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AF - 42022SUBJECT , City of Fridley ' ° 14'758 i, ` AT THE TOP OF THE TWINS g U I L D I N G P E R M I E�E�PT � � ; L _�_�� COMMUNITY OEVELOPMENT DIV. � ! r � � PROTECTIVE INSPECTION SEC. � � � 1 � � �` �'��1 � CITY HALL FRIDLEV 55432 NUMBER REV. DATE PAGE OF APPROVED BY ""'� � ,�� 612-560-3450 910-F15 6/16/78 � � JOB ADDRESS 1579 Ferndale Avenue N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 5 1 Shady Oak Manor SHEET 2 PROPERTYOWNER MAILADDRESS ' ZIP PHONE Ione M. Anderson 4208 Stinson Boulevard 78 - 3 CONTAACTOR MAILADDRESS ZIP PHONE LIC NSENO. N.E. Sheet Metal 4347 Central Avenue N.E. 781-2776 4 ARCHITECT OR DESIGNER MAIL ADdRESS ZI - � LICENSE NO. 5 ENGINEER MAILRDDRESS �� " ZIP PHONE LICENSENO. l�RAi'� 3�ERM1�' 8 USEOF BUILDING �"�+► f'LU14+tBIN� ANp � � Residential �(�(1� 7 CLASS OF WORK � NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK ' Construct a 48' x 26' Dyaelling and a 22' x 22' Garage 9 CHANOEOFUSEFROM TO STIPULATIONS p�vide a hard surface driveway. Provide sod i.n the front ar� side yards. Provide 12 course basement to meet mini.m� 7'6" headroom requirement. Provide combustion air to furnace. Provi.de verifying survey and truss design by July 15, 1978. SEWER LOCATION: 52' W. of Manhole (W. Inv. 952.95) WYE ELEV: 953.16 TOP OF FOOTIl�iG: 957.16 Mi.nim�tmm WATER LOCATION: West of sewer service. NO AS-BUILT TIES AVAILABLE - Conta.ct City Water Depari�nent for assistance if needed. DRCVEWAY DEPRES5ION CO5T: 16' + 6' = 22' x�14.50 =$319.00 ������ '� Qn of �aa�r �� r+ot cu�e,w�t �,e . 8efore di8�in� ca111or�1 �ti�itie _ ��c�a�ac�r o� urnnir tOGflC�NS AND E�YAT10�5. �ELEFHONE • EI.ECTt�fC - GAS Et . n�us o��,► ts r� wFOa,�ut�oN �,►�oses orv�r �na REQUtREtJ BY LA . � us�et� a ssnouu� veR+�r n�e r►��� CM iN� � SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. WOOCZ FL'�IIle THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. 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 �.2'48 'f' 45�: 29� SOO TOt31 ANY TIME AFTER WOflK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIPY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALIS 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING Of A PERMIT 542�690 yfi2�..35 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. � $Z�.9. ZO yi`400. OO PLAN CHECK FEE TOTAL FEE �'�+. 0 r M 1 �� e d �� �— "� $29.8 $570.35 iG nTUAE F oNTR TORORAUTHORIZEDA�- IDATEI WHE PROP LY VALIDATED THIS IS YOUR ERMIT T_ - , � � l� �8 SIGNATUREOFOWNEFIIFOWNERBUILDEHI IDATEI �— BLDG INSP DATE •�I -9 i-- �.. �{( . .y ..�...,.. � .w, :.. � a._ ' '.". ..- . .. . : .. `�� .:,.. . . J _ � r : r i L . t' .� "'"...,.� � ... Yn ! ' Ir 4 ►,:... a'�, s ; � � ., � �,_.,. '�� i L..� �� � : i �, ,-� : y .,, ,,., - �...� i•4 ! i! J\ 1•�� L. �I' i I��-� 1._; J� � l. � 4002JEFFERSON ST. N.E. COLUIU161A HEIGHTS 55421 7gg_g769 a�n usee4ee►v ae�aa� �aao ou��m ��. �R Ra�Ra t�ao pera�aesam o� �a� �R a�c��eR nav oe��4 �r�Reaas�w Al�i� 4C9A4 1 ARa A d OZF2C3l04!!CSCA �� GOJRt�Y�p 1d�l�QR '6'OELr 6ACY�T �� 4EdC 04A3EE A� Q9AWtdEQ303A. � �A�l� � � � � `` ' `. _ �� P �o '�, ° ' SCA L.� 9 = ,�. �6R�N f9TA �GeS��aA�'B06�f Fl�. 5�3� o= ER�d 11AOOdURl�t�ld'g' �S�° I���° � ��,���� : / S,�@ �sm�'�r+".. �� � A ° 0 4_ ! ' I �� � � � � a �`t��� ,� p_ e� , a 6 � � o �s�� ��e ; �� � � � �, � � � � � � � � — — � °° �. � �- - `� � Q : �� � � � � $ e�.� � �°�. � ' � oJ1 ° � � t� , �di � � �� � � " ` �o° �°`���, I o�e��,�� '. , ��- - ,.�,..� -- _r r_. ��. O ,, � � ���� ���° �� l � �`" 4 w.:.._ �- . � � �S� 6-.Q� � °� y ����1/� � � � �$P`�`�C � ��,. �t 1�, � o �,, ��V�� � �� ) ��o �. � �.t-�� ' __,: • � ,;:,. ', _ *�+ �+ �,p ' , '. ��� tl �����:'8',"� �� ����� 2T -� �:. .. . - " .. - ����"�``���`�E����e, ���. _ �,. ,: -; ' .: - O - �'- _ 4Q02 JEFFERSOM ST. N.E. � ?.- CO4.Ult'18lA 1-fEIGFiTS.55e121 . � . 7��7�,- � ��� � J e�� �s+ar seea4 v�aa csuavav. �. aa �.�� �!� cv da oa uwoe� �av uiea�� cua�rsroioev`� �`-� F�� � acau�T e Ae� e► d�¢o�a�aao i.r►aa �et�roa �t� v� r��s ma �aaa o4a� oa� �eacro�rw. 't DA� �' � � - � - scA�.� t u ^ ;�c�° 1�'1�-iV r19. . :.� Y /i iL�'d�a��L1�1�YV�� ��. .�3t�(�.. � � - ' � - Oa ���� �� i���V�,vlG{li� . _ W �►RKt��' : . � -�''� ' �@fi�t� a►��� �tl lo�l ubl'ctres �, . � � � - Gf&� E�c�. , '— - = � � � ���L��-��' .,; . _.. 0 _ __ _, �<o s : _ ,.,,_, i - � r'� � s � - �������� �� �� � ` � � � . 31 p.� .�... p��.� �� �"�,°„''"a _ l-�,.U�. ��- ' � � ���� �° � �� � , � ----- - - �}� �.A��NS ANR _ - ���RACY � ��'' �FORt+M`�N PIlliPO5E5 �' : ` ATA .,��1( iHE;.�1�;•, . ��,,,.�����• �, �. �'s � �� rt �,°Ua ,- _ �� , , . � �{P��� � � _ �N.�e ',r g =.�`�`r_ _ — _ _ _ �>_ � _ B ` ,_ — �a V ; `c= _ � r�a �Y�-/ `�� i- � ,}� r.. °-- _ __ ' � a. --s e,� � � .° �� ""'"' �� - � `�V��'� `�� : , �" � �.�y�S�� _ _ � -� - _ F� ! I�%��JS� �' � � �1 , .� '"' �P ° ` � `°� � . ; ,,.: � . . , �- �� . �--�°�� � , _ , . - ,. . � � � ' . .. � , 1 . � . .� . �' � � - -� � � � : � , � . r �e� . @�1,2 �-2 , � � � � � � � �p� � � F s , g� ISION. SAFETY.;COf�TROt Z4��`� .S� ,.a� DO RlOT PLRRIT �R PkIkCE R�dYa ' , ,� .., � fi ' ';; .� '� THIIVG IN THIS AR�A UVI7i�fOUT AP , i'� � ��'`'' �'_ �� � P�OVAL OF THE CITY OF FR►flLEY ''.` �/° ('�,�.?'. � . , � ;i - "��`� a"'i' ��.� ' 4 _ , . ...�;._.._� . - -,��„i �.� � �A'� Pd�TICE TQ CITY E9dG ;. . Y. R�Q�IRE� FOR CUR� � � ` �' � . . R MOVAI AN� �EP�ACEM�NT �� - .6RFVEIA%A�,, OP�NIN��i*. � ���.��� �-���. � �. -'°'� � .� . . _ .. :.� .._,� _ : . : _� . � .��� , . . , �� � ,. - . .:: . . . ' � . . � .. ,k . _ . . .� ' ' .. ::S'. ' , . . , , . � � � .��. � . .... � �, �� . �_.:. � ' -. . ._. '.. '.. ...._ ..�.:..�.-s _�il�-.�•� � _��:,.......`_..":: _ .� .. _ '" _.' '___ _._."" `__..._.. ... _.. '. � .. L � " .. ,. _ . . � . i � .. . � _ ._ ' ` '�' . -. .- . . i tiv ...�".�.�L. .�� , . . . . . �` - _ _ �v � � � � -� , �� �� �� ��� ����v � � D� �a,�ti� - � ���� �� � r~,�� ` ��� � ��J.� � �o ��� �� �� ����� , 9��, �� � S� � �. /� ����,,��� - y� � �2 �og � �� 3 2 ��.� % s . y�, � l � %-r �'� ��. � � � �� �,S - ��J /L � �i �S ���`%/L�i�L- � �- �/ 7`y ' '" �,�T�`'� U� F'�'�J't��i�'�JU7` �/� P� /Z� � �'.� � o_ �/G� � ���SSI�� C�� �?-- a - �� �� � � � ����� . ,: � �� � - � .. ���v��% �..5°S/STri'�t,�'� �� � = � � � l , ,� � F - ' i ���is +�o�rm to� t�e coniple�ed and submitted wi.�h buildiri� p�rmit applications �; , ' g+ G ,f� T �� `" { _, r' EX7EF:I07 ENVELOPE t1��ERAGE "U" COti1PllTATI���� Y��r . rr�� .. , �Z'�i'��� _ Nar .-�Lf��� �.