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AF - 417261. ,___ �� ' � •M � � .. � � . . , � . � � �J� .. �1 ' ' . . . ' . � � . . .. � , „ - . ' • ��' � � � �,i � ,J � � � - � •� � �V . � � . . , , ' ' • \ _ , . o ' .-.-�.:��• �� .'..��. � �� " �� . . �. . . : � o o . w�s°�- , , �_ :; d �� th_..,.�� .. - 8l1RIVS1ftLLE, . _ ". � MlNNESOTA� � ' . _ - - i -- � --- --.- . _ _-- -- --- � ---� �: � Iac.� �� r �� - ��` V� . . . �. ��?�'�ti �---- _ _ � � .� �°��!��' y�o' �� -, - : : . , . . : 'r� � �� _ l�� tiV � `� � �� ' �� ` � ' . • • • - . ' � � 1 1 .:�i � �4 �� . �� N .9 1: .+ 1 , , ' 1 I ' � � . � �., . �;�'��: �� i: . ; : �� : ��,;� - : -. � � b �i , �". �i � - ��i�.��_, N. , � i , � ' , 1 � �.�% � � p o d' � $ �' . 32,� -2� 3 f � �. dl� ' •+ �. �, , 9 , . �Y0�6'!�-.. • ./ . � � � � �.-..re�, , ' ,'� �-�--� �� D2. J�1 � d�C�� . iJ'T i 1..1 i Y . .; ._ . �� a�P�i'�t�b`�' ! , , '' � . � . . . �� . . . ►';'. . °� � �. . � �� -�.,�� "� � � � � cA � - _ � � � ...�--f�' , �,,. N,� . -�., r � � . 1 " 1r � � � 1 • . . �� : � i� Y�< . . . . . . ;/' .•—f i;-. �_ i' � � �r�rv � , . � „� s I � 0 �0 . H _ f , -,.� ..... . . � - _ _- ,�--. a.,.� .. o... . .,..�� . . ., e � �� • � ' , ' ' N � . � 8� Z� 083 .�6N .; - :.. N..: .. . .� , ., : , ' � , � C d�a�E �+i. � �� =°� �..- - �— • � ..�a.l�9DI��S7�� l��d ArAc��t. - �Y� �� O �s�B�J'i � : G . •. � �..� �. ��. &��.�l��s �,g �u t�►E� j �.. . � �. . , g �► , , ., . . '�.�� . . ... . ��' � I . . . � � � �E�n ' '� � � . . C�'-p. ' . . �..��, ��-��1 P°�io�9 ;: , • , . . , : � - I herebp :t�rtify ehae�` tPtis sutvey, pian or , � f�'�'' �, :' _.�. . � L� � �: �„ . ;� � . . :� ;` re�ort was prepared by me or under my direcc . . (�jOU��Q,U�'S .�Q�,II�U. ��OE�,,..��5"�ld�,,,�: su�ervisiu�€ and that i am a duly�te�iscered -� i.and Sura�eyot undeY the laws of the State l�l�afcC.�' .�,��J ti.�i'°: j�:'M�l�h;.l�e.dT'c.vG�i'd�., - of A� nescta. � . ;> r. . � ` � � �. , ; ' ,:, � �t ^ Re� IJa S�3-L� � � t,: � _ . , . � .�, ,. . �e ►3 a 2G -- � SUBJECT City of Fridley � 12280 AT THE TOP OF THE TWINS g U I L D I N G P E R M I • � � ' CEIPT NO. � � � ` _____ COMMUNITY DEVELOPMENT DIV. �,� r i y � PROTECTIVE INSPECTION SEC. �� 1 . � i-_—_ � ��;,� CITY HALL FRIDLEY 55432 NUMBER REV. DATE PACaE OF APPROVED BV L � � 612-560-3450 910-F15 $/16/73 � � JOB ADDRESS 8151 Fairnaont Circle N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 2 Bourdeavx's Spring Brook Addn. SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE David Jacobaon 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSE NO. Castle Homes Inc 7613 Central Avenue N.E. 4 ARCHITECT OR DESIGNER MAIL ADDRESS 21P PHONE LICENSE NO. 5 ENGINEER • MAILADDRESS ZIP PHONE LICENSENO. 8 USE OF BUILDING Residential 7 CLASS OF WORK fX NEW ❑ ADDITION 0 ALTERATION � REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBEWORK �onsicruct a 26' x 41 Dwelling and 26 x 24 Garage 8 CHANGE OF USE FROM TO STIPULATIONS Provide a hard surface driveway. Provide a verifying survey before capping SEWER LOCATION: 166' East of Ma.nhmle (E. Inv. 846.13) Wye Elev. 846.98 Top of Eooting: 849.98 Minimum WATER LOCATION: IO' East of Sewer Service SEP£R�►TE PERMiTS REQIi�RED FOR W1RtNG, HEATING', PLUMBING AND SIGNS. SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. WOOCl FT81Il�.' THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT R-1 1124 & 624 LL��FSO ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SUATAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $21�567 �.O.7H WITH WHETHER SPEC IED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRES TO GIVE AUTHORI TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS O OTHER STATE CAL LAW REGULATING con,- 54.00 L]S.00 STRUCTION PEAF RM NCE ONSTRUCTI � � � PLAN CHECK FEE TOTAL FEE 6 .� ` $339.78 _ �_��SIGNATUREOFCO ACTORORAUTHORIZEDAGEN (DATEI N PROPERLY VALIDATED I YOUR PEFj,MIT SIGNATUREOFOWNERIIFOWNERBUILDERI IDATEI DG iNSP �p7E '1i" 'i�T�i��.,_. rwy�aJNytf •��+V��p.��..��•}...�. .�:..1..y,Nlr.•1"'e•'Yr'�H�q a� n.�Vwh.F� .itid�...Y, .:P." ' - �.. . . �1 . . ' i4 . , . � , • ��y V�aa�� ~ V � 1 � . " . _ . . . . , � ' . e.s�o - �v . . .. " � . . . .. . ,. ' � . • , � , . �' .. . � , �� ltr..'.J! � �� .. �� :�'�. Id�� t� ' D '� Y Y!� �� ' V ��1i� ..� � - ' � . . . �� ` . ': �� . �! ��c�E�� ,.!��e� °, , � ' , ` `- � o � � � ' vr��5�-�:: � � ! �€� � �h�.".��-�,��..: . . . . F � .. � . ,• �a � . . • .+... . . • : � " , � . BURNSVILLE; '_ MINNESOTA• . .� . , ._� . �.; ��`I�d��e��' Sc��v�� .. � -,� �� n��P� �;��, ...-� ,,.. .� . . . . . . . . .� . : . � � � : , , -. � � � ��°��,�� .: . : - � �► ::.: �.;:�-�.�.�-..� . _`� .. .:: � . ' .,,-..._:.._�.: � ' T.._..... _ . �� _.." • � ` ` , ' . , . . ,F � ;, i4'" • . . 1 • � _�t ��.�ii<�,�� rc.�'`r-� i....� F� �. -_ ..� � � r . . , � .��,�t�i� � . .`......,••�. . , ""� : . l � t 1 � , " i . � ... ' . � �d' . _ t + • , i " Y�� '. . , . j j � � Y, � y . � • '�r`%/�f�.V � ' . � �` � • • � i � (' ' / � �' • i '.' t i �. '•�/ � � � ' • 1 �i,. ' . F � r� � � ' • �� .�. ' . . , . _ . ; '. � �; . � � t ; �� ;--'�--- �-�?�--- -- - ;�� : ` ,�� P , I, . � ' �� . � . � !� .� I . • i =:t' •� ! ��cr�'�.'� • �j�j�°� • , � � !. : � , (il � � ." �,{xZ� , �;' ��% , � • fi ` �.. ��t= ; �• �� . . . �� . � . w 6 . . � . � . , � � , �: . ��- � . � .. h ,. (� � � �. . , . Y�. ` . ;' ' . �°4 ' 11_.,i;� , C' . .� .�Gip � � `�� . . ' l r: �` i. �� 4 . i !i� _. i `�� ' ��./ . — �� .. . . `i. ,. I � v .� �. .. .' . h � . {T' . r. � . t ' _ -- Y ._._ ' . . � • 4 .. i' I � , �� . ( � j ' ``� ° � \ ' i � ' : - .. . , -� � '' . .t - , - ' .� � . . . . , ,' . 1 ± .. � �:�.� � '. . -� . � ; , t . .:� . . . .; • �. - _ � • ,.1 ..i / . .' . Y � • , �'.. , . . , .. � • . . � . ' � � ' . . �� . i .� ' . . " ��. .' ..,. • . . , `� . i I _ iV�' � ✓. �GS� �4/'�_ 410 �� ' � ' • . �•. I . . N . . : � �� . � - � — , .- . — , _ . ��:C�L� . �', �. �� . a � ', �p.�lhS�(�.1�,,1'r'� lP�� la�.�*;,.�. � � �.- ��r��;.,��a��-� , c�c��,�:z.:�,: .��. �;��,c�a�G� ,�<��L��,�,�.�� - - . .. , . , :. ,. I .. . ' ... . . . .. ...- I : � ��,�. � . t��c�.� P'�-eo� � .. : : � i .� �� Y"- I herebp :tetcify ehat ehi� sezrveY, Plan o: . �-- �`� . � . � .: , • � G►�O Cti 1�--s .. � - -�... '. `. • ' reporC was prepared by me or u�dez my circc: ; _..'�G;'?:��'�.1,l;:�� ,5�� t�f�_ �°�Ol�„ 1"a;��9 i' 4C.';`s: superr�is:o= a�d that 1 am a �vly�\P^:e►��.4� ' �,.'_.,bo,,�a�.�`a - � Land Suneyor unde� ehe l�tivs of tne St�,� � , "� �.� teJ t�l"i°Y, 6�1.1 itil �.d� �� i�� . o�' M nesc:ta. �j � .. � . .. . . , �� t`✓ . ,�.!...� :.�..._.. -,� { , �i. � . . , . . � /��.,..�-/�-�. _�' ^I °-• "_��.. ,....�'. . i . .. _ . � . ' . � ;� w �7.^�'l� ♦ ' , . . ' . �" t1t ? �� ^.�. �e,� �T� - . ' �� ,. . �, �. - , . . � . . .. . �- . � . ' ....�... ..._. __ • , - • f � i e � �� e r' ��cr-��'�o�/ /� �' � � C� � Or- . � , � � /�CT, ��, ��J ✓ �'�i� , P �� - � �'�,� ��` �o — � G� ��r//I�//�U � O 7`i�� D `, / � /f'j �� a��.T,�� ' �✓ � F � ��e�- ��-�� 3 3 %�� _� � � �b �� 86 �s 6• �8 � � A�PLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA � .. ��. owx� � s rTar� :�e ii � S.d e o� s a�1 BUILDER : C A d��o �i �.r•s ..rivro, annxESS : ann�s s: 7( / 3 n�[�..�.yr,� �^/. � . No • �`' � s�2:- f.A / r �t�te.v!' � � r �.� /1/� ` LOT: BLOCK: .,� ADDITION:_8 � �v�Cd t/!t �S �S�r��►9 I? ya� CORNER LOT ; INS IDE LOT :_�SETBACK o�,� � SIDEYARD ; % � � /� ' Applicant attach to thia €orm 'I�ao Certificates of Survey of Lot and proposed building location drawn on theee Certificates. �ESCRIPTION OF BUILDING To Be Ueed Aa ; S/.v�� FA �t►t � l y �rA �e � o N St Front:__� �, � Depth: '�7�/ Height; /` ' /� �� Square Feet;�-�_Cubic Feet• � �_ y � � d '/l►►�tl+� °� � Front : � G� Depth : .2 �,I � Height : /a � � /� Square Feet; Cubic Feet: 1j�pe of Construction: FYA�if �t Estimated Cost; $ 7,�, �pp , To $e Completed: � t� 3 � . /q7 � -�� '� �'" � �� "� • ' � The underaigned hereby makes application for a permit for the work herein epeeified�, a�reein� to do all work in sttict accordance with the City of Fridley Ordinances and ruliags of the Depar�ent of Buildings, and hereby declares that all the facts and represents��.oa�a stated in thia application are true aad co�rect. . DATE: zQ �+, • � ,�r.�.�g? �_ SIGNAT[1RE: (See Reverse Side Far Additioaal Inforniation. ), F� r 4°�03�`�+' ��"• S ' ' �_ ��; � _ �' �� ! � � � � �� a; - - � . . �� . _- � � ` _ ' �. �_ _ � , �_ ,� , 6.,-�_�, �� , � �.� � . �, � 1-,�" , -�, � - � � �:�� ' : . .�-��-� "::� 1 .:�. . /� / � . t BUIL�ING PERMIT FEE SCHEDULE SECTION 2. The Inspector of Buildings shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, og for any alteration or repairs to any existing building or structure, upon �.pplication therefore, require the payment by the applicant foz such permit o� fees to the amount herein below set forth and in the u�anner herein provided to-wit: U1�iIFORri BUILDING CODEs Type 1, 2& 4-$2.15 for each one thousand cubic feet, or fraction thereof, in such cubical contents. Type 3& 5-$1.85 for each one thousand cubic feet. ADDITIONAL INFORMATION �or the puxpoee of computing fees for building permite, the cubical contents of an�y building or addition, ia determined by �ultiplying the ground area covered from a point six (6) inches below the floor line of the basement or th,e cellar to the average heights of the upper surface or to the average height of the roof surface of the main gable of a pitched roof. For repaire or alterations to an existing structure, the fee shall be at the rate af $3.00 ger each five hundred dollars ($500.00) or fraction thereof in the cost of all proposed work. Tn ao case shall the fee charged for any peamit as set fvrth in Section 2 be lees th�n $5.00. VBRIFICATION OF FOUNDATION NO'I'�; Permits for eonstruction will be issued a mi:timum of 24 houra from the time of applicatiaa, �o alluw fox propex xeview of tlie proposed structure a�sd of tl�e conatruc�fon s�teo A Certified Survey of the lot, showing the loeation of tlxe foundation, once it has ta�ea constxucted, wiZl be required bef�re proceedia�a with the framing. CERTIFICATE OF OCC�TPANCY Appli,a�tion for a Cextificate of Occupancy shall be �ade ten (10) days prior ta the use ox occupancy of any structure for Which ,� building permit has been iaaued; and said s�xucture shall not be used or occupied until a Certificate of Occupancy hae been issuesd. . _ � � � � � ti � � r � � : O . �y� . : • o�' v . � : � � . � . � • i V \ .