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J � . . . ,.. . , ` ' ,:' , � . � ,�ouR p�A+U X' S � .��1�YNG ,BRoo� ,' �I pDl7'!U� � . ,. ,•;�' � I herebq certify that th is eutvey, plan or ;/��!i�OKA �1 L+(�P�/�l %Y�'' ,��N�!�'sor,¢►; � !'; :' rcport was;prepared by me or under my direcc � � � � � a •; � � : � �' � "' ! � pervisio.d and that I am a duly �egistcred i , ' � � �: ,, su ' ' ' � � ' ' � �� ,� ` �. ? i ,,( ' 1� Latnd 5urljeyor under the laws of the ate 'I � ' � I v ' 'I. � `�' t ; �,ti� t �, .I i u �� Y +�. i ` `, �� � �i `Y`l CSGiB� , . i � ���1,! � � �I. � � t � i " 1. , . ��.. �I . . , . b'4�:.! � �I 1 '� i' •'� • ' ' �. i , �,.. � . �' 9 i � . ,�� , � , � .� � ' ; � t 'Z,•�' Re�„ No � �....r- � : .',.��. ' .. .. .. . � ' � -- i I � � i' i .� . , , � .� .�� ._ . �, , SUBJECT PE . c�ty of Fridley . 12090 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r O : � �� ��� � • COMMUNITY DEVELOPMENT DIV. � �v _-_'�-� r � � PROTECTIVE INSPECTION SEC. ���� 1 = i � /�"{ � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY �----� � �'� si2-5so-3a5o 910-F15 4/11/73 � � JOB ADDRESS g110 Fairmont Circle N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 1 Bourdeaux's Spring Brook Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Jerry Hodd 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Castle Homes Inc. 7613 Central Avenue N.E. 55432 4 ARCHITECTORDESIGNER MAILADDRESS ZIP PHONE LICENSENO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. 6 USE OF BUILDING Residential Dwelling 7 CLASSOFWORK � NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construction 26' x 41' Dwelling and 26' x 24' Garage 9 CHANOE OF USE FROM TO STIPULATIONS provide a hard surface driveway. Provide a verifying survey before capping. SAC charge of $275.00 paid. SEWER L�ATION: 92' W. of Ma.nhole WATER LOCATION: 10.1' East of Sewer Service TYPE OF COPIST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. WOOCl ET3IIlC.' THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORRED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT jt-], 1066 27 352 ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CEFTIFY 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 WILL BE COMPLIED. 21 SI.S.00 y� �.p.7G WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT � DOES NOT PRESUME TO GIVE AUTHOHITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE PROVISIONS OF AIdY OTHER STATE OR LOCAL LAW REGULATING CON-. $Sl.00 $L7S.00 STRUCTI THE PERFORMANC F CONS . UCTION. s'� . � PLAN CHECK FEE TOTAL FEE ^ � y l.��-' �/—/L - �3 $336 . 76 SI�3i EOFCONTRACTORORAUTHORR6'bAGENT (DATEI y�F{ PER Y VALIDATED THIS IS YOUR PERMIT - I �� „ SIGNATUREOF OWNERIIF OWNER BUILDERI IDATEI BLDG IN5P �ATE ...�,. �fil,-4..ai: ,. .�'�,�'.a�Wwr�saeiKww.e�?�v���i°rpt"�ow��..po-��.iy��..�a..• ry...q.�p.'U.uix�A�.rii.qi�crwa6M,,.a .,.r� �t w b '�- , ..P :.h . , .... _ . . ... `�. + �-� r � Y � /�e c�c� ` " . - C`�I��S . . .• . ; � . � . • �� . - ' � � • �������� . �fd��s ����..�� . ��� .t . .' ���i6����� �� ���� .��1������'� . � . ; ' ; � � O O .. W �ST- :' - .; ! 