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AF - 46627City of Fridley, Minn.. BUILDING PERMIT N� 6254 Date: ....,�.1f----��" �•-...._..__ ' - �`"_11� 1 Ovvner: L/ ! Builder �� ` ` ____, < .�. ....___ Address ��- '��`.'-�..---�-c�G.F� Aidress ..��w...�......_._. _ . CATION � B L , rro. .��_._. street ��'�=�� . axt t Lot � —.__ Block �_..._._._.-- Additiaa or Sub-Division � _".�."� i �- / f � Corner Lot �_�.�_ Inside Lot .—.:� Setback ��_—__...- Sideyard ._ Sewer Elevatian .�...____ ._ .� Foimdation IIevatian DESC�€IPTlO�! OP �UILDI6VG �°mf�� v� a� j �,�, t� r� � , � �' , f.� � - �� ,. : ` � � � f % .-�-f�' Ctz. �L. � �'._�_.�,� t .. �o��.t f _. � �ei `h .:--L.._� t%esgISt ....L.:.:......"�_ 4-�. .� _.. : . .�.a..._;...._..._.,�..,....._...�,,:.__ _.__ ..�:--_ GtE. fi� ....................-- . .. � �� ep: f+ £;e� � ...__ , �,. � t. --�----.._..._-- , �f � ....................�......................."'_.r..._ � _... _ , _.___, `'�.�.. - � s:> t! � :r ff f f ± '�..' � T'�oe of Coa�astsuetion�::..: �....;�.;..r::� .,��....�.. E��. Cos� .,�!..�..�-..,�.----=�__._----•- T`o ba Co�npl�i�a _._.._._.__.........._ .............__.. In consideration of the issuance to me of a permit to constr�act the building described abowve, I agree to do the proposed work in ac�rdance with the d�scciption above set forth and in oumpliance with a11 Provisions of ordinances of the city of Fridley. v �j — In coa�sideration of the payment of a fee of �.�_� , perautt is hereby gi�anteci to— to construct the building or additi� as descrlbed above. Thispe rmit is granted npon the �express conditiott that the Person to whom it is granted and his agents, emPloyees and worlBnen, in all work done in, around and upon said building, or any part thereo� shall ovnform i.n all respects to the ordinances of Fridley, Mianesota regarding locatioq construction, alteratiaa�, maintenance, repa.ir and moving of buildings within the city limits and this permit m�ay be revoked at any bme upon viola 'on of any of the provisions of said ordinancea `� /Y� � BuildinS Inspector NOTICE: Tfii� pamit deu wot eovu tbs eonsievetion, fndatfatkn fer v►kir. �wbL�W p� h�NinY. s�we er rra1K. d� aa� to a� 1b� 6uiWie� Is�eler for s�p�rat� p�rmits for tha� itaos. 06�TER' S PIAt� � ,ADDRESS � � � A.PPI.ICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA ADDRESS /�'� ��i1""'"' C� LOCATION OF BUILDING p � � No, Street �iywn �.�„�.�v Part of Lot —, Lot � � Block �" Addition or Subdivision 5�Yt� �Gu.t,�,,Q� Corner Lot Inside Lot Setback Side-Yard SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Two Certificates of Survey of Lot and proposed build- ing location drawn on these Certificates. DESCRIPTION OF BUILDING To be used as; � � r� r � � G� �-,�c.. Front �b P Depth �` Height Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft . Cu . Ft . Type of Construction 8stimated Cost To be Completed The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and represeneations atated in this application are true and correct. DATE S ZGNATLiRE (schedule of Fee Costs can be found on the Reverse Side). �. ,. . °;, � � M` 1 •yt _ � '��J 0 : h � �1 0. d c a •� � � � O �` a � � A c � � O C � � U � � C 0 � � 0. � 0 ti � Sd G+ O o 30 �4 � a�i � 0 U .�� I M � � � � F b � � � � 3 � �+ � y � ��.a V .:i M `"��o ��.�� av�,� � i1 � ti �'a w �.� M � � � � y � � O � � � W w�� aa�a� a x � � � a"°� ��d� ,� � � � � � O .��.' � � �.�+ ,� o^` � y S Q y �°p�, o � .� .� � y ti y ��'n o y ��h N db"" p� �� J S 3 � c� s z • LL SJNIN3d0 r� 3°JNV7i r� ,ddy sv� a3HSV,N olnv SNISYB 'J. � � b W � a � � � ,� m 4 Sa �� a� � a °o � � E� � a" � � � � o � � Qi � � ci O W J � W U � t� � � � � � x n 0 a �� ^V O �. � F "6 v� � esa s� �r vs 4 � N O N O N R'j .-� .y rl M N M !A iS k i� OC iS k O z z w � a' � F ` E w .r, � 4 �°n, �°n, o a'' ti N K k �S k O z � Y � -4 �o efs � . 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X � q E'' � �q y� � $' F �' ,� �, C7 � �' � P� 4 _a srvNian � U �t U' �'� a3i � � aai F �� o`�i s�so„ •�" x z� z U 3 z E„ .. d Cti � A a�vM � � � � � 4 I, saTao3S � �.d w t••� x a aqU' � 4 ��, (.� � N M a �� .;� �(i �,., � x� �, .� - � � 0 6�� M � �u�,� «�,� � M �aba ► n o.�� o�'da � 7� � q 7c�i t�i ai � � Y ��:�� a � m�� . � �. � y � "Ci a � � �� . °' � � . � d °"� � sx'� � � a� � �� ,� � no a 'd ��do • a ;; y; ��o � � b � �CO,��, � 0 � � � e° ; .�'i L+ ..� �� 0 „�y F ir 0. �,�, y'p'tf C a A a � �� :� �• V � 4 � J � � W � � H W 4 �G J a � \ a' � N - � � $ �`° � � � � � � : : : g : : S ° 0 : : g � . .�,� ..�b ,� : � � o ' a c'�1 � � � o�i � �y 0 0 4 o'!J w t�+ �° 0 Qi d a x � � � 3`� �°�°� � � � � �' °° � '� � M � � ai a�i . ai � � a a a � 0 V 0 . ` �� y � � U O � F, O W v cd q '� '� ,� � O � 5 E+ w � � O i � � � 0 0 0 0 ° �� : : � : a1 : : : o° b . p g ' � � � � � � � � : � � �� :� � x , a� : a � � $ � � � � m � o0 � � � � � � � � � �• � � � � , � � , �°y ,� 3 � a `° a � a�aw� � 6� ^U- V z a a° � ��Q � V z � a � � � d�z � 0 W O 0 a U a �.�� 0 0 0 0 0 0 � � OD CD N N � � pa W « � �� a 3 � H � x� � � � o � W � m , :� � � �x W W w w � y 0 0 N M � � W W � 0 i .., z � z � � � � � � 0 0 � z � N � � a � U D r � 0 0 1!9 : � : :� : � : . y : w : � o � � � � � �' � °o p, � o a o � r; w � � a M 00 +"' M Y i�r � w ° w x z � a � � co � a � 4 o � a 0 D � � z d o � a � Q � � � z � � � � � U Ii°+ � a U � E� G�0 a0 o �� N � � � � a ° � o � � N p x x x z :� 0 v °o � °o N k N � � w ° W y w � C � � ° a� N � � � N .. � � w w 4 � � �� \ r_ h � �� . . � O � N u � w � .��. O�C EW+ W W � � � a RI � � � � x x x M � � � � � U � z W N � w > �e � � � M �� PO x � a P � � N N < 5� � z w r > 0 1 Y < � W v �� :�� a�ss . ;• <z HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS FRIDLEY, MINN. Weatherstrips A.S.H.V. . Conatruction No. Inaulation Guide Windows I Doors Reference Out. Wall lnt. Wall Ceiling Roof Floor Kind How Applied Yes—%!o Yes—No 19� FI•� / Y/' Room Length Width Height Fl.