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AF - 43717. , ' , . \ vj�� . ' �i�� ` '.�� i�s�y � _ � � �� . � R A,.'-� r�� r B';°•* ' �q • ' . �,�5��ic��a� �� ;c�,�r�::�z�� .�� u�a��;;:� ��:,�q . � - -- �. l.---....--_ Dept. oi Sldp�s. I'hono 5:�-3550 '.. I D�SC�IP'ilO:T GF C10I�i: • • �,�sa� • �C S� ��'tvZ `` ' ` TZua:Sa-. F:i:.3 e.^.d I.,ecr!ic� 01 Flx��-c� . . ! ' � I � p I WATf4 �+Tk. , City of FYidley; '�C .'" � � � '� �� ta I� $ Z�� z;<� 7� I7 ` r N +c�s c�cc. The ur.dersigr:ed hereby rr.akes aDp�.lcation for a r.errnit tor thr mor� herei � � < � � s, ; •- ..:::�s o f; � � � � �' � ;t � �c o � � ; o Iv � < # �u � u a '� � 1 N� ! � s�ecil:^d, a�ecing to do all �.•o: k fn st:�ct acco; �ar.ce w.t.. t?:e C.,� O:�:r °' ! � ar.d rulicg of the Depurtment of IIuila.'a�s, azd here5y detlares t�'�at LI L`:e fac4 E3:r � ( � 1� � � • and r�Dresentations stateci in Lh:s a�Dlicati.oa are t:ue d cb:aect 1" `�" � � � !' � �%jdley,�an c3 �/� � ,. a -- • t J -.�y� 3:d S :`� - - c�:..:._::� ai::� • Fu:�.::a Cc =::.:2.'..-a Gj:;a?r_� r uc�rsz (� * i{iV Fl:::^1:9. �id �i"!3:l.^µ1 ��.�GOI � Owner iCind o1 Bti:ilding ` � � � Used as - -- To be co:nple:ed abaut . Pr1P�TlA�. RAT� S�HCDULE Estimated Cost, s - . Old--New. F3ui.ding Permit No. ,_�__p•�ait No.,�„(pi�i " ; LTdBINC f'I�TC.ji�L P.ATES: 1`i0. RATE TOTAL 1�. �'0 � h::ir,ber F�x;ures . . . . . . . . . . . . . . . . _._..�._.� x $'.C�. S itit�*e Flxture n,>ening ........... .�.— x 51.� 5�� ::ew Fix:::re O;rl Oyening.....: .... . x 51.50 Sl----• . C�tch Bz<in . . . . . . . . . . . . . . . . . .. x 53.25 3 • ' Signed • $y Bu5 - • - UL� . . . • Water tieater 'L'p to �3,003 STU� • • • • ---�---- X �� 3` � T20UGH tiew G:ound Run Ol� B:dg• .•••'• •'• • x;3.25 S E.'�.ctr'.: Yla:ar Y.s.a:.sr. . . . . : . . . . . . . . s S2.00 � - FINRL�—' l � ` �� • il.S FITTI`iG FEr3: � :QO. R�'I'E TO7AL a, �� • lst 3 Fix:ures • • • • • • • • • • • • • • • • • • _--�--- x $2.C�? $ ' ' Ad�:U�nal FZxtures . . . . . ..... . ... . _----- x $ .75 S � � G:s R:y.ye to 199.00� B'. iJ . . ... . . . . .. ______--- x SS.GO L �----�— � °.�'?i:°S �c I�LT�F.JCTSO?ds—P..:er ta Coda • . .50 State Surcharge ... . �%y .�C7w'iiy:iOn .�. o . . . . . . .. . .�. . . . . .... . . ,.. . . . . ....••...r . � . . , . . ' ss�._� � ' ' � � �� ' mru., �*, r '°� ° _ • • . � 1 _....E.��. L��G'`"�`�'� <.... xo ��''1--'��9 � . � . .. . � •. sus�ecr P MIT . City of Fridley � 13329 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r ; � REC�T_,NQ.,3 � ; y _ COMMUNITY DEVELOPMENT OIV. ' (/ �`�� r � � PROT�CTIVE INSPECTION SEC. �0 L 1 � � � /"�1 � CITY HAL� FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVEO BY I �� ----�• � ' 612-560-3450 910-F15 � � 12 12 75 108 ADORESS 1651 Camelot Lane N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION Estates SEE ATTACHED DESCR. ZZ 2 Harris Lake Additipn SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Bruce Rp ers 3 CONTRACTOR MAIL ADDRESS ZIP PHONE IICENSE NO. The Rottlund Com an Inc. P.O. Box 32082 Fridle 4 ARCHITECTORDESIGNER MAILADDRESS ZIP PHONE UCENSENO. 5 ENGINEER MAIL ADDRESS ZIP � PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK onstr ct a 48' x 2' Dwellin and a 24' x 24' Gara e 9 CHANGE OF USE FROM TO STIPULATIONS Provide a verifying survey before capping. Provide a hard surface driveway. Provide sod in the front and side yards. WATER LOCATION: 51' Fast of Manhole @Property Line or 10' East of Sewer Service SEWER LOCATION: Wye location is 37` East of Manhole and North 25' to property line. Also 1Q' West of Water stop box. Wye Elev: 888.7 �A�� Top of Footing: s9�.7 Minimum Befiore digging cai; icr.al uiiii�ias TELEPHONE - ELEG"i�iC - G�S Ei�. SEPERATE �ERMfTS REQUIRED FOR WIRING, R�Q�� Y ��°��i`� +�EATINr, PLUMBING aND S�GNS. ��M�ORTANT-- NOTIFY THE FRIDL,EY ENGR. TYPE OF CONST. OC A D SEPARATE PERMITS ARE REQUIRED fOR ELECTfi1CAL, PLUMBING, HEATING, MOVAL AND cPLACEMENT VENTILATING OR AIR CONDITIONING. WOOC� FL'dlCl@ THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. F. •� .1�C7S, AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERl00 OF 120 DAYS AT R 1 1248+576 24, 208+6040 ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THiS APPLICATION 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 538�3SO 19.�'H DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMITFEE SACCHARGE PROVISIONS OF ANY OTHER STATE Ofi LOCAL LAW REGULATING CON- STRU TION OR THE PERF RMA E OF CONSTRUCTION. � SSS.9S $325.00 �,P" �y� �(0/ ,'�,��o PLAN.CHECK FEE TOTAL FEE �`J ��-:�� / Z-/ 2' 7_� $ 4 00 .13 SIGNATU OFCONiRACTO OFAUT RIZEDAGENT IDarEI WHEN PROPERLY VALIDATED T IS IS YOUR PERMIT !� /� '`%S.`r , Si NATUREOFOWNERUFOWNERBUILDERI IDATEI BLDG.INSP DATE / � � � AI'pLICATION FUR R1:SI1)LNTIAL, ALTLR�'�TION, OIt t�llllI'I'ION I3UILI�ING PERI�II'T CITY OF FRIDLEY, MINNESOTA OWIVER' S NA1�1E : ,� ruc°.� �� ;-�, J� 0��►- 5_BUILDER: _l�i.�u �`� � �t� Q� ..��,� ADDRI�SS : ADDRESS : vG �'�X �3 z �� Z_ N0: . I(cS-/ STR�ET: C,d.+•s e� t— ��.1 �/� /� �- LOT : �? � BLOCK : Z ADDI.TION :�/,d'Y �� s �.� �F'� �O��iT��,c� COIZN�It LOT: IPdSIDE LOT: .J� SETBACK:� SIDE�'ARD;S� d- /� ' Applicant attach to this form 7.tao Certifira��es �f Suxve.}, of Lot and proposed building location drawn on these Certificates. UESCRIPTION OF BUILDING To Be Used As ;��,,�.