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PRE 2010 DOCSCity of Fridley SUBJECT PER _ 13k AT THE TOP OF THE TWINS BUILDING P E R M I T r REC COMMUNITY DEVELOPMENT DIV. / PROTECTIVE INSPECTION SEC. 1 ; � �4 1 "1 CITY HALL FRIDLEY 55432 , '.J NUMBER REV. DATE PAGE OF APPROVED BY ""' 612-560-3450 910-F15 11/16/76 JOB ADDRESS .6360 Squire Drive N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 10 4 Harris Lake Estates SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Bill Corcoran 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Brickner Builders.inc. 6245 Ben More Drive, Fridley 574-9871 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 . ENGINEER MAILADDRESS ZIP PHONE LICENSE NO. 6 USEOFBUILDING Residential 7 CLASS OF WORK CX NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK In FW1%M%7 Construct a 44' x 36' Dwelling and a 26' x 22' Garage s��TE PERMITS REQUIRED WIRING, TELEPHONE - ELECTRIC -GAS 9 CHANGE OF USE FROM HEATING. • REQUIRE® STIPULATIONS Provide sod in the front and side yards. Provide a verifying survey before capping. Provide a hard surfaced driveway. Provide City with copy of truss design. SEWER LOCATION: (Approx. 8"' $016 Deep) 97' S.E. of Manhole (Inv. 880.14) WYE ELEVATION: 879..66 TOP OF FOOTING: 883.00 Minimum WATER LOCATION: 10' N.W. of Sewer Service. —IMPORTANT--- TME- CITY OF FRAY DOES NOT 6YAiWM INE NOTIFY THE FRIDLEY ENGR. ACCURACY OF UMITY LOCATION$ AND UWATONS. DIVISION REGARDING CURB 1AIS DATA IS FOR. WFoLmATIQN pUp•pOSES Of y Ato REMOVAL AND REPLACEMEN , PERSONS USING IT SHOULD VERIi:Y THE 0 FORMAIM AT DRIVEWAY OPENINGS. ON TME SM SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. Wood Frame THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION 1346 +572 28,304 Tot OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT 1-1 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, $39,315 $19.66 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 STAT R LOCAL LAW REGULATING CON- � $113.22 $350.00 STRHE PERFORMA E F .CONST UCTION. UC N J PLAN CHECK FEE $28.30 TOTALFEE $511.18 _SIGNATURE OF CONTRACTO AUTHORIZED AGENT (DATE) WHEN ;TRLY VALIDATED THIS IS YOUR PERMIT �I /-elm -49.0 I BLDG. INSP DATE �! SIGNATURE OF OWNER (IF -OWN E R BUILDER) (DATE) CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS (NEW, ALTERATIONS, ADDITIONS, OR REPAIRS) OWNER ' S NAME : ADDRESS: C�'C- vel i�,e BUILDER ADDRESS: NO:. C D STRErT: TEL. NO.: -2 LOT: I BLOCK: ADDITION • � r/%✓«i EaC � C��%1��(�� CORNER LOT: INSIDE LOT: I` SETBACK: :? -S— SIDEYARD: Applicant attach to this form Ttoo Certificates of Survey of Lot and proposed building location drai-.n on these Certificates. DESCRIPTION OF BUILDING To Be Used As: Front: Depth: Height: �y /� �/� Cubic Feet: Square Feet: /40 4V Front --2 Depth: Height: / Square Feet; Cubic Feet:`_ Type of Construction: W Estimated Cost: $ �► �,��.