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AF - 47854SUBJECT , City of Fridley � ° 13932 � AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r � � RECEIPT NO. � i L��_ COMMUNITY DEVEIOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. n� Z 2 U i � d �� , /'��1 � CITY HALL FRIDLEV 55432 NUMBER REV. DATE � PAGE OF APPROVfD 8Y ""�' ,'� 612-560-3450 910-F15 2/28/77 � � JOB ADDRESS 1401 Kerry Circle N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4 1 Heather Hills 2nd Addition s►+EET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Brickner Builders Inc. 6245 Ben More Drive, Fridley 574-9871 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 X NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCFiIBE WORK Construct a 64' x40' Dwellin and a 22' x 40' Gara �'"�tM�'ORT � � ENGI SEPERA� �RMITS REQUIR Dor�r �E 9 CHANGE OF USE FROM H�T��' �,iL ' REMOVAL AND f�EPtA �ME NGS. STIPULATIONS provide a hard surface driveway. Provide sod in the front and side yards Provide a verifying survey before capping. Suggest placing stmtp drain for garage outside of wall for ease of cieaning. SEWER (Approx. 11' Deep) 51' West of Sanitary Manhole (Inv. 929.77) 31' North of Hydrant WYE ELEV: 929.68 TOP OF FOOTING: 933.18 Minimum WATER LOCATION: 11.5' North of Sewer service, 42' North of Hydrant, 54.5' N.W. of Sanitary Manhole � c�nr o� .� � Nor � � � � ��u� ACCIlR�C1I' OF VIILAY �p�q�p�g r�s a►r� �s roa �owr+�noN ru�aos�s o� � 8�ton d�t 4� Ia�t �s p� �� a��t uv�o�w►1toN TElEPNONE - ElECTRIC � GAS Ftc. ON 'ql� YtE. TYPE OF CONST. C OAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION 20NING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTFiUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT R 1 14 4+842 2 TO'td�. ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMItJED THIS APPLICATION STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION 58, 240 SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $ WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING Of A PERMIT +�$�x��$ S29• 12 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMITFEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTI R THE PERFOR NCE Of CONSTRUCTION. � ��-SG.3% $375.00 G PLAN CHECK FEE TOTAI fEE �' � 2 0 ` � $39. 09 $599. 58 SIGNATUREOFCONiRA ORAUTHORIZEDAGENT IDATEI / WHEN PR PERLY VALIDATED THIS IS YOUR PER�¢i . � . �O� � �d2.Q.rJ � � ' � � SiGNRTUAEOF0IMNERIIFOWNERBUILDERI IDATEI BLDG. 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'.__.,_� __ . Y�__--� . _ F �3� �� i ; � ,. ,� . -. - . t -I---+---i_ .__. � CITY OF FKIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS �NEW, ALTERATIONS, ADDITIONS, OR REPAIRS) Oi+�If7ER: /,OL / �. �N-L? � BUILDER: �d� / � %��% � �2 %�viL D-e,�s /�i%c , Address : -S�� - Address : � �� /'� %�� %/Z. Tel. No. S %� "��%/ No. � �d � LOT: � CORNER LOT: Str eet • fl r�-'/Z �j G/ /2 C G e, BIACK: I ADDITION: f!�f/ if�e/Z �/G L S ��,Qpo�TioN INSIDE IAT: �/ S; TBACK: � r SIDEYARDS : � d- �� Applicant attach to this form Ztao Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRI PTI ON -0F BUI LDI NG To Be Used As : s� � fA�t�/ L� � Front: (� � Depth: �(() Height: % � � Square Feet: O�� .. Cubic Feet: -3�j � 7�, Front: ..,� 2 Depth: �� Height: � � Square Feet: � Z- Cubic Feet: g� Z � Type of Construction: ��%/1�� 7.b Be Completed: / �- � ��tyS � � Estimated Cost: $ ��l, �7�,� �s Proposed Driveway Width If New Opening Is Desired' ../'�/�//�i�"` . /Alt. A 'Alt. B $ $ EET) The undersigned hereb��-�nrrl�r�=� �� s�e- �-- r--- ° '"' '"��`►� thP workl,erein • specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buiidings, and hereby declares that all the facts and representations stated in this application are true and correct. See reverse side for additional info ation. DATE: Z � y � � SIGNATURE: �� Stipulations: �� ,� o►� G�2.�, �'� � � ��cP �� - � ��• � � c ; !�.� c�C.c.l�, �� . �� /,5^6. ,� � 31, � 9 ��,iL �?�', �a � 99- �"�' � . . 0 Surveyors C�ertific�te COMSTOCK & DAVIS, INC. Consulting Engineers and Land Surveyors 1446 County Road J, Mpls., Minn. 55432, 784-9346 PROPOSED HOUSE LOCATION SURVEY OF: , SURVEY FOR: LOT 4, BLOCK 1, � TOM BRICKNER HEATHER HILLS SECOND ADDITION � '- 6245 BEN MORE DRIVE CITY OF FRIDLEY � � FRIDLEY, MINN. 55432 N �' D2A�l�A.Ca�. �AS��TS — bda-- •= `t 1 '� $-g . SS• � O O � � _� I� I I l'�3. �4' 11� _ � �� ut.lb �6.Y�U0 UT��..tTY . Z � �P,� "M�JT - � �, ��. y? fti� v � �y �;'- C'ONC �. P' �. �R1J,E. . . 35. _ , � q.o�o K� tZ�'� C��C�� T � S(e• S3 •'� � WARNIH6 Be#ae digging eaN taal u� . TELEPHOIiE - E1.�GTRiC - fAS Ei�. ��Q�IR�D BY lAW DESCRIPTION:- . � • Lot 4, Block 1, Heather Hills Second.Addition, City of Fridley, Anoka County,, Minnesota. Subject to easements of record. . SCALE: � `' = S c� ES NO'i GUA►RMR� 'tH� � � � FRtDtEY � T�ONS AND ElF�A1tGNS: ��A� pF UTll.IIY ��` Zt�1lS DAiA tS FOR INFO��N ��OSES ON�iiQN PERSQNS USiNG R SHOUtD VER�� 'RiE � �N }�{' �ITE I hereby certify that this survey, plan or report was prepared by me or under my direct supervision and that I am a duly Registered Land Surveyor under the laws of the State of Minnesota. - �T� �'j' 10832 2/23/77 3758 * Reg. No. Date Job Na ° ' (,� j � �.. ��`o��,� a � . l 1 Sl' �� o� �y, y�%r�/. �/, 5 � �� o _ �� V , �- F ��,�r l`��p. ��'�� C��,� �. ...�... 9 . � � q� ��,.�� _ /�j�� l-s��"o� ��. � � � ��. Z 33, j� /�,��,�v,� 1y.� � /.� s �,�.� . �s Gn��/ � 7 .� r �, �,_o. . �v;�� ? � 6 - �y fu� k' ��'l�iC" � y � � , o � �yo,��T � 4"�i►'.°� �,:' � r„�;`� � �-' ,�/i/r%• �.l'J�. �yt: t;,� . � �.�� , � . , �- . ..`t • . . . ... . . ... F i : (1 � t ''1n� i�4. . � .. . . . ... . . ; r . � . . .. ' .. . �... .r.R ..� . , . .e . . ... .. . .. : �,'. ;. .. . .. .. . , .. .. . . . r .°�.„" � � tN . l' 0 A - r a �/ � ` ��/ �-c..cc��t,,.� . .�" � � _ , EXTERIOR ENVELOPE AVER�IGE "U" COMPUTATION OWNER: �� SITE ADDRESS: CONTRACTOR: a� �Z�L'�� G��.. Page 1 of 4 DATE `� J 2 � _ �, PHONE : S %/ � � � �� Determine working square footage of each � �y s- _ 1. Total exposed wall area...... � �'` � �q. ft. x .17 � ' � 2. Toal roof/ceiling area ...... �� J _ sq. ft. x .OS = �� 7' 3� Total exposed wall area above floor = a. Total wall window area ................................. 6.%� b. To�.al door ar�a ....................................... 3./ c. Total sliding glass door area ......................... /�. (� d. Total fireplace wall area ............................. e. Total wal.l framing area (average 10�) .............. �-O f. Total ri.m joist area .................................. g. wall area above floor .. ....................... _j �,�• h. wall area above floor .. ....................... i. wall area above floor .......................... j. wa�l area above floor ................... .... t� Total exposed foundation area = �j� --�—F---- k. Total foundation window area ............ .............. IV 0�Z'` l. Total net foundation area above grade ................. �X � s� 5 Determine "U" value of each wall segment �e.g. window, door, each separate wall section) G YB�a. �� "7 S� X��U�, , 3 D '�_ �•�Q b �Z,�• , y°.b. � � . � .�. X „U�� . 5' _ • ( �� a ��. �s C. 13 9• 8 b X,.U„ . 3 s� S 3.1 a. x ��U" _ .Z�.L e. /�o. na- X ��U�� . 0 •�Z = c� �� f. i% X.,u„ , 0 3. o`_ ` g. % � �.Q . °�..� X ��U�, , � 3 ,� � _ //3. �� _�'= h. X "U" _ i. X "U" _ �. �- 3 � � �O � � � X nU�� - k. X °U" _ �g.� 3 3 i X„�,. . y7 �)_ ��. 33 3. .,��.3. .�Y3 . . . . . . . . . . . . . �o�� _ � . . . �a�'�. If item #3 is the same as, or le5s than item #1, you have met the intent of SBC 6006 (c) 2. 0 n F.xterior Envelope Average "U" Computation � � � Total exposed roof/ceiling area = Page2of4 m. Total skylight area ............................ n. Total roof/.:eiling framing area (average 10$) ... _ �-"""'�� o. Total net insulated roof/ceiling area........... Determine "U" value for each roof/c ling segment ' �. X .,U.. _ �. .3 3� f _ n, X „U�� _ o, ��..'�-- X ,.U., . � 3 = . 4..........••-• ............. Total = �i 4 -I If total of #4 is the same as, or less than #2, you have met the intent of SBC 6006 (c) 1. Alternate Building Envelope Design Zb utilize the total envelope system method, the values established by the sum of items #3 and #4 shall not be greater than the sum of items #1 and #2. l. + 2. _ A� ��: + 4 . _ 0 . � � ' WALL SECTIONS NpTE: Use 10$ of opaque wall area for frame construction ' !, n � i --^-�. . WALL FIG. #1 �` �� \ U I " • . .