�y�,�. Cig ��(� �-�� Frant :_ L! � Depth : ��, ' Hei�h� : �Z , Square Feet: /,�_�� Cubic Feet:� aY�,�� ,,� r�� =- Front : .,.? y � _ Depth : _ 2 y ' Iieigl.ii: : y , Square �"eet ; `5 7�. Cubic Feei :� �� _� Typ� of Construction. �r,g n,��_ Estimated Cost:��-- 0 To 13e Completed: ��ar r' ( 3 �� -��7�� 3�a o� The undersigned l�ereby makes appli.catinn for a Pe.i-mit for. the work he.rein specified, agreeing to do all caoxk in st�ict accordance with the City of Fridley Orciinances and rulings of tlie Dc�parLme�lt o� Tv.ildi��, �.nd hc��e}�y declares tlia.t all the fact� and xep�esentatio:Ls state3 iri Yhi.s appi.icatio��. are true and correci:. �� h�c> >�� x �J �'-� � �'.�.- � DAT� : 1.�- 7 �` SIGNA.TL' �I's : /-t-r-�_.� � ,p t.r-� (S�e Reverse Side F'or Additi.onal InfoxmaLion,) p��. z ss.5� �x = cq. � s S!� = 3 �s. �� ...,, � aa� � 3 � � � ? ----- ,-� ZG.3 x 4,� z r6 � 1 +��1d�� -'-----� s � �l X �Z � � � ---'t� . � _t�� _ �__� $� - ------ ------ - - -- -- - �x _ h/_: _ 'ZI - --- ---- ---- ---�a:t�__ f,_ -�-�• _ (,0'�t1 •�. � � �� -- -�3. Go _ - 't$r.�!��,��--- . ��_ _---- V � --- — - — ---- __� �� r S.Z�� -- �^5.�r� __ __ - _ -____, 9. r� � `_ , _ � ,s r App�catio� I�o� l�w�r l�N� �d N.a1�q, c.00nr�g. r��a�io., R.�r.ig.�a�b. a�d � �� P�RTIIIL RATE SCHEDULE �n�*rr w�iut �►nt: luTS TO?J►t. Zlaoace St�ell � Lhxt Rark . i10.00 � ... Replacr�s+rnt of TLrna+�e 6.00 � Ficpai^� iL 1!t��rat;awtc_.-up to fS00.00 600 �._.. _. ._ Repat*s �,�;t�rat�r+n� rach adci. t800.00 . 3 W i—... . .._ �l�Ctl. �I�ItL/ AIIt 1lunac�e S,Aell d L�ct Work to Il0,000 BTU �Pl �. ��V{N Ol V . . . . Repi�ce+T�t ot tLrnacc Reptirs � �►t��ations--up b =500.00 Repairs � A1te�tatlon3 �ach add. :500.0p ilL�ll � HOT WATER sYS�'t�( iLrnace �h�!{ 4 t.�ne�-- tu 400 �!t !'.DR Ste�m llirnsce Ch.•�! �t IJRP- i0 !{{0 sq ft EDR liot W�tef 4 Eak-►� �dd 2tM � n r;ItR Stcym � r- EscA add JYt1 sq h F1�R Hot W�ter dd M WL �IIAKEA--to � gal. per hour over 3 �al. per hour--Ste t'ee ScAedu4 r.,►,s svn� ��D �o l�s,000 aTU� � iae.oao a�ro a.. F« s��. G�S FITTINC FEEa: Sst 3 Flxtures _ Adai�tMnal P1�[turea Gs� Ran�e to 1➢0,000 _ �m oo�a�cnwnwa r�►rr �a�►sUa sts� �1'l1�0 tT'��lff iLTl�►!'�� t Ita�Illt . � .�: .E10 QO �1�'; ��' �.W i 8.00 �� d.00 �, $.00 i-- _ _ s�000 a___. __ l000 f. . - _-•_--- -- A fNl i . _ ._ _. 3.00 i.._.. r.. _ _— - - a.0� _ .__ _._. ,_ 6.pp = „'S'• v c) 110 RA7'E TOTAL _ x= 200 s__._�,v0 - : .�li i_._._.------ - - :� 6�0� S_ ��— �.. r« ks.�.r i 1'Ola:. �R �,� ra 3 v �� . ,j�i n.,�. � Hwa.. n,a.,. eeo-�eo � �� s�� C1ty of 1lidler: The under�Igned hereby makes aqfltic�tlr,n fr,r s prrsnit �� spec�fied a�ree�n� to do all wvrk ,n sir3ct sc�urfSancr �a�tA tnt Cit� f�rdi�aacsr and ruling of the Depattm�nt of Aui;d{n�s, an� r,e-•ty deela.rta th�t a3i tLt tsds and repregrnfatiuns statrd in tt��s appLcaUr,n ar� trut and Gorreet� P��dIrY. M{ _ _ . --- - �_�1! __ _ ___ l_IWn� _ _ � -�� ... .�%��y , .�._ Kind of Bufldint _ _ _ . ��_ .._ _._ __._.___�----------. - 1Jsed a. - - - __. To be completed about _ ._ ._ _ . __ . __.__ —_-- _ �� Estlmarrd r,Mt, t �.,� � ` ----- -� _ _ _ ._._._ ` - New BulldfnR Permlt N�i _ _ _----_._ P�ra�t No. _ _ �� " / .�.__._ _ _. . �aw or wo�uc � �� i�ATING or POWER PLANlB�-$team� Hot Water �rnn Al� M� �� 17ade Ivame -----_--___ 9tre Xo�9%i /•��7"' /�a .� �,�,�� a � - Capacify�_______:___ Sq. TL E.D.R g�1 � Toc�� co�c�a c.o.e�__.�.� ��_��7 �a ar nx� BURNER —'I��tN N�me..__ __ ��G9c�' c/� __ 31u ib_ C�D�dty .._ l�q. TR L.D.It__._ HpT[J�j�'�}�� GLO. SEDGN'ICK HEA?i��'� C-' t.a �,- �; ';'i�i�i] IIU: � 1.001 XENI,� A'v _,._ ;� Th MIfVIV,EAPO�IS, MiV. 5�416 ,�=f __ '��-1 ll D7 � �isw lfw� � � � I {��{.�� . _ �'A . . a � . . 4': �. _. . . . . . . . � . � ut�iF�Mp' . �,*�t�,..pMFs}�*�p+� �..r�u r{i`�,e* a' f `e .+ +Ko-7 ..r,.^y,s.v.�,n. �s ';,�''� . ., . x� .., �.�. .> � � , . -.. . n .. . . . . �..sd�s,a .1 �£ti1Lt&:�M� Y'4�a. ' 3"wv¢'�.�7FL. _ a.�'a.� , f .,, '� _, � _ . _. . r�. � -.. . ,_ ...,_.. .,... =6 . ; . , , . . . 's.e.a....s*!it ..,.irmr..',,.� °,.� .....s_f4x-. .�e. :� .. ' ..r„? t .� __ __ _ . ' � �� *� � ' • , �� . . _,`.7`�`�^� ��j � (y� � � � J 1'- ,� � �,L,� ` �../7� / f/ � � � . . 1'� � � 7 i�eo.' �� Tl . HEAT LOSS CALCULATIONS H EATI NG � AI R COrN DITION I NG CO. MINNEAPOLIS, MINN. ' Weatherstrips A.S.H.V.E. Construction No. Insulation Windows Doors Guide Out. Wall Int. Wall Ce'rling Roof Floor Kind HowApplied Reference Yes—No Yes—No � g FI. j �� Room Length Width Height FI. /� G:— Room Length�� Width� Height V'dindows and Doors-Crackage and Area Windows and Doors-Crackage and Area No. Widrh Height No. of �ineal ft. Area Width Height No. of Lineal ft. Area _ of pane of pane lights of cr e sq. ft. NO' of pane ot pane lights of crack sq. f ""�` � � / � � c� (� Z .�i—Q �� Infiltration G lass Exp. wall Net exp. wall Int. wali. � Ceiling � �� Floor Total Btu � �� B tu Required Sq. ft. E.D.R. or sq. ins. W.A. Leader area FI. �' �/� oom Length /� Widthr/ Height Windows and Doors-Crackage and Area No. W�dth Height No. of �ineal ft. Area of oane of oane liahts nf rra�k sa. ft. � Infiltration G lass Exp. wall � Net exp. wall Int. wall Ceiling � F I OOf Tota I Btu Btu Required Sq. ft. E.D.R. or sq. ins. W.A. Leader area FI.' Room Length Width Height Windows and Doors-Crackage and Area No. �✓idth Height No. of Lineal ft. Area of pane of pane lights of crack sq. ft. / f � �- �r / � � � ' Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling F I oor Total Btu Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Infi ltration �Q G I ass �, Exp. wall � �;; Net exp. wall '� Int. wall. Ceiling � � F I oor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area � FI. /��j oom I Length �' Width Wind s and Doors-Crackage and Area No. H/idrh Height No. of Lineal ft. Area of oaoa of oa�ei liahrc nf �rack sa. ft Infiltration � Glass �Q Exp. wall X��...... Net exp, wall Int. wall Ceiling X F � OOf Total Btu. Required sq. ft. E.D.R, or sq. ins. W.A. Lead r area FI.