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PRE 2010 DOCSCity of Fridley Application fcw Plumbing and Cas Ming Permit Dept. of Bldgs. Phone 560-3450 DESCRIPTION OF WORK 007� Number, Kind and Location of Fixtures Location 3 D G7 �Qigq RATE TOTAL �� /NO. x $200 $ ii Future Fixture Opening ................ z ,,t i3 '� Oz w iQT1z Pi O�`` Catch Basin ...... ..................... w t9 Z z �UO • 0 N WATER HTR. GAS EIEC — New Ground Run Old Bldg . ............ x $3.25 $ Electric Water Heater x $2,00 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures ....................... .. x $2.00 $ d2'®® qJ x $ .75 $ Gas Range to 199,000 BTU .............. x $5.00 $ Base 8 4 1st 2nd 3rd 4th • Future Connection Openings I Connected with New Fixture, Old Openings I 1 Sewer Cesspool El PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: RATE TOTAL ...................... Number Fixtures—!� /NO. x $200 $ Future Fixture Opening ................ x $1.50 $ New Fixture Old Opening .............. x $1.50 $ Catch Basin ...... ..................... x $3.25 $ a C� Water Heater (Up to 99,000 BTU) ...... Z x $3.00 $— — New Ground Run Old Bldg . ............ x $3.25 $ Electric Water Heater x $2,00 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures ....................... .. x $2.00 $ d2'®® Additional Fixtures .................... x $ .75 $ Gas Range to 199,000 BTU .............. x $5.00 $ REPAIRS & ALTERATIONS—Refer to Code Description................ ............. ®cam TOTAL FEE 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 fact and representations stated in this applicatioZj and correct. Fridlev. Mnn_ d P 4' 19_ Owner 110 Kind of Used as To be completed about Estima Cost, $ O —New. uilding Permit No 9 Permit No. Signe By.� -� Business Phone No—��—�� ROUGH /0 � 6 FINAL 0 City of Fridley, Minn. BUILDING PERMIT Date: August 17, 1967 Owner: _ Richard E. KIM Osman Builder �3 Y95-6 NQ 9401 Zuehlke Const. Co. Address 6716 7th St. N. E. Address 6495 Pierce St. N. E. LOCATION OF BUILDING No. 5 83 0 _ Street Stinson Blvd. part of Lot Lot S . -ALRt Block Addition or Sub -Division Aud. Sub. # 92 Corner Lot W Inside Lot x Setback 35' _ Sideyard 15' & 30' Sewer Elevation 950.25 Ton of Footing DESCRIPTION OF BUILDING To be Used as: D_Velling Front 50' Depth 45 ` Height 20' Sq. FL 1650 Cu. Ft. Garage Front 22' Depth Z4' Height 10Sq. Ft. 528 Ca. Ft Type of Construction Frame Est, Cost 25 000.00 __ To be Completed Dec. 1, 1967 SEWER LOCATION WATER LOCATION - No City water In consideration of the issuance to me of a permit to construct the wildingdes above I agree to do the proposed work in accordance with the description abo t fo, a'll no of ordinances of the city of Fridley. r $100.0 Sewer Connection ChAge In consideration of the payment of a fee of $_ 56..00 _, permit is hereby granted to Zuehlke Const. thto construct the building or addition as described above. This permit is granted upon e express condition that the person to whom it 3s granted and his agents, employees and workmen, in all work. done in, around and upon said building, or any Bart thereof, shall conform in all respects to the ordinances of Fridley, Minnesota lavation, construction, alteration, maintenance, repair and moving of buildings within the dty limits and permit may be revoked at any time upon violation of any of the provisions of said OrdinanCeB. CLARENCE BELISLE Building Inspector NOTICE: Uls permit does not cover the eonstreethm, Installation for wiring, plumbing, gas heating, sawer or water. Be ars to see the Building Inspector for separate permits for these item, R Ir APPLICATION FOR BUILDING PERMIT ..CITY. -OF FRIDLEY, MINNESOTA OWNER'S NAME �I �H�� 'E. ®s /Y'o BUILDER Z UJE111,KZ (f®�VS%R CIO ADDRESS 6 7/6 ADDRESS LOCATION OF BUILDING Street art of Lot Lot - c�� : ' ® Block -Addition. car Subdivision g fS � �2 Corner Lot Inside Lot z Setback Side -Yard. SEWER ELEVATION FOUNDATION ELEVATION Applieant.attach to this form Two Certificates -of Survey of.Lot and proposed build- ing location drawn on these Certificates. DESCRIPTION OF BUILDING To be used as: FA %�� l��J�l� Front s / p�h �/_6 gq..:.Ft. Cu. Ft. . ga)!2�Front Depth_Height�� Cu . Ft . Type of Construction, Estimated Cost. d To be Completed _ ,® jEC a 1967 The undersigned hereby makes application for a.permit forthe 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 ! d SIGNATURE ,(Schedule of Fee Costs can be found on the giverpe Side). E' r M o- N SCALE: 1" = 50' o DENOTES IRON PIPE b' SURVEYOR'S CERTIFICATE LEROY H. WINNER lid s",4e# Registered Under Laws of State of Minnesota ROUTE NO. 4 • ANOKA, MINN. PHONE HARRISON 1-1859 327.7' 294.7 ' ' Alprr �'/ G 44 6,/ '2 cit e? i3�tl 33' y� 0 N0 N N m Z.O O O O "' N N ---- 327.04! —-- 29 4.04' ilk 33 z 0 1F3��cf) 0 O O QO Z OD CID cd I V) _-- 326.6' -- ; 293.6' 33S 33' ®" p-1 e-za-- LEGAL DESCRIPTION THAT PART OF LOT 44, AUDITOR'S SUBDIVISION NO. 92 IN ANOKA COUNTY, MINNESOTA WHICH LIES SOUTH OF THE NORTH 120 FEET OF SAID LOT 44 AND SUBJECT TO AN EASEMENT FOR STREET PURPOSES OVER THE EASTERLY 33 FEET THEREOF. I HEREBY CERTIFY THAT ON JULY 3,1964 1 SURVEYED THE PROPERTY DESCRIBED ABOVE AND THAT THE ABOVE PLAT IS A CORRECT REPRESENTATION OF SAID SURVEY. REG. NO. 4987 LER H.WINNER SUBJECT P City of Fridley' ° 19502 AT THE TOP OF THE TWINS BUILDING PERMIT _ r ECEIPT N COMMUNITY DEVELOPMENT DIV. L (p r 1 PROTECTIVE INSPECTION SEC. ' � 1 41 1� � i9 �1 = , , CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY ----� L 612-571-3450 910-F15 5/31/88 JOB ADDRESS 5830 Stinson Blvd N.E. 1 LEGAL LOT NO.1. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. Pt. 44 Aud. Sub. #92 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Luis Giron 5830 Stinson Blvd N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Brandvold Builders 5658 Girard Avenue North, Brooklyn Center 560-8263 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 ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 24' x 12'10" Addition 9 CHANGEOFUSEFROM TO STIPULATIONS Install products of combustion fire alarms on both levels of existing dwelling. Install combustion air to new fireplace or existing furnace. SEPARATE PERMITS REQUIRED FOR WIRING, HEATING, PLUMBING AND SIGNS., WARNING More digging call local utiliti TELEPHONE - ELECTRIC - GAS Et REQUIRED BY LA F 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 T14&A'PP.LICATION 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 $16 900 $8.45 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT OESO UME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE OV IONS ANY OT STATE OR LOCAL LAW REGULATING CON- $180 S R "TION OR THE P F ANCE OF STRUC N. .00 ,•d�'" /�� AN CHECK FEE TOTAL FEE $188.45 SIGNATURE OFC NTRACTOR OR AUTHORIZED AG. NT (DATE) WHEN PROPERLY I ATED THIS IS YOUR P RMIT � t BLDG WSP DAT SIGNATURE OF OWNER IIF OWNER BUILDER) (DATEI NEW City of Fridley Effective 5/1/88 AMN R-1 AND R-2 ALTER Building Permit Application Construction Address:- -5-e:3,0 Legal Description: Owner Name & Address: 4v/,-5- 9,1H,:fA>2 Tel. #6--2L-6-'7-Dk Contractor: Z2 &-v 4- j:?r=;tA 5 Tel. yyyy Address: Attach to this application, a Certif icate of Survey of the late, with the proposoed construction drawn on it to scale. EESCRMION OF IMPROVEMEM_ LIVING AREA: Length Width Height Sg. Ft. GARAGE AREA: Length Width Height Sg. Ft. DECK AREA: Length Width Hgt /Ground — Sg. Ft. W etbaClorner Lot Phsid!)L<ot48Ft- Yd Type of Construction: (A)r) t) b - P f3 4 M Approx. Completion Date: Side Yard Setbacks 15; Estimated Cost: ' - Proposed Driveway Width If New Opening Is Desired: Width + 61 DATE: APPLICANT: CITY USE CNLY Alt. A Alt. B, See Back Page Tel. # 0 - e9 ir Permit Fee M 00 -, Fee Schedule on Reverse Side State Surcharge $.50/$1,000 Valuation SAC Charge $550 per SAC Unit Driveway Escrow Alt. "A" or Alt. "B" Above Park Flee Fee Determined by Engineering Sewer Main Charge $. TOTAL Agreement Necessary I I Not Necessary STIPULATIONS: 160900 A Poo U At-AziAN% cj...j elrrwx Lautu / 0 /JM4 0 000 113 %'T*Lk, Co,-Alttj Wf /j CL Uj P, 6 ',1 6 �j 5 on AACILI EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION � F:F DATE -/�7- A A!, OWNER SITE ADDRESS CONTRACTOR j�/� T�QU PHONE Determine Working Square Footage of Each. 1. Total Exposed Wall Area . . %9S/ Sq. Ft. X�7, e 2. Total Roof/Ceiling Area . . 367,!Sq. Ft. X .026 = 8Q 3. Total Floor/Cant. Area . . Sq. Ft. x .05 = Total Exposed Wall Area Above Floor a. Total Wall Window Area. . . . . . . . . . b. Total Door Area . . . . . . . . . . . . . 17.8/ c. Total Sliding G1ass.Door Area . . . . . . d. Total Fireplace Wall Area . . . . . . e. Total Wall Framing Area (average 10%) . . '.9&/8j f. Total Net Wall Area Above Floor 1,93S, h.? g. Total Rim Joist Area. Total Exposed Foundations Area = `�.S•o� h. Total Foundation Window Area . . i. Total Net Foundation Area Above Grade .3S,a'� Determine "U" Value of Each Wall Segment. a. /oO.l�C� X flull 5 b. /7_ &�/ X fluff ,(J 7 = z C. X "U" _ d. — X flu„ _ e. 30.,x.5` X fluff7. f • X fluff �0� _ g. y3. 7/ X flint h _ X "U" _ X fluff 4. SUBTOTAL = SSOAMS' 3q. -U- 4. / TOTAL = If item #4 is the same as, or less than item #1, you have met the intent of SBC 6006 (c) 2. f Total Exposed Roof/Ceiling Area — , j. Total skylight area . . . . . . . . . k. Total flat roof/ceiling framing area 9,fa�__ 1. Total net inslted flat roof/ceiling area �(0 71 3 M. Total vault roof/ceiling framing area -10% _ n. Total net inslted vault roof/ceiling area Determine "U" value for each-roof/ceiling segment. j- _ x "U" — '33 = (2Z— 23k. _/Ob k. x%9-67 X "U" 1. x null _-�%�3 M. — x null -- _ n. - x .. U It 5. TOTAL If item #5 is the same as, or less than item #2, you have met the intent of SBC 6006 (c) 1. Total Exposed Floor/Cant. Areas — — o. Total floor/cant. framing area (avrg. 10%) --_— p. Total net insulated loor/cant. area Determine "U" value for each floor/cant. segment. o. x "U" p- _ x null 6. TOTAL If total of #6 is the same as, or less than #3, you have met the intent of SBC 6006 (c) 3. ALTERNATE BUILDING ENVELOPE DESIGN To utilize the total envelope system method, the values established by the sum of items #4, #5 and #6 shall not be greater than the sum of items #1, #2 and #3. 4. .SQL, 5. i 6. _ Prepared By • Z Date Total Exposed'Wall Area Above Floor _— .99',& 5e a. Total wall window area . . . . . . . . . . 1450 -Q b. Total M door area . . . . . . . . . . . . . C. Total sliding glass door area . . . . . . — — d. Total fireplace wall area . . . .. . . — e. Total _-- wall framing area (avrg. 10%) f. Total net wall area above floor . . . . . /77,6:f: g. Total rim joist area . . . . . . . . . . — Total Exposed Foundation Area — 9 - -- Total Foundation Window Area —_ „ U „ _ _ ---- Total Net Foundation Area Above Grade Determine "U" value of each wall segment. SUBTOTAL = c. __ x "U" _ _ d. _ x „U„ x „ U „ 9 - -- -- x „ U „ _ _ ---- h. x "U" SUBTOTAL = . THRU STUD Int. Air w/ S.R. 8 SIDING S.R. Stud Shtg . Siding Ext. Air i Total "R" 1/R= "U" .68 iyCs (.87 �.0� t07 .17 _ 4-9-3 = LLLJ THRU INS, WALL w/ S.R. 8 SIDING _ Int. Air S.R. SHTG . Siding Ext. Air Total "K" 1 / R = fl U,f .68 Iv /'700Ins. e9.07 <O% .17 THRU CLG. Int. Air .61 THRU CLG. Int. Air .61 MEMBER S.R. (�/�") Nr�o INSULATION S.R. 15(0 Clg. Memb. Ins. 50 Ins. ( ") 30.00 Still Air .61 Still Air .61 Total "R" Total "R" - 3�/� 1/R "U" - ,d THRU CONC BLOCK Int. Air .68 THRU RIM Int. Air .68 C.B. JOIST Ins. X9.00 Opt. Ins. a0 12" Wood .1. 