� Room Length Widt6 U Height $' Windows ati� Doors—Crackage and Area Windows an Doors—Crackage and Area �Yldth Height No. o[ Llneal [t. Area Wldth Haight No. c[ Llneal tt. Aeaa No. ot oane o[ pane lighte ot crack eq. tt. No. ot pane o[ Dane 1f6hts ot crsek W. tt. � � 22 Coef. Btu Coef. Btu In6ltration U �, � a� a Q Infiltration � n � O� Glass � V Exp. waU Net exp, wall 2 lnt. wall Ceiling � ,� Floor t� Total Btu. Required sq. ft. E.D.R. or sq. ina. W.A. L.eader area Fl.� .. . Room � Length C Width i Windows and ora—Crackage and Area Wfd h Heleht No. ot Llneal tt. Area �_No. of psne ot pane Il�hte o[ crac]c p. tt. � � . . :. . Coef. Btu lnfiltration � C� 0 Glaaa .5 5 Exp. wall / L $ Net exp. wafl ,� / Int. wail '� ' Ceiling ��Q J � � 3 Q Floor 0 7 7 0 - Total Btu. (o Q Required sq. ft. E.D.R. or aq. ins. W.A. Leader area Fl. �]"" Room � Length Width Height �'f Windows and Doora—Crackage and Area Wtdth Helsht No. ot Llnaai tt. Area No. ot pane o[ pane Ilsht� ot crack p. tt. 1 ( ��i7 iIl / / i J Ey 0 In6ltration Glaaa Exp. wall Nec exp. wali — lnt. wall Ceiling Floor Total Btu. ,�` Coef. Btu � �yyo 35 s' I 9�S � L, � � a ;� ��90 �-z �aso l 6 f O c:�fsl Required aq. ft. E.D.R. or sq. ins. W.A. l.eader area Eap. wal) Net ezp. wall � Int. wall Ceiling Floor 7'otal &u. 7 Q r : uired sq. ft. E.D.R. or aq. ins. WA. L.eader area J F1.1,[3. B�d Reom I L.engch i:3 W;dth Windows- aad Doors—Crackage and Area Wldth Hel�ht No. o! Llneal tt. Area No. ot wne of pans llthts ot crack W it. �- Q G � Infiltration / g �/ Glaaa ) .SS % 0 �p. w.0 �ov � Nec e�. wall S 6 d Int. wall " Ceiling S6 � 2 $ � Floor S' L D Total &u. Required sq. k. E.D.R. or aq. iria. WA. l.eader area Fl.`F � d Room 1 L.ength Width J:2. Height Windowa and Doors—Crnckage and Area WIdtA Hel�ht No. ot Llneal tt. Are� No. ot pane o! pan� If�bb ot crack w. tt Coef. Btu InGltracion � � � � Glaas S 3 ,S� Fsp. wall �6 Net exp. w811 q 2� g q Int. wall Y Ceiling � 0 � a F,oar � � o Tota1 Btu. Required sq. ft. E.D.R. or sq. ins. WA. I.eade� arra . s .. D36 1y,� � �� HEAT IOSS CALCULATIONS OEPARTMENT OF BUILDINGS Weatherstrips A.S.H.V.E, Conatruction No. Guide Windowa I Doors Reference Out. Wall Int. Wall Ceiliag Roof Floor Kind Yes—No Yes—No 19— F7.� �.', —� Room I.ength (� Width j� Height Fl.� Room � 1 Windows and Doors—Crackage and Area Windows and Doors—Cr+ tVidth Hetght No. o[ Ltneal ft. Ares W1dth Heli6t No� No. o[ pane ot Dane lighte ot crack sq. ft. No. ot DSne o[ pane Ilg'� �.. �CJ ,� C� l O � l� � In6ltration Q (,(J Glass Q ,S $ Exp. waH � L► Net exp. wall � 7 Q Int. wall Ceiling f �Q f',Z Floor � � � Total Btu. Required sq. ft. E.D.R. or aq. ins. W.A. Leader area Bcu I �, 0 Q I Fl.) Room � Length Width Height Windows and Doors--Crackage and Area Wld�h Helsht No. ot �Llneal [t. Area No. ot pane ot pane Il�hte o[ crack p. tt. Coef.� Btu In6ltration Glasa Exp. wall Net exp. wall Int. wa11 Ceiling Floor . Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fi.� Room j Length Width Windows and Doora—Crackage and Area Wldth Helght No. ot Llneal [t, Area No. ot Dane o[ psne Il�ht� ot crack �a. ft. � In6ltration Glaaa Exp. wall Net exp. wall Int. wall Ceiling F{oor Tbtal Btu. Coef.l Btu Required aq. ft. E.D.R. or sq. ins. W.A. L.eader area FRIDLEY, MINN. Insulation How � Width e and Area :.lneal Lt. Aeea ot crack w. Lt. Btu In6ltration Glaas F,�cp. wail Nec e:p. wall Int. wall Ceiling Floor Total Btu. Required aq. ft. E.D.R. or aq. ina. W.A. L.eader area Fl.{ Room I Length Q/idth Heigi►t Windows and Doors—Crackage and Area Wldth Hei6ht No. ot Ltneal tt. Area No. o[ pans o[ Dane 11`hts ot crack sQ. [t. Infiltratioa � Glass Ezp. wall Net ezp. wall Iac. wall Ceiling E loor Total &u. Required sq. k. ED.R. or aq. uis. Q/.A. Leader area Fl.� Room I Length Width Hei Windorvs and Door�—Crackage and Area Wldth Hel�ht No. of Ltneal [t. Ares No. ot psne ot Dane 11[ht� o! crack p. tt Infiltration Glass E:p. wall Nec exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or �. ins. WA. l.eader arra Btu � ; : sue�ecr PE IT NO. City of Fridley ° 12100 "TT"ETOP°FT"ETW►"S gUILDIN�; PERMIT r � � RECE � • ___ COMMUNITY DEVELOPMENT DIV. � �� ; v � �� PROTECTIVE INSPECTION SEC. � � :�` �� - ��'�1 CITY HALL FRIDLEY 55432 NUMBER HEV. DATE� PAGE OF . APPqOVED BV `•-•�'�•♦ �� g12-660-3450 910-F15 4/17/73 / / JOB A6DRESS 109 Hartmaun Circle N:E, 1' lEGltL ��T NO. BLOCR TRAGT OR ADDITION SEE ATTACHEO �ESC�. 3 2 Sandhurst Addition SHEET 2 PRORERTY.OWNER MAILADORESS ZIP PHONE �abrial Giancola 109 Hartmann Cir�le 3 tONTRACTOH MAII. ApDRESS ` 21P PHONE LICENSE NO. ,1a�drew Gawel 2407 Washington Street N:S. 4 ARCHITECT OR DESIGNER MAIL ADpRESS ZIP PHONE IICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDINCa TiW@�.�.t 7 CLASS OF WORK O NEW [� ADDITION ❑ AITERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRISE WORK Additic�n aad dQCk 14x 32 addition 18 x 18 deck 8 CHANCiE OF USE FROM TO STlPUl:ATIONS SEPRRATE PERMITS AHE REOUIREQ fOR ELECTRICAI, PLUMBING, HEATING, TMPE QF �ONST. OCCUPANCY GROUP OCCUPANCY LOAD YENTILATING QR A�R CONQITIONINCi. WOOCl �Y'�e " THIS pERMIT BECOMES NULL ANp YOID IF WORK OR CONS�RUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OF IF CONSTRUCTION OR WDRK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS CpMMENCED. NO. DWtG-: UNITS� OfFSTREET PARKING 1 HEREBY GERTIfY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES AND KNOW THE SAME TO BE 7R�E RND CQRRECT. ALL PROVISIONS OF LAWS yALUATION SURTAX AND ORUINANCES GOVERNtNG THf& TYPE OF WORK WI�L BE COMPUEO WITH WHETHEFI SPEGIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 7f��'6.�8 3.Ha DQES NOT PHESUME TO GIVE AUTI�iORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PAOVISIO 5 OF ANY OTHER STATE OR LOCAL LAW REGUt,ATING CON- STRUCT N OR THE PERFflflMANCE QF ONSTRUCTION. � $38-� �Q PLAN CHECK FEE TOTALfEE — -� 3 $41.8� , ,�,�.5 �ATUREOF�CON7RACTORQpAUTHORtZEDAGENT (bATEI :� N PROPERLY VALIDAT THIS IS.YOUR PERMIT 4117 /7,� ' $IGNA�URE�AFOWNERIIFpWNER8UILDERI �� IDATEI � I P � DATE � , APP�ICqTION PQR RE�IA�NTIa�. �LT�R,ATIA�, OA AAA�TTO� �UILDING P&RMIT GITX OF ��IA��Y� MINN�s�TA �?W�1�' S NADlE : ��`�'f��.' �l��.t�°�'„ !.a BUi%DER s AI�D�ESS :,,�� `,,� ,�..