2S � �1���: �STR� F'T" .,; . , � � - BURNSVIL�E, � MlNNESOT�1 : . . • . M1 [./�� %�� VS.,. / 4 D �'�,�� �C�r�l�icc��`� �f:�.;Sr��v�� �'o�____; . - `y . .;i�. . ., ' . . . . ` �.�. ;'-�- �'A/ . 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':�� D�eN��E ,��ci�'�t�TY -;: . , ,� � ��A����G� �S���t��� � �,�7�,� s�F��'dd?r i . . , : . . . � a_..r,� � . , , �° ��� �' �.��AO/� �, � , . � _ , . � � . . � � � ��.� �„�'� � �' t� � , h'� ' . � �^ r� � i. � � � � . � : `, �.,'�'��� � &�`��=�4 � � ;� ��`,�+���' �� ���� '��'��'� � /��'� . ' I herebp ;rertify that thls survey, plan or ,./��`?,���i'd"� �.�'G��a�. �� %�,6'�i�'��$ v�",�`�c ., rrQort was;prepared by me or under my direct �:� �: ' ''� supervisio� and that I am � duly fie�istered �� ' �� ' Land Surireyor under the laws of the tate ,���vr�i !'"r� .c P a �'r� ` 457� � � 7'� t ..3 . �i�� 4 � r • of M' escica. �,�. - . ; i •.t ' � ��.P � n � , - � � I ,.. .. + j r . , . � i . . � '�—� ^�,r ��` J � � , I '; - , • ' , . a�at tie�. ri0 , ,. . . . : . . ,, , . ., � , . . . , . . . ;. �' �- Ps t �1��/� ��-/o� �� � �, ��-��� .� � �y��-�J G��' � ��. �v_�- �� % � � � � �a�-�� � � , � � �������rr� � � � � �� � ��.9�-��e ��-�,�•� /� ,/� �� o � �€� �.� ��,��i � � � , �. , ,, �� � O��' AP.��,���q�'IPJ�1 ���I RE�IAE�1����,. ��T��ATI�F1, OR �1TIAITT0�1 ��JILDZ�tG ��I�T�' C�TY OF PRTTl�,�Ye M�NN�54T�1► OWPTE�' S Nl1�#E s 7'� � p Y �/%�d ,, �T 7���yp s,�4S � o M w s •s�c , DRJ�J.Y/L"�i� �� � � � �r i en er �n��ss • ��ss c�.11�3..� o[� �R��rn�,� ��P. �l � }�1 ! � Q ¢ , . � '°'' ' �V' �l�� � � ^���r�.a�1AI w� � � i { �T _ _ � x _,,,� $LOCK � I �#A���ZOY+i � �e Ca rd @/a UY'S ,s�P?'l.V+9 , Q, v o o � �, � LOT: Y �� LO`�:,, SETBACRII � SIDEY�IRD: I$'�- � p e.AY - �.S ` ���,�� ��� �����,io Certificates of Suxv@Y o� Lpt au►d propp�ed bm�i,�.�% �.�t�o�t� dr� o� t�ese Cartificates, � �f���Fi��TIQN OF BUILDING �o � t�a� Aa :���/9,�.� �.4 ivir L Y �% t� �'=� � � D�#� : '`F � � ��►t � �:,,.,.f �°-_ ._� "` �r �._.,�.....#L� . �, --.�..,-.�-�.�.�.,. _ _ Y � �-`�' � � . �: � � '. Sq�Ce �'+���,� /��� Cubi� �'�e�3 �dr�9��. Framtt 2 �,�, Dep�h;�,�,` Hei.ght• � � � ._... � ,� � •_.,.....�.._ . �quax� ��et ; � 2 � Cubic Feet s �'� v� �o��9t-st�c�i.�A� t�A/w�,� E�tim,a�ed Cos�:.�.��� ���r �O r,,� + � , , ' � -, ,. � �� � ��+��e�a „ / / � L ,.�1 ? � , _______._ ° � � � a�c�rac�i�n�d herebg �c+� a�gliyc$t.�� �or, a pe�t €ox th� w��k be�re� #��,;�#� a,gxea;La� �o do a��, �1oi�k is� stt�.ct accordance witl� Che G�ty �� F��1�' t���e8 $ad ���� �+� �+ ���e�� c�f Bui�d�n�a, �ti �te7eeby +dl�la�e� � a11. �h� �acts �ud ��re�eatatione �ated � t�ie a�►l�,catiam � � a�d cprrecC. . �,�, � 9— 7.3._.,--�-_-� s�t�r�,� : � , ��+� �+�►�� B�d�r Foa 4�1dd��ona2 � ,i: �, � .� � ��., �� ., � �,.`, �°,�, � � Infas�acian.) �l i,, ;.� � ` � � � � v � �: �� �. a BUI��TNG P�RMIT F�� ��H��U�E S��Q� 2. Th� I�epecto� pf �u�ldinga s��l�, be�oxQ �asui�g germ�t� far �he ����t�on o� a�y bu�lding o� s�ructure, or for any addition to any �ist��� ����d�� o� struC�ure, ox fv� any alteration ox xe�airs to a,ny ex���i�g ��s������ o� st�c�uxe, upou �ppX��ation theref�se, requ�re �he paymeat by �tie ����i��t fp� such per�n�,z o� �ees �o the a�tount herein below aet �ar�h �d � ���; �e� h�x�e�.