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AF - 43727Cit of Fridle sue�ecr OERM17 NO. Y Y . �.4��9 AT THE TOP OF THE TWINS gU I L D1 N G P E R M 1 � r ; � RECEIPT NO. � ; L � ��_ COMMUNITY DEVELOPMENT DIV. � _ r � � PROTECTIVE INSPECTION SEC. f� �� 1 � � � � /'�'1 � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE . OF � APPqOVED BV �----� • •'� s�z-sso-saso 910-F15 10/5/77 � � JOB ADDRESS 1691 Camelot Lane N. E. LOT NO. BIOCK TRACT OR ADDITION 1 LEGAL SEEATTACHED oesca. 26 2 Harris Lake Estates SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Brickner Builders Inc. 1401 Kerry Circle N.E., Fridley 574-9871 3 CONTRACTOR MAIL ADDRESS ZIP PHONE UCENSE NO. Same 4 ARCHITECT OR DESIC.,NER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENG�NEER MAIL ADDRESS ZIP PHONE UCENSE NO. 6 USE OF BUIIDING � Residential 7 CLASS OF WORK �l NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE � REMOVE 8 DESCRIBE WORK Construct a 53' x 36' Dwelling and a 24' x 2Z' Garage �„ n� ,_ THE CITY QF FRJDLEY DOES NOT GUARANTEL- THE TELEPH01�� -�:_'�C�'*li; -�AS CtC. 9 CHANGE QF USE FROM THtS DATA IS FOR INFORMATION PU�POSES ONLY OAN� +�� y� STIPULATIONS prov�T�Eh�.4� surface driveway. Provide sod� in the front and side yards. Provide a verifying survey before capping. Provide Gity with copy of truss design. WATER LOCATION: 25' N. of Stop box serving property on the south, 53' E, of Manhole. SEWER LOCATION: (M.H. Inv. 880.00, Approx. 10' Deep In Street) 10' North of Water Service. Expose service prior to estaUlishing top of footing as sewer is served from manhole. DRIVEWAY DEPRES5ION COST: Alt. "A", 18' + 6' x$11.75 =$282.00 SEPERATE PE�N�{TS REQU(RED FOt� WtRING, HEATING, PLUMBIlVG Al�D �lGNS. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRiCAL, PLUMB�NG, HEAT�NG, 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 1342 �' SZH ZH� O%2 ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION �. STALLS GARAGES AND KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS VAIUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WOfiK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT yi`�}2�3SO $2�-.�-8 DOES NOT PRESUME TO GIVE AUT ORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER S OR LOCAL LAW REGULATING CON- STRUCTION O E PERFOR NC OF CONSTRUCTION. ],],2.29 $375.00 PLAN CHECKFEE TOTALFEE � �� V s' 28.07 536.54 . ATUREOFCON7RACT RAUTH IZEDAGENT 10nrE� . WHEN PR PERLY VALIDATED THIS IS YOUR PEFiMIT � • /�-S 7� SiGNATUREOFOWNERIIFOWNERBUILDERI IDATEI BLDG INSP � IJATE � ci �Y o� �-�zlll�� . ' APPLICATION FOR RE�ID�NTIRL BUILDING PERt�1ITS �NEW, A�TERATIONS, ADDITIONS, OR REPAIRS) . �'_b��.�-r�/_%',c-Ci.� . Oh�1FsR: Address: BUILDER: �/, � = - � �1��_.�,�_ � ��✓Z �" �tiG . l �� Address : � �°� ��n� =�i'�� , Tel . No . �-7y= 9 � ?/ /„ � � No. � � %/ Street: C.,-��.2P��✓�� .7t�'� : � [ � t � LOT: � V $LOCK: � ADDITION: /C��/�[�, �i'"" �� .c./'•--C'�� / CORNER LOT: INSIDE LOT: � SLTBACK: j S SIDEYAI2DS: �� Applicant attach 'to this form Z}ao Certificat�s of Survey of Lot and proposed building location drawn on these Certificates. . DESCRI PTI O�J OF BUI LDI NG To Be Used As: ' �� u;�c�'z� � / /� � . -� Front: �� Depth: �� Height: �� t�j�L cvb• F t. � 2 � square F eet. ic ee . ,� 3� Front: c�� Depth: Z� Height: lg Square Feet: �� Cubic Feet: J`G� Type of Construction: Esti.mated Cost: $' 3`�� ^ Zb Be Completed: Alt. A Alt. B � Proposed Driveway Width If New Gpening Is Desired � D $ $ (SEE REVERSE SIDE OF SHEET) The undersigned hereby makes application £or a perr:iit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinar�ces and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. See reverse side for.aclditional in��ation. ! ` � ft� L�j o �� DATE: / �' � !•` � � SIGNATURE: ��''��' (�`" j iir_2�;,��. � 'pulations: I-� �� 2 � � � � 1��,� 8 . Q � . � �P�.c� a � �t ��° �� `�'" - ✓ � �� - � � a �, i 8 ��°` - `�'� � �'� - c3',�' �° 07� `� .� ��, 5� , �/�a -�8 t6 x��.�� = a�Z, od - �,� , �� 1 � 9/ �GL-n, �.�a--T-' a� ,��-- �� dx �y� = �80 la.�' �� _ /� 6 /�,r �� _ � 9�0_ 8�� ki�.rLt b�. o? y,'i 5�5� = � o.�� X lo = � � �8,r iz = ai � _ X 8� /3 i�.� .r /.2 � ay n a-z = �ac3 ,� 02� d i� �� i�l = / � � .��d ��..�? �J �.�,� �-� 83� x �s; � z � sla8�,3 L �- �� aa . 5�... =�y� y� sy �- .sae 7a� = �3�zZ,�z : �-�� .�so, Ss J �� a � � ' �d ' - 0 8 i � � � _ /�� /Q'� \`�_ 2✓ '� �i �v?� 02 j o7 Z Z� � //a. �9 � o?�. a 7 a /, / � ��u�', o-� . � �"�.3�0 , �5'y ..� �� f � ��,�s a �a . �a � . � '� ��g. �-y • + ; ' • EXT�RIUIt ENVELOPE AVERl�GE "U" COMPUTItTZON A UYJPIE:Ft: ._._ 1�'2�E'�,�.�°.`:��—�_.. ........_._�.�.�_�.. r" ' � � ,��f f SI�'E ADDFtES5: _ �t� �i' ✓%y��Lz-GG° �,'�" ;�';:l�, CONZ'RACTORs ��.��,�c.. , .'��L%,�,� > .a�C,� .. DATE / Z % � � PHONE : � 7 �' � � ?� Determine workinq square footage of each � �� l. Tatal expos�d �aall area. . . . . . "` `�� ' "�' sq. ft. x .17 = ` � � � 2. Toal roof/ceili.ng area .... .. 1 3�'� � sq. ft. x .05 = �O�' S� 1 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 rim joist area .................................. q. wall area above floor .......................... h. wall area above floor .......................... i. wall area above floor .......................... j. wall area above floor .......................... Total exposed foundation area = /b� �� . .b ` 3 _9 . 'a. ` ).'�'� � �'7 f�-�o � • � irc. Tota.i fouradation window area ........................... N Q�t 1. Total. net foundation area above grade ................. S'�.�,� •, a. � Determine "U" value of each wall segment (e.g. window, door, each separate wall section) / b ��`, � � X ��U�� , �' � " � _ � � . �� n � c� � '.i '�' . ,,. `� X n U n • S � := � , l� C. '� V'� • �e* � X �tUt� • '�' S� � � � - �� l!!'1 .^1 h � , � �, �� / � f✓ V il**11 � Si q� � A v �� _� X e. , f . �v '� X g • ` `' �' ' ;�, � X n�tt � 1 � _ , ��U�� , �;r t� _ ��U�� , �' ? _ h. X "U" _ i . X "U" _ � � X n�� ° k. X "U" � , � ��:� . � �� X � „v„ . �/7 � �� . s S�` . � . Si�•� 3 . ............................. Total � � � 2f item #3 is t same as, or less than item #1, you have met the intent of SBC 600G (c) 2. �* . Total exposed roof/cei2ing area = � S � m. Zbtal skylight area ............................ n. Total roof/ceiling framing area (averaqe 10$)... o. Total net insulated roof/ceiling area........... �35, Determine "U" value for each roof/ceiling segment m. X nU° c n. X "U" _ � - ' � O. � � :� �� X ��U�� . .4. 'r L 4......... ................ Zbtal = 5 �-- If total of #4 is the same as, or Zess 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 swm of items #1 and #2. l. + 2. - 3. + 4. _ 0 � �� NOTE: Use lU� of opayuc wall area for _� � f�ame construction —� '' m - .- 1 , . �i 1 .� � 3 � :� � : �ASxc I WALL • i�---- ��vi FTC_ �il FRAtiE 1?ALL . . •• I�i • 0 �Y-+� � � • L ��"""""�......�r�i FIG. �€2 � �� { � . ' . __ �, r� �� ' _.`—`v . -.---•--_-=—°•-,� j • . �. �._�___��= -��= �� . --�,J :�. � t--�.---�--� � • � ��i�l� 5� � L Sc� L ..�( � �`-� � I �� L �.i,±► ' ��t��i ��,�� j � fi-��—� �f.�a�# � `C�`,.\�•'� i � . . �� . .,�.�.;:_ �._�`��- o��.. . - : _ .� ; ,t�� .. ,�_i , i- �>�� .' • h v. • - . � r� .,�, �� • • � �. T A,; � t� A - i . 3ffi3iJ�i i C:; ; • �= �� --°-�---------t:� . �iz ' �%: - 4�. ` :�----�_... -- —� . . �<� , ' `� : ��```.`�== � ��;s � �_� r� � . . . . t� :-�-�• ,J . � s.--jt.. - � -- :_ . . : _ ,. �■ e�-��►s�� .• . �� ' �• �. • . ��% �� . � ; , � � � l�� 4 �'� 4 � /!( ,; . v;. ,. �� f. � ' ' F.IG. #!3 l.+ . � t' . . o c ..� , � � , ' � � � . . � �� ' •. • � . r-'• . • -! • . � Construction R-Value 1. Interior air film 0.68 2. ��,. -� ,�.�. a. yr 3 . � ��. � /�,�i y- 3 S— , <, / 5. °�y � �,�vuJG. O.�g 7 i� � 6. Exter'r�r air film 0.17 Tot11 • y' 3 �. �l 1. Interior air film 0.68 2. � L � .�'� !i. yls� 3 . � `i '' /J 4. '_z'' � l• i� s- "/� � �� _ �- �? 6. bcterior air film 0.17 Total ' c� �� : , a 7 1, Interior air film 0.68 2 . � �v /� ;.v2t,,�,,� � % --� , p 3 . T "��,., � �� f ' 0 � 4. '�. ��.,�� /- / y s . ?/,•'� '�,1 E� �..�,�,;� 0- 6 � 6. Exterior air film 0.17 Total � j �'� -' U� 1. Interior air film 0.68 2. �. f �. " �� /. z. p� 4. 5. 6. E�:terior air film C.17 ��i 2 �� 3 - - `�� • � • r a .• � ; � � � � � r` . � � , � ..�r_, �, _ • , • ` . f'� �� /' N � � - � •_t ` � � ��( `P . �( ( ` V � • ' � � • _ ^ � ' � 1i1 i. • a • • . �,�i . .�' . . . - � /!l^ � �� . Fxc. �4 = � ' � ' ` ' r- /�r : !tt 1� ' •. p �" , �. � -__ . >` i< r � , r ' (t! � >` x ',� � /�/ — . . . /�( � /!