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AF - 43255sue�ecT R City of Fridley 1837 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r ' ' R � � � ` COMMUNITY DEVELOPMENT DIV. i r � ti � PROTECTIVE INSPECTION SEC. �O 3� S i � 1 • � � ' /'��1 � CITY HALL FRIDLEv 55432 NUMBER REV. DATE� PAGE OF APPROVED BY �""'��� ,�� 612-571-3450 910-Ft 5 4/15/86 � � 10B ADDRESS 1311 Creek Park Lane N. E. 1 LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4 1 Hidden 41�OC�S SHEET 2 PROPERTY OWNEF MAIL ADDRESS Z1P PHONE Garjac Inc. 481 - 206th Avenue N.E., Cedar, NIl�T 55011 434-7096 3 CONTFACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNEH MAIL ADORESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK C� NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ���REMOVE 8 DESCRIBE WORK Qonstruct a 43' x 40' Dwelling and a 24' x 24' Garage gefore digg►n� cail local util� i�� Etc. t Y LA�N 9 CHANGE OF USE FROM TO STIPULATIONS provide a hard surface driveway. Provide sod in the front and side yards. Provide City with copy of verifying survey before capping. SEWER LOCATION: "Y" 111' East of M.H. "Y" ELEV: 883.59 FOOTING TOP: 886.59 MIN. WATER LOCATION: Water in same trench as sewer Paid $1,500 Park Fee and $297.00 Driveway Escrow. �'p� THE CITY OF FRIC! �"Y ��;� , ; ; .- ,Rr RA rF p ACCURACY OF UTiL! � 1�'�-', 1, : � NG' � E A T R M� T S R AND P a ONS�US3 d� ; 3��: ��' ':� _ �.- , , N p�V�p(I/RE � ...,...,.<<�� � ;, G� vt�,�Y ir o�? r:a� ��:-i, .. ..'.:� e/N� � FpR A SEPARATE PERMITS ARE REQUIRED FOR ELECTFICAL, PLU I�HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOIO IF WORK OFi CONSTqUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOF A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFF8TREET 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 WILI BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTtNG OF A PERMIT $69�OSO $34. S3 DOES NOT PRESUME TO GIVE AUTHOR�TY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUC N OR THE PERFORMANCE F CONSTRUCTION. $343.00 $475.00 PLAN CHECKFEE TOTALFEE 85.75 $938.28 +PF&DW SIGNATUAEOF ON�RACTOROR ZEOAGENT IDATEI WHEN PROPERI VALIDATED THIS tS VOUR P RMIT � -: _ „ is�' � SiGNATUREOFOWNERiIFOWNERBUILDERi IDATEI BLDG WSP - OF7E NE�,�' [� City of Fridley Effective 4/1/8u A�Pt�. I l iR-1 AND R-2 j n - �� pLTER. [� Building Permit Application f',('}� � . � ��� � � �� Construction Address: i � �`� C�� • �/� �A�e � Legal Description: �� "%L `�( ��Q �- (� �/ C'� ��' � �'a 4 Owner Name & Address: Tel. # Contractor: ���T1��- �� T�el. # ��31 �°�� Address: ���� 020�.� �►�/e /V� CeD�-2 /yl�v� SSa/( _ LIVING AREA: GARAGE AREA: DECR AREA: OTHER: Attach to this application, a Certificate of Survey of the lot, with the proposed construction draWn on it to scale. DESCRIPTZOp OF IMPROVEMENT Length � 3 Width `i� Height � Length � `� Width �_ Height �_ Length Width Hgt/Ground _ Sq. Ft. la-fd sq. Ft. .fi�6 Sq. Ft. Corner Lot [] Inside Lot [�j Ft. Yd. Setback .�-� Side Yard Setback �M �_ � Type of Construction: _ �� Estimated Cost: � _�_ � Approx. Completion Date: � Un�e 3 � �D� ��J�+ I Alt. A v Alt B Proposed Driverray Width If NeW Opening Is Desired: G2 S--�1�II!'