� p�ov�ded � �v��wwi� z U�9'dFORM �U�LDTNG COAE� 7.j'Pe �.e 2 bc 4-$2.15 �or each axae �t►ous�c� cubic �e��, p� f�actipn th�fi�a�, in �uc�a cubical contents. �.`ype 3& 5-$�e85 �o� �a�#kt o�s �%pc�usand �,b�.c ���t. . ��D � T ��O1�A,� � �iF1��aMAT � ON Fp� �� �u�pQpe of ��apu�i�,g �ees for building perenits, the cubical contents of atiy building or addition, i� det�traiined by mui��.ply$n� the �xound area �ave��ci. f�'om � poi#�� s�x (6j inc�es below the flaor line Qf the basement &►�,* fi.�e ����a� to �%e average he�ghts of the upper surface or to the avera��.� ��8t c�f �e �oo�E �a��'face o� �he uiaiA gable pf a, pi�ched xoo�, .� ��i�rs o� al�,�����o�� �S aa� existin� s�su+�tta�e9 �a� f�� shall be �+� �h� �r�.�� v� $3.00 �e�r e��h f�ve h�dsed dollars {$�OUof10) � f�,��ion tharsof �,�n �il� ect�� a� a�.l p,�Qps9�ed wo�k„ ?� � ca� sh��l t�� #e� fox at�r pexmit as se� fo�rt� �Ca 5���#.o� 2 ba �.�s ��n $3. �. � '�7�3�����TiQ�1 0� �C9�iNAA'iI(3N Dipi�s ��s�.ts �Qx �cr�tst��t�oa� will be i�$ued a ���Cma�m of' �4 �c�urs ��a�m �i�►e �Ma o� applicatia�, �o �l�oa� fox prv�e� review of �he �xapased ���usture �d �� �e t�st�uation �si�e. ' � ��'��� Su�v�y o� �� �.�� ��in;� ti� �.oca��; c�� �h� �auuctatir�, o�ce �,� �� �a� �.s�it�edm �riil � g�uir�d be€oze �roceedin� w�.�la �� fr�i�„ , CI�R�'�F��A'�� pF lJ��i��AN�CY �i� �ic��ic�; �� a�C���:�iaataa �� Oceu�ancy shal � bs m�ac�ea Cea (iQ) �a�� p�i ox �o�t i� • i��e Qz �ccu�a��r a� �ty �#'�.et�ure €�r whiah a bui.ldia$ pet�a%� ha� b�en isstted3 �ud s�,��l a���u� �}�ai$ �ot be used a� occup�ed uzttil a Cc���ificate af 9a�upaz��y Ia�,� been �s+qustd, w. 'r � i � , �o � s s . � 0 < � � � � c � � � � � � � .� �� v � r � � � � � �� O � Q � O �►��� ���° � � : � � � �: �. � � m �� ���� � W x � � n� � � •°= ': '. 'd S' � � � � o ffi� ��� � �� i� � �. •� � « °' � ° 8�8 �, M M !A � �o 8y r H n �� � O � � c � � � � : � � b �, , r , Or a r . ee � � � � � � � � � � a a � � x < � � o .�, � N �" A � y Wso���� ao �° � � �° R° � y°� ��� � � � d �� ���� � �c o � �o� � ��:�� � �. � N � � � E ° � � �� � � � � � � A � � x e � � 8 $ � 8 $ :A M � tA � � I! � �: � Q iti � » � � � � � O y � m � � n � � � `� 0° i A � � z � O (� s � 0 � 1 O O '� �� � �. S � �� �� � � i� R� � � �a�,�� � � " � � � �°�g� m��ge � �� �� s a�p : � Mq O p � : O � � � � � � � � o 8gg�s N M _ s � � � � H � � I � � w � � � � z��d����� ���� � ��° �� �a� � � o � � � �� �� ���� � � � � � mo �«. �$. O . 8 . : w � � o � s8gs� ri � � 1 � li �p �A.. O.O. n � ���p� � � � CL y� m OQ � "� M,�,�0"4i ", e' o m �' �' � � doo � � � �. �m a� fD .�`�i O � a. � � ���� �. � y ~�O'1 � � b �...� 'O d�m �'d � .'+.. � o- �� � � �w�p �''�,o � ;; � ���m �� ��� � ~ ��� ��� 5 ; � � A �. � ��� D � � � rii ci z T C �n <� -r � � � � � � � �. �_ �' N � l��� � � �.: D p�;a_'DCpi i� �'^�' �, � � n ,• � `�� � �j� // G�- ��� . HEAT C�'SS C,4LC�'LATIONS HEATfiVG � AIR C�iVDIii0�91�G CO. MINNEAPOLIS, MINN. Weatherstrips :,.S.H.V.E. Construction No. Insulation Windows Doors Guide Out. Wali Int. Wall Ceiling Roof Fluur Kind HowApplied Reference - Yes-No Yes-tio �g FI��`���d��;- Poom Length Width � Height FI. — Room Lenyth � Width Height V'Jindows and Doors-Crackage and Area VVindows and Doors-Crackage and Area �J��. lV�dth��;�. . No. o' Lm�,al ft. Area N�. W�dih Heiqht No. ��f Lin�:::l ft. Area � of p�inc: i ,.