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AF - 43749sue�ecr PERN4FT NO. City of Fridley ° 13501 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r � � R P. . � • COMMUNITY DEVELOPMENT DIV. ,� ' r � L � PROTEC7IVE INSPECTION SEC. �� I � i � 1 . � 1 , � /'��1 � CITY HALL FRIDLEV 55432 NUMBER REV. DATE PAGE OF APPROVEO BY ` ""�' ,�� 612-560-3450 910-F15 � � � JOB ADDRESS 1611 Camelot Lane N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 18 2 Harris Ld�C@ Estates SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE Richard Miller Homes 1600 Rice Creek Road N.E., Fridley 571-1600 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. 5ame 4 ARCHITECT OR DESIGNER MAIL ADDRESS 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 ❑ REMOVE B DESCRIBE WORK Construct a 40' x 28' Dwelling and a 20' x 24' Garage ��;.�t��:,��';"F�, �f-�i!��F '.' _...�'?:, �'-'i .. , � t�. ','.:�J 9 CHANGE OF USE FROM TO T��' .�;:'� �...:_'�� '�• �. `•-' '-i ' r- .a STIPULATIONS Provide a hard surface driveway. Provide a verifying survey before capping. Provide sod in the front and side yards. Provide City with copy of truss design. SEWER LOCATION (Approx. 9' Deep) 15' S.W. of Manhole (Inv. 878.00) WYE ELEV: 877.94 —�'."'^^:"";^ �.--- [[.'. :..� . -. [ �� TOP OF FOOTING: 881.14 IL'CTIFY TI-'E FRIDLEI' �, �.+� WATER LOCATION: 10' east of sewer service. DlVI�;ON RE�=<q,;�,p�a C�'�� RE!VIOVAL AND REPLACEi•✓�CiVT r r n' � � AT DRlVEWAY OPEIVINGS. T'r:L C.?iY C3:' F.,t_.._� C�u:� t��OT Gll.32ANi'EE 7H"C AC:.U'�.CY O� UTs19iY LQ::�e',O¢�� D EL�"JATfC}h�S. T�9S {�1�7A iS Fv : Ei'!,'�"t�1,�T10;•d Ftli.NCScS �J;,LY �.ND PERjO�I� U;iiNG IT ,`iki:�ULD V�:�:il "i "iFiC iiv;=U2,"�ik7!^vN TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. WOOCI FYdICIE THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING S�. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT R-1 ZOH2+4HO 21, 576+4800 ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEFEBY CEFTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF �AWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $34, 235 �l%. �-2 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- STRUCTION-�OR THE PERFORMANCE OF CONSTRUCTION. y54H. HO $350. OO ��. PLAN CHECKFEE TOTALFEE '`�/ � � ',_ $415. 92 SIGNATUREOFCONTRACTORORAUTHORIZEDAGENT IDATEi �� WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT r� . ' "J , i � • .. , � � � �SiGNATUREOFpWNERIIFpWNER8UILDERI IDATEI BLDG INSP �ATE � : APPLICATIUN FOR RESIDENTIAL, ALTE�ATION, OR AllllITION BUILDING PERI�IIT CI'TY OF FRIDLF.Y, MINNESOTA � e N�►I� L. � OWNER' S NAME : BUILDER: � �� l� (� [/' �� L— �/� ADDRESS : ADDRESS :1 r � � ��/t: � C�?� �- ft_ �� ;�_ NO : . � � l r S TREET : �-�/'�1r1 � � J�]'— ' l /�-1�1� � LOT : I � BLOCK: � ADDITION : �I� f� �= ! � L—�-K- � � � 7`� CORNER LOT: INSIDE LOT:�_SETBACK: �� SIDEYARD: 'S �� Apr.?_i.cant attar_h to this form. ��o CPI'tl��.�at: s Of SLirvey of �ot and prego�ed building location drawn on these Certificatea. ^ �I:SCRIPTTON OF BUILDING To Be Used As: 1 � ��'��—''-- t �'�� Front : �L Depth : � � Height : � � Square Feet : % a � �' CuUic Feet : '�` �) � / �' �� ' �-� � Front : •� �/ Depth : . � � Square Feet; ��d Cubic Feet: Height : / '---� Q : � � 00 �pe of Constructi_on: �,�-J�'h � Estimated Cost: $ �i, �3� To Be Completed; %r0 �}J'-' � The undersigned hereby makes applicatinn for a permit for the work herein specified, agreeir.g to do a11 work in stxict accordance with the City of Fridley Ordinances and xulings of the Department of Buildings, anc� iiereby declares that all the facts and representations stated in this application are true and correct. DATE : �� ^ � � ° 7�' S IGNATITRE : �_ _�_ (See Reverse Side For Additional Information.) � �� $ � �, � �, � a ..�.s�, �-o _�.__ '�' �./S', 9 z. � g7 �� t� t�./4 �" � a•t3 :i Cj ��.o�, o� �.,� w � �''� . c°oA�1 6F T�KSS . �,�e s� cl N • .. _ ..�.�,�� BUILDING PERMIT FEE SCHEllULE SECTION 2. The Inspector of Buildings shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repairs to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to-wit: UDTIFORM BUILDING CODE: Type l, 2& 4-$2.15 for each one thousand cubic feet, or fraction thereof, in such cubical contents. Type 3& 5-$1.85 for each one thousand cubic feet. ADDITIONAL INFORMATION For the purpose of computing fees for building permits, the cubical contents of any building or addition, is determined by multiplying the ground area covered from a point six (6) inches below the floor line of the basement ox the cellar to the average heights of the upper surface or to the average- height of the roof surface of the ma.in gable of a pitched roof. For repairs or alterations to an existing structure, the fee shall be at the rate of $3.00 per each five hundred dollars ($500.00) or