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PRE 2010 DOCSCity of Fridley SUBJECT AE'M AT THE TOP OF THE TWINS BUILDING PERMIT r ECEIPT N L'______ COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION �p 30 / r SEC. 1 . � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-560-3450 910-F15 .8/26/76 JOB ADDRESS 6310 Squire Drive N.E. 1 LEGAL LOT NO. 9 BLOCK 3 CT OR ADDITION TRASEE ATTACHED Harris Lake Estates DESAL SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Brickner Builders, Inc. 6245 Ben More Drive, Fridley 574-9871 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑X NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ M V ,- VE 8 DESCRIBE WORK Construct a 40' x 46' Dwelling and a 25' x 24' Garage Before digging 0811 local Uillt' SMRA`"I'E PERMITS REQUIRED FOR WILING, TELEPHONE - E 9 CHANGE OF USE FRO� AEATING, PLUMBING AND SIGNS, STIPULATIONS Provide truss design. Provide a hard surface driveway. Provide sod in the front and side yards. Provide a verifying survey before capping. WATER LOCATION: 24' West of Manhole, 65' South of water service to Lot 1. SEWER LOCATION: I[Manhole Inv. 887.71) 10' South of water service. WYE ELEV: 887.15 TOP OF FOOTING: 890.50 Minimum—INIP®RTANT'-r - CITY OF FRIDLEY DOES NOT GUARANTEZ- THE NOTIFY THE FRIDLEY ENGR. ACCURACY OF UTILITY LOCATIONS AND ELEVATiGh:c-. DIVISION REGARDING CURE ijiS DATA 15 FOP, INFORWATION PURPOSES ONLY AND REMOVAL AND REPLACEMENT PLRSONS USING IT SHOULD VEPIFY THE INFORMATION AT DRIVEWAY OPENINGS, ON THE SITE. 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 SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION 25,860+6000 OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT 1-1 1419+600 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 $ 42, 915 $21.46 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE RUTH TY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE PROVISIONS OF NY OTHER STA O LOCAL LAW REGULATING CON- 127.44 $350.00 STRUCTI T E PERFORMA E O CONSTRUCTION. PLAN CHECK FEE TOTALFEE .86 1 $530.76 GNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) HEN PROPERLY V LIDATED THIS IS YOUR PERMIT* CJ oZ BLDG. INSP DATE SIGNATUREOF OWNER(IF OWNER BUILDER) (DATE) LU. CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL ALTERATION, ADDITION, OR REPAIR BUILDING PERMIT OWNER'S NAME: BUILDER : ADDRESS:— ADDRES S: 6 NO:. � � J 0 STREET: ✓`�' - - : LOT: Iq BLOCK: ADDITION: CORNER LOT: INSIDE LOT: SETBACK:' SIDEYARD: Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be .Used As: Front: Depth: e -11,1 ---Height: Square Feet: Yl Z Cubic Feet: .26-1660 Front: 6'2 6 Depth: Height: e'o Square Feet; Cubic Feet: _0 Type of Construction: .To Be Completed: Estimated Cost: $ 7j¢ zle.OV / fig® The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. DATE: SIGNATURE. (See Reverse Side For Additional Information.) r Land Planning �1`�� ftj� 6875 Highway No. 65 N.E. Land Surveying`, ' Minneapolis, •��2('. Soils testing Minn. $5432 � � I Civil Engineering fff��J r/ Telephone 784 -6066 Municipal Engineering Engineers & Surveyors Area Code 613 Certificate of Survey for RRICK_NER_._CONSTRUCTION Cd. 125.0 46.0 10 1 I a . l o � ai. /proposed N / oA6 tsi C> use cc d i 10 c� 125.b ' l�ppRT,I�NT—. THE City OF FMW-tY DOSS "of CALWWM THE ". O ENfaR. ACCUMCY OF U► M tOC�'t�NS ANO REVAlRONSa. t�10TiFy 'fHE FR►DLEv Ttz11S DATA IS f011 IN►:ORAflAiiON P<�PPO5ES O6�tI.1f A� pWISION READING CURB USWt; ►r SWUMTHF. INFORMATION REMOVAL AND REPLACEMENZ 11101*4 ON 'TME SITE. AT DR1yWkWHING EyVpY OPENINGS. sdote digdlog 01111 "'C"'LEta. BLOCK TELEPHONE - ELECT C -RE�io UIRIED Sy LAW hms Lk -w. ESTATES a Anoka Cowi1� I hereby certify, that this is a true and correct representation i a survey of the boundaries of the above described land, and of the location of all building thereon, and all visible encroachments, If any, from or on said land. As surveyed by me this day of` L,LA 1 t A.O. 19 c DENOTES IRON Idt)NUN1EIdT SUBURBAN ENGINEERING, INC. Engineers Surveyors ==== == MOTE4 DMINME t VTIWTY WEMENT by re 0, 6k,-� f I 6 ev/-Lcpp% I .4,:FO 44d -m ct— -;v3 07 / 6r,)�7 OA - - ---- - - -- i 000 M d 10001- 15-,vn r L/ /,0 Ell' eol i ® p L- _(— I 4000, I /ice I CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT y� Job Address Ul '2CJ �1- Department of Buildings City of Fridley Tel. #571-3450 The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct /Fridley, Mn. 4Lje�OWNERL M c. KIND OF BUILDING USED AS TO BE COMPLETED ABOUT PARTIAL RATE SCHEDULE ESTIMATED COST PLUMBING FIXTURE RATES: y y TOTAL OLD - NEW BUILDING PERMIT NO. PERMIT NO. o ��_ x X N Water Future Fixture Opening x $2.00 A Company New Fixture, Oldenin OP g x y A Signed By 1 w w $5.00 $ Heater dl 0 �O1 �rS $5.00 C Tel. No. F 100,000 BTU to 199,000 BTU d $10.00 N o d Q Water Softener x u $ •.Uf x $5.00 $ 'y N iU.7 N 0 O O • N., .0N Vl p1 fA .0 0 0 s •+ w ro �, o 9 x .� m c' m a m r UAc. o as lec LO U t` v� 3 A m w f . T 1st / f 2nd 3rd 4th (R) = Future Connection Opening Connected with Sewer (*) = New Fixture, Old Opening Water y� Job Address Ul '2CJ �1- Department of Buildings City of Fridley Tel. #571-3450 The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct /Fridley, Mn. 4Lje�OWNERL M c. KIND OF BUILDING USED AS TO BE COMPLETED ABOUT PARTIAL RATE SCHEDULE ESTIMATED COST PLUMBING FIXTURE RATES: N0. RATE TOTAL OLD - NEW BUILDING PERMIT NO. PERMIT NO. Nu--ber Fixtures ��_ x $3.00 $0 Future Fixture Opening x $2.00 $ Company New Fixture, Oldenin OP g x . $200 $ Signed By Catch Basin x $5.00 $ �'7 �d r �� Water Heater - to 99,000 BTU x $5.00 $ Tel. No. /� 100,000 BTU to 199,000 BTU x $10.00 $ Water Softener x $7.00 $ New Ground Ran Old Building x $5.00 $ ROUGH INSP. Date Electric Water Heater x $5.00 $ 1st 3 fixtures Additional Fixtures Gas Range to 199,000 BTU REPAIRS & ALTERATIONS First $100.00 each add. $100.00 or fraction x $3.00 x $1.00 x $x:0.00 $5.00 $2.00 State Surcharge TOTAL FEE REINSPECTIQN FEE ($10.00) Date APPROVAL FOR PERMIT" 00 MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 CITY OF FRIDLEY APPLICATION -FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES PARTIAL RATE SCHEDULE GRAVITY WARM AIR: Farnace'Shell & Duct Work Replacement of Furnace Repairs & Alterations -up to $500.00 Repairs & Alterations each add. $500.00 MECHANICAL WARM AIR: Furnace Shell & Duct Work to 100,000 BTL' each add. 50,000 BTU Replacement of Furnace Repairs & Alterations -up to $500.00 Repairs & Alterations each add. $500.00 STE.kN1 OR HOT WATER SYSTLM: Boiler & Lines up to 100,000 BTU each adds. 50,000 BTU Boiler only up to 100,000 BTU each addn. 50,000 BTU OIL BURNER- to 3 gal. per hour each add. 3 gal. per hour GAS BURNER- from 100,000 BTU to 199,999 BTU (over 199,999 BTi7 see Fee Schedule) RATE TOTAL Job Address $12.00 $ 7.00 $ 7.00 $ Department of Buildings 4.00 $ City of Fridley Tel. #571-3450 The undersigned hereby makes application for a permit for the work herein $12.00 $ /oZ+��) specified agreeing to do all work in strict accordance with the City Codes 4.00 $ and rulings of the Department of Buildings, and hereby declares that all the 7.00 $ facts and representations stated in this application are true and correct. 7.00 $ �7 4.00 $ Fridley, Minn. OWNER $12.00 $ 4.00 $ 7.00 $ 6.00 $ $10.00 $ 10.00 $ $10.00 GAS FITTING FEES: 1st 3 Fixtures x $ 3.00 Additional Fixtures x $ 1.00 Gas Range to 199,000 BTU x $10.00 AIR CONDITIONING FAX HEATING SYSTilIS See Fee Schedule VENTILATING SYSTEMS - ALTERATIONS & REPAIRS State Surcharge /d / A Fi� T�rAt FEE ROUGH LISP. Date FINAL INSP. Z -/'Z. - 2. Date APPROVAL FOR PERMIT REINSPECTION FEE (.$10.00) MINIMUM FEE FOR ANY HEATING PERMIT IS $7.50 KIND OF BUILDING USED AS ' IL 4 TO BE COMPLETED ABOUT ESTIMATED COST OLD NEW B ILDING PERMIT NO. PERMIT NO. $ J"116), DESCRIPTION OF FURNACE/BURNER $ $ HEATING or POWER PLANTS, s�-PLANNTS, Steam, Hot Water, Warm Air/- No. $ Trade Name c &91 G��• Size No. U /0e ej3a $ $o Capacity %�? �1 � 2'Sq. Ft. EDR ETU HP /'mo�- $ .50 Total Connected Load Kind of Fuel f BURNER - Trade Name Size No. Capacity Sq. Ft. EDR % BTU HP Company Signed By Tel. No.�'c�7" 560-3450 `togrictlecy ANOKA COUNTY 6431 UNIVERSITY AVENUE NE January 19, 1977 FRIDLEY, MINNESOTA 55432 Brickner Builders, Inc. 6245 Ben More Drive Fridley, Mn. 55432 Re: Final Inspection at 6310 Squire Drive N.E. Dear Sirs: A final inspection was made on January 19, 1977 of 6310 Squire Drive N.E. and the following items were noted which must be completed before the structure can be finaled out;. 1. Insulate rim joist area as indicated on energy calculations. 2. Provide 18" x 24" access to crawl space. 3. Provide insulation around bathtub plumbing as a firestop. We will expect the above items to be completed by February 10, 1977 when a reinspection will be conducted to determine compliance. If you have any questions on the above items, please feel free -to contact me at 571-3450. Sincere1 , RON HOLDEN Building Inspector RH/mh SUBJECT PE City ®f Fridley N. 175 AT THE TOP OF THE TWINS BUILDING PERMIT RECE O. COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. �/® PROTECTIVE CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY ------ 612-571-3450 910-F15 6/1/84 JOB ADDRESS 6310 Square Drive N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 Harris Lake Estates SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE LaRue Cook 6310 Squire Drive N.E. 571-6833 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Gary Jansick.dba J'ansick 6480 Squire Drive N.E., Fridley 55432 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑X ADDITION ElALTERATION ❑ REPAIR ❑ MOVE REMOVE 8 DESCRIBE WORK Construct a 16' x 161 Gazebo and a 12' x 8' Deck 9 CHANGE OF USE FROM TO STIPULATIONS See. notations on plan N1146 digging Call local utilitles OPERATE PERMITS REQUIRED FOR � �► Sqf®re �f a E-ELEGiftIC-6A HEATING. PLUMBING AND SIGN :i LAW oil TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 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 VALUATION SURTAX AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $5,000 $2.50 PERMIT FEE SACCHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- TRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $50.50 None PLAN CHECK FEE 12.63 TOTALFEE $65.63 e , SIGNATURE OF CONTRACT.06R AUTHORIZED AGENT IDATEI' `i • WHEN PROPERLY L ATED HIS IS YOUR PERMIT BLDG INSP U TE SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI NEW [ I City of Fridley Effective 4/1/84 ADDN. �R-1 AND R-2 ALTER. [ Building Permit Application _ t. Construction Address Legal Description: Owner Name & Address: �a �''� Cook Tel . # Contractor: �Q 5 / �� 13A 77a a s / C � Tel. # Address: �i a g�i d e 1�r �9� iC�� 3 Z � 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 /& 11Width / 4- Height f f Sq. Ft. GARAGE AREA: Length ik 01 i Width Height Sq. Ft. DECK AREA: Length /� ` Width Hgt/Ground +..V Sq. Ft. OTHER: �6�!.3►2 % a �`�,Lf "06 z �C�I�t Corner Lot [ ] Inside Lot Ft. Yd. Setback Side Yard Setback Type of Construction: 1jillod Ppam e' Approx. Completion Date: Proposed Driveway Width If New Opening Is Desired: Estimated Cost: $ S3c o . (i v Alt. A Alt B $ $ See Back Page for Explanation DATE: 1 APPLICANT: -[/. -�-� Tel. # , %5(- 9(O 7 Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge TOTAL STIPULATIONS: CITY USE ONLY Fee Schedule on Reverse Side 25% of Building Permit Fee $.50/$1,000 Valuation $425 per SAC Unit Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ City of Fridley AT THE TOP OF THE TWINS SuBjECT BUILDING PERMIT RMIT NO. 251,48 f 1 7 � • COMMUNITY DEVELOPMENT DIV r � � PROTECTIVE INSPECTION SEC. /---1 CITY HALL FRIDLEY 55432 j 612-571-3450 R--ECETPTO. NUMBER 910-F15 REVGATE 6/10/97 PAGE OF APPROVED BY JOB ADDRESS 6310 Squire Drive NE 1 LEGAL DESCR. LOT NO. 9 BLOCK 3 TRACT OR ADDITION Harris Lake Estates SEE ATTACHED SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Larue Cooke 6310 Squire Drive HE 571-6833 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. D & D Home Improvement Inc 11773 Magnolia St NW, Coon Rapids MN 55448 757-7780 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 4840 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION Cj REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House & Garage (27 Sq) Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. 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 AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT VALUATION $22227 SURTAX DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTIO O THE PERFO ANCE OF CONSTRUCTION $74.75 Fire SC $2.23 PLAN CHECK FEE TOTALFEE Lice se SC $5.00 83.09 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) -- THISIS YOUR PERMIT WHEN PROPERLY;A�t;7 All SIGNATURE OF OWNER OF OWNER BUILDER) (DATE, BLDG NSP DATE NEW [ l ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress:,�� /0 Effective 1/l/97 i Legal Description: . Tel # �—�233 Owner Name & Address: ltl� - Contractor' n & n H me Tmr rouemen't' Ire- MN LICENSE# 4840 Address: 11 773 magnolia street- NX r t' CL�B 5544 Tel. # 757-72AO Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: GARAGE AREA: DECK AREA: OTHER: DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. Construction Type: �� Estimated Cost: $ V /�,�� (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $� DATE: APPLICANT: Tel, # 75-7-7M Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow CITY USE ONLY $ �, % Fee Schedule on Reverse Side $ 3 .001 of Permit Valuation (1/10th%a) $ /, / ( $.50/$1,000 Valuation $ $950 per SAC Unit $ V $5.00 (State Licensed Residential Contractors) $ _ 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 E ] TOTAL STIPULATIONS: $ - -&I- E I -- City of Fridley SUBJECT �.., AT THE TOP OF THE TWINS BUILDING PERMIT If ' ' R • ____ COMMUNITY DEVELOPMENT DIV. r i PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY �.___1l.' '•� 612-571-3450 910-F15 7/9/97 JOB ADDRESS 6310 Squire Drive NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 9 3 Harris Lake Estates SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE LaRue Cooke 6310 Squire Drive NE 571-6833 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Ideal Construction Inc 12621 Tyler Cir NE, Blaine, MN 757-3101 4240 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 Cj ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Install 8' x 8' x 20" Window (rear yard) 9 CHANGE OF USE FROM TO STIPULATIONS Install smoke detectors to meet the State Building Code. If glass is greater than 9 sq ft, tempered safety glazing is required. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 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 $3,900 $1'95 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- `P STRUCTION OR THE PERFORMANC OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE 7 License$5.0 $98.10 SIGNATURE OF CONTRACT OR AUTMIZEO AGENT IDATEI I/VI P PER IDAT HIS IS YOUR PERMIT SIGNATURE OF OWNER 0F OWNER BUILDERI IDATEI BLDG JGSP DATE NEW [ ] Effective 1 / 1 /97 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: 6.3 /v �CrL�r,yr Q �P e Legal Description: v Owner Name & Address: _'% �� ' /� Tel. #ZT Contractor: ��% n �A� MN LICENSE # �'� VC-) Address: %y 0 " ' ,a_ Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height � Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: LenA Width Hgt/G ound Sq. Ft. OTHER: cC Construction Type* Estimated Cost: $Ste.�qco (Fee Schedule on Back) Driveway Curb Cut Width Needed:. Ft. + 6 Ft = Ft. -...x $ — $ e DATE: f7 APPLICANT:.. C Tel.. # CITY USE ONLY Permit Fee Fire $ c") �� 3- Fee Schedule on Reverse Side S �nf 5/0,c �/ Surcharge $ .001 of Permit Valuation 1/10th% ) State Surcharge $ r $.50/$1,000 Valuation SAC Charge $ $950 per . SAC Unit License Surcharge $ �^ C% $5.00 (State Licensed Residential Contractors) Driveway Escrow$ Erosion Control Alt. "A" or Alt. "B" Above 4-YZ $ -$450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ J Not Necessary G� TOTAL $47 s STIPULATIONS: • SUBJEGT City of Fridley 3 i 7 4 AT THE TOP OF THE TWINS B U I L D I N G P E R M I T r ECEIPT COMMUNITY DEVELOPMENT DIV.7�-��7 r PROTECTIVE INSPECTION SEC 1 i CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY "'' 612-571-3450 910-F15 5/14/01 JOB ADDRESS 6310 Squire Drive NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 9 3 1 Harris Lake Estates SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Joyce/Larue Cooke 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Renaissance Exteriors 2556 Hwy 10, Mounds View, MN 55112 763-780-2000 e ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 20220285 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW Q ADDITION ❑ ALTERATION lI REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reside House & Garage 9 CHANGE OF USE FROM TO STIPULATIONS Per Section 1402, 1997 Uniform Building Code, requires that a weather resistive barrier be placed over exterior sheathing to protect the interior wall covering. Exceptions for this provision would be if sheathing is an approved weatherproof panel or when the siding is an approved weather barrier. Vinyl siding is not a weatherproof covering unless the manufacturer states this in their application guidelines. Call for inspection of wrap before covering. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL. PLUMBING HEATING. E 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 VALLIATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $16,000 $8.00 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 PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE P FORMANCE OF CONSTRUCTION y PLAN CHECK FEE TOT L FEE �lJq/01 License $5.0 $294.25 5 N A TUFfEO L NTRACTOAORAUTHOAIZEDAGENT iDATE, N VALIDAT 0 THIS IS YOURPER Ar1ROP SIGNATURE OF OWNEQOF OWNER BU4DERi iDATEl BLD .NSP (JA TE NEW [ ] Effective 1/1/2001 ADDN [ ] CITY OF FRIDLEY (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: 63 / 0—�GL&„2E 'Dk) vE- Legal Description: Owner Name & Address: 3oycE si- LAR. G-- &tc-E Tel. # U&-32 Contractor MN LICENSE# Zoz2oz&s Address: ZSS%. io M6u..+4->s Tel.# Ica? -?&,o- Z000 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Construction Type: Estimated Cost: $ It, . 000 Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ -=$ DATE: J* -11.1 APPLICANT: Tel. # 7c,3-7&-zoja CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: Call (763) 572-3604 for Permit Fees if mailing in application $ Fee Schedule on Reverse Side $ .001 of Permit Valuation (1/10th%) $ OG $.50/$1,000 Valuation $ $1150 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 DIViSION 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, (763) 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, 2002 JOB ADDRESS 63 10 OWNER Rate TOTAL TOTAL BUILDING USED AS $ 30.00 $ ��. (�® �,� �� ESTIMATED COST 2, / Z S , vv PERMIT N0. $ 10.00 $ DESCRIPTION OF FURNACE AND OR BURNER $ 10.00 $ No. of Heating Units--,— Circle One (Steam) (Hot Water) arm Air $ 10.00 $ Trade Name CAI -"sr Size No. BTU HP % EDR $ 25.00 $ Fuel Total Connected Load 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. 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 $ S)\ representations stated in this application are true and correct. CJ DATE /0– HEATING 0–HEATING CO f,c),� /41-od.),n Alc- Signed I TEL # -?63 FAX # 763 - )B0 e Z Z 3 Approved By Rough -In Date Final Date II -13-0Q THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNED When laring�n_ axistinn 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 `(j 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 exonfing cemhtietien air is sized and installed to meet the current codes and manufacturer's specifications. Yes i4No ( ) When required to install a new _eme "etien airy it will be sized and installed to meet the current codes and manufacturer's specifications. Yes No( ) When onstalling a new venting nye, 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 Si7pXnmmon Vent and Vent Connector Information Appliance #1 Type -f; r„c t� -, BTU Input 7 o. ut O Fan Assisted q N Appliance #2 Type A L. A/ L� /� BTU Input 00, � Fan Assisted or a Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances �_ Total Btu Input 1/0, cL2v Common Vent Type Vent Height ID i Diameter 6 inches Appliance #1 Vent Connector Height -I ft Length _ft Diameter Y- in Type Appliance #2 Vent Connector Height 2 ft Length Z ft Diameter min Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type _ HEATING CO: / Cchr Signed By: Date: /0' r r CITY OF,&RIDLEY INSPECTION DIV. 643#1 University Ave NE Fridley, MN 55432 (763) 572-3604, FAX (763) 571-1287 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT Effective On Jan 1, 2003 MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR Old Opening, New Fixture Urinal Shower ..... Wash Tray:.CIC........ ftp::l:.. .......... Floor Drain ::>: _.:.::. ai.. ..Washe �..' Auto. >s Gas ".:.:.::::.::..::. #::::......:..:: Ran a Water Heater ..;.. Gas EI ec Stories t Basement Water Treating Appliance $10.00 Water Heater -Electric $ 7.00 Water Heater - Gas** $10.00 Gas Range** $10.00 Gas Dryer**' I F oor 1 Back Flow Preventer Required ( )Yes () No / ' Type $15.00 ( Floor 2 Floor 3 I 4 F oor 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 $47.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS. 1.5% of Value of Fixture or Appliance State Surcharge $ ��.50 TOTAL FEE C1..., Ts— JOB 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. Owner Usti Building Used As Estimated Co PERMIT NO. PLUMBING COMPANY Approved By�• Rough -In Date Final MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $20.00 PLUS THE $.50 STATE SURCHARGE COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE 4APPLICATION WILL BE RETURNED When raplar-Mnn�pfurance, 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 axog ina enmbnetinn air is sized and installed to meet the current codes and manufacturer's specifications. Yes( ) No( ) When required to install a now rnmhi iction air it will be sized and installed to meet the current codes and manufacturer's specifications. Yes( ) No( ) When incfallinn a new renting nye m, 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 Jy o and Appliance #1 Type -q*7P1rnmmnn Vent BTU Input and Vent Connector Information 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 HEATING CO: Signed By. Date: CINOF FRIDLEY FRIDLEY MUNICIPAL CENTER - 6431 UNIVERSITY AVE. N.E. FRIDLEY. MN 55432 - (763) 571-3450 - FAX (763) 571-1287 June 29, 2004 Ms. Randee Arfmann 6310 Squire Dr NE Fridley, MN 55432 Re: Final Inspection at 6310 Squire Drive NE, Fridley Contractor: Shiloah Water Co Dear Ms. Arfinann: A plumbing permit was issued on August 18, 2003 to install a water softener at your address. According to Section 4715.2800 of the State Plumbing 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 Code. 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 take no further action. To set up the inspection or to have any questions answered, please contact the Building Inspection Division at (763) 572-3604. Sincerely, DJ/mh