� •�, lights uf crar.k sq. it. of p:�ne nt pane� lighls of r. . r_k sq. fl. - � --.��) � �! ,i� I � � . �;) � � / �� -� E� �� �-� Btu Infiltration Glass Exp. wa I I � Net exp. wall Int. wall Ceiling�� Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area �� FI. �� Room Length � Width � Height Windows and Doors-Crackage and Area No. W�dth He�ght No. of Lineal ft. Area of oane of oane liphts of crack sq. ft. Infi Itration G lass Exp. wa I I , Net exp. wal I Int. wall Ceiling p F I oor Total Btu. � Required sq. ft. E.D.R. or sq. ins. W.A. Leader area ,FI. �'r�y� Room I Length /� Width Windows and Doors-Crackage and Area WidTh He�qht No. of Lineal ft. Area No. ,. _..__ ,.a ..-..... r._�.... ..s .._....�. �., F. Infiltration G I ass � Exp. wali � /-x- --------� - Net exp. wall `'7� ` Btu Height oefl B tu � Int. wnll---- -- ----------- 1 - - --�-- --- --- �e,���,, ���' i1 _---- -- ����nt f . �� F lu��r --- ----- L�� _ Tr�tt�l Btu. -- — ,C��� f�-- _t Required sq. fL E.U.R, or sq. ins. W.�1. Le:ider areci Infi Itration �,__ G I ass i Exp, wall � Net exp. wall ,� Int. wall Ceiling � �� Floor Total Btu. � Required sq. ft. E.D.R, or sq. ins. W.A. Leader area �FI������� Room Length � idth� Windows and Doors-Crackage and Area No. ^Width Height No.�of Lineal^ft. Area Infiltration � Glass Exp. wall �'Q 4fL1 Net exp. wal I J C Int. wall Ceiling �dj L� � Floor � Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area FI. � ���' Room Length � � Width Windows and Doors-Crackage and Area No. W�dth Height No. of Lineal ft. Area of oane of nane liahts of crack sq. ft Infiltration � Glass � Exp. wall�_� � � 2 Net exp. wall _ �� Int. w�ll � Ceil�nc7 � - __-=-�7X� �- - ------ - F I ur�r � Tutal Btu. Requ�red sq. fL E.U.ft or sq. ins. W.�. Leader area �� Btu � p �,( �Height B tu 0 ) °Height B tu �---;�� . '� � � '�� ' i�. n�� HEAT I_�6S C-�LCULATIONS HE/�TIIVG � A(R CC;NDIT101191NG CO. Weatherstrips A.S.H.V.E. Construction No. indows Doors Guide Out. Wall Int. Wall Ceiling Roof Floor Kind Reference es No Yes-No �g I.��,'T�? Room Length J� Width Height V'Jindows nd Doors-Crackage and Area �� Widrh Heiyht No. of Lin-al ft. Area of p: of pan lights of crack sq. ft. �fi Itration � I lass �c xp. wall � �'�, Jet exp. wa I I nt. wa i l :eiiing ��i �loor �otal Btu. iequired sq. ft. E.D.R. or sq. ins. W.A. Leader area FI. Room I Length Width Windows and Doors-Crackage and Area No. W�dth Height No. of Lineal ft. Area of pane of pane liahts of crack sq. ft Infiltration Glass Exp. wal I Net exp. wal I Int. wall Ceiling F I oor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area FI. Room I Length Width Windows and Doors-Crackage and Area No. Width Height No. of Lineal ft. Area of pane_, of_pane lights of crack sq. ft. Btu C� Cl �� eight Btu Height Coef Btu Infiltration Glass Exp. wall Net exp. wall I nt. wa I I -- ---------------- - - - - ----- Ceilinra _ __ - - - - -- -- --- -- - -- --- -- -- - — F I��or Tutal Btu Fie��uirecl sq. fL E.D.R. or