� To Be Completed: pe) 96a 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:- //, f > v - `) C L SIGNATURE: (See Reverse Side For Additional Information.) Land Planning sfifIfl,�1'erl 6875 Highway No. 65 N. E. land Surveying ' / �` /+ Minneapolis, Soils Testing /1 i11T'f'�fJ1,/JlT • Minn. 55432 Civil Engineering f, Telephone 784-6066 Municipal Engineering Engineers & Surveyors Area Code 613 Certificate of Survey for �1 f 41 la I GuxwvG SIE D®ES A QUP�p5E 1 t�� �i ®O� �00 u�u ��° �©was �nn�► isIs 'to? w�°U'D tl�� I� D'"zcA��a rm NS V , tcRSt? E 51m Scala 1• �� I \\\WARNING . Befd\iT digging call local utilities TELEPHONE 4 ELECTRIC - CAS Etc. HOMED RY 0" � U RTANT— —IIVIPy LOT 10BLOCK `i NOTIFY THE f RiDLEY ENGR. > > DIVISION REGARDING CURB SREMOVAL ATDRIVEWAREPLACEMENT Y OP NINGS. HARRIS I,.AK�. TATES Anoka Cow?1 I hereby certify that this is a true and correct representation f a survey of the boundaries of the above described land, and of the location of all building,thereon, and all visible encroachments, it any, from or an said land.. As surveyed by me this day of i` t �;, A. D 1®�. o DENOTE5 IRON MONUMENT DENOTES DRX*iGIE � UTIUTY EASEMENT SUBURBAN ENGINEERING, INC. Engineers Surveyors byr° . e _ v lTN✓, dj80,1y) �® CF T i Wei OVA- c00 O 02 l� r� 12 Ot �; ' - /0 o0o, i I i I G L , d -- �r r F CITY CF FRIDLEY- APPLICATION FOR PLUMBING AND GAS FYTTING PERMIT PARTIAL RATE SCHEDULE PLT--I.NG FIXTURE RATES: N0. RATE TOTAL Il �' c�� $ 31, -0i� •� v $2.00 x u xx Water $ a _ $5.00 I r L c c v $ S-00 •.a a e -� b+ Water Softener Heater $7.00 S ..ss+ Gro;:n d %.n Old Building x $5.00 $ Electric rater Heater x ::5.00 $ GAS FITTING FEES: 1st 3 fixtures x $3.00a -UCS n Onal Fixtures x $1.00 $ Gas Range to 199,000 BTU x $10.00 $ R ?AIRS $ ALTERATIONS ._rut $1C0.G0 �ileC tti •S U ( � � N '� L� V; $ .50 J.Ci . .': Ci C7 � O F;.:.. ($10.00) tt-ti-i ( } a Future Connection G^.ening Connected •.sitz Sewer ,ea Fizture, Ola Opening f Water PARTIAL RATE SCHEDULE PLT--I.NG FIXTURE RATES: N0. RATE TOTAL ...._-`-er . ix t=es x $3.00 $ 31, -0i� _ ._,.re -fixture Cpening x $2.00 $ d0 .:e•.. =; re, Old Cpcning xx $2.00 $ .:.tch Basin x $5.00 $ Water :eater - to 99,COO BTU i x. $5.00 $ S-00 i!C-,,S30 BTU to 199,000 BTU x $10.00 S Water Softener x $7.00 S ..ss+ Gro;:n d %.n Old Building x $5.00 $ Electric rater Heater x ::5.00 $ GAS FITTING FEES: 1st 3 fixtures x $3.00a -UCS n Onal Fixtures x $1.00 $ Gas Range to 199,000 BTU x $10.00 $ R ?AIRS $ ALTERATIONS ._rut $1C0.G0 $5.00 S each a --d. $_00.00 or fraction $2.00 S State Surcharge $ .50 TOTAL FEE $ REI..SPE^T-10.1 F`..L ($10.00) Job Addr•2ss ( o '-�) (?i C.J L)epartmont of Buildings y City of Fr;dley 6 Tel. 1571-3450 The undersigned hereby makes application for a per -nit for the work herein specified agreeing to do all work in strict accordance with the City Cees 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, : n. Z,0� `-"'/-,/ , 1976 OWNER _ KIND OF BUILDING `M p USED AS TO BE COMPLETED ABOUT ESTIMATED COST OTD -Iv*EW UILDING PERMIT NO. PERMIT NO. Ir Company Signed By Tel. No. ROUGH INSP. Date FINAL INSP. Date APPROVAL FOR PERMIT MINIMUM FEE FOR ANY PLUMBBING 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 WAR0I AIR: RATE TOTAL Job Address J ' Ae Furnace Shell & Duct Work $12.00 $ Replacement of Furnace 7.00 7.00 $ $ Department of Buildings Repairs & Alterations -up to $500.00 City of Fridley Repairs & Alterations each add. $500.00 4.00 $ Tel. 4571-3450 MECHANICAL IiARM AIR: The undersigned hereby makes application for a permit for -the work herein Furnace Sell & Duct Work to 100,000 BTL' $12.00 $ 42 -Vi specified agreeing to do all work in strict accordance with the City Codes each add. 50,000 BTU 4.00 $ and rulings of the Department of Buildings, and