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AF - 43286
CITY OF FRIDLEY APPLICATION FOR PWMBING AND GAS FiTTING PEFMIT '� a a e w .,°� ,,,� .,Ka b, water a u. Heater H N O .,i 1J �d1 C �N •'I � O O �i 'Y�1 i7 � � UVl � � v�i ro u o 0o a� ai 3 o w° y w u a 4 3 � � c�i o as lec l / � lat � � % I 2nd- � � 3rd 4th (R) � fl�ture Connection Openinq CoMected with Sewer (') � New Fixture, Old Opnninq Water RATE SCHEDULE PLUMBING FIXTURB RATES: N0. Naw Piaturea � �� Future ri:ture� Old Openinq, Nev Fizture 8eer Diapeneer elow Of! Basin Catch Baain Rain Mater Leadar Hydraulic Valve Susp or Racaivinq Tank Ytater Treating 1►pplisnce Hot Ftatar Heater Gas Ranqa Gas Dryer . / RATE TOTAL $ 5.00 $�(,-' S 3.50 $ S 1. 50 $ S 4.00 S $ 5. 00 g g 5.00 g • $ 5.00 $ S 5.00 ;,, $ S 5.00 S g 7.00 S S 5.00 S�� g 10.00 g $ 10.00 g ALL OTHERS AND/OR REPAIRS.AND ALTERATIONS la of Value ot Fixtnre or ]�ppliance Reina cti p state Surcharqa pe on ee $__ ($15.00) TOTAL PE8 S �i G'� S 50 s!�� �Liective Aug. 1, lylfl Job Addreae � � �� ��j /��� ��l/4 ����;%��:� Department of Huildinga City of Fridley Tel. N571-3450 ' The undersiqned hereby makea application for a parwit for the work herein epecified agreeinq to do all work in atrict accordance with the City Codea and rulinqs of the Deparhnent of Huildings, and hereby declarea that all the facts and repreaentatione atated in thie epplicetion are true and correct , FridleY� Mn. � - �� , 19�� ONItiER �`.e'JIiG�C'�//l��� ��/,C��1,. /1 � KIND OP USED AS J�! - TO 88 COF�LETED 11BO�1T � ESTIMATED �T OLD - NEN BUILDING PEAMIT NO. PERMIT N0. ld��sJ ComPnny /.�li�--���'�(� 8lqned By � > � Tel. No. � 'v�;J�� RO(/GH INSP. Dnte FINAL INSP. Dste 11PPitOM1►11L FOR PERMIT ; � ,` f-� /.5- e�� HINIMU!�[ FEE FOR ANY PLUMBZNG PERMIT I3 �ir9T$� PLUS THE $.50 STATE SURCHARGE _ i --�.. sue�ecr PERMIT City of Fridley o � g � g � AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r � � , � RECEIPT NO. � ; y _ COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. ���jj� 7 � � ` _- � �����;,, CITY HALL FRIDIE� 55432 NUMBER HEV. DATE PAGE OF APPROVED BV ` J� 612-571-3450 910-F15 2/22/89 / � JOB ADDRESS 1371 Creek Park Lane N.E. 1 LEGAL ��T NO. BLOCK TRACT OR ADDITION SEE ATTACHED oescR. Tracts D E, H, I Registered Land Survey No . 94 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Brickner Builders 6240 Highway #65 N.E., Suite #208, 3 CONTRACTOR MAIL ADDRESS Z�P PHONE �ICENSE NO. Fridley, MN 55432 574-9871 4 ARCHITECT OR DESIGNER MA�L ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEEFi MAIL ADDRESS Z�P PHONE UCENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK � NEW ❑ ADDITION O ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE S DESCRIBE WORK Construct a 28' x 44' Dwelling and a 22' x 22' Garage ��������j �. Before digging caA LvC�.-u#i�ities 9 CHANGE OF USE FROM TO R STIPULATIONS Provide sod in th.e �ront and side yards. Provide a hard sur�ace driveway. Provide City with copy of verifying survey before capping. Paid $12,263.31 in special assessments. See notations on plan. Paid $1500.00 Park Fee. Driveway Escrow: 16 + 6= 22' x$13.50 =$297.00 SEWER LOCATION: Wye - 68' 5W of M.H. �X��iX Wye Elevation: 882.07 WATER LOCATION: In same trench as sewer. TW� C►Ty p� FRiDLEY D0�8 M07" �� , ACCtJRACY' OF U71LI�Y LOCAT{ONS A��� {��� f� �A�A,,� P 1`h115 DATA tS �OFt IN�ORMATICN PU�Q��S 'ONLY� E�M�TS RE AND P�R50N5 , USING THiS �NFCRMqT�ON SHOUl,B �� ���� H�iTI1V� p�� QUIRED �:�,,� ���i�v ir o�v ��i� ��r�, �, , ���� SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB , EATING, �PE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID If WORK OA CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOFi A PERIOD OF 120 DAYS AT R-1 2164 + 484 ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING V HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APP�ICATION �- STALLS GARAGES AND KNOW THE SAME TO BE TFUE AND CORRECT. ALL PROVIStONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $'�E'j�SOO $3H.ZS WITH WHETHER SPECIFIED HEREIN OFi NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING coN- 536.00 $575.00 STRUCTI OR THE ERFORMANCE OF CONSTRUCTION. $ 1 " P�AN CHECKFEE TOTAI.FEE j .