�. � � � � � � � � �� d x � � �i W �ii � �'i � C � i� '�'r S '1 �y � p � (,i � Ki �0 � �.1 � � � � G � � � � � � o � .°�.° � °. � ° o � x � , � � � S i b'�� e z � : � ° �. ; $ � N � ' a 2. � �n � � . . � � � � � . � a S � : . °•"° �5 . . • • . � . . . . � . . . . v . . . � ' . : : : ' : : : : O O � N M M x x K x �e x Cp71 p ipV � !pN W �p W n�.. ►�Qr � � C � O n,� O� O � � G � n,1 !A M � N tA fli d► t1► fR M � � � � � � a � ' r � � � � � N � � Cp � � � A 0 , � � o. D � i /� � � H _ T C r T Q y o. � 9 d � a p n y a '� � �" � ro ` � 0 O . � 0 � � �� ` .■��r • . . ■. ■, � _. ...�, � � �� • .■■�, : : ��C � r � � ❑ 1 O u�i ��$ 3 � ~ ~ � � b .. � � � S � � � � 1 j � I m � WA7l� G.06lTS WIINALS r►rw � �� 5�tV16 wwsM rw��rs rouNr. SM11AS. FLOO� �� u� �,� AuTo wwv+u c� �nvl c� � c�s OPENINGS � • i • N � r � a T � n �� A � � tf .°. � '� � � � „a, a � ��. � ��W� b� � o Q �� ~�� bd � � �ti � ,d � �� w� m � �� m �.�E�--�� " �� .. � 3 '� �• � � � � � � �O �x �� p N � � � � � �. � ` : � � � A• � � � m � �� '� � � � � �• : 3 s . � � 0 < w � C" r i� 0 � � � C � � � �""J � d� I� � � � � � � � � � � 0 ��o �� p � ._„__ i � � � � �� Q. a Q � � � � � � � � � m �a�� W� � � �� •°r x '. ti � � � �� o �� i . � �� X � M a M O 8�0�, M b► M � � r (y O Ai �� O � I � � � � � a � � � � o n� � b 8 • ,�_ O r ee � < � M I W� � � � � �� ., � � p�r E � w 8 � I � � � � P � � � O �� 8 e � � � � x � O t � � � � m � � � o � a � � x y � O [wd � A f0 y os..�� y �� o��o� ��$,� � �� .�i � o � � � � G� ;9i O O $ � 8 8 � � � � I I I I E � � z a s � 0 � � �� rn� p w a � ro t"9 O o. � � � � `' � � ! g �I I� I �� I l� � �� 9 � c ��~�� oo� � � �� m� �s �� : � �� : � � . : : � W df OI 4: O 8 $ 8 � 8 � � � � � � � i °° i � i � � z � x � � '� m � m � � � � � aa..� �e � ° ° � � "' R' � � y � �° � ��a� �� $. o$. s : : 0 W Or 0� O � 8 8 $ $ � � I � t y I I F ww G. C.� '! � � �� - � � � � ° d M � � � om��' ' � do� � � �� s B. � °; fl. �'' �. � ° � � •� �� s� y��, =` ��Q .� ��n � �-�� a�� ' � o�� . m � o,aE� �� 1�CM -0�� —'�`� o � � � � �' � � �� . � � � � � T \J T C iii � � a '� ,� � <`` ,� � � �i � � � � � _ � � �� o � � � a w � � a � � I � � � `� � ��- $� �,� ��I�, �,o ' �� % HFAT LO�S CALCULATIONS ��'�'f �(;� �'� �o��'�'��'�(a CO. "�INN[APOLIS„MINN. � Weatherstrips A.S.H.V.E. Construction No. Insulat�on a, Windows Doors Guide Out. Wall Int. Wall Ceiling Roof Floor Kind HowApplied Reference Yes—No Yes—No �g FI. r/ �� Room Length � Width/� Height Fl�fjs� �� Room Length � Width � Heiglit VVindows and Doors—Crackage and Area Windows and Doors—Crackage and Area Widrh He�ght No. of Lineal ft. A�ea W�drh Height No. of L�ne-,l fr. Area NO' of pane ot pane IiBhts of CraCk sq. ft. N�' of pane of pane lights of r.rack 5q. t. � Z G.� � �/ � s� Y 7 Cs �C � � � Infiltration Glass Exp. wa I I � Net exp. wall Int. wall Ceiling� � Floor Total Btu. 3% �4U �O 3 Required sq. ft. E.D.R. or sq. ins. W.A. Leader area _ lFl�� Room I Length � Width — — . Windows aitd Doors—Crackage and Area No. W�dth Height - No. of Lineal ft. Area of pa e of p ligh s of crack sq. ft 9 9 Z S� � � 2� .. � � z ' / �( 3Z � �% /� Infiltration � Glass Exp. wa I I � Net exp. wall Int. wall. Ceiling F loor Total Btu. B Height B tu Required sq. ft. E.D.R, or sq. ins. W.A. Leader area I � / FI.� Room Length I Width Height Windows and Doors—Crackage and Area Ne Widih Height No. of Lmeal ft. Area of pane oi pane lights of crack sq. f[. � �� % �v �— Infiltration G I ass Exp, wall 2 Net exp. wall Int. wall Cei I ing F I oor Total Btu C�ll Required sq. ft. E.D.R. or sq. ins. W.A. Leader area e � i � �� .� � � ■1�— 'J�� II . � . �s �� Infiltration G lass �,� Exp. wal I x � 8 Net exp. wall Int. wall Ceiling � 3 F loor �;F Q: 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. �'!drh^ Height No.�of Lineal ft. Area I nf i ltrat i on �°� G lass � Exp. wall � / � Net exp. wall �' Int. wall Btu >� 'Q� �i7 Height Btu o! � $ Q C� Ceiling ��. /� (' � Floor ' � � � � Tota I Btu. Required sq. ft. E.D.R, or sq. ins. W.A. Lea r area FI. Fp �C Room Length Width V'Jin ows and Doors—Crackage and Area Nr�. W�dth Hr.�yht No. of L��e7� .. Area of p of p;i lights ot r_•a:• sq. ft. � / C/ � � � / � ,a.C' / , i �oe Infiltration ; 2 Glass '� � Exp_wall � � Net exp. watl � i � Int. walt Ceiling � aj Q F I oor � Tota I Btu. Required sq. ft. E.D.R. or sq. ins. YV.%-+. 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( � � � � �I � � :"' ;� ' � 1 ► �&, y s. � �� O �. � J � N i� � W � O o � $ � $ �' � �,�� o w � � � � i3, n rao •.� � � � � � �^ � �y k/ .7 � � i � °w � � � � QQQ�� , � � � . r�n�jl W � � � �� ' � � � ' � � �o'► � ��s �� 6i � � � � �� a ( o O � � � I i ea w � as c.: o � � S � � � � � 0 y � � ^ � � a' �' �' � � � I � � � � � ~ � � 'd di p �i �• � � �' � 07 � � � � 0 i �a 1 ' � � � � � � �a ..t�� W C� 6f S? ��88�� N � H . 4 g 'O � a' p' n �G �DC=� � M `� ii. � � � ,-��ovwG � �� 0: r, � K . � � � � .. y � R. � �o �� .� �� ~ A 'J � "' � � H ~M w �x � �_.� �a�° ��Nb o°" �w r��,u. 0 �ao� � �, o � ~ � ~ d 4' f,' 0.l Q. ary �� t5 w (D H i�� n� �� 0 w� "� � i�; �I, 1 � � � � � � � � E� � � � ; �� M � � � � � \ � �� l � � r � ;� �1� �':1 f'�A �'� .`� �:� e3 ' N,,� F; �a �� P.';'.5 e.d � � �� ;� � :.� (''� ��• c Fr �� 1'.�� ` e :% �: i f.a r;-a (:� �:�r i i [ :�a � '"a �+ � � �,.':� � �� ; �n e.� � �; �� ( "fi� C.y G;') ;:� E�� c� t � �y r..o [`:3 v.ry c .� e {.!�' ��•r�i � l+� e � C3 �s ��•i � e:-,p [ +p � � o � e ;B (' 6 �;, �o E:� �� f'� c� e `'� c. � �r,� �� . � �. � S`iO t:3+ � � � F .Y„_. `-ar � > _, r� �; � _ ' � �—__ a' . > ! � �l ,o, .. ,.� �. ',r' 'x�, ns , �� I� ' � � � .r�� O � u 9 � � R - � 0 � O Q W \ --__ ___,��__._ � � .f 6, . . rff^ i _h , .- ,•y � � � _ t: . �. � �., � HOUSE HEATING TEST RECORD d-20737 8151 Fairmont Cir�le APT. FLOOR CITY SUBURB�r�.a1�' ADDRESS Y� OCCUPANT Dave M. Jacobson OWPIER HEAT LOSS DATE HTG. INST. GAS C0. METER BADGE ,# SOLD BY INSTALLED BY S@dg9v�.(!k H'tg, n e� Electrical Work By Gas Line By TYPE OF HEAT GA FA � HW STEAM SPACE HTR. UNiT HTR. OTHER GAS DESIGN MAKE Williamecn MAKE OF BURNER_ Model 1117-7 0�5 Model $e��a� 7321310 Max. BTU Rating — INPUT 100�000 B'i��, MAKE OF FURNACE Model CONVERSION CONTROLS n THERbIOSTAT �7 Heat Plug Vont Size � Yalvo 11�I•N V800C KIND OF LINER ��'�� Limit RnbehaW R�', '16�171 Droft Hood ��t�a��egulamrzE �"�3�'O1E325"3 Limit Setting ��i' Filters Size 18 a�� Number 1 Fan Settin 90of & 120�fi Chimney Loeation Inside y� Outside 9 Pilot Type Go��7 �' Chimney ConsTrudio� �e'�Bib�B'�6l�° Pilot Make Pilot Model Smoke Bomb Pilot Timing 74 sgQAnaB Draft L.W. Cut Off Door Pressure Pressure '4.4�T�C. PercentCOZ 7��% Date Tested 11�7�74 Input CFH ..A�1 Percent 02 R-7� Company Testing Staek Temp. �`�a�'F' Pereent CO �. �� Name of Tester - Wiring Og Test Tag Y�'g - ` Lighting (nst. Ye'� Form 235 SA SUBJECT P�� c�ty of Fr�aiey : i388i AT THE TOP OF THE TWINS g U I L D I N G P E R M I T � ; � RECEIP . � `L _ _ COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. ��,a�� 1 � � ( /"�1 � CITY HALL FRIDIEY 55432 NUMBER REV. DATE PAGE OF APPROVED BV �----� � �'� 612-560-3450 910-F15 11/22/76 � � JOB ADDRESS �Vl 8151 Faa.rmont Circle N.�'i. t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 2 Bourdeaux's Sprin Br�k SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE David M. Jacobsem 8151 Fairmont Circle NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. SAme 4 ARCHITECTORDESIGNER MAILADDRESS ZIP PHONE LICENSENO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILOING residential 7 CLASS OF WORK O NEW � ADDITION � ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK construct fire lace 9 CHANGE OF USE FROM TO STIPULATIONS As per atta.ched shee�t TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTAUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS N'OT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WOFiK 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 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 8E COMPLIED. WITH WHETHER SPECIFIED HEREIN OR NOT. THE GFANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. 10.80 PLAN CHECK FEE TOTAL FEE �.�. . % � '- SiGNATUREOFCONTRACTORORAUTHORIZEDAGENT (DATEI N PROPERLY VALIDATED THIS IS YOU�P RMIT, ` � � l l ' � 1 �'%/,T� �/ / �''77� ` IGNATUREOFOWNER(IF NERBUILDERI (D EI BIDG INSP DATE CITY UF Ff�IDLEY APPLICATION FOR�RESIDENTIAL BUILDING PEf2�1ITS iNEW, ALTERATIONS, ADDITIONS, OR REPAIRS) owN� � s N� : ��-1� �� BUILDER : L a� rz v i�P,�pr: re c y� . ADDRESS : O �5 �' � Al� ��n -e� �%� , -- ADDR�SS : $` I'c i'�T l�l'� �� T�L. I�O. z � � �/ - �/? 3 �f � No:�is l s��L�r: �A�'�e �► �� fi c,��2 � LOT : �- BLOCK: � ADDTTION : � n v � c� �° �a v ,t� `S ,5��,',,i � i3�2 001� CORN.�R LOT: INSIDE LOT:�_S�TEACK: SIDEYARD: Applicant attach to this form 1��o Certificates of Survey of Lot and proposed building location dra��n on these Certificates. To Be Used As : IiESCRIPTIO\ OF BUILDTNG Fxont: Depth: Height: �Square Feet; Gubic Teet: ��Z � �Lq� r Front: Depth: Height: Squaxe Feet; Cubic Feet: - Type of Constxuction: Estimated Cost: $�(, �l7 U �Ta Be Completed: ��C, � ��! i � The undersigned hereby makes applicativn for a pexmit tor the work herein specified, agreeing to do all work in stxict accordance with the City o£ Fxidley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. DATE : � 0 v . -2 2 , � � • S TGNATURE • . (See Reverse Side For Additional Iniornnation.) /r � %� C�.