�a 2 �. �S •,c'�,'�ll,,.,,? — �.C�� .� . ._-.. � .. � � _ ��.� � �oq �, s�r��,� � r� �„�� , C � R �.�.r, , �crr * a�.ocx� -Z nn�rrxoN: 5 A � �o �+ � �.s- � n� -. .� � � � �ER LOT: �� LO�:� SETBAGRt SIDEYpRD: �,...�......-.-... .��.it�tp� u��c� ta �k�It �s�t�ia Certificafies of Suzvex o� Lat amd proppsed bai.id� �.+�cati.osi d�#itn � �C Cextifi.cates, � �� s, � � �` � t `� ; � � � "�' '�° �' �a /�� SCRIPTI(JN OF BUILDING �� ; � � � 9�a � i3��ad Aa : �w� �-� ► � c, �-r�.bB�3 � / �/ i�th: „, L „_, Height : "`��irR'T� �. � Sq��re F�e�; Cubi� �eta c-� Fraa�: � DepCh: 1`� Height; Rqua� �'eet; Cubic Feeti a� �� o� Coaat.s�tc�iap; , „ ��a.� � �stisated Cost: 'D d0 — . f 7 � �� ro � o�� , �tet p�t��igu�d hezeby �e� ap�licatitiet for, a pe�ti.t fox tlt� work b�rein �pe�f,l�+ad� a�eeing tt� do all Nps�c �n; sttict accordance wfth the C�ty of �dl� Q��B �ad suli�� £ �S AePart�n� Af Bu��dings, �ed �ezeby ��re�i � ail ��tcts awd r�reseutatians stated ��his appli.catian � 3�u+� am$ c�rrec�. . ��,� ..,,�,-/G — 7 S�tcxa �� Rsv�'Ie Sid� Fo= Add�t�onsl Infox�atiaa.) �O �`- ��i� ; i j, �tr � 1- �: ,� �"' ,,"' '.� 1 �+ ' -� h � � '�- , a '�"°'�t�. J � � � � - � �� ,.�w- , � �� , �, �� ..� .: � � . . . �• . � .. .. � , . I, �� a 4 � p��-�-r- . . oaner of the property located at ��R'�� -j�R�-1 have no objection to the City . allawi�g the constr�ction of a��i%y ��,&sc.sreK-i to be located at �� T,s-'Q-7��17 -� ��C without the required certificate of survey that t�e�City ordinarily requires for all new construction. :k . � ..� . . . "�!'! �Y!?-c � LJ,uG, � o wne4. � � . � " Signed , � � . �� /�-� d �� e 1,��/Py � �, Address - � � Ow»e� ' �2� � t�itn s Date , . , _ . . ' e _ f .� • j , • 0 0 • � • . + . � C C � � C . � �� 0 �� C � E � � C �C �p . v � V 4 3 � � C L �' � � � M � � a � A9 Q � J G W � , V! W � J F�- GC a .�� o� w ��a � w�w o�� a,�� : o�'y�i �� oo i �� u � 'I c �b a � � � � � •��° � � � ��b� o�� C�1 U t/i � �� a��;� �."� � � .'�E ��0,� 3 �, '° A�� x� �� ,�q� N �o�a�o � d �� O � � °q °y' �y�A, �...�Cr c, 0 E-1 � F F Q� +�'+ W'C'13 �" U ��m O N � lF !f! M F, g °o, °o, '�`� � OD 1q � N : : : g : : $ o° . • °o �+ . . �' ti ..� � ' i�-� i0 o ' a c'�, g � a � � � � � Q � ;� 4 � ,� cC°. y o v k� � � .� r.+ � � � �' � � � � E � � � � 5 � ^��, a w ,��xaa d O � a d "� 5 � � .�s v, vr «� v� °o 0 0 �° �� °o g : : $ c� • o � � ' : � � y� :� � � $ � a a � °m � � o 0 � b � � � �°�� o�� V � � � � � � � � � � � 3 a � Q �� r�aa � a � � Q% � U a� � E� � � 0 z .� a — O z � a � � � � �U a�i a3i � � W �O � a4 � rfa 0 0 0 0 oo�� CO CO N N � � W « m �� os �� 'a" i � N x � V o � 4 � E+ m d � � d My VI W W W � w q y O O N M � � W W O � O 0 a �.i Q z � � � � W � � o� �4 � z H � � 0 0 � ,d � � � : � W v ;� o `' � o ti � a o � �' � � M � cq +�-+ f. OG o w x a � �o a 0 z � � � 0 � � z v N � � b d H� � I � � Z � V � d � r. � � � � E�+ U E+ � !!i 0 0 � � 0 0 0 0 0 � O � � oc z a � oa � v a � H H � � � � PG �on, �°�, o � N � fC iC k z � � � :H � o � S � o �a .� �x� v; °; w y W k m � V � � � x zM�o � M �,a 'LS t6 H � d � .. w � 4 � a x� r � i �� t � Q: � � � , _ pq . �,. i � , f- h � �\ � } a� � � W � R C *�i n � � v" � � Q � � 'u �� s a c� U � � w w � O � F � N � � W d ti �� a W W �a��a z � m � N x x z ,., E F O F � x E+ W 4 w > � � � i � � � x � a � N f s� � 1 t � z w > N Y ` W v � � �� Su8dEC7 . � . c�ty of Fr�al�y �� a 5 6 AT THE TOP OF THE TWINS " g U I L D I N� P E R M I � ; � RECEIPT N . � `� ______ COMMUNITY DEVELOPMENT DIV. /� c�� r � � PROTECTIVE INSPECTION SEC. J t . � � � /"'1 � CITY HALL FRIDLEY SS4$Y NUMBER REV. DATE PAGE Of APPROVED 8Y �""'�� ' 612-571-3450 910-F15 / / 4 13 84 J09 ADORESS ]_O9 H��13I1 Circle N.E. 1 LEGAL' LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR; 3 2 Sanhurst Addition SHEET 2 PROPERTY OWNER MAII ADORESS ZIP PHONE �ahriel Giancola 109 Hartman Circle N.E. 571-6794 3 CONTRACTOR MAII ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE IICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP pHONE LICENSE NO. 6 USE OF BU{LDING �63�ii8�� S1C�P.11t.1.� 7 CCASSOF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION O REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK Construct a 12' x 12" Shed with basement 9 CHANGE OF USE FROM TO STIPULATIONS TYPE OF CONS7. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDIT10hiNG. THIS PEFiM1T BECOMES NULL AND VOID IF WORK OR CONSTFUCTION ZONING ' SO. FT. CU. FT. AUTHOFiIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTHUCTION OR WORK IS SUSPENOEO OR ABANDONED FOR A PER10D OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UN675 OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPIiCAT10N ], STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORFECT. ALL PROVIStONS OF LAWS VALUATION SURTAX ANQ ORDINANCES GOVERNlNG TH{S TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GFANTING OF A PERMIT S�-� OOO $. SO DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pEFiMITFEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PER R OF CONSTRUCTION. yS`�.Z.�O PLAN CHECK FEE TOTAL FEE �' .�„ $18 . 00 �51 NAT EOFC i ACT R PA NORIZEDAGENT (DATEI � - WMEN PROPERLY-�: U ATED THIS IS YOUR P[� IT � �GNATURE OF OWN IIF O EA BU�LO I ATEI �� BIOG �NSP � ATE � � � NEi1 [ �-3' ADDN. [ J pLTER. I � Construetion Address:_L City of Fridley R-1 AND R-2 Building Permit Applieation �� Effeetive �/1/84 � Legal Des� i��pjt,,,i,on: �-c� � -� � `� ' '- �' -- - - �i=xvirci� .i�• i`n." `.o �` �L � G� Tel . # 7l '�' � Property �� . � Contractor: �� ^ -P � _ Tel. # Address: Attach to this applieation, a Certificate of Survey of the lot, �ith the proposed construction drawn on it to scale. DESCRIPTIOR OF II+IPROYEMEI�IT LIYING ARBA: Length Width Height Sq. Ft. _________ GARAGE AREA: Length �� iidth __________ Height Sq. Ft. _______ DECR AREA: Ler�gth � Width Hgt/Ground Sq. Ft. OTHER : '� S� c� 12- / 2' ��t U�s e � Corner Lot [] Inside Lot [] Ft. Yd. Setback Side Yard Setback � Type �if Construction: �oo d- � ��'L'�!