-��1�.4.i \11�i1�� . SITE ADDRESS CU��TRACTOR Q��TE � PHONE Determi re v�or•ki ng square footage of eact�. 1. Total exposed wail area ..... .,,-�t- sq. ft. x .17 = ,,,,�_,��,-� � 2. 7ota1 roof/cei1ing area ..... _,-�•ta sq, ft, x Total exposecl ti�rall area above �loor = ,��..,, .Oi- �:..�v - -- ---- �---- - � . a. To�aZ �val � :•ri n�io�r� area . . . . . . . . . . . . . . . . . - • - - - • • - ,�,�, k1. �O�:il� CIGUY` �1r'E'�! .................... ;�t� c. Total slici�n� g7ass�door�ar�a ................... _ �,� d. To'cu7 fire�lace arall area.......... ........... - e. Tota'I wal7 frM,ning area {average �10%)...:........ ,�.� ^ f. 7ota1 n�i: ��rai 1 area above fl oor . . . . . . . . . . . . . . . . . ,,, ., g. 7otai rim jois� area .....:...................... ,�:,. Total e}:posed f��undation area = w�,� h. To�tal foundation windo��r area ....... ............. _,n i. 'Taa7 nei foun "`�i�n area above grade ............ �,.� � De„ nnine "U" value �f each wall segment. � , a. �_�-- �� J�� _ �-3"i 5'10_•__\c� . b. X �tu,� _ . —1 ao Z.-.o ���� C. X n�n _ - �-lo i`yl 1ti.Vy, d. — X ���:� ._ _ _ e._ 119 y ��ll�� . ���-� _ � — �_.L�<s�._ �: X ����� _ •_ lblo5 _ dc��.:s �,� � . JcJ g, �yg X ����� , � a���; - .,v � h.�; X ����� J� � - ��.�< 3a � � ����� _ •_ 'ioL7 _ � ti _ <: �i�, i' 3 .............a.......................T�ta1 = ,����.���. 0 v i � �; ��r� , ,� �r �,�. ,�'�; 3�' � ��. � � ��� � ; If item n� is the same as, or ]ess than item �i, you have met the intent ' af SBC 6006(r}2. �� =' s { . � - � �. � , ,'.,� t'"' �Ni fi"8 !' ��'' �4 �' ; Fr�: cYi �'�:''� ��' �•,- _ �'� ,� � .�,y.a,�r'' �a Y` ��t, L�+`,°�"�sr• ar,�' �"��' '1'.� �� �+iD "e ,�`�rs, $ '�l ♦ �y, ,,,� , « .� , rw�.°"k,. . .��✓.n*'�"�'+��79�� . ....._ , x.... �'�a�.:d.�k.r.�''-'F 1! l����S."���J°?'iw'�k.�3����:i:S�,�t.,w:?`���.:5�'�� t��.x�x�$Yi�'�"s.i.� . .:� - n , � �� • a ` e r��� Tota7 exposed roof/ceiling area = ,�;y� . j. Total slcyligf�t area ............. .......... .. k. Tota7 raof/cei 1 i r.g frami ng �rea (average 10%) ..._ ,�,,, 7. Totai net i r�siil a�:ed rooflcei 1 i ng area. .......... ,;a, Determine "U" value for each roof/ceil�ng segr:�ent. , �. X ���„ r _ � . k. X ����� -- �`�" � 1% 1``� 1n d � i X „u►, _ ���a3 , oa� ,;� ..�� � ..................... ..........YO'l.`cl� — C a.w`1 �Jf total of r4 is the same as, or less thGn ,',•7_, you have m�t tfie irtent of SBC 6G06 ( c } 1. ' ... ... .... _. . Alternate Building Er�velope D=�s�gn . To utilize ihe total envelop� sys�ern metnod, the values �;tablis}�ed hy the sum of i tems #3 and �4 shal ] not be greater �'r;an �h.^_ su� of i te;��s ;� 1 and ; 2. l. + 2, _ 3. + 4. _ ! �,,, , � +�*�y, .} r e-as!!�?r}p�.^2�.,���w � ,• �' T J��4 „�� . �. ..� ��� � � ��"w.,�i���:'�'' ,c..� .`• � '{T..�'..' V7�:. �j"��;ly�j'�S ,,.�r ._��`� �' '� ���3 «�+� �V-wa g „.� "� �,�' � c �, }- n ,�.( t ,�€ "r �, t �� r a `"`,, 'i" w, i t� � .e N'a � �['h "��;�1� � f�e a'��t f���� � `� �. � " ,;,�y f �£` �, �t� f? .'$ r ..�� a ?t t� � � � � 1 5 Y'F �' i t 4: � � ' �'Y Y ��� ' S: ''• "'�' , '±����4�������� f �/'� �p- ' .���e��t�� �a ' �ie�aatat'�i s, �F _ �:.�� � ]� 4 $i�4;i�� dv.�.�d�r.,�'�+xWeJ+oo�a4� `_"aN��$::� •�� " .� '.'; �. , . ,'., -' ' � -�Mr,Va+� � n., .� Di����'� ..,- .:�. � �''���� ; � , �+�� `s��l���aa� . � ,+�� �lmt1 �; ta�l �saN Cetl� ��f bn�� �� �...�.,,..�. �� ,`s`' �: .� • - ����"� ����as�_ �. .8��; :,r r ,���� . . , ; � . .� . , 5 ��t�' s�" �:-�"��ht: � o �� ���,��r��" ,,'�'��d�a�e �'' ��a��i '2�:�..�aa�a4rv..8_ca' Fd� y� `�". R� ���f�i' , .�6'< ,.- °`"�°.�..�.1. �' '�"a��,��avra;��t�x� ��c����aa%a � �+�' �iaaa ' . . ;; t ��nr9b�e �a��; C�mm�re�r�c6�� �a� ��ea '-: 1 � �.� . sc1 .q erQpt -. � . 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Yl� /��Q� , �� , �+ Q,�„�_ J3UT.Llll.12: � � � . 0 J � �� 6 � /� T �A`� ���/.�:5� i D � ���YCJJ i � ! / ���'d�/' C / • Tel . IJo . : � � � °� % t� No. Strcet: �' i��� . LOT: . ,� }3IACY.: � TLDDITIOPI : .as� � • a � CO}?JiL•"R LOZ': � I1�SIDE UJT: SLT}311CY.: SIUL•'Y11RD5: ApplicarL- attac;�'ta ::his form �ao Certificat-er of Survey ot LoL- and proposcd bu�.ldinc� location draf�n on these Cextificates. • � �o T3e Used As : � DESCRI PTIO(�d OF BUI LDI I�G ��t..ja�� Front: � � Depth : • � � � Heic�ht : � � _ Square Feet: �,� Cubic Feet: .2�% �� � _ �� � � 'LC'¢aG l?ront: �°�Depth: Neight: % � ' Square I'ee�: ��46 Cubic Feei�: ���a � � -�� _ �:q. � \} `\,�,'•''''�� i�*,,l ,` `, , 4 „; , , ;, � --- Ty,pe at Construction: � �� EstianaL-ed Cost: �� . �Z �� �� To Be Cor.l�lei:ed: r� �� Alt. I� Al.t. � Proposed llriti�eway SSid'�h If Ne�,r Opcning Is Desired �� $ � ' (S� 1'.IsV'F'.I'w� SIDE C1F S2iL:ET) �he undcr�igi�ed 2�ere�y mafies ap�2ica�ion for a permit for the a�crk l�erein specifa.ed, agr�eing �o do all �:ork in str.icti accordance �vith the Cit}� oi k'xa_dlea� Ordin.�nces a:id. ri:lings of the Departmcnt oi L=uildings, and h�reby � c�ccl.ares that all tl�e facts and represei�tatian, stated i�l i:his applicai:ian . � are Lrue and correct. See xevcrse side Lar ac dit-ioi�al 1I1�02'7ililtl.Oil. �nT�: � °�% �7 � SxGI�A�rvr.�.: � S�pula�iwis: � ' �//9'i .2a � /� . � ���. �, /�� d�. � o � / ��� � � � /J� s �_ � _ � _ � / i/� �/ / � _ .// 1 �y� dr�i1��� j//f11�y�(�1i� � ,/jI(N'1 .vr.ri.w��.�..� � Gd� `� `���.T.. •2� ��+k.�Ct e - «-��►� t3. P/irtJt..�?a ` d. 5��i�!j �?.��/ C��.t�t � ��T`t, y i 3`T�( i���. � •. � . �,a.r.�G�— . si�y� ' �i�-,L . s Su.�j �'�z.- ' � Z.. ,� . � � . �. . • ���—�����/��� i . o� /, 3.S •���� .��a, 3�" �'(�,� � 3� 9� � BUILDI(JG PER�'iIT F�� SCiiEDULE S�CTION 2. The Inspec:�:or oL' E3uildings shall, hefare issuing pezznits for �he erection aL- any buil.diny or structure, or for any addition to any existing building or structure, oz for any a1L-eration or repairs to any existing b�iil.ding or :-tir.ucture, upon 'applicatio : therefore, require the payment by tlie a�?plicant fo•r SliCIl. j)Ci[Til'� of, fees to the amount herein below se1: forth and in ttie manner herein provided to-wit: NE6� COIdSTRUCTION: Single Family Homes and Garages: $4.00/I,000 cubic fee�. PLAN CIi�CI:: 25 percent of building permit fee. ' DRIVEWAY DEPRESSION: (Concrete Curb Strcets Only) Alternate A: Removal and replacement of concrete curb and gutter only; nriveway width plus 6 feet x$14.50 Alternate II: Removal and replace:aent of concrete curb and gutter and install a 3 foo t wide approach with ' 6 inc2i depth; Driveway width plus 6 feet x$17.20 •J�►DDITI�JNAL INFORvATION For the purpose of computing fees for building permits, the cubical contents of any