PRE 2010 DOCS0 4
SUBJECT
City of Fridley
24
a
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
• COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION SEC.
r
_--'1 CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
�•--- ,'� 612-560-3450
910-F15
19/23/74
JOB ADDRESS 6371 Squire Drive N.E.
1 LEGAL
LOT NO.
BLOCK
TRA CT OR ADDITION SEE ATTACHED
DESCR.
15
2
Harris Lake Estates SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Rottlund Company, Inc. 1581 Rice Creek Road N.E.
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Terry Rieherdson
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
CX NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
6 DESCRIBE WORK Construct a 26' x 40' & 41' Dwelling and a 24' x 24' Garage
9 CHANGEOFUSEFROM TO
STIPULATIONS Provide ax:verifying survey before capping. Provide a hard surface
driveway. Locate house very carefully to stay off easement and
meet side yard setbacks.
SEWER LOCATION: 258' N.W. of Manhole (N. Inv. 878.31)
Wye Elevation: 879.60
Top of Footing: 882.60 Minimum
WATER LOCATION: 10' N.W. of Sewer Service
SERERATE PERMITS REQUIRED FOR WIRING1
HEATING, PLUMBING AND SIGNS.
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
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
Rl
1376
ANY TIME AFTER WORK IS COMMENCED. .NB,.
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.
14.81
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$29,616
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PROVISION F S ANY OTHER ATE OR LOCAL LAW RIpGULATING CON-
STR ON O THE PERFO KNCE OF NSTRUCT
$55.00
$300.00
PLAN CHECK FEE
TOTALFEE
-7-1
$369.81
SIGNeUkOFC NTRA ORAUTHORIZEPGENT (DATE)
WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT
r
BLDG INSP DATE
SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE)
0 4
APPLICATION FOR RESIDENTIAL, ALTERATION,
OR ADDITION BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S NAME: ��I qtr 6 '-'y'BUILDER: /I i alt ZV--VJrf�.
ADDRESS: ADDRESS : J,51 -/t r-0-
NO • 43 % / STREET •
ell
LOT: J -S BLOCK: ADDITION: S L ���e /�•S �`�1 %P$
CORNER LOT : INSIDE LOT:SETBACK: '3 e� ' SIDEYARD : 10'6 4-
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:
5�
Front: Depth :1y_..Height :
Square Feet: Cubic Feet:
i�A f Front: $i !jDepth : Z Height: J
T
Square Feet; -7 Cubic Feet:
Type of Construction: _ 'v�i0AA a Estimated Cost:
To Be Completed: I����sS �� b � ' CIO ^�>
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. / l
DATE: -- 7— 7 Z SIGNATURE
(See Reverse Side For Additional Information.)
i 111 may-]
BUILDING PERMIT FEE SCHEDULE
SECTION 2. The Inspector of Buildings shall, before issuing permits for the
erection of any building or structure, or for any addition to any existing
building or structure, or for any alteration or repairs to any existing
building or structure, upon application therefore, require the payment by the
applicant for such permit of fees to the amount herein below set forth and in
the manner herein provided to -wit:
UNIFORM BUILDING CODE: Type 1, 2 & 4 - $2.15 for each one thousand cubic
feet, or fraction thereof, in such cubical contents. Type 3 & 5 - $1.85 for
each one thousand cubic feet.
ADDITIONAL INFORMATION
For the purpose of computing fees for building permits, the cubical contents
of any building or addition, is determined by multiplying the ground area
covered from a point six (6) inches below the floor line of the basement
or the cellar to the average heights of the upper surface or to the average -e
height of the roof surface of.the main gable of a pitched roof.
For repairs or alterations to an existing structure, the fee shall be at the
rate of $3.00 per each five hundred dollars ($500.00) or fraction thereof in
the cost of all proposed work.
In no case shall the fee charged for any permit as set forth in Section 2 be
.less than $5.00.
VERIFICATION OF FOUNDATION
NOTE: Permits for construction will be issued a minimum of 24 hours from the
time of application, to allow for proper review of the proposed structure and
of the construction site.