�G = �0. �� . . qa � s r . � ^ Q • ' I � / � BUILDING PERMIT FLE SCHL'llULL' SECTLON 2. The Inspector of Buildings 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 repairs to any e�:isting bu3lding or structure, upon application therefore, require the paymenC by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to-wit: 1�1EW CONSTRUC�ION: Sing�.e Family Homes and Garages: $�4.00/1000 cubic feet PLAN CHECK: 25 percent of building permit fee. ADD I T I ONAL I NFORI�IAT I ON For the purpose of computing fees for building permits, ihe cubical con�ents of any building or addition, is determined Uy multiplying the ground area covered from a point six (6) inches below the floor line of the basement o� the cellar to the average heights of the upper surface or �o the average.: height of the roof surface of the main gable of a pitched roof. For repairs or alterations to an existing structure, the fee shall be at the rate of $3.00 pex each five hundred doZlars ($500.00) or. fraction thereof in the cost of a11 proposed work. In no case shall the fee charged for any permit as set forth in Section 2 be less than $7.50. VERIFICATION OF F011NDATION NOTE: Permits for eonstruction will be issued a minimum of 24 hours from the tim.e of application, to allow for proper review of the proposed structure and of the construction site. A Certified Survey of the lot, showing the location of the foundation, once it has been constructed, will be required before proceedin� with the framing. CERTIFICATE QI; OCCUPANCY Application for a Certificate of Occupancy shal,l be made ten (10) days prior to the use or occupancy of any structure for which a building permit has been issued; and said structure shall not be used or occupied until a Certificate of Occupancy has been issued. . .� r��.� �� v�'� AT Y6i� Y9P OP YH� Tt�iP16 1 , ! ` < � �'b--�--°°� G0�eE9VNITY BEN�LC'�fEP7T CIY, � � i P�&OT�CTIV� G`at��CTfCP4 61�3P°P. � i ��_a� � 61YY N6�LL PRIDLE$Y 0b�}� ti.._e.t�.� a e�a-emo-��o Job Addr�ss Jil�s � 5 / Cont to G� K,ind of Building Comp ation D�.r�e ' � �I i p. W i -' W I � I rc I w 3 a � � � I � 7� 39Ntl�11 � � 4 I •9ddd� 8tl'J •X��I� •�s�w `. � •s�a, •nnN�va I ( �, y� SNISVBI !� H71V7 k �O G sNiva❑ \ ;� � aoo�d - ;0.� I 6tl3MOH$ '7ai I !� � •1Nno�l tH � �Q-+" � )INiiia ! x �o �U � 'V2(� SAVNl iq .: Hsvnn \ 0 a ' � s��,sl 'z sent HtV� sivw�an B S��,o,�I `�1�� • I &31VA�1 .� � � a Ui W �-�+ C7 M �7' f � � 3 - i.S �',.�e� ��aE�r Pexinit No . PL�IM�Ii'JG PERP�IT ,�PPLI�ATIOid A 7„LV°!" AU � � `2 G�r �� CO G .� o. � I Q w flD .� a �' C3 I C � U ti � � a� � � �, •� �� U � � 0 U dctY�ss � x�s �� se � stitna.te os � �� o°v o°s 800 ie ie _ ,_., Plumbing Fixture Ratese 1�0. RAT� �TOTAL Number Fixtures � x $2.00 %$ "I,o� F'utuxe Fixtu-res � x $1.50 �.�- ST' New Fixtu�e-01.d Open. x $1.50 Catch Ba�in x $3.25 Water Heatc•r-99, 000 BTU � x$3 . 00 � vo Ground 1Zun Old Bldg. x$3.25 Elec. Water Heatex x$2.00 i Gas �'itting Teeso lst 3 Fixtures Additional �'ixtu-res � X $2 . �� x $ .75 Gas R�nge-1999000 BT�U x $5a00 ReRairs & Altera�ions See Descriptiono Code �� State Surcharge .50 � TOTAL FEE $ � The undersigned hereby makes application for a pei�mit for the work h.erein specified, agreeing to do all work in st'rict accezciance with the City Ordinances and ruling of the Deparrment of I�uilding�, an,d hereby declare that allrt e facts an 'r xesen�ations stated in this I appl' ation are ru :and corxect. �� - r � ( Si a�ure ate ' 0 CITY OF FRI�LEY 8431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 55432 TELEPHONE ( 812)571-3450 Augus t 31, 1981 Minnesota Package Products 6922 - 55th Street North North St. Paul, Nd.d 55109 Rse: S�aitnming Pool Construction at 8151 Fa:i.nnont Circle N.E. Dear Sirs: This letter is to make clear this department's requirements for the swi�►ing pool construction at th.e above address. l. As indicated, one (1) ski�er apProved by the National Sanitation Foundation will be provided. 2. As indicated, two (2) inlets of approved design for fresh and/or repurified water will be provided. 3. As indicated, a main drain of approved construction will be provided. 4. The filter and pump shall be approved by the N.S.F. and be of sufficient capacity to provide a minimum turnover of at least two (2) times in 24 hours. This department recommends a turnover rate of 6 - 8 hot�s . 5. A deck of at least three (3) feet wide, measured froan the pool waters edge, shall be provided which extends completely around all private residential pools. Above ground private residential pools may be provided with decking of a mi.nimum size of 4 feet by 4 feet at pool entry points and provided that such decking has the approval of the City. 6. The diving area will be acceptable provided there is no overhead obs truc tion . 7. Fencing or other effective means including but not limited to walls or buildings, acceptable to the City, shall be provided to positively control all access to public and private residential swimming pools. Fencing shall meet the following cxiteria: (a) '�e fencing shall prevent the entrance of children and be without hand or foot holds that would enable a�erson to climb over it. (b) The fencing shall be at least 6 feet high and entrances shall be equipped with self-closing and self-latching gatas capable of being locked. (a1 Self-closi.ng and self-latching devices shall be placed at the top of the gate or otherwise inaccessible tA small children. �d) The opening between the bottom of the fence and the ground or other surface shall be not more than four inches. 8. An autosnata.c chlorinator should be provided with a suitable test kit. 9. All electsical and plinnbing installations shall be inspected and approved by the City Insp�ction Departsnent. � Minnesota Package Products August 31, 1981 Re: 8151 Fairmont Circle N.E. Page 2 10. All overhead electrical lines must be a minimum of lU feet hprizontally fro�a the ,pool surface, and 18 feet straight line distance from the waters edge. An alternative is to bury sai.d lines. 11. The pool fill s,pout must be protected by a vacuvm breaker or air-gapped. 12. Suitable safety equipment to include but not limited to a ring buoy and rope that is 1�4 ta.mes the pool diameter, and shepherds crook pole must be provided and maintained�with the pool at all times. Furthermore, these and any other requir�nents must meet the provisions of the Fridley Ci.ty Code, Section 115, S�vinzning Pools. The building pennit is approved contingent on final inspections and a,pproval by the City. If any questions or problems arise from this letter, please feel free to contact me at 571-3450. Sincerely, r' S N J'. OLSON, R. S. Envirormaental Of f icer SJO/mh CC: N1r. David Jacobsen 8151 Fairmont Circle N.E. u " , .... ' .'� '. � .. � •M � -_ _-_-__ __ __ � _ __ _- _ •' ` � ' • ' �1 ' ' ' 7 . ' . . � • . � , . .. ' � � � : �?�L:.��l::�:::�:: ��1 ��'�I �� . l �� . ; ..� . . . .. � �: �NGlfV��?S � � & � L//bi�l� SU13�lE'YO�'S � . �. . ; � �OD 'W�ST :�..�12E'f�!"� '�STR�FT . � . � � Bt1RNSVlLLE, - � .: MlNNESOTA� ' . .....�g.'� .�_��--�L�l"V��.;... .�. � �O�' ' T,G v� f�a �►-�-�.r _-_� ` . : . : :. • �:�.�: :.'�•�9"A�3,lo...E� .. �, �._.� �.. � .� , : . � . - . .. __� =_-is,l�_.. . _, . . . , • _ �. h • . • . r r ' � ��-�� • 1 • , 1 . ; ' �-, ' . � . � ._ Cn� DQ.A�II�.�A�C�� .LSTI LIT Y � � � �EAS�MLti1T . . : i � .. �S' �'�' .,_��r � .. � � • .• • ? . : /F•S` �..':e' � �''�•' ,� . ,� J• � i ' • ' .. • � � • . ' ' . • �. �. �� V �._._ �! • '. , � . , •• • • . �._ _ .�,�i .. �. ; �� . � . �� i : : . � � ;�. �� _ � :; 1 �� / - 52. O . ° : : � j � �� • S: � . . 5 � � � � . �9 : � ; �:� j cn . . . , �:� w _ � . N � - ��rs'u�� -_ .. .., �-. . . ��_- . . N N, , . ' . �- D �, N. . '. �. �' � �> �'r . � ,:1 2�.7 � , �. • 1. �_ . - � . .r. ; - • : . • . .� -32 G'�.� � 2f�.j , .• _. '' I . . :t . � � .-j `, , � • ,� . . . ' • �. , f , � . . ' � I r.f'� ` . o ,� ..� . . . j f� . . 1 � . .. i • . � � .. .• • i' . • � . t M` . . '.. . '• � : .. . ' . �. • '_ _ .� . ... � . . . . . �' � • . -� --.,.�5.e�--- � -- � . .. _ � : : - . . . N �" . !J 8� ° Z7' OG�". W ' . :` � . � . � . . � . .. M i • N � . - � . �. . � � � � ' � � .� � � � � � � � - �. �► C ALE 1'i. � �o � . . �. �._. ..c. l t�! � I�A7�� t�o!-d Mc�1. � • . : � � . � • C L�: . .'. 1�LIr �A�ltJGS �S�j U ME� �I ( _ � �,. FA1 ��RI101.1T • CI fz , . . � . � � � �� w.��. . . . . . . , . � i � . .�.�.,. . ��1��1.:�. " C��SCP.�IPT10�1 �' -- I heteby tertify that� this sucveY, Plan or � 4'r" ��. + �: : ` �Is O G �4:�.'. .2. ��."...." - ,":�.: :•: : _�: ��•.,:' :�,�:� :.jr:`.. =tport was prepared by me or under my dirccc QjDUL�D�'AUX'� .SP�II�IC� FjPr-OO,��"'��i'F'lCl�l- �'�N��o�€. and that 1 am a duly�tesistered Land Surteyor under the laws of the Scace : 1�tJ�tC.�� .: C.OU�i�l'f Y j.__..M�l�t�llJ�cS.OiA�.: �� -� of M escta. � • � y�: ,�, • : . _,,:, . :,:. P. � • � ,'. . ; ; `. . . .: . . . . ; " , •! . . . . , . � ... � S33 Z.— ` ;+ � � ��- at " No. . � �,'. . � . c ' .. `�..i. ,' . . . • '� -- �° � � ZG ._ . . --- � _--__-_ � � W � � O O � v� � I+ �Z� Zy mm �ZO_ mN �ozo oa O=aA� c� ��sz �� OA� 3m °�=m �= w �� b 00 � ma�� o ' Y7o=� Cr CD � �� mo � �� °o =� r�� y'9 m0�" om w �., m b; � w I� �� :� > �� ci ��'—' ay � s� �V� � � O ey .i r � � c � � N � V � s � �j V � � � � � 0 � 0 �..� �..i pl � � A �' �� W .. w ►+ N 00� W' O "1'1 O.^' n d 0 0 tn ca bi a � bi N-��LC AODbOcn O�Z aZm ��NZ�n ��7�0�� ONO�mm D v , Z x��D � Z �m r x bi �e z b � j ..� W a D�D�AO fADZD(�Z =mNmD� �Nc�trnom z �wD� g;< � 7Dpm ��o D � �mZ�t�i� �� m A OD � b � � O �; C � ..a � � V b � ba m � ��to �-�m�p m �O�Drn �DA=Of a ��<D� �Ooomo Z a �N� Zw m� Nm � � �w � D �' � � � x b a � n � �t g � b � b i � � T • � � "' � I x b . i °D .