building or addition, is determined by multipTying the ground area covered from a point six (6) inches belo�a the floor line of the basement or th� cellar to the avcrage heights of the upper surf ace or to the average height of the roof surface of the nai.n gable of a pitched r�of . Far repairs or alterations to an existirig structure, the fee shall be at the rate of $3.00 ��er each__five hundred dollars ($500.00) or fraction thereof in the cost �f all proposed ctiork. in r,o case shall the fee charged for any permit as set %•rth in Section 2 be lESs than $7.50 plus $.50 state surcharge. _ VERIFICATIO� OF FOtJNDATIOfV NOTE: Permits �or construction will be issued a minimtnn of 24 hours from the time of a�plication to alla�,� for proper review of the propose� structure and of the cons truction site. A Certificate of Survey Qf the lot, showing the location of the foundatian once it has been constracted will be required before proceedir.g with the framing. CCRTTFICATE OF OCCUP�NCY Application for a Certificate of Occupancy shall be made ten (10) days pri�r to the use or occupanGy of any structure for which a buildi�ig pern;it has been issued; and • said structure shall not be used or occupied until a Certificate of Occupancy has iseen issued. � � . a �y i I � �� I I i � I I I ',� I I i i I I I i I i � � I I i ,.' , i , ��, i . ' � , i i . i i � '� � . � � , i j i i � I I , ' . I i i . . ' , I I I I i i . �_ � . � � �'� '� . i ' _ �, �� I�,,„.�,,,�- � �x �z� � - � J� �',� � �! ` - ; I y'g �� , , ;- : „ ; � � , . '., il , . � I I � � . ��� � �� ��'��� `� � ���, � �� ti� ����i � ����- '� �� � �� � ��✓ y �� � ���� � � , , , � e , � � � � ; , � � , , , � ; 9G' ' ; ' � i 1 ' ' ! I % � ���� I � � ' � � i � , , � I i ; i i , � ' � ' '� ' I i I � i ; i ; � � ; � �� � �� � �'�� � z ;� � ' ���� ��! y �� x ' �� �, _ ; , �� � � � ���� , � � � � j � ; , , � ;, � � � � I, , � � � , ; '', , . ' ' i ' , . I ; �, � ', , �7�jr �! � , , , � � i � � � � � , � , , , � , � � , � � ; i , � � , � i �, � i � , , , , , '{ ' , ! f ' � ! � i ' �y��1 � � ' , � � �, � � � qf ; �p � � I � , � � , I ��, � i �, i ! • ' 'I ; , � � i � I � � � � �� � � � �� �.p� ' ' � �e � � ' + ! ' ; I ! I �J�e' ' ' � i � ' �� � � �' � � ; � � ��� �I I �' �I � i � i ' I j y�` � ' , i I i � j ' I� ;� � ' ' i � i � !� j I � . . i �Y� . ,� I � f►I � li . , . � I I j � . i ' I � �I°l��8 X5;$� - ?�; �, fo , , , , � � ��� � �� , , , , � / � � � i tE� �' t ,,l�, �"2 �' Ii�� 8 i f�!'', �� ' i ! ', ; ',, ' ' ' I ' �� ��j- � ��-i�;'� � ;� � % I � I ��'�r 0� ' ! ; � I � � , , i, , , , ' ', ; � �, I, � ' � j � � i ,� � � �I � �� ��i � I �i , �� �'i ��I � � �� � � � � , ��;G�/.�� ; , �, ; �, ; ; ii i I � i ; i i i i ' � � i II i ' I 1 � I I I � �, � � � 1 'il� �+ %d � , � �� '� , '�� � � , � ; � � ;� � , I ! ' i � � ' ' � �' , ! �' � � ; � ' � � , , , , � I`� I ; j I i � � �7p� � � I ! � ; ! ; I , I ; ', , j i ; I� , � , ; i , , � i ' "� , �� ' � � , i , ' � � � ! � f , �� � � � i 1 I ' ', ' ' ��'�. ��' , � � � �� � � � � � ' ' ' ' ' � ; 'i ', ' i � � , ' � � I ' � ' ' i I j � i , ! i i I � li � � � � i : � � �, � � '�'� ° ' � `; ' i , ' �.�-= L� � __ �_�_�"` - i � , I'� , � i �� �� i 1 1 �i i � � � _ �. � � ��. ,. , ��I � ' ��, �� I� � ', i f i � ��� I , , . , '� �, �� I i , ,� p�� �. � � � i � � : ' ', '� �� i � � ; ; , . .� , � , � �. , � � I ��,,. , � I� , '�� � ! . . � I , � � i 1 �' , �!f � A1.MCIVIMp�ry. � ,A gi ����,ri�L�„F PROJECTs REPORTED TO: REPORT OF: 79 FERNDALE A n tw�n c�tti+ test�nq '�!. ;` . _.. er�o env�neennq �taoreeory,mc 662 CROMWELI AVENUE '" ST. PAUL. MN 55114 PNONE 612/645-3601 DENSITY _TESTS OF COMPACTED,F= �..�.�� � � � ���.�.�w. �, Crown Realty 4347 Central Ave NE Minneapolis, MN 55421 LABORATORY No. 11-3319 1'EST NUMBER: DATE TAKEN: UNIFIED SOIL CLASSIFICATION: �1�9oisture-Density Sample Number) LOCATION: DEPTH BELOW PORCH SLAB AT RESIDENCE TO WEST: DEPTH BELOI�' EXISTING GRADE: DATE: JU�Y l�e 1978 � DG ✓ �� �tc.�- COPIES TO: 1-Ci ty of Fri dl ey Bldg Insp Dept 1 July 7, 1978 Sand, mostly fine grained, trace of ravel, brown (SP�-1 30' E & 5' N of NE corner of residence to W 10.5' 6" P� July 7, 1978 Sand, mostly fine grained, trace of ravel, brown (SP�-1 45'E & 5'S of NE corner of residence to W 10.5' 6" FIELD DENSITY DETERMINATION: Method Density in Place B - One Method, ASTM:D1556— - - 4 Basis) Dry Density �pcf) Moisture Content (%) 7•5 11.4 Plus #4 Material (%) 4 2 LABORATORY MOISTURE-DENSITY RELATION OF SOIL: Method ASTM:D698-70, Method "A" (-#4 Basis) Maximum Dry Density �pcf) 10�.2 10�.2 Optimum Moisture (%) 13.0 13.0 COMPACTION TEST RESULTS: ' Compaction (%) 105� 104 f— REMARKS: The above test locations were selected by Twin City Testing and Engineering Laboratory Inc. This report in no way implies that the soil be1ow the depths:tested is satisfactory. AS A MUTUAL PROTECTION TO CLIENTB, THE PUBLIC AND OYRBElVEB. ALL NEPORTB ARE BUBMITTED AB TME CONF�DENTIAL PROPERTY OF CLIENTB. AND AUTMOR- IZATION FOR PUBLICATION OF BTATEMENTB.CONCLUmION8 OR EXTRACTB FROM ON REGARDING OUR REPORTB 18 RESERVEO PENDING OUR WRITTEN APPROVAL Twin Cify Te g and Engineering Laborater Inc. Br .. .. ■■ ■■ ■■ � � ■ � �� �.._:....�•.. �i������■■i� ■�■■■�►���■��■■���■ ■��������■■■■■��■�■ ■����■■■����■����■■ ■■�■�■■�����■■■�■■■ ■�■��■�■■��.1■����■■ � � A � � � m � � b y r �r r y b i1 i+e ►M° � a a�r x�� � � K � a� w r�. r°r c� ►f°i ►• n x�a ►Fi 6� p, y h o r �y �t �r • O � laD � � ~ � � M O � (�A R M ►4 G� � o A � �v �i cz'� a Q' � °o � � � � � � t� 0 R � M G O� M � ��N M K � M H 1 O� A � x o w � o � o° �° �' a a o� � h o � � r� � r � M txii � r =° °0 5 w �.�-1 � � � o0 o w y .-. ow � � �� � . .� . ITI N f') S m -� ,� z c o � ae x x x x x x se x ae x x N � N N Y tA N i/► N t/! 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W t�l � O � • H 1-' p' M W � � � A � . tp �►n►� 10 p �► � x �� ►�-• � � � r � � . b � '�O �0 r .. A � � 0 Z �1 • O � �Q � n 3 -~-1 w -< � o a � z e � cs •-+ a r.s N �'t'f � .Z' � � � , •. z � � � � � � � M � . H N ia v � 0 r N � N 0 y H _� C � � � � `� � z � � ro ro z � � � � � � H t� ~ y ro o °' � . M � � N 7' r N o � O p�'. � H ... Z M yH N � �M�'� a �' ° •-� x � � v, v� r �� "z y � � � �' $° O�y,,�`�.,d c�a�r� Y� �� ��ian zzz•� %art� .o:ti �x �oo�, Cll Li L� ►'� Y• Ci l0 1 .'Y I .7 p.7 . � cn cn z� o,� ':� � K a o° a K w� C�s' H��-] Gz'� m�, �� �w g •°' w �' b�ap' m 9 � 7 O M� •• � O W Y O� O ro ?o�N ���Gt� m•° ►�- o000 �� � :�li� W O roN O�OM � � °om � ° m K .mowo VY�-�� O m W M 5' HoH� N x n� O K � H G O � � ab� n [ m � �r � . . � :° � a III y� O � C � m X % k N � tn in t�+ FJ N N OI-' W O 00 O�JAN O O O O O O O O O O t/1 iA tA N t/1 N N tn iA U,, o r. �„F'n 1. �`'� � P+ C O � K tx+7 m N w O. 