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AF - 42065City of Fridley, Minn. 6431 University Ave. N. E., Minneapolis, Minn. 55432 , BUILDING PERMIT - nat�: _._s�t�_i�,_._is.z.L_ Owner: _..._Jack._Bruhn._ & Associates____�.�_.� g�d� $�.me Address ----5..4.Q6.._.F.lnr.isia_.Azz.enu.e.r._Cx._y.s.tal._.___..� Address �.S.ame_ � / .17 3 � LOCATION OF BUILDING No. ...---2.7.2-.----•-----_ Street .-------�].,y.__5.��.�_..�I..E.�_. __. Part of Lot �t 41�42----------_-_ Block _--_---_11..------_-__-------.----_.-.--.--- Addition or Sub-Division ._Spring Brook Park � • 10 & 10 Corner Lot ----_--------••---•-------- Inside Lot ----.-----X---•--._....._..... Setback __.._.� _Y._.. Sideyard �t'�e'� Elevation ....------$4�-..9.8.---..__.._..._._------._._..__...._._..__._._ �9�1�1��/--�50-.�---......---- Wye Top of Footing DESCRIPTION OF BUILDING To be Used as: _..Dta.E11]..�,g.-•--------.--•----- Front __._..�_. Depth _...._.�.��._ Height .._.� �..._.. Sq. F� ___�.0_4SZ.� Cu. Ft .._._ZQ.i.�O � _.-�8xa.ge--------•------�---�-----. Front ._._24•�— Depth _._�! Height __.�,Q.�._. Sq. Ft _---44Q� Cu. FL .-1�.�.L��Q � Type of Construction ...._Frame �.�__mm__�__. Es� Cost —..�1�„�056.00_-•..__ To be Completed O�,_ 15�, Z971 0 Stipulations: Provide a verification survey before capping. Provide a hard surface drive. Elevation �oa minimum 18 inches above center line of Ely Street. 2 x 10 floor joists. In consideration of the issuance to me of a permit to construct the building described above, I agree tx� do 'khe proposed work in accordance with the description above set forth and in compliance with all provlsions oY Ordinances of the city of Fridiey. �`� %� :...�.��,.'� � ,� 9.53 State Surcharge �� . In consideration of the payment of a fee of $__�.Z. QQ __, permit is hereby granted to �J �.�RT?+�'►ri � ASSOC. ....._._..._.._.�__..__._._.._...._ ......................_ to construct the building or addition as described above. This perxnit is granted upoit the express condition that the person to whom it is granted and his agents, employees and worl�nen, in all Work done in, around and upon said building, or any part thereoP, shall conform in all respects •to the ordinances Of �'ridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildiag8 vyithin the city limits and this permit may be revoked a t any time upon violation of any of the provi�ions oE 8aid ox�dii�ances. �, ��. r �;� � � �� Bu�a�►s �necto� KarTx r��Tcx � NOTICE: . This permit doas nof cover the construetion, installafion for wiring, plumbing, gas hsating, ssw�r or waMr. Bs sun io sN ths Building Inspectar for separata permifs for lhese items. 0 � E NGINEERING 'i08 LAKE��,_i'��.IL> AvE'�'UC I � � ',/��. .e/� � GEOTECHNICS LAND SURVEYING F= O. OSSFO M�NNESOTA FHONE !61 2� 425 21 81 CERTIFICATE OF SURVEY For JQ.CK ��tt�L�1� � A►SSOC1�.�[ES Scale �,�_ �� D��rcv� �. M�;nument v�-/�� . �L�f 5�2EET Lo'[s 41�42 ,t3�oc�c �1 S Pe�raC� Cieoc�C PL�Q�C L�oo�-�ion\ �EC. 3,T�� 30, Z•24 A��o�� Covw��Y , M ��v M d � 0 0 m 0 m !o O 30 30 , , � � o_ � � � I � m m , I � ''o- ZG. -------- ,; rP¢oviIo�E`o,'y / yo�uSE � i 40�' I � � � � � � �� I hereby certify that this is o true and correct representotion of a survey of the boundaries of the land described above. It does not purport to show improvements or encroachments, if any. As surve�,�ed by me this 3�� _. day of A�G��Z_ ___ ., 19_11 CASWELL and ASSOCIATES � F�le No. �%4 3�o _ Bo:;k _.._ _4�t° Paqe _ 40 4 A /� '� . � F,ti ��: _ _ �� Minnescta Registration Nc. � � �Z ,�/ �__ __ c� �-1�S AP.PLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER � S NAME :.�� j�C %[� � i i� tnJ i- �sa^dCrA7 BUILDER : S� Y►~'� C. �� .s%�_ annz�'ss :_ S�9-b� ; ,=anrn�ss : G��_ t a f �'�'�l c� �o:. � � �.. STREET. ��y � LO�: `�/�- '�� BLOCK: /� � I ADDITION: S�iC'jr'u4��P�IC rF7�lC %iC�t/ TieN � CORNER LOT : INS IDE LOT : ✓ S ETBACK : 3 5 S I DEYARD : D w I D A�pplicant attach ta thie form T�ao Certificatea of Survey of �ot and proposed buil.di�ng locatio�n drawa on these Cextificates. H�SCRIPTION OF BUILAING To Be Used As: . �I.�V �I ��►^'�f F7ront: �U ` Depth: o� �, Height: o`� O t Squa7re Feet : j�j �{(� � Cubtc Feet: '� D�' �' � ,� Ki(2 iY� ei Fxont s �U P Depth: o�o� r Heigh� : �� , Squaxe Feet; �{�D � Cubic Feet: �l�/ � Type of Conatruction: F1214Y7y►e Estimated Cost: $ f�-- Z� ►'m � Gurayp i 9 z�.�, To Be Completed� �Gi– 1�. /�f'7� f��'(yeLL+'��/ 7 j.Z �'��-d To1�� p / y�s ti � The uadezsigaed hereby makes applicatian for ��ermit for the work here:Ln apec�fied, agreeing to do a11 Mo�k in stlict accordance wi.th the C�ty o� F�ci.dley Ozdiaance� aad suliags of the Department of Buildinge, and heraby decl,�,ree that all the facta aad representations atated in thia applicaticn are true aad correct. n�,Tr.: , S��pr ,�� 197j sicru�vas: (8ea ReverRe Side For Additioaal Information.j � . �% � �� % C� ,o — ,� � °� j l a i; = r�� U l r ,� � ,� f�,� ,' , � � 7 � 5 � ,_ ,�` , ' ;,�' - r: • ; �'` � V , �i f a � , . S�q7�P .Svr�'��, y9r° — <' , , ^ ` r- � i it/'=" ;�, r� / � � '� �- � (� S , � ; ; . , , �,,; � /t� !s' ; `" .