The URL can be used to link to this page

AF - 46631City of Fridley, Minn. BUILDING PERMIT N° _ 6 0 3 5% Date: �.�.� � � """� �� _._...._ . Owner• � R' �`"-��=�f�li��"�— Builder � , _,,,,,, _.__..__.._....._...._......,_......._..__.._.__.._..__ Address .__...._...._.._ Jf —...�._.._. Address _.._._ __._...._.____._.. .._._. L CATION �lJl ING No. —d-_ � Street `�� _ Part t -- Lot _._.. —__ Block __.�___.�— Addition or Sub-Divi � � ..�� ✓'� Setback Sideyard '—..--.._---..-- Corner Lot __ Inside Lot --- Sewer Elevatian _____.—...�....�...__+._.�_.____......_..____ Founda.tion Elevation D�SCRIPTBOIV O� F�U6L.DI�VG � � �r�� , / f f f i F ~',.; k „�"'^` ,; �. ',, ..- �f .-r� it� � �t•''t,J` 6 ,l .:.....r' �`Z'aY}.ti �:.:. � �. ]�p�E �1.��,,. H�igEli: E:-r�:..i1.=.. �Cg. �' �. �. !.-_ f �`EL. ��,�-..ff.1`• "' ....� .a,: .___ ...- -•-•••._..•--._._.... �.. �°s�� . __.__...____ Degth _.r__�.._ f��ight _ 5�,. F`t. _.. .... .. �u.. �t ._.._.._� ,.,�. ... _ ,�.r , , � -�l"`-''.._ �pe of �'onstrucY,ioaa _.� ....:._y..K,"��..-�::�:�u`f:'...__.. Es� C:�t .;�.E�..��<'� ��..�__._......_ p To b� �am l��ed _..._........_...__..---------__.— In consideration of the issuance to rne of a permit to ca�struct the building desaribed above, I agree to do the proposed work in accordance with the description above set forth and in ca¢npliance with all provisions of ordinances of the city of Fridley. 1 , Ea c�sfderation o! the payment of a fee of �—''� , permit is hereiiy granted to to construct the building or addition as described above. This permit is granted upoa� the express o�dition that the person to whom it is granted and his agents, employees and worlmzen, in all work done in, around and upon said building, or any part thereof, shall oonform in all respects to the ordinances o� b%idley, Minnesota regarding location, construction, alteration, ma.intenanoe, repa.ir and nnoving of buildings within the city limits and this permit may be revoked at aqy time uPan vi o f any of t]ie Provisio�s of said ordinaaoes. % }�l �� NOTICE: This p�radt doa not wwr t6� eoeslrvelioa, �falldion for vrieiY. P��W Yas Msf6g, �w�r er wNw. 6� wn fo sN th� duiW� lasp�etor for s�para» p�emhs for tl� i1�ms. Owner's Address ____ APPLICATION FOR BUZLDING PERMIT CITY OF FRIDLEY. MINNESOTA LOCATION OF BUILDING E�� u of Lot � . � Lot Block Addition or Subdivision �_ Corner Lot Inside Lot Setback ,Side-Yard SEVaER ELEVATION FOUNDATION EI�EVATION Applicant attach to this �orm Certificate of Survey of Lot and proposea building location. DESCRIPTION OF BUILDING To be used as: � Front�Depth � Height �--� Sq . Ft . , � �_�,� Cu . Ft . � ?L,'�-- Front______ Depth Height Sq. Ft. Cu. Ft. Type o� Construction _,_, Estimated Cos � 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 o� Fridley O�dinances and,ruling o� the Department of Build- ings, and hereby declares that all the facts and representations stated in this appliCation are true and corre�t./ A � � DATE SIGNATtJR�'��i��iy'— / (Schedule of Fee Costs can be found on the Reverse Sid� � A r • . • •J, � w � o� � � •� .� D � °a � a � c •� � S � � O M �` u, ° � -p a a LJ,. � O � � U � C �� 0. M � M « � aE k• O o 3a �4 � � � O Y U u y � w .� x„' y xc. 'w � op.. $ � i d � � Y U y �.; s. v � w � � o � � �t u ��b� a�, �,� � � d � ti��y °�,�„ �" U }�++ � ° � m a V G v� �' � m '� � � �• � � aE � � � �a°� �, � � .� �� '� � ° o �'' � " � � ��0� o '�d�� a � ° � a, ��a �y=� � i�. � y � � wl � W � W � W ; < u . z • � S9NIN3d0 r� 39NYL �� ,�� sv� aa►+svM olnv SNISVg rr O � U � v � a � � ✓ E"� « 6 :g �a � o U Gi � ti � � .� � � � a m � � o '� t� � � � � w o W J 0 W U � � `� � n � � � � °a � � a � o 4 F-� • . O E+ u� i v� �sr va � W 4 � N O N O N (� .y .--i .