� ._ l�t � NOT�::+ Indicate typc, "r" vzluc, depth and placcr:ient of ii�sulaLion. _. .. ._._ . . . . .,,��! z� .•�- � C VE21T t'ented RpOF/CEILING � � , I�`�� _ J 7 � %l '"" �r �_ `� . ��? —'� � � `"�- �;i ,;., n7i�i i�;r►,';;,'--, ��, ,�!�i��-��-��,►111:� i r . ��.. i.L� �_ ..� , � ,-� �! %/,r � __ `�._.�.._..�,.. � r . i t —i � i `:i � , Heat flow up . . .� �'IG. �5 � ,o_.�..T::��:•`" •%t°, _'?.:=��__`�r�•r ".�.�2<s_,rc..c _rc„� . ��J �� ,: ��J . Heat f�oc�� up , �, ;•venGed ` . .FIG. ��6 �.. ... ' . � '. � ` � . - � 1 �.'" � " 1 � Construction R-Value 1. Interior air film 0.61 2 . '�, ' /2�r 0 - `/.S� 3 . 1 u �c.�.��.- '��'.c,�v�. L '�''. 4. Exterior air film (still) 0.61 Total �, i. � �l = , � � . l. Interiar air film ` 0.61 2. 3. 4. Exterior air film (still) 0.61 Total �+ ' w l�U.\-1�1:!\'Tr..�D • ' , . . , �, . � .. '. � . � HC.'Ar • • � , • , ; � • � £low up . .. • ' . . ; • . �; � • .. . • �']rr,. (�7 � . , , . . 1. Inside air film 0.6i 2. 3. • 4. 5. Outside air film 0.17 Total Note: Use additional sheets if more space is needed for details and calculations .� . �� CITY OF FRIDL�.�Y . APPLICaTION FOR PLIIMBING AND GAS FIiTING P�RMIT �n � m '� U k d Water � � � 'Q � 7.bi C a q q � p� G, �.�, Iieater s�i v a�i p�+ � +Ci ,�!� x C K 3 � �C.�� o� Q u � e�i O Q �.i � N C. N•.i � O S +' •N J� tq N N N v�i U 5 oa a� ii 3 Q w° ai w v oo � 3 � � c� O as lec R /� 1 � lst 2 � 2nd 3rd 4 th (R) = Fliture Connection Opening Connected with Sewer (�) = New Fixture, Old Opening Water PARTIAL RATE SCHEDIILE PLUMBING FIXTURE RATES: N0. RATE Number Fixtures � x S3. C10 F�ture Fix ture Openinq �� x $2.00 New Fixture, Old Opening x $2.00 � Catch Basin x $5.00 water Heater - to 99,000 B1V � x $5.00 100,000 BTU to 199,000 STU x$10.00 Water Softener x $7.00 New Ground F�n Old Building x $5.00 Electric Water Heater x $5.00 GAS FITTING FEES: TOTAL S��J S � S $ $ �J S S $ lst 3 fixtures � x '$3,00 $�• v� Additional Fix tures x $1.00 $ Gas Range to 199,000 BTU x ST0.00 $ REPAIRS $ ALTERATIONS First $100.00 $5.Oa S each add. $100.00 or fraction $2.00 $ State Surchaxge $ .50 TOTAL FEE � . $ � � U REINSPECP;ON FEE ($10.00) Job Address { ((J < �� Department of Buildings City of Fridley Tel. #571-3450 The undersigned hereby makes application for a pezmit ior the wzk hereia specified agreeing to do all work in strict accordance with the City Codes and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct , Fridley, Mn. //— �% , 19 ! � .'�[ �.�.��i:� KIND 0 USED A TO SE CONIPLETED ABOUT `� ESTIMATED COST OLD NEW UILDING PERMIT N0. PERMIT NO. "!�C,JCJ _ Company / v0 �-�'�� Signed Hy Tel. No. �� T � ROUGX INSP. Date FINAL INSP. I'�F "% � ' Ddte APPROVAL FOR PERMIT �� MINIMUM FEE FOR ANY PLUMBING PERMZT IS $7.50 pyvg S.50 STl1TE SUR�ARGB CITY OF FRIDLEY APP�ICATION FOR POWER PLANTS ANA HEATING, COOLIN6, VENTILATION, REFRI6�RATION AND .AIR COND:TIONING SYSTEMS AND DEVICES PARTIAL RATE SCHEAULE ' GRAVITY WARM AIR: RATE TUTF.L Job Address �G7 �/ C/�//��'�?� '� Flirnace Shell & Duct Work S12.00 $ , Replacement of Fltrnace 7.00 $ Repairs & Alterations-up to $500.00 �•�� S Department of BuilBinqa Repairs 6 Alterations each add. $500.00 4.00 $ City of Fridley . Tel. #571-3450 • ;.MECHANICAL WARA1 AIR: Y�rnace Shell & Duct Work to 100,000 BTU each add. 50,000 BTU Replacement of Furnace F.epaizs & Alterations-up to $500.00 Repaizs s Alterations each add. $500.00 STFM1 OR f�9T WATER SYSTEh1: Boiler & Lines up to 100,000 BTU each add.�. 50,000 BTU Boiler only up to 100,000 8TU each dddn. 50,000 BTU OIL BUR.YER- to 3 gal. per hour each add. 3 gal. per hour GAS BURNER- frcm 100,000 HTU to 199.999 BRKI (over 199,999 BTU see Fee Schedule) 512.00 S��/ 4.00 S 7.00 S 7.00 $ 4.00 S $12.00 $ 4.00 $ 7.00 $ 6.00 S $10.00 10.00 $10.00 GAS FITTING FEES: I lst 3 Fixtures / x$ 3.00 Additional Fixtures x $ 1.00 Gas Range to 199,000 HTU x$10.00 AIR CONDITIO\ING T�y�� / ' FAN HEATING SYSTEb1S � �`'N�:K'�C£:,�+�ic,j VENTILATING SYSTEMS See Fee Schedule ALTERATIONS $ REPAIRSS � 3�- � Kt-�G�ii?,vc3 State Surcharqe Taraw � RDUQ3 SNSP. Date FZNAL INSP. � ` .3C' " % $ Date APPROVAL FOR PERMIT '=�� ItBINSPECTION FEE iS20.00) S S sio,DO S S .3, Ov. S S s d •O D sr o S $ .50 S 53. S`a MINIMUM FEE FOR ANY HEATING PERMIT IS 57.50 pLU3 $.50 STATE SUR(�iAibGE The undersigned hereby makes application for a permit for the work hereis► specified agreeinq to do all work in strict accozdance with the City Cades •. an3 rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. Fridley, Minn. � � - � J . 19�� owrrcR `�-i G I/L%�/'Z %h� �� KIND OF BUILDING ��lI,L.:� _ OSEB AS TO IIE COMPLETED ABOUT � � — � � /(1 ESTIMATED COST ' j � UL� ,�/; OLD - NEW IIUILDING PERMIT NO. PERMIT NO. _''l�U� DESCRIPTION OF FURNACE/BURNER AEATING or POWER LANTS, Steam, Hot Water, Warm AiY- No, Trade Name / + ,�C ��.�- Size No. ��Q. ,�� Capacity �%J U OCiC� Sg. Ft. EDR STU Total Connected I,oafl �"1 ICind pf Fuel �� BURNER - Trade Name \.�� V Size No. • --S Capacity � Ft. EDR STU HP Company �i�L� % �! GiL� � �".�P`G��G�Z �..�j2 : �, i'�,�. Signed By �� ' a r �i� �_2� e 10 Tel. No. ��% �/E��-� �� f,� �� >> �t� �,��:`�"��.�. ,�� t �t+'. f^.'_v''^q"9'q"�7 � i�` �/" r i ' �\ � �� i � , �� R� �� ` �{;. . ,�� April 6, 1978 �. - •� 8431 UNfYERSITY AVENUE N.E., FRIDLEY, MINNESOTA 55432 TELEPHONE ( 613)571-3450 Mr. 7.bm Brickner Br.ickner Builders Inc. 6"l45 Ben More Drive N.E. Fridley, MN 55432 Re: F,inal Inspection at 1691 Camelot Lane N.E. Dear Mr. Brickner: � final inspection was made on April 4, 1978 of the above structure and tiie following it�ns were nat�ed which must be completed before it can be �'inaled out; 1. Provide sod in the front and side yards by June 30, 1978. 2. Provide a hard suY'face driveway by June 30, 1978. 3. Provide t� o steps in garage by April 20, 1978. 4. Fire biock between unfinished studs downstairs by April 20, 1978. We will expect the above items to be completed by the scheduled dates when reinspections will be made to determine compliance. If you have any questions on these items, please contact me at 571-3450. Sincerely, iit?i� iii��DEN Building Inspector 12H/mh , _.,'�'�"' sue�ecT P E c�ty of Fridley � AT THE TOP OF THE TWINS g � I L D I N G P E R M I T �� f � � , � R � COMMUNITY DEVELOPMENT DIV. � ; .: ----- , 3b�� r � � PROTECTIVE INSPECTION SEC. . ��/ � � J - ' � /'��1 � CITY HALL FRIDLE`/ SS43Z NUMBER REV DATE PAGE OF APPROVED B� �'"'"�� ,�� 612-571-3450 910-F15 � � JOB A�DRESS 1691 Camelot Lane NE t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2,6 2 Harris Lake Estates SNEET 2 PAOPERTY OWNER MAIL ADDRES$ 21P PHONE James Wright 1691 Camelot Lane NE 572-9605 3 CONTRACTOR MAIL ADORESS Z�P PHONE LICENSE NO Same a ARCHITECT OR DESIGNER MAIL ADDRESS 21P PMONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE IICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK CL NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE O REMOVE X 8 DESCRIBE WORK Construct a 10' x 12' Storage Shed in Rear Yard 9 CHANGE OF USE FROM TO STIPULATIONS Shed must comply with City Code setback requirements. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZpNING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAVS. OR IF CONSTpUCTION OR WORK IS SUSPENDED OR ABANOONED FOF A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFV 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 OROINANCES GOVERNING THIS TVPE OF WORK WILL 8E COMPLIED 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- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECKFEE TOTALFEE SIGNATU�7E OF CON'RACTOR pR AUTHORIZED AGENT IDATEi WHEN PfiOPER V�,LIDATED THIS IS YOUR PERMIT � � 1�9� SiGNATUFlEOFOWNEPiiFOWNEABU�LDE�7� �DATEI BL JNSP �1AiE , NEW L l ADDN ( j CITY OF FRIDLEY ALTER O SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Gffective 8/ 1 /95 �3�� Construction Address: � (� � ( � � ,�lc % �� c � — cri�; a� o� (p la �� x�� re-i�5 �� Z�� S" — �� ss:� cc%.�ts �• �Ur�Q Ill � �G� 91 �G�r��o l� �� Tel. #� 7a - 9� a S r c��.�-�� 0. T � N LICENSE # 65g(� --�--_ Address: SS��...�_-.