PRE 2010 DOCSCITY OF FRIDLEY
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
RATE SCHEDULE
PLUMBING FIXTURE RATES: NO. RATE TOTAL
New Fixtures
$
5.00
N
Future Fixtures
$
>,
N
Old Opening, New Fixture
0
1.50
u
Beer Dispenser
X
d
$
Water
N
N
N
Catch Basin
$
5.00
H
C a
N
o
$
N
w
w
c
Sump or Receiving Tank
Heater
Q
4J
14
_ $•— �
N
Hot Water Heater
E
rd
N
Gas Range
d1
(d N
"
Gas Dryer
$
10.00
$
Back Flow Preventer Required. .
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1st
2nd
3rd
4th
,
(R) = Futu nnection Opening
Connected with Sewer
(*) =ew Fix re, Old Opening -
RATE SCHEDULE
PLUMBING FIXTURE RATES: NO. RATE TOTAL
New Fixtures
$
5.00
$
Future Fixtures
$
3.50
$
Old Opening, New Fixture
$
1.50
$
Beer Dispenser
$
4.00
$
Blow Off Basin
$
5.00
$
Catch Basin
$
5.00
$
Rain Water Leader
$
5.00
$
Hydraulic Valve
$
5.00
$
Sump or Receiving Tank
$
5.00
$
Water Treating Appliance
_ $•— �
$ P(��
Hot Water Heater
$
5.00
$
Gas Range
$
10.00
$
Gas Dryer
$
10.00
$
Back Flow Preventer Required. .
. Yes ( ) No (
)
Type
$
5.00
$
Effective Date May 1, 1988
Job Address 7q 4fik&sllf�6
Department of Buildings
City of Fridley
Tel. #571-3450
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 a e true and correct
A
Fridley, Mn. , 19—?b
OWNER
KIND O
USED AS
TO BE COMPLETED ABOUT
ESTIMATED COST /
OLD - NEW BUILDING PERMIT NO. PERMIT NO. ( O�
Company
Signed By QUUWa _0
Tel. No. —7
ROUGH INSP.
Date
FINAL INSP.
Date
APPROVAL FOR PERMIT / 7 -
ALL OTH1-'S AND/OR REPAIRS AND ALTERATIONS
P4ZNIMUM FEE FOR ANY PLUMBING PERMIT IS $15.00
1% of Value of Fixture or Appliance S PLUS THE $.50 STATE SURCHARGE
State Surcharge $ .50
Reinspection Fame $
($15.00) TOTAL FEE $ LjJ - o
CITY OF FRIDLEY
APPLICATION FOR PLUMBING AND GAS FITTING PER41T
RATE SCHEDULE
PLUMBING FIXTURE RATES:
New Fixtures
Future Fixtures
Old Opening, New Fixture
Beer Dispenser
Blow Off Basin
Catch Basin
Rain Water Leader
Hydraulic valve
Sump or Receiving Tank
Mater Treating Appliance
Hot Water Heater
Gas Range
Gas Dryer
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
It of Value of Fixture or Appliance
Rainspection Fee S_
($15.00)
RATE
$ 5.00
$ 3.50
$ 1.50
$ 4.00
$ 5.00
$ 5.00
$ 5.00
$ 5.00
$ 5.00
$ 7.00
$ 5.00
$ 10.00
$ 10.00
State Surcharge
TOTAL FEE
TOTAL
S
Ettectave Aug, i, lyes
Job Address 7 L4 �O-L94 Lik�
Department of Buildings
City of Fridley
Tel. 1571-3450
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
y
Fridley, Mn. '7
OWNER Q i+(/
KIND OF BUILDING
USED AS
TO BE COMPLETED ABOUT _ j� & P
ESTIMATED COST Q Q �
OLD('—�UILDING PERMIT NO. PERMIT NO.
Company
Signed BY S= --_
Tel. No. S -,> S —�) CS
ROUGH INSP.
Date
FINAL INSP.
