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AF - 45233� � nate: �Tune 2, 1965 p�: �Iorace Fieiden City of Fridley, Minn_ BUILDING PERMIT �� ie NeLson Co. Adaress ��.ba,ralter Rea�d. A�� 7�09 Bass Lake ftd.. � �� N° '7668 LOCATION OP BUILDING No. �9 Street Gib2LI'81teT R08.d IIT. E. Part oP Lot _ Lat 1? slock 2 Acldition or sub-Dfv�sionC• �• Maator, South �sldition Coraer Lot Inside Lot Setback Sideyard Sewer IIevation Foundation IIevation DESCRIPTION OF BUILDING To be vsed as: Frant Depth Height Sq. F't. Cu. F't Front Depth ITeight Sq. Fk C�. F't. Type oY Constructton F�. Cost �J.�.00 To be Completed Storm Dama�e RepA��' In consideration oP the fesuence to me of a permit to const the proposed work in acc�rdance with the dres�Iption above set ordinanoea of the dty oP Fridiey. � in i agree to Ia co�aiderat[on of the paqment of a fee of ��...L�13-, permit 9s hereby graated to- �g Nelson Co. to conatruct the bnfl�Iin,g or addition as described abave. This �er�it is granted upon the eapress conditfon that thepe�on to whom it is granted aad hia ageut�, employe� and worl�nen, in all work dame in, aro�md and upon eaid building, or anypart thereof, shall conform in all r�pects to the orrlinaac� of FrYaIIey, Minnesota regarding la�tion, construction, alteratton, mafntenance, repair and mov3ng of buildings within the dty limiffi and t�ia permit may be revoked at any tinos upoa violatton of aay oY the p�ovisions oE eaid a�dinaacee. Allen Jen�en �g �r NOTIC� lYs pumh doa eot � t6s semlrueNoe, huta0dioe fer rrhte�. Plumblee. an 6wlag, tNra er watsr. Bo sor� to ae tt» BuAdlo�g I�tor M� pp�rab pumHs Por t6�a It�t. r� , - APP'LxCATION FOR BUILDING PERMIT � CITY OF FRIDLE'7f, . MI�i1NES,OTA � �� r �4 � �. , i; .e� j :�y'= ! J�.� �/ : � � , �'_�1�.��G�' ��_ �:. � ► - ' ,�< ,� � �... ��- .t � � i � ✓ Li 1� � / . •'A.:� • " � . � . . � � ' � � � . � � ' �LOCATION OF BUILD�NG� � • ' No. � ' - ' •SCreet Part of Lot LOT � BL�R ��- - ADDI7�'TON OR SUBDIVISI01� �` � � - ��"�" ' . �ue��--�� I � Corner Lot�Insid� ;L ,�„etback . Si�de YaYd ' ' � � SLWER ELEYATION FOtINDATIOft �LEOATION Applicant attach to this form Two Certificates of Survey of Lot �nd proposed building location drawn on theee Certif�cates. � '• � � DESCRIPTION OF BIIII�DiN� �• � " � - To be use�� as : � , � Front Depth IieighC . Sq. Ft. . . ., � Ct►�:'Ft: � � ..r.�.:'' �'L, '. ' .. �.. .. ., . ' . R...', ' • �- v .�, ' •,. , ' . . . � � . � - � Front • � .Depth . : ' $eight . �..� . ; � . � � . . ---�--- , : .} ; . , ' . . . i..�, , ... � . �. � • � .. .. Sq. Ft. ` � Cu. Ft. .. , .`�. : � �•• � ` � . , • . .. . . . � � Type <�of .�Coastruction •+Es2imated Cas �'�,� � � � � To� �be �omple.t�d.. �. : . . . � � � . . . � ---.— . .:; , . .� . . ., . f. . .. - . . , .''� The undersigned her�by�'makes application for a permit for the work;herein apecified, agreeing to do all work in sttrigt accordaace with th� City of Fridley Ordinances and rulings of the.Department of Buildings, and hereby de�clares that all the facta �. and =epresen�atio��s sEated in ehis appl3cat�on are t e and correct. , / / �, DATE � � � �5 SIGNA (Schedule of Fee Coats can be found on the Reverse Side). �� a � .g � BDILDING PERMIT FEE S�HEDULE SBCPION 2. The Inspector of Buildings shall, before isauing any permit for Che erectian of anq building or struceure, oz for any addition to any esietin� build- ing or atructurg, or for anq alterations or repairs to any exieCing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the annount herein below set forth and in the manner herein provided to•wit; 2.1. For any auch permit for the erection of any fire-proof building, other than a garage, warehouse, factory or grain elevator, or for the erection of any fire-proof addition, for aimilar occupancy, to any exiating building, shall be at the rate of $1.40 for each one thousand cubic feeC, or fraction thereof, in such cubical contents. --�.�.-- ----FoY`�n�r suc� permit for t�ie erection of aay £ire-groof gara�e, Warehouee, factory or graia elevator, or for the erection of any fire-proof addition, for similar accupancq, to any exisCing building shall be at the rate of $1,25 for each oae thousand cubic feet, classified as "fireproof" by Section 502 of the Mianeapolia Building Code. HOIISES 2,.3. For any auch permit for the erection of any non•fireproof building, other than a garage, warehouse, factory or grain elevator, or aay non-fireproof addition, for aimilar occugancy, to any exiating buildiag - permit $1.D0 for each one thousand cubic feet. GA�RAGES 2.�+. For any such permit for the erection of anq noa-fireproof garage, caarehouse, factory or grain elevator, or for the erection of any non-fireproof addition, for similar occupancp, to any esisting building or for each such buildin� or addition - ninetq cents ($0.90) for each one thousand cubic feet or fraction thereof, ia the cubical comtente thereof with the minimum of $4.00. For the purpose of computing fees for i�uilding permita, the cubical contents of anq building or addition Co a uni�orm height throughout by multiplying the - - - grennd area- -eovere�--from-� po�� -sis (6j -inche$- ��aw t�e -f�aor 1i�e of the basement or cellar to Che average he3ght of the ugper surface or to the averagg height of the roof aurface of the main gable of a pitch�d roof. Z„ For repairs or alterations to aa existing structure, the fee shall �e at the rate of $3.00 per each Five �undred Dollars ($500.00) or fraction thereof in the cost of a11 propoaed work. 2.6. In no case ahall the fee charged for aay permit as set forth in Seetion 2 be leas than $4.00. , .� -_ _� ..� � . .«�,. _ � � . s s n r r- r1 e o � a Te' e►�+ ao m n a � �f K � � o � a� o � � r .. a 3 r'a i „ X 4 � • � a o. c C 0 c r � O Q d n � 0 A O � N N N n 0 � R d � � 0 � � A � m n � � r � C 1 7 6 f1 A N �0 3 M CZ V1 r+ y3 o� N l*J �� K � x a� � � '0 !�+p1 3 M N M i.T 0 0 j y 8 :r � �e Q � `C m Cl�O V ` � \ �o � o O � � < '' m m M �p �C O • n �0 �` M v( a o°, 1 l a° � � �1 � r� � ( � � � �o A 1� � � � � t� 7 � � N � M 0 O � N K m �R � N h0 � S � � � � c � � � � d � � � � M r- Z � p o � � n O K � ~ � W A Z � A 7 � � � y O .O � �j' � N N � � � �, C ►• v � � A R S O � ;' p R ^ 'p � � � N � � � � a � . � � c m � � �' yc � a � , ~ � i� 7 ' � a., � 9 � � � �' 3 I I N N N � �) �1` � �} O o � !-� 3 i� :n � � �, r M N' ►e�+ �0 � � O O !" �= M m C r ` M r ° v � `� ►°� a o !�f � m '�D !�+ �p h�i M h � �Or- r y 01 a � �� S r O. � r' a b �- � n n � M �m M � � � M R w � O 7 rt m � N r I' O ° o 0 �� Z � � O m �c ►r� y M z n S �8 i J a • yf'� � �o � � O �. y N N �1 � 1 � � c N � � � � � ^� r � ` 0 V Q (' � � � � �M � A O � � C � � � n � n ao �n v� m oo b m n►t O� �C � �'C M � ~7�. o �, •1°, � $ a' � s r o�r �1 ~ • r � Oq � � O� $ �° � g R R � C � 'b� � ►�1 � � � N VI ,N N r r r n� � p O o o � 0 0 0 o m 0 0 0 0 N N N N � � (�. � �1 � a �a ^ M � � d r�- : c 7 r• A 7 O�� O. � �1 N 0� �1 1 .�i •°. � �c m A �• 1� � m � a R S �� 0 � � � O `C � A r � n 7 r 7�' � d A � .°.' °'.�� b ry r• m 'O K 7 C �-' ►' r• 7 r� � S a m O 1+� ►� R A � m � ~� � � m ^ 7 �a d o r � n n nar�� n s � �° Q�� s �t � r � s o. t � � �r M R O C i ? ~ � m O O d7►A'.� HR�� R ��m � n ~ m 5 I� � A H �6 ~ K W � s O n u� •n 9 J I4 r�n a o 0 y� r ,w O � G a r � N o� A C < n � m � � � z t� . .�i a m � � � a N 4 0 Q a O. M A to W `O � � ..�. n�i D N ` � Z rC � �1'1 .� � O � m � a � � a O N 2 v a -� v Z m 2 D G'� � N � < � H �-1 f"f fn O 3 O �n r z c�+ d � m m < � f� m � N � O 2 • � m � . � � m � > �i � z ' D Z 0 � � � --� � O T T � v r � `_J M �n m n � C fD � ": F-' N � � � CHIMI�EY ANJ STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack; 1. Has been carefully examined Yes (�'� Y/ 2. Is free from rust or deterioration Yes () 3. Has no foreign objects lodged within Yes (� 4. Is securely supported Yes (��) 5. Meets all current Code requirements for size and - total BfiU z�nneci�ed 6. Ha s To ta l hea ti ng BTU � s of �_� �' ` �` A11 other BTU's �"L�, e� �' c-' TOTAL / i ; , t � : �� Rema rk s . Yes (�) No ( ) No ( ) No ( ) No ( ) No ( ) � ,�-- ,- Cam pa ny �� ,� �, z� :� �.`� -�f� c �� Signed By �'��,�� .�� - D3 �Q � -f _ 3 — � 1;,; SUBJECT � City of Fridley 2 0 3 0; AT THE TOP OF THE TWINS g � I L D I N G P E R M I T ; � RECEIPT NO. � �• COMMUNITY DEVELOPMENT DIV. � � -------, �s�97 r � L � PROTECTIVE INSPECTION SEC. � � 1 i � � ��"1 � CITY HALI FRIDLEV 55432 NUMBER REV. OATE PAGE OF APPROVED BY �""� � �'� 612-571-3450 910-F15 4/17/9Q / / JOB ADDRESS 149 Gibxalter Road N.E.. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. ]„2 2 Carlsonrs Summit Manor South Addition SHEET 2 PROPERTY OWNER MAIL ADDHESS 21P PHONE Richard �d.'dllez 14Q Gib,ralter Roa,d N,E. 572�-3762 3 CONTRACTOR MAIIADDRESS 21P PHONE LICENSENO. Amre 3700 Annapol.is. Lane, P1yYnouth., MLV 55447 553-Q020 d ARCHITECT OR DESIGNER MAIL ADDRESS 21P PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS PNONE LICENSE NO. 8 USE OF BUILDING Res identi.a,l 7 CLASSOFWORK � NEW ❑ ADDITION ❑ ALTERATION � REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Resi.de Dw.ellin� 9 CHANGE OF USE FROM STI PU LATIONS TO TYPE OF CONST. SEPARATE PERMITS ARE FiE�U1RED FOR ELECTRICAL, PLUMBING, HEATINC3, Vinyl VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING 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 AFTER WORK IS COMMENCED. NO. DWLG. UNI' I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION 1' AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $'] � OOO WITH WHETHER SPECIFIED HEHEIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $90.00 STRUCTION OR THE PERFORMANCE OP CONSTFiUCTION. _, _„^„'^V « SIGNATURE OF CONTFACTOp OR AUTHORIZED AGENT IDATEI IDATEi )CCUPANCY GROUP OCCUPANCY LOAD 50. FT. CU. PT. OFfSTREET PARKING STALLS GARAGES SURTAX $3 , 50 SAC CHARGE TOTALFEE $�3.50 :RLY VA�} ATED THIS IS YOUR PERMIT 0 ( -�rv ,� �� _ '��/'7�(% ,�' �� '.