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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT N° 7392 Date: e • . ..'_ .4 ,4 %. ,,r tom. `'��Builder Address Address CA IONBUILDING No. 9 Street Part Lot Lot a Block f � Addition or Sub -Division, Corner Lot Inside Lot — Setback _._._ 1deyard Sewer Elevation -2—_ l(o�n Elevation Tc` 2 �� F ��c4 1 n G DESCRIPTION OF BUILDING T , V Front Depth Height Sq. Ft Cu. FaJQE Fr nt Depth Height _ __� Sq. Ft. Cu. Ft. Type of .Constructio Est. _ To be Completed h © I -e— �I-u ed 5c r v, c s ,- -7(-h e s u / o 4 S h ( Y h ,— s4 t- �' c S c,0 -e_ I 3 q`�'�. �3 In consideration of the issuance to me of a permit to construct the building described above I agree to do the proposed work in accordance with the description above set M coinp ce :with 211provisions of the city of Fridley.�YQ In consideration of the payment of a fee of $ , permit is hereby granted to to construct the building or addition 'as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or anypart thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinanc ea, _ /In NOTICE. " psemh doer not cover the eonstrudlan, installation for whhm p1 mbing, gee heaft, sas+er er water. Be sun to no the Building Inspector for separate permhs for those hems. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA.. OWNER'S NAME AuDss . h .� 1L1 L� c--�--� ADDRESS LOCATION OF BUILDING No; ! Street / %A zy Fart of Lots_ Lot -lb Block 1/ Addition.or Subdivision Corner . Lot �inside Lot Setback- 3� ' / Side Yard y , SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Two Certificates of.Survey of Lot -and proposed build- ing location drawn on these Certificates.. DESCRIPTION OF BUILDING To be used as: IV_ 4 /tib Front ® Depth Height Sq.. Ft %"� �/ /� Cu.. Ft. a Front -Depth Height Sq., Ft. Cu . Ft. Type of Construction A/& &4_6 : �=�'�yJ /_' o Estimated Coat To be Completed�� The undersigned hereby mekes'application for a permit, for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings. of the Department.of.Buildings, and hereby declares that all, the facts and representations stated in this application are true,and_correct, DATE f�S SIGNATURE' �� C �,�^✓' (Schedule of Fee Costs can be found on the Revd'rde Side). Com' 0 C) L? . a -J`p 0 BUILDING PERMIT FEE SCHEDULE Section 2. The Inspector of Buildings shall, before issuing any permit for the erection of any building or structure, or for any addition to any exist- ing building or structure, or for any alterations or repairs to any existing building or structure, upon application therefor, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to -wit: 2.1. For any such permit for the erection of any fire -proof building, other than a garages warehouse,.factory or grain elevator, or for the erection of any fire -proof addition, for similar occupancy, to any existing building shall be at the rate of $1.40 for each one thousand cubic feet, or fraction thereof, in such cubical contents. 2.2. For any such permit for the erection of any fire -proof garage, warehouse,_ factory or grain elevator, or for the erection of any fire -proof addition, for similar occupancy, to any existing building shall be at the rate of $1.25 for each one thousand cubic feet, classified as "fireproof" by Section 502 of the Minneapolis Building Bode. HOUSES 2.3. For any such permit for the erection of any non -fireproof building other than a garage, warehouse, factory or grain elevator, or any non -fireproof addition, for similar occupancy, to any existing building - permit $1.00 for each one thousand cubic feet. GARAGES 2.4. For any such permit for the erection of any non -fireproof garage, warehouse, factory.or grain elevator, or for the erection of any non -fireproof addition, -for --similar occupancy, to any existing building or for each such building or addition = ninety cents ($0.90) for each one thousand cubic feet