AF - 46444.
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Perm3.t No.
PLUMB I �Jr, PERf1I T,qPPLI CATI=��d
Lc�Y, r�IlN
n vl�l , :�l�l< N�1� 3Zl
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Kind of Building Use
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Plumbin Fixture Rates: N0. RATE TOTAL
Number Fi�ttures � x$2 .00 �' n B�
Future Fixtures � _� x $1.50 � " �
New Fi.xture-Old Open. x $1.50
Catch Bastn x $3.25
Water Heater-99,000 BTU _� x $3.00 ,��� �
Ground Run Old Bldg. x$3.25
Elec. Water Heater x $2:00
Gas Fitting Faes;
lst 3 Fixtures
�,dditional Fixtures
� X $2.�� �
x $ .75
Gas Range-199,000 BTU x $5.00
Repairs �-Alterations
See
Description: Code
IState Surcharge � .50
TOTAL FEE $ .5'l
I '
!The undersigned hereby makes appl�ication for a permit
for the work herein specified, agreeing to do all wor�C
in strict accordance with the City Ordinances and rulinF
of the Department of Buildinge, and hereby declare that
all'the facts and repreeentationa stated in this
application are true and correct.
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'°""' """"-�-° —"" LE R�Y H. VlIINNER 8� ASSOCIATES, INC.
O p�n�n� Iwn �Ip �Q,�j,(� c�Khl1��
Regi�lsnd Under laws of Stat� o! Mlnn��ota
8398 Center Drive • Minneapolia, Minn. SS432
Phone 784-0210
CERTIFICATE OF SURVEY
�3URYEY FOR: Kurt Skrandies
cESCaisEO �s: Lots 46 � 49 ana 50 � Biock A� Riverview Heights.
Anoka County. Minnesota.
�2 i�1 I I 50 I 49
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JOd NO. .._74,�70 �
8K. ._A �... Pd. ..54...._
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I here�r artifY that !1� vwy. Olon �► r�er1
riaa pryond �► � a wtd�r m�r dlncf si+0�►dlibn
and tMl I� o duh R��t�.�d l.a�d 9rrvhro►
w�dN 1M lars of th• Stot� ol Mim�awf�.
� fr:. ' , ,
OoN J'`� %"' �°�" Rp. No. 49d7
FI AIAL BUILDING LOCATION ADDED • 6/12 / 74 � L,D.R. 3- 30 - 24
sus�ecr PERMI
City of Fridley 12530
AT THE TOP OF THE TWINS g U I L D I�l G P E R M I T •
� � RE
� �
� ; L ____ COMMUNITY DEVELOPMENT DIV. �/�����
r � PROTECTIVE INSPECTION SEC.
i �
1 . �
i-__- � �r���;,� CITY HALL FRIDLEV 55432 NUMBER REV. DATE PAGE OF APPROVED BY
� J � 612-580-3450
910-F15 5 7 74 � �
JOB ADDRESS 311 Hugo Stxeet N.E.
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. 48� 50 A Riverview Iieights Addition SHEET
2 PROPERTYOWNER MAILADDRESS ZIP PHONE
Kurt W. Skrandies 32I Hugo Street N.E.
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Same
4 ARCHiTECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
�7 NEW ❑ ADDITION ❑ ALTERATION � REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBEWORK Construct a 26' x 44' plus 12'6" x24' Dwelling and a 21'6" x 24' Gaxage
9 CHANGE OF USE FROM TO
STIPULATIONS
Provide a hard surface driveHray. Provide a verifying survey before
cappi.ng. 3ubmit data sheet on truss.
SEWER LOCATION (LOT 48� 153' E. of Manhole (840.62) Wye Elev: 841.14
Top of Footing: 844.14 Minimum. WATER SERVICE: 13' East of Sewer Seroice.
SEWER LOCATION (LOT 40) 105' E. of Manhole (Inv. 840.62) Wye Elev: 840.98
Top of Footing: � 844.48 Minimum
WATER LOCATION: 12.4' E. of Sewer 5ervice
SEPERATE PERMITS REQt1lRED FOR �iIIRING,
NEATIfVG, PLUAIIBkNG �fVD SlCNS.
SEPAFATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING. �pOd Fr�le
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING S0. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION R�. 1144+300 ZS�88O
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION �- STALLS GARAGES Ta
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMP�IED $30, 730 15.3%
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMITFEE SACCHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. ' yi`SS.00 300.00
� PLAN CHECK FEE TOTAL FEE
� $373.37
' SI�NATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATEI �A/H N PROPERLY VALIDA�D� T . IS YOUR PERMIT o�
U ,r •.
� �
SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI BLDG INSP �ATE
� r�
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��w►�s, ���• � nn JOd NQ..�= 74 ,70
LE ROY W. WINNER � ASSOCIATES, INC. t=z�6
'O D�nN�� i�e �1�� 1� c�K%!.!/P.6y021 .
BK� A 30._ �, . 54 ....
•. Repist�r�d Undn law� of Sfat� of Minnuela
8398 Center Drive • Minneapoli:, Minn. 5543Z -°'"'°
'SURYEY FOR:
oEUaieEO �s:
' Phone 784-0210
CERTIFICATE OF SURVEY
Kurt Skrandi.es
Lots 48. 49 and 50� Block A, Rfverview Heights.
Anoka County� Minnesota.
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ond tMl I�n► a duy Rpishr�d l.a�d 9wwy0�
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AP.pLICATION FOR RESIDENTIAL, ALTERATION,
OR ADllITION BUILDING PERMIT
CITY OF ERIDLE�', MINNESOTA
I�'�� `1 N � �'
OWNER' S NAME :� IJ � T �il, Sli ��) /�1 D I�S BUILDER : S,4 N� �
ADDRESS: ,� Z/ �J UGv S%, /l/. �r ADDRESS : S�1 Ni'�
NO :��_ S TREET :_ �/ U�i D S? a
LOT:� —��' BZOCK: �} ADDITION: �2 i YE 2 Y/ G� ?-/ �(C'� N l�'
CORNER LOT : INS ID� LOT :� S�TBACK : 3� SIDEYARD :%t
Applicant attach to this form �ao Certificates of SurveY of Lot and proposed
building location drawn on �hese Certifi.cates.
0
DESCRIPTION OF BUILDING
To Be Used As:
/jk/�"L Z 1 U C� Fr•ont : Z� � 2�6 �v Depth : �� Height : 2 c,
x z �- �° 3 � - '�
�n ,��-� '�,�-�-, � � C
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Square Feet: �' - Cubic Fee�:, a �s
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�A �,� G � Front :� I - ��� Depth : Z¢ Height : / G I
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Square Feet; + Cubic Feat: � ��- �-'
�rpe of Construction: j�pv (7 �� a M7� Estimated Cost:�"_� ���� '
,
To Be Completed; � Y,�
The undexsigned hexeby makes app�.icatinx� 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 Degartment of Buildings, and hereby
declares tha� all the facts and representations stated in this application
are true and correct.
/ i
DATE : �/ �� �� S IGNAT[JRE : � ��, � , . �.,-. _�/�� ,
, (See Reverse Side For Additional Informa.tion. ) f � � � � � ��f
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�BUILDING PERMIT FEE SCHEDULE
SECTION 2. The Inspector of Buildings shall, before issuing permits for the
erection of any building or stxucture, or for anq addition to any existing
building or structure, or for any alteration or repairs to any existing
build�ng or structure,�upon application therefore, requi.re the payment by the
applicant for such permit of fees to the amount herein below set forth and in
the manner herein provided to-wit:
UDTIFORM BUILDING CODE: Type 1, 2& 4-$2.15 for each one thousand cubic
feet, or fraction thereof, in such cubical con�tents. Type 3& 5-$1.85 for
each one thousand cubic feet.
ADDITIONAL INFORb7ATI0N
For the purpose of computing fees for building permits, the cubical contents
of any building or addition, is determined by multiplying the ground area
covered from a point six (6) inches below the floor line of the basement
ox the cellar to the average heigh�s of the upper surface.ox�to the average.�-
height of the roof surface of the ma.in gable of a pitched roof.
