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PRE 2010 DOCSVillage of Fridley, Minn. BUILDING PERM" N° ?85 Office of INSPECTOB OF BUHMINGS ownerR p r•. . tF a x Architect Fridley, Builder LOCATION OF BUILDING' No. '�` �Jr strePart of Lot Lot:4 Block ' Addition or sub -Division DESCRIPTION OF BUILDING Front `" DepthL'': `"" Height stories`' Manner of Construction a To be used as'" To be completed `* �" s. Estimated Com='ra ti ' Permit is hereby granted tk(j. =U the building "`F "°-�- described in the above statement. This permit is granted upon the express condition that the person to whom it is granted, and his agents, employees and workmen, in all the work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordi- nances of Fridley, Minn, regarding the 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 ordinances. g x", `'`'=`<;--rnenector of Buildings. AGREEMENT AND SWORN STATEMENT In consideration of the issue and delivery to me by the Inspector of Buildings of Fridley of the above permit, I hereby agree to do the proposed work in accordance with the description above set forth and according to the provisions of the ordinances of Fridley, and, being first duly sworn, I hereby state and say that the facts stated by me and contained in the above permit are true as therein stated. Subscribed and sworn to before me at Fridley, day of a Minnesota, this t` "' 0 City of Fridley, Mian.. BUILDING PERMIT Date: November 232 1966 135794 N9 9096 Owner: _ 08ylluz Wrum Builder R. E. 0STR04p INC. Address 4845 MAIN ST. N. Address 4857 MARTIM AVE. NORTH FRIDIEY9 MIMMU CRYSTAL, MMMOTA LOCATION OF BUILDING No. 45 Street MAIN ST. W. E. ._____. Part of Lot Back of Lot 23 Lot �3 & �4 Block 4 Addition or Sub -Division _ PMOL Corner Lot ._ Inside Lot Sewer IIevation Setback —_ Sideyard Foundation Mevation DESCRIPTION OF BUILDING To be Used as: QAUG11 Front ? ____ Depth 22 Height ____LO t Sq. YL 528 cu, Ft, 51280 Front Depth Height Sq. Ft. . _ Cu. Ft. Type of Construction FRAME Est. cost 599.0 __ To be Completed 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 and m fiance with adl provisions of ordinances of the city of Fridley. Ile In consideration of the payment of a fee of permit is hereby granted to R. E. OSTROK, NO. 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 said ordinances. CLAMCE BELISLE Building Inspector NOTICE: This permit doss not cover the construction, hwtellation for wiring, plumbing, gas heating, sewer or water. Be sun to no the Building Inspector for separate permits for these it=& CITY OF FRIDLEY, MINNESOTA APPLICATION FOR =RESIDENTIAL BUILDING PERMIT OWNER'S NAME��i?�r�/�? ���� BUILDER ADDRESSf7Z2 vgC" v ADDRESS LOCATION OF BUILDING �e Q� N0. 4STREET 1-0b ,,0b '� - � PART OF LOT_ LOT BLOCK_TADDITION OR SUBDIVISION ef���� Applicant attach to this form: 3 Sets of Plans - 2 Plot Plans - 2 Certificates of Survey with proposed building drawn on these Certificates. SUBMIT TO: Meeting Date Approval Date To Be Used As: BUILDING BOARD BOARD OF APPEALS PLAN. COMM. COUNCIL, DESCRIPTION OF BUILDING Front L Depth Height/ Sq. Ft. �3�`.Z� Cu. Ft. C 1 a Type of Construction �J��1/✓l%� Estimated Cost To Be Completed Certificate of Occupancy Permit Fee & Plan Check $ TOTAL $ s 61111ALP T. COYNE 300 BRUNSWICK AVE S. GOLDEN VALLEY, MINN. INDUSTRIAL - JUDICIAL COMMERCIAL - TOPOGRAPHICAL CITY LOTS - PLATTING SAYMO" A WS411111w, LOT SURVEYS COMPANY 6917 LAND SURVEYORS BROOKLYN PARK: Mfhk. RBGT,527jm V=ZZ L&wx or STATE Or IE NWZSOTA LTczsszD my ouvwANCE or orgy or unmurom 6917 Idaho Ave. N. 533-9922 Minneapolis, Minnesota 55428 COMBINING MORE THAN 30 YEARS OF c. LAND SURVEYING EXPERIENCE IN THE' METROPOLITAN AREA II Survey for: Inv -#193b F.B-115-29 ORVILLE WILKES SCALE: 1" 301 DENOTES IRON STAKE -� + I z 6.9 7 ym, 4 1��- Frame:4 *4 1048 4 NL it x I f.71 4t I z 5.93 fats 23 and 24, Blook 40 Plyinouth, Anoka County, Minnesota we lweby certify that this is a true and correct repr4bsenta-411w ffom of a stover of the bo"deries of the above described I*oW and #14.1ocotloil'of all buildings and visible encroach- menis., If any. fr" 9�r 'd I nd i A . njNOV .6 Surveyed by os t1tis day of A SIVed LOT SUAV"S COWAM 4— sloe liar Purer Plwft =W H Coonag, r ni-ndoe, Reh-2901 md Air onkg Sydem and Dories PARTIAL RATE SCHEDULE GRAIA_TT WARM AIR: RATE TOTAL Furnace Shell & Duct Work $10.00 $ Replacement of Furnace 6.00 $ Repairs & Alterations --up to $500.00 6.00 $__ Repairs & Alterations each add. $500.00 3.00 $ NZCIL WARM AIR Furnace Shell & Duct Work to 170,000 BTU ..$10.00 $._. each add. 60,000 BTU ....... 3.tu ; - Replacement of Furnace 6.00 $ Repairs & Alterations ---up to $500.00 6.00 $ Repairs & Alterations each add. $500.00 8,00 ; _ _ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. F.DR Steam $10.00 Furnace Shell & Line—to 640 sq. ft. EDR Hot Water 10.00 Each add. 200 sq. ft. EDR Steam 3,on $ Each add. 320 sq. ft. EDR Hot Water 3.00 $----- OIL — __- OIL BURNER—to 3 gal. per hour 6,00 $ _ over 3 gal. per hour—See Fee Schedule -- GAS BURNER ( up to 199,000 BTU) 6.00 ; over 199,000 BTU See Fee Schedule GAS FITTING FEES. NO RATE TOTAL 1st 3 Fixtures --. -- x$ 200 $----.._.-- Additional Fixtures x .75 $-. Gas Range to 199,000 :$ 8.00 AIR CONIDITIONING ✓ State Surcharge / 0 .50 0� FAN HEATING ST82M See Fee Schedule VENTILATING SYSTEM $ ALTERATIONS & REPAIRS TOTAL FEE ROUGH FINAL Dept. of Bldgs. Phone 80.3= Leeaflew �,�'� A47 City of Fridley: The undersigned hereby makes application for a permit for the work hereh 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 facts - and representations stated in this application are true and correcL Fridley. Minn_ ! lea Owner &f::UMyA Kind of Building Used as To be completed about �- Esi►mated ('ost, $ Old—New. Bwlding Permit No. Permit No. • ,J "9� a,c;- C".—k Dra CRIPTION OF WORK �- team, Hot Water, Warm Air—No Trade Name_—"�'®y - � ��°Z��gize Nb_--*'�— Capacity— t -- Sq. FL E.D.R B')RI H 1 Tota! Connected Load—..— _--- Rind of Fuel BURNER — Trade Iden+p Size Non Capacity— -- Sq. Ft E.D-R BTU Bhp (RfMARRf-OVER) Signed By Btu Phone > 'I JI-ci — / b,- SUBJECT PERM)�Tl-d.--�-' . City of Fridley 139'7'7 AT THE TOP OF THE TWINS BUILDING PERMIT .o, r RECEIPT NO. • COMMUNITY DEVELOPMENT DIV. : PROTECTIVE INSPECTION SEC. 1 • � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-580-3450 910-F15 4/4/77 JOB ADDRESS 4845 Main Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 23,24 4 Plymouth Addn. SHEET 2 PROPERTY OWNER MAIL ADDRESS u ZIP PHONE Ethel A. Eilkes 4845 Main Street N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Norman Crosby 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 J7 ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Install picture window 9 CHANGE OF USE FROM TO STIPULATIONS Use 2 x 10 for header BEppiE PERMITS REQUIRED Ftp Wt�{N�� NEATI.NG, PLUMBING AND SIG[�;81. • '.Y " TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. Wood Frame 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. $550.00 $.