or fraction thereof, in the cubical contents thereof with a minimum of $4.00.. - For the purpose of computing fees for building permits, the cubical contents of any building -or addition to a uniform height throughout by multiplying the ground area covered from a point six (6) inches below the floor line of the basement or cellar to the average height of the upper surface or to the average height of the roof surface of the maim gable of a pitched roof. 2.5. For repairs or alterations to an existing structure, the fee shall be at the rate of $3.00 per each Five Hundred Dollars ($500.00) or fraction thereof in the cost of all proposed work. 2.6. In no case shall the fee..charVA for -any permit, .a$ set forth in Section 2 be less.than $4;00. ]CHF-STER MAGA.,- F -K - x 1. A L L. EN 90.0 30�-T-� t t V O, I 9 �I I I . L i a)ERTY TRC�T LEGAL DESCRIPTION: LOTS II-I�'-i�, PLCCK II, SPRING SPOOK PARK, ANOKA COUNTY., .l'INNESOTA I hereby certify that this survev. than, orreport wW% prepary-1 by nv or under my direct uMr- vtciun and that I qui m d Iy Rt entered C.and :+urve)'.e�un�l, r�!#,�: Is:sif tinetdteea'f ARinr,- ._ - t N.C. I- olum '4r 4E) INC . 52-84-5915.51 City of Fridley Application for Plumbing and Gas Fitting Permit Dept. of Bldgs. Phone 560-34M DESCRIPTION OF WORK 249 N E Liberty St Number, Kind and Location of Fixtures Location pry � 3 � Future Fixture Opening ................ x $1.50 $ Z u.0 Z (�� g $ W 0 (9 ? 10 F N WATER HTR. GAS ELEG Base New Ground Run Old Bldg . ............ x $3.25 $ a3 Orier $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $2.00 $ 1st x $ .75 $ Gas Range to 199,000 BTU .............. x $5.00 $ Gas Dryer 1 5.00 REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ 2nd TOTAL FEE $---!---0() 3rd 4th • Future Connection Openings e New Fixture, Old Openings I Connected with -- Sewer E] Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ....... .............. x $2.00 $ Future Fixture Opening ................ x $1.50 $ New Fixture Old Opening .............. x $1.50 $ Catch Basin ...... ..................... x $3.25 $ Water Heater (Up to 99,000 BTU) ...... x $3.00 $ New Ground Run Old Bldg . ............ x $3.25 $ Electric Water Heater a $2.00 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $2.00 $ Additional Fixtures .................... x $ .75 $ Gas Range to 199,000 BTU .............. x $5.00 $ Gas Dryer 1 5.00 REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ TOTAL FEE $---!---0() City of Fridley: The undersigned hereby makes application for a permit for the work herei specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the facl and representations stated in this application are true and correct. Fridley, M 12-8-67 innf 19— Owner Ken Boner Kind of Building frame Used as res To be completed about 3-2-13"67 Estimated Cost, $ 10.00 Old—New. Building Permit No Permit No. By Business Phon o ROUGH FINAL 42 City of Fridley, Minn.. BUILDING PERMIT Date: June 18 1969 CNnier: James Zukowski Builder Sussel Co. Address —20. Address 1850 Como Ave, X. St. Paul , Minnesota ,f, # y764 y N9 10291 LOCATION OF BUILDING No. 249 Street Liberty St. N. E. _ Part of Lot Lot __ _ II,12.,l33lock 11 Addition or Sub -Division _ging Brook Park Addn. Corner Lot . Inside Lot .— Setback —_ Sideyard Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Garage Front 24' Depth 22 Height 101, Sq. Ft. 5 2$Cu. Ft. 5280 Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Frame Est, Cost _$2400.00 _ To be Completed Blacktop driveway existing In consideration of the issuance to me of a permit to construbt the buildingdes above I agree to do the proposed work in accordance with the description above /et rth and in con c with all provisions of ordinances of the city of Fridley. L In consideration of the payment of a fee of $---L- 00 , permit is herebygran Sussel Co. to construct the building or addition as described above. permit is granted upon the express condition that the person to whom it is granted and his agents, employees an workmen, in all work done in, around and upon said building, or anypart thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair andmoving of buildings within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. Henry F Muhich NOTICE: This permit does not cover the construction, Installation for wiring, plumbing, gas hosting, sower or water. Be ane to an the Building Inspector for separate permits for these Noma. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME BUILDER Se .t 6S �6 ADDRESS r= 125 %`_>c ADDRESS LOCATION OF BUILDING No. STREET L a L3%�/ LOT )/j / of , ) 3 BLOCK ADDITION OR SUBDIVISION -SPe r n1 a gipob,1 Prue #e ;A6b AJ CORNER LOT INSIDE LOT X SETBACK SIDEYARD SEWER, ELEVATION TOP OF FOOTING Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: Front Depth 2 -Z- Height f 0 _ Square feet Cubic Feet Front Depth Height Square feet Cubic Feet Type of Construction 74,4 : 1: � Estimated Cost �® ToBeC The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and- epresentations stated in this application are true and correct. 1 ---I DATE /_P – Y SIGNATURE j( el (Schedule of Fee Costs can be found on the Reverse Side.) 4 'AL y ti - LEC, A L Di=S F, I FT I C LOTS L I C K A 10 K A TY. jt,­i7SCTA Vv No - GAR uvql goal 02 --$a aSU3 Ou ut L I LOT' NAME SIZE -Zk-Jk!r- ClNed Amlk< -Z-4t BLOCK ADDRESS VALUE Z e� L% 24002-9- ADD'N. AREA TYPE .54 (Z -s 0 f=c=q-.j -r . — 97-8h-416051 CITY OF FRIDLEY • • APPLICATION FOR PLUMBING AND GAS FITTING PEMIT U 3 :, aoi V .4 d � � m e�l •�+ % c� qqp m �.' X S 61v � n C o w Wa 3 .09 rn g w m b ro" u oa b w 4 x a w u 0 tr r ay a o Water xeater as kec $ Catch Basin x $5.00 $ Water Heater - to 99,000 BTU x $5.00 $ 100,000 BTU to 199,000 BTU x $10.00 $ Water Softener 1st $7.00 $ New Ground Run Old Building x $5.00 $ Electric Water Heater x $5.00 $ GAS FITTING FEES: 1st 3 fixtures x •$3.00 2nd Additional Fixtures x $1.00 $ Gas Range to 199,000 BTU x $10.00 $ 3rd 4 th (R) a Future Connection Opening M i New Fixture, old Opening Connected with Sewer Water PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures X $3.00 $ Future Fixture Opening x $2.00 $ New Fixture, Old Opening x $2.00 $ Catch Basin x $5.00 $ Water Heater - to 99,000 BTU x $5.00 $ 100,000 BTU to 199,000 BTU x $10.00 $ Water Softener x $7.00 $ New Ground Run Old Building x $5.00 $ Electric Water Heater x $5.00 $ GAS FITTING FEES: 1st 3 fixtures x •$3.00 $ Additional Fixtures x $1.00 $ Gas Range to 199,000 BTU x $10.00 $ REPAIRS $ ALTERATIONS First $100.00 $5.00 $ each add. $100.00 or fractLon $2.00 S State Surcharge $ .5o TOTAL FEE $ 8.00 REINSPECTION FEE (510.00) Job Address 2119 Liberty Street NE 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 are true and correct Fridley, Mn. 8-17-78 , 19 OWNER Zukowski KIND OF BUILDING frame USED AS res. TO BE COMPLETED ABOUT 8-22-78 ESTIMATED COST 20.00 , OLD - NEW BUILDING PERMIT NO. PERMIT NO. Company c::� g A =4 , Signed ByMINNWASUO . Tel. No. ROUGH INSP. Date FINAL INSP. 11" 2 Date APPROVAL FOR PERMIT MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE July 17, 1978 F fA;r Mr. James Zukowski 249 Liberty. Street N.E. Fridley, MN 55432 6431 UNIVERSITY AVENUE W.E., FRIDLEY, MINNESOTA 56432 TELEPHONE ( 612)571-3450 Re:. Depositing of Grass Clippings & Yard Wastes in the Alley Right of Way Dear Mr. Zukowski: It was brought to the City's attention and confirmed by an on site inspection on July 14, 1978 that the unimproved alley right of way in the 200 block between Ely Street and Liberty Street N.E. , Fridley was being used as a depository for adjacent property owner's grass clippings and yard wastes. Section 113.12, Refuse Disposal, of the Fridley City Code, prohibits the disposal of any grass clippings, yard wastes, or any refuse on the public right of way. In addition, it is the