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AF - 46240� City of Fridley, Minn. BUII.DING PERMIT ��: . �. -.. �/ - .� � ................ � N° 3fi7� Owner . . . .. .. . . .... . . .. .. .. .. . . . . ... .. .... ... Builder �!!!!�[!s9 .�� / OW?'l . -�l'+�-t Addcess...................................... Address ............................................. LOCAT �OF BUILDING No. rV Q.� . . Str�et . .��Le�. � .. .. . . . Part o Lot . .. .. .. . .. .... .. . . . . ... . . . .... I.ot . . . . � . . . .. . Bkock . . . . f. .. . . . . . . . . . Additlon or Sub- on ��. . . . . . . . ..... .�. .... y i ' Corner I.at ......... ... 7nside I,ot ..!)........ Setbedc � .... �. 3ideyard .l � ..... .............. DESCR[PT[ON OF BUILDING To be ueed es: . . -� `Fraat �. . Depth . .. .. Height ..... ... Sq. Fk . .. .. . . . GY�. Ft . .. .. ... ............. .....'�m .�'�i/=�oY� a� :QL`',A�;�pt,t/ !��" s4. �c. /l. 8fo. c�,. �.�a�.3S�' lype of Construction .................. Htt Cost..�7�K. /..�. To be CaanPleted ................... In oonmderation of 17ie iseuance to me � a permit W construct the building de�ibed above. I a�ee W do � P�d work in accordance with the deaaipti� above set Porth and in campriance with all providom of ardinances of the city of FY9dley. . .�..}!� �C/�J�•••......:.:v 3 O�b In consideration of the payment ot a fee o2 i°�•�......, permmt is hernbY 6rented to ................... ......................... to construct the build3nB or additi� as deecribed abave. This pamit is granted upon the e�reae oondition that the Penon to wham it ie gianted and hie agenis. emPloYees and worl�en, in all work done in, around and upon said building, or aqq part theieof, shall o�form in all respects to the ordinances of FridleY, ffiimesota regarding location, construction, alteratton, maintenance� mPair and moving ot huildin� w5t6- in the dty llmite and thle� permit may be revWced at aay �e upon violation af axry of the pmvistaoa � said �at„nr.�, �� . 4�Mi��C':�`/ � NOTICE: Thla pe�entt does not cuver !he coentn�dioo, installation o� attsrrlfon fo� wiriny, plumbfny, pas heatlnp, aewe� o� water. Be sure to m the Bulldinp Irupector fo� separate peemib fo� theas Itema � � � � sueaecT � � PERMIT NO. ,� City of Fridley 938 "'T"ET°P°`T"E,�'"5 gUILDING PERMIT i � R . � • COMMUNITY DEVELOPMENT DIV. � i V ��'. r � � PROTECTIVE INSGECTION SEG � � � � 93,3 �� i � � �'°i � CRV HALL FRIDLEV �. 55A32 NIlM6EN REV. OATE PAGE OF qPPqOVEO BY ti._..1��/ �'� 812�eo-.i�.so . . 910-F15 9/28/78 � - � �JOB ADDRESS 1001 Hacl�axin Ciscle N.E. { LEGAL LOT NO. BLOCK TRAGT OP AOOITION SEE ATTACMED DESCR. ], 1 Parkview Heiqhts SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE . C. J. Carlson 1001 Hackmann Circle N.E. 3 CONTRACTOR MAILADDRESS ZIG PHONE IICEN5EN0. Vic Viestli 6930 Lake Drive, Circle Pines 784-3150 4 ARCHITECTAHOESIGNER MAILADDRESS ZIP PNONE LICENSENO. 5 ENGINEER MAILAD�RESS ZIP PHONE LICENSENO. 8 USE OF BUILDING Residenti.al 7 CLASSOFWORK � ❑ NEW X ADDiTION ❑ ALTEflATION ❑ REPAIR ❑ MOVE ❑ REMOVE �8 �,DESCfilBf WORK � Construct a 26' x 26' Addi.tion and a 26' s 26' 71ick Under Garage � 9� CHANGE OP USE F80M - TO � S�YfPULATIONS Suhmit truss design. Provide a hard surfaoe driveway. Door beWeen garag az�d basement musb he 20 minute rated and self-cloeing. Close up old garage by July 1, 1979. WARNING Befae digging cai! locaf ur;Ft?e; SeP�Rq�-E pERMlTS TELEPHONE-ELECTRIC-G�S E,�. HEqFtNG, p�U�81NG ANpUr�E� FoR vyrf��,u`. REQUIRED BY LAW S�GNS. SEPARATE PERMITSARE RE�UIRED iOR ELECTPICAL, PLUMBING, HEATING, TMPEOF CONSL � OCCUPANCYGROUP OCCUPANCV LOA� VENTIIATING OR AIR CONDITIONING. TMIS PERM1i BECOMES NULI AN� VOID IF WORK OR CONSTRUCTION ZpNING � SO.FT. CU.FT. AUTHORRED IS NOT COMMENCED WITHIN 80 DAYS OR IF CONSTRUCTION � OR WORK IS SUSPENDEO OR ABANDONED FOR A PERIO� OF 120 DAVS AT � ANY TIME APTER WORK IS COMMENCED. NO. �WLG. UNITS OFFSTREET GqRKING I MEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE ANO CORRECT. ALL VROVISIONS OF LAWS yqLUATION SURTAX ANU OR�INANCES GOVEqNING THIS TYPE OF WORK WILL BE COMPLIED WITM WNETHER SPECIFIED HEREIN O(i NOT. THE GRANTING OF A PERMIT SZl� OOO S1O. SO DOES NOT PRESUME TO GIVE AUTHORITY TO VIOUTE OR CANCEL THE pERMITFEE � � � SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL UW REGULATING CON- � STRUCTION OR TNE PERFORMANCE OF WNSTRUCTION. SS4.OS � � PLANCHECKFEE TOTALFEE � 3.52 $78.10 �� SIG iUAEOFCONTRACTOROReUTMORREDAGEHi . IDniEI WHEN PROPERLY VALIDATED TMIS IS YOUR PERMIT � �,,1��"��Cyy�/.� ca� �-a8-�� -5 / EOFpWN�R1IF9WNERBl1�LDEP1 IDIITEI l_— BLpG iNSP DATE� CITY 01" FltIllLEY AP('LICR'fIUf! F�OR 12ESI1)f_fdTIi;L Bt12LD?PiG PEIi11ITS tf�J�:w, ��T�L"RATiONS, /1lillI"(IUWS, UR R[PAIRS) Ot�;tt�R: �.v�. �f! LSorJ � I�uzz.v3:a: UlC Wes�Ii� �,: _� -----_—_— / � — AddY(:SS: ��Oj (�:lCjCMAI�iW �� IILdY�'�;s: �j�/'� I�-° D?" l:!