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AF - 41867560-3450 ��¢ � r`�lle � � ANOKA COUNTY 6431 UNIVERSITY AVENUE NE FRIDLEY, MINIVESOTA 55432 July 22, 1974 Mr. �, Mrs. Kenneth Raymond 6420 East River Road Fridley, Minnesota 55432 Re: Extension of Services Dear Mr. � Mrs. Raymond: This letter is to confirm the telephone con- versation our Engineering Department had with you last week. As you were informed, the City did have sewer and water services extended to your property. If you should have any further questions regarding these services, please call our Engineering Depart- ment, 560-3450. RNS/p 1 Very trul yours, A� ♦ . � � Richard N. Sobiech Assistant Engineer �ify o�f Fridley � ���s�� � �°D�b� �d �� � ��:°�� i�a�:.�� Aept. oi Bldys. Phoa� S8U-3l50 DE3CRIPTION OF WORR ' � a� � � � �. Numb�r, Kind and Locaiion oi Fixtures I"aRti°n `2� � I� a � N � - r= F I � Z I� = O� � t� • ., WA7EN MII. Z ;� � Zu� �� Z � K� 7 u� U 4 I N GAS FLEC. ,° j` � S� i N�� o�, � �c �5� �3 u� o " ����`uil ������i • ■�����i ' ■■■■�■' ■■■.■�' . . PARTIAL RATE SCHEDULE S�w.s Ccsspool PLIIMSING FIXTURE RATES: NO. RATE TOTAL Number Fixtures . . . . . . . ... . . . . . . . x $2.00 $ �ture Fixture Opening . . . . . . . . . . . � x a1.50 S�:SZ� New Fixture Old Opening.. ...: .... , x a1.50 5_----- Catch Basin . . . . . . : . . . . . . . . . . . . . x a3.25 a Water Heater :Up to 99,000 BTU1. •.• x$3.00 $ New Ground Run Old Bldg. . . . . � x �3.25 $ �°�S'� El�ctrie Wat�r H�at�z. . . . . . . . . . . . s a2.00 S �AS FITTING FEBB: NO. R]ITE TOTAL lst 3 Fixtures . . . • . • • • • . • . . • • • x s2.00 i Additional Flxtures . . . . . ...... . . . . . x i .7b S Gas Rsnge to 199,000 BTU .. .,.. ...... x a5.04 f City oi Fridley: � �1 J The undersigned hereby makes appllcation for a germit tor the vrork hcrei speci fie d, agree i ng to do a ll wor k in s t r ict acco r dance w it h t he Ci t,� Q r dinance and ruling oi the Department of Buildings. and hereby declares that alI the tact and representations stated in this application are true and cocrect Fridley, Minn �� � ( 19?� I Owner � � � , r��v� , li �.� �u Kind of Building S� � �-`-' �� 'U ' �,�'l � r C', ' usea as �.�v ��� c? c> c,� 7'� o �� i�,Y S� �-�., �-�i To be compieted about ' Estimated Cost, � Old New. Buitding Permit No. P� mit Signed �� ROU(3H Firraw �a -, - � y REPAIRS �C 11LTER1ITION&—R.!•r !o Cod• . . 50 State Surcharge Description . . . . . . . . . . .... . .. . .....�. . . ..... . ... ......... ; • TOTAI. P'EE �' • Business Phune � . .. ��� � F���� �'�-� �6�� ������, � ,��, ��'° Y �, ���a° � � �i� ������� ����. � ���i� P�RTi�L R�TE ������JLE altllYtY1' WA� AIR: �A'P'� TO'lAL.t, . P1u�na�ce She2l dG Ih�rt Wor3s . . . . . . . . i10.00 �j —`� Rtplacem�nt o4 FLirnac�e 6.00 � Rcpair:c & Altcrations--up to sSdO.@0 6 00 E Repairs & AlteraUons each add. E500.04 . 3 W $ �¢cH. nv�tx uar. iisrnacr Stse;2 & Duct Work to 190,000 BTU ear� add. 60,OUa BTtT . .. . . . . . itePLcemcat o4 Flirnace Re�airs & rllterations--up f.o E500.00 ii,ep�airs d� Alterations each add. =500.00 ..E10 0o i . . 3.W i 6.00 E 6.00 ; 3.(30 = $T£Alyd oz HO'f WATEA �3YaTED[ Furnace SheII S� Linea---to 400 sq. tt. F.DR 5team F�rnace Shzll � Line—to 640 sq, ft. EDR Fiot Water Each add 20�1 aQ. tt. EnR Sfeam Each add. 320 sq. tt. EDR Hot Water OIL BIIA2i£R—to 3 gaL per haur over 3 gal. per hour--�ee Fee Schedu�e GAS B4JRIPER CuD tc 199.090 BTU} .. over 1S9.OQ� B'I'[1 Soe iM Schodul• SIO.�JO S 20.00 S. 3.f1(1 � �...,. 3.00 $ 6.00 S.,__._._,..... G� �" 6 uo = .� —' GAS FITTING i£E8: li0 RATE TO'iAL , 1st 3 Fflxturts xE 200 E�-_ G u Additfonal FSstures x .96 i_-- -- Cas Range tb 199.000 aa 6.OP a ' �IR GOII[�ITIOI�I➢iG ra� x�a�r� s��c - Y�!