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 PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $7.50 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $8.00 516 TUREOFCONTRACTORORAUTHORIZEDAGENT IDATEI Z WHEN PROPERLY BLDG. WSPT- VALIDAT�ED�THIIS IS YOUR PERMIT E" SIGNATU' 'ER IIF OWN R BUILDERI 1 TEl CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS (NEW, ALTERATIONS, ADDITIONS, OR REPAIRS) OWNER:/���fif �/ `.2%�//A BUILDER: Address: ��y� v� , %%� Address: Tel. No. No.: -118 VS Street: Y)) LOT: BLOCK:ADDITION: t214 1t_, (Zd0L, , CORNER LOT: INSIDE LOT: SETBACK: SIDEYARDS: 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: Height: Square Feet: Cubic Feet: r Front: Depth:yI Height: Square Feet: Cubic Feet: D d Type of Constructio ��%2 Estimated Cost: To Be Completed: �/%�([�U. /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 information. DATE:4�1z_ 7 - SIGNATURE:' Stipulations: 119� R/a . Q C) City of Fridley SUBJECT ER 15427 AT THE TOP OF THE TWINS BUILDING PERMIT i � `y """""" COMMUNITY DEVELOPMENT DIV. r � PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 11.j 612-571-3450 ` R NUMBER 910-F15 REV. DATE 8/31/79 PAGE OF APPROVED BY JOB ADDRESS 4845 Main Street N.E. 1 LEGAL DESCR. LOT NO. 23, 24 BLOCK 4 TRACTOR ADDITION SEE ATTACHED Plymouth Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Ethel Gilstad 4845 Main Street N.E. 560-6128 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Viking home Improvement Co. 4832 - 211 Street N.E. 560-3794 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 fR7 ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof structure 9 CHANGE OF USE FROM TO STIPULATIONS Roof can be 2nd but not 3rd roof. Install ridged galvanized valleys. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 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 800 41111111111= S 50 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTR CTION.7.50 PLAN HECK FEE TOTALFEE $8.00 G 60'_?11 SIGNATURE )F CONTRACTOR OR AUTHORIZED AGENT (DATE) WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT ` BLDG )NSP IiA E SIGNATURE OF OWNER( IF OWNER BUILDER) (DATE) 01 CITY OF FRIDLEY - APPLICATION FOR RESIDENTIAL BUILDING PERMITS (New, Alterations, Additions, or Repairs) OWNER: e.I ADDRESS: 4 L�S t A) f TA) l= TEL NO: S-6 6— 6 l �L 2 BUILDER: ��� o✓y0/Lr' P%��'o'�s��1� 7/� Ccs ADDRESS: {f-3 2- TEL NO: �G a P'27f Construction Location • STREET NO: STREET: LOT: � �, 2q BLOCK: �_ ADDITION: 01 Corner Lot: Inside Lot: Setback: Sideyards: Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTION OF CONSTRUCTION Front: Squane. Feet: Front: Square• Feet: Depth: Height: Cubic Feet: Depth: Height: Cubic Feet: Type of Construction: Q GO Estimated Cost: $ o To Be Campleted: Proposed Driveway Width If New Opening Is Desired: Alt. A Alt. B 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/porrect. DATE: W31/7 '? SIGNATURE: Stipulations: SUBJECT PERMITN City of Fridley 16858 AT THE TOP OF THE TWINS BUILDING PERMIT _ r CEI 1 • COMMUNITY DEVELOPMENT DIV. �: ------ PROTECTIVE INSPECTION SEC. Qr t \0 O t � NUMBER REV. DATE PAGE OF APPROVED BY i CITY HALL FRIDLEY 55432 612-571-3450 910-F15 11/30/82 JOB ADDRESS 4845 Main Street N.E. 1 LEGALLOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. Pt. 23p 4 4 I Plymouth Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Ethel Gilstad 4845 Main Street N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Henry Lindner 330 Monroe Street N.E. 379-9340 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 Cj ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 7' x 3' Addition to Back of Dwelling 9 CHANGE OF USE FROM TO STIPULATIONS A A T1'N!G ?gyp I Cr, �rt!?9N!p�' eqt SIGNS 4 I �: `,..� , i G.,, �_+ Y ; 1 Rr7 i5 p A F hJ' rdiNe 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 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 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 $2/000 $1.00 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 ROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $32.50 NONE S TION OR THE PERFORMANCE O CONSTRUCTION. PLAN CHECK FEE TOTALFEE $8.13 $41.63 SIGKAYURE OFCONTR T OR AUTHORIZED AGENT (DAT5f WHEN PROPERLY VALIDATED THIS IS YOUR P RMIT BLDG INSP qA SIGNATURE OF OWNER OF OWNER BUILDER) IDATEI CITY OF FRIDLEY Effective Aug. 1, 1981 APPLICATIM FOR RESIDCWTIk BUILDIIIG PERMITS (New. Alterations, Additioni, or Repairs) OWNER: , Z-141-& & / K " 1r ra ADDRESS: TEL NO: BUILDER: ADDRESS: TEL 110: 3-2-9 9,7 YO Construction Location • STRICT NO: ��� �' STREET: LOT: BLOCK: ADDITION: Corner Lot: Znsiae Lot: Setback: Sideyards: Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTION OF r CONSTRUCTION / 1J� Front: Depth: Height: Square Feet_ Qabic Feet: all Front: Depth: Height: Square Feet: Cubic Feet: Type of Constructions 1 I T C W e A T jo�i Estimated Costa $ ®G O d---- 2b Be Cbrapleted: E' c . ® /f rP 2 Alt. A Alt. B Proposed Drivm-;ay Width If New Opening Is Desired: SEE REVERSE SIDE OF SHEET Wie undersigned hereby makes application for a permit for the work herein specified, agreeing to cb ,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. UWE: /'/ /'? e z S.2 SIC,NMIE: Stipulation s -C T. is I)e 1.00 CITY OF FRIDLEY INSPECTION DIV. Effective On January 1;1993 6431 Universfty Ave NE / U'� �, �/ Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, did 672-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work $ Commercial/Industrial 1% of Value of Appliance or Work $ State Surcharge S 50 TOTAL FEE oe" ISD MINIMUM FEE FOR ANY HEATING/COO II, NGNENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS 116.00 PLUS THE $.SO STATE SURCHARGE REINSPECTION FEE $30.00 *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. No. of Heating Units Circle One (Steam) (Hot Water (Warm Air) Trade Name Size No. BTU `�s� HP EDR Fuel _ Total Connected Load Burner Trade Zme �— Size No. BTU HP EDR HEATING COMPANY Signed Tel No.�'� Approved By Rough—In Date Final Date FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE JOB ADDRESS.4 6. S6 RATE SCHEDULE 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 Shelf 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, Gas Piping (Needed with new furnace) $10.00 $ ,1993 I / OWNER Gas Range $10.00 $ r BUILDING USED AS Gas Dryer $10.00 $ � ESTIMATED COST PERMIT NO. *Air Conditioning — All Sizes ���� $10.00 $ 10 � nFRnRIPTInN n Rrver•1= etin no at takwo All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work $ Commercial/Industrial 1% of Value of Appliance or Work $ State Surcharge S 50 TOTAL FEE oe" ISD MINIMUM FEE FOR ANY HEATING/COO II, NGNENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS 116.00 PLUS THE $.SO STATE SURCHARGE REINSPECTION FEE $30.00 *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. No. of Heating Units Circle One (Steam) (Hot Water (Warm Air) Trade Name Size No. BTU `�s� HP EDR Fuel _ Total Connected Load Burner Trade Zme �— Size No. BTU HP EDR HEATING COMPANY Signed Tel No.