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AF - 41722�y � � � � � � k � '4 ,� P �� �,� 7�� � � � � � � �� t�� � }� �».� r �` :f� ' r,� y.�• � k � � � � \ � � �.� �;�....�� ��; I� ,a,,r :'�.'� � o�� �► 1� G �1 b o �r � �: ;v�• o � + � � t�� v e� ►�'`+}' �.:: �. � 'i .,�7 �� C...1-.'v o�.� i..d � � � �'�� °d '�/ +'~ � . ; � ��o a� w���- �� � � 2�, � �`h-. .s�-,e����� . . � . � . � � ` �.BURNSVILLE, � MlNNESOTA; � �. � � ' 1 �,° �. p., � � � _ �3yi/� �c.��-ve� � � � ���' ����' �'o o i � .^��} , _ � ! � . • . J � ., ; . �---'' r �r�Y1�/Yl—lC7G S� �.tT��ll I . ,` , /� l:�l-�V�- -'�-..,'1:.� y` � � EA 5 � M c l� T ' � � : O�-�A!Yl�l (�Yl� � �� �� �„ I .i ._-- / �' � ,-- � \ ' , . � , , p��, �� J� ' i � . ' . . , . � �` .` , � � � . �,s��.!D,0 _ �; ,� : � �� ,� � , � � . �,c� ;: �r �,��ti< < ' i . --'". _. �����. �; �,� � + � � � � .�.i � . � �� -�o_'°�-�.���,�-c�c �. /1/�� , � ` � . . . . . : - � . . ��„ `, l - � J �' r_ � Y � , • . , • � . ��+� �' � I ' ..�~ , . i� f :, �ti � ' ._ � � � � :� . \' . � �. . . ' �' . ; ��;r�` ; ' y�� . . . ����: . �� � ��. � . . . . . � , . �� � , I � � 1 . . � , , : v� r � f �Y'` � � ���, 2, • � . • t : � /,d,' � �� , ' � , � � . � J�► / � �,. �'� � � . '�Z o . � � � �/� � � �^� s � . . ./� �� °--: L�� d` l/ �a�-►S • , - / �` ' ~,• ��E � i �� � � ; : � N �` C,o�s . �. '� � �� , � ''� ;� \ . � � � • -� . �'° . >3 T ' � , . e . . �1 • `� s�'7 � �� � �=5,� , . ,� � 1� � .. . . � 4� _ .� � � . - , / �,. , ,�/ ; , . I -� . z� • ;i•��'� � �, : i ,� , . . , . , • �3 . (� �; . , � � e / �°�" ! �/ (,�'� � (✓ �� � i Clm � �. • . .� / /i. / . .. � . S � . ' • � , '�� � �� � , . r ' . � � � � — S¢ 1, . ,/ j � � • . . . : � . , -- . � .S� � ,,,, „ , , �,� �Y��'�7���„0` �:,� ' :-SCA�.� � � • 3A � �: � �- � o_.. rtd',Dl.C/� I w.� I�'01�1 � � F 1a'•,I �: N�C� {��" �, ��" • .� . �11�,� L� � . � __ . ����.�.� �"�"f;.r�ING..�a:..�SSt,��"M� � • ��' . \ , �.� � . . � � �; . . ' � . : � � 1''��� � �, ���� � .� : . . � . �. � � �, �,.` � _�.�. .� . �. ,, .. �: � ��nESCr� � :� ��4:� � . , ' ���q �. , I hereby zertify that t:�i: :*�•e;T, p��^ �r . ���� �� �_. ' raport was prepared by me .or und�r my circce .�, �i � . �'�. � -. °.• :: . ) "- �- , supervision and that I am a cu:y t c.�iste: cd .... , .... ' S.a:e ,(�,0�'�D��u,X:'5��.'SP�/N� �13RDOK ��IDDI,T�4/E�j � ofna� e ota.or undcr the l�ws or tile . ,�d�0,�� :C¢Gln9i�Y ev1��N� ac?;o�. _- � `�:-`r"�,.�r^,��i �/' . . (�..d,,,�_1,.�. . ` . � �,.��-�`� 3 ' t� -'� � _ =°' �' � . �45�!{��...�...— i.C�;. �TO.---= � � f • ;, ' • - � � --- - �-- -L susaecT PERMIT N0. City of Fridley � 120'76 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r � i.� RECEIPT NO. � `L ____�_ COMMUNITY DEVELOPMENT DIV. � ��� r � � PROTECTIVE INSPECTION SEC. 1 i � �` /'��1 � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY "�"� � ,�� 812-580-3450 910-F15 3/26/73 / / JOB ADORESS g131 Fairmont Circle 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION � SEE ATTACHED DESCR. 4' 2 Bourdeaux s Spring Brook Addition SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE Monford Carpenter 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Castle Homes Inc. 7613 Central Avenue N:E. 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. 