fraction thereof in the cost of all proposed work. In no case shall the fee charged for any permit as set foxth in Section 2 be less than $5.00. VERIFICATION OF FOUNDATION NOTE: Permits for eonstruction will be issued a minimum of 24 hours from the time of application, to allow for proper review of the proposed structure and of the construction site. A Certified Survey of the lot, showing the location of the foundation, once it has been constructed, will be required before proceedin� with the framing. CERTIFICATE OF OCCUPANCY Application for a Certificate of Occupancy shall be ma.de ten (10) days prior to the use or occupancy of any structure for which a building permit has been issued; and said structure shall not be used or occupied until a Certificate of Occupancy has been issued. ,,�,�.._ __ ' _ _ . ..--_ _ . _� . _.. . __ . ..� . . _ � � - -- --�-_;—.-1_-- -- � ; � � _ . _.�---- --� - : __ , �� i� � a�-��'�" �° - _ . ��'�f �/ �'� /£/e , , _ . . ,____ : _: (�� •�,.�t--. __ �3 � � x � Q = : ��/ 2 __ ��-l--�- -l--1--�--�---�---- „�Q�.,o-Q, /9 ',r � = 3 � � - �---t-- __� .�_ , . ! _.. .-� _ 1° ?`� _ �' 8' ': _ � s9 � �i , � , %5 �' .�'� o-0 2, � g '.r y D � // L o . -- __ . _ - � ,��- , � 9 ' '�' Z ' ' -=— _� � i . _ __ _ _ �o � L X , z = �.�, � � y __ � __ . ' � �� J ya: � G-A-,e. A�-� ,.z a x z v� 5'�0 ,r � a'_ = `� pa o - _ r _i — : , ; _ ; . -- . --- _ I i o2�J 3i� i _� --� ___ � -�-- 4--- -�---� - ,---�-- �----�-- --�- -�-- ----�--�--{- -. . -- -� ._. . ._. e2G J 3�:� � i,��c o v -- � — — ,: . , � !_ _ 1 _ � : � � -- . r--- , � � y�, �'� I i � i i i i� � i _ �j - � o � Y � �. 80 = � � 2 �-9, z ,� - �a s Z X a2. 6 a. a y� ��3, Z �, -' � $o k �. 4�� 3✓� Z � �. � . �_ - --�---�--!—�-?--=�� .�� 3 y y _�__�_.}_ �I- �'�. .3 f' -2 3s. °= . � �� ! ''�' � ' J _ � ___,____: �_ _:__ _ _ _ _ , { _ � r_ -�--, - s�- _ � I , � I � %�,/� . T , --�-- r---� ;___ � __�-_ � -- � � �_ . �3� o. Q � . _ �_�._ 1 _ - � -� �� - 9 L - �- _T- ;--T--t _ � , - : -'T __ • ��- � .� , . ' PeZqc .L of 4 ,:=-' EY.TEP.70R ]:tU:,II�I,OI'!: 11�Z'IL1CT: "I1" ;_U:�s�-'UTRTIOIQ � _� �_..._...._�__. � 4' ��.5 � . . , � . . - . � , , �y`� owrt: k: ,_lL�..�''.:��t�...��.��.�r� �,•rs�. c Ua�s ..�"/�/�':6 '�� _ _ SZ'i'E Ai�Al2�5S: 1f�_G�An1�."td 7"�Q/� � PHON�: R S�/ "%6OQ ._._,�,_ �a " , Co►�TR11cTaR: ��i�'.Sr'An�D�`��.f�',a�.�� '4;'�._� � De�ermine working square Sootage of each '"'S £ , , . i. Total exposed a�a�l area.:.... a/13,00� sq. ft. x .17 = 3b7.7/ �• , 2. 7'c�ai roof/ceil incJ a �ea . . . . . . �Q.�� , O U __. sq • f t . x . 05 = .5�/i /O ` w�� _ � _ Total exposed/�wall area ai�eae*-��ear = ZO O, G � . . , . . . . . �5 ,,A: �. Total wall kin�l�w area ................................ J8� yT ,�,, ia.. Total door urea ......................... ........... S3,',�3 :� �:` G. 1`otal slic:.;.n� gl: .s .doar a�ea . ...... . .. . ... ... �D,o Z. �: r �" d. x'atal fireplac� cv311 area ........ ..... ....... .. -�------ ` ��. �. Total wall .fr�min� 4rea (average 10�) . . . . . . . . . . . . . . . . . �?00,3 0 f. Total rim jaisc area ........ ..... .. ...... .: �/3�oQ � 4„' q. �,r tvall area above flcior............ . .. .. 1_S'ZG,OS'� ,,'�� ` h. wall area above iloor ......................... ; i. wall area ai�ove.floor .................... .. . , 3. � ............. ....... , wall ar�a above iloar. .. f To�.al ex�,aos�d �oundation area = �/� 00 + a;, . k. �bta1 f.our..d�tion window area ....... ................... "'"" �. TAtal net found.ation area Fbove grade ..... ... ..... s/7,p,� . . . . .. . , ,. .�1G '4��! �� . ,. ,;' lletermine "L" v«lue of each` wall segmen� � ` � � (e.g. window, d�or, each separate walZ sectiony '` � � � a. / � , '�� k n��` , .s / � = 9�, s� :.�'��` � � � � � _ ,- �.�.� o . �. �,� �/3 x ��tr� , �3 - � , 93 � � . � �. yb, °a __ X �� , s� - � �, �' a , _..e.�. X „U„ -- � -...-- �: ,;:�� - , � t: � e, �Qp , 3Ca x„U.. � l,� s aG, o�y r . � � f . ��,� � Q � }� o U t� � Q % _ �r / � a , . r � � ? � �� „�; _L.1 �" � _ � � • q.� ,OS }{ ��,,; �p7 �� _ ,�_ " , � � �. :� �. ,. � ,, � ».._ �� s z � h. a ,,t'„ _ , . F .> r � u�..r. 1. _T )( �.��n _ _ � <+ j � X „`�� r— _-- Tf item �3 i s Chc� �a� 2rMP�� or less t}�:�n iter.z 1{i, ytai# "�. ic. X :.L,� _ x,; ' have mc�t; the. int��r�� .c�t --- __�. �_.�.;,,�.----- Si3C GC�7b (c) 2 # ' , '7 - �r �G� - �, 1• • � ti_fj (i..,.__ � �,U �� _� ----• � � . ..-,,..=---- � , . � � ,%�°�'.�' '�:._ 7 � „terior Envelope Averaye "U” Computation Page 2 of 4 Total exposed roof/ceiling area = �d�o��oC� �; ��t- ;�s3 d.y�-��-3�9. m. Tat:a2 skylight area ............................ - n. ?btai raofjcei]:inq framing area {average 10'�) . . . %S�. ,�� ,�„��„�,.,_ '�.,y' o, Zbtal net insulated roof/ceiling area........... G,7%, 7p �,,� Determine "U" value for each roof/ceiling segment � � _ -...... m . � }C "U" � _ ._.._._, X _ ._ ; . ---- �. - n.