� _^� - v.Q� o��n Ta� '�`n N�-��i Tel. # 61 � �1-�bl� �Z--�— Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: I:engtti Width Height Sq: Ft. - GARAG� A1ZEA: li.,ength Width Height Sq. Ft. _ DECK AREA: Length Width Hgt/Ground Sq. Ft. _ OTHER: � or-�zti�. ��t�� l� X /v2 � /a?Q�� Comer Lot (] Inside Lot [] Ft. Yd Setback Side Yard Setbacks Type of Construction: woo� F cr� Estimated Cost: $� � o _ Approx. Completion Date: !; 7 (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ ��'�� DATE: °��I S��5 _ APPLICANT: 5Q'�-S (� Oc' Q�Yj�'O. S��;�� Tel. # �1Z � q C�C�� Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Chazge TOTAL STIPULATIONS: ,� r � �-.-�---(�-�- $ %�� $ : '(� $ $ $ $ $ $ $ , Z� �ITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.50/�1,000 Valuation $850 per SAC Unit $5.00 (State Licensed Residential Contractors) A1t. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary { ] � F . • ' � I n r i n Al i Pr��es F�nc ude Co st uct o The backyard barn. 4' SIDEWALL WxLxH 8 x 8 x 8.:..:. $799.00 8x12x8 ........999.00 8 x 16 x 8......1249.00 6' SIDEWALL WxLxH 8 x 10 x 10 .... $999.00 8x12x10....1149.00 8 x 16 x 10 ....1349.00 3'6" SlDEWALL 10 x 12 x 10 ..1399.00 10x12x9....1249.0 10x16x10 ..1699.00 10 x 16 x 9....1549.00 10 x 20 x 10 ..1999.00 10 x 20 x 9....1849.00 � «c��o. o r� So,�. c� 44'�,'r�- �� \ , oo p � 7' SIDEWALL WxLxH 10x12x11 ................................... $1499.00 10 x 16 x 11 ...............:..................... 1899.00 10 x 20 x 11 ..................................... 2199.00 12 x 16 x 14'6" ................................. 2399.00 12 x 20 x 14'6" ................................. 2799.00 12 x 24 x 14'6° ................................. 3199.00 16 x 16 x 15 ..................................... 3099.00 16 x 20 x 15 ..................................... 3699.00 16 x 24 x 15 ..................................... 4299.00 I Traditional styling with a gable roof. 6' SIDEWALL WxLxH 6 x 6 x 7'0" .................................... $599.00 6 x 8 x 7'6" .............................:........ 699.00 6 x 12 x 7'6" ...................................... 899.00 8 x 10 x 8 ........................................ $899.00 8 x 12 x 8 ........................................ 1099.00 8 x 16 x 8 ........................................ 1299.00 7' SIDEWALL 10 x 12 x 10 ................................... $1499.00 10 x 16 x 10 ..................................... 1899.00 10x20x10 ..................................... 2199.00 12 x 16 x 10'6" ................................. 1999.00 12 x 20 x 10'6" ................................. 2399.00 12 x 24 x 10'6" ................................. 2799.00 16 x 16 x 11'6" ................................. 2749.00 16 x 20 x 11'6" ................................. 3249.00 16 x 24 x 11'6" ................................. 3729.00 Ask About Our Monthly Specials Prices suti ect to c tice. . A different style. 6' SIDEWALL WxLxH 10 x 8 x 8..... $999.00 12x8x8......1099.00 16x8x8......1449.00 12x10x9....1299.00 16x10x9....1699.00 20 x 10 x 9....1999.00 7' SIDEWALL WxLxH 10x8x9....$1049.00 12x8x9......1199.00 16x8x9......1499.00 12 x 10 x 10 ..1349.00 16 x 10 x 10 ..1749.00 20 x 10 x 10 .. 2149.00 Size includes porch. 7' SiDEWALL WxLxH 10x12x10 ................................... $1499.00 12 x � �14.�.} ....... ....... ... Y�1699.00 � . , ;i.:. . . .� ° VeMs: 8" x 16" ................................2 for $16.00 Wir�dows: 18" x 15" .......................................... $59.95 24" x 22" ............................................69.95 Flower Boxes: For Small Window ...........................$12.00 For Large Window .............................15.00 Shutters: ForSmall Window ...........................$12.00 For Large Window .............................15.00 24" x 24" Skylight : ..................................$79.95 Extra Set of Doors : .................................$79.00 Extra for Wider pouble Doors: 60" ................................................... $20.00 72" .....................................................30.00 Operating LoR Door : ..............................$49.95 Lori Sectlons: 8 x 2.......... $30.00 8 x 4......... $50.00 10 x 2 .............40.00 10 x 4...........70.00 12 x 2 .............50.00 12 x 4...........90.00 16 x 2 .............80.00 16 x 4.........140.00 12" Shelving :.........................................$3.00 ft. 2 Piece Metal Ramp : ...............................$59.95 Extra 4" x 4" Skid : ................................$2.50 ft. Double OSB Floor untreated add 60� per square foot Treated Floors: Treated floors include treated floor joist and pressure treated plywood flooring in addition to the treated skids which are standard on alt buildings. Building Size Add ior Treated Floor 8 x 8 ...................................................... $45.00 8 x 10 ........................................................56.00 8 x 12 ........................................................68.00 8 x 16 ........................................................90.00 10 x 12 ........................................................ 84.00 10 x 16 ......................................................112.00 10 x 20 ......................................................140.00 12 x 16 ......................................................135.00 12 x 20 ......................................................168.00 12 x 24 ......................................................200.00 16 x 16 ......................................................180.00 16 x 20 ......................................................224.00 '#16 x 24 .............................................:....:...270.00 -_ .. BBS buildings are constructed on your�lot `, with free delivery within a SO mile raditts and designed to last for years. ' • 2 x 4 door trim for maximum strength. • 72" continuous piano hinge for added suength. • F1oor joist spaced 12" O.C.; 2 x 4 on 8' wide and 10' wide buildings; 2 x 6 on 12' & 16' wide buildings. • 2 x 4 wall and rafter construction on all buildings except some 12' & 16' wide buildings. • Horizontal panel joints protected with � bar flashing. • Built on Veated 4 x 4 skids. Two are used on the 8' wide, three on the 10' and 12' wide and 4 on the 16' wide. • Choice of black, brown or white self-sealing shingles. • 7/16" Inner-Seal siding with a 5 Year Warranty; primed and ready to paint. • 2 year guarantee on workmanship from Backyazd Building Systems SEE A COMPLETE DISPLAY AT Located at 3030 N. Hwy. 61, Maplewood between I-694 & Beam Ave. (�r12a 486-9294,�,• Fax: (612) 486-0463 Authorized Dealer �„ � ;,•r � Q• ' • \ �'`'' ''� �� + � � � . We Accept �sa, MasterCard & Discover Backyard Building Systems dces not • Paint your building. • Excavate or prepare your building site for construction of your build'mg. • Secure yout building permit BACKYARD BUILDING SYSTEMS 5590 222nd Street East • Hampton, MN 55031 � 5/95 , BACKYARD BUILDING SYSTEMS INC. Quality Backyard Storage at an Affordable Price Locally Owned Minnesota Company MN State Lic. #6590 • Bonded & Insured Tlze Canterbury The Colon�ial BACKYARD BUILDING SYSTEMS 5590 222nd Street East • Hampton, MN 55031 __ .,�, . . . . 4 � #�1 t.i "� �a . . � � , . .. � : y�p�� -r�� j�. . . . . � . '::� t G H �:1 �xf �� ' � �;'S�n q �'�S JHS-' } �� '�`�V-. r-��.' ;�y{, , .. _ ' �. - " �' � � > �� x �_;�,�nd, P1a+lnit�+g ��Gy �� !'( � �l 1 t, . �48�'�`�. � � ;a�,d„d,�51irveyip� ��; , ' r , . ' �. , ! ,:� � ��'�� '.:�oa�s�`T��t� . (r�ll �IIRI'�f�l� •` �r.' �°�'" �� ::' �i��'ic�+�� . Givll fngtn.o�•ng � � • � • .5 {:.�� . �e1�ph��, ,�, ��u��fic�perlEngi�reeriti;�o- ' E��ineers� " :1 i a� �.�� t�;-`;�� • :r, yY � & Surve�qrs � � r r � N�Y� �w � �: . �. , ; ,, �,F �^_ ',x � C ��' iW � �... i 1 T�,�'�. +s! N r t � / � �. . , .. �V 'd +. r;� � �45:� :' �, � 4 '.. . � � : � , . j` _ � 5 . i ., F � j �; r. 4 P � A� � ��C�ke�iiP�i�ate .of 'Survrey f.or �'�`�:��C�'�� ' � ;,, • � , r .� � ; .: . .........,.�.-...:..�.._.._ , :�� y �. •� � . t . "-.." � • ,�,_ Y � „ r,'� - _ � . . . '� � .�ia'..,"`w, S . . _ . . . . . . . . . , , � � � [� '� � W � _ .. .. F��~ - � . W - � . � � . . � ��'� . . . . � ��r E : �� ] O / � i. . /� ' ,%/ i � � .({ �' '.�� -: ' ` • —` �� . � . . k 1.- _. ` � . ��, v+ ;r�' �� oca� u�.�lit�es � � `�,/h�� g digg►ng call � 1C - GAS E�e. — — �• , / , gofoc oN�_E�ECZR � �i 10 � �}}�fi�'��r i �` ��+ " _ � � : ��4�RH �,; � a , �� -- ,� ! � U �- pFQ�1R'�� r�� , ?� � � la' �t �� ` '�,� . � .� .;� = � :a: . � . . + �zt�i': ET1G'' D� �j Y . < T10E T� G1� G�Rg h� t�a � 3� pA`� N� `REp F�R EMENZ ,,3 I o � p1V • R�4 ptao R�p� NtNGS' '�a �� _ � _ `�, :� 9 E �V A� A �PE � � � � d�A `( - , , _ ' � � .