . .' . . . , ,� ( � � ' --- ' ' • /!/ � ' FIG.. #4 /!( t� t ' ' � � /�( • � C� --- - ' ii r � . � . � _ • ��i� � X ~ : ��/ . . �� ( `. /t r. �. l,� -- NOZ7�: Indicate type, "R"�value, depth and placeMent of insulation. ' , . .--�_-�j� �\ � • Y'r.31T Vented ROOF/CEILING 0 y. , ?'y�� 3 ) �: �;, , _� ( {l�� I ' '(_L''''' + 1 i�` ' �"�� '' L.r� �r� t�i�i�, � � �� t" --------r ' ___� � .. . Heat flow �p . FIG. �5 � � � , �s,R,�-!.. `4I�•",'t�, �'n11=�^ ':t_� --*'F`�«.r_.st..G �T,[4 � ._._. ..� _ :.�_. . . = f-=:= ��. HeaC floc�� vp . �� ;•venLed , ,FI�. #6 �.. .. . . . ' . i ''.' 1 `;-'' � " 1 '`=� ' i� • nu.�-vl:1VTY.� . . • •• � • • � KeIIt • �. � , . • , ,� • � � f low up . . • . . , . _,� . . . .. � �'xr,. �� . . . � • Page 4 of 4 Construction R-Value 1. Interior air film 0.61 2.',,`� s y-� �7�a �k 0-�{� 3.��.t / N i �1� F�Bc�c r�,(ss �1 . 4. Exterior �air film (stilli Q.61 Total �' ( �%� � 1. Interior air f ilm 0. 61 ' ' 0. ys-' 2. " �z ck 3. �.� �� /4 4. Exterior air film (still) 0.61 Total •t �. � / . V �'S J 1. Inside air film 0.61 2. 3. 4. 5. Outside air film � 0.17 Total Note: Use additional sheets if more space is needed for details and calculations s -�� MEMO FOR FILE MEMO FROM: Ronald E. Holden, Building Inspection Officer MEMO DATE: December 3, 1976 REGARDING: 1561 Camelot Lane N.E. Footing Inspection Cretewood, Incorporated placed the footings at 1561 Camelot Lane for Mr. Thomas Brickner. Before the forms were set, I stopped by to ask if compaction tests had been taken. The crew said they hadn't been taken and the tests would be ordered. Apparently the tests fa.iled as they removed the forms and recompacted. Shortly thereafter I noted the footings had been poured, but no inspection had been called for or approved. Cretewood Inc. has been very reliable in their work in this area in the past and so has Mr. Thomas Brickner the general contractor. No report has been received to date from the testing agency in this regard. i ; ' � � RONAL E. HOLDEN Building Inspection Officer rtEx/mh � CI1Y GF FRIULEY�� APPLICATION FOR PW�'IBItiG AND GAS FI7TI�6 P��v`;IT � f � � �� : ;� � �. � x � � �...3�� r�, �, u .., �.� ..� rr � .. � ., c � �. r� . I t!c:it.�r I .. �: � ,`�,' ° �, � , i � ` ,� � , ..i � m F � .� o �. .- c; �� , r� • �� u � i� �� y � �._ s � p %� •''� G^I � U ' �� --- a ;:, j . � �.": � :� I .,, �. � � � :., �- :� ,, ,,, s v, 4� � ,. .. ! �' � � � �o '� �; I �. ,:� .:�,. ..j c7 � �.� � �� j i;ar: �ilc I ��i � J ► a � a ! + � � .... i j ! j ; , ��f � 3== ! I I 1 I i i l I�-� i I� ! I I I i � r— �(: ) s . ..`....= C CO.^.: C:. :10.^. �i?�:11:10 ('; . c:+ i�t::rc, O? ^ G_ :r.g C'OiL.2C=CG Wlt.1 PAP,iIAL RATE SCHtDULE � PL:::•:3I\G FiXT;;P.E R.?T�S: ti0. RATE ..,=_,�e: : ir. �L: es C� x S3. QO =.;�..:e _iYL..se C�eair.o � x 52.00 :;e:: ,-ixture, e�a c_ ea'_.^.q r. S2. 00 c.::c_:z �.:5_� X ss.co ha�:r :'.^a=er - to 99,G00 B:J � r. $5.00 ��.�„�� fi:J �o �99.000 3:G �� r 510.00 i;�=et Sc_:c: e: x 57.00 ..•_�.+ Gro�r.� ?..:s 01Z B•,:ildi::g x $5.0� =:ee.,_ic ..,.=er �:ea:er � x 55.00 GaS FIT:::;G F=_�S: Ist 3 :ir.:..xcs � x 53.00 :,�_:tioaal F::ctn:es r. 51.00 G3s :�r.ye Lo 193,000 BTL' x$10.00 cZ"-_P::IRS �, :�LTiP4TI0tiS . __ ,. J1GJ. GO S�. �O E3C1 a.'..�'.. $=0�•00 O: :�3C`20A , a2.00 State Surchargc ':G"':.:. FL� � � ity:..:S?°....�.^.:7 r::<' � � • . . �$:�.��)� . � S ewc. r 'v7a tcr TOTnL s �/� o0 S �- 00 $ s S �� S S S S S �� S S S $ $ .SO � 5 � �y ��, . Job Address % � W � �1'�'�K.�� ,i�i»rtmi�nt o� I3uild�nc�s City of :•'rzdLcy Tcl. �f571-3 ,50 Thc undcrsiq::cd hcreb� :��kes �pplicatio� for a perait for t'�e �.�z%. .*.ereia snccificQ a<�reci:tig to do all «o:'t, in s�ri�t aetorZuace w:t!t the Ci�y :e.�.es nnd ruJ.ing� of tho Depa:��cr.t o: TSuildiiigs, and ::creby deciares �ha� aII the facts and re;>resentatioas stated in th:s ao:�.icatioa a:� tr�e ar.d ro:zect :'sidlcy. �1. �" / . '_9� owti;:� �� KIND OF BUILDZNG � /Q.i�YL%.� _ USED AS J�I�A�y� TO BE CO:�`.c LETED "n30U i ESTIYU'�TLD COS: ' OLD - NEW 'ILDING PER:vIT IiO. PER`".IT :�0. /�'�� Co^aa^y � S� ar, ec.' 3y �/(/� � Tel. tio. RQUGH INS2. Date EINIIL If:SP. .3 - 3!- � 7 �� APPROVAL I'OR PEI'��SZT �� MZ\ZN.L':: FEE i• OR AJIY PLL'N�I:�v PERKZT ZS $7. SO CITY OF FRIDLEY �°pLICATION FOR POWER PL.4NTS AND HEATING, �OOLIN�, ��NTILATION, 2EFRIGERATION AND ATR CONDTTIONIh6 SYSTEMS AND DEVICES PARTIraL �TE SCHEBULE GR��'ITl' iti_\R�l AIR: P�A'1'li TO'I':�L Job �cdre:>s /��/ C_'��i��_ . _„_..ace Shell S D�ct S4ork $12. JO $ ��1ace^.e^t o' i��rr.ace 7.00 $ Re�airs s Alterations-e� to S500.00 �-�� $ Department of Buildings Repairs & Alterations each add. $500.00 4.00 $ City of Fridley Tel. �571-3450 }SEC:i.a\'IC:�L IiAR�i t�IR: �:^�,sce S.`.e11 & D�ct c+ork to 100,000 STL' eac.`. acc. SG,O"v0 3Tli Replacer..e^t of ruraace Reoairs & A�terations-up �o $500.00 Repaizs & alterations each add. $500.00 s��.�+ o� �'r ItAT� Sl'STE'�l: 30? lE= S:.1`Ze5 u� t0 100� CGO BiJ eac:� adc :. �0, 000 sTU Boile: only �o to 1CO,C00 BTU esch addn. SO,OGO BTU OZL 3URXER- to 3 gal. per honr each add. 3 gal. per ?�our $12.00 4.00 7.00 7.00 4.00 $12.00 4.00 7.00 6.00 The undersigned hereby makes ap_r.lication for a permit for the work her2� $ Z`U%% specified agreeing to do 'all work in str?ct accordance with t�e City Ccces S G 4nd rul_ngs of thc Departmcnt of Buildings, ar.d hereby declares tnat a12 c_:2 S facts and representations stated ir. this application are true and cor_ect. $ Fridley, Minn. 2 '� �d� 19� / OWNER vS/��L /L.��( � '°' � ll /� � - $ KIND OF BliILDT_t�G F�/'�i7� � $ ' �Q ` $ USED AS /l %. i %� �d�� C� -- -- - $ �- _ j _ �7 TO BE COMPLETED ABOUT _ _ _ $10.00 $ 10.00 $ G�� JR\Lh- �_oa 1CO,C00 ETJ �0 195,999 BTJ $10.00 S/�4'�i (over 199,999 BTU see Fee Scnedule) $ GaS FI:TI\G FEES: �,L� lst 3 Fixtures x S 3.0o S 3 Adcitional rixtures x $ 1.00 $ Gas Banqc to 199,000 BTU x$10.00 $ ' aZR CO\�ITIO�I\G �i S Fa� HE�TI\G Sl'STL•�1S see Fee Scnedule $-� VE\TILATi\'G SYSTE�IS � S ALTERaTIO\'S �, REPAIRS_ J $ State S�rcharge $ .SO I TOTAI. FiE $�� ROU:,Fi ZNSF. IDate �� FLtiA:, I'.QS?. ' � ' % ', Data , i APP�V`rI. r^OR pER+1ZT � � REI:dSPECTION FEE (.$10.00) NSNI*!II:�1 FEE FOR ANY I:EATING ?E:i.KIT IS $7.50 ES;IMATED COST �!p v(/ ° OLD - L�EW IIUILDING P�F.?^.IT NO. � PER:dZT N0. �� DESCRIPTIOT.I OF r^UR\ACEjBUR1QER HEATING or POWER PL.�INTS, SCe��, HoL ?9ater, Warr.i F.ir- :30. Trade Name C� �Ii� . ,. � � Size No. � �( �-Z 3 � !✓ � Capacity ��i a/ v Sq. Ft. EDR BTU Y:P Total Connected Load Kiad of :uei ,v /�' � QUR'Vi:R - Trade Name _______ Size No. Cupacity Sq. Ft. EDR BTU HP Company _J�..�'� �J �� .°,iyned By � , r � Tel. No. .2 7" i`(o �b T V �� ✓ �1 (j ; �� J � ri :n .: u =SC : _.,: � �� 3=� � � ��: I�j�� _ l i � � � I � I I CI1�Y OF FRIDLE`r�__ APPLICATION FOR PW;f�ING AND GAS FI?Tis�� PER;`",iT � I T' � �� .� 11 � ti: i= m �% � �� ' 4 E-. . r � y, �i� �, . 1l � +' ( � �JI � I � � f j G r'I r � I cn I �. �.^�� v I~ i V C� ..-� C7 1 � L k .