For repairs or alterata.ons to an existing structure, the fee shall be at the
rate of $3.00 per each f�.ve hundred dollars ($500.00) or fraction thereof in
the cost of all prop•osed woxk.
Tn no case shall the fee charged for any permit as set forth in Section 2 be
less than $5.00.
VERIFICATION OF FOUNDATION
NOTE: Pexmits for construction will be issued a minimum of 24 hours from the
tiane of application, to allow for proper review of the proposed structure and
of the construction site.
�. '
A Certified Survey of the lot, showing the location of the foundation, once it
has been constructed, will be required before proceeding with the fxaming.
CERTIFICATE OF OCCUPANCY
Application for a Certificate of Occupancq shall be made ten (10) days prior
to the use or occupancy of any structure for which a building permit has been
issued; and said structure shall not be used or occupied until a Certificate
of Occupancy has been issued.
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HF�4 LOSS CALCULA7'IONS .DEPARTMENT OF INSPECTION MINNFAPOLIS. MINN.
Weatherstrips A.S.H.V.E. Conatruction No. Insnladon � I
Guide
Windowa I Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How Applied
Yes—No Yes—No 19_
F7.� r��°� Room Length �-,, Width HeiBht � Fl.� ¢;Q .g �,� s P: Room Length � Width ,��, Height.?-
Windowa and Doora—Crackage aad Area Windowa and Doara—Crackage and Area
�Vldth HeigAt No. o! Llnoal tt. Area WIdtA Helght No. ot Llneal fL Ares
No. ot pane o! Dane Ilghte o[ crack eq. it. No. ol Dane ot Dane IIBb� ot crack eQ. tt
_ ;=.��'� a�� Y � o._C �`n .` ¢�f �S� �T't! 6?�d.� � �� A� P.r� m a`�e
Infiltration y �; ` s' ,� ,� � �� ,�
Glaas �i � �; %,� � � �
Eup. wall ' '- � �-�; '"�� �
Net e:p. wall � o;`� :��'� �� �s' �f �
lnt. wall
Ceiling � � �� �'�i � A r;a 5�
Floor : ;°�:� �
7�cal B�u. : �' . °� -�
Required sq. ft. E.D.R. or aq. ina. W.A. Leadv area i
F7•� d°��' ;� Room � Length Width �'� Height ��°
Windows and Doors--Crackage and Area
Wldth Helaht No. ot Ltnenl tt. Area
No. ot pane ot pane Iisht� of eracic ea. tt.
m:�i' ...�ij�t $,-+Y,c. �� _.�3i� / ��' I
Coef. Bcu
�Ilb�tiBilOn '''<3 'a,�!(' `�t�'�
�di� �� _a� .;� cv' ' �
�Sp. WB�� �? ,� � �- '�;E�?9
Net e=p. wall �g�t� (�. �
Int. wall
Ceiling :) �F�s' � - ,R�
Floor
Total Btu. .-r_°, �s1
Required aq. ft. E.D.R. or aq. ina. W.A. Leader area
� Fl. � r Room � Length �°� Width � Height
Windowa and Doors—Cracl�age and Area
Wldth Helght No. ot Llneai tt. Ares
No. ot pane ot Dana 116ht� ot craok �q. tt.
` 4s ,� -: �� f i± ° � � � �;
Coef. Btu
1n61tration "�' �� °r'„ � B � J .,�
Glass " �° '�` 3� � c� �.1
��p
r-:p. wa� 4° ,� � � �,/ '/
Net exp. wall ,:'; � ,�, ,rp`y:Y� �p
Inc. wall
Ceiling �- � l':� r°' '° ,� d �., ��
Floor - �;_ �
Total Btu. �': " -� ;:�;,�
Required sq. ft. E.D.R. or eq. ins. W.A. L.eader arca
� Coef. Bcu
In6ltration � "r'e �, w: i`� r,,�
Glasa '�,�� � ::; " ° �-�';
Eap. wall ,,:: t ,�� ,y� - ' ;r �
Net eap. wall ` > � ,:;�
Int. wall
Ceiling � °�" "�'` � °'�� � J �� �
Floor �
� Total Btu. !y _,� �„
Required sq. ft. E.D.R. or aq. ins. WA. Leader ana _
FI.I P 9 l� wC•4��� Room I Length '?�� Width -
Windows and Doora—Crackage and Area
Wldth 8elgbt No. 01 Ltneal [t. Area
No. o[ yeae of pane llghte o[ crack eQ. tt.
',r -�a� �:�:.� �� +.$;�� _.`�"�,.�
In6ltration
�86s
�p. W8u ;�� � �
Net e:p. wall
Int. wall
Ceiling
Floor
Tota) Btu.
�_�
-��
Required aq. ft. E.D.R. or sq. ina. W.A. Leader area
Fl.) i'� �=; f� Room I Length ���;• VUidth �;
Windows and Doors—Crackage and Ana
Wtdth He1Qht No. ot Lineal [G Ares
No. ot yane ot p4ne IlBhts ot erack w. tt
�!r��_ `
(
Inhltratioa
Glaaa
F�cp. wall �.`� �`,� �,�
Net eap. wall
Int. well
Ceiling
Floor
Total Btu.
�- :t�` f a �'..-
i �� � k�
_�
-�`_".,�
, ..�
� -g� � � :
IRequired sq. k. E.D.R. or aq. ins. WA. Leader area
Btu
., �
__
1�
�,.i � ;� ; .. r c + � + p��
�S6 � . _ F
HEAT LOSS CALCULA'fIONS .DEPARTMENT OF INSPECTION NDNNF.APOLIS. NIINN.
Weatheratrips A'S•H'V•E' Conatruction No. Ineulatioa
Guide
Wiadowa Doora Reference Out. Waq Int. Wall CeJing Roof Floor Kind How
Yee—No I Yes—No 19_
Fl.� �• r:>., � p•� Room Length �`' r�" Width =� Height �� Fl.� J�;` � Room � Leagth � p� Width �
Windows an Doora—Crackage aad Area Windowa and Doorb--Crackage and Area
�Vidth HelgAt No. ot Llneal it. Area Wldth Selaht No. ot Llneal tt Arns
No. ot Dane ot Dane Ilghts ot erack ep. tt. No. ot paee ot Dane Ilghts � o! erack W [L
_ - i --,�k�y p�,�� L -� a _.,�� -.�� a� --
d'
.-- Y. � 4.+ - f � } R' .� .
`� � - � � � '
Coef. Btu
Iafiltration ,, ;.�' ,..,�r' r �' �R �,� In6ltration � , .�3 '- ;.�,.�
G1aas �'r '. _� r �` ���;.:9 Glasa ;:� d �"e�ua
fap. wall �:.° � � � ° Eap. wall �� -�° - `�1°'d
Net e:p. wall ' - -° -^"' '
°�,� �
� . d ,� - = Net e:p. wall � , ��� ��;� �, ; �
� lnt. wall Int. wall
,
Ceiling w.� � ,-`s ; �4 � �` � °G' °�� CeilinB �
Fioor + �: . ' +.� � ."�`' � Floor � 1 " �
7atal Bcu. ��', ' �' �. ' Total Btu, '` i; � � . �
Required sq. ft. E.D.R. or sq. ina. W.A. Leader area Required aq. ft. E.D.R. or aq. ina. WA. l.eader area �
Btu
F7.� � r; r:: �� Room � Length �`' ; Width Height ,� F7.1 �,N' i, ". Room � Length ,'A Width:°�
Windows aad Doora--Crackage and Area F� B��
Wiadows and Doora—Crackage and Area
Wldth Helaht No. ot Lfneal [t. Are� Wldth Helght No. oL Llneal tt. Area
No. ot pane ot pane Ilsht� o[ er�cic p. tt. No. o[ yrne of pane itghb ot crack ep. [t '
-„°� ';1F _'.f � �B_. . ��.�,� %_�_� _9
Coef. Btu
In6ltration �� ,: '° _ �
I<� �,
�ais �,._" 6.�� �,s:��
Eup. WBII t,�� rq f. ,s
Net e:p. wall �, ��� ��;� �
tA�. weu
Ceiling '' a��
" <A
Floor � 1° � ' " >�;
Tota) Bcu. ti "`I � :�.