° . _ . , � - , . � .: � , ,:�� .. ._ T . - � _ -"--�._ -:__ . /. � �.j.. ._ _ p^� _ +_.'�'•a-''. . ... vd'� . ..+t 7 � '.`} . . , F � � � -• e �. � r 'y f � - . . . F �� _.. Base Irt t � �ity of Fridley � � �►PP�iceMion 1� Plu�ng and Gas I�iM�q hn�ir ° Dept. of Bldqs. Pkon� 3�0-3�30 - DESCRIPTION OF WORE % � ,- �� C Idumb�s, Kiad aad Loeation of flxlur�s LO��°° `�y � ;�� `��` /� 3�I�Ii�I�I�l��lo�l� � 2nd 3rd 4th • Fux�� Coaa�clba Op�ai�s + N�w Fixlur�, Old Op�ninys ��V i�� IU' ��1�9 C IV' $� � I N� G STE11 MTEG. PARTIAL RAT� SCHEDULE S�w�r CMSpool PLDMSING FIXTURE RATES: NO. AATE TOTAL Number Fixtures . . . . . . . . . . . . . . . . � x 32.00 a /y, o O Future Fyxture Opening . . . . . . . . . . . x a1.50 a _ New Fixture Old Opening . . . . . . . . . . . x a1.50 S_-- Catch Basin . . . . . . . . . . . . . . . . . . . . x �3.25 E Water Heater ;Up to 99,000 BTU) . • • • �_ x �3.00 ; � � � New Ground Run Old Bldg. . . . . . . . . x E3.25 $ Et�ctric Wat�r Ii�at�r. . . . . . . . . . . . : :2.00 : GAS FITTING FEEB: NO. RA?E TOTAL lst 3 Fixtures . . . . . • . . . • • • . . . . • �_ : a2.00 ; � � � Additlonal Flxtures . . . . . . ..... . . . . . a = .76 ; Gas Ran�e to 195,000 BTU .. . ... . . . . ... REPAIRS � AL1'EAATIOtf3�—R�i�s to Cod� x aCi.00 { Descriptlon . . . . . . . . . . . . . . . . . . .. , . , . . .. . . .. . ... . ... . _ 'i"O'PAI.. FEE �--� ;CIIRf:NAR�F �_,5�j� City of P�idley: The undersigned hereby makes application for a permit for the �r�k herei specified, agreeing to do $ll work in strict accordance with the Ci4,T Qtdinance and ruling o! the Department of Buildings� and hereby dec2ares that ali the fact and representations stated in this appHcation are true and cocrect C� _ PYidley, Minn � � .� „ 19 � ,� �/-� �✓ f�"C_ � /V Y �t � �- ��j S �. C7 Owner Kind of Buildi � "�, � JCv Used as To be completed about �C�' ,• � � �/ Estimated Cost, a ��-� � �ld New„�f3ui2ding Permit No. Permit No. l �/ /� � �% � / [�/�/�T�L� ,� �i �T' /- ,'�5 Signed gy��.�/ �C.�'--� /.��u��iz,C' -._.. Business Phune No. -�3 :3 -`� �� ROUGH FINl1L � AppRcation 1�or �ow�r Ma�ts and H�aNng. Cooling, Yentitat�n, R�iEig�rstion a�d Air Condifioning S�aNms a�d Devic�s PARTIAL IUTE SCHEDULE GRIIVTTY WARbt AIR: !t�'1'E TOTAL lh�rnace Shell & Duct Work . . . . . . . . . . . a10.00 ; Replacement of I�rnace . . . . . . . . s � � Repairs & Alterations--up to =500.00 6.pp a----- - Repairs d� Alterations each add. :500.00 . 3.0U ;�_ -_ _.�.- KECH. WAR�t AIR �iirnace Shell da Duct Work to 190,000 BTU . . . . . . . . . $10.00 � each add. 60.000 BTU ............. ... .... .. 3.W i Replacemeat oi Ftirnace 6.00 � Repairs dc Alterations—up to 5500.00 6.00 ; Repairs & Alterations each add. =500.00 g,pp ; STEAM or HOT WATER SYSTEi[ F�rnace Shell & Lines—to 400 sq. ft. F.Dii Steem �20.00 �. ____ FLrnace Shell & Line--to 640 sq. ft. EDR fiot Water 10.00 a_ Each add. 200 sq. ft. EDR Steam 3.pO �__ ____!_ Each add. 320 sq. ft. EDR Hot Water 3,pp ;__ OIL BIIRNER—to 3 gal. per hour g,pp E � over 3 gal. per hour�ee Fee Schedule GAS BUitIiER (up to 199.000 BTU) b.00 = over 199,000 BTf7 See FN Scludul� GAS FI1'1'ING FEEB: NO RA'�'E TOTAL lst 3 FSxtures . xE 200 a Additional Fixtvres x .76 ; Gas Range to 199.000 si b.0� _ — AIR COIfD!?IOIfIl10 PAN HEATII�G sYS?tJ�[ VEl�TILA?IIfG sYBTEM ALTERA?IOI�S � REPA]Rs xovaH �trr�t[. 4� - 5 - � s— � /'(f ._fr-v SM F» Sc�da1� � ror�. pae s/ D.� CJ (SURCHARGE $_.5�� n.pt. of sia9.. rho.,. �o-�so ..� /'�'� _ �.l Cfty oi FYidley: " The undersigned hereby makes application for a permit for the worlE hereir specified, agreeing to do al] work in strict accordance with the City t�rdinance: and ruling of the Department of Buildings, and hereby declares that aI} t�e lacts and representations stated in this application are true and correct. F1�idley, Minn- �" �°- 1�L Owner _� �''� ._r��t-� � Kind �f Building _�_ '�� Use� as . . -- !iY!G'"d`E�'� �'"'� --�- - To be completed about ___._T�_�'� � � Estimated Cost, � f� a- ___ �= ----- — Otd New. Building Permit No. p�rmit No. +.� �0�� C��"v � �''„''r`�.� D�CAIPTtOIf OF WOAS �' team, Hot Water, Warm Air—No Trade Name �'z�-.�- 3ize Na �/� U� Capacity__ Sq. Ft. E.DR g� �" P�`� gp. Total Connected Load Rind oi PLe1 BURNER — 1�ede Name 3iu No CaDadtY 3q. !'t. E.D.R g� � (RfM�RKi—OVER) s�e�—�� d ��t..c,.vl � �t w4�� , H5 fi�' � suafneaa Phone xs- %�v —/ i(� L% , � . . . . � •' � �3-°1,-9915t?�1 ' �i�� t �i�leY ' .. . • . . , . , � ��yr � . . . ' '� C' ;� �..'�+i:r,+i �'�'�LJ {1 il�iii'`� ��r1i��J1S ' ' . �i�ry)C:`�:�1Q7 U�Y ��iIL �s:i ::� . v-�. ., ^ . ' .. � • � �,��,.,..;,..:.�.�.,....�.. Dopt. ot f3tdps. Phor►e S:'�.3;50 .