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PRE 2010 DOCSrt 21-1426 City ®f Fridley, XHnn. BUHDING PERMT w® 7021 Date: Owner: Builder -- Address Address /0 f O BILDING No. _ Street - Partof t -• Lot Addition o Sub -Division © s Corner Lot Inside Lot _'0'7® Setback J_ 16 _ _ Si eyard _ Sewer Elevation - ®, ty- :4 Petmftdan Elevation -I-OP QP= paTlA/6 DESCRIPTION OF BUILDING 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 all provisions of ordhianc� of the city of Fridley. In consideration of the payment of a fee of $ 4 0 , permit is hereby granted to to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, m all work. done in, around and upon said building, or any thereof, shall ceffiorm in all respects to the ordinances of Fridley, Miimesota regardinng location, construction, alteration, maintenance, repair and moving of buildings within the dty limits and this permit may be revoked at any time uponoa of nay of the provisions of said Ordinances. tAT ai Building Inspector NOTICE: 'this perm* dees not oaver the construction, installation for wiring, phmubing, on heating, sewer or water. Be sore to we the Buihihm hapomr for separate permhs for there hems. No, � Street, .:,part of Lot Lot Block Addition -or Subdivision Corner Lot Inside Lot Setback Side -Yard SEWER ELEVATION FOUNDATION ELEVATION Applicant attach. to this,.form, Two,Certificates of; Survey of Lot.:and proposed build- ing location draws on these Certificates:' DESCRIPTION OF BUILDING To be used as: Front Depth Height Sq;. Ft. Cu. Ft.' Front Depth Height Sq, Ft Cu, Ft'. 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,, anc,hereby declares.that all the facts and representations stated in this application are true:and correct. jSchedule of Fee Costs can be found on the Reverse Side). Application for Power Plants and Healing, ding, 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 Furnace Shell & Duct Work to 120,000 BTU ............ each add. 60,000 BTU ....................... Replacement of Furnace ............................ Repairs & Alterations—up to $500.00 ................. Repairs & Alterations each add. $500.00 .............. 8.00 $ 2.00 $ 5.00 $ 5.00 $ 2.50 $ STEAM or HOT WATER SYSTEM�y Furnace Shell & Lines—to 400 sq. ft. EDR Steam ..... 8.00 $—� Furnace Shell & Line—to 640 sq. ft. EDR Hot Water .. 8.00 $ LPach add. 200 sq. ft. EDR Steam ...................... 2.50 $ Each add. 320 sq. ft. EDR Hot Water .................. 2.50 $ O& BURNER—to 3 gal. per hour 5.00 $ over 3 gal. per hour—See Fee Schedule c� 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 $ ROUGH Dept. of Bldgs. Phone SII 4-7470 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 and correct. Fridley, Minn. / , 19 Owner Kind of Building Used as To be completed about Estimated Cost, $ Old ew. wilding Permit No. Permit No.-----) DESCRIPTION OF WORK HEATING or POWER PLANTS --Steam. Hoott Water, Warm Air—No. Trade NamL'.,z ng' "� ''` '' 1nL Size No Capacity Sq. Ft. E.D.R `' v LVQ BTU H.P Total Connected Load Kin of Fuel BURNER — Trade Nam s e -A4,"I '; Size No Capacity Sq. Ft. E.D.R BTU H.P FINAL (REMARKS -OVER) Signe °0 By .dW 4Z Business Phone No �j H T G. C O NT R. NAME N A/ ADDRESS %fid e ., DATE JOB rNAME 1�Z12-5' ease-j� ADDRESS FL . ROOM LENGTH// . W I DTH f HEIGHTS AFL. �� > ROOMLENGTH ��, WIDTH HE I GHTZ _rINDOW5 AND DOORS•CRACKAGE AND AREA NO. OF LINEAL FT AREA N0. WIDTH HEIGHT LIGHTS OF CRACK SQ. FT /ten¢� . �� w� . / -✓ .. n°' i / �i7l�I // WINDOWS AND DOORS-CRACKAGE AND AREA NO. OF LINEAL FT. AREA NO. WIDTH HEIGHT LIGHTS OF CRACK SQ. FT COEF. BTU COEF. BTU INFILTRATION �� ��j ✓ �� INFILTRATION GLASS L U © GLASS EXP. WALL EXP. WALL NET EXP. WALL '2 2 NET EXP. WALL CEILING 20 e e / 6 �U G{ - 5�� %1 -e FLOOR FLOOR TOTAL BTU. TOTAL BTU. FL. r, "',,,ROOM LENGTH A WIDTH HEIGHT�® FL.«" ROOM 1ENGTHj,5- WIDTH HEIGHT WINDOWS AND DOORS•CRACKAGE AND AREA FT. AREA NO. OF LNO. NO. WIDTH HEIGHT LIGHTS OIFERACK SO. FT. _ ® WINDOWS AND DOORS•CRACKAGE AND AREA OF LINEAL FT A N0. WIDTH HEIGHT LIIGHTS OF CRACK SORET. 1,9 �s 7 o 1YI I. ` 5' COEF. BTU. 'L COEF. BTU. INFILTRATION INFILTRATION GLASS ��. ?