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Qt P� N tA � ��n� a 9 � M n o r y a w M� 7•° v � o o � � � �N N f�} � � I fD $ Zj �ro x r � O q ao rn o N O O o � O c O r �T7 � �r A �1JN � 0000 C17 0000 iR in N tA ►.� 9 � W � ro . m w�}m t9 ��1' h�{' o� ~ K m 'u N G M� 3t O f�t d a� a a ��� o m� w m �wo.`!(-�y�o F-� � M W � O � � la m � �w � � o �b�" ,n (� � M � � W � � ���� a n a a►°e� a � � ��t W � � � W W � M y � � � � � ro � n � rm a o tµi wn K o n w m � m � w� � � W W E � h � ? M F � � � � W m m ID A' � !n'� � 8 � � �"r ' ' � a � � � ��5 m. 4 0 7 a K � m N � � v � � � n � a � r� m � -� � '9 r � D -� O z '�1 O � O E m � b -v � n C") "-I O Ul Z C D -�I C O = � a � � �� � � N ��r1 O 3 O v� r D Z C7 � t� < m m < � (7 �+ m � � -� . 0 z � m � � � m � 0 z a Z t7 � y 0 n � 0 T "T'1 � � � M "� a� - HEA,'��$$ CALCULp'fIQN.S DEPARTMENT ( C�Veatheratrips ��' Con�truetion Ni Guide Wicdowe Dcan Refuence Out. Wall In� Qlall Ceiling Yea—No I Ye�—No 19_ Fl.� G; �,-�� Room I.en8t6 �,�;,, Width ;'% Heighe .�1' Wiadows and Daora—Crackage aad Ana �Vidth Helsnt Na. 01 Llneal ! Ana A Na ot paee ot pa�e tlg6t� ot eraek �q. [G � .�. "? c`', P� (�, �' � "' �'± ��'; �, Cf- °`� s.�__.. �` `� Coef. Btu In6ltratioa ! ` � ,��' `�%��� �-> �- /�' — Claas ri f , � T �� �^� `�<� �", Esp. wall �� � � a _ r � , , � � ��„�; ;, ,' Net e :p. waU � c� � / ' ��? ,„ (� InG wall �� Ceiling G'�'i,f"�� =, ",'r� �;°` Floor ,�j%�1 /,%iJ G��f`�r��s , Total Btu. � � ` �� _.�. �I Required sq. ft. E.D.R. or eq. ina. WA. I.eader area i / Fl.� ��' �' �' Room l.ength / `'^ Width ' �? He.ight �� Windows and Qoora—Crackage and Area Wldth Helant No. ot Ltnfeal 1t. Area No o! Dane ot pane I1�bt� ot enck q. t4 .�'� s ; ^� , ,-i� � r �i� j 4? ,v , R�' � ��' �I �) I ��: r'a f �, �Gf. BiY In6laation ^ � " ll `�.; .-�'�- ;"�� � ��� i Clase ' �„ �- �, - �� �.�, , Fap. wall -� �' , -,F.-� Net e:p. wall � ��,- l�<�i � Int waU Ceiling %� �% Floor f � � .., Total Btu. Required sq. k. ED.R. or aq. in�. RI.A. Leader area / Fl. r_'r';:A Room �L.engt6 /�� WidtF: Windowa aad Doors—Crackage and Area Wldth Ha1�6t No. o! Lfo�al tt. Area No. ot D=ns ot pans IIS�U ot araCk ip. It �; .� / .. ��4'/ /%� F� ��F .. /.� ��� {.�' �II�1�tiah011 � �, � ,i,� �; Glasa %° ' � E�. wall �-� Net e�p. wall � < i'��"�''/',' lat. wall Ceiling !' �--, � ` E loor �-� Total Btu. Reauired sa. f� E.D.R. or sQ. ina. WA. ieader area C /' �� y��-" L-. �� ���,e.. ,� A��F� �, �� �_^ ��� -,._ r`r' �; �' 1F INSPECTION �. Roof Floor Kind /� Fl•I � /-� �°, Room � [ ar,�ao,� 8Aa u�m--cr, Wldt� �ie1�6t No, No. ' ot pane o[ pane 1161 Li6ltratioa Glaoa E:p. wall Nec e�p. wall In� wall Ceiling F7oor Total Btn. ,� y� � .�-- ,� �tl �' � � -E ' � ;; N�IIVEAPOLiS. II+ID�QV. ' Insnlation ' I•low i % � Qlidth r e and Area :Inaallt Aroa ot crack ea. (�. � A I / Btn �� '�,� , � �, �, ,�� � � c�% • � /` �..r� r RequQed aq. fG E.D.R. or sq. ins. WA Leader area �/ Fl.I �'' ��%� Room I Length �+ �'°' Widt6 i' ;;� EIeigLt Windows aad Dooro—Craekagt and Area ��; Wldth Halsht� �No. ot Llneal tt. Aro� No. ot yaae ot pans ll`hb ot crack � �. LL _ - "� � `, l,-, i�. ..�,; .� � i� G-- . �' � , �, ' �- � ��3�10l1 Ir_�... Net esp. walt � Int. _wall Csilin F1�r 7'otal Bcw ,� , =. � : �� :�- ,�; .� , �a � � � , < ,, ��. Required W. k. E.D.R. or aq. ins. W.A. L,eader area I �I " Fl.� �,'� Room I L.ength !% r'� Width : r, � Height ,�l Windowe and Doon—Cracicage and Area Wtdts Helsbt Na o! LInW tt Ares � Na oL yans o! O�n� Il�hta ot eraetc q. tt ` � �� � � �1 �l %�/� �l /��' /;•� r( . � C�f. Btu 1D�i:8�lOII /��F, .�c ��'� (,T /r, s a ^'�_,n. �ll� .�J; �.' �, c ° ��s � 9_/,' / � h - t- Eap. wsll -'���� Net acp. wall �`�� .�, �' �a r�-� :� In� well Ceiling � �r> � `� l <� r�a� �, Floor ;'� �� �',� �' � r r` �' Total Btn. ��6� � a .u�- Reauind w. ft. ED.R. or �. ins. WA L�eader area �: a� _. HF.�4'F�'LOSS CALCULATIONS DEPARTMENT OF [NSPECTION �pppWg� �.° � jWestheratrips Guide Con�truetion No. IneWW�tion Windowa Doors Refaeace Out. Wall Int. Wall CeJing Roof Floor Kind How Applied Yea— l�o I Yes—No 19 ,P Fl.� _;. , s Room Length , M'� Widt6 ;�'�Hei�h� r%`'' Fl.� /�„��,� N Il Room Lene� li r�� Width -=� Heig6t Wiadows and Doors—Crackage and Area Windowa and Doore—Crackage and Area �Yldth He1gRt No. ot Wnul t Aroa � �� WIdtA 8el��t No.�o1 Llnqt iL Aeu � Na ot pane ot D�ne Iliht� ot craek �p. t� ^�,r,. �No. ot pana of pans U�Ab ot cracic q. tb � � " c, �/� e • � „_,..�+ � � �� ' ' 1�^ . i, ^a . ;� F - =5, � �/�, �,, . ��� ��, �� T `� f`'' �' Ir � � /� i, 6 �" � � < �^ „�� s�1 Ar e,r Coe£ Btu Coef. Btu Infiltration �.; �; �f ` � " ` ,� ` �;� Wiltratioa ;' a �� <� �' "%�'' ..�� , , F.- ; , , �- Glaas �.; c� �, �, � ,� / �- -�f � ws �, Glaa ��- � �� ��= Fap. wall ,�,/� :F-'. Esp. wall � � �,� - � Net e�p. waU "�� '�� �,^`" � , �� Net ezp. waU � , ,F' ' �' '"r,� Iat. wall ]nt wall Ceiling � �, �' �.� i "n�'° ('� � CeilinB ',`;'�%' `;; - � �� ° �J � Floor ,ec, ',' �^ ��,, � 4'_ �'�,._�'� F7oor "",« � �* � ;�, � ,� - �'�. � �. , Total Btu. r,� ,,� E� �; Total Btu. � ��.� �� Required aq. h. ED.R. or �q. ine. WA. l.eader area Required �q. ft. E.D.R. or sq. ina. W.A. Leader area FI.� Room Length Width Height . Fl.I . ]�m I L.ength Width Heigld Windowa aad Qoors—�raekage and Area R/indews and Doon—Crackage and Area Wldlh HelQOt No. of Ltn�al fG Araa Wldtp Ha/�ht• No. ot Llneel !t. Area Na ot pane ot pane ll�nt� ot enek p. tt No. ot Daee of pane t1�6ts ot crack �p. ta In6ltration � 4 Glaas Exp. wall Net e:p. wal! In� wall Ceiling Floor Total Btu. Required sq. fG ED.R. or sq. ins. W.A. l.eader area Fl. Room ( Leegth Widtl: Windowa and Doon--Craekage and Area Wldeh Hel�ht No. ot Lln�al tt. Area No. ot vane ot paos 11[eb ot arack �p. !L � �I1ll�[i8hOD �asf Exp. waU Net ezp. wall Int. wall Ceiling Eloor Total Btu. fG E.D.R. or �. ina. WA. Luder are� BiY Btll Clau FsP• vrall Net ap. wall � Int. -wall Ceiliag %loor Total Btu. Required �q. f� ED.R. or sq. ina. W.A. Leader area FI. Room I Leagtl► Qlidth Window� and Doo»—Crael�age and Area WlAt6 Sd�at Na ot Llnwl f4 Ara� Na o! wn� ot otn� tt�ht� ot crack �a. tt �hihOD �W EA�. WiU Net ap. wall Int. w�ll Ceiliag Floor�— �_ Tocal Btu. or �a. ins. WA L.eader a�ea � C �;�� . - s�,.� , y r' / �! ,�! ,r ,�� � � _�.__. �'��` ' �`� � � �; � � : �,' . .. ���' �J�,� . � ����� , � , � �� na.e.j , �� � . .:y -�.' r '�a`: T � -��.4`- .