•• r � D�5C�IP7IO2� 0: �';O1tI: � . Lo:a'�os � 72 �lv :��r�>i 1�� -- Nu�S.:. ::'� e..�� Lccr:�� ot Ftxi�_:es , � . , • • �� N Z:'" �_ � 7 ��t 7 8z�,�,z °� i 7z � tn is� �.�3� �:.;�� o�� 3t� u� �:� u$ E 3:r + 1,� I � ' c �.11gr11 2::� , 3:d ,. i �� ` Co: : :s::,d �its • FL`.:ts Cc�z:'.�.� C?:�c!r.� t }{iv �w:`lf'i• D�d d'/S:.iJ:�t � �...�.....��.. . � - PARTlr1L RATE SCHEDULE wATf� wT�l. o � ► N r,�s rut. � uc�wo: ❑ (it::.?G0� � �: L�f8I1;C iI:CTJ?E RATES: . NO. R1lTE . T07AL r•ti:rr,be: F�x:urc: ................ __._.. X �2.a�. s flJiN: e flxture t�,+enin8 • • • • • • ' � • � • ••�•-�� iC SL.vO S , -••�•� . �1�QW FlXture 01c1 OyrrJng • � • • • : . • • • �� x 51.50 3""��»"' — C�1C�1 �.ii�11 • • • • • • � • • • • • � � � � • • � • ...�.�• X �.is s t�'sler ile�ter'L'p to 99.000 8'!'U�•••• --- x:3.G0 S—.----�- � 1ew G:o��r►d Rua Old B:dr. ...:..:. .�---- x:1.25 S---�----- e� � S F.�.�CL�.0 Yia:�? ��.1tit� • � • • i • � � � � � � • ....�� i v�. il.S F72:11G FE£S: ' ii0. RI+ � 'I07AL • 1st3FixtLres ••••'��••••••� ..�....XSZ.� •�'�� . 1�ddiUonil Fiztures .. . . . ..... � . ... ._..—.---- x ; .T5 S C:3 R:: ;r to 1 r3.OG0 H ;V . . ... . . . . .. .—.;.—.—�— x SS.CO v-..------- City ot �idlcy:. . , The undersigned hereby rn3kes a�p�.Ica�on tor � T-e��t ��r t`�r Qo:Y he specificd, a� e c: ag t o d o s 1 ��' c: k :� s:�et �cco:�C4::ct wlth th� Ci�7 0�� . a.^. d r u l ia g oi the Deps:�mcat of nui�y.'a�. a:�d hueby declares Lhat s:I L�e � •, and t�ep:escsi,:tioas siateci '.a L�:s ZDFS�ai:o� =te true sr.d co:'rR�t' ,• , s�idley, bvaa_ <. � '� h 19 u� . Owncc ' Kind oi Building fr�.ms 0 0 ' :CtS. LjSCfj 15 r0 bC CO:iipleted 'about 5-9-76 Estirriated Cost. S 10 00 � _ p.:a:t:�a. �G'�� 0►d--New. flui:diny P�rn►it Na . — • Sizr.c , , . By O • - $USli11?°..S �1JTiC +IO � ROUGH^ FINAL `{ - `� - �_ % . � � . , 50 S'tate Surch�ge . PS?1:°3 k �L.:�°1171�HS--P.�:�r !o Cods . ' . . ,�� , _ -,, :,,,. , , .�:CT1y:i0A •'��•�•.•.•..•..:••....•.�..•..••...•.•.� r O . . • . TQ�rAL F'":.s. � . . • • . • • . � � . , . , , ' . • . � � , � , • ' . sue�ecr PE 1T NO. City of Fridley , 13592 � 1 ` AT THE TOP OF THE TWINS B U I L D I N G P E R M I T RECEIP t � ; v _.____ COMMUNI7Y DEVELOPMENT DIV. �/�/� 1 � � PROTECTIVE INSPECTION SEC. 1 � 14 � ��ti � CITY HAL� FRIDLEV 55432 NUMBER REV. DATE PAGE OF APPROVED BY � `•"-� � �'� 612-560-3450 910-F15 6/16/76 � ` JOB ADDRESS 2 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. A 42 SHEET �r 2 PROPERTY OWNER MAIL ADDRE3S ZIP PHONE 3 CONTRACTOR MAILADDRESS Z�p PHONE UCENSENO. 4 ARCNITfefaT�R DESIGNER MAIL ADDRESS � � 21P PHONE IICENSE NO. Jfi C 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION � REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK 9 CHANGE QF USE FROM TO STIPULATIONS 1. Call for inspection prior to any repair work being done.(after buiiding cleaned out) 2. Check for license renewal before work is O.K'd SERERAY� PERMITS R�QUi�iED' �t �fiRt�IG, H�ATING, P�.UA1�#NG Ai�U�'5�1,�'i� . SEPARATE PERMITS ARE RE�UIRED FOF ELECTRICAL, PI.UMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. OOd fI'�aICIe 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 720 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WI�L BE COMPLIED �q.��jOO 2.25 WITH WHETHER SPECIFIED HEREIN OR NOT. TFiE GRAN7ING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIO�ATE OR CANCEL THE pERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. Z7.00 PLAN CHECK FEE iOTAL FEE `�' �%��. .�� %C . l ��;, C �r /�� SIGNATUREOFCONTRACTORORAUTHORIZEDAGENT ID TEI N PROP L�Y �V IDATED THIS IS YOUR PERMIT . � ��°� ��/��: SiGNATUREOPOWNERUFOWNERBUILDERI IDATEI BLDG INSP DATE � / APPLICA'1'ION FUR RESIUI:NTIAL, ALTERATION, OR AllllITIUN BUII�llING PERMIT CITY' OP FRIllLEY, NIINNESOTA OWN�R`S NAME:"'1F1117P�I7 ��/.L��7�1� BUILDER:,r�CiV l t(:'�cS(.1C L(.GT��l% ADDRESS: �%d �,IU ADDRESS: c�%Z��i �`��SC`�ii ��' NO•. � %� 5TRE�T: ._/ LOT :�� BLOCK: f J ADDITION : � nQ�. `��K CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD: Applicant attach to this form 1�ao Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTIUN OF BUILDING To Be Used As; �r�'� Y' Front : Square Feet: Front: Depth : Height : Cubic Feet• Depth: Height: Square Feet; Cubic Feet: �',°li 0 T�pe of Construction: �1'� tCf�--I�Q I I� Estimated Cost: $��rj('i(� , p , To Be Completed; g�/(p The undersigned hereby makes applicatinn for a permit for the work herein specified, agreeing to do all work in stxict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and corxect. DATE : ��I� S IGNAT[TRE : `�C�� i�? _ l.�'L � ,l 1(.�-�� .i � (See Reverse Side For Additional Informatian,) � �. � r � �� . �:, � � ,�� . ,�-, � �. � �� .' � HOUSE HEATING TEST RECORD f�,� 8 ADDRE55 ��-�— ��/ .