� 15', ,�v x „U., � � � = 3, o/ 3 �x10 X � � ? _ '.�� - a �', 4s � �, o. f 7,7, 7v x„U„ , a� _ ,�Q,33 �� c? x• 5 �„ /: _---- 4,.,••. ..... ............ Zbtal = 3��.� �� If total of #4 is the same as, or less than #2, you have met the intent of ��fi: SBC 6006 (c) 1. a�,�; 4; � a. �, �:� Alternate Building Envelope Design k; � ;� Rb utilize the total envelope syste�n method, the values established by the'sum of � itc�ns #3 and #4 shall not be greater than the sum of items #1 and #2. � :�° 1. �3 �+ �, 7/ + 2. Sy, l d = yo� l,� l � ., � � ��. 3. �7. 3, a �' + �. 38,�5 = 3//, � , , �` s s � � �a �iF'��'�'` `�if`� L''6'c��,,,,"' � " �„ � � � �� . � �, :� , , �� . , ; .. ,:: , �� .., '' _ ., . = -, ,� _ �,..� f � �� . w .>. ;� - ,:,... X� �. k �t� . . :, �� ' , . - . � �. �, � 4F �:,: . :� _ � ,,;: , , _ � � �„ . _ _ x=` � ._ . �` , „ F. ,�, : � f� .. ' . . . . � . ' .. _ . , � ' • `}..' . � . . - . . . . ' �'�� . . fl � . , . ti' � , , � . � � � - � . . . . ., ._ �. . ' � . . . : . ,... . }) �.., .. . . . " . . .,; :•. � . � � � iy � � . � • . � . . . . _ . _ . ' � ti. Wl#LI, S�C'I'IONS �`�'�C�sG 10�; of opaque wall ar.ea for €rame co»structi.on f"��. #3 . . w '. y • P � . ' r � . � l.�. ' . �. � ` . • , . �. ` . Cc�nstruction Pag� 3 of 4 R-Valu� 1. Interior air film 0.68 2. ' � // /.f�,.�, • �iS.� ,, 3. 3�� s��aa� �/,.� �' 4 . %� '�' ,�id � � �f e�'f� �__ � � ,� 2.r _ � 5 . �6 �� t��a.r.� / L' � 6. Exter�rair film O.i7 Total �, G �/ . � � , �s � 1, Interior air film 0.68 �1�,�� 2. �� Gv�vs��► - � y� 3 , ,� ff ��—_ � ! � �s �(, b o . ,4 • lf��/ ,�;sd'ti a Gri'l�jL� � / .3 �.. �s ri • d%1% �!'l!�'Gr` ,6� t� / rP 7 6. Exterior air film 0.17 . Total � �, 2�` : U� ,0 7 ' �,..� 1, Interior air fiLn 0.68 � 3 �" 2 . �a`. �� ; a U ' 3 . // 1/ . ,�. / � $ L�_ . 4. `._.�." S . � L �/ � �Dt �CJ� i 6 / 6. Exterior air film 0.17 To�al � �-f, �/ �J= �o? ' <, � ,�yc��, Interior air film O.bB . 2 . �a '��,�.�� .�, . yS' 3. I�� f.�,�d �� /�.� s 3� o o� --r-- 4 . —_... . s. f'� S�-G ,B/o _,k � �i ,,.. 6. Exterior air film� 0.17 To ta 1 .S � a � . . � e . r- • 1 � ..5,-r r,T'r� � ' ��.. / � � ._ �_ ,r � _ � �. _ �r�� >� ' �� ...-- , � ��i , : . . � r zc:" �j � ��c � •tc � . . � \ . . � � � •- 6 �. . � Q� .• , � y � � . . , •,� ` , • � ' 'tt1 � , !,,(; � f � t ` /N !,, . ij // � ;� ' (lt � 1. � `�/� jl�, � //( � /�( _ !�r � i�n�i�l',: Ti1:�lCalt(� t�71)(' � ��?i�� Vll� ll('� (�nf)t fl iif)C� � .. y ._ • f t.� : �n • ¢ • ROOFf CEILING ,��` �: � � � • � � � � R-Value z� �„ .. f �� Construction - � • ',.--�'' �'G ' 1't�"�€�� 1. Interior air film fl.fi� r� �,.�•�� 3 �. �,v � 2 �s. � ; �y� �� ' ��; � s- .---r'�=`-y �� - y I �' ; " � ��, r� ,� s �,''" -,- 1 �; n� j� ��'c; �1'r` r--, a . �, . �. n�d.c ��._. , � ��!�?� '� - `} � ! 4. �xtierior air film (still} g �� _R,= . � � � !/, �i � �zTr?1 E{� tl�� Total S'� 6�� . 'i�'1;1�°T ;! :, _�......1_�_.�... -J; � . ; ��--�---- ______..._` l> �. , o y � j j � _�i �� .. .�'°��.'f" � nt ,'��f �i /►K , 6 / . ��:J `.�J � . . . �� . • � 5/ » - �,,,� , , , � � . `g � Sv�tr„� �c�' �i, `b'� .'l�ented iicat flow S � , 6� � �, �, !M �� up ,, �'� �' �,.,..�..---�-� " � , ,/�-- �� : • • `�' 6 �,�: � � ' ' . � � 1 �ry I � �' . > 2''IG. it5 �.��, �� :-. y;, r J jRS� 1�.�, 07 � `x� " �� l. Interior air film 0.6� -� 3 �.r;: £ �fi � _ � . � � :a�,-. �i� � a . s,��' � v,� �s ��+► ,.s�' tn�ll�,� N ,'tie�:.'hiJ}`!�.�_��'t�=:*"t`'��C..!'^,�-L.+0..�:r' . . � .. =-._.. ..__. _..r. �... -- i� r-----'_'�I-t- 3. 1 r`� °1 fi b d f sr��s 5 � �,�._- . � 4. Exterior air film (still) 0.61 �z, : � • Total � �, $ U „ �(� In j � � +p� � 11 �1 � �l � f � (i ��.� ��' k �� _..!_�! __1�.� .� �•::�� ,: _� t �r� �i�� , G / 4�� ^ ' _ � Sf$ r � �,og ��t � S`b � i � � p y�.. � � 3 n�. . r� ,�a��ss ;g,a G � �� ' �- �,, ,d, i� � �^ ?'.ezt flo�� vp . , ,-.venLed `�.n � 0 t1 s ' 0� � r� . . . , . � . - . . .FIr,. �kG � .. . �. , ' ' - 1. Inside air film 0.61 a " - -- 3 -•- - -- A� -._ ..�__-- - 2 - � , t, 3 �.� �& . �� , P.s!s� ` '-E•°•;r :� _ � ��^;.� 4 • f i lm 0 .17 � :.ou'�'�-: ;�',.�°,-L .. . : . :•... .: ;�;r� 5. OUtside air - .., - � ; � ,�-� •, ` ,,' _?`� �:.•''; • �+.�'�"._' 1 Total in..,.� -F"" t .lry.:"_ r---� � ,/ /"""...�' ,/ � ` 4 :J� __,�.: . / 1�^ �.r•r..� ��/ � . . . ., � �`�,f � / � � ` � - .. , '� ' Note: Use additional sh�ets if mox'e space i� �; �'"��,ji�� 1 2 . �/; needed for details, and calculations r� r%/ `/ ! , , - h, . �/�i . ,;' t / / +i ` ii�:?��%�,'i�Y� . ' . , . . •` _ � . �1Ct1 L ' � , . flow up � � . � .. • � r T'T,r. �'1 . • ;s . . � c:.... , i�3rans , � 31da r � ��a,�� . . .• ,• '� ► y�� .t� �;. / ..� DATE S�`3/?