�.�� ) � L l �'I'� [ ] oonstruction Address: Legal �escTiptia�►: owrier Name & : � Contractor: 6� 16?��° Aaare�:.�%'�� . -� n ,/��'.-`�� %�`'�''-r` � � ��!' e-,..��"i�- R-1 AND 1�2 Huilair�g Pezmit Application ; -'� ,✓''?�°� � � �J.� �c� �' CG � �C�izG�G:' /'�'� � �� Effective 5/1/88 � � Te].. �=�� ' � � �,� �%� 'l�el. #e-��'��ti � � :�� Attach to thi.s application, a Certificate of SuYVey of the lot, with the pr�ed �ctiaaz drawn on it to scale. E.;s; «; ��M ._;, .,- I.IVIIJG ARF.��: Le,ngt�i Width Height Sq. Ft. GAR�IGE ARF��i: IErigth Width Heic�t Sq. Ft. DF�CR AItE�,: Iength Width Hgt/Grrnu�d Sq. Ft. ORi�R: Corner Iot [] Inside�Lqt [] Ft. � Se,tbac;k �I� Of �102'1: �� .,,°(,�G'��L� �EsL°G-- App1vX. CxenpletiOn Date: �--°��' ' �>�� .; Side Yard tbacJcs Fcf-imated Cflst: $ �� ' Proposed Driveway Width If New Opening Is Desiredz Ft. $ $ � � /� Width + 6' See BacJc Pac�e nATE: ��' �' AppLI �� ' ,��r�'��2 Tel. �C��°, C�U��'� QTY IISE` �Y Permit Fee $�'�' �=� ��ee � Sdiedu,le on Reverse Side state surrharge $�� c/ $. so/Sl, o0o valuation SAC C'harge - $ $575 per SAC Unit DriVee�rray E��crow $ Alt. nA" Or Alt. "B" 1�fbove ' Park Fee $ Fee Determined by �g;nr�r;r� sewer rlain Q�axge $ Agremoent Neoessaiy L l N�t N�saYr [ l �PAL � �� , �' . . ��: ' �%� �� . � ,� _ �� '� �� .�- �� :�� . . � • :�•. � � :�- : .�:��,. � The Chief Buildirg Official sha11, before issuing �*�+�;ts for the er�ection of any building or �, or for arYy additiaa�► to ariy existir�g building or stsucture, or for ar�y alteration or repair to anY existinq building or structure, uPoa'i ap�lication therefore, require the p,ayment by the applicant for such permit of fees to the an�auit herein below set forth and in ti�e mannps i�rein pravided to-wit: Z�AL VAIIJE $1 to $500 $501 ta $2,000 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,001 to $500,000 �i�a. $15 (Mininann Fee i� $15 plus sur�charge) $15 for first $500 plus $2 for each additional $100 or fracti.aQ'1 thereof, to at�d including $2, 000 $45 for first $2,000 plus $9 for each additional $1,000 or frac�ion thereof, to and incluciing �25,U00 $252 for fiYSt $25,000 plus $6.50 for each additional $1,000 or fraction ther+eof, t,o a� includinq $50, 000 $414.50 for first $50,000 plus $4.50 for each additional $1,000 oY'fraction thereof� to and includir�g $100,000 $639.50 for first $100,000 plus $3.50 for each additional $1,000 or frackion thereof, to and including $500,000 $500,001 to $1,000,000 $2039.50 for the first $500,000 plus $3 for each add.itional $1, 000 or' fractiarp therepf � to and jricluding $1, 000, 000 $1,000,001 and up $3539.50 for the first $1,000,000 plus $2 for each additional $1, 000 or fractiorg ther+eog �Y �SI�+T E4CRO�T (�a�crete 0.ub Streets On1Y) L Alternate "A��; R+emoval and replaoaaerit of curb arid gutter only - Driveway width plus 6 feet times $13.50. Alt.�rnate ngn ; R,emoval and replace�nent of curb arid 9� � install a 3 foot wide approach with 6 itich depth - D�ive�ray width plus 6 feet tiaies $15.75. 1Y�+: •�+ �: N.:, .�- :,.��. �. . �.,. � Ppsmits for' C�o�r�structa,on will be yss�� a mininnnn of 24 hour5 fr�an the tjmc� of ap�lication to allow for praper revie�r of the Pr�OSed struc:4�re ar�d of the oo�ttuction site. A Certificate of S�irvey of the lot, shvw�nq the location of the fauxlation once it has it has been oonstructsd will be required before pz•ooeediriq with the fzaminq. � __P SUBJECT City of Fridley AT THE TOP OP THE TWINS g � I L D I N G P E R M I T r � � � �• COMMUNITY DEVEIOPMENT DIV. y PROTECTIVE INSPECTION SEC. , -_� r ; " ; � , � i �"'1 � CITY HALL FRIOLEV 55432 NuMBER �""� � ,`� 612-571-3450 910-Ft5 J08 ADDRESS 149 Gibraltar Road N. E. 1 LEGAL LOT NO. BLOCK TRACT OF ADDITION DESCR. �.2 2 Carlson `s S`iL' 2 PROPERTY OWNER MAIL ADDRESS �X�X�II��Dale Brad�/Rick Wallaz 3 CONTRACTOR MAIL ADDRESS Same 4 AFlCHITECT OR DESIGNER MAIL ADDRESS 5 ENGiNEER MAILADDRESS REV OATE PAGE OF 8/1/90 / / 149� PERMIT N �0499 RECEIPT NO. �� l4� � APPFOVED BV SEE ATTACHED SHEET ^ g��d 572-3762 ZIP PHONE UCENSE NO. Z�p PNONE LICENSE NO. ZIp PMONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASSOFWORK � NEW ❑ ADDITION O ALTERATION ❑ REPAIR ❑ MOVE O REMOVE X 8 DESCRIBE WORK Construct a 16' x 14' Deck 9 CHANGE pF USE FROM STIPULATIONS See notations on plan TO TYPE OF CONST. SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONIN(3 AUTMORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENOED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION �- AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $1�62H WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- ,$39 a OQ STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. _, __, w..'^u '�� AGENT IDATEI ' s � ��1.� _ �DATEi �CCUPANCY GROUP OCCUPANCYLOAD SQ. FT. CU. FT. OFFSTREET PARKING STALLS GARAGES SURTAX $.81 SAC CHARGE TOTALFEE �31a�1 �LiIY VALtDATED THIS IS VOUR PERMIT NEW NW � � �: a�- � � � � [] R-1 AND R-2 Building P�ermit Application EffeCtive 1/1/90 Construckion Address: �,'7" � G: ��?L) f'.�'��,� Iegal Deseription: C-f� % /a , �Ci�?.�2 �� C�f�i2 LSoti'S ��e�/1'► � % �`/�Cj2 � . owner Name & Address: //AG �' ��i?AP�7KC- Zh1. # �� - �� COIl�"dCtOrt �� L� 'I�21. # �^: Attaah to this application, a Certificate of SuYVey of the lot, with the prap�sed constniction drawn on it to scale. DrESCRIPTICS�T OF II�VII�t� LlYII�G AREA: Length Width Height Sq. Ft. Q�R�,GE �R�i: Ieng�th Width Height Sq. Ft. D�CR 1s,RE�: Lengt-h /� Width / T� Hgt/�a�d �� Sq. Ft. 2Z �- OTi�R• Cornex L�t [] Inside Iat ] Ft. Yd Setbacic Side Yard Setbacks 'Iype of c:onstruction: �Rf3/}%C-' Estimated Cost: $ /� 2 8°%' Approx. Cca�letion Date: Proposed Driveway Width If New �A�'E: �".� � � �- C7C� P�2rilti.t Fee $ s State S�mharge $ t � / SAC CS�arge $ Drive�ray Escrvw $ Park Fee $ Sewer Main Ct�arge $ �!'AI, $ s � �� . . Ft. $ $ /� + 6' See BacJc �e �� Te1. # � CITY U3E �Y Fee Schedule on Reverse Side $.50/$1,000 Valuation $600 per SAC Unit Alt. "A" or Alt. "B" Above Fee Determiried by �gineerin4 Agree�ent Necessaiy [ ] Not Necessary [ ] :?� � � � • :�•� � ��- ; �,:i�+�_�� e Chief Building Official shall, before ic��ir� peYmits for the es+ection of ariy �� i 7 ding or stnicture, or for any addition to ariy existing buildinq or stnu-tur+e, or for arYy alt�xation or repair to ariy existinq buildirig or structure, upon ap�lication therefore, require the payment b�, the applicant for suc� �ri++; t of fees to the an�ount herein belaw set forth and in the manner her�ein pravided to-wit: Z�OQ'AL V�ILLTE $1 to $500 $501 to $2,000 $2, 001 t.o $25, 000 $25,001. to $50,000 $50,001 to $100,000 $100,001 to $500,000 � �. $15 (MinimLUn Fee is $15 plus surrxu�tYge) $15 for fiYSt $500 plus $2 for each additional $l00 or fraction thereof, to arid includirig $2, 000 $45 for fizst $2,000 plus $9 for each additionai $1,000 or fraetion thereof, to and includinq $25,000 $252 for first $25,000 plus $6.50 for each a�litional $1,000 or fraction thereof, to and includirig $50,000 $414.50 for fiYSt $50,000 plus $4.50 for each additional $1,000 or fraction thereof, to ar�d includinq $100,000 $639.50 for first $100,000 plus $3.50 for each additional $1,000 or fraction thereof, to arid 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 thereof, to and includ,ing $1,000,000 $1,000,001 arid up $3539.50 for the first $1,000,000 plus $2 for each addition,al $1,000 or fraction thereof DRIVEf�iY DEPRESSI�T E^aC�p (Concrete C1�rb Str�ets On1Y) ��ernate ��A" ; R�ava1 and replacemerit of curb arid gutter only - Driveway width plus 6 feet times $13.50. ��e °B" : Removal and replaaeznexit of curb and gutter arxl i n�ra 11 a 3 foot wide aPP�� F►ith 6 inch depth - Driveway width plus 6 feet times $15.75. ►��+; .�1 �: M.), .� �. u.i.. u.,. P+ermits fox' oonstxlxction �,rill be icGU� a minimmn►, of 24 ho�u.rs fioa�t the tjme of application to allaw for propex review of the P�posed strvcture and of the c�nsttvction site. . A Certificate of S�rvey of the lot, showinq the location of the f�ation once it has it has been r.onstructed will be required before proceeding with the framing. 1 �.� � �s �� 0 � � ��: � ` y � i �. : � r �� ♦ % � ' t� � �Y�, ✓~ 0 - a ,s � -- - - - .. ._ � � �� r � � , Midway ... (/ �'S'+693 ❑ \�, - + Little Canada ... • 5411 � Brookiyn Park �--� 185 ❑ Bumsville ... (612) 2440 ❑ �� ' Hopkins ... (612) 933-1046 ❑ � �11$1Ai�l' � `:s Newport ... (s12) a58-1s10 0 $(�'�i � Coon Rapids ... (612) 754-3550 Q . Duluth ... (218) 727-2100 ❑ KY�` LUMBEF3 COMPANY Fargo... (701) 235-4471 a GOOO PR/CES, GOOD ANS WERS Billings ... (406) 656-2366 0 Sioux Falls ... (605) 335-8440 ❑ DATE �` z� JOB/CUSTOMER �� 7 �`� SALESMAN t\ A� _ � - -- --_. . . . ♦ . ' �%ii�'_ . � i� i .► 11 _i�o� , �� __i l4'; y�y �o; 5� �� Z,� �v Z,,r /O Z� � �- 'L� i � � 07 X�/ �l�" C . C. • a x. 8�� !s` �, C,. iZ 7nG /o' � 3� � �,�Q� l 3� fy' t�� Z- � 6 j Lz9 Z - �� `'k ,, 319 � �6 /G , C� zS L � � <� 6y - r� 6� �� ss /Ya ar Zy� %6 8� � s7 ___�� 3 yz _ �� __ � � 19�� •s � at � f'T��%�"" -_ #K-YD-343 (10/8� f �d i� n a� ■ ■ r ■ ■ ■ ■ ■ � ■ . Yld�ray373 North Prior Avenue, St. Paul, MN 55104 ....................846-4893 Brooklyn Park 6913 West Broadway, Br�klyn Park, MN 55428.........533-2185 Bums�rille 901 W. 122nd St., Bumsville, MN 55337 ................ .....89a2440 Little Car�ada 3203 Country Drive, Little Canada, MN 55117 ..... 5411 Hapki� 250 Sth Avenue S., Hopkins, MN 55343 ............. ... .933-1046 Newpart 2222 Maxwell Avenue, Newport, MN 55055 .............. .. .458-1600 Coon Rapids 10141 Woodcrest Drive, Coon Rapids. MN 55433 .. 54-3550 Duluth 2661 Miller Trunk Hwy., Duluth, MN 55811 ............... ...727-2100 fergo 701 36th Street N., Fargo, N. Dakota 58102 .......................235-4471 Billings 1737 King Avenue W., Billings, Montana 59102 .................656-2366 Sioux Fal� 4040 S. Grenge Avenue, Sioux Falls, S. Dakote 57105 ......335-8440 FoR A L� QA ��r K� # ��a-3��. PIECES DESCRIPTION . e ot r > 7� lO — //�' I ,C� S�G � X l G " �� '1� ��•� . � � io - �(s' � „ f'� 3t a .