-� M N M Vi K k i! DC SC �E O x z w � 4 O E � � � 4 � � � �j .ti N il} k >C k O z n < � � . yy v� . k. . � : E+ H Q � H�lY� � � W . . . � . . . . � . SNIV210 � � . . . . �j O xa . � O ,d aooii � . . � : : o . E+ � •syy,w�s � : « : o � M OG '� �1Nno� J n° . ° '� � m vVi AC '�Niaa Q : � � : �°o� � �A i : QN SAVM1 � I �� I'� W _ � p, . O O : N O dj : A �M I � N � 6 y :�, ° z � Q 4 v, p,.� a a � g p � 57tN15 � � a a F � � �� : w � � � � k o E" �l" SNiSVa p b �, �Y. �.�, � � � � Vj k �i +' � Seru �� E+ ��i k �' cc°i � �W k a � G`� o Hlva � �, �' � d �i � x � (7 �'' � PG 4 a R, .., snNren I U � � � Y °3' � � a�i z +• b � °1{ � s�so-o ., z�i Z U� Z EE"., :: � C7 � A a�vM � � � � a� Zr 'X, p o� p, �Tsa3S W .� �O zs �y W PO :; e�i � a w•'1� � �J OC � �� 0 �� .� _: �� . � �O � �. i � � � � ti � h � � � a � � � 0 A J 0 W � H W � J 4 � aQ. � �� ,� �, � w�� 0 a,�� +Y � � o�� I Y� � � M f � �'�b � l � � �a�� 't , ��Y o�p� �� '�, � � a��a � �•�� a c� ��o� � � y� � .a ; � � � N � O x,° � i . �y � y aN ��do � ti�� mo� � � °° � � ��i'�� a � [-1 « H 7-�i N � N'd'i3 � U �� O � H N �19� �y O O O � � a0 W u� fi : : : g : : g o 0 • ' o � ..�,b �eo ' ' � : y � o � s� v � � I y � y � ° � M � "` •?3 �' a d � � o � � ,� � d � •e�.�a�a� 3:� � � E�" ,� �, a a ��aaa � . O, ri (� , � � - $ � .� � � y 0 � r^ U � �o � O � v �ry v � .r �o .r� � b H w V i O � i �? tl} V! ? O O O O � CO C�2 �fi0 1f� N 0�0 � � J °o o S . g g : o � � • ; q ,d a � w ' � '' � v � $ � � �' t� ro � a �� O � � °' � i� m• � �r °' � �3 � �i, > 3 � p, � a V � � a � � � a 0 � a° I � 0 ti9 z � a � � �� z � � x � , � :� � i O O _ �a z °' z � � � � M I � � � � � � ti o° a� � � 0 o '0 C ,�° i a � a � W � U � � . ° � � � � a � � � z � b � � � :� v ' z � p � , y � a � ~ � � � � � �+ U H � N3 , fl! �1} �} 0 0 0 0 0 o u� �n CO OD N N � � � W � W � � I � d, � � 3 � d x� u o c° � � N m . 6:} O 0 � O 0 0 ICJ . . � . ' : : � . : : : � : : : � : : y W : � ,. � � a `? _ . � � � H � a� x � o � W W � d °- a o � w � � w o� a � ° 00 m M M a O N �' f" � � b a o � w c� � x a a w w °�° � a �' o � a4 � F� � � � � � � �°n o .� � N � p x �e x � i i i : � 0 y o° �o" 0 � k N w � � y W � � o � o � Pd .. z H v d � N � w 4 � . � rP K � k1 � � O 6+ �' w � �� C'J E" H W � � q fG z�'�'� oc��x � �"� x O � 4 � � o � � a a z z F e w > � 0 � � x m a y � � �a � x � 0 a P � � � a �� z w F > 0 I N Y � t � � ....��...r-�-� 3 ,� _ -� � � � ass ..�. ,<z HEAT LOSS CALCUlATIONS DEPARTMENT OF BUILDINGS PRIDLEY, MINN. Weatherstrips A.S.H.V. . Conatruction No. Iasulation Guide Windows I Doors Reference Out. Wall Int. Wall C,eiling Roof Floor Kind How Applied Yes—No Yes—No 19� Fl.� /v",�/ Room Length � Z� Width � L Height , Fl.) R � Room Leagth ,`,�Width 'ZHeight Windows an Doors—Cracl�age and Area Windows and Doora—Crackage and Area �Vldth HeiBht No. of Llneal ft. Area Wldth Hefsbt No. ot Lineal Lt. Area _ No. _ ot Dane ot Dane lighte of crack sq. ft. No. o[ Dane ot Dans tl6bb ot cracic p. it. Coef. Btu In6ltration 3 b la � q 8(� Glass ,j � Eup. wall `�L Net exp. wall �� 9' ��. ,,,au Cei�ing � 3 6 � F�oor ;L�r- ) Q 6 a Total Btu. � Required sq. ft. E.D.R. or aq. ins. W.A. Leader area F7.� � Room � I.ength Width / C Height %'�-- Windows and Doora—Crac�age and Area Wldlh Heliht No. ot Ll�eal tt. Area No. ot pane ot pane li�ht■ ot crack p. ft. ,� l�.. U�S'� 1 i l� �s / ` � `S " �o�. o �� c In6ltration (S Glaaa � Exp. wall Net txp. wall ` Int. wall Ceiling 6 Floor � j) Total Btu. Required sq. ft. E.D.R. or aq, ins. W.A. Leader area / FI. ('; ' �� Room � Length � Width � Windows and Doors--Crackage and Area . Wldth Het�ht No. ot Llneal tt. Area No. ot pane ot pane Ilsht� ot crack p. tt. :� �f '� / � / 4 ! Coef. Btu Infiltration 1 � � $ o Glass `,,� �J S' S L Fap. wall � rt�c ��. wau G i 1 1 b 5� In� waU Ceilin8 / ll �( � 2 7 i� Fioor � y o D Total Btu. (o � Required sq. k. E.D.R. or aq. ins. W.A. L.eader area F7.1 � Room ( L.ength Width � Height Windows and Doo»--Crackage and Area Width Hei[bt No. of Lineal [t. Area - No. ot yane ot pans ll�hts ot crack W. [t � y� au � c � sc� i 2fl o In6lcracion � Glau �. W.0 3 q� 1v�c �zp. wsu Iat. wall (. B Ceiling S`�S�O Floor G � Total Btu. Coef. Btu 1n61tration / �� a � � Gla:a � � �, ,� S g Exp. wall � Net exp. wall G , jj Int. wall ' Cei�ing '��j � (j Floor o1 Q 8�% Q Tbtal Btu. S' �' Required sc�. ft. E.D.R. or aq. ins. W.A. l.eader area 4O ./ 0 L �z �� Fl•� ,� j- � Room I Lensch Width U Heighc Windowa and Doors—Crackage and Area WtdtA Hel�ht No. ot Llneal ft. Are� No. ot paoe ot p�n� If6ht� ot crack p. tt. J ��6 I� � � � Infiltration Glasa F�p. wall Net exp. wall Int. wall Ceiting Floor Total Btu. li 1 sq. h. E.D.R or �. ins. WA. Leade� area Btu �� O �� 0 � 1 w � � � � 3 �f �-� �- ��--.. D�36 ,., ...az HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS FRIDLEY, MINN. Weatherstrips A.S.H.V.E. Conatruction No. Insulation Guide Windows I Doo�s Reference Out. Wall lnt. Wall Ceiling Roof Floor Kind How Applied , `- Yes—No Yes—No 19� � F'l.� Room � Length Width b Height Fl.� Room L.en�th � Widtb Height Windows and Doors—Crackage and Area Windows and Doors—Craekage and Area �Vtd[h HelBht No. oL Llneal [t. Area � Wldth He1Lht No. ot Llneal tt. Area No. o[ pane ot Dane iighte ot crack sq. tt. No. ot pane o[ yans U6bt� ot crack �Q. ft. � • (� � / �� } � � �A ��---� j Infiltration / 5� G, G; � Glaas 7 �fj's' Exp. wall Nec exp. wall �j Int. wall � , Ceiling (� / 2 Floor 9' () Total Btu. Required sq. ft. E.D.R. or aq. ins. W.A. L.eader area FI.� ` Room ( Length C Width Windows an rs—Craclwge and Area Wldth Helsht No. ot Linesl ft. Area No. o[ pane ol Dane It�hts ot crack p. it. In6ltration `f (y Glasa % :�t y , Exp. wall � Net exp. wall Int. wall ` Ceilin8 O D �' Floor � p � ' . Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. l.eader area Fl.� Room � Length Width Windows and Doors—Crackage and Area Wldth He16ht No. o[ Lln�at [t. Area No. ot Dans o[ D�ns Il�ht� ot crack w. tt. In6ltration Glaaa Exp. wall Net exp. wall Int. wall Ceiling Floor Tbtal Btu Bt11 ! q� Infiltration � 3 S Glsis Esp. wall y p S Net ezp. wall tat. w�u Z �� Cei�ing 33 �cY 0 ao o 70 0 Coef.� Btu 1 / sq. ft. E.D.R. or sq, ins. W.A. l.eader area Floor Total &u. ■■ Required sq. k. E.D.R. or sq. ins. R/A. Leader area Fl.I Room I t.engch Widch Windows and Doora--Crackage and Area Wtdt6 Aet6ht No. ot Linesl tt. Area Na o[ Dane ot pane Ilshts ot crack p. ft In6ltration Glasa Fap. wall Net ezp. wall Int. wall ce�lmg F7oor Total &u. � Required sq. ft. E.D.R. or aq. ina. W.A. L.eader area � Fl.� Room ( Length Width Height Windowa and Doors—Crackage and Area Wfdth Helitit No. ot Llneal tt. Ares No. ot paae ot naoe Ilght� ot crack w. tt Infiltration Glaas Etp. wall Net exp. wall Int. wall Ceiling Floor Total &u. Required sq. h. E.D.R or sq. ins. WA. L.eader arra Btu City of Fridley, Mi.nn. 6431 University Ave. N. E., Minneapolis, Minn. 55432. BUILDING PERMIT �t�; _ .Tulv 13, 1972 pwner: Mrs.�. Thomas L$Ea1.C,,.:._.____ Builder DIIna1� Srhmika>> Addx�ess _. 113__Hartman . C ir c 1 e N. E. Address /9 q�'' �15 � No. _.__113. Lot ._._._ 4 Corner Lot Sewer IIevation LOCATION OF BUILDING Street _.___..__Hartman Circle N.E. __� � p� og �t . Block _........_..�..._..._. _._....._.__..._.__ Addition or Sub-Division,._Sandhurst Addition Inside Lot ___..X.._. Se#back ....._�_ ____. Sideyard Foundation IIevation DESCRIPTION OF BUILDING To � v�a �: ' �.: G.� Baseme�,t.._F.��..._��.��a��4o�'ront -----•–___. Depth _ Height r�q. Fk Cu. Ft. � _.—_._---._..�_._.._--•--•----_ FYont __ Depth Height ._.. ' Sq. F'k Cu. Ft Type of Construction _$lock & Frame �, �t �.___,_�700 _00 To be Completed 3 months Stipulations: Maintain 3 foot sideyard. Provide drainage for stairwell. Stair treads 12" minimum. Ta consideralaon of the issuance to me of a permit to construct the building described above, I agree to do the praposed work in accordance with the description above set forth and in +compliaace with all pTOVisions ot �dinances of the city of Fridley. �'��°-.-I ' `� , .50 State Surcharge In co�sideration of the payment of a fee of �—�..�_., permit is hereby granted to.�Mrs . LeDuc �._._ ........................:..._. to construct the building or addition as described above. This permit is granted upo� the express condition that the person to whom it is granted and his agents, employees and worl�en, in all Wa�k done in, around and upon said building, or any part thereof, shall conform in all respects •to the ordinances o� Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buIIding7t vYithin the city limits and this permit may be revoked at any time upon violation oi any of the provisions of sa�d �„�a„flr..oe - NOTICE: This p�rmit do�s not cover th� wnstruetion, installation for wiring, plumbing, gas heating, sew�r-or waNr. B� sun to sa� t6� Buildinp Insp�ctor for separat� p�rmifs fo� these hsms. � '� � -- :� �!K` � �v � APP�ICATION FOR RESIDENTIA�, A�T�RATION, OR AllDITION BUILDING P�RMIT CITY OF FRIALEY, MINN�SOTq , - � // / � ;�• r G � �� :' � ;�' ��1�.��.�� _I v..� i , � r• � � �;: :,�. Np :� ��_ STREET ��i� �� ,OT• BLOCK: � ADDITION �� •_.., �_ -, .. � . �.� CORNER LOT: INSIDE LOT: � SETBA�CR: SIDEXARps .......r...-...- Applicant attach to this form 1�o Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: . Front• Depth• Height• Square Feet: Cubic Feet: ' Front : Depth: Height; Square Feet; Cubic Feet: o� �pe of Constructio�• °� Estimated Cost• $ �� . �� I�I�R To �e Completed: The under�igaed heseby makes applicatian for a pe�it for t�e wprl� ��ce�p apec�fied, agreeing to do all vork in attict accordaaca with tbe C1ty 0� F�idley O�dinaaces aad svlings of the Department of Buildinge, aad he��bY d�cla�ces that all the facte aad represeatations etated in this appll,attG�vp, axe tuue aad correct. ��: /3 - � sic��vx� • - � d� `t��-� i (9ee x eree Side For Additional �formation.) %�// �, � ,.� %� � i ,�/ � S � �J �-t �'' �Z � 4t � %� a ✓ , � —P f,-% � a ! �/ � �g �a. �'A %2 S i t� / /Z � � � , S ' f � � � /Z �' I2 � -a � S / 2 �� J�.� c n/ r t-� � u� � �1 , (P. � �� ,6�"``,•Eo�'� . - � • _ � � ( • ; i i I �.-- �,_ -� -- � � � 1 �� , _ , � i i � , i i ! I i, i --±-----�- i � � ' � , ; j i - - -- ' � i � i � � � � � � ; i �I I � � � � I - � � � ; � - i i i � � � I ! I i ' ' II � t_ t_�_-",T_ � t � I � I � -��--- � L �- -- ; i i i , _� , -_-�r- ; ! � ; --�---�___-�-- ; ' i i ; _ , i � ��_. I � � i { - .-� i i ' � � � , + I � � i � i , , � � i 1 � i �- G � �� 0 � � �� 0 �'� N � � � � � � �' � 0 � J � � H W � J H � � M �� yuw � r "i� � O 3�a �MM �'i U r�°0, . «�� g�� 3b� �q�d w�� M�� °°"�a vutvyi� a�Gu aN�va ��'aa �� E3°� ��G �WE.� �o. �'°�,,° �sA " � €�� .q.��, � b ��o� � ��v �, � ti � �� I � � � 1� � w � 8 8 8 $ �o m � � ~ . : 8 . g � °o �1 N ,C y � � � a � � W � h o� � � � M `� ��o�� a��.�� ' � a d u ��o�ccca d a �r b � � o W O �E � �i r► w 8 � 8 8 8 o » ro eo ai N . 0�0 ; $ S � g » � � �� m � �$ �� $ � � o � b � � W �� °� � 4� � ~ � t � � •� �t $ � � � � � Q r�a� � -1 0 z a a � ►1 � � o�, �I pl I O' c �� z � ... � ; , i � � � p �) � � �� ^ g 3 � ao °' U 1 E � v � � � z o y '° i E- w � I ► I � ( i i I � � a M � 8 8 � 8 .°. M a� c� �9 � � � � � G4 a 9 W w � a � � g �s��x �. ., x a p��W °� ,� ,� � M � � � � � E" .°7c ,c g � x°��, o � � � : � � � w �i � O � 0 � z � s � � p� � � � t� � � b � � � �o h Q » �''� i w » g � � g � � M � K N M � � � �' y M d � p � � � a � � � � `` i � w � ►. � m � o � �' � � � � � � ��..��s�� w � �� k m$o � a�� oc o � �v � ° � � � � � i � z �� `Q"�� oc � � � � t9 �G ,� � p � V � � � O t�9 v ! � � � �i ` �v � �� I w � � 4 2 V � _ � i � � 1 O � D � � > 0 1 » Y � t � : r ..� . . City of Fridley � �T T114 TOP OR TM� TN�IN� , i` . r r,.-------, ��.�«�T� ��t�NT ��. � ' � MaTCCT�vR wfl�tT10N Oq'r. �l 1 r�-�t i:.'ITY NALL iA1�LRr iNi i......�r� .J Mi's�0'iN0 Job Aaaress ner Contractor Kind of Bui Comv etion .� -_ �. 53-84--S-915 .51 iw.IECT il3 rr. E. Hartman �ircla Stephanie Le Duc MINNEGa5C0 PLUMBIi�If, PER�IIT QPPLICI�TI,�i� ss ,aares s pt .73� MAkC�UETTE AVENUE se �MPLS., MINN. Res. one � � i3S' : 12-6-73 � _ _ � 10.00 �, }I ( ; � �� ' Plumbing Fixture Rates: N0. RATE TOTAL � I� I J 1 � I i - I— i� I ( ' ` W' i ; _'; �' Number Fixtures x$2.00 �_ ; i i � �;n� �,;j; � i , �� I� Future Fixtures x$1. 50 a�Nra � � c��l I � � I I•� �: New Fixture-Old Open. x$1.50 ',•d" , ; 1 i O Catch Bastn x$3.25 , 4Y9I I i I .X,� i i—� i Water Heater-99,000 BTU x$3.00 i .�s,�1li�.►��: � I Ground Run Old Bld � i �saa,� � � I ! iI �' g• x$3.25 i•�nNrva � d SNISYB a. � % HDlY7 aa'w" PR.., iNrvaa 0 3 � aoo�� I 0 w� � � I saaMONSI OS N tl '1Nf10�I w� NNiMO �p'� s�vat q HsrMI tkNlCl fN ��. s-�vwiyn �uv�►I I � I • I �. ''� � � � � �I %d ` % ' %.S ��'�"'�� O w dD .� ra µi � a � c3 � � .B � � li i� Elec. Water Heater Gas Fitting Fees: lst 3 Fixtures x $2.00 x $2.00 � Additional Fixtures x $ .75 � i Gas Range-199,000 BTU x$5.00 ti ! Repairs � Alterations ( See , Description: _Install Space Heat�de 00 � Siegler SF-25 E-2 State Surcharge Fireplace Heater .50 t ! " TOTAL FEE $ 5_�O �I��lap'"`�,�rcharge ,50� !The undersigned hereby_makes application for a pexmit �for the work herein apecified, agreeing to do all work in strict accordance w ith the City Qrdinancea and ruling� of the Department of Buildinge� and hereby declare that � a11'the facte and representationa atated in this application are true and correct. �,,,�-ca�� C,�:rr� _ � 'Signature ��q�±� Date � . t ,� __ HOUSE HEATING TEST RECORD ADDRESS 113 Hartmant� i+1rC�.• APT. FLOOR CITY susuRS Fridley OCCIfPANT Stevhanie Le�u� OMINER • HEAT LOSS DATE HTG. INST. GAS C0. METER BADGE # SOLD BY Minnegasco INSTALLED BY Elsehical Work By Gas Lins By TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNIT HTR. OTHER � � GAS DESIGN CONVERSION � MAKE MAKE OF BURNER _ Mod�l �+ Model � S�rial 0 Max. BTU Rating — INPUT Q MAKE OF FURNACE Model THERMOSTA Va Ivs Limit Limit SsMing Fan Setting – Pilot Type — Pilot Make _ CONTROLS '' � 11eat PI Vsnt Sizs KIND OF LI R SIZE NONE Drah Hood Regulator Fi Iters Size Number Chimney Loeation Inside Outside �'a� Chimney Construetion • Pilot Model Smoke Bomb Wiring � Pilot Timing ,�–�-eJ Draft Test Tag L.W. C�t Off Door Pressure Lighting Inst. � r ' Q Prossure � Pereent CO2 Date Tested �� // � � � leput CFH d Percent 02 Compony Testing Stack Temp. Perunt CO Name of Tester .� a�� Form 235 • sue�ecr P City of Fridley � ; � � � AT THE TOP Of THE TWINS g U I L D I N G P E R M I T r ; � RECEIPT NO. � • COMMUNITY DEVELOPMENT DIV. ' j V �"'�-, � I,� r � � ppOTECTIVE INSPECTION SEC. T � � ' , �� CITV HALL FRIDLE� SS�32 NUMBER NEV DATE �AGE UF APVROVED BY �""�'� �'' 612-571-3450 9t0-F15 6/22/95 / / JOB ADDRESS 113 HARTMAN CIRCLE NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHEO DESCii. 1} 2 Sandhurst Addition SHEET 2 PROPERTV OWNER MAIL AOORESS ZIP PHONE Charles Scholzen 113 Hartman Circle NE 3 CONTRACTOR MAIL AODRESS Z�P PMONE LICENSE NO L J Roofing 10151 Foley Blvd, Coon Ra ids MN 55448-5208 767-1587 9039 4 ARCHITECT Oii DfSIGNER MAfL ADORESS 21P PNONE LICENSE NO 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK p NEW O ADDITION ❑ ALTERATION D REPAIR O MOVE O REMOVE % 8 DESCRIBE WOHK Reroof House & Garage (21 Sq) Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Codes. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV �OAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING. HEATING, VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID �F WORK OR CONSTRUCTION ZONING SO. FT CU FT AUTHORI2ED IS NOT COMMENCED WITHIN 60 OAYS. OR IF CONSTRUCTION OR WORK IS SUSPENOED OH ABANDONEO fOH A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWIG. UNITS OFFSTfiEET PARKING I HEREBY CERTIFV THAT I HAVE AEAD AND EXAMINEO THIS APPLICATION STALIS GAiiAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS yAIUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIEO WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pEqMIT FEE SAC CHARGE PROVISIONS Of ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERfOfiMANCE OF CONSTRUCTION PLAN CHECK FEE TOTAL FEE �� a� TUA F ON'RACTO OAAUTMORIZEDAGENT � IDATE� PjjO RLY IDATED THIS IS YO PER IT , � � � S�GNnTUFEO%OWNEAi�FOWNERBU4DER� �DATEi BIDG �N qpiE NEW ADDN ALTER [1 t� [l Construction Address: _ � Legal Description: � Owner Name & Address: Contractor: �� Address: � � � � LIVING AREA: GARAGE AREA: DECK AREA: OTHER: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application � � -�-�r-�w, a,v� C� v-c �� . �� c� � v, c ✓' C �e Tel. # Effective 1/1/95 ti �#a�3`� ' t—r 5 K MN LICENSE # d3 � Tel. # �� 7 Attach to th�s application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT �� Width Height Sq. Ft. _ �Qg� Width Height Sq. Ft. Width Hgt/Ground Sq. Ft. l�/��}�J� �/(' ��%�/f�— /�� Ol/1 � �'r�/ D C' � �f � f-C!E'�TC9� r v`-t J� � g�G!'� 6U Corner Lot (] Inside Lot [ 1 Ft. Yd Setback Side Yard Setbacks p O/��,� Type of Construction: �� CO�' $ Approx. Completion Date: (Cost on Back) Driveway Curb Cut Width Needed: F� + F— Ft x$ _$ DATE: `'� � �� APPLICANT: j Tel. # �� 7 Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL t'I'�Y USE ONLY $ � r% v CS Fee Schedule on Reverse Side $ /. .�n .001 of Permit Valuation (1/lOth%) $ � %q $-50/$1,000 Valuation $ �850 per SAC Unit $ �� 55.00 (State Licensed Residential Contractors) $ Alt. "A" or Alt. "B" Above $ �45Q.00 Conservation Plan Review $ Fee Determined by Engineering $ Agroement Necessary [ ] Not Necessary ( ] � �.3 �_ _* STIPULATIONS: a� O► � � � � c � c 0 > � W 'c��l-� S i "o.. �\, .'' i,. �.� Z O � > � Z O F-- W a � z � � � � � O U Z F g W > � W Z U O � �o C7 Q 2 � W F- _� zd �n � Z � Z � � � � � � � � 0 Q "` Z Z � F � U � � � Q 2 w Z j N Q �,� N _' N Z �, � � o � � � I � ti u � � w � � °¢ m O J � � LJJ _ U N H GL -° ao c c�a � L � � � U � o �. � � � U a> y m � �-; `o '`. � � '�' � }' o € '3 � c� N U � C � � � � 1 � � ? O U � +% O � >' � ~ 01 0 � � a`� •—p. N 'C � � C � � a� Q- YN O C � �3 o v� — 'v_� s ia • ,r A � '0�— C rn a`� ° � �. =��N ��m� rn ►- m o '� ca' w c s .� .-� 0 � � rn � m�.=-� H uQi 2 � �I NW�. [" � � 3 � � Q Q 0 W � � � w Z 9 � m �M 'J ' - J .` O Z H � � W d � 0 U 0 H � � W � � Q � O � ��1 F-' � � � � � � O O O O O� � Q O O O N �-� � � � � � I a`> c � m � � 0 � C co N t0 (n � � U � C Q � a� cva i Y `3 � 3 V � C � O `" ti jL � d � $ � U � Z cII � � d � 'a � � a N � Q U' rn c �a � � � � 0 � c6 (7 N Q i � c .� O "� c O U Q « U m Z O � v N c 0 .� � a � � .� N � � d t O Q � € p � ^Q Q � � � � r = O p Z W � N J � � � � � � c � ` U d � � O U = F- � � � ��Q ' �� ' 2 _ �� z o� � � z° � m � �� 0 � W o � Z � � � � � E � Z a � H m � mm � � � � � � � Y � o` N U c fC � n. Q O � � O \° � -� � O N U C cu .� �. � Q �a O C ? V > y o E � 0 O N U� N rn L W i w u.. c�n Q a� � iC � O r � s � z � 2 ! � 0 z I� � � � � � Z� O o ~ O Z W _ } Q �;,.��> r:� � O � � � � � � �, � �. Z � Z � O p U � � 1 � L j O Y ¢ Q � � w �- Z �� 0 � � � -Q Y � o m � W a o 3 J a � � L 3 'a � � c � � o 'v, � � � c °- 0 � Q U al � c0 C 2 a 'c 8 � O CV � � C � c o W � � � � O Q O N F= V � � a o �" z �? ° w a 3 oC # � T � � � Q O � � w � �s . .. -�-�' � � � > D Z� . O � U a �z z �, } Q N G3 '� � � � � � O > >• `c� m U�ti � � W � a 0 � J h O r ¢� - � O Z C � � � � 3�� i � hV v ` ` � � ✓ � �� r � � �� 0 $ s � o �' ui ,°r�� . � o c H w � � � � Z u. � U € � � � � � �v � w v a c � .... a � �� a � � z � °' C U � O � � � � � � � � � � � � � �� c a a -� N � af � �a � � a. c � � �'� o m � � � V Z q m r �. � a. � � �� - � � � Z N Q � � m � � ,aC FW- � >, o c � . Q � 0 3 � Y } � N � �� m C a �%- 0 F,;, � m�`,..�° y � ,.. 0 W� o � m p c � � � U �. tt � � � � � U � >- m •-• 'a '� .� Q a� � Z o m � a ��2� � �n E � z O � a► �a �a — ;.. � � c- 2 � Z ��aa � m w a �n �' 'a � � U W � N � � N a � . � Q � a 8888888g88$8 $ °w ��tuin��:�:o�:aoo �rs v�_ o ��.��-��.��- �� . � ¢ � � � � 4 � � t �� ? � � � m m � c e`o H = Z t V1 ,. ; . , t .; t -:, :.} .: �. ,Q. 3 Q � � c�. N Q 'o '"z Z _ tli �► ' `` .Q � .a; � us •� a o ;c a � � � o � � � y � � � c.g� � � � � �.�� c �o� (-� � 1� M W O O O X Z�� _�� Q j V � � ��•� c�-� � `a� �* a o�� c Q m 'n a`► $ � � � �- 3 ^ it� � �� a��`-S=t�� ° m QO o � � � � � '- 3 � c � .d � c � J m� � Q as 'as � as at ��°� � r -a J T a z000car.>oc�n�33c�c�m aQ 9 Sue�ECi P . City of Fridiey 310 01 AT TNE TOP OF TME TWINS g U I L D I N G P E R M I T ! � RECEIPT NO. � • COMMUNITY OEVELOPMENT OIV. � ; � -..-- . �3�/�3 r � � PROTECTIVE INSPECTION SEC. 1 . • i_--.� �"';•� CI?Y NALL fR10lE� SS��2 NUMBEf1 11EV WTE v�GE Of �vVNOVEO 9r i 612-571-3450 9t0-F�5 5/31/00 � � �oe �ooRESS 113 Hartman Circle NE t LEGA� �OT NO. BIOCK TRACT OR AOOITION SEE ATTACHED oescA. 4 2 Sandhurst Addition SHEET � PROPERTY OWNER MAIL ADDRESS ZIP PHONE Charles Sholzen 113 Hartman Circle NE 3 CONTRACTOR MAII ADDRESS ZIP VHONE LICENSE NO L J Roofing 10151 Foley Blvd NW, Coon Rapids, MN 55448 763-767-1587 � ARCNITECT OR OESIGNER MAIL AOORESS ZIP PMONE LICENSE NO 5 ENGINEER MAII ADDRE55 ZIP PHONE LICENSE NO 6 USE OF BUIlO1NG Residential 7 CLASS Oi WORK O NEW O AODITION ❑ ALTERATION � REPAIFi O MOVE O REMOVE 8 OESCiiIBf WORK Reroof House & Garage (21 Sq) Tear-off 9 CNANGEOfUSEFqOM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPEOFCONST. OCCUPANCVGROUP OCCUPANCYIOAp SEPARATE PERMITS ARE REOUIREO FOR ELECTR�CAL, P�UMBING, MEATING. VEN7ILATING OR AIR CONDITIONING. TMIS PERMIT BECOMES NULL AND VOIO IF WORK OR GONSTRUCTION 20NING SO. FT CU FT AUTHORIZED IS NOT COMMENCE� WITHIN 60 DAYS. Oii IF GONSTRUCTION OR WOqK �S SUSPENDED OR ABANDONEO FOR A PERIOD OF 1T0 DAYS AT ANY 71ME AFTER WORK IS COMMENCED. NO DWIG. UNITS OFfSTREET PARKING 1 MEiiEBY CERTIFY THAT I MAVE REAO ANO EXAMINEO THIS APP�ICATION 1 S7A��S GARAGES ANO KNOW TME SAME TO BE TFUE ANO CORRECT. ALl PROVISIONS OF LAWS VA�UATION SURTA% ANO OADINANCES GOVERNING THIS TVPE OF WORK WILI BE COMPLIEO WITH WHETMER SPECIFIED HEREIN Oii NOT. TME GqANTING OF A PERMIT � 1 f 835 �. 92 DOES NOT PRESUME TO GIVE AUTMORITV TO VIOLATE OR CANCEL THE pEqMIT fEE SAC CNARGE PROVISIONS OF ANY OTHER STATE OR LOCA� �AW REGUTATING coN- �66. ZO Fire SC � 1. H�F STRUCTION OA THE PERfORMANCE OF CONSTRUCTION � PIAN CMECK F TOiAL EE BO Licens S $5.00 $ .96 S�GN � AEO�CON'RACTOpOA�U�tiOpi1EO�GENT io�rE� EN ROVE V ALIOA D IS VOUR PERMIT � � S�GN�TUAE O� OWNEA�� OwNEpBUi�OEp� �DATE� B �NS� �i��E ri.+r N� I J ADDN [ ] ALTER [ ] Construction Address: % % 3 CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ��lc Effective 1/1/2000 (763) 572-3604 Blig Insp � �p� i,�3 � �x Legal Description: " � � � � V Owner Name & Address (�hur � cS �� 1-�-^ Tel. # Contractor: L.� t� o��'1ro MN LICENSE # �4 3 b Address: �°lsl � �tY �� Te 7# � 7 b 7. �S"�7 LNING 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 Vvdth Height Sq. Ft Length Width Length wdth � n �G Height Hgt/Ground Sq. F� Sq. Ft Construction Type: �e�� of� t re�oo � Estimated Cost: $�°"�" �C�3S Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x$ _$, DATE: � d� APPLICANT: �,-// 7� Tel. # T� 3- 76�y -lr�7 C1T1( USE ONLY - Call (763) 572�604 for Permit Fees if mailing in application Permit Fee $ C� �o . a b Fee Schedule on Reverse Side Fire Surcharge $ /, �� .001 of Permit Valuation (1/10th%) State Surcharge $ g� $.50/$1,000 Valuation SAC Charge $ $1100 per SAC Unit License Surcharge $ S- 0 0 $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [] Not IVecessary (] TOTAL. STIPULATIONS: $ � :O � k: _. �uilding ,�, Inspect�ons 763-572-3604 763-502-4977 FAX SITE ADDRESS � � THIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE PROPERTY TYPE PERMIT TYPE TYPE OF WORK: ❑ OWNER BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY EFFECTIVE 1-1-08 —� YOUR E-MAIL ADDRESS ��t�!� — �-�I� 1�.1 l��V 1� � Permit No. • 0 Received By:. Da�'d�UG 13 2008 c0 y �g�,l1rJD • '(�W ADDRESS: C[TY STATE ZIP PHONE: � NAME: W� y-- ADDRESS: A� �� ,� V J CITY ``{� ��'l STATE � ZIP�1� PHONE 6t2. a3� . s a a F,� 1b�. y�3. 3�qa STATE LICENSE # ��.01 �� EXP DATE . �� •�� • �-1 ,�'SINGLE FAMILYMEW CONSTRUCTION S1ZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES � ADDIT(ON ❑ GARAGFJSHED WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK �1 SIDING ❑ OTHER D NEW HOME CONSTRUCTION ❑ MAINTENANCE/REPAIR DESCRIBE WORK BEING DONE: S1ZE ROOFING NUMBER OF SQUARES _ GARAGES PROPOSED SIZE: PROPOSED HEIGHT: SIDING 0 Vinyl ❑ Alumin n �� t$,Other WINDOWS IN EXIST[NG OPENINGS �Yes �No OR FOR NEW OPENINGS-DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED _ �� ❑ HOUSE ONLY ❑ HOUSE & GARAGE ❑ ATTACHED GARAGE ❑ DETACHED GARAGE ADDITTON REMODELING o.1Q� VJ�v�.OvS HEIGHT � BASEMENT REMODELING SUBMIT: I . Existing Floor Plan 2. Proposed floor plan 3. List of structural members to be used FOR NEW CONSTRUCTION INCLUDING DECKS, ❑Soffit ADDiTIONS. & PORCHES SUBMTf: ❑ Trim 1. Site Plan/Survey showing the existing structures ❑ Fascia and proQosed project. 2. Two seu of conswction plans 3. Energy Calculazions LOCATION OF WINDOWS NUMBER OF ALL FEES ARE BASED ON VALUATION, IlVCLUDING TAE COST OF LABOR AND MATERIALS: (USING THE 1997 UBC FEE SCHEDULE) TOTAL JOB VALUATION $�� OCCUPANCY TYPE Permit Fee Plan Review Fire Surchazge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due $ S�G] �_ See Back Page for Fee Schedule � T � �'i $ 65% of Building Permit Fee $ �o1�U0 .001 times the total job valuation $ . UL� .0005 x Permit Valuation Minimum $.50 $ S •(� $5.00 (State Licensed Residential Contractors) $ $1825 per SAC Unit (Plans to MWCC for determination) $ ft+6ft= ftx$21 =$ $ 5450 Conservation Plan Review $ Fee Determined by Engineering $ Agreement necessary ( ) Non Necessary ( ) $ � , � Make checks pavable to: City of Fridley Attach THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTTL PROCESSED I hereby apply for a building permit and I acknowledge that th 'nformation 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 Co s; that 1 understand this is not a permit but only an application for a permit and work is not to start without a permit on site; th e rk ' 1 be in acco ce �th the appro ed lan i� th ase of all work which requires review a app oval of plans. SIGNAT OF AP I ANT PRINT NAME t'`�Q•X ` Q..�A S�� DATE ��,�� APPROVED BY��'V�1vlti- DA License lookup Construction Codes � Building Codes � Electricity � Plumbing � Boilers/HPP � Residential Contractors License Detail Here are the details for the license you are currently looking for: search for License name: SPOTLESS AND SEAMLESS EXTERIORS INC License doing business as: License address: 810 NtAGARA LANE N City state zip: PLYMOUTH, MN 55447 License number: 20629907 License type: RESIDENTIAL BUiLDING CONTR Company structure: CORPORATION License status: ISSUED License original issue date: 1/10/2008 License expiration date: 3/31i2009 License print date: 5/12/2008 Qualifying person: ALEXANDER i. PETRASHOV Continuing education hours required to renew license: 7 Contracto�'s phone number: 612-2375209 Enforcement action: No Page 1 of 1 https:/isecure.doli.state.mn.us/licensing/licensing.aspx 8/13/2008