89 Ext. Air .17 Shtg. ao9 Opt. S.R. Siding •67 v l Opt. Sid. Ext. Air .17 Total "R" Opt. Brick ' 1/R = "U" = ' Total "R" _ �y f 1/R = "U" _ a tt 74 rN r6r tq_ k ✓'N - 4 �' ' . - .ta 1 y��//� � 9 ` / ±si y�1r vbT � -.� ,r Y �t � � ��,, ro,� �w �, 1 ratc '� s' t •, s ,.�y' .� i s��r�TA•'!'�'Mip 1 u u � t t o v t Il��Aiy{ _ �y ''� :fit t , � t � � n r� �;r„ zr a�% wx 'tom . 4 t s �'� ��, �. t • •� . + � , .. i a� � n Ayr r � 4 �„'�. ,� 3 a t� _ n • • • „o, DEQ�i ES JR ib Y I. •.. 33� 33� ��a� �,, � �'t,F �" q,e + � Y�r�♦�i i ,�..-"as�. 3.�.`�`a�. y ? 1 Fi A �k ,� '',. ✓f 3� _.�N. - � w rt I k � � � dNKi"{ ��yy D �,� t'Y `� ♦ + i G ��?`�� ¢ } y• ��, N fes\ N i ■ • Am t r� ae� Y .� 321:04 33 X4.04 O :, tk�•s# .-s. $ � 4',..rsf -,• ,.T �Jr/ � 24/ 3Jr/ V/ NA 3.t a �w`3�: Y17 aL►�T N Z S� O O CD CD f- ' / '^ tr A• t � 3 r``'� 20 � VJ 326- 6' 33. 33 S'�k •,' a` '-jp�;ti?a i�.Y1 tY x: ,,r §, J�� ry y - F4.Eu j'C c A • �p _ J r .�L"� �,�� _C �s � > t"S v6'�'t 3tpv� f i � , + i} "4z•, T � 5 t 4 f 1' ��. L• v-'• � l,A_�� k 4� E LC IPTION w �•1�IAT , � ' 1�tU0I'TO R S i IBDIVIS10N N0.92 IN ANOKA COUNTY, +IINN SIA3' �1 11' i CI 'L1.E 00WT i "I IE . ORTN:120 FEET OF SAID LOT 44 AND • �kSEAi��' SEEx,'tIROSES OVER THE EASTERLY 33 IWIJE T "fiHEREtf ETi�"" y �IQ4I SURVEYED THE PROPERTY 5 #�iBEii JRA�1V :''1.AT IS A CORRECT #EpRESETI Pt''. ,r • da - � -. ��+ � qY �,Y� � � $ s t, um`Yid kx c h °�� e , r§ k. «t yrs c imp xia ., �E i baa ter .r �o REG. N0. 4987 a,.... -� d_.-.� - .. � st::-r :r"y°' •_ec-'!�ao•�%xS4i..:^-.1..., _4 . - CITY OF FRIDLEY APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE et�arncw.mrnr RATE TOTAL Effective Aug. 1, 1981 Job Address SS�o S 1 It�:So N LV.b Furnace Shell and Duct Work, Burner (Also replacement furnace) $ 20.00 $ Department of Buildings, 6431 University Ave. N.E., Fridley, MN 55432 City of Fridley Gas Piping $ '10.00 $ Tel. #571-3450 (piping needed with new furnace) Gas Range $ 10.00 $ 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 Gas Dryer $ 10.00 $ and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. * Air Conditioning (all sizes) $ 10.00 $ Fridley, Minn. All Others/Repairs and Alterations OWNER 1�+ 1% of Value of Appliance or Work $ KIND OF BUILDING COMMERCIAL/INDUSTRIAL USED AS U W �;; L L Q (il 1% of Value of Appliance or Work $' TO BE COMPLETED ABOUT 1 • ESTIMATED COST c) State Surcharge $ .50 OLD - NEW BUILDING PERMIT NO. PERMIT NO. TOTAL FEE $ Reinspection Fee ($15.00) $ 1 �� DESCRIPTION OF FURNACE/BURNER Rough Insp. HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No. Date Final Insp. Trade Name Size No. Date` Capacity Sq. Ft. EDR BTU HP Approval for Permit /'' Total Connected Load Kind of Fuel BURNER - Trade Name Size No. Capacity Sq. Ft. EDR BTU HP MINIMUM FEE FOR ANY HEATING PERMIT IS $10.00 Company N® y-n�% a�i��L PLUS $.50 STATE SURCHARGE Signed By ® eJl� Attach stack verification form with.replacement furnace permits�T- Tel. No. *Air Conditioners can not be placed in side•yard without written permission from adjoining neighbor. 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 s Job Address RESIDENTIAL RATE TOTAL ®. Furnace Shell and Duct Work, Burner (Also replacement furnace) $ 20.00 $P De artment of Buildings, 6431 University Ave. N.E., Fridley, MN 55432 City of Fridley Gas Piping $ 10.00 $ Tel. #571-3450 (piping needed.with new furnace) Gas Range $ 10.00 $ 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 Gas Dryer $ 10.00 $ and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this appliq4tion are true and correct. * Air Conditioning (all sizes) $ 10.00 $ 14 Fridley, Minn. 19 All Others/Repairs and Alterations OWNER 1% of Value of Appliance or Work $ KIND OF BUILDING COMMERCIAL/INDUSTRIAL r USED AS q 1% of Value of Appliance or Work $ TO BE COMPLETED ABOUT / ESTIMATED COST �j State Surcharge $ .50 � OLDILDING PERMIT NO. PERMIT NO. TOTAL FEE $ �b Reinspection Fee ($15.00) $ 3C/i . DESCRIPTION OF FURNACE/BURNER Rough Insp. HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No. Date Trade Name Size No. �46"'4=d:d Final Insp. Date Capacity -0 Sq. Ft. EDR BTU HP 1e2= Approval for Permit l Total Connected Load Kind of Fuel BURNER - Trade Name Size No. Capacity Sq. Ft. EDR BTU HP MINIMUM FEE FOR ANY HEATING PERMIT.IS $15.00, Company PLUS $.50 STATE SURCHARGE Signed By Tel. No. *Air Conditioners can not be placed in side yard without written permission from adjoining neighbor. Fill out back side for stack verification on replacement furnaces CHIM14EY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack; 1. Has been carefully examined Yes ( ) No ( ) 2. Is free from rust or deterioration Yes ( ) No ( ) 3. Has no foreign objects lodged within Yes ( } No ( ) 4. Is securely supported Yes ( ) No ( } 5. Meets all current Code requirements for size and total BTU connected Yes ( ) No ( ) 6. Has Total heating BTU's of All other BTU's TOTAL Rema rk s Company Signed By Da to JF INSPECT I®N �� /�� SMUCAPOLIS. o. Insulation Roof Floor Kind Windows and Doors—Cri Width Heighe N No. o. of pane oY//paae llgl , �,n Va C) I. Infiltration f y Exp. wall Net exp. wall 1 Int. wan How A Width and Area meal ft. Area crack I eq. ft. Ceiling Floor Jt / �.