adjoining property owner's responsibility to maintain any unimproved alley right of way. Therefore, the City must require you to clean and maintain your property and the adjoining right of way free of all grass clippings and yard wastes found there. We are confident in your cooperation and desire to make Fridley a better community to'live in. If any questions or problems result from this letter, please contact me at 571-3450. Sincerely, wl� STEVE J. OLSON Environmental Officer S JO/mh `r i i✓ i�t�7 Y �V r July 17, 1978 F fA;r Mr. James Zukowski 249 Liberty. Street N.E. Fridley, MN 55432 6431 UNIVERSITY AVENUE W.E., FRIDLEY, MINNESOTA 56432 TELEPHONE ( 612)571-3450 Re:. Depositing of Grass Clippings & Yard Wastes in the Alley Right of Way Dear Mr. Zukowski: It was brought to the City's attention and confirmed by an on site inspection on July 14, 1978 that the unimproved alley right of way in the 200 block between Ely Street and Liberty Street N.E. , Fridley was being used as a depository for adjacent property owner's grass clippings and yard wastes. Section 113.12, Refuse Disposal, of the Fridley City Code, prohibits the disposal of any grass clippings, yard wastes, or any refuse on the public right of way. In addition, it is the adjoining property owner's responsibility to maintain any unimproved alley right of way. Therefore, the City must require you to clean and maintain your property and the adjoining right of way free of all grass clippings and yard wastes found there. We are confident in your cooperation and desire to make Fridley a better community to'live in. If any questions or problems result from this letter, please contact me at 571-3450. Sincerely, wl� STEVE J. OLSON Environmental Officer S JO/mh DHS-272re85) PZ -02722-02 t--�ee Aep� -a'_;�-dj STATE OF MINNESOTA DEPARTMENT OF HUMAN SERVICES 444 LAFAYETTE ROAD ST. PAUL. MINNESOTA $5101 (Q%pjDate a ® 11 Zping AuthorWy 4��/ 04�t�>' iso � - "� teet Address City State Zip Code RE: ZONING NOTIFICATION OF APPLICATION FOR LICENSURE Subject: L � �;Xez'" Name of ;Da Care Rome Applicant 0 Street Address City State Zip Code Type of License: Family Day Care Group Family Day Care Licensed Capacity �Q Phone No. �lo � This is to inform you that we are in receipt of an application for licensure under Minnesota Rules, parts 9502.0300 to 9502.0445 (formerly Rule 2), Family Day Care and Group Family Day Care Standards. Issuance of this license is subject to compliance with the provisions of Minnesota Statutes, Sections 245.781 to 245.812 and 252.28, subdivision 2, known as the Public Welfare Licensing Act and the rules of the Department of Human Services. You should note that under Minnesota Statutes, Section 245.812, Subvision 3, a licensed day care facility serving 12 or fewer persons shall be considered a permitted single family residential use of property for the purposes of zoning. Subdivision 4 of the same section indicates that a licensed day care facility serving from 13 through 16 persons shall be considered a permitted multi -family residential use of property for purposes of zoning. If we do not hear from you within will consider the above-mentioned your local zoning code. Sincerely, AM, ON Licensing - r, Street Address 30 days after receipt of this letter, we day care home to be in compliance with COMMUNITY HEALTH & SOCIAL SERVICES DEPARTMENT COUNTY OF ANOKA COURTHOUSE, FOURTH FLOOR ANOKA, MINNESOTA 55303 Name of Agency/Organization City State Zip Code AN EQUAL OPPORTUNITY EMPLOYER I(A001 CITYOF FRIDLEY CIVIC CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MINNESOTA 55432 • PHONE (612) 571-3450 May 24, 1989 Owner/Occupant 249 Liberty Street N.E. Fridley, MN 55432 RE: Skateboard Ramp under Construction in Alleyway between 200 Blocks of Liberty and Ely Streets Dear Owner/Occupant: Recently it has come to our attention that a skateboard ramp is being built and stored on City