� t� U .� c� ( � v:atc� �- Slr�x i ^Y � � �� U Ni� C7 fj `�.,"l.`: i 1 l` (R) = F`a�.._ _ Co^.: ec _io.^. G;e...^:c I Coa= ec._.. wit'a Seo;e_ ('; _ ..=�+ -zi:..re. G'_� �_ _^ir.g � t•7atcs PAR7IAL RATE SCHEDULE PL;;:tBItiG FsXTu.°.E RS.TL•S: \0. ....=�e= = i� �ti:.:es :.:_a:e _;x:_re Cp2^iag ::c:. : ix�ure, Oid Opez�ng G:tca 3;.si.� i+.:tez .._�ter - to 99. G00 BiJ i^v�.�� 3 �' to �99.0�0 S?U �:�ter Sc. ter.e_ .:e:� Gso;.:._ �•.. Old 9uilding Ele�tric .7e_cr �:cate: G:+S rI?:I:;G ...�S: Is _ 3 ::r.:..res ..��:�io :al Fi:c:ures Gss Rt:::ge to 199, 000 BTU R.?�IRS � :+LTi:?aTIOtS F:r.,. S1G�.G0 eac : a�d. S:G0.00 0: �rac`_ioz RATE x S3.�0 x S2- 00 x 52.00 x SS.CO x 55.00 r. S10. 00 x $7. 00 x 55.00 • x 55.00 x $3.00 x S1.00 x 510.00 5;ate Surcharge ':'G:".�.r. F�� iLi::.;?=C:ZO:: F:.°, • (S.O.OG) 55.00 $2.00 S S S S S S S S S Job Address �J �L"'� ��.�� l � � �.-� Ef l., `� �L �-..-�' �c�,:ir�m��:it of IIuildinqs ci yo ur : : ±ai�y Tcl. ;-5�1-3450 Thc undcrsi,:,ec: hereby makes npplicaCio� .°or a per:�it for t!�e �rorR he:ein speciLzed a�,reeing to do all .:or'r, in ��ric� accozZu^ce �.+zth tnc C•:_y Cc�es and rui.in�� of th� Depart�cr.t o: �3Li�ditigs, and he:eSy fleclares t`�a� all the facts aad reprenentatioas .,tated .., this a?alicatioa are trse ar:d �rze^t °ridlcy, s;.z. .�-� . '-9 �%'% owvLq ��ICKau�/L ��c.�i> _� xz�� or• nvi��z.;c � r�Gl � USED AS IJ ��LI /J TO E; C0:{r L:. ED 11.n,OliT :STI:IATED COST ' TOTAL OLD — EW 3U LDING PER`!�T I�O. P�R1".�T ti0. �4�CJ Co:n��ny / �\ � � y � /.lj��" �-- Sigr.e� Sy �i�� Tel. tio. S S_ S S S - $ .50 S � ROUGH INSP_ Date FZNI�L ItiSP. S' Z � - � � Datc APP20VAL r0:i P�I'��;IT / �� 0 MZ:4INL'i4 FEE r^OR A.VY PLL':�..°+I: v?ER�:IT ZS S7. SO Y r � 9'� -8L � �415o5i GIIY Ur rKlu�er . APPLICATION FOIt PWMBiNG AND GAS FITTIN6 PEAMIT � a � ;� � • � o watos � a .� N � � � w � Hoater r. w « ,� � . '�' "'� u � N � � R u � � J� . a o�0a �i H x� w � w c� a� �� S � o ai lec a -u . ist , 2�d • � ' .las "A ' S cha ge . Oy2 ]sd , 4th • . (R) � tUwre Connection �aniny Conn�oted with Sewor (•) • Nav Fixasr�, Old Opening Naees �PARTIAI RATE SCHEDULE PLU�IBIIdG FIXTURE RATES: N0. RATB t�v:5ar Fixturss ' . � x 53.00 Futura Fixtuss Openit�q • __ x $2.00 t�ov Fixture. Old Oponing ___ x $2.00 Cateh 8asin __ x iS.00 i Hat�s Heater - to 99,000 BTtI, �_,_ x $5.00 � 100�000 BZU W 199,000 BTU � x a�o.00 Hatar SotCsnar __ x $7.Q0 Ne-+ Grour.d �;ein Old Buildinq _�_ x Sg.00 �lectsio waGer Heaesr � __ x Sg.00 GAS FITTI\G FEfiS: � � ist � tixtusas __ x 5�.00 t.iditioaal lixtusss �� x 81.00 .Gss Rang� Lo 199,000 STlJ __ x 810.00 REPAIRS d ALTHRATIONS , � Tirst 5100.00 $S•� _ aach add. =100.00 or traotion 03.00 8 _� 8ae� surcharg� . S � � saru res , '8_ nn TOTAL $ S __ S __, s S _, 8�_ 8__ S �� $ �� S ;�� a� AEINSPECTIOti !L8 ($�0.00I � 0 m Job Addr�as i561 CAMELOT LAN� _ ��. - - — �� Dapartmene o! Huilding� ' • '� City o! Fridlay � Tel. N571-3450 The undsrsignsd hereby mak�s sppliaabioe lor.a permii tos the w sk hezc apeeilied agrening•to do ail work in striet accordanoe with the City Co�� and rnlings oi tha Depastmant o! Suildings, and hersby deciases that all th� laats aad r�praoentaiion� stat�d in thi• application ar� tcue ar.d co� ' aridley. Ma. �.-25^'77 , 19 p�$R = RK TUFTEDAL__, ' KZND OP 80iLDit� f ^3rrle � -- usEU �►S res. ' TO B8 COI+�I.ETED ABOUT , K_9_77` '_ ' , ESTIM7ITED OOST 1�• �Q OLD - NEW SUILDING PERMIT N0. T N0. �� _ c�� u� `' � �PaW . 819nsd ey ' � T�1. No. }tOt1GH SNSP. Date � FINljL INSP. Dato 1►PPROV7IL FOA PBRMIT � E�/S _ � 0 MINIMUN F83 FOR 11NY PLt1M8IN0 PBAMZT IS =7. SO � �.r 6...-+_.....«..__ .. . . . ... _. �� .�'.�f.�. ._' ....... _, �� ..._ _ .�.�'� �� ,�. � ; � %� �� r April 12, 1977 - CIiY O� �RIDLEY 8431 UNIVERSITY AVENUE N.E., FAIDLEY, MINNESOTA 55432 TELEPHONE ( 812y571-345Q Mr. Zbm Brickner Brickner Builders, Inc. 6245 Ben T4ore Drive N.E. Fridley, Mn. 55432 Re: Final Inspection at 1561 Camelot Lane N.E. Dear Mr. Brickner: A final inspection was made on April 12, 1977 of 1561 Camelot Iane N.E. and the following items were noted which must be corrected before the structure can be finaled out; l. 2. Provide sod i� the front and side yards by June 20, 1977. Provide a hard surfaced driveway by June 20, 1977. 3. Provide garage steps by June 20, 1977. We will expect the above items to be completed by June 20, 1977 when a rei.nspection will be conducted to detennine compliance. If you have any ques tions on these items, please feel free to contact me at 571-3450. Si ncerely, RON HOI.DEN Building Inspector RH/mh 0 ,�J . � _ �� FRtDLEY CIVIC CENTER • 6431 UNIVERSITY AVE. N.E.. FRIDLEY. MINNESOTA 55432 • PHONE (612) 571-3450 April 30, 1984 Pacific Pool 6� Patio 6922 - 55th Street N. Oakdale, l�D�1 55109 Re: S'�rimming Pool Construction at 1561 Camelot Ave. N.E.�, Fridley Dear Sirs: This letter is to make clear this department's requirements for the awimming pool construction at the above address. 1. As indicated, one (1) skimmer approved by the National Sanitation Foundation xill be provided. 2. As indicated� tWO (2) inlets of approved design for fresh and/or repurified �ater will be provided. 3. As indicated, a main drain of approved construction Will be provided. 4. The filter and pump shall be approved by the N.S.F. and be of sufficient capacity to provide a minimum turnover of at least t�►o (2) times in 24 hours. This department recommends a turnover rate of 6- 8 hours. 5. A deck of at least three (3) feet Wide, measured f rom the pool Waters edge, shall be provided which extends completely around all private residential pools. Above ground private residential pools may be provided With decking of a minimum size of 4 feet by 4 feet at pool entry points and provided that such decking has the approval of the City. � 7. Fencing or other effective means including but not limited to Walls or buildings, acceptable to the City, shall be provided to positively control all access to public and private residential sWimming pools. Fencing shall meet the following criteria: (a) The feneing shall prevent the entrance of children and be �ithout hand or foot holds that rrould enable a person to climb over it. (b) The fencing shall be at least 6 feet high and entrances ehall De equipped With self-closing and self-latching gates capable of being locked. (c) Self-closing and self-latching devices shall be placed at the top of the gate or otherwise inaccessible to �all children. (d) The opening between the bottom of the fence and tbe ground or other surface shall be not more than four inches. m Pacific Pool � Patio April 30� 1984 ae: 1561 Camelot Ave. N.B. Page 2 8. An automatic chlorinator ahould be provided With a auitable teat kit. g. Al1 electrical and plumbing installations ahall be inspected aad approved by Lhe City Inspection Department. 10. Al1 overhead electrical lines �ust be a minimum oP 10 Peet horizontally from the pool surface� and 18 feet atraight line distance from the xaters edge. An alternative is to bury aaid lines. 