8 USE OF BUILDING Dwelling 7 CLASS OF WORK �J NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE � REMOVE 8 DESCRIBE WORK Construct:� House 26' x 41' Garage 26' x24' 9 CHANGE QF USE FROM TO STIPULATIONS Noneof the Land to be co�ercial in plat( 2/26/73 Council Minutes) Provide verification survey Provide Hard surface driveway SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTIIATING OR AIR CONDITIONING. WOOC�. �iB.ID@ THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZEO IS NOT COMMENCED WITHIN 80 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 1 STALLS GARAGE6 AND KNOW THE SAME TO 8E TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED Z� 398.00 �.O.�IO WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT � DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. � S�..00 L7S .00 PLAN CHECKFEE TOTALFEE 336.70 IGNA�URE9 CO RACTORORA ORIZEUAG IDATE) WHEN RO E V DATED THIS IS YOUR PERMIT ... _ � I � , �' � —2G- �3 � �3 3/26/73 ATU �OF OWNER ( F OWNER BUILDERI IDATEI SP DATE � �' � , ; /' / 1 ; �� 1 ; �-�� � �- ~`� � � � � � >� �P.k'J���ATT�i�I ��� FtE�IAEN�'�,�i,. �'T�:R,��'�(3R1, ��'���w���._ ,9 Q� A1�ATT�01� ��1ILDT�JG P�RNjT� GITX pF FbtTA1���'e MINIV�SQT�A �W�TP�l,' S N� : f�° �L �� �.� � tC�P� �. �c.� BUII.�EIi s, �i� s `�°�� d�� s�a w S .�w � , . ADDRESS s A��E•S3 s �?� /�, D�� � � .� �,.� � . . . . . w w �n r tl isie ����, �/ � J ��� �G���� � �s4 �i° �LOCx� � ����zo�a 6�,�- �,L.���� ,��.Sf�'r� �.� �� � ��f� � LOT: ��1E �0�:� �- SIdTBACR$ SIDEY�11tD• ,� a�- / � sio4, d �►�i,�� ��,a�t�i ���+p�t �„a Certi�icates of SuiveX o� I,cat a�d propc►�ed �,�.�� �.�esti.aot� �i� s�a 3�ese Certificatesa - ��� � �� ��y7l,�i'l l�-tiC�(-�--�--� k�v`l� � � f - `"� 1 C�-�l_� �� ,(i e�c � �� /4 Y ���CFlIPT�t3N OF BUILD�NG � � t� ,�a : S� ; y i ,. � � � � i� /�'�/(�9 ' /� �j.�.y, a �'{.;_..�,.I=^ �' �J. ��a rii's�� ■■ ew � �6F ._�+'i�1� �/ �.J.�t�� �' °� �...'" . ��.� ' � , . .__ S��ce �'��i„��,�°� Cab% ��3 , � �.= .. �� ., ,� y+�� �i7►�.�,tt R�d�{,,� . . '__t . � � � � v �s� �ei ■ e � +Vif�' iRiG` � ■ ,?n" LG�I.L3 j !n. � riei.$lit i 6sr' - -�° 1 .., "� � ��" � �� e , ...p �' �qua��s �eet;, .��-�t�< Cubic F�ett � �� - - ,�!" �{�a °F �o���xuc�k�.a�� ;�i�;� � ,c... �ati�atted Cos�: $�31 ca oc�, � ° �j ��Tw�� T • � t k' � 4 . ,,.¢.p N A+ A �� � �����d; q �� � / — .�,�. ,�. . �' '° � � u�d�r��i�a�d hereby �c� a�li�c$Cirna £er, a pe�t f�� tlie w�►�k �a�oxeirt �gs��,�#� ag�eeia� $o da a$.� ��,+gk �u stt�.at accosdance wit2� �irs C.��r �:� F�,��.� �?�d�+ce�s �d �u� �f �e J,��►art�en� �f Bu��d���, �i �eseby $��u+e.� � a�.l �h� ��cts �, re�resenta�io�s ��ated � t�aie ap$►I�,catia=t ar��a � a�d �prrec�„ . �"_, �1 � �I�NATQ� . /i� ° � '�� _ �; ��,, �f�31 e� nn•r� �s■ ^'�wes e• w e • � . �R�B ��,►�e B�� �'oE' Add�t�onal In�os�atisa.) � ,'� „ ��, . �,� �� ��' � _.,� r-� f'i ..`, r `° `" _`'� '_� ��"`' . G' ,�` ,� � / �+�'`� � �'__„�__��<- � � „ r� � a t"_�:° ���' � � ,r � - °� f ,�. � :� � �� � � � � ° r+ � r"' � , �' 1 `�`' �� '� . � fJ� � � �i � �� < � a '` ''� I f 4 ��, ��� ` P:� . ;,l ' � ��,1 � .. f � �UI��ING P�RMIT F�� ��H�pU�E ����Q� �� Th� I�epecto� pf �u�lding� s�a11, befoxe �ssuiag germit� for �he ������on o� a�y bu�lding �� �tructure, ox fox any addition to any �ist��� ����d� ox S�x4lC�ure' ox fo� any alteration or �epairs �o any exi�ti�g �������,sa� ox st�,tc�uxe, upon �ppl��ation theref�se, xequize the paym��t by �hs ���;�:�i��t fp� su�'h p�rm.�,t p� �ees C�o the amtount hesein below aeC ��ar�h �d � ��� n��� h�x�ei� p�'avided � �o�ifi a UI►T�FORM �U�LDTNG CODEt �Pe �.s 2��i -$2.15 �or each c�ee t.ttous�nc� cub3.c �e�fi„ a��' fgactioa th�7cea�, i.n �ac1� aubical coat�nts. Type 3& 5=$�.8� �ox ea�'4 ona �ousand �,tb�.c �eeC. , . A�D�T�IflI�Ai� INF1)�T�ON F�� ��: �uT�p�e of �Fa�pu��.