��/'/ Room Length Width Windows and Doors-Crackage and Area No. _W�drh Height No. of Lineal ft. Area Btu i �� Height Btu CJ �/ % Height B tu Coe� r � Infiltration i ��'� Glass Exp. wall � � Net exp. wall Int. wall �-�% Ceiling � � jQ �� Floor � Total Btu. Required sq. ft. E.D.R, or sq. ins. W.A. Leader area Btu . ' ` ,� � : �' ` �.-� � +`� w UOh`�� / �j , ` . � . HEAT LOSS CALCULATIONS H EATING & AIR CO�NDITIONING CO. MINNEAPOLIS, MINN. • Weatherstrips A.S.H.V.E. Construction No. Insulation Windows Doors Guide Out. Wall Int. Wall Ceiling Roof Floor Kind HowApplied Reference Yes-No Yes-No 19 Fl f� �' om Length Width �,�„ Height FI. �� Room Length �� Width �'� eight VJindows and oors—Crackage and Area Windows and Doors—Crackage and Area No. W�dth Height No. of Lineal ft. Area No Width Height No. of Lineal ft. Area of pa e of pa lights of crack sq. ft. of ane of pane lights of crack sq. ft. _— L _� � �`' �� S�l� %� � eL � / �' ,.� L� /' � Infiltration G lass Exp. wall '" .� Net exp. wall � Int. wali Ceiling � F l oor Total Btu L�J � � Btu FI:fT�� Room Length ��Width �;'Height Windows and Doors—Crackage and Area No. Width Height No. of Lineal ft. Area of pane of pane lights of crack sq. ft. o'- c�i' � o�- C% V Coef B tu Infiltration �p,/j C�S �'� G lass Exp. wall ��,�� Net exp. wall Int. wall Ceiling ��%� Floor Total Btu. � _ � r��"�p �d " Length �,[ Width � Height VVindows and Doors—Crackage and Area No. Width Height No. of Uneal ft. Area of ane of pane lights of crack sq, ft. f .� 3 � � � D �� !� � / �' 8�.� Btu Infiltration Glass Exp. wall .'� Net exp. wall Int. wall Cei I ing Floor � Total Btu. s�l� �P! ,�� Required sq. ft. E.D.R. or sq. ins. W,A, Leader area Infiltration �,Q 5 � `I-Z/� Glass � 5 � � Exp, wall `7 Net exp. wall � Int. wall Ceiling ° �3 / °3 F loor Total Btu. � � Q Required sq. ft. E,D.R. or sq. ins. W.A. Leader area _ __ _ - -- --- — �FI ,�' ��,�� oom Length� Width 7 Height Windows and oors—Crackage and Area No. W�dth Height No. of Lineal ft. Area of oane of oan� liahts of crack sa, ft. Coef Btu Infi hration �� Glass � ,,� S�O O Exp. wall �x � Net exp. wall Ur /� � )-(j Int, wall --� Ceiling Floor �� - � Totai Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area FI�� p Room Length Width%,� Height Windows and Doors—Crackage and Area No. W�dth Heiqht No. of Lineal ft. Area of pane of pane lights of crack sq. ft. f a � z� .� c� /. Infiltration �� G lass �� Exp. wall � �' � Net exp. wall �' � Int. wall Ce i I i ng Floor % � 9� Totai Btu. Required sq. ft. E.D.R, or sq. ins. W.A. Leader area Btu � �.5� . . �3-� -�915051 . � „ . , • � : . �� ; s�iey . . . . . . . . • , �F �(, j (1� o� . . , . • � ' � � . . . �i_7L+��1�'�i��ii ?`{'$ ��u�ii+Ii Z� WrY�WY 1/' � Y o:iJ'tl:i �4ri[��i . . . , � . . ' . . . 3 a . �✓ . Dopt. of Sld�. Phone S�'�•3;50 ..• •. �.a�.�.�...�ti......�.._._...� D°SC�?PiIO2i Gc VJOIt:� L�f,� • �.651 C�,m�lo� �an� - huzzS.:y �:i� a.z� Lc�cr:ioa o! i'i�t^.:�es . •... . . ` . � � � ! wx7tK NTk. R r � :" � � „ r :k � �i,�r �, � �; � , . v� i;y � S� � ��.��1 � _o�,<,� ''<`s o��u8 �� '+`r,�s cuC. i E3Ct ' 1 �. � � . 1r,� 3:d S.� _� • i:: :.:o Cc�...•.:�.-.. Crra!r. t?f sv Fi:::`�:v. O:d b'}sr:�.�s �1R r P�f'.TfAL RAT� 5�H�LU�E City ot �`ridley:. Thc undcrsi;nec3 hercby :r.akes s��'.ication for i pert'tit fcr .`�t vo:Y herti s�ecificd, a� eeing to do :,1 ��•e:k in s.rici zcco:�a:�re with the Ci� �:r�� ar.d rui�ng of the Dep:�::r:ent af i3�:i.r.'��, azd rere5y declsres L�at LI L':e f:d • ar.d r�pres�r.tattons s2ate.3 !a Lti:s app'.ic�t:on are trL� zr'�d cb• � c'ct' , �` , `r�idley, Lfinn � � t t1 r� � - — 19_.. - b -21-7� . . Owner _ Kind oi E•.:i:�in� fr�me Sewa: ❑ Lsed as r�G Cc.-.rpcot � . . To bc co:r.pleted abaut � �� ' - - --- Estirr.ated Cost, S 10.00 ' ' Parai: ;�'o. �• 4;d._?�y. F�ui:ding Permit No. : L'v'�S8:2iG F1:CTJ'E ti.iTES: N(3. RATE TO;AL N;:rr.ber Flxturas . . . . . . . . . . • • . • � • x �2.C��. S — F1�t�re Flxture n,�cr.ing . . . . . . . . . . . . x 51.50 S , _.. 1�w �ixture OS�t OperJnb.....:.... x 51.50 5..._:__. C�tch Basin • • • . • � • • . • • • r • • • • • � • x �+.2`5 S — 1Vatec ileater 'L'p to �,000 BTU� • • � • �.----- x �� '�' $ - , 1ew C:ound Run Old B:dg. ....•..•.• x:3.25 S�----- E:KL�.CYit:{lYaSt3!'• •••a�i�••�� Y' �� 3 . . . �.":;'E 707 AL ' .• r • HO. fi E sIS iZ77ItiG iE..3: • Ist 3 Fix:L'CCS • • • � • � � � � � � • • • • � • • X �v2.� i, , -" I � _J Ad�lticnal FZxtures .. . . . .......... .----- x v .95 S c:� �ir to i�.oc,o ��rv ...... ..... .i x ss.co Z---��cu�-- • � Si�ed � . . By d�t� Husin4�.s Ph�r.e :vo ti'�h 'Fr9crn __� : �:OU�H FINRL �/ ` ` - 7 � ' . 0 P� l:°3 �C hLT�.°.ATI�HS—P.�:or !o Codo • . .50 State Surchar.re :rri-Jon ... . . . . . . . . . . . . : . . .... . . ,.. . . . . ... :... . .� — _ �d .iiC r • , . TO�TAS.. FT'.:.F. 5—�-�g.---- � � • : .. � • • . . . . • �� A O H SI EI T' M M S� er City of Fridley AT THE TOP OF THE TWINS f 1 • � � � i y__�_�_ COMMUNITY OEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. � . , l..