�'� Approved By Rough—In Date Final Date FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: .1. Has been carefully examined �(� Yes (� No ( j 2. Is free from rust or deterioration Yes No ( ) 3. Has no foreign objects lodged within Yes- No ( j 4. Is securely supported Yes No ( ) 5. Meets all current Code requirements for size -and total BTU's connected Yes fl -/ til No ( ) 6. Has total heating BTU's of All other BTU's TOTAL BTU's Remarks List Alterations Being Done: b� HEATING COMPANY f-UE,141L Signed By Date �X CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 Effective On January 1, 1993 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR PLUMBING FIXTURE RATES: 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 NO. RATE TOTAL JOB ADDRESS -1f 7 �— � 4;�_ f/ Gas Range Gas Dryer Back Flow Preventer Required ( )Yes () No Type ( A) 42 Al $ 7.00 The undersigned hereby makes application for a permit for the work herein $ coo specified agreeing to do all work in strict accordance with the city codes $ 5.00 and rulings of the Building Division, and hereby declares that all the facts $ 7.00 and representations stated in this application are true and correct. $ 7.00 $ 7.00 '1993 $ 7.00 $10.00 Owner &:2�A& $7.00 1�'""_.�p $10.00 /L' •CTG' Building Used As $10.00 $10.00 Estimated Cost SOD PERMIT NO. $5.00 Reinspection Fee $30.00 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1 % of Value of Fixture or Appliance State Surcharge TOTAL FEE PLUMBING COMPANY 4 SIGNED BY TEL NO.� ® L O 2-- Approved By 00A) Rough—In Date Final Date $ .50 MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15.00 $ PLUS THE $.50 STATE SURCHARGE I SuBjECT PERMIT NO. City of Fridley $�� AT THE TOP OF THE TWINS BUILDING PERMIT Ir � IPT NO. • COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 11/15/95 � � JOB ADDRESS 4845 Main Street NE 1 LEGAL LOT NO.BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. Pt 23924 4 1 Plymouth Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Mark/Sherry Rlemme 4845 Main Street NE 571-9583 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Stewart Company 3019 Russell Ave N M ls. MN 55411 529-7057 5204 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 Cg ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct an 8' x 8' Addition and a 4' x 4' Deck 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. HN. Before digging 011 for ail utility locations SEPARATE PERMITS REQUIRED FOR 454-0002 LAIN, WIRING, HEATING, PLUMBING AND SIGNS. REQUIRED BY TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, 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 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 THE GRANTING $3,841 $1.92 WITH WHETHER SPECIFIED HEREIN OR NOT OF A PERMIT PERMIT FEE SAC CHARGE DOES NOT PRESUME TO GIVE AUTHORIT O VIOLATE OR CANCEL THE PROVISIONS O ANY OTHER STATE OR CAL LAW REGULATING CON- $87.25 Fire 'SC $3.84 PERFOR A CE OF NSTRUCTION STRUCTIONW'Trl- PLAN CHECK FEE TOTAL FEE 10 License SC $5.00 $98.01 SIG URE CO-. RIW OR AUTHORIZED AGENT ID EI WHEN PROPERLY/VPLIDATED BLD INSP THIS IS YOUR PERMIT I)AIL SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) I NEW [ ] ADDN [ ALTER [ ConstructionAddress: Legal Description: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application • Effective 8/l/95 Owner Name & Address: _ RK �S [IE(��`� KL��/tn�.g Tel. # `�- 7 - �-g Contractor: J S a,)A RJ LQj�A..eq* _ MN LICENSE # 5;Z, ® 4 Address: -0 1 '04-T_ _ Tel. # �;' Zq -- 7 ®!�- -7 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. b f '�j f9 GARAGE AREA: Length Width Height Sq. Ft.�3,-A37- DECK AREA: Length Width �% ` Hgt/Ground Sq. Ft. Y''l =13717 - OTHER: Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: GJO o b Estimated Cost: $ eo 0 Approx. Completion Date: /Z 9 (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft $ _ $ DATE: 11 Q �� APPLICANT: G� Tel. #�� - 7 C �' 7 Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $850 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 [ ] SUBJECT IT NO. City of Fridley 2 71 17 AT THE TOP OF THE TWINS BUILDING PERMIT NO. rr ____ _ COMMUNITY DEVELOPMENT DIV. - PROTECTIVE INSPECTION SEC. r F � NUMBER REV DATE PAGE OF APPROVED BY i CITY HALL FRIDLEY 55432 612-571-3450 910-F15 8/11/98 JOB ADDRESS 4845 Main St NE 1 LEGAL LOT NO. BLOCK 4 TRACTOR ADDITION SEE ATTACHED DESCR. 23&24 t. ot23 Back Plymouth, SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Mark Rlemme 571-9583 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Suburban Exteriors 9701 Penn Ave S Bloom. 55431 881-8232 4289 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 EX REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house (12 Sq) Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. , AUTHORIZED IS NOT COMMENCED WITHIN BO 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 ISTALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 1000 .50 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION THE PERFORMANCE OF CONSTRUCTION. 34.75 Eire SC $1.00 PLAN CHECK FEE TOTA EE - Licen 5. .25 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI N P P DA D HIS ;g R/ PFrt1T O g IPSP PATE S,GNATUREOF OWNER IIF OWNER BUILDER) IDATEI - NEW ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION , ConstructionAddress: 40-6 � S+', , �c� � e!%t � Legal Description: Effective 1/1/98 V\. SSk(32 Owner Name & Address: AaLvt,,� KA -ewe wt -e 4 -S --4S NlgTvt S�'. IAC Tel. # 1`3Contractor5����f' �.� n - � �� MN LICENSE # ` z' b l C� Address: -70� P?y\V\ S �{��c�yh, /�'tcn . 45Sg3 / Tel. # 8� I --Z23-2 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: /ol L - / , �<52 Construction Type: Driveway Curb Cut Width Needed: Ft. + 6 Ft = Estimated Cost: (Fee Schedule on Back) Ft x $ = $ DATE: '�R— ` ` '7 ?-> APPLICANT: ], v Ye- � A1ycO-o" Tel. # I � TOTAL $ . STIPULATIONS: CITY USE ONLY ��� Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ / 61 D .001 of Permit Valuation (1/10th%) State Surcharge $ G) $.50/$1,000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge $ 5,00 $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] I � TOTAL $ . STIPULATIONS: 7 SuSJECT JWAVIT NO. City of Fridley 18909 AT THE TOP OF THE TWINS BUILDING PERM r � `� -------COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. f 1 � � NUEaBER REV GATE PAGE OF APPROVED BY i ��"'t;•� CITY HALL FRIDLEY 55432 _--.� 1 612-571-3450 910 -FIS 2/10/99 JOB ADDRESS 4845 Main Street NE I LEGAL LOT NO, BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. PT 23,24 4 Plymouth Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Mark/Sherry Klemme 4845 Main Street NE 571-9583 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Stewart Remodeling Advantage 8014 Olson Memorial Hwy #140, Golden Valley 55427 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 497-8582 5204 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW jD ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Construct a 16' x 21' Dwelling Addition 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. IN ARNff Before digging call for S PIARATE all utility locations 454-0002 PERMITS IRED FOR V RING► H 1TI�!