/'C/Y//Il°� _ Tel. 140.:_� —.i/��. � • No.: 5treet-:__ �{AC�y,�fL,NSV C( .�ct� i.ox: I xiacr;: l nnDiTZOr.: ��k �-� ��% N��9 h�_ --z— COi2hL•'R LOT: IIdSIDI. lAT: � S;.TBnC'f.: SZLL`i1:RD5: Applica'r,t attach 'to this iorm Too Certificates of Survey of Lat and proposed bui.lding location draVm on these Certificates. DESCRIPTIOid OF BUILDII�G To I3e Used As: . Z� f ' - / / � � !/ .��%��y�_, :?_o,^.t: `�'�j Benth: a�j lteiyht: � . Square Feet: __7�Cn Cul�ic Feet: � (?j��J�(� / V � �(��f.'%Jp�. rro,�t: �6 llepth: �G � 9eight: ��r � u�e Squa�re Pee±: �,3 o C�tbic Feet: `��%/ �,�__ 'ij�pe of Construction: �/ZAA%E` EStimated Cost: $ 7�-8�0 — --- �--- xb Be Campleted: Alt. A Alt. B Proposed Driveiaay t4idth If Ivew Opening Is Desired ��1/ $ $ (SSE 12i:VERSE SIDE OF SHEET) The undersigned hereLy make� ayplicaticn for a permit for th� werk herein spec5iied, agreein9 to do all aork i.n strict accor.dance wi:h the City of Fridley Ordi��<,rcas and rulings of the Dc�a.iment of �uildin9s, and Ucreby declares L'hat all the facts and reyrewentatior.s stated in t};is application are t-rue and correct. See reveLSe side far additional inEorntiation. 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R 1 �.'.-� . . . � .. . ��. . . ... �� . . .: � ..�'.� �. . ��C.-.E.� C U U LTE R ' ,;. - �un�aa :.: � e�I�11M �YMYtT� .. . . lJ1ND SUkVEYOR � � - - ��- yRiswo•c - R4GI5T[REO VNOEH lAWS OI STATE O� MtNNCSOTA .- - � : JVO�CU� . � LlC[N6C0 \Y G1�OINANQ 01 OTY Or M�NNWatU � � . - ' � 3300 LYNDALE AVE. SO. �-�-MINNEAPOLIS 8. MINN. �� " . � TAYLOR 4-0370 � � �':�-.�.,�:�� . - .., . � _ . ._ ._..:. . . .. ,.. . , . ,. :. _: . 39urnrnnr'e (brrtifusir 1 �i L� , ......'. . ' . � ' '.. � .,. � _ _ �- `r. �. .. � � - - � - � �.. .. - . '' / . � ..� � - � ) r. _ . .. -.. - . - ' i .-� . �.�. _� .� . / •`:� � ' - `' � I l" . \u� � ' o`' � . . I / / `';M! � N°r 9� y'`it�� . � . . . _ . I / ��t�� _ _ . U'� � 'C rn �� o � 1 ;4�6. 10 I I_ PfiOYC�CQO :��•. t NAtkt�MMN #/dU i'-' C i r� ,__ �� I N p.�]�:�C�\�� y _i Z� .�, � 2Y6" .• � _—r i i � '-' �, M � 9� t ,.,.. � �,3�� .3�t9.sS �= �: ��.c�_ ';'�`� rCi:��_ ±l�.ii �:.11Q :�, .... ..., .. .._°U-_ .!:iA COT� 'Y� ..1. ,. O: ... ..�1i.3'�' C- • �O` _.._ �lis IOC�: (.i1^_ ��-i� ..,.,..._.... ..._ ._.. _ ...,_,.. ...� . .. , . :'� :��___ :�^ ,_� -'T-� :::,r1O'":' �;O_•*`t• .._P.f:�.. ` V � J . _ •.i�' � •r ..'.r L.i_.. (��:1 ,,: O' .'Gi.._..'_,� 1C�c;' �..�.�. •--. :�i.::.._, .. :� ... -'�Y . ��`�. � ...i�..��1: r-� � �-' �l !/,_. �i�..L�- . ...ZP.P�.._.�' u -.eC�iLr�:��i�i� 1.�� r)._i�- �� `...-:' ". ♦ :'... . _..—._.._____ ____ _. _ I � *�� ° : �s � -- �E:NBP,GY CUNSLF.VkTION S(iPPLF.?1F.*lT TO Si7SLDING PEkMIT APPLICIITIUN PI,liP7NING ANO 7NSPiCTI047 Di:;pAfiTM�N'1' �CITY Cr^ FRZDLEY, MT_NNESQTF This supplement is p}ovided. to a�si^t �he �py2icant in computing EXTERIOR ENVELOPG AVEP.AGE�"tl" FACTOR INPOkMATiON. 7Riis informaYion i_s required�so the BUILDING OFPICIkL can de�ermi.r:e that suhmitted plans ccmiply wiYh the E',t1ERGY CONSERVATION DESIGN CRSTERIA of the STAT73 IIUILAING CODE (Section 600G). It is the APPLICANT'S responsibi.lity to accurateJ.y compute the daT�; reflect Cne proper DESSGt7 CRITERIA in the plans; submit product specificntions, if needed to �upport the "R" and "U" factors used; and to assure construction is per approved plans. .TOII IACATION: IO�I A�CJGYN�MN_ l.iV' . OWNER/CONTRAC'iOR: - �, J � VI � �D��: I E�O 1 �.il4C.KMMV N CI YL rt PHONE: 57l — Ol.� !c � N. Determine the Tota1 ?�posed taall i�r.ea as Lollows: l. Zbtal wall windrnv area 2. 4bta1 door area 3. Total sliding glass door area 4. 7bta1 fireglace wall ar�a 5. Total wa].Y framing area (average 70�) 6. Total net wall area abova flovr(average 90`s) 7. Tbtal rim joist aLea Subtotal: Total exgosed �all a:eu above £loor 8. T�tal foundation window area 9. 2bia1 net founaation area above grade Subtotal: Total exposed founclation area GRAND TOTAL EXPOSED WALL }�iZEA �� xi 39, 3 353•5 63. �{__ 3 52. S 9as, 8. Multiply the GR31ND TOTAL EXPOSED WALL ARF.A X.17 = C. Determine the Total Exposed Roof/Ceiling Area as follows: 10. Total skyl.ight area 11. Total roof/ceiling framing area (10�) 12. �btal net insulated roof/ceiling area GRAND 2'OTAL EXPOSED ROO�'/CEILING AREA 63 S6 � 63 0 D. Multiply the G.RAN'D i'OT11L EXPOSED ROOFJCEILING AREA X,OS = c�o „ Ps� R�.�,`�-.. W �l�l's �C'ir ,� ILS � � Y 5�3. Z- j52. S Itiem I � S% �f Ite.m II 3/�S '�ti'ig 1 �'i^�- ��+Itvtq 1 e 1 � s � ( � ( I 6_ � 7 � Q � I � `� 3 I � � �m ; �, �� I y � 1 � a � 1 � � �� I !L i� f s a� a i = I '�� . Q- � � I � \ i b 1 F �y ��y \ ' F I y.k !J J � Q � I I I I � I I � I I ( I I ,� ' I � ___...- __ --� N � � J ♦i+ i i;! �t � � ' r � �.'