� SUBJECT l�'/r '��,r% �� f �'f'n`�- � ' j 4 ! ' : , ; , ;. : ..a. � ; :.. .;.. . I . .i. . _ ..: . �.. . . . . . , . � , . . . � i � . . .. + � . . , . , . ; � V�' �; /R/ /✓ Y . . � _ . . �� . - . . � . ' .. . .. _... ; . . �� j I ; ; ' ' _.. � ' . , . � -. � , , . � . ..i . . , K/;..� _ _ �. ; _ _ . , : ; I . j � } . i . ' � , � �, . � _ . �... , , � . .. . . _ _.._ _ ._. . � t _. ...., . .. _, . . . _ . . . a .. _ _ , . . . � . j K. � . � • ! I � �. � .. �. . . _ . - . . - . _..__ I ' _ , i- - -} i ' . ...... _. ._ � ,, _ . ;. t � � � X 3 + � �7., .5�_�.',�--,. � � � , , _ � -- -- . _.^ ' . : . :. r __ _ . . ._ ._ __, ; � . , �' � vZ � ' � ' � i !'�t �`1r _ ; : _ _ : ---�--- -'- -- , ._ /� _ , ; , _ , . . � ; ; �_ .1. :_ a� } �'�_� ._ I. 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' _._ j_ . , _ i , , : ; . _ _._ +.._ "_ _..� .__ __- � _ � 1 , � -- � ; i � , . , ; M � _ . � -- -- �-_.. �-- 1----r . F_..._, ....__ ;__ ,r. . ..__, �._. � , ' , ; j � � ' ' ; " � i i �. i ' i _. . _ _ .. i i ..r __._ __�—_ � '.'t..__ ._� . y__.. _- �_ - . . .___i'._.. ...y..._ _ ..__1.___ ._. -__ _ ._r.� ___ . , ; , r , , ; - ; ; � i ; ; : , , ; ; , , � , , � + i � �_— �- ! -i— .. � . ,—.. .-- . �.. _ -r. _ __ _. .. _ _ -• . . ,.. .. _ . . . . i _..... _�,__ __ r .. _ . r_ ' ' '-. '._ .. i.__' � + � � , , ; , � ' . . � _ . _. � � . � � . . . _ _ ._.. . . .. . _... . Y-- � - -•- +. -_--' -�.. . _ _.�_ --_-. •. -_ - '_ , . ' { . � � ' " , �� . ; ; i � ' ' - � -+-._ - -- - - -- -- ' -+---- .. .. _ .�— +— t � . r— -� ,--- � �. ___ . . , � I i , � , . !__ ' ~ — � uBURB�►N j�❑ NGINEERING �� i Nc. �� . �� lr�-1� � � Ciuil, Municipal & Enuironmental Engineering ❑ Land Surueying • Land Plarening • Soil Testing � .,, � I � ,� � ; 3� � Mr. Dave Harris 6279 University Avenue Fridley, Minnesota 55432 Re: Lat 18 Block 2 Harris Lake Estates Dear Dave: Main Office 571-6066 6875 Highway No. 65 N. E. Minneapolis, Minnesota 55432 South Office 890-6510 1101 Cliff Road Burnsville, Minnesota 55337 May �o, 1976 At the request of Richard Miller Homes on April 22nd we examined Lots 17 and 18 Block 2 to determine whether black organ.ic soils were presen.t under. the inplace f.i]�.. The normal basements were roughly excavated at that time, and in addition the excavations were horizontally oversized. On Lot 18 a black layer was determined at about 2'-4' below the basement grade. Subsequently the organic soil was removed by Jerry Belair, granular backfill was placed and compacted. We examined the completed excavation, and ran a density test on the backfill which indicated a density of 94% of modified Proctor density. The excavation appeared clean and adequately sized. Based on the above�we feel the foundation soils are adequate for normal single family construction provided two #4 reinforce- ment bars are used in all footings. WKM/jp cc: Richard Miller Homes Jerry Belair City of Fridley Sincerely, SUBURBAN ENGINEERING, INC. . �� • ,�,_.,.= William K. Meyer, P.E. /l�.h,�r llind,-r. Kr.q Rn�,•. b: :l /fulhM1un. /ieg. Suru. N'�rt. F,'. Price. Reg. Eng. (:�u'y ff. (/nrris, Reg. Suru. � IVm h: �/rn..��ri. Hr�;. RnR. lVrn. !�. Alcyer. l:eg. Eng. //. Willimn (.ogers. Heg. Suru. 0 T'Fi,�'i5�"s�Ot`'"s�-ii ivii �i.!!�•-�..•^:,'� �?7'^_.�1�,",.�, n� i-��e-r'�_ - Aa; � +n n,.,+/ti°1,..��, �'� +�! a� �,.,,�� iw�,�.c.a L �r.�..>itr f;.�s� lY��<aE...,� �'aies�ie:�,�`� �1ici••€�ai�Di'w�:�` ��s��i�vrv�aYF��+ �{-i(iK'vi j/��} � .^ "1�-:�+n . �+'::a! �c�s +�(n.n�..,� +'�?' �j yq•' ��r,� Pt�� 9s�6�.�J111fib�iY3YK� eo9�y }I�diJSuid '�IG.YiiI.I ��SI/i� :y��i i PA ��i�r�. RAT� SCl��D�.�i� caaPn-�r w�►� xrx: 7'urnacr sr:eil dc J�xt wori� Reqlacrmeat of �rna^e °�Dairs & A'::rni.GnS--Ug t0 SSOG.00 Re;airs dr Alt�ra;ion� �ach ad:i. 5500.04 �LC�L W AR3f /1SR I�l:rnace Shetl rc Duct Wo*k ta Ia0,0U0 B'I'TJ e�ch :dd. 60.L?!0o 8':iJ . Re�iaccrn�mt of i1�rna^e Repairx & A1te�atiorLS-up W t500.00 Ftert;,sin ac Aite�ra�o�� each add. t5'J0.00 �a ►� To�r�. Elo.o� i 6.00 $ 6 ;i4 S • 3W i E ] 0 00 ; /�,�, �� 3.W i 6.00 1 8.0o i 3.0o i srE.�►K a: xcrr e� arex 4Yar�s F�r*:acr Shr.lt Sc Ltnes- tu 4C�0 sa. ti F.DR S`ear.: �lp!w? S iL•rnace She:l & i.ine--to 640 sG ft EJR Ffot Water 2000 S. Each Rdd 20�1 sC. fl. EI)it S�tam � txl ;_ Each add 320 sq. tt EDR Hot Wa:er 3.00 5 C1L BURte£P-to 3 gaL per nour g.Qp S, over 3 gal. per hour�ee Fee Schedule _ G11"3 EIIR� (up to 199,(XJO :3TU) 6.�D = ��C� <yver 29°�.000 BT'tJ 3�. Fw 3ch.dul• GAS FITT31iC �E3: Yt0 RATE T07AL lst 3 flxt�res -- x; 200 E L�G Additional iiztures _, z .76 S__. _._ Gas Rsngt to 199.0(#Y =� b.OU S_ — A.IE GO�'DI1TQ24I3iG� ra� �arz�sa s�ra� �'L]RIL3TffiG 87�3T� u.��►�►�ra�a s �uas �crux ��i l ' Lf ^ ?�/ State Surcharge .50 � See Fp �t� i , i �i Tt?TAE. F'�1�C = ��' `- l Dr,+t. af �l�'�a. Phonw �.,°•'1-3�i..'Y3 L,,�� 1611 Camelot Ln. NE \ Cicy of Fridiey: 7'he +in;tezsign� here?�y makes applicatior for a prrr*�?t fos 2he svoric tserei; speci:i�•d agrcti�ir,g ',o de al] •.