^� s � x -�; � 1(� ' '� --� � - L� I lx � SIS7E _(',��A� oStS uN- (y' �r. po�;� � ., rx d�, � c .,,.� �.r,e �✓'� r' �� n e _ ii�� ('p�J(Q 2 � i= � ; � a � lc - / � ' A i2. a � (p - ��i � ��/ � rL _ a ��- la' Ced�� x �/ - / �/ ` �a �� r2 � a � Q p. 1 /I, cI�4� �Xa— �/ � C�e/ A✓�- 5�-�-� �s � ax�1�- �a' ��A� - ? X (Q - �, • Cf�,�2 _ � x Ct - /c' �r��A� r.�i ?C lG — � � ' �r_� A /� _ ��/-`! �� A� �, �.-.(� �� /�_ ye� A� '� )r �i � /,/4.0 A 1 - �o�v�'� S a PRICE LISTING�� r �� %� � DATE�� -�1?� PRICE I AMOUNT 1 � ��no , Z� I I Izl �� 5 p° �.55 � �u �-1 � �, �� C� � �m �� m � � � � � O �• H � o � �� Qo �' m ?. z+ m � � a o � � w � y � � � � � •� �a �, s 0 c r. � � r � � -� S p �� C � z "' n� m� � � 7 � m � � -� Z � � � m Z � � m c� � z � m w c 0 c Y v c � � � 0 � S I a v m� m T w Q � � � .� �I � � m a Z 0 W � �o 6� S m � Z � O � a z � � . L � � � � � � j �� _ � � � ?' D 0 O � � O � 0 C� '"'c�o a Oi S2• < '` a � � � � � � (�p CD � ° p, o '� � C ._., W � -d g, a y � �. � � s� a � �D � � � � N. w � � � a N 0 � � o --, O � �� .» -a � r�" � Z � m " �' � � � � � O \ o 0 E1'� H9 {A � o � � c� �D -, � a m z w �' _ � 1�� cn z �� + o m � O �D � � O c a� ' � o z� �� c m � � c � N � � � c� 0 � � � N w �3 � o i 0 � � � � � A : � � O m � ' ' . 1 � . � r 1 r • `�1 r I y ! 1 . �' 1 � i . I 1 .` � � a�� (�l� t�A � C N � � � � m � �p W � •�+, � � � � � ^ � �D z � m � m a � a � a � p = c � � c� m � �o � � � c� � � c � � � � � 69 N d/ Vf O O O O � � o g o c� � � � � C � z � v c N m � � v � S N -�-i � z � � O � � ,� 11 � � 1 � I� `� m � � �� C Z (� m � \ � � \ � a Q � � � �� f! EA � � r � c � � � Q' '� � cu � w � � c � Q � y � � � _/ -^a Ql a � �G �U A C. W 7 � � A C 4 Q _� � � Qm�� O ? � � � o� 3 � � o � � ��y �' �� ' �xw � � � M o, ° y � � . � ... .� 5 = � � o � a � � s w c� 0 3 � a � �� w a � o �(�� w � � \�� 0 �� ` OQD Q v � � � cn �t o� f) �1 "'. A � a w � �� C(7 � O �, 'T1 A z W � y N ��- �� zz mN � m � z v < � � � n m� �Z zo �Z � O � >m � � n •D Z �D =i N �a z� �� 2 N � mz �� iS oc C � nrn Nz � � � � z � d � d � l ' 1 r m � � � O ` w � � � � � f � a ...... Flexible design offers a variety of �nstallation solutions for your home pl�Zns. , ................................................. TOP VENT DIRECT VENT MODEL 6000DVT. For those wanting the efficiency and installation advantages of a direct-vent but requiring a vertical vent off the top, (i.e. basement, side wall applications) the 600(1DVT may be the answer. Tlvs top ventinng direct-vent model can be elbowed right off the top and terminate horizontally on the out�ide; or can be vented verUcally with a S vertical or horizontal termination. _ ALL 6000 SERIES MODEIS INDIVIDUAL MODEL FEATIIRES: FEATURES: • Six Realistic Looking Oak Logs MODEL 6000GDV • Lazge Glass Door Area (34" X 20") • Z7,000 BTU Input • Burning Embers and Yellow Flames .�� ency (70%+ )* • Piezo Ignitor and Safety Pilot . pir Tight • �►� B�$ • InstaJled Junction Box for Blower Combustion Chamber and/or Remote Control • Optional Remote Control • Fixed Mesh Screen (Polished Brass Trim) Thermostat (RC-STAT) • Polished Brass Decorative Hood , - • Safety: High Temperature Limit Switch MODEL 6000DVf - and Glass Microswitch • A.G.A. Design Certified and CGA Approved ' 27,000 BT[J input for Use with Natural or L.P. Ga$ •�P� �ciency (60% +)* • Optional Blower � • Air TIght • Optlonal Remote � CombusHon Chamber Control RCH-09A �� The Indushy's Best Performance `- — Blower System, ARt-SUPRENIE includ�s: • Magnetic Blower Mount that allows for installation in seconds • Optimal blower positioning that eiminates air tlow resistance • Thermal sensor switch that automatically turns blower on and oH • Vaziable Speed Control designed to be installed in the bottom of the unit or on a wall TOP VENT MODEL 6000TV. This top venting (5" B-Vent) unit is dimensionally identical to mode16000GDV and has a provision for outside air for combustion. It is a heat circulating unit and maintains a high thermal efficiency. S P E C I F I C A T I 0 N S HeigM FroM Widtli Bacic Width �eD� From Glass BTU Model Acdial Framhig Acd�al Framing Actual Framing AcNal Frami� Door input 60�GUV 38�/e 38�/+ 41 42 26uz 27'k 21�h 72 34x20 27,000 6000 DVf 38Ya 3&'/a 41 42 26�h 2Tfi 21 �h 22 34 x 20 27,OU0 6000N 38Va 383'+ 41 42 26�h 2Th 21�h ?2 3Ax20 25,000 Heat-N-Glo reserves the right to update units periodically � DIIiECT VENT MODEL 8000 ODV (27.000 BTIq � smenew Fxorrtvmw sme�a rovvmw cox�mx � y�. R� DR' .,,. (li� � � 28X Q18fALUR10N ��T 13'/.°�- � r�� m �'��,�/, � cmu+m n�• � �I,.� �' ;: � �� -� � � �.�/ �y� � � 'T � am�ortam� . •� �wrm �%. --�y, I�38°�I �°� 3�° �� ' � � DIRECT VENT MODEL BOOODIR (27�000 BTI� � smev�er moxrv�w Tovv�w comma e ��p sms � g9� � 13'/.° � � 6Y 85'/.° "3X' � uv �g. /. 1T �, / a p�F• °m\° -k- � 8Y." � pp 1 � 387.° JL T�j 9%° � 'c ' �3��.-��°� � S BY.• p � ?I�� MODEL 60007'V �—•� TOP VENT MODEL 8000 N(28,OW BTU) m,� �� „�, mcevrew crtoxrview emevmw rovv�w uisrr u""rrox • 25,000 BT[J Input , "°` �, �e�ti•� �a� � • Efficiency (50%+)• � �� '�,� „��•�`- � � n�cm 88Y. ��. � By�° /13Y.° 3B'/.°i • Outside Air Provision xti= o '� �� 0 3�° � ��,(' �� nnmaxr JL B'/.° —.�L � ��-� � � � � Y1X° 7H ° 6fl y � � mm. ,ri• �eaeaooir °tra�" Optlonal verrting systems epproved to accommodete ird�lor wall Irslslladon. �� OP110NAL CLEAN-AIR � � � , �' F[I.TBRING SY5fEM: Our patent pending clean-air sy5tem allows us w install � in seconds an optional filterinB system (c;uMdge) that *' ; wlll clean room air when opereting. 'As tested by Gas Technologies Inc. For tbose wanting tbe beauty of a wood fire witb tbe warmtb, e�'iceency and convenience of gas, Heat-N-Glo is tbe 'Smart Cbo�ce'. �� FIREPLACE SUPPLIER FOR SMART HOUSE ' A ��. L! U��°li�° �,. HEAT-N-GLO Fireplace Praducts, Inc. 6665 W. Hwy 13, Savage, MN 55378 (612) sgo-s367 Fa� (612) sgo-3525 � � ........ �000 s�xr�s ,� ' �; �e've cornere FlRfPIAR Q ooucrs �i �. l�p,� � t e i�ect-vent �ar et ............................................... 6000GDV WITH CORNER ENTERTAIlVMENT CENTER �_ - - -- �nd covered all the fronts The Golden Flame 6000 Series offets the tlexibillty of design to 8t most any installation application, including in a comer entertainment center. Md Heat-N-Glo has covered all the front� by offerIng several decorative trlm Idt� to suit any decor. These 6replaoes look great. They are easy and inexpensive to install. They generate heat They cost as llttle as 12 cents an hour to operete. Md they can be operated with a hand-held remote controL Combining today's technology with tradiflonal aesthetic values. HEAT-N-GLO has developed 6teplaces of the future. These elegant gas units provide the look and feel of wood buming firepla�ces, while eliminating the inconvenience and egpense of burning wood. DIRECT VENT Model 6000GDV. A very unique feature of this zero-clearance $neplace is a d'u+ect vent out the back of the unIt which eliminates the ne� for a chiwney. Thls feadu�e, a result of HEAT-N-GLO's proprietary t�hnology, will open up major new markets (such as apartments, condominiums, offices, hotels, sun rooms, bedrootns, entertainment centets, etc.) thai have been vlrtually cl� to the fiteplac� industry In the past. The air tight flreboz takes all of its combostion air from oatside and thus is ideally suited for today's tight s�1ed homes - even in a bedroom. This feature keeps the warm air in and the cold air o� and provldes a thermal efficiency in excess of 70'�. In addition to the beauty and ease of installation which the 6000GDV provides, it will radiate and convect heat into a room Md, b�ause there is no heat l�s as there would be up a conventlonal chimney, the heat exchanger of the Golden Flame is esp�ially effective. D11DOL70 �n]�° °�]° 4 k.,. OIMLff V FIREPLPGE PRODUCTS SNCE 1475 -�� HEAT-N-GLO Fi►eplac:e Producis, Inc. 6665 W. Hvvy 13, Savage, MN 55378 (612) s90-8367 Fax (612) 890-3525 sue�ecT MIT NO. City of Fridley 2 2 2 4 5 AT THE TOP OF THE TWINS g �� L D I N G P E R M I T r ; � CEIPT NO. � `y _�_._ COMMUNITY DEVELOPMENT DIV. r � •� PROTECTIVE INSPECTION SEC. j„� ` � 1 . � 11 l.--_ � �/"��,•� CITY HALL FRIDLE� 85432 NUMBER REV. DATE PAGE OF APPROVED BY t �� 612-571-3450 910-F15 11/23/93 / / 10B ADDRESS 149 Gibralter Road NE t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. �-2 2 CdYI.30T1 ° S SlII[Qtl].'t MdriOY SOl1tY1 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PMONE Dale Bradtke 149 Gibralter Road NE 572-3762 3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO. Fireside Corner 2700 N Fairyiew Ave, Roseville MN 633-2561 1068 4 AHCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. B USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION �] ALTERATION ❑ REPAIR � MOVE ❑ REMOVE 8 DESCRIBE WORK Install a gas �ireplace 9 CHANGE OF USE FROM TO STI PU LATION S ��'ov%de smoke detectors as per UBC 1210 adjacent to all sleeping areas and in ba,sement. Fxaming/chimney vent and gas pipe inspection needed before enclosing. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE RE�UIFiED FOR ELECTRICAL, PLUMBING, HEATING, VENTII.ATING OR AIR CONDITIONING. 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 ABANDONEO FOH A PERIOD OF /20 DAYS AT ANY TIME AFTEH WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFV 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 �2 � 2OO �1. ZO WITH WHETHER SPECIFIED HEfiEIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHOfiITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING coN- $54.00 Fire SC $Z .ZO STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECKFEE TOTALFEE License SC $5.00 $62.30 SIGNATUREOFCONTRACTORORAUTHORIZEDAGENT (DATEI RO lY VALIDATED THIS IS YOUR PERMIT . ! �(�2� -� SiGNATUREOFOWNER�IFOWNERBUILDERI IDATE�..; � '� BLDG iN OATE a �� ° � 1 Et�cctive �/ � /�� ADDN � � CITY OF �RInLFY ALTER� SINCiLE FAMII.Y AND DUPLEXL�S R-1 ANb R-2 Buitding Pcrmit AppliCatie+n � � /� Construcdon Address: f � � �--7 ��"�-7°Uj2 /C� ; � � � _ 1Legal Dc�ripiioa: _., � � .