� � ,. See Back Page for Explanation DATE: L� � _�. � �° APPLICAhT: Tel . � ���L��=7°�� CITY OSE ONLY . Permit Fee Plan Check State Surcharge SAC Charge Park Fee SeWer Main Charge �.W�t 3�TAL STIPULATIONS: � 3 �3. ou $ S'. � � S � � �-1') �', �� a 1 �bo,ac� � �� � $ �%�S. 02� Fee Schedule on Reverse Side 25x of Building Permit Fee E.50/�1,000 Valuation �425 per SAC Unit Fee Determined by Engineerin� Agreement Necessary [ ] Not Necessary [ ] < . . „ BOII.DING PERMIT FEE SCHEDDLE The Chief Building Official shall, before issuing permits for the erection of ar.y building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure� upon application therefore� require the payment by the applicant for such permit cf tees to the amount herein beloW set forth•and in the manner herein provided to-vit: Total Valuation =1.00 to ;500.00 �501.00 to a2,000.00 Feea . a10.00 (Minimum Fee is �15.00) �10.00 for the first �500 plus $1.50 for each additional �100 or fraction thereof, to and including �2,000. 52,001.00 to $25�000.00 �32•50 for the first �2,000 plus �6.00 for each additional �1,000 or fraction thereof, to and including a25,000. 525,001.00 to �50,000.00 �170.50 for the first additional �1,000 or including �50,000. E25,000 plus �4.50 for each fraction thereof, to and �50,001.00 to 3100,000.00 a283•00 for the first �50�000 plus �3.00 for each additional �1,000 or fraction thereof, to and including <100,000. �100,001.00 and up . �433•00 for the first �100,000 plus �2.50 for each additional �1,000 or fraction thereof. DRIVEHA7 DEPRESSION ESCROi�I (Concrete CurG Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Drive�ay width plus 6 feet times a13•50 Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approacr xith 6 inch depth - Driveway Width plus 6 feet times a15.75 VERIFICATION OF FOUNDATION Permits for construction xill be issued a minimum of 24 hours from the time of aF�plication to alloW for proper revieu of the proposed structure and of the construction site. A Certificate of Survey of the lot, sho�ing the location of the foundation once it has been constructed �rill be required before proceeding with the framing. , � �,0� t ` ����� 2zx��� -- 3� �f�,b� So, o�,�._. ' 3 x b = I�? � t3�;,�,-° a g3 .� at ►3 x�lv a s:s1- Sg Z° p`��3 � a.._.. .. - �.z�� - _ .. ; �3 . . � ��a� Sx s�.Z� �� .�83.ou x�.r Gaz� ��t,.°�� = S'�c X ��,i� , �o��g� �1,,�9�.Sz.-, CITY OF FRIDLEY APPLICATION FOR POHER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERAT(ON AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE !1ESIDEt�TIAL Purnace Shell and Duct Work, Burner (�leo repla�ceAent turnace) Cae Piping (piping naedsd with n�w lurnaca) Gas Range Gea Dryer " Air Conditioninq (all sizee) All Othere/Repair6 and Alterationa 10 of Yalue of Rpplixnce or idork COMHERCIAL/IHDUSTRIAL 18 ot Value of Appliance or t3ork W1TE $ 2U.00 $ 10.00 $ 10.00 $ 10.00 $ 10.00 State Surcharqe. 'I°OTRL !'E�' .Yninsp�ction Fee ($15.00) Rough Insp. Date l�inel Tnap. �t —/�"��° Date Approv�l for Per�it �i � HINIMUM FEE FOR ANY HEATING PERMIT IS $10.00 PLUS $.50 STATE SURCItARGE �ro�r�L $ �� �G� —A.JG= $�d� $ $ $ $ F.ffcctive Auy. 1, 19H1 Job Addrese ���� L�.