�•ork :n strici accordance with the Ci:y Ord}nar,se� and n��;ng ot the Depat tm�nt vf I3u�ldin�c, �d herQby declazes thaw aIl ths facR.t and re{,r�rsentatiuns statrd �n tt�is appi�caiion rire true and correCt. F��d1ey. �[inn 6-1-76 �q, � �,,,n� Richard Miller Homes Kind of Auiiding . fr'ame � tJ�d a� residerl�ae To t,e completed about 6-30-76 EStima�e� Cosr, S ��-J Old-New. Bui{ding Permit No. ---- ----_-_- � Permit No.�Q_� �;.s��'IFPTiO� OF VF'O� FiE.0.^'TNG or POt�ER �'I.AN'I'S--.'�tcara, iiot Watcr, Warm A.ir-I3o _. Trade Nam�eSt. ______ Size !io FGUB-110E Capacity-- . _.11 OM__ �. � ��.R � 3P 7'otat connected I.oed_____5 6, 6 4 7 uad et FUri gas BURNEH -'ha�e N�nm� same Size No Crpacity _ 3q. !L ED-R BTtJ ST-_ Lennox 3 ton A.0 st� ��„�J G� #4021 John V. Borry �_ FRE� vo�r & �� H�ATIN6 & AIR CONDIiIONING Q260 6orhsm Ava, 929-67b� � � �0� . li'P r .�'A'RI'iRTI�TEfS'�7l.s f�ANtf...ovtf�) ; �,�,.� _�/.� �/ S�D � �7 � �f t/r� �i=u /�n,l�Xl�fjy f i%`'�^..�',��.-- . :i J✓� ,',.. �.__.._ S�'�-h-.-c.d.�� / , , �C� / / C°'-�l-w.IZ✓_��''�" • o�e�..,J „ HEAT LOSS CAI.CUl.AT10NS N? ��' � J� T A.S.Fl.�. . ? Weatherstripi Conitruction No. In�ulation Guide i Window� Doon Reference Out. Wall int. Wall Ceiling Roof Floor Kind How Applied � Yes—No ( Ya— l�0 19_ ' FL�� Room Length ��-- Width // Height �'�- FL� ;��,P. Room Length Width Height P�, W�ndows and Doore—Crackage and Area Windows and Doors-�rackage and Area Width He��t No. ot Llnul tt. Area W1dth Hel�ht No. ot Ltneal t[. Ana y� 7VO. o! D��e of D��e II�AU of tt�ck �Q. [l. D No. of pan• ot Dan• Il�ht• ot crack �C. ft. � - ,� � ,� � � �.- � . c� %� �. a � � � t -� � F �� Coef. Bcu Coef. Btu In6ltration �.? ,L :; ^ �/ . '� Glass �J � Eup. wall / " ' /0 <- Net exp. wall B c:�� Se .a Int. wall • Ceil�ng /,S�i- `� -' �'� Fl�or ' Tocal Btu. '7 � Required sq. ft. E.D.R. or eq. ins. W.A. L.eader area Fl.� ;l Room � Length �/.�_ Width /�� Neight �'�i Windows and Doors-�rackage and Area Wldth Hal�ht No. ot Llneal ft. Are� No. ot pane o! Pan• II�AU of crack �O. It. -/ � n- i, `�' c" �, � Y �v Coef. Btu In6ltration � _ � �' Glaat v t:' ' ,,?. Exp. wall " f Net e:p. wall �� , �' l_. Int. wall " Cei�ing �rtJ � ,Q ,� Floor Total Btu. "7 / � Required sq. ft. E.D.R. or �q. ins. W.A. L.eader area E'I. f/ • Room Length ^°~ .�, Width Heigh � Windows and Doora--Crackage end Area , Wldth H�t(ht No. ot Llnaal [t. Are• No. of pan• o! D��s Il��t• ot crtek �p/ tt. • 2� `"�/ S r g e- - !n �� ' f, Coef. Btu 1n61tration ' ""' �. � . �� t Glai� "�' � ,' � E�cp. wall ' � q,L ° • • Net e:p. wall . f,% 7 Int. wall Ceiling i � j D Floor ro�.� 8��. - • ~ - ;� Required sq. ft. E.D.R. or sq. in�. �V.A. L.eader area ,/ FI. ;i-' .,.,;�. �. Room ( Length 6'°` Width �, Height `� a.'.-` I Windows and Doon—Cracicage and Area Wld�h H�I�At N�. q[ Llneal ft. Are� No. ot y�n• ot Dan• I1[�t• ot erack �0. tt. �% "T /l� 1 / / . 1 // COtf.I B�U In6ltration � ` �, Gla�� - Exp. wall � Net e:p. wall <"' '� Int. wall Ceiling , �, Floor Total Btu. Required iq. ft. E.D.R. or �q. ini. W.A. l.eader area - -- — - - �___ _ _ _ _ �,.. Inbitration C,lass Exp. wall .� �7 + Net exp. wall Int. •rall Ce�ung Floor �_� • � . ��: • . ;; .�� r� � Required sq. ft. E.D.R. or sq. ins. W.A. l.eader area �/ FI.I ;`,k?;�r,,:? Room � Length,,�' W�dch�. Hei� Windows and Doors—Crac�age end Area R'Idth Hel�ht No. o[ Llne�l (t. Are• No. o[ D►ne o[ D��• Il�hu ot crac4 �V� tc. : J ,-� °a �. ! a Y-- 4L_ 1n61tration Glass F.�cp. wall 7 � Net exp. wall Int. wall Cei�ing �-�,li� �',;,.. Floor 7�ota1 Btu. rY-, .. � Zequired sq. ft. E.D.E�. or sq. ins. W.A. L.eader ar�a �I � Fl.�...�.,s- � � Room I L.ength Width / U, Height g-^" : Windows an oort—Crac�age and Ares /� Wldth Hel�ht No. 01 Llnaal !t. A�e• �• � io. ot Oar�e o[ Dan• Il�ht• ot craek �Q. tt. � � � . ; �., � � �.� � ,� � � ;V Coef. Btu � nfiltration ;? �., � � ! �lass /�/ !'! Sr` ��'� L �cp. wall ,�4' ,t�,_ ' � ..r ; . Vet exp. wall nt. wall _ei�ing =1oor �' �;, 3 ro�si 8��. 3 � �'. �.. 2equired sq. ft. E.D.R. or sq. ins. WA. Leader arca �— FI.�;' 1., T.�,-, • Room ( Length f� W�d�h - Height �'�..�. Windowe and Doors—Crackage and Area , Wldth Hel�h[ No. of Llne�l ft. Ar�• o. of Dane o[ D�n• IIL�t• ot craek �Q. tt. _ a .{ f t .`i %A- � �� -. I ( i� t n6ltration ,,;. ilass :xp. wall ? � ._ d� -:.., � �et exp. wall nt. wall t:;� -: ��i�ing �loor 'otal Btu. Coef. Btu � �' �/Cl , �� --_ �� —�� Required sq. ft. E.D.R. or �q. ins. WA. Leader �re� _ _ _ � `� . N�EAT LOSS CALCUlATIONS Weatherstrips A' '''' Con�truction No. ln�ulation Guide Window� Door� Reference Out. Wall lnt. Wall Ceiling Roof Floor Kind How Y�s—No I Ya—No 19.— �.� �- Room Length �;;� /; Width /• Height �� ?,.- FI.� Room � Length Width Windows and Doors—Crackage and Area Windows and Doors--Cracicage and Ares �viath Heis�� No. ot L�n�.l (t. Are• Wldih Hel�ht No. o[ Lln�al tt. Ara� No. o[ D�nt of Dane Ilfhu ot t ack �Q. It. No. o[ Dan• o( D�n• IILhU ot crack �O. f[. ,�,�y . ' }�'_ - , d� ' ., / ;A ; , . f,-, '� ,_R.. � �. ,� Inbltration Class Eup. wall �'= / ' `�_..z Net exp. waU Int. wall � Cei��nq Fl�or �_ Totel Btu. .::� Coef.� Bcu Coef.l Btu ' Infiltration ,� Giaas Ezp. wall � Nec exp. wali , Int. •+all Ce��ing Floor Total Btu. . Required sq. ft. E.D.R. or sq. ins. W.A. Leader area , F1.� ;��..�, Room � l.ength /' -� Width �" Height �-�- FI.I Room I Length Width Windows and Doort—Crackage and Area Windows and Doorr—Crackage and Area Wldth HN�bt No. of Line�l fL Are• Vt'Idth Hel�ht No. ot Line�l ft. Area No. of Dane of D�n• Il�ht• ot crack W. tt. No. of Dane o[ D�ne II�At• ot cr�c4 �Q. ft. �. � -= . � , 1 ,� s / E. � lnbltration Glas• E:P. wall �v ' �%.,,.__..L � �. � Coef.l Bcu Net exp. wall � '�-r" � Int. wall �i � ' --�� ' Cei�ing Floor '" � � -% Total Btu. � . Required sq. ft. E.D.R. or iq. ins. W.A. Leader area � FI, r� ;;-, , Room L.ength,;� ' Width �.'�. Heigh Windows`and Doors—Crackage and Area R'Idth H�Itht No. ot Llnaal tt. Are• No. of Da^e o( D�ne It�ht• of enck �a- (t. � �;' s� % r�� - � Infiltration Gla�� Coef.� Btu Net e:p. wall ��' �La v° �' Int. wall /:: J ,� '��.5- Ceiling Fioor � :;. S �� Total Btu. `�� "- '� Required sq. Ft. E.D.R. ot �q. in�. W.A. Leader area % Fl. Room � Length Width Heiqht Windowa and Doors--Crackage and Area R'Idth H�I�ht No. o[ Llneal tt. Are� No. ot pa�• ot D��• �Ifht• o! crack �V. ft. Coef.� Btu In6ltration I Glai� Eup. wall Net e:p. wall Int. wall Ceiling Eloor Total Btu. Required iq. ft. E.D.R. or �q. ins� W.A. L.esder area In6ltration Glaas Exp. wall Net exp. wall Int. wall Cei�ing Floor Total Btu. Required sq. ft. E.D.R. or aq. ins. W.A. L.eader area F1.� Room V Length Width Windows and Doon--Crac{tage and Area Wldth Hel�ht No. ot Llneal [l. Are• No. of pane ot Dan• Ilihu ot craek �p. tt. Coef.� Btu In6ltretion ��; Glass � E�cp. wall Net ezp. wall � Int. wall � Ceilinq a � Floor '; 7�otal Btu. Required sq. ft. E.D.R. or sq. ins. WA. Leader arca _ Fl.� Room I Length Width Height � Windows and Doors—Cracicage and Area Width Hel�ht No. o[ Llneal tt. wre• � No. ot D�r�e of D�n• Il�ht• o[ crack �Q. !t. + Infiltration Glass Exp. wall Nec exp. wall Int. wa�� Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ii y�i . � _ �� it,+ cs�€ F�idla�y � � p y,�! ,p► „mn. �^�±.,� Y �! , 6'�y �,'i$'r.�s;::� �x�.� �3'G.,°�'.�ui/�'� �.i:� 1.�i•�:w � 6�ra:�'� �r'i.��.,�� . Dept. of Bldgs. Phonw 3&0-3450 ��- DE�CRdPTI01V OF WOR4{ /� j/ �� `0� �� tdumbaz, Kind a�d Lx¢.t�em oi FiKtures I'OC'��+�- 'A , F � � � p � �3 � � � �i Base � � 1 Jt Q U WATEN NTR. N I Z` � p� Z � Z O� u Z • • Z �� o o, � o c �� 3 < 3 u� U a � V$ I N G�S FIEC. 2nd 3rd 4th _ • Futtiu• ConnocL4oa Ogsaiz�s + Naw Fixlurs, 02d O�oaings PARTIAL RA7E S�NEDULE Soass Cccapool FLIIMBING FI]CTURE RATES: NO. RATE TOTAL Number Fixtures . . .. . . . .... . .. . . . � x �2.0� � � .�� F�.iture F`ixture Opening . . . . . . . . . . . . x 31.5U 3 _. New Fixture Old Opening.... .: .... . x�1.50 ;_.___.. Catch Basin . . . . . . . . . . . . . . . . . . . . x 33.25 � Water Fieater ;Up to 99,000 BTU1. • • • � x $3.00 $ �' �U New Ground Run Old Bldg. ... ... x$3.25 $ Electric Wator H�at�r. . . . . . . . . . . . s a2.00 S �AS FITTING FEEB: IdO. RATE TOTAL 1st3Fixtures •••••••••••••••. • l xS2.00 ;� Addltion�l Fixtures . ... . . . ..... . . . . . x ; .75 S ' Gas Range to 199.000 BTU .. .... ...... , x a5.00 4 City o1 F�idley: The undersigned hereby :nakes application for a permit tor Lhe vrorY herei specified, agrecing to do all work in strict accordance with the Cit3 Ordinana and ruIing of the �epartment of BuiIdings, and hereby declares that alI the tact and representations stated in this application are true and correct' _ Frid1eY,. Mian ✓ CJ�� , 28! v Owner Kind of Building �/��7��+ . Used as v ��` r�� - ' TvC�r �o To be completed about 0� C d+ Estimated Cost, a � 6k�L—New. Building Permit No. Pormit N. �� .: �GM► Signed ' . By ti '- o�.��,,-�. Business Phune No � uoua� FINAL� � a� S ' � (c� . REPA2R3 8c ALTER1l?IO�B—R.f•s !o Cod• .50 State Surcharge . Descziptton . . . . . . . . . . .. . . .. . ... . .... . . . ... . . .. . ... . ... . .i . TOTAL p'EE ; �� S� City of Fridley AT THE TOP OF THE TWINS r � � � �• COMMUtJITY DEVELOPMENT DIV. ' j b-��-�� , r � � PROTECTIVE INSPECTION SEC. 1 i � � �"'1 � CITY HA�L FRIOLE� 55432 �""'�'� ,'' 612-571-3450 J08 ADDRESS 1611 CAMELOT LANE NE 1 LEGAL LOTNO. BLOCK DESCR. 18 2 2 PROPERTYOWNER Herb Schmiel 1611 3 CONTRACTOR D & D Home Improvement � -sacH17ECT OR DESIGNER r� SUBJECT BU ILDING PERMIT NUMBER REV DATE PAGE OF 910-F15 4/11/94 / / ITRACT OR ADDITION Harris Lake Estates IL ADDRESS Camelot Lane NE MAIL ADDRESS Z�P Inc 7401 Central Ave NE, Fridley 5543 MAIL ADDRESS Z�P ZIP PERMIT NO. RECEIPT NO. '---� ��.� AVPROVED B� 1 SEE ATTACHED SHEET PHONE 574-9985 PMONE LICENSE NO 84-7543 4840 PHONE LICENSE NO. PHONE IICENSE NO. , � HOUSE HEATING TEST � ADDRE55 �' � / I ` -,,� ; ,, -�1`,- , , RECORD , t , � '1 . ,+. OCCUPANT ` 'f '� � ' i • ¢ ,:� i � - "` AP T. ; . HEATLOSS ' �. FLOOR__C�TY ''` ----DATE FIT ' � OWNER �—SUBURB ��,,,�r SOLD gY ,..w.��F �NST. Electrieal Work By , INSTALLED BY TYPE OF IiEAT `�" `=' GA _� FA �:° HW Gas Line By STEAM SPACE HTR. GAS DESIGN UNIT 117'R, OTHER MAKE � � Model �° ` `'°�-J CONVERSION ''' ' r�+ r, � MAKE OF BURNER s°n°� ;� °' ` Model :- �,:: INPUT F` r.' Max. BTU Rating MAKE OF FURNACE �ONTROL S Model THERMOSTAT �`"'� _' � .j Valve }t �— Hear Plug VenT Size �- Limit " KIND OF LINER . J .e'' Limit Settin9 .,' �raft Hood ,�..� .• SIZE_`__NONE�_ Fan Setting � Filters "" Re9ulator Pilot Type ° t %' . Chimne S1Ze Number Fa{ ,,� Y Loeation Insid� �" Pilot Make �'� �,�/ Chimney Construetion ��—Outside Pilot Model �t'�`'°�''� Pilot Timin9 i $moke Bomb L.W. Cut Off - ,�''.�'�;.� .. Wiring �., � Draft t.�,. Prossure > � �oo► Pressure Test Tag ' Input CFH .% r' ,:T r Percent CO ��`7� � � Lighting Inst. , Percent p2 Date Tested � - ;r,, .- '�• *. Stack Temp. Co2 i♦ ComPeny Testing .�! ~�_..s,±,� Peree�t � , FO��" 235 Ncme of Tester AUTHORIZED 15 rvv� �. ...._._ OR WORK iS SUSPENDED OR ABANDONED FVht r+ ��.�..__ _ ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WOFK WILL BE COMPLIEO WITH WMETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF NY OTHER STATE OR LOCA� LAW REGULATING CON- STRUCTION O TH PERfOfiMAN F CONSTRUCTION. �' �// � S�GNATURE OF CON � RACTOQ ON AUTHORIZED AGENT IDATEI SiGNATUAE OF OWNEAUF OWNEA BUILDEFii iDATEi NO. DWlta. v....,. � I STALLS VALUATION $1,155 PERMIT FEE $29.00 PLAN CHECK FEE License SC $5.00 WHEN PR RLY VALIDA � � (� �i-/7,_, GARAGta RTAX SAC CHARGE Fire SC $1.16 TOTALFEE $35.74 D THIS IS VOUR PERMIT � �r�(�, qaTE IJEW ADDN ALTER [� [l il Construction Address: Legal Description: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application L�r� ��r Effective 5/26/93 �(� � Owner Name &. Address: �"%k�� SC7//l"lj�'� Tel. #��%i��%� Contractor: D& D Home Improvement, Inc. MN LICENSE # 4840 Address: 7401 Central Avenue N.E., Fridley, MN 55432 __ Tel. # 784-7543 LIVING AREA: Length GARAGE AREA: Length DECK AREA: Leng#h OTHER: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Width Height Width Height Width Hgt/Ground Sq. Ft. Sq. Ft. Sq. Ft. Corner Lot [] Inside Lot (] Ft. Yd Setback Side Yard Setbacks Type o€ Construction: � t' �S%l � �� iP� .� �� Estimated Cost: � �/ �� Agprox. Completion Date: ,�1>% 1,��T,�9f'/ f� l��Z�i9��S . (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: APPLICANT: � L��''��Z._: Tel. # Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL t , -- � �1 �, C� C% Fee Schedule on Reverse Side $ /, � �- .001 of Permit Vatuation (1 / lOth %) $ , �r^ $.50/$1,00U Valuation � $750 per SAC Unit $ ,� . �' <' $5.00 {State Licensed Residential Contractors) $ Alt. "A" or Alt. "B" Above $ Conservation Plaa Review $450.00 $ Fee Determined by Engineering $ Agreement Necessary I 1 Not Necessary I l .� r� - - � �� / � STIPULATIONS: 'I sua�ecT PERM City of Fridley 4� .,. _�;,� AT THE TOP OF THE TWINS g U I L D I N G P E R M I T � r � � � �• COMMUNITV DEVELOPMENT DIV RECEIPT NO. � � �� r � L � PROTECTIVE INSPECTION SEC. ;j i � � � � , _ ' ' /'��1 ! CITY MALL FRIDLE� SSA32 NUMBER AEV DATE PAGE OF APGROVED B� �""�"� �'' 612-571-3450 910-F15 7/12/96 / / J08 ADORESS 1611 Camelot Lane NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1H 2 Harris Lake Estates SHEET 2 PROPERTY OWNER MAIL ADORESS ZIP PHONE Herbert Schmiel 1611 Camelot Lane NE 574-9985 3 CONTRACTOR MAII ADDRESS ZIP PHONE LICENSE NO Builders & Remodelers Inc 3517 Henne in Ave M ls 55408 827-5481 1100 4 ARCHITECT OR DESIGNER MAIL ADORESS ZIP PHONE UCENSE NO 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION p ALTERATION X REPAIR O MOVE ❑ REMOVE 8 DESCRIBE WORK Siding & Windows 9 CHANGE OF USE FROM TO STIPULATIONS Replacement bedroom windows must meet the State Egress Code. TYPEOFCONST. OCCUPANCVGROUP OCCUPANCVLOAD SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT CU. FT AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFfSTREET PARKING t HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES ANO KNOW THE SAME TO 8E TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL 8E COMPLIED @ WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT y�13�SOO �6. %S DOES NOT PRESUME TO GIVE AUTHORITV TO VIOIATE OR CANCEL THE pERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION �ZIZ.ZS Fire SC �13.SO PLAN CHECKFEE TOTALFEE License SC $5.00 $237.50 S�GNATUAE OF CON�AACTOA OA AUTMOA�ZED AGFNT iDn7Ei WMEN PAOPERLY LIDATED THIS IS VOUR PERMIT S�GNaTURE OF OWNEA��F OWNEA BU�LDEA� �OATE� BLDG 5� r� 7E NEW ADDN ALTER [] �) �� Construction Address: Legal Description: CITY OF TRIDLL'Y SINGLC rAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application _ �,,, . %�'�;,�r _ Cfiective 8/ 1 /95 Owner Name & Address: f J�'�;1 �Jf �T�%yl'�"� //��'l�� i� � Tet. # _-=� '%�- J`�� Contractor: ,j� (� /�'� � - QC��S 2�7�� - _ MN LICENSE # ��'L��/�� Address: �.;`� j � � , ,� � �-c , � E ,��',.