property at the above -referenced site. As the City is responsible for the health and safety of its citizens, and general maintenance of its property, we must require that this construction cease and the materials be removed immediately. This is necessary to keep the alleyway free of debris and prevent risk of damage or injury caused by this activity. If this ramp and any surrounding materials are not removed by June 12, 1989, the City will take action to resolve the problem. Please call me at 572-3595 if you have any questions or wish to discuss this further. Thanks for your cooperation! Sincerely, Steven Barg Planning Assistant SB:ls C-89-288 CITY OF FRIDLEY Effective Date May 1, 1988 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE RESIDENTIAL Furnace Shell and Duct Work, Burner (Also replacement furnace) Gas Piping (piping needed with new furnace) Gas Range Gas Dryer RATE TOTAL $ 20.00 $10.00 $ 10.00 $ 10.00 * Air Conditioning (all sizes) $ 10.00 All Others/Repairs and Alterations 1% of Value of Appliance or Wor)c COMMERCIAL/INDUSTRIAL 1% of Value of Appliance or Work State Surcharge TOTAL FEE Reinspection Fee ($15.00) Rough Insp. Date Final Insp. J -23 - Date Date Approval for Permit MINIMUM FEE FOR ANY HEATING PERMIT IS $15.00, PLUS $.50 STATE SURCHARGE Job Address 249 Liberty St. N. E. $ 20.00 Department of Buildings, 6431 University Ave. N.E., Fridley, MN 55432 City of Fridley $ 10.00. 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 are true and correct. $ Fridley, Minn. 3-16-90 19 OWNER a lm Zukowski KIND OF BUILDING Frame USED AS RP_s i den(Fe $ TO BE COMPLETED ABOUT ESTIMATED COST $ .50 OLD - NEW BUILDING PERMIT NO. PERMIT NO. IK) 41`7t/Q DESCRIPTION OF FURNACE/BURNER HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No. n n p Trade Name Carrier Size No. 58SSBO60CC Capacity Sq. Ft. EDR BTU 60.000 HP Total Connected Load Kind of Fuel g a $ BURNER - Trade Name Size No. Capacity Sq. Ft. EDR BTU HP Attach stack verification form with.replacement furnace permits *Air Conditioners can not be placed in side yard without written permission from adjoining neighbor. Company-, De .@n able HeatiN & Air Cond, Inc Signed By Tel. No. 757-5040 CITY OF FRIDLEY Effective Date May 1. 1988 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE Job Address RESIDENTIAL RATE TOTAL Furnace Shell and Duct Work, Burner (Also replacement furnace) $ 20.00 $ Department of Buildings, 6431 University Ave. N.E., Fridley, MN 55432 City of Fridley Gas Piping $ 10.00 $ Tel. #571-3450 (piping needed with new furnace) Gas Range $ 10.00 $ 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 Gas Dryer $ 10.00 $ and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. • Air Conditioning (all sizes) $ 10.00$ + Fridley, Minn. /� 191 6 All Others/Repairs and Alterations ---¢� owH.,X`i li of Value of Appliance or Work $ �. �% E; KIND OF BUILDING' __ COMMERCIAL/INDUSTRIAL USED AS It of Value of Appliance or Work S �� c' 0 TO BE COMPLETED ABOUT ESTIMATED COST State Surcharge $ .50 !EE �®/ OLD - NEW BUILDING PERMIT NO. PERMIT NO. 7 TOTAL Reinspection Fee ($15.00) S DESCRIPTION OF FURNACE/BURNER Rough Insp. HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No. Date /�% Final Insp. —2 �v �� Trade Name Size No. Date Capacity Sq. Ft. EDR BTU HP ,1/��/] Approval for Permit l.�Of.�d 71otal Connected Load Kind of Fuel BURNER - Trade Name Size No. Capacity Sq. Ft. EDR,, BTU HP MINIMUM FEE FOR ANY HEATING PERMIT IS $15.00 Company ��`� ' Gw^"�'B' C l/cr /✓ � PLUS $.50 STATE SURCHARGE Signed By Tel. No. *Air Conditioners can not be placed in side yard without written permission from adjoining neighbor. Fill out back side for stack verification on replacement furnaces CHIM14EY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack; 1. Has been carefully examined Yes ( ) No 2. Is free from rust or deterioration Yes ( ) No 3. Has no foreign objects lodged within Yes ( ) No 4. Is securely supported Yes ( ) No 5. Meets all current Code requirements for size and total BTU connected Yes ( ) No 6. Has Total heating BTU's of All other BTU's TOTAL Rema rk s Company Signed By Da to SUBJECT PE City of Fridley 2 22 4 3 AT THE TOP OF THE TWINS BUILDING PERMIT i? RECEIPT NO. • -------COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. 