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PRE 2010 DOCSCity of Fridley, Mi BUILDING PERMIT NO. (::5:1 0 5 .. .MAPPAWAM i. LOC , OF BUILDING No. '"'' '✓ _ StreetPart of Lot Lot __ Block _ Addition or Sub -Division . ' ''� �-,c-- - Corner Lot _ _ _ Inside Lot — Setback- Sideyard f Sewer Elevation ___ _ Foundation Elevation DESCRIPTION OF BUILDING ToUsed zmt Front Depth Height Sq. Ft Cu. Ft _ From _ Depth Height Sq. Ft cu. Ft A64- 40 Type of natr Uon Est. Cost To Completes _ In consideration of the issuance to me of a permit to construct the building described above, I agree to do the proposed work m accordance with the description above set forth and in compliance with all provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $"� ., permit is hereby granted to.— to construct the building or addition as described above. This permit is granted upon the exprt ess con$ition 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 any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the dty limits and this permit may be revoked at any time upon violation�f any of the provisions of said ordinances.► Building Inspector NOTICE This permit does not cover the construction, installation for whing, plumbing, gas heating, sewer or water. Be sure to we the Building Inspector for separate permits for these Items. 4 :rrrz ;: •;;,:t.; :r; i , APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA Owner's Name rn Builder Address C LOCATION OF BUILDING No. "Street tn�Paxt of Lot Lot 3 -Block Addition or Subdivision _ -C 9- G q Corner Lot Inside Lot �k Setback 3 17 Side -Yard 1 0 - _ SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. To be used as: DESCRIPTION OF BUILDING IQ Sq. Ft. _ / D J (© Cu. Ft. FrontDepth Height Sq. Ft. Cu. Ft. Type of Construction -� Estimated Cost / DL00-0,_ To be Completed The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. ,� DAA J 7l SIGNATURE (A Schedule of Fee Costs can be found on the Reverse Side.) aiv 53-811-9915051 � �.! _ Applied lOn for PlU�r�:a s3 C7# -0 �s�� L i'�ii'� per—m-1 . Dopl. of Bldgs. phone &M -3M •• DESCRIPTION OF V"Or-% Local! 6�ih TnCia T' nm Humb4 . YOi.:d e,.nd Lecr!!on of Fixtures. _ LL'�+S8I1eC ii:CTJ'E RATES: I TOTAL x Number Fixtures ........... • . • • •------- wATrt NTA. .^ __ 0I.3�� z S , -• ■ 2 $ i►: •t ° fir! 7< 7z O ► 0 w CAS WC. c --- x $3.00 $ New Ground Run Old B!dg....:... • x ;1.25 S------- i!•ctew Water H•at.as... • .:.............._—_ s $2.0 3 No. R^+TL' TOTAL 5AS :IT:ING FEES: S2.03 S ' Ist3Fixtures ......•••••••••"• ------x Estr I S Adaitl.;aal Fixtures 0 4 0 0 00.......00 ----•---- C:s R,s: ae to 199.0G0 BTU ...........5 -.--- I� I !aG -- 3rd with 0 C3 t ?{•v FI.taro• Old O—, -s=ings Cc:spcol 0 city of Fridley:. • The undersigned hereby :rakes applIcat:on for a permit for the vork her specified, a:-. eeing to do a1 wcrk !n strict accordance with tf:e Cit? O:diran and ruling of the DepartMent of Euild:a�, and hereby declares L'tat all Lhe t: • , and represcrtations stated in _*:is app:lcat:oa are true and co:rett' -ridley, Man 5-3-76 19_ John Mamie ' Owner Kind of Building it PARTIAL RATE SCHEDULE LL'�+S8I1eC ii:CTJ'E RATES: KO. RATE TOTAL x Number Fixtures ........... • . • • •------- nture Fixture Opening . • • • • • • • • • • -- x $1.50 S , -• New Fixture Old Opening...• • • : • • • • -- x $1.50 $___.�_ x $3.25 $ Catch Basin .................... _..--. Nater 1{ester 'Up to 93.000 BTU) 4 0 • • --- x $3.00 $ New Ground Run Old B!dg....:... • x ;1.25 S------- i!•ctew Water H•at.as... • .:.............._—_ s $2.0 3 No. R^+TL' TOTAL 5AS :IT:ING FEES: S2.03 S ' Ist3Fixtures ......•••••••••"• ------x x$ .75 S Adaitl.;aal Fixtures 0 4 0 0 00.......00 ----•---- C:s R,s: ae to 199.0G0 BTU ...........5 -.--- Used as To be completed about 5-9-76 Estimated Cost. $ 10 00 J' P•raEt ;.o. � `� Old--WM. 13ui'.ding Permit No. - Siznc By AfllNlilFrncrn "�,.._, Busincss Phone No ROUGH FINRI,_-__ - • 450 State Surchax5e ALTERATIONS --Refer to Code (. TOTALFT..r. S_.-SS-6urcl�arge 500 . City of Fridley, Minn. 6431 University Ave. N. E., Minneapolis, Minn. 55432 BUILDING PERMIT Date: June 6, 1972 Oyu; John Namie Builder Reynolds Construction Address 6546 Lucia Lane N.E. Address 3223 Flag Ct . LOCATION OF BUILDING No654, Street XK= Lucia Lane part of Lot Lot 3 Block Addition or Sub -Division Lucia Lane Addition Corner Lot Inside Lot X Setback Sideyard .Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Addition Front 16' Depth 12' Height 81 Sq. Ft. 192 Cu. Ft 1536 Front Depth Height Sq. Ft. _ Cu. Ft. Type of Construction Frame Est.cost$5600. To be Completed 7/1/72 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 setforth/ and in � ante with all provisions of Ordinances of the city of Fridley. ! In consideration of the payment of a fee of $ 18.00 , permit is hereby granted to John Namie to construct the building or addition as described above. This permit is granted 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 any part thereof, shall conform in all respects -to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings Vlthtn anthee. city limits and this permit may be revoked at any time upon violation of any of the provisions of said S" ti Factor CLARENCE BELISLE NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to sae the Building Inspector for separate permits for these items. r APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME: �Lo�� �BUILDER:-__�o�i�o�� �s P 1 ADDRESS: �� 7 �C/CC / % ADDRESS : S69693 NO •. �ggV6 STREET • L u C _/ A LA AJE, LOT :----.&.. BLOCK: ADDITION:— L a cG ,4 CORNER LOT: INSIDE LOT:SETBACK: SIDEYARD: 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: yon/ Front: /O Depth: �z �Ci Height:_ Square Feet:/ 72 Cubic Feet: KS M Front: Depth: Height: Square Feet; Cubic Feet: Type of Construction: r"'e'lofr Estimated Cost:_ $ =0 40. 0-0 To Be Completed: 7 -1 -7) - The -/-%1 The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in sttict 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: SIGNATURE: .�&� (See Reverse Side For Additional Information.) 6o�/ 0 --__--__ 5 & t2 c A . le e --mac City of Fridley SUBJECT 17 3'6 2 AT THE TOP OF THE TWINS BUILDING PERMIT r R E COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. PROTECTIVE (% CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY j, J\ 612-571-3450 910-F15 1/16/84 JOB ADDRESS 6546 Lucia Lane N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 Lucia Lane Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Marge Daun 6546 Lucia Lane N.E. 571-0391 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Ray Kreps Construction Co., Inc. 1676 Chatham Avenue, St. Paul 55112 631-8543 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION a REPAIR ❑ MOVE ❑ REMOVE % 8 DESCRIBE WORK Reroof Dwelling and Other Community Action Repairs 9 CHANGE OF USE FROM TO STIPULATIONS SEPERATE PERMITS REQUIRE® FOFZ WIRING. HEATING, PLUMBING AND SIGNS. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 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 $3,000 $1.50 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE ORR LOCAL LAW REGULATING CON- PROVISIONS OF ANY OTHER STATKY2-!�' $38.,50 RU TIO OR THE PERFORMANCENSTRUCTION. PLAN CHECK FEE TOTAL FEE $40.00 SIGNATURVIFCONTRACTORORAUTHORIZEDAGENT (DATE) WHEN PROPERLY V ATEDTHIS IS YOUR MIT FVOAL) R u ®I% IT BLDG )NSP r1ATE SIGNATURE OF OWNER IIF OWNER BUILDERI (DATE) CITY OF FRIDLEY ' APPLICATIM FOR RESIDURTIAL BUILDING PLERMITS (New, Alterations, Additions. or Repairs) OVlNE It: 191 /7 �Z.P— l) "� u . ✓ ADDRESS: � 5` `/6 /,-Lctd 42 �e �✓.�� TEL K0: 7 ! D C/ Effective Aug. 1, 1981 BUILDER: ADDRESS: TEL. 110: yr* .3 Construction Location STJT NO: (s' Y STREM /y- 4-/'+ •rte A/t LOT: BLOCK: ADDITION: Corner Lot: Inside Lot: i Setback: Sideyards: + Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTIOR OF CONSTRUCTION Front: Depth: Height: Square Feet: Cubic Feet: Front: Depth: Height: Square Feet: Cubic Feet: ��oa -- '.,Vpe of Construction: 1�JYh3lhN<7`/dl�iio-d 4�'g'+Estimated Cost: Rb Be cbmpleted: J-0 Alt. A Al t. B Proposed Drivo-tay Width If New Opening Is Desired: $ S SEE PZVF.R .1; SIDE OF SNEET 2be undersigned hereby makes application for a permit fcr the vork herein specified, agreeing to do.all work in strict accordance with the City of rridley Ordinances and rulings of the Dejxartmmit of Buildings, and hereby declares that all the facts and reprecentitiens stated in this applicatioWare true and correct. DATE: /j X, c�`� SIGNATUJS: l/� Stipulations: pp �6 00 _ . , Application for Power Plants and. Heating. Coding, Ventilation, AeMgeration tind Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE Dept. of Bldgs. Phone SU. 4-7470 GRAVITY WARM AIR: RATE TOTAL, Location Furnace Shell & Duct Work .......................... 8.00 $ '. O'D Replacement of Furnace ........ City of Fridley: The undersigned hereby makes application for a permit for the work herein Repairs & Alterations—up to $500.00 .................. 5.00 $ specified, agreeing to do all work in strict accordance with the City Ordinances Repairs & Alterations each add. $500.00 ............... 2.50 $ and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. NECK. WARM AIR Fridley, Minn_ , 19 — Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $ •. each add. 60,000 BTU ........................ 2.00 Owner Replacement of Furnace x.00 $ Kind of Building — Repairs & Alterations up to $500.00 .... ............ 5.00 $ Used as01 Repairs & Alterations each add. $500.00 ............... 2.50 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. it. EDR Steam- ...... Furnace Shell & Line—to 640 sq, ft. EDR Hot Water ... Each add. 200 sq. ft. EDR Steam ...................... Each add. 320 sq. ft. EDR Hot Water .................. €9IL BURNER—to 3 gaL per hour ......................�.. over 3 gal. per hour—See Fee Schedule @IFAS BURNER (up to 400,000 BTU) ....................... To be completed about 8.00 $ Estimated Cost, $ 8.00 $ Old—New. Building Permit No. Permit No. 2.50 $ 2.50 $®R DESCRIPTION OF WORK 5.00 $ HEATING or POWER PLANTS—Steam, Hot Water, Warm Air—No ©® Trade Name Size No 5.00 $� Capacity Sq. Ft. E.D.R BTU H.P. GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ...................... x $1.50 $ Total Connected Load Kind of Fuel Additional Fixtures ................. x .50 $ BURNER —Trade Name_ ,Size No Gas Range to 200,000 BTU ........... x 2.00 $ Capacity Sq. Ft. E.D.R BTU H.P. AIR CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM If ALTERATIONS & REPAIRS TOTAL FFE , She '�' _ . ROUGHz� FINAL (REMARKS -OVER) 4 z zM r -s9 Business Phone No HEAT LOSS CALCULATIONS DEPARTMENT OF BUIMMGS Weatherstrips Construction No. Insulation Windows 1. Doors Reference Out. Wall Int. Wall Ceding RoofFloor Kind How Applied ye-S---wo- Yes— 0 11 19 j I— FLI Room I Length ©3 i Width 0 Height ri, / FI.I RoomI Length a 9 Width � � Height Windows ang HeDoon—Cres ekage nandtAreWidth fve. of pane of pane Iirhts of ceal rack sQ. tt v Infiltration .1-/ 1 3 ? R Glass r ,+ g 2 �r- _ E,V. wap Net exp. wap Y A) 3 let. warp Ceiling?r E±1 ti Floor Total Btu. / / z a Required sq. ft. E.D.R. or sq. ms. W.A. Leader area Ir Room Length Width i a.. Height ' Windows anDoors—Crackage and Area Width HeightNo. of Lineal tt. No. ' of pane of pane Hights of crack Area sq. ft. ;L " �,PC, " I a Coef.1 Btu Infiltration Coef. 3A I P .�` �, Coef. Btu Infiltration - s - .1 r 'R 6 10 Glass Exp. wap 2,/ , ` v 2, V, SP Net exp. Wap 2 V g - 7'? 1,111 1 -7 1 4' '1 Int. wap Ceiling 10 kc , Floor Total Btu. /j 5 Required sq. ft. E.D.R. or sq. ins. WA Leader area e Fl.I f6 -A -Ir* Room I Length 9 2- Width A Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Width Height No. of Lineal ft. Area No. ' Of pane of pane lights of crack go. ft. 7 o �� �(6. Coef.1 Btu Infiltration Coef. 3A a1'' Glace Glass nrl -LLL A Ev. wap s - Fxp. wap e 3 )e e -o- Net exp. wap I& - -7 d �// Int. wap 17 aQ r .. 01 Ceiling 9 X uzu d &.� Floor Ceiling G 3 3,-1 -1- Floor i otat tftu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area B.D. 218 Windows and Doors—Craekage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Width Height No. of No. of pane :. of pane lights Lineal ft Ara of crack sp. tt. o �� �(6. Coef. Btu Infiltration Coef. Btn Infiltration D G ,3 ,v Glass -LLL A -LL two s - Fxp. wap e 3 )e e -o- Net Net exp. wall .4 0 ® a tr 17 aQ r .. 01 Int. Wap Ceiling g Ceiling G 3 3,-1 -1- Floor Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area ® Fl.i 4 -t� p + Room I Length Width s Height Windows aa Doon--Craekage and Area Width He1g t Na of Ltaal to Area No of pane of pane rights of crack W. tt. Glass o ® ay E p. wall ct s Net exp. wap -7 ti 7 Int. Wap Ceiling 1 -A- ?'It/ It -)3&v Floor Total Btu. .o Required sq. fL E.D.R. or sq. ins. WA Leader area I FLI A. da, -k Room I Length / h- Width ) o Height k Windows and Doon—Craekage and Area - — Width Height No. of No. of pane :. of pane lights Lineal ft Ara of crack sp. tt. o �� �(6. Coef. Btn Infiltration / of, Cjam Esp. wall Net cep.. wap .. j t" r .. Int. wall Ceiling g Floor Total Bin. Required sq. ft. E.D.R. or sq. ins. WA. Leader area -r:, r16"iL.. �.�s�rt'C.-( 2i:.-Q�Fe-• �.r'�eC-C� �..E._" ;, �,s.{-- 2 �-s.r.f3' �B' � r' HEAT LOSS CALAU ATIONS DEPARTMENT OF IBUl1.DINGS x T -'I® % i Weatherstrips A.SJLV.L Construction No. Insulation Guide L Windows Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How Applied Ya -Flo Yea= o 19_ . f FLI t / V / N �,, Room I L.eneth Width ® Height X II s Fi.l AL o.�a e Rmm I Length i Width ;.a. Height �- Window and Doom--Crackage and Area 7 WidthHeight No of Llaeal ft. Ares No. of pane of pans lights of crack sq. ft. v !t. Area of oraek eq. !t. Width HeigAt No. of Lineal t Area bio. of pane of pace lights of crack sq. ft. 35 34 Coef-I Stn Infiltration / / OWE Btu Infiltration Infiltration Exp, waU 7X 1jr 9—? R Glass army Int. wall S - �r 1 19 2 sr _ Exp. wall v� . y 2- 8- 4"71 �. 17A Net exp. wall IT76� Net exp. wall - 3.,�' / A.3-7 y 2 1 3 3 Int. wall % , w Ceiling ®� Floor Id o Ceding I _ / 'Z- Floor Floor 7 otal "to. I / 1 i •A Required sq. ft. E.D.R. or sq. ins. W.A. Leader area R Fl.1 S Room I Lenslth --) a Width Y .2- Height P Windows and Doors—Crackage and Area 7 WidthHeight No of Llaeal ft. Ares No. of pane of pans lights of crack sq. ft. Width Height No. of Lineal ft. Area No. of pane of pane .11ghts of crack sq. ft. !t. Area of oraek eq. !t. t 3 4/ / / a 34 Coef-I Stn Infiltration / / .38A q / /& Cod. I3tu Infiltration Exp, waU 7X q g a ff al./a Glass army Int. wall ? ® �� Ceiling p Til- / Floor 17A Net exp. wall IT76� Int. wall Ceiling / Int. wall Ceiling /,3- y Ceiling ®� Floor Floor Iota[ Btu. Required sq. ft. E.D.R. or sq. ins. WA Leader area / FI.) A Aku Rom I Length / 9_ Q/idth m7 Hnioht Windows and Dooms-Craekage and Area 7 WidthHeight No of Llaeal ft. Ares No. of pane of pans lights of crack sq. ft. g a ® 3� !t. Area of oraek eq. !t. Width Height No. of L/asal ft. Area Na of pans of pans lights of crack aq. ft. h� Coef. Coef-I Stn Infiltration / / .38A q / Glass Glass 3k I Exp, waU 7X Exp. waU /.34 /,�_ x = -� Net exp. waq • 7 army Int. wall Exp. wall ®®1, / Y / 9 *4- Ceiling p Til- / Floor 17A Ceding o 3 Iota] Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area 8.O. 218 Windows and Doors—Craekage and Area - / Width Height No. of Una" It. Am No. of pass of pans lights of crack sq. ft. !t. Area of oraek eq. !t. Width Height No. of L/asal ft. Area Na of pans of pans lights of crack aq. ft. h� Coef. Btu infiltration cI 3 1 3, / 6 3 V Glass 3k I 6 - Exp. waU /.34 /,�_ x = -� 17 army Net ev. wall Exp. wall ®®1, / Y / 9 *4- Net exp. wall q;0_11 Int. waD Net esus. waU p 17A Ceding o 3 IT76� Int. wall Ceiling Floor Ceiling Total Btu. I /-p "g c'' a Required sq. ft. E.D.R. or sq. ins. W.A. Leader area / Fl.l A_f�n * P Room I Length / >- Width / 2- Hdaht C -- Windows and Doors-Craekage and Area - Width Height No. ofLlssal No. of pans of pans lights !t. Area of oraek eq. !t. Width Height No. of L/asal ft. Area Na of pans of pans lights of crack aq. ft. h� Coef. Btu Infiltration®: 3k I 6 - Glass 17 army Exp. wall ®®1, / Y / 9 *4- Net exp. wall q;0_11 & Net esus. waU p 17A 9. IT76� Int. wall Ceiling Ceiling /,3- y (,n Floor total l3tu. 1 5-9/4. Required sq. ft. E.D.R. or sq. ins. WA Leader area I A FLI ir-re ial ? Room I Length / I. Width j a Height k Windows and Doors-Crackap and Area Width Height No. ofLlssal No. of pans of pans lights !t. Area of oraek eq. !t. h� Coef. 13th Infiltration 3k I 6 Glass ___16 Ev• wall /o y t� Net exp. wall q;0_11 & p Int. waD Ceiling Floor iotas este. 17,;5-/ Required sq. h. EDJL or sq. ins. WA Leader arra SUBJECT r City of Fridley 1�18 9 7 AT THE TOP OF THE TWINS BUILDING PERMIT r `LV P N O. ------COMMUNITY DEVELOPMENT DIV. , Ao 572-36®4 r � � PROTECTIVE INSPECTION SEC. E ; � CITY HALL FRIDLEV 5551$2 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910 -FIS 6/12/01 JOB ADDRESS 6546 Lucia Lane NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 Lucia Lane Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Dennis Brantner 6546 Lucia Lane NE 763-571-6769 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Window Star Home Improvements 12322 Business Park Blvd, Champlin, MN 55316 d ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 763-712-8881 20228319 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO B USE OF BUILDING Residential I CLASS OF WORK ❑ NEW ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE - ❑ REMOVE 8 DESCRIBE WORK Construct a 12' x 12' Deck; Replace Windows 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. Provide smoke detectors in all sleeping rooms and on all levels of the dwelling per Section 310.9.1.2 of the 1997 Uniform Building Code. Caulk and flash all exterior openings. WARN11% SEPARATE PERMITS Elefore digging call for REQUIRED FOR: all Utility locations MIRING, HEATING . 4WO02 PLUMBING AND SIGHS REQUI,, BY LAW 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 SO. 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 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 $2.79 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $)r 584 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- $125.25 Fire SC $5.58 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTAL F Licen S $5. $ 8.62 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI N LIDATED T S I�e' UR PERMIT II /PjE // BLDG INSP _ gATE SSGNATURE OF OWNERJF OWNER BUILOERI IDATEI JUN -04-2001 13:34 FROM CITY OF FRIDLEY TO 7128883 P.02iO3 NEW [ ] 1. Effective 1/1/2001 ADDN [ ] CITY OF'FRIDLEY (763) 572-3604 Bldg Insp ALTER [ l SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: 6 S Wo LOGIA i AE Legal Description: IJ1 13 1 D Gt Owner Name & Address: S_ 6T-Yk WOA L..A,+ Te1. # Contractor: w►,100 L.., cTA I? 46 ►Y MN LICENSE Address:-/ )L3.1a O U4SWFSj ,g,eK 91-vo Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft, GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length J� Width / z , _ Hgt/Ground 91 Sq. Ft _ / 9 �I „ OTHER: Construction Type: 0r Estimated Cost: $ 14000 v,NOv E;�j Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: APPLICANT: fK e— Tel. # CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: Call (763) 572-3604 for Permit Fees if mailing in application $ fir, Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th% $— �• $.50/$1,000 Valuation $ $1150 per SAC Unit $. 4 L�' oy _$5.00 (State Licensed Residential Contractors) "A" or Alt. "B" Above $ $450.00 Conservation Plan Review $ Fee Determined by Engineering $ Agreement Necessary [ ] Not Necessary [ SUBJECT City of Fridley 31936 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. ` COMMUNITY DEVELOPMENT DIV. - ______ f PROTECTIVE INSPECTION SEC. 672-3604 7po 1 � '5 NUMBER REV DATE PAGE OF APPROVED BY = CITY HALL FRIDLEY 55432 IL---- �'' 612-571-3450 910 -FIS 6/26/01 JOB ADDRESS 6546 Lucia Lane NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DEscR. 3 Lucia Lane Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Dennis Bratner 6546 Lucia Lane NE 763-571-6769 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Window Star Home Improvements 12322 Business Park Blvd, Champlin, MN 55314 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 763-712-8881 20228319 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION? REPAIR ❑ MOVE - ❑ REMOVE 8 DESCRIBE WORK Replace patio door and bay window 8 CHANGE OF USE FROM TO STIPULATIONS Provide smoke detectors in all sleeping rooms and on all levels of the dwelling per Section 310.9.1.2 of the 1997 Uniform Building Code. Caulk and flash.all exterior openings. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OFCONST. OCCUPANCY GROUP OCCUPANCYLOAD VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 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 1 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 $9,084 $4.54 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS,'IF ANY OTHER STATE OR LOCAL LAW REGULATING CON- ST UCTION T E PERFORMA C OF CONSTRUCTION $181.25 Fi SC $9.08 / PLAN CHECK FEE TO AL FEE /u Licen C $ $199.87 NA URE OFC N'RACTOR OR AUT RIZED AGENT iDATEi HEN PR VALI D THIS IS YQUR PERMIT $-GNATURE OF OWNER of OWNER BUILDER) tDATE. BL -NSP TiAlt JIJN-04-2001 13:34 FROM CITY OF FRIDLEY TO 7128883 P.02iO3 NEW [ t Effective 1/1/2001 ADDN [) CITY OF'FRIDLEY (763) 572-3604 Bldg Insp ALTER SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address:_ 6V4 � t, UG\c. k� Legal Description: Owner Name & Address: C)eon i S e r Tel # Contractor: W,, MN LICENSE # Address: P, 13 i,, d QI'.'17 /Lr�U s Y-316 Tel. # "? 6'3 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 Sq. Ft. Length Width Height Sq. Ft. Length �e Width HgtlGround Sq. Ft Construction Type: s�s 1R t i P- 4, ���r /dam 1,,,- Jam. Estimated Cost: $ 90� `4 Driveway Curb Cut Width Needed: Ft. + 6 Ft Ft x $ =$ DATE: -s01 APPLICANT: Tel. # CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: Call (763) 572-3604 for Permit Fees if mailing in application $ 16 I '4— Fee Schedule on Reverse Side $ © .001 of Permit Valuation (1/10th%) $ 6 S $.50/$1,000 Valuation $ _$1150 per SAC Unit $ - 0 $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 [ ] $ 19� �2 5 Building Inspections 763-572-3604 DATE SITE ADDRESS THIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION PERK UT TYPE TYPE OF WORK: MECHANICAL RESIDENTIAL APPLICATION CITY OF FRIDLEY ❑ OWNER NAME: ADDRESS:�� PHONE:�� COMPANY NAME:_ CONTACT PERS( YOUR E-MAIL . f 41 Permit No.. Received BY: B �jR N ' STATE LICENSE# - _ MN 55408 2- 24- srATE ziP ADDRESS: PHONE SINGLE FAMILY ❑ NEW DETAILED DESCRIPTION OF WORK FAX ElTWO FAMILY ❑ TOWNHOUSE ❑ ALTERATION/REMODEL PER NIS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures.. (Thus should reflect only the cost of labor) Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost oflabor x .05 = FOR PROJECTS WHERE LABOR EXCEEDS $5 ,FEES NUMBER OF EACH BELOW) Equipmenthutdied MFG. MFG: ><AjC $25.00 _AIR TO AIR EXCHANGEER $15 _BOILER $35.00 CHIMNEY LINER $10.00 DUCT WORK $10.00 ARE B ED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL MODEL: l SIZE/BTU XQ t MODEL: SIZEVBTU:::;;:�4� .� MODEL: SIZEIBTU PLACE (GAS) $15.00 GAS RANGE(OVEN $10.00 PLACE (WOOD) $35.00 NEW GAS GRILL $10.00 VACE $35.00 GAS UNIT HTR $10.00 DRYER $10.00 POOL HEATER $35.00 PIPING $10.00 VENTILATOR $15.00 Permit Fee $ Number of fixtures x $IU.UU Surcharge $ .50 Number of fixtures @ $15.00 x $15.00= $ TOTAL DUE $ Number of fixtures @ $25.007—x$25.00 = $ Z S - Number of fixtures @ $35.00 x $35.00 = $ iiiLcharge = $ .50 Total = 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 aCity of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only od viork is not to start without a permit; that the work will be in accordant with/the approved plan in cas fro�n.s review and approval ofanI ` /'"� 1 1 r' /may SIGNATURE OF City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 Permit Fee $ Number of fixtures x $IU.UU Surcharge $ .50 Number of fixtures @ $15.00 x $15.00= $ TOTAL DUE $ Number of fixtures @ $25.007—x$25.00 = $ Z S - Number of fixtures @ $35.00 x $35.00 = $ iiiLcharge = $ .50 Total = 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 aCity of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only od viork is not to start without a permit; that the work will be in accordant with/the approved plan in cas fro�n.s review and approval ofanI ` /'"� 1 1 r' /may SIGNATURE OF City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 REQUIRED INFORMATION NEEDED TO PROCESS PERMIT RESIDENTIAL PERMIT APPLICATION HVAC ❑ NEW HOMESIADDITIONS 7X EXISTING HOME ❑ MAKE-UP AIR REQUIRED FOR NEW/EXISTIN,(��klOMES 1. Combustion Air (See note beIot)' a. Oil or solid fuel IMC Chapter 7 with MN Amendments b. Natural Gas or PropaneUGC Chapter 3 with MN Amendments 2. Make-up Air (See note below) a. IMC Chapter 5 with MN Amendments 3. Venting a. Gas appliances IFGC Chapter 5 with MN Amendments b. Fuel other than gas IMC Chapter 8 with MN Amendments REQUIRED FOR NEW HOMES 4. Heat loss & cooling load per room a_ Required on new construction IMC 1346.0312 5. Ventilation a. Per MN Energy Code 7670 or 7672 6. Duct Design Per 1MC 1346.0603:2 a. ACCA Manual D NOTE: Centerpoint Energy Mechanical Code Guidelines software may be used for combustion and make up air calculations City of Fridley 6431 University Ave NE Fridley MN 55432 (763) 572-3604 or Fax (763) 502-4977 Water and Sewer Permit Application ❑ New Connection ❑ Existing Date: �-- :? & — y tility Line Repair/Relocation Water and Sewer Connection Job Address: Name of Applicant (Plumber): Name of Property Owner: 4!�47e—A eis Existing Structure Permit # Permit Type: Sewer Fee: Water Fee: Cp Meter Fee: Repair Fee: Relocation: State Surcharge: SAC Charge: Special Assessment Fee: A Applicant Signature Inspector approval: Water Meter Repair — Weekend & Holida s $125/hour Water Connections Permit $50 Sewer Connections Permit $50 action Fee for Water/Sewer Line Repair $40 Special Assessments See Engineering Cost of Water Meter See Utility Billie SAC Charge $1675 State Surcharge $ .50 Water Tap See En ' eerie Building BUILDING Permit No.: Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Dat dA! , 5 2��9 763-502-4977 FAX � ' EFFECTIVE 8-19-09 c� DATE o z s - c!) 9 YOUR E-MAIL ADDRESS � V _✓c< <= S C-) CSC SITE ADDRESS (c s- q G L U c -i A L_^--1 L �,Z� �j �-( v -i n N �5-,S74 3 -C-- THIS APPLICANT IS: %OWNER ❑CONTRACTOR PROPERTY OWNER/ NAME: -:If>/f Ai fI/�%I�--IJP TENANT ADDRESS: & 5`14- c-uCf4 C-Ati eF N CITY_ t_�-4 STATE Phe—ZIP $ PHONE: 411-s I 1 CONTRACTOR NAME: SUBMIT A COPY OF SAC Charge YOUR STATE LICENSE STATE LICENSE # EXP DATE AND CERTIFICATE OF ADDRESS: CITY STATE ZIP INSURANCE PHONE FAX PROPERTY TYPE 9 GLE FAMIL /NEW CONSTRUCTION SIZE % O S 6 sB r+" Park Fee ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS $ ❑ BASEMENT FINISH WROOF ❑ DRAIN TILE Total Due 5LDECK ❑ SIDING ❑ OTHER Make checks payable to: City of Fridley Attach ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION Ll ADDITION EP-MAINTENANCE/REPAIR 0 REMODELING DESCRIBE WORK BEING DONE: Re Rnu F H&j, ,Z R(tF t LACY -C,- :57ZE 5 G• 17-/4 1C Z Z t✓'c ✓c�'z� c� Uc/r'b 2c u SIZE OF IMPROVEMENT ALENGTH Z'Z- & WIDTH $F HEIGHT SQ FT 1 7 ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES R HOUSE & GARAGE BASEMENT REMODELING SUBMIT: 1. Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: IDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ®Soffit _ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia and proposed project. 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS FOR WINDOWS - 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 rtura ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $off '° OCCUPANCY TYPE Permit Fee $ See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ .001 times the total job valuation Surcharge $ Ll .0005 x Permit Valuation Minimum $.50 License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $2000 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $22 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ Make checks payable to: City of Fridley Attach 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 fora It d work is not to start without a permit on site; that the work will be in accordance with the approved plan in the case of all rk w t requires review and approval of plans. SIGNATURE OF APPLICANT PRINT NAME T2$ (-� P 4-I S &� DATE <T - Z !�- - G 7