}- •!v � ,cr � S :y � {Y� 4./ � � �� . suadecr � P RMIT NO. City of Fridley ^[ 13289 f� �.ATTNETOPOFTHETWfNS BUILDI�� PEl\MIT RECEI . �. . ; Y� �� COMMUNIFY DEYELOPMENT OIY. � � � �� I�� % PROTECIIVE INSPECTlON SEC. .� f� { �1 ✓ �, 1�/°�4 �� qTY HALL FRIOIE� � 55�32 NUMBER IiFV. MTE Po1GE OF APPROVED BY �-�••�-�� ' - �'�� st2d50-9�50 910•F15 � � lp 29 75 me nooeESS i001 Hacl�an fiircle N.E. � 1 4EGA4 �OT NO. . . BLOCK �� FRACT OR AODITION SEE ATTACHED oescA. 1 1 Parkview Heights SHEE7 2 PROPERTYOWNER - MAILADDRESS ZIP PHONE . Charles Carlson 1001 Haclaoan Circle N.E. 3 GONTRACTOR � MAILADDRESS Z�P PMONE LICENSENO. Panel Craft of Minnesota 3615 Sast Lake Street, Mpls 1' ARCNtTEOTORDESIGNEP MAILADDRESS �. - LP PMONE LICENSENO. � 5� ENGINEER . MAIL ADORESS � ZIP PHONE LICENSE NO. 6 USEOF�BUILOIN6 � � Residential � aassoFwonK � . ❑ NEW .�-f�l � ADDITfON ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8� - DESGRIOE WORK� � . � � Conetruot a 12'9" x 3' Addition to dwelling 9 CHAN6E OP USE FROM � . � TO - - STfFULATIONS� � - . w� SEPERATE PERMI7S R£QUIREO �OR wRR�NG. 7f�eph� �� GAS E� H�j��,, PII�MSINti AND �S• REQUSRED BY tAW ' SEPAflATE PEHMITS ARE REOUIRED FOfl ELECTRICAL, PWMBING, HEATING, ryPE OF CONST: � OCCUPANCY GROUP OCCUPqNCY LOAD �� VENTILRTING OR Alfl CONDITIONING. WOOC� F'rdIDe �THIS PERMtiT BECO#iES �NULL AND VO�D IF WORK OR CONSTqUGT10N ZpNING ��' � SO. FT. CLL FT. AUTMORIZED IS NOT COMMEMCED W)THM 60 OAY3, OR IF CONSTRUCTION ' OR WORK IS SUSPENDED OR ABANDONED FOR A PEft10QAF 120 DAVS AT � ANV TIME AFTER WOHK IS COMMENCEO. � . NO. DWLG. -UNITS OFFSTqEET PARKING 1 HEREBY CERTIfY THAT I NAVE READ AND EXAMINE�THIS APpLICATION S � STALLS GARAGES ANDKNOWTHESAMET08ETRUEANDQORRECLR1LlPROVISIONSOfLAWS. YALUATfON SURTA% AND ORDINANCES GO�EFNING THIS 7YPE OP WORK WILL BE COMPLIED. $3�],SO' L.SS WITH Wk1ETHER fiPEqFIED HEREIN OP NOT. TME GAANTING �F A PERM7T DOES.NOT PFESUMf TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMITFE SAGCHARGE PROV1310M3 Of ANY OTHER STATE OR LOCAL. LAW flEGUTATWG CON_ $,iS.9O �STRUCT�ON OP THE PERFORMANCE OF GONSTRUCTION. � �C. � �� PLAN CHECKFEE TOTALFEE i¢. ��i�..29. 7i . $20.48 .. . O NTR�QOROPHUTNOFIZEDAGENi �u/.te� � WMEN PROPERLY VALIDATED TH1S IS YOUR PEflM1T �} � � . :�� 1 � �/�/� �O'��/�/� -� SIGNA q OFOWNERUFOWNERBUILOERI IO�TEI g�pg INSP Oe�E ' ', �PpLICATION fOR RL•SI"DL'NTIA�, ALTL'RATION� � OR AllllITION.BUILDIhG P�RAIIT ' CITY OP FRIDLEY, hiINNESOTA oi��n's Nnr�: l?harles ��r/so�J__ suiLV�x: �i�re� va�o�'/17��vnies�� ADDRESS: /DO/ .NKvna� ��e% ADDRESS:.3�O/S.E/Q�ce�< <'ND/S• NO•. STREET: ypT:�BLOCI:• I ADDITION:�y' i>>� I�"� CORNER LOT: INSIDE LOT:�_SETSACK: SIDL'SIARD: Applicant attaci: to this forr. Tcao Certificates. �f Survey.of Lnt an3.proposed . : building location diiwn on these Certific2tes. � HESCRIPTION OF BUILDING To Be Used As : � . �v� w� Pront: /a �9 �� Depth: �� Height: 9 In � • . Square Feet: � Cubic.Eeet: �$L - Front: Deptfi: Aeight: II` Square Feet;�_Cubic Feet: ' I Type of �Construction: �' �i �. tSav�noap � Estimated Cost: $.3��C To Be Completed: �eC. !J . 3 � S V' �.. ', . The undersigned hereby r�akes applicatinn for a permiC for the work herein specified, agreeing to do all work in st'rict accordance with the City of Fridlcy Ordinances and rulings of the Department of Buildings, and her�by declares that all the facts and representations stated in tl�is application are true and correct. � • D�ATE: _ �C'�� v3 yi %S� SIGNATURE: (See 1{everse Side For Additional Information.) � , 3��.x �.� = �iS4� �n. . .� . ,� .: 3�SL X. ;SL t,SB tx .� . . . : a-� � . � . � . . . � sue�ev PER r�City of Fridley o 19865 ATTHETOPOFTHETWINS gUILDING PERMIT - ; � RECEIPT NO. � � �� COMMUNITY DEVELOPMENT DIV. r � v PPOTECTIVE INSPECTION SEC. �{a/�J7 � J V ' � �'��1 , CITY NALL FRIOLE� 55a32 NUMBER REV. DAiE >PGE OF pVPq0YE0 BY �""� � ,'� 612-571-3450 9i0•Fi5 5/1/89 � � lOB ADDFE55 1001 Hacl¢nan Circle N. E. t LEGAL ��TNO. BLOCK TRACTORADDITION SEEATTACMED DESCR. 1 1 PdL'ICVleF7 H21CJY1Y5 � SMEET 2 PROPERTYOWNEH MAILADDRE55 IIP PHONE C. J. Carlson 1001 Hackman Circle N.E. 571-0463 3 CONTRACTOR MAIIADDRESS ZIP � PHpNE LICENSENO. Milton L. Johnson Co. 2513 Central Avenue N,E., Mpls. 55418 781-9548 d ARGHITECTORDESIGNEq MAILADDRESS ZIP PHONE LICENSENO- 5 ENGINEER MAIIADDRE55 ZIP PHONE LICENSENO. 