The URL can be used to link to this page

AF - 43747SUBJECT P,:E* . � City of Fridley ° 138'7'7 j AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r � � RECEIP�'�.A1Q. - � �y ___��_ COMMUNITY DEVELOPMENT DIV. �� r � � PROTECTIVE INSPECTION SEC. 1 � :� � /"�1 � CITY HALL FRIDLEY SS432 NUMBER REV. DATE PAGE OF APPROVED BY ��__�.� �.J 612-560-3450 g10-F15 11/16/76 / / JOB ADDRESS 1600 Camelot Lane N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 35 2 Harris Lci�C2 Estates SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE The Rottlund Co., Inc. P.O. Box 32082, Fridley, Mn. 55432 571-2060 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. 5ame 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. 6 USE OF BUILDING Residential 7 CLASSOF WORK � NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 56' x 26' Dwelling and a 24' x 24' Gara e '—�MpORTAN "' SEPERATE PERMITS REQUIRED f(�R WIRtNG, OiVfStON REGAROING CU B 9 CHANGE OF USE FRO�EATING, PLU�BIN REM NT AT DRIVEWAY OPENING STIPULATIONS provide �fyl a hard surfaced driveway. Provide sod in the front and side yards. Provide a verifying survey before capping. Provide truss design before capping. SEWER LOCATION: (Approx. 10' Deep) 58' South of Manhole (S. Inv. 877.63) WYE ELEV: 881.66 TOP OF FOOTING: 885.16 Minimum WATER LOCATION: 93' S.E.of Hydrant, 81' N.N.E. of Manhole (San.) Vy�N1NG SERVED OFF SQUIRE DRIVE � 1o�a, ��,1`tie THE CITY OF FRlDLEY DOES NOT GUARANTEE iHE sejOf6 di'�� ccuw�cir oF ununr �ounoNS Ar+o ei.ev,�Tior.: �: TE4EPHQnE - ELECT RiC - GAS Et • TN15 DATA IS FOR U+tfORMAt10N PURPOSES ONtY AN.: PEas�,s us�N� rr sHOU�n v�w�r nrE n�ow�u►noH REQUiRED BY LA E TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. WOOC� FY'dICI@ 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 OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT R-1 1528+936 36, 704 Total ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERT�FY 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 NOT. THE GRANTING OF A PERMIT �$��c $64��.F)O 32.OH DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEI THE pERMITFEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- � STRUCT�Ip N OR THE PERFOR� ANCF/ OF CONSTRUCTION. yS],4(. HZ � 1�- 350.00 7!r w T-3cry /G•:� �� `"t' 7`a.• �. PLAN CHECK FEE � TOTAL FEE �`�y �� /�`�s._. 36.70 ' S65.60 SIGNATUfiEOFCONTRACTORORAUTHORIZEDAGENT �onrei WHEN P OPERLY VALIDATED THIS IS YOUR PERMIT � ��,,� ` °�� c��,�J i I - �h�-'I � SiGNATURE OF OWNERUf OWNER BUILDERI IDATEI BLDG INSP DATE . . ; 6`"�. ,�e . . � � . H�AT LG�S CAI.CULATlO�vS �� F�� s Weatherstrips A.S.H.V.E. Censtruction No. Windows Doors �u��e O�Y.1ya11 Int.1Na11 Ceilinc� Roof , Floor Kind Reference Yes-No Ye�-No 19 I F �i c" � I -- �- � � \ ' `• h�IN'J�r.?O�lS, MIN!�. Ir,SUletiOn How Applied I.�r-� �� - Room , Lenqth !^ 1Nidt1; f,°� Height FI ft;'` �` r/� koom � Length � Width �� Height �� VJind`ows and Doors—Crackaa° and Area WindoN�s anu Doors—Crackaae and Area No. w'dth i Ne�aht No. of I Lmeal f[. Area No yy,��h He�pht No. ef Lmeal tt. Are2 o� pane of nane I�phts oi cr�ck sq. ft, of na�e of pane I�phts of rrack sq. tt. °� v � G `` �i`� F � � �-e" �' � � % ��t.� ..- 4,s -�' � / aL �- % �- f �` r' � I / I `�c'` :�:. � f /� /,� � i Coef 6 tu ( I Infiltration E `'`"�` � � G ,�°a i �� /✓ ��'- "i r� �' i 4` i Infiltration Glass j ;� , Exp. wall G �� ✓� Net exp. wall � � Int. wall Ceilina F I oor `'� �� G% � - b1G - Total 6tu. Requ�red sG. ft. E.D.R, or sq. ins. V��.A. Leader area Fi.�- ;_° �`� ~,� Room j Length '%�� 11'idth;� 1"dindows and Doors—Crackage and Area NO. �"',d'h �-te o�t___ Nc, ot � Une�� tt. Area �I n� panc o' pane liphts ot crack sq. ft. Infiltration � �_f ulass i � � Exp. wal I � �� g�'� Net exp. wall ��y / Int. wall � Ceiling _,��_f� � Floor i ota l Btu. RPquired sq. ft E.D.R. or sq. ins. N'.A, Leader area FI. /��'� �sj Room I Length ` �� Width YJindows and Doors—Crackage and Area � ry�, Widrh Height Nc. of L�neal tt. Area of pane of pane lights of crack sq ft �l � � � � G� f9�a I � � �(l � Inf i Itration ..� Giass .► � Exp. wall �G �/ i �'C Net exp. wali ,� Int. wall Ceil�ng � Y { � ,`�a ll _ � i-- F I oor i ?ota� Btu. Reqwred sq. ft. E.C.R, or sG. �ns. ',k.A. �eaaer area Height Btu Height BiU Glass �� Exp, wail —� . 5..� Net exp. wail G� Int. wall Ceiling �°} �� T' Floor Totai Btu. Required sq. ft. E.D.R. or sq. ins. Vd.A. Leader area FI'�t-�'��"�+,} Room � Len^th f`,.� Vdid!hf � V� indows and Doors-Crackaae and Area No. � �`',�rh Nr�pnt No. of I L�nea! ft. Area of �ane ot pane liphts ef crack sO. ft. � ;� � ��. � f �i Infiltra;ion j �� I � Glass � � Exp. wall �,6 � � Net exp. wall ;��i, Int. wall � Ceiiira /� ' �a :�rf f �— Floor Total Btu. Requ�red sq. ft. E.D.R, or sG. �ns. V,'.A. Leader area �� F!�j Foom Length/ �' Width L'Jindows and Doors-Crackage and Area No. Vc�ain He�ght Nu. of L�neal ft. Area ____ ot ponE� of pane liphts of crack sq. tt. B tu �� —y— /U� Height Coeil 8 tu InfiltratiOn � I ' �-y Glass � �c-61 �✓ _ Exp. wall � _ Net exp. v,�all � � Int. wall — c��r�g ---- �—� _ -- i `7� 3 F i aor �— ?ota! Bt�. �eq;;�rec sq. tt. E.G.R. or sq. �ns. Y,.:,. �eade� area � r% Height � B tu �� o� .Z—{�,• 3�C3 t,l I Y Ur rrcAV�.�r AP�'t_l:CATIOfd FOR KESIDENTI/',L ALTERA'�IOf�, ADDITION, OR REPAIR QUILDING PERI�IIT Ot�fi�1ER' S I�!'�•:Is` : r� G7`t /U�ti�� 7",v� BUTLDER:-�� a �vk �,( C'� ,�s�.F_.. I�DDR�SS : ADDF.�SS :�_ l3� �� s'Z Id0 : • /� G C, S 1 J�ET : _ � ,�1 :�i� �% �n .7` . �1�c:_.