- . . ..-- -.. . Owner Name 8c Addre�s: � �ZE f� /�� .... .. . . . ...... Tc1. � ��a"�,� �� Contractor: ��, ,�.�. l/J� ��l�i . MN I.ICENSF �I %l'fp � Addresc: � �� /V,s.._�1�� 1/l� .. /�%� -�, G�U/LL-� Tel. � �P�J� �� Altach to lhis a�licati�e, a Certificate of Survey uf the 1ot, wi!!� the ptoposed Cdnstruction cfrawn on it tu scale. L1V1NCi AREA: GARAGB ARBA: DEGK AREA: ' OTHI?R: , DLSCRiPTIdN OF� lMPR4VBMENT Length WiJth . Height T ..... ._.._ I,ength _ Witith Hei�ht l.eqgth W�dth HgdCrnund � Sq. Ft. sy. Ft. "� � Sq. Ft. Garner Lc�t �)' Inslde L.ut [] Ft. Yd Selback .^ __ ,_ r�*�e Yard S�tbacks �v�e �f Ccrostructiun: _..._. . ._.. _._^ _ _ T Bstim� e �� -� � r~pprox. Cum�letion Uate: f 2�d . �� Driveway Curb Cut Width Neeetecl: Ft. + 6 N't = Ft DATE: �9�.. _ AI'NLICANT: 7C�� - �,3,�J o�-.S7n� %I�,�7�9 �� i�� ll� �Ll�� iTY USE ONI.Y . � Penrit Fee � �`7 � �. Fire Sunhnrge $ � • �� State Surchacge �_ , %,� 8 . �AC Charge $ . ..-- License Surcharge $ J�• ' Drivcway L�scrow � , _ �_ Park F� �.._. ... . ._ .. ._ S�wer l�lain Chat�e $ ' a_ '� TOTA[, � STlPUl.ATIONS: � �� Fee Schedule on Reverse Side .OU1 �f Porniit Valualion (1/lOth95) �.SO/$1,OQ0 Valuaticm S')00 per SAC Unit � �5.(lU (State �Licenccd Residendal Contractors) Alt. - "A" cx Alt. "H" Abuve Fee Determined by Fngince�ia� Agre�ment Necessary � J Nut Neces�ry ( � m SuBJECT 1�C11 �"'id�O�. ^l�- j Cit of Fridle ` y y �.e�2736.: AT THE TOP OF THE TWINS g � I L D I N G P E R M I T `_.s�� F � r � ` RECEIPT NO. � `v _ ___ COMMUNITY DEVEIOPMENT DIV � � � � r � � PROTECTIVE INSPECTION SEC. � = i ( /"'1 � CITY HALL FRIDLEY SS43P NUMBER REV. OATE PAGE Oi APGROVED BV !"""'� � �� 61 Z-571-34b0 910-F15 � � 7/20/94 J08 ADDRESS 149 Gibraltar Road NE t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. ].2, 2 Carlson's Summit Manor South SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PFIONE Dale Brodtke/Rick Walle 149 Gibraltar Road NE 572-3762 3 CONTRACTOR MAIL ADDRESS Z�P PMONE IICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PNONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. 8 USE OF BUILDING Residential 7 CLASS OF WORK O NEW O ADDITION O ALTERATION � REPAIR ❑ MOVE O REMOVE B DESCRIBE WORK Reroof House (14 Squares) Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. Install smoke detectors adjacent to all sleeping areas and in basement. TYPE OF CONST. OCCUPANCY f3ROUP OCCUPANCY LOAD SEPARATE PERMITS ARE RE�UIRED FOR ELECTHICAL, PLUMBING, HEATINCi, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING 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. 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 �AWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED � 1 050 �. S 3 WITH WHETHER SPECIFIED HEHEIN OR NOT. THE GRANTING OF A PERMIT � DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMITFEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $27,00 Fire SC �I..OS STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CFIECK FEE TOTAL FEE $28.58 G TU OF �TRACTORORAUTNORIZEDAGENT IOATEI W�.{ �1� VAL TED TNI ...IS YOUR PERMI O l. ' �� g � SiGNATUREOFOWNER�IFOWNERBUIL0ER1 IDATE� BLD �NSP �ATE NEW ADDN ALTER [1 {� ri Construction Address: CI�Y OF FRIDLEY � . SiNGLE FAMILY AND DUPLEXE� R-1 AND R-2 Building Permit Application �-4 �( G �.�o �ce �. �r; dl.e Ef�ective..l / 1 /94 . Ss �l Legal Description: Owner Name & Address: ��'�r��.��e � � � C�C l� c� � 1-e �_ Tel. # _C, '7 a. � �-7 �, � Contractdr: � i� C1 �' �C.� _ .�� e..�-��=`:��, .�e � �l�in��; � _ � � r-�1 t �` MN• LIGENSE # � . . Address: LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Corner Lot [ ] inside d..ot Type of Consbruction: Approx. Completion Date: . �. � T.el. # : Attach to this appGcation, a Certificate of Survey of the lot, with the propased construction drawn on it to scale. DESCRIPTIOAT OF IMPROVEMENT Length � Width Height �Sq. �t. Length � Width Height � Sq. F� : Length Width HgtlGround Sq. Ft. �er�� Q. o lc� S�'� rc.� �� c�,,.�r� � S� � rr� 1 2 ,— — y c.�u� �'`�'� c.� ,� ' � C� ' � �ao �� ] Ft. Yd Setback Side Yazd Setbacks Estimateii Cost: $ �C� �C`' � t� - ,�� (Cost on Back) Driveway Curb Cut Width Nee�ed: Ft. + 6 F= Ft x$ =$ DATE: �] —�d ~ � � APPLICANT: _ _ Tel. # ,�71--3'7 �, � Pernut Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL �i,AT[ONS: � �� '�1 � / e�' � $ =�� $ $ $ $ $ $ $ ; c, <<- ��` C, - >� �y r � Fee Schalule on Reverse Side .001 of Permit Valuation (1/lOth%) $.50/$1,�0 Valuation $$00 per SAC Unit $5.� (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.� Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] � r , w, I3UtLUING PEitMIT FEE SCHEDULE i7ic Cf�ict t3uilding Oi�ticial shalt, t�cfocc issuing permits for ihe erccdon of any building or structurc, or ti�r ariy addition to any cxisting i�uildinl; or struciurc, or for any altcration or rcj�air to any cxistin�; l�uiiding or s�ruclurc, u�n a�plicatioa il�crcforc, requirc the payment by tl�c appticant for such permit <�f� fccs to thc amc�unt hcrcin t�clow �ct fo�t}� aad in thc mannen c�rcin �rovidui tc�-wit- "l'O"I'AL VA LI11? � 1 to � $S00 • $501 to $2,00p � $2,Q01 to $25,OQ0 rrrs $IS (Mini�ium Fcc is $15 pius surcharge) $15 for � fiist �$SpQ pius $2 for eacfi additionai $100 or fraction thereof, to and including $2,000 - $45 for. fust $Z,ppp Q1us $9 for each additional $1; 000 oi Craction thereof, to and including $25,000 • . $25;001 to $SO,OOU - $252 for first� $ZS,ppp plus $6.50 for ea.ch additional $1;000 � or fraetion thereof, to. and including $50,000 -. $50,001 to $100,000 $10�,001 to $500,000 $500,001 to $1,000,000� $1,00(),0p1 and up $414_SO for first $SO,ppp plus $q,Sp for each additional .$1,000 or fractiou thereof, tA and including $100,000 $639_SO for f�ust -$1pp,pQp plus. $3_SO for each additionai� ' $1,000 or fractian thereof, to and including •$SOp,Opp . $203950 for die 5rst $SOp,ppp pias $3 for each additiona[ $1,000 or fraction thereof, to and inciuding $1,000,0(}0 $3539.50 for ttte first $1,pOp,ppp plus $2 for each additional $1,OOQ or fradiou thereof - DRIYEWAY DEPRESSION ESCROW (Concrete (�rb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13,50. Alternate "E3": Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $15_75_ VL'RIF[CATtON OF FOUIYDATION Permits for cor�sl�uction will be issued a ininimum of 24 hours from the time of ap�iication to al(ow for pr��cr rcvicw af ttic propt�secl sinucturc and of thc construction site_ /l Ccriific,�ttc uf Survcy of tiie lot, sf�owin� the lo�ttion of the founciation oncc it h:�e it has hccn coi�slructed wi(1 he reyuire:cl (x:forc proceedin�; wrth the framinfi. �. *� sue�ecr PERM City of Fridley 2 6 019 AT THE TOP OF THE NVINS g U I L D I N G P E R M I T i � � � • � `y _ COMMUNITY OEVELOPMENT DIV. �� r � � PROTECTIVE INSPECTION SEC. 1 i � � /'�'1 � CITY HALL FRIDLE� 85432 NUMBER REV DATE PAGE OF APPROVED BY �""'� � �'� 612-571-3450 910-F15 5/5/98 / / 108 ADDRESS 149 Gibraltar Road NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACNED DESCR. 12 2 Carlson's Summit Ma.nor SOtltil SHEET 2 PROPERTY OWNEFi MAIL ADDRESS 21P PHONE Dale Bradtke 149 Gibraltar Road NE 572-3762 3 CONTRACTOR MAIL ADDRESS IIP PHONE LICENSE NO. Western Construction Co 4301 Hwy 7�F'115, St Louis Park, MN 55416 4 ARCNITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS 21P PMONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK � NEW O ADDITION O ALTERATION ❑ REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WOHK Construct a 22' x 20' Garage 9 CHANOE OF USE FROM TO STIPULATIONS See notations on plan. Install a hard surface driveway. `. �� , ` B�fore dig�ing call for �� ell utility locafians �, 6�E��'��;�� 45a�o�o2 y �L►I�B'��1G; �ID StG�f�: R�QUI��D �Y LAW TVPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL. PLUMBING, HEATINO, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOIO IF WORK OR CONSTIiUCT10N 20NING SO. fT. CU. FT. AUTHORI2ED IS NOT COMMENCED WITHIN 80 DAVS. OR IF CONSTpUCTION OR WORK IS SUSPENDED OR ABANDONEO FOR A PERIOD OF 120 OAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I NEREBV CERTIFY TNAT I HAVE READ AND EXAMINEO THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALl PROVISIONS OF LAWS yqLUAT10N SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT �8,135 $4.07 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CMARGE PROVISIONS OF ANY OTHER S TE OR LOCAL LAW REGULATING CON- STRU ON OR THE PERFO AN F CONSTRUCTION. �149.75 Fire SC �8.14 � PLAN CHECK FEE TOTAL FEE � License SC $5.00 $166.96 SIGNATUAEOFCON�A oaauT i2EDAGENT IDATE� WHEN P OPERLY LIpATED THIS IS YOUR PERMIT � � �� SiGNATURE OF OWNERUF OWNER BU40ER1 IDATEI B104 NSD qpTE 1�1 [] City of �idley EEfective 5/L88 � � � R-1 AND R-2 A�,�x [ I Bui.lding Permit App]. ication �d �� a aa�s Qonstruction Address:_ lfel �/6!'�1-LT�.�` �R� �'��y Legal Description: Owrier N�ae & Adc3ress: 1�IL-t= �OT� ��!-5 $�� Tel. # 57Z- � 7(�'Z �ntr actor : Is�9�c.S'r�"� �/ � �t✓S7'�c,l�-Ti�n! � Tel. # . Aadress: `f�/ Kil�H��¢i 7�-/�,5�' �T (x��S P� ir/n/ ��4�/f� Attach to this appl ication, a Certif icate of Sluvey of the lat, with the proposoed oonstruction dra�m on it to scale. L�S(RIPPIaN OF IN�'RWII� T�YVTNi: ARF]L • j�n�j � �1C�1 $p.1Cj�lt .� --- ---- . �. Q�iRAGE ARFA: I�ength 22 �O Width ��, Eeight /�'� St�. Ft. DEC�c �: Length width Hgt/Groima C�a�:i�; 9q. Ft. �/�l y� : �/gs �� Gbrner Lot [ 7 Inside Lat [�] Ft. Yd Setback �'� Side Yard Setbacks 5� �0 `� Z�ipe of Construction: F� �= Estimatec] Cost: S�7�.5'�.u� ��3�G� Approx. Comp]. etion Date :_f� �/ S�� Prop�sed Driveway Width If New Opening Is Desired: �f�=��8 Width + 6' L�ATE : ��= ' 9� APPLICANr: �r%�STc�� C�a�v�-,��c7 �i�0 �o P2�i.t l�ee $ ��• %� State Surcharge�5 S �.I`� s�c charye �j� $ �'I� �.n1 Driveway Escraw � Park F�ee S Sewer Main �arge S ��•� Sl'IHJLAt�I�IS: n � ;s � 0 �; � _ �-' - �. �.