6 USEOiBU1LDING Residential 7 CLASSOFWORK ❑ NEW ❑ ADDITION ❑ ALTERATION � REPAIR ❑ MOYE ❑ REMOVE 8 DESCRIBE WORK _ Install aluminwn so££it/£aci,a 9 CHANOEpFUSEFROM TO STIPULATIONS � SEPARATE PERMITS APE REQUIRED fOR ELECTRICAL, PLUMBING, MEATING, ryPE Oi CANST. OCCUPANCV GROUP OCCUPANCV LOAD VENTILATING OR AIR CONDITIONING. �THIS PERMIT BECqMES NULL ANO VOID IP WORK OR CONSTBUCTION ZpNING SO.FT. CU.iT. AUTHORIZED IS NOT COMMENCED WITMIN 60 �AYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD Oi 120 DAY$ AT � ANV TIME AFTER WORK IS COMMENCED. � NO. DWLG. UNITS OFFSTREET PARKING I HEREBV CERTIFY THAT 1 HAVE READ AND EXAMINED 7HIS APPLICATION 1 STALLS GARAGES ANDKNOWTHESAMETOBETRUEANDCORRECT.ALLPROVISIONSOFLAWS yp�UAT10N SURTAX AND ORDINANGES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $2�aOO $I.00 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT. DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL TNE pERMITFEE SACCHARGE PROVISIONS OF ANV OTHER STATE OR LOCAL LAW REGULATING con= g45.00 STRUCiION OR TNE PERFORMANCE Of CONSTRUCTION. LAN CHECKFEE TOTA�FEE $46.00 SIGNAiUREO�CONTHFCTOPOFAUIHOPIZEORGENT mniEi WHEN PROPEPLV V IDATED T I$ IS VOVA PERMIT SIGNaTpREDFOWNERUiOWNEPBWLDERi �DaTE� BLOG irv5o - ci� � [ ] � � � �'I'� [ l �.0 -f a n .�� . i- IP�Jdl DPSGT1pt1Q1: Effective 5/1/88 I�1 AND I�2 Huilding Permit Applicati� � �� o� rr� & Aaa�s: C� C��a �/son �. � s�i- ayG3 oontractor: /y%i �i.t � J O l'1 �r s�� i Tel. # % ff / `ts %� i:T• :i�^Z-si rGl�,d.(2 �� Attac3i to this application, a Uertificate of Sluvey of the lot, with the proposed c�nstnicticn drawn � it to scale. .,- LIVII�IG ARFA: Ienyth Width iieic�t Sq. Ft. C�R� 11R8A: Iergth Width Iieic�t Sq. Ft. DE7CIC ARF�: Ie7yqth Widt11�'7�� Hgt/G�o��ufd _ Sq. Ft. �R: �/CL rns �ue.r�. .si ��+� 'F�3LSi�S4 �rvlYtNt - - Corner Lot [ J Inside Iot [] Ft. Yd Setback Side Yazd Setbacks � of ��,• ��a �: s�oav- v�� ,�pprox. orn�pletion nate• Proposed Drive�ay Width If New Openinq Is Desired: Ft. $ S �idth + 6' See Back Page ,,c� DATE: J�� APPI�CANP: g � Tel. # %�/ %�7'd Peimit Fee $ � • � � state surc3�atge $ /• D D � � $ Driveway F,scrow $ Park Fee $ sewer rlain Chaxge S . �- sr�zaas: $ /-/�,DO QT7[ �E Q�II,Y F�ae Sc3ie�le an iteverse Side S.so/Sl,000 valuation $575 per SAC Unit Alt. nA" or Alt. "B" Above tlae Detetmi.ned bY �4i�r�4 �*�'°"'°'"'' rre�ZY [ ) xot rreoessazi' [ ] +� _ . • m � A � J � + ✓ U w W � � W d t9 � F H } {y W J N C 6 � � tt� � 2 Q LL o_ H g u � 2 O LL 2 O H Q u J d a Q N 9 C 7 u y^ m �y \ , N d y �I td u i � � S y y u C a M F ■ ^� 4�io sc° .°i? ✓ Y Y 4 Y O +' U a V d +J Q O '� ua � � c d a q ! Y U aPi <°.~i 4 Y C C � p O 0 W N L . +� C u m y C O � � � Y +' +r C q e� 9 -� U C� �p O ~ 1 i m r�l m ++ � � i u Y M O O m a y � Y 0 a -� u o � ` " 5 :, b p O A u C 4 O V U N � O a ti L P Y Y � u � +� u � C Y 4 y O y Y W w �n � O 9 � M d q V ` Y 6 � 4 P ( U�� e Y r 9 �+ O� � W �� M 4 '� V N�+ CI € y S Y � UF o+ <17 4 ' y Y U � u � J q i- ` O JaK30 abuey se9 ZxT3 '�s� •taaa sr� 2auseM �21EWD1Ty SLT6Qg y�iQJ .Tezp sooi3 s1anOV5 SUTY]YIIOj buzXutip S.tQi�[ !j8lh s�uig 6LLj449 54RL V�QB sievcxn SjiSOTJ Y sacIC75 .: � ` 4 � � � 9 y� m S � O <Q � 2 Z �1 mp � Y � F d W NT � N 2 J s m 2 0 U C P ti C C �a Y C b` $ o s M �i u ° OC � C Y U+�+ O � M 4. � a � z o � C Y Y I � � n a U �� i F M � � 6 a ♦ J� LQ ti F � � 6 2 Fyq .�i U » m � � t 2 S 1 N .�i m o Z F L Z U C ! � m j. d Y Yq 8 � O S w 2 � V � F � � 6 � O C S � Illl{IIII{III { � N N N y y N N N y N N N N N O O O O OI O O O O O O O O � O U1 U1 O OJ{ O O O O O O O1O � VI � .yI < NI �fl �11� NI Yl t� I y1l p I p I � ` ' .r .+ N N N µ N N N N N N y N N Wz Illlilllll`ill S U N W H¢ C H ¢1 F+ � ti] C � .�. L• c� z m f � a 0 O r u � Y C V C y ~ F .r r a M P fY T Y C S M m o o a .� O S�+ C O>>,P v M O w Y.y .� C 0 � • m .i • O w O u.+ o� c a � > u u= w x c m m-� w u a � �I .� q p Y U K Y 4 m 4 Y f G �1 W O u.w M Y P W 11 O W m q�1 4 F Y C a .+ O a o O 3 P O O q Y tw Y O t N 4 Z C O � 4 ) V C M 6 N ) V 9 O O Y ti 9 E u N q q o �-� u-� e a�. a a o a e Z fy O m m V C 5 b; S V U ^ ol � "" N i � I m r I � � a d , C O I w 6 � a �� U � SVBJER O. City of Fridley 2�,� J� ATTHETOPOFTHETWINS gUILDING PERMIT f ' � RECEIPT NO. � � COMMUNITV DEVELOPMENT DIV. ,/ r � w PROTECTIVE INSPECTION SEC. �/ � 3� 1 � �� J � � �"'1 � QTY NALL FRIDLE� 55a72 NUMBEN nev DnrE >ae o� nvvnoveo ev �.---�• •'' 612-571-3450 9t0-Fi5 10/28/94 � � J08 AODRESS 1001 Hacl�ann Circle NE 1 LEGAL LOTNO. BLOCK TRACTOR�DDITION SEEnTTACHED oesca. 1 1 Parkview Heights sNeer 2 PROPERTYOWNEH MAILADDRESS ZIP GMONE C J Carlson 1001 Hacl�ann Circle NE 571-0463 7 CONTRqCTOR MAILADDFE55 � Z�P PHONE UCENSENO. Same d ARCHITECTORDESIGNER MAILAD�HESS ZIP 7NONE UCENSENO. 