11. The pool Pill apout must be protected by a vacuum breaker or air-gapped. 12. Suitable safety equipment to include but not limited to a ring buoy and rope that is 1-1/2 times the pool diameter and ahepherds erook pole must be provided and maintained With the pool at all times. Furthermore, these and anq other requirements must meet the provlaions of the Fridley City Code, Seetion 115, S�rimming Pools. The building permit is approved contingent on final inspeetions and approval of the City. If any questions or problems arise Prom this letter, please feel free to contact me at 571-3y50. Sincerely. ST EN J. OLSON, R.S. Environmental Officer SJO/mh CC: Irlr. Clarence Rezac B 1 Gopy: Office 2 Copy: Crew Chief 3 Cc;py: Municipality ' 4 Copy: Customer Pacific Pool & Patio A Minnesota Package Products Company 6922 55th St. North 9913 Lyndale Ave. So. 4321 68th Ave. No. North St. Paul, MN 55109 Bloomington, MN 55420 Biooklyn Ctr.. MN 55429 770-1313 888-1998 560-6442 CREW CHIEF Equipment Needed CI Back hoe I� �. Bob Cat �.1 Cat i ' Truck ! ! Snow Fence i Inspections Contract I I wB��S i�i piumbing � Footing I : Before Backfill ii Other � --, 5 � � Ir d,� `_ `r d u � cn�w:sau NAME STnTE r.c.��a�.vu ZIP GODE Diagram pool site in relation to house, garage, property line, and wires. (Allow 3" variance) /t j.2. � t ati /. �s � �-v, �- �.. l�f � ✓' �= ��`� /`/- T /� �, � ' rr L Mark location of filter anlor heater by (ii2). 1=i Indicate deep end by (X�. f=! Does Customer wish ro retain any or all dirt from pool excavation: ;-� Will any obstructions be encountered — such as trees, clothes poles or powedphone lines etc.: __ -, �� .a �� —�+ I � �� ;? � f.i Elevation from location marked °A" in diagram: I__ Show type and location of slide if applicable: _ C' Location for disposal of dirt: I 1 Pacific Pool & Patio recommends tha[ customer install (As soon as possible following pool construction); 1. Rain gutters adjacent to pool 2. Retaining wall where diagramed 3. Run off control or drainfield ''' CUSTOMER ALSO UNDERSTANDS & ACKNOWLEDGES THE FOLLOWING ''' Some damage may be done to the yard andlor driveway entering and leaving the yard during construction: Intial . Customer assumes responsibility for electrical wiring and grounding of the pool (including permit if required�: Initial . Cusomter assumes responsibility for the gas installation of heater if applicable (including permit if required): Initial . If debris. structures, or substance foreign to normal soil should be encountered while excavating which requires abnormal handling andlor disposing — Customer shall assume responsibility if any extra costs are incurred. Inlial . If you wish to change: filter position, slope of land, or anything else stated in this outline, please call our office — 770-1313. Crew chiefs are not authorized to change anything on the job or make any promises for work to be done by them. Any Changes that are not authorized by the office will be charged at a standard rate — no exceptions. Pacific Representative Signature Customer Signature :'�.4� :��'�� . v `� M1 '' h.wl'd'�' .�. " ��y / Y.. � iF�f �l •.. . � ' .7� �°�' x;. � ' _ ->� N ,. Y. �.. w . � e�f•�y ., `1 � - _�� ' �,�' ,� r� , .- ,." —�':�� -�-- � � �ti � �� 'x` ��``Ap _ ,. :. _ , `: � : .NSF, : 5-200 Series • ��\ s-zoo ser � System II r� li d � ,�„,�,� �`�n..� � yd � � , / �� ,� ( :w�� ➢ ' � 1 - , � �f i� .� . � � _ .��, .� � • � , • .� � �� * � � �. � , _. � , � � -� A high performance totally corrosion-proof filter series that combine superior filtration and features with ease of operation. Designed with the pool owner in mind, the S-200 and S-240 filters produce clear, sparkling water with only the very least attention and care. From "see- thru" dome and maintenance- free construction to convenient, easy-to-use control valve, the S-200 Filter Series is the ulti- mate in high rate sand filtration. f ` "+, � \ SPECIFICATIONS — 5-200 and 5-210 Basic Fllter Unlb FILTERTVPE�. HighRateSand—No.'hsiiicasand(.45mm-.SSmm) FILTER TANK: Injection molded ABS UNDERDRAIN: Precisionslottedlaterals CONTROL VA W E: 6-Position Vari-Flo—lever action handle SUPPORT BASE: In�ection molded ABS PUMPRANGE: 'hlo2HP(30-BOGPM) � . '-_�^. DIMENSIONSS-200: 23'h"widex36"high(597x914mm) - 5-240: 27" witle x 42" hlgh (686 x 1067mm) SPECIFICATIONS — 5-200 System II end S•240 Sy�tem 11 PUMPandMOTOR: Hayward5uperPump—Ulapproved�'hto2HP)' PILTER/PUMPBASE: DeluxeplattOrmbaSe PUMP-VALVE CONNECTION: Ouitk tonnec[ Lexan union PERFORMANCEflANGE: 3o-80GPM DIMENSIONS S-200: 31" witle x 33" deep x 37" high (787 x 838 x 940mm) S-240� 37'widex33"deepx43"high(787z83Bx1092mm) PERFORMANCE DATA FILTER AREA FLOW FATES TURN OVER Igellons) . -,_ @15 9Pm @20 9Pm C^�25 90m . per sq. fl. per sq. fl p¢r sq. k. 9 Hrs. 10 Hrs. � 33gpm — — 15,840 19,&10 Fllter No. 5-200 22 sq. ft. — 44 gpm — 21,120 26.100 � — — 55 gpm 26,400 93,000 47 gpm — — 22.560 28.200 Fllter No. S-2{0 3.14 sq. IL — 63 gpm — 30,240 37.8pp — — 78 gDm 37,4a0 46.800 for easy, safe manual re- lease of air from system. Clear 6" threaded inspection dome lets you see operation of filter and provides convenient access to top of filter. • Assures even distribution of water over the top o� the sand media bed. All internal pip- ing is 2" to give smooth, free-fiowing performance. Automatically purges filter of any entrapped air during operation of the filter system. Injection molded of tough, durable ABS for dependable all-weather performance with only minimum care. Provides extra strength and securely and safely tastens tank top and bottom together. Allows for future service ac- cess to all filter components without disturbing piping and connections. with easy-to-use lever action handle to let you "dial" any of the 6 valve/filter functions. FIL- TEq, WASTE, BACKWASH, RINSE, CLOSED or RECIRCULATE. make assembly or disassem- bly of the control valve easy. These precision engineered, corrosion- free, self-cleaning laterals give totally balanced • flow, even when backwashing. Laterals individu- ally thread into center collector hub to assure positive sealing, and allow for fast, easy servicing. Rugged and attractively styled to provide strong, stable support for the filter as- sembly. Totally corrosion-proof, too. allows for total draining of filter for winter or service. �/a" garden hose con- nection thread for easy hose attachment. Drain assembly is replaceable from outside oi filter. are serviceable using only a screwdriver and wrench. The 5-200 and 5-240 High Rate Sand FiHers are availa6le with th�ee base options: St2ndard pump mounting base. Pump/filter platform base. 3. Deluxe pump/tilter platform base. The System II Series is fumishetl camplete wi�h Hayward UL Super Pump and clear Lexan union. All components factory assembled on tleluxe platform base. System II Series available with ?