-.�� "' �'� CITY HALL FRIDLEv 55432 i b12-571-3450 SUBJECT BUILDING PERMfT NUMBER REV. DATE PAGE OF 9i0-F15 11/7/85 � � JOB ADDRESS 165Z Camelot Lane N.E. 1 LEGAI �OT NO. BLOCK TRACT OR ADDITION DESCR, 22 2 Harris Lake S� Es tates 2 PROPERTY OWNER MAIL ADDRESS Mick Orth 1651 Camelot Lane N.E. _18290 RECEIPT NO. /P qo3 APPROVEO BV SEE ATTACHED SHEE7 3 CONTRACTOR MAIL ADDRESS Z�F PHONE LICENSE NO. Groen's Vacu-Man Inc. P.O. Box 24295, Apple Valley, MN 55124 431-5995 4 ARCHITECT OR DESIGNER MAR ADDRESS ZIP PHONE UCENSE NO. 5 ENGINEER 6 USE OF BUILDING Residential 7 CLASSOFWORK � NEW MAIL ADDRESS ❑ ADDITION 21P PHONE LICENSE NO ❑ ALTERATION C}� REPAIR ❑ MOVE ❑ REMOVE _. _ --- GEO. SEDGWICK HTG. & AIR COND. CO. �_ ��-�� HOUSE HEATING TEST RECORD ADDRESS �- OCCUPAMT �,z CITY HEAT LOSS � OWNER DATE HTG. INST. SOLD BY Electrical Work By INSTALLED BY TYPE OF H AT GA_ FA �as Line By � �, HW� STEAM SPACE HTR. UNIT HTR. OTHER GAS DESIGN ' MAKE CONVERSION Model /�if� ��-� MAKE OF BURNER Serial Model Max. BTU Rating INPUT _%� 2wt"i r� MAKE OF FURNACE � Model CONTROLS THERMOSTA Heat Plu J"`-,� r� Valve _1 TT� 9 Vent Size Limit L�� KIND OF �INE 4 SIZE NONE , braft Hood Limit Setting %�1`i �,/� �Z S Regulator �_� �� , Filters Size �mber- i Fan Setting Chimney Location lnside Pilot Type %� Outside -r P+lot Make Chimney Construction � Pilot Model � � Smoke Bomb � L Pilot Timing .�.,.' Wiring � L.W, Cut Off Draft �%�" Test Tag Door Pressure Lighting Inst. v F Pressure 3°�_ percent CO %Z ��'% Z pate Tested -� '-�'- �-- � �'! Input CFH ` Percent 02�'�! 7� g p 2 �r � Company Testing P'� Stack Temp. � Percent CO Q�C� Dav`� /1 I� P, ---,---_.� Name of Tester P' Form 235 L.w, cut t�rr Pre�sure _ '3 , _s �� Percent CO2 �7• �� Input CFH t'1 �, 4��) Percent O C��• Stack Temp. '� E� (i `"'F Percent CO2 � C-`� Form 235 vvur rreaaurc �.y.,��y .�.�.. Date Tested _ . � � % - �� Company Testing � S�`DFr tJ f� IC ff�j�r-y �,dG �d Name of Tester F� 7'' Ct�' NEw I ] ADDN. [ ] pLT ER . C ] City of Fridley �R-1 AAD R-2 � Buildirig Permit Application � ( c��i�� , Effective u/1/84 r4 Construction Address: - �.b _5 / qC ��- �"� � ' � � _,� _ Legal Description: ' Owner Name s Address : 11��b.L�J� Tel .� Contractor: ��r�eM�- I//x.r,��-��rn�� Tel. # y3� s9g,� Address: Attach to this application, a Certificate of Survey of the lot, with the proposed construction draWn on it to scale. DESCRIPTIOp OF IHPROVEMENT LIVING AREA: Length Width Height Sq. Ft. CARAGE AREA: DECR AREA: OTHER: Length Nidth Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. Corner Lot [] Inside Lot [] Ft. Yd. Setback Side Yard Setback �_ , ��'■� Type of Construction: � � � Estimated Cost: ��700 _ Approx. Completion Date: �� ' � S Alt. A Alt B Proposed DriveWay iJidth If Ne� Opening Is Desired: a � See Back Page for Explanation DATE: �� '�%�-r APPLICANT: � Tel. � �-�/-f19-� CITY DSE ONLY Permit Fee Plan Check State Surcharge SAC Charge Park Fee- Sever Nain Charge TOTAL STIPULATIONS �0.uC � �� .•.-A-= � � S ,, / s � �� JjO` � 3,�� r. Fee Schedule on Reverse Side 25'X of Building Permit Fee �.50/31,000 Valuation �u25 per SAC Unit Fee Determined by Engineering Agreement Necessary [ J Not Necessary [] 17�� -� � — � o. �� I�� .�� . ago� � International Conference of Building Officiais Report No. 4045 RESEARCH REPORT June, /983 Filing Category: FLUE LINERS AHRENS CHIMNEY LIlVING AHRENS CHIMNEY TECHNIQUES, INC. 2000 INDUSTRIAL AVENUE SIOUY FALLS, SOUTH DAKOTA 57104 I. Subject: Ahrens Chimney Lining. II. Description: The Ahrens chimney lining is designed for masonry chimneys serving residential-type appliances. The system involves a two- coat application of a proprietary cementitious mixture. The first coat consists of three 55-pound baes of Ahrens first liner aggregate, one bag of Tvpe II portland cement, 3 ounces of Ahrenol proprietary admixture and 1'/ eallons of water. The Ahrens aggregate and cement are �rst mixed to an even blend in a pan-rype mixer. The Ahrenol liquid and water are mixed in a separate container and the solution gradually added to the dry mix. The resulting mixture has an aimost zero slump but is plastic enough to mold into shapes. Using the Ahrens application bell, the tirst coat is applied to a minimum thickness of 1'/z inch. The second coat consists of one 53-pound bag of the Ahrens second liner material mixed with 2.25 gallons of water. After thorough mixine, the plastic solution is allowed to stand for 30 minutes to permit chemical interaction and then applied over the tirst liner to a'/e-inch thickness after allowing the first liner to cure for a minimum of eight hours. After application of the second coat, the chimney is cured for a minimum 21-day period prior to firing. The first liner material has a dry density of 55 pcf and the second liner has a dry density of 70.5 pcf. The composite liner material has a minimum 28-day compressive strength of I500 psi when tested in accordance with ASTM Method C 513. Identification: The first liner, second liner and the Ahrenol fluid con- tainers are each marked by a label containing the manufacturer's name, address, product name, ICBO research report number and a note dicecting the approved installer to follow the manufacturer's installation inswctions. III. Evidence Submitted: Compressive strength, freeze-thaw, pyrometric cone equivalence, results of tests conducted in accordance with applicable portions of Undenvriters Laboratories Inc. Standard No. 103 and installation inswctions are submitted. Findings IV. Findings: That the Ahrens Chimney Lining system is an alter- nate to that speciCed in Section 3703 (d) of the 1982 Uniform Building Code for use with masonry chimneys serving residential-type appliances, subject to the following conditions: 1. The material is installed in accordance with this report and the manufacturer's instructions. 