� i� ;v_ �N �� im V �rpump svP � F �- &3/4" -►I � f•-- ��n.. � 7•8/B" � � ,a�re�. , � � F.-- � s�e �, I h-- a6re�• —�I MEDIUM HEAD HIGH HEAD ��ruR�s �Heavy-duty high performance motor with sir-flow ventilation for cooler operation and maximum dependability. Built-in automatic thermal overload protection. Electrically isolated and insulated from pool water for extra safety. All components molded of rugged, corrosion-proof fiberglass- filled resin for extra durability and long, long life. This mate- rial gives high strength and heat resistance charaeteristics and is immune to all types of pool chemicals and water.,lnte- gral super-size pump-strainer housing has extra air handling capacity to assure rapid priming and continuous operatfon, even under extreme conditions. New, Service-Ease design �ffords simple access to all internal parts. Motor and entire drive group assembly can be re- moved, without disturbing pipe or mounting connections, by disengaging just four bolts. �` Heat resistant industrial size ceramic seaL Long wearing and 100% drip-proof. DFPFND1�16LE. H/CirN FLOW PERF�I�MANCE �� TotaQy balanced corrosion-proof Noryl� impeller hassmooth, � --�- �---- wide openings to prevent fouling or clogging. Engineered �� ! ! for maximum performance-tuned efficiency. � .�� —;__ : � �� I <� �� + � � ��\ �� _ � � i �\\ ` ��` � `�` � � � � '� � � ` � �` � '� � _. . _ . .._ ��sv,a,e �iu Nr� �.,e,o ien n Nr� HPl SR1�7 -_�-_ � rya Hr� � - - � �� -� 0 Unique mounting base provides stable, balanced, stress-free ' ' ', support for motor and pump, plus versatility for any installa- _-_, tion requirement. _� � BY1 yy_1816 � 1NP1 iix Ha� �� _-�7-_ _� I �zo ,ao Super-size 110 cubic inch capacity hair and leaf strainer basket gives longer time between cleaning. Rigid con- struction and load-extender ribbing assures free flowing operation for even the heaviest debris loads. Exclusive, Swing-Aside hand knobs make strainer cover re- moval easy. No tools required ... no loose parts ... no clamps. ° Clear Lexan� Full-View strainer cover lets you see when basket needs cleaning ... eliminates guesswork. Tab-Lock design and special self-adjusting seal assures positive seat- ing and dependable sealing. a• 8 FEATURES OF THE S-200 SERIES MANUAL AIR RELIEF for eas�r, safe manual re- lease of a(r from system. FULL VIEW LEXAN'°' DOME. Clear 6" threaded inspection dome lets you s� operation of filter and provides convenient access to top of fllter. �`� TOP DIFFl1SER. Assures even distributlon of water �� over the top of the sand media bed. All iritemal pip- ing is 2" to g'ive smooth, free-flowing pertormance. AUTOMATIC AIR RE�IEF. Automatically purges filter of any entrapped air during operation of the filter system. CORR��I��E�Re��, ��L�V��:�� ., : TAt�K. Injection molded of tough, durable Cycolac• for dependable ell-weather Rerformance with only minimum care. �3��T�� C�&��T�� ;-abas��. Provides extra strength and securely and safely fastens tank top and bottom tagether. Allows for future �rvice ac- cess to all filter componenta wlthout disturbing piping and connectfons. ��9�'8�6� B��r� r�-?�-��;. ,,. �r�1�v� with easy-to-use lever action handle to let you "dial" any of the 8 valve/fllter functfons. FIL- TER, WASTE, BACKWASH, RINSE, CLOSED or RECIRCULATE. ��P�Ia.`�� L��ti€d�1 d� make assembly or disassem- bly of the corrtrol valve easy. � ��B��Pd� flflU��@-��iu�e�.�E, N_3��e�;�:y=��'��:.:. ��L�. These precislon engineered� corrosion- free, �If-cleaning Iaterals ghre totally balanced flow, even when backwashing. Laterais individu- ally thread into center collector hub to assure posittve sealing, and allow for fast, easy servicing. ��1P�O�T �E�It�T. Rugged and attractively styled to provide strong�, stable support for the filter as- sembly. Totally corrosion-proof, too. �R�86� �9P� �� allows for total draining of fllter for winter or service. �Ya" garden hose con- nectlon thread for eesy hose attachmenti Drain assembly is replaceable from outside of filter. r�� I��°E� C��l�OtdE�� are serviceable using only a screwdriver and wrench. The 5-200 and 3-240 High Rate Sand FUters are avallable with two base optlons: 1. Standard pump mounting base. ' 2 Del�nce pumpffilter platform base. The System I I Series is fumished complete with Hayarard UL Super Pump arai clear l.wcen union. All components fectory assemWed on deluxe � platf.orm base.� Systiem I I Seri� availeble wiffi 9a,1, 1'/� end 2 HP pumps: Your dealer will recomme� the mo�lel with the pump horsepower �et will provide optimumperforma�, at the lowest cPeratin9 c�t. � + System II separate compone� syst�n elso available with cho�e of Super or Max-Flo pumps, h thru 2 HP. . ,';.r ��::�� UR'IV['a CO1�lPA 1r9 1 ��, 900 FAIRMOUNT AVENUE, ELIZABETH, NEW JERSEY 07207 / Phone: (201) 351-5400 Printed in U.S.A. SUBJECT City of Fridley AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r � � � 1 y____� COMMUNITY DEVELOPMENT DIV. r � � PqOTECTIVE INSPECTION SEC. i-__-� ��"" �'� CITY HALL FRIDLEY 55432 NUMBER REV. DATE i 612-571-3450 910-F15 9/1 JOB ADDRESS g151 Fairmont Circle �e�'ie 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION oescR. 2 2 Bourdeaux ° s 5pring Brook 2 PROPERTYOWNER MAILADDRESS Davi.d Jacobsen 8151 Fairmont Circle NsE. 3 CONTRACTOR MAILADDRESS Mi.nn. Package Pmducts 6922 - 55th Street North 4 ARCHITECT OR DESIGNER MAIL ADDRESS 5 ENGINEER MAILADDRESS 8 USE OF BUILDING RL'S].CZEri'rla.�. 7 CLASS OF WORK ❑_ NEW X 8 DESCRIBE WORk Construct a 35' x 17' 8 CHANGE QF USE FROM I PAGE OF 1 � � ° 16364 RECEIPT NO J � APPROVED BY SEE ATTACHED SHEET ZIP PHONE 784-4243 ZIP PHONE LICENSE NO. 770-1313 Zlp PHONE LICENSE NO. ZIP PHONE LICENSE NO. O ADDITION � ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE S�ni]mID].� POO�. TO TIONS See stipulations on letter dated August 31, 1981 by Environmental Officer. ' '�� 8 forc diggin� call local ufiJi�ies T PHONf - ELFCTRrC - GAS Etc. R �U1RED �y L�yy . . ' AU��L.� �011 �1��e �ERM,-rs a�t� � S�pERATE MBING AND SiGN�• HEA'�1aG. p�..0 TYPE OF CON57. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PEFiMIT BECOMES NULL AND VOID IF WOHK OR CONSTRUCTION ZONUNG AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTEfi WOHK IS COMMENCED. NO. DWLG. UNITS I HEFEBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION �- AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION AND OHDINANCES GOVERNING THIS TYPE OF WORK WILL BE CONIPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $�15OQ DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMITFEE PROV ONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- ST CTI N OR THE Qj_EfiFORMANCE OF CONSTRUCTION. $BO.SO pFC�ONTRACT�ORAUTHORIZEDAGENT IDATEI � IDA7E1 _ OCCUPANCYGROUP IOCCUPANCYLOAD SQ. FT. CU. FT. OFFSTREET PARKING STALLS GARAGES SURTAX $4.%�J SAC CHARGE NONE TOTALFEE Y VALIDATED IT CITY e �F FRIDLCY Effective Aug. 1, 1981 � �� . APPLIC/17Ia,J FOf; R�SIDLi�TIl1� QU1LDItiG PERt�iITS �6 (t�e►r, Alter.�tions, Additions, or Repairs) OHlIdER: �� `°�:��S��a�� ADDP.ESS: �I % ��i��e� �i,�, TEL N0: " %� ��' �� [3UI LDER : �� -/i°'o�il�C�S` ADDRESS: �,�%�� ' /�c' TEL td0: �%�� '�/ j;� Construction Location STRITT NO: �I'� � STItEET: �_/.�1 /'/:I �;- � e'r, , . LOT: . v( BIACK: � ADAITION: � � �yl Corner Lot: Insicle Lot: SetbacY.: Sideyards: Ap�licant attach to this form twa Certificates of S�rvey of lot and proposed building location drawn on certificates to scale. ,� DESCRIPTIOtd OF COFJSTRUCTIOPJ � � ^� �j � � " I'ront: Depth: Height: Squane. Feet: C�ibic Fcet: Front: Depth: Height: . . � Square� FePt: Cvbic I'eet: R�tpe of Construction :��t��,,�� T�p �,_, Estimated Cost: $ �. �� Zb Be O�tt�pleted: �� Alt. A Alt. B Proposed Drive��ay Width If New Opening Is Desised: $� $ SE� i�VERSE SIDE OF SHEET The undersigned hercb�• ma}:e� application for a permit for the �:ork� herein specified, agreeing to co ,all work ir� strict accordance with the City of I'ridley Ordinances aaid rulings of the Department of Buildings, and hereby declares that all the facts and representations stated :n this applicata�' i� are true and correct. D:3T�: � � �- �.) SIGNATURE StS.nulations : ` - �- i'� � , �.�.--s- � , ,, s � ,� �, . �; � .,. � , �� 7 � � f�` � �' � .��. �P � �� , � BUILDII�SG PERMIT F�EE SCHEDULE The Inspector of buildings shall, before issuing permits for the erection of any building or structure, or for any addition to any �xisting building or structure, or for any alteration or repairs to any esisting buildinq or structure, upon application therefore, require the payment by the applicant f or such permit of fees to the amount herein below set fortTi and in the manner herein provided to-wit: TOTAL VALUATION $1.00 to $500.00 $501 to $2,000 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 FEES $10.00 Minunum Fee $15.00 plus surcharge $10.00 for the first $500 plus $1.50 for each additional $100 or fraction thereof, to and including $2,000 $32.50 for the first $2,000 plus $6.00 ior each additional $�,000 or fraction thereof, to and including $25,000 $170.50 for the first $25,000 plus $4.50 for each additional $1,000 or fraction thereof, to and including $50,000 $283.00 for the first $50, 000 plus $3. 00 for each additional $1,000 or fraction thereof, to and including $100,000 $100,001 and up $443.00 for the first $100,000 plus $2.50 for each additional $1,000 or fraction thereof PLAN CE�CK: 25 percent of building pezmit fee DRIVII�TAY DEPRESSION ESQtOW: Concrete Ctirb Streets Only Alternate "A": Removeal and replacement of curb and gutter only Driveway width plus 6 feet x$13.50 Alternate "B": R�oval and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth Driveway width plus 6 f eet x$15. 