5 ENGINEER MAIL ADORESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASSOFWORK � ❑ NEW ❑ ADDITION ❑ ALTERATION � REPAIR ❑ MOVE ❑ REMOVE e DESCRIBE WORK Reroof House (26 Sq) Tear-off 9 CHANGEOFUSEFROM T� STIPULATIONS � Underlayment must comply with the State Building Code. TYPEOFCONST. OCCUPANCYGROUP OGCUPANCYLOnD SEPARATE PERMITS AHE RE�UIRED FOR ELECTRICAL. VLUMBING. NEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOtO IF WORK OR LONSTNUCTION ZONING SO.FT. CU.FT. AUTHORIZED IS NOT COMMENCED WITMIN 60 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OF ABANDONED FOR A GERIOD OF 120 DAYS AT ANY TIME AFTER WOFK IS COMMENCED. NO. DWLG. UNIT$ OFFSTAEET PARKING I HEREBY CERTIFV THAT I HAVE fiEAD ANO EXAMINED THI$ APPLICAT�ON 1 STALLS GARAGES ANO NNOW THE SAME TO BE TRUE ANO CORRECT. ALl �ROVISIONS OF LAWS yp��pTION SURTA% AND ORDINAI3GES GOVERNING TK�S TYPE OF WORK WILL BE COMPLIED WITH WHETMEA SPECIFIE� MEREIN Ofi NOT. THE GRANTING OF A PERMIT 1 50 .98 DOES NOT PFESVME TO GIVE AUTHORITV TO VIOIATE OR CANCEL TH! pERMITFEE SAC GMARGE PROVISIONS OF ANY OTNER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRVCTION. �4S.00 Fire SC $1.95 PLANCMECNFEE TOTALFEE $47.93 Si O coN'aaciDr+OaaoiNOn2EDnGEH* i�>TEi WMEN PROPERL ALID ED TMI$ IS VOUA PERMIT � � _ I I SiG REO�OWNEPniOWNEABWLOERi iDNiEi~ BLD �NS� ��E rrEw ADDN ALTER i) il [l CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-I AND R-2 Bailding Permit Application Effective 1/1/94 Const�vction�►daress: /D O/ /��i�=/r%/%iV �/2 Legal Description: �-DT/ �4"l cfC / f �d/�� Owner Name & Addmss: C� �/. CjfiPG,S�" Te�. �� /—oc�� Contractor: ,9C(.7�UG�''L ` MN LICENISE # Address: Tel. q Adach to this application, a Cerflficate of Simey of the lot, with the propase8 consuuction drawn on it to scale. LIVING AREA: I.ength DESCRIPTION OF II�dPROVHMENT Width Height Sq. Ft. GARAGE AREA: I.ength Widtb Heaght Sq. FG DECg AREA: L.�gth Widd� Hgt/Gcamd _ Sq. Ft. OTHER: /��DAG f�-<d�s� 2l0 9Q �-s�'? Di�� Corner Lot (] Tnside I..� [] Ft. Yd Setback Si� Yard S�backs Type of ConsEruction: �sti�+� Cast: $ ��5� �'� _Appmx. Completion IYake: (Cost on Back) . Driveway Gtiub Cbt Widih Needed: VFt. + 6 Ft =_Ft x S = S DATE: Io " 2 APPIdCANT: Tel. #��/ v�� y ILt! Y_ � L. Permit Fee S �- G50 Fee Schedule an Revase Side Fire Surcharge S �.��.{)Ol of Permit Valuation (1/IOth%) State SuncLarge S� S.SO/51,000 Valuation SAC Charge License SiircLatge Driveway Escrow Srosion Controt Park Fee Sewer Main Charge TOTAL S1'IPULATIONS: � S8U0 per SAC Unit $ 55.00 (State Licensed Resideotial Conhactors) $ Ah. "A" or Alt. "B" Above S S $ . �%� 5450.00 Conservation Plan R�wiew Fee Determined by Engincering Agreement Necessary [ ] Nat Nue��y [ ] SuB�ER City of Fridley � � � � 2 ATTHETOPOFTNETWINS g�ILDING PERMIT f � �� COMMUNITY DEVELOVMEN7 �IV. RECEIPT NO. f � V' • PROTECTIVE INSPECTION SEC. /�JJ 9 i �. (�/ U / �-_--�' /'��I,., CITV HALL FRIDLEV SSdJ2 NUMBEM HEV D11TE vAGF Oi aPPqpyEO 9v � 612-571-3450 g10-F15 11/9/94 � � 108 AODRESS 1001 Hackmann Circle NE 1 LEGAL ��TNO. BLOCK TPACiORADDITION SEEATTALHED oESCa. 1 1 Parkview Heights SHEET 2 PROPERTVOWNEH MAIUDDRES$ 21P PHONE Charles Carlson 1001 Hackmann Circle NE 571-0463 3 CONTRACTOR MAILADDRESS Z�P PHOHE LICENSENO Seleet Home Bldg fi Remodeling 416 E Hennepin Ave, Mpls., MN 55414 379-5358 9325 d ARCHITECTOH�ESIGNER MAIUDDNESS ZIP 7HONE UGENSENO. 5 ENGINEER MAIIA�ORESS ZIP FNONE IIGEN5EN0 fi USE OF BU�LDING Residential 7 CLASSOFWOPK - ❑ NEW � ADUITION ❑ ALTERATION p REPAIR ❑ MOVE ❑ REMOVE e �ESC(±IBE WORK Construct an 8' x 14' Deck 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. WARNIN6 Before digging cail for all utility locations 454•0002 REQUIRED BY LAW SEPAR.AT� nr��T�^ �r/�t nn�'r� fryq WIRING� HEATING, PLUMtiiNG ArVD SIGNS. TYPE OF CANST. OCCUPANCV GROUP OCCUPANCY LOAD SEVARATE PERMITS ARE PEQUIRED FOfl ELECTFICAL, PLUMBINCa, HEATING. VENTILpTING OR AIR CONDITIONING. THIS PERMIT 6ECOMES NULL AND VO10 IF WORK OR CONSTRUC710N ZpNING SO-FT. CU FT. AVTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENOEO ON A9ANOONED FpR A VERIOD OF 120 DAVS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET GARKING 1 HEREBY CERTIFV TMAT I HAVE READ AND EXAMINED THIS APPL�CATION ], STA�LS GARAGES AND KNOW TME SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF �AWS yp��ATION SURTAR - ANO ORDINANCES GOVERNING THIS TVPE OF WORK WILL BE COMPLIED @ WITH WHETHER SP CIFIED HEREIN OR NOL THE GHANTING OF q PEAMIT �L�HZS w.91 D�ES OT PR TO GIVE AUTMOR�T� TO VIOLATE OR CANCEL �HE pERMITFEE SACCMAAGE PROV NS F OTHER $TATE OH LOCAL LAW REGULATING LON- @ RV TI N R EAFORMANCE OF CONSTPUCTION $43.00 Fire SC. p1.83 'I � PLANCNECKFEE TQIALFEE s� A.ur+eoFCO - oanu=«oei ,,E, License SC 5.00 $50.74 HEN PFOPERLV LIDATED THIS IS YOUR PERMIT - w �/-�� SiGNCiUAEOiOwmEPii:OWNEAB�iLOEA� �--- D�_� BLOL S� ��Rit rrEw ADDN ALTER [l Il �1 CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-2 AND R-2 Building Permit Application ConstrucdonAddress: ) 001 htAc.ILW14� C�Q.�� Legai Description: �..� 1� . . � � - ContracG Address: Effective 1/i/94 �"s��09 Tei. �' S�?�-�<./�7� 'ENSE # � `3.2 S Attach to t!