��...� , C[TY OSE �Y Alt. A Alt. B $ See Back Page _ �' �, . .-. .� � �� . F�ee Schedule on Reverse Side 5.50/51,000 Valuation 5550 per SAC Unit Al� '�," or A1� �" Above F1ee Determir�ed by Ehgir�eering Agreener►t Neoessary [] No� Neaessary [ l �� G�� yU �i �'��ri,`:J� � � ,C tl� ��-,�)�r ��C �,� ��' (�/�'.��'t`•'Lr . : Il �. � , • �+; v M �i � `«: i �! �. 1 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 prwided to-wit: �TAL VALUE $1 $501 FFES to 5500 S15 (Minim�n Fee is $15 plus surcharge) � to 52,000 Sl5 for first 5500 plus S2 for each additional $100 or fraction thereof, to and including 52,000 52,001 to 525,000 S45 for first 52,000 plus S9 for each additional 51,000 or fraction thereof, to arnd including �25,000 525,001 to 550,000 5252 for first 525,000 plus $6.50 for each additior�al 51,000 or � - frac�ion f.hereof, to atac] including 550, 600 ��- - 550,001 to �100,000 $100,001 to 5500,000 5500,001 to $1,000,000 $1,000,001 a�d up �414.50 for first 550,000 plus $4.50 for each additianal $1,000 or fraction thereof, t� and including 5100,000 5639.50 for f irst 5100, 000 plus 53.50 for each additiona7. Sl, 000 or fraction thereof, to anc] including 5500,000 � 52039.50 for the first $500,000 plus $3 for each additional $1,000 or fraction thereaf, to and including 51,000,000 $3539.50 for the first 51,000,000 plus S2 for each additional $1,000 or fraction thereof DRIVEWAY DF�RESSION E9Q2QnT (Concrete Curb Streets Only) Alternate "A": Ren►wal and replavement a� curb and gutter only - Driveway width pl us 6 feet times �13.50. Alternate "B": Renwal and replaoement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times S15.75. la�� ' : M • � • - a�. l� �-: M �»I Permits for construction will be issued a minimum of 24 hours f rom the time of application to allaa for proper review of the proposed structure and of the oonstruction site. A Certif icate of Si�rvey of the lat, shawing the location of the foundation once it has been aonstructed will be requirec7 before proceeding with the fraaning. WES1'�RN CONSTRUCC�"IOleT COl0�1PA1V� 4301 HIGHWAY 7 SUYTE 115 NIINNEAPOLIS MN 55416 920� Apr� 20,1998 City afFridley 6431 University Ave. Fridley MN 55421 Attn.: Building Inspector I�ear Sir, Enclosed. is a building permit appfication along with two copies of the site plan. I spoke with Ron aad he said he would contact us with the permit f�. I would also appreciate receiving some additional copies of permit appfications and a fee sck►edule. With an e�ective date of 5/1/88 I think the appfications I have on hand area a little out of date. Thanks. If you have aay questions please call West�m at 920-8888. 5incerely,� Greg �arsness �� _ , � �� . � ��D c; � �� /! Adar� I �t � �,f ,(�i� ,� / j(r�� '/ Customer ,l��v % - �� G� Phon� h: _� � ��_�,7 �o � w : Date _ Sal�srr�n �' �'-� Garaee size: � x �� Apron _ _ ft m�h 9 /�" R4ds �� Sandfill � ' � Inches . Drivev�a s�ze �� Qc�c'f�'{ merrt Asphait Sidewalk Excavatlon In�h�s Waterproof: Westem / Owner Backfili: NV�stem / �nrner �� 6$ 8� 12A Rovvs: Lt Rr Rt �t Overhead doo� size - C�ffset L CerrterQd _ sei R� Servi� d�r '8 3'0 Swing: � / Left � �'� ` � Remova� Garage � Driv�way Weste / Owmer .�1'�II°1/@� .S'�B�CE'.�i �SfIOW �OC�tIO(1� I r-JA� - C1+A'ST �� Unri � , ' � ,��i��.��s�� • " �IVEST�RN �"`': , �, ,. . ��+��ro��i.��• 4301 Highway 7 RAinn��lis IVIM 55416 9Z0�888 Fan 920-1172 �.�C�JSLf �� 'a� /3 � : �°oc � � f� � `�� ' ' � � � �`� lcr �� - �s � �� V � ry� � 1�1 V � �L% i �, 2 �, ��n �� /a � �,�'"� s � / v �; �` . �'�' � �r � I � , o � �. �'; � � � e N k A �$ N � � � � A � � � � � ��(� ' g y � D a �� o � �� m � x Q ` y �; z � � i � � �(Q � � m � Q Z � A X ,�15 � � � ,; • S � N � � � �f � \ x m Z C a � � A � � z Z i� a w �� m � �� ( � A D W �$ Q � n V � m � � � N r � m 6^ oa � � �� v � o� � � _ � � p o � v � � � s S x S m � p �"' T FD m � C' �' � p � � � - N 4 5 O ZS � F�i p 8 � � N H ��11 T p 7� S � � � � h � �" m � g . r � z•d ZLiT-OZ6-ZT9 ; � � � �ppp p � a � 1 � � � °z � � � m � -� � ��' � N � �^ x � a 1 � N L'Zj X D A f�i � � � � � „°.� �� _ �. �9 � � � � �� Cv � _ ` � �_ �_ `�, ^. � � •� � i \� .(� � ODZr''t. �7Dp� -ar=ra S � D m rn��m r o ��m �ocn� z � Z--a t� G73•jyC fr, �'-- � � (-- V; C.. . 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( ) Sax pam�aExa ��an� uaaq seg • � :��Bls io �ammq� �uqsixa a� 3� sa�an �qaia� pau�isiapun aqy x ��x�n x�dss at� ��x� � a _ _ CIlYOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(612) 571-3450 • FAX (612) 571-1287 August 9, 2000 Dale Bradtke 149 Gibralter Road NE Fridley, MN 55421 Re: Final Inspection at 149 Gibralter Road NE Contractor: Dependable Indoor Air Quality, Inc. Dear Mr. Bradtke: A mechanical permit was issued on June 2, 1999 for the property located at 149 Gibralter Road NE for an air conditioning unit. According to Section 305(a) of the 1991 Uniform Mechanical Code a final inspection shall be performed on the mechanical system. As of this date no inspection has been called for. You will be given thirty (30) days from receipt of this notice to respond. If we do not hear from you, we will expire the permit and any inspections on this installation will require a new permit. Any questions can be addressed to myself at (763) 572-3603. Sincerely, sue�Etr P c�ty of Fr�a�ey 33359 AT THE TOP OF THE TWINS g� I L D I N G P E R M I T r � � � `y _ COMMUNITY DEVELOPMENT DIV. �� r � � PROTECTIVE INSPECTION SEC. 1 . i � j �'-'\ � CITV NALL FRIDLE� SS132 NuMBEN REV D�TE v�GE O� �vvrtpvEO B� �""�� ' 763-571-3450 910-F 15 3/ 11 / 03 � / �oe AooRess 149 GIBRALTAR ROAD NE 1 IEGAL �OT NO. BLOCK TRACT OR ADOITION SEE ATTACHED DESCR. 12 2 Carlson's Summit Manor South Addition SMEET 2 PROPERTY OWNER MAIL ADOFiESS 21P PHONE Dale Bradtke 149 Gibraltar Road NE 763-572-3762 3 CONTRACTOF MAIL ADDRESS ZIP PMONE IICENSE NO Renewal By Andersen 1920 Co Rd C West, Roseville, MN 55113 651-264-4777 20130983 4 ARCHITECT OR DESIGNER MAIL AODRESS ZIP PMONE LICENSE NO. 5 ENGINEER MAII ADORESS ZIP pNONE LICENSE NO B USE Of BUILDING Residentia� 7 CLASS OF WOFiK O NEW O ADDITION O ALTERATION � REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Replace three windows within existing openi:�gs 9 CHAN(3E OF USE FROM TO STIPULATIONS Provide smoke detectors in all sZeeping rooms and on all levels of the dwelling per Section 310.9.1.2 of the 1997 Uniform Building Code. Caulk and i�ash all exter�or openings. SEPARATE PERMITS ARE REOUIRED FOR EIECTRICAL, P�UMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAO VENTIIATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. fT CU FT. AUTHORIZEO IS NOT COMMENCED WITHIN 80 DAVS, OR IF CONSTRUCTION OF WORK IS SUSPENOED Oii ABANDONEO FOR A PERIOO OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO DWLG. UNITS OfFSTREET PARKING I MEREBY CERTIfV THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW TME SAME TO BE TRUE AND CORRECT. ALl PROVISIONS OF LAWS VAIUATION SURTAX ANO ORDINANCES GOVERNING TMIS TVPE OF WORK WILL 8E COMPLIED WITH WHETMER SPECIFIEO HEREIN OR NOT. TME GRANTING OF A PERMIT �3�H29 �1.91 DOES NOT PRESUME TO GIVE AUTMORITY TO VIOLATE OFI CANCEL THE pERMIT fEE SAC CMARGE PROVISIONS OF ANY OTMER STATE OR LOCAI LAW REGULATING CON- @97.25 F� 2 SC �3.53 STRUCTION OR THE PERFORMANCE OF CONSTNUCTION W PLAN CMECK FEE TO Al, FEE Licen C $ 0 0 $107.99 S�GNAtUAEOFCON'AAC10pOp4UTMOAIZE04GENT IOATE� ME PR tV VA pA D THIS IS YOUR P RMIT �'/��'� S�GNATU�7EO�OWNEp��FpWNEpBU�LOEAi �DAiE� � B DG �NS� �i�TE �[ ] ADDN ALTER [l [] �onstivction Address: Effective 5/10/99 CITY OF F'RIDLEY � SINGLE FAMII,Y AND DUPL�EXE,S R i AND R 2 BLTII,DING PERMTf APPLICATION y :bc ar1'an R,R Legal Description: � � Owner Name & Address • �\-e, � � 0�.� ' �` Tei. #�ta3•53'0>• 3�'too� Contractor.; ��,�� u A�a xc�, � MN LI�ENSE #_ oi0130q �� Address: _ 19 2� � Cot,�n� t�eo►d C W�e,s�: �,.�- �: �k � m� 55 t l� Tei. # 1�51 • a1�4 • 4}�-�- Attacli� to� this aPP�cation, a� Certificate� of Su�vey. of-�e lot, with t�e ��roposed �cons�on� dravv�i �on-it to scale. DES.C�.#�N QF ��i'�NT _ LIVING AItEA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECB AREA: � Length Widtli � Hgt/Ground Sq. Ft. OTHER: �� n � P► r n � � . ,.,n ,�r. _-.` � . � - -` - - _ - -.;. J_ , ' D�,,�. - _ _ � co�m��on Ty�: �a��a cost: $ 3►Fs a9 °`J' Driveway C�rb Cirt Width Needed: Ft. + b Ft = Ft x$ _$ - DATE: •��•� APPLIeANT: Tel. � 9Sa •3y,S • l�i �- Permit Fee Fire Surcliarge � State S�rcharge SAC Charge Lic�nse S�rcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: � `� .a�' � �. 83 $_�_. __� t $ $ ✓�'-, . �d $ $ $ $ $ �� CITY USE ONLY Fee Schedule on Reverse Side .001 of Psrmit Valuadon (1/lOth%) $.so/$1,�0 valuation $1050 per SAC Unit $5.00 (State Licenssd Residential Co�ractors) Alt. "A° or Alt. "B" Above $450.OU Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ J Not Ne+=essa�' [] .. �> J sue�ecr PE . City of Fridley 3 3 3 6 2 AT THE TOP OF TME TWINS g U I L D I N G P E R M I T r ; � RECEIPT NO. � `v _ _ COMMUNITY DEVELOPMENT DIV. Ip � � � � r � � � PiiOTECTIVE INSPECTION SEC. i = � � /'�'1 � CITY NALL FRIOIE� SS�7Z NUMBEN pEV D�TE PAGE OF AVVROVED BY �'"""�" �'' 763-571-3450 s� aF � s 3/ 12 / 03 � / 10B ADDRESS 149 Gibraltar Road NE 1 IEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHEO DESCR. ].2 2 Carlson's Summit Manor South Addition SNEET 2 PROPERTY OWNER MAIL AODRESS 21P PNONE Dale Bradtke 149 Gibraltar Road NE 763-572-3762 3 CONTRACTOR MAIL ADDRESS ZIP PNONE LICENSE NO Temo Sunrooms of MN 1983 Sloan P1 STE 15, Ma lewood MN 55117 651-776-8366 • ARCNITECT OR DESIGNER MAIL AODRESS ZIP PNONE LICENSE NO. 203218$7 S ENGINEER MAIL ADDRESS 21P PNONE LICENSE NO 8 USE OF BUILDIN(3 Residential 7 CLASS OF WORK ❑ NEW � ADDITION O ALTERATION ❑ REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Construct a 14' x 16' 3-season Porch Addition 9 CMAN(iE OF USE FROM TO STIPULATIONS See notations on plan. Provide smoke detectors in all sleeping rooms and on all leveis of the dwelling per Section 310.9.1.2 of the 1997 Uniform Building Code. Caulk and flash all exterior openings. � � � SE�A��TE �ERN�� efor� digging call fo� REQUIRED FOR� �s� uti�itv �ocat�or� 1N'IRIN6 HEATING �54-0002 �LUM�It�� AND SIG�1S ��l.