� _.._. LOT:__�� Ia0C1�: Z. ADDITION: />�r�_,�A�'r ,E=S7;oJ`�'S CORNLR LOT : � ITiS TDE LU�' :_ SETBACK:� � SIDL'�1AEtD:1 � 6'" �. l o l�.npl.icant attach to this for�n T�ao Certificates oi Sur��e� of Lot and proposed builcling location dra��n an these Cer.tificates. � �ESCRIPTION OF BUILDI?�'G To Be Used As :�i��/,.: /--iy M� (� � 2 y�S �, �_�wFront:�� ' Depth: �7�� Height:___ _� / ,� 2 � Square Feet :��-= Cubic Feet :` 3 v/ 9�i% �__Y _�L�.�y E. Fror.t:`� tt � Deptli: o? y. � __Height: �0 �.�_ Square F°et;� CuUic Feet:� ,� �� C7 7'ypc of Construction: _,j 1-�,a1t,e Estimated Ccst: $�% ,��; � To Be Completed: �AvC` � /,��,, %�%7�,� � (� ��G Q. � The undersigned hereby makes appla_cation fox a permit tor the work her�in specii=i.e:1, agreeing to do all �aorlc in s� "xict accordance with tlie City of. Fridle}T Orn�nances and rulin�s of tLe Depaxt-ment O� BLill(jLI1�S� and hexel�y dec7.ares that all the facts and representations stated in thi.s appT.ication are true ard correct, � �� ' ��0 7`� fv k � �� • � �r t�' . D �TL, : 1� — l a — �� r_ S IGN�.TUP�E : �,� �%4-a _ �J . ,� s (See heverse Side For Add:itional Infoi-mation.) /�°,.x�, frw�' � / �1 fP . B � h G � , G :► �� " �/�"� �� . �� (. ✓'!o , � O ,.�z�0& �-�v, t�o .�y-2y �� i y, g y /� �� ,ST-� �u �.�4-T� d� S ,�ijZ,�„�,�.�.o� ' .� ,a.0 �� `� l � �'�° • +. . �- %� J� �� . ' - , �. �� ` � . �4c�iT LOSS C�LG�!I��TIOiviS ��.,�"�`�� •��r�� . MlNNEAPOLIS, M(NN. �'�eafhercqrips A.$,M,�i,�, ConctruCLion !Vo. Insulation 4Vindo�,�s p�,;,;s f u�rle ��q. yy311 Int. Wali Ce,ling Roof Floor Kind HawApplied � �__ Re,e�e�ce Yes—No Ye�—R�� 19 Fi. ,$' t,�` ,' ` Rnn:�t LengihT�'} l-1'i .°e, � p >' f � �___�� dth �� Height Ft. f�f�� Room length Width�� Heigfit �'4�indoti,s a�d t?c�:�rs—Crackage and A�ea 4"Jindows and Doors—Crackage and Area ryo. � lN�drh He�cht � No. ni I Li❑eal ft. Area i of p�ne of nane !iph�c ef crack sq. ft. pJO. v✓�hTh Height No. of Linea� ft. Area a; �y of pane of pane lights of crack sq. ft. �� h �� R.c. � � � � � �� °'� L� 4'7 CS .��1E`�cJ � d� 7r- � .� �l G' fc� `� '� "-' �'' !'g,° �� Coef B tu Coef� B tu Infiltration ��r�'�•"`��f �'+�� f'��'�<I E/^� � �' .� � A Infiltration � � � � '1 �sL Exp. wall � ------�— Net exp. wall Int. wall �"; Ceiling �S"' � F �oor Total B*u � � � � Required sq. ft. E.D.R, or sq. ins. W,A. Leader area �� p�` "�ioom � Length �'-i N'idth `� Height F I.0� % I i� l`s� %v P� V'Jinc�oll�s and Doors—Crackaae and Area No. w'�drh He�pht No. of LinPai fL Area of p�ne of pane I�ghls of crack >q. ft. -� T/ e-� (1 r� / A � ��7 .r�-- r� C"1� �X. � �`,j �, °p� � Coef; B tu Infiltretion_� Glass Exp. wall � ��' Net exp. wali Int. waf I Cei I irg F � oo: 1 l,�' /, � Total Btu. � �� Required sq. ft. E.D.R. or sq. ins. Yd.A. Leader area F�•� �f,r� `? Foom Length Wid!h Height Vdindows an Doors—Crackage and Area N�. W�drh He�qht No. of Lm�al h. qre� Of pane of p„ne ligh[s of crack sq. f[. Infi itration Glass Exp. wa I i IVet exp. wall Int. waii Ceil�ng F loor Tot21 Btu � .�i` �� Aequireo sG. fL E.G.R. ,» �G. ;ns. Vd.l;. Leader arEz � G lass � Exp. wall /� ?, Net exp. wall � {�j Int. wall Ceiling Floor � � �� G� � Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area �I�`� � Room Length ` Widt G VJindows and Doors—Crackage and Area No W�drh He�qht No. of Lineal tt. Area ef pane of oane I�ghts of crack sq. ft. I / � � J . Infiltration _ �'� �/� G lass � � Exp. wall �� /� �� Net exp. wall � rt. vcall� ' _ Ceiling Floor '� 3 3 Total Btu. Required sq. ft. E.D.R, or sq. ins. W.A. Leader area FI.�� "�/�. Room Length � Widtn / � c VJindows and Doors—Crackage and Area N� W�n�h He�ght No. of Lineal ft. Area of pane of Oane lights of crack sq. ft. � �� .� r!,�n �t� � �f� Infiltration �� o Giass � Exp. wali 3 3/� ,� � � _ Net exp. wall �� Int. wall �/��'��E" 4 Cei I ing > , ,5 F�oor � !� �1'/� � � � -- Total Btu. I ��eqwred sc7. tt. E.D.P. cr sq. ins. W.A. Leader ara� 1 Height Btu Height Bt� � � i �n p o '� �Gt=-rrt!G�d-� ,� i � �� -�-r- � I � I I i , I - , —;—, -- - G ,� � ' 3 G �r �-- I - � � _� � _ i � - � !- -� - -;-;- � - . r � - � i �� __ _ � �� i � �- �?I Z � ' � � -T - !�.�� I ' G i � : �6� ,_ � -' - - ---� � I '�S Z � -- ;--'�`�`' �-', .2 � �=— I ' � i li I/S.rf 81 --� _� - r '� --, --- ,.+ , � _ � - --- � - - 1 -- --- -- - _ _ : -- - _ � -,�"' __ !--� 36'�r �-�' _�_ 93�_ X � � � -- ' �o, _ °J�4� _ I _ � � , � � � � � _!_ i � '.�� S/:X � � S�� _ � -;- -^ ,- i i � ' � i � ; �— --, ' i � _ ; ___.-�-, --,--r--r- .- ; � I ' ��--_ _T � �- 'i i i _� - —.- - � __'�� 6�i -� -� s� �%�/�---- , �,� � _ � ---�--� — __-- - Gi 5 �� !�,�C.�.- ' � � - -�-- -,-, - , :_ I ; - . -_ _ , --'- � � _I - �� -- �,- � _. - - ! . �r .- ! __� �- -�_ 9� l _ x ,`-:,�� '' - _ Z , c I /' � ,ST��,B �r z.�, �o =�T-3��,Y�.s ._I£ .�i-' .� �, s a j� . 6 � I— .S` �CI 7, S� . .� � � _ G' f�l / �--i ', — - - � � � ; _ _ 1�-__` - ��i � I � I � � I = �� j , `. . i I J- _ � ��. � i �f � —,__ �� , _3�� ?�a , -� - ,- �-�— ! I �I' �'_._-_Y_ _ . � � ..-� 1rtrt . Z �. �u, o , �, r- - --- �-----= CI1Y Or �RIDLEY APPLICATION FOR PUIMBING AfvD GAS FITTI�G PERMIT t; �� '; I � � � . p r n� N 'a ^ u V a L ,.. N, � +� � u � E m F�-+ f. n� i. %,. � •.1 J . C l ^ u :1 1� ^ � I.: C1 /., • U� S� � 't. � t •�! � " - .= :� O U ..i � G ..- V � p �.. ..4 � � n•'� �: � M;; ,^ n N ..Ni m L t� �� U � C Ci tJ1 3 � i+. U; i+. V CJ �L = Ci .� C7 O r � � / I `; ;/ - - .- �^ �� ,___ �, � � ( I, , � �n3 �� -- � 1� �r? ! I � ' '_''� �— � (3) = fl:tLre Co:_nec*_io� G�ening (}) _ .:_•.