�t$ �ees foz building pes�aits, the cubical contents o! a�y building or additiou, i� det�ti�nined by mult�.ply�n� �he �round area ��t�d �oat � poiA� �:� ��i� in�es below �he f].00r line 4� the basement �.' �be e��la� Go t�he average heights of the uppeT surface or to the avera��•� �,�i� �w� �e �ou� ��face v� Che maiA �ab�� vf� a pitched xoo�. ��ijes o� ai�e�a��ot�s � a� exist�.n� s�t�aareg �ae fse shal]. be s�� �h� ��,�� fl� $3.� �a' �t� ��va h�qi�xed dollar� ($30Q,00) � f.ra�tian the7cso� i.n �,� Ccr�� �� �all g�cap�a�ed wox'�� Ia� �c► cap�e aha�.l �h� �ee fo�c �yr pexmi� as se� ���rt� �.n S��tic+n 2 b� �.� �an $�.�'!. w 'ai�R.��I�,ATiQN 0� ���1NAATIC3N �Q�; P�.ts fvr ��ttss�acu��to� wil� be �.��ued a�u�tuaa o� �4 i��xtrs ��a� h,hs � a# ��p2icat�.ot�, �v al�cnv �ox pra�er review of �he pxopos�i s��ru�la�re aAd �►� �►e �st�ue�ion aite. ' � ����i�$ ��y a� �h� �.��„ ��wi� � �oca.�f�a af �ti� �aunc�atirx�, o�c� �� }�� s�.s1��d� wil� b�a �equir�d befa�e �aroceeding wi�h t3� �r�ai�. �� C�R�'iFI�A�'� QF Q��PANGY �i�g�i�t�ica�a ��x a CQ�����a�e �� O�cupaacy �hal�. bs mada te� (i4) �y�s pxior �o �h� �t�e s�a� +�c�uDa�p �� �g ut�c�e �or whiah a bu�.ld,�n� pax��.� has been 3.sst�ed� � sa��d atxy�t;u� �ttal� �ot ba used Q� occu�ied u�ti.l a���tificate of Q��uga��y � bee� �ssa�, w t � ��,`„'; �,,, .,��i� ifi� ��WK�.�•�winR.,.,y:ryP'YY/°.M/.�7 i tf..�.�r :1... _...�� ��K_..w-.� r.l�.it.� � ,rN li��,` � .�� .�, w. .. � �. y . ' .:` .. '- ...... _ � S � . . w . ��� .��`�.'�'u�' L%v�-c�.�-� ' `�t) v �,cf i� �✓ U � , � V� � � ` � , � � ' �� � � ��� �' �� � � � �'� . ����.��� . s . . � � , ����66`��:�"R� �� ��c��� .�'��'��Y��� . . �'O C► W�ST ' � ! 2� �d7......STF�L�'�.T..' . . . � � � ` . .BURNSVrL�E, � M�NNCSOTA; � � ' .fic��`e �f �u�vcy �a�_ 1�����' �o�'T�'�, ,, � ., c- f` 1 . 3 � i , . � , �.� ` DRA1 NAG �. �- GTI I> 1 T Y.. ' ., ..---i°°' i ` ���1S �M EN T. .. . . :s . . . � ._-- � � � �� � , � p rN � � . "�' . � � , I . , . . S $Ro �30 _ � . . . � t � - : � r � f � : ��E . �: �� ; ., � f� " -' ��A` �' ���� , � . � � : :�.-�-- - . '° .. \� u,� �L.� � � • � '� :.�' .., . • ._ . . %!� ! � � � ��� a � � . � i . . � . . `� �� � �� . � � � �:� •. ' . . ., ��'s�` � � � t . . � . . , � '. g. � �"�� ' f �� ' . . 1 . 1 � �-� . . � � �d_� , � '., ,�. . ... ,�� � . - , t:: f . . .. . 1 � , /,� , � � � %yi, .kY � . t ' � �. . . . , . //. ��� I .. . .. � � � �� . . , . . , ' . ., • ' ,� �I � ` ' . � !' ,� . � '� � t , ' , �� � , � , . . / I � �.�� -3 � a ���y � /�, i � �v �.a- 3� G . � . , �v, ,�r� � . � � : � �:. , , ;' � � � � j � `� '" �' L? `� � � / . � 1 , . . � . , � d, / . o ,� : . �. . . �.. • / " � , . .;,,, ' � �, G . . . :.? �. : � . . �� / • " / _ , ��� Q� i . , '''� � J / ��}.4° `/ • ;�s' , � ° � i� . € : . - � 1�� , � . � . . , � p , E. � �`p��� . � �2, � � . . t: . . � �,� . � � � . . _ _ °-�,�°� f .M '. .� .' � _�SCAL� . I "� ,��" . . . 7�� . � � !� �: . - .c ._ -- � o__:. d1��l.C/�T�'S tR�'Ji� . ��J�I�C��JJ�'. .;- - . . . . G.l�.,�.L� . ,. . ��:L '�I��'���1/�'�� � ���t�t�t� � - . �� � . � ' . . ' ' ;� �- � �� � � � i � � : ��a � � � _ �� . �,���' � � , ' � : , � : �� 9 . • (� . . � . �' .�'`'`� __�:.�iE'GA �• ��'DESG1�.1 F�I E?� � . . I herebq �certify that :thi : rt�eY, Plan or , � ' or� was prepared by me or under my dircct . — r� : - �.Q � :: � � .: _ :: - � - �.� �.: �� �� - � �`. ; . supervision and that I am a �uI � �'.e�istered ".