Da to
APPROVAL FOR PERMIT
MINIMUM FEE FOR ANY PLUMBING PERMIT IS $10.00
PLUS THE $.50 STATE SURCHARGE
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let
2nd
Ird
4th
(R) a Future Connection Opening
Connected with Sewer
(•) - New Fixture, Old Opening
Water
RATE SCHEDULE
PLUMBING FIXTURE RATES:
New Fixtures
Future Fixtures
Old Opening, New Fixture
Beer Dispenser
Blow Off Basin
Catch Basin
Rain Water Leader
Hydraulic valve
Sump or Receiving Tank
Mater Treating Appliance
Hot Water Heater
Gas Range
Gas Dryer
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
It of Value of Fixture or Appliance
Rainspection Fee S_
($15.00)
RATE
$ 5.00
$ 3.50
$ 1.50
$ 4.00
$ 5.00
$ 5.00
$ 5.00
$ 5.00
$ 5.00
$ 7.00
$ 5.00
$ 10.00
$ 10.00
State Surcharge
TOTAL FEE
TOTAL
S
Ettectave Aug, i, lyes
Job Address 7 L4 �O-L94 Lik�
Department of Buildings
City of Fridley
Tel. 1571-3450
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
y
Fridley, Mn. '7
OWNER Q i+(/
KIND OF BUILDING
USED AS
TO BE COMPLETED ABOUT _ j� & P
ESTIMATED COST Q Q �
OLD('—�UILDING PERMIT NO. PERMIT NO.
Company
Signed BY S= --_
Tel. No. S -,> S —�) CS
ROUGH INSP.
Date
FINAL INSP.
Da to
APPROVAL FOR PERMIT
MINIMUM FEE FOR ANY PLUMBING PERMIT IS $10.00
PLUS THE $.50 STATE SURCHARGE
CF4 VIV, k
E3t,OCK 1, R`01d�®EFtG E3TAr1L3,
A1vOKA C O �1NZ `(� M tis NESOTA.
i.7 �NOTECa \@LON MeN. Fcakam=
I hereby certify that this survey, plant plat, preliminary plat 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 1 innesota. /0932 .5vwc z 17m: 4 Is gE It .2.
�,V
Reg. No. Date Job No. Book No.
SURVE`C F•OK
S CO'ZT Ol.tvl sTEO
1 1 2 61 Q U 'LNN ST. N W.
Coote RAr\,Ds, Mt`►. 95'!33
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33'
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E3t,OCK 1, R`01d�®EFtG E3TAr1L3,
A1vOKA C O �1NZ `(� M tis NESOTA.
i.7 �NOTECa \@LON MeN. Fcakam=
I hereby certify that this survey, plant plat, preliminary plat 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 1 innesota. /0932 .5vwc z 17m: 4 Is gE It .2.
�,V
Reg. No. Date Job No. Book No.
warranty Deed.
Indivldaal to Corporation.
Form No. 3-M.nc -`
Minnesota Unifonn Conveyancing Blanks (Revised 1976)
12J
Tbis� Nbenturep Made this.............................15th................ day o June ............................. zs..
between ....Thomas E. Blomberg and A. Blomberg,.„husbandand wife,,C,ary,... j)..!.Alg.1e.,..........
...... ...... ...... .......... ................
single and Anthony Stulc, single
i
o the Count? o Anoka Minnesota
f y f.......................................................................................and State of ..........................
part...... eSbf the first part, and ............. it.... f...Frid.. y ..............................
................
.................................................................................................................................................................................................................................................,
.. Minnesota arty o the second
a corporation under the laws of the State of.................................................................... P • ' J f part,
Witne0f;et%, That the said part... ies o the first part, in consideration of the 8717n of
ONE DOLLAR AND OTHER VALUABLE CONSIDERATIONS******************.*.*...
.................................................................................................................................................................................................................. ,
......... ......
them ...................in hand paid by the said party of the second part, the receipt whereof is he
acknowledged, do ......... hereby Grant, Bargain, Sell, and Convey unto the said party of the second part,
its successors and assigns, Forever, all the tract..... or parcel...... of land lying and being in the County
Anoka ,,,,,,,,,,,,,,,,,,,,,,and State o Mnnnssota described as follows, to -wit:
Of ............................................................. f
Lot 14, Block 1, Blomberg Estates
Subject to restrictions, reservations and easement of record, if any.
{o���•?•'r��O�e may,.