2. Each instailation will have a card filed with the building depart- ment giving the address and date of the installation and the applicator's name and address. 3. Installation is by an applicator trained and approved by Ahrens Chimney Techniques, Inc. 4. Prior to installation,.the chimneys are inspected to assun that the required chimney flue areas are maintained. T6is report is subject to re-examination in one year. /CBO research reports are issued solely to provide irtformation to Gass A members ojthe organizntion utilizing the code upon whieh the report is based. Research reports are not to be construed as representing aesthetics or any other ottributes no1 specif cally nddressed nor as an endorstment or recomneendation for use of �he subject report. This report is based upon independent tests or other technical data submiued by the applicant. The /CBD ttchnical stafjhas nvitwtd tht test results and/or other data, but does no� posstss test facilities to makt an independent verification. There is no warranty by lCBO, expitssed or implied, as to ony "Finding" or o�her matter in tht report or as to any product covered by the report. This disclaimer includes, but is not limited to, �nerchantability. ` Page 1 of 1 % � : .� C < � � � . _ � kRESEARC H REPOFi �.K �-Buildin�g Offici, : u .. �-.. :Code Ad m i n istra� .,,17926 South Halsted '`.• Ho►newood, Illinois 6 , �` � £ � 4 � t=w �;:- �, �, � �: , AHRENS CHtMNEY LiNING SYSTEA `e 4 r�u�*' j {N` ° d :ei . R� r{ �� $ k � S' �::` AHRENS CHIMNEY TECHNIQUES, INC.' P.O. BOX 800 �,'` � � w },; CAMDEN, MAINE,04843 � R� � �a� � � �� f ��` . F . � � ; ; �October1,19d3 � �� t� �� , .. ,. , . . , � � � ,�' � � � � �� `� �... r �; �,,- . �:�� =s, � ,� -'�-� � - -, Copyri9ht. 1883 Building Officials a�d Coda Administrators Intsmational. inc. " -- � t ` ' �', E y � , � ). �. 'k' � . . . '� u. . .3�,...e.1�l�i�� _, . 5 :'-� .. ;..: " . :�.. . .. RESEARCH COMMITTEE. RECQh LIMITATIONS FOR ACCEPTANCE 5: Aht h T'he Ahrens Chimney Lining Systems listed in this Report �, �n have been evaluate@ for conformaece to the I98t edition `` and 1983 supplement of the BOCA Basic Codes. These ., 6. Ahr �� findings may be�used as part ofthetechnical�data foraecep- .,; �smo tance by jurisidictions administering� these codos wi'th the .�� u�•� foliowing Iimitation. �� < � � t � : ��:, T Ahr� I. Ahrens Chimney Lining System shall be installed in days accordance with the manufacturer's installation instructions. � >>, IDENT ,, , � � � � �� 2. Ahrens Chimney Lining System shail be used on masonry rYqu Ab chimneys for low heat appliances only. „. = � accorda �� ;� .: .:� : , ;. . , � : :� �' piant w 3. Ahrens Chimney Lining System shall �xiend from ��the .._,� �„R�PorE, ��top of the chimney to the chimney clean-out or fireplace � �� ,�� opening. . � , . _ 'This re� N O.� .. �8s-1z ;`- IANEY LINER ; , � ,� � . � oai r'`r S I$ aCld � rs, .t�n t I . �0 � , �.312^ % 799-2300' -� MENDATION m{�^ � y,��:�� ` ;,�; � �° - �-�_ as Chimney Lining System shalI not' reduce f thG num required open area of the chimney psaaaaeway, ' ns Chimney Lining System shall be pro� ;e test after installatioq and before be after installation. , . .. <. P, .;i _ , � �ith this Research 1 �e identifying lan� i_t� +� . . � � � � . � ` � ` ` - � '��` ` �-�the�applicant to comply with this r 4. Installation shall only be pecfurmed by instaqers compe ,��e �P� of t6is nport,, Further us tent to perform such work and certified�by��hrens Chim ,'��:�Port � is Ehen� �no �xonger perrnittcd. �ncy Techniques, Inc. . :�� ` � � � • :: �_- _ __ __ ignt �y a. put inta ' ^,��,'� .�,�;r.�� , : ,, � �' E � � �_ , �� ; � , � �= t � �r � . ; _, . ms f manufactured in' s1iall be marked at the` `See BOCA Reuarch ,� � � r �, .. �� , �� . ication. The failurc`of= U['G1riCA[ Wlll lCSilli IR ' �f, or nfaence ta this ,� �; ; . < �.- �: �� ,� ; �:. N/ PRODUCT: CHIMNEY LINER Trade Namc: Ahnns Chimney Lining System PERFORMANCE OF PRODUCT FOR WHICH EVALUATION IS REQUESTED Liner System for Masonry Chimney DESCRIPTLON AND USE OF PRODUCT The Ahrens Chimney Lining System is a masonry chim- ney liner having two individual liner applications. The first liner is a masonry mix that is applied by use of a vibrating bell. The bell is lowered into the chimney and the masonry mix is poured on top of the bell. The vibrat- ing bell is winched up the flue at a rate of 1 foot every 2 minutes. A minimum of 1�i4" of masonry mix is forced horizontally to the walls of the chimney by the vibrating bell. After first liner application, the chimney is plugged at the top and bottom with a wet sponge for eight hours. The second line is Ahrens elixir coating. This porcellane- ous coating is applied with a cylindrical sponge. The sponge is placed in the top of the chimney and the Elixir is poured over it. The weight of the elixir forces the sponge down the chimney while applying the coating. TEST