��� / l✓�� �--i�// ��— De�artment oC Buildlnq s 6431 Univer9lty Ave. N.E., Frldley, MN 554]2 City of Fridley Tel. N571-3G50 The undersiqned hereby melcell applicatlon for • pecwit for the work heratn specifted aqreelnq to do all work !n atrict accordance wlth the Clty Codes end rulinqs o[ the DeparUnent of Buildinqe, end hereDy decl�res thet ell [h• fact9 and repreeentatton� atated !n thia spplicatlon are true and correct. Frldley, Hlnn. �'7 �O . 14� 06iNER ��/ S„��(" � -- KIND OF USED AS $ 'PO BE ODl9PLETEO ABOUT �Ui�� ,J - ��n C � ESTIHATED COST "" S .50 c �� �j� OLD - NEN BUILDING PERlIIT ld0. PERMIT NO. o.� � `'�.. '� $ - Attach st�ck verlflcation fon wlth re{�lacement turnace E>e�nits •Atr Condltioncrs cen no[ ba placed in �:idr yard witJwu� arlttan {N•rnisyion fro� adjoining rx}1yl�bor. DESCRIPTION OF FUAPJACE/BU�R HEhTTNG or PO4lER PI1�NT'S, Steeea, Hot Flaterr anq Air- ... 8 Trade Name �L`e�/2�1� . Sis� t1o. ���` Capacity / 7 Sq• Ft. EDR g� HQ 'Ibtal Connected Wad � Kind of Cuml (-�5 I1UWtER - Trade Name Size No. iF�ai� Capecity Sy. Ft. EDR B'� p NP � y C �:'.6..5lY✓:ti4'� . Z1�. i ... . jl`L^..k� �':ila CG�>�i:.� .._.`•i1 :..' " " .. _ Company — , „ . " .� _:_�-„-� ...�c Slqned By — Tcl. No. �v�— �� CITY Of FRIDLEY APP�.ICATION FOR PWMBING AND �AS FITTIN6 Pfi�1IT q a tr e i° � .i .� d, water m L .-pl p E�.[i d w{,� � � a+ � pR,� k. ABi1tP,Y � .�1 O �0 C .�� �j ai f M 1."' G�� R U � O � v 5 0� a� ai 3� o� � g cai a� � a� 3 � c� O lec C�� ��� r C� � r � lst � � ( � 2nd 3rd 4th (R) = F1�ture Connection Opening Connected with Seaer (+) s New Fixture. O1d Opening`; Water RATE SCHEDULE PLUMBING FIXTURE RATES: New Fixtures Future Fiatnzes Old Openinq, NeM Fizture Beer Dispenser Blow Off Basin Catch Basin Rain Nater Leader Hydraulic Valve 5ump or Receivinq Tank Meter Treatinq Appliance Hot Nater Heater Gaa Ranqe Gas Dryer , N0. 'r � _� RATE s s. 06 g 3.50 S 1.50 S 4.00 $ 5.00 g 5.00 S 5.00 S 5.00 S 5.00 g 7.00 $ 5.00 g 10.00 g 10.00 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS ls of value of Fixture or Appliance State Surcharqe Reinspection Fee $ (S15.00) TOTAL FE8 TOTAL 00 s3�� S /D 'S D S S S S S S S S S .S ° o S S S $ .50 S `�/�D_D Job Addresa ���/ Oepartment of &�ildinqs City of Fridley Tel. �k571-3450 The undersigned hereby makes application for a permit for the work herein specified aqreeinq to do all work in atrict accordance with the City Codes and rulings of the Departsent of Buildings, and hereby declares that all the facts and representations stated in thia application are true and correct � Fridley. Mn. ��UC 9 . 29 G��l • r • �. / _!� KIND OP BUII�II� USID AS TO BE COI�LETED ABOUT ESTIMATED C06T OLD - NEf� BUILDING PERMIT NO. PERMIT MO. V,�� NE croa�pBnY C:c%��E��z�.��./�,.d' /�-P�iCLs� Siqned By G^a----� Tei. No. /pE^ ^%/�� ROUQi INSP. Date FINAL IHSP. � -! L' ` 0 � Date APPRO'VAL FOR PERNIT �� l92NIHU9! FEE FOR A13Y PLUMBING PERMIT IS $10.00 PLUS THE $.50 ST?�TE SURCHARGE , ;_ CITYOF FRIDLEY C1VIC CENTER • 6431 UNNERSITY AVE. N.E. FRIDLEY, MINNESOTA 55432 • PHONE (612) 571-3450 June 18, 1986 Mr. Gary D' Aiqle Garjac, Inc. 481 - 206th Avenue N.E. Cedar, 1�IN 55011 Re: Final Inspection at 1311 Creek Park Lane N.E., Fridley Dear Mr. D'Aigle: A final inspection was cor�3ucted on June 13, 1986 of the above address and the following itesns were noted which must be completed before the stzucture can be finaled: 1. Provide City with copy of verifying suYVey by July 31, 1986. 