�=� � Estimated Cost: � % � � � - Approx. Completion Date: � � � �/ Proposed Driveway Width If New Opening DATE: _ � 3 �APPLICANT: Permit Fee Plan Check State Sureharge SAC Charge Park Fee SeWer Main Charge TOTAL STIPULATIONS: Desired: CITY IISE OIiLY � Alt. A Alt B � � — Baek Page for Explanation � Tel . # S� �/ -67�` ��cp � �g - � 6 � I� ��• a G Fee Schedule on Reverse Side � '-'�� 25'� of Building Permit Fee � ' S $.50I�1,000 Valuation � �� 425 per SAC Uni.t � "�'! Fee Determfned by Engineering $ � /�. O u Agreement Necessary [] Not Neeessary [� # .., _ - � 3 � 3 � �c 3 r N ., .....�:. . �......._....,_ .... _.:. .. .... _. 1.. �..«�...,...�.:.. . __... .� . � .. �! . � � � . ...... ...�. .�:...... . _.. .... . � 1 � ^ � J�G � ; - - - - �ri.�pos�. $t� . � i a r� cr a 1 c�. Ho�se I ok l4attr,�� Giz, R ��. �. � Y �/p,a�, �' � , e ;�,- z�c. r= . S 1 �. - - ��X/� � - � Pn��.:•, L.,',� k ��.�.� P - - - - - - - - - � _ � a��S�d V�.�N �in ��. �exce Yft 'L� �! R A �'�-"``-.s 1`" �• t �� ,,w,a �. s►.�d _ ��,,� sc�P.�s _ y� si�� 0 v :J t� � r � J 3 Z� , �a.s-f- i� � � e-�- � i� � , � , . � � . 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N �r� .�4 a � (� O a H � W � � � � x a 0 c9 O �6 N Q� � � r m � � i p rn N � rn �i 0 Z m F- m� Z� � Z � j � O � c� m Z � Q a c � m � �n � O o �� _fi f,9 fA EA if3 Efl !fli 0 0 O tA 1 pi U �.G,. � � � O m � c r C � C� !i m � � � � m m Z �� c m . Q m �¢ a � (R � H lSS t� �_� �___�_ � -°v o 0 0 69 EA m � R � U m � Z � O � � � Y W � O c � " ° o` � m Q Q � � G ( °if =Q, ; iQ1.. � q� � T7 Q c .- o m m � o �� Z � d� m> � U � ° � `o s� � ~ � Q ''_-- - - E3 � � - �_ ____-__- V _ m a 0 c ti t � � O � -a > 0 a � Q �\ � � �� Z O Z 0 a U � � > Y U 1-- � � � O U c� a w Z o � '^ � v/ � Y Z U W m w � U � � O � a' � lL � \ f � . � � � 0 t .. .� � .: (� � a d O v �, r � m c °' O m � � C c. c S �m `o v �O � � C � l�L � _ Z � � p o �o v � � Q � °' c Z V � � --- Q -�_ . ...... .... �:<. : ,.. . . , � .. .... ........._ , . .... ,. .. . .� . ... ...... .. . . . ... , ... ......... .... .. ....w. ..�..... . .._ . �_.. .. . ..�.�:. �� r$m�- ,, /O ��M/�-/ HOU�` RC�� G TEST RECORD �� AUDRESS ` ' 7 �' A�T. FLOOR CITY SUtUR� 1�� OCCUPANT OWNER HEAT LOSS DATE NTG. INST. SOLD BY INSTALLE� BY Elsctrical Work By Gos LieN By � TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNIT HTR. OTHER GAS ESIGN CONVERSION MAKE MAKE OF BURNER Mod.l � ' Mod•1 SKial IiAox. BTU Ratiey INPUT MAKE OF FURNAGE — — -- - - - lNodsl _ . CONTROLS �l THERMOSTAT M t I� �— V.nt Siz� _ Valv KIND OF LIN _ SIZ NO Limit Drok Hood _ R�qulawr Limit S�ffiny FilfNS Sis� Num r Fan S�ttinq — Chimn�y Locetion Insid� Outsid� Pilot Typs � Chimn�y Conshvetion Pilot Mok• — Pilot Modd Smok� Bomb Wiriny Pilot Timinq D►oft T�st Tap L.W, Cut OfF �—� Dow P•.ssur. Liyhtiny ( . Presswe � P�rc�nt CO2 Dot� T�st�d ^ � I�ut CFH k^ Pne�et 02 Company T�stin9 Sroek T�mp. P«ant CO Nan» of T�stK , r� �, � caoZ �� C�,�t i'1' HOUSE HEATING TEST RECORD AODRf�Sj ;�9 �K�T/"��T� C�R.CC� APT. FLOOR C{TY SUSURB ��'� OCCUPANT OWNER HEAT I.OSS DATE HTG, iNST. �/� SOLD BY iNSTALLED BY �Jv El�ctrieol Wo►k By Gos Lin� By 7YP£ OF HEAT GA FA HW STEAM SPACE HTR. UNl7 HTR. OTHER GAS DE IGN CONVERSION MAKE MAKE OF BURNER Mod�l Mod�l S�►iol Mox. BTU Ratiny INPUT M/►KE OF FURNACE 1Nod.l _ -- - --- -- - -- -- - -- -- -- - _ - __-____ - - - - - - - - - �--�„ CON7ROL5 L iHERMOSTAT H t Pluy �� V�nt Siz� _ � Yalvs K{ND OF LIN S1Z Limit Droft Hood � R�quloro� Limit S�Hiny Filt�ts Sis� Nu Mr Fon S�ttiny Chim��r Loeation l�sid� 4utsid� Pilot Trp� � U�imney Construetion Pilot Mok• � Pilot Mod�{ Smok� Bomb Wiring v -- Pilo� Timi�g D.aft T�st Tap .�•--�-^ L.1N. Cut Off Doo. Pr.ssur• Liahti a�-■• Pr�ssw� � � P�rc�nf CO Dot� T�shd - � I�put CFH ��'' P�te�nt 02 Compony T�stiny Swck T�mp. PNaet CO Nan» ef T�st�r SUBJECT City of Fridley � � � � � AT THE TOP OF THE TWINS g U I L D I N G P E R M i f i i. R O. � ` ___�_ COMMUNITY DEVELOPMENT DIV_ �� v � PROTECTIVE INSPECTION SEC. � � i � 1 � � �'��I � CITY HALL FRIDLE� 55432 NUMBER AEV OATE PAGE Of APPRO�EO BV �"""'�" �'' 612-571-3450 9t0-Ft5 10/18/96 / / JOB AODRESS 109 Hartman Circle NE 1 LEGAL LOT NO. BLOCK TRACT OFi ADDITION SEE ATTACHED DESCF. 3 2 Sandhurst Addition SNEET 2 PROPERTV OWNER MAIL AODpESS ZIP PHONE Tom Kit,linger 109 Hartman Circle NE 572-9703 3 CON7RACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Same 4 ARCHITECT OR DESIGNER MAI� ADDHESS ZIP PHONE LICENSE NO 5 ENGINEER MAI� ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CIASS OF WORK G NEW ❑ ADDITION (�� ALTEHATION ❑ REPAIR � MOVE ❑ REMOVE 8 DESCRIBE WORK Install basement e ress window 9 CHANGE OF USE FROM TO STIPULATIONS Window must meet the State Building Code for egress windows. TYPEOFCONST. OCCUPANCYGROUP OCCUPANCV�OAD SEPARATE PERMITS ARE RE�UIREO FOR ELECTRICAL, PLUMBING. HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL ANO VOID IF WORK OR CONSTRUCTION ZONING SQ. FT CU FT. AUTHORI2ED IS NOT COMMENCEO WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDEO OR ABANDONED FOR A PERIOD OF 120 DAYS AT AtJY TIME AFTER WORK IS COMMENCED. N0. DWLG. UNITS OFFSTREET PARKING 1 HEREBY CERT�fV THAT I HAVE READ AND EJ(AMINED THIS APPLICATION 1 SIALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VAIUATION SURTAX AND Oi;DINANCES GOVERNING THIS TYPE OF WORK WI�L BE COMPLIED WITH WHETMER SPECIFIED HEREIN Oi± NOT. THE GRANTING OF A PERMIT �ISO �.SO DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMl7 FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGUI.ATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. �ZI.00 Fire SC �.I.S PLAN CHECK FEE TOTAL FEE $21.65 E OF CO R O A HOA�ZED AGENT IDATEi WNEN PROPE VAII ATED THIS IS YOUR PERMIT ,� �p_�g 6 0 , SiGNaTUAE OF O NER UF O�NNER BU�lOERi iD4TE� - B G�NSP r 1� NEW ADDN ALTER �] �� [) CITY OF FRIDLEY SINGLE FAMII.Y AND DUPLEXES R-1 AND R-2 Building Per`mit Application Effective 3/1/96 ConstructionAddress: � � � ►-I � �rr� � +v C f�2c� r� ,'_ � � ��, /� y � �/ GJ'�'Lr3 � LegalDescription: _ L,OT ?j ��pc j� � �/jD �h�hur�T ,�eD�T1Oh Owne Name & Address: �� ,��qi� tOq �i��TWl�W C i/1CZQ Tel. #�%� 9703 Contractor: MN LICENSE # Address Attach to this application, a Certificate of Survey of the lot, with the proposed construcdon drawn on it to scale. DESCRIPTION OF IlVIPRO`�NT Tel. # LIVING AREA: Length Width - Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECB AREA: Length Width Hgt/Ground Sq. Ft. oTHER: �q �'�ss �v � Hcpo�.v r vt �+5'P�`�' h��roorM Corner Lot [) Inside Lot j] Ft. Yd Setback - . Side Yarcl Setbacks � �ypbe of Construction: - Fstimated Cost: $ f�f�.40 ApProx. Completion Date: ` - � : : (Cost on Back) -- - .:� Driveway C`urb Cut Width Nceded: ` Ft. 6 Ft =� F x$ _$ DATE: � APPLICANT: Tel. # �1 �� `�%D3 Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $. $, $. $ $. $ $ $_ $_ � CITY USE ONLY 02 /_ 00 Fee Schedule on Reverse Side .r � �s .001 of Permit Valuation (i/i0th%) � 5 � $.50i$1,000 Valuation " $900 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 [) $ al� �� Y N-34.5"� 3' I 109 Hartman Circle South side of house /'� 10/17/96 �� % s, /" � D`��5 t� �� %%�v � Cvi/J� /1%v �y � �G�' �� i L SuB�ECi � - City of Fridley AT THE TOP OF TME TWINS g U i L D I N G P E R M i T :, � � � ; � __��_ COMMUNITV OEVELOPMENT O�V. r � � PqOTECTIVE INSPECTION SEC. 1 . . l.-_-� ��"' �•� CITV MALI FNIOLE� SS132 NuMSEn t 612-571-3450 910-F15 �oe �ooRess 109 HARTMAN CIRCLE 3�� RECEIPT NO. NEV OATE PAGE O� AMROVEO BY 6/19/00 / / 1 IEGAL �OT NO. BLOCK TiiACT OR AOOITION oesca. 3 2 Sandhurst Addition 2 PROPERTY OWNER MAII ADDRES$ ZIP Kimlinger 109 Hartman Circle 3 CONTRACTOR MAIL ADDRESS i�P LJ Roofing 10151 Foley Blvd. Coon Rapids, MN 55433 1 AfiCNITECT OR OESIGNEp MAIL ADORESS Z�P 5 ENGINEER MAII A�ORESS ZIP 8 USE OF BUILOING Residential 7 CLASS OF WORK p NEW O ADDITION O ALTERATION �1 REPAIR B DESCRIBE WORK Reroof with Tear Off 22 Squares 8 CHANGE OF USE FROM STIPULATIONS TO layment must comply with the State Building Code. SEPApATE PERMiTSARE FEOUIREO FOR ELECTRICAL, P�UMBING, MEATING. ��" `�• vv.•�. vv��• VENTI�ATING OR AIR CONOITIONING THIS PERMIT BECOMES NULL ANO VOIO IF WOpK OF CONSTRUCTION 20NING SO. fT AUTHORIZED IS NOT COMMENCEO W�TMIN 60 OAYS. OR IF CONStRUCT10N OR WOqK tS SUSPENDED OR ABANOONEO fOR A PER100 Of 120 OAVS AT ANV TIME AFTER WORK IS COMMENCED. NO �YVLG. UNITS 1 I MEfiEBY CERTIfV TMAT 1 HAVE REAO ANO EXAMINEO THIS APPLICATION STALLS AND KNOW TME SAME TO BE TiiUE AND CORRECT. ALl PROVISIONS OF LAWS yALUA710N ANO ORDINANCES GOVERNING THIS 7YPE OF WORK WILI BE COMP�IED �� 2g3.00 WITM WHE7MER SPECIFIED MEREIN Op NOT. TNE GpANTING OF A PERMIT s OOES NOT PRESUME TO GIVE AUTHORtTV TO VIOIATE OR GANCEL THE pEpM1T FEE PHOVISIONS Of ANY OTHER STA7E OR LOCAL LAW REGUTATING CON- STRUCTION OR TME PERfOiiMANCE Of CONSTRUCTION �E)9. ZS PLAN CNECKf /4 p D Lic e C C S�G pEO�CON"QACTOAOA�UTMOp�ZED�GENi i•iE� ME PAOpE � _ � SEE ATTACHED SHEET PHONE LICENSE NO 767-1587 PNONE UCENSE NO PMONE IICENSE NO ❑ MOVE O REMOVE GROUP OCCUPANCVLOAD CU FT OfFSTREET VARKING G�R�GES SUpTAX $.96 SAC CHARGE Fire $1.92 tOTA� FE 7.13 ED �5 �OyR PfR�� l / .u�E NEw Il ADDN [ ] �4;TER'` ( ] Construction Address: Lega! Description: _ CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPUCATION Ef�ective 1J1/2000 (763) 572�604 Bidg {ns� W /\ �,Id � J� Owner Name 8 Address: /� '.,� /� ��E,.. Tel. # Contractor. I�� a�,o�� MN LICENSE # �'10 3� Address: t� �i"( �9 ��> �« Tel. # 76 ?� � r� � 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. F� Length Width Hgt/Ground Sq. Ft Construction Type: �ar 6�� r�rm o-� Estimated Cost: $`�yro, d� Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ � s DATE: ��O _ APPLICANT: � �� Tel. # � � �"�s� � CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application Permit Fee $�<j, ?� Fee Schedule on Reverse Side Fire Surcharge $ /� 9' �- .001 of Permit Valuation (1/10th%) State Surcharge $ � 9' � $.50/$1,000 Valuation SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ $1100 per SAC Unit $ �� o p $5.00 (State Licensed Residential Contractors) $ Alt. "A" or Alt. "B" Above $ $450.00 Conservation Plan Review $ Fee Determined by Engineering $ Agreement Necessary [ ] Not Necessary [ ] $ ? �. r 3 � - SuB�ECT - c,ty of Fridley 3 3 6 0 9 AT TME TOP OF TME TW INS g � i L D I N G P E R M I T i � RECEIPT NO. � �` �� COMMUNITY OEVELOPMENT OIV. �� r � �' � PR07ECTIVE INSPECTION SEC. � _ �"'1 � CITY MALL fR10lE� S5�J2 NUMBEp pEV O�TE P�GE 0� APPNOVED 0� �""'�� ' 763-571-3450 910-F15 6/13/03 / / J08 ADORESS 109 Hartman Circ? e NE 1 IEGAL �OT NO. BLOCK TRACT OR ADOITION SEE ATTACHED oesca. 3 2 Sandhurst Addition SHEET 2 PROPERTY OWNER MAIL ADDRES$ Z�? PMONE Tom Kimlinger 109 Hartmar. Circle NE 763-572-9703 3 CONTqACTOR MAIL ADORESS ZIP PMONE IICENSE NO Same � ARCMITECT OR OESIGNER MAIL AODRESS ZIP PMONE LICENSE NO 5 ENGINEER MAII. AODiiESS ZIP PMONE LICENSE NO 6 USE OF BUILDING Residential T CLASS OF WORK Q NEW O AD�ITION O ALTERATION O REPAIR O MOVE O REMOVE % 8 DESCRIBE WORK Install a 16' x 32' x 52", Above Grou�d Swimming Pool 9 CHANGEOFUSEFROM T� STIPULATIONS See stipuiations on letter dated 6/13/03. TYPE OF CONST OCCUPANCV GROUP OCCUPANC� LOAO SEPARATE PERMITS ARE RE�UIfiEO FOR EIECTRtCA�, PLUMBING. NEATING. VENTILATING OA AIR CONQITIONING THIS PERMIT BECOMES NUIL ANO VOIO IF WORK OR CONS7pUCTtON IONING SO. fT CU FT AUTHORIZED IS NOT COMMENCED WI7HIN 60 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONEO FOR A PER100 Of 120 pAYS AT ANY TIME AFTER WORK IS COMMENCEO NO DWIG. UN175 OiFSTREET PARKING I HEREBV CERTIFY THAT I HAVE REAO ANO EXAMINEO THIS APP�ICATION 1 STA�LS GARAGES ANO KNOW TME SAME TO BE �RUE ANO CORRECT A�L PROVISIONS Of LAWS ypLUAT10N $URTA% ANO OROINANCES GOVEqNING THIS 7VPE Of WORK WILL BE COMPLIEO WITM WHETHER SPECIfIEO MEREIN OA NOt 7HE GRANTING OF A PERMIT �7,339 �3.G6 DOES NOT PRESUME TO GIVE AUTHORITV TO VIOIATE OR CANCEL THE pEqMIT FEE SAC CHARGE PFOVISIONS OF ANV OTHER STATE OR IOCAL LAW FEGUTATING CON• STRUCTION OR THE PERfpRMANCE Of CONSTiiUCTION $153.25 Fire SC �7.31F PLAN CMECK fEE TOiAL FEE $164.25 ' S� t�FEOFCON"AA(�SOAOQAUTMOQ� '�E�t ��3i//-D�3� WMfN PROPEpIV VA�IOATEO THIS IS V UR P RM11 �� $'�iNYT EO%OWNEA��OwHEaBU��EA� �AT"� f� �(� �N$� 1�. f • ♦ _ _ C[lYOF FRiDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(763) 571-3450 • FAX (763) 571-1287 June 13, 2003 Tom Kimtinger 109 Hartman Circle NE Fridley, MN 55432 RE: Swimming Pool Construction at 109 Hartman Circle NE Dear Mr. Kimlinger: This letter is to make clear this department's requirements for the swimming pool construction at the above address. 