RESULTS Report of tests on Ahrens Chimney Lining System, Job. No. 30643-1, dated January 14, 1983 by Arnold Greene Testing Laboratories, Inc. An uniined chimney was con- structed of cement blocks I S-5/ 8" square with a 9-1 / 8" square t7ue. This was lined with a proprietary mixture which is applied to the interior in a stiff consistency by drawing an electric powered vibratimg core upward inside the flue as the mixture is poured down from the top of the chimney. After setting overnight, this mixture was coated with the Elixir Coating applied with a sponge cylinder. After a seasoning period the flue liner was tested in accordance with ANSI/ UL 103. The tests conducted were the ther- mal shock test, 1000° F flue gas temperature test, 1400° F flue gas temperature test, 1700° F flue gas temperature test, 2100° F flue gas temperature test, draft test, resist- ance to action of acids test, and the freezing and thawing of non-metallic materials absorbing water test. The liner passed all tests. This is to inform you that the Ahrens Chimney System has successfully passed all U.L. 103 H.T. testin�. The system is now currently U.L, listed with #68M4. If you desire further information please call 1-800- 843-4417. Sincerely, AHRENS CHIMNEY TECHNIQUE , INC. Monte utz Vice President sue�ecr PERMIT NO. c�ty of Fridley 2 5 7 9` AT THE TOP OF THE TWINS g U I L D I N G P E R M! T � � ECEIPT NO. � � � ` _,_____ COMMUNITY OEVELOPMENT D�V. �y — j � L � PROTECTIVE INSPECTION SEC. � VS� i � 1 . i i__--�'�/'��;•� CITY HALL FRIDLE� 55432 NUMBER REV. OATE PAGE OF APPROVED BV 1 612-571-3450 - 910-F15 6/2/94 � � JOB ADDRESS 1651 Camelot Lane NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 22 2 Harris Lake Estates SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Mike Orth 3 CONTRACTOR MAII ADDRESS Z�P PHONE LICENSE NO. D & D Home I - 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE� LICENSE NO. 6 USE OF BUILDING R 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION � REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof Dwellin 21 S uares Tear-off 9 CHANGE Qf USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPEOfCONST. OCCUPANCYGROUP OCCUPANCYLOAD SEPARATE PERMITS ARE REQUIRED 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 Ofi A9ANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTEF WORK IS COMMENCED. NO. DWLG. UNITS OFFSTHEET PARKING I HEREBY CER7IFY THAT I HAVE FiEAD ANO EXAMINED THIS APPLICATION STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALl PROV�SIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILI BE COMPLIED � 1� 575 �• 79 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMITFEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAI LAW REGULATING CON- $37.00 Fire SC �Z.SH STRUCTIO THE PERFORMANCE OF CONSTRUCTION. PLAN CHECKFEE TOTALFEE License SC $5.Q0 $44.37 SiGNATURE OF CONTRACTOR OR AUTHORIZE AGENT IDATEI RO R� ALIOATED THIS IS YO�� SiGNaTUREOFOWNEPiiFOWNERBUILDERi iDATEi BLOG �NS� q4TE IJEVV ADDN AI.TER I] [l [l CITY OF FRIDLEY SIN(iLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: ,,�� i9/!7P/O� ��1�G a� Legal Description: Owner Name 8t Address: Effective 5/26/93 -� a �-� Tel. � �Zt� Conttactor: D& D Home Improvement�. Inc MN LICENSE A� 4$40 A�r�; 7401 Central Avenue N.E., Fridley, MN 55432 Te1.A� 784-7543 At�ch to this application, a Certificate of Survey of the lot, with the proposed oonstruction drawn on it to scale. DESCRIPI'ION OF IMPROVEMENT LMNG AREA: L�tgth width xeighi Sq. Ft GfARAGE AREA: Length Width Height _____i Sq. Ft. DECK AREA: i.�gth Widdr Hgt/Ground Sq. Ft. 01'HER: Co�rnner Lot [) Inside Lot [] Ft. Yd Sed�ack Side Yard Set�cks Type of Construction: 6�9 �-- -,p Estimated Cost: S �S�S- `�`' Approx. Completion Date: �llUP. C.,,�.� ��9� c�� `S�� (Cost on Back) Griveway Gu�b C�t Widlfi Needed: Ft. + 6 Ft = Ft a S =� DATE: AP'PLICANT: Tel. # ,��%S�� Pexmit Fet Firt Surcharge S'tate Surcharge 5AC Charge License Sarcharge Driveway Escrow Fi+osion Control Parlc Fee Sewex Main Charge TQTAL $ ��,Ov � 1, : J r.: � �1 � 11 ' � .1 Fee Schedule on Reverse Side .001 of Permit Yaluation (1llOth�) S.50/$1,000 Valuation $ �750 per SAC Unit � �. r_: �� .�5.00 (StaLe Licensed Resiclential ConVaCtot's) S Alt. "A" or Ak. "B" Abave S S S � .�� j � Conservation Plan Review 5450.00 Fee D�termined by Engineering Agreement Necessary [ ] Not Necessary [ ] STIPULATIONS: __! s�e�ecr PE City of Fridley � � � � � � ,. AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r � � , � RECEIPT NO. � COMMUNITY DEVELOPMENT OIV. f � � � PRO7ECTIVE INSPECTION SEC. �� i � i � � ' /"�1 � CITY HALL FRIDLE� 55432 NUMBER REV DATE PnGE OF nPaROVEO Bv �----�•� �'' 612-571-3450 910-F15 6/2/97 � � JOB ADDRESS 1651 Camelot Lane NE 1 LEGAL LOT NO. BLOCK THACT OR ADDIT�ON SEE ATTACHED oesca. 