�i, 1, 1Yz and 2 HP pumps. Your tleale� will recommend the model wiih the pump horsepower ihat will provide optimum performance, at Ihe lowest opera�ing cost. � System II separate components system also available with choice o( Super or Max-Flo pumps, % ffiru 2 HP. 900 FAIRMOUNT AVENUE, ELIZABETH. NEW JERSEY 07207 r' Phone: (201) 351-5400 Printed'in U.S.A. • —�,..,rr�, -, " s � ._� r I —_ '��.�'� � z �� I � � � .,, � I��i��l� � ! 1 . (,� y: • , �y� � � . � �� / � . . . ��_ v , _ � / _ � i � _yr� ... ,.__ n�.,'. .,� +..�"� _ i�� . .._- � � . �t �� / , F � �:� �� 5��, �, • � � A %x . ' A new dimension in swimming pool pumps, combining strong, corrosion-proof space age materiats and high per- formance into one efficient, engineered unit. The result of extensive research and development, the self-priming Super Pump has all the features and qualities you expect from Hayward. From "see thru" easy access strainer and Service-Ease design to extra electrical integrity and safety, the Super Pump sets a new standard of excellence. �up, �r�umR_ _ _ s _ _ � _ - _ � ;; , ,�, — �, — , 1 — _ �i MEDIUM HEAD HIGH HEAD MODEL HP p�PE DIM."A" MODEL HP P�PE DIM."A" SP-1600 1/3 7'F." 11-1/4" SP-1608 3/4 1'h" 11-7/8•• SP�1605 1!2 1'h" 11-6/8" SP-1611 1 1R" 12�1/4•• SP�1607 3/4 1'h" 11-7/8" SP-1616 1;4 2" 13-1/4„ SP-1610 1 1;4" 72-1/d" SP�1621 2 2" 133/4•• SP-1615 1�4 2" 13-1/4„ DEPENDABLE, H/GH FLOW PERFORMANCE � � � �� I \\ � � � �—_ \� �� \ � � \ � � � \ \ \ \ \ � � \ � � �� \ �. � � � �\ � � �` \ ��,E pb m ^pio SZHV�i� SP.�HPi �-�o'�' �.�bo, � , Heavy-duty high performance motor with air-flow ventilation ` for cooler operation and maximum dependability. Built-in , automatic thermal overload protection. Electrically isolated � and insulated from pool water for extra safety. All components molded of rugged, corrosion-proof fiberglass- filled resin for extra durability and long. long life. This mate- • rial gives high strength and heat resistance characteristics and is immune to all types o( pool chemicals and water. Inte- gral super-size pump-strainer housing has extra air handling capacity to assure rapid priming and continuous operation, even under extreme conditions. New, Service-Ease design affords simple access to all internal parts. Motor and entire drive group assembly can be re- moved, without disturbing pipe or mounting connections, by disengaging just four bolts. Heat resistant industrial size ceramic seal. Long wearing and 100% drip-proof. Totally balanced corrosion-proof Noryl� impeller hassmooth, wide openings to prevent fouling or clogging. Engineered for maximum performance-tuned efficiency. Unique mounting base provides stable. balanced, siress-free support for motor and pump, plus versatility for any installa- tion requirement. Super-size 110 cubic inch capacity hair and leat strainer basket gives longer time between cleaning. Rigid con- struction and load-extender ribbing assures free flowing operation for even the heaviest debris loads. Exclusive, Swing-ASide hand knobs make strainer cover re- moval easy. No tools required ... no loose parts .., no clamps. Clear Lexan� Full-View strainer cover Iets you see when basket needs cleaning ... eliminates guesswork. Tab-Lock • design and special self-adjusting seal assures positive seat- ing and dependable sealing. A/so available with Dua! Speed Power Saver'" Motor. � � {�.�r". ��.... n. , �. ._--- � `� L=_,..� . ��...��_.�. .4� 900 FAIRMOUNT AVENUE, ELIZABETH, NEW JERSEV 07207/ Phone: (201) 351-5400 • sue�ECT PERMIT NO��.._ City of Fridley 17 4 8 3 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r ; � RECEIPT . � • COMMUNITY DEVELOPMENT DIV. � ;� ------, 1�� 3 r � � PROTECTIVE INSPECTION SEC. i � � ,. � � /'�'L � CITY HALL FRIDLE� � 55432 NUMBER REV. DATE � PAGE OF APPFOVED BV � '""�" �� 612-571-3450 910-F15 5/7/84 / / JOB ADDRESS 1561 C�IL1elO,t �tl. N. E � 1 LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 4 Harris L3�C2 ES't3'� SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE Clarence Rezac 1561 Camelot Ln. N.E. Fridley 5543� 574-1199 3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO: Pacific Pool & Patio 6922 55th St. No. Oakdale 55109 77 - 31 4 ARCHITECT OR DESIGNER MAfL ADDFESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK � NEW ❑ ADDITION � ALTERATION ❑ REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Install a 15" X 30' in d s ' 1 9 CHANGE QF USE FROM TO STIPULATIONS See letter from this dept. dated April 30, 1984. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR EIECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. VlI1y1�St2el THIS PERMIT BECOMES NULI AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORI2ED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT R—�- ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR N07. THE GRANTING OF A PERMIT $�-O� OOO. OO $S. OO DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMITFEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $8O. SO � ��/ .�-- PLAN CHECK FEE TOTAL FEE �(L �, ./ 2.� o.i.,/'..¢.L�.� � $ 85 . 50 �� y/ . SIGNATUREOFCON�RACTORORAUTHORIZEDAGENT �o ei N PROPER� LIDATED THIS IS YOUR�PERMIT � t � �f � / SiGNATUREOFOWNERiIFOWNERBUiLDERi �DATEi BLDG �SP � DA7 ��pY: eW e rac�rr� rooi � ratio ,�U �11ti �-3C,Epy:Munfcipality i�j� neater ! 4 Copy: Customer A Minnesota Package Products Company 6922 55th St. North 9913 Lyndale Ave. So. 4321 88th Ave. No. North St. Paul, MN 55109 Bloomington, MN 55420 Brooklyn Ctr., MN 55429 770-1313 888-1998 560�8442 � CREW CHIEF � Equipment Needed I� sack noe o eoD cat O Cet �TruCk ❑ Snow Fence D Inspections Contract `O Walls O Plumbtny ❑ Footinp `: a•- O 8efare Bsd�{N� a a►b► _ L � � - � � � • S �0�-- 72-84 15x30 �/5 ACCOUM NUM9EN POOL SIZE �Iarence Resac � 1561 Camelot Ln� sr�Er Fridlev t�n. qTy � � STATE Diagram pool site in relation to house, S 1 �..d� +�---�� Z— G�-- � ti�'��/� � f �t ` �+� ��.Z � — � _��: _�; 1 ?�i � property Iirje, and wirss. (Allow 3" variance) _ �^'M`= _ . � �� 1 ` C1 , �' I� 'O � � .z J ti C r ,� �n-.. i ��-��t . . ' —r�� e�-� - ;,_ �- � �� a.� � ��#Aark tocation of fitter anior heater by (112). �'Elevation from locatlon marked "A" in diayram: '` % J$'Show type and Ixatlon of slide If appiicable: �' Indicate deeP end by (7q. i'V�i� �"boes Customer wfsh to retain any or all dirt from pool �'Location fw dispossl of dlrt: excavation; �'VViil any obstructions be encountered — such as trees, clothes poles or powedphone D�es etc.: N D �'PacHic Pool 8 Patio recommenda that customsr Install (As soon as possible followinp pool constructiong 1. Rain putters adJacent to pool � �' 2. Retalninp wall where dlaprarned �� 3. Run oH control a drainfield �'� ''' CUSTOMER ALSO UNDERSTANDS E ACKNOWLEDCiES THE FOLLOWING ••' ��/� Some damage may be done to the yard and/or driveway enterinp and leaviny the yard durinp �nstruction: IMlal �"�� Customer assumes respoosibilfty for elec�ricsl wiring and �rounding of the pool pncludinp permit if require�: lnftial � n Cusomter assumes responsibility fa the pas installation of heatet if appiicabie (Includinp permit ff requiret�: initfal� It debris, atructures, or substance fo►eign to normal soil ahould be encountered while excavatinp which rsquires abaarmal� handling andlor disposing — Cuatomer shall aasume responsibiiity if any extra coats are incu►red. Intlal `-�'% if you wish to change: filter position, slope of land, or anything else stated In this outline, piease call our offfce - 770�1313. NEFi L ADDN. ] pLTER. [ � City of Fridley �R-1 AKD R-2 Building Permit Application Effective 4/1/8� Construction 'Address: / �� "''�� - -- Legal Description:_ `v'1'�' � �� ' y �'�"' ��'� � � r�� ` Property O�mer/Address: �� '�+�ee �� `z �t� /S�(o l �cc �"''��'� Tel. # � Contraetor : �c o �--�r'c Tel .