For tet=
�rvo�l/� Clov.Y.—`l
To Jbabe anb to JboCb the Oame, Together with all the hereditaments and appurtenances
th.eMunto belonging, or in anywise appertaining, to the said pa7'ty of the second part, its successors and
assigns, Forever..4nd the said...... Thomas„E. Blomberg ,and ,Karla„A.,,„Blor�b.erg,,;,husband,,,and,..wi,> e.
Gary...D.:Aigle,....s,ingle...and...Anthony....Stulc.,.. single...........................................................
........
part ......... i.W the first part, for .................. themselves,,,.,their...... heirs, executors and adrninistrators, do............
covenant with, the said party of the second part, its successors and assigns, that ...... h.ey.... a.re.....................well
seized in -fee of the lands and premises aforesaid, and ha.Ve..... good right to sell and convey the, same in
manner and form aforesaid, and that the sa7ne are free from, all incumbrances,
✓!nd the above bargained a.71d granted lands and pre7nises, in the quiet and peaceable possession of the
said party of the second part, its successors and assigns, against all persons lawfully claiming or to claim
the whole or an.y part thereof, subject to incumbrances, if any, h.crei71,bef07'e mentioned, the said part............
of the first part will Warrant and Defend..
3n matimonp Wtjerltd, The said part...... elf the first part ha37.e...... hereunto set..... their.,,.......
hand... s the day and year first above written.
otate of Anne0ta.9 !
County of.....4r.:4............................................� i
The foregoing instrument tras ac'tinolcledeed before nae 1
t day of ... .... >1..✓. ................................................. 19.....c /......, Thomas E. Blomberg and Karla A. {?
Blomberg, husband and wife, Gary D'Aigle, i
}cS �utpuaaim ° by .... single and..Anthony... Stu.Lc ...... single ..................%
(TAA OF PERSON ACKNOWLEDGED)
J rtOTART `
M$ tomris+ion expires Jon. 2.1937 .................. .........................................._
My
tom' is -ion -..,...- ^-'i^•+•!` (SIGNA"T**'U**R*'1 F PERSON TAKING ACKNOWLEDGMENT
.............................................................................................................................
THIS INSTRUMENT WAS DRAFTED BY (TITLE OR RANK) 1
Ewing's Closing Service
13084 Goodhue St. N.E. (Name)
i
Blaine, Mn. 55434 (Address)
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City of Fridley
SUBJECT
PE78�
7
AT THE TOP OF THE TI/�INS
BUILDING
PERMIT
RE
COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
1 i � CITY HALL FRIDLEY 55432
L J\
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
612-571-3450
910-F15
8/22/85
JOB ADDRESS 7574 Lakeside Road N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
14
1
Blomberg Estates
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Connie/Cal Thompson
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO.
Scott Olmstead Builders 11261 Quinn St. N.W., Coon Rapids 55433 7550300
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO,
6 USE OF BUILDING
Residential
7 CLASS OF WORK
NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct a 401-x 30" Dwelling and a 22' x 20."Garage
FOR
SEPARATE
EQUIRED
�UM�1�1G AND SIGNS.
9 CHANGE OF USE FROM
STIPULATIONS provide a hard surface driveway. Providesod in the front and side
yards. Provide City with a copy of the verifying survey before. capping.
SEWER LOCATION: (Approx. 10' Deep in Street) 97' S. of
M.R. ()NV. 892.74)
WYE ELEVATION: 892.35 TOP OF FOOTING: 895.35 Minimum
WATER VOCATION: 10' N. of Sewer Service
DRIVEWAY DEPRESSION COST: 16' + 6' x $13.50 = $297.00
W A R
X NIAF
THE CITY OF FRIDLEY DOES NOT GUARANTEE THE
ACCURACY
a dig
-before digging ��'� loi;a! u'ia9�ta>�-S
g oall local
OF UTILITY LOCATIONS AND ELEVATIONS.
THIS
..06fo
` GAS &
DATA IS FOR INFORMATION
PURPOSES ONLY,
AND PERSONS USING THIS INFORMATION
REQUIRED BY LAW
SHOULD.
VERIFY IT ON THE SITE.
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING.