22 2 Harris Lake Estates SHEET 2 PROPERTY OWNER MAIL AODRESS 21P PHONE Pat/Mick Orth 1651 Camelot Lane NE 3 CON7qACTOR MAIL ADDRESS Z�P PHONE LICENSE NO Jansick Inc 6480 Squire Dr NE, Fridley, MN 55432 574-9679 8618 4 AACHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAII ADDRESS ZIP PHONE IICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK O NEW ❑ ADDITION ❑ ALTERATION � REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Remove existing deck; Construct a 336 sq new deck 9 CHANGEOFUSEFROM TO STIPULA710NS See notations on plan. TYPEOFCONST. OCCUPANCYGROUP OCCUPANCYLOAD SEPARATE PERMI7S ARE REOUIRED fOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NUIL AND VOID IF WORK OR CONSTRUCTION ZpNING SQ. FT. CU. FT. AUTHOfiIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 OAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I MEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STA�LS GAFAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF �AWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIEO � 2� C�80 � 1./+9 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAI. LAW REGULATING CON- $7(F�75 Fire SC �2.9H STRUCTION OF THE PERfORMANCE OF CONSTRUCTION. PLAN CHECK FEE O AL FEE �� "- L�,� �_ '2 �� e S . 00 $84. 22 �---�= SIGNATU�7E OF 'RACTOR OR AUTHOA�2ED AGENT IDATEI HE Y VA TED THIS �S UR PER / � Y —� SiGNATURE OF pWNEP �iF OWNER BUILDERi IDATEi B G�NSP " ��' E NEW ADDN ALTER [) [1 �� CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: /� 5/ �r9�/P Ln �,- �,� �V, Legal Description: Owner Name & Address: ��- q� j�'Jr�,� � �q TN Tel. # Contractor: Address: LIVING AREA: GARAGE AREA: r� � ',� . �i�? � � Effective U 1 /97 �"��-� �� MN LICENSE # �i�rf.�" c�'�� _Tel. # 5'7�/- �6�9 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. Length Length DESCRIPTION OF IlVIPROVEMENT Width Height Sq. Ft. Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. 3 3� �`� �� OTHER: �(� x/G °►� � z x 2 0 ' S��/i'"Jl� (�� f. �C I S � i K� C� �' ) Y,�°.l� �� q6 ayv Construction Type: %��, �--�� _� �� Estimated Cost: $ �froU. oc� � 9� , 32 (Fee Schedule on Back) Driveway C�rb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DA1'E: ,� � � A►PPLICANT: Tet. #� 7Y - 9G 79 � � Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ �� _ � �, , $ � LL'O�� $ $ �'j"�, � $ $ $ $ $ ,22 CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (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 [ ] ,� ` MAY-28-199? 08�28 C[TY 0� FRIDLEY ; ' h b1� 5'fl 1�C r r. e�i� rra • v '�L� e 6 �r v c L�wd �N11�iN� s/I�u/��%A �i7S Mi�Mwy 1�N.�3 N.f. i�f• ��Lf� F ir� 7w�riw� � • • � Mi�s��►•li�. �...,,;�, ��i��r�ip,ar.�ya�c, •�nc. M�».. �:�u ow�i.�u�..�;�, s.�.,�.,�. sas.w.• "�"�•y,•� �„��,••••;�� Ea�ine�rs ic 9urv�yors •••o c.�. ��s Mort��,�o Lo�,a �urqey ior �t� r��,U� „ l�Q_ . �� 75.0 .i. �. .._ , nr �� !.V � ��.. Ys... {�1:�,: rr:ENi� M{�NUli1 ION 3q�n ti v�c �� p��. � \'AI � � r a � q.o' � .,�. �L4 0 .� 0 � .s_�__ .� Q ---�-- �.. . -- /G 5'�� CAMELO�' LANE N.�• � '1 ��- � 2� � � a 1' B�oc K� � ;. ,.. ._ �A�?I71S �.aK� �Sra r�s � R �� Aif i� s t�w aw� e�rv�et r�pnNal�li�w N• s�.wr •1 1M bwMlwri�� i M� I�nd ��w Mrs�i►W ewd �f 1M lN�ti�s �1 �Ii �wiNiwr�� il swr� �h��ww� •w1 dl •iw{N� �wcri�shwNw�� FI rw�r, /r�n� N«► swid lowt. TAif ��rviryr b wM� Mlr i� a�we�e►i�� w�►h e wN•�M� IN� Mw 1►�in� 'lec�� M 11» �►��►y �ni w� iirbili�i �s w��v+w�� a+�f w rh� Mfh. �f wsl► w+w�p�� ► �er rr�•. ;wN►�t► •e�ub� 1y Me ►��a N svth wMrt�rM. 1� ii f• rsMrMM�f �M ��nN w��wrwrs A}ve V��M �h�� /�►, fA� 'YI�N ��sr.�lisM�� 1�� IiM♦ �. M��Mrr sNM�f,r NtN rMi��" iyr �f SA N, 0. D, l��j � iY�YRi/►N iNCrINiiR1N0.INC. �; � *40� •~ _ _ ob101� d�L � tR1lrfy �f�l[Mls � G�' , .. {� ,�....r. b � 4 .: � • ' . . ' "' TOTAL P.01 ---------------------------------- •-�-------�----��---��---------• --��----��--��-��--�-----�- ■-�--�----��---��----��--------• --�-------�----�--�---�-�-�------- •-�--�----��----�-�---�-----------• --^-------�---------------�---�-�- � ��■ �� ' �� r��■ � � � ----_. .. __. � � � ■---------------�---� �� r�� ■��i �� r�� ■�� ■�� s�� ■��i (! !(�, 2 - 2X8 TREATED �"� JOIST HANGER BARRY, THIS IS A REPLACEMENT DECK. THE EXISTING JOISTS WERE 2X8 16" O/C. WE WOULD LIKE TO KEEP TI%S THE SAME BECAUSE OF LEDGER BOARD. OWNER DOES NOT WANT 2X10 HANGING BELOW LEDGER. �!' '"'�T�L 2X8 JOISTS 12" ON CENTER (IF NECESSARY) OTF�RWISE 16 C IN THE�A THAT SPANS 12'. � 6' � 12' DECK DETAIL 5/4 GRIPPABLE RAIL ✓ WHERE NECESSARY MAX RISE � $�� 2X12 STRINGERS � 6X6 CEDAR POSTS tr,��. TOP RAIL FLASHING NEXT TO FIOUSE � 36" MIN ,6�� RW EVER�tY OTHER ONE. 2X7 0 RIM CKIN� CEDAR 2X2 BALUSTERS 2X6 TOP RAIL 8"X42" DEEP FOOTING FLARED AT BOTTOM � ��%�'� �,Ls _ ��1�' �� ,,�'� � �� C.� `/ �,; .. � lond Vlanning suC''u/lTx,ay� 6875 Hlghwoy No.65 N.E. land Surveying r� • /� • (; /+ Minneopolia, Soils Testing ��t"��) ��'• Minn. 5543! CivilEngineering T�lephone 784-60�• Municipal Engineeri�g Engineers & Surveyors Area Code 611 Mortgage Loan Survey ior �-�:��r T� L U1�jiJ �,� _ � � 75.0 �^ u, � n -,- � � �.v, �� -��.�� , ,.,, . , � �� _ � i.�;�N�!"<t� ,ir � ��0`)ta!)F�II+J�I �. ? 1 ,� �� d : ' , `. 2 q �0 ., 0 w �� 750 V � � �4•23� A.O •_ /�o cs� (,AMELO�' LANE N.�. � m `7 O D t�► V .1F � LoT 2� B�ocK� �A1?IZ1 S L�KE �STA7E5 Analui �'or��y • Tf�is is a fru• and correct represenfation of p su�vey of the boundaries of fhe land obove described and of fhe location of all buildin9s� if any� thereon� and all visible e�croachments� ii any� from or on said Iand. This surwr 3s inade only in connection with o mortgoye loaa now being placed on ►hr properfy and no liobility is ossumed ' txcept fo the holder o1 such mortgage or ony other interest acquired by the reason of such morfgoge. It is undsrstoad and agreed o moevments h ve been plac�d fo� the purpose of Qstablishing lot lines or boundary corn�n� Dat�d this�doy cf�A. D. 19� SU�URBAN iNGINEERING, INC. n �/ I Sca�� I =40' "— a¢�5 Ci1471�e F tl�i�i11� @�58��5 e�t�� - t by � . � �� .. t ,'d . ,_.. Buil�iin� Inspections 763-572-3604 ?53-502-4977 FAX BUILI)ING RESIDENTIAL APPLICATION CITY OF FRIDLEY EFFECTIVE i-1 h /-/— -- DATE ��//! �`� ` 0� YOUR E-MAIL ADDRESS SITE �DRESS /6 S/ a�eLo f Lu...