# 7 7 D� 13/_3 Address : t a� 2 Z �S �`' 'Sl- � o �Kcli� �.� T ri'I K �S/ OS LIVING AREA: GARAGE AREA: DECH AREA: OTHER: Attach to this applieation, a Certificate of Survey of the lot, with the proposed construetion drawn on it to seale. DESCRIPTION OF IMPROYEMENT Length 36 Length Length �nSre�� sw: Width /� Height � Sq. Ft. Width Height Sq. Ft. ,�._.— Width Hgt/Ground Sq. Ft. �_ n r , � . s.. �Z�'!. �o. l'i _ �'i,. Corner Lot [] Inside Lot [ 1 Ft. Yd. Setback � Side Yard-Setbaek n f � n.�✓' � aa Type of Construction: i�d �,��r�e ✓�«-�'� L? �T� Estimated Cost :$ / O�o — Approx. Completion Date: Alt. A Alt B Propoaed Driveway Width If New Opening Is Desired: See Back Page for Explanation DATE: '"-Z7�� APPLICANT: ��.�-�-�%-�� Tel. # 776 -/3i3 Permit Fee Plan Cheek State Surcharge SAC Charge Park Fee Sewer Main Charge CITY IISE ONLY � �O. SO Fee Schedule on Reverse Side $ 25� of Building Permit Fee $ . �• °O $.50/$1,000 Valuation $ $425 per SAC U nit � Fee Determined by Engineering � TOTAL $ -�' .� STIPULATIONS: �� - v�-. �@�`/✓� r � � /'J�w� �'-r4�.., � � �'� / Agreement Necessary [] Not Necessary [ l � ��S i sue�ecr ' PERMIT N11.. City of Fridley = " -� � �� ` AT THE TOP Of THE TWINS gU ! L D I N G P E R M I T �, r ; � RECEI�TM1RS � COMMUNITY DEVELOPMENT DIV. � �,.-------. �b6S� r � � PROTECTIVE INSPECTION SEC. i � � � ( � ��1 � CITY HALL FRIOLE� 55432 NUMBER REV OATE PAGE UF APPROVEO BY i"""�"� �'' 612-571-3450 9�0-F�5 5/1/96 / / JOB ADDRESS 1561 Camelot Lane NE t LEGAL ��T NO. BLOCK TRACT OR AODITION SEE ATTACHE� DESCR. il 4 Harris LSLt2 ESt1t2S SHEET 2 PROPERTY OWNER MAIL ADORESS ZIP PHONE Clarence Rezac 1561 Camelot Lane NE 574-1199 3 CONTFACTOR MAIL ADDRESS Z�P PHONE UCENSE NO Paul Lemke Construction Inc 1 4 o en 4 ARCHITECT OR DESIGNER MAIL AODRESS ZIP PHONE LICENSE NO. 86- 186 5 ENGINEER MAIL ADDRESS ZIP PHONE UCENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION � REPAIR O MOVE ❑ REMOVE X 8 DESCRIBE WORK Construct a 500 S Ft Addition 9 CHANGEOFUSEFROM TO STIPULA710NS See notations on plan. Submit energy calculations before framing. �� Before diggia6 caEl for atl utility locations 454•ODU2 S�pARA�'� PERMtTS REQUlREfl FflR REQUjRED BY LAcVU' WIRING, HEAT�NG, PLUMBtNG A1�D 51��+tS. TYPEOFCONST. OCCUPANCYGROUP OCCUPANCYLOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VEN7ILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZpNING SQ.'FT. CU. FT. AUTHORI2ED IS NOT COMMENCED WITHIN 60 DAVS, OR IF CONSTRUCTION OR WOFK IS SUSPENDED OR ABANDONED FOF A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE REA� AND EXAMINED THIS APP�ICATION 1 STA�LS GARAGES ANO KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS Of LAWS VAIUATION SURTAX AND OROINANCES GOYERNING THIS TYPE Of WORK WILI BE COMPLIED $28 � 940 � L�F .�F7 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF q PERMIT DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pERMiT FEE SAC CHARGE PROVISIONS OF ANY OTHER S7ATE OR LOCAL LAW REGULATING coN- �385. %5 Fire SC �28.9�F RUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECKfEE TOTALFEE License SC $5.00 $434.16 SIGNAT EOFCON'RACT0�70AAUTH0�7�ZEDAGENT ID.4TEi WHEN PfiOPERLY QATED THIS IS YOUii PERMIT 4 ,. /'� r ! SiGNATURE OF OWNEA iiF OWNEA BUILDEAi �DATE� BLOG SP ��T NEW ADDN ALTER [� [l �] ConstructionAddress: Legal Description: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 Building Permit Application , 1561_Camelot Lane, Fridley, MN Owner Name & Address: Clarence Rezac, 1561 Camelot Lane � �. „ �..� '�"�' _.._ .......... : -/ Effeati e 3/ 1 /96 . � � � �, � � �_ ''��`'-� ��--��- �, � -� �� i �., �--� � 1 �' �� /� 574-1199 Contractor: � �� c,� �- �N� . MN LICENSE # 3�50 Address:1�j2't- �.n ��•r�.Y C..T. /�1EN.�o-� �� 1� N 4 S�i�3 Tel. !� C�86 S7B6 � Ti � Attach to this application, a Certificate of Survey of the � lot, with the proposed consttuction drawn on it to scale. LIVING A.REA: GARAGE AREA: DECK AREA: OTHER: DESCRIPTION OF IMPROVEMENT Lengih Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. 2 Rooms, odd sha�, about 500 sn _ ft _�1/ ri �, �'� % 28, ��U. Corner Lot [XJ Inside Lot [) Ft. Yd Setback Side Yard Setbacks Type of Construction: frame Fstimated Cost: $ 30, 00� �� Approx. Completion Date: �uly 1, 1996 � (Cost on Back) Driveway Curb Cut Width Needed: Ft. 6 Ft = Ft x$ _$ DATE: �zz � APPLICANT. /e � Tel. #.� 7��/ 5 9 � `f 9 9/ 9 �-k Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: � 3 S �� '• 9y � > y, y� $ $ e ,�— $ $ $ $ � L � /G CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.50/$1,000 Valuation $900 per SAC Unit � $5.00 (State Licensed Residential Contractor, � Alt. "A" or Alt. "B" Above ��;(� $450.00 Conservation Plan Review L� C' Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ `_ _ , r . , . � �- � � , .. . , ��. � � � � .._ _. . _ ._.___. . . . _ . _ .. ... ._ --'_ _ . __. I lond P�unn��„� C�„�'/'/'r�/ . 68)S N�yhway No 65 N!. I j lund 1u•..y��q • � Minneupolis, so,�, ,...,,,.�,' - i��iii��i��r�i�, ./i��. µ,�„ ss4�� Uvil [ng.n�•r�m� Tol�•phone 78{-6006 Municipul Iny�n� r.�ny l�:i��ii�e��rti & �it�r�•c��'or�; •r,�� c,e.. e,z ' � '� Mortgage Loan Survey for ��-K��-=��. �� 1� �O .----- _ _ _. _ __...._�__.�__, ' cv` �, �� ✓ �.`L , O�i � �� ` ,� � < �v' � , 42 71 �\ s �. ��i- ii \\0 \ � � \ �G ��1 �� ` � � � �. � �.� a � ° ' � � �G v ^ .o . � y. o ` .. ��. 2 8. ' " i `.I � . Z � Q rJ �� C7 "' (iAQ. Q !� 1.0 �- �•i3 � Z o � r � �: � O d \ � [Z.3 : '� ------`�. �• � sv �' , e \4 l .� — 22 ,; - \ � I � � �i _�._c%- - �4 _ lt � 1 _ �-- --- �-- uo �— C�s `'---� 5- ► I 3��o n �-------�_-� � �:: ; o • � ��i . � 73.11 R��°° CaME�o� ��,v E N. E. � �.�:�: , � . �,: La-r I I B�oc � f�� .,�� ,� r: _ � K � . -,_ $�;; , � ' � }' � ��;�. � :;: �lanais L��cE ,Esra �ES . T.�� Y ��. �i�� yi A., �'ou.rty ' ;r�:� ':., Tti�� o trw oed correct rpr�senra�ion o/ o sur��y o1 t6e bo�ndo.�es ol 1h• lond abow dsst.ib�d w►d s( �A� �• �� } �`►� *. (�tolioh of all bvild�nyf� il onr� t{�erROn, d�d oll visible ewi.00ebrneel►, il unr, I.em or on roid fon�, fl.ts wrwyl� , .. ��"j�;'- ! t .w„da �nt�r .p s�en�a�i�w w:1b � wr�� r*w�r loaw nuw b�.n� plu�ed e�. ►1,� p.e'�.