2. Provide sod in the front and side yards by July 31, 1986. 3. The egress window in the lower level northwest bedroom must be lowered tr� 48 inches maximum sill height about the floor or place same peananent piece of furniture under it to be used as a step to get out of the window. This should be completed before occupancy of the structure. 4. F:�ctend the fireplace chimney above the chase by July 31, 1986. 5. Fill in (block) opening in garage for service door by July 31, 1986. 6. Remove old single car garage by July 7, 1986. We w ill expect the above it�ns to be completed by the scheduled dates when reinspections will be corxiucted to detennine compliance. If you have any ques tions on these items, please feel free to contact me at 571-3450. Sincerely, . CLARK Chief Building Official DGC/mh SUBJECT City of Fridley AT THE TOP OF THE TWINS g U I L D I N G P E R M I T f 1 1 � � ' • COMMUNITY DEVELOPMENT DIV. r � ~ � PROTECTIVE INSPECTION SEC. � ; i � � i � �"'1 � CITY HALL FRIDLEV 55432 NUMBER AEv ` ""'� � ,�� 612-571-3450 910-F15 JOB ADDRESS 1311 Creek Park Lane N. E. 1 LEGAL LOT NO. BIOCK TRACT OR ADDITION DESCR. L� 1 Hidden Woods 2 PfiOPERTY OWNER MAIL ADDRESS Leonard Harff 1311 Creek Park Iane N,E. 3 CONTRACTOR MAILADDRESS Same 4 ARCHITECT OR DESIGNER MAI� ADDRESS 5 ENGtNEER MAIL ADDRESS 6 USE OF BUILDING Residential DATE 4/28/88 ZI ZIP ZIP PAGE Of / / PER � 19425 RECEIPT NO. APPROVED BV � �" �-�l �I SEE ATTACHED SHEET PHONE 571-9028 PHONE LICENSE NO. PHONE LICENSE NO. PHONE LICENSE NO. FIRE DEPARTMENT MEMO ��� _._ ��. ��---- " ,___.-�....--�'`, TO BUILDING INSPECTION ,__ � ---�--°-�`"�` �_. . . _...--.----"...,_ ASSESSING SUBJECT: FIRE DAMAGED STRUCTURE DATE: Feb. l, 1988 FIRE HAS OCCURRED AT 1311 Creek Park Lane _ DDRESS January 31, 1988 E F R � . ,.,,,�f � /Y �G�,-,,;�,,,,� � FD-7 S�riVV��v�DF�TFIE��rCI'TVIfM�R'I�VC��V��vvt�OtnVViTlT�. � - � - ( PLAN CHECK FEE $3.75 / S�G TUAEOFCON�RAC OROR�A�ZE� IDATEI WHEN PROPE LY � SIGNATURE OF OWNER UF OW ER BU4DERi iDATE� t'�� RI DG �NSP )TAL FEE $19.25 TFjIS IS YOUF P�RM � y NEW [ ] ADDN. [ ] pLT ER . t J J City of Fridley � R-1 AND R-2 ( Building Permit Application Construetion Address: % 3 � Legal Deseription: �C)� y l Owner Name & Address: Contraetor Address LIVING AREA: GARAGE AREA: DECK AREA: OTHER• � � �O�d �'t9 P•�e� d c�� l3/l C�o� ,�d, Attaeh to this application, a Certificate of Survey of the lot, with the proposed construetion drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Length Width Height , Length �+ Width � Hgt/Ground Effeetive 4/1/86 Tel . � .�%� � �D � �4 . � Sq. Ft. Sq. Ft. Sq. Ft. 11.L l I 2 � � �t'1./ � '� 7 Corner Lot [] Inside Lot [] Ft. Yd. Setback Side Yard Setback r e a x� o�.o-- Type of Construction: � Estimated Cost: $ � Approx. Completion Date: . ♦J� Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation DATE: "1 �� 9 r o� APPL ICANT : Tel .� Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge TOTAI. STIPULATIONS• CITY IISE ONL.Y � r Fee Schedule on Reverse Side $ 25� of Building Permit Fee $ � �� $.50/$1,000 Valuation $ � �,�Q per SAC Unit $ � � ` Fee Determined by Engineering �.� i � ``� � — (� � \ Agreement Necessary [ J Not Necessary ( J � � � , Sa v— �G � � �.