+ Fiz*_•arc, Ola :; �.:+irg COn.-ier_ted o/itil PARTIAL RATE SCNEDULE PL'J}i�:1G FIXT�P.E R�1TES: N0. RATE <i �-�..-._.Ler =ir.�Lres x S3.Q0 r�x:ure _�Ytt:re Cae�iag �_ x $2.00 he•.: : i:ctu�e, Old Ope�ing x S2.00 :zLcz 3ws:n x S:i. CO �ater Heat^_r - to 99,G00 B�J i r, 55.00 1CO,G�� 3TV to 199,000 ETU r. 510.00 Y:a�er Sc`_te-er r. $7•00 2:ea Grot::.� �•r. Oid Building x SS.00 Eleetric :•,a _er 2-ieater x S5. 00 G�S cITTItiG FEES: lst 3 :ir.t::res �_ x 53.00 ;,�d:tio :al _°ix ts: es x 51. 00 Gss Pa^ge �0 199,000 BTU x$10.00 RE�„IP.S � .7:,'iiRATIO\S FirSt J1GO.J0 $5'�a each aZ3. Si00.00 or fraction S2•OC State Surcnargc TG:Fw F:: REIN :?°C:::O:1 F�E (,°.]C.00) Se•+:cr 'v7�1 t�� Water. HO1tCY � ToTnL $ J%,c- S.,, c c: "a $ S ` S S S S e S, c . S S s S ,� $ .50 S `��, S � r / Job Address �� . �' � f-� ._ � i �,. �- Dci�artmi�rit of Buildings City of Fridley TC1. #571-3450 T}�c i�ndersiqned hereb� makes application fo: a pezmit for t::e Mv:ic here3n ?pucific�] agrc!•ing to do all wor'r, in strict acr_orc:ancc wiih t�c City Co.a.es and rul.ing^, of the Departr,icr.t of IIuildings, and h^reby declares th1= all the facts and repre�entations stated in this a�plicatioa are tnc and ecrrect :�YlC�.1Cyr ::.'1. � �i r �9 � � ; �. OWN�R L�� ,� / � . __. � KZND OF' BUZLDI27G � US�D 115 TO BE COMPLETED A30UT ESTIMF1Ti:D COST OLD - I%W BL'ILDING PER�:IT h0. PEz.`9ZT ,�0. B/ v�`�� . ! / /� ,�%� / ' � povcx zNSP. Date Company _ Sigr.ed By Tel. ho. C EINAL INSP. �. — I � � � � Dote APPROVAL FOR P�f�dIT / � MZNIr1U:d FEE FOR A,`Y PLliM.BI:�G PER�:.T SS S7•SO � 0 � Paye 1 of 4 r EXTERIOR I:NVL:LOPE AVERAGE "U" COMPUTATION OWNER: �`�j F I�aT� �v.tr�l �A . � N �f'. DATE /I " �02 — 7 � SITE ADDRESS: I�DIJ C�AM�/n. �` lN• CONTRACTOR: %q ��0 7"7- Iv �. �{ l'si • S rr � PHONE :�'� �— Z D G n Determine working square footage of each �. 1. Total exposed wall area. . . . . . �� sq. ft. `�>x .17 = �f ( 3•,,,� L 2. Toal roof/ceiling area .... .. /,S''/� sq. ft. x .OS = 7� , g Total exposed wall area above floor = a. Total wall window area....� ............................. b. Total door area ....................................... c. Total sliding glass door area ......................... d. Total fireplace wall area ............................. e. Total wall•framing area (average 10�) .................. f . Total rtim joist area �:'�SI�� T�� . . . . . . . . . . . . . . . . . . . . . . . . 5 •Z�NSuidTr d wall- area above f loor . . . . . . . . . . . . . . . . . . . . . . . . h.9�.p9� wall area above flcor .......................... i. wall area above floor .......................... j. wall area above floor .......................... Total exposed foundation area = 30/.63 S.5"• 9 % y if• 93 �ou. 1�6�� i s�%� I S�s�D • SZ _1�1�f, k. Total foundation windoHr area ........................... /d.a � 1 Tot I t f d ( ,i ,)h .�7 � 1 � . a ne oun ation area above grade ................. 3. I� � � Determine "U" value of each wall segment �i (e.g. window, door, �ach separate wall section�f ,/� �� . �� . a . �of r {n3 x b- 5�'. �� x c. �,g3 � x a, i�:�,�� x e. ��'� �'�' X ��^.r_; , f. t�~ # .<} x g • � � �{ h. 1< : ,b x i. J• ��U,� M C�e;� _ a .i „U„ .�YM� ' � „U„ , ,S� _ „U„ . � � �' _ „U„ � � i � _ _, „U„ �:; �� _ 0 „�� C';.�� _ „U�, , C� �o:?_ _ X "U" a X "U" _ k. io z2 x �. 9� - I � x ��u�� 4 � � _ „U„ -j�t = � 3 . ............................. Total = %'� � �� .-� � ._ _ � � � ; or�� / ��d z� f�} � -, '3 � �� r.'ti lD,b� �D3,l� V �; c.� ;� � ,9% '7 3.�.Sg Y F�o. y�� - If item #3 is the same as, or less than iter,► #1, you have met the intertt of ssc 600� cc? ?. � 0 E�cterior Envelope Average "U" Computation Total exposed roof/ceiling area =/S/ G m. Zb tal skylight area ........................... n. Total roof/ceiling framing area (average 10�)... / S'/,� o. Total net insulated roof/ceiling area........... �'�G�,/, �/ � Determine "U" value for each roof/ceiling segment m. X "U" _ � � n. l.5'/. G x��U�� , O 3 G = �S ��z' o. ��/ y. � X��U„ , 03/ - �fa. J.9 4 . . . . . . . . . . . . . . . . . . . . . . . . . . . Tor�l - 5f i. '1..� Page 2 of 4 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 To 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. _ — � � v�"' - i. �1G3, 7/ + 2. 7,.5 • �i = 3 . � � 3. y�o. y� + 4. �'�. �y =� Sa'S�, a� �� c�� G-arao,� Wo��\ - Sr��r�or _�� -:�,�;',, .q2 _ -��., - - . - .e-�..o.,. ��.'� ,�1�e��,ro�.� �y�.. .�....-,...�,.._-.� .�-�-- - - _�_ -- �i '� ,.� �.�,.` Zt�Sti� C��\�s � � �� fl0 _...�. �.�.,.�..� -_-.�---.=___� �.-�:...;�.�,�,.�.. G S�M � `,� " �. w� � -.-•.rs+t� :-°'_' .' ._„ .:a...�� 44 �� ... � `'`:z>t� � i f C_ �,.`�:.1`� , S-7 -•--•�--�...,._—�.+a««ane ._,aw+. _ -'-r..-.�.r,...:.v,,.---....,......,..,..r.,..-m,��;.,ar... � �'� � r � �i�..�.%....�.� ; r , � � rY1 ......,. ...._.�.,_, ...,.-.-�.,� � � .r�itai . ISI.I,,.�_�ti , �� ? U� F', �re.t�\�c� -L. I'� �+� !' s t� f" �� f i"' �} r r-� I� O C av„r�no��•: �+.:�� +�: � � j 0 �5 '� 310 �k_,�_.-..�. .._ ..� ��.....: -�.��.....��...........�. . _...._. ...____ a+w.�w�... V P�'�r� S acQ , ��....,�..':.-�:,� k 1, I ! �x{��r�o� r��, F�Ly=� _ i� ---- ___._�_ ._-- -�<<,�-�,............�.! -- - 'Tc�k a 1 y, y s r? � �,�? c,� �,�. : ' WALL SECTIONS :JOTE: Use 10'� of oF�aquc wall arca for ` frame construction -SG. ##3 _ ( � • 'a ` � i.� • . ' � o - . � ts- ' � ,• : � � � . �, : • ,� . � Z; - i Page 3 of 4 Construction R-Value 1. Interior air film p � � , , . .. 2. /� ��,c c-i rr..c.:� J..._. 