75 VERIFICATION OF FOUNDATI�ON Penaits 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 4�f the construction site. A Certificate of Suxvey of the lot, showing the location of the foundation once it has been constructed will be required before proceeding with_th.e framing. � _ , � . . �. ' .' � '. . � ' �rM � • . _ � . ' � . � ' . . ' •� � t • ' , . s . � . . .. ' . • � . �.��.��'•�I��'•. ��•�� . �` � . V �� j . � . � �: �iVGIN ;�RS � � L.�b6�D sur��YO�� . �- . . : � 0 0 " WL 5T :' ; :;125 � fh�. ..SiR�'FT_� .. � BURNSVILLE, . � � . � MINNESOTA� � ' . . _.. _ _ , _ : ___:::___.. . ___�. � � :.��1.�� Ll�V � � . �'0�'_ ' �? �,e I ,p� � G v � i� r • •� . „`-�-' . - . � . , • . � � � . � : � : �: � .N g9'�F3� lo' E _ . :� ". . _. � . : . � :--. �-?'�.0-- —� • • ' . _. . � . ,. . . . . . , . . - . —� ; --. - . � . � . � � . � � •:;at� , � ' � ; . � � "Cc�� D2.fi�il�JAG�� LSZ'I L.tT Y . � � �` . . . ; .-��MLNT ' • � .. _ . �,.��,. , r" 1�' � � � . . • � � ' • � " ,��' � ,-� �l �, � , � � .. • . : . . ; ��.i `�� r�;\ ,� ��, . � . . : . � ' / j . \,t/ . �". j ' • /. - � . �' � : � _ �'. c� . ; :� ► �'�� - `�.�w,� ` ° '=-�,� 7,.`.a . , � � �� = �9�� , � �. . ..� . � � . N �r — r�.a�=� � — � � : � : � . �;. , r N' � . c11 � � . .' , : . . _. : � r . N ' , . . , , , � . �� . ' j � 25.7, � _ ��. : 1. . . _, . ,; � , �i i-�_ . .. . �� `. . � - � t . . i _. - '�'• -�2,c�� - ��'0.3 ,-. � . -f •` J,-: .. � ' _ : . , - . �.;� r```J! � . � . . . � � � -.. j I� • � ,,; j • � �: . . - � � � . . � .. 3 . . . . � . . � M ' . • i . ' . . . r� . ... 1 � . ' • . .. .. _.. ... _ r. „-�C�- +� ..,. • . ' . • ..._ • . . —�- ; • . , N � � s�°z�'oa��.w -,�� : � . N � � � � � .. � - � . . . . . . . � C ALE' 1'i. � ��, �I,,� . -. �. ._. .c. I N D I�A7�� I�otia Mc�i. � � � T � �� C i,,, �: �. ��1.. &�t��.tNGS /��g u tir►E� � �. ��r �r��.t ct �. �. . . . . . _ . . , , . � ; . �.t � L.�Ul�lo..'� �� i��S�.�.l PTtot�J �� . .: , : � .��,� . .: . .- I herebp .terc�fy that ' ti�ls sutvey, plan or � G7"�' � : � �: ` " � l.y 0 � 4�... �' �;-.: ..'. :� ": ".:': ":::r` :: :` `' `' :..,.': :. ' _ `� .`, :cport was grepared by me or under my direcc Qj4UL��'�UX+� .SP�II�I� P,P�oo�;:��1�pD�g�o�. Su��'�iO� and that I am a duly�tesiscered � Land Sun�eyor under the laws of th� Stace . I�tJ1�tC.�� ., G.OLl�Pd°i'Y j-_.._:N1 l�i`lM4'c.S:C>'�"As.: �;: � of M nescta. � .', p . . . . '! �,' � , ', .` '. I' ' • ' �. � . •� � . . . . , , ;� . � - Rep� No �33 _ • , . . � , . � :! � � � _ ��.... . . . �e r� o �� . - - ---- - -, � �d (�i � O O .• 3 . �Z� °'�ci �+9-�mzy wZm O= mtA ,�ozv pa o�O�� 3�sz �� m�xm �nm z �� zva3 yo z -+ ax'�� m° r� �p c� r�� mm m<m °_ �? m :� >D � � � �i Z� �mm �D mo �� z O �y 0 � a rn lsi w bi a 1' I_ � � �— v 1 J � v � N , s . v ci � rn 0 i 'd 'a 00 � � d � �v � A " e�r �71 � W .. W � � OD� W' O `.'�* G� d - 0 � � N��rn�C �ODbOtn O�Z ,Zm ZrrrN� !AN(/�ZDn �7D��'°� OD7��uDD Omr^D�C) rNV�mm D x��-� �. �D . 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DATE F FIRE DATE: �� / � ' f G) f> � � �/� ��V PURCHASE ORDER °ATE f��-/3- PURCHASED BY _ _ C�TY OF FRIDLEY 8431 UNN. AVE. N.E. FRIDLEY, MN 55432�384 812-571-3450 , �� , nccounR �,.,� � iu i c .� /��/� . �� _ � . ,�� F 22362 THIS NUMBEH MUST APPEAR ON ALL CORRESPONDENCE SENT TO US THIS DOCUMENT GOOD FOR PURCHASES UNDER $1,000.00 ONLY SUPPLIER ��OS% OC�� CiLZ��O/v� � C�P��L aoor�ss �� / i� '� r� G'�. /t� � �� -� �� i`�° ��% PHONE N0. CONTACT �al / i i I C•%f J"'! ZE'� �' If'� � anr. ENTER OUR ORDER FOR THE PAYMENT VOUCHER BY SIGNING THIS DOCUMENT BELOW I HEREDO AUTHORIZE PAYMEM AND THAT THE GOODS AND SERVICES HAVE BEEN RECEIVED OR RENDERED AND ALL CITY GUIDELINES HAVE BEEN FOLLOWED IN THE PROCUREMENT OF THE BELOW STATED ITEMS. .�c � � -C7�1 �dC� n i —fS[�� =� �'� � C� TOTAL � (��, �`� THIS AGENCY HAS AGREED NOT TO DISCRIMINATE IIV HIRING PRACTICES ON THE BASIS OF RACE, SEX, COLOR, CREED, MARITAL STATUS, RELIGION, OR NATIONAL ORIGIN AND HAS AGREED TO TAKE AFFIRMATIVE ACTION TO RECRUIT MINORITIES AND WOMEN INTO EMPLOYMENT. IT ENCOURAGES FlRMS AND OTHER At3ENCtES WITH WHOM IT PURCHASES PRODUCTS OR SERVICES TO DO LIKEWISE. EXEMPT FROM SALES TAX AS A POLITICAL SUBDIVISON OF THE STATE OF MINNESOTA CITY OF FRIDLEY NO. 8030301 WHITE, VENDOR - YELLOW, PURCHASINO - PINK, ACCOUNTIN(3 - GOLDEN ROD, DEPT. HD. a,y SUBJECT P ___..� City of Fridley 2 0 6 5 9� ' , AT THE TOP OF THE TWINS g U I L D I N G P E R M I T RE�E� . r � � � `y _ ___ COMMUNITY DEVEIOPMENT DIV. �� r � � PROTECTIVE INSPECTION SEC. � _ � � /"'1 � CITY HALL FRIDLE� 55432 NUMBER tiEV. OATE PAGE OP APPROVED BY �""'� � ,'� 612-571-3450 910-F15 11/5/�0 / / J08 ADDRESS g151 Fairmont Circle N, E. t LEGAL �OT NO. BLOCK THACT OR ADDITION SEE ATTACHED DESCR. 2 2 Bourdeaux''� Spring �rook Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS IIP PHONE Mary Jo Kravel 8151 Fairmont Circle N.E. 561-5268 3 CONTRACTOR MAILADDRESS Z�P PHONE LICENSENO. Lindstrom Construction 6851 � lOth.Avenue North, Plymouth. 544-8761 4 ARCHITECT OR DESIGNER MAIL ADDRESS 21P PHONE LICENSE NO. 5 ENGINEER MAII ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Dwelling 7 CLASS OF WORK O NEW ❑ ADDITION O ALTERATION f� REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Fire Repairs 9 CHANOEOFUSEFROM TO STIPULATIONS Call for inspecti.on a�ter demolition work and prior to new construction. SEPAfATF P�R,1IT� FFn�JI�;ED Fi3€� WIPIP��, HEATIi�G, E'L�fJi-CsiN� �alVa SI�'lVS. c�� - � P� � R� SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, �PE OF CONST. OCCUPANCY GROUP OCCUPANCY �OAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING S�. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OH ABANDONED FOR A PEHIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFPSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1. STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS yALUATION SURTAX AND.ORDINANCES GOVERNING THIS TYPE OF WOFK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $GQ�OOO $30.00 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 E PERFONMANCE OF C STFUCTION. S5S9. 'rJ0 N/A PLAN CHECK FEE TOTAL FEE �, � Fire SC $60.00 $649.50 IGNATUREOFCON� RIZEDAGENT �0 TB yy N PROPER I AT THIS IS YOUF PERMIT SIGNATURE OF OWNER �ii OWNER BUILDERI IDATEI /� �^ � BLDG �NSp �ATE � � [] - � [ ] �T� [ ] �lJ � C�onstniction A��.�: __�� Iegal Description: � R-1 AND R-2 �ilding Permit Applicatia�n �� I Effective 8/16/90 owner rrame & Addr�s.s : _�� fL� �p /°��S//'�- �e1. # J ^ / -- � Zl � Contractor: �� a�5 y� 7Je1. # J��-r` -��/' •.r. � �� Attach to this application, a Certificate of S�vey of t�e lota with the propoEed vo�ruction drawn oai it to scale. � LZVII�TG ARE�,: iength width Height Sq. Ft. (�iR�1GE AREA: Tp*�'h Width Height Sq. Ft. DECR AR�A: I�ngth Wldth iigt/Ground Sq. F't. OTi�R: � � �� i�� t]o�n�ex L�t [] Inside ?At [] Ft. Yd Setback Side Yard Setbacks �pe of Construction: Estimated Gost: $ �T� �� ,pprox. Co�pletion Date: ��D . � Proposeci Driveway Width If New Openirig Is Desir+ed: Ft. $ $ Wi 6' See Back Page DATE: � ��/ APPLICANT: Te1. # . ) ��-�c �,��'% CI'1R OSE �Y P�ennit Fee $ � j , � L� Fire Surch�-irge $ � , C�� Stat� ��-�ge $ -� C� . C� � SAC C�aYge $ Driveway Fscro�w $ Park Fee $ S�wer Main Ct�arge $ . �. sr��s: � �o� . �� Fee S�le a�► R�verse Side .001 x Permit Valuation (1/lOth �) S.SO/$l,000 valuation $600 per SAC Unit Alt. "A" or Alt. "B" Above F2B D2�ffililed b� F�i rx�ri� Agre�ment Neoessaxy [ ] Not Neoessary [ ] � :, � � . � • :� •, � - � � = «: � �+. � Zhe Chief Building Official shall, before issuing permits for the erection of ar�y Ya,iildirg or sttucture, or for ar�y addition to ar�y existirig huilding or structure, or for ariy alteration or repair t4 ar►y existirig �.iilding or structure, upan application therefore, require the payment by the applicant for such �*�+; t of fees to the amo�uzt herein below set forth and in the maziner herein provided to-wit: � 'I�OT�iL VAIIJE $1 to $500 $501 to $2,000 $2,001 to $25,000 $25,001 to $50,000 $50,Q01 to $100,000 $100,001 to $500,000 —�ia.� $15 (Minim�m► Fee is $15 plus surchatge) $15 for first $500 plu�s $2 for each additional $100 or fraction ther�of, t� and iricludirig $2, 000 $45 for first $2,000 �plus $9 for each additional $1,000 or fraction thereof, to and including $25,000 $252 for first $25,000 plus $6.50 for each additional $1,000 or fraction thereof, to and iricluding $50,000 $414.50 for first $50,000 plus $4.50 for each additional $1,000 or fraction th�f, to and including $100,000 � $639.50 for first $100,000 plus $3.50 for each additional $1,000 or fraction th�reof, to ar�d including $500,000 $500,001 to $1,000,000 $2039.50 for the first $500,000 plus $3 for each additional $1,000 or fraction th�reof, to and incl� $1,000,000 $1,000,001 and � $3539.50 for the first $1,000,000 plus $2 for each additional $1, 000 or fraction th�x�eof DRIVE�iY DEPRF�SI�T ESCimW (Cflncrete Curb Stseets On1Y) Alternate "A": Remaval arid replaoement of curb arid gutter only - Driveway width plus 6 feet t�mes $13.50. Alternate "B" : Removal arxi replac.ement of curb arid gutter ar�d in.stall a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $15.75. . � �. ��,�., M •;, Piermits for oonstruction will be issued a�ainiYmnn of 24 haurs f�can the time of application to allow for proper revi�a of the proposed stn�ure and of the o�tn�ction site. � A Certificate of S�rvey of the lot, shvwing the location of the foiu�dation oa�xz it has '� it has been oonstruct.ed will be required before proc�ding with the fYaming. SUBJECT P City of Fridley 2 0 7 0 0 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T � � � COMMUNITY DEVELOPMENT DIV. R L PROTECTIVE INSPECTION SEC. 3��-� � _ � � _' r ; -- -; � , , � � /"'1 � CITY HALL FRIDLE� 55432 NUMBER REV. OATE PAGE OF APPROVED BV �'"""�'� �'� 612-571-3450 910-F15 1/14/91 � � JOB ADDRESS g151 Fairmont Circle NE t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 2 Bourdeaux�s Spring B,rook Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Mary Jo Kravel 8151 Fai�ont Circle N.E. 754-1648 3 CONTRACTOR MAIL ADDRESS Z�P PHONE IICENSE NO. Ray Kreps Canstruction Co Inc. 1676 Chathaai_Ave, Arden Iiills 55112 631-8543 4 ARCHITECT OR DESIGNER MAIL AODRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK O NEW ❑ ADDITION O ALTERATION C� REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Fire Repa.ir (Interior & Siding) 9 CHANaE OF USE FROM TO STIPULATIONS RemoYe all dehx'is and daznaged material and call �oz inspection, Pxovide proper egress windosrzs in bedrooms, �rovide fire alarms as per Code, S�i�;4�'�iTE I�C�P��TS R��'�R�3'�D �°�� `:Fd �.'siSE7 � b�:.G� 7 �4�'�"�!9 ��$..