sq. ins. W.A. Leader are�i MINNEAPOLIS, MINN. Insulation How Appiied FI, Room I Length Width VVindows and Doors-Crackage and Area No. W�dih Height Nu. of Lineal ft. Area of pane a of pane light� nf crack sq, ft. Infiltration G lass Exp. wall Net exp. wall _ _ Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area FI. Room � Length Width Windows and Doors-Crackage and Area No. Width Height No. of Lineal ft. Area of pane of pane liahts of crack sa. ft. Infiltration Glass Exp. wa I I Net exp. wall Int. wall Ceiling Floor Total Btu. - Required sq. ft. E.D.R. or sq. ins. W.A. Leader area FI. Room Length Width Windows and Doors-Crackage and Area No. W�dth Height No. of Lineal ft. Area _ of pane of pane liphts of crack sq. ft Infiltration G lass Exp. wall Net exp. wall Int. wall Ceiling Flopr ----- -- --- -- Tut�l Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leadr�r ,vea Height B tu Height B tu Height Btu � . � � � � � � r � � • O . � : � y �' L � . ' � : � : � ' i � V � � 1 � � ��]i � � � � y � � y '�7' � � 7i � � � � � 7 � � � � °� � n � ~ � � � � � � �� � �+ � � a a � � � � � � F► ce cD ' � p �o • �' � 'fD^ y �5 . : � a ° • � � • � m . . . � � , 2. W • � . . . °•° � . � . . � . . . � . . . . . . . . • . . . • • .. • • • . . . . . • . • . . . . . O O � ae M M x x k x �e x M � � � O � O j,� O� O � � � G �„t M M � M fA di d► M M M � � ' � � 0 � � \ � O � � V 1 v � , -; � �M 'i � h � D � 1'� /� "♦ � �A , I rii C r m �. � � �� a b � y � �" � � z 0 : )� ,o , � � � ...�` � " ....' . i ■��a� ' ����, � � ,��,� ���� ���i�� � M �� I o y � d a � � � � � � � � A d a o0 � S � � � • � � _i � m � WATp arossrs uaiw�s � e�v►s ��N� w� rw►rs DRIHK. fOUWT. SMYrtS. v�00� DIIMNS GTCFI MS11�15 AUTO WASNB� � � c�s a�NCe �� OPENINGS � • � • N � T D M � n ��b A o' O' n '� � �� � � � � o �. �t q � oA�� � � ��� b � oR 5��� � M � � � b � � � ���� �� $��, �� o ���~ �m �� ag a���� ���� ��� � o ��s m�� 3 '� �• � �d � � A b � O �S � � � p '� �i � � � � � � � , : � � � � � � m '� � � � �o ' � x � � � a �� ! � , � � � � � � � � � � � � � � . g � � � � � � � . . � . � • - � �'s . � � � , . � . � � • q . � . � � , � � � � • • ! • • • f f �y � • 1f • f � / W � � Q � � • • : � � e o 0 � s • • • � e • � e s . • • a o • a � • • � � o � � � v e • Ir f� r • + �. • a� n � � ! • • • • + : n • • • r • e • • � � � r , e • • • . t e • � • • • • � • • • � • • • • f • Q � � � • • � � • e � • � e • • ' , � • � � e ~ � P � M M M � M M � M M M M � �; �S�i���������� � � � �" � c � r .� �� � � � � �� � � � � � a � , . . , . , ,� V 9 � � P , � � � � � c � e � • � o C � � � .� �� .mn � �� � ��� � o o �� � -� • � � � , � w ¢ �` � .� � �, �� � � � , , � � ��� a ��� � � ��. . �� � � , ¢ ���� � A� � ��� xo ���� 0 ¢ .� � � � � � N � � �� � E �� � �� ��� �� � �. i � � a ,.� y ,, � � s7 � ^ � � � � � � � � � � � . .