- ��� ti��',�� ��' May 18, 1979 .. � ���� a �'f°;� . ��� J.: r� / ' � �'�`r�,�f'� . e.�+ ,.',:i i�;' .� � � �'� �� � ���,����`�,��s�°� 6431 UNIV��t51TY �VEPdU� R�.E., FRIDLEY, PAIFd6dES�TA 55432 i. �'` Ms. Tone Anderson ��•�;� Northeast Sheet r�etal '� 4347 Central Avenue N.E. . ;; � Golumbia Heights, 2�1 55421 Re: Final Inspection a�t 1579 Ferndale Avenue N.E. Dear Ms. Anderson: YELEPFBOPdE ( 612�5T1-3450 A final inspection was made on May 17, 1979 of the above address and the following items �vere noted which must be completed before the structure can be f inaled out; 1. Post house numbers on structure by June 15, 1979. 2. Provide combixstion air to furnace area by June 15, 1979. We will expect the above items to be completed by the scheduled date when a reinspection will be made to determine compliance. If you have any questions on these items, please contact me at 571-3450. Sincerely, DA L G. CLARK Chief Building Official DGC/mh �� � � � � � �� � o � 3 � � �' O � � � � n � � Q 3 � � � � �� � � � � � -mv �r n� � ma �� �� �� � n � � �o 'fl D � z � :,� , � m z � rn � 0 z m � g -� v� � � � m � < a � � � rs, �0°' a� n � � o \ n �, � \ �u = � �, n � n �• 3 b �r � r- � O � o m �' z O O '?1 � � �n tn x � v v ' � � � i i � � \`�\ �n �o �A� �1 N � � V� � D � Z � 0 � m m �t' N c 3- s� � n 03 �� <� °-��' � � � a � � � "''' � O 'O � o, �, sn c ,g � -� � o � � � m � � � O ? O w �. O .-. � � �--I �—� Z a J� �� � � � 0 � � � � cQ n � � � � 0 � � � � � � � � ui o o g o � � � � z � � � � a O m � � � W-�Z ���� - m �. w z�3� c� om � o � o � �,. 5 � �� c] c�i' � � ni �- -� � c� � � � � � Q � m � � � � � � a �r �3n a v O �„� v � • _ � x m r� � i -- w� O � � � � v � m w � m' � � � c � -� tn ,� � m � �'� m� zmm� ?� 3 � � .��. a a?�= v � � � � �a�'o � o ?�' �� � C O m � � 1 � � � � c o o a' � S � S � �. � � � � 0 � � C � D � m � � � v c S �. � a -�-i D � i� � � r ,� w �, . o � o �n . � • �• �- o a � o m r n o m � -� m � a O a ��j I�' �d oc�'� �3�� _ � � 3 $"o' -` � � ���� _ � �. �' a � s am°�. � t7 0 •a ���� �a �-'�� .a x � Q'�� � _ � m�'�o ���� �� �,� A m ��� � � g ,. � -. 0 � ��m�• �� � � � p x i 3 � � � Q. N �D :� � �. �. � ;� ; � 0 m O rn � � � cn v � � m n � a a � m � � � � . � ` N��� ' � � � ��� � � � o` N � � m z Z N m ,o n _I O Z 0 G � � � ma �O z z° -n z� v -� �o �� 0 z �o v_� � Z y �Z v� O 2 �Z vn �� g ri�n g �� z � � � � � O � �` � m � tC90 �. NOTE: ��1 through �8 required when using a side vent furnace. �s 1_!_� 1.�1_' � _� ► .� _ �_ � _. /_'_ _L �. ����� T�1� 1iQde1S1gII� iiCT�j/ V�'tf1CS t� ��X1ShIIg Ch11flII�t 01' SG3C�c: 1. 2. 3. 4. 5. 6 %. 8. Has been cazefully examin� Is fre� from n�st or deterior�tion Has no fareiga objects lodged wit�i�o Is securely supported Meets all current Cade requirements for size and totai BTU's conaected Yes (x) No ( ) Yes (x) �o ( ) Y� (x) No ( ) Y� (x) No { ) Yes (x} 1Vo ( } Has total heatittg $TU's af 30, 000 (Appliance input) All other BTU's Tt}TAL BTU's 3 0, 0 0 0 -. - i • � ::�i ►; � � �� �• � r�.� :?� r,-��. Has combustion air besn pr�vided for �s�� fireplace Yes (x} Na ( ) Yes (x) No ( ) :�. . Remarlcs: Appliance to be installed is CFM Model DVHE-30, direct vent sealed natural gas fireplace insert: Unit is shipped with all UL & AGA required components, including dual .4• aluminum �lex. vent. j,�j� Ai.TER,.�►_TIO�TS �'�rg� Note.: 3/8" copper service line about 24'run. New 3/4" black iron pipe service entrance from gas meter into basement to supplv 3/8" conper tubing brar3ch �.iney� �ni . to i n 1�dc� '��4�� p�tranr•a ahiitnff Va1Ve tP„�d a�Y d�1 u J(�pd fnr �; ble future t�ke�,ff 3,L8" ShLt��„f�alvr� fin h inci-al7r�r� at_ firohnx for service disconnect. Installation requires partial access through existing masonry for service line (to be sleaved). HEATING CO: owner . Signed By: � Date: To: CC: From: Date: Re: Mr Jim Mi I'�n,1579 ferndale Avenue, Tom Roushar� MSA o in_�_F Paul Boettchv � january 7,1996 T�-�� �G � Plwne 571-5571, fAX 511-1919 hidlep/New BrighWn Wiemnin IMvconnation 685-00430 Please Eind attached copies of 2 half size plan sheets along with 35 pages of Daily Reports from the inspector on the project I only copied the Daily Reports which pertained to work in the azea of your property as reuested. We have highlighted in blue, notations which may be of interest to you in regards to the work activity occuring on the date of the report. Your property appears along Benjamin Street in the azea of 33+00 to 35+00, which a 200 foot stretch from Femadale Avenue to your back(nordi) lot line. Since some of the terntinology may be unfamiliaz to you, I have noted below what it means more speufirally. CB Overlay Iron B/curb Catchbasin, storni sewer inlet with grate Second lift of bituminous pavement Manhole castings and water valve castings Behind curb or back of curb, boulevard Base, Base 32 Frst or base lift of Uituminous C-S Class S, gravel base beFore bituminous pavement 33+00 Stationing, intervals of 100 feet plus units of feet, Fernciale is at 33+23 or 3323 feet from a refereiice point of 0+00 String String line that was set on metal stakes and Urac:kets along dte street edge that the curb and gutter machine foll;owed for alignment and grade Subgrade Bit DIP Soil upon which d�e gravel is placed Bituminous pavement Ductile Iron Pipe, 20' DIP, watermain installed If you have any questions aUout interpreting this information, you �:an call me at MSA Consulting Engineers, G44-4389. -{ � _, � m ni I� .� l� � ��: � �_ -1 Z �, 4 ' _ ;� w 1 :7 ,, �� L U? `� ;� � >�,� �,� r cu a� p z _ ,, - �o - �-s � ;' - '; � � � '� ,� p G � , � � n m '� '�) � C .. :J .� � � 5� � Lfl � i � � � � � �. rr m , ; � � � , i r' i ' � � ; : ' ' , ( � yq -�'r �, Ei, �> as? cfi bi a.ri L4 fA Efl -^� � �� .,.�. � -J '-d '�1 "�: Ul .P V C c_: i�� v �.; � b C� :r G5 O [� ,-� �. ., c _. o r� r�� C� Ca i7 �7 I i i i i f � i I ; � , � . 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D _ � � D � ci - _ � �� D f� A � � � c� o �; C 0 O C H O � r � � O . Z W � n � 6�9 {y9 O � o �-.u,� a � � � � � � � m � c �. Q. �o Q� � '"r � N j � � �. y W �, fD � a + ' oa �, _a: � m � � O � d� Q � ��vo� ,�5°'� � N p� �_�� a�� �a� _° _ �' a n� Q., y "� � �. � n . N � � rt � N � n � mQ-�o � � � � c � �- n> m�°1-o m � � .N � N fl. 3 � � n Ct '+ O •+�-w � p� O � � rF '1 A � � � �-r � m (� �� o �n� N � ? � �' CD N 7 � i1 � �, > > _: -...