� p�tYE`N ' s ;�.�� - � �J; -�° ( Sc.a1c� 1'"—`"_,;�( A ;r.r� , ��, '� j \ �" . �, � � ._ �,�.._� ` � ,_ � � � -- �� -�� " s"�° : I N�� ' s � U � � � t�� ' fA ��, • �.- L� ;y Cc., ' ` � l .'l�� '1'.� f _ . �� ' --- �V�_ _ _ �:. _ JIO J► o � L ' - s TyE CITY OF FWDi� D0�,4 NOT GUARANTEE T�iE i ACCUitA . ND ELEVATIONS. Ttt;S QAtA l 1:• RMATION PURPOSES OnbY AN7 � pERSpNS USMG R SNOULD VERIFY THE iNFORMA7tON .�i� C?N THE 51?E � �� . __�.�T ��, ��.Q � K 2, � � ��- __ = y�. � �S 1�. �. TAT� ! 8 � �4-�..T. ;¢ '' x � ; �; � : . �t}. . Anoku Cour1{y ,,� : � � 1 hareby <trNity tt�at �h'r� is a trve c�nd corrrti repre�e�totron of a sarvey of the houndt�rrts oi the abvYee dcscri}�ed lund, and of 4hr. loccftiort of o!' t�uild:�y�, the.e+on� nncl c�ii visihie enc►oachmenti� i! o�iy; fre»e pt br�" staid fond. As su��veycc? by mr th�> rf�,y of ,t: ,., .... �.�� :{)��-: --- .._.. . _ .�.:.._� _____ t �_. � a �t�LT�� 1RON 1ri;}�iili'��T SUB!lRBAt� ENGlPt�EftilVG, 1�VC. .' En�inee�rY � Surveyo�� {" ' _____— i/t,'wfL.`? i�.'l�li�v�`�J� � �JTIS..! i � c.'17�1n�.iV� 7'5..,,!__ r �_^� � . .. ._..... .. . � e th •�}�. .�.� . .......................,...__.,_._ .,,.�..«..........,.....,........-.....»..�,._...,�........�....,......._....,...,....�.,..,�,.. !� � � � • � • • .0011'01r= �::a-,=�.. -_ =---__ __ =� _ , __� ,.. .,��Il��li� ��,=-- _-_ ____-- _ ..e _. `� .r.. Il�fr,e,ll,�,ll 111�� i111111111IIIlIi11111111��,�,��-.,��1�r The backyard barn. 4' SIDEWALL WxLxH 8 x 8 x 8...... $799.00 8x12x8 ........999.00 8x16x8......1249.00 _ 3'6" SlDEWALL 10x12x9....1249.0 10 x 16 x 9....1549.00 10x20x9....1849.00 6' SIDEWALL WxLxH 8 x 10 x 10 .... $999.00 8x12x10....11�9.00 8x16x10....1349.00 10 x 12 x 10 ..1399.00 10 x 16 x 10 ..1699.00 10 x 20 x 10 ..1999.00 �- `�� o, o n So.� 0. �ca��.. �-o..�'e_� \ � OC� p c� 7' SIDEWALL WxLxH 10 x 12 x 11 ................................... $1499.00 10 x 16 x 11 ..................................... 1899.00 10x20x 11 ..................................... 2199.00 12 x 16 x 14'6" ................................. 2399.00 12 x 20 x 14'6" ................................. 2799.00 12 x 24 x 14'6° ................................. 3199.00 16 x 16 x 15 ..................................... 3099.00 16 x 20 x 15 ..................................... 3699.00 16 x 24 x 15 ..................................... 4299.00 Traditional styling with a gable roof. 6' SIDEWALL WxLxH 6 x 6 x 7'6" ........:........................... $599.00 6 x 8 x 7'6" ........; ..:.:. ...:::....... 699.00 6 x 12 x 7'6" ......: ....:... .... 899.00 8' x 10 x 8 ..: ........: ......... ............ $899.00 _ 8 x 12 x$ ... ......:.: ......... .....:...... 1099.00 8 x 16 x 8... ...:..' .. ......... ....:....... 1299.00 � T S{DEWALL � : 10 x 12 x 10 ... ...... ........: . .....::.. $1499.00 _ 10 x 16 x 10 ............ :..:... ......:..... 1899.00 . 10x20x 10 . ..............:.... .......... 2199.00 12 x-16 x 10'6" .......: ..::..... ............ 1999.00 12x20x 10'6° ........ .....:. ._ :. .. . 2399.00 .... . 12 x 24 x 10'6" ....:... ......... ,....... 2799.00 16 x 16 x 11'6" ................... ............ 2749.00 16 x 20 x 11'6" ......:: .:....: .......... 3249.00 16 x 24 x 11'6" ...:.... ......... :.......... 3729.00 ,► _ ., Ask About Our � Monthiy`Specia/s Prices sub'ect to c, �e y' �o Gce. ,. . ... .. .. . _. I A different style. 6' SIDEWALL 7' SIDEWALL WxLxH WxLxH 10 x 8 x 8..... $999.00 10 x 8 x 9.... $1049.00 12x8x8.,...,1099.00 12x8x9.....,1199.00 � 16x8x8 ......1449.00 16x8x9 .....:1499.00 12x 10x9 ..:.1299,00 12x 10x 10 ..1349.00 16 x 10 x 9.. `..1699.00 16 x 10 x 10 ..1749.00 � x 10 x 9....1.999.00 20 x 10 x 10 .. 2149.00 , . ... . � . .� _ .. -,,,.F... Size incIudes porch. T SIDEWALL 0 WxLxH 10x12x10 ................................... $1499.00 12 x � x�i (1�,.:• .� � ,... , .�,,.1699.0� \ L .";� ' .. `x • at, . r ' M � I-� ._ . . Vents: 8" x 16" ................................2 for $16.00 Windows: 18" x 15" .......... :........ ......... ........$59.95 24" x 22" .......... ................................69.95 Flower Boxes: For Small Window ....... .................$12.00 For Large Window ....... ....................15.00 Shutters: For Small Window ....... .......:..........$12.00 For Large Window .............................15.00 24" x 24" Skylight : ..................................$79.95 Extra Set of Doors : .. .............................$79.00 Extra for Wider pouble Doors: 60" ................................................... $20.00 72" .................. . ...................... .30.00 � Operating Loft Door• $49 95 BBS buildings are constructed on your lot �� with free delivery within a SO mile radius and designed to last for years. i � � � \' • 2 x 4 door vim for maximum strength; ` • 72" continuous piano hinge for added strength. • F1oor joist spaced 12" O.C.; 2 x 4 on 8' wide and 10' wide buildings; 2 x 6 on 12' & 16' wide buildings. • 2 x 4 wall and rafter construction on all buildings except some 12' & 16' wide buildings. • Horizontal panel joints protected with Z bar flashing. • Built on treated 4 x 4 skids. Two aze used on the 8' wide, three on the 10' and 12' wide and 4 on the 16' wide. � Choice of black, brown or white self-sealing shingles. ......... .................. . • 7/16" Inner-Seal siding with a 5 Year Warranty; Loft Sections; primed and ready to paint. ' ` 8 x 2 ........ $30.00 8 x 4 ........ $50.00 . : , : , ; . 10 x 2 :.:..........40.00 10 x 4 - • 2 Y�' g�'�tee on workmanshi� from Backyazd 70.00 Building Systems ' ` -� 12 x 2 .............50.00 12 x 4 90.00 ' � 16 x 2 .............80.00 ; 16 x 4.........140.00 SEE A COMPLEI'E DISPLAY AT �, � 12" Shelvtng:, ......... ......... ................ $3.00 ft. � � 2 Ptece Metal Ramp: ........... .. $59.95 " Located at 3030 N. Hwj% 61, Maplewood betvkeen I 694 & Beam Ave Extwd 4" x 4" Skid: ........ .... ....... ..$2.50 ft. '�.;�8�6�;9�94�• Fax: (612) 486-0463 Double OSB Floor untreated add 60� per square foot Treated Floors: Treat�d floors inciude treated floor joist and pressure treated plywood flooring in addition to the treated skids which are standard on all buildings. Butlding Size Add for Treated Floor 8 x 8 .......................... ........................ $45.00 8 x 10 ........................................................56.00 8 x 12 ........................................................ 68.00 8 x 16 ........................................................ 90.00 10 x 12 ..................................:........ 84.00 10 x 16 .....................:...................... .........112.00 10 x 20 ......................................................140.00 12 x 16 ............................................:.........135.00 12 x 20 ......................................................168.00 � 12 x 24 ......................................................200.00 . 16 x 16 ......................................................180.00 16 x 20 ............................................ ........224.00 , 16 x 24 ............................... .::....: '...: ...2Z,0.00 �� :�,. . � BACKYARD BUILDING SYSTEMS INC, Quality Backyard Storage at an Affordable Price Locally Owned Minnesota Company MN State Lic. #6590 • Bonded & Insured The Americana Authorized Dealer �� `�`�— o-.�, � �P+� M.� ' s , � _—` � - -E °'' . ...a��J WeAccept Vfsa, MasterCard & Discover. . ` Backyard Bwlding Systems does noG • Paint yw�r bu�7ding. ' � Excavace or prepare your build'mg sice for co�aucaon of your building. - . • Se�ue your buildin� perm�t , r>`= BACKYARD BUILDING SYSTEMS '? BACKYARD BUILDING SYSTEMS 5590 222nd Street East • Hampton, MN 55031 5590 222nd Street East • Hampton, MN 55031 � _.:- r, �y�� . 5/95 .