� �!. �i � � ,-�G. #3 �9 � moPViE�a oF FR1�tt.E i7ALL y '.`� . _. , ` d c . � o - • . r �- ' . •, ; � • ' . �,, ; . , � . � t; - � ..� : . � ,J ' _ : . . m Page 3 of 4 Construction R-Value l. Interior air film 0.68 2. '� " S-R- O.�IS �, 3.•5 ;.� 5i�� 6•�1 4. 1��- ��F+e�4zN7�5 °�-•G�o 5. f� �� c�.Q��. 0.93 6. Exteri�r air film 0.17 To�i ��, �� = .�� 1. Interior air film 0.68 2 . ��t; ' s ' � � . �S" . 3. Ca �/�. i � 1� S U L. ��- 4. a'�/'�S� ��,�i�6lN�j �•05� 5. �!ti"` ��;o�tt� 4� q3 6. F�cterior air film 0.17 �or�� 6.a9 ' 03 J � �, Interior air film 0.68 2. � r1L �� L�,S V ti � d" 3 . � ^,� ., � � � � . �� 4.�'/„ � tl e�,-t.� rN �_ �. • o L �5. '/ Gc� AjL � � � 3 6. Exterior air film 0.17 Total °�+�,13 _ , 0 3 1. Interior air film 0.68 2. 3. ��. � �� K �. a� 4. 5. 6. Exterior air film 0.17 �� .,3- •�7 � t e • r- • • r, • ` �` t � • '�,'(2,"5�.. F� � � ' ;' .. e � �« - '� � �� •6 1 . ��:%�- � � • � • �� V � . ' _ ^ � a ` ��ri .. , . , - �t� .• '` . • - • -- /► � � --- • � �fl � . . FiG. #4 /!t � * ` •• ' a = �/r . r. \. ` • �//(�� r.- ' �l( � � X ^ ,� j!/ � • /�( � !« : ��c : ' NOTr'.: Indi.cate tyne, "Tt" valu'e; c3epth and placement of insulation. ' � , VEI�'T ROUF/CEILING � `'` ' � �: 1►11 ii;t�t� �--� �.,� �._..� . . Vented Heat flow up . . . . FIG. #5 � ' . sn,: .;,�. e�-_: �e,_�!t �� n. �-^- �.�-�` -.r.s.�. c�f a...c .� �.� -�:.=r..��a _ - 0 �\:,/ �.:� �.:� ��y..� . }:ear floca up . �, ;•vented � . : . . ,FIG. #�fi �.. .. . � . � ` . � . 3 � - � ,. � .� . e q ; ,�,�a � _ X_�,�3.� . � F t�3�'-r-s�L1�'•= • - .. ; .. � � •�•,�r.� :!�'' "� , . / �� '. �� ~� :. w—�1 � � /'�.�--- . . r�y��y'' � 1 �2 . Y � ,� • Ko�!—v��n� . ' �� . . .. � •. , . � ' . � � Hent � � , • • � � f low up . • • . � , • • . . .� . ^ •, • . ��„• �� ' � Page 4 0* 4 Construction R-Value 1. Interior air film 0.61 ." S�- Q,�S� a . �, e 3. 1 �'alo'�t i� ��J � U I, 3 p 4. Exterior air f ilm (still} � 0.61 ' Total 3 � ,�.' : O�r 1: Interior air film 0.61 2. 3. . 4. Exterior air film (still) 0.61 Total 1. Inside air film 0.61 2. 3. 4. 5. Outside air film 0.17 Total Note: Use additional sheets if more space is needed for details and calculations . � J r � a, i � � CITY OF FRIDLEY . APPLICATION FOR PUIMBING AND GAS FI�'TING PERMIT y >+ m, my.� o ck� •. v Water �c�i ro � C m E' a� N Ll Ul rtE u pa', �w � Heater H N m .� � .•� ,� .0 '�C C 3 O u�.�i o� �� t} � a�i p N N•'1 � O Q � N J� N N N N �-1 M �tl �y «-1 rd ia O.[ ri �d �d � N �0 ro . as lec v�i U D W C� cn 3 Q w v) w U fA �C 3 C� C7 O � f � iI �� lst / � � � 2nd � 3rd 4 th (R) = Future Connection Opening Coru�ected with Sewer (*) = New Fi.xture, Old Opening Water PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: N0. RATE Number Fixtures �$ x S3.Q0 Future Fixture Opening x $2.00 New Fixture, Old Opening x $2.00 Catch Basin x $5.00 • Water Heater - to 99,000 BTU j x $5.00. 100,000 BTq to 199,000 BTU x$10.00 Water Softener x $7.00 New Ground Run Old Buildinq x $5.00 Electric Water ileater x $5.00 GAS FITTING FEES: ].st 3 fixtures �_ x $3.60 Additional Fix tures x S1.00 Gas Range to 199,000 BTU x$�:0.00 TOTAL $ S�1�00 $ $ $ S.UO $ $ S S $ $ .2.� S S REPAIRS $ ALTERATIONS First $100.00 $S.Qa S each add. $100.00 or fraction $2.00 $ 3tate Surcharge $ .50 TOTl►I, FEE $ � REINSPECTION FRTs ($10.00) Job Address � � y _ Department of Buildings City of Fridley , Tel. #571-3n50 The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct Fridley, Mn. �y� p' y , 19 �� TNER KIND Q USED AS TO BE COMPLETED ABOUT I E3TIMATED COST OLD �UILDING PERMIT NO. PERMIT NO. �� Company � yv� �/7� �- Signed By /1�-�C " / 4 �- Tel. No. �% �� ROAGfi INSP. Date i FiNAL IN5P. � ' �. �j ` / / ' Date APPRaM11AL P'OR PERMIT �� • MIi3IMUM FEE FOR ANY PLUMBING PERMIT IS $?,50 pLU3 $.50 STATE SU�RiGE � CITY �F FRID�EY APPLI�ATION FOR POWER PL.4NTS AND HEAT1f�6; COGLING, V[NTILAT:ON, REFRIGERATION AND � �IR CONDITIONTNG SYSTE�•iS AND DEVICES PARTI,�L �TE SCHEDULE * GRa�'ITY IiAR�f aIR: RA7'r TOTAL Job �ddress ��,�D / rsrnace S:�ell & Cuct ��ork $12.00 S R�place.mer.t of FL•rrace 7.00 S � Repairs & Alterations-up to $500.00 �•�� S Department o_ Buildings Feoairs & Rlteratior.s each add. 5500.00 4.00 S City of Fridley - Tel. n571-3450 �fECH:I\IC�L ltiaR>t �IR: FU`::ace S.`.ell S�s:t Work to 100,000 &TU each ac3. 50,Gv� BTu : ealace.*�ent of Pu.^ace Repsirs & A'_terations-�p to $500.�0 ^.e�a:rs & alteratio:�s eaci: add. $500.00 STE�:•i OF tiOT lti'_\::.R S1'STL•�I: Boi'_er � �_:e� u: to 1�O,CCO BTO each ac�:i. 50, 000 iiTli Boiler oaly np to 10C,000 3TJ aac?: acdn. S0, Cu0 ST:J QIL BLt.\�R- to 3 cu1. aer h.o�r . :.s.,.. 2d3. � _ �� . y.C_ ::JL_ C.aj ;U�\th- �_o:a li;G.�,vO 3:� to i99,99y 8.'J (over 199,599 3TU see �'�e Scned��le} $12. 0/0 S� � 2 `�� 4.'�/� � d "r ". 7.00 S 7.00 $ 4.00 $ $1'_' _ Cp J 4.00 $ 'I.00 S 6.00 $ $10.00 $ i0.00 $ $10. 00 y /O• !IU $ cas =irrr�c ��s: ��L � r��:�,:re� ;� S 3. oo s�{/'J .,�c'_.zor.al _ _., �u:-es .Y $ 1.OU S G3S v^3c tC'�iN9�G00 i�iJ 1$10.00 $ aT_ : CO\D;TIOV?\G �� S / . DO F:�\ HE:�TI\G SY'STL`1� � See Fee Scnedule $ b`E'�Ti�:�TI\G SYjTr�1S 1 S /�.UO ALTERaTIO\S �, RF,,RaI RS _ � S fQ��,� v�j�i 1 � State S�rcharge $ . 50 dr2 r i \ ( ��T� �� TOT�I, FEE $�� ROJGH I2:SP. Date v FI.\?�T., I?�S?. ^� ' 7 Ddt2 AP?ROVe�i, FOR PER�:IT -��- REIIQSPECTION FEE (.$10. 00) NSItiZ;SU*1 F�5 FO�Z A:dY HE.3TIVG PERVIT IS $7.50 'Phe ur,dersigned hercby makes application for a permit for the wor'r, herein specified agree,r.g to do all work in strict accorcance with the City Cc�es and rulings of the Department of Buildings, and hereby declares that all r;.e facts and representations stated in this aoplication are true and correc�. rridley, Minn. �- � � 1° � � OW.I�R �/C � (_,1C /L��"/C �L� �/� S %��, � KZND O�' 3L'ILDSI�G F/( � USED �,s �C�J�'L L /.�i'C�- _ TO EE CO'�9PLETED F;BOUT %'� �� 7� r �s�r��-.�;TEn cosT � �SD D � pLD - T.E1W BliIiil�i:G PERdi= :d0. P;F'^.IT N0. �` DESCRIPTION OF FUF2'.�ACE/9UR::ER HEATIN� or P047ER PLI:NTS, Stear.�, uot S•7ater, Y:ar� P.ir- i•+o. Trade Name G�� fCF C size :ao. ��!/(� l�%�� Capacity /C6 G2� Sa. Ft. EDR B?'U �:P 2ota1 Conr.ected Ir�ad Bi:RNEF - Trade Name Capacity __ _ Kind of :'uel /y � � Size i1o. Sq. Ft. EDR BTU HP Company ��Ii�G9�� //1��/L �(f.Yt'l%�(J/G: � - Signed By �� ✓� _ Tel . No. �'.� r� - 7 L 5` � _ _ �"; � ,� � ��,r:. � .... � � �� . .�• � r: �� September 9, 1977 CITY OF FRIDL�Y 8431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 55432 � TELEPHONE ( 812)571-3450 8rickner Builders 6245 Ben More Drive N.E. Fridley, Mn. 55432 Re: Final Inspection at 1401 Kerry Circle N.E. Dear Mr. Brickner: A final inspection was made on September 2, 1977 of the above address and the following items were noted which must be completed before the structure can be finaled out; 1. Install house numbers on structure. 2. Provide sod in the front and side yards. 3. Install another rail on deck below seat. We will expect the above items to be completed by October 1, 1977 when a reinsgection will be conducted to determine compliance. If you have any ques.tions on the above items, please feel free to contact me at 571-3450. Sincerely, -fl�YRREL G . CLARK Community Development Adm. DGC/mh sue�ecr PERMIT . City of Fridley AT THE TOP OF TkE TWINS g U I L D I N G P E R M I T� ' r ; ;. REC T NO. � • COMMUNITY DEVELOPMEN7 DIV. r ; L ------. 9 .5-�-3i � � PROTECTIVE INSPECTION SEC. ,4 � /'��1 � CITY HALL FRtDLEV SS4$2 NUMBER REV. DATE PAGE OF APPROVED BY `•°�'�'� ,'� 612-560-3450 910-F15 5/1/79 � � JOB ADDRESS 1401 Kerry Circle N. E. 1 LEGAL LOT NO. BI,OCK TRACT OR ADDITION SEE ATTACHED oesca. 4 1 Heather Hills 2nd Addition SHEET 2 PROPERTY OWNER MAII ADDRESS ZIP PHONE Brickner Builders 1401 Kerry Circle N.E. 574-9871 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS 21P PHONE LICENSENO. 6 USE OF BUILDING R� S 1C�P.S7'tld 1 7 CLASS OF WORK O NEW � ADDITION ❑ ALTERATiON ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK , Construct a 20' x 16' Addition to Iiouse 9 CHANGE OF USE FROM TO STIPULATIONS . W AR�i1HC SEPE jZq �E d�ggi�g �all local � Etc. NEATtfbG► P�RMITS REQtl�RE� �. ELECTRIC tAW MB1NG q�� (�j �ELEPHONE • s��. � R�C��.l1RED BY TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS AiiE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZpNING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONEO FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK �S COMMENCED. NO. DW�G. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING TH1S TYPE OF WORK WILL BE COMPLIED. WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $4i 900 $Z.4S DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMITFEE SACCHARGE PROVISIONS OF ANY OTHER S T OR LOCAL LAW REGULATING CON- STRUC THE PEFiFORM N OF CON TRUCTION. � 529.40 ��` Z_ � PLAN CHECK FEE TOTAL FEE 7.35 $39.20 SIGNATUREOFCONiRAC AUTHOR12EDAGENT IDATEI EN PRO R V DA 7HIS fS YOUR PERMiT t �'-2-�S SIGNATURE Of OWNERIIF OWNER BUILDERI IDATEI BLDG �NSP nATE � . . CITY Of= �=fZill�CY , ' t1PPLI C�'f 3 GP� f'Oft i2CS I1)I=fJT I11L LU I i_D I NG ('Efti'f I TS . ' (j�Ct�l, �LTL=R/1TIOtVS, ��iDD1TI0tJ5,' �R REPAIIZS) OWI��R: ��/ G/�1'✓-C�C BG ��/�S . I3UILDL•'R: �,��il%N_i ''' ,, y � �Zy � Address : � �� C�/�C LC Address : . Tel. No. ,�%%' �..�1/ . ' , 1�{01. . No.: �treet: �,pT:— /�� BIACY.: L� ADDITION: L'� L L.� L�/�►'✓� COitNER LOT: INSIDE IAT: I� SLTBACY.: I D� SIDEYARLS: %O Appla.caht attach to this form �ao Certiticates of Survey of Lot and propose3 • bui.lding location drawn on these Certificates. . � � DESCRI PTTOPJ OF BUI LDI NG . . •' Ta Be Used �.s : • , %� �'✓��%%!1� Front: �� , Depth: % �p ( : Height: %� � - . �r�5�m�.�T :.30� Square Feet: ��/ Cubic Feet: 0 Front: � Depth: � Height: � � Square Feet: • Cubic Feet: ' Type oi Construction: ��i�%� • Estimated Cost: $ ._.--� • �O 110 Be Completed: �� Alt. A� Alt. B Propnsed Driveway �4idth If New Opening Is Desired �/6Nt/ $ $ ° , (SE� I2�VERSE SIDE OF SiiEET) The undersigned hereby mal:es application for a permit for the work herein specifiLd, agreeing to do all caork in strict accord�uice with the City of Fz.idley drdinances and rul�ings of the Departme»t oi Buildings, and hereby declares that.all thc facts and representaticns stated i�i this application are tr�ae and correct. S�e xeverse side � dditional i �nation DATi;: / Z � / � SIGI�IATURE: Stipulations: ��6.t� %f��2.u� � �.€r2CQ . .....�---- , /� z x 2� 3� :�/ y'� �-�- . �h e�.9� , l,t . �n � �°j. �f 0 � �. �� y �. �a � .zo �S �" . : t . �, .? . y, . 0 � � � / '�' 2-` V �F � �'� �-4"`i�..� F:Y.�:::iIO;� L:JZO: r, AV't;RAG� IYdrOP.L'.ATION G:�;::i:i-��/ C/�%ii�,� %��,�'1',,,�.5 ' ,�`<: , . ::�':.. t,:�ii:t�s:, /��! !'�+C�i�y G'/e�,�'GG C= � . �:�':: P.:,CTQR Si�/YI � ' DATE : t, r.J� s<PHDPiE `� +7Y " 'J�U %f Detexs,iine workinlg square foot��e..at each .f- � '�. ^otal expose3 wal2 area ................. �� sq. ft. X.17 �1, � _. io�al roof ceilin� area ................. � 3�'� a sq. ft. X.05 �i� 0 iotal cx��ed �rall area above'floor 3. i'Ot�Z P'31�. �indoao area��a��►��s��'��r�� .��/^� ... , �� b. l�otal �co: ar.ea ..................................... 1.-- c. ict31 ;.iass s2iding door area ....................... ^-r .^.. iOtc� :�Irer:�acc �d�l area..��.��•' ��. F e. ^ota: �ail fr:i.�in� area (ave. 7Q��) ................. ��,IL�F f . :'O �2i i2E't wal l area above floor.. . . . ... • .. .. . . . . .... 5 �/ Sp ��_iO�c11 il:� joist area..��i��• �� }�: i0�11 knee �aYl witfi brick area....,.......��..�,��: ..�� r 1.. lOt.3Z c:�ntilever area...• ....................•.•..•. �� v• `:otaZ partition pall.area��• �. �_ Total �xpos2d Faundation area �:. 4ota1 foti-�dation vrindow area � � :.. '�ofi�2 net foundation area above grade _ Deteziaine "U" Value of each wall ae�ent ,_ � 0 x«U�� + . 3� f S�iti''' _ rl2/PL C 6'�i��. EQ _ v ��u�� _ � � J�� __' _ V tl V i/ . . .. . �,. — X t��, p 3. �— rv.q -. 09 -- `• 39� X „u�� , S• �.3, 03 � . °`� . X t�U�� . .. X ��II�� , -. X "L"' , - � ��U„ .. � p y., �, �� . i M-1 . ...... .....................T��al..... i. �j, v` '_' �^ -�3 zs the ��-^_� as, or Zess than �1, you have met the inter:t c`' �J�� (c)2. � 0 �"' � � � . �� a:ter, io� E:r��rc;l.�}7c: Avc .� `e "i;" ? o•:�.i? at : � � �'ct��zT e::f-.c �t.�c�! rc�oflcaiii;�c; _,rc_a "' __.__.�_Z �__._. . , . .. �; m. Zti?*a? s}:y3 ight a�-c�a . . . . . . . . . . . . . . . . . . . . . . . > . . . _..__-------------- n. Total z�of/ceiti.�c; fr_��mirx;J area (<-��er��<.. 1i�v) .. . ___ __..._.._____._ v. T�tal ne` ir.sulated roc�f/r,'L�111I1�J area. . . � . . . . . . . _ �_ _ _�__� Uetermine "U" value fc�r �ach roof/ceiI i r�g s4�c,r;:r;r�t �. X �� r n. X ��U�� _ � 3Z,� �,� „U„ .v3 _ 9-� 3�.`� : .63 �. _____�_.__ _ __._ _ 4 ... ....................... 7bta1 = - -.._._ If total of �4 is the same as, or less than #2, yo�a havc ruet ti�e int�n� cf SBC 6006 .(c) � . • Alternate Bui_lding Lnvr�to e I)E�si9n _ _.__ __,:__..�__.__.___� 91U utilize the total env� l.ope s.�s�em metizod, t.he: val.ue:_: e�;i_�.b1 isY,c,a b,� thc�. �,um o£ itettts #3 and #4 shall no� b�� yreater i:han t}�e sum of itc�m� ,�1. ar.d ;;?_. � , ^ + ?_ . ______._.__.� _ '� __�,_�.____�. 3 ' --- – — + 4 . __ ___.� ` _ _._ _ � ;; , ;: �� • CIiY OF FRIDLEY rAPPLICATION FOR POWER PLANTS AND HEATIN6, COQLING. VENTILATION, REFRIGERATION AND .AIR CONDITIONING $YSTEMS AND DEVICES PARTIAL RATE SCHEDULE GRAVITY WARM AIR: I�rnace Shell & Duct Work Replacement of Flirnace Repairs & Alterations-up to 5500.00 Repairs 6 Alterations each add. $500.00 MECHANICAL WAR.�f AIR: Flirnace Shell & Duct Work to 100,000 8TU each add. 50,000 BTU Replacement of Furnace Repairs & Alterations-up to $500.00 Repairs & Alterations each add. $Stl0.00 S1Fr1i�: OR HUT WATER SYSTEDf : Boiler S Lines up to 100,000 BTU each addn. 50,000 BTU Boiler only up to 100,000 8TU each addn. 50,000 8TU OIL BURNER- to 3 gal. per hour each add. 3 gal. per hour GAS BURNER- from 100,000 BTU to 199�999 BTU (over 199,999 $TU see Fee Schedule) RATE TOTAL S12.00 g 7.00 $ 7.00 $ 4. 00 $ $12.00 4.00 7. 00 7.00 4.00 $12.00 4.00 7.00 6.00 S1o.0o 10.00 $14.00 , Job Acidress %Y(� / �C��7 �%� (,i� � Department of Suildings City o£ Fridley Tel. #571-3450 The tmdersiqned hereby makes application for a permit toz the wrk hereiA $ specified aqreeing to do all work in strict accozdance with the City Co�es •. S and rulings of the Department of Buildings, and hereby declares that all tha S facts and representations stated in this application are true and correct. $� n $ Fridley, Minn. � Z � . 19� � ow�R % �D /l'� ,g'-� / C�/1��2 $ KIND OF SUILDING �/i� � $ �c�/`�LC /•r1� $ USED AS s y _/_ J� TO BE COMPLETED,ABOUT $ �—>�' � $ ESTIMATED COST c� v!d $ OLU � NEW BUILDING PERMIT I�. PERMIT NO. / b�J $ � GAS FITTING FEES: lst 3 Fixtures x$ 3.00 $ Additional Fixtures X $ 1.00 $ Gas Range to 199,000 BTU x 510.00•�„$ AIR CONDITIONING � ' g FAN HEATING SYSTEMS gee Pee schedule S VENTILATING SYSTEMS $ ALTERATIONS $ REPAIRS $ state Surcharqe S— • o TOTAL FEE $�1: = PDUGH INSP. REINSPBCTION FEE �te (510.00) PII�1l1L INSP. G�� / J , G�/ � D8t9 � (iC.(/�� 11PPROVl1L FOR PERMIT �� 2�'.Q�C/r 'iG!/J'�, MINIMUM PEE FOR ANY HEATING PERMIT S 57.50 pLUS $.50 ST SURCHARGS DESCRIPTION OF FURNACE/BURNER HEATIN� or POWER FLANTS, Steam, Hot Water, Wazm AiY- No. Trade Name Size No. Capacity Sq. Ft. EDR STII HP Total Connected 2,oad Kind of Fuel BURNER - Trade Name� Size No. � Capacity� Sq. Ft. EDR BTif HP po�npany � G/dv f�( � � Siqned By • Tel. No. .__ _ _ �� -�r��...w.�,��. � � � � .. � �� - !'�� CITY C�F �RI�LEY � '':�� 6431 UNIVERSITY AVENUE N.E., FAIDLEY, MINNESOTA 55432 ! TEIEPHONE ( 812)571-3450 � June 23, 1981 Minnesota Package Pmducts. 6922 - 55th Street North North St. Paul, I�i 55109 Re: Swimmning Pool Construction at 14�1 Kerry Circle N.E. Dear Sirs: This letter is to mak.e clear this. departznent's requi.r�nents for the sw��*�^g pool constructi.on at the above address. : . l. As indicated, one (1) skiaQner approved by the Nati.onal Sanitation Foundation will be provided. 2. As indicated, two (2) inlets of approved design for fresh and/or � repurified water wi11 be provided. : 3. As indicated, a main drain of approved canstruct�on wi11 be provided. 4. The filter and pinnp shall be approved b�► the N.S:F, and he of _ sufficient capacity to pravide a minim� turnover of at least t`ao (2� times� in 24 hours. This departsnent recom�nends a turnover rate of 6 - 8 hours. 