/0 GLASS EXP. WALL. - EXP. WALL NET EXP. WALL 271 NET EXP. WALL CEILING FLOOR FLOOR Vis- oc, TOTAL BTU. ? TOTAL BTU. %i�IN a ROOM LENGTH WIDTH HEIGHT FL. ROOM LENGTH WIDTH HEIGHT WINDOWS AND DOORS•CRACKAGE AND AREA NO. WIDTH HEIGHT N0, OF LINEAL FT. AREA LIGHTS OF CRACK SQ. FT. s.� O41 Z u tl P �L Q WINDOWS AND DOORS•CRACKAGE AND.AREA N0. WIDTH HEIGHT N0. OF LINEAL FT. AREA LIGHTS OF CRACK SO.FT. COEF� BTU. I COEF. BTU. INFILTRATION _f -,g INFILTRATION GLASS PG ✓' GLASS EXP. WALL -2 r EXP. WALL NET EXP. WALL �� ® �`)? (j NET EXP. WALL C-FILING ?� O a. CEILING FL` FLOOR TOTAL BTU. TOTAL BTU. TOTAL BTU. HEAT LOSS HEATING UNIT TOTAL E.D.R..STEAM TOTAL SQ. FT.H.W. NAME & P o l HTG . CONTR . ADDRESS jROOM LENGTH/jos WIDTH / HEIGHT Cl —1 INDOWS AND DOORS-CRACKAGE AND AREA NO. WIDTH HEIGHT No. OF LINEAL FT AREA ✓ .��� LIGHTS OF CRACK SQ. FT. DATE NAME y J 0 B [ADDRESS 1' -1 1 1 1 COEF.1 BTU I WINDOWS AND DOORS-CRACKAGE AND AREA I N0. WIDTHHEIGHT NO. OF LIGHTS LINEAL FT. OF CRACK AREA SQ. FT ® INFILTRATION // 17 GLASS �® 1' -1 1 1 1 COEF.1 BTU I I I I I COEF.1 BTU INFILTRATION ® .5"o ® INFILTRATION j GLASS �® ® GLASS� GLASS � / �a GLASS EXP. WALL OJT�� P EXP. WALL D 'Y EXP. WALL NET EXP. WALL %U /� P' NET EXP. WALL NET EXP. WALL 1.22 /® � NET EXP. WALL © CEILING �a CEILING �® ®® CEILING ��� ,.-.;'-� FLOOR TOTAL BTU. FLOOR LOSS HEATING UNIT TOTAL E.D.R..STEAM TOTAL SQ. FT. H.W. TOTAL BTU. TOTAL BTU. FL. t TOTAL BTU.® ,/- ROOM LENGTH �� WIDTH TOTAL BTU., FL. Y _2 " ROOM LENGTH/D,21-WIDTH /Z1 FL. RROOM LENGTH W I DTH > v� Illddd HEIGHT �% FL. �� ROOM LENGTH/�,'f WJ DTH % HEIGHT WINDOWS AND DOORS-CRACKAGE.AND AREA i WINDOWS AND DOORS-CRACKAGE AND AREA OF ARE NO. OF CRACK SFT. NO. WIDTH HEIGHT HHEIGHT 6 s— %', fs Z tl NO. WIDTH HEIGHT NOOF OIF EAL F SQFT. . R y / 1' -1 1 1 1 1 COEF.I BTU. I I I I I COEF.1 BTU. INFILTRATION �/ S� j L INFILTRATION - / j GLASS �® ® GLASS GLASS EXP. WALL EXP. WALL EXP. WALL P EXP. WALL /e✓° 'Y NET EXP. WALL NET EXP. WALL %U /� 700 NET EXP. WALL / ✓� ry CEILING v © CEILING FLOOR FLOOR -ar3 TOTAL BTU. TOTAL BTU. HEAT LOSS HEATING UNIT TOTAL E.D.R..STEAM TOTAL SQ. FT. H.W. TOTAL BTU. TOTAL BTU. FL. © ,/- ROOM LENGTH �� WIDTH HEIGHT FL. Y _2 " ROOM LENGTH/D,21-WIDTH /Z1 HEIGHT �7 WINDOWS AND DOORS•CRACKAGE AND AREA N0. WIDTH HEIGHT NO. OF LINEAL FT. AREA LIGHTS OF CRACK SQ. FT. > v� Illddd WINDOWS AND DOORS•CRACKAGE AND AREA N0. WIDTH HEIGHT N0. OF .LINEAL FT. AREA LIGHTS OF CRACK SQ. FT. !�� COEFI BTU. I I I I I COEF.1 BTU. INFILTRATION3 130�� INFILTRATION - / GLASS �® ® GLASS EXP. WALL EXP. WALL P NET EXP. WALL 0 NET EXP. WALL %U /� 700 --QE LING FL O R j' /b �® CEILING �/ d //++ PL -am 67- TOTAL BTU. -ar3 TOTAL BTU. TOTAL BTU. HEAT LOSS HEATING UNIT TOTAL E.D.R..STEAM TOTAL SQ. FT. H.W. I City of Fridley Application %r Plumbing and Cos Fitting Permit Dept. of Bldgs. Phone SU 44-7470 DESCRIPTION OF WORK ,�`, Number, Kind and Location of Fixtures Location C e � 3 55u�} A� 3 a 3� y o�'a ee Z Q a $m w a3 c9 °d w o Z (90 b WATER HTR. Base ist 2nd 3rd 4th ` Future Cona®ctton Openings New Fixture, Old Openings Connected with Sewer Cesspool PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures....... ........ x $1.50 Future Fixture Opening ................. x 1.20 $` New Fixture Old Opening .............. x 1.00 $ Catch Basin .... ....................... x 3.25 $ Water Heater (Up to 200,000 BTM ...... s x 2.00 $ e New Ground Run Old Bldg . ............ x 3.25 $ 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, Minn c— Owner ' S C Kind of Building Used as To be completed about --C-�—� -V1 -� Estimated Cost, $ Old—New. Building Permit No e® ROUGH GAS FITTING FEES: NO. RATE TOTAL FINAL 1st 3 Fixtures .......................... x $1.50 $� Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description $ ................... / TOTAL FEE $0r 0 .QIW42 Business Phone N CITY OF FRIDLEY Effective Date May 1, 1988 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE RESIDENTIAL RATE TOTAL Furnace Shell and Duct Work, Burner (Also replacement furnace) Gas Piping (piping needed with new furnace) Gas Range Gas Dryer $ 20.00 $ 10.00 $ 10.00 $ 10.00 * Air Conditioning (all sizes) $ 10.00 All Others/Repairs and Alterations 18 of Value of Appliance or Work .41k #t?7Vd -1Z -35; , X e, e- COMMERCIAL/INDUSTRIAL 1% of Value of Appliance or Work State Surcharge TOTAL FEE Reinspection Fee ($15.00) Rough Insp. Date Final Insp. Date Approval for Permit MINIMUM FEE FOR ANY HEATING PERMIT IS $15.00 PLUS $.50 STATE SURCHARGE *Air Conditioners can not be placed in side yard without written permission from adjoining neighbor. $ (0, co $ 2_®• C70 $ $ .50 $ Job Address c � /C ���E� �/C W/q Department of Buildings, 6431 University Ave. N.E., Fridley, MN 55432 City of Fridley Tel. #571-3450 The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. Fridley, / Minn.'