��, �- �;,,.,�. _ , .k _ SUBJECT CitY of Fridle AT THE TOP OF THE TWINSy g U I L D I N G P E R M I T �•� �� f � � � l � COMMUNITY DEVELOPMENT OIV. r � V � PROTECTIVE INSPECTION SEC. 3� +� � � - � w� /'��1 � CITY HALL FRIDLEV 55432 NUMBER pEV DATE PAGE UF APPROVED B`/ ` ��'J \.i �.J 612-571-3450 910-F15 10/2(95 / / JOB ADDRESS 1691 Camelot Lane NE t LEGAL ��T NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCFi. 2Fj 2 Harris Lake Estates SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Debbie Wright 1691 Camelot Lane NE 572-9606 3 CON7qACTOR MAIL ADDRESS Z�P PHONE LICENSE NO Ron's Roofing/Remodeling 1367 Ferndale Ave, Fridley 55432 572-8093 a ARCHITECT OR OESIGNER MAIL ADORESS ZIP PHONE LICENSE NO 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTEFiATION � REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Reroof House/Garage (29 Sq) Tear-off 9 CHANGEOFUSEFROM TO STIPULATIONS Underlayment must comply with the State Building Code. . TYPEOFCONST. OCCUPANCYGROUP OCCUPANCYLOAD SEPARATE PERMITS ARE REOUIiiED FOR EIECTfiICAI, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 OAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONEO FOR A PERI00 OF 120 OAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CEfiTIFV 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 WILI BE COMPLIED WITH WHETHER SPECIFIED HEREIN OF NOT. THE GRANTING OF A PERMIT 2 32O 1. 16 DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- ST N OR THF�ERFOFIMANCE OF CONSTRUCTION. ]/{. ]rj Fire SC, 2.32 J PLAN CHECKfEE TOTALFEE JQ �� . n 8 .23 SIGNA7URE CON�RACTO RAUTHOA�ZEDAGENT IDATEi WHEN PfiOPER� ALIDATED THIS IS YOUR� RMIT � c�i r SiGNA1UFlE OF OWNEA UF OWNER BUILDER� IOATEi BL G�NSP • 4TE NEW ADDN ALTER [l [l Ll ConstructionAddress: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application l`�� A l�✓1 �. L c� �:.�I�� c Y � L Effective 8/ 1/95 Legal Description: _� , Owner Name & Address: `� �j � Q vY � r� Tel. # � � �-1 �_ Contractor: � �O � �� °U� � � '� }'`'�D L �% �' `� — MN LICENSE # t_ �'j� � Address: �� ? � s �, csC � � t �e :.� : CJ L�'� Tel. # � �--, � Attach to this appGcation, a Certificate of Survey of the lot, with the proposed consiruction drawn on it to scale. LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Length Length Length DESCRIPTION OF IMPROVEMENT Width Height Sq. Ft. Width Height Sq. Ft. width xgt/+Grouna Sq. Ft. � -� �t- - �tC4�.f.3E ��""C.� �-c.�tr-c� Comer Lot [] Inside Lot �, ]�Yd Setback Si e Yard Setbacks V "� Estimat:ed Cost: �'�" � 'I�pe of Construction: e T Approx. Completion Date: �0' � -� ��'� �, � (Cost on Back) Driveway C�rb C�t Widtb Needed: Ft. + 6 Ft = Ft x$ DATE: APPLICANT: Pe�nnit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charg� TOTAL �ITY USE ONLY _$ Tel. # $ 7 t{ , Fee Schedule on Reverse Side $ a� 3� .041 of Permit Valuation (1/1(hh%) $ 1 , � (�,, $.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 $ Fee Determined by Engineering $ Agreement Necessary [ ] Not Necessary [ ] $ �32 3 STIPUL24.TIONS: _ __ _ � - ` ' sue�etr PERMIT NO. c�ty of Fridley 312 5�5 AT TME TOP OF TME TWINS g� I L D I N G P E R M I T ' ' NO. � � � • COMMUNITY OEVEIOPMENT DIV. � ♦y �� , r � � PROTECTIVE INSPECTION SEC. � � / i . � � �"'1 � CITY MALL FRIpIE� SSIJ2 NUMBER pEV D�TE v�GE OF •vvnOVEO Br �""'�"� �'' 612-571-3450 9t0-F15 7/28/00 / / 108 ADDRESS 1691 Camelot Lane NE 1 IEGAI �OT NO. BLOCK TRACT OR ADOITION SEE ATTACHED oesca. 26 2 Harris Lake Estates SNEET 2 PHOPERTY OWNER MAtL ADDRESS 21� PMONE Deb Wright 1691 Camelot Lane NE 763-572-9605 3 CONTRACTOR MAII ADDRESS ZIP PHONE LICENSE NO Brent's Clean Sweep 11711 9th Ave NW Coon Rapids, ?.�I 55433 763-427-5288 4 ARCHITECT OR OESIGNER MAIL AODiiESS 21P PMONE LICENSE NO. 5 ENGINEER MAIL AOORESS ZIP PHONE LICENSE NO 6 USE Of BUILDING Residential 7 CLASS OF WOFK O NEW ❑ ADDITION O ALTERATION (� REPAIR p MOVE O REMOVE 8 DESCRIBE WORK reline Chimney �3�ic�tg (2 flues) 3 courses brickwork F� new crown. Wood burning fireplace 9 CHANGE OF USE FROM TO STIPULATIONS Subject to on site inspection. TYPE OF CONST. OCCUPANCV Gi;OUP OCCUPANCV LOAO SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING. MEATING. VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULI AND VOID IF WORK OR CONSTRUCTION 20NING SO. fT CU iT AUTMORI2ED IS NOT COMMENCED V�!ITHIN 60 DAYS. OR IF CONS7qUCTION OR WORK IS SUSPENDED OR ABANOONEO FOR A PERIOD Of 120 DAYS AT ANV TIME AFTER WOfiK IS COMMENCED. NO DWLG. UNITS OfFSTREET PARKING I HEREBV CEATIFV THAT I HAVE READ ANO EXAMINED THIS APPIICATION 1 STA��S GARAGES AND KNOW THE SAME TO BE TRUE ANO CORRECT. AlL PROVISIONS Of LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TVPE OF WORK WI�� BE COMP�IED WITM WHEiMER SPECIf1E0 MEREIN OR NOT. TME GRANTiNG OF A PERMIT �.G LII..ZL �y3. �.O DOES NOT PRESUME TO GIVE AUTMORITV TO VIOLATE OR CANCEL THE pEqMIT FEE SAC CHARGE PROVISION ANV OTHEFi STATE OF LOCAL LAW REGULATING CON- STRU TIO OR O MANCE OF CONSTRUCTION .].39. 25 $6 21 �l�� G n` PLAN CHECK F TOT L FEE � � 48.56 NGTU f CON'PA(;iOQOR oUTMOFIIZED 4GENT IOATEI E PROP VALIOATE TNIS�OU �Mi S�GtiaiuAE Q� OwNEQ ��c OwHEQ Bu��OEA� �D�iE� g� �N D� �1�1E � N EV1! [ ] Effective 1 /1 /2000 ADDN [] CITY OF FRIDLEY (763) 572-3604 Bldg Jnsp ALTER [] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 ; J \ BUILDING PERMIT APPLICATION ) j� '� �� Construction Address: �� C G. ,.� Q.. ! c i �►��. . � � Legai Description: Owner Name & Address: l�h G,/,�: �� I(S� C� „qQ_�d t� L� Tel. # �6 �" ��02 � l��C� Contractor: �,�e � TS C � � � ,,, ��. �r� MN LICENSE # Address: j ) � � 1 �r � �` � v� N • �/. Tel. # 7 6 3 - `� ot7 J So � $� LIVING AREA: GARAGE AREA: DECK AREA: OTHER: �UN �--Pi G.�.s � S-��3 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 Length _ C I� .� �.\ Width r��rd;I�1 Height Sq. Ft. Hgt/Ground Sq. Ft. yv�� l /►.s n t � J�(`� � �✓'��-�L✓e✓� Gw�e�- c` "�-a.,Lv C ✓�c w � ,� �j0 � � (�� C.) � {-� J�' � � �1' � `—c_ /� a� Construction Type: Estimated Cost: $ (> o� �� Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: / oZ � G � APPLICANT: / S v'`� v�, � Tel. # � 6�' ZIa�% �'.�� g CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application Permit Fee $ 1�g� as� Fee Schedule on Reverse Side Fire Surcharge $ •� � .001 of PermitValuation (1/10th%) State Surcharge $ � . / U $.50/$1,000 Valuation SAC Charge $ $1100 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [) Not Necessary [] f � S� <�-c�oj J�� i� ��..�t �� TOTAL $ �s . o o � c�s� STIPULATIONS: ��,5� � ��5� � '�> l�R! NEW ADDN ALTER . r 7 • �� [l [l i- �� Q / ` / cc:�� % CITY OF FRIDLEY 6431 University Ave NE, Fridley, MN 55432 SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION (763) 572-3604 Bldg Ins (763) 571-1287 Fax , ( ip � Construction Address t�.�� 1�(;..bT (�N �)� -_ , Legal Description: R Owner Name & Address: M�'�T o f3� i� �1 � s�� A-s k03ov� � Tel. # Contractor: �1 � �- MN LICENSE # �� Address: f��k Tel.# �� ,- LNING AREA: GARAGE AREA: DECK AREA: OTH ER: 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 � � � Hgt/Ground �, � � Sq. Ft. /a f°BS� Construction Type: .�P.� Estimated Cost: $ ��° � � ✓�� Driveway Curb Cut �dth Needed: Ft. + 6 Ft = Ft x$ _� DATE: J� ` �� APPLICANT: /�t /fTf D 6�2/�N Tel. #� �� oa g 76 3) �S7l; 96 S6 Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using cre�it card and we will call you for card number. Permit Fee Plan Review Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge � �7, C� � 37.� $ �s $ � $ $ $ $ $ $ CITY USE ONLY - Fee Schedule on Reverse Side 65% of Permit Fee .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1450 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 [ ] TOTAL $ ^ .-7 STIPULATIONS: 7�Q��7 _ __ -_ __ _ __ � ___ .__ _ _.. _ _ __ __ _ _ _ _ _ _ _ S� - - - � - . _ _ __ -- --- _ _. -�-�:� -- _ _ __ � ___ _ __ _ - . - -- _ _ __ _. � _ . _. _ ----- ...._ __ _ _. _ _.__ ___ --- _ _ --- _�► . _ ____ - - _ -- ___- ._. - _ _.. - - � - Ia-`- �- � ___ __ ____ _ - -- _ _ _ - - - _____ ___= _ _ __ __ _ _ . _ -_ _ __ __ �- __ � ___ _ _ - ____ _---- � � _ _ _ r�- �`� � " a ---_ --- Q __ _ ---- --- _ - - - -- - -_ _- -,� ---_ __ _-- ��r � � � r n - h _� j�( _ - _ _ _ _ _ _ _--- _ _ - — _ _ _ _ � - __ _ _ _� - _- - _ _- �S� _ - ` �- _ __ _ __ .._. --- -_ __ -- - _ ._ � _ - - - __ � _ --- _ � ----- --- - --- _ __ ___ _ _. _ - ----- _._ _ __ ___ _-- ____ _ � _ � _ ___ _ _ - _ __ _ _ ___ _ Z -- - . � � __ - - - � -- - -- _ _ -,! ____-- - ,_ __ _ _ __ _ _ ---_ __ - -- _. __ - _ _ - __ _ ___ ---- _ _ y_ __ _ _.._. . ._ _ __ _ __._ ___ _ __ _. ._- ---- — --- _ - _-- N-- _ __ ___--- __._ _ __2 _ _ _ __ — ___ -- - - - _ _ _- -- � - _ _ _ __ -- --- -- - _ _ - _ _ _ --- - -- __ _.. _ _ ___ _ _ _ _ � ` - _ ---- - - __-_ __ - �_ � � _ _ _ __ _. ---_ __ _--- -"— __ __- -- - - --_ __- - . -- __ __ �i _ _� _. __ _ ____ __ _ ______ _ ___ __ _______ _ __ _ __ _ ____ ___ _____ _ . _� � �. _ _ _ _ _ _ __ __ ___ _ ._ __ _. _ _ __ ___ __ __ _ _. __ �.-_ � _ - __ , _ ___ __ _ _ ___ __ _ _ __ ___ ___ _ � __ . _ __ __ � __ _ v__ __� _ _ � � __________ � ___ __�__ � ___ _ _ ___ � _ - ._ � _ � � _ -- . _--- __. . __ ___3 -- _-� -- - .