�- ®✓s 6J— .�� 4) Total Btu. Required sq. ft. E.D.R. or sq. ins. WA. Leader area 9 FIA Room( Length A# Width !� Windows and Doors—Crackase and Area Width Height No. of Lineal ft. Area No. of pane of pane l,Shta of crack sq. ft. lit C Infiltration Glass i Exp. wan Net exp. wall f Int. wan Ceiling /39 4- /4 Y 4 /✓ 3// o Z,2/ Floor o & >® Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl.l Windows and D Wldth tfoi No. of pane of t 0 Infiltrration Room I Length Width sleight sora--Crackage and Area rht No. of Llneal ft. Area Tno Patio of crack N• ft. Coef. I$tu NEW [ ] ADEN] R-1 AND R-2 AL's [ ] Building Permit Application Construction Address: -� o 3 0 4L '01 41 10— al M, Contractor: Effective 1/1/90 Tel. Tel. Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DrESQtIPPIO�T OF Il�l�7VII�Dr UV M AREA: Length r Width j Height Sq. Ft. GNU= AREA: Length Width Height Sq. Ft. DBCR AREA: Length �2` Width 3, Hqt/Ground 3 1 Sq. Ft. );-;14, OTHER: ►��,. Corner Lot [ ] Inside Lot off{] Yd Setback Side cks Type of Construction: Estimated Cost: $ _ Approx. Ccenpletion Date: a ae Proposed Driveway Width If New Opening Is Desired: Width + 6' See Back Page DATE: -f O APPUMU: Tel. # ��G kZ� 3 Permit Fee $ State Surdharge $ L SAC Charge $ Driveway Escrow $ Park Fee $ Sewer Main Charge $ CITY USE OXY Fee Schedule on Reverse Side $.50/$1,000 Valuation $600 per SAC Unit Alt. "A" or Alt. "B" Above Fee Determined by Engineering Agreement Necessary[ ] Not Necessary [ ] TOTAL s -r STIPULATIONS.. 4 w G a 1-2 g o t 1 It EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION DATE 7 _/0-90 OWNER �%%mne: T L1?VGi'S G -7'i P�[xn f �" ' 1 SITE ADDRESS � �0 �1 Qi,) IJ`yd (J �. �) e.,.. -i U(4C CONTRACTOR f_�4-a jQ[ V 0 I a Q_t)rn� PHONE Determine Working Square Footage of Each. 1. Total Exposed Wall Area . . 701, 1 Sq. Ft. X_.11 = 2. Total Roof/Ceiling Area . /V.JV Sq. Ft. X .026 = 7 3. Total Floor/Cant. Area . . 4,A.00 Sq. Ft. x .05 =1,)1'.70_ Total Exposed Wall Area Above. Floor =. �,Cp• a: Total Wall Window Area. . . . . . . . . . b. Total Door Area . . . . . . . . . . . C. Total Sliding Glass Door Area . . . . . d. Total Fireplace Wall Area . . . . . e. Total Wall Framing Area (average 10%) . 7(U f. Total Net Wall Area Above Floor g. Total Rim Joist Area. . . . . . Total Exposed Foundations Area = h. Total Foundation Window Area . . . . . . i. Total Net Foundation Area Above Grade . . Determine "U" Value of Each Wall Segment. a. SCI, (0 (0 X $gulf b. — X llU„ _ C. ,33 X ovule d. X fluff e. X nU1' f. X "U"04_ 9- X "U" C h. — X loull i. — X loull SUBTOTAL = 5-41 / 4. TOTAL If item #4 is the same as, or less than item #1, you have met the intent of SBC 6006 (c) 2. Total Exposed Roof/Ceiling Area �p7o.yv j. Total skylight area . . . . . . . . . (0.04 - k. Total flat roof/ceiling framing area 1. Total net insl.ted flat roof/ceiling area,� - M. Total vault roof/ceiling framing area -10$ n. Total net inslted vault roof/ceiling area _ 7 Determine "U" value for each roof/ceilinng"�segment. E•.3 01 x to U to X flute "U" _ _ ------- m lou" stun 5. TOTAL If item #5 is the same as, or less than item #2, you have met the intent of SBC 6006 (c) 1. Total Exposed Floor/Cant. Areas o. Total floor/cant. framing area (avrg. 10%) 116?"10 p. Total net insulated loor/cant. area . . . 1-30—� Determine "U" value for each floor/cant. segment. O .__ -ia, 4 X' fl o to p- '?k1, Loo x "U"— _ ---- i 6. TOTAL = J , If total of #6 is the same as, or less than #3, you have met the intent of SBC 6006 (c) 3. ALTERNATE BUILDING ENVELOPE DESIGN To utilize the total envelope system method, the values established by the sum of items #4, #5 and #6 shall not be greater than the sum of items #1, #2 and #3. 1. -2 7, Ja _ 4. 1� 2. 17,3 5 .Z - 3. C-?)' do = 6. 11,95 = // 5,25� Prepa ed By _ Da to THRUrSTUD Int. Air .68 THRIT ITIS. Int. Air .68 5/8" F.C. Stud 5/8" F.C. S.R. (opt.) Shtg. S.R. BOTH SIDES (Opt.) Shtg. BOTH SIDES Ins. 5/811 -S.R. .56 5/8" S.R. .56 5/8" S.R. .56 5/8" S.R. .56 Ext. Air .17 Ext. Air .17 Total "R" ._ Total "All _ 1/R = "U" _ - --- 1� 1/R = r►Urr = THRU STUD Int. Air .68 THRU ITIS. WALL Int. Air .68 w/o S.R. Stud w/o S.R. Ins. w/ SIDIFG Shtg. w/ SIDING Shtg. Siding Siding .� Ext. Air .17 Fxt. Air .17 Jr Total "R" = Total "R" 1/R = "U" 1/R THRU MEMBER Int. Air .92 THRU INS. Int. Air .92 AT CANT. Carp. -Pad C AT CAMT . Carp. -Pad 0?,C)5- Vinyl Vinyl _ Und.�L' TTnd. �T Ply. ►134 Ply. ' Joist Depth �n Ins. Ply. �% Ply. Ext. Air .17 1` Fxt. Air .17 Total "R" _ i,'g,S Total "R" 1/R = "IJ" _ ® 1/R= "Un = i 0 T1:RU STUD u/ S.R. E SIDING THRU CLG. M=19ER Int. lair .68 S.R. Air Stud �9$% Shtg. 0%0? Clg. 1.1emb. Siding 'F/ Ext. Air .17 • Total "R" = j W7 1/R= "U" _ ,Q Int. Air .61 S.P.. (Tsr") .30 Clg. 1.1emb. 'tom Ins. (F ") 6633 Still Air. 61 Total "R" Total "K" . -1/?- "U" THRU CONC BLOCK • ,Iht. Air .68 C.B. ( ") Opt. Ins. Ext. Air .17 /� • Opt. S.R. Opt. Sid.. • •' Total "R" . �_. 1/R z "U" _ THRU U.S. MALL Int. Air .6b W/ S.R. E SIDING S.R. . Ins. 19-� SHTG . a o 9 3F Siding Air oil Ext. Air .17 = 7 Total "K" 1/R THRII CLG. I ISULATIO1.1 THRU 1111 JOIST Int. Air .61 Int. Air .68 Ins. C/ 0j All Wood S.R. Shts. o%07 Ins. (/d") 3F Still Air .'Cl Total "R" = 7 0 Int. Air .68 Ins. C/ 0j All Wood .1.8 9 Shts. o%07 Siding I �rI Ext. Air• .17 Opt. Brick Total "R" 1 / R - "U" CS�Z.1 SUBJECT City of Fraley 2 0 5 0 AT THE TOP OF THE TWINS BUILDING PERMIT r O � • ______ COMMUNITY DEVELOPMENT DIV. r v PROTECTIVE INSPECTION SEC. i NUMBER REV. DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 8/2/90 JOB ADDRESS 5830 Stinson Boulevard N.E. 1 LEGAL LOT NO. Pt. 44 BLOCK TRACT OR ADDITION SEE ATTACHED Auditor's Subdivision #92 SHEET DESCR. 