�I'.:�./� � � � ,, �/' Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. I.,IV��G A_RFA.: GARAGE AREA: DECK AREA: OTHER: �1en�th Length Length DESCRIPTION OF IMPROVEMENT Width Width Width Height Height HgtlGround Sa. Ft. Sq. Ft. Sq. Ft. Comer Lot [] Inside Lot [] Ft. Yd Setback Side Yard Setbacks Type of Construction: � �� i�� ; �� I�. `, Estimated Cost: $%_ � C�� `�" — Approx. Completion Date: ��r �� r.�� 'S C (Cost on Back) Driveway Curb C�t Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: _ APPLICANT: �,��,�,.-c.Z� ��;. , ; Tel. # �02 7-.�Y,f / Permit Fee rire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control $ � �, �''� s i� , 5`c� $ �, �� $ � �; s �� $ $ �ITY USE ONLY Fee Schedule on Revetse Side .GUi of Permit ij�iivaiion �i/fl�1ih�� $.50/$1,000 Valuation $850 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [] Not Necessary [) TOTAL $ - � ^� �� , � STIPULATIONS: �10�°� HOUSE HEATING TEST RECORD i r�� / '/ � ADDttLSS �' ' L-�� `� �� APT. FLOOR CITY SUBURB ��u �� OCCUPANT !`%��G�u ,Lf� OWNER HEAT LOSS DATE HTG. INST. SOLD BY C� INSTALLED BY ��- �� El�ctrical Work By i�%'y'/�<o�-<— E�e Gas Lin• Br TYPE OF HEAT GA FA� HW STEAM SPACE H7R. UNIT HTR. OTHER /� GAS DESIGN CONVERSION MAKE J` ut MAKE OF BURNER Mod•I ��PL! G7�_.9Cr/_=2.:zG3 Mod.l S.�ial �'� S D 3aaFy� y9os'9US �x. BTU Rotiny INPUT TU�� MAKE OF FURNACE Modsl CONTROLS / �� THERMO TAT f� � Heat Pluy �S V�nt Sizs y Valv �-� KIND OF LINER SIZE NONE�_ Limit - `�-� Droh Hood Rsyulator Limit S�Mio� `�G�r Filt�rs Siz• /G�� L Mumb�r� Fan S�ttin9 (�im��y Loeation Insid� � Outsid� Pilot Trp� ✓��' Chimney Construction ��t�°-''� Pilot Mak� y � Pilot Model Smok� Bo b Wiriny Pilot Timiny ��`�`� DraFt ��v�' T•st Tay L.W. Cut Off Door Pressur� Liphfinp Inst. i Prossun -3 y P�resnt CO 7 Date T�stsd ��— j- Input CFH 7r P�rc�nt 0� 7- / Company Testing H Z Stack T�mp. J�y Perctnt CO Nama of Tsster Fwm 235 CITY OF FRIDLEY INSPECTION DIViSION �43i l;niversity Ave NE Fridley, MN 55432 APPLICAT�ON FOR POWER PLANTS AND HEATING, COOLING, VEMTILATION, 572-3604 REFRIGERATION AND AIR CQN[iITIONING SYSTEMS AND DEVICES RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner - Also Replacement Furnace (Side Vent • Fill Out Back) Gas Piping (Needed with new furnace, but not replacement) Gas Range Gas Dryer *Air Conditioning - All Sizes Ali Others/Repairs & Alterations (LIST ON BACk:) 1 Jo of Value of Appliance or Work Commercial/Industrial 1.25% of Value of Appliance or Work Rate TOTAL $ 30.00 $ G. � $ 10.00 $ $ 10.00 $ $ 10.00 $ $ 25.00 $ $ $ State Surcharge TOTAL FEE MINIMUM FEE FOR ANY HEATING/COOLING/Y�NTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS 25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $47.00/Hr *Air Conditioners can not be placed in a side yard without written permission from a�joining property own �r. $ .50 � 30.�� Effective On May 10, 19�9 JOB ADDRESS ��?ll _C�A-i-+��o"� �A �-'•v= OWNER ��/�C� k,q-��4-Qoc�, s BUILDING USED AS �� L'1-�-i�G ESTIMATED COST o�t�O PERMIT N0. i'��t1,-_" DESCRIPTIDN OF FURNACE AND OR BURNER No. of Heating Units_� Circle One (Steam) (Het Water) Warm Air Trade Name R� J� . Size No. G'6 �r-r �•� BTU__�; o�� _ HP EDR Fuel N/�z- _ Total Connected Load Burner Trade Name . Size No. BTU HP EDR 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 an rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. �LlPERoQ� rC►'�?'RAr,��r- ; E�,::� 6121 42nd Aven�a� ��lo. Crysta�, F.iit 554�- HEATI Signed Approved By ��_ Rough-In Date DATE 1�—/`� Qy �- / Final Date � � U , � CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes ('� No () 2. Is free from rust or deterioration 3. Has no foreign objects lodged within 4. Is securely supported 5. Meets all current Code requirements for size and total BTU's connecied 6 Has total heating BTU's of � S�c�'� � All other BTU's �,� , C� d� TOTAL BTU's / � O, �e� 7. Has a liner been provided for water heater 8. Has combustion air been provided for water heater Remarks: List ALTERATIONS Bein Done: HEATING CO: Signed By: Date: r�s^S r'a'�� i;t.' ,_ir.�.-':;�`'._: _ ... � vlil' rC'�c3ti�.. . - 6121 42nd Avenus �!o• Crysta�, F�i�� =� . . �l�-i�Ry Yes ( �No ( ) Yes ( � No ( ) Yes ( �No ( ) Yes ( �No ( ) Yes ( � No ( ) Yes ( �No ( }