A Certified Survey of the lot, showing the location of the foundation, once it
has been con6tructed, will be required before proceeding with the framing.
CERTIFICATE OF OCCUPANCY
Application for a Certificate of Occupancy shall be made ten (10) days prior
to the use or occupancy of any structure for which a building permit has been
issued; and said structure shall not be used or occupied until a Certificate
of Occupancy has been issued.
..
rl'k "
Land Planning
land Surveying
Soils Testing ( /
Civil Engineering K/
Municipal Engineering Engineers & Surveyors
Certificate of Survey
r
0�
6875 Highwuy No. 6S N.E.
Mrnner,polis,
Minn. 35432
telephone 784-6066
Area Cod,- 612
LST 1�) BLOCK Z)
H ms LAS. ESTATE S
I hereby certify that this r, a true and correct rc:p.rti•:ntat+on of a sura»y of thrr bow,cfcrr•e, of the above
described land, and of the locution Qf w,ll b n • +h .•ys•oo nt' (I ,<,yr,tr .•ticr4cit hmt-nto, 4 ony, front or on
said land As surveyed by me th;.. 1 :y 31 /•'•r �'/{1
o GNU- T t7 IRON WNWEENi
SUBURBAN ENGINEERING, INC.
t nqr rteers Surveyors
by y..J�'I;r;; 7 Ea7�tii�UT
e c4i 42 T- T-/ D Y)
T OF C19ey6
6
�.�
F7���
//" / �E /f zoc- iq T/ ®fit)
Main Office 784-6066
UBURBAN 6875 Highway No. 65 N. E.
l� N®INEERIN® Minneapolis, Minnesota 55432
South Office 890-6510
Civil, Municipal & Environmental Engineering 1101 Cliff Road
Land Surveying • Land Planning 9 Soil Testing Burnsville, Minnesota 55337
October 8, 1974
City of Fridley
6431 University Avenue N.E.
Fridley, Minnesota 55432
Attention: Mr. Darrel Clark Re: Harris Lake Estates
Dear Darrel:
We have recently provided excavation inspection and compaction testing
on lots 15 and 16 of block 2 in the above captioned subdivision. The
previously placed granular fill material was removed and the organic topsoil
excavated. Several hand holes drilled in the bottom of the excavation
showed granular material to a depth of approximately four (4) feet, the
length of the auger. A compacted granular pad was constructed as per our
letter dated April 26, 1974. Density tests showed lot 15 to be 92% of modified
proctor density and lot 16 to be 90% of modified proctor density.
If you have any questions or we can be of further assistance, kindly
call at your convenience.
Sincerely,
SUBURBAN ENGINEERING, INC.
Peter J. Molinaro
PJM/rp
F-'\ C r'- %* 4 1 C) I +- 4 1 (.1
Robert Minder, Reg. Eng. E. A. Rathbun, Reg. Surv. Charles L. Lenthe, Reg. Eng.
Wm. E. Jensen, Reg. Eng. Wm. K. Meyer, Reg. Eng.
John F. Dwyer, Reg. Surv. Jeffrey J. Roos, Reg. Eng.
Wm. E. Price, Reg. Eng. Donald E. Wadleigh, Reg. Eng.
PARTIAL RATE SCI -
ORA
CH
CMAVTW WARN AIR:
MATS
TOTAL
Furnace SheD & Duct Work ... ...
-$10.00
$—
Replacement of Furnace
6.00
$L—
Repairs & Alterations—up to Sw.00
6.00
Repairs & Alterations each add. $500.00
3 W
UMM WARM AM
Furnam Shell & Duct Work to 130,000 BTU
.110,00
$—Lc - —L' 0
atch add- 80.000 BTU
&W
t. 3
Repkeement of Furnace
6.00
Rq*= & Alterations --up to $W.00
6.00
ROPairs & Alteratiow each add. $500.00
3.00
STEAM or HOT WATER SYSTEM
Furnace Shell & Lines—to 400 sq. ft. FZR Steam $10.00
Furnace Shell & line—to 640 sq. ft. EDR Hot Water 10.00
Each add. 200 sq. ft, EDR Steam 3.011
Each add. 320 sq. ft. EDR Hot Water 3.00
OIL BURNER—to 3 gaL per hour 6.00
over 3 gal. per hour—See Fee Schedule
AM 8
F" EMASM eyffimFee achedub
TZINTELMUM ffTsTzw Jam. rd AIA -j -f— IL-1 S-0
ALTERAITIOW Ir F"AM TOTIAL F= $I-,, S'
Dept. of ffidoL Phow 5W -3M
-3 C
City of Fridley:
The undersigned hereby makes application for a permit for the work hereW,
specified, agreeing to do all work in strict accordance with the City Ordinancev.
and ruling of the Department of Buildings, and hereby declares that an the facts
and representations stated in this application are true and carrect,
Fridley, Minn -
Owner
Kind of Building -e-
Used as
To be completed about
Estimated root, s, •0 U
01Ne Building Permit No. Permit No.
HEA77NG or POWER PLANIS—Steam, Not Water, WIM Alr—No---!�--
Trade Name t"j 'e-" 'r Q E -j sin No—Z-Z-,, 7 -- ,, -I--
CapacitY-L—,—�— Sq. n E.D.R. aBTU_ Hp -
Total Connected Land KInd of L Gr s
BURNER — Trade Name --LV, 12 —c 0 -J size NO
Capacity ft FfL ZM RWM_ nzft
_
NEA&OLIS, MINN. T`LO�S CALCULATIONS
HEATI G&A� COND NING
Weatherstrips
A. S. H. V. E.
Construction No.
Insulation
Guide
Windows
Dcxxs
Out. Wall
Int. Wall
CeilingRoof
Floor
Kind
How Applied 'f
Reference
Yes No
Yes --No
19
FI. r 1,A,111� Room Length Wldth q Height
`Flip / / ' Room Length / Width Height -
Windows an Doors-Crackage and Area
Windows and Doors--Crackage and Area 'P
No. �•;,dlil Height No. of Lineal ft. Area f
of P"Rel. of pa fie lights of crack -sq.
Ne. Wn)rh H,•'Qht No. of Luival ft. Area
cf p,vu; of pane lights of crack sq. ft.
L;IF
l
I
Coef Btu
Coef Btu
Infiltration
�t
Infiltration
Glass
s
Glass Ar
i
Exp. wallExp.
wall
Net exp. wall ,
Net exp. wall
Int. wall i
)
Int. wall
CeilingCeiling
Floor
Floor
.Total Btu.
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
Required sq. ft. E.D.R. or sq. in W.A. Lead5r area
/Fl.,4/ RoomLength Width/� Height
FI.P ` Room Length WWidth Height
Windows and Doors-Crackage and Area
Windows and Doors-Crackage and Area
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ft.
Width Height No. of Lineal ft. Area
No. of pan of pa lights of crack sq. ft.
€� —
a
Coef Btu
lcoefi Btu
Infiltration ®
Infiltrationap 416
Glass PM�
Glass 6v[_:_2,60K)
Exp. wall
Exp. wall, 1
Net exp. wall jNet
exp. wall 42566CZ
Int. wall
Int. wall
Ceiling p'1 /,`� ' s J1f �'i
Ceiling
Floor
Floor
Total Btu. 3 C?
Total Btu.
Required sq. ft. E.D.R. or sq, ins. W.A. Lead zarea
Required sq. ft. E.D.R. or sq. ins. W.A. Lead r area
rFl. G' Room f Length Width/ Height
P
L ��� _ Room Length Width Height
Windows and Doors - Crackage
and Area
Windows
and Doors-Crackage and Area
N,. i - ,ilii H,aght '4 ,. 'A
.f p.,,u. of Dane 1 ghts
Area
sq. ft,
L real ft. AreaNu
of crack sq. ft.
V"(1 �� He ght No. of Lineal ft.
of p;)ne lights of crack
�
------ —
4-
—,
ICoefl Btu
---
I
Coef, Btu
Inf ilt�ati
Glass
i --.--°------ -- -- LE-
-
Infiltrat,o
Glass
^ - _-
_-
Ex). wall
wall
wet exp. wall
T
Net exF. waI I
t ,
I'll. wall
F l _ our
_49
Int. wal;
_. -1-
Floor
Total Btu.
Total 3t,.. ,
Requveri sq. ft. E.D.R. or sq. ins. W.A. Leader area
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
'3 HEAT LOSS CALCULATIONS
i i . I i A F CONDITIONING
MINNEAPOLIS, MINN
Weatherstrips A•S.H.V.E. Construction No. Insulation
,
Windows Doors Guide Out. Wall Int. Wall Ceding
T Roof Floor Kind How Applied
Reference
Yes --No Yes --No 19
_ F1. o4 / Height
FI. Room Length �'�� Width/
Height
_
Windows and Doors-Crackage and Area
Windows and Doors-Crackage and Area i
No. I W,dth He,ght No. ut Loteal ft. Aiea
.of t+;tne of oa',e lights of crack sq. ft.
N�; tY,drh Ha,ght No. of Ureal ft. Area
of i,ane of pane lights of clack - sq. ft.
'S
Coefl Btu
Coef,
Btu
,a
t Infiltration
infiltration,(
Glass
Glass
;
J
g Exp. wall
Exp. wall
c2',2 15-
VNet exp. wall ��
Net exp. wall :U3,0J5
91
Int. wall
Y
Int. wall
Ceiling
Ceiling 177YSRD ZI
ge
~
Floor
Floor
`-" Total Btu.
Total Btu.
Gl
f Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
Room I Length Width Height
I.f• /f� Room Length Width � JUI
Height
Windows and 'boors-Crackage and Area
Windows and Dors-Crackage and Area
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ft.
Width Height No. of Lineal ft. Area
NO' of pane of pane lights of crack sq. ft.
Coef Btu
Coef
Btu
Infiltration
l
Infiltration
Glass '
Glass
Exp. wall
14
Exp. wall
R Net exp. waI I
o
Net exp. wall .4 oiL
(-
fr Int. wall
Int. wall
-,e Ceiling
Ceiling
Floor ' -.3 -
�.
Floor 45
ut Total Btu.
Total Btu.
�>
` Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
Room Length Width��"Height
Windows and Doors-Crackage and Area
—'Fl��.rop:
Room Length ,i Width
Windows and Doors--Crackage and Area
- --��'V,
Height
Height
N„ Width Height No. of Lwe,d ft. Ar,•
�i,.of Dane �,ghts of r.r,,ck Iy. ft.
Nulith 1 H,.,gh�.._r No. of Lineal ft. ArH;J
—_ of p,tr„� I .,t p.,r,., lights of crack sq. ft.
ef' 5 t„
j ICaef
Btu
Infiltration
r
I ifl'tratlon/ >
Glass
�/� t y.
� � fir'' .
Glass .------------- -- p, k ?
Exp wall''
r
-
-------7--- —
' Exp. wall �� IZ
Nut
t wain wall {€
G- `�
Net carp. wall
t. wall
Ceiling
Ceiling � �
Flour
Floor,�/yr°'
Total Btu.
TutalBtl��
Required sq 4t. E.D.R. or sq. in W.A. Leader area I
Rey ^ed sq. ft. E.D.R. or sq. ins. W.A. Leader area
City of Fridley
Applicefon fty end's� agftn&
Dept. of Bldgm. Phan* M-3430
DESCRIPTION OF WORK
Number, Kind and Locmlion of Fixtures
yp..
Yl
t��g7y
�_
.fit
=fir
gz
c�
o sJ
c
�
z
•
•
'N
WATER NTR.
GAS
(LEC.
Base.,
r
1st
2nd
3rd
4th
• Future Connection Openings Connected with Sewer ❑
*
Now Fixture, Old Openings Cesspool
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES: NO. RATE TOTAL
Number Fixtures ................. t, x $2.00 $ sJ'0
Future Fixture Opening ........... x $1.50 $ .
New Fixture Old Opening .....:.... . x $1.50 $:_._
I
City of Fridley:
PI
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 application are true and correct
192c/
Owner
Kind of Building
Used as
To be completed about
Estimated Cost, $
Old—New. Building Permit No. Permit No
Signed,l/' C;
By
Business P(,h ne No n
Catch Basin .. x $3.25 $
Water Heater (Up to 99.000 BTU) .... _�._ x $3.00 $ 3
New Ground Run Old Bldg....... •... x$3.25 $
ROUGIR
Electric Water ii•atar.............. x $2.00 $ FINAL 4P - a-
3VAS FITTING FEES: NO. RATE TOTAL
ist 3 Fixtures _Z x $2.00 ;
Additional Fixtures ................. x $ .75 $
Gas Range to 199,000 BTU.. x $5.00 $
-, 0
REPAIRS It ALTERATIONS—Rotor tIa Code .50 State Surcharge
Description ............................................ $
TOTAL FEE $�
t
(Zit
y Of
6431 UNIVERSITY AVENUE NE
July 31, 1975
Weatherly Electric
Box 80
Elk River, Minnesota 55330
Re: Electrical Permit Shortage
Gentlemen:
ANOKA COUNTY
560.3450
FRIDLEY, MINNESOTA 55421
In March and April, we sent you letters regarding permit fee
shortages for the following addresses:
L� 6371 Squire Drive N.E.
6361 S
quire Drive N.E.
41—
Service $ 6.00
40/50 Outlets 10.50
10/20 Sockets 4.00
Furnace 4.00
Range & Oven 3.00
Actual Permit $27.50
Permit Paid 19.50
Amount Due $ 8.00
We have itemized this house in our
letter of April 1, 1975.
Amount Due was $16.25.
You have sent us your check for $24.25 and we called and asked that
these be placed on Minnesota. State Electrical Affidavits. To date,
we have not received them. Please be advised that when you send
them in, add another $5.00 to each of the above addresses for
Repairs Due to Storm Damage.
We will expect to hear from you by return mail.
Yours t'Fuly,
LEONARD EICHMILLER
Electri'Cal.Inspector
LE/cs
0
560.3450
0, awnbow 11
C.�- I irale
it 'y
'y
ANOKA COUNTY
6431 UNIVERSITY AVENUE'NE FRIDLEY, MINNESOTA 55421
August 6, 1975
Re: Verifying Survey for 62j
Gentlemen:
Please be advised that of this date, we have not received a verifying
survey for the above captioned house.
We would appreciate it very much if you would get this survey into
our office no later than September 1,.1975.
Thank you for your cooperation in this matter.
Yours very truly,
DARREL CLARK -
Community Development Administrator
DC/cs
T
6431 UNIVERSITY AVENUE NE
August 6, 1975
560-3450
of
ANOKA COUNTY
FRIDLEY, MINNESOTA 55421
The Rottlund Comapny, Inc.
P.O. Box*32082
F'ri.dley, MN 55432
.Re: Verifying Survey for 6371 Squire
Gentlemen:
Please be advised that of this date, we have not received a verifying
survey.for the above captioned house.
We would appreciate it very much if you would get this survey into
our office no later than September 1, :1975.
.Thank you for your cooperation in this matter.
Yours very truly,
DARREL CLARK `-
Community Development Administrator
DC/cs
r
tond planning ef, f,fAft,),4 11 r • • 6878 Highway fNo.63 W.1.
Land Surveying 1 Minneapolis,
Soils Testing l'-',� /?PPI %l y � i Ce Minn. $5432
Civil Engineering Telephone 784-6066
Municipal Engineering Engineers & Surveyors Area Code 612
Mortgage Loan Survey for QOTTLUN® COO
LoT 15. 13LOCKZ)
HARRIS LAKE ESTATES
--- Anima �«•,��y
This is a true and correct representation of a survey of the boundaries of the land above described and of the
location of all buildings, if any, thereon, and all visibleencroachments, if any, from or art said land. This survey'is
mode only in connection with a mortgage loan now being placed on the property and no liability is assumed
except to the holdes'of such mortgage or any other interest acquired by the reason of such morigage. itis
understood and agreed no marruatents have been plated for the purpose ,of establishing lot lines or boundary
corners. Dated this 11 day of OC44b"A, 0. Ip`i¢
1 /L SUBURBAN ENGINEERING, INC. n
�4. [!�►fp� U(ilfii�Englao e��' yQt.
.�....�. ill b ,Pi{
MEMO FROM:
RICHARD N. SOBIECH
Public Works Director MEMO NO. TC 102
DATE 4-30-75
REPORT BY: 5-2-75
SUBJECT: House Elevations in Harris Lake Estates at 6361
S
6S71 qui—re ITTive
❑ See attached
R3 Review & take -appro-
priate action
LU
in ❑ Review & comment
J
❑ Note & discuss with me
0
o ❑ Work with
C) ❑ Rush, immediate action
desired
Make reports, w/background
material as complete as poss-
ible. Make interim report if
necessary.
a
LU Action completed, no
z further review needed
o
Q❑ Further action necessary
❑ See attached letter
❑ Interim report
. REMARKS:
Please check.basement of 6361 4 6371 Squire
Drive and compare them to the outlet of Harris
pond to ensure enough freeboard. Basement
elevation should be constructed at 886' with
high water of 884' and normal of 8821.
COMMENTS:
DATE:®'�',S"" SIGNATURE
SUBJECT
PERMIT _
City of Fridley
22015
AT THE TOP OF THE TWINS
BUILDING PERMIT
i ?
RECEIPT NO.
COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION SEC.
r i
i CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
612-571-3450
910-F15
8/4/93
JOB ADDRESS 6371 Squire Drive NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
15
2
Harris Lake Estates SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
James Richardson 6371 Squire Drive NE 5719647
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 ❑ REPAIR ❑ MOVE ❑ REMOVE
B DESCRIBE WORK
Construct a 121 x 141611 Deck.
9 CHANGE OF USE FROM TO
STIPULATIONS See notations on plan,
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
ZONING
SO. 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
$lf740
$,87
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
PERMIT FEE
SAC CHARGE
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
$41,QQ
Fire SC $1.74
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTALFEE
$43,61
SIGN TUREOFCONT T ORA HORIZE AGENT l ATEI
3.
s�WHEN P P LY VA ATED THIS IS YOUR PERMIT
iGNATURE WNERUFOWNERBWL ERI IDAT�I
gEDt" Sa DATE
NEW t ]
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application
Construction Address: 603
Legal Description:
Owner Name & Address: A
IW
I 7711 �
Effective 5126/93
Tel.
MN LICENSE #
Address: 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 ` 4 � Hgt/Ground ® Sq. Ft. /
OTHER: ��• -
Corner Lot [ ] Inside Lot [ ]
Type of Construdm:
Approx. Completion Date:
Driveway Curb Cut Width Needed:
DATE:4 '
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
Ft. Yd Setback
Side Yard Setbacks
Estimated Cost: $
(Cost on Back)
Ft. + b Ft = Ft x $ _ $
$ �C� Fee Schedule on Reverse Side
$
L22 .001 of Permit Valuation (1/10th%)
$ r ? $.50/$1,000 Valuation
$ $750 per SAC Unit
$ $5.00 (State Licensed Residential Contractors)
$ Alt. "A" or Alt. "B" Above
$ Conservation Plan Review $450.00
$ Fee Determined by Engineering
$ Agreement Necessary [ ] Not Necessary [ ]
STIPULATIONS:
Tel. #
BUILDING PERMIT FEE SCHEDULE
The Chief Building Official shall, before issuing permits for the erection of any building or structure,
or for any addition to any existing building or structure, or for any alteration or repair to any existing
building or structure, upon application therefore, require the payment by the applicant for such permit
of fees to the amount herein below set forth and in the manner herein provided to -wit:
TOTAL VALUE
$1 o to $500
$501 to $2,000
$2,001 to $25,000
$225,001 to $50,000
$50,001 to $100,000
$100,001 to $500,000
$500,001 to $1,000,000
$1,000,001 and up
FEES
$15 (Minimum Fee is $15 plus surcharge)
$15 for first $500 plus $2 for each additional $100 or
fraction thereof, to and including $2,000
$45 for first $2,000 plus $9 for each additional $1,000
or fraction thereof, to and including $25,000
$252 .for first $25,000 plus $6.50 for each additional $1;000
or fraction thereof, to. and including $50,000 -
$414.50 for first $50,000 plus $4.50 for each additional
$1,000 or fraction thereof, to .and including $100,000
$639.50 for first $100,000 plus $3.50 for each additional
00
$1,0 or fraction thereof, to and including $500,000
$2039.50 for the first $500,000 plus $3 for each additional
$1,000 or fraction thereof, to and including $1,000,000
$3539.50 for the first $1,000,000 plus $2 for each additional
$1,000 or fraction thereof
DRIVEWAY DEPRESSION ESCROW
(Concrete Curb Streets Only)
Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus'6 feet times
$13.50.
Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide.
approach with 6 inch depth - Driveway width plus 6 feet times $15.75.
VERIFICATION OF FOUNDATION
Permits for construction will be issued a minimum of 24 hours from the time of application to allow
for proper review of the proposed structure and of the construction site.
A Certificate of Survey of the lot, showing the location of the foundation once it has it has been
constructed will be required before proceeding with the framing.
o i ;pw
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SUBJECT
City of Fridley
. 24118
AT THE TOP OF THE TWINS
BUILDING
PERMIT
r
RECEIPT NO.
• COMMUNITY DEVELOPMENT DIV.
------. PROTECTIVE INSPECTION SEC
r
/13S
NUMBER
REV
DATEPAGE
OF
APPROVED BY
/---5 CITY HALL FRIDLEY 55432
612-571-3450
910-F15
4/26/96
JOB ADDRESS 6371 Squire Drive NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
15
2
1 Harris Lake Estates
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Jim Richardson 6371 Squire Drive NE
571-9647
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Mike DeMars Construction 8401 166 Cir NW Ramsey MN
55303 441-7084 6614
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 p
❑ NEW ❑ ADDITION ❑ ALTERATION X REPAIR ❑ MOVE ❑ REMOVE
X
8 DESCRIBE WORK
Reroof House & Garage (24 Sq) Tear-off
9 CHANGE OF USE FROM 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
$1 920
$.96
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 OT ER ST LOCAL LAW REGULATING CON-
$
STRUCTION OR TH P ORM CONSTRUCTION
_
PLAN CHECK FEE
License SC $5.00
TOTAL FEE
$70.13
SIGNATURE OFCON TRACTOR RAUTHORI2EDAGENT IDA?ti
WHEN PROPE51ty
4_4
VALIDATED THIS IS YOUR PERMIT
ro-12 /
SIGNATURE OF OWNER OF OWNER BUILDERI IDATEI
B G INSP
gaTE
NEW [ ] Effective 3/l/96
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application
ConstructionAddress: 63-7( Sc
Legal Description:
Owner Name & Adds N^ d ek" t els®.� Tel. # S� l "-
Contractor: M 1 \ ��S S C cif °� MN LICENSE #_
Address: 1 - �` �"� (<< e L� Tel. # If . ? agY
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/Gro d Sq. Ft.
OTHER: < � a., er 2 -f-
Comer Lot j ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks
Type of Construction: 00-6 Estimated Cost: $ _.._.
Approx. Completion Date: f -
(Cost on Back)
Driveway Curb Cut Width Needed: Ft.+�Ft Ft$DATE: -� - APPLICANT:, Tel. # �%// - ! O, y
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
CITY USE ONLY
$ (���� Fee Schedule on Reverse Side
$ .001 of Permit Valuation (1/10th%)
$ $.50/$1,00 Valuation
$ $900 per SAC Unit
$ C� $5.00 (State Licensed Residential Contractors)
$ Alt. "A" or Alt. "B" Above
$ $450.00 Conservation Plan Review
$ Fee, Determined by Engineering
$ Agreement Necessary j ] Not Necessary [ .J
BUILDING PERMIT FEE SCHEDULE
The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for
any addition to any existing building or structure, or for any alteration or repair to any existing building or
structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount
herein below set forth and in the manner herein provided to -wit:
TOTAL VALUE FEES
$1 to $500 $21 (Minimum Fee is $21 plus surcharge)
$501 to $2,000 $21 for first $500 plus $2.75 for each additional $100 or
fraction. thereof, to and including $2,000
$2,001 to $25,000 $62.25 for first $2,000 plus $12.50 for each additional $1,000
or fraction thereof, to and .including $25,000
$25,001 to $50,000 $349.75 for first $25,000 plus $9.00 for each additional $1,000
or fraction thereof, to and including $50,000
$50,001 to $100,000 $574.75 for first $50,000 plus $6.25 for each additional
$1,000 or fraction thereof, to and including $100,000
$100,001 to $500,000 $887.25 for first $100,000 plus $5.00 for each additional
$1,000 or fraction thereof, to and including $500,000
$500,001 to $1,000,000 $2887.25 for the first $5001000pliji"$425 for each additional
$1,000 or fraction thereof, to and including $1,000;000
$1,000,001 and up $5012.25 for the first $1,000,000 plus $2.75 for each additional
$1,000 or fraction thereof
DRIVEWAY DEPRESSION ESCROW
(Concrete Curb Streets Only)
Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50.
Alternate "B": Removal and replacement of curb and gutter and install'i 3 foot wide
approach with 6 inch depth - Driveway width plus 6 feet times $15.75.
VERIFICATION OF FOUNDATION
Permits for construction will be issued a minimum of 24 hours from the_time of application to allow for proper
review of the proposed structure and of the construction site.
A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed
will be required before proceeding with the framing.
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
FAX (763) 571-1287
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
Etfective January 1, 2003
JOB ADDRESS 43 71 �� �X. V4;7-
OWNER
ilaOWNER 54h'~Sdpv
Rate TOTAL
BUILDING USED AS
$ 30.00 $ 30Aq ,
ESTIMATED COST PERMIT NO.
$ 10.00 $
DESCRIPTION OF FURNACE AND OR BURNER
$ 10.00 $
No. of Heating nits_ Circle One (Steam) (Hot Water) arm Air
$ 10.00 $ Trade Name i?,r�► Size No. 01 .. /Z„
��.�� BTU Br -u HP EDR
$ 25.00 $ Fuel Total Connected Load
Burner Trade Name Size No.
$ BTU HP EDR
/C. 3 fr 1''x(.14 D tk "Fore 1 t-1 .S—a'
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
Witten permission from adjoining property owner.
$ 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
representations stated in this application are true and correct.
$ • �'v 'F -_P /--o 3
DATE
HEATING CO _)&"t &-/T-e4r /i &ekl
Signed TEL #74i 75� a/ 7 !
FAX o `%.S
Approved By. Rough -In Date Final Date 8113hA
FILL CUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE
evYit
COMMON VENTI VENT CONNECTOR AND COAw MBUSTION AIR VERIFICATION
When replacing an existing furance, the undersigned hereby verifies that the
venting has been examined and is free from rust, deterioration, obstructions,
and is securely supported and firestcpped where required. Yes No(7-4
)
The venting system is.pla'e'fdPVC 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
nclude AGA -LAMA Category I Central Furnace VT-nting Tables for fan -g
assisted and natural draft appliances. Yes No { )
The existing combustion air is sized and installed to meet the current codes
and manufacturer's specifications. Yes r) No(10
)
When required to install a new combustion air, it will be sized and installed '
To meet the current codes and manufacturer's specifications. Yes ".- No ( )
When installing a new venting system, the undersigned hereby verifies that
it is a listed assembly and meets the current codes and manufacturer's
specifications. This does include AGA -LAMA Category 1 Central Furnace r
Venting Tables for fan assisted and natural draft appliances. Ye's No( )
Is the common vent and vent connectors sized and installed correctly after
an appliance has been removed from the common vent and vented
separately as per current codes. Yes) No ( )
Appliance Type and Size/Common Vent and Vent Connector Information
Appliance #1 Type BTU Input v 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- ipches
Appliance #1 Vent Connector Height 2dLft 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;
It
HEATING CO:
Signed By: C Date :
Iva"