1. � As indicated, provided. As indicated, provided. one (1) skimmer approved by the Nationai Sanitation Foundation will be one (1) inlet of approved design for fresh and/or repurified water will be 3. The filter and �pump shatl be approved by the N.S.F. and be of sufficient capacity to provide a minimum tumover of at least finro (2) times in 24 hours. This department recommends a tumover rate of 6- 8 hours. 4. A deck of at least three (3) feet wide, measured from the pool waters edge, shall be provided which extends completely around all private residential pools. Above ground private residential pools may be provided with decking of a minimum size of 4 feet by 4 feet at pool entry points and provided that such decking has the approval of the City. 5. Fencing or other effective means including but not limited to walls or buildings, acceptable to the pools. Fencing shall meet the following criteria: a. The fencing shall prevent the entrance of children and be without hand or footholds that would enable a person to climb over it. b. The fencing shall be at least 6 feet high and entrances shall be equipped with self- closing and self-latching gates capable of being locked. c. Self-closing and self-latching devices shall be placed at the top of the gate or otherwise inaccessible to small children. d. The opening befinreen the bottom of the fence and the ground or other surface shall be not more than four inches. June 13, 2003 Tom Kimlinger Re: Swimming Pool Construction Page 2 6. An automatic chlorinator should be provided with a suitable test kit. 7. All electrical and plumbing installations shall be inspected and approved by the City Inspection Department. 8. All overhead electrical lines must be a minimum of 10 feet horizontally from the pool surface and 18 feet straight line distance from the waters edge. An altemative is to bury said lines. 9. The pool fil{ spout must be protected by a vacuum breaker or air-gapped. 10. Suitable safety equipment to include but not limited to a ring buoy and rope that is 1 1/2 times the pool diameter, and shepherds crook pole must be provided and maintained with the pool at all times. Furthermore, these and any other requirements must meet the provisions of the Fridley City Code, Section 115, Swimming pools. The building permit is approved contingent on final inspections and approval by the City. If any questions or problems arise from this letter, please contact me at 572-3603. Sincerely, DJ/mh NEW [] CITY OF FRIDLEY Effedive 1/1/2003 ADDN [] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax BUILDING PERMIT APPLICATION � n j� V �v `' . p� f��w��-� C �12C� r� v� Construction Address. Legal Description: Owner Name & Address: / Tel. # 7G3 �1,Z q7o3 Contractor: � MN LICENSE # Address: /D�% H�-►2�wi�� t�2 Ie Tel. # Sq'�P LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Certificate of Survey of the lot, with the proposed construction dravm on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. Q Length Width Height Sq. Ft. Width Hgt/Ground Sq. Ft. , � / . � � -� _ , i^ -� . r _ _ n _ a �0�, �. Construction Type: �L� � "� v'� Estimated Cost: $ l �J ! � � � Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ � � C� DATE: � y � �� APPUCANT: Tet. # �G�-� ?%Z / 7�-3 Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763�T1-1287 if using credit card and we will 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 TOTAL $ 3�� $ � $ � � �nlo $ $ $ $ $ $ $_� .av C� ` �� U;�� Fee Schedule on Reverse Side )�� m �/� .001 of Permit Valuation (1/10th%) � n $.50/$1,000 Valuation � � / �jf�i� UQ�� $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 [ ] Not Necessary [ ] �TIPLILATI�NS_ � � � i' � � �F u� � p � � -�d ro,. �+�• �r t�l�ah�� Se uet IITM q Rotary DE Filter Modei 0-1651-000 Owner's Guide 365-1834 �� Skim-LineTM D��uxe Thru-Wali Skimmer Models 0-2094-013 / 0-2094-015 Owner's Guide 365-1850 � � � �- �»- +..,. �. .� �. .� z� �� ,w,x, , , ,. , . 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I � Building PLUMBING Permit No.: Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date xec'a: �/ l � DATE�I �/ '7 —O T YOUR E-MAIL ADDRESS SIT'E ADDRESS � THIS APPLICANT IS: ❑ OWNER �'�l7PTRACTOR PROPERTY x�; a, t � �WNER/ ADDRESS: O � CITY P STA'C� NZIP�� Z.. TENANT PHONE: CONTRACTOR NAME: .