��`�� APT. FLOOR CITY SU URB� , OCCUPANT HEAT LOSS DATE HTG. INST. SOLD BY OWNER GAS CO. METER BAD� # r� ��r , INSTALLED BY { �`� �✓ // � - Electrical Work By Gas Line By TYPE OF HEAT GA FA �-�W STEAM SPACE HTR. UNIT HTR. OTHER y� GAS D IGN ,r .._ s CONVERSION MAKE -�=�i�=-��- - � �-E��-�- MAKE OF BURNER Model ,mf_ J.�.. U L'%d�� - Model Serial ,�'^'�- � " Max. BTU Rating (NPUT �� MAKE OF FURNACE Model � CONTROLS � THERMOST,�T. --=x�Q--Ff f Plug � Vent Size � Valve �' -�'�' �' KIND OF LINE�R �IZE NONE Limit r �_ – DrafT Hood Z%�/� Regulator Limit Setting '��'�� Fiiters Size I N�um er Fan Setting �-3�``�� Chimney LocaTion Inside '`� Outside Pilot Type _ -- Chimney Construclion .� C_-<. ' PilotMake �►` �'{ ='��, // Pilot Model �` $moke Bomb Wiring � o`�' Pilot Timing �'��-�'� Draft �' �-- Test Tag :� L.W. Cut Off oor Pressure Lighting Inst. Pressure �3� '7 Percen�t CO � ✓� ��ate Tested " Input CFH �� Perce�s��2 a'�� Company Testing �� Staek Temp. �� Percent CO , �� Name of Tester ,��'� Form 235 . � � , , . � . ' • 73-8u-�79o01 ' �i�'�� c�r �i�le�� ' .. . .. . : ' . ' • • 1, �fi R ; �l �:.�,� �,;� �� e`�' ��eT�':�i� ' - . ' � . ' a�1��.. 1fi!i1 �?il Ul«{ CIEf�:::•�. '��`.� . . . ' • ' ,�,,,,,,,,_l,,,l,..,._. Dopt. oi IIldq•s. phono S:'"J•3450 •• • . � , �. ' DESC?IP7IOIi O: V101�% � � �� ' • �'� a.tid Lecs=!�� ot FtxN_:e� .� . � . hu�5.:. • ' _ • C't f �idlcy' • M � � _ L " � _ � �` �.�t 7 $=�ui o� Z � : . " in i�� .�i� 3�;s�� Z� �'o�� t u �:�u� E�:r I ��. I �� I.. on ec ra e ��iN . �: � 1 .___. � i :� , ` Cc: .::s::.d �tt� • FL:':.ao Cca:c:t::a Cr�:c! ::z ' s Nav F1::�ar+. Old O-rs:sr•ss — ---..__' •_...-- ---- • , PARTIAL RA7E SCHEDU�E WATfI MT�I. o � � N r.�s cuc. �yo . Tkic ur►dcrsisncd hercbY � k:��7��ctL�cco:C�iCGt lth �N� tC t%v�J � spccificd, a� cc.ng to do a11 «c . a.^.d ruling ot the DeP:►::mcyt ot �ull �c�,�:►ire t u Yx� 1co�R�?t s'I L�e �, and rep:eac-r.tattons statc� ia L':is aDP •' , "r�idley, b�na 8-9—�6 Owncr Brustad � . , F{ind o2 B:Llding r ' �:ao: [] U�ed as res . Ccw�c.ol � '. . 8-,16-76 To bc completed about . . 2i0. RATE 'fOTAL ; LL^�i8It1C fl:CTJ?E RJITES: , ' x �3.4�. S ��.�t �XtUI�S ••••••••��•.•••'• x 51.50 S ..--- �i�i:! FiX�1lfG npcning • • • � • ••• • � � • .��'�'� • , X s 1.50 � r.�.�.. �..�..�.� . 1'ew FixtLre 01d Oy�ninY � �� • • �• � • • • �� C�tch Dasin • • • • • • • • • • • • � � • • • • � • x 53.25 S - e �Y:tcr i{ester 'L'p to fr3.000 8'I'U� �••• ----- x•3 fA S e � �ea G:o�nd Run Ol� B:dr. :..:.. •.• ------ x.=I.25 S_------ �:K:f.C�:a:�rY.w�w,•��•i••••��•..�r.`�.i ��•Cii� S 11.S :'I?;i1G FEES: ' H0. R:+ � TO'tAL ' x S2.fA S . - 1st3Fixtcres •••••�� ' � � x S .75 S � 1►c:.alU�nit Ftxtures .. �.. ....... .... ------ C:s R::ar to l�.OGO 8TU .......•••. ------- X SS.CO � — � 50 S'tate Surch�g� . ,. � £slimated C�st, S � • p.r�et ;�o.--�js� Old--2� F3uitding Petmit Na. , C; _.-.^ � SiZrcd . . �ti.; . , � ay � 8usin��*.s T'h.,r.e �Io - � . � ROUGH`_.,, _._.—� FINriL 1 '� 7�'—•—•-- . � o��:as k xL:�°J►710NS—P.�:�r !o coa� ' . � ' , . � y �!` .I:e:ctly::oi1 ....... ... . . . .. :...... . ..... . . ......... 0 � ' � _' : :". ... • ' . 'j�Q'r1�I. F�'.r.r+ � 5 �r..�— = . . . . , , . . • ' ' '. • . . . � SUBJECT PE IT NO. City of Fridley 1714 9 AT THE 70P OF THE TWINS g U I L D i N G P E R M I T �- f � � , � R IPT NO. � • COMMUiJITY DEVELOPMENT DIV. � � ti: ---^ � � r � � PROTECTIVE INSPECTION SEC. � � � � � /'�'1 � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE �OF APPROVED BV � '"'"�� `�� 612-571-3450 910-F15 5/18/83 � � JOB ADDRESS 272 Ely 5treet N. E. 1 LEGAI LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED oESCR. 41,42 Il Spring Brook Park SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE Kenneth Brustad 272 Ely Street N.E. 784-4358 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Hanson Builders 2926 - 8th Avenue Anoka 421-5435 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION O REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK t r Of i 9 CHANGE QF USE FROM TO STIPULATIONS Provide pxoducts of combustion fire alarm on both levels. Provide combustion air for fireplace or exi.sting furnace. 6e fo�e �j4 _ rF�£Py d'�an, R��H R� �NF, fl .�aU��aG SEPERATE PERMtTS R� t1I QLjRF ��TA�,�rl�ti�s HEATING. Pi.UMBIroG��;A Q S�� FOR WrRII�G. d 8y� Et� NS. �4 � TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIiiED FOR ELECTRICAL, PLUMBING, HEATING, VENTIIATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONEO FOR A PERI00 OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTtFY 7HAT 1 HAVE READ AND EXAMINED THIS APPlICATION ]. STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $`1],�L�OO $S.%O WITH WHETHER SPECIFIED HEREIN OR NOT THE GRANTING OF A PERMIT DOES NOT UME TO GIVE AUT TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE ROVI NS OF ANY OTHER S R LOCAL LAW REGULATING CON- $92 � r.JO NONE CTION OR HE PERFO STRUCTION. SPLAN CHECKFEE TOTALFEE �d' $23.13 $121.33 SIGNATUAEOFCONTRACTOF70FlP.UTHORIZEDAGENT IDATEI ` ! WHEN PROPERLV VALIDATED THIS IS YOUR PERMIT � SiGNATUREOFOWNPRI�FOWNERBUILDERI IDATEI � BLDG INSP ATE C1TY Of fRIOLtY �ffective �ug. 1, 19s1 APPLICAT•1Q� fOtt RESIDCNT1/1� 8Ull0If�G PLi�1]TS (Ne+,r. Alterations, Additions. or Repai�sj ONt{�R: �-e•��t��v-��ia�r� ��'us77�� ADDP.FSS: a7� c�y .