(TII.A'lI1�G a'if�T� u.r�►rre�s � ��s ROi1d3� i'EAfdiL � ' % — % � State Surcharge .50 � 8e� FN �e�sals R rc�rt�. � � i 7. �� T �t. oi Eild�s. FhorLa 5�0-3� ...._se_._ f�� �/.2 � `� �� �� \ City o4 FYtdley: The undersigned hereby makes application for a germit for the wor�c 2�� specified, agreeing to do al] work in strict accozdance wiih the City Ordtnaace and ruling of the Departmrni v1 Buildings, and hereby declares that aIl th�s i�e3. and representatiuns stated in this application are true and eorrect. pwner Kind �t Building .= (Jsed aa To he completed about,_ J—� � C�> �%..S � �' Estimatc�i Cas� a ._�. •� �'C — - �------�. � O�ew. Building Permit No. ___ _ Permit No. �s . . �. � l� Oli OF tSO� �TIN�..or FOWER PI,ANTS--.�t�am, a%t Wetcr, �Warm�it—No� � �._ de Name �'Z -�''7.�-c.�c_.- �� / �.r � Size Yto �%�i�d/y � Capacity---- — SQ. !'t. E.D.R.%O � L' t� �� B•I�T i�$ Totai Connected Load_� f���� lCiad ai lUet� '"I �r�� BURNER — Trade NamP Sfu No Capsdty 3q. Ft E.DR BTiJ g� (aiMARRf�QVERj . �._ � a � �� �: / �c _ �+��� p�,� �t"'- �__._. _ �O �Zfl �. �t�NER �. li�AT �aSS CALCULATIQNS DEPARI'NtI�MT i Weathtrstrips � Guide � ConatrucEion N �indows Doors Reference Out. Waq Int. �fiall C.siling , ea--- o� Yea-- 0 19_ fil.� E� Room Length �iidth Height ' Windaws and Doors-Crackag+e aad Area tYid.th Hefsht No. ot Lin�ai f. A�a `�'� ?io: ot pane ot pane Iights of crack , tt. r 2 . �-- 2a , !" Coef. �cu - �tlraEioA 2, Q C�#a�a E�cp. wall '� 11Jet exp. wa1! Int. wall :. E:eiii�g �� � �� � � � � % F#oor - �,.'. _ Total &u. ,. R�ui:ed aq. ft. E.D.R. os sq. ins. W.A. l..ta��r area .) ;t Room � Length � 0 W�dth Height '4�/indowa and �oors--Crac� and Area t�, Itt h Hsitht No. of Ltaea! ft. Ares • Na. ot psee ot pane U[bts ot eeaok ap. tt . � � �i Z � / -'J� C�Mf � ��A i :� �.,��r1 � i =� N� e:p. wa� I � ii ; ��t. W#�� � ��ins � �'foor Tatal &u. Z Required aq. ft. E.D.R. or sq. ins. W.A. Leader area i �� Rootn (Length Width f D He+�he �iadows and Door�--�Cr.sekage and Area ldth Helsht No. ot Llq�at !t. AreA l� "! t14. ot psns ot Aan� pibts ot crack p. tt. � % i � � � �^' � � inbhrstion p � n� "�, wa� � � �=,.NeE;e�. wall � . _ �nt. walt �tili�g / p ` i� �or ; TbtalBtu. / Rsquired tq. ft. E.D.R. ar sq. ins. W.A. Leader as�es � �- � � � -�� � �+ D# BUiLQN�IGl� 9. , �i�G Roof Floar � .��� `>� ,�v F],� � ( �+ova�q � �;.� 1X�ini�ws and � No. ot Paae ot �# r.,: -O�'.� � � � a_ :y, ► � �, :a L+�tratioa „„,�;�,,,,_,,,,, , _'� �s(, Glass t �--�^�^- �. �,:w�l �.�...�'"`_: �:..'�.`� Net e�p. wa� �'� x ___._..�-. t . � In� waU '"°° � �" Ceiling � ' .- ��`� � � *,� � Floor ��' , Tota�l &u. . : ` � � ' Req�i�d sq. fG� � � . �.� � ` `t�� Winc�Ows eAd Dooeii�a-c��. `, _q E, " !�h el�, Iw.�71� e.� 1 �1 .. Na sY s»IK• w�t..A �M }#�� "�y :�f;� ,���� t„�►� - -��x : � r�� �a: r� , F�p. wall � o x ��. �. .� Net exp. wa11 � �M IAt: watl ` � �;� Ceiling � i� .� °� . � ' Floor `'�z ?a�al Btu. i'` ; .-.� Reqtrired �- ft, E.D.R. �'.�q.. iis.'�Y . � �, _...:. �'i �e, _ _ �__.:::_ i ■ __.u�t i .; .. waaw� w�sati . . �c� aw� T1a ot 0�m oR t�atN. ` � �...� ......+� It�'iltntion ` "� C���� � � waU L.. Net exp. waA eN Jat� w�►U Ceiling �. �.. Floor ?ot� �ta. �'�g � Reqd' sq. ft. E: .R. � �q._u�u►: �1 , t. � . .,� '�: G►'� 2,p � • � � ✓�� �.( � � �1T �.t�SS CALCULATf!!NS _ d�R�RT�E�1T tiR �1��35 ' - y�l�i !Weatherstrips . Guu�e. . .,� !Ca�truct�an PJo. � � '�indaws Doors Reference Out. Rfall int. W�ll C'•ei�iag Rodf � . � �7otrr �� da I e� s�0 19._ :r " �.1 �t�� r � R�m ��g�h � t�—w►a� � � ��snt � � � ���.� � � � � � �;,� t�; � � ` 1Ui�tdowa and Doora--Crackage and Area � Windows an� . �Yid.th efgfi4 No. a! Ltneal L . ,Area �,.