�..il�:�':t��iJ l'i�� '�6VV. fY''`�$' 7 TYPE OF CONST. OCCUPANCY dROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATIN(i, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZpNING SO. FT. CU. FT. AUTHORIZED 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. N0. DWLG. UNITS OFFSTREET PARKING I HEf;EBY 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 WILL BE COMPLIED 46 500 $23„2'rJ WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $ � DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISI NS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUC N OR THE PERFORMAN OF CONSTRUCTION. $3�S .00 PLAN CHECK FEE TOTAL FEE � ` J�-^' % � Fire $46e5 64,75 SIGN UREOFCONiRACTORORAUTMOfi12EDAGENT IDATEI WHEN ROPE Y E IS IS YOUR PERMIT , ,. �'_ l� g�I SiGNATUREOFOWNER�1iOWNERBUILDERI IDATEi BLDG �NSP ��pT�- 1�r1 [ ] Effective 1/1/91 AD�T [ ] R-1 AND 1�2 ALZ�t [ ] Huilcling I�ermit Applicatian �i�l �u.wi: O/� / i/� r�;M.� u o✓r c; •2.G Ge Legal De�-.�cripkioai: owr,er Na�ne & 1��: /►9/f� �.rvw �� -�e L � w w�e Tel. # 7Sy � d y�' Corrtractor: K �ry 6�.�� y/ f �-a a f , (� . ��`-G- Te1. # d � ! ° �� 3 �ar+ess: I d 7 6 e'.0 ��'�.�� e ,+� R- �I e-� !� � LG r��. .�s / � Z Attac� to this applicatia�, a(7ettificate of S�vey of the lot, with the pztipo�ed oar�.ioaz drawn oai it to scale. ., - LIVII� AR �' i: Ie�gth Width Heic�t Sq. Ft. GARAGE ARF�i: Irex7gth Width Height Sq. Ft. DECR ARE�i: IP�1 Width Hgt/Grotu�d Sq. Ft. �t: �Pl��2 c � � �t��n�h�C� .1^� Te�r � �i d� S��e �� D,yA Cbrner Iat [� Inside Iat [] Ft. Yd Setback Side Yard Setbacks Z�pe of Oo�nstruction: F.stimatsd Cost: $�.S o� °' Approx. Cxacq�letiaaz Date: Proposed Drive�ray Width If New q�ening Is Desired: Ft. $ $ Width + 6' See Back Page n�: t ( .T� � 9 � �c�rr: �e.t. # ,�' � � ry �s -,�� ennit Fee $ �� Se � Fire Surc�arge $ � (� S C7 state s�um,harge $ � 3.a � SAC Ct�arge $ Driveway ��crra,r $ C Park Fee $ Sewer Main Cl�aYge $ TarAr, $_ a � C.ts �', a� s�,�a�rs: 4`'� .- �S ci�r ve� a�uar Fee Sci�edule an Rever�.,e Side .001 x P�mit Valuatiaal (1/lOth �) $.50/$1,000 Valuatio� $650 per SAC Unit Alt. nA�� Or Alt. °B�� AbOVe Fee Determined bY �3��1 ��-�LY I] xot Nece-ssalY I 7 t�� ✓v►6 ut g�.c.. �i �� S`{ �Fi rn A G�.� ir►�'; �C 2 i i4-c. -I- c �}�-1 �'orL �,s��i,e-;7t� ��cz.a � ��, Pc�fi�,� ��-�.�s c�a r�v��.s P N ��.r�ct,oc� w.s, � 1�2,bu �✓��C ��R.�C ��-v3�`i.Wl�b � �� +��- , ��, �oo as, o�o Z� �,�o a 252, oc � �3.D0 3�r �',D� :'1 � � � ' :H'. 1 :HC ]'v:1:�1��1 Zhe Ct�ief Buildirrg Official shall, before ic4�ir7 permits for the ereetion of ariy buildir�g or stru+ct�, or for ariy adciitian to any e�d.stir�g building or structure, or for ariy alteratioaz or repair to ariy existir�g buildiryg or �e, upar► agPlication therefore, �� the payment by tl�e applic,ant for such permit of fees to the aniauit herein belcw set forth arrl itz the ma*+*+pt' i�er�in provided to-wit: 'Im'AL VAIIJE $1 to $500 $501 to $2,000 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,001 to $500,Q00 I��i�.� $15 (Minito�un Fee is $15 plus sur�a�) $15 for fixst $500 plus $2 for eac� addit�al $100 or fzactio�n thel�eof, to ancl includ.ing $2, 000 $45 fox' fizst $2, 000 plus $9 for each additioa'�al $l, 000 or frdCtiCQ'1 theraof, to atxi inCludirlg $25, 000 $252 for first $25,Om0 plus $6.50 for each additional $1,000 or fr�dCtiC¢'1 thereof, to az�d 3nCludil'1g $50, 000 $414.50 for fiYSt $5m,000 plus $4.50 for each ac�ditional $1, 000 or fractioaz t�ereof, to ar�d includirig $100, 000 $639.50 for first $100,000 plus $3.50 for each additional $l, 000 or fractia� tliereof, to ar�d includirig $500, 000 $500,001 to $1,000,000 $2039.50 for the first $500,000 plus $3 for each additional $1, 000 or fraCtian t�iereof, to ar�d inCluding $1, 000, 000 $1, 000, 001 ar�d up $3539 . 50 for the fixst $1, 000, 000 plus $2 for each ad�ditional $1, 000 or fractiaai thereof �tIVE�IY �PRffiSI�T ffit��W (Caa�te Q�rb Streets O�lY) Alternate nAn: Remaval. and rnplaoenent of caarb and gutter only - Driveway width plus 6 feet times $13.50. Alternate ��g�� : Re�aval. ani replaoament of c�rb and gutter and install a 3 foot wide ap�oach with 6 irrch depth - D�iveway width plus 6 feet times $15.75. .) :�•_u�i. ; M .:� m�++; ts for �stnictian will be iss��ed a minim� of 24 haurs fi�n the time of application to allvw for prc�per review of th+e pY+apoe,ed st�ctur8 ar�d of the OOIIS�'111Ct,�m'1 61tE. A Certificate of Suzvey of the lat, st�wirig th+e locatiaai of th+e famdatio� oQx�e it has it has been ooa�structed will be required before prooeeding with the frdaming. �. �. . . . ..�,� �+�. - , . < . . ...� i i.:.r ...., � e .. . . . . . .. . . � . .. .„�. . . _ . . . . �� .-.. � � . � �. � .. � � � �i . ;,� - . � . . . . . . . . .) n Ray Kr�ps Cc+r�st . Cc�. , I r�c. 167'6 Chath�rn Ave. flrde» Hi l ls, Mir�r�. 5�11� 61:? 631 8543 � C i a i m #: �39t�F R Jan�tary 9, 1�3�31 ' Estimate far: Mary Jc� Kra�.tel ' 8151 F�ir�mour�t Cir,c].e Fi le #: 239C�R Fridley, I�inr� 55432 7$C7-3797 RM 314 1. Exter,i�r (41x26x13. ;�3) W/ Clffset t:?fix4> 19�. �:�� SF Repair exteriar° sidir�g 492. �t�� SF Ra'ir�t exteri�r sidinc� 4. Ot� ' EA Remc,ve sh �_�t t ers 4. t�� EA Pa i nt sh ut t ers 4. 0�=r EA I nst a i l sh ut t ers 30.1� SF R/R slidirig wind�ws 43. 55 SF I r��t a 11 casernent w i r�dc�w� 8. �7t� EA Grime exteri4r windc�ws 8. <7C� EA Gair�t exteric�r wir�d�ws ;?. c'.rC� EA Gaint dar,rs. 19�. GU SF F�rime new sidir�g �. Fayer t7x6.58x8> W/ Clc��et (6.5x2} 59. �6 SF Clean cei 1 ir�g 5�3. �f� SF Se� 1 ec�at ce i 1 i rxg 59. t�6 SF �aint cei 1 ir�g (4r�e caatJ 1.��t� EA RtR light fixt�ares i.Ots R&R shelf, p.�le t�_ brackets. 3. c>�� EA ��a i nt d�..�c�rs ,S.00� ,EA Clear� dc�c�rs 4. c)O EA Varn i sh d�a�ars 168. �� SF R/R. wallcc�vering ' ` 59. nEr �F G2 e+�r� f l oor 59, C�6 5F �trip i� wax vinyl flcaar . 4.c7�:y EA R/R light switches � 1. crt� EA R/R registers , ,. , `� � s� :','r� � -� �� ;:. 3. Stairway dowr� (6x3.17x7.75) 96. GU S�' R/R wal lcc�ver�ing �. i i SY R/R c�.�stom carpet ing 3. 44 SY R/R padd i r,g ' 6. �t� Step carpet Zabar ext�^a 1. 4�7 C l ean & pa i r�t i ran ra i 1 2. ut� C l ean t� sea l s k i rt boar^e4s 1.U� EA R/R light switche� 4. Claset �.�r�der �teps t6x,�.83�e7.83> 1�,�. 94 SF C 1 ear� wa 1 1 s " ��.98 S� Clean ceiling 176.9� SF B�ack .spray ceiltng & walls ��. 98 SF T-r�stal l sheetr�ack cei l ir�g ��.98 SF Tape i� flc�at sheetrc�ck ceilir�g 22.9$ SF Raint cezlir�g (tW4 Qdallt5) 153. 94 SF I r�st a l l sheet rc�ck 1/;� i n. 153.94 SF Tape & fl�+at �heetrc+ek 153. 94 SF Ra i nt wa 11 s( t wa coat sJ 1. U(.7 EA R/R H!C d�o�r units 1. l�C� EA St a i r� dc►r�rs �. �7C� �A Varn i �h d��r^s ��. �8 SF C 1 ear� f 1 oorz ��,98 SF Strip & wax vinyl fla�r ♦ • . , �. ,> � �. . .: . _� � � r : t • ,.� , 5. Lc�wer der� (�4. �x`"�. ,s3x7. 7�) W/ dffsets ( 1;�xJ.�. 67) &(�. �8x,�? W! Cic,set t�x3) 41�.�4 SF R/R sheetraek ceiling 419.44 SF Tape L� fl�at sheetr�ck ceil.ir�g 439. 04 8F Texture sheetrc+ck cei l ir�g ��$.<7a SF R/R plyw�rd subfl�or 4�. O0 LF R/R � x lC� flo�r .j lists 1. �� Sar,dblast Hal lance of joist & subfl�ar 419. U4 SF Hack spray .j t i�t i� subf 1 c�ar 47:=.75 sF R/R sh�etrock 1/2 in. 434. �C� SF C 1 ear� wa 1 I� 47�.75 SF 'T�ape & float sheetrTck 434. t�c7 SF Sea 1 coat wa 1 1 s 41�. C�4 Back spray+ �pen cei 1 ir�g 488. cJ0 SF Remave st udded u�al l s 48'8. �O SF I r�st a 11 � x 4 st udderl wa 1 l s 9U5.36 SF R/R wallcavering 9t75. 36 SF G�a i nt wa l l s ( one cc�at ) 1. t7Q EA R/R bi-f�ld d�or �{nits � 5. t�d EA Si-a i r� doors it�. �70 EA Varnish dac�rs 6. C�C� LF ft/R c�_ist�,m wal l cabinets 6. t�C� LF 5t�in cust 1rn wal l cab��ets i. t�U Seal & varr�ish cust�,m wal l cabir�ets 36. �C7 SF Instal l b�okcase �Er. UO SF St � i r� bo� kcase �. t��.� Sea 1& varr� i sh bcrokc�ses 1��U R&R face frame & d�aor �,ver f use bax 1. ��1 St � i r�, sea 1& varr� i�h; f ac� f rame t� dc��r^ 1��7. �at� 5F Clear� brick wal ls 1. t�U Ri�R glass dvars on fireplace 1. t��7 R&R �x8xita' cecar m�nt Ze & fa.nish E,. Rac�m # � cc�nt. (�4.5x9.33x7.751 W/ Offsets tisx1�.67) & t6.58x3) W/ Cl�set t�x3) 8. Ut� EA R/R duplex e2ectrical out lets 116.82 LF R/R b�se trim 1 16. 8� l.F St � i n'base t r i ro 116. 8? LF 'Refir�ish base trim �. Ut� EA R/R trirn �penings �.OU EA Sta�n trim �per�i.ngs �. �V EA Refinish trirn �periir�gs � . �y __ �� - t_ . • ; 7. Fur�r�ac�--laundry rr_�+��rn t 11. �x8. 5x8. �) W/ Offsets t2x4. 53 &(�. 5x3; 168. �:�4 LF R/R 2 x iC� fl�it�r j_�c�i5ts �7.3�3 LF R/R wr�ad bridgi�g 190. C�0 �'aF Remave st udded wa 11 s 59�,.OU SF Install �? x� studded walls - : 8. t�G LF Rernc�ve he�ders B.OG LF Ir�stall � x 8 headers 4�. t�G SF C 1�an wa 11 s 4�. t}t� SF Se� 1 c�at -wa 1 1 s ic'. OU SF R/R cei l ir�g ir�s�tlat i[�n i(i�. �t� SF R/R wal l insulat ion iQC.OG SF R/R sheetrock f/� in. tUc. t7c7 SF T�pe & flaat sheetrack ��.��. C�C� SF F�aint wa11s ttwo cc�ats) 1i4.'S SF R/R vir�yl fl�ar tiles 8. L.awer 3!4 bath i5x4.5x7.5) W/ Dffset t�.67x3) 3Cy. 51 �F R/R �h�etrack c�i l ir,g 35. OC� LF R�mCVe ce i l i ng j� i st.s 3C�. 51 LF Instal l 4 x 4 cei I irig ,j�+ists 1. C�U EA R/R: H/C door �.