�✓ � /U� . , —. �� o: _ 7 �� — � �� _ dUILDER: a�S o � '�<</ �'�i��/S � ADDRLSS: - -� %�--(� � ��c �-c . L�O�� — TE� No: _�� - s- � 3 S . Construction Location _. � ,-. . srwrsr No: o� %� crr�r: �� S dt/ � Lo'r= �i.oac: ______._,� �nirzo�t: Coznez Lot: � Ineide Lot: �r tetbac}; ��.^ -�''�.�.��, Sid�yazds: /d � 1►p�licar�t attach to t)�is ion� !we Certificates of Stizvey of lot and pzoposed building locatian drawn on certificates to scale. �ESCRIPT]O�t OF COI��STP.UCT10t� � — ��" e--�- ��x,s , c�-n . Front: �� Dept?s: /8 Height: � � --------- - 6quare Feets�� Q�bic Feet: _ d- 3, �`f� _.. , Front: Depth: Neight: aquare Fe�t: Q�bic Peet: ��sx �9,(.�� t �, y t�j o�. � ��U v •' l 1, �v� � � �� 'lype of Gbr.stzuctien s �it/oo F1'o�,�,� �stia+ate8 Cost: `= i � Rb 8e Cbr.,plcted: l�U�� w�� s " -��m S" _ propes.ed Dzive�+ay hidtA If Ncti► Openir�g Is Desfred: 711t. A l►1 t. 8 ._---_...__ : �_ SEL Rs^,VER;E SIDE OF SHEET . ��e undessioned hezeby ma);e� aPplicr►tion for a pez�it icr the ��ork hereisi specified, •gzeeinq to !b ,all verk ir, strict •ccozdsr�ce with the City of Fridiey Ozdi»ances e,�d rulii�gs of the Del�.�rbnes�t of Duildings, a ereby declares tha all t]�e facts and represc�t�tiens sta�ed ir� t?�is app]ic� on are true und �� ,�t ��s ��3s� .._._. - � , ati�i.cio�:� , �'��- �a� �� P.� �3.�3 � � S,� n �a��33 ___-- �� • �;�■�� __ � �• 1., , � ": .� �� ,/ / � �' J �� ' - I � '� � �, , � ., � � / / . �. . i � ` �� / Z � Z M i� f ¢a � C O a � ` �i b � � 4 � �{. •_ C � � O � J m EU z � � J Q � ' b xo = o� U , Z N � f Q •^- � = N � - 2 V 1 Y _ _ _ _ � t __..,.�_.__._. _ �_ � � J.'a � b ' �� a o . �y 3 : ti� 1 '� ��J � � � � N; ; i 1y J %�i. � Y10 x • � /� .. ._ .. . _. .�. `� � :� �% / ' � � \ � �� ! � : � � � "� �/ �� ~ i � , � � �// � � � � � � � \� ; � ' Yi � <�' `a� f � x � / � y `' � < :/ H ; � y / v� o � / '' ° h ac � � 1- � � '�� 3 sw i/, °� I � `�, � ' v � � � Q�� i ,v\ ' : �! , ( R . ♦ ,� , '�; \ f � � . .�J .� � �� . _ v ;�' !;I. 'i -. r , _: ; •. i � . � � , ; � � ___�-- - � y � ; � � 3 ; � �� ;-� i - �.� g oZ .'; �� b � �� , c1 � � � � ' i r��'� , � �� ,'L � b Q j �l, � �� f J�.� ; i L. � � � �� , �,5�' � r N � %' i' 2 �� x d� � ��, � �.� 4— i,r � � Q � � ' � . v,I � ; � 3l � s . � � r ,i t; ' � e ` �� — '� y � , ; 1�f�� =' ° � � ' � ' . • f w J� � ,6 . � � ,'•��: . J . � , _ i; �-- � - � � �1 ', �` � � 1 y ! � . � 0 e , .' t .e �\. , . � R � � � � � + y - . . � Y' • � ~ � `� � ` �. _ 1 � � � � .;� ' � � � � � �, I?; • � ., ;i` _ , � � --+.� . �'t `:1� _ 3 i . ; � - ' ` �. � � ��' _ _ •_� +�. S ' },.. _._�� `� _ i {,,`'4 . � ' t i i � � � � . . �� . }; '��,._ } , . + , ,. . ; ... � � . � �� . . .._ _ . � � .. . . _ `..� ��. � '. � . , . . � I : � �� ---- - � � � � � ' /��*+�� r i r . — _ " � z � ` +y � " _ J' `!/ � . . , . O 4 � h . � � , �' . . �:� ; , �; . �-,� , , .o ; ;, . �.. ��=��:: : � A J•� - � w ,... _;. . . � ,� —� � . .r � . � . •..:..__ _.. .----'.._» ..-.• . . . . "�— . . . _ . ENGINEERING _ '�?k't..>'-',� P`Je'�LF ( C A S W E l l�!,, ,, . GEOTKHN?CS . , -_ :^ .�v��^- LAND SURVEY'ING . oHONE o�• -� -`F CERTIFICATE OF SURVEY For J�CK FS�tV�1�J► � ASSOC�1�.��5 �' �' - �� ' � � Scale ��_ � • _ . . .� ,. � � �, � L�i %y 0 „ 0 S-�2�ET . �o O 30 �o � � i _ � 0 m � _ , "' , m L.c�s 41,42 ,3�occ �1 r S PQ�NC� CSQOCK QL�it� L�o�.-��o�\ za 5. �n � EG 3, 7•v p. 3 O, Z- 24 io.zS � A`�IOKA Covw�S y, ��l �►.� N N y v �. FovNoaT�onc Lo�ATeo 9�to/�i i i97 �,. E,c � �T i M C, �o:o N �: I . � � 1 �, � d� �OUNDFiiON � N I v � � + 40' �i �C� ` i� ! f�—� I I I I �v O .�'$'� � i hereby cert�fy that th�s �s a true and �orrecr rep-esentat:�n of ;, sur.ey of the boundories of the !and descr b�^ abeve It does not purport to shew �mprovements c;r encr�achments �t ony As sur�eyed by me th�s '� ¢� d�y of _- A��Z-- - - _ , �9,� CASWELL ond QSSOC��TE� ��e rvc d4 3�- i g,�.::. __ _ PO9` r � � � � , �/y 4 , C"i / � M,inr.f�-1G keg�5'r�ti�n '. � � �7 � . SUBJECT . P �'` � City of Fridley �� 2 2 2 0 7 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T " - i � RECEIPT NO. � � � � COMMUNITY DEVEIOPMENT DIV. , �,; ----- i� r � � PROTECTIVE INSPECTION SEC. ( � /'��1 � CITY HAIL FRIDLEv 55432 NUMBER REV. DATE PAGE OF APPROVED BV �"""�'� �'� 612-571-3450 910-F15 10/27/93 � � JOB ADDRESS 2�2 Ely Street NE 1 LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHED oescA. 41,42 11 Spring B,rook Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP Ken Brustad 272 Ely Street NE 784�4358 3 CONTRACTOF MAIL ADDRESS 2�P PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CIASS OF WORK ❑ NEW ❑ ADDITION O ALTERATION � REPAIR O MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof H:ouse (;3Q Se�uares) 2nd Layer 9 CHANGE OF USEFROM TO STIPULATIONS Rop�ing can be the_2nd layer but not the 3rd. Tnstall adequate attic ventilation, �?ro�ide s*.noke dete.ctpxs as pe.r I7BC �� 1210 adjacent to all slee�ping areas and in ba,sement� TYPEOfCONST. OCCUPANCYGROUP OCCUPANCYLOAD SEPARATE PERMITS ARE REOUIRED FOR EIECTRICAL, PLUMBING, HEATING, VENTI�ATING OR AIF CONDITIONING. THIS PERMiT BECOMES NUtL AND YOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTNORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED Ofi ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTFEET PARKING I HEREBY CERTIFV THAT I HAVE READ ANO EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORREC7. ALL PROVISIONS OF �AWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $2 � L�OO $1 .ZO WITH WHETHER SPECIFIED HEREIN OF NOT. THE GRANTING Of A PEFMIT DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING coN- $54.00 Fire SC y�2 =4O STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECKFEE TOTALFEE $57. 60 s NATUR CONTRACTOAOA , iHOA�ZEDAGENT IDATEi WHE ERI.Y LIDATED THIS IS YOUR PERMIT ' . _~ �D~Z -Q ..,., /e ;�?- 9 3 _ S�GNATU�7EOFOWNEA1iFOWN RBU�LDEA� - 10ATE1 BLr �N Q��: �1iTE NEW ADDN AL'i'ER [l il �J CiTY OF FitIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Effective S/26/93 Consbruction Address: �%� �� y s� �, �,l l� y%�� c5 5� 3 0� 4-- Legal Description: Oamer Name 8c Address: Co�mractor: Address: LIVING AREA: Length GAR.AGE AREA,: Length DECK AREA: Length OTHER: �. 1��i ',�<� L �y s 7` �-i�. ��Y_ y/7'/!?/ Tel. #%$�Y -�l��S� �, —� – - MN LICENSE # Tel. # Attach to this application, a Certificate of Survey of the lot, with die proposed �on dr.�wu on it to scale. DESCRIPTION OF IINII'ROVEMENT Width Height Sq. Ft. Width Height Sq. Ft. VSiidth Hgt/Ground Sq. Ft. � � � s� �S � /i � u- v < �-`Z�,' h � � �i� �l�-v �.� � "�� _ � �x� � � ,� Y� Corner Lat [] L�side I.ot {] Ft Yd Setback 'i�pe of Constcuction: Approz. Completion Date: Driveway Curb Ciet Width Needed: Ft. + 6 Ft = (�-� �� side Yazci Setbacks Estimaied Cost: � 'z �/ ' `�� ' (Cost on Back) Ft x $ _ $ / „ J,__,.....:-l-7 DATE: �G/� � 1 APPLICANT: �n ��-�--- � � Tel. # �i $ �'' � 3 �� Petmit Fee Fire Surcharge State Surchazge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TUTAL f i c^�- S ��/ , Fee Schedule on Reverse Side $ �`f% .001 of Permit Valuation (1/lOth%) $ � 2= $.50/$1,OOU Valuation $ $750 psr SAC Unit $ °–�--^ $5.00 (State Licen.sed Residential Contractors) $ Alt. "A" or Alt. "B" Above $ Conservation Plan Review $450.00 $ Fee Determined by Engineering $ Agreement Necessary [ ] Not Ner.essary [ ] $ C�c � STIPULATIONS: CITY OF FRIDLEY INSPECTION DIViSION Effective On January 1�, � sss 6431 University Ave NE Fridley, MN 55432 APPUCATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE Residential � �Yc� (Q,�, ;�arygcr� Furnace Shell and uct Work, Burner � Also Replacement Furnace (Side Vent - Fill Out Back) Gas Piping�leeded with new furnace) � ��2 Gas Range Gas Dryer *Air Conditioning - All Sizes All Others/Repairs 8� Alterations (LIST ON BACI� 1% of Va(ue of Appliance or Work Commercial/I ndustrial 1.25% of Value of Appliance or Work Rate TOTAL $ 30.00 $ $10.00 $ $10.00 $ $10.00 $ $ 25.00 $ State Surcharge TOTAL FEE JOB ADDRESS Z�j Z. �-' l� S� The undersigned hereby makes application for a permit forthe work herein specified agreeing to do all work in strict accordance with the City Codes and rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true af d correct. � /:Z Z ,1998 OWNER �C �.c. � �as �°-d BUILDING USED AS ESTIMATED COST ,Z � d 0 PERMIT N0. /_� ��/ DESCRIPTION OF FURNACE AND OR BURNER $ No. �f Heating Units 1 Circle One (Steam) (Hot Water) (Warm A Trade Name ��`�,g ,; � Size No. BTU ��.a o c� HP � EDR $ Fue! �Q„�- Toia! Connected Load $ .50 Burner Trade Name Size No. ��1 HP EDR ��S�l� � MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATtON REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. HEATIN MF Signed ' Approved By � FILLOUT BACK SIDE REPLACEMENT FURP � Rough-In Date Final Date � -- �� `/�' _J STACK VERIFlCATION ON CITY OF FRIDLEY INSPECTION DIV. 3431 University Ave NE Fridley, MN 55432 572-3604 APPLICATION FOR PLUMBING AND GAS FI7TING PERMtT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR Effective On Jan 1, 2000 PLUMBING FIXTURE RATES: New Fixtures � Old Opening, New Fixture : Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater -Electric Water Heater - Gas�' Gas Range"* Gas Dryer** Back Flow Preventer Required ()Yes () Nc Type NO. RATE �— $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ �%.0� $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 $15.00 Reinspection Fee $47.00/Hr ' ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance State Surcharge TOTAL � � JOB ADDRESS �$!*t� �'s aui�J�� The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the city codes and rulings of the ,B,uilding Division, and hereby declares that all the facts and representations stated in this application are true and correct. BRUSTAD, KENNETH 272 ELY STREET NORTHEAST FRIDLEY, MN 55432 Owner _ (763) 784-4358 Building Used As ��a1�%RY C�t.. q /3t� ,2oal o,o /' )/ Estimated Cost ��' ' PERMIT NO. / :�` l�' � , PLUMBINGCOMPANY OI��LLdN` �LUJ�GIA�(i �� SIGNED BY TEL N0. Z" Approved By Rough-In Date Final Date ��` °� !'� �' /� MIIVIMUM htt tYJK AIYY F'WM131NG/GA� PFRMIT 1� �z TOTAL FEE $�• 'r�Q PLllS THE 5.50 STATE SURCHARG� COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE �� ITY OF FRIDLEY INSPECTION DIViSiON �431 University Ave NE ' Effective January 1, 2003 -ridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEA7ING, COOLING, VENTILATION, ;763) 572-3604 REFRIGERATION AND A(R CONDITIONING SYSTEMS AND DEYICES EAX (763) 571-1287 : RATE SCHEDULE 3esidential Furnace Shell and Duct Work, Burner - Also Replacement Furnace (Side Vent - Fill Out Back) Gas Piping (Needed with new furnace, but not replacement) Gas Range Gas Dryer :. JOB ADDRESS a-�a �,�� , S�� '� Rate TOTAL ` $ 30.00 $ � - $ 10.00 $ � $ 10.00 $ Y $ 10.00 $ *Air Conditioning - All Sizes $ 25.00 �� ,� �+ V'�l-rv� °�jl_ U 3 d o� ��.�To t� All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work �ommercial/lndustriat 1.25% of Value of Appliance or Work State Surcharge TOTAL FEE VIINIMUM FEE FOR ANY HEATINGICOOLING/VENT{LATIOtV 3EfRIGERATION/AIR CONDITIONING PERMIT IS $25 00 �LUS THE $.50 STATE SURCHARGE �EINSPECTION FEE $47.00/Hr �Air Conditioners can not be placed in a side yard without �vritten permission from adjoining property owner. $ �S •� $ $ a-S ' C�o. $ .50 � as�s�' OWNER �Le�n � �r� ��-a-�- BUILDING USED AS �e5 � � � �e � ESTIMATED COST oZ �� C U PERMIT NO. �(��f DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Trade Name Size No. BTU HP EDR Fuel Total Connected Load Burner Trade Name Size No. BTIJ HP EDR The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes an rulings of the Building Division, and hereby declares that atl the facts and representations stated in this application are true and correct. DATE �o - a 3 � C�3 CenterPoint Energy Minnegasco HEATING C013562 Central Ave NE, Anoka, MN 5530% Signed �. � ` ' FAX # 763-757-6701 Approved By Rough-In Date �7 02 � �� Final Date o��o �� FiLL OUT BACK SIDE FOR STACK VERIFICATfON ON REPLACEMENT FURNACE sue�ecT P MIT N . City of Fridley 33912 AT THE TOP OF THE TWINS g � I L D I N G P E R M I T r � � RECEIPT NO. � • COMMUNITY OEVELOPMENT DIV. ' � a: --_._ , �/, U r � � PROTECTIVE INSPECTtON SEC. � . � i_--_�; /"' �'� CITY NALI FRIOLEV SS132 NUMBER AEV DATE PAGE OF AP►ROVEO BY L 763-571-3450 910-F15 9/23/03 / / JOB ADDRESS 2�2 Ely Street NE 1 LEGA� LOT NO. BLOCK TRACT OR AOOITION SEE ATTACMEO DESCR. L�1,42 11 Spring Brook Park SHEET 2 PROPERTY OWNER MAIL AODRESS 21P PMONE Ken & Diane Brustad 272 E1 Street NE 763-784-4358 3 CONTFiACTOR MAIL ADORESS ZIP PMONE LICENSE NO Custom Remodeiers Inc 474 A ollo Dr Lino Lakes Mn 55014 651-784-2646 1748 � ARCHITECT OR DESIGNER MAIL AOORESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADORESS ZIP pMONE IICENSE NO 6 USE OF BUILDING Residential 7 CIASS OF WORK ❑ NEW O ADDITION O ALTERATION p REPAIR O MOVE O REMOVE X 8 OESCRIBE WORK Reside House; trim; replace 7 windows within existin o enin s 9 CHANGE OF USE FROM T� STIPULATIONS Per Section 1402, 1997 Uniform Building Code, requires that a weather resistive barrier be placed over exterior sheathing to protect the interior wall covering. Exceptions for this provision would be if sheathing is an approved weatherproof panel or when the s�ding is an approved weather barrier. Vinyl siding is not a weatherpraof covering unless the manufacturer states this in their applicat�on guidelines. Call for inspection of wrap before covering or take pictures. Caulk and flash all exterior openings. Provide smoke detectors in all sleeping rooms and on aI1 levels of the dwelling per Section 310.9.1.2 of the 1997 Un�form Buiiding Code. Caulk and flash aIl exterior openings. ��a�t Insp�c��on Card� �!i �� ailed 1YPE OF CONST. � � �OAO SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING. VENTILATING OR AIR CONDITIONING THIS PEFMIT BECOMES NULL ANO VOID If WORK OR CONSTRUCTION 20NING S�. FT CU FT. AUTHORIZEO IS NOT COMMENCEO WITMIN 60 OAYS. OR If CONSTRUCTION OR WOqK IS $USPENDED OR ABANDONED FOR A PERIOD OF 120 OAVS AT ANV TIME AfTER WORK IS COMMENCED. NO DWLG. UNITS OfFSTREET PARK�NG I MEREBY CERTIfV TMAT I HAVE READ ANO EXAMINED THIS APPLICATION STA��$ GARAGES AND KNOW TME SAME TO BE TRUE AND CORRECT ALL PqOVISIONS Of LAWS VA�UATION SURTAX AND OROINANCES GOVERNING TMIS TYPE Of WORK WILL BE COMPLIED WITH WHETMER SPECIFIED HEREIN Ofi NOT THE GRANTING OF A PERMIT �19,355 $9.GH DOES NOT PRESUME TO GIVE AUTMORITY TO VIOIATE OR CANCEL THE pEqMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER $TATE OR LOCAL LAW REGUTATING CON- $TRUCTION OR TME PERFORMANCE Of CONSTiiUCTION $321.25 Fire SC �19.35 PLAN CNECKfEE TOiALF Lice:�s C $5.00 $35 28 S�GN�TUQEOFCON'P�(;TOQOAAU�M0�7iZEO�GEN1 iD�iE� MEN ROP ALIDATEO T IS IS /V�OUF RMIi (/�/ i �� S�GNOivaE O� OwtiEQ ��c OwrvEa Bw�OEa� �O�TE� B� �ti5o ncr , • NEW [ ] ADDN [ ] ALTER [ ] ��X� ConstructionAddress: Legal Description: Owner Name & Address: Contractor: Address: �� Effective 1/ 1 � 99 CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION I�':.