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AF - 46060BUII.DING � PERMIT Village of Fridley, Min.n. N° 2590 Date �� .� . .".'.. .'�� .�.f�.� . . . . . . . . . . . . . . . . . . . Owner....�.-�� . �.� �r ,- I�, 4 �: : :' f : P'� :!;'.�'.fi'�. . Builder . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Address �'.'�'-.."�.'�:-� :'� . .�.'��,�:':,�.��.� . . . . .. .. .. .. . . . Address . . . . .. .. .. .. . . .. .. . . .. .. .. . . . . . . . . .. . . ... ' LOCATION OF BUILDING No. .� �`� ��'r�. . . . . Street .�'�.��:'� :��:.�,.r�..r��}: � . . . . . . . . . . . . . . Part of Lot . . . . . . . . . . . . . . . . . . . . . . . Lot ...a�::�:....... Block ... �''... .. ..... Addition or Sub-Division a:�`r�.w�:�.+�;".�.;,?�t;�,l�'�`, ��;C�i�'..... ... � Corner Lot . ........... Inside Lot . ..:,G�r:. ..... Satback �'K�� .,�P�i,�� Sideyard .��?.:�`a�r�:��............ DES�CRIPT(OiV OF BUILDING To be Used as: . -r�/A " {�� '��+�.x� . . Front :�i�. .�,� Depth ."� �,�-:'. . Height �.�s'� �. .. �,,�=�.'� . . . . . . . Front . �:'� . . Depth .�..� . . . Heiglit . . . . . . . . . � � �' �.C] Type of Construction �'�. s"� 3 :�s.!p . Est Cost .�, ' ��. ��. . ��, . , , ��F � Tn consideration of the issuance to me of a permit to construct the proposed work in accordance with the description above set r ordinances of the village af Fridley. ,� �� Sq. Ft„��,.:�a� Cu. Ft. ........ r Sq. Ft. � ,�d�. . Cu. Ft. . . . . . . . . . ,��'� To be Completed �. �,t'�: i�:�.�: . described above, I agree to do nPli��' wi �� ° rovisions of �� . . . . . . . . . . . . : .t •� .r• • r•cr : ,�* : a�: a: . : . . v: . . : In consideration of the payment of a fee of $. .�.?�.. . , permit is hereby granted to . . . .. . . .. .. .. .. . . .. .. . . . � • . . . . . . . . . . . . . . . . . . . . . . to construct the building or ad dition as described above. This permit is granted upon ' the e.�cpress condition �hat the person to whom it is granted and his agents, employees and worlunen, in all work done ia, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of �ridley, 1Vlinnesota. regarding loca.tion, construction, alteration, maintenance, repair and moving of buildings with- in the village limfts and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. .,.f` .�r .._��, , �::�r'��'�':"`�.�'.�d"�;:��'.�`��„�. Building Inspector � � NOTICE: This permit does not cover 4he construction, installation or altQ�a4ion for wiring, piumbing, gas heating, sewer or wate�. Be sure to see the Building Inspector for separate permits for these ttems. � ^ .� - � � � � O � � � � � � M H � � � 0 � �n � 0 H � y �a � � � � z ~ � ro � � � � � � � � r O � F+ 'J N W k � � N � �' ro o� O � o i..� °z � yz�zay can � ��xn � o w oy�zu�- „y.3 h z L7 y r czi�c�ic�i�-yi m an � �� i:n V] (/� � � W W � � 9 K K ►�+ �q � � trf � :v cn rn z cc a x� tr� h7 H H C] r fj� W 9�� O ��y .. �o �� m � o ��o � m o o� �a°o °om �ym � y C m'`� x m a� �. � �r m�' �:° � n ,� '! " �o ��,a��'�� n �� fD� xxx t� �'� r�� r orw o °oo°OO °o �� pa �� o o . � � ro [ � � a � w � ~ � � z ', K � � � � a ' H m W �a � S �. ro �D w ' y to � �� , ; � � � ,� � � � a .,. �� j H � , � �' �o � � L�7 tt � �° w � m K � � °° � � '° - a , � � � z o °° � '� �q o w � �µ �3 ',� � M s �- � o @ �. � ,�'� ( J'�?�. ��'� � � � � . �,� ``��' � ;� �� ,, �� '�;_.� ��-� � � � 0 �. r m g oy � r � z � � tA N ID �'� x� a��+ ab� a� a� a w ��o � t�a w r o � oro ~ ro °o °o °o � co o - o r � � .mo°W°o o �S ��tl�°o �t � m � � � 00 01�1�PN 00 0000 00 0000 � z � � � rororo � �k�W� R+ R� N �' Uf � � �� a� m��o�q ww� � ro � °° �o,� Pa, c� x � � � ao 0 0 0 00 °o O O o° � � AJJ�PN 00000 00000 �� ` I b � O � H i � G C O C y � � � � � o�o � � 0 � � �z G G � � C �� c� � �a � .. � i � o Q `Q � � � � � o � r�n � 9 tD iD iD G F'� z rororo� � � �Mnpg�m Y Q� R� fD (A '�0 a ��K�, y � rf A O N � 9 waM� � � °��a� � � � �ro X � O ao �o o°o O 0 0 M N o a� � � G M � � a�a.w Iy m W Ft � '0 O r�qi W �� , � �� o ►mi \ �'0 � ��°� � �� o � m ;`a � a ru � a '� � � � � W � � � � �'am � � � �� * o p`" wmrtts �' . � a c°�i r°s I-� - '� Wx�ro ; a � �' `�� . �rt O µ O M � � PI �m�� 8��x � � G �, � � W ;. 5 � ��p J �I N 0 0 0 o L�yi-1 0000 �� H � r N�b �ro i � ►�t rr O (D � �� r w m 0 Ci � � 0 m n � r � m C/� c"f _ � � � -�v -v r� A a � O z O � 0 � m � a�� z c-� -�1 o vi C D � � O S Z my � � z � � -< � � � � �n o y O C � rn Z n � m � , � �, a z . � � -� � � 177 � � O z • a z C c-� � �^_. � 'n � d -�G SuBJECT c�ty of Fridley 9 314 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T � ; � RECEIPT NO. � • COMMUNITY DEVEIOPMENT OIV. �� e r � y � PiiOTECTIVE INSPECTION SEC. � � _ � O `-_-- I �r��,,, CITY NALL FRIDLE� SSI$i NUMBER REV OATE PAGE Oa AVPROVED BY t '1� 612-57�-3450 s�aFiS 4/27/99 / / J08 ADDRESS 1326 Hillcrest Drive NE t LEGA� �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHED oescA. 26 3 Moore Lake Hills SNEET 2 PROPERTY OWNER MAIL ADOFiES$ ZIP PMONE Richard Lindquist 1326 Hillcrest Drive NE 571-1568 3 CONTRACTOF MAIL ADDRESS 21P PMONE LICENSE NO Suburban Exteriors 9701 Penn Ave S STE ��107, Bloomington, MN 55431 1 ARCNITECT OR DESIGNER MAIL AODRESS ZIP PMONE LICENSE NO. 881-8232 4289 S ENGiNEER MAIL ADDRESS ZIP PNONE LICENSE NO 8 USE OF BUILOING Residential 7 CLASS OF WORK O NEW ❑ ADDITION � ALTERATION �7 FiEPAIR O MOVE O REMOVE 8 DESCRIBE WOqK Reroof House & Garage (31 Sq) Tear-off 9 CHANdEOFUSEFROM TO STIPULATIONS Underlayment must comply with the State Building Code. CONSTRUCTION WORK HOURS: 7:00 am to 9:00 pm, Monday thru Friday; 9:OQ am to 9:00 pm on Saturday; No work on Sunday. TYPEOFCONST. OCCUPANCY GROUP OCCUPANCVLOAD SEPARATE PEFMITS ARE REQUIRED FOR ELECTliICAL. PLUMBING. MEATING. VENTILATING Ofi AIR CONOITIONING THIS PERMIT BECOMES NULL AND VOIO IF WORK OR CONSTRUCTION ZpNING S�. FT CU FT. AUTHORIIED IS NOT COMMENCED WITHIN 80 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENOED OR ABANOONED FOFi A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCEO NO. DWLG. UNITS OFFSTREET PARKING 1 HEREBY CERTIFV THAT I MAVE iiEAD AND EXAMINEO THIS APPLICA7tON 1 STALIS GARAGES AND KNOW TME SAME TO BE TiiUE ANO CORREC7. ALL PROVISIONS OF LAWS yq�UATION SURTAX AND ORDINANCES GOVERNING THIS TVPE Of WORN WILL 8E COMPLIEO WITM WMETMER SPECIFIED MEREIN OF NOT. TME GRANTING OF A PERMIT �I,,656 �1.33 DOES NOT PRESUME TO GIVE AUTMORITV TO VIOLATE OR CANCEL THE pERMIT FEE SAC CMARGE PAOVISIONS OF ANY OTHER STATE OR LOCAI LAW REGULATING CON- STqUCTION OR TM PERFORMANCE Of CONSTNUCT�ON �7�}.]rj F e SC �2.66 PLAN CMECK FEE T T � FEE �` � �� Li s SC .00 $83.7 $�GNATUAEO CON'NACTOp0�74UT110Ri2EDAGENT IOATE� ME P LY V I A D'TMI$ I V UR PERMIT � -� - $�GNnTUAEO�OWNEa��FOWNEpBU0.DER� iOATE� �� G �NSp q�rE s,. NEW ADDN ALTER [l [� �� CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: �3 _ l� " �C.`� � � Effective 1/1/99 #4ac� f \'�� y �� Legal Description: Owner Name & Address: `� �Q,��n�, � �e�cn.Ql� �, Tel. # J� �1 � " 1$ � �r Contractor: .�,.Q A X�n 1..(kM �-�.� �� 9 MN LICENSE � �-i a�� Address: � `� 8 � �,�JYV� �J�- -� _ -�-��-#� d � Tel. # �S � � " 8 a 3 � Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: GARAGE AREA: DECK AREA: OTHER: DESCRIP'rION OF IMPROVEMENT Length Width Height Length Width Height Length Width HgdGround Sq. Ft. Sq. Ft. Sq. Ft. Estimated Cost: $ � I m.� �� S(° ° Construction Type: K � ' �L,c} -�. (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE:� Li 'a� G APPLICANT: ��M Tel. � Permit Fee Fire Surcharge State Surchazge SAC Chazge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ ��.�s $ .?.1,�(� $ , a ..J� $ $ S• O� $ $ $ $ $ ��•'�N CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.50/$1,0{}0 Valuation $1050 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 [ ] s��` BUILDING PERMIT FEE SCHEDULE The Chief Building O�cial shall, before issuing permits for the erection of any building or structure, or for any addition to any.existing building or structure, or for any alteration or repair to any existing building or structure, upon apphcat�on therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to-witf TOTAL VALUE $1 to $500 $501 to $2,000 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,00b $100,001 to $500,�0 $500,001 to $1,000,000 $1,000,001 and up Alternate "A" : Alternate "B": FEES $21 (Minimum Fee is $21 plus surcharge) $21 for first $500 plus $2.75 for each additional $100 or fraction thereof, to and including $2,000 $62.25 for first $2,000 plus $12.50 for each additional $1,000 or fraction thereof, to and including $25,000 $349.75 for first $25,000 plus $9.00 for each additional $1,000 or fraction thereof, to and including $50,000 $574.75 for first $50,000 plus $6.25 for each additional $1,000 or fraction thereof, to and including $100,000 $887.25 for first $100,000 plus $5.00 for each additional $1,000 or fraction thereof, to and including $500,000 $2887.25 for the first $500,000 plus $4.25 for each additional $1,000 or fraction thereof, to and including $1,000,000 $5012.25 for the first $1,000,000 plus $2.75 for each additional $1,000 or fraction thereof DRIVEWAY� DEFRESSION ESCROW (Concrete Curb Streets Only) � �5.-�Z Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13:56: Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $15-�5. .1 '� �� _ VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the f�aming. � __A CITY OF FRIDLEY ., -' 6431 UNIVERSITY AVENUE NE � FRIDLEY, MN 55432 (763) 572-3604 FAX: (763) 571-1287 ADDRESS PIN LEGAL DESC PERMIT TYPE PROPERTY TYPE CONSTRUCTION TYPE : 1326 HILLCREST DR NE : 243024120047 : MOORE LAKE H1LLS : LOT 26 BLOCK 3 : HEATING : RESIDENTIAL : ADDITION/ALTERATION PERMIT NO.: 2004-02345 DATE ISSUED: 12/30/2004 . � � �� VALUATION . NOTE: AIR CONDITIONERS CAN NOT BE PLACED IN A SIDE YARD WITHOUT WRITTEN PERMISSION FROM ADJOINING PROPERTY OWNER. COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. # A/C UNITS 1 VALUE OF APPL OR WORK 0 # FURNACES 1 # GAS DRYERS 0 # GAS RANGES 0 VALUE (FOR MINIMUM CALC) 5000 APPLICANT ACTION HEATING AND AIR 8140 ARTHUR ST NE STE C SPRING LAKE PARK, MN 55432 (763)780-0844 OWNER LINDQUIST RICHARD O& J R 1326 HILLCREST DR NE FRIDLEY, MN 55432 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of wor� will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. Applican� /� Date�� Bldg Insp HEATING PERMIT MINIMUM FEE FURNACE SHELL/DUCT WORK • GAS RANGE FEE GAS DRYER FEE AIR CONDITIONING FEE HEATING REPAIRS/ALTERATIONS STATE SURCHARGE, MECH FLAT TOTAL PAID WITH CHECK # 8362 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 0.00 35.00 0.00 0.00 25.00 0.00 0.50 60.50 , Z.. v v °< a � � 0 c 3 � v °� m � � � d N � . O . N � � o i o�a � O � v� �, o' �' I � , � � o� a� �c ' o � c� � �� 1 � m Z � -o m � O z T m m {� � 0 0 \ 2 0 � � � � 3 !