�. hJF � THIS APPLICANT IS: PROPERTY OWNER/ I NAME: TEl`:-n�'�1�' ...,. ❑CONTRACTOR PHONE:�G .3 - S7�—'Z / �o CONTRACTOR .aDD[tESS: SUBMIT A COPY OF pHONE YOUR STATE LICENSE STATE LICENSE # PROPERTY TYPE I❑ S[NGLE FAMILY/NEW CONSTRUCTION ❑ TWO FAMILY/NEW CONSTRUCTION PERMIT TYPE O BASEMENT FINISH ❑ DECK TYPE OF WORK: I❑ NEW HOME CONSTRUCTION ❑ MAINTENANCE/REPAIR DESCRIBE WORK BEING SIZE OF ROOFING NUMBER OF SQUARES _ GARAGES PROPOSED SIZE: PROPOSED HEIGHT: SIDING ❑ Vinyl ❑ Aluminum ❑ Other WINDOWS IN EXISTING OPENINGS ❑Yes ❑No OR FOR NEW OPENINGS-DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED Permit No.: �b� � �r13 � Received By: 'i Dat��d� 3 0 @ �Sil/. i C1TY �tZ� CITY_ _ FAX EXP DATE SIZE STORIES � ROOF ❑ DRAIN TILE ❑ SIDING ❑ OTHER ❑ SWIMMING POOL � ADDITION ❑ HOUSE ONLY O HOUSE & GARAGE ❑ ATTACHED GARAGE ❑ DETACHED GARAGE STATE,�[�ZIP_53�3 Z ATE ZIP, FT BASEMENT REMODELING SUBMIT: I . Existing Floor Plan 2. Proposed floor plan 3. List of structural members to be used FOR NEW CONSTRUCTION INCLUDING DECKS, ❑Soffit ADD[TIONS & PORCHES SUBMIT: ❑ Trim 1. Site Plan/Survey showing the existing structures ❑ Fascia and proposed project. 2. Two sets of construction plans 3. Energy Calculations LOCATION OF WINDOWS NUMBER OF ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 UBC FEE SCHEDULE) TOTAL JOB VALUATION $��D °�" OCCUPANCY _ TYPE Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due $ $ $ $ $ $ $ $ $ $ $ See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $1825 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$21 =$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks payable to: City of Fridley Attach Stipulations THIS IS AN APPLICATION FOR A PERMIT-NOT VALID LINTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Co structi Co s; that I understand this is not a permit but only an application for a permit and work is not to start without a permit on site; that the work will be in accordan with � ed plan in the case of all work which requires review and approval of plans. SIGNATURE OF APPLICAN PRINT NAME � KT /7��y DATE/O-� O!Y . � ,i APPROVED BY .�� '�� _ DAT�� Y. � . • S � �� A � � � � � z Q J a J ,W � W J � W a a � L� � Buildi�g Inspections 763-572-3604 763-502-4977 FAX BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY 1-I-09 Permit No.: �� Received By: ~� Date Rec'd: -- -Ori DATE_ '�;r`�" 3—�/ YOUR E-MAIL ADDRESS L /'� �/� /'��i C!'C E' Y' c� l 3Ci ��.J/v< ~J r'L. �� O v� SITE ADDRESS _ �� I � 4 �-�-ti'-�c� C C.Cc r.. �+� I�% - % ,FLr ��C� ��i1 S J `{ -3 � THIS APPLICANT IS: �9yVNER �CONTRACTOR PROPERTY OWNER/ TENANT NAME: ADDRESS: /�, s/ C�..--rL� r 2�,.=Y /L� PHONE: ��, � � � � Zl 3 �� CONTRACTOR NAME: SUBMIT A COPY OF YOUR STATE LICENSE STATE LICENSE # AND CERTIFICATE OF ADDRESS: INSURANCE pHONF. PROPERTY TYPE ! -�SINGLE FAMILY/I�EW CONSTRUCTlON I ❑ TWO FAMILYMEW CONSTRUCTION PERMIT TYPE I O ADDITION ❑ BASEMENT FINISH ❑ DECK TYPE OF WORK: ❑ GARAGE/SHED ❑ ROOF ❑ SIDING ❑ SWIMMING POOL c►TV F�� sTATE�Il�zip 5.��3 z �„-� �j /Z -,5� Y- z s�:� EXP DATE C1TY STATE Z[P S1ZE STORIES D WINDOWS � DRAfN TILE �OTH ER ❑ NEW HOME CONSTRUCTION � ADDIT[ON ❑ MAINTENANCE/REPAIR �REMODELING DESCRIBE WORK BEING DONE: �e'�.c..z.:>�� y�j� csr �(c'c�s,� (��kL IMPROVEMENT ROOFING NUM$ER OF SQUARES GARAGES PROPOSED SIZE: PROPOSED HEIGHT: SIDING ❑ Vinyl ❑ Aluminum ❑ Other W INDOW S IN EXISTING OPENINGS �Yes �No OR FOR NEW OPENINGS-DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED ❑ HOUSE ONLY ❑ HOUSE & GARAGE ❑ ATTACHED GARAGE � DETACHED GARAGE ❑Soffit ❑ Trim ❑ Fascia LOCATION OF WINDOWS NUMBER OF HEIGHT FT BASEMENT REMODELING SUBMIT: I. Existing Floor Plan 2. Proposed floor plan 3. List of structural members to be used FOR NEW CONSTRUCTION INCLUDING DECKS, ADDITIONS. & PORCHES SUBMIT: I. Site Plan/Survey showing the existing structures and proposed project. 2. Two sets of construction plans 3. Energy Calculations ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) f OTAL JOB VALUATION $ ��%"�� OCCUPANCY TYPE Permit Fee PIan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due $ $ $ $ $ $ 7 See Back Page for Fee Schedule 65% of Buitding Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $2000 per SAC Unit (Plans to MWCC for determination) ft+bft= ftx$21=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( Make checks payable to: City of Fridlev THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED Attach Stiaulations I hereby apply for a building permit and 1 acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a p it �nd work is not to start without a permit on site; that the work will be in accordance with the approved plan in the case of al w w equires review and approval of plans. . -�. . , j� '� �/ SIGNATURE OF APPLICANT `_ PRINT NAME /C Gcr2% f"� l`�.e°�� DATE T— 3�—� � . `'""�"J �.�'' • �� 2 � � � �3 � � �� . . s� 4; L Jn �—� �� 3 ,, 4-� .� � � vJ ''� '' �`�y �� •u� 1� � �� s� G � r�: ,, ,_. I tn V� �I { � �� v I � �� 2-� � � L. V� � 7 c-�"�A � � , � ._�.1 S�- W m X __. s :, -r , _� , ,.. : , ; � � � � � � �! a nA i�' � . � C � � � � 3 `� U u v �; v � ----�.- J �/ • _�� '° �� .�'.�.� ��j�� N` �s 1" W � y b � " V � 7 .� � , � � .� ! � r �� W 3 `U -_ -� ,� � w is7 Z V' � m