AF - 467674 ��
i
� °�;�,�*r� - .� �.
' BUILDING PERMIT
'!!�
Villa e of Fridley, Minn. N° 2� 5 3
g
Date ���� 1. `� .%/ . . . . . . . . . . . . . . . . . . . . . . . . . .
Owner�T.G�.. . ....... .............. Builder . .... ....................................
Address � Q \i �{-. . . : . . .� � � ��. . �%%.� Address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
LOCATION OF BUILDING
No. .��� . . . . . . Street .. . .. . . . . . . . L�A-l1�. . . . Part of Lot . . . . . . . . . . . . . . . . . . . . . . .
Lot . . . .1�-! . . . . . . . Block . . . . � . . . . . . . . Addition or Sub-Division.�"'=�.LLe(/. %1� �. . .
Corner. Lot . . . .. . . . . . . . Inside Lot . �. .. . . . Setback ,�S �./%y. Sideyard /.4. � ./.kf�' . .. . . . . . . . . .
DESCRIPTION OF BUILDING
To be Used as:
�����.. . Frnnt . �. Depth PZ�? .. . Tieight ....... .. Sq. Ft. .%�O��ct Cu. Ft. ........
'�
. ! . . . . . . . . . . . . . . . . . . Front . . . . . . . . Depth . . . . . . . . Height . . . . . . . . . Sq. Ft. . . . . . . . . Cu. F`t. . . . . . . . .
a�
Type of Construction .��.�` : .✓. . . Fst pZ� . %�� . ` . . . . . . . . . To be Completed !� . !��!�f�. .
In consideration af the issuance to me of a permit to oonstruct the building described above, I agree to do
the proposed work in accordance with the description above set forth and in compliance with all provisions of
ordinances of the village of F'ridley.
�
In nsideration of the payment of a fee of $. � -. . , permit is herel�ranted to�/. . � . . . . . . . . . . .
. .. .. to construct the building or ad dition as described above. This permit is granted upon
the express condition that the person to whom it is granted and his agents, employees anc� worlunen, in all work
done in, around and upon said building, or any part ffiereof, shall conform in all respects to the ordinances of
�"ridley, Minflesota regarding location, construction, alteration, maintenance, repair and moving of buildings with-
in the village limits and this permit may be revoked at any time�n v�plation o�ar►y of the provisions of said
ordin�nces. / / 1 �
. .�./\.,,1(�l.1/. . . �! „�C./%,l.�i.a�l7l�'uilding Inspector
NOTICE:
This permit does not cover the construction, installation or alteration fo� wiring, plumbing, gas heating,
'aewer or water. Be sure to see the Buiiding Inspector for separate permits fo� these items.
City of Fridley, Minn.
6431 Univeraity Ave. I�. E., Minneapolis, Minn. 55432
BUILDING PERMIT
��; November 18, 1971
�11�6
p�pp; _ Gilbert Rivard Builder _ F. J. GarX Cors truct�g.�,_'�nc.
,Address 145_Hartman Circle Addres$ _ 10136 Central Avenue N.E.
LOCATION OF BUILDING
Na 145 g�t Hartma.n Circle ^_._____...�. p� ot Lot
id� 12 Slock 2 Addition or Sub-Division Sandhurst Addition
Ca�er Lot Inside Lot Setback _.._�.____w�. Sideyard
� ��� Foundation IIevation . ..._._.
DESCRIPTION OF BUILDING
9ro ue ttsea as:
Reroof House Front ____ Depth Height Sq. Ft. _____...___._.. C�r, Ft,
Front ._. Depth Height Scl• Ft. -------._..____ Cu. Ft
'!'ype of C.o�struction As �h�l t Est. Cost .�.�� 0 QQ To be Completed __...I?�.� 1� 19 71
In c�onsideration of the issuance to me of a permit to ca�struct the building described above, I agree to do
the proposed work in accordance with the des�ip�tion abave set torth and in compliance with all
C�dinances of the city of Fridley. provisions oE
� � �
50 State Surchar�e
In co�sideration oi the payment of a fee of # 6.00 , permit is hereby granted to F. H J. Gary Const.
to construct the building or addition as described above. This permit is granted upon
the express condition that the person to whom it is granted and his agents, employees and workmen, in all work
done ui, around and upon said building, or any part thereof, shall conform in all respects •to the ordinancea oi`
l�'ridleY. Minnesota. regarding location, construction, alteration, maintenance, repair and moving of buildi�lg�t
Within the city limits and this permit may be revoked at any time upon vioiation of any of the provisions of said
Ga�'t�ivances.
��� �
�ti.�..��..B��g ��
HANK MUHICH
NOTICE:
This p��it do�s nof eover fh.s consfruefion, installation for wiring, plumbing, pas h�aNag, s�wor or wahr. M sun fo sw
th� BuiWiu� Ieap�eM� for separalo pern�ih for tli� iNms.
APPLICATION FOR RESIDENTIAL, ALTERATION,
OR ADDITiON BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWrtER' S NAME :�'���iT' i var D sutLDSt: f T .P�r�Ce.,,,�Ti��T.•. � �l c
,E�DDRE$S :1 �il�f' �l�rTiryi, C: r►c/e ADDRESS :/ o/3 L L ew Tr �j A�� ,�/ E
NO • . ,�,y�' S�x�T : }��rTir, � r> C : i c /e
IAT : �1' BLOCK: � ADDITZON: SJis�ii/� ,�A �
CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD;
Applicaat attach to this form T�ao Certificates of Survey of �,ot and proposed
building location d�awa on these Certificates.
To Be Used As:
HESCRIPTION OF BUILDING
Fxont: Depth• Height•
Square Feet: Cubic Feet:
Fxont; Depth; Height•
Square Feet; Cubic Feet:
1�►pe of Construction: Re l'oa � Estimated Cost: $ $'po p.d'
To 8e Campleted; �/— %�
The uade�sigaed hereby malces applicatina for a pesmi.t for the Work herein
spec�fied, agreeiag to do all Mo�k in •ttict accord;nce wi,th the Ci,ty of
Fxi.dley Ordinaacea as�d ruliqgs of the Depaztment of Buildir►ga, aad hersby
decJ.11ree that all tba facta and repreaentatians stated ia this appiication
are true and correct.
n�TS: u- 1 S- �/ sicru►�: '
(Sea ita�►srte Side For Additi�l Informatioa. j
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HOUSE HEATING TEST RECORD �
�� � G.I �+ APT. —�F.L� ��---
CI TY��"r`—T SUBU R B------
il'd' ��r� r i l� iJ
ADDRESS ��'i OWNER
OCCUPANT
HEAT LOSS.------�ATE HTG. INST. �NSTALLED BY
SpLD BY '.. Gas Line By � �
Ele�i�o�i1 M�ar� 8Y OTHER
FA HW STEAM SPACE HTR. UNIT HTR•
T�E OF HEAT GA CONVERSION
" . ��� GAS DESIGN
MAKE OF BUR
�iiKE G ►�lodel
M�ei µ�x. BTU Roting
S��a� a�D MAKE OF FURNACE
INPUT Model
_1�
THERMOSTA'
Va Ive
Limit
Limit Sstt�n9
Fan Setting -
Pilot Type —
Pilot Make _
CONTROLS
pilot Model S,G��
Pilot Timing
L.W. Cut Off
Pressure '� Pereent COZ �
Input CFH ercent 02
Stack Temp. Percent CO
Fwm 235
Vent Size _
KIND OF L
Drah Hood
F i Iters
Chimney L
Chimney Construetion � --
Smoke Bomb Wiring
Draft Test 7a9�
Door Pressure �
Lightiny Inst.
Date Tested
Company Testing
Name of Tester
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ADDN []
ALTER [ ]
,� p DS -
CITY OF FRIDLEY
6431 Universiry Ave NE, Fridley, MN 55432
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
O 0 cQ 0'�
(763) 572-3604 Idg Insp
(763) 571-1 � a�c
�� �I�.`z
Construction Address;
Legal Description: l..r�+ IZ gLx,rc.. Z_ a►.�,d �,e�.► �;-1-ti,� AuoK�a L�v�Y
Owner Name & Address: ht2 � MR�, g,��1�4 Nb���� Tel. #�(,�- ,562 83�
Contractor: K�6n,�(�',4a,.� (���Y� MN LICENSE # Zm I
Address: � 2o4b 134 i'`" L�� �I x�r�, GAkt D�f � ss3oY Tel. #?63- �5 7-/1E+6
Attach to this application, a Certficate of Survey of the
bt, with the proposed construction drawn on it to'scale.
DESCRIPTION OF IMPROVEMENT
LNING AREA: Length Width Height Sq. Ft
GARAGE AREA: Length Width Height Sq. Ft
DECK AREA: Lpngth Z�o� .� — Width 12' —+� Hgt/Ground � Sq. Ft Z40
OTHER: l —
.
Construction Type: Webb Estimated Cost: ��-°� ��( P g ��
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _�
DATE: APPLICANT:
Tel. #
Call (763) 572�604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will call
you for card number.
Permit Fee
Plan Review
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
C�1�'i1�9��1;14'�
� �. a�
$ �
$ :
$ �
$
$ ` �
$
$
$
$
Fee Schedule on Reverse Side
65% of Permit Fee
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$1450 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 [ ]
TOTAL $ I 7 O• D STIPULATIONS:
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4738565 P.64iO4
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When nntaoyt� an �astlne ��...._,,,� the undersigned herebY vsriAa that the
wntlr�g Its� bQen a�m(rwd and ie free trom tuet, de�e�ior�ton, �,
and !a ��upported and fir� w� �uirod. Yes () No i)
The vanting sy�n i� Plse�dPVC �nd mesle �il arrant aodss and m�rndaCburor
SP�Mca�ons fr�dudk�q �zinp, tenga+, n� a Nbo�ws ax! �. Yes () No {)
The tmdarsiyneci al�o vrrifles that the �pM urMt k a Ie�ed �mby
artd meets the wmer�t c7odes �nd man�f�t�'S �Ciflcatione. 7� d0es
' induds Ai3A-Q�AMA Ca�oryr ! Cantra! Fumace VQntlnp Tables for fan
aseisted and nature) draf! appliancea.
� � fe sized and k�tatied to mee�t th� curn�nt oode�
' ar�d man�aCturor'a spealketlana.
�Nhin nqWrsd to wMt be smed and �Me�d
To meot ttw aument oodes and manufi�c�ursr's spedflc�to�ne.
Yes ( ) No ( )
Y�s{}No()
Y�s ( ) No ( )
UlAtrrt
it Is : lis6�d �embly and mest� the cu�nt �monute�ttarorb �
��c:ationa. Thi� do�a ir�lud� AG�-GAMA Cate�pry I CenL�t ��ur�e
Vs�dnq T�s i�or fa� a�isted and nat�'al �t app�r�ss. Yes () No i)
!� ths c�ommon v+snt and vent cors�ec�ors aized and in�taN�d Gori�tly 8�t6r
an appilanos F�as boen' �+emovad finm fFte cammon v� �d wn6�d
�Y � P� dut+srrt cod�a. Ye: () No f)
•:•� �.�. u•. � • - -...�.�.�����.•.� ,�
�_.• _i� •:i �. _ti.�� __t:i.��i•.�� •.i
Appli�aQ �1 Typs BTU fhput _„�,,,� � A�is�ed oc Nst ,_
APP�� T� BTU ir�put ,_ Fan A�ehbed or t�t
YPa 6TU input .,__ Fan Asai�ed or Nat ��
Toml APP�� Tot�l Btu I�ptR `_„_,_
Comman Vent TYpO Vent Height, Dian�ebsr� fnchsa
Appliar�ce �'1 Vent Cornwc�or Fis�t R L�th tt Dleane�er n TYDa �
Appii�toe �2 Vent Conr�edor li�i�ht_i� ��h _� Di�m�_�� �_�
APP� *3 Vent Conn�clor Heipht 1t I.�n9th ,1t Oi�mebr tn .
� � �d'�
«. ,/ ��. � � � /
_, _ , ,
�i �_ � �� . . ,
TQTAL P.04
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FRIDLEY MUNICIPAL CENCER • 6431 UNIVERSTTY AVE. N.E. FRIDLEY, MN 55432 •(763) 571-3450 • FAX (763) 571-1287
February 1, 2002
Mr. Richard Nordstrom
145 Harnnan Circle NE
Fridley, MN 55432
Re: Final Inspection at 145 Hartman Circle NE
Contractor: Sabre Heating & Air Conditioning
Dear Mr. Nordstrom:
A mechanical permit was issued on August 7, 2000 to install an air conditioner at
your address. According to the 1991 Uniform Mechanical Code a final inspecrion
shall be conducted on the work authorized by this pernut. As of this date, no
inspection has been called for.
The pemut fee that was paid covers the inspection to make sure the work was
completed according to the Codes. We will keep your permit open for another 30
days and if we do not hear from you within this time to set up the inspection, we will
mark the permit "no inspection called for" and no further action will be taken.
To set up the inspection or to have any questions answered, please contact the
Building Inspection Division at (763) 572-3604.
DJ/mh
ws�ctr PERMI .
City of FridlQy � 3 4 3
AT TME TOP OF THE TW1NS � � � L D I N G P E R M I T
r
; � RECEIPT NO.
� `V _ ___ COMMUNITY DEV�LQRM�NT OIV. A��I
r � � �� PNOTECTIVE INSPECTIpN SEC. ���
� . �
i•--- w;�"','j CITY HALL FRIDLE� ���Z NUM�Ep NEV O�TE iAGE Of AYVNOVED SY
t �� 612-571-3450 9�0-Ft5 5/28/02 / /
J09 AODRESS 145 Hartman Circle NE
t IEGAL �OT NO. 9LOCK TRACT OR ADOITION SEE ATTACMEO
oesca. 12 2 Sandhurst Addition SMEET
2 PROPERTY OWNER MAIL AOORES$ 21P PMONE
Richard/Mary Nordstrom 145 Hartman Circle NE 763-502-8300
3 CONTRACTOR MAIL AODRESS ZIP PNONE LICENSE NO
Same
a ARCNITECT OR OESIGNER MAIL AOORESS 2�P PMONE IICENSE NO.
5 ENGINEER MAII ADDRESS ZIP PMONE IICENSE NO
8 USE OF BUILDING
Residential
7 CIASS OF WORK
O NEW � ADOITION ❑ ALTERATION O AEPAIR O MOVE O REMOVE
8 DESCRIBE WORK
Construct an 18' x 26' Addition to Dwe�ling
9 CHANGE OF USE FROM TO
STIPULATIONS
See notations on plan.
WARNING
'S ��� P�(����� Before digging cail for
auiREa �o�. a�� ��, ��bo�
WIRING NEqTi�G
454�0002
�M�� an�a ����yS REQUIRED BY LAW
riPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD
SEPARATE PERMITS ARE REOU�RED FOR EIECTRICAL, PLUMBING, MEATINCa.
VENTI�ATING OR AIR CONDITIONING
7HIS PERMIT BECOMES NULL AND VOID tF WORK OR CONSTRUCTION IONING SQ. FT CU fT
AUTHORIZEO IS NOT COMMENCED V�1ITMIN 60 DAYS. Ofi IF CONSTRUCTION �
OR WORK IS SUSPENOED OR ABANOONEO FOii A PERIOD OF 120 OAY$ A7
ANY TIME AF7Eii WORK IS COMMENCED. ' NO DWLG. UNITS OffSTREET PARNING
I HEpEBV CERTIfV THAT 1 MAVE iiEAD AND EXAMIN�O TNIS APPLICATION 1 STA�LS GAiiAGES
AND KNOW TME SAME TO BE TqUE ANO COFIRECT. ALl PROVISIONS OF �AWS VALUATION SUfiTAX
AND OROINANCES GOVERNING TMIS TVPE OF WORK WILI BE COMP�IED
WITH WHETMER SPECIFIEO MEREIN OA NOT TNE GRANTING Oi A PERMIT �26,563 $13.ZH
OOES NOt PRESUME TO GIVE AU7NOfiITV TO VIO�ATE ON CANCEL TME pEpMIT FEE SAC CNARGE
PROVISIONS Oi ANY OTHER STATE OR LOCAL LAW REGUTATING coN- �4Il.�F.S Fire SC �26.56
STRUCTION OF THE PERFORMANCE Of CONSTRUC710N
PLAN CHECK fEE TOTA� FEE
$451.29
�G •t EO�CO p�C OA• M 4ED�GENt �OATf� ' EN OPE UOATED T IS vOUR PEpM�r
c
�a8� 2 �� 6
S�GN�TU�7E O� OWNEp��� O�NNEA 8U4DfA� r T� � � �
�� Bl0 �hSo � qc�E
J
NEVV [] CITY OF FRIDLEY Effective 1/1/2002
ADDN j� 6431 University Ave NE, Fridley, MN 55432 (763) 572�604 Bldg Insp
ALTER [] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 I �
BUILDING PERMIT APPLICATION fV
" �� � ��
Construction Address: ��"5 �-lA f�i"M A�1 C i Q C l.� I� � ��
Legal Description: � DT I 2�3(,pC � 2 S A Nd ('�J f�s°► %i�c� _
Owner Name & Address:
�. V�AUI %10 ¢ Ds'i aor�
- . • i� r��
Contractor: _�M Q O W Ne iZ MN LICENSE #
Address: Tel. #
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.
DESCR1PT10N OF IMPROVEMENT
Length '� P�� Width �b � Height Sq. Ft �,
Length
Length
Vlfidtli
.�
Height Sq. Ft
Hgt/Ground Sq. Fk
�s� ���a,v y � �x s�,7��=,� �� (p � 5 U 3. (�`8
Construction Type: '�Jl�bo '��F1mE Estimated Cost: $_ �a �
Driveway Curb Cut Wdth Needed: Ft + 6 Ft = Ft x$ _$
DATE: 5 I 02 APPLICANT: �a�C.11�W1�u� ;1� ������.�� Tel.# 50�$ 3a0
Call (763) 572-3604 for Pertnit Fees if mailing in application or Fax to 763�71-1287 if using credit card and we will
call you for card number.
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
� ���, ys
$ aCv-SCP
� ��� a8
$
$
$
$
$
$
$ y�,a 9'
CITY USE ONLY -
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$1200 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 [ ]
STIPULATIONS:
S . �
, .
I. � JUN-14-2431a1 14: 32 F�Dl1i=11VC:� SUKtIt i" 1 Nu bl��L r 4�db r r, r�� ��
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�n
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�N
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� S 90'00'00" E
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�ae �vo. 0�06��
s . . .
,
.
.%b Site �d�ss: � 7"S / /2�"/h .� �/ �i it C�� /`'"v e�l�P(f, /!'' �".
r6�1`���il���� ��9 � Ji ���1`�� 7L' �:1�
�'� � T�.�� ����� :l.�?����31. i �3V
II+iS'I'�i�TC'fl'iOPiS: �'�is altea�a4ive �ay ibe used ior one- and #wo-�a�ily alovelliags ba�t io � irhe Cstegorv i��air.��enYs �7'
�inaeaota Raales, �hagter 7b7�. Complete Parts r�, B, and �. Clearly mark plans with: msulaticn R=;ralues; wiadow and slc,�.:gt�,t U-
vatues; size and type of eqiupment; eqnipment controls; znd location of vapor ietarder and windwash barriers. �Yore detaiFe�
mfomiation caa be found 'm tlbe Minnesota Energy Code svmmaiy s�eels avmlable from the Mmnesota Depertineat of Comme�e.
��.:� �. ������ �1����.���
-� _.::-�:� . .
��:�'���.�sir"�rn� � 0 P�ptioe ( �� �) P
° ... . � �G � 0 e�o�ana (�es: per 7670.0470 sabo. 7 C.)
=:, _ ,.-n-= .r.,�
(ca�ple6e wa�csheet below) 0 MnGheck method (a�ch nport)
P�a�aoce (attach U-valne calcalatiaac) 0 Systems AnalYSis meUwd (attact
"Coo�ook" �o�ks�eet
�� uvsrxucnoNs
Step 1. CLecic item(s) that desigp mcets on Mirdnwm Reqrmrmoits list
to the right i4fast mxt aIl items !o use'�Coold�ook" option.
S�p 2. lndicaDe pcoposed wall type on table below.
Step 3. Indica6e Window U-walne and sonrce.
Step 4. Veafy ta�d window (i�lnding atea of all fo�dalion windows)
and daor arsa is eqoal aa� less than allowable pa�ge.
Joist
n: Minin� R 38 wn
g�th low tass heel; or
with R 5 sheathine whe
Iasalation:
�' he�; or
If7����V ��� ������ ���� � �l7�6iYii ��4��e7 1�9i� � � 8.Ya7� �
+ �
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