/ � -117? . 1 OWNER !�� i/ /�� Iri / E,1,A rf Le (C!�Y-- KIND OF BUILDING / �i�o -cis A3'� USED AS TO BE COMPLETED ABOUT ESTIMATED COST "7 00(D' OLD - NEW BUILDING PERMIT NO. PERMIT NO. DESCRIPTION OF FURNACE/BURNER HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No. Trade Name Capacity Total Connected Load BURNER - Trade Name Size No. Sq. Ft. EDR BTU HP Kind of Fuel Size No. Capacity Sq. Ft. EDR BTU HP Company Signed By Tel. No. Fill out back side for stack verification on replacement furnaces CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack; 1. Has been carefully examined Yes (�) No ( ) 2. Is free from rust or deterioration Yes ( j No ( ) 3. Has no foreign objects lodged within Yes ( ) No ( ) 4. Is securely supported Yes ( ) No ( ) 5. Meets all current Code requirements for size and total BTU connected Yes ( ) No ( ) 6. Has Total heating BTU's of All other BTU's TOTAL Remarks Company Signed By Da to SUBJECT City of Fridley d779 '4972 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. • COMMUNITY DEVELOPMENT DIV. a.- ------ PROTECTIVE INSPECTION SEC. r � NUMBER REV DATE PAGE OF APPROVED BY /-"S CITY HALL FRIDLEY 55432 �"� 612-571-3450 910-F15 4/16/97 JOB ADDRESS 81 Rice Creek Way NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 15 1 Edgewater Gardens SHEET 2 PROPERTY OWNER, MAIL ADDRESS ZIP PHONE Marlis Westinfield 81 Rice Creek Way NE 574-7525 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Jim Marinaro Construction 719 Paul Parkway N, Blaine Mn 55434 754-5030 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 20023644 5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK O NEW ❑ ADDITION ALTERATION ❑ REPAIR ❑ MOVE ❑ , REMOVE 8 DESCRIBE WORK Bathroom alterations 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. 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 $5,500 $2.75 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAG CHARGE PROVISI SOF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $112.25 Fire SC $5.50 TRUC 10 OR THE PERFORMANCE OF OQNSTRUCTION r ?� PLAN CHECK FEE TOTAL FEE (__� r'1 Licens SC 5.00 $125.50 516f1ATURE OF CONTRACTOR ORAUTHORIZEO AGENT (DATEi N P ERLY A 1DATED THIS IS Y R PERMIT SIGNATURE OF OWNER,IF OWNER BUILDER) iDATEi BLDG (NSP )ATE NEW [ ] Effective 1/1/97 ADDN [ ] CITY OF FRIDLEY ALTER I -r SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: b Q C e V ex_- K. ie(1 A-�i Legal Description: Owner Name & Address: mlk v I. i S Q,t:1 est- ti $'v g 1 Tel. # -S-7-4— 7 5a S' Contractor: J 1 m M v i vla VQ dO P1s 1' MN LICENSE # Acoa, 3 (e 44 Address: -710L P a„-1 Pc-k,L,_,x Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF EMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: % &,a+h ZVj-eQ )A Y1Li m, 0 h 17 Construction Type: &A + M V aoyN Ri -e m cdd Estimated Cost: $ 5, 15-00 00 (Fee Schedule.on Back) Driveway Curb Cut Width Needed < Ft. + 6 Ft = Ft x: $ _ $ DATE: 4/ - / 1 - c1 7 APPLICANT: cj. ►i a yo Tel. '# ? CITY USE ONLY Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control $ / 1"?• 1_�S_ Park Fee $ Sewer Main Charge $ TOTAL STIPULATIONS: Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $950 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 [ ] 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, 1997 PLUMBING FIXTURE RATES: NO. RATE TOTAL JOBADDRESS New Fixtures $ 7.00 The undersigned hereby makes application for a perm it for the work herein Old Opening, New Fixture_ $ 4.00 B' specified agreeing to do all work in strict accordance with the city codes Beer Dispenser $ 5.00 and rulings of the Building Division, and hereby declares that all the facts Blow Off Basin $ 7.00 and representations stated In this application are true and correct. Catch Basin $ 7.00 - Rain Water Leader $ 7.00 1997 Sump/Receiving Tank $ 7.00 Water Treating Appliance $10.00 Owner Water Heater —Electric $ 7.00 Water Heater — Gas** $10.00 Building Used AsA-�.