� . . , , ;,; � , . . . . . . , . - .. , i , x,:�. c �-4;a'°.,�se , : . �R.. .k7v'"�±'A� t �' . . , . . .Mt, . . �.;,x ^ �" .,.. :-. . ,� �_.. : . �. ., . `t �.. . . .. . . . . . � . � � .. '�"�IA�'., � . . ��+��V V �� �� � � � � � � � � � � � a� c Q � � � � � � � \ � ` ' � �" � �� ���� :.. sue�ecr ERMIT NO. � City of Fridley 2719 2 AT THE TOP OF THE TWINS g � I L D I N G P E R M I T r i • � � • � ` __._��. COMMUNITY DEVELOPMENT DIV. �r r � V � PROTECTIVE INSPECTION SEC. Ja �O , , i_---�; �'��;'� CITY HALI FRIOLE� 55032 NUMBE1i REV DATE PAGE OF APPROVEO 8Y i 612-571-3450 9t0-F15 8/14/98 � � J08 ADDRESS 1311 Creek Park Lane NE t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. (F 1 Hidden Woods s"EET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Leonard Harff 571-9028 3 CONTRAC70R MAIL ADDRESS Z�P PHONE LICENSE NO. Affordable Custom Homes Inc 680 63 Ave NE Fridle 55432 574-0729 4 ARCM�7EC7 OR DESIGNER MAIL AODRESS 21P PMONE LICENSE NO. 20055319 5 ENGINEER MAIL AODRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION O ALTERATION � REPAIR O MOVE O REMOVE B DESCRIBE WORK Reroof house and ara e 24 S Tear-off• sidin •windows 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with State Building Code. Call for building wrap inspection before covering. Install smoke detectors to meet the State Building Code - in each sleeping room and on each level of home. TYPEOFCONST. OCCUPANCYGROUP OCCUPANCYLOAD SEPARATE PERMITS ARE REOUIRED fOF ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CON�ITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANV TIME AFTER WORK IS COMMENCED. NO. DWLG. UN17S 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 VAIUATION SURTAX AND OROINANCES GOVEFNING THIS TYPE OF WORK WILI BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING Of A PERMIT Q DOES NOT PRESUME TO GIVE AUTMORITV TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTIp R TI-lE PERFO CE OF CONSTRUCTION. F1Y'e SC 17 . HO PLAN CHECK FEE TOTA FEE � `Y �l� ' S�GNATU�7E ON' ACTOROAAUTM0�7�2EDAGENT IDMTEI EN ROP ALIDA TF�IS IS R P T � • � / S�GNnTUAEOFOWNEAi�%OWNER'BU�LDERi iDATE� BL iNSP ��titE r�w � ADDN ALTER [] [� � Co nstructionAddress : CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUI� ING PE IT APPLICATION C;�'��e�2 �� r'�l L ,� '� /�✓ Effective 1/1/98 �� `b . �\ � r,� Legal Description: Owner Name & Address: vt�,� � � Tel. #���� �'! d�� Contractor: /���/'„1�.��� ��'�.�r i i���� _P �1 � , MN LICENSE # ��SS`.�l � Address: �������j't ,�f �E . Tel. # ��%�'�%� , Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Length I,ength Length DESCRIPTION OF IMPROVEMENT Width Width Width Height Height Hgt/Ground Sq. Ft. Sq. Ft. Sq. Ft. �UO / %��� � �-� �s, � G YP !�i> -S��ih ' r a� ��u� Construction T e: W t.���-� �.S Estimated Cost: � (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: � � APPLICANT: Tel. # �%�"l� 7� Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL 5TIPULATIONS: $ �(C�.o2.�� $ ��. cjv $ ��- cl'L�' $ $ .��'�? $ $ $ $ CITY USE ONLY Fee Schedule on Reverse 5ide .001 of Permit Valuation (1 / l Oth %) $.50/$1,000 Valuation $1000 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 [ ] $ � �3 . 