� �• cNn c ° � � � � � c N � � D O� o � � � � O -. �• � � � � o � a � r � N 7 � ; m � v °�' � � � m + � 0 � � � � � �� t,� � � m � � �� \, `��..�\ \ \ x � z c� d o� � a a � m c =i � � a N � � °+ m c r�►, � � O � �q NWo N � N � �- � _ v � < o � o �' 3 7 ' 01 ' N ' fl � � �i � � rt � � � � a o d � Q �ao� �� m � � � � o- � r+ o °► � a � n /,n'► , 3 � � O N Q- N � . 3 o D � � _ � � � � � � m ''nm m � � � � � D t�n� .(�11 � O ' o — � '' � � N I� � � o � y � 7 a o �' ' � � � � � �' o o � -. . cn o0°, , o � � v :o a,+ ,o � C� 0 � a � 0�4 � m N � N v m � G� N � d � m � N N � a � oa Z i c 7 N m � '�O_ � � � m � � � � � ,cNi, o 0 0 °o °o °o °o � � � � � � �W m � N a m Z N � 2 � � m � o c°°�� m � o, °-� m = z� � � � fD Qi4 C � N , 'S � � � � = O o � � � � � m ,� � � m � a � 0 v = a o r+ m N � � � o ' d � � 1 � -� 3 � m v O �-N-I � � m � 3 -� z O � � -� ► � � � °� c �(p y � N O � � � a a � � d � •�+, 3 � � N � � � Q. c � � C 7 ,� mw � 0 � W � � rn Q� r�i cNi _ m v � r � w .,, � °o tD � I�' � � c a � ou N a � „ � � � 0 W v v � � � � � n w °' � � � � n~i 3 � p ciu z � 'rl � � D � � N � � Z j1j m { w W � C V r � v � � � � n � O Z D 'o 'v r D � O Z O � O � rn �o '� Z � D v _ � � 0 O r � m � � Z � � (D \ � � T FILL IN COMPLETELY FOR REPLACEMENT FUEL BURNING APPLIANCE PERMITS COMMON VENT. VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacinca an existinq furnace, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstru�tions, and is securely supported and firestopped where required. Yes`� No () The venting system is plastic/PVC and mests all cuRent codes and manufacturer � specifications including sizing, length, number of elbows and termination. Yes� No () The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Fumace Venting Tables for fan assisted and natural draft appliances. The existina combustion air is sized and installed to meet the current codes and manufacturer's specifications. When required to install a new combustion air, it will be sized and installed to meet the current codes and manufacturer's specifications. Yes� No ( ) Ye� No ( ) Ye� No ( ) When installina a new ventina svstem, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Fumace Venting Tables for fan assisted and natural draft appliances. Ye� No () Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per cuRent codes. Yes� No () ./__- _`� � Appliance Tvpe and Size/Common Vent and Vent Connector Information pliance #1 Type C.c�� fl�`�"'�' BTU Input �� Fan Assisted or Nat 7� � I pliance #2 Type �r h� �-�- BTU I nput ;� Fan Assisted or Nat 5� �-c..c� ppliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Tdal Btu Input �� II f� Common Vent Type � 1� V�►,� Vent Height i� � Diameter �'� inches � i hC,lr ii� ��:1� pliance #1 Vent Connectar Height �ft Length ft Diameter in Type �t A pliance #2 Vent Connector Height �ft Length ft Diameter in Type � Appliance #3 Vent Connector Height ft Length ft Diameter in Type HEATING CO: �if�1°� �i ' �C� Signed By: ^ Date : �� `�7 