�Gr�L.�- Gas Range** $10.00 Gas Dryer** $10.00 } Estimated Cost PERMIT NO. Back Flow Preventer Required ( )Yes O No Type $15.00 �p PLUMBING COMPANY 47 Reinspection Fee $42.00/Hr SIGNED BY�cc%�: v TEL No. ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance Approved By — Rough—In Date Final Date State Surcharge $ .50 MINIMUM FEE IJOR ANY PLUMBING/GAS PERMIT IS $20.00 TOTAL FEE $© PLUS THE $.50 STATE SURCHARGE **COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6—A. MINIMUM SIZE 9 SQ INCHES. O. SUBJECT N City of Fridley 250 5 Q 1 AT THE TOP OF THE TWINS BUILDING PERMIT Ir EIPT NO. � • _ COMMUNITY DEVELOPMENT DIV. 1 PROTECTIVE INSPECTION SEC. 0 r CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910-F15 5/12/97 / JOB ADDRESS 81 Rice Creek Way NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 15 1 Edgewater Gardens SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Marlis Westenfield 81 Rice CReek Way NE 5.74-7525 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Jim Marinaro Const 719 Paul Parkway, Blaine MN 754-5030 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 20023644 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ADDITION O ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 12' x 10' Addition to House 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. WARNING Before digging call for SEPARATE PERMITS all utility locations .-RE FOR WIRING, HEATING, 454-0002 PLUMBING G AND SIGNS. REQUIRED BY LAW 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 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 $7,188 $3.59 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- $137.25 Fire SC $7.19 STRUCTI OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTAL FEE License SC $5.00 $153.03 I N URE OF CO TRACTOR OR AUTHORIZED AGENT tDATEI HEN PROPERLY VALID ED THIS IS YOUR PERMIT P��dQ —,--B LDG INSP GATE SIGNATlei URE OF OWNER OF OWNER BUILDERi IDATEI O. NEW [ ] Effective 1/1/97 ADDN I ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 % BUILDING PERMIT APPLICATION ConstructionAddress: 01(_e Vec K Legal Description: L a 9 Owner Name & Address: �S t�'e s� �' i (c� Tel. # 574- 7s_',s- Contractor: j i m M cA v j ,,& vo MN LICENSE # ao( A Address:_ 17 ) ci Pc,,l tom? Tel. # 7 q - S -a 3 a 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 :� Length Width Hgt/Ground Sq. Ft. �ARE � /gel Construction Type: �1 ROO rl\ Estimated Cost: $ 1,Y) o (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: " J APPLICANT: ,a -- Tel. # `7s Gl - 5-630 CITY USE ONLY Permit Fee $ 872 Fee Schedule on Reverse Side Fire Surcharge $ G .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $950 per SAC Unit License Surcharge $ , 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 [ I Not Necessary [ ] TOTAL STIPULATIONS: $- Zf i,,Q Exterior Envelope Thermal Transmittance Worksheet stTi3 ADDRESS clTx NAME OF PERSON COMPLETING FORM DATE Assembly Area (Sq Ft) I U Factor JU-Factor x Area If C is greater than ®, or Q is greater than (8), revise the design as necessary to meet the envelope criteria of the Energy Code. 1) U -factor for skylight and window must be determined by the National Fenectration Rating, Council Standard 100-91 or ASHRAE 1993 Handbook of Fundamentals, Chapter 27, table 5- 2) Thermal Transmittance of opaque components {including mtegraUy insulated masonry and metal stud framing} — use part 7670.0450, subpart 4. vn f Form for use with Minnesota Rules part 7670.0475, Subp. 2 Z & 2 Family Residential "Cookbook" Method SITE ADDRESS ( 't''4 (C. e 6 v e-e"te. E.A.. a BUILDER . Minimum Criteria: Date V tel 4.e< Rim Joist: R-19 insulation Foundaton Windows: Insulated glass 1/2" air space, wood or vinyl frame Entry doors: 13/4 inch solid wood with storm or better STEP 1 Window & Door Area Total Window & Door Area in Sq. Feet WINDOWS (including foundation windows): Dimensions Qnty. Area 9(0*"X 0 9, go oC'x 0" 30 Lt q X 0 �ko i X 1 Total Area nf wail �B X X X X X X DOORS: X X X Total Area of Window & Doors i 33.5 A Total Wall Area in Sq. Ft. Wall Total Perimeter Height Area STEP 2 Calculate area as a percent of wall Box A (window & door area) divided by Box B (total wall area).times 100 equals the window and door area as a percent of wall area (Box Q. Box Boy s 13 *-2>,5 x 100= C Aco ?, STEP 3 Design Features ASSEMBLY OPTION FRAME WALL: STANDARD FRAMING ADVANCED FRAMING CAVITY INSULATION SHEATHING: LESS THAN R-5 R-5 OR MORE WINDOWS (except foundation windows): U -FACTOR I U- � 31 From the table, determine the maximum percent window & door area for the design options selected and enter the value in box D below: I Able O0't t -t &aoS Box C must be less than or equal to Box D Total Area nf wail �B STEP 2 Calculate area as a percent of wall Box A (window & door area) divided by Box B (total wall area).times 100 equals the window and door area as a percent of wall area (Box Q. Box Boy s 13 *-2>,5 x 100= C Aco ?, STEP 3 Design Features ASSEMBLY OPTION FRAME WALL: STANDARD FRAMING ADVANCED FRAMING CAVITY INSULATION SHEATHING: LESS THAN R-5 R-5 OR MORE WINDOWS (except foundation windows): U -FACTOR I U- � 31 From the table, determine the maximum percent window & door area for the design options selected and enter the value in box D below: I Able O0't t -t &aoS Box C must be less than or equal to Box D Assembly R and U -Factor Forms ASSEMBLY �+ "_ . W Material (Describe) Thickness R -Value Interior Film Coefficient 4 ROCK»�5 -7 S • 3� y [It YMa 1 Y1 • • 49 I JP c ► �, T • ��� Y r"btell S�eC44-hioci, a' Z Exterior Film Coefficient TotalAssemply Thermal Resistance,CaiS #•3 Assembly U -Factor (I /Total R) a ASSEMBLY1 Material (Describe) Thickness R Value Interior Film Coefficient CP i 1 ar -7 S • 3� vamuM4. . S &--I" ? c ► �, T • ��� Y Y j rj1,1t70C� 'troc%. a' Exterior Film Coefficient Total Assemply Thermal Resistance #•3 Assembly U -Factor (I /Total R) , 0;k 0 Material (Describe) IThickness I R Value Interior Film Coefficient Exterior Film Coefficient Total Assemply Thermal Resistance Assembly U -Factor (1 /Total R) ASSEMBLY O p 4^ Material (Describe) Thickness R Value Interior Film Coefficient CP i 1 ar -7 S • 3� 1/.��( \. - V1 ) '12V-% T • ��� Y Exterior Film Coefficient Total Assemply Thermal Resistance #•3 Assembly U -Factor (1/Total R) Material (Describe) Thickness R -Value Interior Film. Coefficient . Exterior Film Coefficient Total Assemply Thermal Resistance Assembly U -Factor (I /Total R) Material (Describe) iThickness R -Value Interior Film Coefficient Exterior Film Coefficient Total Assemply Thermal Resistance Assembly U -Factor (1/Total R) R, e e�(4C' l l r ® 5 ll (zs1 d OO ss or 4rS-/®v dam, CITY OF FRIDLEY INSPECTION DIV. Effective On January 1, 1997 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) Gas Range Gas Dryer *Air Conditioning — All Sizes All Others/Repairs & Alterations (LIST ON BACK) 1 % of Vklue of Appliance or Work Commercial/I ndustrial 1,25% of Value of Appliance or Work Rate $ 30.00 $ 10.00 $ 10.00 $ 10.00 $ 25.00 JOB ADDRESS The undersigned hereby makes application for a permit for the work herein TOTAL 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. ,1997 OWNER ✓_ i'` BUILDING USED AS - ESTIMATED COST �'r PERMIT N0.�i DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units Trade Name BTU Fuel State Surcharge $ .50 Burner Trade Name BTU TOTAL FEE $ �75` 5 MINIMUM FEE FOR ANY HEATING/COOLI�ENTILATIO_N REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. Circle One (Steam) (Hot Water) (Warm Air) Size No, HP EDR _ Total Connected Load Size No. HP EDR HEATING Signed Bel No. Approved Bye�t Rough—In Date Final Date FILL OUT BACK SIDE FO STACK VERIFICATION ON REPLACEMENT FURNA E 500 List ALTERATIONS Being Done: _. HEATING CO: Signed By: Date: CEM%EWY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack. 1. Has been carefully examined Yes {) No ( ) 2. Is free from rust or deterioration Yes () No ( ) 3. Has no foreign objects lodged within Yes ( ) No ( ) 4. Is securely supported Yes ( ) No ( ) 5. Meets all current Code requirements for size and total BTU's connected Yes () No ( ) 6 Has total heating BTU's of All other BTU's TOTAL BTU's 7. Has a liner been provided for water heater Yes ( ) No ( ) 8. Has combustion air been provided for water heater Yes ( ) No ( ) List ALTERATIONS Being Done: _. HEATING CO: Signed By: Date: Marliss Westenfield 81 Rice Creek Way Fridley, MN 55432 October 31, 1997 Mr. John Flora, Director Public Works City of Fridley 6431 University Ave. N.E. Fridley, MN 55432 Dear Mr. Flora; I was watching the telecast of the October 27th Council Meeting last night, wherein you said the level of the Locke Lake would be set at 820.3 again next year. Because your letter of August 22 indicated the City wanted the flexibility of raising the water level to 821, 1 would very much appreciate your confirming to me, in writing, that it will be set at 820.3 next year, and will this hold true in the future as well? I do need your assurance so that I can discontinue the action I was in the process of taking to make sure that the City of Fridley would be liable should my home be flooded with the water set at a higher level. Please respond. Sincerely, Madiss Westenfield FOR YOUR INFORMATION: According to the survey, as sent to me by Jon Haukaas, the high point of my lot is 823.41. My home entrance and floor level drops down to 822.26. We know from past experience that after a heavy rain the water level rises between 2 and 2-1/2 feet. With the Lake at a level of 821, after a heavy rain I could very well get flooded. This has been expressed to you many times by me. I have been requested to raise my wail to accommodate 821. Raising my wall to accommodate the Lake at 821 will not keep the water from rising to a flooding level after a heavy rain. We know that after a normal rain, the water level rises to approximately 822. (And I might add that it Is then us who have the responsibility of calling the City to get the dam lowered. I don't know of any time the City has come without our calling. I question what if we were not available—middle of night, vacation, etc.). Rather than jeopardizing me, the logical solution would be (and/or would have been) to dredge where people have low water. It Is my intention to secure from the City of Fridley, assumption of liability should my home become flooded due to the water level of Locke Lake being set at a higher level than 820.3. cc: Jon Haukaas, Asst. Pub. Works Dir. Tom Hovey, Department of Natural Resources Robert Barnette, Councilmember-at-large Ann Bolkcom, Councilmember Nancy Jorgenson, Mayor C17YOF FRIDLEY FRIDLEY MUNICIPAL CENTER - 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 - (612) 571-3450 - FAX (612) 571-1287 December 23, 1997 PW97-201 Mrs. Marliss Westenfield 81 Rice Creek Way Fridley MN 55432 ,Subject: Shoreline Stabilization Dear Mrs. Westenfield: The City will initiate a project to add additional material along your property shoreline as a result of the concerns you have with the lake elevation. While I realize you feel that additional dredging and a lower lake elevation would satisfy everyone, the DNR will not allow dredging near shore. Therefore, we feel that this will be the most agreeable solution to resolve the Locke Lake water elevation is$ue. We will be raising your existing retaining wall to a minimum elevation of 821.5 feet and, if necessary, adding rip -rap along the base of the walls and in gaps between walls; ..Black dirt and seed will be added behind the walls to blend into the existing yard. This will give 6 inches of protection above the proposed lake elevation of 821.0 feet. This project will be completed by the City. We propose to begin this project this winter or early in the spring. The majority of the work will be done along the shoreline to minimize landscaping impact. Permission from you as the property owner is required before any work is begun. Please sign the below agreement and return it as soon as possible so we may schedule the project. If you have any questions or, additional comments, please call me at 572-3551. Sincerely, Jon H. Haukaas Assistant Director of Public Works JHH:cz I do hereby give license allowing access on and across my property to the City of Fridley and its Contractor for the installation of shoreline stabilization. Jf I Date J ROBERT E. HALVA, P.A. ATTORNEYS AT LAW 3948 CENTRAL AVENUE N.E. COLUMBIA WEIGHTS, MN 55421 ROBERT E. HALVAFAX (612) 7884420 January 26, 1998 Mr. John G. Flora Director of Public Works City of Fridley Re: Locke Lake Shoreline Improvements Marliss A. We4tenfield Our File No. #495. Dear Mr. Flora: (612) 788-9108 We are writing in response to the letter dated December 23, 1997 (a copy of which is attached) as attorneys for Marliss Westenfield. We are also enclosing a copy of Ms. Westenfield's letter of October 31,1997, wherein she expressed her misgivings about the proposed project. Ms. Westenfield has spoken with you or your staff a number of times but has yet to receive answers that satisfy her concerns. Raising the level of Lock Lake to 821.0 feet will certainly put Ms. Westenfields home in jeopardy. Her rear entrance and basement floor level are at 822.26 feet. In the past heavy rains have caused the water.level to raise between 2 and 2 %2 feet. With the dam at 821.0 feet such events in the future will cause significant harm to my client's property and that of other lakeshore homeowners in similar circumstances. We understand that increasing the level of the lake will aesthetically enhance certain homeowners property but in doing so you are putting the property of Ms. Westenfield and others in significant peril. We suggest that the lake level be set at 820.7 ;feet until such time that an electronic lowering device can be installed that would automatically regulate the dam height by the water level. This proposal would be an increase of .4 feet fromjthe exiting level. If the city still insists on raising the level of the lake, Ms. Westenfield will allow access to the property contingent on the following: 1) Her level be raised one block with new blocks conforming to existing. January 26,1998 Page 2 2) New blocks are filled as are the exiting blocks. 3) One foot of gravel on the house side of the new blocks covered by black dirt and seeded. 4) No Rip -Rap on lake side of wall (there is none in front of present wall) Please note that we have deleted the line releasing the city from future claims relative to the project. We are returning the letter allowing' access not because we agree with the project, but because we have been led to believe that the', lake elevation will be raised whether we allow access or not. We intend to hold the city fully responsible for any damage caused by raising the lake level. Respectfully, ROBERT E. HALVA, P.A. By - Robert E. Halva REHJj c cc: Jon Haukaas, Asst. Pub. Works Dir. Tom Hovey, Department of Natural Resources Robert Barnette, Councilmember-at-Large Ann Bolkcom, Councilmernber Nancy Jorgenson, Mayor r Marliss Westenfield 81 Rice Creek Way Fridley, MN 55432 October 31, 1997 Mr. John' Flora, Director. Public Works City of Fridley 6431 University Ave. N.E. Fridley, MN 55432 Dear Mr.l Flora; I was watching the telecast of the October 2Yth Council Meeting last night, wherein you said the level of the Locke Lake would be set at 820.3 again next year. Because your letter of August 22 indicated t08 City wanted the flexibility of raising the water level to 821,1 would very much appreciate your cphfirming to me, In writing, that it will be set at 820.3 next year; and will this hold true in the future as well? I do need your assurance so that I can discontinue the action I was in the process of taking to make sure that the City of Fridley would be liable should my home be flooded with th'ewater set at a higher level. Please respond. Sincerely! MadISs Westenfield'.; FOR YOUR INFQBMgTION: . Accordin'7a to the'survey; as: sent to me by Jon Haukaas, the high point of my lot is 823.41. My home entrance and floor level drops down to $22.26. We know from past experience that after a heavy rain the water level :rises. between 2 and 2-1/2 feet. With the Lake at a level of 821, after a heavy rain I could verywell get flooded: Thls;has been expressed to you many times by me. I have been requested to raise my -Wall to accommodate 821. Raising my wall to accommodate the Lake at 821 will not :keep the water from rising to a flooding level after a heavy rain. We know that after a normal rain, the water leve,' rises to approximately 822. (And I might add that it Is then us who have the; responsibility of calling the City to get the dam lowered. I don't know of any time the City has come without our calling. I question what if we were not available—middle of night, vacation, etc.), Rather than jeopardizing me, the logical solution would be (and/or would have been) to dredge where people heve low water. It Is my Intention to secure from the City of Fridley, assumption of liability should my home become flooded due'to the water level of Locke Lake being set at a higher level than 820.3. cc: Jon Haukaas, Asst. Pub. Works Dir. Tom; Hovey, Department of Natural Resources Robert Barnette, Councilmember-at-large Ann 'Bolkoom, Councilmember Nancy Jorgenson, Mayor Building PLUMBING Permit No �' / Received By:=_ Inspections RESIDENTIAL APPLICATION Date MaR 1 763-572-3604 CITY OF FR - LEY YOUR E—MAIL ADDRESS DATE , ► C �% �� E SITE ADDRESS THIS APPLICANT IS: 0 OWNER % jICONTRACTOR PROPERTY NAME: ' , p r 1,1 STATF��IP ) OWNER/ ADDRESS: CITY TENANT PHONE: r CONTRACTOR NAME: � Chamaion �"°� -I� SUBMIT A COPY OF STATE LICENSE # 651-365-1340 �- STATE71IP YOUR STATE ADDRESS: )FAX LICENSE WITH PHONE _ 33 APPLICATION SINGLE FAMILY 0 TWO FAMILY 0 TOWNHOUSE PERMIT TYPE ❑ NEW �6D REPLACEMENT TYPE OF WORK: DETAILED DESCRIPTION OF WORK oo.0, whichever is greater, for the PER MS 16B.665 the permit fee is a minimum mresidential ofixture� xcluding the fixtures. (r 5% of the total cost up to Thissh should reflect only the cost of labor ) improvement, installation or replacement of X.05 Labor cost under $300 = $15.00. Labor cost between $300 to $500 =cost of labor KATE TOTAL FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (� _ NUMBER OF EACH BELOW) SHOWER WATER PIPING _ BATH SINKILAV FLOOR DRAINS —SHOWER POOL — WATER SOFTNER ($35) _BATHTUB —GAS PIPING (NEED CIT7'L1cENSE) —WATER CLOSET, BACKFLOW PREV. ($15) _ CLOTHES WASHER _ KITCHEN SINK WATER HEATER ($35) FOR IRRIGATION DISHWASHER _, LAUNDRY TRAY — WATER METER —OTHER I Mail $ r Number of fixtures @ $10.00 x $10.00 $ Permit Fee 50 Number of fixtures @ $15.00 x $15.00 = $ surcharge Number of fixtures @ $35.00 x $35.00 = $ TOTAL DUE $ State Surcharge = $----ILO Total = $ THIS IS AN APPLICATION FOR A PERMIT—NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in derstand s is conformance with the ordinances and codes of the City f Fridley s not a d wirt withoutM permit; that Construction work v�'11 be matacconrdanwith the e th the not a permit but only an application for a permit and work approved plan in the case of all wor hic uir eview and approval of plans. PRINT NAME SIGNATURE OF APPLICANT;.Js` Y x Filu '7..,s3�s:N='a..'.,t a� City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 do FAX: 763-502-4977 ����Z� 1 Building MECHANICAL Permit No.: P.01 Inspections RESIDENTIAL APPLICATION Received By: I PP4- 20 11 763-572-3604 CITY OF FRIDLEY Da 763-502-4977 FAX EFFECTIVE 1-1-2010 DATE 0 YOUR E-MAIL—ADDRESS ' � SITE ADDRESS F e AA ' V/ 1`, THIS APPLICANT IS: ❑ OWNER CONTRACTOR PROPERTY NAME: _rIp ADDRESS: CITY STATE IP S S 43 G OWNER/ TENANT � s 7 ^ T..r R PHONE: � CONTRACTOR c -A- COMPANY NAME: r CONTACT PERSON: SUBNIIT A COPY OF YOUR STATE STATE LICENSE # EXP DATE S^ LICENSE WITH ADDRESS16y �,g r CITYb�1 s+- STATE ZIP IT APPLICATION PHONE 7 6 3r, `t 7 It �( 169 FAX 763 - 69 -PERMIT PERMIT TYPE SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: ❑ NEW REPLACEMENT ❑ ALTERATION/REMODEL DETAILS ®DESCRIPTION OF WORK aOF FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) PROVIDE HEAT LOSS CALC'S PER MANU L J 20 HRAE HANDBOOK. MFG: MODEL: #O- 7`,i O SIZEBTU;�,yo© Equipment Installed MFG: MODEL: SIZE/BTU MFG: MODEL: SIZEBTU )CA/C $25.00 (GAS) $15.00 GAS RANGEIOVEN $10.00 _FIREPLACE AIR TO AIR EXCHANGEER $15 (WOOD) $35.00 NEW GAS GRILL $10.00 _ _FIREPLACE $35.00 $35.00 _GAS UNIT HTR $10.00 _BOILER _FURNACE CHIMNEY LINER $10.00 DRYER $10.00 _POOL HEATER $35.00 _GAS DUCT WORK $10.00 GAS PIPING $10.00 VENTILATOR $15.00 i -- �� �'� 3 � <fpa �� ., �5 '9➢c%.+f'.f P R'Kdx Ti „ i 4 1' 7�'�' X '+'h � .�� P y�� Y f � P � �� � � £�b ��l -'z 5� flE z '"'...'A y ,CYTLfD S I _ '" `• %"gym f t� 0 4S b x- .8 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 work which requires 're``view and approval of plans. J" C> &+ e q V4 DATE l SIGNATURE OF APPLICANT PRINT NAME DATE APPROVAL INSPECTORS SIGNATURE_ yyy) City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977