� E�9 G� G� G� D � � c� o� a� �, � �n N N N O 7 d. � � � ^ � n � � � � �D � � � � � � � �^C��- (D '"� � � � N 7 Q . � � � a � � � — c � � �� � � S h � < � � W � o � i ci �- � � v � v W � C d � c> > m � � � �a � � rv �.• � � w cn o 0 0 0 O O O O O � fD 69 v� {�9 {fl {� � 0 � r Wc0 � W� o C� �° Ca' � — � o � Z � �3 � n. - � ` � _. Z � � ni C C 3 � � � � � � 2 � °��. � (7 � � n � O � � � � � (� � Cn (`�p CA N� Q- (n C'"�D m r N' o� o � mz3 a �� I �° _ � O � �� �� �v � � m � -� D � rn 0 n O � -i W C r= � z �i�i C � m 0 � � � � N n 2 1�1 v c r rn O � � O W Z � � �� �._ � ��rnn Na.W-I�. �, -< Ol`� C 0 �3�•-n Z cp � �� � W D � N m Z Z � � m� � O z � G N D � � Z � r �� �� �� m� �O � � � � � � � � � v� an �Z ON Z � v_z �v o= Z � Z -i '� Z �� -a � m� O N Z Z � �m v� �� �a N � O Z -v � m � m � � � fD n < O � � � � � K �, m o 1,.� r � � � � v CHIlI�INEY AND STACS VERIFICATION The undersigned hereby �erifies that the existing chimney or stack: 1. Has been carefully examined 2. Is free from rust. orsleterioration 3 G� 5. Has no foreign objects lodged within Is securely supported 1l�Ieets all current Cod� rPquirements for size and tc�tal BTLT's connected 6 Has total heating BTU's of ��� � All other BTU's � (J 0 'TOTr'�I, BTU's 1 �j o�� Yes (i'� No ( ) Yes ( �No ( ) Yes (°�No ( ) Yes (�PTo ( ) Yes ( ) No � 7. Has a liner been provided for water heater Yes � No () 8. Has combus�ion a�r been provided for water heater Yes (� No () Remarks: o, � � 1) �.IIC 7v ��,s�- � ���?– �%v��� S %��e — List ALiERATIONS Being Done: ,�%S r ( ROYFiLT��J ?-BEAT�P��� ,� ��-��I�E?s� � � �"�l - 8� ih F'e°�;"c !��e�. [��;� ' �RO��`:L"��P�l P,�E�,6;, ���9 5 a443 HEATING CO: PH��� °�2�-�'�� Signed By: Date: �I-I`3-b0 ����� .�...��.� — D►06 HFAT LOSS C1ILCULATIONS DEPARTMEIV'1' OF 1NSPECTION Wc.therseripa �� Coas� Na R/indnwa Davn Refaeace Qut. Wdl fat Q/ai) Ceer�iss Roof Floo� 00 � 0 19____ Fl.� Roou� LeaBtb �l'uleb Height F�.( Rliodavvs aad Gaorr—Cracka�e aad Atea �aidewi aAd Idtb N�Iro� 7�a at Llps►1 [R wn� qy� I Na o[ pa0• o[ �n� 11�Aa ot e+ac4 p. ft Kq ��w � � �l � � z G a S� � �� , Iafiltrneioa �ats �. wAu Net exp. waU InL wali Ceiling Floor �pr� Total Bta Required sq. h. E.D,R. or aq. ina WA llader urea Fl.� Room l.ansth Width 'Windows apd Doors--Crac.kaBe aod Area WIdtO 1c���e� Na et Ln�a! h A��w Na of yan� er p�n• ll�p4 ot eKCt �q- �t. � I ) �. CCr� C%rl rk< «p. .�u ��. w�u Ceiling �loor 1 v ' Total &u. Required sq. h. E,D.R. or p. ia�. wA Leader ares Fl.� Room � Length Widih Window� aad Doon—Crackage aad pns lnfiltratioa Claas Exp. wall Na �. •r.11 iae. wall Ceiiiag Floor Toesl Btu. � Ia6ltta�oa � �� 11kt esp" w !�. v►a!! Ia�Ltio� Honr Area �+9� � E�D.R. or aq. i�u. WA l�adcr ares Fi.l Room I LeaBt6 Width �tdowa aod Dioo�s••-C,rackage and Area �..� � 1,�t. w.�i (�aas � te. �D.R. or u�, in.. aA. L,e�ae� .rei► R�oom l L.en�tb Widtb � Doe�s�-Ctaclt��e aad A�sa' e e l�1. 0 ''�-�7� -- �-- ---- � q R�ww'wl .d �e_ ED.FL. m� iea. Q/.A iia�r ��ea TOTAL P.03 �, ��L���� Sm � � D �� � O v � c� �: � � �• � N � y. � O y � n -ti n� � � 0 � � 0 � � a�`o �•-a �� � OG n N "� Q. � � a a� � �Q o fD m � � a � � � 0 c � a -a � O < m a � W I � � O � 0 i 04 � � � n� � ?7 � a� � m z � � m � O z �'I m m � � V 0 0 � 2 � � � aa � � J � m r � �V�i � jV I � ;` ��� uo W \ a ��}� ,�� p ,;, , ,�; ' � . _ D -_I Z L7 n (� O � � � m V � � � N � 0 a r � m rn � �. � m � � � � � oa m in � o � N � ~ — � � � � � � o� � � � � � < °� °� � a� � � m � Q � _ -i, S31 D� �D�n � � � � R° � c�� D �. � °� m o �; o � _ � O N O � r � � 0 "J z � D C7 � .� � � � O C � � y � � � � ? '� � A � N� cp�� a � O Q � n� ,� a� 's � � � �. y W �, (D �,_,�a r► oa � � � o � fl. � Q � �' � � �G r« <_ °—' � ? y� — p� a� ? � y "�O at �` � —> >a c�' n- � � �. � c�. m ���=`• � � � � m a � -� � � ° o c �, � d m � � N n � � � � o- � 3 � � � � o ���. � �, o r. � — � .« �.�m � ��� ��� 0 � O � � Q � fD � Q y CD �, �. � �W C � m � � n. m Z � m _ '� � N m Z m 0 � D C7 0 � a 0 � � O4 D N m � � Q1 N 0 m � G� L� D "r1 � C1 C1 N � N N � � '� A � � -°-•�� fD = � ����d � � z � � m � � � � � o � ' �. a � Q-�T� —� � � � � � � �rt� � � � W � o � � � � � ~` v v � W � � f�D � � � � � � N r i--� �--� GJ cn o O o 0 °o °o °o °o °o � m � � � � � � � 0 a � r il -� oo —i z m � � ° �" O m �, � � � � m � OQ � y _ o � c) � A Ci � o p � � � � m ,.�+ ^ m � Q �� r N � amZ`� � �o,� 2 0 � °: m � .. � d � v .� � m N n _ m v C r m � o�o 0 0 D � m � Z m G� � � C N O m � � � � � � � 1��.�� \r � � a I� � m � � � z O � `� �� � d ,� ,� � � � n �p_W-i v�p F--' '-� (ii `-� C � n,Vi��•� wZcp � � �� � W < -G N m Z Z� m� m n -� O z � C � a � � z � r n�, a � -� �O �Z m .,� �O �� O � Z� Z � v .� a� �Z O N 0 Z .� v °z� Z � �Z N (�i � A m O y0 aZ � vrn vZ < '� C� �y N O Z m � m c� < m O � ` � _ � � � N 0 0 N THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNED C(�MMnN VFNT* NT nNN .TOR 4ND .C)MB ICTIC)N AIR RIFI _ATInN When � I,�a -ing an eYistinA f�rance, the undersigned h�reby verifies that the venting has been examined and is free from rust, deterior�tion, obstructions, and is securely supported and firestopped where required. Yes () No () The venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and teRnination. Yes () No () The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturers specfica�ons. This does inGude AGA-GAMA Category I Central Fumace Venting Tables for fan assisted and natural draft appliances. The pxi_ctin�emb ��t�en air is sized and installed to meet the current codes and manufacturers specifications. V1/hen required to insta�t a new cnmbustien air_ it will be sized and installed to meet the current codes and manufacturers specificatior�s. WhE� inc_±alline a new ventin��ys±em, the undersigned hereby verifies that it is a listed assembly and meets the current codes and m�nufacturer's speciflcations. This does include AGA-GAMA Category I Central Fumace Venting Tables for fan assisted and natural draft appliances. Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. Yes ( ) No ( } Yes ( ) No ( ) Yes(}No() Yes ( ) No ( ) Yes( )No( ) �.. .� .- .�. - .����.� -�i .�. -� .��-.,. � ..u,w.� Appliance #1 Type BTU Input Appliance #2 Type BTU Input Appliance #3 Type ' BTU Input Total Appliances Total Btu Input, Fan Assisted or Nat Fan Assisted or Nat Fan Assisted or Nat � Common Vent Type Vent Height Diameter inches Appliance #1 Vent Connector Height ft Length ft Diameter in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type r r•► .- ..