3. Frc�n�,r�� . y �'� 4• �"s�z !a; 1-4--��°. Z, vlo 5• _l-llu�rv,.�:tv��. W�b�c''f, n�, 1�t`J� � --�- 6. Exter�or air film 0.17 � Total Q,�S � �. , i�3 � 1. Interior air film 0.68 2. %Z " 5!^,eo-� �cck , 45 3. �7i'�,� Zns��-�.$ton 4 . �s�32 b�� 1� - r �-�� 5. Alum, s��d�na '^�%�nck��c, �� I y 6. Exterior air film . 0.17 Total �5', �"tj f�' .U(oS N 1, Interior air film 0.68 2. _3� �� 2 .i.r`a��,:i,�,•`•r`�. J 1, �O � 3 - R �� m ..�o'i�i j , "7'�/ 4. ZS�z b�/r-�;-��. z.�t� 5. /��t,{r;� � ,;� ;,^,r �1'�- -':c.�� 1 � 1 `/ 6. Exterior air film + 0.17 Total � 4 �-7�j R � t� S�t c-t 1. Interior air film 0.68 2. 3. 4. 5. 6. Exterior air film 0.17 ' Total . ' � � ' ! a � r �� . � �. ` � � ..��r �;; F-� � . � , `� : , _ , ' ��...__ ` ,. , : � �d . � r `- Y ' ,�� V . • • � 1 r---. � b . . , r� j _ ' �'- _ , �- ((1 . .' . . . . � ._ / 1 1 � -- ' � • � /(/ ' FIG,. ��9 /!( � t�' � �� ` c �- /�l � „` . � J� �� f � � � ` ' �C! � X x `� . = �� • • /l ( � !( r _ !it � NOTr'.: Indicate tyne, "T�" �vzlue, dept;}l and placer.ient of insiitation. ' R(JOF/CEILIt7G r�, i i� ;{;�i t�*�-� t �`�t�� i';�t!t1I�',��-..» V 1 , � Vented i�Ieat f low �p . . FIG. n5 � � sn'�j;'•� ��__ •' �° �_'�..'!= �'' :i:��f'�'_'^�n�t c'J' C t.t � x ta l - - - - --� � i:eat floca up . ;•ven[�d• . . FIG. �`6 ..... . • . : . 3 � � 5 •y� .a ..e3°.S' �;�'�i ,_S°,�-..�'-`'��'. " . - � .. ��.�� p . ._':T' ' . �..r;�rG��;,`�':� .... .. . ��:-,r� t� • ` nu.•;-vY:I!'Zr�D . . . . . .` . . . Hent . • _ , .� � flow up _ .. ' " . , . .� . . ,. , . T'T.r,, i�7 . , . . . � Page 4 of 4 Construction R-Value 1. Interior air film 0.61 2. S�S„ �,�j�e.-`rfcc;,�; .$7 3. i v'' �r�-::..': ;� i�n 3v . b� � 4. Exterior air film (still) � 0.61 �` Total 3 I , � � � � ,C�t � 1. Interior air f ilm 0. 61 �i\. �Al"� ��i1 \ �O 1� UV'�i� ,�l�J , � Ci� dV 2. Jo�� C� arh�ne_ 7.-75 3. S��d�� Sl,e-�-�t o�1�. .5�7 4. Exterior air film (still) 0.61 Total 2-� •5 � � � , o?,�c u l. Inside air film 0.61 3. 4. ' 5. Outside air film 0.17 Total Note: Use additional sheets if more space is needed for details and calculations 0 land Vlanning Sr{��(, �f� jl 6875 Highwar No.65 N.f. la�d Surveying ` • • ( Minheapolis� � so��s Tesfing �.J� ll�('P!f%1 ��1�'• Mie+n. 53432 Civil Engin�eri�q �� Telephont 784-60b6 Mu�icipol Engineeriny Engineers & Surveyors A•td Code 612 � Certific�,te of Survey for__ �4"j ((r(,11�1� Q. � * , r.� �,, W � � � c � `��. �j� �:2i5�4� ��-�p� c� � Ca 0 c��'� . � � � —i �' i � ' --- �-�___ \ � �, ��-�o� ,� I �, � �! � t � � ID T� � ,� � ---.. � �—�- -t _ _ i N ti � I:� � ' �< � i �,.. I' � � � . ►0 I 25 / /)_I'" �i � I �.-lJ � ✓ / � I � 2�,�5 __---- � -�a- Scalc� 1'""`• �� . N�/ Z.5 �� ,c , �- �^ {;. �� I , i;� � r ��' �1� �.OT 3 � OCK 2 H Ai�RIS I�,.AK� �STATES --Anoka Coua�y ! hereby cartify lhat �his is o trus ond corrett representntion of o survey of the boundoriss o/ the abovs dsscribed (and, and of the locolion of oll building�, the.eon� �nd all vis�ible encroachment�� if any� from or on said land. As surveyed by me this duy of �� ,,_�;; <;___A. D. 10 }t. T�_.� a �ENOTES lRON M{iiVUN��NT �U�URBAN ENGlNEERING, INC. • Engihaers Surveyo►s . � ------ DEt�tOTES �f��1NAGr �. VT1uTY EASE�IENT br � � .�-. �� r -- ^- .- � �� , . �.x.,�.,,n, �,...,,,a, � -�- � .,. .�.,�._.._ _ _ � CITY OF FRIBLEY � �" 3 �" '� APPLICATION FOR POWER PLAN7S AND NEATING, COOL_ING� VENTILATION� REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES PARTII�L �TE SCHEDULE G?2�l\'ITY IdAR�I AIR: E1�rnace She11 & Duct Work Reolacement of F�rnace Repairs & Al;eratio,^.s-up to $500.00 Repairs & Alterations eacn add. $500.00 AtECHANICAL jVAR�I AIR: RATF. 'COTAL $12.0o S 7.00 $ 7.00 $ 4.00 $ Furnace Shell & Duct Work to 100,000 BTU $12.00 $/�'- `�y each add. SG,000 BTU �.00 $ l� °'J Replacement of Furnace Repairs & Alterations-up to $500.00 7-00 $ Repairs & Alter�tions each add. $500.00 4.00 $ STFr�.�t OR ?i�T LVATER SYSTNt1: Boiler & Lines up to 100,000 BTU each adda. 50,000 �3TU Boiler oni�r cp to 100,000 BTU each aci �z. S0, OOG IITU �IL BUR�ER- to 3 gal. �er iiour � aach adci. 3 gal. per hour GAS BUR:�F..2- �rom 1G0,000 BTU to 199,999 BTli , (ovar 199,999 BTJ sea Fee Scneduie) a GAS FITTI�'G FEES: � lst 3 Fixtures Additior.al Fistures Gas ilange to 199,000 BTU AIR CO\DITIO\I\G FA� HE,aTI:�G S:'STEAfS See Fee Schedule VE\TILATING SYSTE�SS ` ALTERATIONS �, REPAIRS � $12.00 $ 4.00 $ 7.00 $ 6.00 $ $10.00 $ 10.00 $ $10. 00 $ / :� ., �. . $ �c $ 3.00 ;t $ 1.00 :t $10.00 State Surchar.ge TOTAL FEE ROUGH INSP. REINSPECTION FFE Date ($10.00) FL�IF�L INSP. �' � %'�% � Date APPROVFS. FOR PERMIT �sy� MINIhIUM FEE FOR ANY HEATING PERMIT IS $7.50 $ 3 �. � $ $ -- S ..t� S _ $_ S $ .50 $ �- 7 5�' �. � Job A3dress � � /'� "'�� /� T Department of Buildings City cf Pri3ley Tel. #571-3450 The undersigned hereby makes application for a permit for the work herein specified agreeing to do a�l work in strict accordance with the City Codes and rulinqs of the Departmc;r.t of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. Fridley, Minn. �/�/ , 19 � % OWNER /�> 7� l.� J, �� .-, 1 T -- KIND Ob' BUILDING � �' " ""` �� USED AS � �v! ��/ h TO BE COMPLETED ABOUT �i� � � 7 ESTIMATED COST �- L�' U- �� J OLD - YIIF�jpTiBUILDIIvTG PER:IT NG . PEFMIT NO. ^/ DESCRZPTION OF FURNACE/BURNER HEATING or POWER PLANTS, Stear.i, Hot Water, Warm Air- No. _ .