9�� sue�ecT P . City of Fridley � AT THE TOP OF TNE TWINS g U I L D I N G P E R M I T 3' S� 4 „ ,� . � • COMMUNITV OEVELOPMENT DIV. r � L � PROTEC7IVE INSPECTION SEC. �J ys � � . � � �"'1 � CITY NALL FRIOLE� 55�32 NUMBEN NEV O�iE P�GE OF APPROVED BY �"'"�"� ,'' 612-571-3450 9t0-F15 12/12/00 / � 10B ADORESS 1311 Creek Park Lane NE t LEGAL �OT NO. BLOCK TRACT OR AODITION SEE ATTACHED oescA. 4 1 Hidden Woods SHEET 2 PROPEfiTY OWNEFi MAIL AODRESS 21P PMONE Tim/Debra Kidder 1311 Creek Park Lane NE 991-7952 3 CONTRACTOR MAI� ADDRESS ZIP PHONE LICENSE NO Advance Companies Inc 6400 Central Ave NE, Fridley, MN 55432 572-2000 4423 4 AqCHITECT OR DESIGNER MAIL ADDRESS 21P PMONE IICENSE NO. 5 ENGINEER MAIL ADDiiESS ZIP PHONE IICENSE NO 6 USE OF BUILDING Residential 7 CIASS QF WpRK O NEW O AD�ITION O ALTERATION C� REPAIR O MOVE O REMOVE 8 DESCRIBE WOHK Fire repairs to garage and house 9 CHANGEOFUSEFROM TO STIPU�ATIONS See notations on plan. Provide 5/8" Type X sheetrock on garage/house common wall. Retest gas Zines/waste and vent. Provide smoke detectors in ali sleeping rooms ar.d on ali levels of the dwelling per Section 310.9.Z.2 of the 1997 Uniiorm Build�ng Code. Hardwire with battery back-up. SEPARATE PERMRS REQUIRED FOR: PLUMB�III�G' AND SI6�IS TVPEOFCONST. OCCUPANCVGROUP OCCUPANCVLOAO SEPARATE VERMITS ARE REOUIREO fOF ELECTRICAL, PLUMBING. MEATING. VENTILATING OR AIR CONDITIONING TMIS PERMI� BECOMES NULL AND V010 IF WORK OR CONSTRUCTION 20NING SO. FT CU FT. AUTMORIZEO IS NOT COMMENCED WITHIN 60 DAYS. OR If CONS7RUC710N OR WORK IS SUSPENDED OR ABANOONED fOR A PERIOD OF 12p DAYS AT ANV TIME AFTER WORK IS COMMENCEO. NO DWLG. UNITS OFFSTREE7 PARKING I HEREBY CERTIFY TMAT 1 MAVE FiEAD AND EXAMINED THIS APP�IGATION 1 STALLS GAFAGES ANO KNOW TME SAME TO BE TRUE ANO COFiREC�. ALl PROYISIONS Of IAWS VA�UATION � SURTAX AND OROINANCES GOVEFNING THIS TVPE Of WORK WILL BE COMPl1ED @ WITM WMETHER SPECIfIEO MEREIN OR NOT. THE GRANTING Of A PERMIT �SO�OOO � y�ZS.00 DOES NOT pRESUME TO GIVE AUTMORITY TO VIOLATE OF CANCEL THE pEqMIT FEE SAC CMARGE PROV1510 OF ANY OTHER TATE OR LOCAL LAW REGULATING coN- �643 . 7S F� re SC �SO.00 STRUCTI N OR TME PERfOR NCE UCTION �. P�AN CHECK E T AL FEE �' G� Licen e C $5. $723.75 S�GNatuAE 0� CO "Qn T OQ � EO �G •TE ME PROP VAUOAT THIS IS VOUp PERMIT � �z-�� -o� S�GN�TUQE O� OWNEA��� OwNEABw�DEA� � iD�iE� Bl0 �v5� - ����E �: N � [ ] Effective 1 /1 /2000 ADDN [} CITY OF FRIDLEY (763) 572-3604 Bldg Insp ALTER [] SINGLE FAMILY AND DUPLEXE5 R-1 AND R-2 BUtLDING PERMIT APPLICATION Construction Address: � 3�l C���`z �A� �iy Legal Description: Owner Name & Address: I rti t l�.73i2A %GAOa'K- Tel. #�¢ 99/ -'7gs'Z Contractor: au�1�N�C� Q�X*�i4�Ui �� ��tTC� MN LICENSE # y�(Z.3 Address: ��/GD CtuiKtQC., ��c� Tel. # 5�% 2- ZC'-� LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. Construction Type: f,(�' �/9'!/Z- Estimated Cost: $ ,�O�C�D Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: /2 /� APPLICANT: L.._A� �1 � � Tel. # S � 2 " �-'C(/� CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application Permit Fee $��!�,Z��ee Schedule on Reverse Side Fire Surcharge $ �`Q. GSb .001 of Permit Valuation (1/10th%) State Surcharge $ c��Gib $.50/$1,000 Valuation SAC Charge $ $1100 per SAC Unit License Surcharge $,.