�- HEATING CO: Signed By: Date : 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 � � � � � `� __��� COMMUNITV DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. i----� �"' �,� CITY NALL FRIOLE� SS132 NUMBER AEv L 763-571-3450 si a F � 5 108 ADDRESS 1579 Ferndale Avenue NE 1 IEGAL LOT NO. BLOCK TFiACT Ofi ADOITION oesca. 5 1 Shady Oak Manor DATE I PAGE Oi 9/17/02 � � 33095 _�^� RECEI T NO. ;.J"'� ��J APVqOVED BY SEE ATTACNED SMEET 2 PROPERTY OWNER MAIL ADORES$ ZIP PMONE Jim Million 1579 Ferndale Ave NE 763- 71-5571 3 CONTRACTOR MAIL ADDRESS 21P PMONE LICENSE NO Dan Netko Exteriors i305 104 Lane NE, �aine, MN 55434 763-784-0227 20060494 d ARCHITECT OR OESIGNER MAIL AODRESS ZIP PMONE LICENSE NO. 5 ENGINEER 8 USE OF BUILDING Residential � CLASS OF WORK MAIL ADORESS O NEW O ADDITION � ALTERATION 8 OESCRIBE WOfiK Reroof house & garage (23 9 CHAN(3E OF USE FROM STIPULATIONS ) Tear-off TO 21P PMONE LICENSE NO � REPAIR ❑ MOVE ❑ REMOVE Underlayment must comply with the State Building Code. TVPE OF CONST. OCCUPI SEPARATE PERMITS ARE FEOUIRED fOR ELECTfiICAL, PLUMBING. MEATING. VENTILATING OR AIR CONDITIONING TMIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION 20NING SO. FT AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENOED OR ABANDONEO FOR A PERIOD OF 120 DAYS AT ANV TIME AFTER WORK IS COMMENCED. NO DWLG. UNI7S I HEFiEBV CERTIFY 7MAT I HAVE READ AND E7(AMINED THIS APPLICATION 1 S7ALLS AND KNOW TME SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VAlUAT10N AND ORDINANCES GOVERNING TMIS TVPE OF WORK WILL BE COMPLIED �2�465 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT OOES NOT PRESUME TO GIVE AUTHOii1TV TO VIOLATE OR CANCEL THE pEpMIT FEE PROVISIONS OF ANY OTHEF STATE OR LOCAI LAW FEGULATING CON- @83.25 STqUCTION OR TME PERFORMANCE OF CONSTRUCTION �p �7 PLAN CNECK EE 9'� /i�✓� Lic s SC $ .00 SiGN U�7E OF CON'FACTOA Op 4UTMOAIz D OGENT ipATE� WH N P RLY VA ' � ,���i�/��%�� OUP OCCUPANCVLOAO CU FT iFFSTFEET PARKING IGARAGES iUFTAX $1.23 Fire SC $2.47 TAL FEE $91.95 ►HIS IS YOUii PEiiMIT � �ic�•V ir' ���� ������ N� [ l Effective 1/1/2001 ADDN [] CITY OF FRIDLEY (763) 572-3604 Bldg Ihsp ALTER [✓]' SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: 1 � % °�/ ��ti �,�� � !�E Legai Description: Owner Name & Address: J 1 I�►-t j'Ylo� �� j� - S�u es s Tel. # 763 -�7 /- �"'�i / Contractor: �[.JGtvl ��L�p �y, y 2Vi B-v MN UCENSE # �-D j� �,p y �j � Address: i�DS- / D��, l�, NE Q�rtir S�� �f Tel. #��3—?g�l `D�-�7 LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Certificate of Sutvey 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 HgU� ,round Sq. Ft. �.�� -- `rr t . C � � / �i,-�r� .r-� r<a ; Construction Type: l�1f��D� t� r���- Estimated Cost: $ �'�L-, � Driveway Curb Cut Wdth Needed: Ft + 6 Ft = Ft x$ •_$ DATE: �'�� 7�� APPLICAN7: J c� Tel. #% b�J'%Fi�—U�c�% �i" CITY USE ONLY - Permit Fee Fire Surcharg� State 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 $ ���� Fee Schedule on Reverse Side $ �? �`7 .001 of Permit Valuation (1/10th%) $ a�� $.50/$1,000 Valuation $ $1150 per SAC Unit $ � < C.`'�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 [ ] $ �° ��� 6 BUII..DING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to.any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to-wit: . TOTAL VALUE $1 to $500 $501 to $2,000 $2,001 to $25,000 $25,001 to $50,0(30 $50,001 to $100,000 $1�,001 to $500,000 $5(?0,(?O1 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 $2,000 plus $14.00 for each additional $1,000 or fraction thereof, to and including $25,000 $391.25 for first $25,0� 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 $100,000 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 Curb 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 tunes $23.25. VERIFICATION OF FOUNDATION Pernvts for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the,proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the , foundation once it has it has been constructed will be required before proceeding with the framing. New Houses Onlv SuB�ECi c�ty of Fridley AT THE TOP Of TME TWINS g � I L D I N G P E R M I T f � � � � � ; y ����� COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. 1 . � i.-_• i�'�',-� CITY HALL FRIOLE� SSI$P NUMBEp REV DATE L J` 763-571-3450 9/0-Ft 5 10/ 16 / 02 JOB ADORESS 1579 Ferndale Aver.ue NE 1 LEGAL �OT N0. BLOCK TRACT OR ADDITION DESCR. S 1 Shady Oak Manor 2 PROPEiiTY OWNEq MAIL ADDRESS ZIP Jim Million 1579 Ferndale Avenue NE 3 CONTRACTOR MAIL ADDRESS 21P Dan Netko Exteriors 1305 104 Zane NE, Blaine, MN 55434 4 ARCHITECT OR OESIGNEii MAIL AODRESS Z�P S ENGINEER MAIL ADDRESS ZIP / 33179 s� RECEIPT NO. Oi APPROVEO B� / SEE ATTACHED SHEET PNONE 763-571-5571 � PNONE LICENSE NO 763-784-0227 200fi0494 PMONE LICENSE NO. PMONE IICENSE NO B USE OF BUILDING Residential 7 CIASS OF WORK O NEW O ADDITION � ALTERATION C� REPAIR O MOVE O REMOVE B DESCRIBE WORK Soff�t & Fascia 9 CHANGE OF USE FROM TO STIPULATIONS Install aof£it ventilatio� to meet the State Building Code. P�rmi� �nspection Cards INili e Ma11ed To Homeo�ner T� Post SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, MEATING, TYPE OF CONS VENTILATING OR AIR CONDITIONING. TMIS PERMIT BECOMES NULL AND VOIO IF WORK OR CONSTRUCTION 20NING AUTHORIZEO IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WOiiK IS SUSPENDED OR ABANDONEO fOR A PERIOD OF 120 OAYS AT ANY TIME AF7ER WORK IS COMMENCED. NO DWLG. U I HEFEBY CEfiTIfY THAT I MAVE REAO AND EXAMINED THIS APPLICATION 1 AND KNOW THE SAME TO BE TRUE AND CORRECT. ALl PROVISIONS OF LAWS VALUATION ANO ORDINANCES GOVEiiNING THIS TVPE OF WORK WILI BE COMPLIED @ WITM WHE7HER SPECIFIED NEREIN OR NOT. TME GRANTING Of A PERMIT W8OO OOES NOT PRESUME TO GIVE AUTHORI7V TO VIOLA7E OR CANCEL THE pERMIT FEE PROVISIONS OF ANY OTMER STATE OR LOCAL LAW FiEGULATING CON• STRUCTION OR TNE PERfORMANCE OF CONSTRUCTION �32.65 PLAN CNECKi Licens� S�GNATUpE O� CON'AACTOQ Ofi nUTMOpIZED AGENT IDAiE1 iD�fEi �t � - SQ. fT S7AllS GROUP �OCCUPANCVLOAD OFFSTiiEET PARKING IGARAGES $.50 AC CNARGE Fire SC $.80 OTAL FEE $38.95 TNIS IS VOUR ERMI FROM : DAN NETKO EXTERIORS NE1N ( � ADDN ( � _ ALTER �� Constrt�cticn Address: v ^ � Legal Description: Owner Name 8 Address; .� i�a FAX N0. : 7637840227 Oct. 16 2002 12:01PM P1 C.�7Y O� FRIDIEY EftecDve 1012002 (i431 Unive�iry Ave NE, Fridley. MN 5b432 (763� 5?►Z�6pq g�d9 ��gP S�NG�E FaM1LYAND DUPLEXES R-1 aN� R-2 BUILDIN�C; PERMITAPPLICATION � LMNG AREA; GARAGE AREA; OECK ARFJ1: OTHER: `_ Tel. �'�'�i�- v�- r7�—.5`�S"'7� MN LICENSE # a�t��o��� ��Te�. � �� 3-� �; �aa� Attach to this application, a Certificate of Survey of the Iot, with the proposed constru�tion drawn on it to scale. DESCRlPTION OF IMPROVEMENT Len9� �_ wdth . Height Sq. Ft Len9� Width Height �,._ Sq. Ft length Vlldth Hgt/Ground Sq, FL Construction Type: �G7� �� � '` � rEstimated Cosk $ ��� J Drivewsy Curb Cut Width Needed: ,_Ft + 6 Ft =,_„�_Fc x g =$ CATE: D" -� APPUCANT: ..I Q� ���� �� 6`? S �� 3— Tei�# ����v�a.7 Call (763) 572�604 for Aermit Fees if mailing in applic�tion o� Fax to T63S71-1287 ip using credit card and we will cali you for card number; Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Drnreway Escrow Erosion Coniral Park Fee Sewer Main Charge TOTAL $ �3��. �� $ = ��� � ��� $ . `— -�� � E^` �� � � $ S �. $ J� �1� �� �e� cmr usE oN�tr - , / -,. � , , -� , C� �� c�; �,2�?�-� �`.� L.C�1c�� Fee Sch�dule on Reverse Side �� .001 of Permit Valuafion (1/10th%} $.501$1 �000 Valuafion $1200 per SAC Unit $5.00 (State Licensed Residential Contractors) � Att. "A" Or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by'Enginee�ng Agreement Necessary [ ] Not Necessary [ ] �b /� d'✓' STIPULATIONS: From:RUM RIVER LU�BER 763 862 7359 10/16/2002 11:23 #518 P.001 � . �.��: ' �: ::;: � o� A �o + r � �� � ��_ � d`•� �� , �, :;s �Cs v �$����+ �� ��°.. � Z� � 2 O � � � A 7_0 i � �� � � N ��� � D • [p N ��� � ��p � N �r� . O -�i r = �zo � A � b � � r °� � D� ' W --� m m giC�x d� �-� r ;� P �v 'P, � 1� J' � �. O m X 7�0 .F 4` E``' y� m r o � 3 � � � � �a 70 r' N �.�N � � � �� A �D r jA -p � N L � D Aa� �� D� c 0 '0 � r� � � � w�1 N *�� A �bN �N� ��- � � o Zl cE � ��� �r� ii �z r � N � J � 7� � b'�\� E � � ° "0 N � u+ � � u+ � rn�� -� � � E� D N � �a� �� � ��� �h w � m� Az � � O D= 70 N �D �ca � � E � � U� � � N � �X � N � � o rn � _�_ ��► � . �i �-1 , : � '� � � � � � � � � � �' � � � � � � � � � •:� � � • � � � � � �� � °� . � � ._ � � �, CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, NIN 55432 PERMIT N�.: 2004-01875 �,_ � DATE ISSUED: 10/14/2004 (763) 572-3604 FAX: (763) 571-1287 ADDRESS : 1579 FERNDALE AVE NE PIN : 243024110083 LEGAL DESC : SHADY OAK MANOR : LOT 5 BLOCK 1 PERMIT TYPE : BUII.,DING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOW/DOOR REPL VALUATION : $ 2,655.00 NOTE: PROVIDE SMOKE DETECTORS IN ALL SLEEPING ROOMS AND ON ALL LEVELS OF TI� DWELLING PER R317 OF TI� 2000 INTERNATIONAL RESIDENTIAL CODE. CAULK AND FLASH ALL EXTERIOR OPENINGS. REPLACE PATIO DOOR WITHIN EXISTING OPENING. STATE LICENSED CONTRACTOR 1 APPLICANT BUII,DING PERMIT FEE 83.25 RMA HOME SERVICES INC FIItE SURCHARGE 2.66 3200 COBB GALLERIA PKWY #200 STATE SURCHARGE, VALUE 1.33 ATLANTA, GA 30339- LICENSE SURCHARGE 5.00 TOTAL 92.24 PAID WITH CHECK # 37408 OWNER MII.LION J R& JOHNSON V A 1579 FERNDALE AVE NE FRIDLEY, MN 55421 ���mit �n�,p��tion Car�a AGREEMENT AND SWORN STATEMENT IN�I6 �e Mailed This permit becomes null and void if work or construcrion authorized is not commenced witin 60 days or if construction �'� Harrreowner'ib Pos� or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby cerrify that I have read and examined this application and know the same to be true and conect. All provisions of laws and ordinances governing this type of work ' 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 o any other state or local law regulating construction or the pe�o ance of construction. Applicant Date B1dg Insp - Da�� 1 r ,. _ SEPARATE PERMITS QUIItED FOR WORK OTI�R THAN DESCRIBED ABOVE. 04/02/2004 FRI 1a:21 FAA -�33 ELDER JONES NEW ADDN ALTER . .. � �� �4 �i �� . � CITY �F FRIDL�Y � j � Q431 UniversityAve NE, Fridley, MN 55432 � �� STNGI�E FAMILYAND DUPLh��S R-4 AND R BU{LDING PERMITAPPLICATION Construction Address: � Legaf Description: Owner Name � Address: Contractor. _ �A HO SERVICES, INC. Address: Home Deopt Installed Sales 3200 Cobb Galleria Pkwy.Ste. #200 Atlanta, GA 30339 � 763-542-8826 BC-20268257 �001/001 :.,.�...: .. Effective 4/1/2004 (763) 572-36Q4 Bldg Insp 2 (763) 571-128� Eax ����1� ����� MN LICENS� # � Tel. # � Certiflcate of Survey af the truction drawn on it to scale. DESCRIPT►pN OF IMPROVEMEN7 LININa AREA: Length �dt1� �,�' Height,_ �. Ft GARAGE AREA: Lengtfi ,�^ �dth Hefght �_ S. Fi bECK AREA: /, 7 LeneEh . ur.�.�. ... . p . o-�-t�; � �yvv��u��u .7 f'L. C� �"1 /� l�i n� �� A/� ��i �r,.. �rb �% Construction Type: Estimated Cos� $� , vs 5. � �J Drivaway Gurb Cut Wdth Nead�d: F� + 6 Ft = Ft x$ _$ DATE: � .��r% •�� APPLICANT: Tel. # ��'���� •�A�'�, Caq (763) 672-3604 for Permit Fee.s if ma7;ng in applicabon. Fr�x to 763-571•�f287 if using credit c�rd and we witl call you for card r�umber. Permit Fee Plan Review �re Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge CPfY USE ONLY- � �. .��`� Fee Scheduls on Reverse Side � "`�— 65°/a of Permit Fee $ .001 of Penni� Va(uation (1/10fh%) $ - $.50/$1,000 Valuafian � $ $1350 per SAC Unit $- $5.00 (Staie Licensed Residenfial Contra�tors) $ Alt. "A�� or AI�. ��8�� qbove $ $450.00 Conservation Plan Review $ Fee Determined by Engineering � Agreement Necessary [ ] Not Necessary [ ] TOTAL $ . � STIPULqTIpNS: ! ��� v •. s . ,, . - Building WATER OR SEWER PermitNo.: �v���t� Inspections PERMIT APPLICATION Received By: /2 763-572-3604 CITY OF FRIDLEY vate xec'a: �/i �' 763-502-4977 fax EFFECTNE 1-1-08 APPLICATION DATE: S 11 qla d� YOUR E-MAIL ADDRESS: �r�� K� � J'r�7r7 e� �• � 0 YY1 THIS APPLICANT IS: 1�'CONTRACTOR ❑ OWNER JOB ADDRESS: � rj7 � 1'G�1 G� � �. �'VC, (�1� NEW CONSTRUCTION PERMIT # (IF APPLICABLE): PROPERTY NAME � m i �� b OWNER/ ADDRESS: 7 0� ►'tf CITY: ` t STAT'E1'ri�, ZIP: TENANT PHONE: 1•$57 CONTRACTOR NAME: SUBMIT A COPY OF ADDRESS: ' STATE: ZIP: YOUR STATE LICENSE PHONE: � ELL PHONE: ii AND BOND STAT'E LIC: �ms� � A E BOND: � X: PERMIT TYPE ❑ SEWER CONNECTION PERMIT $50 ❑ WATER CONNECTION PERMIT $50 L�WATER/SEWER LINE REPAIR PERMIT $40 �j�s `'' �D STATE SURCHARGE $.50 r� ❑ SAC CHARGE @ $1825 TOTAL y o s� OTHER CHARGES (1F APPLICABLE) PAY TO UTILITY BILLING NEW WATER METER COST SEE UTILTl'Y BILLING SPECIAL ASSESSMENTS SEEFINANCE WATER TAP SEE ENGINEERING NOTE: WATER METER REPAIR, INSP OR SHLJT-OFF / wFB�i•ms & xor.maYS $125 / HOUR-BILLED THIS IS AN APPLICATION FOR A PERMTl'-NOT VALID UNTIL PROCESSED I hereby apply for a water or sewer (new connection or repair) 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. I understand this is not a permit but only an application for a permit work ' t t s ' out a permit. SIGNATLJRE OF APPLICANT: PR1NT NAME �G\�. �� ns DATE 8 I 9Ib � APPROVED BY: DATE COPY GIVEN TO: ❑ UTILITY BILLING City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977