��i✓ C SUBMIT A COPY OF STATE LICENSE # EXP DATE , YOUR STATE ADDRESS: d CITY • STATE ZIP LICENSE WITH pHONE Ax APPLICATION PERMTT TYPE GLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK• , �L.ACEI�T � DETAILED DESCRIPTION OF WORK PER MS 16B.665 the permit fee is a minimum of $15.00 or 5°/. of the total cost up to 5500.00, whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. (This shouldreflect only the cost of labor ) Labor cost under �300 = 515.00. Labor cost between $300 to 5500 = cost of labor x.OS = `FOR:PROJEG7'S WI-IERE LABOR EXCEEDS $SUO;FEES ARE BASED ON 510.00 PER FIX�'URE, IXCEP'f-Wi-IERE A{l"IED: FIJCC�R£S:--(WDICATE TOTAL NUMBER OF EACH BELAVi� BATH SINK/LAV R DRAINS SHOWER WATER PIPING _ BATHTUB GAS PIPING nvEeocnruc�vss) SWDvIMING POOL WATER SOFINER (S35) CLATEIES WASHER KTfCHEN SMK WAT£R CLASET BACKFLOW PREV. (S15) DISHWASHER _ LAUNDRY TRAY WATER HEATER (S35) � FOR IRRIGATION WATER MECER 071-IER Permit Fee S Number of fixtures @$10.00 x S 10.00 = S Surchar e .50 Number of fixtures @$15.00 x 515.00 = S TOTAL DUE $ Number of fixtures @ 535.00 x 535.00 =$ State Swcharge = $ .50 Tota1= $ THIS IS AN APPLICATION FOR A PERMIT NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all work which requires review and approval of plans. SIGNATURE OF APPLICANT PRINT NAME DATE City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 Building Inspections 763-572-3604 ' �� BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY DATE 1�'J��' O� YOUR E-MAIL ADDRESS siz�,AnDxESS /D�i ffl�vf�iC�o'l ��i �iclC�c'-/� s�3 �- THIS APPLICANT IS: ❑ OWNER PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION PROPERTY TYPE PERMIT TYPE TYPE OF WORK: �wD�ss: t D�%1 t�G�1aYI Cl �z PHONE: �IIOJ% J�% %7L� Permit No.: Received By: 3a STATE LICENSE �l �'XP�yJ � E`�XP� D,/ATE ADDRESS� 3�'l� I�LG��L�%��I�DZ� �'CG� � CITY - uil�u s STA'PQ''�' ZIP �✓�� PHONE FAX ❑'I'WO FAMILYMEW CONSTRUCTION ❑ ADDITION ❑ GARAGE/SHED ❑ BASEMENT FINISH 0 ROOF Q-DECK - U SIDING ❑ SWIMMII�G POOL DESCRIBE WORK BEING SIZE OF IMPROVEMENT SQUARES GARAGES PROPOSED SIZE: PROPOSED HEIGHT: SIDWG ❑ Vinyl ❑ Aluminum ❑ 4ther WWDOWS IN EXISTING OPENINGS Yes ONo OR FOR NEW OPENING -D CRiBE SIZE OF OPENING CHANGES 8c TYPE OF WIIdDOW TO BE INSTALLED_� NUMBER OF WINDOWS ( ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USINC�THE 1997 U.B.C� FEE SCHEDULE) � � ❑ HOUSE ONLY ❑ HOUSE 8c GARAGE ❑ ATTACHED GARAGE ❑ DETACHED GARAG£ OSoffit ❑ Trim O Fascia RA[N TI[.E __ THER b�LO f7�1 /'� � ��'' U� L9 �� h`77NCC WI,.�/�� J//O?G �D� � � ALL FEES ARE TOTAL JOB � Petmit Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge � Curb Cut Escrow � Erosion Control � Park Fee Sewer Main Charge HEIGHT BASEMENT REMODELING SUBMIT: l. Existing Floor Plan 2. Proposed floor plan 3. List of strucdual members to be used Ft. . FOR NEW CONSTRUCTION MCLUDRJG DECKS, .�DDITIONS_ 8c PORCHES SUBMIT: 1. Site Plan/Survey showing ffie existing strucUires and proposed project 2. Two sets of construdion plans 3. Energy Calculffiions $ $ � � ?�['j $ 3_ i 5 $ �5, UU $ $ S $ e $ See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $.50 �5.00 (State Licensed Residential Contractors) 51550 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftxa21=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make c6ecks payable to: Citv of Fridlev Attach THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTiL PROCESSED I hereby apply for a building perrait and I aclrnowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all work which requires review and approval of plans. SIGNATURE OF APPLICANT PRINT NAME !iU v� S�/Y•�yI �SDYl DATE ��3/ �D 7 Building �� ,. [nspections ii7'E ADDRESS �G II�IIS APP'I.ICANf (S� TRNArT'T . From: 763 572 9703 Page: 1/1 Date: 9/20/2007 5:56:21 PM BUILDING �smElv�r�, .�P��,�c.��rroN CITY OF FRIDLEY SUB]►�i[T A O�PY OF STATE LiCENS� YOUR STATE LiCENSE ADDRESS: WY�'EI A�'PLICAT[ON �� . ■ : :.t �i� t �.Y ,. M � DESCWBE WORK BEING SI�E UF Il1�ROVIIuID,iT 9QUARES 1 ?- � �a.,�pr ra •�� r i c �� a v� 0 Aleninarn • ❑ OtExt . . IN. E7QS'l7�Ki OP�%11NG5 DYa L�b QR F�OR NEW OPi�]QM(3S-DESCRlBB S�ZE OF QPEI�TQ�tQ CHANCx£S dc 7YPE OF WWDOVY'[�D BE AISTALf,.&D AtL �s�s n� $asEn orr v v Pestnit Fee Plsa R�eview F"'�ce Sts+c�arg� S�rcharge License Sw�charge SAC (�arge Gtirb Ctit �scx�nw Frosioa� Con4o1 Park Fee Sewer Ma�n Charg+e YOUR E-MA[I. ADDRESS I 0/7'1, 2� fi�.tDLe`� OCONCRACfOR .—..~ �� rh P r �k�(L?'u� C[ � Cm �2 9 70 3 , F�4' QAT'E FAX rW COTI�!'RUC770N � S71 L7 GAR.AGFJSf�D O ROpF � ❑ smnac o swn� Aoa. o w�nrno�x PMt O RflvlODELMG .g /4� (?`�OriC�i �VtSn tc: O HOUSE � GARA(iE O ATTAC'Fff.D GARq(� O DE7'ACHED GARAGE dSoffic o r�, fl F�cia IACATION OF R/II�OWS � ZTI.E o� ..._ a i, �e� .t�% � .z �� ATION, INGZ,UDING 7'� ppST OF G THE 199� U.B.0 F&E SC�DUI,E) � �� p�t �a.. , -�+�lr■■ - -.: �''� - ' ' i i , � �- Ne. l S'TA7E Z1P �114 ti r0�� f � 2. Fadstiog Floor P4n Z. Ropoa�d naa phm 3. List of strndiral memhers �o bc usad FORNEW COHSTRUCRON 9�lCLUDA�GDEClCS, ADDI'F1UtdS_ � POR[��S gt murr- i. sit� Pt:dstitv�y s4oanie� ehe oci�ing strac�es amd P�oPaaal pro.lea- z r.ro s� ocoo�va�io� a�s 3. Ena�r Caiwtadions �iIVI) �( p h. j� see Bad� Page for Fee Schaiuk ��/ .(� 65°.G of Bm'ldi�g Pamit Fee _� 1 S1� .00t tanes ti� raal job valuation � � .0005 x Penait Val�ation �tiamm►m SSO $ S5.00 (State Liceased Residcntiai Coatraet�s) $ S1675 per SAC Unit (Plans to MWCC fnr cieterminatipn) � 8+6ft= $x�2I =S $ 5450 Canservation Ptan Review $ Fee D�ined by Fatgmeering S, _ !°►�e�t �sary ( ) Non Nocessary ( } THIS LS AN APPLICATION POR A PF1tMlCfiiQl' YALID UNTiL PFUDCESSED I her�by apply for a buildrug permii and I aekuowledge that t6� information above is camplete and accurate; that ffie work will be in confo�a�utce v'�ith the ordinances aon� codes of the City of Fritiley and vsntb the Minnesota Construction Codcs; thai I understand this is aot a peau�it�bnt only an ap�lic�oo for a pesmit and work is not to start witbout a permit; that the work wiil be in aocordance with the approved plan in the case of a11 work whi u�� and approvai of plans. � 'S � / f SIGMATURE OF pppl,[CqtsC PRTN7 NAME r� 1n �� DATE �( ��`% f � � ; �.r• y I�.imlingers 109 Hartman Circle 763 572-9703 � �� The intent of this project is to increase the amount of insulation on the outside walls and the ceiling. � " Three rooms plus the attic are included in this project. The attached sheets show the Basement labeled (BSMr), Room A and ttoom s. The changes to those rooms is itemized below. The total estimated cost Room A: 375 itoom B: 3 5 5 BSNR: 519 Attic: 550 Total: 1799 for this project is: ROOm A' The ceiling has a flat roof with no living space over the top of it. The room is currently hot in the summer and cold in the winter. we suspect there is little to no insulation in the walls and ceiling. The room in question is labeled Room A and is highlighted in yellow on one of the attached sheets. The plan: 1. ttemove sheetrock from all 4 walls. �(Tfie interior walls have wallpaper on them and we want to just have paint). 