� - ,� C- - - - --- --�� - --- `. -- -__ ___ -_ -- _ _-- . .. _ _ _ . _ ___._ -- -- -- - - -- '1 - .. -. -- __ _ _ _ _ 7 3 � �. 1 _ _ _ _ _.-_ _ _� _-- __..._ ___ _ _ __- _ __ - --- _ _ _ _- � _ __ - �-- -- - - --- __ _ _ � . __ _ _ __ - - - - - -- -- __ __ _ � --�-r� __ __ __ --- - __ __ -- _ -_F � --__ T� � __ _ __ _ __� �► - _ - -- __ _ � _ _ , ----- _ _ _ .- - --- _ _ __ _ _ ___ _ _---. _ _-- ._ ,, „ ___ ____ _ -�.,. -_�.�� _ _-- - -- �` � _ _ --- __ _ _ ___ - ___ _ _____ __ z � - n r r*, ,-� ^ =.`"�.�i._`.�.^_ ^ -, � S� ^ ^ � -f �I __ _ _ —._..=! -- � --� 1- ,� � -' - - -` _ � � - -_ _- --__ _ ___ ___ _ _ _ _ � _ _ _ (�, __ __ _ -- __ __"V _ _ � . � , l J yM � ..._�� .._. 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'. � .�1' ,`� _ � �\'�.. � ,�` � � \` + C1 ��D `S � .'� f � .. �s Q Z `� ,� � � C � � C c \� =s� \ ` \ , . ., , �--� � ,��. �� ,. x � ` �' � � � �; �� `''^\ \�`� '� \ �\�. � �': r � `+` '\`' '� � �. � f � ' � ` X �� ' Q `� ..► � � � � �'' -�, � . �' '� .-a - �, x K ' � X � . .. . _ . �� - i -�- �r _�_. . a - - � _ v �� y ^ f � ��. � 9 `v —,,._ \n � � � \ .��3 � �' I _. '� -- � � . �'� N , � � �' �. �\. -- - � � � � _ \. � �. , � �'`'--____ � - �..., .n � ', -., ._.._. _. _�. � _� e � , _. ,an � . ` _ , _ �, , ......... . _ _.,_ ...._.. 1 � '� -- � , � , - ._ .� � � � � �� I I � � +� � � ' � �• � � M! ,� s -vJ _� � � � � � ,, °3 � �� tw �, �r -�s Q; � � �`�`� ,� 91 `'� � � � � i� J � � � �-� � � - - -�... \ �1"�� `� � � ��ifl��.l � � � � t �� ► I � ► I � � .� � � . . J n � -v i � S � v(l� � i ;s � c� � � � ,� � --�,, � L r � � �� s �� - J � � 9 C�! > l. � �- � � � -` � _ � � � � �, i`, .� � A J �� .� -�.. � v �� J�' � � �� - ,� � �� ,� � �, t �� ,� � � � ' �� , I �� I i � � � _ � � o°¢ U _J i. � � � � � e �" 1 � -' c� n\ -� � �� Desi n #: 79849 � r ' �g� g �� Take this sheet to the Building Materials desk to purchase your materials. You have selected a:��deck 6�_6�� off the ground Pressure Treated Framing Material 6 x 6 Framing Posts Vertical Decking 5l4" x 6" Cedar Deck Boards 36" Continuous T Handrail Railing 2" x 2" x 42" Cedar Spindles, Beveled 1 End 4" x 4" x 48" Cedar Railing Posts 514x6 Cedar Plain Handrail Poured Footings 12" Tube 4' deep Premium Gold Combo Drive Screws Stainless SteE 2" x 8" Joists 2" x 10" Beam 413012005 �� Below is a section of the railing style and options you have selected for your deck, k Li V Dec . . . ........ . P F ......... . . . .............. .... 40 S e��:�:::::_:::=::::>�::`::::::::<:::::::::..:<:::::�::::::::::::�:::::�:::::>:�::::�;�:�:::::::::::::�::::::::::<:_� \�J ��'�G' ��s �r/,/ 1• I � �� e �� c r5 � n a�'�� 1� PPa� c -��5 h+��e�� P Stair Widths : 36" For Building Material's use only :16810807802050415062�003048050100000301 Today g p 's cost for materials estimated in this desi n with o tions: $1422.$0 * ' c ude: 40 PSF deck live load horizontal deckin , 2x6 essure trea�ed deck boards, - essure �eated framing �terial, no sbirs, Base pnce may m I 9 p� 36" 2x4 railing, pressure treated railing posts, and galvanized box nails. ��BASE price): 584.26 � � .�� ( �t1��2 1�� ` ��( L� c'�CC�L��D �; AtJ.. SPUCES IN 8EA�1S MUST BE CENTERm WER SUPPORT POSTS. � ALL DfAGfiAMS ARE INTENDED FOR ItlU51RA110N PURPOSES QNLY --1-Y P I CA L D E� K P LA N rmire A['AV nrc�n��c �or •/N'�C�T�OI C � 4-'�� ' - - . � . . .. . - � +4�. ' . . . � . . � � .. • • . � . .. 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Yc �: �,'�.�� '{ .: . �� ,, � �� i I��`s � �� o� �� =� i� C�rc�w � S �� City of Fridley Building Inspections Dept. Ph: 763-572-3604 FAX: 763-571-1287 6431 University Ave NE Fridley MN 55432 Mechanical Perm�t# ��-�� Residential Application � City of Fridley See Back Side For Required Information Date �-� ` Site Address: j�� The applicant is: (cirlce one) Owner ontracf Property Owner: ' Address:�� s�L,J(�� .�- h1� City: State: Phone: o3-'v�7/- q/. , Cel►: Cont�actor lnformation Company Name: � Contact Person: Address: /L City: State Phone: 7 � ' Cell: Email: Type of Work (circle one): New Detailed Description of work: .1i Zip:�� Fax: MN Bond# & Exp Date Alteration/Remodel Equipment Installed: MFG: Model: Size/BTU: MFG: Model: Size/BTU: MFG: Model: Size/BTU: Please check all that apply: _Fireplace (gas) $15.00 ,New Gas Grill $10.00 A/C $25.00 _Fireplace (wood) $35.00 �Gas Unit HTR $10.00 _Air to Air exchanger $15.00 _Furnace $35.00 _,Pool Heater $35.00 Boiler $35.00 _Gas Dryer $10.00 _Ventilator $15.00 _Chimney Liner $10.00 _Gas Piping $10.00 Duct Work $10.00 Gas Range/Oven $10.00 __ Permit Fee $ ,3S' (Total from above-Minimum fee $35.00) Surcharge � 0.50 Total Due $ �� Make check payable to City of Fridley This is an application for a permit- not valid until processed I hereby apply for a mechanical permit and I acknowledge that the informaUon 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 permit and work is not to start without a permit; that the work will be in accordance with the approved plan in case of all work which requires review and approval of plans. Signature of Applicant: —� Date: o�� `�l� Approval Inspector Signature: Date: Please Note: Separate permits are required for Building, Plumbing, and Electrical work Revised 6/14/2005 Building PLUMBING Permit No.: o? �-' 30 Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FR�DLEY Date xec'd: DATE � '��(� YOUR E-MAIL ADDRESS SITE ADDRESS � e THIS APPLICAIQT IS: ❑ OWNER ONTRACTOR PROPERTY Nq�: ,,/ OWNER/ ADDRESS: " �CU� CITY�� - __ STATE 1"[l�IP (�,S'Z TENANT �� _ �/�_� PHONE: �_� � CONTRACTOR NAME: � � SUBMIT A COPY OF STATE LICENSE # '�� li � C'� EXP DATE - U� YOUR STATE ADDRESS: �, /�_,I�I `P !A'c �° N� CITY l � STATE � ZIP-y> �� LICENSE WITH pHp� rJ(e� ��LJ � FAX APPLICATION PERMIT TYPE '-"°"""''E FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: � �W �PLACEMENT DETAILED DESCRIPTION OF WORK �,�Sf�FLZ� f.� )�" ��Q PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor ) Labor cost under $300 =$15.00. Labor cost between $300 to $500 = cost of labor x.OS = FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FTXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) BATH SINK/LAV FLOOR DRAINS SHOWER WATEIt PIPING r BATHTUB GAS PIPING (�v� c�rrrrc�sEj SWIMMING POOL � WATER SOFTNER ($35) � CLOTHES WASHER KITCHEN SINK WATER CLOSET _ BACKFLOW PREV. ($15) DISHWASHER LAUNDRY TRAY WATER HEATER ($35) FOR IRRIGATION — — W ATER METER _ OTHER .. �''::� �'�� r.��'`-, , �:,��'. „ � .'� _. �. � , �� , . � . ...� �� ,. . , . . � - . . �. < �. »�. . _ � . . Pertnit Fee $ Number of fixhues @ $10.00 x�$10.00 = $ �s � Surchar e .50 Number of fixtures @$15.00 x$15.00 =$ TOTAL DUE $ Number of fixtures @$35.00 x$35.00 =$ State Surcharge = $ .50 Tota1= $ THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL 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 canformance with the ordinances and codes of the City of Fridley and with the Minnesota Constxuction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all work hi requires review and approval of plans. SIGNATURE OF APPLICANT � PRIN'f NAME ��j � DATE � � m rt.�� .��7��''��.. ' � F �� ,� , _ � v'�� f ex... x ,�n, a..� .mn. ,.,...... :- .�.A ��.,:. _:,: .mx � J:<. ,w. ... .. : sr, .,n. .. .w. .-n n� . .< .r., V+.4� ., 4 .' _ City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 Building Inspections 7.63-572-3604 DATE / � S.ITE ADDRESS TMS APPLICANT IS: PROPERTY OWNER/ TENANT MECHANICAL Permit No.: RESIDENTIAL APPLICATION Received By: CITY OF FRIDLEY �ate Re�'d: �%- a� ' D �i YOUR E-MAIL ADDRESS ' 71�� .C. �� ❑ OWNER �JN7'RACTOR ' NAME:_ /// � D � R � �� — �l'fl�,Q1�i STAT�IU ZIP.f ADDRESS:, ��L!�►'t� _CITY_, .��.�, ....,..... �i z .. � h� _ 9�„r-�_ CONTRACTOR COtv1PANY N,vv�: . � � ' . ,. � �,;a , _„,,,,3 a .�.�,.s�d , SUBMIT A COPY OF CONTACT PERSON: YOUR STATE STATE LICENSE � _� `a ��43G LICENSE WITH pDDRE$S: a ,� '' _ CIT STATE ZIP APPLICATION (763) 75�-2,'! �'� F� �< � 4-2� PHONE , PERNIIT TYPE F�LY O TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: � �W �ACEMENT ❑ ALTERATION/REMODEL DETAILED DESCRIPTION OF WORK �� PER MS i bB.665 the permit fee is a minimum of $15.00 or 5% of the totat cost up to 5500.00, whichever is greater, for the improvement, installation or replacement of a residential fixiure, excluding the fi�ctures. (This should reflect only the cost of labor ) Labor cost under $300 =$15.00. Labor cost between 5300 to $500 = cost of labor x.OS = FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. Fi3CTLJRES: (INDICATE TOTAL NUMBER OF EACH BELOVI� �/G /f jt� 7Q /. (Z S�,�g'�} Equipment Installcd . MFG: /�%� MODEL: 01.