� �� ° Vilklth' iis�l��� " �• � , �� K Ne. ��� 9t pane ot pane Ii�dt• ot crack `. � w. Ct. �- . ,�Ne. � o# p4Kn� 4i �Dtms ,#� i L / ��.,> - ;. w � 1.�r��r� �'VM�. 3 . �� � � � � . . r � � � .' O . � . . F.f : Z' _ l 1 -� , ` _ ��;.; Coef. &u , . : . ;;- _._,_..�.i— Iu61tF�ti±�n 'Z Ia6le�tion � � � Cs�aas C�lafc ��.�=� �. wail Z�2 %- I Esp. t�+ali �,.�� 4,.�;� ° �#.exp, wa}l �•- Net �cp. walt -- _ '�,s'.F �� � ia►t. wall Int. wall , �+a�ing Z„ d �'D �� Ccilipg � � = r _ � P �loe�r .� � � �`ota! Btu. ' T�ta1� Btu. � �� ired s ft. E.D.R. or ins. W.A. Leacler area � �' �• � l�e�ired �q. f� �.D.�. ee:". F#.� Roam Length Wi�h Height' Fl.� .�� ' �ia+dowa and Docrs--Cracka�e aad Area 1�►in�►s aud � :� 3d h alipt Na ot tseaf tt AeN t� * 1'tA o[ pane ot pam 1l�Ab o[ CPS4k Mt. �. I�iO: OL MRfN, 1!�'�{ f t:: � � /���� ��+�t� f�,� . . . �.RI.. �� � . . ,y ;r'� �. ii�tltratioa IA6ltrataa � . C�fs�;: Clss� > � ..�. a-..,-'"� � ���� �. � .� � ..,Aiat cup. wall Net<e�. we11 . '`�;� ��;°. #�►t. walt` �a�:-±Ir+tlt :u .�..�;� �� �ili»g Geiling '�_z� �ioor' �'lc�r �'r ' .�_.�_� ��iil� Btu. � � � � � �� Tatal Bt�t.�� � � ". ` :1�'�cc�l � ft. E.D.R. ar � ins. W.A. L.eader area � sq• aq• � � Required w. ft. E.D.R. e�:���.�:� � . ; ,,....-_,...— ,: _ FI. ` Room �Len�th , �Vi�k -��� Re���� . t ' �i►'u►dows and Doors—Cracka�e. aad +Q►ces ��'�"ta�o�►f �* � idth Hd�ht No. ot n�s1 tt. As�s {� �. _, D1a ai`pan� nt pam 1lshts et eraek �• tt. No. at paoil• �, � +��' '�l+1�r� -r-...— .�.kir�! x ti: Coef. .. �i :�r: _ ,��tr�tioa InGle:atio�t , .: {, ::` .. �us Cdsu ..:�: . . ;�� �acp. rvsll Faep. wal! - Atet e.sp. wall NeE ea�. wa� ��� � 1st. wa11 It�� walt " : Y . �.," Cei#ing Ceiliag �_ :.,:.: I� laor F�oar " Totat Btu. . Tot�rl � �; � R�quired sq. #t. E.D.R. or eq. ias. W.A. Lesdar area Requ� sq. k. F� i��,r� �;: �.s � �:�: �� � ��� � � .�� r•��.� suedecr PERMI . City of Fridley . 13129 AT THE TOP OF THE TWINS � U I L D I N G P E R M I T r ; ;. RECEIPT N0. � ; L _ COMMUNITY DEVELOPMENT DIV. � r � � PROTECTIVE INSPECTION SEC. � `1,3 � 1 � `' _ j �/���; � CITY HALL FRIDLEY 55432 NUMBER . FEV. DATE PAGE OF APPROVED BY "' 1� '� 612-560-3450 910-F15 $-5-75 � � JOB ADDRESS 6420 EAST RIVER ROAD 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 27 AUD. SUB. #23 SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE R . KENNETH RAYMOND 6420 EAST RIVER AD N.E. FRIDLEY MINNE T 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSENO. 4 ARCHITECT OR DESIGNER MAIL qDDRESS ZIP PHONE IICENSE NO. 5 ENGINEER MAIL ADDf;ESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION � REPAIR ❑ MOVE ❑ REMOVE 8 OESCRIBE WORK INSTALL BASEMENT UNDER ROOM 9 CHANGE QF USE FROM TO STIPULATIONS y�,�ERATE PERMiTS REQUtRED �OR W����Gz MEATiIYG, PLtJM6rNG aND SlGNS. �ItARHiNG Before digging call locai utitities ?ELEPHONE - ELECTRIC - GAS Etc. REQUIRED BY LAW TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PIUMBING, HEATING, VENTILATING OR AIR CONDITIONING. MASONRY ; THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS • OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STAILS 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 COMPLI D c� WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PER� S2�3OO y�..l.� 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- c� STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. y13.HO �� PLAN CHECK FEE TOTAL FEE "� ' $14.95 SIGNATUREOFCONiRACT RORAUTHOfiIZEDAGENT IDATEI WHEN PROPERLY ALIDATED HIS IS YOUR PERMIT • �,, ?5 �-,��~ '� s AUGUST 5 ,197 5 SiGNATUR O�NERI OWNERBUILDERI � IDATEI BLDG. WSP 4ATE a � �� . , o 0 � . - � ' . .. . �' `, . •AP1�L I CAT I ON POR R2sS I'DL';VT I/IL., ALTLRAI' I ON , �� . , . OR AllllITION. BUILDI�G P�I�I�IIT ' CITY OF FRIDLEY, I�(INNESOTA • � . • . .1 � • � • o«rt�R's Nnr��: sozLV�R: /,?