hereby declares that all the Renlacement of Furnace 7.00 $ facts and representations stated in this application are true and correct. Repairs & Alterations -up to $500.00 7.00 $ 19 Repairs & alterations each add. $500.00 4.00 $ Fridley, Minn. STE�Jf OR HOT Zti':iTER S1'STE+I: OWNER �,��C�i�/V�/�AAGf/G Boiler & Lines up to 100,000 BTU $12.00 $ KIND OF BUILDING GL✓�� 1`a �7 each addn. 50,000 BTU S%� �dt✓��� Boiler only up to 100,000 BTU 7.00 $ USED AS /c -C each adda. 50,000 BTU 6.00 $Ilk TO BE COMPLETED ABOUT OIL BURNER- to 3 gal. per hour $10.00 $ o® C, each add. 3 gal. per hour 10.00 $ ESTIMATED COST GAS BURNER- from 100,030 BTU to 199,999 BTU $10.00 $ 10.6 OLD NEW BUILDING PERMIT NO. PER:4IT NO. (over 199,999 BTU see Fee Schedule) $ GAS FITTING :EES: lst 3 Fixtures x $ 3.00 $ DESCRIPTION OF FURNACE/BURNER Additional Fixtures x $ 1.00 $ Gas Range to 199,000 BTU x $10.00 $ HEATING or POWER PLANTS, Steam, Hot Water <Wa No. / AIR CONDITIONING __11; $ Trade Name 6}"r1elf, 66rc?, Size No. let /:.2J (9lpj� s FAN HEATING SYSTEMS$ See Fee Schedule VENTILATING SYSTEMS Capacity Sq. Ft. EDR BTU HP fiLTERATIONS $ REPAIRS- J $ State Surcharge $ .50 Total Connected Load Kind of Fuel zl/ldr 'Z FEE $ S V TOTAL `R/j/sL�% • BURNER - Trade Name Size No. I ROUGH INTSP. Late ry �j FIX -ILL INSP.`� /•� / / Data APPROVAL FOR PERMIT 41 117 REINSPECTION FEE (_$10.00) MINIMUM FEE FOR ANY HEATING PERMIT IS $7.50 Capacity Sq. Ft. EDR BTU HP Company Signed By J Tel. No./�®^ CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS 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 r All Others/Repairs & Alterations (LIST ON BACK) 1 % of Value of Ap liance or Work Commerc !I/Ind trim j 1.25% of Value of Appliance or Work Effective On August 1, 1995 %w2f)a2 . a, E . Tfie undersigned hereby makes application for a permit for the work herein Rate 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 $ 30.00.• $ representations stated in this application are true and correct. ,1995 $10.00 • $10.00 $ v BUILDING USED AS $10.00 $ ESTIMATED COST PERMIT N0. /.� /C 5 $ 26,00: $ D S�CRIPTION OF FURNACE AND OR BURNER _. $ o��� °o No. of Heating Units Circle One (Steam) (Hot Water) (Warm A)r t _Trad6�Name Size No. BTU- HP EDR Fuel . Total Connected Load State Surcharge TOTAL FEE X50 Bumer•Trade Name Size No. BTU'` HP EDR REINSPECTION FEE $42.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. HEATING COMPANY 1 Signed Bye --D , (J Tel No. -:�?a - (0 L/, Approved ByRough—In Date Final Date l� FILL OUT BACK SIDE OR STACK VERIFICATION ON REPLACEMENT FURNACE HIM EY AND STACK VERIFICATI 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 I Yes O 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 ( ) Remarks: HEATING CO: Signed By: Date: 1 SUBJECTT NO. City of Fridley2 5 3 8 4 7 AT THE TOP OF THE TWINS BUILDING PERMIT//'( ` RECEIPT NO. _ COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. ����� r 1 NUMBER REV DATE PAGE OF APPROVED BY i CITY HALL FRIDLEY 55432 612-571-3450 910-F15 8/18/97 / / 10B ADDRESS 6360 S uire Drive NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 10 4 1 Harris Lake Estates SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Gre /Gi i Holmes 6360 Squire Drive NE 574-9193 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 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 E REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House & Garage (27 Sq) Tear -off 9 CHANGEOFUSEFROM TO STIPULATIONS Underlayment must comply with the State Building Code. 