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PRE 2010 DOCSAxZ 6s i City of Fridley, Minn. N9 9746 BUILDING PERMIT Date: May 21, 1968 Owner: Warren Nolt Bider Gerald Glenn Corp. Address 11411 Hathaway Address 1202 Hathaway Lane LOCATION OF BUILDING No. 1181 Street Lynde Drive _ Part of Lot Lot _._..4 __ Block 5 Addition or Sub -Division — Parkview Oaks 1st Addn, Corner Lot — x Inside Lot — Setback _ _ Sideyard —_ Sewer Elevation ___ 917.23MR 920.23 Top of Footing DESCRIPTION OF BUILDING To be Used as: Dwelling Front w 44' Depth 27' Height 20' Sq. Ft. 1188 Cu. Ft. 23,760 Garage _ Front 22' Depth . _ 24 Height 10' Sq. r, 528 cu, Ft, 5280 Type of Construction _ Frame Fast. Cost __I 20, 000 __ To be Completed Service off Regis SEWER LOCATION - 99' North of Manhole STUB LOCATION - 93' North of Manhole WATER LOCATION - 80' North of Manhole Subject to variance pending by Board of Appeals. Variance approved 5/22/68 by Board of Appeals. 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 forth and in compliance with ail provisions of ordinances of the city of Fridley. $100.00 Sewer Connection Charge In consideration of the payment of a fee of $___A3. 00 , permit is hereby granted to Gerald Glenn Corp. 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 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 city limits and this permit may be revoked at any time upon violation of any of the provisions of d ordinances. e Clarence Belisle NOTICE: 'fids permit does not cover the constriction, installation for wGtag, plumbing, gas heating, waver or water. Be sum to we the Building Inspector for separate permits for thew items. fi Of , 'f APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NA11EjWhffk1,1/V1`_,.UILDER,_�-/fj9j�D AW ADD RES ADbRESS-:'� LO�ATION rr NO..,U STREET LOT —BLOCY, ADDITION OR SUBbIVTS00111, -Al t CORttER L0T_..>_(INSIDE LOT SETBACK SZOEYAD SEWER ELEVATION TOP OF FOOTING Applicant attach to this form Two Certificates of Survey of Lot and Proposed building location drawn on the" iCertificat6s. DESCRIPTION OF BUILDING To Be Used As: rout Square feet Cubic Feet Front— Depth, c/ Height oi! Square feet --Cubic Feet Type of Construction Estimated Cost 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 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 (Scheduleof Fee Costs can be found on the Reverse Side). 3 C BUILDING PERMIT FEE` SCHEDI]LE ` SECTION 2. The Inspector of Buildings -shall,• before•issuing•permiis for the erection,,of ; any, .bU1A&ng or 'structure, or for any addition to •say* . existing structure or building, or for any al,terati-6 or repairs to any existingbuilot#g pr structure,"''up on application thea:ef6re,...require the- . the payment by the 'appiicant for ' such 'peimit ' of fees to •the' amount herein below set forth and in..thb manner.. herid provided `to -wit: ' :Nufformluiiding 'Code: Type 1, 2,''6 4= :$]:.7 ' for each one thousand cubic feet, or fraction thereof, in such cubical contents. Type 3 b 5- $1.50 for each one thousand cubic feet. For the purpose of computing -fees for building''permits, the cubical contents .4f any buildirig or addition to a uviform height throughout by multiplying the ground-area,covered from a point siz (6) inches below the floc line of the basement or the cellar to the average -(tight o€ the upper surface or to the average height of the roof -surface of the main gable of a pitched roof. For repairs or aiterations to an existing structure, the`fedUshall be at the rate of $3.0® per each.. five hundred dollars ($500.00) or fragtion thereof in the cost of all proposed work. In iso: case shall the: fee :charged for. :permit to aet. forth In Section 2, 'be Mess than $5,00. NSSSD= Ce4nectien g#'rge's based do location, Areae 1 or 2. Application for Power Plants and Healing, Cooling, Ventilation. Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work ........................... 8.00 $ Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 .................. 5.00 $ Repairs & Alterations each add. $500.00 ............... 2.50 $ MECH. WARM AIR —acect-Werk-t 120,000 BTU -8.02_$ ----- each add. 60,000 BTU ....................... 2.00 $ Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 ................. 5.00 $ Repairs & Alterations each add. $500.00 .............. 2.50 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam ..... 8.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water .. 8.00 $ Each add. 200 sq. ft. EDR Steam ...................... 2.50 $ Each add. 320 sq. ft. EDR Hot Water .................. 2.50 $ OIL BURNER—to 3 gal. per hour ....................... 5.00 $ over 3 gal. per hour—See Fee Schedule j GAS BURNER (up to 400,000 BTU) 5.00 $ GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ...................... x $1.50 $ Additional Fixtures x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ AIR CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $ ALTERATIONS & REPAIRS TOTAL FEE $ Z- ROUGH- OUGH FINAL— FINAL Dept. Dept. of Bldgs. Phone SU 4-7470 Location 1181 Lynde Drive City of Fridley: 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 nd correct. Fridley, Minn y 19(o --- — Owner $ Kind of Building frame Used as dwg . To be completed about Estimated Cost, $ 670.00 Old New Building Permit No. (?%`L�o Permit No. DESCRIPTION OF WORK HEATING or POWER PLANTS --Steam, Hot Water, W! m Ailr—No 1 Trade Name AFCO Size No GB1104—OHD Capacity. Sq. Ft. E.D.R 80M BTU H.P. Total Connected Load 39,268 Kind of FueL Nat. Gas BURNER — Trade Name AFCO Size No Capacity Sq. Ft. E.D.R BTU H.P. (REMARKS -OVER) signea Mill City Heating Co. By .Mp42 Business Phone No 544-1501 tD�ss . •�e CEAT LOSS CALLUATIONS DEPARTMENT OF INSPECTION Weatherstrips_ Condruetion No. RWReference Out. Wall Int. Wall Ceiling Roof Floor Kind 0 19_ / Roam Length Width Height Fl.� oom 1 ian rs—Crackage and Area Windows and Doom—Crt Width Height No. of Lineal t . Area Width Height No. No. or pane of Deo tlghee of crack tt No. ofbane et..o,.. a -i Infiltration Glass Exp.alw 1 Net exp. wall Int. wall Ceiling Floor 02 Toulloart.. and Infiltration t. or sq. ins. W.A. Wader area �1 Length . th m--Crackage and Area 1 No. et Llneat ft. Area s tights of crack ee. tL Btu Win&m and Doors—Crac6ge and Area Width Helght No. of Lineal ft. -F N of Pane pa lig to of crack I N, ft. Infiltration f Btv Usm Exp. wan filet exp. wall int. wall .".ening Floor / *-X I v --- " If vwt Utaed at. k B.D.R. or sq. mash W.A. Leader algia Infiltration Insulation How Width and Area cul tt. Ares crack e®. ft. a# MEN Net exp. wall til/W-AiLiG' Inc. wall Ceiling f tutu / To tu. RequjAd sq. ft Windows and Infiltration or sq. ins. W.A. iwader area im I Lengths =-Crackage and Area No. of Lineal ft. Area lights o! crack aa. tt Glass E4p. waU Net *xp. wall Int. wa 1 Ceiling r Tota u. Requ' sq. ft. D.R. or sq. itis. WA der area F1.1 In I Length •—Width Windows and rs—Crackage and Area Width H a a Lineal It.Area No. • e of crack aa. ii Infiltration Glass Exp. wall Net ezp. wall Int. wall Ceiling D44P ,meows HEAT LOSS CALCULATIONS DEPARTMENT OF INSPECTION Weatherstrips A .V VZ Construction No. Windows Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Wes—No. �o 19_ F1.1 Length �3Nidth eight II Fl.1 Win and Doors—Crackaee and Area I Infiltration Glass f) Exp. wall Net exp. wall Int. wall Ceiling Floor Total u. R iced sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.1 Room ( Length Width Height Windows and Doors- Crackage and Area Width eight No. of Lineal ft. Area No. of pane of pane lights of track sQ. ft. Coef. Btu Infiltration Glm rr Eap. wall L e f -r Net exp. wall Int. wall Ceiling Floor Total Btu. ` Required sq. ft. E.D.R. or sq. its. W.A. Leader area Fl.l Room I Length Width Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack ea. ft. Coef. Btu Ia6ltration Glass Exp. wall Net ow. wall Int. wall Ceiling Floor TOW Bin. v* IL E.D.R. or sq. ins. W.A. Lander area Kind Ream I length M OCAPOLIS. MMInsulation How Applied Width Height Windows and Doors--Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack e4. It. Coef. Bin Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.1 Room I Length Width Heicht Windows and Doors—Crackage and Area Width Height No. or Lineal ft. Area No. of pane or pane lights of crack sq. ft. Coef.1 Bin Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. ED.R. or sq. ins. W.A. Leader area F1.1 Rmm I Length Width Heisht Windows and Doors—Crackage and Ana Width Height No. of Lineal ft. Area No. of pans of Dane lights of crack sq.rt. Coef.1 Bin Infiltration Glass Exp. wall Net ems. wan Int. wall Ceiling Floor Total Btu. Required p. ft. ED& or aqr ,e..�tgltdltr area , . City of Fridley Application for Plumbing and Cas Ming Permit Dept. of Bldgs. Phone 560-3450 DESCRIPTION OF WORK Number, Kind and Location of Fixtures q 3 d s a � NO. RATE TOTAL 12 � 8 a x $1.50 zZXZF U 0 N WATER HTR. GAS ELEC. Base x $3.25 $ Electric Water Heater ( $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... ®� $ Rz• —0'a Additional Fixtures .................... x $ .75 $ Gas Range to 199,000 BTU .............. x $5.00 $ 1st 2nd 3rd 4th • Future Connection Openings s New Fixture, ON Openings I Connected with Sewer Cesspool PARTIAL RATE SCHEDULE REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ 0.0 TOTAL FEE $ 3' 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, Owner Kind of Building,+-� Used as To be completed about 19� Estimated Cost, $ Old ew Building Permit No 7 Permit No. Signe By— Business y Business Phone No®�I ROUGH FINAL 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 $ Rz• —0'a Additional Fixtures .................... x $ .75 $ Gas Range to 199,000 BTU .............. x $5.