��.�> �C��. ,�'�„��,;���,� �-�."� , � ` R,� �, � ADDRES S : �5.��.� �/i ,1,�-�it , ADD2ZES S : "� (o � �.____��ct�'Lr� ,�2- -�'� � NO :; .�� U STREET : � ���� �-(�/�. i�t�iY � . � . I.OT: ,� `� BLOCl�: ADDIT�On:J� �. � � 3 CORNER LOT: INSIDE LOT: SETBACK: _ SIDL'i'AI'.D: , .. . s Applicant attacY: �o this for:r. Ztao Certificates. �f Survey-of Lot an�.pxoposed . •' buildino �ocation dra�an.on these Cextificates. _ ' � , � � �HESCRIPTION OF BUILDING To Be Used As: - � Front: Depth:� ' Height: . Square Feet: Cubic.Feet: � • Frant: Depth: Height: .. . � Square Feet; Cubic Feet: � � ljrpe of �Construction: ,,��,r� ,,����,Rr�k3sti.mated Cost: $ ,� ,�1a� Ck7 _ To Be Completed: � . • - � . � The undexsi�ned hereby maltes applicatinn for ,a permit for the �aork herein spccified, a�reeing to do all �oorlc in strict accordance with the Cit}� of � �xidley Ordinances and rulznss oi tiie Department of Buildings, and hereby declares that a11 tlie f�cts and representations stated in this application axe 'true and correct. ' ,� . , � . , . . • DATE: '� SIGNATUItE • �'^� � � a • (See i�everse Side For Additional Inforn�tion.)� � � � 2 s � � 6�v�.� I 3.� � � . � ' , . , .�l Z3o� x' U.So�•� �•, !'--- � . . ' . . . � . � � . � t�5�.� � . . . � , , � .. . � . . . � ►ZVLW � 31. i"AVi+f tiaa v s� ..... ...... .. . — D. lE'. �IZECKi� COO�jTRAC'rING ��., INC. Company is not responsi6le for cracks in piaster if houae has to be raised. Company is not responsible fw water- proofinq basements unl�a specified in ordar. This contract coven normal sail condi- tions oniy uniess specitied in order. Office: 825-6616 GENERAL OFFICE 2659 DUPONTAVENUE SOUTH MINNEAPOLI�S, MINNESOTA CONTRACT AND AGREEMENT NO PLUMBING HEAT4NG ELECTRICAL UNLESS STATfD IN WRITCNG ON CONTRAGT I/We, the owner(s) of the premises mentioned below, hereby contract with and authorize you as D. F. Vizecky Contracting Co., Inc. to furnis� all necessary materials, labor and workmanship, to install, construct and place the improvements accoxding to the following specificatians, terms and co ditions, on premises below described: .... � .... .. .... . ................ ............. ............................... Owner's Name . . .... .... .. . ...... . .............>............... 3ob Address....W...�..� �.... �,...�:....R.d........ County ........... ... .... . .............._...State.... . . . • ..... . SPECIFTCATIONS Telephone� �'.� � City. .� .�. ... . . ................................... . ..�. ��...�. .. .... ........��C .. ............... .......'1-:.........'.. .. � .. .�o���......�+w��.��.....����,,,.... . . .... , _ ..�......... : .............. ...:.���.::.: . ..::: . ..... . ::.... .... ���....:,�� �.....�.: . ....M...:�.... � . � � � .� � .... ..........,......... .. ....... . .�. ......�;. .-�°. ......a.'�.......��..--Lat�o�.P�,�� . . . .. . .........+:..... . .. ....��:�.....:.�. .�,�..a..�... �:�.... Q:�......... .. . .... . . ..... �.... . . .... ... ..�� ............... . .. .. ... . ... � ................�.................................... ..... ....... .,,. . �• . ���'.'.!�*.. ...... ..............................................................�......................... , ....... ���R,�� ............... ..... ....... ..............� .. . ........ �.... ................................. ................,. • � � .���► ... ............. ...... .. ... . . .... ... ..... ......... ........�.� ......�............................................................_..................... $PECIFICA710N3 :" v ,� .�. , , .. _ �_ _ .. . ' I . �� � J MATERIAL. rj,-,, --•*��.,. :� _ _ � �_ _ . s , _ . �_ -. ..-----+. 1� �. � � `� . . 'r , . . - . .. . . . . . . . . '. . ��..� . . .. , - . .. . . . . , r . . . . . . .. . . . . . ' . �. _ .. . . . '.. ♦ . . .. . . . . . , ;hn�NN���sco � • 53-84-s-915.51 . �ii14'� C."� t�i'tCs�'J� • ' . . � n�:,,r„", � 'i: �i C�y ��.�.� c.:i,o:. , �`p ,,..�,,..�.��� ��� P�u��i �' � : a � '='� �� C �--�,� . Do,-rt. of Bldrs. i'hon• �` -3450 "' ' D�SCF:IPTIO:: O: VlO�Zi: 6l.G20 East River P�o3d Nu�3rer, Y.ia.3 and Lotc.tion of Fix!ures I'O�'�°a . ' N � � WAf[R wTR. Ti � � ~ �F z � } r = � 8 Z U � � a V � � • O I < � �j = i � � : ^� � � . o � v � � 3 V 2 V o V �j � N G�S t�EC. :n 1 � � � ' 1 .- � �n � t •• o � � I I ' � _ � Ea�r 1 S st � 2rd 3:d { w� • Furu:• Con: a:•.'..,^a Opoair�,rs * p1�w �;ch:r�, Old O7enir.r,s x::.d w:ta PAR?lAL RATE S�H�DULE Sors�: Cc:: pool � ?LIIMDIPiC FiXTU�E flATES: NO. RnTE TOTAL Nur.:ber Fix:ures . . . . . . . . • • • • • • • x �Z.GO S Ftiture Fflxture h��cning . . • • . • • • • • • x 51.50 S--•- :�ew Fixiu:e Oid Opening. • • • • • • • . x S1.5Q 5---_• Catc� Basin . . . . . . . . . . . . . . . . . . . . x 53.25 S �t ater Fieater 'Up to 99.000 BTU3. ... x 53.00 $ �. • ::ew Crcund Run 01d B:dg. . . . .•. . •. . x 53.25 S E:�cLr�.c �la;nz Hs.ntas. . . . . . . . . . . . z S2.00 S :AS FITTI`fG FEES: 2i0. Rn1� TOTAL ist 3 Fixtures • • • • • • • • • • • • • • • • • • x 32.CA ; . Additioaal F:xturea .. . . . .. . .. . . . . x $ .75 ; ' Gas Ranye to 1S9.004 BTU ..... ...... , 1' x 3�.04 5 5.00 City of FYidley: The undersigned hezeby m�;ces ap�iication for a permit fcr the vozY herei specifi^d, a,^,ree:ng to d� a:l «�crk ia s:r.c: accc:d�r.ce w:::� the C:� C`.�Cs.::et and ruling oi the T?epar:me,.t cf �u:lc�'n�, and he:.by decl:res L'�at all Lhe t�ct and representations staictii in ;h:s �p,.Lca;:un are trse :nd corzect F�ridley, D'.inn 8-27-75 !9_ Owner Kenneth �c Erna Raymond _ _ ' Kind of Buildir.g �`�'ame Res; � Used az - To bc completed about 9-�`75 - �Estimated Cost, S 10�00 Old-�ca�Bui:ding Prrmit ro._. �""'' P. it �� � O . , Signed RO'JGFi FINAI, � ` �, � :_? � p.EPAiRS � ALTER11TI0?ts—Raf•z so Cod• .50 State Surcharqe � .Dcsr:i��o� ........................................5 . � ' � � mr,u.. � g 5. 50 . . • Class '�A� .��ircharg� :50¢ By . . Bu�i11��55 p?luilt �O . ' • � • I - . � CITY OF FRIDLEY INSPECTION DiV. Effective On March 1, 1996 6431 University Ave NE Fridley, MN 55432 �4PPLICATI01� FiUa F'aWER PLANTS AND HEATING, COOLING, YEN7ILA�'I�N, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTE�IS AN� DEVICES RATE SCHEnUL� Residential Furnace Shell and Duct Work, Burner – Also Replacement Furnace (Side Vent – Fill Out Back) Gas Piping (Needed with new furnace} Gas Range Gas Dryer *�ir Canditioning – All Sizes AI� Others/Repairs & Alterations (LIST OIJ BACK) 1% of Value of Appliance or Work Commorcial/Industrial t.25% of Value of Appliance or Work Rate $ 30.00 $ 10.00 $ 10.00 $ 10.00 $ 25.00 State Surcharge TOTAL FE� JOB �4DDFIES� ��c'� �• ���IQ.Q�Q�, � . The undersign�d hereby makes applicati�n for a p�rmit for the work herein TOTAL sp�cified agreeing t� do ali work in strict accordance with the City Codes and rulinc�s of the �uilding Division, and hereby declares that all the facts and $�j . �� represer�tations s�at�d in this application are true and corr ct. � � �6 $ f; OWNEW—_�°��jQ(�(�__ _ l'�.Q ,i�'Y� QJYI fl Q S 7 5� -�I %a S� $ U BUILDING USED A5 $ / ESTIMATED C�ST / � � � PERMIT N0. ,'�L /.S $ I��SCR1�'TION �F FURNAI�E ANC) OR BURNER $ No, of F-leating Units _ Circle One (Steam) (Hot Water) (Warm Air) Trade Name� �r.�1�rnh Size No, nTL�'�i� E�TU_i '�j HP EDR $ Fuel Q�,$• Total Connected Load ,50 Burner'frade Name Size No. BTU EDR 3$ o "� -��rat _ � oou�=— 4120 - 85TH AVENUE N. HEATING CQMP/�NY BROOKLYN PARK, MN 55443 MaNIMUM FEE FOR ANY HEaTING[COdLIWG V[_ENTILATION RCFRIGERATION/AIR CONDITIONIIVG PERMIT IS 25.00 PL.US 7HE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr ��,ir Conditioners can not be placed in a side yard without written permission from adjoining property owner. �� � ,� � . i � • �� _ �,_ .�.� '• Approved'8y %`� Rough–In Date Final Date FILL OUT BACK SIDE F� STACK VERIFICATION ON REPLACEMENT FURNACE CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or sta�k: 1. Has been carefully examined Yes (Vj No O 2. Is free from rust or deterioration 3. Has no foreign objects lodged within 4. Is securely supported 5 � 7 : Meets all current Code requirements for size and t.�tal B'T�" s c�aznected Has total heating BTU's of �� f�(� C3 All other BTU's �-f�, Y�� C� TOTAL BTU's / � � , � � � ,- �- -, Has a liner been provided for water heater Has combustion air been provided for water heater Remarks: List ALTERATIONS Being Done: HEATING CO: Signed By: Date: �es (�� No ( ) Yes ( ) No (�/� Yes (�/� No ( ) Yes ;�/� Ne ( ) Yes ( ) No (� Yes �-} No � � �'� ---�i� �7 � 1 �inne�rasct�` .,��w.. �.,�,�..,.��� ` _ . �/h�►l`e �`t�r��r� INo�ksheet Customer'a Name ��VI.� AddrESS . �Y,i'� / .. if'iG(/j'L' � City �teM ... �%i�/ . �sip ,. SS.Y3s-.,. 'ryltlphbna Number .�%� �'7Y� WIIVT�Re ini�ide� be�i�jr1'�ti1�5 �u °FLtlu4�lde besFgn `18rnp 4 r,_`: �-p :. �F +� H�rti►�g 1i�rt�p Cifteroncs _�sL_ °F SUMMER: Outstdd Dssign ternp ���in�ide CIds1�M'Itl�hip -::�,.: •�- "F •• Cooliti� fifnp biH�ronce °F � ._.. , . , . ., � ,. .. . . : HEATINO : ~ . >�, : : . . m . .__ , � �. MON dAtA l�EC7`ION'''. . � �. � :� ti:: .. COOUN� . , .„ . . �,..: :, _ . ., _ --• . _ , « . a .. .�U�J�Ci � . . .� u uo��.we� - �•.a�.. „ . . . . . B?UH tD�l1 r - �1 `. a- 'a ,° �. . , � .. , ,. _ -. . , :,..:.: .,. .... ; _!p, f'�,�� OAIN . . ..<., . . . GR�SS WA�.L .. '. . K , . �: O r.�{ (�C��iqS 6F'VI/tNCftiWS ttab�a d nt �1. �, '/ .D6 , N�f"WALL., . , �' � � 17 � 1�� ,. . _� ,SS� � S3 C�ILINC� . . :.: ; �. ' . _.__ . . , . . _ . , _ .. _ 1 0• .� Ft:�i��� � , , .. � ��M � � x 1a x t.�teo x.<_ vw'r,�' `': wwww ,.tieD ,.�c aT x .`'""�o" � + x i1.1 "' � x `'7,5;' <r .. �..,,::,� t�:t11 .�r..... � x ._ ,� �.. S'0 S f > sUH-�ri'',4 .�fii�H U�� tper 1�_ ��v,,.<•� . x .� AtlJUB'tM � ;I�bid �i ; . � � p c-� �'it�`f" i� � � !! �t� ����� , ;� x .. " . _.�.,,. 1�1, � � .�� � ri� -... � ' x 1.3 ( ���d'.T"3- ` W�,.%t� N.I�DS QAf .r .�,,. ,, .- ..,� rAe A-HEAIINQ�-tfCftlR� b WOC�t� R'l1AM� WiNti �.. :: A 1.� ,�. � �iNIN�i IPER 10°�) ;'` � ?' ; � � F'�C�tbM.A�Ul4'� �i�Mlilldhi�[i�'e/�peria�►orvsnedan For sliding pis5s dbbMt - u31i i�Ctbt! �'tft thb �!!MW typA il�I�ddY4 `:. , blilt�! hltll��� ���M �'� � WkidtlNil. cOnStfUCtjOfl. i + . � ¢ � � ,. ' . `� 1�il�i�li1 _ , . . }.. . . . _ � in ow ttf u ` Y` '��l '1�1� �iI�MN .1tAxr -MfWlauN Door M � %11�� � �iUH 1.!!A� :. _ Single �e �+� F.-. , . . ` �:. ; bw�� . , #W i� � tiM �N i1+ � f�! Ciear ���y ��.4� �� � N, �1 M i 1! � . s+c nr i! �!! ,�� il _ . . ... . . . . ...r.. .. . . _ . . ♦ _ . . With Stortn . 6 �• � wtsNUi f! 1i �!1 .!f i! ��J �k - Doubte Psntl '�:g� '.` �.0� �.�' �- ' � . � �►w'.. . � � � r� .�r w �r �r �a: Cleat �.�"$: �,.. � , . . , . , . , «,, . . With stonn : 4� , 4.�- , • t6iMf �: :1i il �i J'I ti ii i1 !� Triple ne .��i. d.� �.48�; i, '� � � '1! � 3� }� 'JYl �t. CI88f • . , ' . _ a ousis �..�. . 11 (1�` . . � 1N i11 f!! iN 1ir 1a1 tld Hi trs y �� - Single ° �.� -' ,�L? � � vu'e��' i� �.# 1�! i.l _ . � _. _ ..,<._� . �-, tl.� �i ttl.� ti� ,. , . . , . ., _ w .... _ ingte w stomt -. ,-. ' 8.0 ., F f� l. YI �.i MI i.� �.i �j i1 1.! ul Skylig t! i1:m ,,.� �z�: . �'���w,� _ tor�►�.s � Single ....,,... �itww�e�illiNlil�Pii � Double 8�6 � :� :, n�, F3►b�ilit�lillbi1I111�IMtltl6ii I Wood Only ' 4.� �"" .tt.Y � , � �7�1�1�E d- iNFtt'�idTtON Al1Ut7tPl1E1t8 , : .. _ _ ., ' , i Wood w/�torm 3 -,.•�+, , dd .. . 9� VllliiilF Alf �kAiM{��A p11r Hbur Urethane Core IR-51 :°': �� nl " �i�00 1100�2100 0�►2100 I _ � ,,,_ . � U►ethane Core .�r+. •-.»� ~ � tl�[t . ,0. .,_ 0.1 , _ 0.3 0.3 ! IR-5) w/storm ..'= .. - 1.70' � . � Avbr� ,,, » t.t! O.S 0.7 � 10TA1.� I� G �O.i�+'�L, Poor . _., 2.2 t.a 1.2 t.o �o� each Hreplscb idd: , BMt Mre�sp� Pbor ` 0.1 02 O.Q _ � �UF111ilii At? Chifiyb� �'iit Hour '�BLE C- AOJUSTMENT FAC101�$' -(H�l'ING) �borAri� �CJOorNat 900-1600 iSO42100 orK2t00 ► Belt 02 02 0.2 02 ' F. Tempetature Diff. 30 40 50 60 70 80 90 _ qver�ge 0.8 O.S 0.4 0.4 �'i�,stmrnt factor 3 4 5 8 7 8 9 � ___- --- - P'oar 0.8 0.7 O.e 0.lf J'+�neri�:an Standard, Inc. 1986 Pub. No.22�9 P.I. (L) Bu��d�ng Xns�ect�ons 7d3-57,2-3604 763-502-4977 F.A.� DAT1G I,, S�'CE ADpFCESS _ W rHI5 �'�ICANT t5; p�Q�ERTX U�'VIVE�t/ TENA.N'� CO1V'�' iRACTO�t, sua�mr a co�x ok YOTJ�i 5'�ATE LIC�I35� WTTH aPPZ.zc,�norr ��,Zt1Vll'T x'T�'�� '�'X�E UF W(7lti+: FHOTi�: From: 7637537540 Page: 2/3 Date: 3/26l2009 8:17:13 AM MEC�ANT�C.AL Perxx�xt 1vo.� RESXDENxIAL .APP�.��ATI0�1 � '�"� �"� �� CI'�X OF ��iI�LEY -� L�[i �].'I►1_�J.:� annxESS �J�=Y V I C`e � Ri � �i �fa. � .0 CO�IPANX NA.I�E: 1 v� � r, v � �.• � . . _ _ . , CUN'1'Ab"[ PERSON. � 1 � � STA�f'� LIC&NSE � �� E[iCP DATE �S ADT�R.ESS;� � C� �� �� rJ� N 11V CITX '� ,�. STA.�' `��� �ox� �a -� 53'� L�'i� �� �,ax 7 [�'S- r7� ~f1 �`� -- `�SING�.� kAMII.X ❑ TWO �'.tkk�ILY r- ❑ r�TEw �REPLACk�NT D�'�A,�LED 17�S�RIPTION OF WO� � TOWNkXOUSE d ALT�.R.A.'�ON/R.EMODEI. �r.�s ��� aas�n a� $�aoo ��� �xTCm�, c�pr v►�x�z� �rarEn. �ac�;�s: a r�az, rrvMSE s��ni�� kquipmcnt �staflcd �7FG� a- 'G Iv�ODEL: �� IvIFC: �� M4D�1,: 1J.."7�`! SxZkl�TT1 .p�✓ 1 I:r 1 MFG: MIdAEL: �C $�.pp k'�tEP1,ACE (GAS) 515.00 AIR TO AIR EXCk3��iG�ER S15 �'lttEYLAC� (WOOD) 333,00 BOII,ER 535.00 �kUAZNACE 535.00 ���� �,�� g�p.pp GA3 DIii�ZC $iO.W 1 AtJCT WORK 5�0.(x1 �GAS PIPING $A0.00 SiZ�/13Ti J GAS RANGFIOV�N $10.00 _�W GAS G�.L $10.00 _GAS [JNIT H'CR Sk0.00 POOL HEAT�� 535.00 VENTIT.ATOR $15.00 � IHIS IS A.1.V A,�'�L]CA'IION F�xi, A YERNII'f-N4T VALID UNTi II. PROCESS�A T hereby appay £or a bu�ldiu�g perrnit amd I ackn�owledge 1�►at the informati.om abo�ve is co�onplete and accurate; that the work will be iux Gonf�rma�ce with the ordinances a�ad eodes a�'t}ae City of Fzidaey and watb. th,e Minnesota Construct�on� Codes; tt�ac I undcrstaxad th�is xs not a pe�notait but i�t�y an a���acation for a�e�xnit and woxk is not to start without a�e�imit; that the work will be in a�coxdance with tkae approved plan in the case o�a�_-���wkvi equires review and a�proval of Pl �; m�j,���pA,7rE ���� SJGNAT�JAF OF tl��'L[CANT ���� PTZ7N�' NAME �j) � � T��� � City o� Fridley �u�lding �mspec�ion�s Depaxt�u.ent b43 ], 'Universxty A�venue NE, Fridley, MN 55432 763-572-3604 �.A,�: 76�-SD2-4977 � � � �1C �� ��1 (�1 ��Z� �l2 �, � a �.