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Brandvold Builders 5345 Colfax Avenue North, Brooklyn Center, MN 55430 560-8263 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 ❑ NEW7 ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 16' x 26' Addition and a 421,_x 3' Deck 9 CHANGE OF USE FROM TO STIPULATIONS. See notations on plan. On all new roofs or tear -offs and replacement roofs, WARNING �� pG State Coda requires that 2 layers of 15 Ib. felt, mopped together, be installed to a point 24 inches Before digging call for up from exterior mall line, or the use of other all utility locations approW underlaylm,ent membrane. 454-0002 REQUIRED BY LAW SEPARATE PERMITS REQUIRED FOR WIRING, HEATING, PLUMBING AND SIGNS. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SQ. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT NO. DWLG. UNITS OFFSTREET PARKING ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 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 $ 22 800 $11.40 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT e PERMIT FEE SAC CHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIO OF ANY OT R TATE OR LOCAL LAW REGULATING CON- r $234.00 STRUC ON OR THE P ANCE OF NSTRUCT s PLAN CHECK FEE TOTAL FEE $245.40 GNATU F TRACTOR OR AUTHORIZED AGEOT 1 ATE) N PROPERLY VA ATED THIS IS YOUR PERMIT C� zs; BLDG INSP ru TE SiGNATURE OF OWNER IIF OWNER BUILDER) IDATEI 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 Job Address �� ✓ QESIDEI�TIAL RATE TOTAL Furnace Shell and Duct Work, Burner (Also replacement furnace) $ 20.00 $�6 Department of Buildings, 6431 University Ave. N.E., Fridley, HN 55432 City of Fridley Gas Piping $ 10.00 $ Tel. •571-3450 (piping needed with new furnace) Gas Range $ 10.00 $ 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 Gas Dryer $ 10.00 $ and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. • Air Conditioning (all sizes) S 10.00 $ /0 Fridley, Minn. !Q -- /LS 1e p All Others/Repairs and Alterations OWNER li of Value of Appliance or Work $ ��_...✓%/.�� KIND OF BUILDING COMMERCIAL/INDUSTRIAL USED AS 1• of Value of Appliance or Work $ q TO BE COMPLETED ABOUT ESTIMATED COSTLS State Surcharge $ .50 — V OLD - NEW BUILDING PERMIT NO. PERMIT NO. TOTAL FEE $ Reinspection Fee ($15.00) DESCRIPTION OF FURNACE/BURNER Rough Insp. HEATING or POWER PLANTS. steam, Hot Water, Warm Air- No. Date Final Insp. ///� /� Trade Name ��i� Pte.,,, / Size No. �� /t �i0 - Date Capacity sq. Ft. EDR BTU HP Approval for Permit 7 Total Connected Load dZ� .z .7 �- _ Kind of Fuel BURNER - Trade Name Size No. Capacity Sq. Ft. EDR BTU HP MINIMUM FEE FOR ANY HEATING PERMIT IS $15.00, /o .- _ n��z/��`�-' G' Compa°y A= C PLUS $.50 STATE SURCHARGE �Y Signed By Tel. No. *Air Conditioners can not be placed in side yard without C% written permission from adjoining neighbor. ' 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 ( ) 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 Rema rk s Company Signed By Da to RESIDENTIAL 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 ` RATE TOTAL Furnace Shell and Duct Work, Burner (Also replacement furnace) Gas Piping (piping needed with new furnace) Gas Range Gas Dryer * Air Conditioning (all sizes) All Others/Repairs and Alterations 1% of Value of Appliance or Work COMMERCIAL/INDUSTRIAL 1% of Value of Appliance or Work $ 20.00 $ $ 10.00 $ $ 10.00 $ $ 10.00 $ $ 10.00 State Surcharge i,Vlye Reinspection Fee ($15.00) Rough Insp. Date Q Final Insp. L D e 714 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. $ .50 Job Address Q� LL�-- 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. i Fridley, Minn'. ® c.. r , 19 qo6 OWNER E� L G 41 s I Q (- "\� KIND OF BUILDING lr-:-g.4Z Y,(N USED AS ® W S l -L\ W C. TO BE COMPLETED ABOUT I (Z� — 0 s® ESTIMATED COST E3 o J OLD - NEW BUILDING PERMIT.NO. PERMIT NO. DESCRIPTION OF FURNACE/BURNER HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No. Trade Name Capacity Size No. Sq. Ft. EOR BTU HP Total Connected Load Kind of Fuel BURNER - Trade Name Size No. Capacity Sq. Ft. EDR BTU HP v L +-j Company rr M U� 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 ( } 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 Rema rk s Company Signed By Date u CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT RATE SCHEDULE PLUMBING FIXTURE RATES: New Fixtures Future Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Hydraulic valve Sump or Receiving Tank Water Treating Appliance Hot Water Heater Gas Range Gas Dryer NO. RATE $ 5.00 S 3.50 S 1.50 S 4.00 $ 5.00 $ 5.00 $ 5.00 $ 5.00 $ 5.00 S 7.00 S 5.00 S 10.00 S 10.00 Back Flow Preventer Required. . . Yes ( ) No ( ) Type S 5. UO S ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1t of Value of Fixture or Appliance S Reinspection Fee $ State Surcharge S .50 G� ($15.00) TOTAL FEE cn ° Effective may 1, 1990. Job Address a Gam' v Department of Buildings City of Fridley Tel. 1571-3450 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. , [1 �, 19 w AT' OWNER KIND OF BUILDING USED AS TO BE COMPLETED ABOUT /c� ESTIMATED COST��% OLD - NEW BUILDING PERMIT