� $None $1,149.25+PF,DW,SP P SIGNATUAE O CONTRACTOA OA AUTHORIZED AGENT 1 ATEI OPE Y VALIDATED THIS IS YOUR PERMIT SiGNATUAEOFOWNER�IFOWNERBU�LDEAi iDATE� LD iNSP ��,iE SS. 2�1 [ l City of Fridley EEfective 5/L88 1�D�dV [ l R-1 At�ID R-2 ALTER [ ] B��; 7 ding Permit App1 ication Gbnstruction Address:__ ( 3,7 1 C��C 1C � 1C L ll/ Legal Description: � Owner Naane & Address: Tel. � � Gbritractor :�� 1 C 1C I'�,/C d2 � l.� I C. �� llZ. S �el. # S7 y-%f�7 / Aaar� •�� � y D hl�r,c� �� �� d 8' . �— Attach to this appl ication, a Certif icate of S�,irvey of the lat, with khe proposoed wnstruction drawn on it to scale. �'.SQtIPPIOBi OF i�TVT1�Y; ARFA � LeII�'1 W1C$�l HElC�It S�. Ft. � �: �� a ' W� �a , ��,t �. �. DEQC 1�RFA• Length wic7th Hgt/Groina 51�. Ft. .� / Cbrner Lot [] Inside Lo�t [ 7 F't. Yd Setback 3� ��2 Side Yard Setbacks � Type of Gbnstruction: _�nc7,-�l �Ya w. e Appro� Completion Date: �) c �. �. � Fstimated Cost : S v�%G��� � A Alt. B Prop�sed Drivc�way Width If New Opening Is Desir�r �_��,. 5�.� � Width + 6' See Back Page ����� �L % D�1TE : a - � - v� �% APPLIC�INP : L/'�!'/'N�c�.� ����-u-2�nrt��. Tel. # Peffii.t F1ee State Surcharge SAC Qiarge Driveway Eecraw Park _ e � _ _-►...-,,,- 9e �OTAL 3rIP[JI�F�I�: CLTY OSE �Y S �S3�aOC� 11eee schec�i].e on Reverse siae S 3$.ZS 5.50/51,000 Valuation $ �7 � �c� S2S�0 Per SAC Unit S '2�. Db A].t. '7�" or Al� "B" Ab�ve S /� a�.° v I�Iee Determi.ned by IIlgirieering $ �a � � 3. 3 � Agreenerit Neoessary [ ] rrot Neaessary [ � � � S(� ���"C`'(� � �o (�S �� L "��rE �� ►3�� C�.� _ �2.�c 2� _ � 1 C�'i2 r-�- i� �c ► � - % � __ . _ � 04 `� �Q � .b`7 _ �, 1 �'S � I ZZ. �2$ _ _ �cr�' - � < .:_ . ...�. . .. . . ��t y'� z i � ��._ _ _ . , , . . � .: ��. . . ; k '. , . ''�,� � :;� , __ . __ . , _ _ . ,. . , ,� , . _ _ _ � y `+3�' '` � c�,��: ` . -- _ 1 � ca �C �$. �e3 .�: 1.. .� } ...:;� � :� � .....�-w-. _. .. - . . " --�; : F:. �. r , � t,f;... �� . �. . �fiuc :r- � � ;. 1�� �� _ � #�t_��.. _ _ _ _ _ _ _ _ - -- _ _ 2.��.�c�.2 � ��,/�� �_� �I ��� �� ����- 2y _ _ _ _ � � , `',i � 3t- -'\► ____ _ _, � ; ____ _ _ � ,.� � ,- - - -- - j��\\ �` • � j � ... . . . ... ..\ .I �I ��. . _ . .. .. . .. . .. ... ... ... .. . { ' __. . �._ . ... __ . _.._. ' 3 ' �`'��': r�x�. : i� � � '� _ . �' r, �-I ► �,�a � .,, , :; . . ... . . . . .. . . . .. � O O Y .. .. _ .. . . _ . .. . . ... . . .. L S .; , y .., . � . . . __ . . , .+ a - _ _ a-� y4-� � z ,� _ ��� � _ . .� � . „� � a NY+Ls� i< � S�Q� _- - _ - — _ _ - -_ _ — -- .� � , : � � R rt���.��rf� ; r � .It���;"�f �tlt1^r.��itii� 's•w �;: '3-�'�`"'''r� ��i�ERGY CO+tSEP,VkTIC�� SUPPL�h���1T TO BUII.DING'PER�IIT APP�.ICATIO�I��,', ,� �r� � Y �.�. . � .. � . � � r. � � � ,�.,'�`�� '� ' � ' � PLFit„�IFI� A"�0 if1SPrCTIOP� ,Oc�PrRTMF��T�'k��' ¢t ;A �`.#�:���;.�y �'p�+�'��� ����' i �M �. ✓ .r�.+r � v d � � ' � . ' : CITY 0� $ROOKLYN PARK MIrJNE�OTA 55443��}"�;��� � '��``� •i"' , ': ' . . ' . � .. . ... . , - .� . . . �. .. a J �:,o.tty . � �� ♦b:iG 1rs�.Nrrn�S L'^a � Fh�`�1Grt�� .,'� ! . ' t � 4- ,Fb K y'�.rw5iW� , �k 'k��¢ � *' � i � ' i • � � . . .. � .:�, � ,.�� ..:..'�"'�.c .