� �'drC> $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above , . Erosion Control Park Fee $ $ $450.00 Conservation Plan Review � Fee Determined by Engineering '� t ,, � � � a P� ,� � Sewer Main Charge $ Agreement Necessary [] Not Necessary [ j U� V� � P TOTAL $ •3� v � �� STIPULATIONS-��dv �' �� c�����v i_���—�.- � f� G L �� /�� ��=��j� "��"' �" .4.0 � a.� �z�_,,�'����-Z�- D/= /f✓�' E L(liTc�' �TT�/������. �-t /� �` ��`�� C�� � ��`-���.�i1 s?°`�" /g'c,r° 1/��c'�rt NAME JOB # DATE LOCATION � � CONTACT PHONE , , � � , , � , � � , � , ', ; � I , r , _. .._.___ ------+--� -------- _.--- ---- -- -- --- -... ---. __ .. _.._____. --- - --_ __ 1 _.. _.-_ _ I- ,: -,- --�---- - .: _ __ .__.'._._____----_ . ..--- '._.. � � � , � � , f i , , ! , ,_ � -- -- --- - . -- — - - -•- -- �- . _.__ ._ _ _ --- . __._ _ _ . 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Dy� E �72-2000 OMPANIES, INC. 24 HOUR RESPONSE FULL SERVICE RECONSTRUCTION CONTRACTOR 6400 CENTRAL AVENUE N.E., FRIDLEY 55432 - ' MN Contractors License *4423 NAME JOB # DATE LOCATION � � CONTACT PHONE ; , � ' I , , . -- _-- - - ----_ - - - -_ _ _ _ � - ___ _. _ �_ _ . _. _ � �_ -- - - - - , - ___ - - _- -- . _ _ . -- - - ' � � I _ _ �; ____ .---- _ _ ----- -- --_---�--- - - � I�s� _ _ . : � ' � � � _ _ .. :_ ___ _ ._ _ � ___._.., _ . __ _._.'... __.1__.__ . � -.. ..-- � � f I _....._ __ __.._ _ � � � � i . . � ' I : . ' . ! , . � �. .._ _. . _..__.._. _.. . _. .� _ . __._......_ _.. .. I__ -_. _._. � .,._. � .� . .�._'-_'.._.__ ___ ._ ..._.._..__.._ . � . .'. _-'_._.._ __...__ .:____ ._'.__._... . __ . . . . . . . _ . . ..._ ., : , . , � . . 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Total Connected Load Burner Trade Name Size No. BTU HP EDR The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes an rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. DATE � � � � ° 1 HEATING CO �'` � Q P( b�� d� �i �-9 S^� L Signed �.�- �.�i�--�-*-h TEL # ��3 " y9 ? — 2° � � Approved By Rough-In Date Final Date �"�� "�� COMMON VENT. VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacina an existing furance, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes () No () The venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes () No () The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Fumace Venting Tables for fan assisted and natural draft appliances. The existinp combustion air is sized and installed to meet the cuRent codes and manufacturer's specifications. When required to install a new combustion air it will be sized and installed To meet the cunent codes and manufacturer's specifications. Yes( ) No( ) Yes( ) No( ) Yes ( ) No ( ) When installing a new ventin� system, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Fumace Venting Tables for fan assisted and natural draft appliances. Yes ( No () Is the common vent and vent connectors sized and installed coRectly after an appliance has been removed from the common vent and vented separately as per current codes. Yes () No () Apptiance Tvae and Size/Common Vent and Vent Connector lnfonnation Appliance #1 Type �+,�h� �� BTU Input vo� Fan Assisted or Nat iil�`� Appliance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input Common Vent Type Vent Height Diameter inches