►is apptication, a Ceitificate of Swvey of the lot, with the proposed consWction dcawn on it to scale. Tel. # �`�'1°I-5�58 DESCRIPTION OF IIYIPROVEMBNT LIVING AREA: Length Width Heig6t GARAGE AREA: Length Width Height DFCx A1tEn: t�ng�h � w�#, � xgvGround � OTHEIt: Sq. Ft. Sq. Ft. sn. Ft. �? Corn� Lot [ j Inside Lot Q� Ft. Yd Setback Side Yard Setbacks Type of consavcaon: ��c�.ea-a:c�l E� cosc: S — S:IaU Appmx. Compie�ion Date: 0�� I� (COSt on Back) . Driveway G�nt Width Needed: F+ 6 Ft x S = S DATE: // � r.r��cnrrr: � � Tet. # 3-l�i S 3S� CITY U4F ONI�Y . Permit Fee Fire Surcharge State Surchacge SAC C6arge Licease Surcharge Ativeway Fccrow Erosion Conirol Park Fee Sewer Main Charge TOTAL STIPULATIONS: S N3, vW $�_ a .�1 $ S A _�3 Fce Sc6edule � Reve�se Side .WI of Pamit Valaation (1/1(kh%) a_sasi,aoo v� 5800 per SAC Unit S$.a) ($18[C I..iCfA9iB(1 RCSI�A11� COIIi1�CtO1S) $ Alt. 'A" or Ah. "B" Above 5450_00 Conservation Pian Rcwiew $ Fee Determined bY E�P,ineerin8 $ Agreement Necessary [ ] Not Necessary [ ] $ �a .�r . ' " Y _.R " �j(+. . 3 r i ,� L '� � , � :iY n) �'...� r..Y yA.ryn '��:..:y„ _':.�yrtit ..,'' "i�}ya.t�,1�'`.-'��"Fi�e •.1NOU6TI1111L .. }�"�� y, a - �� C..E.•CO U LTE�R, t - � ' =��emmus . ' p :. .na - ,f"'i'�,! 'k'v� S anwre . E��-:. ,n ''.`- s".LAND SURVEYOR' � . + 4' y_�:x .<. � ' ToroonePwlC Me�nlMO ' - .� � R3WSTlR6G UNCER IAWS 0/ STP.TE OR MINN650U �- -� i " . �. LIC[N6LD�YOROIM�NQOICITYO�MIHNGMLI> . 3300 LYNDALE AVE 50 �`MINNEAPOLIS 8 MINN �-• . rw '. TAYLOR 4-0370 `r y � °� t � �e. � x� t' - .� � :r+' L ��j . . S `.. •( !4 .E�� , y =��A � ; ^� j �if 4nF I' . � �.r_ � 1r91ffpP�0I�S �SP11�iIt8iP -: i , �.. Cr. r". t �� . ' a �__�._ z��:' i� �:; • .''. , � � 1 '-4 ._t . l� 1'�� :� � . . . . r�''�y _ , _ _ � ..�x�., � �py. t , N _} N - -,'- _ � ` rt "�-"y � � ''I � , . ' , / ; .,�`C � �W _ ' `u �' / ; � �so� r � .�. . � . � • �.. t '`1 . �'Cp�'�� Y I'. `S'1s _ :' .. —F ' x a--:i-s . T . . ' / t� � .e � v Z1.'. \�°r :�/ -.. • t✓ ly „'* •>Fy�..Y�} SCC7�['�: �� '3'J� : i ��.��1\�!. r � ' � SG��p � . Sr '.,.«.}'" k ��i. ��(j0P��.7�°�wlF� 'Z � i i 1 f' L �° � � � -. r . . � � - � � _ .. - ` M1y�, f (a �=0 ,Y' S0R � _ �_ ':.a � /t, ,\y� ! a 4' o' � � ( \ o� �_ ProNOSEO _ � Pp �a,,'a38a I^+ .. � I \ I►�`��\,L?� F:ESi�c��E ^' � !� IM �� ' , ' n � 95 �rer+ :�er. Ar�°35�IA� � �(j/�7/�Aln1 �:.:a29ss /oUl�C1R��Lti 1�Ri�it _ j1nl'. i)`/ CCi i..ii y�Ilu'.: �i:�1C �:iCVC .'��S � t^U(.' �:lQ COTT�:.t �`Idt Of u S:1T`,7°tl Of � _O ��_�t:'_ � 1 �� "LOC�: C�ri? � 1�� i':'�:'�:�o i.:�.. ��::�I��.1� :��,.'JtJITTC;i�t, r';nuka Couniy,.` :..inr.e: o�:, . .._. C,L'_,7'��CJ:. �:'� C7Q t:�iS �:ii.�l C�':�t O?� .i�G}JTUGTj+ �l�.C� r�.J. � • � ` _``�� Sic:��d ,�/'I 1� .`,_i�.v �.�,. _ ;..inn��co±a i;egistr<:tion [:o. 2�84 _ � r I�-� � +t !' ��', � � ` ri: � � � .- '..��`/�� ' . j'[x:' ' —_ _ . � ' . " . -, � �i+7 r " � .s a ��44yp ':Y/� ...�-1% � � N O _ C NR W � � i� o0 I u� � m V � W� ��>F LL9� i a x �s � C� � �8$ $a � c �� ; . � � � s � � � � a � E � � �E \ 0. � � , d � � V N � OL d C�'� � p N � � �' O O'N � L� J�� p�ij a O W N C O C R O C L LL W U e- LL O� � c 'v .3 m N � Qi � 4 `r � c �n �n U N Z � O � C � � � �y y0� 11 C=. � O � � �m n � � � � 0 _ :i1 c � � �X W � �� A �� g=� 9�. �� a��.x� � @ �E�� a vv iE,v-� ac+ dicxv� W �� v � � � � �� g �� F f U U S K 0 � � m � � � UM � �. o�NW� Na dY c o�. a�°i� �� (�p O� = T y � N N C N O C UWU�tL � � � ' � �� : . � c7 � � �� q � ��.._� .. ort ci a � rn i � � 'cg 8 3� x t� �$ $ U a H � �m 4,8 �> $� v# C � � � N L � ` � � � � 7 d � C � N d � W � � .... 0 � '- N C y � y O '� O �O C — O 'C t �w0.-�a u �� '3� � FA � B� � i$,�a ;3.A �� r � �� ; .a —� 4�'� �E � °a > v' c Q � :o c �n ,n .� � '� � M � m C C�W�- � - Q tn �W �CU U��O� xacD N� � a �N � J a u-' J z �� Z �1 � � � U � Q 0 ��(/1 xa�°- �� LLli 0 Q W I � O _ U z a F- � 0 uF H� w� � HI W H �u �m U� Z �- OI � � � �O m U � V M M U C � � L. � O � � � x C T C'0� �� O N O= �`d (0 O tA r � C ulliiU°tid cr5 � 0 a o N ,n .o --i `r `3 aa m� N � � � � a m .�c O L U C l0 w 0 a � C O O w m `�y C U E c_ Uv E � 0 .- m a a� .` c� N N � � `m v a`0i t N N d W X N \\� Y a� 0 n V m N `�m- �t X N o�j � V' m Q �F acu�iu� �7 v y C N � � c � O C N �y vj0 � C="_O O _ O � '� (0 � � � 0 W c c N N � C U �Q'�t�J ADDRESS PIN LEGAL DESC PERMIT 1'YPE PROPERTY TYPE CONSTRUCTION TYPE VALUATION CITY OF FRIDLEY rExnzrr O.: 2004-01943 . 