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 $29251 $1.13 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- $74.75 F' i SC $2.25 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. e PLAN CHECK FEE7$78.13 AL FEE "--,I -#/) SIGNATURE OF CONTRALTO OR AUTHORIZED AGENT IDATEI THIS IS YOUR PERMIT �,,E yr��E��D �/�f OF OWN R )6 OWNER BUILDER) I ATE) MATE NEW [ ] Effective 1 / 1 /97 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BP41-gy BUILDING PERMIT APPLICATION ConstructionAddress: /,3(,(D S Qc( (R L PK Legal Description: Owner Name &Address: 6j�°� y'� ��� , �/ Tel. # S %j� Contractor: L F MN LICENSE # Address Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Tel. # LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Lengo, Width _ Hgt/Ground Sq. Ft. OTHER: - (� / �� �� % ) 7XII-4a[' . Construction Type:--/��' g Estimated. Cost: $ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ftx $ _ $ DATE: ? ArrLICA Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: Tel. # CITY USE ONLY $ ✓ Fee Schedule on Reverse Side $�0 .001 of Permit Valuation (1/10th%) $ l $.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 [ ] Building MECHANICAL Permit No. — OOQ -7 InspegtionsRESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date Rec'd: DATE Z I 1 10� E-MAIL ADDRESS `YOUR SITE ADDRESS L,3 (o ® 59 "Are L yr THIS APPLIICANT IS: ❑ OWNER CONTRACTOR PROPERTY NAME: r , vyl ADDRESS: (03 V_k V e_ CITY i5 - '(d I `p -M STATLiA%/ ZIPS S`R, L OWER/ TE ANT PHONE.1 CONTRACTOR COMPANY NAME: CONTACT PERSON: wentmorth me. STATE LICENSE # II1flBcipO IS SUBMITA MIT COPY OF YOURI STATE LICENSE WITHADDRESS: CITY STATE ZIP APPLICATION PHONE FAX PERMIT TYPE ARINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: ❑ NEW PMEPL ACEMENT [IALTERATION/REMODEL DETAILED DESCRIPTION OF WORK QLAo I a U - e2 C.t_L • l rl S it t I R E Z17 S f-�' PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor ) Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor x.05 = FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) Equipment Installed MFG: (�4n-Et21V MODEL C 0e) U SIZE/BTU 96, D 6 Q MFG: 1 AnnLti MODEL: I.9AC_bb-,;b SIZEIBTU 30, obb MFG: MODEL: SIZE/BTU K A/C $25.00 FIREPLACE (GAS) $15.00 _GAS RANGEIOVEN $10.00 AIR TO AIR EXCHANGEER $15 (WOOD) $35.00 _NEW GAS GRILL $10.00 _FIREPLACE BOILER $35.00 JFURNACE $35.00 _GAS UNIT HTR $10.00 CHIMNEY LINER $10.00 DRYER $10.00 _POOL HEATER $35.00 _GAS _DUCT WORK $10.00 _GAS PIPING $10.00 _VENTILATOR $15.00 PERMIT FEE PROJECTS FOR UNDER $500 PERMIT FEE FOR PROJECTS OVER $500 Permit Fee $ Number of fixtures @ $10.00 x $10.00 = $ Surcharge $ .50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE $ Number of fixtures @ $25.00 1 x $25.00 = $ 7-5 • c) t� Number of fixtures @ $35.00 l x $35.00 = $ S5.0 G State Surcharge = $ .50 Total =$ br.Sa 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 review and approval of plans. SIGNATURE OF APPLICANT. I Q_ (0,4_ A-- PRINT NAME ,..� t, rtl&% JTE 2 l I -7 L PLEASE NOTE: SEPARATE PE TS W REQUIRED FOR BUILDING, ELECTRICAL AND MECHANICAL; WORK City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977