Appliance #1 Vent Connector Height �(�ft Length Z ft Diameter �_in Type �_ Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Conne�tor Height ft Length ft Diameter in Type ALTERATIONS: (Describel HEATING CO:_ /�� Y� AI%o � ��y Signed By: �-�. ���-�, Date : �— OS " a� CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 APPLICATION FOR PLUMBING AND GAS F{TTING PERMfT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR Effective On Jan 1, 2000 PLUMBING FIXTURE RATES: New Fixtures Old Opening, New Fixture Beer Dispenser Bfow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heate� -Electric Water Heater - Gas" Gas Range"" NO. RATE Gas Dryer"* _ Back Flow Preventer Required ()Yes () No $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ �.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 TOTAL JOB ADDRESS �� I J ,�re �I.c.- tPAr'�- L/J Type $15.00 Reinspection Fee $47.00/Hr �� � �� �L-�� (-�� � �� ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance State Surcharge � The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the city codes and rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. �"�� ,ZO Or Owner Suilding Used As �( o rw-- Estimated Cost �`t g �� o'� PERMIT NO. /����,� PLUMBING COMPANY ___� � D P�{�� d� i��7 .ZN � SIGNED BY -�--� � TEL N0. 7� '� '`�`h- 2° 3) Approved By Rough-In Date Final Date ��!�� �� � m�n�mum r�� rvr� AIY i rL�J1111O11Y17/17A.7 rCRllfll l �a TOTAL FEE $�� •� PLUS THE 5.50 STATE SURCHARGE COMBUSTfON AIR SHALL 8E PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE CITY OF FRIDLEY INSPECTION DIViSION 6431 University Ave NE Fridley, MN 55432 763•572-3604 RATE SCHEDULE Residential APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES Furnace Shell and Duct Work, Burner - Also Replacement Furnace (Side Vent - Fill Out Back) Gas Piping (Needed with new furnace, but not replacement) Gas Range Gas Dryer G—u�- f : �c� ���+-- *Air Conditioning - All Sizes All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work Commercial/Industrial 1.25% of Value of Appliance or Work Rate TOTAL $ 30.00 $ $ 10.00 $ $ 10.00 $ 10.00 $ 25.00 State Surcharge TOTALFEE Effective On January 1, 2001 JOB ADDRESS �„3/� C�i'�-J� ���j L-� OWN E R / i`r„_ f%`�fe,. t' BU{LDING USED AS /�GS.`d�7�.� ESTIMATED COST ����- � PERMIT N0. � �l DESCRtPTION OF FURNACE AND OR BURNER $ No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) $ Trade Name }�e�G/v Size No. �-�% BTU � HP EDR $ Fuel Total Connected Load $ $ $ .50 � �. �� MI(�IMUM FEE FOR ANY HEATING/COOLING/VENTILATION I REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 I PWS THE $.50 STATE SURCHARGE REINSPECTION FEE $47.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. �►y�.�Tv � ��es,'�L° � oi-n e r �S co, i��� �/ Os.sm, rh� SS�3��i Burner Trade Name Size No. BTU HP ED The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes an rulings of the Building Division, and hereby declares that all the tacts and representations stated in this application are true and correct. DATE >- � �� HEATING CO /�"! ` � � /�`�`�-si d�c. Signed ,�� ��% �%� TEL # G S/ - G� --3s � / �� a� Approved By�� Rough-In Date Final Date 1���'�� BACK SIDE MUS BE FILLED IN ON VENT SIZE, VENT CONNECTORS AND COMBUSTION AIR VERIFICATION