� � � �� � s �� � � � � r 0 � � w � 0 � c_ �• � � � w , � � � , � � � � HOUSE HEATING TEST RECORD D 20469 ADDRESS 8110 �airmont Cir� N.E� APT. FLOOR CITY SUBURB �'idle.y OCCUPANT Gerald R� Hpdd OWNER YeQ HEAT LOSS DATE HTG. INST. GAS C0. METER BADGE ed ck Ht SOLD BY INSTALLED BY � g• Eleetrical Work By Gas Line By n tt TYPE OF HEAT GA FA � HW STEAAA SPACE HTR. UNIT HTR. OTHER GAS DESIGN CONVERSION MAKE �'331iamson MAKE OF BURNER Model 1117-10-•fi Modol ��a� 7316429 Max. BTU Rating INPUT ZOO�OOOBtt1 � . MAKE OF FURNACE Model CONTROLS THERMOSTATCm 260 Heat Plug Vent Size �� Valvo M.H. V8UOG! KIND OF LINER �liffi. SIZE 6� NONE Limit Robehaw RI�i, 750n Draft Hood VertiQal Regularor �itrol 325-3 Limit Setting ��� � Filters Size 16� 1! `�5n Number 1 Fan Setting 90°i & 120�i Chimney Loeation Inside Ye9 Outside Pilot Type C+Q11�1e Chimney Construdion Metalbead��e Pilot Make Pilot Model Smoke Bomb Wiring Pilot Timing g8 �eeaonds Draft �� Test Tag YQ'8 L.W. Cut Off Door Pressure Lighting Inst. YQa Pressure �- ���a�+' �—Percent CO2 gr-sa/� Date Tested 18�A8.�73 Input CFH �� Pereent OZ 7�� Company Testing Stack Temp. ����� Percent CO �-� � Name of Tester Form 235 . �>, 'r A � � � � °n 9 7 � � d Y � 0 � a � c f � A O� .^.. � r, .0 � �. � � n , d ^ �~ � ' y a � a � � 7 n � X �' � i � n � � � � � 6 r• c ., �" C ►. 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A � � ~ .., � ,� w q a, � � 60 � r r♦n e� � '!. �• ' � • � " � f � �'' ���� s . � ..s � o r 7 Q w � A 7 w � A �4Q�? � � .. "� � � �t S r rr � �i 1� i'� � o a .. � i s w � • � n n � W � ^ � � M � ' ~ � 8 �� : � N � � ~ �• M � �� ^ � � 5 ` 0 c $ , A m u � i O C m P \� � � 1 V � r A i � 0 $ � O � O � a� a fa � O N 2 � D 1 � � T > Z� � N G� < � N -+ n n+ o 3 O N � a � � o • �v � < � n T � N = 0 $ � m � � C1 � m a � 2 D 2 O n -� � O T T � � r r+t � � � � � SUBJECT City of Fridley 2 6 3 3 9 AT THE TOP OF THE TWINS g � I L D I N G P E R M I T � � � RECEIPT NO. � ` _�_�_ COMMUNITY DEVELOPMENT DIV. � r � L � PROTECTIVE INSPECTION SEC. ��� 9 � � 1 . � <---. � � �",'� CITV HALL FRIDLEV 85432 NUMBER REV OATE PAGE OF AVPROVEO BY �� �� 612-571-3460 910-F15 6/24/98 / / J09 ADDRESS g110 Fairmont Circle NE 1 LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACNEO DESCR. 3 1 Bourdeaux's Spring Brook Addn SNEET 2 PROPERTY OWNER MAIL ADDRES$ ZIP PFIONE Fred Erickson 8110 Fairmont Circle 3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO. Richard Hastings Contr 6331 Riverview Ter NE, Fridley, MN 55432 574-9966 4051 4 ARCHITECTORDESIGNER MAILADDRESS ZIP PFIONE LICENSENO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDIN(i Residential 7 CLASS OF WORK ❑ NEW O ADDITION ❑ ALTERATION � REPAIR ❑ MOYE ❑ REMOVE 8 DESCRIBE WOi;K Reroof flouse & Garage (22 Sq) Tear-off 9 CHANdE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPE OF CONST. OCCUPANCY aROUP OCCUPANCV LOAD SEPARATE PERMITS ARE REOUIRED FOR EIECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOIO IF WORK OR CONSTRUCTION 20NING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENOED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCEO. NO. DWLG. UNITS OFFSTREET PARKING 1 HEREBY CERTIFY TNAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS Of LAWS VAIUATION SURTAX AND ORDINANCES GOVERNING THIS TVPE OF WORK WILL BE COMPLIED WITH WHETHEFi SPECIFIED HEREIN OR NOT. THE GRANTING OF A PEFMIT �1,834 �.92 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- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. �Sg.SO Fi e SC �1.53 � PLAN CHECK FEE T � FEE ���= �� ° „ �. Z !