--�— Trade Name �'r �/� �°�^ J�' �' Size No. � i-- 5- �,,, � � � - / �- Capacity Sq. rt. EDR �� BTU HP Total Connected Load ��_S 3 j Kind of Fuel ��:,;' BURNER - Trade Name Capacity Sq. Ft. EDR Size No. BTU HP • � �'� Company , � � :.:. �- � �;, ;, Signed By � -�,� - - �,� )CF fv.; �- � . . -�' Tel. No. � V` � � � v r � r 1+ 'C[i� .-1 U J: U A H ►� X >, +� O Hp � ro U 3 U �� 'U C u v �: w � u ii a� s+ r. •-roi � w � a�i y 3'U � � U A � v c �I O� r1 �O 1 ' � � �� .� \ �9 x � o � • � O E � � d H 1 �` � �; ��;� x . � • I '° o� M I i ! I I °i � a� � o z° . ��.��_l�_l GEO. SEDGWICK HTG. & AIR COND. CO. HOUSE HEATING TEST RECORD Ci- ..� �>�=�C� ADDRESS /r'�%:7 � � ,�� c - � CITY ��-t OCCUPAMT OWNER � -� HEAT LOSS DATE HTG. INST. �' SOLD BY INSTALLED BY Ces-. Electrical Work By Gas Line By �/ �� /i �� TYPE OF HEAT GA FA i HW STEAM — SPACE HTR. UNIT HTR. OTHER_ GAS DESIGN CONVERSION MAKE �,�,��,r� ��,,. � MAKE OF BURNER Model - i,� 5[ i- /:- Model Serial n� Max. BTU Rating INPUT _ /a._.,d�'c� MAKE OF FURNACE Model CONTROLS THERMOSTAT ��i�� HeatPlug Valve _ l�-S�� Limit _ �--� '4��(.� %•C� Limit Setting / �� Fan Setting- �',�i--/�%� Pilot Type i �' Pilot Make Pilot Model Pilot Timing _ >'1�.C2,c.. L.W. Cut Off Pressure _ �4' � Percent CO2 - ��. C� Input CFH � � Percent O Stack Temp. �'S 0�` Percent CO2 /�'�� Form 235 � oc w � _ °o a�q °o �- Q O O O 00 O U o� o o� ~ N O • O O . J H o ro � �' m °' � x �u .uo �u �t � a°v��' a°.`�c�a61 Q �� 4��.0 P: W 1ai H ¢ �A ��Sroi 11 4 .�1 Q 1.1 1.1 � .-1 'O C1 a1 1J i �a [Q� � c � r�Q ci.' �n v w w cn .c w�a w V 6 � N N Ul � N rC G) N N U U N N V �J N U!� t� ro .o •�� •.� ro n �.+ .a q `-+ ?� W tL C�� z s`7 `a 47+ �� 1' a a°� x � a c"i " � � . W c� :�: F- � � W �., .� � � � C�. G' � s �� Vent Size _ �,� KIND OF LINER �' SIZE �,�_ NONE Draft Hood -_ c'�'/•�'�«, / Regulator -f �?`�.�..:.+ i' Filters Size S�r'.�.s z-' Number ✓ Chimney Location Inside �� Outside Chimney Construction _ Smoke Bomb Draft L1�fi Door Pressure Wiring i-� Test Tag .�/ Lighting Inst. Date Tested � - ' ' ° � �, - � Company Testing r�� : Name ot Tester � ` � i i � aa o F � H O F o W o �q O O � o o n O O � o Cl� U� O U1 7 1� N � 7 � a `°� "' � U O U � � � v v � .� �o •a Rl q � x L � N Q � 0. � � �, O+ � M v u ro � � w � ' m a 0 H � � O� � a� w Fi 7 'd �� v N Gl C! CJ Cti 0 O O7 � O N � rl 7 E � t�. m W O� � � W '� L y, a v :� ? m o � c�3 ` ro � o I( I t� N H , � � W E c! R1 O, ^ N O )../ 1 � � � . � � � � a Ul .-i fn (n �--� N [+. O i :�. `i !n � .1 j� L7 F� [� :17 W ,�1 [ rn �}��-� �+ "'.� � I (n tn uT Muc4 O C� •-a � C7 C7 Cn ;( +' ro u� F-� Z 7 1 ri � c; o H aE H�, H "T. �f, C, F-. r-+ owa- w c� 7: •. V1 NllE-w+ �� tw>� 0 H � � O W O a ,.� H(a� � ai a 7 H � � I � I F N N f� ro � d 0 o a a a � M sC � � w � sue�ecT P IT N,Q,_� City of Fridley ^ 2 2 4 31 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T i � I . � � � COMMUNITY DEVELOPMENT DIV. � � '_"-, r � V � PROTECTIVE INSPECTION SEC. �� 1 � � � /'�'1 � CITY HALL FRIDLEV 55432 NUMBER REV DATE PAGE OF APPROVED BY �""'�'� �'' 612-57t-3450 910-F15 4/19/94 � � JOB ADORESS 1600 Camelot Lane NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDtTION SEE ATTACHEO DESCR. 35 2 HgTT1S Lake Estates SHEET 2 PfiOPERTY OWNER MAIL ADDFESS 21P PHONE Dale Wick 1600 Camelot Lane NE - 3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO. D& D Home Im rovement 7401 Central A - d ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MA�L ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK 9 CHANGEOFUSEFROM TO STIPULATIONS Roofing can be the 2nd layer but not the 3rd. TYPE OFCONST. OCCUPANCY GROUP OCCUPANCYLOAD SEPARATE PERMITS ARE REOUIRED FOR EIECTRICAL, PLUMBING, HEATING, VENTILATING OR AIF CONDITIONING. THIS PERMIT BECOMES NULI 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 ABANDONEO FOR A PERI00 OF 120 DAYS AT ANV TIME AFTER WORK IS COMMENCED. N0. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINEO THIS APPIICATION 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 1 265 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTIO O THE PERFORMANCE OF CONSTRUCTION. 3].. OO CJ��, "^"" `—r >� ,` PLAN CHECK FEE TOTAL FEE Y � 9Y � License SC 5.00 37.90 �GNATURE OF CON'AACTOFl OA AUTHOA�ZED AGENT IDATEI WHEN PROPERLY VALIDATED THIS IS YOUR PERM� SiGNATUAEOfOWNEFl�,iFOWNEABU4DEFli iDATEi BLDG �NSP ��ATE WEVV ADDN �,�tt [l Il [J CITY OF FRTDLEY SIN(�LE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Effective 5126/93 . . .� Construction Addres.s: f(✓'�D �/��%%�Ll��/�� Legal Description: Owner Name at Address: ��/�%"� ��I� Tel. #_��0% Cotrtractor: D& D Home Improvgment Inc. MN LICENSE A� 4840 p��; 7401 Central Avenue N.E., Fridley, MN 55432 Te1.A� 784-7543 Attach to this application, a Certificate of Survey of the lot, with tfie proposed con.struction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVINQr AREA: Leatgth Width Height Sq. �. (iARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Gmonnd Sq. Ft. OTHER: Cotner Lot [] Inside Lot [] Ft. Yd Setback Side Yard Setbacks Type of Constiuction: /QP-S�II P��'P//L— Estimated Cost: $ l��%S� Approa. Completion Date: � /.'S'�-r ��1� �a�s v� �tA>2�S (Cost oa Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x S = S, DATE: � APPLICANT: Tel. #_ Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow F.rosion Control Farlc Fee Sewer Main Charge f -� � � � / - �'% S �� S �11 ' � ► Fee Schedule on Reverse Side .001 of Permit Valuallon (1 / l Oth 96 ) S.50/$1,000 Valuation 5750 per SAC Unit x �, CC+ .$5.00 (State Licen.