NO. PERMIT NO. Com y Sign y Tel. ROUGH INSP. Date FINAL INSP. -//-204 Date l APPROVAL FOR PERMIT(,='" !1ININU4 FEE FOR ANY PLUMBING PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE eM a U x 4, Y1u Water W a �a a 4 e it N p, tw Heater a uV (3 t w M aqq1 .9 a Z g .yci W 10 fn u�y� u u a qq N 3 O w N w u 4 3 q o lec fa 10 00 C! l7 as let 2nd 3rd 4th (R) - Future Connection Opening Connected with Sewer V) - New Fixture, Old Opening Water RATE SCHEDULE PLUMBING FIXTURE RATES: New Fixtures Future Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Hydraulic valve Sump or Receiving Tank Water Treating Appliance Hot Water Heater Gas Range Gas Dryer NO. RATE $ 5.00 S 3.50 S 1.50 S 4.00 $ 5.00 $ 5.00 $ 5.00 $ 5.00 $ 5.00 S 7.00 S 5.00 S 10.00 S 10.00 Back Flow Preventer Required. . . Yes ( ) No ( ) Type S 5. UO S ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1t of Value of Fixture or Appliance S Reinspection Fee $ State Surcharge S .50 G� ($15.00) TOTAL FEE cn ° Effective may 1, 1990. Job Address a Gam' v Department of Buildings City of Fridley Tel. 1571-3450 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. , [1 �, 19 w AT' OWNER KIND OF BUILDING USED AS TO BE COMPLETED ABOUT /c� ESTIMATED COST��% OLD - NEW BUILDING PERMIT NO. PERMIT NO. Com y Sign y Tel. ROUGH INSP. Date FINAL INSP. -//-204 Date l APPROVAL FOR PERMIT(,='" !1ININU4 FEE FOR ANY PLUMBING PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT fTT�7:��11j��i17��e7�31�11i�•��e7-I�T�1;��1>I�- � • �Iyifl;T��e:7:7 Effective On Jan 1, 2000 PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS5� JtS dt L31:-5 _-_ New Fixtures $ 7.00 The undersigned hereby makes application for a permit for the work herein Old Opening, New Fixture $ 4.00 specified agreeing to do all work in strict accordance with the city codes Rim ma r -M $ 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 aonlication are true and correct Catch Basin $ 7.00 GIRON, DIANE Rain Water Leader $ 7.00 5830 STINSON BOULEVARD 20M Tank $ 7.00 FRIDSump/Receiving (612) 5 1 70 55432 (812) 571-0708 Water Treating Appliance $10.00 Water Heater -Electric $ 7.00 Water Heater - Gas*` $10.00 Building Used As �aImAj Cz Gas Range** Gas Dryer** $10.00 $10.00 Estimated Cost (� PERMIT NO. / � Back Flow Preventer Required ( )Yes O No Type $15.00 PLUMBING COMPANY CZ-. Reinspection Fee $47.00/Hr SIGNED BY TEL NO.&Z ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS5� JtS dt L31:-5 _-_ New Fixtures $ 7.00 The undersigned hereby makes application for a permit for the work herein Old Opening, New Fixture $ 4.00 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 aonlication are true and correct Catch Basin $ 7.00 GIRON, DIANE Rain Water Leader $ 7.00 5830 STINSON BOULEVARD 20M Tank $ 7.00 FRIDSump/Receiving (612) 5 1 70 55432 (812) 571-0708 Water Treating Appliance $10.00 Water Heater -Electric $ 7.00 Water Heater - Gas*` $10.00 Building Used As �aImAj Cz Gas Range** Gas Dryer** $10.00 $10.00 Estimated Cost (� PERMIT NO. / � Back Flow Preventer Required ( )Yes O No Type $15.00 PLUMBING COMPANY CZ-. Reinspection Fee $47.00/Hr SIGNED BY TEL NO.&Z ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance .. _ Approved By State Surcharge $ .50 TOTAL FEE $20�� Rough -In Date Final Date 1441 7 v NY PLUMBING/GAS PERMIT IS 920.0d F AXQ� E SURCHARGE COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACKSIDE I" FRIDLEY FRIDLEY MUNICIPAL CENTER - 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 - (612) 571-3450 - FAX (612) 571-1287 June 22, 2001 Ms. Diane Giron 5830 Stinson Blvd NE Fridley, MN 55432 Re: Final Inspection at 5830 Stinson Blvd NE Contractor: Norblom Plumbing Co Dear Ms. Giron: A plumbing permit was issued on February 8, 2000 to install a water heater at your address. 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. The permit fee that was paid covers the inspections to make sure the work was completed according to the Plumbing 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 expired the permit and no further action will be taken. To set up the inspection, or to have any questions answered, please contact the Building Inspection Division at (763) 572-3604. DJ/mh SUBJECT - P City of Fridley 32 75 7) AT THE TOP OF THE TWINS BUILDING PERI . IIT T NO. • COMMUNITY DEVELOPMENT DIV. _____ f � � PROTECTIVE INSPECTION SEC. NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 L J` 612-571-3450 910-F15 4/10/02 JOB ADDRESS 5830 Stinson Boulevard NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED OESCR. Pt 44 1 1 Auditor's Subdivision 492 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Luis & Diane Giron 5830 Stinson Blvd NE 763-571-0708 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Atlantis Pools Inc 4321 68 Avenue N, Brooklyn Center, MN 55429 763-560-0103 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 O ADDITION C ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Install a 14' x 28' In -ground Swimming Pool 9 CHANGEOFUSEFROM TO STIPULATIONS See stipulations in letter dated April 2, 2002. WAVING 8001118 digging call for SEPARATE PERMITS an utility locations REQUIRED Fa%:REQ�JIRED Iftoo2 � LAwNNSSPUM� AIG3 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 $22,000 $11.00 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 PERFORMANCE OF CONSTRUCTION !7% /� ®� L, i4m, iumd - - - PLAN CHECK FE Lice e CCI TOTAL FEE $382.25 SIGNATURESIGNATURE& CON' ACTOR ORAUTHOR1 ED AGENT MATES VALIOA 0 THIS IS Y -PERMIT <gHEPRO /jY 4sp GATE S.GNATURE OPOWNERoF OWNER BU4DER1 DATE, NEW CITY OF FRIDLEY Effective 1/1/2002 ADDN [ ] 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: j 2h E / y j Legal Description: Lz4- qc2, Owner Name & Address: Lu Is 941 n.