�k;��,'�'.' ;�ii•�^� � ,h� f � .;i;�.. This sup�lemsnt is provided t� assist �the 'anpli��.�i��, i» ��fi�ut��'�,�{ ,+�#� � � ' . � : . • , : .EXTERIG!4 f•;,t:�LO?� AV�FA,E "i1" FhCTOP. I?�F'Oh?!:,T:O�Y. '`:ETh�is;��J71�dSl�t��� 4 ''��y � � �' ` •, ' tion is reqUized so ths EL'ILD*;:C OFFICIAL can •ddt�rminc.'��t,hat{i�`���``���� ���' ;� ` .' . , , � , .+:+a s a , • : +" �: . `• ' subautted pia,zs com�ly crith the c„'ERGY CO:+SERVnTIOA•�`D�S�'GlV�`��`RIT�'RIA'"�``�'� � � f � • . �of the ST�_T5 B;IILD,:.� C�D� l�eceion 6000) .'It'`is �•the'rAPPLiC�.N�'xS.��� res nsibilit to accL=ate2 co:� `te the data; �re�Iect��?tl:e� ` j��`�"` ���°� ' . � y � � proper �� , � - , , . • • DESIC"1' C�:.T�RIA :n the t•1ans; s•.:.,�..zt pro3�c� specif.cation�,Ms�iF�+r��'�� *` '�`, � ,. ` � � � . , . • IIeBdP.a t0 s��pport the ~R" and "U° fadtors used�; and s'�O��ASSLi2'3f��`uj��� � ��� `;.n t� ° �t • ' . c�onstruction :s �-zr approved plans. � ��-►-�� `•�` �,���+»�.� , �, � � ,M +� s�� ,? s�j, ��tt,�+ � �� f{,� � , trt �. � JOS LOCATIOt� / � G�G.E./. P�j�Q J�l . . .. .._ . � .,�,:. �� ,.: �,�:� � , « • p. . Mw �. w .' . A ''` ,yy ;j2}r�"�P ��:�5 .y,� �,:�i t ��.: � . � � •y , i '� GWt�ER(S) �J/GL � �EG3/3� C- �I1�S� PNOt�t� � . �� �� _ , :;, , - ;.i ; a ,�,: ., � ��; t �t� : ^' . , r •i COt�TRACTOR __ �IfL/GI'�N�/l- ]J'UI �l� E�LS /N (, ' � PHONc;' S�� g�P''�I ."''�; , .W '.''.. ' _ , i A. Deter�i ne the To �al Exp�se� 1�1a11 Area as fol l ows :�:�, P�� "�'r� �µ'� ? ; . . ., � ,.;, � i ' . , . � �, `� , • ; � ` ,.. , . , ' �..I r •.r �.�i .iw. �. �' � � . . 1. , Total wal l wi ndo�� area . . .... : . � i '.;� , r ':� � . � . , �. . ' �� . . � vi: a ��' 4 � .� � • • �--= 2. Total door area � • . . .... __..... ._....;__ _ 9 ... «,.;..�F...w.,� � , w L, �M ! r , � . � . � ' � � .i.���� �• '3�'i���i�+��..�r+�'Si7�,��t�1�{��;L�t i.�`;{�• �'L., � . �. • � � i • . . , , . ' � � ' 3. Total sl i di ng gl ass d000r area � '^� ' '� jr�+; �'�'� fi'��; � '� � �'� Y � � � � � . +�ioac .^'��� � 1z:�re�: r �; � ' •, . �. Total fire�lace wa11 area ' . a ,Yw ..' �, �i��i��, } ,.- � { , . 4i5' r�t� A4f ta�,l."RtfJ��;'S #' . 1 ` � " �" ^ � � � , 5. 'Total ��rall Framing area (avera�e ;Oa) • � � � . , � `�` ;�.,i� «; ';���aM ;� �t: �<; � +� - r . G. Tatal, net -�val l area above floor +_ r . . `L %� , ��, �;� ;r��'",�:�,�„� � �` ; { � `�' ' � g, �., �!�, '- � z �" �r �, � . •• • . �L:,f*i c���f �� �;���Fj,���'�•:�ws,.� . 7. ?otal rim joist area ,% i� � r= At�s�x��a ,�',uh}��t���rh�� • r :.. �� �1�, � • Subtotal : Total expos2d wall area abo�e floor •� r�� '�✓�j'�'� YS i�'�' 'j � �;, . , , f "�* < � �, , � ✓� } i y.�� � �Z��k F1'��'�`�R(� i. � '1 . 1. � B. Total foundation� tivindow area . � � •• ,�� 3 ,, . t � j�� ,., , . � � • ,. � f �.:KT � 4.�.MY�� �R:• ��. � � •� � 9. Total net foundati�n area ab�ve grace � � � ' � b '` �,�� :° �t���a,."�� � , , . � ,� • .. h . y., ��� ��y�i �ft� '�������' ��� y�,', � , � , � Subtotal: 1'otal exposed�foundat;cn area �� �� �r, �; �° � • ' r ' � r a#„ v'S ��h ,.K� i .`j ' . • � � :Y ��ftP` .� J} x� �, t i � �, . . � 6RAN0 TOTAL EX?OSED �'ALL AR�A ' • 1 ro. ' '` �' '` 'r � G��.'w'�,�� � `, �, r: .' � , , . � � �;�..� � <<'� p���y`� t ' � f� � B.. � F1ul ti p ly the GRAt�D TOTAL EXPOS£D WAL� �,REA X�%1 "•. ��:� �`i t��, ; I�'���� �_ �� ��:� ..., . . . . ' . - ' � • \ � � '�: s ��y 3 5' 't`� ��'�� �� �1 i � i' .. . ..' � . � . . . � . . " �. r'�+t^. ���F y���xi�s��l� .1 ,� .. �� � C. Oeterm;;�e the total Expos�d Roof/Ceil ing ArQa .as follor,s: �� �x,��:,, ,�j����=� �'� , ti .. . . . . , , . . \� 'y?:���a'� �° ��'"y�j�.�l��y�''� ��}�r�� 11 �! �: i • , � : 10. ,Total ,s{yl i9ht arsa . ' . _ • ^ �'y ��� i°�` " �' �,��`"w .: , ,' , '` � . � . . ,�►.. � �. 