37 CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY L 612-571-3450 910-F15 11/22/93 JOB ADDRESS 249 Liberty Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 11,12,13 11 Spring Brook Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Jim Zukowski 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Dimension Builders Inc 6461 Riverview Ter NE, Fridley 55432 881-9680 2621 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 an 181 x 161 Addition to Dwelling 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SQ. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT NO. DWLG. UNITS OFFSTREET PARKING ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES VALUATION SURTAX AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $18 OOO $9.00 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT F PERMIT FEE SAC CHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $189.00 Fire SC $18.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE 1L ZZ,7 License SC $5.00 $221.00 SIGNATURE OF CO RACTOR OR AUTHORIZED AGENT IDAfEI WHE OPER VALIDATED THIS IS YOUR PERMIT *� G INSP QATE SiGNATURE OF OWNER IIF OWNER BUILDERI (DATE, NEW [ ] ADDN [ ] CITY OF Fl ALTER { ] SINGLE FAMILY AND 'D1 Building Permit Construction Address: % L. t IG ro-F Legal Description: L.v7`S 11-1 Z l3 L0 Owner Name & Address: t1 L rM GU w Contractor: Q[ h -j 6tj s iy rJ gu L L -o g) Address: 6 4[,, 1 {211J v �c.J �i ►> LIVING AREA: Length GARAGE AREA: Length DECK AREA: Length OTHER: Effective 5/26/93 R-1 AND R-2 —*q(37 n hip, C� 12rzic. .r--87 c4i Tel. # 77 96- -6, qS7 MN LICENSE # 0 c:0 Z(a21 Tel. #1 Attach to this application, a Certificate of Surrey of the ib Ai w lot, with the proposed construction drawn on it to scale. 46, aZS" f54.31)z,q�� DESCRIPTION OF IMPROVEMENT 1 Width Cv Height Sq. Ft. '-2E3 Width Height Sq. Ft. Width Hgt/Ground Sq. Ft. Corner Lot [ ] Inside Lot Ft. Yd Setback Side Yard Setbacks. Type of Construction: Estimated Cost: $ �i �D O ✓" Approx. Completion Date: 90 Driveway Curb Cut Width Needed: (Cost on Back) Ft. + 6 Ft = Ft x $ _ $ DATE: I13ZI3 APPLICANT: Tel. # C--$ C> Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL $ j `� Fee Schedule on Reverse Side $ 16, QQ .001 of Permit Valuation (1/10th%) $ Ob $.50/$1,000 Valuation $ $750 per SAC Unit $ S-, D® $5.00 (State Licensed Residential Contractors) $ Alt. "A" or Alt. "B" Above $ Conservation Plan Review $450.00 $ Fee Determined by Engineering $ Agreement Necessary [ ] Not Necessary { ] STIPULATIONS: �1'y0/d8 ALL -E -Y 7 D _Tl 19 LEGAL -DESCRIFTI(',r': LOTS rLCCK 11. SPRING EPOOK PARK, ANOKA COUNTY.. . �,'l N"IF SOTA I = I hereby,-ertly that th-*4 c-urvi,v, plan, or report %V.M% pry 'j)jr-:,l b- im, cr ur.d�,r nly directsup er- vls!wl and That I M'I3 1" - Rgivertyl Land X :.)urvo)-t.-r upo.. iav f -lie State of blinu- �l A 0�10/ 1 A'4�1 D -o t,lir 1 b,19 &eg. No- 44�7 EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION OWNER d 1 M k I1f s % vl L S ITE ADDRESS 241 CONTRACTOR max, eGUPMS DATE Y 7 ,PHONE 2�Y j Determine working square footage of each. 1. Total exposed wall area ...... sq. ft. x .17 = 2. Total roof/ceiling area ..... sq. ft. x__.(Z5 IT , Total exposed wall area above floor = 18 [ a. Total wail window area ........................... b. Total door area ............................... — c. Total sliding glass d. Total fireplace wall area........ . e. Total wall framing area (average 10%)...:....... p f. Total net wall area above floor ................. g. Total rim joist area .....................:...... Total exposed foundation area = �� h. Total foundation window area...... i. Toal net foundation area above grade ............ Determine "U" value of each wall segment. a._ tv x 11U11 , 33 = ;ta. qq b X 11U11 — _ C. — X 11U11 _ d — X 11UH _ e, X "u" f. a 73 X „ill = 0! g_ 5-�2 X "U" e 014 = 2. o h. X "U" i. 35- X "U"o?Lo = % (iG � b 3.....................................Total = [-�(� If item #3 is the same as, or less than item #1,, you have met the intent of SBC 6006(c)2. S: s Total exposed roof/ceiling area = j. Total skylight area... ........ � ...... .. k. Total roof/ceiling framing area (average 10%) ... 1. Total net insulated roof/ceiling area........... Determine "U" value.for each roof/ceiling segment. j. X 11 U 11 k. X 11UH _ 1 X "U" - 4..:...............................Total If total of #4 is the same as, or less than #2, you have met the intent of SBC 6006(c)l. Alternate Building Envelope Design To 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. 1. + 2. _ 3. + 4. Total exposed roof/ceiling area = Z j. Total skylight area.............� ...... .. k. Total roof/ceiling framing area (averagel0%)... �. 1. Total net insulated roof/ceiling area........... . Determine "U" value for each roof/ceiling segment. X fluff flu 11 L/ 4.. . ........................... 6 .... Total # E37 If total of #4 is the same as, or less than #2, you have met the intent of SBC 6006(c)l. Alternate Building Envelope Design To 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. 3. 4�'Z� +4. -7,2j� EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION OWNER SITE ADDRESS CONTRACTOR DATE PHONE ,Determine working square footage of each. 1. Total exposed -wall area ...... sq. ft. x .17 = 2. Total roof/ceiling area ...... sq. ft. x .05 = Total exposed wall area above floor = a. Total wall window area ........................... b. Total door area c. Total sliding glass door area .............. d. Total fireplace wall area........ e. Total wall framing area (averagel0%)...:.......� f. Total net wall area above floor ........... ..... g. Total rim joist area ............................ Total exposed foundation area = h. Total foundation window area........... I. Toal net foundation area above grade ........ . Determine "U" value of each wall segment. a. X 11U11 _ b. X 11U11 _ C. X „u„ _ d. X Ifull _ e. X HU11 _ f. X 11UH _ g, X 11UH _ h. X 11U11 _ I. X IfUll _ 3 ..................................... Total = If item #3 is the same as, or less than item #1, you have met the intent Of SBC 6006(c)2. n C ONSTRUCTION 'RAMING SECTION: R VALUE 1 Interior air film 0.68 2 2 Et ' IS® ► 3inches soft wood rj• g 4 2.Q to 5 1/2X 12– SIgit�z' • 6 Exterior air film 0.17 WALL SECTION (INSULATED) --(1 Interior air film —�2 d 'a Y,P, W --{3 — u —{ 4y' 'a 6I1,T1 ilm ---{ 5/2V-12- . —�A Exterior air film RIM JOIST SECTION: TOTAL R = �, 2 U = 1/11 = s08 U = 1/11 = AOq ---(1 Interior air film n.68 —{2 y�L — dei PgGLe,, . Log ,uU --�3 t 11 0 v0 —{5 /ZX Its f>I101P-J6 .1�7 {fi _Exterior air film 0.17 TOTAL R e 7 FOUNDATION INSULATION REQUIRED: Min: R-5 on entire wall OR U = 1/11 = .•U Min. R-10 down to frost depth FOUNDATION SECTION: —�1 Interior air film n.6$ —� 2 7_ $1 ►=0.itr=1 16 .E --{3 16 G&aj�, 2.19 --{4 Exterior air film n.17 (S (6 SLAB ON GRADE Unheated Slabs: Minimum R = 6.2 TOTAL R , D U = 1/11 44 ¢ c1 ' A ,. F9 1- max 10WE O VENTED r CONSTRUCTION R VALUE - CEILING SECTION (INSULATED): 1 Interior air film 2 3 4 Exterior air film (still) 071 TOTAL R = U= 1/R= CEILING FRAMING SECTION.: 1 Interior air film 0.61 2 3 4 Interior air film still 5771 5 inches soft wood TOTAL R = U= 1/Ra CEILING SECTION (INSULATED): V Interior air film 0.61 2 3 4 Exterior air film still 07-1 TOTAL R = U - 1/11 CEILING, FRAMING, SECTION: 1° Interior air film 0.61 2 3 4 Exterior air film still n.61 5 inches soft wood TOTAL R = U= 1/R= I Inside air film O.F1 2 3 4 S Outside air film n.17 TOTAL R = U - I/R - Page 4 r ROOF/CEILING Vented Meat flow up FIG. ; 5 • sn.