• 0r,) 6/vc/ Tel. # Contractor. -A �i r..__r j s 'Poo ISO l nC„ MN LICENSE # Address: L-13 "' �KJ. P 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: Length Width Hgt/Ground Sq. Ft OTHER: Li1ra ► Mtn s V -Poo ! x c—j" bS 0A) Construction Type: _Pen Estimated Cost: $ o?a g Zoe-,') Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ = $ DATE: j 1.2-5 / 0 Z- APPLICANT: j Af/ rj .tea L® R/�,, /QL1 Tel. # Al2 — 5co o - n P n3 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. CITY USE ONLY - Permit Fee $�% Fee Schedule on Reverse Side Fire Surcharge $ 00.t ©O .001 of Permit Valuation (1/10th%) State Surcharge $ //.cc $.50/$1,000 Valuation SAC Charge $ $1200 per SAC Unit License Surcharge $_ $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 byEngineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $S y STIPULATIONS: G7YOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (763) 571-3450 • FAX (763) 571-1287 April 2, 2002 Atlantis Pools Inc 432168 Ave N Brooklyn Center, MN 55429 RE: Swimming Pool Construction at 5830 Stinson Blvd NE, Fridley Dear Sirs: This letter is to make clear this department's requirements for the swimming pool construction at the above address. 1. As indicated, two (2) skimmers approved by the National Sanitation Foundation will be provided. 2. As indicated, two (2) inlets of approved design for fresh and/or repurified water will be provided. 3. The filter and pump shall be approved by the N.S.F. and be of sufficient capacity to provide a minimum turnover of at least two (2) times in 24 hours. This department recommends a turnover rate of 6 - 8 hours. 4. A deck of at least three (3) feet wide, measured from the pool waters edge, shall be provided which extends completely around all private residential pools. Above ground private residential pools may be provided with decking of a minimum size of 4 feet by 4 feet at pool entry points and provided that such decking has the approval of the City. 5. Fencing or other effective means including but not limited to walls or buildings, acceptable to the pools. Fencing shall meet the following criteria: a. The fencing shall prevent the entrance of children and be without hand or footholds that would enable a person to climb over it. b. The fencing shall be at least 6 feet high and entrances shall be equipped with self-closing and self -latching gates capable of being locked. c. Self-closing and self -latching devices shall be placed at the top of the gate or otherwise inaccessible to small children. d. The opening between the bottom of the fence and the ground or other surface shall be not more than four inches. April 2, 2002 Atlantis Pools Inc Re: Swimming Pool Construction Page 2 6. An automatic chlorinator should be provided with a suitable test kit. 7. All electrical and plumbing installations shall be inspected and approved by the City Inspection Department. 8. All overhead electrical lines must be a minimum of 10 feet horizontally from the pool surface and 18 feet straight line distance from the waters edge. An alternative is to bury said lines. 9. The pool fill spout must be protected by a vacuum breaker or air -gapped. 10. Suitable safety equipment to include but not limited to a ring buoy and rope that is 1 1/2 times the pool diameter, and shepherds crook pole must be provided and maintained with the pool at all times. Furthermore, these and any other requirements must meet the provisions of the Fridley City Code, Section 115, Swimming pools. The building permit is approved contingent on final inspections and approval by the City. If any questions or problems arise from this letter, please contact me at 572-3603. Sincerely, DJ/mh ATLANTIS POOLS, INC. 4321 - 68th Ave. N: • Brooklyn Center, MN 55429 763-560-0103 Fax: 763-560-8619 SWIMMING POOL AGREEMENT 3� '/� ,A, Bat. Name of Buyers) Lyi 5 _iAl/ NHome Phone Address 3t] �/�GtJ/J 11 Other Phone rte, F2 %� G� •,/ /�iN Zip SSBI cL — State Buyer purchases the below described Swimming Pool from Cash Down Payment Upon Signing of This Agreement 10% Cash Payment Upon Excavation 40% .................................. Cash Payment Upon Liner Placement 40% .......................... Cash Balance Due on Completion 10% ................................. Seller will supply and install under normal ground conditions one X Pool to include: 5T'CIz, L Walls, ��!✓� -zvqA] Vinyl Liner, Pump, 45e_ 44voy Filter, Complete Accessory Package and Ladder. Additional charge only for Jack Hammering, high water table or extra fill. Buyer to supply water and is respon- sible for drainage adjacent to the pool. Machine grade only. Customer is responsible for landscaping & fencing. Persons or companies furnishing labor or materials for the improvement of real property may enforce a ilea upon the Improved land if they are not paid for their contributions. even if the parties have no direct contractual relationship with the owner. Minnesota law permits the owner to withhold from his contractor as much of the contract price as may be necessary to most the demands of all other lien claimants pay directly the liens and deduct the cost of them from the contract price, or withhold amounts from his contractor until the expiration of 120 days from the completion of the Improvement