3;;�,,; ;.,�,"�:;�, . + ' ' :��..Tota1 raofi/ceilir.g franing area � " � ' ' �' � "',r'i���{�'��'� ��'*�" , s t'4 iR�`3,; a , ': . � ; c �` q� ^� t �" � •' � i �ib, k• � �i` f � �� � #�}� 12. ?otal net insulated ro�f;c�ili�g area , � ' `" �:3�`b���,��3,}' � � . � '`4�Y 'r� y� � � t � ,�� . � � . � �. � � . - . � � �. . �, ..::�ht , r�- � t �� Y � ��a�y�t � , ?i" ,, � ' GRAND'TOTAL .EXPOS�D RCOF CE1L ►�;G AR �1 , : ' , , �'�/� _��`�� �� �� �fi�>'� �'� .�� � �.�� , ; '�F �� � �� �F I rfi- .n: . � f , fi ♦ " 1 • .wc� s / E . .i a . / � t � t t r .. �-v r • � , i�t i . � . . ' . . , . , • , a, a F',y,, c � � . . . , .. . ..� .• i:��' .�. � • � � . .,""� :.hrh `,��K,,y..` �f ��`.' ���:,.`,� ��t;� . ... i ... - � < � aua � ro. �. y . r., ..,�. v � ' � , � / ^ \I A � '�� /�y�' '�'.''f � � '+'�!'.���' D. FSultiply the GRA�ID 70��L EX?OSEO �QOF, �EILI�,G A,EA X `��7{'' = s Iter!� ll��„��,a�-s���� ' �', �. , , . � . . ... .. . � . � �' _��•��,�(r••'�!;3"iai�.1[��'����'',+yi.�}S �..'� ; � �(�'.� ���,�� fi_ � L�{ r4��(t rYt_"r ti� � c I � , . � , _ , � t ,��..� ° �. ".a�w, ��,r"��g����� An'� �` � • . . . . . � �. � . � . . � �� t - � i .e' � � �� S��y ,+5�'�4f��'!{�ii.�'�i Y t 3; l.' I q�7 a, ' . , . . � � .. �.• � .. . � � . i ��, 3'�'t.�`,: �"i!:'�r�r ��'qr J �� , . � . �. � Deiermine the� "U" valu� of �.each segrnent' (1-9) and mul tipiy .by, thef aKea: as�� o11owS;� s•:�`��~q`�, ' • , � . . . , . , � . . • � � / t i �.f'� '�1� �'ka � `��,,�'� H -� � , ...�,� '�r.�: . JRi i. , f c � J . , . . X „un : , ,'� � . /_ �' �° �� ' �;�,� s� Y4,��+,��f �p ,��, } ' . t` A ! ' ��/. ��' � 1 � � r�f� +`� i�tyy'�`�y,�.��� F�'+� .w1.'�+F.:4��"1N`d � `� ��i � �".�..."'^'� � � �� „� �Y �y �� � ���h �� '�`t } Z ��'S • � 11 11 " � . _, ' . � ; ,��) � i N � 2. 9d 9 � � � x ` u � � $ � _ ,�� .�.6 , � �s � t ,3��}'�'� °�� f:i I �e 4n j +��.� . . 'i pp � i� t,• � ` � i,, � ° r�� � � . . . . � I��t� � 7 .�� � ) , �. , �,�' � �/ //11H � . . . . " ��� ' r S � .F! '�, ` i � • /1 , �J !�� .ti` (: 0` r ` � � f : �iY��� :f�4 SI.L �' (E f�z, t J` , . a. I C"i ; X uU" � ?iv = �,'3+�%d'j. < � •.. y [�� � � �R' � ;j � � !�/{ �.. Yyr r �.q c� ,} t V� 1}. � ,t.�'�F "YtF { S � ff 4. L ... � x��a 1 Y ltiS s k y 3� i' C C-//�/y9 �`'�` � � ' � �� ��� �' �}.l � � �� ' J.' / / O • �/ X..1111/1 • � %A L . ,./ /• �Ov �y3�y4I1 " .�tt �tt' �,..,..� �� �� .�......�.� ..�r� ` 6, �b �c �� t�t3?', � � P � . � . ' • y 6•. � 6 �, � Q X ��U�� � � a ��'�•�% i,, y ,+r ,;�`�j��s!'1�'� � .l 0 1 - � � ,�Y � ��� � i � , r � ' � X ��Ue I O � a • , �,�p~ # f ��'��,; %v����}•pc�t�,�,��' ��" � %. � � „ ,� � l � � F p ..�► X, _ � pU„ � . . 3 .. �.,.: r y�a� 1�,�tlF�tl�A�e t��ti : h �� � �4 . • v• r`��;Y '��,�t� �"`« � �,�. • • � . U �, ' y�� Y � Y �.{ , X Il�11 , � � 7 � � � ,� �� - l .`:i }E 5 +Y '�t �� � i � _ . 9. � � � �� �� � , l, ���,�g ��►�� ������ ��. � ' �, �j�_ �+�� � �r� rty� �:.f///' � .., + ( ,, � � ADD ? -9 FOR TOTAI WALL SEGMESITS ° . � , ' `' _ '. ' Item,; I T I 4 ; �, „�� �} s . '! � �• ' i' .� �� � �w �dl� i� �i �' � ' � ► k r . d . F. �Determine the "U" value of each, segment (10-12) and �m,ul tiply by the",a'rea`"'as 'fol�lows: '�' � . . . 9�, � �t y. j ,,2 �?}}, t��: )t� �y .., { ;�� �S � n ,��. f .. � .. � : ' :' 111 ,11 '' 1 � . . � t � n4Y�����'�"''i1..� ��1'�l�'�' {�g�! � T � � ��. ++X �� i ,� ' e " y .. . \O• " V i '�}; �y\"�,ty� ��f•i t1!' ��.. y�^4�I�y�{ 1 .�� � , •;11 Y 4s'��Vi;� t � N" 'R� %T i 9' ��: � V �1�11� � . , � . _ �. . .. � � . �i�!� y �. , .� � . ' � � � • � ' A _ �� t k iy.� ak . ' . h /� 3 V y ,?i�. .`� "; Y�t;��,�t ! v'� � t , f �G � �/ A Il Utt (7 "V � •. . 'ti, � r � � ! `3t 4 �1.