5. A deck of at leas.t three C3) feet wide, measured from the pool waters edqe, shall be provided which e�ctends compl.etely around all private residential pools. Above ground private residenti.al pools may be pr�vided with decking of a miniznum size of 4 feet by 4 feet at poal entry points and provided that such decking has the approval of the City. 6. The divi:ng area wil� be acceptahle provided there is no overIiead obstruction. 7. Fencing or other effective means including Iaut not limited to walls. . or buildings, acceptaF.ile to the City, shall be provided to positively control all access to public and private residenti.al swi�aing pools. Fencing shall meet the following criteria: (a) The fencing sfiall prevent the entrance of children and be without hand or foot holds that would enable a person to climb over it. (}a) The fencing shall be at Ieast 6 feet high and entxances shall be equipped with self-closing and self-latching gates capable of Iaeing locked. (ci Self-closing and self-latching devices shall be placed at the top of the gate or otherwise inaccessible to snall children. (:d) The opening between the bottom of the fence and the gro�d or - other surface shall be not more than four inches. 8. An automatic chlorinatnr should be provided with a suitable test kit. 9. All electrical and pliunbing installations shall be inspected and approved by the City Inspection Departanent. - _-------_.�_�.______�._�.._..� _.______.._._.T.,. _..._. __ .. _ ___ . .........,�....�....�...._ _ . .,,, ._. _.�..___- , Minnesata Package Products ' � June 23, 1981 .. ge: 1401 Kerry Circle N.E. � Page•2 10. Al1 overhead electrical lines must be a minimiun of 10 feet horizontally from the pool surface, and 18 feet strai.ght line distance fro�n the waters edge. An alternative is to bury said lines. ' 11. The pool fill spout must be protected by a vacu�n breaker or air-gapped. 12. Suitable safety equipment to include but not limited to a ring buoy and rope that is 1� times the pool diameter, and shepherds crook pole must be provided and maintained with the pool at all times: Furthennore, these and any other requirements must meet the provisions of the Fridley City Code, Section 115, Swiiamaing Pools. The building pennit is approved contingent on final inspections and approval by the City. If any questions or problems arise from'this letter, please feel free to : contact me at 571-3450. � Sincerely, , � STEVEN J. N, R S. _ Envirornaental Officer SJO/mh . CC: Mr. Al Gill . 1401 Kerry Circle N.E. � 7 1 14 26 8 i 22 �I COMPONENT LIST 09-301 09-302 09-310 09-011 24-225 24-035 09-210 4' Panels 4' Skimmer Panel Radius Panels Backbraces Nylon �astener Pkg. Nut & Bolt Pkg. Coping Clips N.S.P.I. TYPE II as shown �` � . � Pool are 554'`sq. Pool cap y 8,60 gal. �,. �w • r - �K-` � � ` rv�o--�- �3�'.�' �3'G " 9' �� / N �Q x 707 WATEHVl1Ei�SHAKER RD.LATNAM. N v 12110 TE�EPHONE IS�BI 7E:f�7776 �,,� �...,�.� ,. �: ��: ,p+ #k !' • r� a • : _- _ . _ . . , . {. .. . � * ,�. : . y- � US� 5° GJE�G �qCy Etio of SECT/Oti5 �8-f X � : ,' X k t' COMPONENT LIST /� f 11 09-310 Radius Panels / 1 09-314 Radius Skimmer Panei %C �: 8 09-301 4' Panel �1 ° 20 09-011 Backbraces jr �C ' 8 09-401 5° Wedges 20 09-210 Coping Clips 5 24-225 Nylon Fastener �kg. 2Jr �8 �� 1 24-035 Nut & Bolt Pkg. N.S.P.I. TYPE I � ..� G � Pool area 466 sq. ft. „ Pool Ca.pacity 10,500 flat 12,300 dished � ., �XCEEU /N -,, ' `�IF�C"�-",_,,,�C�L.� = ._ .�--' . . . . : . .� . . �� , .F87�WA.TfRVL1E ��NAIfEiCAD.k�THI(M NV 12110, � . . ,. . � � . . ._ , . . . . �� .. TEt£M70NE f5rB1. 787-7ng .- � - . . { : � . .. ;. � . � -. ��.. . �' . . ' .. � ' . 3 � � , .._-=_-�. +� • 1 ''"" -:?�u:� �-. . � ��._- �.. .. � � wwpra � �.� � � �" w �� _�, �� ` Y / .a � �� 5-200 Series S-200 Se� System II � 0 ..w�,�: > �* � � � ^ v ' r�j _,, _�\` � . � .., ,� � . �1. ' � • , „ ` �� , f M ��Zi s A high performance totally corrosion-proof filter series that combine superior filtration and features with ease of operation. Designed with the pool owner in mind, the S-200 and S-240 filters produce clear, sparkling water with only the very least attention and care. From "see- thru" dome and maintenance- free construction to convenient, easy-to-use control valve, the S-200 Filter Series is the ulti- mate in high rate sand filtration. i.. , .,,� t.t. ,s� � �.. � ,. z ,i � , $ A� i 't t ' ,,. <.: ; �� i � \ SPECIFICATIONS — 5-200 end S•240 Beslc Fllter Units FILTERTYPE: HighRateSand—NO.'hsilicasand(.45mm-.SSmm� FILTEii TANK: Injection molded Cycolac UNOERDRAIN: Precisionslottedlaterals CONTFiOL VAW E: 6-POSition Vari-Flo—lever action hentlle SUPPORTBASE: Injeclion molded Cycolec PUMPRANGE: 'kto2HP�30-BOGPM) OIMENSIONSS-200� 23'a"widex36"high(597x914mm) S-240: 27" wide x 42" high (686 x 1067mm) SPECIFICATIONS — 5-200 System II entl 5-200 Sy�tem II PUMPandMOTOR: HaywardSuperPump—ULapproved�`hto2HP)�` FILTER/PUMP BASE: Deluxe platform base PUMP-VALVE CONNECTION: Ouick connect Lexan unlon PERFORMANCERANGE: 3080GPM DI M ENSIONS 5-200: 31" witle x 33" deep x 37" hig h(787 z 838 x 940mm) 5-240: 31" witle x 33" deep z 43" high � 787 x 838 z 1092mm) PERFORMANCE DATA FILTER AREA FIOW RATES TURN OVER (gallons) @�5 9Dm @p 9Pm @ZS 90m per sq. tt. per sQ. it. p¢r sq. ❑. B Mrs. 10 Hrs. Flller No. S-200 Fllbr No. S-2<0 33 9pm — 2.2 sp. ft. — 64 gpm 47 9Pm — 3.74 sq. 1L — 63 gpm — 15,BG0 19,800 — 21.120 26.400 55 gpm 26,400 33,000 — 22.560 28200 — 30.240 37.800 78 gpm 31.440 48,800 for easy, safe manual re- lease of air from system. " Clear 6" threaded inspection dome lets you see operation of filter and provides convenient access to top of filter. Assures even distribution of water over the top of the sand media bed. All internal pip- ing is 2" to give smooth, free-flowing performance. Automatically purges filter of any entrapped air during operation of the filter system. Injection molded of tough, durable Cycolac" for dependable all-weather performance with only minimum care. Provides extra strength and securely and sa(ely fastens tank top and bottom together. Allows for future service ac- cess to all tilter components without disturbing piping and connections. with easy-to-use lever action handle to let you "dial" any of the 6 valve/filter functions. FIL- TER, WASTE, BACKWASH, RINSE, CLOSED or RECIRCULATE. make assembly or disassem- bly of the control valve easy. • These precision engineered, corrosion- free, self-cleaning laterals give totalty balanced • flow, even when backwashing. Laterals individu- ally thread into center collector hub to assure positive sealing, and allow (or fast, easy servicing. Rugged and attractively styled to provide strong, stable support for the filter as- sembly. Totally corrosion-proof, too. allows for fotal draining of filter for winter or service. 3/a" garden hose con- nection thread for easy hose attachment. Drain assembly is replaceable from outside of filter. are serviceable using only a screwdriver and wrench. 7he 5-200 and S-240 High Rate Sand Filters are available with two base optlons: 1. Standard pump mounting base. 2. Deluxr. pump/filter platform base. The System I I Series is furnished complete with Hayward UL Super Pump and clear Lexan union. Alf components factory assembled on deluxe platform base. Sys[em II Series available with '/., 1, l Y, and 2 HP pumps. Vour dealer will recommend the model with the pump horsepower [hat will provide optimum performance, at the lowest operatinq cost. • System II separate components system also available with choice of Super or Max�Flo pumps, z �hru 2 HP. 900 FAIRMOUNT AVENUE, ELIZABETH, NEW JERSEY 07207 / Phone: (201) 351-5400 Printed in U.S.A. • �+"� v� h �N�r�t �" t r �wl� -r .� � � Ye �.. C s�r�, � '� �:� J ,, !�. e � �� t�.Iad�iAi7"' — • -- .__ � _ � _ - �- ' � .._.d ' .. ._ ...�- ' �s� r .�•`,6';�.' r j�; _�/ � ! T ri � �� Il A new dimension in swimming pool pumps, combining strong, corrosion-proof space age materials and high per- formance into one efficient. engineered unit. The result of extensive research and development, the self-priming Super Pump has all the features and qualities you expect from Hayward. From "see thru" easy access strainer and Service-Ease design to extra electrical integrity and safety, the Super Pump sets a new standard of excellence. S�perp°mp_ , , _ _ _ � � ., _ ...I . - �-�. �_ i �. - _�— :,.: �� MFfIIIIM NFGD HIGH HEAD MODEL HP $12E DIM."A" MO�EL HP SIZE DIM."A" SP-1600 1/3 1Y," 11-1/4" SP-1608 3/4 1'h" 11-7/8„ .SD-1606 1!2 ih" 11-5/8" SP-1611 1 2" 12-1/4•• SP-1607 3/4 lh" 11-7/8" SP-1616 1`f. 2" 73-1/4•• SP-1610 1 1h" 12�1/4" SP-1621 2 2" 133/4„ SP-1615 1%x 2" 73-1l4•, DEPENDABLE, HlGH FLOW PERFORMANCE z Q a � � � � �� \ � � \\ � `� �\ � �.\ � \ \ � � �� \ �� \ � � \` C � �v ��P` \ \ \ � Ifi1J �� ieo_. � ;i..v 1JHPi \ SP�Ifi08�Y-16�SS�MV11 $F.IU11' �,x��ein:zva� .�<N= Heavy-duty high performance motor with air-flow vent�a'tion ' for cooler operation and maximum dependability. Built-in automatic thermal overload protection. Electrically isolated ' and insulated from pool water for exira safely. Allcomponents molded ofrugged.corrosion-prooffiberglass- filled resin for extra durability and long, long life. This mate- rial gives high strength and heat resistance characteristics and is immune io all types of pool chemicals and water. Inte- gral super-size pump-strainer housing has exira air handling capacity to assure rapid priming and continuous operation, even under extreme conditions. New, Service-Ease design �ifords simple access to all internal parts. Motor and entire drive group assembly can be re- moved. without disturbing pipe or mounting connections, by disengaging just four bolts. Heat resistant industrial size ceramic seal. Long wearing and 100 % drip-proof. Totally balanced corrosion-proof Noryl`�' impeller hassmooth, wide openings to preveN fouling or clogging. Engineered for maximum performance-tuned efficiency. Unique mounting base provides stable. balanced, stress-free support for motor and pump. plus versatility for any installa- tion requirement. Super-size 110 cubic inch capacity hair and leaf strainer basket gives longer time between cleaning. Rigid con- struction and load-extender ribbing assures free flowing operation for even the heaviest debris loads. Exclusive, Swing-Aside hand knobs make strainer cover re- moval easy. No tools required ... no loose parts ... no clamps. Clear Lexan'"� Full-View strainer cover lets you see when basket needs cleaning ... eliminates guesswork. Tab-LOCk design and special sel'-adjusting seal assures positive seat- ing and dependable sealing. Also available wifh Dua! Speed Power Saver'"' Motor. • • � � 900 FAIRMOUNT AVENUE, ELIZABETH, NEW JERSEY 07207/ Phone: (201) 351-5400 • � N � � d �, �nd �uNL p`� � � w � N U` L d X O O rn c6 in .. . 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"rC:i`j :.�". . ;�` Zk�'..� � . ��t >'` y�'F d � 1 Copy:.O;fic•; 2 Copy: ��::rew Chief 3 Copy: Municipality 4 Copy: Customer Pacific Pool & Patio A Minnesota Package Products Company 6922 SSth St. North 9973 Lyndale Ave. So. 4321 68th Ave. No. North St. Paul, MN 55109 Bloomington, MN 55420 Brooklyn Ctr., MN 55429 770-1313 888�1998 560-6442 CREW CHIEF Equipment Needed f! Back hoe ��. Bob Cat ..I Cat i �. Truck . 1 Snow Fence i _ _ _ _ Inspections Contract i Walls ___. i � Plumbing . i Faoting _ f _ Before Backfill_ Other 4GCOUVTNUMBER STREET POOL S ZE DniE � r.nls�ar[e.�y ZIP CODE Diagram pool site in relation to house, garage, property line, and wires. (Allow 3" variance) , � �. , �� .� �' �. �� QC' lQ W � �� Yer�c.ec� A s �� Cad�. _�ry.,��, , � . Mark I�cation of filter anbr heater by iq21. � Elevation from location marked "A" in diagram: . � F � ,��. Show type and location ot stitle ii aNNiicau�e: . G Indicate deep end by (X). fJ Does Customer wish to retain any or all dirt from pool excavation: ! I Will any obstructions be encountered — such as trees. ✓ clothes poles or powerlphone lines etc.: ' I Location for disposal of dirt '� Pacific Pool & Patio recommends that customer install �As soon as possible following pool consVuction�: 1. Rain gutters adjaceM to pool_ __. _____ 2. Retaining wall where diagramed ____ . __. 3. Run off control or drainfield _._. . _ . ''" CUSTOMER ALSO UNDERSTANDS & ACKNOWLEDGES THE FOLLOWING ''' Some damage may be done to the yard and/or driveway entering and leaving the yard during construction: Intial_ . Customer assumes responsibility for electrical wiring and grounding of the pool �including permit if required): Initial __ . Cusomter assumes responsibility for the gas installation of heater if applicable (including permit if required): Initial __ . If debris, structures, or substance foreign to normal soil should be encountered while excavating which requires abnormal handling andlor disposing — Customer shall assume responsibility if any extra cosis are incurred. Intial __ . If you wish to change: filter position, slope of land. or anything else stated in this outline, please call o�•r office — 770�1313. Crew chiefs are not authorized to change anything on the job or make any promises for work to be done by them. Any Changes that are not authorized by the office will be charged at a standard rate — no exceptions. ?acific Representative Signature __ Customer Signature — / � sus�ecT PERMIT N City of Fridley 6 2 5 7 AT THE TOP OF THE TWINS gU I L D I N G P E R M I T � r ; � EIP . � • COMMUNITY DEVELOPMENT DIV. �/ r � L � PROTECTIVE INSPECTION SEC. � y 7' � � , 1 ; � 1 � �'��1 � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BV � ---•� � ,'� 612-571-3450 910-F15 6/24/81 � � JOB ADDRESS 1401 Kerry Circle N. E. 1 LEGAL LOT NO. 6LOCK TRACT OR ADDITION SEE ATTACHED DESCR. [� 1 Heathar H].ZZS ZI1CZ SHEET 2 PROPEFTYOWNER MAILADDRESS 21P PHONE A1 Gill 1401 Kerry Circle N.E. 571-7568 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Minnesota Package Pmducts 6922 - 55th Street North._ 770-1313 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING R.@S1l3PT1'tldl 7 CLASS OF WORK ❑ NEW ❑ ADDITION O ALTERATION ❑ REPAIR O MOVE O REMOVE X 8 DESCRIBE WORK Construct a 32'6" x 2Q'8" Swimmin Pool 9 CHANGE QF USE FROM TO STIPULATIONS Se.e letter dated June 23, 1981 by Environmenta.l Offi.cer for stipulations. WA�� SEPER�4TE PERMtTS REQUtRLD EQR . Before dtigging c�l1 bcat �Uities ��• iELEPNQNE - ElECT1ttC • GA� Et+t• F`�EATiNG. Pj.1;f�ME31NGi ANi� �f61�S. i�EQUfRED BY LAW TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOIO IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 pAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOF A PERIOD OF 120 DAYS AT ANY TIME AFTEF WORK VS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALIS GARAGES AND KNOW TFIE SAME TO 8E TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WOFiK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $ZO�OOO $rJ.QQ DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLAfE OR CANCEL THE pERMITFEE SACCHARGE PROVISI NS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- S FI 10 OR THE PERFORMANCE OF CONSTRUCTION. $FlO.00 ' /a PLAN CHECK FEE TOTAL fEE 6-�� $65. QO SiGrv OFCONTRA RORAUTHOAIZEDAGENT �Dn7Ei ,�WHEN PROPERLY VAIIDATED THIS IS YOUR PERMIT ' �_ ' _' �`�` � s Q �1� } SiGNATUREOFOWNERIIFOWNERBUILDEAI IDATEI BLDG �NSP D T . -� CITY 0� ("KI01_CY . . /'�f'f'LiCn�rr.o:d F�OfZ RE;IULidTIIOL QUI(_DIilG t�rE�rrr�rs (tde►•r, �tll;erati�ns, f�clditions, or (:c{�airs) � Ot��1lER: � l� 1 1 I , AQDRES S: I�O 1��...r'r` �,�� f'c-,�`4 TEL h0: S� I � �� [3UI LDER : e�'S AUDRCSS: t��O�o� 5.�� J�. �� . T�L (L0: �� ' ��' � Construction Location ' . . sx�� rio: Q � s2��:T: � L07': �_.� }3LOCK: _ % 0 � g��. t�� . �nz�rzov : . Coxner Lot: � Inside LoL-: SetbacY.: Sideyards: Ap�licant attach to tlzis form tc>>o Certificates �f Survey of lot and proposed building location drawn on certificates to scale. . . � UESCRIPTIOi� OF COhlSTRUCTIOP�. • r � �.I`ront: �� `(�, c� Drpth: �C} `8 c� Iieight: G� � . . . . Squa�e. Feet: C�ibic Fcet: . � kront: Depth: Height: Squar.e� I'eet: Clzbic I'eet: � 7�`ype of Coilstruction: �}/��)��v��l �� Esi�imated Cost: $%��0��• �� Zb Be 0or,�pleted: �� —' p, . . ' Alt. A Al�. B Propased .Drive�•�ay tti`idth If New Opening Is Aesied: $� $ . S�L R�VE:RSL' SIDE OF SFIEET , ��ie unc�exsi.gned hereby ma}:e� c1�P��.CRt1C21 for a permit £cr the �:nr3:� herein speciEied, agr.eezng tv c?o ,all wozk in str�ct accorclance t•rith the City of I'ridley Ordiilances and • xul.iiigs of tlle De}�artmeizt. of T3uil.dings, ancl ]�ereby decl�res thzt all tl�e iacts and rr.,presen t.ltiens stated ;ii this applicatian are true� and correc�. D.'�TI; :_�_ - I q--� 8 � S XCN2ITU F.r; : .�it:lj�Lllc1�:J.02)S : � ��'��: M-..