� SIZE/BTU IvffG: (�`/�IR�'�L� MODEL• � MFG: MODEL: SIZEBTU �A1C 525.00 _FIREPLACE (GAS) $15.00 . _GAS RANGFJOVEN 510.00 �TO AIR EXCHANGEER $15 FlREPLACE (WOOD) $35.00 NEW GAS GRII.L S10.00 _BOILER $35.00 ZFURNACE $35.00 _GAS UNIT HTR $10.00 CHIMNEY LINER SI0.00 ,GAS DRYER 510.00 _POOL HEATER $35.00 — GAS PIPING $30.00 VENTILATOR SI5.00 DUCT WORK $10.00 — _ ..... ,,n:_.�_ :,�.��..:.r. �.«�.:a:r�:,,�=ir,�r+M�Y�±'r=iia!�6�rri 'L'%`S�'3'3'i„L';I�WJiG!4?�w7, �.KVaw a�a....L .�,..v.:.,.....�., � .�,.�>.�.. ., .-��.;,, .... .. .::,. < �:.: . . ....._..... . . .. Penmit Fee $ Number of fixtures @$10.00 x$10.00 =$ Surcharge $ .50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE $ Number of fixtures @$25.00 _L x$25.00 =$ yS'. � Number of fixtures @$35.00 � x$35.00 =$ SS'•� State Surchazge = $ .50 Tota1= $1a0. SD TH1S IS AN APPLICATION FOR A PERM�T NOT VALID Ul3TIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota-Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all work which requires review and approval of plans. PRINT NAME /" f77c I S T)�',Jl� DATE ['� S—d�O SIGNATURE OF APPLICANT � —r-- City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 Pl,UMB1NG RESIDENTIAL APPl.iCAT10N City of Fridley ,,,�,� , -��: R � y � �� Date ivE�tl : IF PROPERTY IS MOT OWNER/OCCUPIED- A UCENSED CONTRACTOR MUST OBTAIN THE PERMFT. DATE / '�5 �(i % 51TE ADDRESS �_ �G QI � 7NE,4PPLICANT IS: (CUtCL� ON� NAl1AE,_ PROPER7'Y OWNER/ ADDRESS TENANT cm � PMONE �R YOUR E-MA1L ADDRE5S C•l.l-";L� �t/YtJ �� ZIP 0 NAYE '„ s^��'}` ��'��:� �9��', ,. - - LICENSE # ' CON3RACYQR ADDRESS .� � �1:+'�iCl e)t. . .� Ul�e �� Ct1Y �'' CS' � a, ��%�I�� J'�el4.3Z STATE ZIP PHONE # � �4-�� - PERMIT 7YPE TYPE OF WORK I ❑ NE1N DETAILED DESCRiPTION OF 1AtORK FANIII.Y 71N0 FAMILY �-+REPIACEMENT FE�S AR� BASED ON ;10.00 P�R FIXTtsRE, EXCEPT VYIiERE NOTED FIXTYJRESt (INDICATE TOTAL NUMSER 4F �ACN) saTN sMlK/u►v FtoWt naAttis sHOwgR wA'f'�R PIPIr�G BATIfTU6 GAS PIPING (Nead City License) SwuMa1NG POOL wATER SOF.TENER (!35) CIOTliES WASMER KtTCHEN &INK —7— WASER CLO$ET BACKFL0IN pREV. (s15} DtSNYYA3HER UIUNDRY TRAY ! WATER FI�R (535► FOR tRRIGqT10r1 WATER MEi6R OTHER Permit Fae $ � s..,QJ MINtMUM: 515.00 or 3°/. af cost of the improvament-whichever is Plsn Review y greater on work less than $3Dp Surcharge $ ,$p TOTAL DUE S 3 S� -S�G Make checks payable to: G'ity of Fridley -•--- •— `-^ •-.. . �.�.-....... ....... �cn...rr — nv� �n�w ann� r�cv4cJiCu I hereby apply tor a plumb)ng petrrut and i adcnowiedge ihat the infamation above is ooatplete and aocusate: that the work wiU be In confOrmance wNh ths ordin8noes and codes of the C!!y pf Fridfey and with the Mnr�sota Construcfion Cod�; qf2t I undershand this is not a pertnit but orrty � application for a permit and work: is not to start withaut a petmit that the work wiU be in aCOOrdance wifh tho approtied plan in the case of aU work which requires revlew antl apprvval of pi�s. NAMEOFAPPUCANT_�l`7��5 �+I�X� DATE "'�S'�!`� Please p► pritft StGNATURE OF APPLlCANT TOTAL P.01 Building Inspections 763-572-3604 DATE F+ � 1VIECHANICAL RE5IDENTIAL APPLICATI�N CITY O�F �RIDLEY YOUR E-MAIL ADDRESS SITE ADDRESS % e o L n .�_ TKIS APPLICANT IS: ❑ OWNER �CON'fRf+GTOR Permit No.: Received By: � ' �� PROPERTY �ypME: '� � ` OWNER/ CITY F/'; G( lC.� STAT Y►n ZIP�S� a,DDxESS: f S i L� �--� l e� �- r' TENANT PHONE:� '� � � / �� c � CONTRACTOR �pMp,ql.ty NAME: � SUBMI'I' A COPY OF ��'d'� PER50T1: NeaR1► d� Fian� T � YOUR STATE STATE LICENSE � Lirt� �110�Q EXP DA7E LICENSE WITH ADDRESS: �� M• Fw� � CTTZ' STATE ZIP APPLICATION PHONE _ �1l�-�� FAX PERMIT TYPE TYPE O� WORK: '�,$1NGLE FAMILY ❑ TWO FAMILY � �W O REPLACEMENT DETAILED DESCRIPTTON OF WORK ❑ TOWNHOUSE p qLTERATiON/REMODEL w�� burrw'�. 1� v e x ; �` -- � PER MS 16B.665 tbe pernait fee is a minimum of $15.00 or 5% of t6e totat cost up to SSOO.OQ, whichever i� greater, for the unprovement, insta.11ation or replacemeat of a residential fixture, excluding the fixtures. ('I'his should reflect only the cnst of labor ) Labor cost under $300 =$15.00. Labor c:ost between $300 to $500 = cost of labor x.OS = FOR PROJECTS Wi�RE LABOR EXCEEDS 5500, FEES ARE BASED ON S l 0.00 PER FIX7'URE, EXCEPT WHEKE NOTED. FlXTL1RES: (II`�DICATE T�T'°'i' NUhrBER OF EACH BELOV� r,la �. �. SIZE/BTU Equipmentinstaifad , MFG: u. c�c� a ICr'e MODEL: % S��/g,l,U �G: MODEL: �_ MFG: M�DEL: SIZE/BTU _A/C $25.00 FtREPLACE (GAS) 515.00 GAS RANGFJOVEN S10.00 FIREPLACE (WOOD) 535.00 _NEW GAS GWLL $10.00 AIR TO AIR EXCHANCEEK S 15 =F�yACE �35.00 GAS i711IT HTR $10.00 BOILER $35.D0 � — _pppL HEA'1'ER 535.00 =CHtM1•tEY LINER $10.00 _GAS DRYER Sl0.00 ��A1-pg g15.00 DUCT WORK $10.00 _GAS PIPING $10.00 _ -- _ ,� __�, _ } , ...�,�� _ __. __�__�___�...,��,«�,�rss•c `�e�r'=r'�vri�',x�' � �. F c+ �" .: ��Ra��'�z [�a�-.z.rr=� as- ��•� :�-,.�,._�..� ..._�. _ .. ' .:.,.' ., ..:.....:.�.� _. .� ..... .. .:... ...:..:.. .... ... z . � Permit Fee $ Number of fixtUres @ $10.00 �_ x $10.00 = $ Surchazge $ .50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE $ Number of fixtures @$25.00 x$25.00 =$ � Number of fixtures @ $35.00 � x $35.00 = $ � State Surcharge = $ 50 Tota] _ $ .c � THIS IS AN APPLICATION FOR A PERMIT NOT VALID UNtII- 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 �Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all wor hich re uires review and appro��al of plans. SIGNA'fURE OF APPL3CANT �`_� PRINP NAME ��UY N(Cr �S �; � DATE �� 7�U 7 City of Fridley Building Inspections Department . 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 � -, JAN.19'2008 13:16 9528905408 FIRESIDE HEARTH & HOME (ST CLOUD #5074 P.002/003 i �.�� °ti,. �`i, i,�'� 'u '`•; �. � � �,, 1 �� R�SID� ! HE.A,k�'�'H�H4ME�' City Of �rid��y — 763.57I:1287 A.tbn. : Wvod Fireplace �innspector Ken/Keviz� Jo.ttnson: Jn. zegards ia: Jobsite @ Rcbx� Vogel residence � 691. Camel Qt Lane NE Minneapo�.Z:�, N� 55432 �'zzesxde Hearth & Hom.E iz:sta��.ad a Badega Bay Woodbw�x�ez� S�nsert at this location on Friday, Januaxy �S�'_ We u�iderstand that t�.ere are sozx�e ques�ions regardin�g how tl�e p�oduct gets its autside aiz when. tkxe�e �s no autside air kit hooked ug to i.t_ I have i�.cluded a copy out of the installatio�. xz�.stzuct�oz�.s t�at shows a schematic on the Start-Up Axz and the Frimary Air Systezz�s- �as type product uses ap�rroximate�y oz�y X 0% o� air su�ply eompared to a pxev�iously oper+ burnin� fire. Adding a Quadza-fue Znsert significantly reduces n.eeded raom air for combustion. ----- � Th,e Start-Up Control will �ipc�a up a dampez tbat ali�ws combustion air to �at�r at the rear of the frebo� tk�ough rear air tubes. This aiz comes froAa the ex�sti�g chase cavity. The Primary Air Control wx�.l opez�. u� � damper that allows aix to ez�.tex at tiae upper front of the fvrebox fm�a th� ma:r�. � In s�m� insta�n.ces — if t�ae k.ome is really tight and has a�ega#ive aiz pr.�ssure, it rnay be necessary to put a Uzuivers<a Air Kit iu a utility z�oQZ� tbat can be opened when usin�g th� C,� i.z�sezt to help su��Sly some �x�ra z�aake-up ai.z. y� � If you have ar�yzn.oze t�uest;,ans, yau ean zeach us at 6S X.633.1 fl42. � � � �tegards, � < ;, � �ti Lor t�er j� ,A.ssislarat Manager �� ' Fx�esi.de Hearth & Horr�e '; � GS X _638.3328 n'a� s � �W . �� ,; � 2'°'OQ Fairvie�w Ave No�tb, �oseville, MN 55 ]] 3 �: JAN.14'2008 13:16 9528905408 FIRESIDE HEARTH & HOME (ST CLOUD #5074 P.003/003 � �U14DRA- /R6 BODEGA BAY WO�D INSERT AiR QUAL[i"Y AND YQUR QUADRA-FIRE 1NSERT In receirt years there h�s been an increasi ng concem about the quafity of our air. Much of the blame for poor air quality has been pfaced on the buming pf wood fon c� me heating. In order ta improve this situation we at Quadra-�ire have developed cleaner burning inserts that surpass the String�nt requirements for emissior+s established 6y our goveming agencies. Your Bodega Bay Wood Insert, like any other a�pliance, must be praperly operated in order to ensure that they peiform the way they are designed to pertorm. Improper �peration and mainten�nCe m�y Cause any wood buming unit to release more particulate, adverseiy affec�ing the enviroiiment. • Th� s sMry of fhe Thr�ee 8urning Stages ... It helps to know a littie abocrt the actval bur n proCess, whiCh ent�iis three discernible buming stages. The first stage is called the kindling stage. puring this stege the fuel reaches the boiting temperature of water, 212°F e�aporating the moisture found to some degree in all wood. Because tt�e process takes he.