�ed Residential Contractors) S Alt. "A" or Ak. "B" Above S S s Conservation Plan Review 5450.00 Fee Detecmined by Engineering Agr�ement Necessary [ ] Not Necessary [ ] TUTAL �� STIPULATIO1tiS: ' ` SuB�ECT City of Fridley AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r � � � � ' • COMMUNITV OEVELOPMENT DIV. � ; V'�'��', r � � PROTECTIVE INSPECTION SEC. � � i � � �"'1 � CITV MALI FFIOLE� SSIJ2 NUMBER �'"""�"� ,�� 612-571-3450 910-F15 l08 AOORESS 1600 Camelot Lane NE 1 IEGAL �OT NO. BLOCK TRACT OR ADDITION oesca. 35 2 Harris Lake 2 PROPERTY OWNER MAIL ADORES$ Dave 4Vick 3 CONTRACTOR MAIL ADORESS Renewal by Andersen 350 73rd Ave NE Fri 4 ARCHITECT OR DESIGNER MAI� AODRESS 5 ENGINEER MAII ADDRESS 6 USE OF BUILDING Residential 7 CLASS OF WOfiK REV D�TE v�GE OF 8/20/99 / / states ZI P � ZIP ZIP -.,�., PHONE —2 PNONE PNONE 30090 RECEIPT NO. ��l AGVROVEO 8Y SEEAT7ACHE0 SHEET IICENSE NO �� UCENSENO UCENSE NO ❑ NEW ❑ ADDITION O ALTERATION �DC REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Replace vatio door in home within existing o�enin� 9 CHANGE OF USE FROM STIPULATIONS TO Provide smoke detectors in all sleeping rooms and on all levels of the house Permit Insp�ction Cards �till Be Mailed �'o Nomeowner To P�st TYPE OF CONST SEPARATE PERMITS ARE RE�UIRED FOR ELECTi;ICAL, PLUMBING, MEATING. VENTILATING OR AIR CONDITIONING TMIS PERMIT BECOMES NULI ANO VOID IF WORK OH CONSTRUCTION ZpNING AUTHORIZED IS NOT COMMENCED WITHIN 60 OAYS. OR IF CONSTRUCTION OR WORK IS SUSPENOED OR ABANOONED FOR A PER100 OF 120 DAYS AT ANY TIME AfTEii WORK IS COMMENCED NO OWLG. UNI I MEREBV CERTIfV THAT I MAVE fiEAD AND EXAMINED THiS APPIICATION ANO KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS Of �AWS yq�UATION ANO ORDINANCES GOVERNING THIS TYPE OF WOfiK WILL BE COMPLIED WITH WHETHER SPECIFIEO MEREIN OF NOT. THE GRANTING OF A PERMIT SOOO DOES NOT PRESUME TO GIVE AUTMORITV TO VIOLATE OR CANCEL THE pEqMIT FEE PROViSIONS OF ANV OTHEFi $TATE OR IOCAL LAW REGU�ATING CON- STRUCT�ON OF THE PERFORMANCE OF CONSTRUCTION ,$1]_1.25 S�GN4TUAEO�CON'F1(;TOQOpAUTMOQ�IEO�GENT IDATE� S�Gaa�uaE O� OwruEa ��a OwtiEQ Bw�DEQ� iD�iE� N OCCUPANCVGROUP OCCUPANCVLOAO S�.FT CU FT STA��S Al10A OFFSTREET PARKING IGARAGES SUiiTAX $2.50 SAC CMARGE Fire SC $5.00 TOTALFEE 3.75 �THIS I�R PEpMIT r�crE NEW [ � ADDN ALTER Effective 5/10/99 [] �. CITY OF �'RIDLEY +� SINGLE FAMII.Y AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION �onstruction Address: � L.�� Legal Description: Owner Name & Ad� Contractor: RENEWAL BY ANDERSEN MN LICENSE # 350�73RD AVE. NE � Address: fRIDLEY, MN 55432 __ Tel. #_ (612) 502°4777 Attac;LICENSE #20130983 :y of the lot, w 1_ _ _ r _ _ _ _ _ _ __ __ __ ...... ....... a. .,�. .� to scale. LNING AREA: GARAGE AREA: DECK AREA: OTHER: Length Length Ixngth DESCRIPTION O�' .�PRnVF�N'I' Width Width Vi�idth Height Height Hgt/Ground Sq. Ft. �q. Ft. Sq. Ft. �,o �. � � �� Construction Type: � • stimate Cost: �� 1 �;��W�� ► ��►��.s llriveway Curb Cut W idth Needed: Ft. + b Ft =_`Ft x$_ _$ DATE: APPLICANT: Tel. # — Z,�� CITY USE ONLY Pernut Fee �� Fee Schedule on Rever�e SidP Fire Surcharge $_� y� .001 of Permit Valuation (1/lOth%) State Surcharge $ �...�� $.50/$1,000 Valuation SAC Charge $.�"r_� $1050 per SAC Unit r-- Lic�nse Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge $ � � I% $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 [ ] � / S TOTAL $ ��J � � �' ��' G�� -� STIP ATIO • ��LL�� v � � 4u� ��G ��2.� �G ��"�'/�1-`��-` � , �`i o� �� 5�- sue�ecT E R M . City of Fridley 3 4 0 2 0 AT THE TOP OF TME TWINS g U I L D I N G P E R M I T r � � NO. � � � • COMMUNITY DEVELOPMENT DIV. r � y � PROTECTIVE INSPECTION SEC. L../,� � � � 1 � r/C� 1 � �'�'1 ' CITY MALL FRIDIE� SS��i NUMBEF pEV D�TE PAGE OF APiROVED BY �'"""�"� ,�� 763-571-3450 910-Ft 5 11 / 10/03 / / JOB ADDRESS 1600 CAMELOT LANE NE 1 IEGAL LOT NO. BIOCK TRACT OR ADDITION SEE AT7ACHE0 oescR. 35 2 Harris Lake Estates SHEET 2 PROPERTY OWNER MAIL AODFiES$ ZIP PHONE Greg Salo 1600 Camelot Lane NE 763-571-7996 J CONTRACTOR MAII ADDRESS ZIP PHONE LICENSE NO Same 1 ARCHITECT OR DESIGNER MAIL AOORESS ZIP PHONE LICENSE NO 5 ENGINEER MAI� AODRESS ZIP PHONE IICENSE NO 6 USE OF BUILDING Residential 7 CIASS OF WORK ❑ NEW ❑ ADDITION O ALTERATION � REPAIR O MOVE O REMOVE e oesca�ee woaK Install basement egress window 9 CHANGEOFUSEFROM TO STIPULATIONS Provide smoke detectors in all sleeping rooms and on all levels of the dwelling per Section 310.9.1.2 of the 1997 Uniform Building Code. Caulk and flash all exterior openings. TYPEOFCONST OCCUPANCVGROUP OCCUPANCVLOAD SEPARATE PEFiMITS ARE FiEOUIRED FOR EIECTfiICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NUIL AND VOID IF WORK OR CONSTRUCTION ZONING Sd. FT CU FT AUTMORI2ED IS NOT COMMENCEO WITMIN 60 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANOONEO FOR A PERIOD OF 120 OAYS AT ANV TIME AFTER WORK IS COMMENCED NO DWLG UNITS OFFSTREET PARKING I MEREBV CERTIFV THAT I MAVE READ ANO EXAMINED TMIS APPLICATION 1 STA��S GARAGES AND KNOW TME SAME TO BE TRUE AND CORRECT. ALl PROVISIONS OF LAWS VA�UATION SURTAX ANO ORDINANCES GOVEfiNING THIS TVPE Of WORK WI�L BE COMPLIED $3OO �.SO WITM WHETMER SPECIFIED HEREIN Ofi NOT. THE GRANTtNG Of A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIO�ATE OR CANCEL THE pEqMIT FEE $AC CNARGE PROVISIONS OF ANY OTMER STATE OR LOCAL LAW REGULATING CON� @23.SO Fire SC �.30 $TRUCTION OR THE PERfORMANCE OF CONSTRUCTION `I' PLAN GHECK fEE TOTAL FEE $24.30 � Ns7UAE O� CO � TO OQ iHOp�ZED eGEHt iD�TE� - EN PROPERLV VALIOATED THIS IS VO Q PE MIT -� r— l� �� 3 S�Gtia7U O� NEQ�� WNEp UiLOEQi �O�TEi 8 D �NS� �i<<E r � NEW [] CITY OF FRIDLEY Effective 1/1/2003 ADDN [] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax J BUILDING PERMIT APPLICATION V%'� �� , � � �c� � � a �� Lni �2� �c..�� 4Y�nT 5�-13� �`"� ' �, �` Construction Address: �� `o � C�'1 L� � Legal Description: , Owner Name & Address: �R�(� ��"1--� Tel. # ?b�� `7�l Q � Contractor: at�vN� MN LICENSE # Address: Tel. # LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width HgUGround Sq. Ft. IN�,�it L �Prs�'rr� �6iP�S� w�n/Dc�� Construction Type: Estimated Cost: $ J? C� _ Driveway Curb Cut Width Needed: Ft. + 6 Ft = t x$ _$ DATE: �I � d � APPLICANT: Tel. #,�b.�� I�" �Z � tD Call (763) 572-3604'for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will call you for card number. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge TOTAL $ � � : S�C�' $ . �~ $ `� �� $ $ $ $ $ $ $ �ti . =?�� CITY USE ONLY - Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1275 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 •► GR��- S� v— 1 bc10 CAm�-w"�' l� �.�fl�y, rrn� u�t3a 7b3r 5 71-7�q l� '� (rcll NC�c� t S �. �tl� I��O�1�, � � 1� � Cx� � � �;�n�c� � c%. -�c $ �u �:�.c� �I�£ p �N �w. �� o� �+�c� �--� � �J�J� � �-� �l�S � • y� ��'� 31-o,q � ( � � � �a� s� I-� �� 1 �� g�2 � �N �� OC� � �I�e --1� �-l-�ea( �� s`�;►-� s . c� �uuc�a-��bN IN c�� _A . �cQ' � z� �� ti � 3 � � �.o° ��S �� l — ROvid� , U1�.'t�llt'Z ��1 i�i �ac..-�- l�'rV� ��v 2 .ax� Roa�N o�N„�� r-�� W � uDO w aa �i$ X �+�'�� REVIEWED FOl� CODE % d� NoR.iH �A�l, C(i Rb�m£ni T � � -��Sh h��e �s I�ll�d �� d� �� o�S-� h��e A� � Jo�{ In i��S , �� -1 1 � � 39 % v 'CC� � ADDRESS PIN LEGAL DESC PERMIT TYPE PROPERTY TYPE CONSTRUCTION TYPE CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 �631572-3604 FAX: (7631571-1287 : 1600 CAMELOT LN NE : 133024410043 : HARRIS LAKE ESTATES : LOT 35 BLOCK 2 : BUILDING : RESIDENTIAL : ADDITION/ALTERATION ~ `\ PERMIT O.: 2004-01567 DATE ISSUED: 09/13/2004 VALUATION : $ 4,270.00 NOTE: SEE NOTATIONS ON PLAN. CALL GOPHER STATE ONE AT 651-454-0002 FOR UTILITY LOCATIONS. PROVIDE SMOKE DETECTORS IN ALL SLEEPING ROOMS AND ON ALL LEVELS OF THE DWELLING PER R317 OF THE 2000 INTERNATIONAL RESIDENTIAL CODE. INSTALL DRAIN TILE SYSTEM. STATE LICENSED CONTRACTOR 1 APPLICANT STANDARD WATER CONTROL SYS (1522) 5337 LAKELAND AVE N CRYSTAL, MN 55429- (763) 537-4849 OWNER SALO,GREG 1600 CAMELOT LN NE FRIDLEY, MN 55432 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 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 certify that I have read and examined this application and know the same to be true and correct. Ail provisions of laws and ordinances governing this type of worl� will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction�r the perfo�iance of�Construction./ Bldg BUILDING PERMIT FEE FIRE SURCHARGE STATE SURCHARGE, VALUE LICENSE SURCHARGE TOTAL Permi� �n��ion Cards Wiil Be Mailed To Ho�r��a�nerTo Post SEPARATE PERMITS H�:QUf�D FOTt WORK OTHER THAN DESCRIBED ABOVE. 11125 4.27 2.13 5.00 122.65 SEP-09-2004 10:26 AM STANDARD WATER CONTROL 763 537 1882 P.01 � �� -�� l 1 G� � f�'� NEW ( ) ADDN � j ALTER � j CIIY OF FRIDLEY Effective 1/1/2003 8431 Unlversity Ave NE, Fridley, MN 35432 (763) 87�-3804 Bldg Insp SINGLE FAMILY AND DUPLEXE9 R-1 AND R-2 (763) a71-1287 Fax BUILDING P�RMIT APPLICATIOfV Construction Address: ,��/.�/9'1 �.ID r �i'I Legal Description: Owner Name & A dress� 1 Tel. # Contractor; MN LICENSE # �� Address: Tel. # �/,3 ;�� /,Qr�/� L1VINa AREA: OARAGE AREA: DECK AREA: OTHER: Attach to this application, a Certiflcate oY Survey ot the lot, with the proposed construction drawn on it to scale. D�8CRIPTION O.F 1MRROVEM�NT Len�th Width Height Sq. Ft. Length Width HeiOht Sq. Ft. Length W1dth HgUGround Sq. Ft. Construction Type: �) Qt'Y1L1 lP Estlmated Cost: $ 7�%��C/ Drlveway Curb Cut Width Needed: Ft. + e Ft = Ft x$ _$ DATE: APPLICAN7: Tel. # 2�� J�� 7' d S� 9 Call (763} 672-3604 for Permit Fers if mailina in application. Fax to 783�71-128T lf using credlt card and we will call you for card number. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge TOTAL $ �/l. �,��. $ $ `� �� $ �. �3 $ S, c�n $ $ $ $ g /��. (O� CITY U�E ONLY - Fee Schedule on Reverse Side .00:1 nf Permit Valuation (1/1 ath°rb) $.50/$1,000 Valuation $1275 per SA�C 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 SEP-09-2004 10:26 AM STANDARD WATER CONTROL 763 537 1882 , �'��iiH�� . ��'�� '`,.��i�!��, �,�� tandard 1�liater Con�ro S �yster�s, �nc. ,,,,. �;., ,�,, ;�'' c'^'" ►''.,� ,��', I;°H , , �,,;� !f.; I°,, ,��,,. � ' �. ' !i'µ, i�,'� f DQte P.02 � UR6ENT ❑ RfF'LY AgAP ❑ PL�A9� LIDMMENi D PL�AS�' REVIEW ❑ FYI TOTAL PA6ES, INCLUDING COVER: ramm�nts: `� I-� o�s e C.� � e I o � ��S�r �.cx.�r .558� -��D I -Dooa- D�� ; dqa� 5337 Lakeland Ave N � Phone; 763-537-4849 Crystal, MN 6�429 .°"""�'!fll;�„ Fax: 763-537-1882 Email mikeC�standardwate�,com Stnndnrd Website: Standardwater,com � /;. Building Tnsp�ctions 763-572-3604 DATE �_11.0.� ------ $ITF. Af3�7NC.y) �� THIC APP1,iGANT` is; PNUYERTY UWNER/ TENANT SUBMi"1' A C:UL'Y UN YUUR S'CA'1'� L1C:�N�� WITH Af'PL1C'A7'ION rROr�R'rv 't'vp� PERML'T'1'YPL.� � � BU.ILDING Yermit r1o.: � c; �(:�—' �-�' RESIDENTIAL APPLICATION� Re�ivea Ry: � �-_;,; CIT�Y OF FR:�DLEY T��te Rec'd: ` : Y()UK h-MAII, AOpRi$3 OUWNGR CQNTkACT(.1R NAME: ADDRP�S:.�---• ... �_....._ �` PH()NF;: � �57"��i -�9v Nn�� cy S'I'ATE LIC SF,� - � — --•-.. AUDRGSS; _. (, v r�Ne s��' G (�j — ❑ SMdLG FAMTi,V/Nk;W (::c)N$'I'RUCI1ON ❑ TWO FAM11,Y/NEW CUNSTRUCTION Q AIN.){'f1UN ❑ QARAG ❑ IIA3L•N(ENT FINISH �pOF q f)�i(;K ❑ SIDfNC, I t7 MA(NTEN� DESC.RIBE WORK BEiNG DONE: � Si7.F, OF 1MPItOYEMENT Roc>r�rr� "�" r�vMneR or• sQua,r�s � GARAGE3 PROF'OSt;U S1ZP.: PROPOSED HfTQ1iT; �•�u�nt: a vw�y� ❑ Aluminum ❑ Othe► WINDOWS IN 6?c1.51'ING OPENINGS OYes ❑No OR FOR NEW OPk;NINI'�S-ph�t;RiBB 5(ZE OP UPENWG CHANCiES dc '1'YMk: OM WINIx)W 7U klE INSTALLGD 7 t� xouse � ca�cc O ATTACHED GARAQE 0 DCTACHEI) ciAHAC7k? os�� O'I'rim O P�SCi� 1�(X:A'1'IC:N+f UF wINdOWS __.._ �XI' DATE _._ ._._c'� ❑ uxqir� 7�Il,E O UTHER � w ��' ATE '�Il+c�•/(o�` J N t. �SEML-NT REMODGLINCi SUfiMI'f: 1. F;xisting Yloor Plni 2. Ptopused floor plen :i. �.iet ot'saucwrM mambort to be used raK ►v�,w ci>rv. rRU�.-noN irvc�unnac �ECKS. QQQ�QjyS. & PURCIILS SUH[�7': I. Sioe 1'I�m/5urvey showing the existins r,tructu�ey and propturd {mrja;t. 1. '1'wo acts of constniuion plaru 3. Enugy Cakulatiom A�,L FFFS ARE BASED ON VALUATIUN, INCLUDING THE C08T OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FFE SCHEDULC) TOTAL JOB VAI�U�#TTON S.�� 3('� r OCCUPANCY TYP� Pcrn;it Fee � �"j i�� See Hack Yage for Fe�c; S�;hedule �� Plan lteview S 65°/u uf Building Permit Fee Fir� Surchatba S _ i .001 times the total job valuaiion Sivct�s�rgc � j. (�, .0005 x PCrmit Valuation Minimum 5.50 Liwnse Surcharge $ S. �lj SS.00 (State (,icensed Residential t;ontraetors) SAC Chnrge � SISSO pa 5AC Unit (Planx tc� MWCC for determu�ation) Curb Cut �.scrow S ft+ 6 ft= ft x�21 = 5 Frosion Controt � 5450 Caise�vation Ylen Revizw Park Fee $ Fee Uetermin�d by Fngineering Sdwor Main Cliarge � Agreement necessary () Non Nxasyary () Totol Uuc $ tj�_ �+.� Meke �6�;ks px�Able to; City of Fridley Attacl� Stipulationa THIS IS Al+f APPLICA'1'IqN FCNt A PERMIT-Nq'1' VALIU UNTIL PRV(:E:JSHt) 1 h�ruby tt�pply t�r a Uuilding permit and 1 acknuwladge that the uiformation above is eumplote; and accurate; that the work will be in conformance with thn uniinane:da and codes of the City of Fridley And with the Minnesota Consatictiun Codes; that I undeistand this is no� a pom►it but only an applic ' for it �d work is not to start withoul a permit; that the woric will be in aeeurcianc�e with the approved plan in the case of all wo i h ' r v' approval of plans. SlGNA'fU[tE OF APPLICANT ,� _�PRWT NAMi I�� J�� I' _�DATE l! I �_ Zd Wt�6b :60 900z 9Z ' I rit' LBZi iLS�9Z :'ON Xti� Fia t p t.t� }o Fi; t�; �,�p�� / h/� Building Tnsp�ctions 763-572-3604 DATE ��,I�-U�, _ s�TF nr,��K�.y� �DO THiS ApPl.f(,'A�I"C' IS: P1tUYEKTY UWNER/ TENANT SUBMI'l' A CUPY UN YUUIt S'fA'1'� L1C�N3� WITH Af'PL1c:A170N rROr�R'rv Tvp� BUtLDING RESIDENTIAL APPLICATION CIT'Y QF FRIDLEY �=��'- l_C�.� � O UWNGR %�( NAME: � ADDRESS: _ �G PH()jVF:; `� NAME��V�i . �ll � S'I'A'f�LICENSEi� �O� /`1)� I F'i-MAII, ADORE3S __. . . � 1NTkAGTc. k ._. _...._ �d�" 0 ►^� N�- cirv_ � —•--- t� �-, _.._.._ H'XP DATE � ° ��N � - _ - - ❑ TW() FAMU,Y/NEW CUNSiRUCTION Q A f N)11'IUN ❑ QARAG ❑ DA.3LMENT FINIRH CJ ROOP q f)►iLK ❑ SIDiNC I ❑ MAINI DESC.RIB .F, WORK BE1NG DONE: ST7F OF iMPROVEMENT rcvMQE� or• sQua�s _r GARAGES PROF'pSN,U SJZP.: PROPOSCD HEidl�'1': S'�lut�Vl: �YW�yI ❑ Aluminum �'(' I L�� • � Q ❑ O�hcr �-- � WINDOWC ItVF.X1.S1'[NGOPENINGS QYes ❑Nu OR ('OR NEW OPI.:NINC,S-ph1(:RIBB SIZE Of UI'�NING CttANC�ES 6e '1"YF�E- I')F+ WINIx)W 'IV k3E INSTALLGD A.LL FEFS ARE BASED ON VALUATtUN, INCLUDIIYG Ti�IE C09T OF LABOR ANp MATERIALS: (U511�iG THE 1997 U.B.0 FFE SCHEDULG) � ItL•MODEI.IN<< � CJ HOUSE & GARAGC O A'fTACHEDGt�RA(3E � DCTACHF,1) ('iAleA(i� �Suffit D 7'rim O fasci� LlX;A7'IC:N+I UF wINDOWS �� ❑ uHAIlV 'l'11,E � U7HER Pecmit No.: - Rec:eived By: I)�te Rec'd: � ' � � j �;.� ` ; —1 ATE.'�,!'LI�� N t. @�SEMENT itF.MODC•LtNCc Sl1fiM1'I�: 1. �'xisting Yloor PlLi 2. Ptoposed tioor plen :�. I.iet at'saucwral mombms M Ee used PC)K NtiW Cc:)Ntil'RU(: ft(}N lNCLUDfNG DECK3, ADD[TIONS. & P4RC[�IL•S SUHMIT: l. Site Plan/5urvey slwwing the txisting guuctu� and proptrird pnr,ja:t. 2. '1'wo acts oPco�struction plaro 3. Encrgy Gakulatiorn TOTALJOB F'ermit Fee Plan [Zeview Firt Sunchargr Sivc6Argc Licnn� Surcharge SAC Chnrge Curb Cut �.scrow Frosion Control Park Fee Suwor Main Cltarge Totnl lluc � .,Z�� , .:2 � See Back Yage for Fee: Sc:hc;dule --- S 63°/n ut'Building Permit Fee �S .�� —_ .00I times the total job valuution T )�, 5/ .0005 x Ncrmit Valuxtion Minimum 5.50 S � 55.00 (State I.icensed Residei►tial Contractors) � 51550 per SAC Unit (Plans ta MWCC for deteimu�ation) S ft+6ft= ftxS21=$ $ 5458 Casseivatian Plt�n ltevicw $ Fee Uetern�in�d by Fngineerinb S A.greement necessary () Non Nxas�ery () � J" Mnke cb�;ks o�r�ble to: Citv of Fridlev Attrc ThE15 IS AN APPLI(:.A77()N FCNi A PERMI'I•Nh'!' VALIU UNTIL PR(X:E�JJF4D 1 h�roby �ty for a building permit and I a�knowl�dge that the u�formation ebove iy cumpl�te: and accurate; that the work will be in confotmanee with th� �rdinancda and codes of the Gity of Fridley and with the Mim�esota Cot�sa�iction C<xles; thst I undeistand d►is is nut a pertnit but only an applicatio r a pormit �d work is not to start withuut t� permit; that die work will be in accurdanoe with the approvcd plan in the case of all wor ' rcqu es rcv'e�w and approval of plans. SIGNATU[tE OF APPLICANT� `� � _�PRtNT NAME ��k � VZd� � � _„__�DATE / —/ `� -�� „_ Zd Wti6h :60 900Z 9Z '[ n!' z8zl ILS£9L :'ON Xd� Fia j p c a� fo f,1 c �; �.�pa� J