�y a�d �o Ii�blt:e� �s a�sv�u�i �'± •R<epe �� ♦{�e held�. of wch moi�poq� o. onr ofl��r intr�� acquired by the ��a��n el w<fi m�r�yoy�. Ituis � � v�d�r�tood o�d wqr�o��„eevmeny qv• bewn � c�d 1or 1he � '':t.�;h: j� �� torner�. DnNd �6�� aoy er �I�..�`_A O. 19 � P�rpo�c o� •atablifhi�y 1�1 lin�s or b��ndory .. . c. � ,,, 3UlUR8AN ENGINEERINO IN�. .►. "� # �;��:.� ��; ^ � � � � / . � �... 1/'2tic) S ICI! E Uft�i� P�1'SeJ1�CR�g tnylne�s , j �'Q�Q' ! a � .,!•. ;• y bY� .`.� �____�l. �� '=,�...., ., . . , . ,�( _�,� _. �. L.,. . . . . _,; , p . � e . _ � � _ r.N�xc;Y CONS�RVATION sut��r�i.r•��::�� ro ,�u i r.r�z�� ►�r•.i�:�rrr ni�r�r,t�n°i�zc�h P�.ANNIN�; A1�itl TNf:PF:CTTON 1)�'1'11F:T:dEN;' C7,T�C �JF ['i:.T.i)LLX, MI�I�I:SOTA Z'hi.s supplement .LS pX�vi.<leci to a�ti�ist the apPlicant in computing �X'1'ERIOR ENV�T.OPI. AV�ft1�GE "(J" FACTOR IA1I`ORMI�TIQN. Thi. inform�r.i�r� is raq��i.r�rl �r� the DUILDING OFFICIAL e3n derermi,ne Utat submittec3 p].ans evm�ly with thc: b:NC;RGY CONSERVATION DESIGN CRIT�RIA of ti�e STATE BUILD=NG COD� (S�ctx�n 6000). it i:; the ApP�,ICANT"S respon�ibility to aecurataly �c�mp»kP tlt�? A��r.•;; r�f.Leck the I�rog�r V�SIGti CRI'Y'�:RIl1 in the �lans; submit prociuct spocif.ication„ i.£ n,Pnt9�ci tn suE�E��rt th� "tL" and "U" factors used; artid Lo assure construction i� pex approved plans. . JOD IACA'PION: y ��p�,�� M��-� � ^� _ OWNk;tt/CONTRACTOR: ,�„�'Z1.C-_ . _�.�MK�1 C�txTt2:...�, . _W A�u[e�ss: lrl_(p( ._ GAM4t�oT__..�,',��_-.__._._._ �tioNL: --"�.�7�=-1-�1�..___... A. D��ermina th�? Tot�1 Exposed Wall l�rea as foll�ws: 1. Toral wall window area 2. Total door ar�� 3. T�t�1, s7.i�ing e�l.ass door are<� 9. 'Ib tal f ireplace w� 11, ar. ea 5. Total wall framing area(av�raqe 10�1 6. Total net wall arr.a .�t�ove floor (avara7w 90�) '].-� Zbtal rim joist ar.ca iubtc�tal: Total expo5ed wall, ar.ea ab�ve flq�r 8. 'I'ntal �'oundation window area 9. 'IbCal net foundatic�n ar.ea above �r.ada :�ubCOtal: Total cxpOSed foundation .ar�� GItAND TOTAL EXPnSI:h WA�,L AREA D.00 . O �O . ov_ N•A. 'S�k-..$� �1 .�� __ N_A.� ,....L.`L• ^�_ _.31 • i� �;�-�� s. Muleipiy nc� r,RAND TOT�L ExPOSr•,D w��,L Arc�n X.17 = C. Determine the Total Exposad Roo�/Ceilinq Area as £ollow�: 10. Total skylight area J.1. Total roof/ceilinq fr.aming �rea (10't) �2. 'ibtal nat in.a�ilahPA r.nc�f/c�ilinc� axea GIiAND TOTAI� F,XPOSI�:U ROOF/C�IT,ING AltEl, �. �e • u�. L.�'L 2.De' ��y o D. Multiply the GRAND TOTAL EXPOSLD ROO�/CEILINC ART'�A :C .05 - �;, � �$_�� . 3.C�.! �i._ Item i �i• 00 it�m Ii !i�'J 7 ZO'd Z00' oN b0� ZZ 96`6 �'�W bb08S8.ZZ�9' oN �31 � H H J �' E. C�ctcrmine thc "U" valuc*, of eaeh secsn:ent (],-9) and multiply by the �rca as " � fallows: ' '' � O.�i� � . �j0 .O X „v„ _ . «i _ _ �. �q.� x „U„ ,o� � _ �.� Y� 3 . �o.v X „U„ _ ,�� _ � �l, oa 4. �... �•'�• x .,ti�� A, _ _ _ N•%► 5 . ��?.r'1. . X „U„ Q � -- _ �3..� . . 6 . . X "U" . �� . �. �.1. A. X „U„ .��..b�:_.__� -.--�-��__ e . �.�� .._. x ,� �„ , , _ 9 . / X ,. �,� p _ _� _--� � '�'. ADD 1-9 1^QR TOTAT� WALL SEGME;iVT5 e r1'�M i I I 0 .7..H�f F. Dotarmine the "u" value of. each sAqmc�nt (10-12) and multiply by the area as follows: 10. X "U" �.., ' • - 11. � g �,�� 1 1 .. . 12. �.Ow X „U�� =0�► RDD 10-12 POR TOTAL ROOF/C�ILING SF.GMF:NT,r, - __1V.+_� _ __ .� e ITEM IV .� G. If�, Item iIi is the sam� as, or less than itcm I, you have met tha intent of Stato Building Code 6006 (c) 2. H. I J. if itmn IV is the same as, or �ess than item II, you have met the int;ent of State Buildinq Code 6006 (c) 1. Ac�c� I t e�► T �• � d + S tF.m I I . 7 - � .'r/ I Add It�n YiI . � + Item IV �O• � - �• � � K. I£ the sum of =tcros i1I and IV are less than Items I and II, you have met the intent of the Code for total envelope system. 'i'he �andersignc�d, as applicant foz a building pextnit, hercby affirms the above informatxon has been »repared and suhmitted by himself or undez his dircction, hereby acknowledges the information to be c�zzec:t and aocurate; and hereby presents the i.nfoxtination with rec�uired plans in gupport of the building pe�it application. dy � �. _._ .... �_....... �_ _ Dn2E: � � / '� � £0'd Z00'oN tr0��ti 96`6 �pW b,b08�8�ZZ9'oN �31 � H H� �c �� CITY QF FRIDLEY INSPEGTION DIV. Effective On March 1, 1996 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VEN7ILATION, 572-3604' . ' REFRIGERA710N ANQ AIR CONDITIONING SYSTEVVIS AIVD DEVICES , Residentiai= Furnace Shell and Duct Work, Burner - Also Replacement Furnace (Side Vent - FiU 0ut Back) Gas Piping (Needed.with new furnace) Gas Range Gas Dryer *Air Conditioning - All Sizes Rate TOTAL $ �o.00 $ 30 °O ' $ 10.00 $ 10.� All Others/Repairs & Aiteratlons (LIST ON BAC� 1% of Value of Appliance or Work Commercial/I ndustrial 1.25°/a of Value of Appliance or Work $10.00 $ $10,00 $ $ 25.00 $ 2Si � State:Surcharge TOTAL FEE JOB ADDFIESu I -�i161 GPb'1/1Et--�T �-N . The undersigned hereby makes application for a permit for the work herein sp�ecifisd agraQing to do all work in st�ict accordance with the City Codes and rulings of the guilding Division, and h�reby cleclares that all the facts and representation3 s#ated in this application are true and correct. �---- _- - - - - � R�-�--- — - ,1996 OWNEFI �KEI� Si�! �►,� �7 BUILDIIVG USED AS D��-t-1 IU � ESTIMATED Ct�ST s� �� PERMIT N0. ��`��'/� �,$C�tIPTION QF FURN,AC� AND �OR BURNER $ No. of Heating Units___!__ Gircle OnQ (Steam) (Hot Water) arm Ai � TradE Name � rvoyc Size No. �OMC�F Z--`� � BTU �S,Ooo HP EDR $ Fuel��,T� C�� Total Connected Load $ .50 Burner 7rade Name Size N�, �� BTU HP EDR �J¢1;._ MINIMUM FEE FOR ANY HEATING[COOLINGNENTILATIOf� 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 withhout written permission #rom adjoining property owner. HEAI'ING C�MPANY {�PO� }�c`Tl,t�SU- Signed 8y Tel No. %�O�O�� Approved Sy � Rough-ln Date -� Finai Date ��y �C FILL OUT BACK SIDE FOR STACK VERIFICATION ON � REPIACEMENT FURNACE SuBJEC7 c�ty of Fridley AT THE TOP OF TME TWINS g U I L D I N G P E R M I T f � � � � � COMMUNITY OEVELOPMENT DIV. r � V � PROTECTIVE INSPECTION SEC. , . , , � � /"�L � CITY HALL FRIDLE� 55432 NUMBER REV OATE PAGE O: �""�'� �'' 612-571-3450 9t0-Ft5 6/10/97 � � JOB ADDRESS 1561 Camelot Lane NE � LEGAL L07 NO. BLOCK 7RACT OH ADDITION DESCR. 11 4 Harris Lake Estates 2 PROPERTY OWNEfi MAIL ADDfiESS Clarence Rozac 1561 Camelot Lane NE 3 CONTRACTOR MAILADDRESS Same 4 ARCHITECT OR DESIGNER MAIL ADORESS 5 ENGINEER MAII ADDRESS ZIP ZIP ZIP ZIP ,,, w. , � � '� � ,.,� 2 RECEtPT NO. a`�oz APPROVED Bv SEE ATTACHED SHEET PHONE 574-1199 PHONE UCENSENO PHONE LICENSE NO. PHONE UCENSENO. 