�-- - �a - �-�� `� (�,00 t - ,��-.r�� ', Ba j� ,n`� �-d' . � (�'' � ° �� i �� 0 � � �� - . ,� 1 .Y r j ~ � . , . � CITY QF FRIDLEY APPLICATION FOR PLt;MBIN� AI�A uAS FITTING PERMIT m >, y ro o . K a� Water `� i �-°�i � m H � %o y`�.� Q � ,"y y. � w � xeater ( ++ rt U �'J� C tq . .X 1� Ol .1Q+ JC C E- C7 �C • W fa J N C .0 "� � N.. •�� O O ,V �Uf .U� N N N N .0 'r�' ! � 11 � IE N�y •.1 �! 1a O .0 .�1 �O �7 �� R1 ro .{ ro +� � tn F u �� D Gi R1 . v)� � 3 o u. p� k, U a1 RC 3 c� �s c7 � O as lec � S = � JrJ 2:�3 ! 3 ra ( ! I , 4 �•,� � t�) = i�ture Connection Opening Connected with Sewer ('�? = *�ew Fixture, Oid Opening Water PARTIAL RATE SCHEDULE PL'J�IBI:VG FIXTURE RATES: N0. RATE TOTAL Nus.ber Fixtures ^utu:e Fixture Dpening t�e•a Fiacture, Old Opening Catch Basin +�ater Heater - to 99,000 BTU 100.000 BT(J to 199,000 BTU �tater Sof tener tie� Ground Ran Old Building �lectric Water Heater G:;S FITTING FEES: lst 3 fixtures Additional Fixtures Gas Range to 199,000 BTU FtEPAIRS F� ALTERATIONS First $100.00 each add. $100.00 or fractton x S3.Q0 x $2.00 x $2.00 x $5.00 x $5.00 1_ x $10.00 x $7.00 x $5.00 a $5.00 % x $3.Q0 x $1.00 x $�:0. 00 S'tate Surcharge TOT11L F�E REINSPECTION FEE (510.00) ss.oa sa.00 S S $ S $ $ 7 , $ $ $ S - 9'� S S s S $ .50 S l� , SZ? 3ob Address `� � % — %�j=r G�ivC, •� C� l � Department of Buildings � City of Fridley Tel. #5,71-3450 The undersigned hereby makes apolication fo; a permit for the wark herein speci£ied agreeing to do all work in strict accordance with the City Codes and rulings of the Department of Buildings, and hereby declares that aIl the fac�� and repro�entations stated in this app2lcation arc trse and crorrect FridleY. �. % , 19 �, 0'�VN�R L¢ L- `y. � L!� S IC2ND OF BUILAING USED AS �C�4 C_ TO BE CON�I,ETED ABOUT � ESTIMAT�D COST OLD NEW UILDING PERN:IT N0. PERM=T N0. �� Company 1=z tG� G*�� j% L 6' - Siqned By � Tei. No. ��S"cS'- � 'Z S�r� ROUGi3 INSP. Date FINAL SNSP. j�-3� �� Date APPROVAL FOR PERMIT / �.O e MINIMUM FEE FOR AN7t PLOMBING PERMIT IS S7.SO pLUS 5.50 STATE SURCHARG£ sus�ecT PERMI c�ty of Fridley 21419 AT THE TOP Of THE TWINS g U I L D I N G P E R M I T r � � � � �• COMMUNITY DEVELOPMENT DIV. r � �' � � PROTECTIVE INSPECTION SEC. %��p� � � t � � � � /'�'1 CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF AGPqOVED BV �""'�" �'' 612-571-3450 910-F15 6/24/92 / / JOB ADDRESS 1401 Kerry Circle NE t LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4 1 Heather Hills 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADORESS ItP PHONE Herb Lohse 1401 Kerry Lane NE 572-8150 3 CONTqACTOR MAIL ADURESS Z�P PHONE LICENSE NO. St ba B.uilders 4041 22nd A e 729-7187 4577 4 ARCHITECT OR DESIGNER MAIL ADORESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDtNG Residential 7 CLASS OF WORK �7 NEW ❑ ADDITION ❑ ALTERATlON D REPAIR O MOVE ❑ REMOVE 8 DESCRIBE WORK Constxuct a 23�6" x 8' Deck 9 CHANGEOFUSEFROM TO STIPULATIONS See ncztations � on �lan, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAO SEPARATE PERMITS ARE REQUIRED FOF ELECTpiCAL, PLUMBNVG, HEATtNG. VENTIIATING OR AIF CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. f7. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 OAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OfFSTREET PARKING I HEFEBY CERTIFY 7HAT i HAVE READ AND EXAMINED THIS APPIICATION �- STAILS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS 7YPE OF WORK WILL BE COMPLIED $]_�32� $,(Fj WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESU E TO GIVE AUTHORITY TO VIOLATE Ofi CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF NY OTHER ATE OR LOCAL LAW REGULATING coN- $33.00 Fire SC $1.32 TR CTION OR E PERfOR NCE OF CONSTRUCTION. ' PLAN CHECKFEE TOTALFEE � �Z'/ �,� License SC $5.00 $39.98 S�GNATUAE OF CON'RACT OA AUTHOR12ED AGENT ID EI EN OP lY VA ID D THIS IS YOUR PE�RMI`T � ' . ' � i./ f� ! J/ --SiGNATUAEOFOWNEAiIFOWNERBU�LDEp� iDA7Ei LDG �NSP �6iE NEW C l ADDN [ ) ALTER [ ] Construction Address: Legal Description: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application 1 Eifective 3/ 1192 Owner Name & Address: �%.4 /��5� Tel. #�72— g/�d Contractor: �TY�f� �ui��08�"' MN LICENSE # �{� 7� Address: yo� j�Z��, ��t, j�,tJ �"��o� TeI. # 7Z9 7/ S 7 Attach to this application, a Certificate of S�uvey of the ��`�� lot, with the proposed construction drawn on it to scale. 5��"��$�O LIVING AREA: GARAGE AREA: DfiCK AREA: OTHER: DESCRIPTION OF IMPROVEMENT Length Width Height Length Width Height Length 2 �'lo '' Width �_ Hgt/Ground $ Sq. Ft. Sq. Ft. Sq. Ft. � Comer Lot [ J Inside Lot [] Ft. Yd Setback Side Yard Setbacks Type of Conslruction: ��Gl�. Estimat� Cost: �l,r311�°--��' �� /`�a Approx. Completion Date: � (Cost on Back) Driveway Curb Cut Width Nceded: Ft. + 6 Ft = Ft x$ _$ DATE: lo zz APPLICANT: Tel. #%�9'��'� (`ITY USE ONLY Permit Fee $ �3� O � Fire Surcharge $ ,� � 3 ?•+ State Surcharge $ � b �S, SAC Charge $ """��~' License Surcharge $ � � � � Driveway Escrow $ � Fee Schedule on Reverse Side ' .001 of Permit Valuadon (1/10th%) $.50/$1,000 Valuation $700 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above Park Fee $ �� Fee Determined by Engineering Sewer Main Charge $ �""""'"' A ment Necessary [] Not Necessary [] .0� TOTAL $ � 7 � STIPULATIONS: . ,, ..q Si., � ._._. .._ . . :._, � _ '�d' i.Y_ `� : ,� < ; i < .. , _,_ . _ . . , _ _- _ _. . �-,. �.� � __._ , ..- _.� : C} � a.� . . . Q! _... .-__...-... s' � � �,- '� � � c!� p _ .,<, � : . :.. �t p . �, � ` �4- . . -��-= __;_ � ' u, , , f . . _ . _ _ . - _ . . .:_ .�_._ --- ! i i . . 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' � , , _ . . . __. ___ . , _ _: _ �A: . � : _. �� , ; ; � � � __ _ �' : � , ; i ; ,�'_ i ' � --- _ _ .. - _ _. __ _ ; _.;._._ � :. < < - - ; � _ _._ ; ; �4 � .1 �f.� ��.. . � , . 1 i �.. i . # '.. � . � , � � � i � ` f . ._.._ _. . _. � .,_ _._. ..._ .. � _ ` �} } _ � � t ;. :- . � ...� �� _ i � � � � � � � � l '\►: _ � . -- i --- - � w ?*\` _..__.� .. _ __ . .` _.. .__... _" . -... _ Y�"Y'_ ,�\ .. �V _ __ .... �. ., O�-. \ { , �I I •� i t\ \r'\ �\' � i i ' I . p. 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C? iy _ _ �:__+�)�__ o, Z� pG � � . . . . .,_ _ . _ .__ _. w___ r__ � � . , . � w: . . . ._ • --_ �_. __ _. _ _. � �� ' I .: � _X . _ _ �;,�E ;� �� , �� ■, �� '� �� , t ,� , O � � j � ,� � . � �_� � N� � � j� � � _ !_ f� .._"�' ..j•' '_._ ' � i -�� v _ ; � _; �_�__-�.- - i_ t ..�_�_ � r -i ' � � � ' -�- a--- -±---- - - , �. � �• , ; , _� -- � _ , . _ F . _.� _ __. , ` ;� i ; , ..� __; � � .__i_ �.__ ' : _ ,. __.,_.__ 4 � �0'i _ .. �� -_ i_ . _. . _. _. :, �,: _ __�.__ . _ ... : - _I . _ � _.�.._ _ s�e�ecT PERMIT NO. c;ty of Fridley �-� � � _ AT THE TOP OF TME TWINS g U I L D I N G P E R M I T f � � , � RE EIP NO. � • COMMUNITY DEVELOPMENT OIV. � �L------ . a� q � r � � PROTECTIVE INSPECTION SEC. i � � � ' ' �'��1 � C�TY HALL FRIDIE� 55d32 NUM9ER REV OATE PAGE OF 4PPRONEO BY i""�' �'' 612-571-3450 910-F15 7/6/95 / / JOB ADDRESS 1401 Kerry Circle NE � LEGAL �OT NO. BLOCK TRACT OR ADOITION SEE ATTACHED oescR. 4 1 Heather Hills 2nd Addition SHEET 2 PROPERTV OWNER MAIL ADDRESS ZIP PHONE Herb Lohse 1401 Kerry Circle NE 572-8150 3 CON7RACTOR MAIL ADDRESS Z�P PHONE LICENSE NO. All Systems Roofing 2340 Charles Dr, St Paul MN 55114 646-3 33 6 4 ARCHITECT OR DESIGNER MAIL ADDf;ESS ZIP PHONE LICENSE NO. 5 ENGtNEER MAII ADOHESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION O ALTERATION p REPAIR O MOVE O REMOVE X 8 DESCRIBE WORK Reroof House & Garage (50 Sq) 2nd Layer 9 CHANGE OF USE FROM TO STIPUlATIONS Roofing can be the 2nd layer but not the 3rd. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD SEPARATE PEFMITS AFE f;EOUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONS7RUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WOAK IS SUSPENOED OR ABANDONED FOR A PERIOD OF 120 OAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTFEET PARKING I HEf;EBY CERTIFV THAT I HAVE REAO AND EXAMINED THIS APPLICATION 1 S1AlLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VAI.UATION SURTAX AND ORDINANCES GOVERNING THIS TVPE OF WORK WI�L BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 3 750 1.HH DOES NOT PRESUME VE AUTH 7Y TO VIOLATE OR CAkCEL THE pERM17 FEE SAC CHARGE PROVISIONS OF A T ATE R OCAL LAW REGULATING CON- ST RF ANCE O C 1dSTRUC710N. 63. �� Fire S�.' S � PLAN CHECKFEE TOTALFEE �� License S 0 GNATUREO �RACTORORAU�HORIZEDAGENT �DnrE� WHEN P(;OPER VALIDATED THIS IS YOUR PERMIT � 6 � SiGNATURE OF OWNEP Ui OWNER BUILDER� �OA7Ei � BL �NSP � ��' E - NEW ADDN ALTER il Il 11 Construction Address: Legal Description: Owner Name & Address: Contractor. _�� Address: o� 3'—[ 1� LIVING AREA: GARAGE AREA: DECK AREA: OTHER: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application � I �D I ��..r� ��,, �c rz.