�t from the insert durir►g th9s initiai dry+ng staqe, each new Ioad of wood reduces the chanoes for a good, clean bum. Forthis regson it is always best to burn dry, seasoned firewoad, and operate the controls properly. The bottom controf on the right side of yc�ur insert is c8lfed the Start-Up Air Control and is used primariiy du�ing this flrst kin��ing stage of buming. During the secondary stage, the vw�oc! gives off �lammable gases which bum above the fuel wmkh b�ghi tlames. These flames above the fuel must be maintained unfil the third stage to ensure proper buming. During this stage you may adjust your insert t�or a low bum rafe. 7o achieve a low bum rate it is necessary to close down the air while sti11 maintaining some flameg. If the flames tend to go out, the sE �tting is too 1ow. The Primary Cantrol, located 8bove the $tark-Up Air Cpntrol, will assi� you in adjusting the inserC fnr a fow bum rate. The third stage of b�ming is tFie charco� I stage. This happens when the flammable gases have been burned and th� charco2l remains. The caals buming witl� hot blue flames is a naturally dean portion of the bum. It is very impartarrt to reload your insert while enough Eively hot t oals remain in arder ta provide the amount of heat needed to dry and rekindle the next load of wood. Open up both con#rols for a shoR whiie before reloading to liven up the coal bed. You shculd also break up any I�rge chunks and distribule the ac�als so the new wood is laid on hot coals. Leave bott� cohtrois open (close the Start-Up-Air after 15 minutes) unti( t�e ne�v wood ioad is buming well enough to maintain the secandary stagE of buming and then set the Primary Gontrol to your c esired F�eat output setting. START-Up AIR SYSTEM The combustion air enters at the rear of t� e f�rebox thraugh the rear air tubes. This a�r supply is controlled by t}te Start-Up Air Controi. See Figure iBA. PRIMARYAIR SYSTEM The primary air enters at the upper frorrt oi the firebox near the top of the g12�SS door. This preheated air suppiies thQ neCes- sary fresh oxygen to mix with the urtbum�:d gases, helping #o create second, tl,ird and fourth stages oi combusUon. This sir is regulated by the Primary Air Control For mor� primary afr (more heat), push rad in. For less primary air {less heat), pull rod aUt. See Figure 78A. !n oLher words . . . Pu{ling either cantrol towards you doses c f� th� air �v$il�ble t0 the insert in that area. Pushing either control opens it, allow- ing air circulation to tfie area. A gaod ana ogy to remember f�r this procedure is the g�s pedal on your esr. Pushing in the gas pedat makes the engina run faster L atting oti (puiling the control back) makes the car n.rn slower. Page 18 435-�320 Apri� 6, 2004 Building Inspections 763-572-3604 DATE O C J SITE ADDRESS �(� 9 l THIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION PROPERTY TYPE PERMIT TYPE TYPE OF WORK: BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY ❑ OWNER � NAME: i 1� ADDRES PHONE: � I � - C NAME: STATE LICENSE #_ ADDRESS: PHONE O SINGLE FAMILY/NE� O TWO FAMILY/NEW � � Pemut No.: `�,Q��j �'� � Received By:� l� R�'r�a� �..1 2008 E-MAIL ADDRESS �SC3�,Y'�(�� l� Q�•� C• C,[m� p. ��i . -ra Renewal By Andersen 1920 County Road "C" West Roseville, MN 55113 License #20130983 651-264-47'7? ❑ BASEMENT FINISH O ROOF O DECK ❑ SIDING NE W I ❑ MAIN7 DESCRIBE WORK BEING DONE: SIZE OF IMPROVEMENT NUMBER OF SQUARES GA A FC PROPOSED SIZE: PROPOSED HEIGHT: SIDING ❑ Vinyl O Aluminum ❑ Other � LENGTH ❑ HOUSE ONLY O HOUSE & GARAGE ❑ ATTACHED GARAGE ❑ DETACHED GARAGE ❑Soffit ❑ Trim ❑ Fascia WINDOWS IN EXISTING OPENINGS �Yes ❑No LOCAT[ON OF WINDOWS OR FOR NEW OPENINGS-DESCRIBE S1ZE OF OPENING CHANGES & - ,� �- rE ziP, O WINDOWS ❑ DRAIN TILE � OTHER WIDTH HEIGHT BA EM NT R MOD IN cl iBMIT• 1. Existing Floor Plan 2. Proposed floor plan 3. List of structural members to be used Ft. FOR NEW CONSTRUCTION INCLUDING DECKS, ADDITIONS_ & PORCHES S BMIT• 1. Site Plan/Survey showing the existing structure and proposed ptoject. 2. Two seu of consuuction plans 3. Energy Calculations TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS I ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USI THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATin�v e�V� � n��i m� i►T�... ....,.... Permit Fee Plan Review Fire Surcharge Surcharge License Surchazge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Chazge Total Due $ $ .00 $ /. —$ �; �.(�_ $ $ $ $ $ - `c� � 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) $1550 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$21=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks payable to: City of Fridley Attsc6 THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNT[L PROCESSED I hereby apply for a building pem�it and I acknowledge that the information above is complete and accurate; that the work will be i� conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not : permit but only an application or a permit an rk is not to start without a permit; that the work will be in accordance with the approve< plan in the case of all work w' h r ires rev ew nd approval of plans. SIGNATURE OF APPLICANT I g�p�� N�A �� DAT�JL/C�� '/ V Date: 2/7/2008 Revision Date: ?_/7'/200$ Site Inf�rmati�n �_ , j�, Ad�iress 1: /�v9t �a�,� �i� -d��-• T Ad�ress 2: City: Caunty: � lication In#ormatian Business Name; Coj�tact Person: Q�ce Ph- Fax: Cell Ph: Ad�lress 1: Cit�: State: 7�p Code: S luare Feet Square F'eet: 190$ sq. ft. _, Existing Gonstruction: Pre 1994. Projact #: Lot: Block: Subdivision: MN Contractor License #: Cambustion fiance Water Heater Nstural Draft tnput BTUs: 40,OQ0 Common Ven# Furnace/8oiler. Fan Assisted lnput BTUs: 70,000 Common Vent � Other Combust�on A liances G�s Fired Direct V�nt Fireplace(s}: No Gas Fired Power Vent Fireplace(s): No Gas Fired Natural Draft Fireplace(s): Na Solid Fuel Appliance{s): Two or more Exhaus# E ui ment Exhaust Fan Rating (cfm): 301 Make-U Air Tot�l Make-Up Air Required (cfrr�): 265 Minimum Power Mak�-Up Air Required (cfm): 86 Passive Make-Up Required: Round Rigid: 19 inches or Insutated Flex: 12 inches_� /�� Mot�rized damper shall be interloeked with largest exhaust system. �/S�/ b--� Applicant Name (print): Signature/Date: _ Code Offici�l(print):�� ""'`''"'y SignaturelDate: �-� � ~ �� ,' .. j��rJ c�►�.��'' . = �,��;�� , C J j � � , '-�� `l � i J ` ,.-........�...-.._�' - • , . ' ' ....._.. � �r�rW ...az��. -wd:,dW�,,; .. �.� - �'�►:�� ioo/�oo'd 5906# sai�o�oxx�as sr�ox ar�t xz��ax �� ooe t s��£� eooz,to�gaa Building PLUMBING Inspections RESIDENTIAL APPLICATION 763-572-3604 CITY OF FRIDLEY 763-502-4977 FAX EFFECT'IVE I-1-2010 DATE� /+ �/G� SITE ADDRESS ✓� �7 THIS APPLICANT IS: PROPERTY OWNER/ TENANT YOUR E-MAIL ADDRESS �C �� ❑ OWN$R �CONTRACTOR NAME:� � � ADDRESS: /6�_�'� _„ �y>Y��'' �„�.%_C CITY Y/,,.� PHONE:.� /� - -�!'� S� �C� .Z..l CONTRACTOR NAME: � SUBMIT A COPY OF STATE LICENSE # O,SS 3� P%'^ YOURSTATE � LICENSE, BOND AND STATE BOND # �% CERTIFICATE OF ADDRESS: /Z /� —�r Z �� V CITY INSURANCE pHONE %�.j ��/_ 3j �� FAX PERMIT TYPE TYPE OF WORK: I� NEW FAMILY � TWO FAMILY ❑ TOWNHOUSE DETAILED DESCRIPTION OF WORK �REPLACEMENT Permit No.: � Received By:�_ �6�'��R � � 2��0 STATE`%y�ZIP . 5��3 EXP DATE � EXP DATE /2 / ATE . t�.,, ZIP, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: ([NDICATE TOTAL NUMBER OF EACH BELOW). MINIMIJM FEE 50. ATH SINK/LAV FLOOR DRA(NS � SHOWER WATER PIP(NG ATHTUB GAS PIPING (NEED CITY LIC) SWIMMING POOL WATER SOFTNER ($35) CLOTHES WASHER KITCHEN SINK WATER CLOSET BACKFLOW PREV. ($15) _ DISHWASHER _ LAUNDRY TRAY WATER HEATER ($35) FOR IRRIGATION WATER METER OTHER THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a plumbing 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 Construction Codes; 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 accordance with the approved plan in the., e of al work which r quires review and approval of plans. SIGNATURE OF APPLICAN��'W�G`-'�-�� f.� PRINT NAME 1/� �� DATE �✓ �� City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977