Wood Frame
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
ZONING
SQ. FT.
CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
1072 + 440
ANY TIME AFTER WORK IS COMMENCED,
NO. DWLG. UNITS
OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
]
ISTALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
VALUATION
SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$62,850
$ 31.43
DOS NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PRO ISION OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRU ION R THEP R RMA C OF CONSTRUCTION.
$322.00
$425.00
j� Q) '
PLAN CHECK FEE
TOTALFEE
_
'<
50
$858.93 + DW
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI
WHE PROPER Y ID T D HIS IS YOUR PERMIT
0000,
NSP
0ATS
SIGNATURE OF OWNERdF OWNER BUILDERI (DATE)
NEM [ City of Fridley Effective 4/1/84
ADDN. ( ] �R-1 AND R-2
ALTER. [ ] Building Permit Application
Construction Address: QS / C,� �Z� C)(z OZnPO
Legal Description: �'-- ® ` % -- " � '-- % (3 c- o °"® S .--
Owner Name s Address: (-o -" " `S- } L f" �- T A m "`� f � ® "� Tel. #
Contractor:
`j �®T- ® �- �s r 0 Tel. #-r
Address. - �c .� .�. C- o JLA S7 S `f
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
4+'o DESCRIPTION OF IMPROVEMENT
LIVING AREA: Length `� Width Height Sq. Ft. _
GARAGE AREA: Length '-X a Width Height Sq. Ft.
DECK AREA: Length Width Hgt/Ground Sq. Ft.
OTHER:
Corner Lot [ ] Inside Lot [XI Ft. Yd. Setback Side Yard Setbackls-�+-�a3 %F-!- ®r -
Type of Construction: C. ` r """ Estimated Cost: $ =
Approx. Completion Date: 4E3 c ' o S7— � 2
lk-` Alt. A Alt B
Proposed Driveway Width If New Opening Is Desired: 21- $ .®U $ —
See Back Page for Explanation
-- - ' - � -1 S S` - a 2'
DATE: APPLICANT: Tel. #
Permit Fee
Plan Check
State Surcharge
SAC Charge
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
CITY USE ONLY
$ 3.0G
$® • S70
$ 1, y`3
$ L AS, 00
$ q3
0 2 . w • g'i'-), (30
1515; 43
Fee Schedule on Reverse Side
25$ of Building Permit Fee
$•50/$1,000 Valuation
$425 per SAC Unit
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
1
Surveyor's Certificate
COMSTOCK & DAVIS, INC. Consulting Engineers and Land Surveyors
1446 County Road J, Minneapolis, MN 55432, (612) 784-9346
SURVEY FOR: SCOTT A. OLMSTEAD
B &-G Investments 11261 Quinn St. N.W.
961 Hillwind Road Coon Rapids, MN 55433
Fridley, Minnesota 55432 r 755-0300
THE CITY OF FRIDLEY DOES NOT GUARANTEE THE
ACCURACY OF UTILITY LOCATIONS -AND ELEVATIONS.
THIS DATA IS FOR INFORMATION PURPOSES ONLY,
AND PERSONS USING THIS INFORMATION SHOULD
VERIFY IT ON THE SITE.
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TEl.EPNO�E � ELECT �r
qAo
CITY 5 -NG.
30 DAY DTIC Fop, CURB
DIV. REGOIR
� V4L AN RIAQ�Ae���T
YES. Y OPENIiNGS.
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DESCRIPTION
Lot 14, Block 1, Blomberg Estates, City of Fridley, Anoka County, Minnesota.
SCALE: 1" = 40
O Denotes 1/2" diameter iron pipe monument set and capped No. 10832.
0 Denotes found iron monument.
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.
2!1tz� 1n8�9 y Nov. .17, 1980 4278 9
Reg. No. Date Job No. Book No.
ic � w",7, / e -Z -�� )
nQ9
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Standard Worksheet y
Page 1
Site
Address S� O��
Owner
Average U -Value, (UxA)/(Afrom Line 1
5
Contractor:;;
Phone
Date
Required U -Value (from text)
Building Type (check one) ( One and Two Family Dwelling (
1;
)Other
6
Required U -Value from text
* * * * *
Assembly Describe type from Table 3 or
Area (A)
!