2. If necessary, tear down sheetrock from the ceiling. I will open a small spot in the ceiling and inspect the amount of existing insulation. �f it is completely filled, z will not tear down the ceiling. 3. Add in phone, netwo�k, and cable tv �acks. 4. zf it was necessary to rertwve the ceiling sheetrock, add in the maximum insulation to fill the oists. tte-sheetrock with �4 inch sheetrock. Note : the cei 1 i ng a�ve the r ' '�i—af"` � living space over it. if you require it, i will us 5/8 fire roc � 5. tte-insul e o ' walls with owens � 15 x 5�4 21 insulat' n. 6. rte-sheetroc si de wal l s wi th 34 i nch sheetroc k. 7. All insulation will fiave a vapor barrier covering tfie interior space between the insulation and the sheetrock. Estimated cost: wal l s : 11 4x8 sheets �4" sheetrock @ 56.27 3 R21 KRAFT 15" BATT 58.13 SQ FT @ Ceiling (if necessary): 5 4x8 sheets �4" sheetrock @ 56.27 7 R?? insulation @ S22 Taping supplies Paint 2 gal @ S20 Total: 69 538.68 116 31 154 25 40 375 C:�Data�3DHomeArchitect�InsulationPermit.doc Page 1 of 3 9/19/2007 � �r � y . ,. IKimlingers 109 Hartman Circle 763 572-9703 Att7C' There is less than 6" of blown insulation in the e►ttic. z plan to blow in 18.2" (R60) of insulation to cover the living space not covered by the flat roof. The pl an : 1. Acfd a coverin� over the lower 2+ feet of roof rafters. 2. Blow in a mim umum of 2 feet of insulation. Estimated cost: 102 Blow-in Insulation R60=12 5saft@18.2"@5.39 550 Total: 550 C:�Data.�3DHomeArchitect�InsulationPermitdoc Page 3 of 3 9/19/2007 � c _� i. � i..... �. . �.. � �� t — � � 7 � •4 0 � � � � � 1 � � � � � � � � C�- � ,.1��..�7 wl � �. � ii'' � „�� - ,�,,� � � L � % � � � � ,� � V � �` L � ca a� s J1 �J � 1� / � �u � � > tY � � w � � . Q Q � � t� � z° > � Building MECHANICAL Pe�t �' — / � Inspections RESIDENTIAL APPLICATION Received By: 763-572-36Q4 CIT� OF FRIDI.�EY _ �� DATE �- � I .�i� S.IT'E ADDRES8� THIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR Co�.4rrY YOUR � CITY �lll\�� corrrACr PERSC �N� ; l.S� 4� O WEST SUBMIT A COPY OF �t� MN 55408 YOUR STATE STATE LICENSE il �tl24� LICENSE WTI'H p,�p�g; �A� � APPLICATION PHp� FpX _ _ - -- — -- - PERNIIT TYPE �S�GLE FAMILY ❑ TWO FAMILY TYPE OF WORK: I ❑ �w ��"p'�� DETAILED DESCRIPT'ION OF WORK - --- — — ❑ TOWNHOUSE ❑ pLTgRpTiON/REMODII. PER MS 16B.665 the permit fee is a minimnm of 515.00 or 5•/. of the total cost up to 5500.00, whichever is greater, for the improvement, instaliation or replacement of a residential fixture, excluding t�e fixtures. (This should reflect only the cost of labor ) I,abor cost under $300 = SI5.00. Labor cost between 5300 to 5500 = cost of labor X.OS = _ .._.. __ FOR PROJECfS VVIiERE IABOR EXCEEDS SS FEES ARE B ED ON S10.00 PER FIX7URE> EXCEPI' WI-IERE N�TED• �3�7�' �I�� NUIvBER OF EACH BELOV� �_ SIZFlB117 ,�_ �9�Pment Installed . MF MODEI.: MFG: MODEI,: � ST7�lBTU MFG: MODEI.: SIZFIBTU CE (GA�S) 515.00 GAS RANGF/OYEA1510.00 ,�A/C S2S.00 TiEW GAS GRII.L S10.00 AIR TO AIR EXCHANGEER S15 LACE (WOOD) S35.00 Gq� �T HTR 510.00 BOILER 535.00 ,;�FURNACE 535.00 CHINIIQEY LINER 510.00 GAS DRYER S10.00 POOL HEAT'ER 535.00 �DUCT WORK SI0.00 GAS P�ING 510.00 __ VENTII.ATOR 515.00 _ — P�rmit Fee S Number of fixtiu'es @$10.00 x SI0.00 = S Surcharge -" $ .50 -- Number of fixtures (� 515.00 x S15.00 =$ TOTAL DUE S Number of 5xiures @$25.00 � x$25.00 =$� Number of fixtures @ 535.00 x S35.00 =$�.QC S�Surcharge = $ .50 Tota1= $ „�S� Tf�S yT pid AppLICATION FOR A PERNIIT NOT VALID UNTI1- PROCESSED I hereby apply for a building permit and I acl�o ledge that the information above is complete and accurate; that d�e work will be in confoimance with the ordinances and codes o ' of Fridley and with the Minnesota Construction Codes; that i unders�and this is not a permit but only an r a 't d ork is not to start without a permit; that the work vaill be in accordance with the approved plan u► the of all hic uires iew and approval of � �nlarvA� �- I y SIGNATIJRE OF APPLI •� City of Fridle}� Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 . 763-572-3604 FAX: 763-502-4977 Building Inspections 763-572-3604 763-502-4977 FAX DATE�7 ` 1 � SITE ADDRESS _ THIS APPL[CAAIT iS: PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOURSTATE LICENSE WITH APPLICAT[ON PERMIT TYPE TYPE OF WORK: MECHANICAL RESIDENTIAL APPLICATION CITY OF FRIDLEY ❑ OWNER . � .. _ YOUR E-MAIL ADDRESS ' �rY C � E� , �= r-� 1-ex C�ONTRACTOR NAME:_ ( � i/-� l� � N J ��( ADDRESS: C-�I rtil S� / CiTY PHONE: COMPANY NAME:_ CONTACT PERSON: STATE L[CENSE # ADDRESS: PHONE � C> 'S � , � - ��%�i EXP DATE 7�H ��. 5 y--� fAX �6iA1GLE FAMILY ❑ TWO FAMILY ❑ NEW ❑ REPLACEMENT DETAILED DESCRIPTION OF WORK Permit No.; Received By: Date Rec'd: 7'ATE ZIP � ,�^ � ._ �� y� I�STATE/ %"2IP S.%~Y� ❑ TOWNHOUSE �.4LTERATION/REMODEL �� FEES ARE BASED ON S10.00 PER RIXTURE, EXCEPT WHERE NOTED. FIXTURES: (1NDICATE TOTAL NUMBER OF EACH BELOWy PROVIDE HEAT LOSS CALC'S PER MANUAL J 2006 ASH HANDBOOK. . / Equipment Installed MFG: N�/J 7" �1i�� MODEL: C�CQ � C�- '—=� '--� SIZFJBTU �� C a Q C� �� MFG: �.ux� MFG: MODEL: _A/C 525.00 �FIREPLACE (GAS) 515.00 AIR TO AIR EXCHANGEER E15 FIREPLACE (WOOD) 535.00 BOILER 535.00 FURNACE 535.00 CHIMNEY LINER $10.00 lGAS DRYER 510.00 DUCT WORK $10.00 _GAS P[PING S10.00 SIZFJBTU SIZFJBN GAS RANGFJOVEN SI0.00 NEW GAS GRILL $10.00 GAS UNIT HTR $10.00 POOL HEATER $35.00 VENTILATOR SI5.00 THTS IS AN APPLICAT[ON FOR A PERMIT-NOT VAL[D UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case o ll w k hich reqa+�s review and approval of plans. � SIGNATURE OF APPUCANT�i{ I l:.�'�ky"" �-rRINT NAME ��% ��/ V U� �'. D�cTE / c� ` d- �" � L/ SIGNATURE DA �' City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 I I