�� AV� SEPARATE PERMITS ARE FE�UIRED FOR ELECTRICAL, PLUMBING, MEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAp VENTILATING OR AIR CONDITIONING TMIS PERMIT BECOMES NULI ANO VOID IF WORK OR CONSTRUCTION 20NING SQ. FT CU FT. AUTHORIZED IS NOT COMMENCED WITNIN 80 DAVS. Op IF CONSTRUCTION OR WOfiK IS SUSPENDED Ofl ABANOONED fOii A PER100 OF 1� DAYS AT ANY TIME AFTER WOqK IS COMMENCED. NO DWLG. UNITS OFfSTREET PARKING I MEREBY CERTIFY THAT I MAVE READ AND EXAMINEO THIS APPLICA710N 1 STA�LS GARAGES ANO KNOW TME SAME TO BE TRUE ANO CORi;ECT. ALl PROVISIONS OF LAWS ypLUATION SUpTAX AND OfiDINANCES GOVERNING THIS TYPE OF WORK WI�L BE COMPLIEO WITH WMETHER SPECIFIED MERE�N Ofi NOT. TNE GRANTING OF A pERM1T �9,638 ��F.$Z DOES NOT PRESUME TO GIVE AUTMORITY TO VIOIATE OA CANCEL THE pEfiMIT FEE SAC CMARGE PROVISIONS OF A OTMER S7ATE OR LOCAL LAW REGULATING CON• �1SI.LS Fire SC �9.C�F TRUCTION O PERF MANCE 0 NSTRUCTION ,�' PLAN CMECK fEE TOTA� FEE � IZ Licen e SC $5.00 $200.71 �iN4TUpE0� -ON'AAC O OAAU�MOp�jED4GENT i•rE� HEN PROPEpL� VALIOATED TMIS IS YOU PERMI� � � � �� ,, S�GN4TUpEO�OWNEA��OwNEpBU��DEA� ��AfEi BL G �NS� �I`fE c .� NEW [] CITY OF FRIDLEY Effective 1/1/2003 ADDN �}- 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [] SINGLE FAMILY AND DUPL�XES R-1 AND R-2 (763) 571-1287 Fax BUILDING PERMIT APPLICATION a , ,' \� �6�. ��' ��`� � � �r Construction Address: � ��e9 L i �r�-l�t�.� �Zc,9 �1 �' �� Legal Description: Owner Name & Address: �� rC�LI'I�k-�" ��1�1 �I b�C�L�� Te�. #�'�-�"�"3�� Contractor: I�NLI� Su-�'1 r DDi'�S O 1� N�N � MN LICENSE #�� / �� I �[�� Address: I�� SI oC� �I . SL�.I �. I S' N`��%�, �� I� Tel. #��'��'�j3��@ 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 Width Height Sq. Ft. Length �dth Hgt/Grour�d Sq. Ft �� 3 O�� LI �I I D �-��'a Sah _D��I�1 - Nvi��. , Construction Type: /�l�L�1 �hD � Estimated Cost: $ . � � 3 � • �� Driveway Curb Cut �dth Needed: ��' Ft. + 6 Ft = Ft x$ _$ DATE: 3 � l� APPLICANT: � �LJ C� e � Tel. # lJ� "J' ��" �� Call (763) 572-3604 for Permit Fees if mailing in appiication. Fax to 763-571-1287 if using credit card and we wili call you for card number. CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge $ I �/� �5 $ q o C�y $ �y �� $ $ ��OQ $ $ � $ Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1275 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ J Not Necessary [] TOTAL .�' a STIPLILATIONS_ 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 applica.tion 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,QQ0 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,001 to $SOO,Q00 $500,�1 to $1,OU0,0� $1,000,001 and up FEF„S $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,OQ0 plus $14.00 for each additional $1,0� or fraction thereof, to and including $25,000 $391.25 for first $25,000 plus $10.10 for each additional $1,000 or fraction thereof, to and including $50,000 $643.75 for first $50,000 plus $7.00 for each additional $1,(�0 or fraction thereof, to and including $100,000 $993.75 for first $100,0� plus $5.60 for each additional $1,OQ0 or fraction thereof, to and including $500,000 $3,233.75 for the first $500,(l00 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,� plus $3.15 for each additional $1,000 or fraction thereof CURB CUT ESCROW (Concrete Curb Streets Only) Removal and replacement of curb and gutter only - driveway width plus 6 feet times $17.00. Perm.its for consfruction will be issued a minimum of 24 hours from the time of applica.tion to allow for proper review of the proposed structure and of the construction site. VERIFICATION OF FOUNDATION A Certificate of 5urvey of the lot, showing the location of the existing founda.tion will be required before proceeding with the framing. New Houses Onlv �� COVER SHEET �C.J�-PC�N-' N N N N N� O cn (n c/) cn cn O CCCCC:U Z Z Z Z Z � � � � � � OOOOOr OOOOOD �� r rn -< m r -< m �(nC7D(nr �-��z�m � � o � � D m � �- � �DQ-n�p G��=�Dz r—r�0�� D � D Z � Q � � � � � � � Do p�" � �Qr�� Z D D � � (7 p — o =m�� rTi ? 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JNIN2lf1913f1� 1N3W3��1d3b 210,� J1�3131dW0� NI ��I� Bu�lding Inspections 763�-572-3604 � 763-502-4977 fax WATER AND SEWER PERNIIT APPLICATION CITY OF FRIDLEY EFFECTIVE 1/1/09 APPLICTATION DATE: �,�� / THIS APPLICANT IS: ❑ OWNER �CON JOB ADDRESS: �� Y ��I7'e NEW CONSTRUCTION PERMIT# (IF APPLICABLE): PROPERTY Np�: OWNER/ qDDltESS: I �+q � TENANT A - PHONE: �I�3 " � 7� ° j %(� �. Permit No.: �� - -, : � i�.��-��' � . YOUR E-MAIL ADDRESS: Cs+�4 t�-f�1 ��t� 0� �'.Z��' �d� �R ' y �'..,� �io, rsal �� lr1 oe �► � <. ��.� � CONTRACTOR Nq�q�: ,q.�- � ��- ° � �� SUBMIT A COPY OF YOUR STATE �DRESS: � f� . �a LICENSE WITH PHONE � � � ° �� CELL ONE: lD/� - %� ° � L� APPLICATTON STATE L C# STA BON : EXP DA 1. Narrativelwritten descri tion: 4 � � �� 2. Please attach sketch sho�wwing curb line, utility line, Building, etc. with distances. < � � . � � � .� i PERMIT TYPE 0 SEWER CONNECTION PERMIT ❑ WATER CONNECTION PERMIT ❑ WATER LINE REPAIR � SEWER LINE REPAIR ❑ ADD STATE SURCHARGE ❑ SAC CHARGE @ $2000 = $50 $50 ATE�ZIP� � 9 9 $40 �o �o �U� $.50 - � � . � � OTHER CHARGES (IF APPLICABLE) PAY TO UTILITY BILLING NEW WATER METER COST — SEE UTILITY BILLING SPECIAL ASSESSMENTS — SEE FINANCE WATER TAP — SEE ENGINEERING NOTE: WATER METER REPAIR, INSP OR SHUT-OFF / wEExsNDS & HOLIDAYS $125/HOUR-BILLED THIS IS AN APPLICATION FOR A PERMIT 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 co�formance 'th the or inances and codes of the City of Fridley. I understand this is not a permit but only an applicarion for a permi ork is o start thout a permit. SIGNATURE OF APPLICANT PRINT NAME:� DATE: "'" '� � �� APPROVEDBY: °°°' � - DATE: � �� o � s COPY GIVEN O: � UTILITY BILLING (oaly if new meter) G PUBLIC WORKS ❑ ENGINEERING �/f�'��'t�i�J � �i� 1-� City of Fridley � Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 7b3-502-4977 � � � - �� °��-� ��!'/i:�� . v� �� ADDRESS P1N LEGAL DESC PERM IT TYPE PROPrRTY TYPE CI1'Y OF FRIDLEY 6431 iJNIVERSITY AVENUE NE FRIDLEY, MN 55432 ►63) 572-3604 FAX: (763) 502-4977 : (49 GIBRALTAR RD NE : 263024230028 : CARLSONS SUMMIT MAN SO ADD : LOT 12 BLOCK 2 : SEWER 8t WATER : RESIDENTIAL CONSTRUCTION TYPE : SEWER REPAIR PERMIT NO.: 2009-00466 DATE ISSUED; 04/27/2009 NOTE: CALL 763-572-3552 FOR INSPECTION AFTER UNCOVERING THE LINE, BEFORE ANY REPAIRS ARE MADE, AND AGAIN WHEN THE REPAIR IS MADE BUT BEFORE RECOVERING THE LINE. REPAIK SEWER SERVICE 5 FT NORTH OF MAIN LINE. C'�;�. 5��-35C�C� -� s��,� i ��C� � � � APPLICANT GARY CONTRACTING AND TRUCKING CO 2250 ACORIV RD ROSEVILLE, MN 5511� (612) 720-3265 ' OWNER WALLGR R A& BRADTKE D J 149 G I B xALTAR RD NE FRIDT.F.Y, MN 55421 :'.GREEMEATT AND SWORN STATEMENT This f�crmit becomes null and void if work or construcrion author:�cd is not commenced witin 60 days or if construction or ��:�, ;; is suspended or abandoned for a period of 120 days at a: ��; ne after work is commenced. I hereby certify that I have reaii and examined this application and Imow the same to be true and correct. AII prov: ��, s of laws and ordinances goveming tiiis type of worl will bC complied with whether specified herein or not. The gran t�:;�; o f a permit does not presume to give authority to vio 1.:: �,,; cancel the provisions of any other state or local law regu .;: ;� constructia�n or the performance of construcrion. Ap�.: ....,t Date SEWER LINE REPAIR/RELOCATION STATE SURCHARGE, OTHER SEWER TOTAL PAID WITH CHE K# 34093 �� St-�i► 3� �UC- �. �2..Q, W� � 40.00 0.50 40.50 S, e.ecr.� "C""o � iw� beN� Wky y--Z `7- °c1 ��-� t ,�� ` � � P%: � �uJ I� � Bldb'.nsp Date � � SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCR[BED ABOVE. c%i CITY OF FRIDLEY � 6431 UNIVERSITY AVENUE NE FR,IDLEY, MN 55432 (763) 572-3604 FAX: (763) 502-4977 ADDRESS PIN LEGAL DESC PERMIT TYPE PROPERTY TYPE CO1�ISTRUCTION TYPE : 149 GIBRALTAR RD NE : 263024230028 : CARLSONS SUMMIT MAN SO ADD : LOT 12 BLOCK 2 : SEWER & WATER : RESIDENTIAL : SEWER REPAIR PERMIT NO.: 2004-00466 DATE LSSUED: 04/27/2009 `�: ; � ,� ��,�; � NOTE: CALL 763-572-3552 FOR INSPECTION AFTER UNCOVERING THE LINE, BEFORE ANY REPAIRS ARE MADE, AND AGAIN WHEN TI� REPAIR IS MADE BUT BEFORE RECOVERING THE LINE. REPAIR SEWElt SERVICE 5 FT 1VORTH OF MAIN LINE. (�� 5�1 �,-�5 (� C� �u s��,�.�e t � �� C� � ' � APPLICANT GARY CONTRACTING AND TRUCKING CO 2250 ACORN RD ROSEVILLE, MN 55113- (612) ?20-3265 OWNER WALLER R A& BRADTKE D J 149 GIBRALTAR RD NE FRIDLEY, MN 55421 AGREEMENT AND SWORN STATEMENT T'his permit becomes null and void if work or construcdon authorized is not commenced witin 60 days or if construcrion or work is suspended or abandoned for a periad of 120 days at any time after work is commenced. I hereby certify that I have read and e�mined this application and know the same to be true and correct. All provisions of laws and ordinances governing t�is 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 of any other state or local law regulating construcrion or the performance of construction. 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M u �k ' ;iru� ' ��z �a �" � � � . a� , ��'�' ,, m P'� :: � �.';� r " ` , a « �. ��; ` '� • r� , �, � + ror , �y, �, # � � � � ,�. �, S ,- , � d6.,��" ^w �.�. i� � �� ro i „ ,P � �s��.: '� � S" �. �' A� � ' �,.. � ��'� , ,�+ M� � � a�� f 'I� � ` ;`�'� . 1 3i {r ; : �� 1� -�Y� , .s ' . � � � � I'�v � � r /� r � �-. �.z . :� ,!" . .