Insulated Area
144-3.9
i
If Line 2 is greater than.Line 3, or Line 5 greater than Line 6, complete the
following to determine alternate U -V 1 f
+ show calculations on Page 2)
(S Ft)
U -Value
U x A
9215
. 3
'
Insulated Area
lo 72
1
O Z
23,58'
i
, o
,w
—Framing -Area
107. 2
--
3
Foundation Wall (above grade)
,
O 8 Z
o
Skylights, Type
4 . 0
, 4S
78
/ • I L
x-2.5
.43
00
M
Other (describe)
-
Other '(describe)
a
'.
eve U -Value, Line 11/Linc 7
1
Totals
1 18 3.2
* * * * *
2
Average U -Value, (UxA)/(Afrom Line 1
5
Average U-Value,s
(UxA) / (A) from Line 4
* * * * *
3
Required U -Value (from text)
* * * * * *
.04
6
Required U -Value from text
* * * * *
.17
* * * * *
!
Insulated Area
144-3.9
059
If Line 2 is greater than.Line 3, or Line 5 greater than Line 6, complete the
following to determine alternate U -V 1 f
-Framing Area
11015.-1
'1/1
Windows Type o e L-. PANE SPy
9215
. 3
Doors Type
37-5
1
x
Rim Joist Area I (o" LDo1Z,. J of S't'
98.4
, o
..r
Fireplace Wall
ani0
--
3
Foundation Wall (above grade)
$Lo • 1
O 8 Z
V
a�
Foundation Windows, Type PA-[ 10 D;_,
40.0
, 4S
o
W
Other (describe) GSVOT TNEizme
Other (describe) 2 w
Other (describe)
x-2.5
.43
_
4(o-
85.15 '
/ 9.7 L;7
30 .LoV
4.9 _
?.10
%8•Z7
4
Totals
a ue
or total exterior envelope.
,0
5
Average U-Value,s
(UxA) / (A) from Line 4
* * * * *
094
~C
N K * *
,
6
Required U -Value from text
* * * * *
.17
* * * * *
!
If Line 2 is greater than.Line 3, or Line 5 greater than Line 6, complete the
following to determine alternate U -V 1 f
UxA ,(Line 1) + UxA (Line 4) ,
�o
a ue
or total exterior envelope.
,0
7
Area (Line 1) + Area (Line 4)
+ a
,
4J
,
8
UxA ,(Line 1) + UxA (Line 4) ,
+ a
(Line 1) x U -Value (Line 3)
x
'1
ani0
;' xea: (Line 4) x I1 -Value (Line 6)
x a
Line 9 + Line 10
eve U -Value, Line 11/Linc 7
r[
L 6ss.geaer than Line 11 .Ater
.,Pi
hoes not:
assemblies as required
q
so Line 8 •
exceed Line 11.
:laterialdescribe'Thickness F --Vali
44
Assembl _I
Material describe Thickness
R -Value
Interior f=VZue (bee a e .2).
.-Value
Exterior f -Value see Table 2
Total Assembly h rma Resistance
5r v,,2aicaP4ol
Assembly U -Value (see Table 4)
T t-4 rc R tM A
Enter on Page 1
to
Assembly
,777,
Material (describe _ Thiel:Ichs
[t -Value
4
Interior f -Value see Table 2)',"*
. I
Total Assembly Thermal Resistance
15-Lp
Assembly U -Value (see Table 4)
Enter on Pae 1
2)
GQ e-
InteiY or f -Value (see Table
Thickness
R -Value
Exterior f -Value see Table 2)
Total Assembly Thermal Resistance
Assembly U -Value (see Table 4)
Enter on Pae 1
Assembl _I
Material describe Thickness
R -Value
-R-Value
.-Value
i
TH E R M A X
5r v,,2aicaP4ol
NS- 0LA.Tip
T t-4 rc R tM A
Interior f -Value (see Table
Exterior f -Value (see Table 2)
Total Assembly Thermal Resistance
,777,
Assembly U -Value (see Table 4)
Enter on Pae 1
Material (describe
Thickness
-R-Value
.-Value
i
5r v,,2aicaP4ol
2-
T t-4 rc R tM A
ltilSu�tJ"Tiol�l�r%g
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Interior -Value see Table '.-1.1
4
Interior f -Value see Table 2)',"*
. I
Total Assembly Thermal Resistance
15-Lp
Assembly U -Value (see Table 4)
Enter on Pae 1
Assembly U -Value (see Table 4)
• Enter on Pae 1
Assembly
Material (describe)
Thickness
R -Value
Interior f -Value (see Table 2)
Exterior f -Value (see Table 2
Total Assembly Thermal Resistance
Assembly U -Value see Table 4
Enter on Pae 1
Assemh 1
Material (describe)
Thickness
R -Value
Interior f -Value (see Table 2)
Exterior f -Value see Table 2);,-.:
Total Assembly Thermal Resistance
Assembly U -Value see Table 4 .';'
Enter on Page 1
AssemblyoaI-CR�T4' %ft414C 401 $ rr Qo !