I
Required aq. ft. E.D.R. or sq. ina. W.A. L.eader area
Fl. p�: �' .;�9 Room � Length ":'�' Width Height ;
Windowa and Doora—Crae{�age and Area
Wldth Hal`Rt No. of Llneal tt. Ares
No. ot pane ot Dsoe 116b�� o[ crack �a. tG
- ��� S S,s �� � � ��.�
.� ,da
Coef. Btu
In6ltration , � - � � �' `'� �� ;�
Glau .�e � � � °";� :�
Eup. waq ` :' $ �, `'° � �.� �:k
Net e:p. wall � `, ;:1 �°;' � , ��''t ;P
Int. wall
Ceiling
Floor '
= � �;� � ,qh.
Total Btu. _ ` � i`
Required sq. ft. E.D.R. or aq. in�. W.A. Leader area
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, , _�
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Fap. wall
Net e:p. wal)
io�. Wau
Floor �� -
Total Btu.
Requued aq. k. ED.R. or aq. ina. WA. Leader area
F7.� Room I I�agth Width Heigh
R/indows and Doora—Crackage aad Ana
Wldth He1sAt No. o! Llneal tt Are�
No. ot p�ne ot D�ns 11`6t� o! cnck �Q. tt •
Infiltratioa
Glasa
Eup. wall
Nee exp. wall
Iat. waU
Ceiling
Floor
Total Btu.
Bcu
ft. E.D.R. or sq. ina. RIA. Leader area
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:���,�� HEATING HOUSE HEATING TEST RECORD
AIR CONDITIONING
AND ELECTRIC, INC.
ADDRESS � I I L4G � ��i - A�o• IC�v APT. FLOOR CITY�/�� SUBURB
OCCUPANT �taad�� SG9 d�41U'+�I�.S OWNER ��-
HEAT LOSS DATE HTGI. INST. �- /�-�G-i
SOLD BY /v�l.�<t0� ff� INSTALLED BY ��f�f.%� f7T�
Electrieal Work By f.�°M��- �.E�e-C-°l. Qas Une By .�7L�/n!/� /�Tfo
TYPE OF HEAT GA FA y,(,_ HW STEAM_ SPACE HTR._ UNR HTR.� OTHER
?� � GAS DESIGN CONVERSION
MAKE ���G�fddN� MAKE OF BURNER
Modei 3t� i'd?�0 :�to�D Modal
Sectal � � � ���/ 2� -k}e�t �°FU Ratir�—_ — --- - - —
INPUT ��, rJ�� INAKE OF FURNACE
Model
CANTROLS
THERMOSTAT �!N T��D Heat Plug
Va�ve fo!/�cl�T� /2l����5
Limk ��islc�
Limit Setling ��a°
Fan Sening ��?dL)
Pilot Type ��GG�
Pllot Meke e ��!
Pilot Model �I %
Pilot Timing � � ��
L. W. Cut OB
Pressure � �` � L° Percon! CO, C5r- �f o%b
Input CFH • 4f' �1t3� Percent O� �- !O °�D
Slack Temp. O Percant CO �°��
Form 235
Vart Siza
KIND OF UNER ,�i/`_�e•c*�. g�g �� NONE
DraB Hood .�� Regulator
Flltera Sisa �r�'X.�6 af / Number �
Chimney Locetlon Inelda � Outside
Chlmney Conatruetlon �°���/'i ��1�� �2r�. - 6/�G��
Smoke Bomb
Wiring
Draft Te� Tag
Door Pre�ura LighUng Inst.
Data Teated � - �
Company Testina /1/�- t�JS�
Name of Tester �c-��� ���dd%+i