� License C $5. 67.25 � SIGNATUf;E OF CONTFACIOR OR AUTHO ED AGENT IDA EI EN FOP � VALID� �S VOUFi P RMIT i S�GNATUREOFpWNEA��FOWNERBUILDEAI �OATEI 8L G INSo DaTE � � - rrEw �DDN - ALTER /� ��- . . ��33� - .�. - . � ��� ConstzuctionAddress: °� l%� �iq r� lu�� �,r`� c=r � o � Legal Description: • [] . [ ] CITY OF FRIDLEY [] _., ,� SINGLE FAMII.Y AND DUPLEXES R-1 AND R-2 ' � � BUILDING PERNIIT APPLICATION Effe.ctive 1/1/98 Owner Name & Address: t� t) ��, i��,��� Tel. # Contractor: � � �i ,� e�. �� ����� �i � � MN LICENSE #�� -��L Address: � 3 3 a � a �' .� � �i � � � �� � Tel. # ..S �y�-� ��'� � Attach to this application, a Certificate of Survey of the � ' ' lot, with the proposed construction drawn on it to scale. LIVING AREA: GARAGE AREA: DECK AREA: OTHER: DESCRIPTION OF INIPROVEMENT Length � Width Height Sq. Ft. Length Width Height Sq. Ft. . Length w�ar� Hgt/Ground Sq. Ft. �� S �� Construction Type: � � rZ � �_ �_ ,F �.� � �r � Bstimated Cost: $ , � � � . $ O (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: � � APPLICANT: _ _ . � ��� Tel. # S�Z� - t ��� Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: CITY USE ONLY $��`�� S 0 Fee Schedule on Reverse Side $ � . �' � .OQ1 of Permit Valuation (1/lOth%) $ ,�� $.50/$1,000 Valuation $ � $1000 per SAC Unit $ ', O�' $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 [ ] $ � � � 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 $2,000 $2,001 to $25,000 $25,001 to $50,0(}0 $50,001 to $100,000 $100,001 to $500,000 $500,001 to $1,000,000 $1,000,001 and up FEES $21 (Minimum Fee is $21 plus surcharge) $21 for first $500 plus $2.75 for each additional $100 or fraction thereof, to and including $2,000 $62.25 for first $2,000 plus $12.50 for each additional $1,000 or fraction thereof, to and including $25,000 $349.75 for first $25,000 plus $9.00 for each additional $1,000 or fraction thereof, to and including $50,000 $574.75 for first $50,000 plus $6.25 for each additional $1,000 or fraction thereof, to and including $100,000 $887.25 for first $100,000 plus $5.00 for each additional $1,000 or fraction thereof, to and including $500,000 $2887.25 for the first $500,000 plus $4.25 for each additional $1,000 or fraction thereof, to and including $1,000,000 $5012.25 for the first $1,000,000 plus $2.75 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alternate "A" : Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50. Alternate "B" : Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $15.75. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate 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. � __ �-_ Buxlding PI�[rMBING P�'�i� N�.� �, Inspec��ons R.]�SI��NN�'��.L .t�FP��CA.TIO� Rec�ived B . ' 763-572�3604 CITY OT�' F�DLE�" Da�'� U L 2 8 200 . na� 07/25/08 Youx�-�x.