6431 UNIVERSTI'Y AVENUE NE FRIDLEY, MN 55432 DATE ISSi1ED: 10/21/2004 +� 57Z-36U4 NAX: : ] 001 HACKMANN CIR NE : 243024230001 : PARKVIEW HGHTS ADD : LOT 1 BLOCK 1 : HEATING : RESIDENTIAL : ADDITION/ALTERATION �"/ 1-1Ltf"/ NOTE: AIR CONDITIONERS CAN NOT BE PLACED IN A SIDE YARD WITHOUT WRITTEN PERMISSION FROM ADJOINING PROPERTY OWNER COMBUSTION AIlt SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. INSTALL FURNACE (WARM AIlt, CARRIER, 70,000 BNS) AND AN AIIt CONDITIONER li A/C iJNITS 1 # FURNACES 1 # GAS DRYERS VALUE (FOR MINIMUM CALC) APPLICANT CENTERPOINT EI�iERGY/MIt3NEGASCO 13562 CENTRAL AVE NE ANOKA, MN 55304- OWNER CARLSON C J& M L TRUSTEES 1001 HACKMANN CIR NE FRIDLEY, MN 55432 0 # GAS RANGES 6700 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construcdon authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time aRer work is commenced. I hereby certify that I bave read and examined Hils application and laow the same to be true and correcG All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a pemvt dces not presume to give authority to violate or cancel the provisions of any other state or local law regulating conshuction or the performance of construction. HEATING PERMIT MINIMUM FEE FURNACE SHELL/DUCT WORK GAS RANGE FEE GAS DRYER FEE AIlZ CONDITIONING FEE STATE SURCHARGE, MECH FLAT TOTAL PAID WITH CHECK # 6154 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 0 0.00 35.00 0.00 0.00 25.00 0.50 60.50 � S � � Z W � � �; � U � �,j w � Z � /� Q Q � v � � W z r � � _ � � Q Z F O � Z � O U � � � 4 � � o- Z t� a O 7� O � a W V � a W �c a Z Q � W a z f.7 � Z � n ^ ? N m �D � ! LLI Z � `J _l d n %/) C� ¢' m � t'{" � � � �� p � i c�v 7 � � � � � � b [2 ,� z m �qiT61'J � fl � a Q ¢ 0 d N � t c m °z r W a � U W Q � � � I w w �. a A 3 0 Z � N � 3yw O � x � J E � y� � v G C C a cg p = m a� o V I F- v U� t r m � N � � a x � E z c � N E mm I � `q I K .n w fn $ o � o o R � � � � � w � � w m i �� 0 U C 7 O � � c C y N � d U L W � � a � � C E $ a � �o ra�.ai c�. C � U � � LL U C 7 � N z � 'n a c� m c � � ni C � � C `�� r�� o 0 Y v = �„ � � o G v� y V m : �'j.� � � � V $ o " � ° ,,, � c ? • � � O W � NU `ji a � y._�. 6 C W � 9 �wZw O � � C z d O N O � L � � z �a� R Wa�-r y W C @ C C H � Y y y W � m � m�Hz � � � .. o w n °;oga�c� � O 7 yy W N L bpm GH�O � L oz�, C d w .10. U .M-� � � � b U ��d,�a z 7 ` � � != m a�i v a � t p, C C �- a m m 2 N O N � I � � � � � � n F� � � O�I I d, w / 0 y-+ °p ic � p o � ° � � Oy C = V � Y \ Q r'��{ m C � m y� � u V Q ta = � �p ; 10 J \ � O ap Q O Y V � � }' y o ° '° " `o E b�o3�� `mc°� O � N C NM��oy -ao d' m o d a o Q O �� U � Q� � ��a� } — d� A � � � o � G � � � IL N �U �! W c4�=' E � E aR ' > � S C G � C o �•- � ¢ .�-� � E v .-i � x�-�n r r+� �fi A I i'1 � � � W � W � Q R � � O a \ i � ¢ O s 8 ° fR W � Z O U °1a z w s > O n m N � .i � a L � L T b� N U � ° d a U � m a� a � .� e o� C A � V p dQ c m o � ,i L � O o � V `Q O � Q A C W � m � c � � � i O � W 6 z � � z w W g W a Z 0 O a U � W i U F�' � � O W ❑ � U m � O J � �w� tr� : t t b062-GZ-adti FILL IN COMPLETELY FOR REPLACEMENI' FUEL BURNtNG APPLIANCE P�RMITS COMII�ION VENT VENT CONNECTOR AND COMBUS710N AIR VERiFICATION When re lacinsl an existinq furnace, the undersigned hereby �erifies that the venting has been examined and is free from rust, deteriaration, obstructi<ms, and is securely supported and firestopped where required. Yes {� No () The venting system is plastiGPVC and meets all current codes and manufaCturer specfications including sizing, length, number of elbows and termination. Yes (� The undersigned also verifies that the replacement unii is a(isfed assembiy and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category t Cerrtral Furnace Venting Tables for ian assisted and natural draft appliances. - The existin9 comhustion air i� sized and installed to meet the current c:odes and manufacture�s specifications. Yes(� No ( ) No ( ) Yes(�__ Noi ) When required fo instail a new combustion air, it will be sized and installed to meet the cun'ent codes and manufacturer's speciftcatiorts. Yes �) No {) When inst�llinq a new ventinq,svstem, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturers specifications. ThiS does include AGA-GAMA Category I Cent21 Furnace Venting Tables for fan assisted and natural draft appliances. Yes {� No O ls the common vent and vent connectors sized and installed correctly after an app(iance has been removed from the common vent and veMed separately as Rer current wdes. Yes �) No () A�pliance Tvpe and SizelCommon Vent and Vent CunnecEor �nformaYion Appliance #1 Type -� 8TU Input 'b� Fan Assisted or Nat Fiff Appfiance #2 Type BTU lnput,�5,a�'^ Fan Assisted or Nat ,v.� � App{iance #3 Type B7U Input Fan Assisted or Nat Totaf Apptiances �_ Tdal Btu Input -- _ _ _ Common Vent Type G'/-13 vent Height �R� , Diameter G� inches Appliance #1 Vent Connecfor Height y ft Appliance #2 Vent Connector Fteight,_[__ft Appliance #3 Vent Connector Height ft Length /S ft Lertgth �ft Length ft Diameter � " in Diameter 5�,. in DiameteP in Type J[- Type Cf - L Type �j � !!"/� !/i'n'� 4'�dC. /&/ � P � /�.fi�✓ �/ �iiGf .rsltir7'lf.e CENTERPOINT ENERGY MINNEGASCO HEATING CO: 13562 CENTRAL AVE NE BLAINE, MN 55304 _ Signed By: '��a. � _ Date: _ -7 �G1/7A',-I IAJ,9I,SL Ol .