6 USE OF BUILDING Residential 7 CLASS Of WORK O NEW ❑ ADDITION p ALTERATION � REPAIR O MOVE O REMOVE 8 DESCRIBE WOFK Reroof House & Garage (16 Sq, Tear-off) (8 Sq Znd Layer) 9 CHANGE OF USE fROM TO STIPULATIONS Underlayment must comply with the State Building Code. Roofing can be 2nd layer but not 3rd. SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULI ANp VOID IF WORK OR CONSTRUCTION AUTHORIZEO IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFV THAT I HAVE READ ANO EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS Of LAWS AND OF;DINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHEF SPECIFIED HEREIN OF NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME 70 GIVE AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. URE OF CONTFACT NEA��F HO 2EOAGENT iDATE� v ^�� iLD i IDATEi G DWLG. UNITS 1 UATION $1,816 IMIT FEE $59.50 OCCUPANCV GHOUP OCCUPANCYLOAD SQ. FT. CU. FT. OFFSTiiEET PARKING STALLS I GAfiAGES $.91 SAC CHARGE Fire C $1.82 TOTAIf E $6 . 3 NEW ADDN ALTER L l � � �� ConstructionAddress: Legal Description: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION C_._ c� ►�-�.Q f � '� (.�-o� nti Effective 1/1/97 ,� ��a a- Owner Name & Address: � �OI r1.c ,�.� .S � �--�-� Tel. # S—� � -- / 1 ��J Contractor: .s�- �� MN LICENSE # Address: LiVING AREA: GARAGE AREA: DECK AREA: Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIP'TION OF IlISPROVEMENT �n� Width Height Sq. Ft. �ng� . Width Height Sq. Ft. �ng� Width Hgt/Ground Sq. Ft. OTHER: _ o'Z � S 9 1/! Gry�s' �0 a�- �' l (o - � t� 2 �o�F � �� , � � Construction Type: �� `� `v� C�`� � ��ted Cost: �� /�, �' - - {Fee Schedule on Back) Drivevvay Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ —$ DATE: ' �J� APPLICANT: ' Tel. # �^� 'Y C- � � � Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Controi � ��'Sd $ � $ $ $ $ $ Park Fee $ Sewer Main Charge $ TOTAL STIPULATIONS: $ l,� CITY USE ONLY . Fee Schedule on Reverse Side .001 of Permit Valuaxion (1/lOth%) $.50/$1,000 Valuation $950 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 [ ] .� __ � . 0 CITY OF FRIDLEY INSPECTION DIViSiON 6431 Unive�sity Ave NE Fridiey, MN 55432 572-3604 RATE SCHEDULE Resider�tial APPUCATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES -� Fumace Shell and Duct Work, Burner - Also Replacement Fumace (Side Vent - Fill Out Back) Gas Piping (Needed with new furnace) Gas Range Gas Dryer �-*AirConditioning - All Sizes All Others/Repairs & Alterations (LIST ON BACI� 1% of Va1ue of Appliance or Work Commercial/I ndustrial 1.25�0 of Value of Appliance or Work Rate TOTAL $ 30.00 $ �0. C� Z� $10.00 $ $10.00 $ $10.00 $ $ 25.00 $ c�5 . C� C� $ $ State Surcharge TOTAL FEE $ .50 $ �S-, S� MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION REFRIGERAl10N/AIR CONDITIONING PERMIT IS a25 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. Effective On January 1, 1997 JOB ADDRESS /�(o I C�C� m,l r� � �i� hl c%� 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. CO � � 7�,1998 OWNER � � !V L� l�G% Z�Q.. � � BUILDINGUSEDAS 5 j�✓(�L�� Gty� / ESTIMATED COST _�D � PERMIT N0. ��( C�� DESCRIPTION OF FURNACE AND OR BURNER No. of Heating nits Circle One (Steam) (Hot Water) (Warm Air) Trade Name 1�t,._ , Size No. BTU �Z��j HP EDR Fuel Total Connected Load Burner Trade Name B� HP HEATING Signed By Size No. EDR arp Hecting ond Air Conditioning 485a Central . Ave. NE (612)572•a459 Tel No. Vr Approved By Rough-In Date Final Date �'��-��' FILL OUT BACK SiDE F R STACK VERIFICATION ON /.�� REPIACEMENT FURNACE .. Ia'`�"��' ��%�� . �---- CITY Of FRtD�EY INSPECTION �IV. Effedive On January 1, 1997 5a3� University Ave NE Fndiey, MN 55432 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT 572- 3604 . MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR Water Bath Wash Drink. Floor Catch Auto. Gas Gas Misc. Water Neater Stories Closet Urinal Tub Shower Sink. Tray Fount. Orain Basin Washer Appl. Range F'�xt , Gas Elec Basement Floor 1 Floor 2 Floor 3 Floor 4 PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance eater -EI Water Heater - Gas• Gas an Gas Dryer"* Backflow Preventer Required ( jYes O No TYPe $ 7.00 $ 4.00 ffi 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 $15.00 Reinspection Fee $42.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERA710NS t.5� of Value of Fixture or Appliance State Surcharge s •50 ,� TOTAL FEE S JOB ADDRESS ��s� G�%��7�'�� i� The undersigned hereby makes application for a permk for the work herein specified agreeing to do all wotk 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 apptication ate true and cor ect. T , 198� Owner Building Used As �;��GC � ��L, Estimated Cost � PERMIT NO. PLUMBING COMPANY�%,d� ,�dlfT.�=.e U<ll/�i8�*�� SIGNED � TEL N0. -��I'" -�-r �_. Approved B Rough-In Date Final Date dZ "°2� �(� � PLUS THE 5.50_STATE. SURC.HARGE � _ _ �� O�F F�V�GI FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(763) 571-3450 • FAX (763) 571-1287 February 23, 2001 Clarence Rezac 1561 Camelot Lane NE Fridley, MN 55432 Re: Final Inspection at 1561 Camelot Lane NE Contractor� Mr Rooter Plumbing Dear Mr. Rezac: A mechanical permit was issued on October 7, 1998 for the installation of a gas water heater at your property. According to Section 305(a) of the 1991 Uniform Mechanical Code a final inspection shall be performed on the mechanical permit. As of this date no inspection has been called for. You will be given thirty (30) days from receipt of this notice to respond. If we do not hear from you, your permit will expire and any inspections on this installation will require a new permit. Any questions can be addressed to myself at (763) 572-3603. Sincerely, ..� , � ,'�:" __ii._�� C ��. • - • DJ/mh City of Fridley AT THE TOP OF TME TWINS r � � .� COMMUNITY OEVELOPNIENT DIV. , . � ►V �� r � � PROTECTIVE INSPECTION SEC. 1 , � � �"'1 � CITY MALI FRIDLE� SS�32 �'""�" �'' 612-571-3450 SuB�ECT BUILDING PERMIT 572-3604 NUMBER pEV OATE PAGE Of 910-F15 5/3/O1 / / J08 ADDRESS 1561 Camelot Lane NE � t LEGAI �OT NO. BLOCK TfiACT Ofi ADDITION DESCp. ].j 4 Harris Lake Estates 2 PiiO�ERTY OWNER MAII AOppESS Gene Rezac %� 1561 Camelot Lane NE 3 CONTRACTOR MAIL AODRESS Rick's Roofing & Siding Inc 183 Cleveland Ave SE, a ARCHITECT OR DESIGNER MAIL ADDRESS 5 ENGINEER 6 USE OF BUILOING Residential 7 CLASS OF WORK O NEW MAtI ADORESS New Brighton, MN ZIP PMON 651-633-6395 3i787 a��3� �PPpOVED B� SEE ATTACMEO SNEE? LICENSE NO 112 LICENSE NO. 3566 LICENSE NO O ADDITION O ALTERATION � REPAIR O MOVE O REMOVE B OESCRIBE WORK Reside House & Garage 9 CHANGE OF USE FROM STIPULATIONS Per Section 1402, 1997 Uniform Building Code, requires that a weather resistive barrier be placed over exterior sheathing to protect the interior wall covering. Exceptions for this provision would be if sheathing is an approved weatherproof panel or when the siding is an approved weather barrier. Vinyl siding is not a weatherproof covering unless the manufacturer states this in their application guidelines. Call for inspection of wrap before covering. SEPARATE PEHMITS ARE REOUIREO fOR EIECTRtCAL, PLUMBING. HEATING. VENTI�ATING OR Alfi CONDITIONING. THIS PERMIT BECOMES NUII ANO VOID IF WORK OR CONSTRUCTION ZONING AUTHORI2ED IS NOT