�nits 1. C�t7 R&R �hawer daor� 2. t�0 LF R/R c�astom vanit ies 1. �?O RL�R v�nzty tap 278. t�t7 SF Rem�ve st�dded wa11s 178. ��O SF I n�� a:1 1� x 4 st t,�dded wa 1 1 s 1$e . 55 SF i�/R �heetroek il2 -irt. 18�. 55 SF Tape t� f 1 c��t sheet �^ock �v. 51 SF' T�►pe & f loat sheetrock cei 1 ir�g 1�'!�. 55 SF F�a i r�t wa l l s ( t wc cc�at s} 30. 51 SF �aint cez l ir,g ttwo caats> 3�. 51 SF R/ R v i ny l f l c►or t i l e� �. �U SF R&R mirror^ 1. Ut� R&Ft t�w� l bars & pap�n c�� l der i. c�t7 R&R exha�cst far� & vent ing 1. pt� EA R/R l.i ght f i xt ur�s � • . �_ , J .� ;� , : �. ; . .. - . - �- . . ,. > _ _,� - , �, ; � 9. Lc�wer iV1E kaedr�am t1�.�.67x13,5x7'.75> W/ Claset (2.67x�,67) 1�1.17 �F R/R sheetrock ceiling 15i.17 �F Seal co�t ceiling 151. 17 SF Text+.�re sheetrock cei 1 ing S�.£�9 SF R/f2 sheetrc�ck 1/� in. 82. F�9 SF Tape & flr.,�t sheetrack � 374. 7� SF C l ear� wa l l s 457. 41 SF Pa i nt wa l l s ( t w�a ccat s) 2. �]O EA Clear� wirtdc�w units , 3. t�C� �A Re f i n'i sh t r i m �pen i ng:s : i. t�t� EA R/R H/C dc�or �cr�its 1. c�t� EA St a x n da�rs . 4. Ot� EA Varn i sh d oors 59. �� LF Ref i n i sh ts�se t r i ni 1. �U Clean ik varnis�h mi�c. shelv�s i� cabir�ets i 77. �76 SF R/ R wa 11 c4ver i ng - f 6. 8t7 SY R/R custam carpet ir�g ic�. Lower N/W bedroam ( i3. 25x13. 5x7. 75) Wf Cl�s�t t i�x3> ; - -------- 208.68 SF R!R sheetrvek ceiling � �t?8. 88 SF Tape & f 1 ctat sheet rack. ce i T i ng ". �t78. 8A. SF Texture sheetrckck cei l ing � � 616.13 SF C1ean w�lls 616.i3 SF Seal c�at wa11s 616.13 SF F�air�t w�11s (��+�r+c� coats> 1. t�c� G�.ean cic��et shelves, re�ds & brackets . �3. '�'.1 �Y Rf F# cu�torn carpet ing 1.OU EA' R!R H/C d�s�r u»its 1. C�C� EA Stair� do�rs , iG. �O EA Varrtish d�:��rs 79, �� LF R�fir,ish b�se trim 3. t�0 EA Refivt=ish �rim �+.penings �. C_�� EA Ciean wir�dc�w uriit� . ' � �< :�� :�<;, -� __ . _ 11. Livir�grc��m & hall t�3. 67x15x8) W/ (7ffset (7, 42x3) ------------------------------------------------------ `63. 7� SF R/R wai lec�v�rir�g 172. t7� SF Rf R sheet rack i/2 i n. 17?. t7C1 SF Tape & fla�t �heetroek � 1�. 4t:�' LF R! R b��e t r i m �5.84 LF Refinish ba�e trim 377'.31 SF R/R par^ti�le-baard subflc��r 37'7. 31 SF Ra i nt f 1 oor 377. 3 i- SF C 1�an ee i 1 i r�g 377. 31 SF S�� I caat ce i 1-i ng 377. 31 SF F'a i r�t ce i 1 i ng t one c�at ) 36$.7� SF Clean wa31s 737. 44 SF Sea I c�,�t wa 11 � 737.44 SF F�airrt wa11s (twc� CG�e'i'�5i 51. c�t7 SY R/R custarn" carpet ir�g 377. 31 SF C l e�n f l c�t r 6. �:�t7 Extra labc�r f�r steps 5. ��C� Efl R/R duplex eleetr,ical out l�ts 3. �r0 EA .R/ft I ight swi�ches i.U4 EA R/R light fixt�ires 1�. Dinnirig rnom ( 1t�. ,c.,x9. ,'�'.,x8) 99. 7S SF Clear� cei 1 i��g 39,75.SF Seal c4at ceiling 99. 75 SF Pa i nt ce i 1 i rrg f or�e caat ) 32c3. Gv SF R/R wal lcc�vering 3��.�. �� SF Sea 1 caat. wa 1 1� 4C�. rjt� LF Remc�ve base t r, i n� 4U. t'Jt� LF I r�st a 1 1 base � r^ i m 4O. ��J LF Refir�ish base trim i i. t?$ 9Y R! R cust om carpet i rsg 99.75 SF F�/R particle-b�at^d subflc��r ��. ?S SF F'� i r�t f l c�c�r 3. t�0 EA Clean wirtdc�w t�nits 3. i�Cy EA Refinish trim cper�ir�gs 1. t�a R&R wal l bX heat register & tape 3. t�0 EA R!R duplex electr ical c+ut lets `.�� EA R/R ligh� switches 1.�7c� EA R/R ceiling iight fixt�ares F i xt �re a 11 Qw�nce � 35U. t�ta .. • ' ��, �: � 13. Kitchen tiixi�.17x8) -------------------------- 111. 87 SF Cle�r� cei l ing k l i. 87 SF Sea1 coat cei 1 ir�,g 1'11.87 SF Paint ceilir�g (one coat) 1. t�a EA Rern�ve ranges 1. 4c7 EA Remave ref r i gerat c�rs 1. �� EA Remc,ve rar�ge hoods i. t74 EA Instal l range hc�c�ds 1. Ut� EA Rem�ve d i shwashers f.�4 EA Install dishwa�hers Dishwasher �11+�wance � �5�. �7�:� 3,�8.7'�' SF R/R sheetr��ck 1/� ir�. 338.7� SF Tape & �Float si�eetrock 338. 7� SF F�a i r�t wa 11 s( t wc� coat s) 17.4G LF R/R cour,tertop 17.4C� LF FtIR cust�m base cabir�ets 17. t�U LF Ft/f2 custc�m �_�pper cabin�ts 17.4t� !.F 5tain custc�m ba�e cabir�ets 17. �70 LF $tain custom upper cabir��ts 338,7� SF Ir�stall wallc�vering �.00� EA Ft/R cc�i.ling light fixtur,es 14.66 SY Ft/R cust,�m vinyl flcrar coverix�g 88.t�0 SF R/R wall_ insulati�n 111.87 SF Ft/R plywc�crd subflaar ]. 1 f.. 87 SF R/R sti.bf lcrr+t' y $8. ��C� SF Rernav� st ud d ed wa 1 1�. 88. �:►U SF I nst a 1 1 � x 4 st ud ded wa 11 s 4�.34 LF R/R b�se trirn 4�. 34 LF R f R q uart er-round t r i m 4�?.34 LF Refir�ish ba�e trirn 2. �7t� EA R!R trim apenings 14. Roc�rn # 13 cont . (1 i x 1 t�. 17x6 ) 1.0� EA St�ir� trirn ap�nir�Fgs 1. Q0 EA Refinish trim +�penings ,. . 4 . = -� .. , ,: . � ,�, _ � '::� __ .. .,.� _ 15. Upper batF► t 1C�x4. 5x8? W! Offset (5x2. 67) W/ Glc�set t4. 75x�. 6) 7t�. 7G SF C1 ean ce i 1 i ng 7Ct. 7G ° SF Sea 1 caat ce i 1 i ng 7'G. 7C� SF P�ir�t cei 1 ir►g (twc� c+�ats) 4�9.6t� SF R1R sheetrock 1/:? irr. 4�9.60 SF Tape & fla�t she�trock 42�« 6(7 SF F�a i nt wa l I s <on2 cnat ) 5. C�Cf LF R/R custvm v�r�ities 1. �.�C� R&R marble v�nity tap 1. t�t� EA R�.►mav� c�rnmades 1. 4c� EA Remove t ubs 1, c7C� R&R �x5 mirr�r ' 175.6c7 SF R/R wallc�overing 7.86 SY R/R cust��m virryl flc��r coverir�g 24. vG 5F Ft�rnc�ve st�added walls 24. (7C� SF I nst � 1 1 C x 4 st udded wa 1 1 s <7�.�.7�� SF R/R plywo�d subfl�ar 7Cf.7Ci �F R/R subfl�or �U. ut7 SF R��R ceramic t i l� t ub enclr�sure 2t�4. �C� SF R/R c�ramic t i le wal ls 7. 86 �Y Rf R c�rpet i ng 1. C7C� EA �lR bi-f�id d�c�c�r units 1. C1t� EA RIR H/C door� ttnits : 3. OG EA �t a i r� d�+c�rs 3. On �A Ref i n i sh daors 1.0� R&R T��b shawer^ doors 5.�.7U LF RfR b�se tr^irn 2. C�O EA R!R trim oper+irigs , 3. t�c:� EA Stain tr^i,m c�penings 3.OU EA R�finish tr�im c�per�ir�gs 4. �Cr R�R 4 shely�s iri cic+set 1£i. Rc�c�m # 1� CC�1'i't. t1C�x4.�x8) W/ Offset (Sx�.67) W/ Clr,s�t 44.75x�.5) f. t?G EA R/_R duplex electr_ical o�_it lets 1. t�0 EA R/R i ight switches �.��:� EA R!R light fixtures , . . . �..::: : .. .�: � .., : 17. Upper N/E b�dro+�rn t 13. Sx9x8) W/ Cl�aset ( 1�. 17xL. 5> 14�.�3 9F Clean ceiling 146. 93 SF 5e� l. cc��t ce i 1 i r,g 14Er, 93 SF Ra i nt se i 1 i r� g t�r,e caat > . 1. c?4 Clear� cei 1 ing fan 1. Uc.7 EA C l ear� l i g�ht f i xt wres 4.40 EA Ciear� dt�plex Qleetrica� �utlets 1. �.7�� EA Glear� electrical swi�ches 454. 7:'_ SF C I ear�� wa 1 1 s 1�78.04 SF R/R wallcovering 454. 7:? SF ��ai.r�t w�2 is (two cc,atsJ - 1 U8. t�0 S�' P� i nt wa 11 s(�r�e c�rat ) 16. 33 SY RIR cust�•m car.pst ing 7�a.34 L� Refinish base trim S. OC� EA G 1 e�r� doc�rs 9. �'�� EA ti�rnish d��rs i3.44 Clear� & seal 1� shelves & cl��th.es pryle 146. 93 SF C 1 ean f 1 oc�r 7�f.34 LF 'Ft�finish b�s� trim 3, t�t� EA R�fir�ish trim 4penings ,�. t�� EA Refinish trim oper�ings �.4�:i EA Clear� windc�w �anits 18. Upper N/W b�dr,�am t11.5x14x8) W/ C1�set (11.5x2:17T 18�. 96 SF C 1 e�r� ce i 1 i ng 18�.96 SF Seal caat ceilxM� � 8�. �E� SF Pa i nt ce i 1 i r�g ( orre ctaat 1 1.�."�O EA Cle�n light fixt�ar'es 313.36 SF Gle�n walls 313.35 SF R/R wallcc�veririg 313. 36 SF R�ir�t w�l is (twc� cGats) �c�. 6f� SY R/R c�.tstarn c�rpet ing, 18�. �6 �F G1e�n f1�+or ?8.34 LF Refinish base trim 3� Ctt7 EA Re�Fir�ish trim aper�ir�gs `5. 00 EA C 1 earr doars 9, t�0 EA Varn i sh dc�ars 2. �C� EA Ci�an winde�w urfits 1. 0� C 1 ean & varr, i sh sh�l f& rc�d �. �:�t� EA Clean duplex electrical out lets 1.00 EA Clean electri�al switches .. .. ` c s r •�i � � � µ � o w � o � 7 ti � � ^ 6 � � � a � � � o ' � � � h � m O. 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Q� � Mise. Pixt � � � cas Range• n t � � - otner � m r W «�i M � O N ►�i M Q7 � O y � r o en $ �yi H t�l O 0 H � I � �a�$� �c Y C M � ~ ~ o .. ►. c a �'� o.a o0 � f0 �o a � Y N ~ v7 �1 A � v� 2 '1 �O M IC �G � W ID O� f� � 16 O h o W Ka o.v' � Oi h�1r 0 `G .± r g or 0 0 7 � v 7�c' C. �! rt �D tn O O q n m X '�0 � a ID C ►� ►' n � M � r, F.• W ,� � p, r � a a d r � r• n n fp C M� f1 �Q �'• � � N. S N n � G t`�n � " ..� 3 r G� n ti Z N � � c' o m u+ ►'. ., � h tn n �• r� C '0 0 � nnm �s W ,� n C n e N S� O � � � < G \rnno � � � m � ~ ' � � O W ►� m m n � �o a n �c �' � a : a eti tim p ; f: i 0 b' � � m c: �, � r A a -i O Z � O 70 � ...A.. � � � O a „ z p T .�o � � a c� � � T � � ... z � � m � � n M � r, R < n CCi R n [. G G Oi h � ►� r � �o � 6��,�� HEATING HOUSE HEATING TEST RECORD AIR CONDITIONING AND ELECTRIC. INC. ADDRESS �_�,�� `�'�$�9A.,,,9„C'�,�'� °' i/g,�..• APT. FLOOR CITY _ V SUBURB OCCUPANT � � �6�S1�L OWNER HEAT LOSS DATE HTa. INST. t�—�.�� ► SOLD BY �,��, � INSTALLED BY �g� Electrical Work By '6t3 Gas Line By ��ai�Li� TYPE OF HEAT GA FA HW 3TEAM_ SPACE HTR._ UNIT HTR._ OTHER GAS DESIGN MAKE �w � Model �F� �� l��,E)�� ...� `i� Ser�al ��eR�� DZE�Cq,p� INPUT ��o � CONTROLS THERM�TAT _�� _ Q ca�!t t Heat Plug VelVe �=`'�C�.�Y�� Limtt ��,��, Limtt Setting l"1� e Fan Setting T► �►w.�te� Pilot Type o�[�e �s.s.- � -�� Pllot Make �� Pllot Model ei`l 1 Pilot Timing '�'".S � d7�4�1 � L W. Cut Off Pressure 3+`�B1 Percent COs � .'� InputCFH (e,�_c��A PercentOQ �� StackTemp. ��L� PercentCO � Form 235 CONVERSIO I�IAKE OF BURNER �llodel Max. BTU Rating MAKE OF FURNACE Model Verrt Size i�+° KIND OF UNER ,� ,t�,�� g�g � NONE Dreft Hood �O Regulator 3Z'� Filters Slze «ai �.� i, � Number , Chimney Locatlon Inside o/� Outeide Chimney Construction �� 3moke Bomb � � 1NINng �.� Draft _ `Q�d � Test Teg �t}� � Doar Pressure Lighting Inst.