}'�' w � •' � � � �� r� r m . � , t � f���kti+'�y:� �`�''�'`�� r . A00 10-12 FOR TOTAL ROOF/CEILIP�G SEGt1E�17S � ' ; Item� IV ,y�y{�� �; �' � ,`�` ;�' ,. ' � �•" ` '�i 5' �hr"�,'n * J` ''�rr'�''''���';''t' '�1 , `� i� 'M' �, c. . .. . . . .. � ..i. � � Y�. x; �. }:S 1�� 7V'.'� 5it � 7 1 . :` � �t� ' j k 4 �' ,,xi v {1�Q , f t� � ,, r � . . . � �. . ;� s'i` � i r'y, � +t � s4'i i, �.. � r,� � p ' G.. ' If Item lto. ZII is the same as, or less than Item. Nc.'- Z;. you hac►e met + ther�ntent �•: � .�' ''� �- of Sta�e Bu�lding Code 6006(c)?. � , ` �>�' � '" �����`��t'�����'��'�'��'°� � '�f� 'r � . . , , � l.i.; �y � 1:���a al:�l` � ��� � � .. � . . � � �. "4�+ � ��� f�Y;e � ��ry� ' � � �� ii. Tf Yt�m No. i►' is the saa� as, or less than It��a No.' ZI, you have;'met'the'�:.��t�e»t ,� j, ,' k � of Stats Bui2ding Code 6006•(c)1.. : ' ��;������"i�'��������5�`��� ;„v�,' y;�`a��, . . . . . . . `at �x4 : flt �1�''� y��Y�•. � Z t . y `M r�'�eM i•�AdCi i tel» rio i t� d' ,, s,+ :�� ��: �;id tia �.,� ;� j SP, rr�r , � ' ' + I tem No. I I " }A� �� � � "�,j > ,� � � � � � #�, �.� , �.�`x . . a a 4�y� +��;� �r �, � ,� } � r' J. Add Item No. III � . �. Item No. IV • • :: � �;i';f � ��.��,`;���i��,,�� �,'��;t ;��� , �4,��. . w �i�. ��.r�r �' � r � , . i K. • If thE s um �f I tems ISI and IV are l ess than I tems I and " I. ", you`�hat e��met �the ":�'����i `' ,��� '�"'"' } , �:, , . , � ,; � ;��tent af the ccde fer total envelops� �ystem. �, ` �� �a Y`�r'� `' • • . . . . � , , � . � - � . ,� t £ ; ��'�e��J�i �,�', �"�v ` ����}�r j j�i ' y 3 �4f,�t� ���' � �� �,, f�� ` i j , ' p ) �� � � '�;�� �� ' � � . • • �' ' ,�t 1 ' :�y�#�`�ty�. � �1 ,{�$� i� i; k � , , . ' ;� , f� ., ���,j� �� Y �' �` 'r i,, j ' ' • •: The ; undarsigned. �s app2icant,�"for� a,.Bn�lding�P�rm:t � . xi" , ; • � . .� hereby aff.:ms the abo:►e 3niornat:oa`�has;:besn'_•_c:e�ired �,'. '. , • . . anc s�b:� t ted by ; hi�r,self � or.t Lnder#: h3s, �`diisctjon,; ���a�'�' � ;� �, .,': � �. �• � • � ' hereby ackno:✓Icdges the����formation�'to;fbe%correct a�d' ``��ry ' •� ' accurate; and hereby preaents }the'-�Yri:ormat.iB»4��ith�� ,_�+, ' � �A � ` ae�aired p2ans in support or,� t�e B�ildfn�f Peta�t ��+ ''' t�M, `, �} .� y ,� , (, -_ 1� . . .:.i71, '�r� 5 � « ���y f �71Y't 1M1 '�� T ip J YY�1�. � . , . _ ` �ippll^.dZ30�i � :} +' ���" yiy�S: ��� �� �t�'�' p}3a' ;4� �(! , ; � � . � , • � , - _- ' . , � ' � t .,.��., i y ��t%°� i r¢aC� -��i �p'!4 �. .t� �f }' � ;i ?c k �. � E.�� �,� '�g! i��lsr ,�t;�� � A �; � � ) � .�tt • l.,�F Pi � �p , . . . � � �. .. . . : . .. . . . . � . � . � ^ �� � k ��� .' t . 4��t: �' ��{,yn..n�L�'f k" i�, �•�.,� �( r � i � �� � • Signat _ e ' � << �_ , ,�,,,: � s - r � �, ' r ` a ,i 41;= � C �: •, . � . . • ' - . • � ' ' . � . ` Pp y� " o � : t + }t�` � � �y �r , _ . .. . . . . �i_ �.�I'O�e / i .,3`, � ; ^"e� .�.: • � (#`�i ��f �2,:T�+( 1r7h.�•�• �qU��l� e�,S r� i __ ' a� , ... ✓J , i � ��� . , . ��r� �� 1 b_, .{ �+ . . � . - . ' \ • � . ^ . 1 , ` ... � T t � 4 ti .. ` • . , . . . . ♦ .+ � . �• ' � r (\ # t., � 1 • ' � � � � � : c '�,�-�; : { � p � i kr � i �. . . . � � • � � � � . : � : . . . . _ w �� * i '�`.!�%�� ��i ��� 4�� � �� ��; � • ' r !4;�",i. ,,t t� � ..t �' i � ' � • , '�- , :,; � ' . - '" 1 � 4 L���� l�(.`- �7't'~c.z�,--" 'fL ' ���LCt�ii2� . , � .� � �� �, �� �; � 7- �,�' �/ � �� �, �.;r { � .� �rZ'./L�tt.�� �`l,� • ( � � �„ �1w �,� � q3 �-�'� �1 i���. - � " .11-��� ; � �� � /�A �� .; `� � �� rI �� � � �u� ,� ,�. ,, , 2 ,�, �c:��.t� ., � ��� 2 �S�' ,;!�' .�,� ' 3 '1� �` � -G e�!�• v �G+^"J ./ �� �W fi2s��� � �,,.:�� .t.-.. ��« � ;r ,,,: �.._ 7.. t,�,--.. � �,�� �rv` ' (� � r �� % Z �' `�'�'�Z % - Z �''' �y�: G"c-.c�-. �ti.