�7:l�9/'Lr ( �� i, i r.�� I � � Tel. # 7�D �- 7 g' �f -� 3 S MN LICENSE # I % � S� 5 � 1 y Tel. # 5 l' �" d� 6�� Attach to this application, a Certificate of Survey of the , lot, with the progosed co;istruction drawn an it to scale. DESCRIPTION OF IMPROVEMENT .; LIVING AREA: Length Width Height Sq. Ft. _ GARAGE AREA: Length Width Height S�q. Ft. DECK AREA• Length Width Hgt/Ground Sq. Ft. OTHER: - , . � . _ Construction Type: � Estimated Cost: $ � I�- �� --_. R � , - � � � (Fee Schedule on Back) , � . Driveway Curb Cut Width Needed: ` Ft. + 6` Ft = �- Ft x$ � _� - .. . _ , . .. .; • DAZ E: J I �' � � APPLICANT: � Tel. # �� i' � � � � � CITY USE ONLY � ` Permit Fee Fire Surcharge State Surcharge SAC Charge . Licezise Surcharge Driv��way Escrow Erosion Control Park Fee Sewer Main Char�e TOTAL STIPULATIONS : � Fee Schedule on Reverse Side ,, $ � $ � '�') � `J �� .001 of Permit Valuation (1/ l Oth %) $ `� .,�0 5� $.50/$1,Q00'Valuation _ _ - __ _ $ $1050 per SAC Unit $ �j , � v $5.00 (State Licensed Residential Contractors) $ Alt. "A" or Alt. "B" Above $ $450.00 Conservation Plan Review $ Fee Determined by Engineering $ - ,�.greement Necessary [ ] Not Necessary [ ] �j �� D _ . . . $ �. Y ADDRESS PIN LEGAL DESC PERMIT TYPE PROPERTY TYPE CONSTRUCTION TYPE CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 s�z-36u4 r��: : 272 ELY ST NE : 033024310103 : UNAVAILABLE : LOT BLOCK : BUILDING : RESIDENTIAL : ROOFING ' VALUATION : $ 2,778.Q0 NOTE: UNDERLAYMENT AS PER STATE BUILDING CODE. REROOF HOUSE & GARAGE (24 SQ) TEAR-OFF APPLICANT I BRUSTAD KENNETH J& DIANE M 272 ELY ST NE I FRIDLEY, MN 55432 OWNER I BRUSTAD KENNETH J& DIANE M 272 ELY ST NE FRIDLEY, MN 55432 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of wor� will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating co� tr`ucti or the �e rmance of construction. Annlic ` ' `°� "' Date `� �3 �'S� aa� - s�i-iz�� °--�, PERMIT O.: 2004�004�� DATE ISSUED: 04/13/2004n � /;?Q �z � BUILDING PERMIT FEE FIRE SURCHARGE STATESURCHARGE,VALUE TOTAL PAID WITH CHECK # 12213 Bldg Insp Dat� U �'4 , SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. ,� 83.25 2.78 139 87.42 NEW [ ] ADDN [] ALTER [ ] Construction Address: CITY OF FRIDLEY 6431 University Ave NE, Fridley, MN 55432 SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ��y s� �` ��1�.� Effective 4/1/2004 (763) 572-3604 Bldg {nsp (763) 571-1287 Fax ` �r�_.�,�`�c) T�-' GZ2�u b �� Legai Description: � Owner Name & Address: � �� - � �� Tei. # `7� � � �`� `f �� Contractor: MN LICENSE # -�"—' Address ^ �-- Tel. # `�— LNING AREA: Attach to this application, a Certificate of Survey of the bt, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width HgUGround Sq. Ft. OTHER: �� a o-� f%rsv y-�- c� Ga r� 2�--� - T-�y,- O�--� a��y� / Construction Type: �.�,Y� � a�� Estimated Cost: $ �� Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _� DATE: �' �3' G' � APPLICANT: ,�`a�� .*� ��? Tel. # `I � � �� Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will call you for card number. Permit Fee Plan Review Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge � c �_.�� . $ $ - c �, � � Cy �! $ $ =� $ $ $ $ CITY USE ONLY - Fee Schedule on Reverse Side 65% of Permit Fee .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1350 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] ;< TOTAL $ - STIPULATIONS: �4`�`�. �� WALL COVERING FLASHING AND WEEF 1 IN.-AIR SPACE OR 1 IN.-MORTARED SPACE� BUILDING PAPER OR APPROVED. WATER-REPELLENT SHEATHINGb METAL TIEb FLASHINGg W EEPHOLEa. \\\`��/ � \�� /// �\\\�//\ ///i \\\ � �\\\ �/// �///� 1G 1�.�� `� � �� r c�c�Q ' For SI: I inch = 25.4 mm. '�. FIGURE R703.7 BUILDING PAPER OR APPROVED WATER-REPELLENT SHEATHINGb WALLBOARD ANCHOR BOLT GROUTED FULL C/�' � � ♦ � �� FIGURE R703.7 MASONRY VENEER WALL DETAILS (continuc d) 2000 INTERNATIONAL RESIDENTIAI CODE� ' � 205 __ _ ___ __ Rpr 09 04 01:25p Jeffrey Martin 952-892-0341 p.2 r ' �� -- L� � , 1 �� U�� , � � �f � ��c�� uz� � -� � �� , ,�' � � � � l ' I�D "- �� C� Y�� - �� a � � L�.,�l l� �� %7 , . Z��C�� .: ;� �-� , �C , � ��?�? �. �C � - '� � �� wi ��/� . ! �C UC- �S �` �' -��3 . � .� J • ��