� 1,3'IQ1ad d0 l.li� WO?Ja S�:Tt b902-GZ-add � � CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 �ro-soua r�: ADDRESS : 1001 HACKMANN CIIt NE PW : 243024230001 LEGAL DESC : PARKVIEW HGHTS ADD : LOT 1 BLOCK 1 PERMTT TYPE : ELECTRICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION VALUATION . ari-i�a� PERhIIT NO.: 2004-01944 DATE ISSUED: 10/21/2004 NOTE: ELECTRICAL PERMIT BECOMES VOID 12 MONTHS AFTER PERMIT ISSUE DATE. WIRE FURNACE AND AIR CONDITIONER. # INSPECTIONS 1 APPLICANT CENTERPOINT ENERGY/MINNEGASCO 13562 CENTRAL AVE NE ANOKA, MN 55304- OWNER CARLSON C J& M L TRUSTEES 1001 HACKMANN CIR NE FRIDLEY, MN 55432 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or coushuction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and lrnow the same to be true and correct. AII provisions of laws and ordinances governing Utis type of worh will be complied with whether specified herein or not. T'he granting of a permit dces not presume to give authority to violate ar cancel the pmvisions of any other state or Ioca] law regulazing consuvction or the performance of coastruction. Bldg ELEC PERMIT FEE - M[N (RESI) STATE SURCHARGE, ELEC FLAT TOTAL PAID WITH CHECK # 6154 �rr.vca: r� r�xmrr� x�uuuc�u rvx wuiuc vrtir;x raniv ll�sc;iuttr:u wnov�. 20.00 0.50 20.50 1 � SW�FCT City of Fridley 3 0 9 3 6 .� 11TTMETOPOFTXETWINS g�IIDING PERMIT � EIPT NO. � � �� GOMMUNITV DEVEIOPMENT OIV. � L � VNOTECTIVE INSGECTIpN SEC. � �'9 r � , 4---. ��'�';', (.ITY MAIL FRIOLE� �JS�Ji MurBEM MEV WTF v�pE O� �ivl10vE0 !r �� 612-571-3450 9�0-Ft5 5/12/00 � / 10B ADDRESS 1001 Hackmann Circle 1 LEGAI �OTNO. BLOCK TRACTORADOITION SEE�TTIICNE9 oescn. 25 2 Parkview Heights Addition SNEET t PFOPERTY OWNER MAIL AODNE55 DP VNONE CJiMarian Carlson 1001 Hacl�ann Circle NE 571-0463 3 CONTRACTOR MAILADOPESS ZIP 7NONE LICENSENO Window Lite Home Improvements 8400 89 Ave N, Brooklyn Park, MN 55445 425-2227 a nRCM17ECtOqOESIGNEM MAILAODNESS Z�P PHONE LICENSENO. 20039258 S ENGINEER MAILACORESS Z�p PMONE LICENSENO 6 USE OF BUILOING Residential 7 ClA3SOiWORK ❑ NEW O AUDITION ❑ AlT£RATION � REPAIR ❑ MOVE ❑ REMOVE e DESCRIBE WORK Replacement windows (2) 9 CMANGEOiUSEFROM 70 STIPULA710NS Provide smoke detectors in all sleeping rooms and on all levels of the dwelling per Section 310.9.1.2 of the 1997 Uniform Buildir.g Code. Permit Inspection Cards Wiil Be Maiied 'ib Homeowner T� Post SEPRRA7EPENMITSAREREOUIREDFOAELECiRICAL,PWMBING.MEATING, TYPEOFCONST. OCCUPANCYGAOUV OCCU711NCTlOAD VENTILATING OR AIN CONOI710NING. TMIS PERMIT 9EGOMES NULI 4ND VO10 IF WORK ON CONSTpUCT10N 20NING SO.FT CU �T AVTHORIZE� IS NOT COMMENCED WITHIN 80 OAYS. ON �F CONSTRUCTION OR WORK IS SUSPENDEU OR ABANOONEO FOR A PERIOD OF 12p DAYS AT ANY TIME AFTER WOAN IS COMMENGEO. NO� DWIG. UNITS OFFSTREE� G�RKING I MEAEBY CEATIFY TNAT I MAVE RE�D AND E%AMINEO TNIS �PCLIC�TION 1 STA��S GARAGES AND KNOW TME SAME TO BE TRUE ANO LORRECT. A�� PROVISIONS OF L�WS yALUATION SURTA% AND ORDINANLES GOVENNING TMI$ TYPE OF WORN WILL BE COMPf,IED WITN WMETMER SPEGf1E0 MEREIN OA NOT. TME GRANTING OF A PERMIT �3�16H �L.SH DOES NOT VRESUME 70 GIVE AUTHONiTY TO ��OUtE OR C�NCEL TME pEpMITFEE SACCHARGE PAOVISIONS OF ANY OtHER STATE OR LOLAL LAW REGUL�TING CON- 597.,LS Fire SC $3.16 STFUCTION OA TME PERFORMANCE OF CONSTRUCTION '4 G��N CXE KFEE TOTA�F Licens $5.00 $1 6.99 S�Ga�rvaEO�COM'A+POaOa�uT�0A2E��GE�+� i0�*E� N �PE A�IDATE T IS VOUA PEAMIT 999�� _ ��L � � 5•Gp�ru EO�Ow�+EA��/OwwEABm�Ofa� �D��E� Blp4 wSO u•�t r�w � � ADDN ALT'ER Effective 5/10/99 I I CrrY OF �tID�Y [ J SINGLE FAMII.Y AND DUPLEXFS R-1 AND R-2 BUILDING PII2MIT APPLICATION Consauction �Address i ' I.egal Description: Owner Name & Address: . i � . . . . _ � ._ ....,.. '.0 �.� LU LIVING AREA: GARAGE AREA: DECK AREA: OTi�R: � Attach to this applicadon; a Certificate of Surve}� of the lot, with the proposed construction drawn on it to scale. I.ength I.ength Length DESCRII'TION OF II�IPROVIII4ENT Width Height Width Aeight Width HgdGround _ �� 0 ��1 — /QL�9/�'r � /! � v Sq. Ft. Sq. Ft. Sq. Ft. Construction Type: /�,;,/�,,�s � �%�stimated Cost: $ �3/lQ N . DO ` - _ ' Driveway C�rb C�t Width Need�d: _Ft. + 6 Ft =_Ft x$ _$ DATE: �� APPLICAI'��u; ��-c,�; � I_;,L¢ CS•2, TeL /� ��5-aaa � Pernrit Fee Fire S�uchar�e t1fli� State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Pazk Fee Sewer Main Charge TOTAL $ .�.� $ �. /� $ �. �� $ �� $ �.Do $ $ $ $ $ �0�•99 � CITY USE ONLY Fee Scl�edule on Reverse Side :001 of Permit Valuation (UlOSh%) $.$��$1,� V�l13ilOII� . � $1050 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engi�ering Agreement Necessary [ ] Not Necessary [ ] STIPULATIONS: �d v/ o � �a��' �l�'—Z'�� /-`� �� °`��/��d �- �.� .9� � ,� .��i��a��' T�� ,l �J� �� 3-c �Ec. ��o, S'. /. Y ,_ . _ .