Material (describe)
Thickness
.-Value
L"OAJCRCYE /3,LocK
5r v,,2aicaP4ol
2-
Interior f -Value see Table 2
.lo
-Interior
1?xterior f -Value (see Table 2),1
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2.1 '
Assembly U -Value (see Table 4)
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16S7-
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<.J
C11YOF
FRIDLLY
CIVIC CENTER - 6431 UNIVERSITY AVE. N.E. FRIDLEY, MINNESOTA 55432 - PHONE (612) 571-3450
April 4, 1986
Scott Olmstead Builders
11261 Quinn Street N.W.
Coon Rapids, MN 55433
Re: 7574 Lakeside Road N.E., Fridley
Dear Sirs:
In checking our files, we can find no verifying survey for the construction
at the above address. Providing the City with a copy of the verifying survey
was a stipulation of your building permit and must be complied with.
We will expect the verifying survey to be submitted to the City by April 21,
1986.
Please contact me if you have any questions on this matter.
Sincerely,
cc
IUUT-G. CLARK
Chief Building Official
DGC/mh
CC: 7574 Lakeside Road N.E.
,9 r.,:,-
J
CITYOF
FRIDLEY
CIVIC CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MINNESOTA 55432 • PHONE (612) 57 1 -3450
May 14, 1986
Scott Olmstead Builders
11261 Quinn Street N.W.
Coon Rapids, MN 55433
Re: Final Inspection at 7574 Lakeside Road N.E., Fridley
Dear Sirs:
A final inspection was conducted on May 12, 1986 of the above address and the
following items were noted which must be completed before the structure can be
finaled:
1. The front step concrete is spalling very much and must be replaced on or
before June 2, 1986.
2. Submit a verifying survey of the lot to the City by June 2, 1986.
e
We will expect the above items to be completed by the scheduled date when a
reinspection will be conducted to determine compliance. If you have any
questions on these items, please feel free to contact me at 571-3450.
CSinc ly,
i
D . CLARK
Chief Building Official
DGC/mh
CC: 7574 Lakeside Road N.E.
GIiYOF
FRIDLEY
CIVIC CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MINNESOTA 55432 • PHONE (612) 571-3450
June 4, 1986
Mr. Scott Olmstead
Scott Olmstead Builders
11261 Quinn Street N.W.
Coon Rapids, MN 55433
Re: Final Reinspection at 7574 Lakeside Road N.L., Fridley
Dear Mr. Olmstead:
A final reinspection was conducted on June 2, 1986 of the above address and
it was noted that all items were complete except for the submitting of a
verifying survey to the City. Ile will expect the verifying survey to be
submitted by June 16, 1986.
If you have any questions on this item, please feel free to contact me at
571-3450.
Sinc ,
DARREL G. CLARK
Chief Building Official
DGC/mh
CC: 7574 Lakeside Road N.E.
U
SUBJECT
PER
City of FridleyIr
o 18492
AT THE TOP OF THE TWINS
P,
BUILDING
PERMIT
_
RECEIPT NO.
COMMUNITY DEVELOPMENT DIV.
r i PROTECTIVE INSPECTION SEC.
�•� CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
L 612-571-3450
910-F15
6/16/86
/
JOB ADDRESS 7574 Lakeside Road N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
14
1
Blomberg Estates
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Thompson 7575 Lakeside Road N.E.