(;, RLRZQ �� AND REQUIRED BY LAW s� SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL. PLUMBING. HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT CU FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TOTRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVE, NI G THIS TYPE OF WORK WILL BE COMPLIED @ $25, 183 $12.59 WITH WHETHER SP IFIED EREIN O NOT. THE GRANTING OF A PERMIT DOES NOT PRESU TO G VE AUTH RITY O VIOLATE OR CANCEL THE PERMIT FEE SAC CHAR PROVISIONS OF N TH R STATE R L AL LAW REGULATING CON• $358.75 Fire 76E T CTION OR T P RF RMA E F C STRUCTION XXXXMq PLAN CHECK FEE TOTAL F E 1010 Li S $5.00 401.52 SIGN4T E ON a�C a R U MO ZE AGENT AT r ENP OP BLDG NSP ID TED H .I$ YOUR GATE S-GNATUAE OF OWNEROF OWNER SUILDM IDATEI 7 NEW I ] Effective 1/1/99 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 q BUILDING PERMIT APPLICATION b 75 0 o06 ConstructionAddress: -VS A-(�' NIt Q It 1 Z , tom), - . Legal Description: Owner Name & Address: R &K, c/ � k<R P % t --g Powi-r Tel. # Contractor: '5-rir o p fcy�� A , ,,� �,fy ®,� �,g -���z� MN LICENSE # Address: S® t -# 140 # 6 Psi iJ Attach to this application, a Certificate of�arvev of the lot, with the proposed construction drawn on it to scale. ��4,rf , 33 6 X1 , C� DESCRIPTION OF EMPROVEMENT :' 3 3 - LIVING AREA: Length i / Width - Height I Sq. Ft. 3-36 Z GARAGE AREA: Length Width Height Sq. Ft. C)i f 9 6C) DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Construction Type: 0,00b FI�AjAerj Estimated Cost: $ ,'� 33 .10 (Fee Schedule oh Back) Driveway Curb Cut Width Needed: Ft. + 6 t; Ft x $ _ $ DATE: APPLICANT: Tel. # 4 /'2 - 41-7 - Keltr:ll 4 STIPULATIONS: CITY USE ONLY Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ /d,f $.50/$1,000 Valuation SAC Charge $ $1050 per SAC Unit License Surcharge $ 1-6 $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] Keltr:ll 4 STIPULATIONS: al CERALD T. COYNE RAYMONQ: 300 PRUNSWICK AVE S. LOT SURVEYS COMPANY 6917 IOAHQ'AVE:.N."';• -'MINN; GOLDEN VALLEY. MINN. BROOKLYN PARK. MIN.. LAND SURVEYORS REGISTERED UNDER LAWS OF STATE OF XINNESOTA LICENSED BY ORDINANCE or CITY. OF MINNEAPOLIS 6917 Idaho Ave. N. 533.9922 %linnealmoliq, %linneRola 55 128 INDUSTRIAL JUDICIAL THAN 30 YEARS OF COMMERCIAL - TOPOGRAPHICAL LAND SURVEYING. EXPERIENCE IN THE, *urbepor5 Certif icate c)`.'.e'N'NG MORE CITY LOTS - PLATTING Nil rPOPOLITAN AREA Survey for: ()RVTLi.�; 'tVjjKj-;S 311 11"CX I I-IV I C)^3 115-29 0! r 0 04*.,2 OD J Z, 2Z 141 r 7, Lots 23 and 24,,. Block 41, L> Plymouth, Anoka County, Minnesota We hereby certify that this is a true and correct represents M' .,floe* of 'a. survey of the boundaries of the above described land *at(J the location of all buildings and visible encroach- monfS.'.. If any, from n sid land. 140V '6 Surveyed16Y us this day of 196. Signed LOT SURVEYS COMPANY-*: Y MINNESOTA ENERGY CODE 11 1-2 Family Residential Building RESIDENTIAL "COOKBOOK" WORKSHEET Applicant Name P one -T - A9 Date Statement of Compliance: Building Official Use 9&I IZ7Applicant 0.55 The proposed building design represented in these documents is consistent with the building plans, Ceiling with low heel truss R-44** Address /t c)l �� J 'AA. 51/7 iv y /4 �-/ i specifications, and other calculations submitted with the permit application. The proposed unconditioned space Building Address: Ceiling -no attic R-38 w/ R-5 sheathing building has been designed to meet the to determine above grade Window U -Value. 0.19 requirements of the Minnesota Energy Code. 2x4 framing, R-15 insulation, sheathing R-5 or greater. 0.52 0.45 0.39 Applicant/Engineer MINIMUM REQUIREMENTS for "Cookbook" Ontion: Entry Doors I-3/4" solid wood w/ storm Ceiling with energy truss R-38** Rim joist R-19 door or equivalent (Min. 7'/2" top plate to sheathing) 0.55 Foundation Windows* Insulated Glass w/1/2" gap in Ceiling with low heel truss R-44** Floor over R-24 wood or vinyl frame 0.30 unconditioned space *Include square footage in calculation of Window/Door Area Ceiling -no attic R-38 w/ R-5 sheathing 0.22 to determine above grade Window U -Value. 0.19 TYPE B Window and Door Area As % of Exposed Wall Area TTinsutation rerrormance at winter uesign Conaitions 0 100 x 96 - .41-1 s� = 2.O% Bio Above Grade Window and Gross Wall Area Window/Door Area FoundationWindow/Door Area .�• WINDOW U -VALUE : Source: NFRC or ASHRAE 1993 Handbook MAXIMUM WINnnW Ii-VA1.1lV.4Q Check Wall Type Used WALL TYPE MAXIMUM WINDOW AND DOOR AREA % OF EXPOSED WALL AREA 12% 14% 16% 18% 20% 22% 24% 26% 28% 30% 32% 34% TYPE A 2x4 framing, R-13 insulation, sheathing R-7 or greater. 0.55 0.47 0.41 0.36 0.33 0.30 0.27 0.25 0.23 0.22 0.20 0.19 TYPE B 2x4 framing, R-15 insulation, sheathing R-5 or greater. 0.52 0.45 0.39 0.35 0.31 0.28 0.26 0.24 0.22 0.21 0.20 0.18 TYPE C 2x6 framing, R-19 insulation, sheathing less than R-5. 0.48 0.41 0.36 0.32 0.29 0.26 0.24 0.22 0.21 0.19 0.18 0.17 TYPE D 2x6 framing, R- 19 insulation, sheathing R-5 or greater. 0.56 0.48 0.42 0.37 0.34 0.31 0.28 0.26 0.24 0.22 0.21 0.20 TYPE E 2x6 framing, R-21 insulation, sheathing less than R-5. 0.51 0.43 1 0.38 1 0.34 0.30 0.28 0.25 0.23 0.22 0.20 0.19 0.18 TYPE F 2x6 framing, R-21 insulation, sheathing R-5 or greater. 0.58 0.50 1 0.44 1 0.39 1 0.35 1 0.32 10.29 1 0.27 L 0.25 0.23 1 0.22 1 0.21 i ms tante contains interpolations of the values to the Energy Code, Part 7670.0475, Suhp. 2. This is a summary only. Other requirements may apply. See the Minnesota Energy Code. 2/5/96 Questions? Call Department of Public Service Information Center at 612/296-5175 or 1-800/657-3710. MR MINNESOTA ENERGY CODE 1-2 Family Residential Building EXTERIOR ENVELOPE U -VALUES WORKSHEET Applicant Name: U -Value x Area Phone Date Statement of Compliance: The proposed building design represented in these documents is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Minnesota Energy Code. Applicant Address: ®� al- C -0V,% P&I � ® 1,4 L l-i't" .. 0, Alt',A I Skylights Building Address: ry Other /j Windows Totals 1D Applicant/Engineer Assembly - Ceiling/Roof Area (Sq Ft) U -Value U -Value x Area Ceiling/Roof (Total Framing and Insulation Area) Ceiling/Roof (Total Framing and Insulation Area) Skylights Other Windows Totals 1D OO Average U -Value: OO - D &00-026 Required U -Value from Energy Code: Assembly -Exposed Wall Area (Sq Ft) U -Value U -Value x Area Wall (Stud and Insulated Cavity) Wall (Stud and Insulated Cavity) Fireplace Wall Rim Joist Windows Doors Above Grade Foundation Wall Foundation Windows Other Totals Average U -Value: OO — © -r=Required U -Value from Energy Code: OO 0.110 TRADE-OFF PROCEDURE: If OQ is greater than T, or ® is greater than OO , revise the design as necessaryto meet envelope criteria of the Energy Code. If the total of OO +p is less than or equal to the total of OO + then the design meets Energy Code. 1 Wood frame, metal frame, masonry U -Values are found on the Wall U -Values Tables. Calculation eauations are on nn- 11-15 of the code - 2 U -Value for skylight and window must be determined by the National Fenestration Rating Council Standard 10091 or ASHRAE 1993 Handbook of Fundamentals, Chapter 27, Table 5. This is a summary only. Other requirements may apply. See the Minnesota energy Code. 2/5/96 Questions? Call Department of Public Service Information Center at 612/296-5175 or 1-800/657-3710. hUNINUM 98.1.16 NOTE: 1. THIS GANG -LAM BEAM IS DESIGNED TO SUPPORT ONLY VERTICAL LOADS AS SHOWN. VERIFICATION OF LOADING, DEFLECTION LIMITATIONS, FRAMING METHODS, WIND BRACING, OR OTHER LATERAL BRACING THAT IS ALWAYS REQUIRED IS THE RESPONSIBILITY OF THE PROJECT ARCHITECT OR ENGINEER 2. PROVIDE RESTRAINT AT SUPPORTS TO INSURE LATERAL STABILITY. 3. DO NOT CUr, NOTCH OR DRILL GANG -LAM. 4. SHIM ALL BEARINGS FOR FULL CONTACT. 8. VERIFY DIMENSIONS BEFORE CUTTING II COMBINATION ROOF AND FLOOR BEAM ONLY. I 3' O.C. OR LESS. THIS DRAWING IS NOT TO SCALE"` COMMON NAILS ON EACH FACE STAGGERED AT 12.00' C(C. I /I SUPPORT REACTIONS (LBS): CASE BEARING NUMBER 1 2 8966 8966 MIN BEARING SIZES (IN -SX) 3- 0 3- 0 MAXIMUM DEFLECTIONS CALCULATED ALLOWABLE LIVE LOAD 0.39" 0.43" *DEAD LOAD 0.23" TOTAL LOAD 0.55" 0.65" 8 Erection MN Scherer Brothers Lumber LOAD TABLE NOTE: LOADS SHOWN ARE FOR INPUT LOAD CASE (1). OTHER LOAD CASES FOR PATTERN LIVE LOADING ARE CHECKED AS REQUIRED. (DIMENSIONS MEASURED FROM LEFT END OF SPAN OR CANTILEVER) DISTRIBUTION SOURCE TYPE TOP/SIDE LOAD FROM TO FT -IN -SX FT -IN -SX UNIFORM ROOF LIVE TOP 500 PLF 00-00-00 13-02-01 UNIFORM FLOOR LIVE SIDE 480 PLF 00-00-00 13-02-01 UNIFORM FLOOR DEAD SIDE 194 PLF 00-00-00 13-02-01 UNIFORM ROOF DEAD TOP 188 PLF 00-00-00 13-02-01 WARNING NOTES: LOAD THIS COMPONENT DESIGN IS SPECIFICALLY FOR LOUISIANA-PACIFIC ENGINEERED WOOD PRODUCTS. USE OF THIS DESIGN FOR ANYTHING OTHER THAN GANG -LAY LVL, TECLAY LVL, LPI JOISTS, OR TLI JOISTS IS STRICTLY PROHIBITED. MINIMUM BEARING SIZES ARE TO PREVENT CRUSHING OF THE GANG -LAM LVL BEAM. IT LS THE RESPONSIBILITY OF THE PROJECT ENGINEER OR ARCHITECT TO MAKE SURE THE SIZE, SPECIES, AND GRADE OF LUMBER USED FOR THE BEARING PLATES ARE DESIGNED TO CARRY THE REACTIONS OF THE GANG -LAM LVL BEAM AND PREVENT CRUSHING OF THE BEARING PLATE FOR EXAMPLE: ON BEARING NUMBER 1, A REACTION OF 8966.000 LBS ON A SPRUCE PINE WALL PLATE WOULD REQUIRE A MINIMUM BEARING LENGTH OF 7-10 0"X). ANCHOR GANG -LAM LVL BEAM SECURELY TO BEARINGS OR HANGERS. THIS FLOOR COMPONENT HAS BEEN DESIGNED WITH AN INPUT DEFLECTION LIMIT OF LIM. FOR STIFFER FLOORS AND BETTER PERFORMANCE, V480 IS HIGHLY RECOMMENDED. Miscellaneous Information �F 14.000 1.750 3.500 CROSS SECTION ry and anent bracbg for hotdhg wmporont The use of We component sial be specified by the designer of the d for resisting Iteral forces dal be designed and complete structure. Obtain all to necessiulr code compliance approval and by others. No bads are to be applied to the Instructions s from the designers of the complete structure before using this d unlit after at to 8animg and festering aro camporre lL Stine design criteria fated above does not meet local bdkft d. At no thee dal bads Waster than design loads tote mgmiremamde, do not use Ws deelgn. 1Mron this drawing is signed d to the component. and sealed Loddana-PacMe corp to approving only the stnuheal design o1 Criteria this unit down an tiro bads of data provided by tiro customer and shown on Ws drawing. Gang -Lam LVL, TecLam LVL, LPI joists, and TU jdats are gn and material specified are In substantial made without camber and will defied oder bad, wood in direct cachet with ty with the blest revisions of NDS and ARC. Dead concrete mond be protected as regcdred by code. cor6rarcos Iateral support action Inciudes adjustment factor for creep. Total Is assumed (curl, floor beam. etc.) 'anon Is Instantaneous. 2 BEAMS 1.75 X 14.000 OL2850-2.0 DESIGN CONSISTS OF 2 - PLIES FASTENED TOGETHER (REFER TO NOTES). 13- 2- 1 Gang -Lam LVL, TecLam LVL, LPI Joist, and TU Joist Speelflcatlons • &Worts and connections for Gang -Lam LVL, TecLam LVL, LPI Joists, and TU Jolts to be specific applications. Common maps dmfven paraMl to on Bros shat be spaced a minb am of 4 for 10d and 3' for 8d. • Do not ad, no", drill or alter Gang -Lam LVL, TecLam LVL, LPI Jdds, and TU Joists except as sham in publislmd material from LaWdana-Padfle Corp. arty use of Gang -Lam LVL, TecLam LVL, LPI Joists, and TU Joists contrary to the knits set forth harem, negates say express we=* of the product and Louisiana-Pacific Corp. dsdala alt brpled wmrartles b rhe Implied warrantiesof merchantability and fllness for a particular use. ono DESIGN CRITERIA oat FLOOR LIVE LOAD a 40 PSF FLOOR DEAD LOAD 15 PSF FLOOR TOTAL LOAD a 55 PSF ROOF LIVE LOAD m 40 PSF ROOF DEAD LOAD 15 PSF ROOF TOTAL LOAD 55 PSF + FLOOR SPAN CARRIED : 24.00 FT ROOF SPAN CARRIED : 25.00 FT DEFLECTION CRITERIA : LIVE LOAD DEFL: L / 360 TOTAL LOAD DEFL: L / 240 DURATION OF LOAD INCR: 15 B CODE COMPLIANCES : REPORT Y BOCA 96-8 ICBG 5004 L.A. City RR 25167 SBCCI 9490A CCMC 11518R Louisiana-Pacific Corp. 02A2W ICBG Engineered Wood Products 2706 Highway 421 North Wilmington, NC 28401 Local (910)762-9878 National Wats (800) 999 9105 DWG # SHEET # CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR Effective On January 1, 1999 PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures $ 7.00 Old Opening, New Fixture $ 4.00 Beer Dispenser $ 5.00 Blow Off Basin $ 7.00 Catch Basin $ 7.00 Rain Water Leader $ 7.00 Sump/Receiving Tank $ 7.00 Water Treating Appliance $10.00 Water Heater —Electric $ 7.00 Water Heater — Gas** $10.00 Gas Range** $10.00 Gas Dryer** $10.00 Back Flow Preventer Required ( )Yes () No Type $15.00 Reinspection Fee $42.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance JOB ADDRESS q D T!S_ Mk h Si P 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 Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. Mil 1 , 1999 Owner Building Used As Estimated Cost a10 �v PERMIT NO. PLUMBING COMPANY SIGNED BY W OF Approved By.g Rough—In Date _ State Surcharge $ .50 MINIMUM FEE F R ANY PLUMBING TOTAL FEE $ 1 ;;//�� PLUS THE $.50 STATE SURCHARGE l «) TEL N0. -Z) -1,S- $$� !7 Final Date **COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6—A. MINIMUM SIZE 9 SQ INCHES. S CIiYOF FRIDLEY FRIDLEY MUNICIPAL CENTER - 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 - (612) 571-3450 - FAX (612) 571-1287 September 11, 2000 Mark Klemme 4845 Main Street NE Fridley, MN 55421 Re: Final Inspection at 4845 Main Street NE Contractor: Hovde Plumbing and Heating Inc. Dear Mr. Klemme: A plumbing permit was issued on April 12, 1999, for the above noted address, to install three new fixtures. According to section 4715.2800 of the State Plumbing Code, a final inspection shall be conducted on the plumbing authorized by this permit. As of this date no inspection has been called for. You will be given thirty (30) days from receipt of this notice to respond. If we do not hear from you, we will expire the permit and any inspections on this installation will require a new permit. Any questions can be addressed to myself at (763) 572-3603. Sincerely, DAV JENSEN Build_ Inspector City of Fridley SUBJECT PERMIT NO. 3 i 650 AT THE TOP OF THE TWINS BUILDING P E R M I T Ir • _ COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. j i CITY HALL FRIDLEY 55432 NUMBER REV OAT E PAGE OF APPROVED BY --_.