COMMENCED WITMIN 60 DAYS. OF If CONSTRUCTION OR WORK IS SUSPENOED OR ABANDON�O POR A PERIOD Of �pQ OAYS AT ANV TIME AfTEA WORK IS COMMENCED. ' NO DWIG. UN17S � HEREBY CEFTIFV TMAT I HAVE READ ANO EXAMIN�O THIS APPLICATION 1 AND KNOW THE SAME TO BE TF1UE ANO COARECT. ALL PRpVISIQNS Oi LAWS VA�UATION AND OROINANCES GOVERNING THIS 7VPE Of WpRK WILL B� CpMP�lEO �1S OOO WITH WHETHER SPEGIFIED HEREIN OA NOT. THE GpANTING OF A PERMIT � OOES NOT PRESUME TO G�VE AUTMOii17V TO VIOLATE OR CANCEL THE pEqMIT FEE PiiOViS10NS OF ANY OTHER STATE OR IOCAI lMW REGULATING CON• $2S1.ZS T CTION OR THE PERfORMANCE Of CONSTfiUCT10N � PLAN CHECK f EE � 3 0� Lice SC S�GNA UQEO�CON'i7ACTOpOQ�U�MOQIjEDOGENi IOATEi HE pq� S�GNaiUAEO�OwaEaiifOWNEABU4UEAi � IDAiE� . ' �� Pi �r� o � FT STALIS �OUP OCCUPANCYLOAD CU FT. lFF51HEET PARKING IGARAGES iURTAX $7.50 iAC CMARGE Fir SC $15.00 OT FEE $278.75 � TH�S IS VOUR PEpM1T > ` � r�iif�� : - �,. ;' �, zt' k'; ,�'r; � :,� MAY-26-1999 N�W l 1 A.DDN [ ] ALT�R [ ] 14�09 FROM CITY OF FRIDLEY TO 6516336491 P.02iO3 EPfective S/10/94 C�'I'Y OF FRIDLEY SINGLE FANIILY AND DUPLEX�S R-X ANA R-2 BUILDINQ PERMTT APPI.ICA'�'ZON ConstzucEivn Address: 1�� l��r� �/4 � � iv �g� ��nan: Owner Namc & Addxess: �n �lV,� 1� � zkrC Tel. �` Contractor: � ' ` � S i 11; n -��'�/ �° MN LICENSE #�� Address: ��'3 ��rl�qn �v� �S'� /L�w 1��;�� Gh Tel. � ��/� �a�� .3� Attach to this appUcation, a Certificate of Survey of the lot, with the proposed constzvction drawn on it to scale. D�SCitYp'TYUN QF IlVII'ROVF.�1T LIVYNG A,ItEA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sc�. �t. DECK AREA: Lcngth Width Hgtl(3routuf Sq. Ft. _„ OTHER: Construction Type: I�� h Lstimated Cost: � �� Drivcway G1ab Cut wiach Nceded: Pt. + 6 Fc = Ft �$ _$ � DAT�: S'�r� l- G I APPLICANT: !L1�� Li f d4 �d✓ � Tel. �� S l-� 3�- � cl � Pezmat �ee Fire Surchazge Statc Surcharge SAC Chargc License Snrcharge Driveway Escrow Erosion Control Park Fcc Sewer Main Cbatge TOTAL STIPULATIONS: � �S/ aS" a /� . 00 $ `% S� $ S � OG S � � $ � $ � o�%�•% w M � � �! Fa Schedule on Reverse Side .001 of Permit Valuation (1/IOth%) �.SO/$1,000 Vaivation �1050 per 3AC Unit � $5.00 (StKte Licensed Resideutial Conuactors) Alt. °A" ar Alt. "B" Above $4�0.00 Conservation Plan Review Fa Doterniinod by Bn,ginccring Ag�t Naxssary [ � Not Na�ossary [ ] , �. � Building pI,UMBjNG Permit No.: �3 Inspections � RESIDENTIAL APPLICATION Received By; (�� _ 763-572-3604 CITY OF FRIDLEY Da,�f�'�aA PR 21 20 DA'1'E t Z �� YOUR E-MAIL ADDRESS SITE ADDRESS _ e.uA� as C7wo►t_✓ - . THIS APPLICANT IS: ❑ OWNER �ONTRACTOR PROPERTY , x�: owrrEx� �nr�ss: 1 fi~ ' Tn� � 5 3al TENANT pHONE: � �J - � a CONTRACTOR N�: � SUBMIT A CQPY OF STATE LICENSE # C% EXP DATE YOUR STATE ADDRESS' i I CITY i' ! iS STATE L,�ZiP S�S^YO� LICENSE WITH . PHONE % � y033 , FAX — . . . APPLICATION - ' PERMTT TYPE �SINGLE FAMILY ❑ TWO FAMILY 0 TOWNFiOUSE TYPE OF WORK: ❑ �w .. . �REPLACEMENT . DETAILED DESCRII'TION OF WORK PER MS 16B.665 the pennit fee is a minimum of $15.00 or 5% of the tot�i cost up to $500.00; whichever is greater, for the - . improvement, installation or replacement of a residential fixture, excluding the fixtures. ('This.shoul�rEflect only.the cost of labor ) Labor cost under 5300 =$15.00. I,abor cost between $300 to $500 = cost of labor x.OS = .`FOR�ROJEETS WF�RE LABOR EXCEEt?S••$�00;�'EES ARE BASED 03J $10.00 PER FIXTURE, EXCF.P`I"�N3�RE�PQ:i�El�:R(7CF�i£5:..(II�D3GA'I'E TQTAI. �. NUMBER OF EACH BEIAVi� � . BATH SWK/LAV _FLOOR DRAIIvS SHOWEit WATER PIPIIdG - BATHTUB GAS PIPING (rr�nct7rt�c�rsE) SWIMMING POOL WATER SOFTNER (S35) CIATHES WASHER Kl'fCHEN SINK WATER CLOSET BACKFLOW PREV. (Sl� DISfiWASHER � ,=.LAUNDRY TRAY LWATER i�ATER (S35) FOR IRR]GAT10N WATER METER OTHER � Petmit Fee $ Number of fixtures @ S 10.00 x$10,00 =$ � Surchar e .50 - Number of ftxtures @ $I5.00 x $1S:D0 = $ TOTAL DUE $ Number of fixtures @$35.00 � x$35.00 =$ 3S.po . . . . ... . . State Surcharge = $ .50 Total = $ THIS IS AN APPLICATION FOR A PERMiT NOT VALID UNTIL PROCESSID ' I hereby apply for a building permit and I aclmowledge that the informarion above is complete and acctuate; that t6e work will be in conformarnee with the ordinances and codes of the City of Fridley and with the Minnesota Construcrion Codes; that I understand this is not a permit but only ap 'c 'on for a p it d work is not to start without, a permit; that the work will be in accordance with the approved plan in the c e of o w ic requ' s review and aval of plans: SIGNATURE OF APPLIC PRINT NAME Jt'� /(/O/D/DI�%�l DATE "+� � _ City of Fridley Building Inspections Department b431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX; 763-502-4977 Building PLUMBING PermitNo.• - Inspections - �SIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLE� Da�d $ DATE � YOUR E-MAIL ADDRESS SITEADDRESS a� �� THIS APPLICANT TS: I Clarence Rezac PROPERTY N,�: 1561 Camelot Lane Northeast owr�xx� ",�,�D�ss Fridley, MN 55432 y STATE z� TENANT � 7635741199 T � PHONE: CONTRACTOR NAIv1E: /l/or.d�din �'iur�oi�� SUBMIT A COPY OF STATE LICENSE # C% EXP DATE YOUR STATE ADDRESS' i I CITY .' ! /1 STATE�LIP S�SYO� LICENSE WITH , pHO� 7— y03 ' FAX — ' �� APPLICATION � - ' PERMIT TYPE �SINGLE FAMILY ❑ TWO FAMILY � TOWNHOUSE TYPE OF WORK: ❑ r�w . . �xEri.a,C�rrT . . . DETAILED DESCRIPTION OF WORK � PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the tot�! cost up to $500.00; whichever is greater, for the - �. improvement, installation or replacement of a residential fixture, excluding the fixtures. (T.his.shovld_raflect only.the cost of labor ) Labor cost under $300 =$15.00. Labor cost between $300 to 5500 = cost of labor x.OS = .�• `�FOR:EROJEC3'S WHERE LABOR EXCEEDS••�SOO;�EES ARE BASED ON $10.00 PER FIXTURE,'IXCEF�i'•;W:E�ILE�AQT�i3:.:RfiCT�S:�.(,I�DIGATE TUTA1. �� NUMBER OF EACIi BELOV� � . BATH SWK/LAV FLOOR pRAII3S SHOWER WATER PII'IIJG • BATHTUB GAS PIPING pve�ocr�ruc�vsE) SWIMMING POOL WATER SOFTNER (S35) CLOTF�S WASHER r KITCHEN SINK � WATER CLOSET BACKFLOW PREV. (Sl� _DtSHWASHER � _-LAUNDRY TRAY �WATER I�ATER ($35) FOR IRRIGATION � WATER MEfER OTHER � Permit Fee $ Number of fixtures Q� 10.00 x$10.00 =$ � Surchar e .SO � Number of fixtures � $15.00 x $15'.DO = $ TOTAL DUE $ Number of fixtures Q, $3�5.00 � x$35.00 =$ 3S.00 . . . . ... . _ State Surcharge = �rSQ Total = $ THIS IS AN APPLICATION FOR A PERMIT NOT VALID UNT1L PROCESSED ' I hereby apply for a building permit and I acknowledge that the informarion above is complete and accurate; that t6e work will be in conformauce with the ordinances and s of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an a on for a permi and work is not to start withou� a permit; that the work vitill be in accordance with the approved plan in the case 1 wor hich re ires review and approval of plans: SIGNATURE OF APPLIC " PRINT NAME �G'� /VGI'�IDN�J DATE � City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977