�.L-�, S� 0 �ti • � • Effective 1 / 1 /95 Tel. # �� l �� MN LICENSE # l 3 Tel. # ��`' 3 � Attach to this application, a Certiiicate of Survey of tl% lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT �n� Wi� Height �n� Wid� Height idth Hgt/Ground � - �� -.- �� o - � Sq. Ft. _ Sq. Ft. Sq. Ft. ��n 1 �-i � Corner I.�t (] Inside ] Ft. Yd Se�ack Side Yard Setbacks Type of Construction: �� m� Estimated Cost: $ • Approx. ComplBpon Date: � " �� .� �S� (Cost on �,1� _ Driveway Curb Cut DATE: Permit Fee Fire Surcharge State Surcharge 5AC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL $ �0�. OD $ �- %� s �1�� $ $ �- C�z� $ � $ $ $ �� ('ITY USE ONLY _$ Tel. # �'��3 Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.50/$1,000 Valuation $850 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Cons�rvation Plan Review Fee Determined by Engineering Agreement Necessary ( ] Not Necessary ( ) STIPULATIONS: • .. CITf OF FRIDLEY INSPECTlON D�V. 64s4 Univer�r Ave NE �Frid�ey, MN 55432 � 572�36Qd � ci _ APPLICATJQN FOA Pi.UM�Np AlVt} GAS FfT'flN4 pERN[�T MARK NUMB�R U� FlKtURES U �� . Wash ' ' : .� ds�� a�# � � � n ; ' :��k�� ' ' � = ; ia ,�� K ��_� �� k �:�{� � �''£ �� k.�rx r. � . • ��t��Z�#.�� , .. ��1 .. , ��1 ; • . � LL � � U .y M � � � � � � New Fixtures S ?.00 did O}�erdng� New Fixture S 4,00 �� 8eer Dispenser . S 5.00 �ow O�f Basir� � � 7.aa Catch Basirl ! 7.Q0 13ain Vl��er Leadar � 7 �JO �� Sum�(Rec�lving Tank S 7.00 Water Tree�inq Appileu�ce gyp.�p � Water Heetter -EleGric S T.00 watet Heater - c�as�* ✓ �to,00 l ��° Gss Range� �10,04 � ��" + Si0,40 Back F{ow Preverttsr Requ�ed ( jYes () No . � � s� s.ao Reinapsctlal Fes 342.00,t1� : ALL OTHERS Ai�1010R REPAIRS AND AITERA71Wd8 1.596 of Vslue of Flxttlre or Applie�ce i � � a -----.-- 8tete 8ut+�arge �(7,Sa � TOTAL F�E. � �i � �.#.w <. � a ��. ��?y;�s , • �y��1��4}ih{ . :.� �, t x } .i?�.1,.1� �' �fglt '��: : .: EYfedlVe On Metch 1� 1996 t : - �j��'L� g��t� �' i.�� fi'�'��[ ``'l �� k£ ri � . _ , ,�B aooR�ss , /� � The undarai8necf h�e3�y make� ap�icatlon br a p�mR for the work heretn apecMied agresingto do eli+�ork in strict aocord$nce with tha city cadeg snd ruUngs � the BulidJng D�v�slon, ar�d hereby cisclsres that aA the facta and repreaer�atlana �ated i� thle a,ppRcation are trua arul +correct m a: J ¢ � - /D� l � ' ,1998 owr,er ��'-C�/Zoi �`� �� /C.. �'� % Z — $1 S C� ❑ � 0 O a N � N 0 z x a � � H � M � 0 � � � N � � � 0 e�,uau►� usea � Eat�m�edf;o�t�,.� Y11 vv PEFi�AITlrtO. i��C�� GAVtC & SONS PLUME3�?v� ER SPECIALTIES, INC. PLUAfl�NQ CO � n 12725 Nightingale Street NW � COON RAPIDS, MINNESOTA 55448 � /% �' / (612) 755-6468 31QNEp � ' 1 Ap�r�r� By� TQ No. Rou�—In [�rte Final ��te PLUB TH� l,50 81'p'i'E 8URCHARQ� *'COM6USii0N AfR SHAU, �E PROVIOED PER tJA4C S&CiION B04�A� AND TABLE @--i1, MIMMUM SIZ� g SQ I NGiEB, CIiY OF FRIDLEY INSPECTION DIViS10N 6431 University Ave NE C�'�a- �'� - i��,o �/�fJ E�S�'� F-C�.�� C� �-----� �/��y �'� �� Fridley, MN 55432 APPLJCATION FOR POWER PLANTS AND HEATING, COOLING, VENTIIATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE Residential � Furnace Shell and Duct Wo�c, Burner — Also Replacement Fumace ' (Side Vent — Fiil Out Back) Gas Piping (Needed with new furnace) Gas Range Gas Dryec *Air Conditioning - All Sizes All Others/Repairs 8� Alterations (LIST ON BACI� 196 of Value of Appliance o°r Work Rate TOTAL $ 30.00 $ 30� oc� $10.00 g to.00 $10.00 $ 25.00 Commercial/I ndustrial . . 1.2596 of Value of Appliance or Work State Surcharge TOTAL FEE $� r�, o �7 $ $ � $ a.5 � ov $ $ $ .50 �.� MINIMUM FEE FOR ANY HEATINGICOOUNGNENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS a25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr *Air Cond'Rione�s can not be placed in a side yard without wr�tte� pe�niss�n from adjoining �rope�ty oWner. ' � � 'a � w . :� � � Etfective On January 1, 1998 JO&ADDRESS /�'G'/ ►__�.,,,, , �.�e .�- The unde�signed hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes and rulings of the Building Division, and hereby decla�es that aU the facts and representations stated in this application are true and correct. 9 - �y , � sss � / � ,� ,. . � : . ..� . � ,i . % . � BUILDING USED AS ��_ ESTIMATED COST �oS3"' � D v PERMIT N0. � , , ^ ..�_ � DESCRIPTION OF FURNACE AND OR BURNER . No. of Heating Units� Circle One (Steam) (Hot Wat (VUarm Air � + Trade Name �� Size No. 3�3 ,;; BTU �3a� oo�� HP ' ` EDR � .�d�, Fuet �otal Connected Load � � � � � Burner Trade Name Size Na � �"��'� � �� ,, BTU HP EDR �iMitDRt►D HEAn�tc uao ��R conerr��;��.: c7� 410 WEST LAKE STRw E'i HEATING COMPANY �S, � �•� � , ��,t;� Signed By Tel No. Approved By Rough—In Date Final Date� FILLOUT BACK SIDE FOR STA VERIFlCAT�ON ON � `�'( REE�ACE�IENT FURNACE =' ' ' ' ;,� � �., . ;,� �.. e � i � ct .�. � , i • . '; .. ,. suB�ECT N O. City of Fridley 2965 AT THE TOP OF THE TWINS g � I L D I N G P E R M I T f ; � RECEIPT NO. • COMMUNITV DEVELOPMENT DIV. �� ` � � v + � PROTECTIVE INSPECTION SEC. �7 � . � � � /"'1 • CI7Y NALL fRIDIE� SS��Z NUMBER NEV OATE VAGE O� APPROVEO !Y �..__.11: �•� 612-571-3450 9t0-F15 � � 6999 �oe nooaess t IEGAL L07 NO. OCK TfiACT OR ADOITION SEE ATTACNED DESCR. q. 1 Heather Hi 11 s 2nd Addn. SHEET 2 PROPERTY OWNER MML ADORESS 21P PHONE Diane Silleck 502-0484 3 CONTHACTOR MAI� ADDRESS 21P PHONE �ICENSE NO D R Martineau Const Inc 24040 Greenwa Rd Forest Lake 55025 651-464-5655 2004 122 1 AfiCMITECT OR OESIGNER MAIL A�DRESS 21P PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS IIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW � ADDITION ❑ ALTERATION X� REPAIR O MOYE O REMOVE 8 DESCRIBE WOFK Reroof house and ara e 50 9 CHANGEOFUSEfROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LpAp SEPAqATE PERMITS ARE REOUIRED fOP EIECTRICAL, PLUMBING, HEATING. VENTILATING OR Alq CONOITIONING THIS PERMIT BECQMES NUII AND VOIO If WOFiK OR CONSTRUCTION IONING SO. fT CU fT. AUTHORIZEO IS NOT COMMENCED WITHIN 60 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDEO OR ABANOONEO fOR A PERIOO OF 120 DAYS AT ANV TIME Af7ER WORK IS COMMENCED. NO. OWLG. UNITS OFFSTFEE7 PARK�NG I MEREBY CERTIFY THAT 1 HAYE fiEAO NO EXAMINEO TMIS APPLICATION STA��S GARAGES AND KNOW TME SAME TO 8E TRUE AND ORRECT. ALL PiiOVISIONS OF LAWS VAIUATION SUATAX AND ORDINANCES GOVERNING THIS PE OF WORK WIIL 9E COMP�IEO �4370 2. ZH WITM WHE7MER SPECIFI 0 HER O NOT THE GRAN7ING OF A PERMIT DOES OT PRESUME T GIVE 7M FIITY TO VIOIATE Ofi CANCEI THE pEqMITFEE SACCNARGE PRO 1S ONS OF ANV ER TE R LOCA TTIATING CON- 1 C TR C ON OR TME P R ONSTRUCTION 111 . 2rj Fi re JC 4. 3% PLAN CNECK fEE TOtAL FEE '' Lice se SC 5 00 1 2 80 S�GN�TUAEOfCON'A�(;1 AOpauiNOQ�2ED+ N ID�TEi WHEN PqOPERIY IOAi 0 TMIS IS V�R PE MI ,�,. - ' ' �' L S�GHaiUQEOFOWHEA��pwNEABU��DEA� iO�TEi B�DG SP �i�tE NE� [ ] _ ADDN ALTER Effective 5/10/99 [ ] CITY OF FRIDLEY [ J SINGLE FAMII.Y AND DUPLEXES R-1 AND R-2 BUII,DING PERNIIT APPLICATION Construction Address: j �� Legal Description: l�� ' Gf�cc � � �'. � �p �� Owner Name & Address: d%lAN `�- SE� L�U� �� o4w� � 1 Tel. # 6 I a'$a �— OSlB�I Contractor: p, �, /l'119�2 T,.( ��,q �,/ �,,� �, j_ �„� �, MN LICENSE # a o O'v�a l 02 � Address :��p �.( O GK��f w�9 Y R.Q , �� 7 C.�111� c�- �/yu� . Tel. #� b 1-- � 6�l -S'b a�- LIVING AREA: GARAGE AREA: DECK AREA: OTI�R: 6 �' � c'S" Attach to this application, a Certificate of Survey of t�e lot, with the proposed construction drawn on it to scale. Length Length Length DESCRIPTION OF IlVIPROVEMENT Width Height' Sq. Ft. Width Height Sq. Ft. Width Hgt/Ground Sq. Ft. � � �^�� ! r'.�1�'�J� 4 �� Construction Type: 1�i4ve C�� ¢��jp/L Estimated Cost: - Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ � DATE: 6 � '� APPLICANT: . Tel. # ��/ - �,(6 U -S6b 5 Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ 1 fI. .,�5� $ .� $ �• $ � .vo $ $ $ $ � l�� d0 CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.50/$1,000 Valuation $1050 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ J Not Necessary [] � � sue�ecY P��'�'�• c�ty of Fridley 3 2 7 7 7 r , AT THE TOP Of TME TWINS � U� L D I�� P E R M I T R� O. i � COMMUNITY OEVELOPMENT DIV. �� r � ,' � PROTECTIVE INSPECTION SEC. � � i__-_�e��"';,� CITY NALL FRIOLEV SS�J2 NUMBEh pEV O�TE PAGE 0� AVPAOVED BY S 612-57�-3450 a�aF�s 7/12/02 � � �oe nooaess 1401 Kerry Circle NE t LEGAL �OT NO. BLpCK TRACT OR ADOITION SEE ATTAGMED OESCR. 4 1 Heather Hills 2nd Addition SNEET 2 PROPERTY OWNER MAIL AOORESS ZIP PMONE Randall Selleck, 1401 Kerry Circle, Fridley, MN 55432 763-502-0484 3 CON7RACTOR Ar1AIL ADORESS ZIP VHONE UCENSE NO Randall Selleck (same as above) 4 ARCMITECT OR DESIGNER MAtI AODRESS 21P PHONE UCENSE NO. 5 ENGINEER MAIL ADDRESS 21P PMONE IICENSE NO 8 USE OF BUILOING Residential , 7 CIASS OF WORK C� NEW 0 ADDITION 0 ALTERATIQN � REPAIR � MOYE O REMOVE 8 DESCRIBE WORK Replace existing deck 9 CHANGE OF USE FROM TO STIPULATIONS See notations or. plans. SEPARA►TE PERMtTS �EQUIRED FO�: `��UMBIHG AN nS 6111S TYPEOFCONST. OCCUPANCYGROUP OCCUPANCY�pAQ SEPAAATE PERMITS ARE REOUIREO FOR ELECTRICAL, PLUMBING, MEATING, VENTI�ATING Oii AIR CONDITIONING. THIS PERMtT BECOMES NULL ANO VOID IF WORK OR CONSTFUCTION ZONING SO. FT CU PT. AUTMORIZED IS NOT COMMENCEO Vy1TMIN 6� OAYS. OR IF CONSTRUCTION � OR WORK IS SUSPENDED OR ABANQONQU FOR A PERI00 OF 120 OAY$ Ai ANY TIME AFTEA WORK IS COMMENCED. " N0: QWLG. UNITS OifSTREE7 PARKING I HEREBY CEFTIfV TMAT I HAVE READ ANO EXAMINEO THIS APPLICA?ION STA��S GARAGES ANO KNOW THE SAME TO BE TRUE AND CORRECI. AlL PfiOVISIQNS Of �AWS VALUATION SURTA% ANO ORDINANCES GOVERNING THIS TYPE OF WORK WILI, BE COMPUED �S LjZ.00 �L.GZ WlTM WHETMER SPEC�ffED HEREIN OR NOT. TME GRANTING Of A PEAMIT � OOES NOT PRESUME TO GIVE AUTHORI7V 70 VIOLATE OFi CANCEL TNE pEpM17FEE SACCHARGE PROVISIONS OF ANY OTMER STATE Op LOCAL lAW REGUTATING GON• $12c>.2S Fire S �S.Z3 STR N OR THE PERFpqMANCE Of CONSTfiUCT10N P�AN CMECK F TOTA� F Z pZ. $13 . 0 5� N�TUAEOFCON7PA(;T pp��rMOA�2ED�GEN1 �D�i�� EN ROP AUDATED S Y UR PEQMIT �� $�GN4TUqE0%OWNEQ��OwrvEQBUi�OEp� �OATEi . ' � �� Bl ��NSO' � � - �16IE � � � � At'�-�" �' . V " NEW [] � CITY OF FRIDLEY Effective 1/1R002 ADON ( J ' 6431 University Ave NE, Fridley, MN 55432 (763) 572�604 Bldg Insp ALTER [ J' SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION . Cohstruction Address: /�(�1 C1 �r't Li CJ �C. [1 ��t j�, _ 1/1'I!ll J�� 7',� � Legal Desc�ption: � " Owner Name & Address: A.hG�a I (M • ��L Tel. # � �tG� •Sd Z � D��y ��J Contractor. �� MN LICENSE # �lb � �� 3732 �r,✓� Address: Tei. # Attach to this application, a Ce�tificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRlPTION OF IMPROVEMENT LNING AREA: Length Width Height Sq. Ft GARAGE AREA: length Width Height Sq. Ft DECK AREA: Len th Vllidth HgUGround Sq. Ft �s OTHER: � ,�' ��"'T.� O Q.C, � :�� ;'�!� - • Construction Type: �ost: $ 5a �a �� Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x$ _$ DATE: APPLICANT: Tel. # Call (763) 572-3604 fo� Pertnit Fees if mailing in application or Fax to 763-571-1287 if using c�dit 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 CITY USE ONLY - $�G��o?S Fee Schedule on Reverse Side � $ 5�a.3 .001 of Permit Valuabon (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 [ J Not Necessary [] TOTAL $ �� STIPULATIONS: � � , Effective January l, 2003 CITY OF FRIDLEY INSPECTION DIViSION 6431 University Ave NE Fridiey, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, {763) 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES FAX (763) 571-1287 JOB ADDRESS— _.l L�� RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner - Also Replacement Furnace (Side Vent - Fill Out Back) Gas Piping (Needed with new furnace, but not replacement) Gas Range Gas Dryer Rate TOTAL $ 30.00 $ $ 10.00 $ $ 10.00 $ 10.00 *Air Conditioning - All Sizes $ 25.00 � ( !'` � G �t G✓vl All Others/Repairs & Alterations (LIST ON BACK� 1�'Jo of Value of Appliance or Work Commercial/tndustrial 1.25�'Jo of Value of Appliance or Work State Surcharge TOTAL FEE MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REfRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $47.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. $ OWN BUILDING USED AS '�5�� '`f ESTIMATED COST �� PERMIT N0. /e� � DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) $ Trade Name Size No. BTU HP EDR $ Fuel Total Connected Load Burner 7rade Name Size No. $�' �� BTU HP EDR $ �. .50 ��.�� The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes an rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. DATE � � ` � l �� , H � cq St�4NDAflQ HEATING 8� AIR CO�OITIONING G0. ' 4#4 WEST LAKE STR ; rVvv�,cw` MINNEAPQLiS, �;i�408-2998 F X # 6i2-82 .``sb ��_� Approved By �� Rough•In Date Final Date � '�/ FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE _ _ CfiYOF FIZ[DLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(763) 571-3450 • FAX (763) 571-1287 May 4, 2004 Ms. Diane Selleck 1401 Kerry Circle NE Fridley, MN 55432 Re: Final Inspection at 1401 Kerry Circle NE Contractor: " Standard Heating & Air Conditioner Co Dear Ms.� Selleck: A mechanical permit was issued on November 20, 2003 to install an air exchanger at your address. According to the 1991 Uniform Mechanical Code a final inspection shall be conducted on the work authorized by this permit. As of this date, the inspection has not been requested. The permit fee that was paid covers tlie 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 pemut "no inspection called for by homeowner after notification" and the permit will be expired. To set up the inspection or to have any questions answered, please contact the Building Inspection Division. at (763) 572-3604. CinrPralv 1��7 Building BUILDING Permit No.: ` Olx�l� Inspections RESIDENTIAL APPLICATION Received $y: �63-s�2-3604 CITY OF FRIDLEY vate R' � %63-SOZ-47% / Fti11 EFFECTIVE 8-19-09 � DATE � ( � �9 YOURE-MAfLADDRESS SITE ADDRESS t`"{-� I �erro/ C�^r- THIS APPLICANT IS: ❑ OWNER �]CONTRACT'OR PROPERTY OWNER/ NAME: `t�i�,e. cl ccK TENANT ADDRESS: _ I�O� lLc�'� C��rc-Ie C� CITY f �� cL �� STATE M ZIP S'�i g 2 PHONE: 7<. 3 S� Z^ O� 7�y CONTRACTOR NAME: Of') �� X��o r � /1 C. SUBMIT A COPY OF STATE LICENSE # Zoo q a�on EXP DATE 3 31 O� YOUR STATE LICENSE AND CERTIFICATE OF ADDRESS: 3y ( ''1 a WO�Y � CITY �'� c�le STATE� Z[P INSI3RANCE PHONE '7G 3^? S'-( "!�a '� fP FAX �T (0 3- y'T ^ 30 G'{ PROPERTY TYPE GLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY(NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WiNDOWS ❑ BASEMENT FINISH ROOF O DRAIN TILE ❑ DECK � SIDING [J OTHER ❑ SWIMMING POOL TYPE OF WORK: O NEW HOME CONSTRUCTTON ❑ ADDITION O MAINTE NCF/REPAIR REMODELING DESCR[BE WORK BEING DONE: G^ SIZE OF IMPROVEMENT LENGTH W1DTH HEIGHT S FF ROOFING 1 I/_ ❑ HOUSE ONLY BASEMENT REMODELING SUBMIT: NUMBER OF SQUARES T« �HOUSE & GARAGE 1. Existing Floot Plan GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List ofstructural members3o be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUC7'ION INCLUDING DECKS, ❑ Vinyl pgo�� ADDITIONS_ & PORCHES SUBMIT: ❑ Aluminum i7 Trym 1. Site PlanlSurvey showing the existing structures O Ocher ❑ p��a and proposed project: • 2. Two sets of construction plans WINDOWS 3. Energy Calculations -- -_- IN EXISTING OPENINGS OYes �No LOCATION OF WINDOWS FOR W[NDOWS — PROVIDE U-VALUE AND OR FOR NEW OPENINGS-DESCRIBE SIZE OF MANUFACTURE STICKER ON WINDOW. OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION INCLUDING THE COST OF LABOR AND MATERIALS• TOTAL JOB VALUATION Permit Fee Pian Review Fire Surchazge Surchazge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due � . F�SING THE 1997 U.B.0 FEE SCHEDULE) $ $ $ `� �.�_— $ �� $ $ $ $ $ $ 15%i.i?i See Back Page for Fee Schedu(e 65%ofBuilding Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $2000 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$22=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks pavable to: Citv of Fridlev Attac 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 on site; that the work wi(1 be in accordance with the approved plan in the case work which requires review and approval of SIGNANRE OF APPLICAN7F�°1�' � PRINT NAME T.D�Y"J I�� M DA'I'E � C� U/ r--- )9