�;"',•� L 612-571-3450 910415 2/20/01 JOB ADDRESS 4845 Main Street NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. Pt 23, 24 4 Plymouth Addition SHEET 2 PROPERTY OWNER MAIL ADORES$ ZIP PHONE Mark/Sharon Klemme 4845 Main Street NE 763-571-9583 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Window Lite Home Imp. 8400 89 Ave N, Brooklyn Park, MN 55445 763-425-2227 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 j7 REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Install three replacement windows within existing openings 9 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. Permit InspeCtion Cards Will Be Mailed To Homeowner To Post SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT CU FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $7 898 @ WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT W3.95 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- $153.25 Fire $7.90 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION YC PLAN CHECK F TOTAL EE Licen S $5. $ 0.10 J. SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE, ENR VALIDA D HIS IS YQUR P MIT - "'47 S-GNATURE OF OWNER IF OWNER BWLDERI iDATE- BL NSR F�� i NEW [ ] 1� ADDN [ ] 13/7(/ F CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION fectiv v199 /D ConstructionAddress: ''�5 a �� "t'-141 iy�� , / Legal Description: Owner Name & Address: ggl-q 91" � Ja/'�/L /.�� �� Tel. #%��-�'%/- Contractor: G A)1"7doa) L L 'ek'"xz SAMN LICENSE # Address: D X701' �9 l -e- A)a AiLi� ��/( 1'W'02�Y'5`Tel. # ��-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 E%IPROVEMENT Length Width Height Length Width Height Length Width Hgt/Ground Sq. Ft. Sq. Ft. Sq. Ft. Construction Type:'5'�' 4's Estimated Cost: $ %F �n O O (Fee Schedule on Back) Driveway Curb Cut Width Needed: it. + 6 Ft = Ft x $ = $ DATE: �J CITY USE ONLY Tel. # Permit Fee $ 1,U,d .IT Fee Schedule on Reverse Side Fire Surcharge $ 7,90 .001 of Permit Valuation (1/10th%) State Surcharge $ -9, 96 $.50/$1,000 Valuation SAC Charge $ $1050 per SAC Unit License Surcharge $ 1'5� ®0 $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] No'. Necessary [ ] TOTAL $ STIPULATIONS: /997 . c, CITY OF FRIDLEY INSPECTION DIViSION 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner - Also Replacement Furnace (Side Vent - Fill Out Back) Gas Piping (Needed with new furnace, but not replacement) Gas Range Gas Dryer *Air Conditioning - All Sizes All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work Commercial/Industrial 1.25% of Value of Appliance or Work Effective On January 1, 2000 JOB ADDRESS- 17C OWNER /l letb 'n e Rate TOTAL BUILDING USED AS RESIDENTIAL $ 30.00 $ r ESTIMATED COST 0'300-00 PERMIT NO. l� $ 10.00 $ 10.00 $ 10.00 $ 25.00 State Surcharge TOTAL FEE MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT 115125.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $47.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. i; DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units / Circle One (Steam) (Hot Water) (Warm Air) $ Trade Name i c*';V & o Size No. 0i5An-72 BTU 30; U®® HP EDR $ Fuel *6� Total Connected Load FIREPLACE --- Burner Trade Name Size No. $ BTU HP EDR $ The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes an $ .50 rulings of the Building Division, and hereby declares that all the facts and �C) representations stated in this application are true and correct. DATE HEATING CO ALLIED FIRESIDE dba FIRESIDE CORNER Signed _ TEL # 65l -G S Approved By Rough -In Date Final Date COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing furance, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes () No ( ) The venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes () No ( ) The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes () No ( ) The existing combustion air is sized and installed to meet the current codes and manufacturer's specifications. Yes () No ( ) When required to install a new combustion air, it will be sized and installed To meet the current codes and manufacturer's specifications. Yes () No ( ) When Installing a new venting system, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes () No ( ) Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. Yes( ) No ( ) Appliance Type and Size/Common Vent and Vent Connector Information Appliance #1 Type BTU Input Fan Assisted or Nat Appliance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input Common Vent Type Vent Height Diameter inches Appliance #1 Vent Connector Height ft Length ft Diameter in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type ALTERATIONS: (Describe) HEATING CO: Signed By: Date : City of Fridley3 SUBJECTziR 510 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. V ______ COMMUNITY DEVELOPMENT DIV. r .. PROTECTIVE INSPECTION SEC. 1 � � NUMBER nEv DATE PAGE Oi AP ED BY CITY HALL FRIDLEY 55432 L J ` 763-571-3450 910415 5 / 13 / 03 JOB ADDRESS 4845 Main Street NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. IPt 23, 24 4 1 Plvmouth Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Mark & Sharon Klemme 4845 Main Street NE 763-571-9583 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Window Lite Home Improvement 8400 89 Ave N Brooklyn Park MN 55445 20039258 d ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 763-422-2227 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK O NEW O ADDITION O ALTERATION REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Replace 4 windows within existing openings 9 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 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 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 @ $4, 198 $2.10 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 PROVISIO FANY OTHER STATE OR LOCAL LAW REGULATING CON- $111.25 Fire SC $4.20 STR ON THE PERFO F CONSTRUCTION PLAN CHECK FEE TOTALFEE Oj` License SC $5.00 $122.55 SIGNATURE OF C ACTOR OR AUTHORIZED AGENT (DATE, HEN PROPERLY SLOG INS o VALIDATED THIS IS YOIrURP RMIT �I PATE S-GNATURE OF Ow NER.IF OWNER BUILDER, ,DATE, u �0-aw iag-7q [i ADDN [J ALTER [ ] CITY OF FRIDLEY Efl'ective 1/12002 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: �� 5 'iYlL%,fes fy�r Legal Description: I> Owner Name & Address: `Y111 ark � ,S%l�� �c /ems, m e Tel. # 7&,3' S%/- 9 5-.? � Contractor. W i t t &) u) La�P �,nm vcrn_,,a_ MN LICENSE # 900,3Q -SS Address: Ryan {4&f - A/ , 15rot /UW m ?iar/C Tel. # Z& 3— -'1,,7.2 7 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: / G OO Construction Type: Gf�� !