�Q(�If�D,EAI�,r'�.'��.���P�Pi1'� ��'RODK �`.�1fiDl.T�QNj. �-and Sunneyor undez the �a�vs of *he Statc � � .� ; , � of innesota. /� � r , � >�. � °- . , . . ,' . � N b, �C�a . � O t� ld i" Y� f �- /�1 a � .'�p � � � 3°�. ,': =- . ; �Ka ...,..�R � �� , ,�, � . , . . �� 3 ' C° -'� 3 .'; � -� P d� } � e ' ' . d?�r�. Re�. NO..'- ��, �:b. - i '""",. P . . �. . , , � , • _ a s 0_ �--�� - -- � M � � � �. y � r � � : � :� . � p � O � Y . w � : ,�; � � � � : � o �i i o, o o. � b � �� �.� e3o � a '� M � � °' `x° � x A � w x � � 7 � � � � �� n � ~ � � � � � � � 80 � � � S � � � °' � � `D � � � � : �� : o `° � �o o b Q'' � y � O . � 0 O � 'd O � t+1 O. 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MINNEAPOLIS,MINN. Weatherstrips A.S.H.V.E. Construction No. Insulation •4 L Windows Doors Guide Out. Wall Int. Wall Ceiling Roof Floor Kind How Applied `,� Reference Yes—No Yes—No � g FI��`����� Room Length Width � Height FI. Room Length Width Height Windows and Doors—Crackage and Area Windows and Doors—Crackage and Area No Width He�Oht No. of Lineal ft. Area No. Widrh He�ght No, of Lineal ft. Area ot oane of pane lights of crack __ sq. ft. of pane of pane lights of crack sq. ft. Infiltration Glass Exp. wa I I � Net exp. wal l Int. wal( Ceiling�� Floor Tota I Btu � Btu Required Sq. ft. E.D.R. or sq. ins. W.A. Leader area /'� F�, /� Room Length � Width � Height Windows and Doors—Crackage and Area Na yyidth Height No. of Lineal ft. qrefa. of pane of pa lights of crack �� Coef Btu Infiltration �� � d Glass Exp. wa I I , Net exp. wall Int. wall Ceiling ' Ffoor Total Btu. Required Sq. ft. E.D.R. or sq. ins. W.A. Leader area / FI. �'r(% ,E Room Length � Width Height Windows and Doors—Crackage and Area No. W��th Height No. of Lmeal ft. Sqfeft. of pane of pane tights of crack � � �i � .,.rl �C � / � � � Infiltration Glass Exp. wall � Net exp. wall Int, wall Ceiling � Floor Totai Btu. B tu Infiltration / G I ass Exp. wa I I � Net exp. wall .7 Int. wall. Ceiling � � Flaor Total Btu. Required Sq. ft. E.D.R. or sq. ins. W.A. Leader area � F I���',��� Room I Length �� idt h Windows and Doors—Crackage and Area No. „W;,dt,h,p feoane Ni�ah�s of c alck Qref I nf i Itrat i on �;J Glass Exp. wal I � Q �i(P Net exp. wall � � Int. wall Ceiling /� L� � F I oor v7 Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area � F1. � ,���� Room Length � � Width Windows and Doors—Crackage and Area No. Wldrh Height No. of Uneal ft. Area of oane of pane Iiehts of crack sq. ft 0 B LU v1 � Q �� ight B tu / eight B tu � Infiltration a% ���� �- � (1 Glass � �'�% /�% f i Exp. wall .Z �� 1 Net exp. wal I / ��-' Int. wall � �) Ceiling `J � � � � F I oor oZ Total Btu. �Q Q Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Required sy. ft. E.D.R. or sq. ins. W.A. Leader area � , . � ` e HEATLf:6SCALCULATIONS HEATING�AIR COIVDITIONING CO. MINNEAPOLIS,MINN. e� Weatherstrips A.S.H.V.E. Construction No. Insulation � Windows Doors Guide Out. Wall Int. Wall Ceiling Roof Floor Kind HowApplied t Reference Yes—No Yes—No � g / FI.