�� Date Tasted :� - Z� °'� r Company Testing _ �., �. �sZS, i.4.'Cia Name of Tester � o��cL� h - �, _ CITYOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6=131 UNIVERSITY AVE. N.E. FRIDLEY, MN SS�l3? •(612) 571-3450 • FAX (612) 571-1287 May 10, 1996 Mary Jo Kranel 8151 Fairmont Circle N.E. Fridley, MN 55432 RE: First Notice of Noncompliance at 8151 Fairmont Circle N.E. Dear Ms. Kranel: The City of Fridley has established a City Code for the purpose of promoting a pleasant and attractive suburban environment. A recent inspection of the property at 8151 Fairmont Circle N.E. revealed that not all Code requirements are presently being met. Listed below is an item which does not comply with the City Code: Fridley City Code requires that all solid waste mwst be kept in secured containers stored in the side yard, rear yard, or garage. I observed five refuse containers in the front yard that were overflowing with refuse. , 2. Fridley City Code requires a fence surrounding any pool to be adequately and securely constructed. The fence surrounding your in-ground pool is in extremely poor condition and does not meet code requirements. You must empty the pool immediately and repair the fence to mee# code standards.. Your prompt a#tention in correcting this situation would greatly assist us in helping make Fridley a better place to live. An inspection will be conducted on or shortly after May 25, 1996, to determine compliance. If you have questions ar would like to discuss this violation, please contact me at 572- 3595. Thank you for your cooperation! � Sincerely; Kurt Jensen-Schneider Code Enforcement Officer KJS:Is C E-96-141 � iVO�CLI . � City of Fridley AT THE TOP OF THE TWINS � � I L D 1 N G P E R M I T ;, ,. COMMUNIri OEVELOPMENT DIV. �y��A�� f � � � PROTECTIVE INSPECTION SEC. Q �; , . , � _ �'�'1 � CITY NALL FRIOLEV Sj132 NUMBEP NEV OATE PAGE Oi �"'"'� � �'� 612-571-3a50 s�aF�S 4/23/01 / / JOB ADORESS 8151 Fairmont Circle NE t LEGAL ��7 NO. BLOCK TRACT OR ADDITION DESCR. 2 2 Bourdeaux's S 2 PROPERTY OWNER MAIL AODR�S� Mar Jo Kravel 8151 Fairmont Circle NE J CONTRACTOR MAIL ADDRESS Richard Hastings Contractor 6331 Rivervie• a AqCNITECT OR DESIGNER MAIL ADORESS 5 ENGINEER MAILAODFiESS 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW 8 DESCRIBE WOHK Reroof House & Gar 9 CHANGE Of USE FROM � ADDITION O ALTERATION 21 Sa) Tear-off TO 3 i 757 �o�� poAOVED Bv SEE ATTACNED Brook Addition SMEET 21P PHONE ZIP PMONE LICENSE NO NE, Fridley, MN 55432 ZIP PHONE LICENSE NO 574-9966 4051 ZIP PHONE LICENSE NO � REPAIR STIPULATIONS Underlayment must comply with the State Building Code. SEPARA7E PERMITS AqE NEOUIREO FOR ELECTRICAL, PLUMBING, NEATING. rrG V� yV VEN7I�ATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOIO IF WORK OR CONSTRUCTION ZpNING AUTHORIZED IS NOT COMMENCED V�!ITMIN 80 DAYS, OR IF CONSTRUCT�ON OR WORK IS SUSPENDED OR ABANOONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WOHK IS COMMENCED. NO DWLG I MEFiEBY CERTIFV TNAT I NAVE fiEAD AND EXAMINEO THIS APPLICA710N 1 AND KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS Of LAWS yp�UAT10N ANO ORDINANCES GOVEiiNING TMIS TYPE OF WORK WILL 8E COMPLIEO WITM WHETMER SPECIFIEO HEREIN OR NOT. THE GRANTING OF A PERMIT �2� 147 DOES NOT PRESUME TO GIVE AUTMORITV TO VIOIATE OR CANCEL TME pEqMIT FEE PROVISIONS OF ANY OTHER STATE OR LOCAI LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION �S3 . ZS ��/�� PLAN CNEC �� a Lice S�GN4TUAE OF �ON'RACTOp Op A Op�2E0 AGENT OATE M uNirs C OCCUPANCY S�.FT O MOVE ❑ REMOVE OCCUPANCYLOAD CU FT. OFFSTREET PARKING STAIL$ GARAGES SUR7AX � W1.�7 SAC CMARGE Fire SC $2.15 TO L FEE i $91.47 �, vnu D rNiS i5 r9 PEqmi� NEVV [ ] ADDN [] ALTER [ ] Effective 1/1/2001 CITY OF FRIDLEY (763) 572-3604 Bldg Insp SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: _�l..s I �'i4 � r� sv► b�v%� ��(2 Legal Description: Owner Name 8 Address: �� y .�� l�il,4 U�� Tel. # Contractor. _ � �� c �,H 2 � ��4 �-"�'J`e �l�G J MN LICENSE # �� S / Address: _ �.�� / � c U�� t�, � �.��'F� Tel. # S? � — !%�6�� LIVING 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 Length �/ S"�a r�r .�� Width Height Sq. Ft. Hgt/Ground Sq. Ft. Construction Type:�� }- � � � �� F Estimated Cost: $ � / '� J Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: �.� b I APPUCANT: � ' Tel. #� 7�{ �l�-�� CITY USE ONLY - Permit Fee Fire Surcharge St�te Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: Call (763) 572-3604 for Permit Fees if mailing in application $ ��:�. ,d� Fee Schedule on Reverse Side $ � � �� .001 of Permit Valuation (1/10th%) $ �, Gr' � $.50/$1,000 Valuation $ $1150 per SAC Unit $ �� C%`�) $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 $SOU $501 to $2,000 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,Q00 $100,001 to $500,000 $SOO,U01 to $1,000,000 $1,000,001 and up FEES $23.50 $23.50 for first $500 plus $3.05 for each additional $100 or fraction thereof, to and including $2,000 $69.25 for first $2,m00 plus $14.00 for each additional $1,000 or frnction thereof, to and inciuding $25,00� $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 fraction thereof, to and including $100,000 $993.75 for first $100,Q00 plus $5.60 for each additional $1,000 or fraction thereof, to and including $500,000 $3,233.75 for the first $500,000 plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,000,000 $5,608.75 for the first $1,000,000 plus $3.15 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete C�rb Streets Only) Altemate "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 Houses Onlv Building Inspections 763-572-3604 763-502-4977 FAX DATE �011 jJ� SITE ADDRESS � THIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR SUBMTT A COPY OF YOURSTATE LICENSE, BOND AND CERTIFICATE OF INSURANCE PERMIT TYPE �rE oF wonx: �L�IN� �S�El�T'I'�Y� �PLICA'I'ION �� ' ��+ � EFFECTIVE 2-19-09 ' YOUR E-MAIL ADDRESS ��Gi r n�.flv�� LfY 1�1 � � OWNER CONTRACTOR NAME: G� � � i�I � ADDRESS: b �I �/�'�LO�VI G{ ✓ � � PHONE: � 3 •- �5 � "l��SD NAME: �l (/?/Y �i''" 1 i%'�WI��I%—f /�!7?— STATE LICENSE # ✓ STATE BOND # ADDRESS: S� D IVWvI�I S'� I��r ��SI PHONE �E' !I " �5 �I' �I �� ,SINGLE FANIILY ❑ NEW DETAILED DESCRII'TION OF WORK ❑ TWO FAMILY �REPLACEMENT' ��1� �'v� vF � - � . �! � � �� ,� ` '��- - -. : F �� ;�. ; .� i�.-�- . ' �VI �I�N%I STATE�ZIP EXP DATE ❑ TOWNHOUSE � � ✓rS� �2 FEES ARE BASID ON $10.00 PER FIXTURE, EXCEPT Wf�RE NOTED. FIXTURES: (INDICATE TOTAL NUMBERaF EACH BEL01�. MINIMUM FEE $35.50. BATH SINK/LAV FLOOR DRAINS SHOWER WATEIi PIPING BATHTUB GAS PIPING (NEED QTY LIC) 3WIMNIING POOL WATER SOFfNER ($35) CLOTF�S WASHER KTTCFIEN SINK WATERCLOSET BACKFLOW PREV. ($IS) _ DLSHWASi�R _ LAUNDRY TRAY �WATER HEATIIL ($35) FOR IRRIGATION _ WATER MEfER _ OT'f�R THIS IS AN APPLICATION FOR A PERNIIT-NOT VALID UNTII. PROCESSED I hereby apply for a plumbing permit and I acknowledge that 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 Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit on site; that the work will be in accordance with the approved plan in the case of a11 work which requires review and approval of plans. SIGNATURE OF APPLICANT G� �' J'� �,/✓d'/'� PRINT NAME A �LI� �� i�'Gi� DATE I � I v� City of Fridley Building Inspections Depa�ment 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 ..... ..........__.._.--.— � �u�lding Inspections �63-572-3604 763-502-4977 FAX DATE � j � SITE ADDRESS THIS APPLICANT IS: PROPERTY OWNERJ TENANT CONTRACTOR StB:vIIT A COPY OF YOUR STATE LICENSE VJITH 4PPLICATION P'E�'IIT TYPE TYPE OF WORK: I�IEC�IANICt�L 1�ESIDENTIAI� APPLICATION A CITY OF FRIDLEY O O�VNER ?.DDRESS: PHONE: � COMPANY c:ONTACT PERSON: F7.OyC1 JOSW].C1S STATE LICENSE # CITY • �r • E.'iP DATE Permit No.: Received �;_ �,.�. �,- � � arEr►N z�r annx�s�221 University Ave N E crrY•Fridley srarEMN z�55432 PHONE 763-572-0459 Fax763-572-0164 �SIIVGLE FAiv1ILY � TWO FAMILY ❑ NEW �dtEPLACE1b1ENT DETAILED DESCRIPTION OF WORK ❑ TOWNHOLTSE O AI.I'ERATION/REMODEL FEES ARE BASED ON $lO.OD PER FL�iTi?RE, �CEPT, ^'VHERE NOTED. FII�TL?RES: �' T� TQPT�AL NL?AIBER OF EACH BE--� Equipment Installed MFG: ti40DEL: �1W SIZE:BTLT MFG: C�� IC� MODEL: ��?� SIZE,BTU ___�� MFG: MODEL: �A-C S25.00 FIItEPLACE (GAS) S15.00 _AIR TO AIR EXCHANGEER S15 FIREPLACE (WOOD) S�SAO -_BOILER 535.00 �FURNACE 535.00 CHIIvINEY LINER S 10.00 GAS DR1'ER S 10.00 _DLTCT RrORK Sl0.00 " GAS PIPING Sl0.00 Nwuber of fixtures (a� $10,00 Nwnber of fixtures (tr� $15.00 x � 10.00 = $ x $15.00 = $ Number of fixtures � �25.00 � x $25.00 = $� �s. � � Number of fixtures ��35.00 j x$35.00 =$ 3J�� ^ State Surcharge = $ :50 (lYIII�TIMUM FEE $35.5i11 Tor, � � _$ .-�� O°� L SIZEBTU _GAS RANGElOVEN Sl0.00 _NEW GAS GRII.L Sl0.00 _GAS UNIT HTR Sl0.00 POOL HEATER S35.OU _�'ENTILATOR S1�.00 IS AN APPLICATION FOR � PERMIT-NOT VALID UNfII. PROCESSED I hereby apply for a buildiug pennit and I ackuowledge that the informatiou above is coniplete and accurate; that the work will be in confonuance widi the ord'uiauces and codes of the City of Fridley and with the Minnesota Construction Codes; tliat I understand this is not a pernut but only an ap ication for a pennit and work is iiot to start without a perniit; that the work will be in accordance witl� the appro��ed plau iu d�e case of 11 �rork «��i� rec�j�s revie�v a��d approval of pla�s. , _. SIGNATL?RE OF APPLICANT NAME �xMi 15 ARE R.�.QUIRED FOR BUILDING, ELECTRIC City of Fridley �ualding Inspections Depart�nent 6431 LJaaaversity Avenue IVE, F'ridley, MN 55432 7b3-572-3604 F'AX: 763-502-4977 �� WORK City of Fridley Residential Mechanical Application Page 2 REQUIRED INFORMATION NEEDED TO PROCESS PERMIT RESIDENTIAL PERMIT APPLICATION HVAC � NEW HOMES/ADDITIONS �' EXISTII�G HOME = MAKE-UP AIR REOiTIRED FOlt NEW/EXISTIleiG HOMES -- . 'r ee note e ow � a. Oil or solid fuel IMC Chapter 7 with MN Amendments b. Natural Gas or Propane/IFGC Chapter 3 with MN Amendxnents 2. Make-up Air (See note below) a. IMC Chapter 5 with MN Amendments 3. Venting a. Gas appliances IFGC Chapter 5 with MN Amendments b. Fuel other than gas IMC Chapter 8 with MN Amendments REOUIRED FOR NEV6' HOMES 4. Heat loss & cooliilg load per room a. Required on new constniction IMC 1346.0312 5. Ventilation a. Per MN Eiiergy Code 7670 or 7672 6. Duct Desi�n Per IMC 1346.0603.2 � a. ACCA Manual D NOTE: Centerpoint Energy Mechanical Code Guidelines software may be used for combustion and make-up air cAlculAtions.