� '� 2./3 = �I �f� �;, �� - t s v ,/kl /��i i!Gf/� • �� ,�L - �`���� S� . � ,� �xt �,,, ��., •� .�s`' ��/.7g= �v�93' 1y `L . � L �� ,��i�, �t.G�.v-� A � '' ��y�y� , / %L ' �-(.'�.�. �;.y..._ � S / /,� � � L F_;�rl.�--C,-l��� � �'w ,,z�� .. � , r � `�3 �� " 2 �. �.q� - . ��'�.� ' �� l�j �- �� � • �� D �� (..:.:�.4.''. i:'Y'�.l �''':I��L/„r1r�` �.r � y� �3 � - �'.�� y � � � Y CITY OF FRIDLEY Effective Date May 1, 198$ APPLICATION FOR POWER PLANTS AND HEATING, COOLIN6, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE RESIDEIuTIAL ` RATE TO'PAL Furnace Shell and Duct Work, Burner (Also replacement furnace) Gas Piping (pipinq needed with new furnace) Gas Range Gas Dryer * Air Conditioninq (all sizesl All Others/Repairs and Alterations 1B of Value of Appliance or Work COMMERCIAL/I13DUSTRIAL 18 of Value of Appliance or Work $ 20.00 $� $ 10.00 $/� �Ob s io.00 S $ 10.00 $ $ 10.00 $ State Surcharge TOTAi FL"E Reinspection Fee ($15.00) Rough Insp D tz Final Insp. Date Approval for Permit _�� MINIMUM FEE FOR ANY HEATING PERMIT IS $15.00� PLUS S.50 STATE SURCHARGE *Air Conditioners can not be placed in side yard without written pennission fran adjoining neiqhbor. �� � Job Address [ � / / � �.CJ��Ci� �C �6 l � Department of Suildings. 6431 University Ave. N.E., Fridley,. MN 55432 City of Fridley Tel. #571-3450 ti The undersigned hereby makes application for a pezmit for the work herein specified aqreeinq to do all work in strict accordance with the City Codes and rulings of the Department of Buildings, and hereby declarea that all the facts and representations stated in this application are true and correct. Fridley, Minn. �/ �� . 19� OWNER ��J u��� ��C-��c-�i'� KIND OF USED AS $ TO BE COMPLETED ASOUT ESTIMATED COST ��DD��� S . so � � /C� /� / OLD - EW B ILDING PERMIT NO. PERMIT NO. $ s � �SZ� DESCRIPTION OF FURNACE/BURNER HEATING or P�'R PLANTS, Steam, Not Water, Wazm Air- No. Trade Name Size No. ��0 $� / Capacity Sq. Ft. EDR BTU �Q� NP 'lbtal Connected Load ����� Kind of Fuel q�% BURNER - Trade Name Size No. Capacity Sq. Ft. EDR BTI7 Hp - � � Company Signed By Tel. No. �� �" �S 3 �7�_ __r Fill out back side for stack verification on replacement furnaces c �' `�l ' ; �3� f � � �� �ac, x' �r.6 � ? � �o . t.c�, � � � � �� , � G�. �a�a o`�o o u�— �� � � �� f� b � � �, p c� , ► r-- °� , �; +� , a. s` ' — , ► � � ��� �-� 13-- �g sue�ecT PERMIT c�ty of Fridley � ggg AT THE TOP OF THE TWINS B U I L D I N G P E R M I T r � � , � RECEIPT NO. � • COMMUNITY DEVELOPMENT DIV. � ��; -•--- � r � � PROTECTIVE INSPECTION SEC. ��� � � � � � � /"'1 � CITY HALI FRIDLEV 55432 NUMBER REV. DATE PAGE OF APPqOVED BV �""'�" ��� 612-571-3450 910-F15 5/12/89 / / JOB ADDRESS 1371 Creek. Park. Lane N,E. 1 LEGAL ��T NO. BLOCK TRACT OR ADDITION oesca. Tracts D, ,H,I, Registered Land Survey #94 sHEETr,acHeo 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE William Burns 1371 Creek Park Iane N.E. 3 CONTFACTOR MAIL ADDRESS 21P PHONE UCENSE NO. Brickner Builders 6230 Highway #65, #104, Fridley, MN 55432 574-9871 0 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW �7 ADDITION ❑ ALTERATION ❑ REPAIR O MOVE O REMOVE B DESCRIBE WORK CQnstruct a 124 sq.ft. 2'hree 5eason Porch_ Addition 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan SEP/�,�P�T� F'�RMITS REQUIRED F'OR WlRii�G, HcaT{NG, PLUMBING AND SIG�`-��. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL ANQ VOID IF WOFK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONEO FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. OWLG. UNITS OFFSTREET PARKING I NEREBY CERTIFY THAT I HAVE FEAD AND EXAMINED 7HIS APPLICATION STq�LS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VAIUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $850 $, r)O WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS Of ANY OTHEFi STATE OR LOCAL LAW REGULATING COIV- 23.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $ PLAN CHECK FEE TOTAL FEE $23.50 S�GNATUREOFCONTRACTOFIORAUTHOAIZEDAGENT IDATEI WHEN PROPERLY V IDATED THI IS YOUR PERMIT � .s , o� � SiGNATURE OF OWNEAIiF OWNER BU4DER1 iDATEI �� BLDG �NSP q 7E �"� [ �J�/ � [ Gl' �'i'� [ ] I�1 AND �2 Buildinq P�ermit Applicati� Effective 5/1/88 Construction 1�ddress: ��" I � �Q�iiL i2i� ,�1� Legal De�iption: 'TR/it�i3 �� u• T owner 11am�e & Addz ess : � U �R. �i•s _ �1. # Coritractor: � �.�t _d � ej�. _ Z�el . # %� Addre.ss : E����_ . � �; . r'''N � �+a�: ��aN• �• • i�• Attach to this applicatioa�►, a Certificate of S�vey of the lo�t, with the prq�osed ooa�stxuction drawn on it to scale. n�c�z� � � r Ie�z Width Height Sq. Ft. LP17C�'1 Wld�l H21C�1t SQ. F� • Z�s-.�.!�e... ��br�ru 11J �,"J 1�� iC S'L. �l0 C�orner Iot [) Inside Ia� ] Ft. Yd Setback Side Yard SetbacJss Zj�pe of o�nstruction: �, Estimated Dost: $ �SO. �C� � Approx. Cca�letion Date: � �/ S Pr�opor.�eci Driveway Width If New s Desired: Ft. $ $ . Wi + 6' See BacJc Page OATE: �� APPLICANI': Tel. # P�ermit Fee $ State Sum,harge $ SAC Charge $ Driveway Fscrow $ Park Fee $ Sew�er Main Charge $ �ar�, S � �_ . �� GTt'Y IIBE �II,Y Fee Sc3zedule oal Reverse Side $.50/$1,000 Valuation $575 per S�P�C Unit Alt. nA° or'Alt. °B" Above Fee Detrermined by �'�4ir�eerir�g �oent NeoessatY L I � N��xY [ J gs�.Cia S-ov ,, y �t � — i� �3.tk� '� , t �� . . ; I � �� i.� i �' ,, � .. ,:, ► j � � � � - �.r.r�«�x•.,, � ; � � w � . � � .. F .{.� . \ .. . . _.. _ ' , ;,� - � ;M ' !"� r � , ,II ��i� .1�" 1' � 1�,,...11 .. . ,�. ,� ��� . , � � i � ,. � ._ . _ .�� � �,, ,� �I __ .. k�,4". II ,�. 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', . ... . t j � � �.� � � � � � � �1' ir �>` e vk � � �u/ � � �. �% � � ��* #. ��� . Ir . .. +� � .�� . . . . r . . � ►�,��--� - -z - . �. �� $ � �� � #� �� y . P. 21 jL : g y+"( \ � i, t;,d� .1•J f t. �.J, �... �'.-.�+i'� ..:. ._ .. .. '� 1 ��.� .� � /� .r �, � ".� �� , . «_ � x% _� �u.ab "'' ` ,' r�� ., . � � � , � �'������ ��'�;,: �� � S-�.Y�.s!!�f -_,. ._ i - y ; -- � }�: �,�� �....�_ ._. �.,�. �;��� ��_. �;���r�v 1 _2 ,� � � , �6Y� _. ,.,� �..__._ Rs � �� ,: •� . . � .'.'. " .. .. x: � .. . � � . . � . :.,...y . �. w . r .. �. . ' � ..�L � ___ __._ __-6 - _ -- - _____T.�._ _ ` _ .�_�..._.� . _.... � � � ' . � �� ; � tAt.K. I 12' �� '�,� . _:.�...�_ .. : /,-� i RO�1�hL�i F. ��IEYER L �ND SURYEYOR LAND SVRVEViNG SUBDIVI$ION DH31GN TELEPHONE 771-4586 � 983 JE9SIE ST. ST. PAU1�, MINN. SS �01 I hersby certify that #his survey was prepared by me and that I am a duly Registered Land Surveyor under the laws of the State of Minnesota. � ����� ��f��I � ���./:� %' Reg. No. 9051 Date: �rch 26� 19$? � ' 4-g- 9 ,L/ f�o. �Lotn'�is9 �` Z irons 8 � ' . � � % OD ', , . � � �. . t � -� � , � � � E 0 ti . e,b. � v � , '�! yOU1� �... �Z ���: . / 7/ , ' �ti. � B, &Zy�' _ f.l � GQr 'I. 3z � ` ; zy t ,'� �3�, e ; �/ 0 3 � � �� h ��h �.,� � � � �` ; � I ` 3��� \ \` � � � ;, ,3 ° Zh P .,! � R i � � �� . �R 1 � l� � - P''� � Soale: 1 "= 40 ' � Tracts D� E� H and I� Registered Land Survey ho. 94, Anoka County� Minnesota. r • , � � � _ C�TY OF fRIDLEY CIVIC CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MINNESOTA 55432 • PHONE (612) 571-3450 June 2, 1989 Mr. Rick Brickner Brickner Builders 6240 Highway #65 N.E., #208 Fridley, MN 55432 Re: Final Inspection at 1371 Creek Park Lane N.E., Fridley Dear Mr. Brickner: A final inspection was conducted on hiay 31, 1989 of the above address and the following items were noted which must be completed before the structure can be finaled: l. Set hinges on door between house and garage so it self-closes. 2. Obtain electrical final inspection. 3. Obtain heating final inspection. 4. Provide sod in the front and side yards. We will expect items 1 through 3 to be completed by June. 19, 1989 and item 4 to be completed by June 30, 1989. If you have any questions on these items, please contact me at 572-3602. Sincerely, � � DARREL G. CLARK Chief Building Official DGC/mh CC: M'r. William Burns �: ,, _...___.-...._. ' sue,,ecr �:= �ERMIT NO. �� City of Fridley 'r� 2 7 5 51 AT THE TOP OF THE TWINS g � I L D I N G P E R M I T�. r � ` CEIPTWO.~ � ` _��� COMMUNITY DEVELOPMENT OIV. � r � v � PROTECTIVE INSPECTION SEC. ��O � � 1 � � � �"'1 � CITY NALL FRIDLE� SS4$2 NUMBER NEV DATE PAGE OF AVPqOVEO BY �""'�' �'' 612-571-3450 9�0-F15 9/3/98 / / JOB ADDRESS 1371 Creek Park Lane NE 1 LEGAL �OT Nqrract s BIOCK TRACT OR ADDITION SEE ATTACHED oesca. D,E,H,I Re istered Land Surve ��94 SHEET 2 PROPERTV OWNER MAIL ADDRESS ZIP PHONE Deborah J. Burns 572-9641 3 CONTRACTOR MAIL AODRESS ZIP PHONE LICENSE NO. Gavin Borkowski DBA:North Metro Const. 52 To e nd - d ARCHITECT OR DESIGNER MAIL ADORESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL AODRESS ZIP PHONE IICENSE NO. 6 USE OF BUILDING Residential 7 CIASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION � REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Reroof house and ara e 35 S Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. TVPE OF CONST. OCCUPANCV GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING. VENTILATING OR AIH CONDITIONING. THIS PERMIT BECOMES NULL ANO VOID IF WORK OR CONSTRUCTION ZONING SO. fT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OF WORK IS SUSPENDED OR ABANDONEO fOR A PERIOD OF 120 DAVS AT ANV TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTFEET PARKING I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GAFAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS Of LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TVPE OF WORK WILI BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GiiANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITV �TO VIOIATE OR CANCEL THE pEqMIT fEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW FEGULATING CON- S7RU -F0'�J OR THE P ORMANCE OF CONSTRUCTION� ' � fi � /�i �'� �% PLAN CHECK FEE TOTA� FEE �,*�' �`" �(��J �/ �l � l� S�GNATUAEOFCON� ACtOAOAAUTMOA�2EDAGENT IDATEI WHEN PROPE LV V ATED THIS IS �'OU PERMIT / ,�, S�GN4TU%7E Of OWNEA i�F OWNEA BU�LOEA1 �D�7E� BIOG NSP �7�. E NEVv' . [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 � I BUILDING PERMIT APPLICATION �� � ��� n�/ 5� � ConstructionAddress: � 'j� ( �� �{ �-A'K-!�. �� , Legal Description: � Owner Name & Address: �� �� �j , ,��()��S (�jiyJ�� Tel. # � 2' �(� � � , x Contractor: �� �} v� j� ��j��( j�� j �jJ �� = N(�ZT}I �RU MN i ICENSE # Address: '�J � �j� v , C GN`� �7 � Tel. # `�( 2 " �J�7i7i � �n . Attach o is app ication, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: GARAGE AREA: DECK AREA: x OTHER: Length Length Length DESCRIPTION OF IMPROVEMENT Width Width Width �.��,� �.., Height Height Hgt/Ground � � �y; Sq. Ft. Sq. Ft. Sq. Ft. Construction Type: ��I��U71�� Estimated Cost: $ � ��9� _ _ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ =$ , � DATE: �' � � � APPLICANT: D�t,��� Tel. # !% Z (�j�Z 7i Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ i . '�S�' $ 3 ��� $ /, SZ� $ � � � �� $ $ $ $ � ��y� �S CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.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 [ ]