��/ � Room Length �D Width Height FI. Room Length Width Height VVindows nd Doors—Crackage and Area Windows and Doors—Crackage and Area No. W�dih He�ght No. of Lineal ft. Area No Width Height No. of Lmeal ft. Area of oane . of oane liahts of crack sa. ft. . of oane of oane liahts of crack sa. ft. Infi Itration G lass �' Exp. wall � � Net exp. wall Int, wall Ceiling �� F loor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area �I, Room Length Width Windows and Doors—Crackage and Area No. W�dth Height No. of Lineal ft. Area of oane of oane liahts of crack sq. ft � I nf i Itrati on G lass Exp. wall Net.exp. wall Int. wall Ceiling Floor Total Btu. Btu ight B tu Q Infiltration Q Glass Exp. wa I I P-(� Net exp. wall Int. wall Q Ceiling a-� 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. Width Height No. of Lineal ft. Area of pane of pane liahts of crack sq. ft. B tU 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, Width Height No. of Lineal ft. Area of pane of Dane liphts of crack sq, ft. � Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R, or sq. ins. W.A. Leader area Btu BtU Infi Itration Glass Exp. wal 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. Vtlidth Height No, of Lineaf ft. Area of pane of oane Iiahts of crack sq. ft. Infiltration __ 1__� Glass Exp. wall Net exp. wall Int. wall Cei I ing Floor Total Btu. Required sq. ft. E.D.R, or sq. ins. W.l;. Leader area Btu � � 560-3450 � l�`'t o �Hi d �Ce � � ANOKA COUNTY 6431 UNIVERSITY AVENUE NE May 24� 1973 FRIDLEY, MINNESOTA 55421 Mr. Da.ve Rotter Castle Homes Inc. 7613 Central Avenue N.E. Fridley, Minnesota 55432 Re: Properties Abutting Spring Brook. Dear Mr. Rotter: This letter is to confirm our com�ersation with Mr. Roy Lund in which we informed him that granting building permits on properties along Spring Brook does not obligate the City to ma.intain this waterway. Care should be taken in grading the rear yards in.such a manner that erosion will be minimized. If you have any questions, please feel free to contact this office. CJB/mh Sincerely, ��� � CE J. BELIS Building Inspector HOUSE HEATING TEST RECORD D-�049� ADDRESS 8i31 Fairmont Circle N.E� APT. FLOOR CITY SUBURB �idley OCCUPANT Monte L. Carpenter OWNER Ye� HEAT LOSS DATE HTG. INST. GAS CO. METER BADGE SOLD BY INSTALLED BY e���'Q H�• Eleehical Work By Gos L,ine BY TYPE OF HEAT GA FA � HW STEAM SPACE HTR. UNIT HTR. OTHER GAS DESIGN CONVERSION MAKE will�.e,meOri MAKE OF BURNER Model 1117�-10-5 �„�,d@i Sarial 731�17 Max. BTU Rating INPUT 100'000 Btn�� MAKE OF FURNACE Model ----- CONTROLS THERMOSTAT�*G+. `J-��1 Heat Plug Vent Size �� Valve �fl�$� �84AC KIND OF LINER_ A_7 � SIZE Rn NONE Limit �Ob�h�.w �� 75.UD Droh Hood Vprtj,�4a1 Regularor �itrol 325-3 Limit Sefting 200 f Fi Iters Size 16n ���n ►�umber 1 Fan Setting 90�1' &�.2O�f Chimney Location Inside y@a Outside P�lor Ty� Counle Chimney Construdion Metalbeeota Pilot Make Pilot Model Smoka Bomb Wiring Pilot Timing 6� Secaonc3s Draft �g Test Ta9 Yea L.W. CuT Off , Door Pressure Lighting Inst. '�g�7 Pressure 4•4�•C+• pereantCO2 8•� Date Tssted 14� 73 � Input CFH 1�� Pereent O 7-�� Company TesTing C 2 � Stuek Temp. 4�0 f percent CO �•�V/� Name of Tester Form 235 � � -� D � � m n � O m a ��' . � cn (�D o' u, � A o � � 7 Q O o m �� v � n � Q o �' -° u, � � N o m � `c m �' n � � 0 � � m Z � -o rn n � � Z � m m �b9 N � 2 � �� v � m O v �� � � � C � W �'z � . rn D � m � � o < <° m �' �o ! � n o � m O Z O z � � � 0 w m l_J�l � � � � � � � m� 69 � OO � Z � � �n n � � v_� cfl _ � a. � Z � Z � � � n� m C r v� Z � -, � m �- � n' m � m � n 0 N 3 \ � o � C � fD n. ° c � � -� ai A� � � � O 0 � � � O o � C � f�D O � a N -� s� 7 �'' � � m a: ° o O � � r � � O Z n C� � Z� � � � o � _ � z � ' � ' � AZ b �d �� �� ��� �� -A, � `$ . � � �v ° m �z 0 � � I � � � �� � m � � � Z � � � m z 0 m v � � � � o � m — mo z -" � � � � � C � 2 o � n � � �. n O o � � m � � � a. �n w o m 3 Qoo� �' o � � �. � � D � n 0 � Q 0 7 5 co I N m � � � � � N N v m 1 � 0 � L� N � w � m � 0 � � D � � N O � N � a � Q � � � cn �D � cn w a � � S (D L � � _ a� � I � n �T� v � C .,: � � �. � � � � `° � � c°1i c � o0 c � � v m. I � � 0 0 � � g fl..' m � � � � � O � m � � v c� O � � � � � � � z 0 _�. 7� t/'` �1� c 6 � c m 0 � 0 � � � 2 � � � � � � � �N��. w � � � � ..; �' o � �° co � � � m �=.5� a� Q- � � �� o � � o o � � a-,' A' 3 � v� o a> > o m ��• �, .� -�v � ?: � v:. �°-. � m � a, � � � � � � � o 0 -. � �m � � w � � ' � � � Q.�m � 3 �� � � � ���,�o � . 3 cso � ^ � � n m Q��� � '� O G y 7�'' � � � (D � �p Q. t�A N V j � Q � � n 2 m 0 C m y � n N Q � � � (p W _'� C � � � � .Az� „ 70 � � � � < � fD z z �„ m -o i� � O Z 0 < � � � � ma � O Z Z -n Z 7�0 D � � � O � � � � � o ,� z� z� � `- cn v O W (�/� 2 � �z m � Q � o � � O , � n C Z � � < �v � � � � O Z � m � � m , ( ,� o � � w � � c � � CD ca V i :a��Q :�g pau��s =0� JI�II.Ld�H — -- --- . — - - - - - :auoQ uiag SNOI.LH2I�.L'IH �Ii ()ois()�X ()orI()�� i)-o�I()�� ( ) o1�I ( ) �� ()orI()�� � . :sx.�LUag 1� �m io3 PaPuoid ua�q ne uoqsnqzuo� seg s�Eaq ia�ns io� .PaPrAOid uaaq i� � seg S�I1.Lg "I�S.O.L S�tLLg Ia�o iPd a � �� 3� S�ll� ���I I��� �H 9 �� �.�.Y.�-�� � az�s io3 s�uaivaimbai apo� lua.rm� II� ��Y1i pa�oddns ��am�as sj �� Pa$PoI spaCqo u�iaio� ou seg 'S .� '£ � () u�i () sa� IIOi.�IOTI�p IO jS[Li LQO$ 3aI� SI �Z � � .. . ... : ' i ) ol�i �. ) �X - paatt�xa ��a� uaaq s� � • T :��s io �Caum�q� �uqsnta� aq� � sagrian �qaiaq pa�isiapun a�y I�iOl.L��I3RI�A ���'.LS QI�i�' �i�IIAII�� sue�et� PER City of Fridley 1 151 AT THE TOP OF THE TWINS � � � L D I N G P E R M I T r RECEIPT NO. ; : �OL � � • COMMUNITY DEVELOPMENT DIV. � �V � f � � PROTECTIVE INSPECTION SEC � i � ( �"'1 � CITY NALL FRIDLE� SS�� NUMBEii REV DATE PAGE O� APCqOVEO B� �""� � �'' 612-571-3450 910-F15 7/10/00 / / JOB ADpRESS g131 Fairmont Circle 1 LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACNED DESCR. L�, 2 Sourdeaux's Spring Brook Addition SHEET 2 PiiOPERTY OWNER MAIL AOORES$ ZIP PHONE Pricilla Lamb 813I Fairmont Circle 3 CONTqACTOR MAIL ADDRESS 21P PHONE LICENSE NO J. Benson Construction 7020 Walker St. St. Louis Park, MN 55�26 952-920-0717 4 ARCHITECT OR DESIGNER MAIL ADDRESS 21P PHONE UCfiNSE NO 4740 5 ENGINEER MAIL AODRESS 21P PHONE LICENSE NO 8 USE Of BiIILDING Residential 7 CLASS OF WORK ❑ NEW O ADDITION ❑ ALTERATION C� REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Tear Off and Reroof House and Garage 26 sq 9 CHAN(3E OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPEOFCONST. OCCUPANCYGROUP OCCUPANCVLOAD SEPARATE PERMITS AiiE REOUIREO FOR ELECTRICAI, PLUMBING, FIEATING, VENTILATING OR AIR CONOITIONING THIS PEFMIT BECOMES NUIL AND VOID If WOiiK OR CONSTRUCTION ZONING S�. FT CU FT. AUTHOR12ED IS NOT COMMENCED V�!ITHIN 80 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENOED OR ABANDONEO FOFi A PERI00 OF 12p OAYS AT ANY TIME AfTER WORK IS COMMENCED NO DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY TMAT I HAVE READ ANO EXAMINED TMIS APPLICATION 1 STALLS GARAGES AND KNOW TME SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OP LAWS VA�UATION SUR7AX AND OiiOINANCES GOVERNING TMIS TYPE OF WORK WILL BE COMPLIED �2 272 a OO ��.. �.4 WITH WHETMER SPECIFIED MEREIN OR NOT. TNE GRANTtNG OF A PERMIT a DOES NOT PRESU TO GIVE AUTMOfiITY TO VIOLATE OR CANCEI TME pEqMIT FEE SAC CHARGE PROVISIONS OP V OTHER S7ATE Ofi L AW REGULATIN(i CON- ST UCTION OR ERfORMA F N CTION �E3. ZS F1T SC .�2. 2% /� ��� �f7 PLANCHECKfEE TOTA FEE a� ��� Lice e SC 91.66 SiGNStu O� CON'A CTOA OA oUTMOp�ZED eGENT iO�TEi EN ALIOA D HIS 1$.�QUR P F�AIT _� / l /r� tr ��� S�GNATUAE 0� OWNEp��� O�NNEp BU40EA� �D�rE� e� �N ��FTE N� [ l Effecctive 1/1/2000 ADDN [ J CITY OF FRIDLEY (763) 572-3604 Bldg Insp ALTER [] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION � I �I � � I Constru�tion Address: ��� � ��`I 6 2�I�i,/ � �� �� �� Legal Description: Owner Name 8� Address: ��I��LG.g /•�9/�8 ���/ �/�MD�vZ' �i�C�'T'el. # Contractor: �� �� � s��/ ���e7'roa.y MN LICENSE #�%�"� Address: 7D � O ��`/L1��2- ST S.T�crrT � 2� /�I,�/ S'�''� b Tel. # 9S� 92a - 0 7/ 7 LNING AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this applic�tion, a Certiflcate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. Length Width Length Width Height Hgt/Groun� � Sq. Ft _ Sq. Ft , ,� Construction Type: ��� ���` �C ���� Estimated Cost: $ � �� % Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x$ _$ DATE: ��� �� APPLICANT: �i ` C�%�� Tel. #�S'� '�/�O r' �7�� � CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application Permit Fee $ -�?� Fee Schedule on Reverse Side Fire Surcharge $ �•�7 .001 of Permit Valuation (1/10th%) State Surcharge $ l- /� $.50/$1,000 Valuation SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee $ $1100 per SAC Unit $ e� -D O $5.00 (State Licensed Residential Contractors) $ Alt. "A" or Alt. "B" Above $ $450.00 Conservation Plan Review $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [] Not Necessary [] i�����1! STIPULATIONS: � —� BUII�DING PERMIT FEE SCHCDULE 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 siructure, 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 hereia 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� $50,001 to $1Q0,000 $100,001 to $500,000 $500,001 to $1,Q00,000 $1,000,0p1 and up FEES $23.50 $23.50 for first $5� plus $3.05 for each additional $100 or fraction thereof, to and including $2,000 $69.25 for first $2,Q00 plus $14.00 for each additional $1,000 or &action thereof, �o and including $25,000 $391.25 for first $25,000 plus $10.10 for each additional $1,000 or fraction thereof, to and including $50,000 $643.75 for first $50,000 plus $7.00 for each additional $1,000 or fracrion thereof, to and including $100,000 $993.75 for first $1�0,000 plus $5.60 for each additional $1,000 or fraction tlhereof, to and including $500,000 $3,233.75 for the first $SQ0,000 plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,OOO,Q00 $5,608.75 for the first $1,�0,000 plus $3.15 for each additional $1,000 or fraction tlhereof DRIVEWAY DEPRESSION ESCROW (Concrete Ciirb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $15.50. 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 $23.25. 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. New Hmuses Onlv • CITY OF FRIDLEY 6431 iJNIVERSITY AVENUE NE FRIDLEY, MN 55432 ADDRESS PIN LEGAL DESC PERNIIT TYPE PROPERTY TYPE CONSTRUCTION TYPE 572-36U4 FAX: : 8131 FAIRMONT CIR NE : 033024240029 BOURDEAUXS SPRING BROOK ADD LOT 4 BLOCK 2 BUII.,DING RESIDENTIAL RESIDING 571-1Zif7 PE NO.:2004-00455 DATE ISS . /2004 VALUATION : $ 6,500.00 NOTE: PER SECTION 1402, 1997 LJNIFORM BUII.,DING CODE, REQUIRES THAT A WEATI�R RESISTIVE BARRIER BE PLACED OVER EXTERIOR SHEATHING TO PROTECT TI� INTERIOR WALL COVERING. EXCEPTIONS FOR THIS PROVISION WOULD BE IF SHEATHING IS AN APPROVED WEATI�RPROOF PANEL OR WHEN TI� SIDING IS AN APPROVED WEATI�R BARRIER VINYL SIDING IS NOT A WEATI�RPROOF COVERING UNLESS TI� MANUFACTURER STATES THIS IN TI�IR APPLICATION GUIDELINES. CALL FOR INSPECTION OF WRAP BEFORE COVERING OR TAKE PICTURES. RESIDE HOUSE & GARAGE APPLICANT BOLANDER CONSTRUCTION 600 RICE CREEK TERRACE FRIDLEY, MN 55432 OWNER PRISCILLA M, MAKI 8131 FAIRMONT CIR 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 tlus application and lmow the same to be true and conect. 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 construction or the performance of construction. Applic t �-_— Date �%�� Bldg Insp � Dat % � � BUII..DING PERNIIT FEE FIltE SURCHARGE STATE SURCHARGE, VALUE TOTAL r SEPARATE PERMITS REQUIRED FOR WORK OTI�R THAN DESCRIBED ABOVE. 139.25 6.50 3.25 149.00 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 � %d �°-��� � Effective 4/1 /2004 (763) 572-3604 Bldg Insp � (763) 571-1287 Fax O�' � �po `i �I � r' /'. Legal Description: Gr��ir�� Ovmer Name 8� Address: ` ` �- � � el. # �C-�-s�a - �syd Contractor. /.�l �r ��d-� ao� S� MN UCENSE # �°i��°/yl�� Address: (� � �� � � � «� /L �e L',�c�c�" Tel. # 76.� ,�a�= 0`�/7%' LMNG AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft Length Width Hgt/Ground Sq. Ft Construction Type: .S � :�.� � Estimated Cost: $ ��SG�� �� Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x� _$ DATE: �'�" 7 d y APPLICANT: _,,, TCE ���/)c�t° � Tel. #�2�� -cS �o� ��f'� Call (763) 572-3604 for Perrnit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will call you for card number. CITY USE ONLY - Permit Fee Plan Review Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge TOTAL �� ��. $ • $ $ •�� � �,�J- $ $ $ � $ $ $ 1y9� 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 Pfan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] STIPULATIONS: BUII.DING PERNIIT 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 alteraxion 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 lxlow set forth and in the manner herein provided to-wit: TOTAL VALUE $1 to $500 $501 to $2,QQ0 $2,001 to $25,0� $25,�1 to $50,0(� $50,001 to $100,�0 $100,�1 to $500,000 $500,001 to $1,000,000 $1,000,001 and up FEES $23.50 $23 .50 for first $500 plus $3 .OS for each additional$100 or fraction thereof, to a.nd including $2,0� $69.25 for first $2,�0 plus $14.00 for each additional $1,000 or fraction thereof, to and including $25,000 $391.25 for first $25,000 plus $10.10 for ea.ch additional$1,000 or fraction thereof, to and including $50,000 $643.75 for first $50,(�0 plus $7.00 for each additional $1,� or fraction thereof, to and including $100,000 $993.75 for first $1�,000 plus $5.60 for each additional $1,�0 or fraction thereof, to and including $500,0(?0 $3,233.75 for the first $500,000 plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,0�,000 $5,608.75 for the first $1,000,000 plus $3.15 for each additional $1,�0 or fraction thereof CURB CUT ESCROW (Concrete C�rb Streets Only) Removal and replacement of curb and gutter only - driveway width plus 6 feet, times the annually determined rate Permits for construction will be issued a minimum of 24 hours from the time of applicaxion to allow for proper review of the proposed structure and of the construction site. VERIFICATION OF FOUNDATION A Certificate of Survey of the lot, showing the location of the existing foundation will be required before proceeding with the framing. 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