/d r�� �G &12 sti ated Cost: $ �1 Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ _ $ DATE: Lltao3 APPLICATel. # 176..E��� Call (763) 572-3604 for Permit Fees if mailing in application or Fax to 763-5714287 if using credit card and we will call you for card number. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge v $ A10 $ V-9 $ $ CITY USE ONLY - Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1200 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] 5 TOTAL ,5 as STIPULATIONS: suejECT RMIT NO. City of Fridley 3 3542 AT THE TOP OF THE TWINS BUILDING PERMIT ` RECEIPT NO. • COMMUNITY DEVELOPMENT DIV. w-'---_ r PROTECTIVE INSPECTION SEC. 1 NUMBER REV DATE vAGE OF APPROVED BY CITY HALL FRIOLEY 55432 763-571-3450 910-F15 5/22/03 JOB ADDRESS 4845 Main Street NE I LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 1 23,24 4 I Plymouth Addition I SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Mark & Sharon Klemme 4845 Main Street NE 763-571-9583 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Window Lite Home Improvements 8400 89 Ave N STE 460 Brooklyn Park MN 55445 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 763-391-8310 20039258 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK O NEW 0 ADDITION ❑ ALTERATION 0 REPAIR 0 MOVE O REMOVE X 6 DESCRIBE WORK Bathroom remodel 9 CHANGEOFUSEFROM TO STIPULATIONS See notations on plan. 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 @ $5.14 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $10,288 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PR OF ANY OTHER STATE OR LOCAL LAW REGULATING CON - $195.25 Fire SC $10.29 RUCTION R THE PERLOROMj OF CONSTRUCTION PLAN CHECK FEE TOTALFEE ensb SC $5.00 $215.6 SIGNATURE OF CONTRACTOROR AUTHORIZED AGENT IDATEI WfIEN PROPER L VALIDATED THIS IS Y UR PE IT S,GNAiu RE OF OW NER,Ic OWNER BUILDERS IDATE- DG I SP gAtE NEW [ ] CITY OF FRIDLEY Effective 1/1/2002 ADDN (J 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: 4846 a 1,a Sh r i2A L o, 55g.1) Legal Description: Owner Name & Address: ffia ck d S(n agm k f! na4e . Tel. #(762) ) 57/— 951-3 Contractor. —9NI�UV LITE HAAs Imnrm/Mprits MN LICENSE # go:260,- 9a Address: Crosstown North Business Ctr. # 4 Tel. A(76:3,) ?59/ h3 /D Suite 460 -6400 -89th Ave. North cL-,'dooklyn Rh h' cation, a Certificate of Survey of the �db��)')') 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: CG Construction Type: &UM V -JJ - Estimated Cost: $ Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ =$ DATE: 4/0-3 103 APPLICANT: Tel. # Call (763) 572-3604 for Permit Fees if mailing in application or Fax to 763-571-1287 if using credit card and we will call you for card number. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge ,Driveway Escrow Erosion Control Park Fee Sewer Main Charge CITY USE ONLY - Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1200 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by*Engineenng Agreement Necessary [ ] Not Necessary [ J TOTAL $ 9 /'5 1(0 / STIPULATIONS: CITY OF FRIDLEY_ PERMIT NO.: 2003-00002 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 DATE ISSUED: 11/03/2003 572-36U4 kAX: (763) 571-1287 ADDRESS : 4845 MAIN ST NE PIN : 263024320056 LEGAL DESC : UNAVAILABLE : LOT BLOCK PERMIT TYPE : HEATING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION VALUATION NOTE: AIR CONDITIONERS CAN NOT BE PLACED IN A SIDE YARD WITHOUT WRITTEN PERMISSION FROM ADJOINING PROPERTY OWNER. COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A # A/C UNITS 1 # FURNACES 1 ENTER VALUATION 5635 APPLICANT FURNACE SHELL/DUCT WORK 30.00 ACTION HEATING & AC AIR CONDITIONING FEE 25.00 8140 ARTHUR ST NW STATE SURCHARGE, MECH FLAT 0.50 SPRING LAKE PARK, MN 55432 TOTAL 55.50 (763) 780-0844 PAID WITH CHECK # ? OWNER KLEMME MARK H & SHARON K 4845 MAIN ST NE FRIDLEY, MN 55421 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of worl will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. Applicant Date Bldg Insp Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. ADDRESS PIN LEGAL DESC PERMIT TYPE PROPERTY TYPE CITY OF FRIDLEY PERMIT NO.: 2003-00002 6431 UNIVERSITY AVENUE NE FRI)LEY, MN 55432 DATE ISSUED: 11/03/2003 (763) 572-3604 FAX: (763) 571-1287 4845 MAIN ST NE PERMIT APPLICANT: 263024320056 UNAVAILABLE HEATING RESIDENTIAL ACTION HEATING & AC 8140 ARTHUR ST NW SPRING LAKE PARK, MN 55432 CONSTRUCTION TYPE ADDITION/ALTERATION VALUATION: CALL FOR FINAL INSPECTION WITHIN 10 DAYS OF WORK COMPLETION. BUILDING INSPECTION RECORD 24 HOUR NOTICE REQUIRED FOR ALL INSPECTIONS. CALL FOR INSPECTIONS WEEKDAYS: 8 AM TO 5 PM INSPECTION TYPE DATE INSPECTOR INSPECTION TYPE DATE INSPECTOR HEATING FINAL INSPECTION COMMENTS: IN ACCORDANCE WITH CITY ORDINANCE, NEW OR SUBSTANTIALLY REMODELED BUILDINGS SHALL NOT BE OCCUPIED UNTIL ALL WORK HAS BEEN APPROVED, AND A CERTIFICATE OF OCCUPANCY HAS BEEN ISSUED BY THE BUILDING DEPARTMENT. THIS CARD MUST BE POSTED AND VISIBLE AT ALL TIMES UNTIL WORK IS COMPLETE. l:irCC_LiVL'' January 1, ZU63 CITY OF,FRIDLEY INSPECTION DIViSION 61131 University Ave NE Fricfiey, MN 55432 APPLICATION FOR BOWER PLANTS AND HEATING, COOLING, VENTILATION, (763) 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES��� % FAX (763) 571-1287 ► Ye �- _ RATE SCHEDULE OWNER 14145mcI i m S � x1 c, Residential Furnace Shell and Duct Work, Burner - Also Replacement Furnace (Side Vent - Fill Out Back) Gas Piping (Needed with new furnace, but not replacement) Gas Range Gas Dryer *Air Conditioning - All Sizes All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work Commercial/Industrial 1.25% of Value of Appliance or Work Rate TOTAL $ 30.00 $ C) $ 10.00 $ $ 10.00 $ $ 10:00. $ $ 25.00 00 State Surcharge TOTAL FEE MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $47.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. $ .50 BUILDING USED AS Act -i C-- ESTIMATED COST , 5�. w PERMIT NO. / _2 DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units I Circle One (Steam) (Hot Water W�Air) Trade Name t_' ArJ- Size No. BTU HP EDR Fuel Total Connected Load Burner Trade Name Size No. BTU HP EDR The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes an rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. HEATING CO Ar/✓c-n Signed FAX # Approved By Rough -in Date DATE A2 i ) - /0 i2(U-0-% 44CG bZ/ FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNED r►M MON VFKIT Vr=NT CQNNFr-TQR AND CQMR11STInN AIR VFRIFICATION When repla inngannax*ntinn furannn, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes V No ( ) The venting system is plastictPVC and meets all current codes and manufacturer and termination. Yes V) No( ) specifications including sizing, length, number of elbows The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan Yes ( No ( ) assisted and natural draft appliances. The avicHnn cembt isfien air is sized and installed to meet the current codes Yes ( No ( ) and manufacturer's specifications. When required to Inetall a n _w cembuctien airs it will be sired and installed to meet the current codes and manufacturer's specifications. Yes No ( ) When installing a new vin-QnXtgm, the undersigned hereby verifies that it is'a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA -LAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yesp No ( ) Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. YeV ) No ( ) Annl� pIMpe and Si7p/Ge men Vent and Vent _ennacter Infermaiinn &; JK -Appliance #1 Type F, BTU Input 6 p. &CJ�an Assisted o Nat Appliance #2 Type -tom : -�- i#c c/.� BTU Input �� sss ed Tan or atAppliance #3 Type BTU Input an Assisted or at Total Appliances Total Btu Input Common Vent Type Vent Height Diameter inches Appliance #1 Vent Connector Height ft Length ft Diameter in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type — HEATING CO: AC. z- Signed By: Date: 1 v - �- /D �JAOO— UIYOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (763) 571-3450 • FAX (763) 571-1287 May 18, 2004 Ms. Sharon Klemme 4845 Main St NE Fridley, MN 55421 Re: Final Inspection at 4845 Main St NE Contractor: Action Heating & AC Dear Ms. Klemme: A mechanical permit was issued on November 3, 2003 to install a furnace and an air conditioner at your address. According to the 1991 Uniform Mechanical Code a final inspection shall be conducted on the work authorized by this permit. As of this date the inspection has not been requested. The permit fee that was paid covers the inspection to make sure the work was completed according to the Codes. We will keep your permit open for another 30 days and if we do not hear from you within this time to set up the inspection, we will mark the permit "no inspection called for by homeowner after notification" and the permit will be expired. To set up the inspection or to have any questions answered, please contact the Building Inspection Division at (763) 572-3604. Sincerely, DJ/mh 3uilding $ (.� 1 .� BUILDING Permit No.: inspections 65% of Building Permit Fee RESIDENTIAL APPLICATION Received By: 763-572-3604 Surcharge CITY OF FRIDLEY Date Recd:- )ATE 3h2po YOUR E-MAILADDRESSM MM el`_ VV1 N _ tnr C .0 � LITE ADDRESS AAA �` lf� St /��Erip I�/l A� i SAC Charge ,'HIS APPLICANT APPLICANT IS: ,OWNER ❑CONTRACTOR Curb Cut Escrow PROPERTY OWNER/ NAME: v M,1u Erosion Control ADDRESS:�t L� l>�' CITY STATIol. l TENANT $ PHONE: �,3 - S7/ -e 1 5`93 C.2-11- -763-3(o®-7?0 0r7F71 CONTRACTOR NAME: Agreement necessary ( ) Non Necessary ( ) STATE LICENSE # EXP DATE $ SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS: CITY STATE ZIP WITH APPLICATION p O FAX PROPERTY TYPE iNGLE FAM W CONSTRUCTION SIZE ❑ TV LYMEW CONSTRUCTION STORIES L PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK:P4NE�' 13 ADDITION 13MAIlVTENANCE/REPAIR ❑ REMODELING t DESCRIBE WORK BEING DONE: � c!n'Q oto Ix l$- Sec CIL voce-� L 6ihS2 SIZE OF IMPROVEMENT LENGTH oZOt WIDTH HEIGHT 1" ti ! Sq. F>: OD ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES ❑ ATTACHED GARAGE I. Existing Floor Plan 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: SIDING 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 WIIVDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION S C 2E� OCCUPANCY TYPE Pennit Fee $ (.� 1 .� See Back Page for Fee Schedule Plan Review $ V j . a 65% of Building Permit Fee Fire Surcharge $ 3-95 .001 times the total job valuation Surcharge $ 1, .0005 x Permit Valuation Minimum $.50 License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $1550 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $21= $ 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 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; that the work will be in accordance with the approved plan in the case of all worw ich re t 'r€s view and approval of plans. SIGNATURE OF APPLICANT PRINT NAME t(P�DATE� GOLDEN VALLLY, MINN. INWSTRIAL - JUDICIAL. COMMERCIAL - TOPOGRAPHICAL CITY LOTS . PLATTING We 14W ■ rrms w r a fto vawvvom a --%■'u ■ OYI/ 1{JNRV AtC. n. � LAND SURVEYORS BROOKLYN PARK;'MINN: REGISTERED UNDER LAWS OF STATE OF MINNESOTA LICENSED BY ORDINANCE OF CITY; Or MINNEAPOLIS 6917 Ida1111 Ave. N. 533.9922 Minneaix9lim, Minnevula 55128 burbeporg Certificate LINING MORE 30 YEARS of LAND SURVEYING EXPERIENCE IN THE' \1 tiU fPOPOLITAN AREA Survey for: ORVILLE :4 T1.,KES �C:sir?:•.: 1" = 301 �za.9 a l Iv.rl933 r'.:: -.115-2q L � -a T10D "i �.�� �.� . r'_._.�'re?ice 22WA Lots 23 and 24 4, , Plyaouth, Anoka County, Minnesota I �' . zsr F 6 4 1� We ,hereby certify that this is a true and correct represents 10 ..'tion of a, survey of the boundaries of 'the above dgeribod $lgppjpl ✓ � land •arid the location of all buildings and visible enctoaeh. : menta.' If anv_ fry m nw a..A I nd FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (763) 571-3450 • FAX (763) 571-1287 BUILDING PERMIT APPLICANT: PROPERTY OWNER understand that the State of Minnesota requires that all residential building contractors, remodelers and roofers obtain a state license unless they qualify for a specific exemption from the licensing requirements. As the owner of the property at � i � L( C_ XA.6�i �,\ 6 -, Fridley, I am exempt from the state licensing requirement only if I am not building or improving this property for purposes of resale. By signing this document, I attest to the fact that I am improving this house for my own use and do not intend to sell it. I hereby claim to be exempt from the state licensing requirements because I am not in the business of building or remodeling on speculation or for resale and that the house for which I am applying for this permit, isl the first residential structure I have built or improved in the past 24 months. I also acknowledge that because I do not have a state license, I forfeit any mechanic's lien rights to which I may otherwise have been entitled under Minn. Stat. 514.01. Furthermore, I acknowledge that I may be hiring independent contractors to perform certain aspects of the construction or improvement of this house and I understand that some of these contractors may be required to be licensed by the State of Minnesota. I understand that unlicensed residential contracting, remodeling, and/or roofing activity is a misdemeanor under Minnesota law, and that I would forfeit my rights to reimbursement from the Contractor's Recovery Fund in the event that any contractors I hire are unlicensed. I have also been informed and acknowledge that by listing myself as the contractor for this project, I alone will be responsible to the City of Fridley for compliance with all applicable building codes and city ordinances in connection with the work being performed on this property. Date ?1,3 I o G