���ss wnelson(cr�larsonplumbinq.com , s�r�anDx�ss 811� Fairmont Circle NE TH]S APPLICAA''C iS: ❑ OV�TIER f�GOIQTRAC1i0R PROPERTY N,�,M�; Marilyn Erickson ��� a.nn�ss: 8110 Fairmont Circle NE crr�r_ Fridlev STATE,�VINZIP SS�Z ���' pxoNE: 763-780-4661 corrr�cTOR �: Larson Plumbinq, Inc. StJ�M�T A COPY OF STATE LICENSE � 3341 PM � Daz� 12/31/2008 YOUR STATE Anv�ss: 3095 -162nd Lane NW Ci� Ando�er srarEll/IN z�P 55304 �,ic�rrs� wrrr� pxorr� 763/427-76H0 FAx 763/427-9448 A.PPLICATION PERMTT TYl'E � S�GLE FAMILY � TWO FAMILY ❑ TOWNi�OUSE TYPE OR WORK: d �E�'` � �PLACENI�Ti'P ' 17�?AILED DESCRiPTIOI� OF WO�tK Water Heater Replacement PER MS I6B.665 the permit fee is a minimum of $15.04 or 5% of the toial cQSt up to SS00,00. whichever is greater, for ihe improvement, installation or replacement of a residentia4 fixttue, excluding t�e fixtures. {This should reflect oaly the cost of labor ) Labor cost under �300 =�15,00. Labor cost beiween $300 to �500 = cosi oflabor x.OS = FOR PROJECTS R'kiER� 1. ABOIt EXCEEDS $500, FEE$ A4tE SASED ON $10.fl0 PER FIXTURE, FJCCfiPT 1'df�RE 130TED. FIXTURES: ([NDICATfi 'fOTAL NUMBER OF EAGH BELpV� BATH SXNKILAV Fi.,00R DRAINS SHOWER WATER P1�ING BATHTCi� GAS PIPINO �n cmticExs� SWIA�fMING POOL WA�'Elt SOFINER ($35) _ CLOT[�S'VJASHER �"�KI'fCHEN SINl: WATEIt CLOSE7' BAGK�iAW PREV, ($15) b3SHWASHER _ LAUNDRY'FRAY X WA'TEFt X�EA'CER ($35) FOR IRRIGATION . _ WAT£R ME'fER `OTHER .... . ..... ... ......... ........._r......... ,... ;,,� r,. - <• - :i � ...�.. .,�hr.� �4.,q,rr.;r1;:'s::.(.)7•.�s»e.� :'�i:`::':�:��w:7', a� ..� . t�... ;'P£ � :,�E$`R'��E1?���'O�Z:: >'�:�'�{�b �x �'t � � > 5'.� �'a �, 1 ,� }.rs:..:c`�.�r:.... . ,� . s. . ._x:: ;+': Tti!?�1`�'.. _ . �.: :(?� ...�. ..:,�.s $,.. _ �,;��x.�:.. .:��.�,:.�...r,�E�:�:E�;�O�;P�L�7�C'T'� O.`1�R:�,$:�0�:': .. ....... ...... ,....... _...._ ...... .,.�.... :... ..,...� . ...a ... .. .. ... ..... . ...... : Permit �ee . $ ��,�� Nuzn:ber of fixtures @ $10.00 x $l 0.0U = $ Surchar �e .SO Number of �'ixtures @ $iSAO x $I5.00 = $ TpTAL DUE $ 35 .� Number of faxtwres @$35.00 x 535.00 =� State Surcharge = $ .SO Total = $ TI-IIS 15 AN APPL4CATION FOR A PEitMIT NOT VALID UNTIL PROCESSED � i hereby apply for a building permit and I acknawledge t�at the information above is complete and accurate; that the work will be in ' conformance with the ordinances and codes of the City of Fridley and with the Minnesoia Cansiruction Codes; that I understand fihis is not a permit but only an application for a permit and work is not to start witi�oat a perxx�it; that the work wil� be in accordance with the approved plan in the case of all work which requires review and approval of pians. sr A o� P�r � P NAME �.� ��a� !� 1�u1 / I+l9Q►�,DATE 07/25/08 .,, ..,. _ ... .. ....: . .... .. . .... . _ . .... .. � , . .,....... .t.... .. .., �.. ... ... . . . .. : . .�..... ..., -�j�:�i� �. , n . �Ct. . 8 ..�... ,....,... . .. �,� �3�:_..:.. .,;,•, -���I:. ��'. �. :'��t'". � �3'�' • � : U: : 4 ; i,�;�� :�;..,� �j� �, i � : z��`' c ^; �:v, '.�;5.�4�.;..�� .., < : , , ..:.., . . .. - , .: . �( . .. . _ .: . .,.. . . . . ...c:7 ....._ •._.....i. .....i .. ..,.......t. ...... ... ..... ......... ..... .......... . . . . �.:. ..•x-:+�'::'. � ��. � . .. . ° ._ �A�:'S�V4i�. ... .;.. . .... .. . . . . .- ;., .: .. ..>. .....: . ..... ::... .._>_. _......... . ... .. City of Fridtey Bu�lding Lrispect�ons D�partment 6431 University Avenue NE, Fridley, MN 55432 763-572-36Q4 FAX: 763-502-4977