�j:+•� ��'�'���_'�iZ^�:t:R�•S�a�.<:SFJ'4t,[..A[.:1 vim.:/ L�� J ���� ���% • Heat flora up ;vented —FIG. 416".. ; B u1 •1 Construction: it -Value 1. Interior air film 0.61 2. 5�/f� G !eO g 0 3. g. S• F�r�Gs�S • 1 �_� �iG, o 0 4. Exterior air film (still) 0.61 S0FTL-)660 Total ROOF/CEILING Vented Meat flow up FIG. ; 5 • sn.�j:+•� ��'�'���_'�iZ^�:t:R�•S�a�.<:SFJ'4t,[..A[.:1 vim.:/ L�� J ���� ���% • Heat flora up ;vented —FIG. 416".. ; B u1 •1 Construction: it -Value 1. Interior air film 0.61 2. 5�/f� G !eO g 0 3. g. S• F�r�Gs�S • 1 �_� �iG, o 0 4. Exterior air film (still) 0.61 S0FTL-)660 Total 1. Interior air film 0.61 3. 4. Exterior air film (still) 0.61 Tota], �3I W % U 2 .OZ5, 1. Inside air film 0.61 2. 3. 4. 5. Outside air film _ 0.17 Total Note: Use.additional sheets if more space is I�✓t ,_,,`��� needed for details and calculations Hent £low up i CITY OF FRIDLEY INSPECTION DIV. Effective On January 1, 1993 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT 572-3604 MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH!FLOOH aI Shower� Wash .:........:.......Floor .Draine.. .. •'�• ... Auto. Washerer as ..... Range .` eae r Stories Gas EIe cgip..:. se Ba ent m Floor 1 Floor 2 F oor 3 I 0 4 FI or PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater —Electric Water Heater — Gas Gas Range Gas Dryer 1 Back Flow Preventer Required ( )Yes () No Type $ 7.00 1 �/' 0o $ 4A0 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 A0, 00 $5.00 Reinspection Fee $30.00 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1 % of Value of Fixture or Appliance State Surcharge TOTAL FEE 0 JOB ADDRESS 29 t-na fir: The undersigned hereby makes application fora permit for the work herein specified agreeing to do all work (n strict accordance with the city codes and rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. 2 • ( � '1993 Owner 2-1 M UI<r,ws►c� Building Used As Estimated Cost �'ro PERMIT NO. Ij/y % / PLUMBING COMPANY �S 1�-urn3n't� SIGNED BY TEL NO. C 33.7 3 Approved By Rough—In Date Final Date $ .50 / MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15.00 $ � . �� PLUS THE $.50 STATE SURCHARGE Em CITY OF FRIDLEY INSPECTION DIV. Effective On January 1, 1993 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572_3604 REFRIGERATION AND AIR CONDITIONING .SYSTEMS AND DEVICES JOB ADDRESS o`7 4Q � b e*1 11 .51- HATE SCHEDUI..E The undersigned hereby makes application for a permit for the work herein Residential Rate TOTAL specified agreeing to do all work in strict accordance with the City Codes and Furnace Shell and Duct Work, Burner — rulings of the Building Division, and hereby declares that all the facts and Also Replacement Furnace $ 20.00 $ representations stated in this application are true and correct. %off —30 ,1993 Gas Piping (Needed with new furnace) $10.00 $ G0i al D i 1dooY6 OWNER rneVlSi Qn tt Gas Range $ 10,00 $ BUILDING USED AS Ye51'Ae�nce- uyL Gas Dryer $ 10,00 $ W Q ESTIMATED COST 0 ;K PERMIT NO. r *Air Conditioning — Ali Sizes $10,00 $ DESCRIPTION OF FURNACE AND OR BURNER All Others/Repalm & Alterations (LIST ON BACK) No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) 1% of Value of Appliance or Work 15-6p 1nln $ Trade Name Size No. Commercial/Industrial BTU HP EDR 1% of Value of Appliance or Work $ Fuel Total Connected Load State Surcharge $ ,50 Burner Trade Name Size No. BTU HP EDR TOTAL FEE $ 6 BLAINE HTG, A/C & ELECT. INC- 13562 CENTRAL AVE. N.E. HEATING COMPANY ANOKA, MN 55304 MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION Tel No. �%�`� _ �� �Q REFRIGERATION/AIR CONDITIONING PERMIT IS $15.00 Signed By PLUS THE f!.50 STATE SURCHARGE �v Approved B /� Rough—In Date ' Final Date y pp y REINSPECTION FEE $30.00 *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. FILL OUTBACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE