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AF - 40809sue��cr c�ty of Fr�a�ey AT THE TOP OF THE TW�NS � � I L D I N G P E R M i T I � �• COMMUNITY DEVELOPMENT DIV. � j V ""' , r � � PqOTECTIVE INSPECTION SEC. 1 . � � = i"'1 � CITY NALL FRIOLEY ',iS132 NUMQEN pE� �""'�' �'' 612-571-34b0 910-F15 JOB AOpRESS 6175 East River Road NE 1 LEGAL ��T NO. BLOCK TflACT Oq ADDITION oesca. 12,13,14 18 Fridley Park 2 PROPERTY OWNER MAII ADORES$ Fridley HRA 6431 University Avenue NE J CONTRACTOR ^ MAII ADORESS Kevitt Excavating Inc 3335 Pennsylvania Ave N, a ARCHITECT OR OESIGNER MAIL ADDRESS DATE PAGE Oc 1/16/O1 / / _3i61_7. RECE PT NO. ti�� . �VPROVED B� SEE ATTACNED SNEET 763-572-3591 ZIP PHONE LICENSE NO tal, MN 55427 763-545-3557 ZIp PMONE LICENSE NO 5 ENGINEER MAII ADORESS , ZIP PMONE IICENSE NO 8 USE Of BUILDING Residential 7 CLASSOFWOflK � N� p ADOITION O ALTERATION ❑ REPAIR ❑ MOVE � FiEMOVE 8 DESCRIBE WORK Wreck House & Gar 9 CHANf3E OF USE FROM TO STIPULATIONS All demolition debris, including foundat3.on & slab, shall be remove from site. Work to be performed per contract with City HRA. SEPARATE PERMITS ARE iiEOUIRED FOR EIECTflICAI. PLUMBING. MEATINO, VENTIIATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WOfiK OR CONSTRUCTION ZONING AUTHOR12ED IS NOT COMMENCED VyITHIN 60 DAYS, Ofi IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONEO FOR A PERIOD OF /20 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DW�G. UNITS 1 HEREBY CERTIfY THAT 1 HAVE REAO ANO E%AMINED THIS APPLICATION 1 AND KNOW TME SAME TO BE TRUE ANO CORRECT. ALl PROVISIONS Of LAWS yAIUATION ANO ORDINANCES GOVERNING THIS TVPE Of WORK WILL BE COMPLIEO � WITH WHETHER SPECIFIED MEREIN OR NOT. TME GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTMORITV TO VIOLATE OFi CANCEL TME pEWMITfEE PROVISIONS OF ANY OTNER STATE Op LOCA� lAW REGULATING CON• _O_ TRUCTION OF THE PERfOfiMANCE OF CONSTRUCTION L��r�°L� ��/L�Gt PLAN CMECK f E /-f6- � / S�GNSTUAE OF CON'AACTOA Op OU1NOp�ZEO AGENT iDarE� MEN P�i 10��E� y _� _ OCCUPANCV GiiOUP OCCUPANCV LOAO SG.FT CU FT OFFSTfiEET PARKING STALLS GARAGES SURTAX �0� SAC CMARGE Credit IS IS VO R PEpMIT �_/-�-� Effective 1/1/Ol CITY OF FRIDLEY MOVING [] WRECKING ��]' PERMIT APPLICATION 6431 University Ave NE Fridley MN 55432 (763) 572-3604 J b Address • � l � � '�� r � �' �r � l� � � C� 0 Legal Description: l� %3 l �Q Owner & Address : C� °i �� a F /'�7 c� �r,� Contractor: �� '' � � �X� � v`` �`'" -�`` e° Address• ��?r ('�" J� lv�t-�'i ��r. N State License # C9 r y s-1 a �� /'� �< �I" �! ?� DESCRIPTION OF BUILDING HOUSE: Length GARAGE:Lenqth OTHER: Length Estimated Cost $ Width Width Width Tel. # Tel . #�c�'s`'' - �s�-' Height Sq. Ft. Height Sq. Ft. Height Sq. Ft. Approx. Completion Date Cu. Ft. Cu. Ft. Cu. Ft. rnTT GpPHER STATE ONE AT 651 454 0002 FOR UTILITY LOCATIONS. CALL ALL IITILITIES FOR DISCONNECTS BEFORE WRECKING/MOVING STRIICTURE• Water Bill Paid: Yes �or Collect [$ l Moving Route: Signature ��- The undersigned hereby makes application for a pemut to wreck/move the building described above, agreeing to do all work in strict accordance with the City Ordinances and rulings of the Building Division, and the State Code which requires any water well on the property to be sealed by a State licensed water well driller, and hereby declares that all facts and representations stated in this application are true and conect. ALL DEMOLITON DEBRIS INCLUDING FOUNDATION & 5LAB SHALL BE REMOVED FROM SITE. �- /G - G ( ��'� (�� Date Signature Movin Principle building into Fridley . . . . $300.00 Accessory building into Fridley ...$ 42.00 Through or within the City ......$ 20.00 Move a building out of City ......$ 20.00 PERNIIT FEE: �D ` `� MINIMUM $20.00 Wr ' For each 1,000 cubic feet or fraction. .....$1.25 For structures which would be impractical to cube, the fee shall be based on the total cost of wrecking at the rate of $6.00 for each $500.00 or fraction. STIPULATIONS: 0 05/30/2002 14:53 7887602 KURTH SURVEYING INC PAGE 02 # � �� i � CE°RT I F� CATE OF SURVEY �rHS�v�uc n�` � fi�+ '" �MEASURfMENTS SNpI,I1V IN FfET /IND DEC/MA�S OF � F0011 q�� FF�� ST. Pl,E. � ' THI S I S AIOT �1 BOUNDARY SURVfY ' CQIUlV�Vi F�EIOHTS, MV. 55�?i ' R�G• N1'1: R W Q C-KtERL�tI f� ��Vl��,�V i AS Bu��S �121 788-9169 FAX l6n) 788-760� PROPOSED , � 1 �' CEqTIFY TW1t THIS PLOt pLMI WAS PR6PMED cRnpES ��5 �ATE .��'O�. ON U�DER M�r DIRECT SuvERV151oN ,'IHAT THIS � o= I RON MONUMENT DE �pqRECTLY SHOVS THE PLAC T OF A PROPOSED I OINO ON THE IAND I#REON DESC IHED lUVD THAT I .�c��,J� � BEnR i NGS nRE PER PL/�Y �Y IICENSED LMID SURVETOIt UVOER 1FE LAV$ O�R�vE SLA6 ■ • = SP I KE SET T tE A1 SO A . . '1'OP OF 9l,OCK . ��y'�=�.' = EX ( ST I t�0 ELEVI�T I dt� . 8/1SEMENT FLOOR � ��3ri , � ( l = pROPOSED ELEV , ' d� �L . Kur th, l.l. S. No. 20170 � = DR� I IJAGC ARROa aeLl J, Kurih. L.L.S. No. 16113 l\i' ��° �lS��e�,: ; < <�.�i �:�� a- � I �d � Q� a �,�-r_ o �� i i� , Q � , ��_ 411\ __.... � , � , .... �� r... ��`` iD� i� -! �g - SC/1lE �N`FEE7 ; � i �I • � {��' /LiR(7�(. l-..��a� /1►LLS.. e I 1 � �'�°, / 3� / t � �.� � . �•I �� - '� �� SGT 1 .R�:;V, y-'L�-O� v1 � M►O:QO 6�10J�sC�. f�' '5�.� i; i lY f� : 7� .: l: �. ��: , i � 1 I�! 5 � . i .,. i , � .� �, ,a .� � 3 0 a �, �� ; I , � 1�� ' : ,i� a� D� y . � \ !&�o� Q � w� � 7D� s ( �J � • . , •� I i.�.l% ✓ 'M �i � -`�- r'�a G /�.1'.N ►s. a � �► : �/�sf — ' � � o r�c.Re G o � ,� Q5 �.. J 4 � 9; ,� � � �o u N 011c�'1 o►y �� , LPo�.c.K '� �,},.�b? 1 ' 7 O � � � J� �� a4� i� 'r � � � �n r; � -w�i)o��Z° � �•1PR� �!� ' �G�iA`--�C�7C.�t�1 � �o-� e� �o �E w� ' >jQL.r o�t W'i s�� 1��ir�.ob�L� p�!'�K' � I�.PIoK.t�, (.� . �MPA . : s �� v� _ � ^ � �y� 5� .� � � � x , � E�� . � , IO�O , _. , `o �' i . �1 . �� Cnp.t� —� � i� �� • �,�� I ' - H la.`�C � \` � �°� r� ` � I oi ,e �� 5 I �' t $R5.4� � r ? i , ; �� ` Y j � � A� Pau1�`r . ,r � p O 1�1 i: i�� a e�.� �jp-OZ � :`� ✓yAS Av�L� �Mc 9A�'1�• : : d�M�*.NSIeN y C.RoSSu�V sM'r < �e R�s1�e.\Tr'lit`I f�K� A4'b�'1�' r � u \ � 2 �.l �� , �...�1'. 'a��L,' ; ► - ? � � �•� 63/12/2062 14:18 7867602 KURTH SURUEYING INC PAGE 02f02 � � . :i �� C� T I F I CATE OF S�CJRVEY �r►�+�n� w� ' f M�il REMENTS SH01/N lN FE'ET IIND D�C I MAL S OF A FOOT J 4002 JEFFERSON ST, N.E. '� •�('� � THrs �s Nor �t Bt1i�lD�RY suRVFr ~ cOI.UlaBIA �IC�rs. M�l. s�2� V R GG N'iL t� C-�V Q G K�E � li KVI� �,-�y '� �6D1 788-9769 FAX �6Q� �ee-�e0� PROpOSED ERtIfY TiNAT 1N15 PLOT PL NAS PREPARL�D ORAbES �AYE 3" g�� p! R►1�f b 1 RECT SUPERV I S I . tHAt tH i s o=( RON MONUMENT p'�C1'�lf SHQWS YFIE P1„110EtaEtVT GF A AR�OSED rEf LAbO FEREON DESCRI ED At�Q TNAY I BEAR I NGS ARE P�R PLAT ' a�ou. � t�c�s�o• u►� stxtvEYat n� uvs a�a�oE s��e • •= SP I KE SET • '�� $� �' ' �" =y • EX t ST I NG ELEVAT I ON TOP OF B�oCK - � �= pROPOS�D ELEV . a�� BNSEMENT �LOOF2 • = DRA I NAGE ARROW y L, Kur1h.. L.L.S. N�. 20270 . � ell� J, Kur;th. L.L,S. N. Isit3 �'�� ('�'� OtST�U': � , , ��.,,1 ,McW�,uQ�cp •• i '•� I , i . °C ° i � :�'� ;� : . �1�. l_�:� t�Z� � ' SC/1LE I Pl FEET � :� � � ' �� ` ' :�;.j. � - ' . / i.� � ; i � ` ' !. i � � �� i . ,� z.-. .i •' � � i � I '� f� � • . • �{ � '' ' ! � �, �, L.G-cotAt- 't��1'Pt1o� , �.._..... � ��I � � � 7 In ; �-d`C �'� �lO 'cHE W��T . � :., a. � �; ��,�.F .�c� u��c �a, b�or� :I � J ! � A �1 �a� F��o�� y Qc�� . , � i ' � � p„N.aKC� ca . �r�rt . : i I 1.�Z.o� � ; .j.� i _ : � , � . i, �� r�eRC.�+► Ca � R• � 1 " I � � � �5.� /� �� '� � �: � , r d � ; v: � , �, `' � C�� `''ROPo�i - p �" � ��a � ° � � o . � lt� � �. �. �� t�: � ,2�5� �'F'� �` N > � � .,- 1 � i �+ ' � � ;? � �! � o �y i . � 'i . � � ( � 1$ v .� � I i � . vv�e-c � � ( 1:1 '� IK.� , i _� � �� 0,5� � , i ; ► �, . ; � . O �' :i � tN '• � � " � � j` Kat'� : K�uS�f � I..oT *lr�`l*' � , �, ;. • 1.% 1 t"'t 4TAY�-`°4 p,►,1 b.��i ; �� : : � � � ��z . ��$ roZ � � . ��ti � � , �� ` ; . �� ✓ � � � __ tnp,C� �_ � , I ' � ti 1:�: : � i � ' • ., � � . (p �'►�✓ �( �`'� �,bo � �w .� � � ` . _. �. . �; i�l��l ....t� .,. � . _ __.. .- - ' ' � SUB.tEC/ �. . . . � � . '- City of Fridle�► 3 2 5 8 0 AT TME TOP Of TME TWINS g� � � D I N G P E R M I T r ; � RECEIPT NO. � ; v _�_�_ COMMUNITY DEVELOPNIENT DIV. r � � PROTEC7IVE INSPECTION SEC. �� . � l--_- A �'��,.� CITY MALL fR10LE� SS�$i NUM8E11 i1EV OAT@ PAGE OF APPROVED 8Y t �� 612-571-3450 910-F15 5/10/02 / / JOB ADDRESS 6175 East River Rd NE t LEGAL LOT N0. BLOCK TRACT OR AODITION SEE ATTACMEO oescR. 13, W$ 14 18 Fridley Park SHEET 2 PiiOPERTY OWNER MAIL ADOR�S$ ZIP PMONE Center for Energy & Environment Z11 N 1 St STE 455, Mpls., MN 55401 612-335-5874 3 CONTqACTOR MAILADORESS ZIP PMONE LICENSENO Same 20240121 4 ARCHITECT OR DESIGNER MAIL AODRESS ZIP PMONE LICENSE NO 5 ENGINEER MAII ADDfiE$S ZIP PFIONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK � �7 NEW � ADDITION ❑ ALTERATION O REPAIR ❑ MOVE � O REMOVE 8 DESCRIBE WORK Construct a 36' x 32' Dwelling and a 22' x 20' Garage 9 CHANOE OF USE FROM TO STIPULATIONS � See notations on plan. Provide a hard suriace driveway. Provide sod in the front and side yards. Provide a verifying survey to City before capping. WATER & sewer loeations: See City Engineering Department � � �efor� diggong call fo� SERERATE PERM�'� �,I,It utiiity Iocation� QUIRE� �0�; a�woo2 �UWIVI��N�ANpsN� ��UIRED �Y LA�/ �� SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAI, PLUMBING, HEATINGS, TYP� OF CONST. OCCUPANCr GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING TMIS PERMIT BECOMES NULL ANp VOID IF WQFiK OR CONSTRUCTION 20NING SG. fT CU FT. AUTHOHIZED IS NOT COMMENCEO VyIITHIN 80 OAYS. OR IF CONSTRUCTION OR WORK IS SUSPENOED OR ABANQONE� FOR A PERIOD OF 1T0 DAYS A7 " ANV 71ME AFTER WORK IS COMMENCED. ' NO DWLG. UNI7S OfFSTREET PARKING I MEREBY CERTIFV TFIAT I MAVE READ ANO EXAMINED TMIS APPLICATION 1 STA�LS GARAGES AND KNOW TME SAME TO BE TAUE AND CORR�CT. ALL PAOVISION$ Of LAW$ yp�UAT10N SUR7AX ANO ORDINANCES GOVERNING TMIS TYPE OF WORK WIIL BE CpMP�.lEO WITN WMETMER SPECIFIED MEREIN OR NOT. THE GRANTING OF A PERMIT �93,818 $46.91 DOES NOT PRESUME TO GIVE AUTMORITY TO VIOLATE OR CAMCEL TME pEqM1T FEE SAC CMARGE Fire SC PROVISIONS OF ANY OTNER STATE OR LOCAL LAW REGULATING CON- STqUCTION OR THE PERfORMANCE OF CONSTRUCTION $951 .%5 �1 � 2�0 �93. $2 �/�� PLAN GMECK FEE TOTA� FEE .�/a d �- Licen C $5. $2,297.48 $iGNATUpEO�CON'AACTOQON4UTMOp�2E0AGENT iD�i6 E PR Y VALID ED THIS IS VOUF PEiiMIT S�GNATUAEO�OWNEAdfOWNEiiBURDiRi IDA1E� . � �'/��D� B G �NS � rial( NEW j�� CITY OF FRIDLEY Effecctivve 1/1/2002 ADDN [ j 6431 Univer�ily Ave NE, Fridley, MN 55432 (763) 5723604 Bldg insp ALTER [] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: _ �! �S� ��},� /� v�� , �( pe.�'% Legal Description: L0�1.3 e� T� we��cF ��2 ��r �U �[�C�c /8� �22tD�i �r� � Owner Name 8 Address: C;�Y� Fo,o�, �2.� �� vo�i2r�,•z�r Tel. #(�»-� 33S =.s'7T'�`f' Contractor. C:��vq��✓L Fa�L �P�y � �v��,�,✓o�� MN UCENSE #_ /,�G- � � �O i,�. / Address:_ �-!/ N�'LTH l�f S7� ,��, t� c�S� Tel. #�G��) 33.r�- .s'� 7�/ /'��LS, a�t� �0 � � WING AREA: GARAGE AREA: DECK AREA: 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 3 2 A Height � A Sq. Ft �� s�- Length �� s 1MdU1 � o° Height � Sq. Ft. ��/ � Length � Width Hgt/Ground Sq. Ft OTHER: - �.3 �/�� S'o'� Construction Type:__ �t� � Estimated Cost: $ f�� aao � Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x$ _$/1/�' Di'�t vLrl.�.1A'`1 �NT�71-S � �a�L A-C.L�/. DATE: �� APPUCANT: ��_��-- Tel. #_�6 ��%3 3S-S`� ? � Call (763) 572-36Q4 for Pertnit Fees if mailing in application or Fax to 763-5T1-1287 if using credit card and we will call you for card number. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL CITY USE ONLY - $ q�/ - �� $ �• $ �� Y�� V e � � $ �a �O $ � $ $ $ �Fj - l�� $ �°� % 6% 7� Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1 �000 Valuation $1200 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 [ . STIPULATIONS: BUII.DING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to-wit: TOTAL VALUE $1 to $500 $501 to $2,0(� $2,001 to $25,000 $25,(�1 to $50,000 $50,001 to $100,0(� $1(�,�1 to $500,000 $500,001 to $1,000,000 FEES $23.50 $23.50 for first $500 plus $3.05 for each additional $1(� or fraction thereof, to and including $2,000 $69.25 for first $2,0� plus $14.00 for each additional $1,000 or fraction thereof, to and including $25,Q00 $391.25 for first $25,000 plus $10.10 for each additional $1,000 or fraction thereof, to and including $50,0� $643.75 for first $50,0(� plus $7.00 for each additional $1,000 or fraction thereof, to and including $100,000 $993.75 for first $100,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $500,000 $3,233.75 for the first $5�,000 plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,000,000 $1,�,(ZO1 and up $5,608.75 for the first $1,00O,OOU plus $3.15 for each additional $1, 000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Removal and replacement of curb and gutter only - Driveway width plus 6 feet �times $17.00. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for prvper review of the proposed structure and of the construction site. A Certifica.te of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. New Houses Onlv 05/03/20�2 08:55 7887602 KURTH SUF�VEYING INC PAGE 011�? CE T I F I CATE OF SURVEY �TH�rn� � I ME SUREMENtS SHOMV I N FfET �11VD DEC I AUL S OF � FOOT 1 ��1 ��FF�50N ST. N.E. � O R G s NZ � R�� C— Ku Y�� Nv �r�� 1 S�� OT �I DOUNDARY SURVEY " �� 78�69E�^X �6CM11 708- 7G02 — � PROPOSED I F#EREBT CI;RTIFY THAT THIS PLOT MI NAS PREPMED OR/1DES UATE �_(7Z er I�E Op ulpEq 1�f DIRECT SUPERVI i0N , THAT THtS -•- PLAN CORRE��TLY �qVS THE PLAC OF A PRa?OSEQ �= I RON MONUMENI" evtl'DINO' orl nf �Miu HE�aN oESC ieE� �wp nUr i g,��,o BEAR I I�IOS /1RC PER PLAT' AA1 A DUIY I.ICENSEO LMD SURVEVOR ER TFE LAVS O/1R110E SLI1B • o� sT ��,aF a� so �. . •° SP I KE SET L. . f� � ( V i�oP oF a�oc►c • a'�'s: y r==' = EX I ST I tJ0 ELEVA7' I Ohl �� ` BASEMENT FLOOR • �• � � = PROPOSED ELEV. Ran dy L. Kur f h. L. L. S. No 20170 . �- = DRA I N/1GE ARRc�W Russell J. Kurth. L.L.S. o. 16113 ��)• (��A.T pt5�o►e•iV; . . � ( . Cn„>,. nX; p.�.p .. � Q� �o ` �:�-r— o z0 �q1n� �_ 'a . �— _ � _ _ � � � � _! � ., sc��E I N FEE'� /, 4 - A a�,� ,. r rr. �, vc . L.t,�., �/� L L'• .�; .......�_. , ,y�3� / � �. c, • ;+---� � 5�. � i 1 W� � � �. _ � 'Rl': V . �-{ - 2''i -� Z. � i � . -MaVG'�0 \10Ji�: Ir' S`i � Q � � 7 �v•5-3-dz • � r � . r�v� 2` �ro c.�PR� FPoNT .n U � . d �� z � l..G-caA�-b�y�e��t� � ... � ' !_ � � � � L a`C �?j f.`Fl0 �E \u�'�T a�^� .�� _ pL �_ � ll��.r- ocz w�t 1�� b� � � � � �' � O ,z1 1� � F�.�dlc: y v�R� � ^' :, �lo A.'•► I 'i� ? � �1 �8�� .rlaKl� c.�.�MN. _ � - }��:�� 2.Z,o f -� � , `/1/�.� � �� . p • V a` rR�K �" j `� �` � �s. o � � n`�'` � . � � �a s� t ��b� �� ,�� a � , 5 �` � � �,�I �' ,p�� i.�) 5_; ,z � �, � ��.� C� a G�N � � �� i ! � , � . i� l� V' � �� , �. � %1 \ v , a � t�.��►�c,•� i =� .�s `1�.' �'d.� .`s,ll��' � � , � �z �- F p' �• � ��' � ,� � . � s-� y� � a� ��` �tc,�,�L 5 oF ;�i �s.o 5 �� ' P � �. ��,� . . �,� �N a� � Lo�K �^ -- � � 0. , M � -L - - - - - � ��.0 � �,S�p� �� s�' � II� ��' ' ��ly`i io.'� � � �� . � � 11` �-' � ` � � � s� � `� o�ti Iyp/' � �� r . � � � 4 � �� i `8q�.'� J� -� �0.� -- '� � i� u � h;, I : �' W %��C �i�o' �� t ��.'' , ' gq� ` ' . . , c � NEW (rj� ADDN [J �u.r�R Il CITY OF FRIOLEY Eftective 1/1/2002 6431 Universiiy Ave NE, Fridley, MN 55432 )(763) 57Z�6p4 Bidg Insp SINGLE FAMILY AND DUPLDCES R-1 AND R 2 BUILDING PERMITAPPLICAT70N Cohstruction Address: _ �ol7S� ��iST /c'� v�72__ �� , �i2I pc..�'Y / S-�°2'�-y�/-Of�� Legal Description: LoT � 3.a�r� 7� we s� �l�cF o,2. �� r ic1 g� �k /8 F2rOL�l ��t� Owner Name 8 Address: C�. r-o,2, ��n.�Ya, ��2e�,�.t�rrr Tel. #(�a� s3� s8��./ Contractar. �:��vq�2 Fo�2 �2�� y��vv��,��,T MN UCENSE #/�C- ao z. �o /�- I Address: �l l N�12TH ( s�" ST�Z�T .��c � T� y S'7�- Tel. #��z ) i 34'- s8 7 S/ /HPLS� �1�✓ ST�o / • Attach to this application, a Certificate of Survey of the lot, with the proposed constn�ction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LMNG AREA: Length -�� Width 3 2� Height �' � Sq. Ft / � S� G/4RAGE AREA: Length = Width �. o' Height �� Sq. Ft ��I a DECK AREA: Length /� Width HgUGround Sq. Ft OTHER: . Construction Type:_ t�aa0 ��r�t� Estimated Cos� $ / 8S— aeo � Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x$ _$/Vf�1' Oi'1.r v�tw�`/ �r�n-S F� 2�Z A-t,�e'% DATE: �8 0�- APPLICANT: ('�,.,L� -- ��- Tel. #_C6��33S-.S'� 7�/ Call (763) 572�604 for Pertntt Fees if matling in application or Fax to 763-571-1287 if using credit card and we wili call you for card number. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Dmreway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL $ $ $ $ $ $ $ �. $ �' v � $ CITY USE ONLY - Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1 �000 Valuation $1200 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 [ ] � STIPULATIONS: (((�� `4� ��` a �` � � ��. C�� 2 �. / �� 4 �� o� �` � � �� _ � � � � `� s � �� 23-Apr-02 City of Fridley 6431 Untversity Ave. NE Fridley, MN 55432-4383 763-571-3450 Special Assessment Search And Statement of Charges TO: On all that tract or parcel of land lying and being in Anoka County, Minnesota described as follows to wit: Parcel No: 15-30-24-44-0093 6175 E RNER RD Lot: 13-14, Block: 18, FRIDLEY PARK LEVIED SPECIAL ASSESSMENTS This is to certify that I have ezamined the records in the office of the Clerk, City of Fridley, Anoka County, Minnesota, and for such search, certify that the following special assessments appear unpaid with respect to the above described tract or parcel of land: Term Certified Initial Interest Remaining Current Current Proiect Number Proiect Descrintion TYPe (Yrs) Date Amount Rate Balance Princinal Interest 3000-0015-00 00 W/S 3230 20 12/31/1959 9100-0000-00 OOREG SA(Water/Sewer 3100 15 12/31/1960 6000-1960-10 00 ST 6000-1979-04 OOST 6400 10 10/03/1961 4400 10 06/07/1982 $635.82 6.00% $77.11 5.00% $271.80 6.00% $469.48 10.00% Amount Certified to Anoka County Auditor for Curreht Year Taxes Is: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 PENDING SPECIAL ASSESSMENTS For the purposes of this document, the City of Fridley has determined that an assessment is considered pending after the City Council passes a resolution ordering the improvement, the approval of plans and the advertising for bids. Ttus is prior to the City Council adopting the final assessment roll. If you seek further information, you should do so upon your own independent inquiry. Any amount given as to pending assessments is informational only and may or may not be the amount ultimately assessed. Term Initial Interest Estimated Proiect Number Proiect Descriation (Yrs) Year Rate Pending Amt. NONE MISCELLANEOUS FEES Descrintion Status Date Fee Amt. NONE UTILITY CHARGES You shall be responsible to verify the status of any outstanding utility charges. To check utility charges ( water and sewer) contact Fridley Utility Billing Department at 763-572-3529. The records referred to above are public and may be inspected by anyone during regular business hours. The search of these records was made by the undersigned as a public service on request, The undersigned certifies that the above indicated searches were made and are believed to be accurate, however, the undersigned or the City of Fridley does not insure the accuracy of the above statements and does not assume liability for errors and/or omissions. The above figures aze good through November 15, 20 Date Prepared: Tuesday, Apri123, 2002 By Page 1 of 1 n 0 � � � Z < m z � z T O O Z D n � � v m � m � c � � � D �° r � � rn m � � V,` o � D � � �fD � � O .� o = � � m = � � � � o Z m -^ v � � O ,��i c � o o m = -, v � DD v � �°—, tn my �z �v D -r-I m � O z � ,G � N N G< G C N C1 � � O� C N N N � � A � G. m cu m � 1 1 � S O �� T � �,vz � �� m� m m�� W v �, c z '0 � � m m � � � � � � co N � � � � � < � y. cn � ' -n � � � co � � � c� Z m c� � � � rt � � N � C � * _ — � 'T� � m� c�i � � m c � � � m � � m n C/� � .. � � . Z o Z I I I�I I I I I I ( I I�' O � � � � � � � � � � � � � � cn o 0 o v o � y ti y cn ? � m 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 O C9 .� � � . � D ?� fn � V� fl� � m o0 � c, � a �: �c a C n N o fD y O' .-. y v m z � � � � � m 1 � � �� \'� O � N I� z 1�`I 6� 'C N I T 'c. a � m 2 =► � � �. m�' N co N � � ` .-► � j. � � � I N W � � � � O � �. � � 3 � � I < � N � i N > > � , �a c,Y' i ..; ? d i � m c�i ' � o ; � �a�� c � � � � d � � � : ��; Q � � o °: � : m °—' � ' �. ' � � i � n : � y � N � � O W U1 r =�1 �1 V � � w °- c', v (D ° cn `_� c �N,,Zm o�'�' � A '� W �. N C m Z m THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNiNG APPLIANCES OR THE APPLICATION WILL BE RETURNED rnll�Mnf� t�l`T� ��T C)I�I` TOR AND �MBl1ST1ON AIR VERIFICATInN When � la _in�n p`Yi� �ran , 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 ( i No () The venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and teRnination. Yes (► No () The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufa�turers specifications. This does indude AGA-GAMA Category I Central Fumace Venting Tables for fan assisted and natural draft appliances. njQ pY�Cf7fleSnmh ��en a�r is sized and installed to meet the current codes and manufacturers specifications. Whe� required to �nc�11 a n_w _emb �etien air�it wi11 be sized and installed to meet the current codes and manufacturers specifications. Whe� �� a n_gw v n�inA cvetpm, the undersigned hereby verifles 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. Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. Yes ( ) No ( ) Yes ( ) No ( ) Yes ( ) No ( ) Yes ( ) No ( ) Yes( )No( ) _ • � . � M" •�' . � • Y' ' • 11 11 � � ' � - � • ' � • 1 1 - M • � • �11 . 1 • � Appliance #1 Type BTU Input Fan Assisted or Nat Appliance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat To�l Appliances Total Btu Input Common Vent Type Vent Height Diameter inches Appliance #1 Vent Connector Height ft Length ft Diameter in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type � 1 �•► �- .•- HEATING CO: Signed By: Date : * � D �� O a � a � o N• � N. � O N � n � � O � � � 0 � � a� �• a �• � Oq n fD � � � _. N � � Q o `D � � c�u Q . � � � 0 � � n � a 0 < m R W � 0 c oa � � � � frtD � m z � � m c� � O z � m m �69 � � O O � 2 � � � iv � �'1 �� '• X � � � a � � rn r � N , � � Cl� � � � D r � rn rn � � m � c � � � OD m C) � o N � C)1 � cD � o �, � � rn a C O N D •� -e 'a pj v � � � m 0 < O � D r - � � � 3 < fD � � N (D (�p � O � D �� N "� QC a�� D � m m � o � �C O G � N � r N � O Z W D C� � .� D C7 O a O � � Oq D � N� m � � � N � � m '�s L� G� D �'t e�D p� � N C N � ��A 7 � �°-• � � CD = � � m � cn ci S � z � (np CD ''r � �- � � � Q . � � o � T ,� a � �--�� _ � � '=r � � � � � � � � � � W � o � � � � � 'r' v v � W � C fnA � Ef! 69 69 ffl {�1 N � � � w cn o 0 0 0 o° o° °o o° °o � m � �fl � � � � � �A � � � � O � Q O � �, � � � o � O � 0 _ -��y� D -° C' � �- � � �D � � °N � _ a � O Q � � ''�'�. � v�q v'. � p (D � O�G N W � � I �• = Q 13 : oa � � fD � � � a� Q � ��vo� .-r 5 °1 � S N� � � � o N � � d � � > >' � n� ii y '� � � � � � O � h _ � m � � A � m a � -� o � � � A 0. d � � � � � a i�' � �' c�u � Q � � � � � � o -°*��. � � / - -z _ ,� � � — �' .�r ,.n.r ? �D 3 (D C7 � c � o y o � � �' N d(D N C�D � �. � W� C � m � N a fD z �, N 2 � N m z 0 m' 0 � Too—iz � —I p� o _ca• � o �� m � m � QQ c � N � , 2 o � �? � � � n n � O 0 7 � � fp fD ,n-r ^ CD N o- tn m r N' �' a°� �,z� �o � o ,� 2 0 � .�+ N v � D m CA � D � m � C�i 0 � --I � � C rn � 3 Z O � � � � W C r � Z � C � m 0 0 O Z � "'� rn N n _ m v C r m .-. -n d� (� WO'W� I-+ t7i `-� C � V � n��•� �J11 z � '� � N � � U' � m W < -< N cD Z Z � m -° m C7 � O z � C � � � � Z � r �� O � Z m .,� �O �� O� Z � Z � v� a� �z OH za vz .� v o= � Zm W Z -Di D � Z � N G� � � n N �O 3r N Z �; � Z � ��°�., v < �� II�' rn � � < C� � �:y d y0 _ ? � - � m c� < m O � L d � c v � N O O N THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNED C(]MMnN VFNT, NT C)NN TnR AND nMBIISTION AIR V RIFI ATIOI` Wh2I1 r�, In acin� an pYi�c+ing f�� ranr_p, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and frestopped where required. Yes () No () The venting system is plasticJPVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. 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 px�;ag ceme��on air is sized and installed to meet the current codes and manufacturers specifications. Whet1 �equll'ed to inctall a new cemb �ctien air�i� �II be sized and installed to meet the current codes and manufacturer's specifications. When in�e a n_w v ntina c�_ctem, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's speciflcations. This does include AGA-GAMA Category I Central Fumace Venting Tables for fan assisted and natural draft appliances. Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. Yes ( ) No ( ) Yes ( ) No ( ) Yes( ) No( ) Yes() No() Yes( ) No( ) Yes( )No( ) � • • , 1 - I• ' . � � ' � 11 11 � � ' � . � • - � • � � - M • �1 • I11 . � � � Appliance #1 Type BTU Input Fan Assisted or Nat 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 ft Diameter in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type r 1•► .- ..- HEATING CO: Signed By: Date : MECcheck Compliance Report 2000 IECC MECcheck Software Version 3.3 Release lb Data filename: C:�Program Files\Check�MECcheck�Frid l.cck TITLE: Fridley 1 CITY: Minneapolis STATE: Minnesota HDD: 7981 CONSTRUCTION TYPE: Single Family DATE: 04/15/02 DATE OF PLANS: 3/4/02 PROJECT INFORMATION: 6175 East River Road, Fridley COMPANY INFORMATION: CRR COMPLIANCE: Passes Maximum UA = 278 Your Home = 187 32.7% Better Than Code Ceiling 1: Raised or Energy Truss Wall 1: Wood Frame, 16" o.c. Window 1: Wood Frame, Double Pane with Low-E Door 2: Solid Door 1: Glass Wall 2: Wood Frame, 24" o.c. Basement Wall l: Masonry Block with Empty Cells, Window 3: Wood Frame, Double Pane with Low-E Furnace 1: Forced Hot Air, 90 AFUE Air Conditioner 1: Electric Central Air, 14 SEER Gross Area or Perimeter 1152 1088 68 58 53 136 8.0' ht/7.0' bg/8.0' insul 1088 15 Permit Number Checked By/Date Glazing Cavity Con� or poor R-Value R-Value U-Factor UA 44.0 0.0 21.0 0.0 0.330 0.090 0.320 0.0 10.0 0.0 16.0 0.330 25 52 22 5 17 15 46 5 COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the 2000 IECC requirements in MECcheck Version 3.3 Release lb and to comply with the mandatory requirements listed in the MECcheck Inspection Checklist. Builder/Designer �� C$� Date Zi /� a a- MECcheck Inspection Checklist 2000 IECC MECcheck Software Version 3.3 Release lb DATE: 04/15/02 TITLE: Fridley 1 Bldg. � Dep� � Use I � � � ) � � � � � � � � � � � � � � [l � � � � I] Ceilings: 1. Ceiling 1: Raised or Energy Truss, R-44.0 cavity insulation Comments: Insularion must achieve full height over the plate lines of exterior walls. Above-Grade Walls: 1. Wall 1: Wood Frame, 16" o.c., R-21.0 cavity insulation Comments: 2. Wall 2: Wood Frame, 24" o.c., R-10.0 continuous insulation Comments: Basement Walls: 1. Basement Wall l: Masonry Block with Empty Cells, 8.0' ht/7.0' bg/8.0' insul, R-16.0 continuous insulation Comments: Exterior insulation must have a rigid, opaque, weather-resistant protective covering that covers the exposed (above-grade) insulation and extends at least 6 in. below grade. Windows: 1. Window 1: Wood Frame, Double Pane with Low-E, U-factor: 0.330 For windows without labeled U-factors, describe features: # Panes Frame Type Thermal Break? [] Yes [] No Comments: 2. Window 3: Wood Frame, Double Pane with Low-E, U-factor: 0.330 For windows without labeled U-factors, describe features: # Panes Frame Type Thermal Brea.k? [] Yes [] No Comments: Doors: 1. Door 2: Solid, U-factor: 0.090 Comments: 2. Door 1: Glass, U-factor: 0.320 # Panes Frame Type Thermal Break? [] Yes [] No Comments: Heating and Cooling Equipment: 1. Furnace 1: Forced Hot Air, 90 AFITE or higher Make and Model Number 2. Air Conditioner 1: Electric Central Air, 14 SEER or higher Make and Model Number Air Leakage: Joints, penetrations, and all other such openings in the building envelope that are sources of air leakage must be sealed. Recessed lights must be Type IC rated and installed with no penetrations, or Type IC or non-IC rated installed inside an appropriate air-tight assembly with a 0.5" cleazance from combustible materials and 3" clearance from insulation. Vapor Retarder: Required on the wazm-in-winter side of all non-vented framed ceilings, walls, and floors. Materials Identification: Ll � � Il [l [l � � I] � � [l [l � � [l � � � � � � Materials and equipment must be installed in accordance with the manufacturer's installation instructions. Materials and equipment must be identified so that compliance can be determined. Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. Insulation R-values, glazing U-factors, and heating and cooling equipment efficiency must be clearly marked on the building plans or spec�cations. Duct Insulation: Ducts in unconditioned spaces must be insulated to R-5. Ducts outside the building must be insulated to R-8.0. Duct Construction: All joints, seams, and connections must be securely fastened with welds, gaskets, mastics (adhesives), mastic-plus-embedded-fabric, or tapes. Duct tape is not permitted. Exception: Continuously welded and locking-type longitudinal joints and seams on ducts operating at less than 2 in. w.g. (500 Pa). Ducts shall be supported every 10 feet or in accordance with the manufacturer's instructions. Cooling ducts with exterior insularion must be covered with a vapor retarder. Air filters are required in the retum air system. 1'he HVAC system must provide a means for balancing air and water systems. Temperature Controls: Thermostats are required for each separate HVAC system. A manual or automatic means to partially restrict or shut offthe heating and/or cooling input to each zone or floor shall be provided. Service Water Heating: Water heaters with vertical pipe risers must have a heat trap on both the inlet and outlet unless the water heater has an integral heat trap or is part of a circulating system. Insulate circulating hot water pipes to the levels in Table 1. Circulating Hot Water Systems: Insulate circulating hot water pipes to the levels in Table 1. Swimming Pools: All heated swimming pools must have an on/off heater switch and require a cover unless over 20% of the heating energy is from non-depletable sources. Pool pumps require a time clock. Heating and Cooling Piping Insulation: HVAC piping conveying fluids above 105 °F or chilled fluids below 55 °F must be insulated to the levels in Table 2. � � 03/12/2002 14:18 7887602 KURTH SURVEYING INC PAGE 62/02 � ' � .:��1��a �� C� T I F I CATE OF SURVEY �TM�� r,NE� REMEMS SHONN IN FE�'T �10 D�CIM�ItS OF � FOOT� 4�z JEFFERSON ST, N.E, ./� I7 � h�L a�e C�� ` TH I S I S IYOT A BQUVD�RY SURVEY " COLUIuBIA hEK�FiTS. MV. 55421 �� r� ��! �; Nv� �+k,�y � 16121 788-9769 F�X 16Q) 7B9-�ep2 PROPO5ED ERtIFY T�IAT 1H15 PLOT P IIAS PREPIIRED ORAbES DA7'E 3�F�O�L p1 11tt 01 CT SUPERV 1 S I tNA7 'iH I S •C�It C `tr �►S� PI.�C� ��A pR�OSED �= I F20N MONUMENT �iN� n� ��w �oN �scRi ��'�u►r � BEAR I NGS ARE P�R P�AT �� c�s� • I.N a�VEYOR nf uvs o�a�oe sin� • �� SP i KE SET TOP OF BLOCK - �"= �� EX I ST I NG ELEVAT I ON ensEM�NT F�aoa • � � = pROPOSED ELEV . y L�, Kurfh. L.L.S. No. 20270 �-- = DRAINAGE ARROW � ell� J. Kur'fh. L.L.S. N. 16t13 l,�)� ('�4� OISTa�U': ' ° �n,�L �nepP,�,�ks,� •- i if I � � p p : � . -- .__._.._: i � i� '-' � ' ' . � �` �"' � � �Z � i� I W' SCALE I N FF�T ' .� , � `v� t0 �� . : .i i ` i • ' . �' � �� s'�' , /� n i . i �� U�J � � � , �i \ ��'� �, � . : (. i ` � � . ' '. ' i :� ; �� , � .� .� i \I 1 �l� ��. �"" ��\� \,`' � Q . ; . �U �S �N , ,, �C L�c��►�-b��,Y�taJ , ; p) � � ;� ; ��I I �C ^ �,� ` °�,��' 7 � i Ld'C �''� r�tD 'ti�lE WI��T . 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Ff :F,.) :� ' �t • (� �'►� �( �—�1`'� �,bo' � �w �..:.i, � .,, i . _. �.. _ . �; i�r.�j L 11:45 FAX 612 335 2650 CENTER FOR ENERGY & ENVI FCURTH SURVEYING INC ,I2002 05:35 7887602 FOR GuN'SI:Q �e i C�oo2 PAGE 02102 CE T I F I CATE OF SURVEY �� M S U R f M E N T S S H O h► N i N F E E T A N O D E C I M A L S O F A F O O T 1 400� JEFFERSON ST. N.E. ' THI S 1 S NOT A 90U'VD/IRY SURVEI' • COLIR�A FffGF{TS. Md. 55411 =K� �tGNVI�v �V � �81Z� 788-8768 FAX c6�1 788-7so� PROPOSED ►�oT wu v�s Pa��n�o � ORADES DATE � f S'02 iUPERVI; iad . Tw►T �is o= I RON MONUMEN7 �l�C CF A PROPOSED BE�R t N05 ARE PER PLnT �1 DESC I BED AND TWIT I � �oR �t 1r�e ��vs OnRAQE SL/►Q - ° 4S � • L SP I KE SET ToP oF e�oCK • �+45•� �=: :� � EX f ST I NO E�EV/1T I ON B/�SEMENT FLOOR ■ i�3r1 • ��° PROPOSED ELEV . � DRA I NAOE IIRROW Randy L. Kurth`: L.L.S. No; 20270 �+ �,�,� p1ST�� Russel I J. Kurih�. L.L.S. �to. 161I3 `�,z O� �O c r •• � Q` + ?P q�1 `�! .O � ' , ' SC/1LE f N FEET 1 • A. l. 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'�° " S�e�Ati P Table 1: Minihutm Insulation Thick�zess for Circulating Aot Water Pipes. Insulation Thickness in Inches b Pi e Sizes Heated Water Non-Circu at7n unouts Cucu atm Mains and Runouts Tem erature F p to 1, p to 1.25" 1.5 to .0" Over ' 170- 0 0.5 1.0 1.5 2.0 140-160 0.5 0.5 1.0 1.5 100-130 0.5 0.5 0.5 1.0 Table 2: Minimum Insulation 77iickness for HVAC Pipes. Fluid Temp. Insulation Thiclmess in Inches b Pi e Sizes Pi in S stem T es Ran e F 2" Runouts ' an Less 1.25" to " 2.5' to 4" eating Systems Low Pressure/Temperature Low Temperature Steam Condensate (for feed water) Cooling Systems Chilled Water, Refrigerant, and Brine 201-250 1.0 120-200 0.5 Any 1.0 40-55 0.5 Below 40 1.0 NOTES TO FIELD (Building Department Use Only) 1.5 1.5 1.0 1.0 1.0 1.5 0.5 0.75 1.0 1.5 2.0 1.5 2.0 1.0 1.5