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ 0.0 TOTAL FEE $ 3' 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, Owner Kind of Building,+-� Used as To be completed about 19� Estimated Cost, $ Old ew Building Permit No 7 Permit No. Signe By— Business y Business Phone No®�I ROUGH FINAL City of Fridley SUBJECT ®139'71 AT THE TOP OF THE TWINS BUILDING PERMIT RE • ______ COMMUNITY DEVELOPMENT DIV. 1 V PROTECTIVE INSPECTION /1 `ter/ r� SEC. 1 � 1 i � 1 1 CITY HALL FRIDLEY 55432 ,'J NUMBER REV, DATE PAGE OF APPROVED BY 612-560-3450 910-F15 3/28/77 JOB ADDRESS 1181 Lynde Drive N. E. 1 LEGAL LOT NO. 4 BLOCK 5 TRACT OR ADDITION SEE ATTACHED Parkview Oaks DESCR. SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Warren Nolt 1181 Lynde Drive N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Norm Larson 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 Ek ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Construct a 18' x 24' Garage. Addition 9 CHANGE OF USE FROM TO STIPULATIONS tat efte dl� can local goes TELEPHONE - ELECTRIC - US Etc' SEPERA'If PERMIfS REQUIRED FOR W RING, REQUIRED BY LAW HEATING, PLUMBING AND SIGNS. 30 DAY NOTICE TO CITY ENGs DIV. REQUIRED ICOR CURB REMOVAL AND REPLACEMENT AT DRIVEWAY OPENINGS! 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 ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 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. $2,700 $1.35 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 PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $18.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $19.35 SIGNATURE OF CONTRACTOR OR AUTHORIZED ACiElff Y(DAT WHEN P.ROnPERLY VALIDATED THIS IS YOUR -�P�JER PERMIT N i— SIGNATURE OF OWNER IIF OWNER UILDER (DA E) BLDG INSP DATE CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS (NEW, ALTERATIONS, ADDITIONS, OR REPAIRS) OWNER: GyGiL/iy//Z% .--,Address: moi- x440 No.: �� Street: LOT: / BLOCK: CORNER LOT: // INSIDE LOT: BUILDER: G�/✓1� Address: Tel. No.: DD ? SETBACK: SIDEYARDS: Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. To Be Used As: GZ1// DESCRIPTION OF BUILDING i Front: l,%i}� Depth: Height: Square Feet: Cubic Feet: Front: Depth: Height: Square Feet: Cubic Feet: Type of Construction: �i��`ac Estimated Cost: To Be Completed: /Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired $ $ (SEE REVERSE SIDE OF SHEET) 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 representations stated in this application are true and correct. See reverse side for additional informatio . DATE: L-3 2 SIGNATURE: Stipulations: /,.3 AGREEMENT 5 owner of the property located at . S 7 Z®�.0-, have no objection to the City allowing the construction of a to be located at l/ ,� �e �� , without the required certificate of survey that the City ordinarily requires for all new construction. i Signatur Wess 4E7 -7-2C) /7 c�i /Sy /K Address -?- z�- 77 Date COLOCZ �...I' 1 �� s�`� �� Q� /, l�C. �y RV ) � i • .C. ECOULTER ASC. lAT '�, INC. INDUSTRIAL JOHN A. PETERSON FRANK Ft. LENT. JR. PLATTING. � IMUSIN989 LANG SURVEYORS FARM 3U'1Vfr. ' CITT LOTS REGISTERED UNDER LAWS OF STATE OF MINNESOTA LAKCBwOpC TOPOGRAPHIC MAPPING - LICtIVL[O sT OSIDINANCCS OF CIT`! OF WhhKAPOL16 JYOICIAL 3300 LYNDALE AVE. SO. MINNEAPOLIS. MINN. 55400 • 824.0370 i Aourbepor'�c �ertiiilt�t>t ; n a� '• :. SGI#1.