780-3923
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO,
Same
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO,
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW j) ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct a 14' x 18' Deck
9 CHANGE OF USE FROM
TO
STIPULATIONS
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
ZONING
SQ. FT.
CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
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
1
STALLS GARAGES .
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
VALUATION
SURTAX
AND ,ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$1,600
$.80
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SACCHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
$26.50
PLAN CHECK FEE
TOTALFEE
$ 6.63
$33.93
SIGNAT EOFCONTR CTOR R U RIZEDAGENT (DATE)
WHEN PROPERLY
ALIDATED THIS IS YOUR PERMIT
j"��
BLDG INSP
DA
G ATU OF OW ER IIF OWNER DERI (DATEI
U
NEW [ ]
ADDN. [ ]
ALTER. [ ]
City of Fridley Effective 4/1/86
�R-1 AND R-2,
Building Permit Application
Construction Address:
Legal Description:
Owner Name & Address:
Tel. # f79( -1-72-0;;k
Contractor: Tel.
Address:
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
Length Width Height
Length Width Height
Length jWidth_ Hgt/Ground
-1(('Ila
Corner Lot [ ] Inside Lot [ ]
Type of Construction:
Approx. Completion Date:
Sq. Ft.
Sq. Ft.
Sq. Ft. S2--
:57 &d
Ft. Yd. Setback Side Yard Setback
Estimated Cost: $ f 6C)d
Alt. A Alt B
Proposed Driveway Width If New Opening Is Desired: $ $
See Back Page for Explanation
DATE:
Permit Fee
Plan Check
State Surcharge
SAC Charge
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
APPLICANT:
CITY USE ONLY
Tel. #
Fee Schedule on Reverse Side
25% of Building Permit Fee
$.50/$1,000 Valuation
$475 per SAC Unit
Fee Determined by Engineering
Agreement Necessary ( ] Not Necessary [ ]
6 V()
Ste, ! C)
16 jb-
9 6.10
City of Fridley
AT THE TOP OF THE TWINS
SUBJECT
BUILDING
PERMIT
PE
27015
r
COMMUNITY DEVELOPMENT DIV.
r 1 L PROTECTIVE INSPECTION SEC.
CITY HALL FRIDLEY 55432
612-571-3450
RECEIPT NO.
7
NUMBER
910-F15
REV
DATE
8/6/98
PAGE OF
APPROVED BY
JOB ADDRESS
7574 Lakeside Rd NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
14
1
1 Blomberg Estates
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Calvin & Connie Thom son 7574 Lakeside Rd NE
780-3923
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Owner
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION CJX REPAIR ❑ MOVE ❑ REMOVE
6 DESCRIBE WORK
Reroof house and garage 26 S Tear-off
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with State Building Code.
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
ZONING
SO. FT.
CU. FT.
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
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
VALUATION
SURTAX
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
2168
$1.08
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
$74.75
Fire SC $2.16
PLAN CHECK FEE
TOTALFEE
77.99
t IGNA OF CONTRACTOR OR AUTHORIZED AGENT IDATEI
C
WHEN PROPER ALIpATED THIS IS YoR PERMIT
E OF OWNEROF 0nNPRTUTrDER117 IDPJTEI
BLDr. INSP
GATE
NEW
ADDN
ALTER
ConstructionAddre:
Legal Description:
Owner Name & Ad
Contractor. E' , MN LICENSE #
Effective 1/1/98
CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
Address:
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
Construction Type:
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
Length
Length
Length
DESCRIPTION OF EMPROVEMENT
Width
Width
Width
Height
Height
Hgt/Ground
Tel. #
Sq. Ft.
Sq. Ft.
Sq. Ft.
(Fee Schedule, on Back)
Driveway Curb Cut Width Needed: . + 6 Ft = Ft x $ _ $
DATE: �p APPLICANT: Tel. #C%
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
L -
CITY USE ONLY
t7—
$ L
Fee Schedule on Reverse Side
$
.001 of Permit Valuation (1/10th%) .
$ ®
$.50/$1,000 Valuation
$
$1000 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 [ ]