- _. S��'��cu�� sc_ �� .�: � �s...,_�,. �.._.__� +. �.`�-s , .. ._.�.� . s. ..�_. �� .s� � F.....�.: � 'V)l�' �� Building Inspections 763-572-3604 763-502-4977 FAX DATE e��_� e_1_�_� � —r 1 SITE ADDRESS � THIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICEIVSE WITH APPLICATTON PERNIIT TYPE TYPE OF WORK: MECHANICAL RESIDENTIAL APPLICATION CITY OF FRIDLEY E-MAIL ADDRESS O OWNER CI1'Y PHONE:� �� -j i��-i ' C1��-I ci- coMr.vn x.vv�:� CONTACT PERSON: Permit No.: Received By: a'� n ��F�R � STATE LICENSE # EXP DATE ADDRESS:��(>(� �I L�,��' I� L� . CITY_, �V�,uu�„ STATE�ZIP C,� � PHO� a5'd -1co�d. ► a D F.�x �5a ��c�� io�3 � SINGLE FAMILY ❑ TWO FAMILY ❑ NEW ❑ REPLACEMENT DETAII.ED DESCRIPTION OF WORK O TOWNHOUSE � ALTERATION/REMODEL FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOVI� PROVIDE HEAT LOSS CALC'S PER MANUAL J 2006 ASHRAE HANDBOOK. Equipment Installed MFG: r�U C 1 pY MODEL: C�y�� SIZE/BTU �_ MFG: � MODEL: � t..V� i� (! �� SIZEBTU '�� MFG: MODEL: �1/C $25.00 _FIREPLACE (GAS) $I5.00 _AIR TO AIIt EXCHANGEER $IS _FIIiEPLACE (WOOD) $35.00 _BOILER $35.00 �FURNACE $35.00 _CHIMNEY LINER $10.00 GAS DRYER $10.00 DUCT WORK $10.00 GAS PIPING $10.00 Number of fixtures @ $10.00 x $10.00 = $ Number of fixtures @ $15.00 Number�of fixtures�@ $25.00 Number of fixtures @ $35.00 State Surcharge = $ .50 FEE _x$15.00=$ x $25.00 = $ x $35.00 = $ _ � �.�� i � „� z A"^ h%r.-s�E g�,i SIZEBTU _GAS RANGE/OVEN $10.00 _NEW GAS GRILL $10.00 _GAS UNIT HTR $10.00 _POOL HEATER $35.00 VENTII.ATOR $I5.00 THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acl�owledge 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 applicarion for a permit and work is not to start without a permit; thai the work will be in accordance with the approved plan in the case o�a�l work whj;�h requir�re�iew �nd approval of p�ans. „ 0 _ SIGNATURE OF APPROVAL INSPECTORS SIGNATI�[tE PLEASE NOTE: SEPARATE E A UIRID FOR BUII,DING, ELECTRIC AND City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, NIN 55432 763-572-3604 FAX: 763-502-4977 ��'Ji WORK � c � -'- , s City of Fridley Residential Mechanical Application Page 2 REQUIRED INFORMATION NEEDED TO PROCESS PERNIIT RESIDENTIAL PERNIIT APPLICATION HVAC ❑ NEW HOMES/ADDITIONS �EXISTING HOME ❑ MAKE-UP AIR REOUIRED FOR NEW/EXISTING HOMES 1. Combustion Air (See note below) a. Oil or solid fuel IMC Chapter 7 with MN Amendments b. Natural Gas or Propane/IFGC Chapter 3 with MN Amendments 2. Make-up Air (See note below) a. IMC Chapter 5 with MN Amendments NIN Rule 1346 Sec. 501 3. Venting a. Gas appliances IFGC Chapter 5 with MN Amendments b. Fuel other than gas IMC Chapter 8 with MN Amendments 4. Heat loss & cooling load per room a. MN Rule 1322, Sec. N1104.4.13 5. Ventilation a. Per MN Rule Chapter 1322. Sec. 1104 6. Duct Design 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. �� . � fl1I�pIC * BWIMi * t�l/IB 7R IWIOtWfIT JOB NAM�: ADDRESS: RESIDENTIAL HEATING DATA SHEET DA OUTDO�R TEMP: IND04A TEMp: TEMP, DIFFERENCE: HEAT LOSS SUBTOTAL T � s ~ • % ��ao * �,�� . �� ADDRESS: RESIDENTIAL C4�?LING DATA SH�ET DATE OUTDOOR TEMP: INDOOR TEMP: TEAAP DIfFERENCE: SENSIBLE LOAD CALCULATIONS SENSIBLE HEAT GAIN SUBTOTAL / � From: 952 7671900 Page: 3/3 Date: 4/28/2010 8:58:00 AM Ff010:titNt° IiYAN„F'LUkItlINli �i HtHI INIi yb'L /�/ IyUU U4/'Ltf/'LUIU Ul:51 � s 149 GIBRALTAR RD NE.TXT From: 7ennifer Turnquist sent: Tuesdayt April 20, 2010 8:34 AM To: �tenae Freinwald 5ubject: Fw: Ticket: 100104304 :) -----origina7 Message----- From: mn@occinc.com [mailto:mn@occinc.com] sent: ruesday, april 20, 2010 8:30 ANt To: 7ennifer Turnquist Subjec�t: Ticket: 1001Q4304 Ticket lVo: 100104304 LORQ ROUTINE 5end To: �ENL4IL seq No: 365 Map ttef: rransmit oate: 4/20/10 Time: 8:29 ,4rn ori ginal Call Date: 4/20I1� Time: 7:49 �ar� work �o aegin Date: 4/22/10 Time: 8:00 � Company : GENZ RYAN PLUMBING AND HEATING Contact Name: JENNIFER TURNQUIST Alt. Contact: MTKE P/SAME op: webusr Op: webusr Phone: (952)767-1817 phone: �f:itSg t'.UU;i/UU� Type of work: HORIZONTAL BORING FOR GEO THERMAL INSTALL Work Being Done For: DALE BRADTfCE Explosives: N puration: 1 WEEK R.O.W: N HDD: Y State: MN Caunty: ANOKA Address: 149 Street: GTBRALTAR RD NE IVearest Intersectiny Street: aor�uw RD Location of Work: MARK EN7IRE LOT rtemarks: Twp: 30N Rng: 24w SeCt-Qtr: 27-NE,25-NW Twp: Rng: sect-Qtr: DISTRICT COP4PANY NAME CFRDLYOI CITY 0� FRIDLEY CONtCST01 CQMCAST can�csTU3 coMCASr KANE601 NUSTAR PIPELINE OPERATING PART MINGA503 CENTER POTNT ENERGY QLNMWI4 QWES'T' XCEl.08 XCEI. ENERGY Page 1 Place: FRiDLEY CiTY PHbNE NUMBER C763)572-356b c612 sz2-slal C612�522-8141 t316) 773-9000 C8fi6)861-7678 (800)283-4237 csoo)�6x-os9z From: 952 7671900 Page: 1/9 rroro:6tf�t NYAN F'LUMtillYli �i tItRIINIi yb'L /{�/ 1JUU ,' , ` ��C � Renae Freinwald From: Ai Neumann Sent: Thursday, April 29, 2010 2:29 PM To: Renae Freirtiwald SubJect; FW: Message from KMBT C353 Attachmetrts: SKMBT C3�31Q04281317p.pdf Date: /29l2010 3:U6:17 PM � �U llyl'LUIU 1�:5'1 c � ,1� � W/ "�� 4UU I'.UU1/UUy Page 1 af 1 �� Renae; The attached specificcation atong with the resutts of our drilling should be what the city of Fridley needs If questions they can call me directiy 651-248-1139 Regards, AI Neumann We have no weA logs that we could find near the address of 149 Gibraltar Raad NE F�idley '1'hhe results fr+om our well d�fliing are: Sand 0-40' Sand 8 Gravei 40'-150' Shakopee rock 150'-180' 3 arells at 180' Portland cement bottom 30 Bentonite grout 0-1 SO' Neumann Production Coardinator P 952.767.1823 C 651.248.1139 � Prom: fax@ge�uryan.com [mailto:fax@genzryan.comJ Serrt: Thursday, ApHI 29, 20i0 2:18 PM To: AI Neumann SutyjeCk: M�ge from KMBf Ci53 4/29/201 U AI 0 F�OI�:IitWL HYAN f'LUMtSINIi �rI1tH15N�671�y5L P�gj'lyuu Date:4/29/2U4/L�Lt71 UMl;i:b� �f4UU f'.UU'L/UUy Prepar� For: Dale @redtlte 749 Gibraltar Roed IUE Fridlay, MN 55421 763�424-0742 783-592-3762 Rrepar� By; (3enz Ryan Gevthermal 2200 VU. l�wy 13 BumsvHle, MN 56337 952-767-10Q0 a52-78T-1900 Nates: Genz RYan Geothermal ntot�a• r-��y_a..s.. r►�,,..�..�_� Hea�ng Load; Ht9 I.oad Temp Diff: Coolfng Laad: Clg Load Temp DiFF S�nslbfe Cooi'mg: Reference City. 1Nb�ter Design: Summer D�IBn; HldB Balance Temp; Avg Int�tnel Galns; Genz R�►art Geothermal Current Systern Comments: Genz ftyan Geotherma! 5D.000 Btu1Hr 80 Deg F 24,OD0 Btu/Ht 25 Deg F 18.Q00 BtulHr Minneapol�, MN -12 �g F 92 D� F 53 Deg F 9.� Btu/Hr Bradtke GEO DC-sign,ged $47S $1.335 a0 Heatirig Setpolrrt: Cvoltng Se�inC Begin CooQng,4C Hot Water SetpoiM: Hot W�ter User�: Continuous Fa.n: Annual Heat�rj: Mnual Coolin8: Annual Wat� Heating: Daqy Hot Wat� Use; $47 $286 $0 S18i $298 $0 88 Deg F 70 Deg F 70 Deg F 130 Deg F 3 No 77.8 Mil�on Btu 20.9 Mi��n Btu 17.3 MIIIIon Btu 55 Gallon� $0 � $0 �707 $�.q $1�9Z8 5180 SO $0 uue to the vartab(lity of weather, �ystem ir�taltatton, and I'rving Ft�bits this anal�is ts to be considered an estimate. ar�sr+o 0 hl'OAl:IitNL IiYAN F'LUI�tfIlYli t�rI1tHI�IN�671�yb'L P�g% �IyUU Date:4/29/2u4!'L�'1UlUMl;i;b4 �f4UU I'.UU;i/UUy Genx-Ryan C3eothermal ss�: Carrter L3T PX Puron . s�n� Madel: 38 Siyle: Two 5tege - Var. Spesd Hot W�ter Ger�erator. Yea Ksati�{ Run Tima 3,397 1�ws �� l1F1 i�l'1@: 7� HOLNS Heeting SfBge 1: 81 'Yo Of F#� �� 9� 1: i00 °� of Cig ifiB Typ�: 1'yF�e: � 7yPa; �n: Pi�e Qepth: � Length: AAin Freeze Protec� Max Source-Ct�li�; Avg Saurce-Conitr�: A� Sou+oe-Fieetb�g; Min Sarr�Heating: i Deep Eadh Temp: Surface 8wing; Sw�9 l�te Leg: So� Cor�ductWKy: SoA DNft�sh►1ty: Loop Cor►du�v�iY: Vertical Closed Loop 0.90 - Demp Sand/G1 3!4' IPS PE &QR 11 1 Cf-Tube in Bote 100 Feet 510 Feet 6 D� F 84 Deg F 85 Dag F 3i Oeg F Zb Deg F 47 D$g F '�►8.2 .O.ag F .3B� Oaya. q�0 �.8� 1.�i �Pa� Gas FtqT�ce Sryle: 1Bnitar-Induced-2�-Vspd �+�F� �P�� 82,181 B�r Output Ca�clly: 60�972 BtulNr Etflc�encY• 80 AFUE Low OutpLt GaP�d� 33,132 HW/Hr tpL Gas Storage Water Heater Sfar�ard Efflcfency �•� 70 "�..,` ��=�'"`-��^'��'�� '��,��.�"°��T "� "� ...� �;��r-��vr�--3. .,, t .�.,� .�,�.�y, '�_�"e`= �`.e``'�:'`�a� a..:.:�,�'a c .,, - _ _ - - •- 1� �. :x . c :.. :K ..i [ �. , I7 : � �� r ��,�� -.�f_z,.�. �`��".�.�: �:y��-�-.�„��.��.��-f - - - � - :� .. � ; �r-`� �'.'`,�-r��"i..��T- . �'.,� �'�`�-� - ,s� .��',-.€ ''��i��.-�� ,�u ��:. � � �� ,�-av. r�,��, �-� � , : :�.�: .- �. �� . i a- - •1 � i , =, .� ,� ��.� � � � �� u; '�� .,a..�; ��'e�s.s..s��"'�,.:�'��'�'�.'�s" v�"s��'='�^-��i`��Es q*,��,� � - ��'�.�. -it��-�'`�^�= '�`:� .��.--� .� � � � `�`'��c.,.�-�,� x�r-�-..� �; .;,, �'� � �` �'� r'� �.�`��'� i I � '.,i� } ''r ? R wx ,�,s_:�"7�i �s�° �� ij3`' �'� d�§' -�. � ?IS��a��"��r - � � � I I :. ' t.*.. ' .::...�, .:,v...'g �.,., ,d. s .,4;N�d~�.., `tia � x.l ' ' r i�� = It �a 0 From: 952 7671900 Page: 4/9 Date: 4/29l2010 3:06:18 PM rroro:litN'L HYAN f'LUMtlINIi i� I1tHIINIi yb'L /6/ IyUU U4!'Ly!'LUIU l;i:b5 �f4UU I'.UU41UUy V�rsion $.1 rar.oa,soa +C�eothermal Ciosed Loop Pressure prop Calculation Warksheet Customer, bredtke Antffreeze {M.P,E ar VY}' p �,�, � Address: GibraltOt °!o Mtifreeze by vol.: 15 !o Addness: � Number of droults; 3- ��: �=�� P=�apy�a c�i: e� E�hanoi: w= weter Pump combineton:2 b {2) UP26-99 Not�: Pump oQmba A=1-UP28-99; pu�np aombo B a 2�llP26-99: pump mmbo C= 2-UP�-118; PumP o�b0 D= 3�UPZfr89 1. Unit #'I : 2_��enter oode hom b�ow) 5p1fp_t},�8 3 tons 9ptr1 9 U►�� 13.2 R of head x 1.13 Ant#fneeze oorr. l�i. = 14.83 tt. o� hd 1" Hos�e kit 10 ft. a� hoee� x 6.4i R of hdHQO R. + 100 = p.g¢ �. � hd. 1-1J4° tns�e Piping 0 A. af pipe� x 87 ft, of 1�/1� R+ t00 g 0.00 ft, of hd. �"& t0 F1D`"' �0n1O�� Total Ut11t #1: 15'.b"7 ft. of hd. 2. Uriit #2: �� enter oode tnan betow� Unft 9p� 0 0.0 R. oi F�ad x 1.13 Antlfte8ze corr. fBGi, n Q,pp j�, ��. 1` HOSe kit 10 ft. of hose* x p,pQ � fL of t�d/100 fl. + 100 Q O.OD ft. of hd. 1-1/4° Inshie Piping 0 fi. of pipe* x 0.0� fl, of F�l1 � ft. � 100 = 0.00 fi. of hd. (Ur�t b�lav CanmDer) Tof�l UCf it #2: � ft. of hd. Unit total (lergest af tatal Unit #! �nd Unit #2 - Un1b must be pi�teti in parall�): 15,57 �{t, af hd, A 3. Inside SuPpIY 8 Return Ptping (FFow Carrtraller to wa4 peRetratlon): Plpe size: i.25 In. Total gpm: 9 (Des�n flow rete) 0 R. of P�Pe� x 1.87 R. of hdN 00 R+ 1�� 0.00 !4 c� hd. B :� �.,�,v ,�,ppry � Rewm r�p� (wau pene�adon to header): _ Pi� s(ze: 1.25 +in. Total gpm: 8 Z00 ti. oipiPe`: �.97 -�. of h�100 fl. + 100 +� 3.95 R of hd. C 5. CircuR P1P�9 i�se only one clrcuii iF piped usir�8 parailel h�de� system: use tat�t pipe it s�tes I�p): P� sia� _ 0.�_ in. Design GPMlcic� 3.0 Actuai OPMIckt = 3.3 gpm 815 R. oF pipe* Y 2,7`ft, oi hdlloo R� 100 � 98.78 fl. ot hd. D ._, 8. F'itlings {Add 2 ft. of hd.for every 10 f�tlngs): 14 (numb�r of fittlngs? 28 fl. oi hd. E - ---- Ptes8ure Orop (A + B+ C+ D+ Tot. gpm (3 9P��) � Q9 8.0 x iat, pres, drap (Ft hdp� h��39.1 y "tA Tot. g�n x 2f3 = (� 6.0 x PD�(O2"2j(h1}!(Q1"2j h2 17�4`y P�UitB Tot. gam x 4f3 = Q3 12.0 x PD=(03"2Mh1?1i0�"2) h3 -69.5 Y �°tr►t G 9. Plot system �rve & Controller w�! arodu� 10. ba 2,600 or the desired flov� rate. k: {to ths r�arest gpm numbe�: ��i��: fo i� �ro w � � � � io fl. oi hd'� F �aaa `n'�mw.s �ia�.se.m 11. Cala►late �re amaunt of aMfFree� need�: oi�o �wm�us�,,,,� (Pipe size: 0.75 ) 6� 5� tot. f�eet* x 2.8 volumeit00 ft. + 1 d0 =� 1 i.2 g�lans i�'jP� $�: 9.fl0 � 20 tot. feet* x�g volume1100 ft. + 100 +� �a,g galions (Ptpe size: 1.25 � 2�00 tat. feei' x 8.3 volume/1 aD ft. � 100 =� g Aeyons (Pipe size: 2.00 � 0 toL feei' x 97.0 volumel400 ft. + 100 �� gapons t�otQS: �) u� dearn�i� ror �ape e�a �a.g, ma� A Q, �` To#at fluid in loop: 45.7 gellons�' z� votw�too R. is �hown tor Ps pipe only. % antifreeze x� 16% by vol. 3� Uee 1" p�e for ru!►ber hose. Tn4s.1 �itdi��:'�':....�� .;�:,� 12. Determine Flushtng Requirements. �..��...��..o.�.� � . 'Enter fl. ol R�e in both �ons. *''Ir�atudes coau 8 flueh c�t. From: 952 7671900 Page: 5/9 Date: 4/29/2010 3:06:18 PM From:6tN'L IiTRN I'LUI�IiINIi i� I1tAlINli Jb1 /�! 1JUU U4/'L5/'LUIU 1�:5�D Cenz-Ryan Geothermaf Se�ies: Carrier G7 PX Puron - Sp�l Mod�: 38 Style: Two Stage - Var. Speed Hot Water t3enet�lor. Yes Hea�ng Run 7bne: 3,397 Flows CoatMg Run tlme: 740 Hours Heaffii� Sisg91: 81 �o c�f Hkg ��9 g�9e '�: tOQ % of GIB SourGe 7ype: sou r�: Prpe ry�: Pipe CcnRguraUorC Av0 � �= Bore Lenglh: F�e,te F�atect: Ver11ca1 Cinsed Loop o.eo - oernv s� 3/4' IPS PE SDR 11 1 U-Tube ir� Bote �,"...._ 510 Fe+st 6 �eg F Mla�c Soun:e-Coo�ng: � Avg Sourcs-CooUr►�: � C� Aug Sourae-Hesitrtg: \1 Min Saurr.e-Hea�ing: .�� '�.i Deep Eartl� Temp: � sutface 8wlttg: s,�'�"� `�'' a� Soll Cvruivativ�y: SoU DNfusi�iy: � Loop Candu�ty: 8d L�eg F 8S Deg � 31 Deg F 25 Deg F 47 Qe� F 292 D� F 35 Days 0.90 0.64 1.37 I. i1'88 FUfT19C8 1: �Q+�i10� �t1dUCediBtQ-v�d l Capat�ty: 62,161 Bta1Hr �l Cap�clry; 5Q,972 BUdF#r �e�►: eo a�uf Dul�trt Capadiy: 33,i32 Bi�dH� t3as Storage Water Heater Scandeid E��Wen�yi w 58.0 °/b �f4UU I'.UUblUUy �-�� . �-� ' `�'-��'�:��. �� -�?`.��'��c�� :� - �. - :, ;,r . :-nl '�- f: i 1 . ., i �.'.� �r "�t��.�s,� �-� ��r� y� ��.."� ��,� �-� - ��s `�-� :'�s�� - � ,_. ��.,�--�,��. �.�.:�. �,�.-�_:� �� _.�-�:1 - �E � f i�.?.: .�' r t �5c�s��'� � �`�"'„ sr � ax:- .. .;� �'c ��.�q; �.. .�... Y.�v-v' � � � Y � � ��-; � �� *u- � �-�-� 1 _ , �.?." �: �. �: �:i l c_ _ c. _ � _ ., , - � .- �� ,, , y, t: - i , � - �� ri�l"1'�i��l��_J � <:�3-��„t`sa�3�•�`��`�'-�.:y�� u �:?-��`"�'s1 _ � �:��w..� �.�_t--��G.��. � :-�� = � «- � �- �� =�'�x�a'�'at"�.�`�.'��s��r ��'.,ti,�� '`�� . ^�' �� `k�` �� -�s. � ,�. it'�{c.r rtl�TSC ��1 7�+��'s r� t;� �-�� '��'s"��T -��.e+�r �:�.�i*�S��B}� �-�'�� s y r'-.�� '+.�§�� ,a`5 � 2 r x i�� ,�...�,W.�..vE:��,��FYw.�.w.�-.x.ox �� .�.�xx„��-w�'K_.. � � , � 1 ...� Que to d�a varGaWtityr af weaiher, syetem ir�patlon. er� Iiving habhss thls anetysis is to be considered an esiirr�te, 3R41'lo From: 952 7671900 Page: 6/9 Date: 4/29/2010 3:06:18 PM From:�tlUL fi1rAN t'LU�IIiINIi � I1tAlINli y5'L /fol IyUU U4/'1y!'LUIU 1;i:5/ ee� oa� tntta c►a: n r y5�itutot �a Mth�18S07'A D�AIt77r!£N'T pF l ILAL'1'1� Wet1 M�egr.nm+� Salion p.o ea��soa s�. w�, �� ssi4a-osc� 8S1/2Q1-4600 or 8QQ138.1-9Rf1R �'sx Na GSIn01�S99 Dmisnd h�d�of-haaring: TTY 6S 1l3Qi-S797 �ppUratfaa lor p�rmtt ta I�rp a vart�� heat exch��c �cvt�e {eart�,- ao�ad bqt loopj P�nt t� ��saaot4 S'LRtut�, C��ptor t 0'�i aeuf rtetes udopt�d t�md�: if4UU t'.UUd/UUy �� . rt3c� �;t MDR USE Qj�LX �� L?ate Recciv�l , �lmorunt ReReived . .... . ..�--_ n��Ua+ t�o, • - - � S7 f s venfta! Haat �l,aeg�r �c to Tc�aia (4�37) U�eZS ve�l Hmt �cciqa$or IO t0 � Toas (4936) U�SD Vefirdf Ncot F.xch�ngcr > SD X'ons (4939) Selletnatic of Pluenl�ing pcsi� R�eceaved �i�Mrv�� -- 5ito Plan Show �g I � i1i�l�as Ra�sivad _ AV�'�d frro7�: ��c �e m: M� ny,ar►ma,i arNeateh� �� `� � l lale�, ir Ex i�ing �. .�.` trdicate i%st�p/Cooli�lg Cepa�ity: � t 1 O Tona [a 10 to 50 Tans [] . 50 T�r �� Gene�l proieet Dafa M bo ev�mplead iry ail applic�ts (P�� t�t ar l�e ail infba�natian providcdj- Na� af Gartlti0d Rep�v� _�, ,('r�'� _,. �` Ccrlificd Rrprnsentauve Nu. �7 /. �Y N3rt� . i �rll Q°/I .. �._.r.�.. . �.. ��Y l.icansc Na. _,.%� d� .. Tdep� Na (imotudlag � cade) � _ �el ^'%�'_�+e� _ � _ s,�� Q !�r , j„a�c, - •--. . . �.._.._ .�.. �.._ ..._..�w �...... .__.�..._._ .... . .... _. . c�n►. s� �ur z� r.oac ---�._�,.�.,�i`�f., �._ .. a7 �,.. app�s fo'r a p4rnot Eo irq�sl� � r�arlicat heal exahan�er tkvice (¢ptlh�p+ipiCtl i:ert ltwp) es hsa�insRer sat fotm ar as discio�d by at�had an�pparfing d8ta. . 1. A LcgW Dc�fpttou pt Venieal Rea! 67tcb.a�ger ( V H�). �+��Y � Tovvrach�p Nauea I- Na. ,.,.►.�.. , ., , 2. Y�rtical Hnt �ager O�er MatlipR Aadrax. � �d No. � No. Snmlle�t -r l.aBsst -- .. �., y S�J `� ,�'w � � �J'� � � xrpi:�� ' " `z"��/o� � r.,......._ - - - . ._ _.. 3. �'reperty Qw�v Addr� {ffdifPo�em �rnn tAo Vnr�ir.al HCaI Exalmrl,�Cr Oamcr A+I�itit�g Ackircas). �""' ' "'--" - •�— - � ------- . . ...... . From: 952 7671900 Page: 7/9 Date: 4/29/2010 3:06:19 PM rroro:litl�t FiYAN 1'LUINtiINli �i I1tHlINli Jb'L /(i/ IyUU U41'1y!'LUIU l�:b/ �f4UU F'.UU/IUUy , ►�wt vw ►uyv vv. v i JVR� � VV�/i 1� ..��,,,y„� �� t Fs�i V J q. AcrcrGpdon eltbp V�tl�l �ert �ltdu�gtr —�a Deeoii. Pbe� s�ty i1� f�vsving in� �re �opria� ff ti�c vertical ha�t and�t s+e aot �d eon�buGed� arri�e ta 1be � depeh�, ai� +s,d 4rta. S. D�sniptles oi die FIaiR Pa�p 1l�iL No�qent Madel l�ln. �r� �. �D S D381�C(�'t�i ,��'� ' _. �► . �� -�/Z—R�/�,nJ ---------� 10 0 ,- °� /��\) °' PI�W��i�i �� „'�M �1 W '� � � rY 6. l.aoNan of Y�! �1eai gtebeg�; �edia+[e ti� bos+�l of �c vmticr) �eat cccb� oa� m atlached site Plan �hu�i� �goWton d� Arom �tee-�r1y �IS� po�vrt Cmo0. ��.%l' ted�g �'leiiq�s, an� p�opeiiy 1'sieQ. t .�.� � � �_� '_E :� �.? �� .1= t a�.��i. � �- � � As s c+o�an of lbis pranrnk, T s�oe to �� vaNC.al hmt � under' 9�e G+�t�' ! 031 and tbo ttr� adop�ad aoder i�. Si$n�h�rc Aate '�i' � /d i �s a Goaditi�n af tbi't� pa�udt� � agas ta vpprsla �nd � t� vert�al hmrt ax�r � d�s pt�rfs of Miammsot� SYroe�s, C�appnar I03i ard erks �d�md �be� suul to atlaw �eadoa� by �e oo�i� afl�}th or �isR�r aga�ddtt�v�g t�+�gutsr � haa,s. �� -1� �a�,� � � {�,�;�,� �� APpGGqbn and Jyclfr►.dot 7/1/jppA� From: 952 7671900 Page: 8/9 Date: 4/29/2010 3:06:19 PM rroro:litlVL fiYAN F'LUpItSINIi & I1tAI INIi J5'L /ti/ IyUU U4/'Ly11UlU l;i:btf �f4UU f.UUtflUUy . � . ,��,��.��,. I�ES�QEtVT`t�►L C��Lll�lta D�1'� SHEEi QUTDOOR TLMP: INDQOR TEMp; TEMP OIFFERENCE: SENSIBLE LOAD CALCULATIOWS SENS�BL� HEAT GAJN SUBTOTAL . From: 952 7671900 Page: 9/9 Date: 4/29/2010 3:06:20 PM hl'Olq:litl�t FiYaN F'LU�IIiINIi �k HtHIINIi y5'L /Ii/ IyUU U4/'Ly/'LUIU l;i:bti �4UU t'.UUyIUUy 6 . • . RE�IDIE!`lTI�►L I-�E�►T'�NG DATA SHEET RtYbMa # y6{�p� k aalplo +t tm oamm OUTDQOR 'T�MP: tND04p TFMP: TEMP. DIFFERENCE: S�LA� Y6al�f1Y ICMrCl1RFYKC WI+F7SRYNCE �� subr»a aiass paoAS �, ao �s eo as �� so cs �e so eG WKeT tirewvaeesi u��r� �ae HEAT LOSS H�AT LOSS SUBTOTAL Building Inspections 7b3-�72-3b04 763-502-4977 FAX S1TE ADbRESS __j THIS AE'PLICANT �S: OWNER/ TENANT CONTRACTOR SUBMiT A COPY OF You� s�� L[CENSE, BOND AND CERTIFICATE OF INSURANCE PERMIT TYPE TYP� OF WORK: PLUMBING RESIDENTIA.L APPLICATION CITY OF FRIDLEY YOUR E-MA1L ADDRESS O OWt�ER PHONE: �1�� • l'� 1L.� a..� � - � � li '�� ' ' � '`-�� -__ ' y�1 i� - �, � �_� I� �l :{�!;6 f ' ��, � �. ,1 _ STATE LICENSE �!_ U��U � P_�1 �J�P BATE � L' �i- l U STATE BOPfD Y �}CP DATE .r ADDRESS: � 1w,j �.: • CI7Y STATE�7.1P c� � PHONE q�ja,�(d� �-1L!�� rax la I-I�GC; SINGLE FAtN[LY a �w DETAIIED DESCRIPTION �F WORK I�'[VJU FAMILY o �ptncE�tENr ❑ TOWNHOUS� X C�'�,e.r IiCES ARE BASED ON SI0.00 P�R FTX'fURL•, FJ(CL•pT WHEEtE NOTED. TU[TURES: pNDICA7'E TOTAL NUMBL•R QF EACH BCLOR'J. M1NIMUM FEI: 333.50. _ BATH SINIULAV FLOOR DRAINS _ SHUW�R _ WATEK PIPING _ HA?HTUB _�AS P1P]N1G (N$EU CITY LICj SWIMMING PObi WATER SOFTNER (S35j _ CLUTH�S WASHER K17CHEN SINK WATER CI,OSET ^ BACKF1,pW PREV, (S15} _ DISHWASHER _ LAUNDRY TRAY WATBR HEATER (;3S) ` FOR UtRIQATiON _ A'ATER METER � OTFiER ��'�� ribwair,��' � �.�. . �'�� .�': ac'�r��lp�fl��'i _ I:3;4� — - x-�+�i9 "�S � ��t� �� . - - a� � _ �. ��r�_� . � �� THIS IS AA1 APPLICATION FOR A PI�iMtT NOT VALID UNTIL PAOC�SSLD 1 hereby epply for a plumbing pennit and I acknowi�ge that the infonmation above is complete and accurate; that the work will be in conformance with the ordinances end codes of the City of Fridley and with the Minnesota Consti,uction Codes; that i under�and this is not a permit but only an application for a permit and work is not to start witt�out e pe�mit on site; that the work will be in accordance with the approverl plan, in the case o all wark which requires review end a I of plans. SIGMATURE OF APFL CA . � � PRINT NAM��L�.! �-SL+�L+.3%�DA7'6 '' �� City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977