� � : \. '� mac,- - .. -. :. • •' ` • • . q :z erg e Q .Sc� Cj r �'S r I hereby certify that the above is a true and correct plat of a survey of: Lot 4, Block F, PARKJI_W CAKS FIRST ADDITI0i4s Anoka Countty, 1:,innesota. As surveyed by mo this 19th day of April 1960_A./D, Signed -,rota Registration :.Q. t267 a VQ NY Ca N�2R t CITY OF FRIDLEY APPLICATION FOR PWMBING AND GAS FITTING PERMIT PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures x $3.00 $ 0Water x $2.00 $ New Fixture, Old Opening x $2.00 $ E 0x ro m p� a rt�J Water Heater - to 99,000 BTU w $5.00 $ Heater 100,000 BTU to 199,000 BTU 0 b.4 $ A x $7.00 3• New Ground Run Old Building $4 O $5.00 u Electric Water Heater x $5.00 14 0 GAS FITTING FEES: .0 C r. ,/ x '$3.00 •� .0 Additional Fixtures x $1.00 Gl CA 3 U o w i W REPAIRS & ALTERATIONS q w ui w U M 3 0 � � o as lec $2.00 S State Surcharge $ .50 TOTAL FEE $ 1st 2nd 3rd 4th (R) = Future Connection Opening Connected with Sewer (*) = New Fixture, Old Opening 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 _L x $5.00 $ S7•0C, 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 $ UCS 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 fraction $2.00 S State Surcharge $ .50 TOTAL FEE $ REINSPECTION FEE ($10.00) Job Address 4 y AJ b F 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 declarbs that all the facts and representations stated in this application are true and correct Fridley, Mn. OWNER W/4 12 'c 6: "% /\ RIND OF BUILDING E USED AS TO BE COMPLETED ABOUT It 5 / `% ESTIMATED COST /I-Cp. 0 0 ,f 7 / OLD - NEW BUILDING PERMIT NO. PERMIT NO. 139k5 CompaiAy 7)c- - ! � C A * L Signed By Tel. No. S-71 ^ /7-7-7 ROUGH IN". Date 0 FINAL INSP. ' Date APPROVAL FOR PERMITI r — MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 pLUS $.50 STATE SU GE �WA �' NEW [ j CITY OF FRIDLEY ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax BUILDING PERMIT APPLICATION Construction Address: )�y Legal Description: Owner Name & A Contractor: MN LICENSE # 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 Width Hgt/Ground Sq. Ft OTHER: Construction Type: Estimated Cost: $ .— Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ _ $ DATE APPLICANT: Tel. Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 3-571-1287 if using credit card and we will call you for card number. CITY USE ONLY - Permit Fee Plan Review Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge TOTAL Fee Schedule on Reverse Side 65% of Permit Fee .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1450 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 [ ] STIPULATIONS: Building MECHANICAL Permit No.: Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 ' D P CITY OF FRIDLEY 763-502-3604 FAX EFFECTIVE 2-19-09 / r� DATE ^7 - a O - O "1 YOUR E-MAIL ADDRESS / SITE ADDRESS X/ &n ti G V THIS APPLICANT IS: 0 OWNER CONTRACTOR PROPERTY NAME: PA" W t i t. - n OWNER/ ADDRESS: CITY FW_ l -01 L STATEt t" ZIP 5S'411. - TENANT PHONE: ci Sol ' (-- a- CONTRACTOR COMPANY NAME. 4_V Lr c a(r s In uL 0_. CONTACT PERSON: C k ✓ J ez' - a SUBMIT A COPY OF YOUR STATE STATE LICENSE # EXP DATE LICENSE WITH ADDRESS: Vigo H al CITY lR.t o0/e k STATE�w ZIP 0'1 3� APPLICATION PHONE -7 b 3 "7 S V.1- P 0 9 FAX PERMIT TYPE tu`SINGLE FAMILY 0 TWO FAMILY 0 TOWNHOUSE TYPE OF WORK: O NEW REPLACEMENT 0 ALTERATION/REMODEL DETAILED DESCRIPTION OF WORK T-0 64A )) A, jQo_C «tL-1� R�M A CL d O c X C 6nd( F r el".— FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) Equipment Installed MFG: au U a MODEL: L1G PN 6'7 SIZEIBTU 16 u t t MFG: P X V Iz MODEL: 0 4 01.-- kQL SIZE/BTU MFG: MODEL: SIZE/BTU _LAIC $25.00 _FIREPLACE (GAS) $15.00 _GAS RANGE/OVEN $10.00 AIR TO AIR EXCHANGEER $15 _FIREPLACE (WOOD) $35.00 NEW GAS GRILL $10.00 _BOILER $35.00 ,FURNACE $35.00 _GAS UNIT HTR $10.00 _CHIMNEY LINER $10.00 _GAS DRYER $10.00 _POOL HEATER $35.00 WORK $10.00 GAS PIPING $10.00 VENTILATOR $15.00 _Dt'€UCT � x _ b` � 2:.i h 'tL Y Y{ Eu x�' � �K Z�'�-i � 9'� f -_ 44 Y �S "� dl �L�� ,: R�8�,,�"�•�oy,'Y� �,:'� �V'". ,�,'� g�. �y"� `��}r .t `iz �h 3: h� :f'F� `� i$iY 5^T4. `ti _..� d i P � '?4�'G` � _ p ty� rF.:• r>A � $ � -i _ -'� � \ �d � � 'k. � i^, � ✓ fad �� i 1. �� `� � i' i A� ry THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case ofall work which requires review and approval of plans. NAME CC (^ �'`3 lK DATE C) V / SIGNATURE OF APPLICANT PRINT r r 061 - City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 City of Fridley Residential Mechanical Application Page 2 REQUIRED INFORMATION NEEDED TO PROCESS PERMIT RESIDENTIAL PERMIT APPLICATION HVAC ❑ NEW HOMES/ADDITIONS ❑ EXISTING HOME ❑ MAKE-UP AIR REQUIRED FOR NEW/EXISTING HOMES 1. Combustion Air (See note below) a. Oil or solid fuel IMC Chapter 7 with MN Amendments b. Natural Gas or Propane/IFGC 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 IMC 1346.0603.2 a. ACCA Manual D NOTE: Centerpoint Energy Mechanical Code Guidelines software may be used for combustion and make-up air calculations. From: City of Fridley To: 763754290E Page: 414 Date: 4/1 6/2009 11:00:10 RM Buddin� ��U BING Permit No.: InspeCtions RESIDENTLkL APPLICATION Receiv y �q 76^-5--7-2-30'0A--": �. F' TT,t, n A T .11^�' Harp L U City of Fridley Building Inspections )epartment 6431 University Avenue NE, Fridley, MN 5-5432 763-572-3604 FAX: 763-502-4977 Building Permit Fee BUILDING Permit No.:260-01614 Inspections $ RESIDENTIAL APPLICATION Received By: 0"I 763-572-3604 , .001 times the total job valuation CITY OF FRIDLEY Datd :000 201 763-502-4977 FAX License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge EFFECTIVE 1-1-2010 $2100 per SAC Unit (Plans to MWCC for determination) DATE� I ? 10 FOUR E-MAIL ADDRESS" ft + 6 ft = ft x $24 = $ SITE ADD S $450 Conservation Plan Review THIS APPLICANT IS: [3OWNER MedNTRACTOR Fee Determined by Engineering PROPERTY OWNER/ NAME: Agreement necessary ( ) Non Necessary ( ) TENANT ADDRESS: L !✓ C I� CITY rel W Z STATE IP U -5-v3 PHONE: "' Z CONTRACTOR NAME: D l9 1-'.1 a I ve- SUBMIT A COPY OF STATE LICENSE # S3 EXP DATE aO/ Z Mot eh YOUR STATE LICENSE �- �tc�w/, s /WALIP> AND CERTIFICATE OF ADDRESS: ` t CITY Rc. STATE -J Cie INSURANCE PHONE 6V -,5Z5 -7Y' FAX l9 - % Z PROPERTY TYPE INGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ' ❑ GARAGEISHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE DECK ❑ SIDING ❑ OTHER ❑ S G POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION AADDITION ❑ MAINTENAN E/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE:O Ino C [ ,. e - f V SIZE OF IMPROVEMENT !Ca LENGTH WIDTH G HEIGHT SO FT / ROOFING O HOUSE ONLY BASEMENT REMODELING SUBMIT: NUMBER OF SQUARES ❑ HOUSE & GARAGE 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: r� SIDING L�7 ue FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffit �� ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum 13 �/ ❑ Trim ❑ Fasciak 6 1. Site Plan/Survey showing the existing structures and proposed project Other , 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 FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: S G THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ OCCUPANCY TYPE Permit Fee $Ch, a6 See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ , .001 times the total job valuation Surcharge $ .0005 x Permit Valuation Minimum $.50 License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $2100 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $24 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $1' �o�- Make checks payable to: City of Fridley Attach Stipulations THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit on site; that the work will be in accordance with the approved plan in the case of all work hich requires review and approval of playn�. / SIGNATURE OF APPLICANT PRINT NAME -0-f/ AL ®1 DATE d v ` ...E,....,. . License/Certificate Detail Here are the details for the license/certificate you are currently looking for: License name: DISTINCTIVE DWELLINGS INC License doing business as: License address: 1266 7TH ST E City state zip: ST PAUL, MN 55106 License number: 20345381 License type: RESIDENTIAL BUILDING CONTR Company structure: CORPORATION License status: ISSUED License original issue date: 9/4/2002 License expiration date: 3/31/2012 License print date: 3/22/2010 Qualifying person: BRIAN P. ROOD Continuing education hours required to renew license: 14 Contractor's phone number: 651-2086374 Enforcement action: No Another Lookup? https:Hsecure.doli.state.mn.us/licensing/licensing.aspx 10/18/2010 One Call Concepts Ticket MapViewer Page 1 of 1 Ticket Click ViewO"'ECA«sONCEPTS Todav's Tickets More 10/18/10 ® Google Map: Tickets Our Map: GOPHER STATE ONE CALL Ticket No: 100555925 LORA ROUTINE CFRDLY01 Original Call Date: 10/18/10 Time: 3:22 PM Op: mncristy Work to Begin Date: 10/20/10 Time: 3:30 PM XCEL08 Viewing Date: 10/20/10 Time: 2:58 PM Op: mncristy Caller Information Company: DESTINCTIVE DWELLING Fax Phone: (651)772-7462 Caller Name: BRIAN R Phone: (651)325-7934 Alt. Contact: OFFICE Phone: (651)772-7452 Email Address: Dig Site Information Type of Work: INSTALLATION OF DECK Work Being Done For: TSERING DORJEE Explosives: N Duration: 1 DAY R.O.W: N EDD: N Dig Site Location County: ANOKA Place: FRIDLEY CITY Address: 1181 Street: LYNDE DR NE Intersecting Street: REGIS DR NE Location of Work: MARK OUT 10FT FROM FRONT OF HOUSE FOR WIDTH OF HOUSE. Remarks: Nap Twp: 30N Rag: 24W Sect -Qtr: 24 -SW Map Coord NW Lat: 45.0714744 Loa: -93.2426551 SE Lat: 45.0701794 Loa: -93.2388396 Members: District Company Name CFRDLY01 CITY OF FRIDLEY COMCST03 COMCAST MINGAS03 CENTER POINT ENERGY QLNMNI4 QWEST XCEL08 XCEL ENERGY http://mn.itic.occinc.com/mnrecApp/tktMapView jsp?db=mn&key=QBAZ-FNE-2RS-2Y... 10/20/2010 .. C. E. COU .TER & AsSOCIATES3, INC. INDUSTRIAL,• JOHN A. PETERSON FRANK R. LENT. JR. - PLATTING SuaIN[sa LAND SURVEYORS swR►1 3UIVFIs CITU LOTS REGISTERED UNDER LA\V3 OF STATE, OF MINNESOTA - LAKcewoac TOPOGRMMIIC MAPPING LICLN.LD by OROL1.A.4CC. UV CIT•! OF NLNNLAPOLI. JYDICIIIL 3300 LYNDALE AVE. 50. MINNEAPOLIS. MINN. 55408 824-0370 ; urbepor'l Cetiitit4tz } AN U fry :F�`' - �;, ,•,, f : /�.o64, CY ' Ln to �• WI loco 0 r At:) • ®�� I hereby certify that the above is a true and correct plat of a surve« of: Lot 4, Block 5m PARKIIEW OAKS FIRST ADDITION; Anoka Countyp 14-inresota. As surveyed by mo this 19th day of April I9601A.D, Signed_ i+n R�:c_:istry tion &'-,o,t,267.o.t,267