� , � �� ��� � �' ► i�� .r - � ''� 'L. vLr � �a�j $�Stna[at �oW �a� �ditq�. �xa�. d '� l�l�QTf� LJa�U _ n� ,b.r ��. �X����� / 5��►c��� : % W-,�� �1,� N sJt� �p Na�� �a ax s���. ��C� �1vA1 @ l b �`� p, [ � �� �TL�IZ4�,� �gM ` • N � �1 Z-Jas-s'1 �. '1 � � Note• The lov�rer wa11 is kept from racking by the �vall above. The wail above is #'u�ly sheathed with OSB and is attached to the rnain house. T'he upper wall cannot mo��e and the lower wall cannot rack ifthe upper wali does not move. The lower wa11 is tlierefore structurally acceptable as c�nstructed. L I hereby ce►Ufyr that this p�an, speclflcalEan, � N or report was prepared by rne w under rny O�� K- L� La rs o n direci superv ision and that I arn a duly Licensed Professfonal Engineer under the laws of the State of Minnesota. �i'Q � n��nr � Larson Specialty Structures Inc 5937 Hobe Lane P►int Name W n C. Lar � n Whi�c Bear Lake, Minnesota 551t0 . ��u�. ��� �uS fi51 429 5143 Fax: 651 4296761 Signature www.mildred 1 G�comoast.net Date "� " License A 7831 Comm. No. ��� 6'd L9L9 6Zt� l�9 an;ona}g �}�ei�edg uosae� �6tr�60 60 bZ adb' Y " From: unknown Page: 2/2 Qate: 7/1/2009 4:38:31 PM $ttildirig Ins��cti.otas 763-572-3604 763-502-4977 �A.X 6A7'C .���'Z.+Ot�� srrr•, nDDRESS .�_� � 7'HTS APPLiCANT IS; I5 OWNGR owtv�r� TF:NANT SURMTT �, �pPY OF YUUtt STATC LTCENSE, AOND AT�1D GF..R,T,fFTCA,'1"F' OC iNSURANCE ��xtMIT TYPE Tvpr oF wo��: �'LtJMB��TG �tES��]�NTIAL APP.LI'CATiON C�'�'X U� �RIDLEY _ F�:crrvF �.�.ns E-MAII, ADnRT•.'SS � annRFSS; �v�l � � � %� �,.r� �c�.o( CiTY nHOwr; NAML•:__ _ ���r STAT� L1C�NSE # STATE BOND �! � AanrrFqs�,�l� PHpNF... ��p�± �SiNCLG �AMi1,Y � NSW DFTAIT,FTj bCSCRiPTION OF WORTC a'1v�0 FAMiLY �REI'LACP_MiiNT Permit No.:�i Received Qy: � � � ��� . .. __,,,�,,,., F.XP pATF JZ.��i ��� BXP bAtE �� ��✓i � �' Crrv � ��h- STA��J►�N,i z►P�( 1 PAX �%t��c)--T� �,�j ~7r7 {ofv---- O TOWNHOLJSB PER MS t GB.Cr45 the permit fee is �► �n inimum of $15.00 or S°/n of thc tntal c�st up to $500.00, whichcver is greater, fc�r the improvement, installation or replacement of a residentral fi�ture, excluding tlie fixtures. (This shou[d reflect only the cost �f labor ) Labor cost under $300 -� l 5.00. Labor cost between �30Q to $5U4 = cost of labor x.OS = plus .54 surcharge OR FOR rR.O.t1;Cf5 WF[GRE LADOR EXCt�b9 $Saa. FF.Fg ARr; iiASL"D ON �10.00 PER FIXTURr•., I?xCrPT wf1FRr•. NOT6D. PIXTURES: (]Nti1CA1�� T(yrni. NIJMBF.R pf•' �pCj� �CLOW). M1NIMUM FEE:�15,50, _BATHSINK/I.AV _T�L,QORI]RAIN5 SNOWER WATFRPIPIN�3 _ BA7H7U8 _ GAS PIPING (N�E� CfT'Y LfC) gWiMMTNO i'OOL � WATF,R SOFTNGR (S35) _ CLOTIiCS WASNER f�1TCHhN Sf.NK � WATHR Ci,pSET � BACKFLOW PREV, ($i$) �,,, n�Sr�wnSHER = t.AE1NDRY TRAY �WA'1'Efi FIFATER ($35) COIt IitRIGATfON _ WATCR MET�R """"� _ OTIiFR Permit Fee TOTAL DUE � Number oF fixtvres [n� $1 p.00 ,,,_„_, x$10.00 =$, Numbcr af ftxtures Q$15.00 x$ i SA6 =$ OR Nurn�ier of fixtt�res @$35.00 �;c 5�35.00 �$, State Surch�rge = S _ _ (M1NIMUM $15.50) T�ttsl - � TFnS fs AN APPLTCArlolv FoR n rFRMiT.NOT VALtb UNTn. rrtpCFSSr;ii T I�ereby Apply for a plumbins permit and I acknvwledge that the information above is complate and accurate; that the work wili bc in conformanae with the ordinances pnd codes of the City of Fridley �nd with thc Minnesota Construction Codes; that T undarstand this is not a perinit bt�t only an applicatipn for � permit and work is npt to stArt without a permit on site; th�t the work will be in �or,prdancE with the approved plan in the ca,se of ail work Itiich requires review and approval ofplans. 3TGNATURE OF APPI.iC�NT � PRiN'i" NAMB { ��'►�"� ���'�1 T�n� �..r�� � APPRI�VF,p �Y City of �'�rad�ey Bu��ding Inspect�ons �►e�artment G431 University Aven��e NE, P'ridiey, MN 55432 7fi3-572-3604 FA�: 763-502-4977 nnTr: • From: unknown Page: 1/2 Date: 7/1/2009 4:38:30 PM ��' I.� ���� 3410 Kilrner L�ne Nort Flvmoutlt. i�fN 5'�441 - Ph+one:(�63)4�8�0296 �ax: (�63)475-��6G �AX �av�r a���: -,�o: Fax Number: Number af Rages; 3 Message: � ... �iZ� M IL�_.��'�IIG -�'1'Li'�r'�'{3� �'/.ai .Ni+f��i�l�1L� i ��,�� 0 Family owned and operated far over 30 yemrs .,,....,..�., www.weldandsons.com