unless the contractorfumishes to the owner waivere of claims for mechanics' (lens signed by persons who furnished any labor or material for the Improvement and who provided the owner with timely notice. BUYER AGREES TO ADDITIONAL TERMS ON THE REVERSE SIDE OF THIS CONTRACT IF THIS CONTRACT IS SIGNED ATA PLACE OTHER THAN THE SELLER'S PLACE OF BUSINESS AND THERE HAVE BEEN NO PRIOR NEGOTIATIONS IN THE COURSE OF A VISIT BY THE BUYER TO THE SELLER'S PLACE OF BUSINESS, THEN, YOU, THE BUYER MAY CANCEL THIS PURCHASE AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE OFTHIS PURCHASE SEE ATTACHED NOTICE OF CANCELLATION FOR AN EXP NATION OF THIS RIGHT. Seller Buyer ATLANTIS POOLS, INC. Buyer MAR -10-2002 13:2E) FROM CITY OF FR I DLEY ,�• • � •tet � ' r ; , '•,:'jgtl�rwl YMM� � d I+rts�l�.w+� ;;C; ! BAWSON t -ILS! o DENOTES IRON PIPE , . ` : •. I TO 5608619 P.02i02 ATLANTIS POOL/ECOWATl 432168TH AVE. NORTH BROOKLYN CENTF�t MN 5542 763-560-0103 763-560-3619 Fax .. .� '•+�..t --1 _ .r�. Y:t,-�Y-.•; ..r�•. `• .tiJ .r!.' .t;"� �t'• /� •�w apt /�., '"�•• r•�•�iS�+'� •�'1' J'1. +�!• •!ai r :ir ,. `'•' :• L' , •r' � ! •fir �• . rc • � ! r'• . .e. .•:li•. _ •ti 1 .!'•f 1�� r�"•�:.•:�.�••'t � Y-f•r..•LGZ ::�.yc. .. ..,.. ......l.EGA�•. �EscRiPTicN � •3.ri �r " • i '. "'�-'•'THAT PART.OF LOT +44; AUDITOR `S 'SUBDIVISION NO.92 IN •ANOKA COUNTY$ MINNESOTA WHICH LIES SOUTH OF THE NORTH 120 FEET OF SAID LOT -.44 AND 'SUBJECT'TO•AN EASEmVN`r.FOR.STREET PURPOSES OVER THE EASTERLY 33 FEET THEREOF. ",`a�• ~�'`'`r''`' '' #IEREBY•CERTi FY ;xrtiAT ON JULY 3, 1964 1 SURVEYED THE PROPERTY ~' ' RIB ED -AND 1'kAT••TIiE ABOVE PLAT IS A CORRECT REPRESENTATION OF SAID•;$URVEY.. .. 7 ,'iCysa!Zck. 'le la�` REG. No. 4987 AUANnS 8TH P®®�COWATEA j S i 45216 A NORTH TOTAL. P.02 - BROOKLYN CEMM S%1 �s ate- i3�v�J 763-50 55429 -01 ' 763-560-8619 Fax s ` / ATLANTIS POOL/ECOWATER 4321 68TH AVE. NORTH BROOKLYN CENTER, MN 55429 763-560-0103 763-560=86'19 Fax------- .... .�.. DIMENSIONSj I --� B A 8 D E H J K L M N R1 Y1 18'-0- 36'-0" 3'-40- 3'-4". '-4"3'-4" —t- 3'-4"' Y1 5'-6" 1 4'-0" R1 12 —0" 8'-0" PIAN VIFW OF POOI 9'-0.. 4'-6" A CROS_ S USMI N 3'3 1/2' iiOATORY '�4'i4'—stooEfWO l D C L I I I K —� 2- SmO OR VERUCWTE •=CCATE twx) pARo BOTTOu t ONGITIIDINA( SFCTION IOLU E 22.150 ERIuETER 10.1.'-1 1/2" AREA 634,0 $Q•1rT COPING LAYOUT PANEL LAYOUT .. STAIRS 0• L1CW SLURS a'r• 4'r. 4')r. 4'r, C 4'r. 4')r. 1p' 10. 12' 2'8'$. ar 12 4' 12 a'r 4'r. g' 8 8• 4'r. ANSI NSPI-5 SPECIFICATIONS THIS IS A •TYPE II POOL DIVING EQUIPMENT IS PERMITTED _46- 25 NOTES 1, " dA.ansions given ors fwshw dLnewsions. 2. Ail pons on in oeeordoncd with the gw;derras sslob4shed by the M1SI/MSA1-3 *Slondords for Res;dent;el p"# ,.1993 and 1994 BOG COOL - SECTION 421. An pons .nvsl W constructed to meet these stor"'Wds ono your Iota bw'1d;" codes. 3. wonnoton 'n We drorw.y Is for relsrenes only. 0 Title: 18'-0' x 36'-011 4' RAD. RLCTANGLE Revi.�ed4 17 95 Orawirig No. ! stolONE S 4 R 18 3 6 I• Draw.O.R. I —i 20' To or Om"C WARD I I • I s' -o' I a•...0- I wTCR t»+E I,oGTEo s' Bf1,OW OfTRUS+ON I I ALMAsom US"4 YAx — 8 r7. WANG BOQW OR i r f. AW BwRo _46- 25 NOTES 1, " dA.ansions given ors fwshw dLnewsions. 2. Ail pons on in oeeordoncd with the gw;derras sslob4shed by the M1SI/MSA1-3 *Slondords for Res;dent;el p"# ,.1993 and 1994 BOG COOL - SECTION 421. An pons .nvsl W constructed to meet these stor"'Wds ono your Iota bw'1d;" codes. 3. wonnoton 'n We drorw.y Is for relsrenes only. 0 Title: 18'-0' x 36'-011 4' RAD. RLCTANGLE Revi.�ed4 17 95 Orawirig No. ! stolONE S 4 R 18 3 6 I• Draw.O.R. I SHORT ANGLE J TURNBUCKLE A—FRAME ASSEMBLY LONG ATLANTIS POOVECOWATER 4821 68Th AVE. NOR - BR O OKLYN CF.I� TER. MN 55429 763-560-0103 _.._........ 763=560_-8'61-9 Fax -- .. - .. .... _.. ROD A—FRAME ASSEMBLY 1. SHORT DECK BRACE ANCLE • OPTONAL hRSE ANGLE LONG DECKVIEW BRACE ANGLE I • OPTIONAL DRIVE STAKE i BEARING PLATE I TURNBUCKLE ANGLE SHORT ANGLE J FM STANDARD A—FRAME ASSEMBLY DRIVE STAKE j BEARING PLATE ALONG. ANGLE DRIVE STAKE at BEARING PLATE' 9 ANGLE I Title: A -FRAME ASSY. 2 PIECE 'DECK BRACE Revised:1O 14 94 Drowing No. ole: NONE DrAFDS 1 Drown: C.C.K. 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 Pipi (Needed with new furnace, but noI replace nt) Gas Range Poi-7-� 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 JOB AD Effective On January 1, 2002 OWNER_ Rate TOTAL BUILDING USED AS $ 30.00 $ ESTIMATED COST � 0G) PERMIT N0. $ 10.00 $ DESCRIPTION OF FURNACE AND OR BURNER $ 10.00 $ No. of Heating Upits Circle One (Steam) (Hot Water) (Warm Air) $ 10.00 $ Trade Name f�Y�� Size No. BTU�SCJ, OGS 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 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 i Signed FAX # 17�3� 75W DATE 00 TEL# —ay-- Z//7 *Air Conditioners can not be placed in a side yard without Approved By Rough -In Date Final Date i!vW-Od- written permission from adjoining property owner. THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNED COMMON V NTS V NT QQNNFCTQR AND COMMUSTION AIR VERIFICATION When _rQ 1p_a__ing an axestang 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 existingsnmhnstinn air is sized and installed to meet the current codes and manufacturer's specifications. Yes( ) No( ) When required to install a new cnmhustion a04 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 verges 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 #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 HEATING CO: Signed By: Date: