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PRE 2010 DOCSo I SUBJECT P® City of Fridley 2AT 7Cj THE TOP OF THE TWINS PERMIT ' BUILDING RECEIPT N0. 11. ----- COMMUNITY DEVELOPMENT DIV. � 6- hQ l r � � PROTECTIVE INSPECTION SEC. 1 CITY HALL FRIDLEY 55432 IL L----A NUMBER REV. DATE PAGE OF APPROVED BY 612-560-3450 910-F15 9/26/75 JOB ADDRESS 6420 Squire Drive N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 7 4 Harris Lake Estates SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Brickner Builders, Inc. 6245 Ben More Drive N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK Construct a 24' x 44' & 45' Dwelling and a 22' x 24' Garage 9 CHANGE OF USE FROM TO STIPULATIONS Provide a zkx hard surface driveway. Provide a verifying survey before capping. Provide sod in the front and side yards. Minimum floor elevation of 866.00 SEWER.ELEVATION: (Approx. 8' Deep) 133' North of Manhole (Inv. 880.14) Wye Elevation: 880.81 Top of Footing: 883.81 Minimum WATER LOCATION: 10' North of Sewer Service .I Before digging call local utilities TELEPHONE - ELECTRIC - GAS Etc. iSEPERATE PERMITS E Vi l RE Y LAW REQUIRED HEATING, PI-UM131IyG F ®R 1�/IRS�B � AND SIGN 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 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 R-1 1140 -I- 600 22,128 f 6,00 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $36,188 $18.10 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- $32'55.00 STRUCTIO HE PERFORMANCE F CONSTRUCTION. $52.03 PLAN CHECK FEE TOTAL FEE 2- % $395.13 SIGNATUREOFCCNTRACTOR OR AUTHORIZEDAGENT (DATE) 0 WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT ae' � --�-6 `2 BLDG. INSP DAIE �. SIGNATURE OF OWNER(IFOWNER BUILDER) (DATE) o I APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CI'T'Y OF FRIDLEY, MINNESOTA OWNER'S NAME: 5�. '� BUILDER: ADDRESS:— ADDRESS: `1- s' dew dee Vo"e NO:. 6 rj STREET:_ _� /&9V le, � _ le LOT: BLOCK: ADDITIQN : ! r "lei' CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD: Applicant attach .`.o this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING - To Be Used As: AdumcFront: V Depth: 14 �r Height: Sk.160r, Square Feet: V ® Cubic Feet: ZZ, MY Front • 7,.& Depth I—#/ Height • I Square Feet; ® d Cubic Feet:_ (Podd — Type of Construction: ? Estimated Cost: To Be Completed: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. DATE: YJ I SIGNATURE• (See Reverse Side For Additional Information.) Piramir.. M.03 Pow 'ry l x.10 M /'J 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 averagee 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 constructed, 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. . . ♦ p i5—wk irc, Dto a a Guise - 0 Aim Ir 97.03 e so -O w -IZS.Gam' WWI* ly --- azr_� _---------- — -- - - ------ age —moo9--- 7.4d a m 01.0 0 aty Of Fridloy Ar;p4icetlon for Plumibhig cmd Gas Ml ;ns Permit Dept. of Bldgs. Phone. SSO.3450 DE3CiYIPTIOIi OF V10rP „ - NuMbar: Kind ¢nd Locriioa of Fixtures nOa-6 Z� g q o; $ S �• _ -- -- 6 Nt O = J: U Z 4 0 3 Estimated cost. $ — W �1 u.4`Z N �•/ 2 u$ B r w WATf4 MTR. cis cuc. Base CA Old -=New. Building Permit No. LUMBING FIXTURE RATES: NO. RATE TOTAL ! �� Signed Number Fixtures ................ _ x $2.00. $ . 13 r Future Fixture Opening ........... X$1.50 $ . 2nd New Fixture Old .Opening.....:.... x $1.50 $__� . Business Phone Catch Basin .................... x 53.25 $ Water Beater'.Up to 99.000 BTU).... x $3.00 $ 3rd ROUGH' New Ground Run Old BI.dg....:.... ill x w3.25 $ Electric Water H.atar.....:........ a $2.00 4th FINAL :_ 1� C' - a.• lb FITTI:iG FEES: KO. RkTE TOTAL 00 1st3Fixtures ......•••••••••••• x$2.00 Futu:o Ccnnot:5ca G�alny�s Raw Fixture. Old O fining% Sewer Cc:. pcol � City of Fridley:. The undersigned hereby makes application for a permit for the- work herel specified, agreeing to do all work in strict accordance with the City Ordiranci and• ruling of the Department of )buildings; and hereby declares that all the facf and representations stated in this applicatio/ are true and correct - Fridley, Minn A Z-7 Owner Kind of Building Used as — - - • To be completed about -- -- PARTIAL RATE SCHEDULE Estimated cost. $ — ?omit No. 9A Old -=New. Building Permit No. LUMBING FIXTURE RATES: NO. RATE TOTAL ! �� Signed Number Fixtures ................ _ x $2.00. $ . 13 r Future Fixture Opening ........... X$1.50 $ . y New Fixture Old .Opening.....:.... x $1.50 $__� . Business Phone Catch Basin .................... x 53.25 $ Water Beater'.Up to 99.000 BTU).... x $3.00 $ ,3•U®• �• ROUGH' New Ground Run Old BI.dg....:.... ill x w3.25 $ Electric Water H.atar.....:........ a $2.00 5 FINAL :_ 1� C' - a.• lb FITTI:iG FEES: KO. RkTE TOTAL 00 1st3Fixtures ......•••••••••••• x$2.00 Additional Fixtures ...........'..... x .75 $ Gas RaaEe to 199.000 BTU ........... x $5.00 4 :s..s'?141Rs is ALTERATIONS—Refer to Cod® .50 State Surcharge I)e:csiptioa...:............:........................$ C TOTAL FZE Ilk 1111, ,� gn...�+'d�.+�}aa,.. •,�+;� �3r,'w^ .;•r;m+ F>'`•°'•*••'„!tia p�; !-fa! e4z.-�",,�n...tra ��°� �pfq pa�a�e��:"��.-r.:4cR. p�+,�e.�S�r••.�..,,r-mye+�i•� b,+ `® v"r�v �.'d74>SWO �'.v"9y ��m.•O �1 `ms Cha mV 4 e•..+•�. to 4+sa '-Rl Li weu:.ad s�'+Z '�Tm��6Yia'+�.�,� iF FdL'ni 3b'wx56iW�s �6nrw'G a�,w t5 �4,ib6f6Wi ai^s:saiiCan! iirg C6CL•a PARTIAL ATE SCHEDULE GRAVM WAR34 AM: MAIAM TOTAL rw—n2ce Sl ell & Duct woex $10.00 $ Rep!zmrnerat of F urnare 6.00 $ P.cpairs & Altcrat.ons-- up to 5500.00 •6 0 S Repairs & Altpratio^s each add. 5500.00 3W $ DMML WARS Alit Furnace Shen & Duct Wor'R to 120,040 BTU ..'1000 3 l0 each add. 60.W0 BTU 3.uJ S--3 ReDl tcst of r srnace 6.00 S Repairs & Alteratior2s--up to $500.00 6.00 $ ' Repairs & Alterations each add. 3300.00 3.00 $ STEAM -or HOT WATER SYSTEM F`urrace Shell & Lines --to 400 sq. ft F.DR• Stearn $10.00 Furnace Shin & Line ---to 640 sq ft. EDR Not Water 2000 S. Each add M sq.. ft EDR Steam ion $ Each add. 320 -sq. ft EDR Hot Water 3.00 $ OIL SUENZE—to 3 gal. per hour 6.00 S...� over 3 gal. per hour --See Fee Schedule GAS BURNER Cup to LS9,000 BTU) 5.00 3 r dp over 199 -SCO BTU See Fee Sshoduie GAS FITTING FEES: No RATE TOTAL Ist 3 fixtures �_ x$ zoo 5 �•U� Additional Fixtures x .78 Gas Rar..ge to 09,E a$ 5.00 3 AIR CA D1I'IOKIX.Qr rip. B_rA7 . G 5731-L3 a I. "A IZ STS-27234 RLTAZ1'..? C?i'3 & REPAIRS State Surcharge .50 Sols Fcm Sc' e,7CWeAl . • �� C)�C)C)TOTAL AM Dept. of Btdss. no," °.o- Um City of Fridley: The undersigned hereby makes application for a permit for the work Aereir specified agrc-eirg to de all work an strict accordance with the City Ordiz;.ancer- and rating of the Depaa tment of Ruildirgs, and hereby declares that an the fad and reUr:sentatiuns. statrd an this appbcativn are ",e and correct. Fridley. Mian Owner z4ve- Kind of Building Usedas To be completed about .2 / %, Estimated Cost; $ f6 Ofd New. Building Permit No. ._ Permit No. I3"zZCFt3PTI0Ii of WO -ax HEATING or POWER PI AN71 ''teats, Flet WWaNo Trade Name 6e -W le All. Fl-eL /I�' Size No If P&A Capacity -° '& . — Sq. FL it-D.It BTT Fl P Total Connected Lead /-Zj / d1_0 Rind of g-uel 0,W7-, BURNER — Tree Name Sire No Cap*city 3q. FL E.D BTU tMAM- OW21 SUBJECT PER NO. City of Fridley 18468 AT THE TOP OF THE TWINS BUILDING PERMIT r COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. p. 1 . i ---'1 CITY HALL FRIDLEY 55432 I'J NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 6/3/86 JOB ADDRESS 6420 Squire Drive N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 7 4 Harris Lake Estates SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Pat Jackson 6420 Squire Drive N.E. 574-1859 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Gary L. J'ansick 6480 Squire Drive N.E., Fridley 574-9679 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 J ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 16' x 24' Two Floor Addition to Dwelling 9 CHANGE OF USE FROM TO STIPULATIONS Soil correction may be necessary. SEPARATE PERMITS REQUIRED EORWtV-��' WIRING, HEATING, PLUMBING Ate® SIGNS, D�� 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 SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 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 $17.05 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $34,100 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE ROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- None RUCTION OR THE PERFORMANCE OF CONSTRUCTION. $215.50 1 4 PLAN CHECK FEE TOTAL FEE l -3-& 4-U�-SIGN $ 53.88 $286.43 URE OF CONTRACTOR tA A16TAORIZEDAGENT (DATE) WHEN PROPERLY VA ATED THIS IS YOUR PERMIT 6 SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) BLDG WSP DATA NEW [ ] City of Fridley Effective 4/1/86 ADDN. [}'' R-1 ARID R-2 � ALTER. [ ] Building Permit Application Construction Address:lD� 4zfll re' 04- Legal Description: Owner Name & Address: pa -t 6ks oty Tel. # Contractor: (1par-c.® 0 o C4 Tel. # Address: �p �P, at ce /=e-ia]'gV g'/-" 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 c24' Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length OTHER: Width Hgt/Ground Sq. Ft. Corner Lot [ ] Inside Lot V Ft. Yd. Setback Type of Construction: rje.#m e d' Approx. Completion Date: Side Yard Setback Estimated Cost: $ �y, goo Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation DATE: 6P-2 �� APPLICANT: Tel. # 9� CITY USE ONLY Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge TOTAL STIPULATIONS: Fee Schedule on Reverse Side 25$ of Building Permit Fee $.50/$1,000 Valuation $475 per SAC Unit Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] C� 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 Valuation Fees $1.00 to $500.00 $10.00 (Minimum Fee is $15.00) $501.00 to $2,000.00 $10.00 for the first $500 plus $1.50 for each additional $100 or fraction thereof, to and including $2,000. $2,001.00 to $25,000.00 $32.50 for the first $2,000 plus $6.00 for each additional $1,000 or fraction thereof, to and including $25,000. $25,001.00 to $50,000.00 $170.50 for the first $25,000 plus $4.50 for each additional $1,000 or fraction thereof, to and including $50,000. $50,001.00 to $100,000.00 $283.00 for the first $50,000 plus $3.00 for each additional $1,000 or fraction thereof, to and including $100,000. $100,001.00 and up $433.00 for the first $100,000 plus $2.50 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 been constructed will be required before proceeding with the framing. 3 y, ()v Y X Z 748)c f 1 `. + - � '•' ,� ""�� rY e >-tc,+.. -t �T+..,�SA a 1 ..-<•i-'i v P° ,,, r �r ' �'.a•. t 2`. '.^ r -k'�i 7�r �i�., .4'1 {, w: Y° � X -_. n �'�;��A � �y'Y .� } p. a "rz``"P.trfz✓-s aa�r ,..;�,•��,�y,,. .t"'''Fq, ..I ., e- - __ h j Y �} �.� <''i._"- '�� •� T%ry�'i �+ ,i't's Y..�.�-�� ,. 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"� �a� : �� >, g ay 7t3 R+w y u .. t b , z'z.� �s.,,. n ' r t �-.,,&. ;a- # ,-b . -Fxt .! ..,. � .. . - H , .. -. )*'. _T•i' ?w.k�an•W.� r � t � .°��4 �� ., . ��_ r 1 q!• .< «-r°"- � " � ,. _ -.. s� 1� RSC fir Sy,S Cede ';,ee k.�y io RS:: „ R.ay„'. � r rz” tr �" .• ti `� ':: 's'q^s�'�.�"�.^+F�9r!'d ItZ At 3 R.., . � r 'a•n� Yo- } k °°ice 4 t 7.c,.! .:.. 5-71 747 . - <'•. ��. it y �. � • J * t0. 5.. ; t9,: .,� t) � 0.L 7L o A n � j� v .f �•t R '.�-p '�. �j 011 jF gT b b _ r IN OF R,' t+'``;�� ^�` dr, � W�. -`s'` x ��6 �+.w='�: � w'a g �;y .� � ��,�'�•+1-`� �."�r� _, z�- +,i 2� a grate �:'�+ - `spb' ,; -. ,ry gyp: -i � tv- .,�+. ,.r•;'..•m. y;�: ' ,. i r ��., Ks ®yy'.�'.. t d'�'=a•i�: "� .'ice �, .Z' Yt rr U—.- • Lind •tenswiw� Ldod Sere i" Minneapolis, ,Swh TOOZOV �lll�'!!�h(!%�� ffiO4 I evo Atof I, j Min" - 1111432 OVII ldoio~ log Utephone 784-6066 Municipal Sagim—Ing Engineers & Surveyors Area Code 612 Mortgage Loan Survey for Mall-D&AS F1 135.00 '0 24to 40 jot 35,31 F T7,* Z l) u L rrT to 44 5-00 iti tot LOT T SLoc K �- HAgins LAXE FSTAT this is a tete and Catlett T1Vwwft"#*66n of 0 swTv" of the boundaries of the Is" *bow* deteribed! end 40 "m I"of;" of sit w1diogs, It notit #beteoo, and all *"two 9wroachawas"s, if any, #rwan "sada 004 In 19000""" %"##A 0 ww"0090 is" 110- being Plot" On *& pr"wrty or so said Im". Tkis wrWay and we feakwhly is asswimed is O—OW to the hoider of Such wwf~ or inky sober ing"Oest Settwired by the reason of swch "Wrtgago. It Is wad1orm6od wW b*** OjVad for the purpose of estahilabiag lot Usms or boand" O&WOors. Doted SUIDURSAN 1"GINEMNO, INC. login* F1 SUBJECT City of Fridley g� ! 4 4 5 AT THE TOP OF THE TWINS BUILDING PERMIT ° r RECEIPT NO. i L ______ COMMUNITY DEVELOPMENT DIV r I PROTECTIVE INSPECTION SEC. �� i =CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910-F15 5/7/96 JOB ADDRESS 6420 S uire Drive NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 7 4 Harris Lake Estates SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Don's Weather-out Company 2808 W 72 St, Richfield MN 55493 869-3746915 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 Reroof House & Garage 28 S 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 SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $2,240 $1.12 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 Fire STRUCTION PER MANC-E F CONST TION SC $2.24 PLAN CHECK FEE TOTAL FEE License SC $5.00 1 $83.11 SIGNATE OF ONTRACTO OR AUTHORIZED GENT IDATEI WHEN PROPERLY LIDATED THIS IS YOUR PERMIT Y � BLD INSP OAi SIGNATURE OF OWNERUF OWNER BUILDERI IDATEI NEW [] ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application ConstructionAddress: Effective 3/1/96 �v7 Legal Description: Owner Name & Address: Tel. # Contractor: MN LICENSE # Address: 661 �� s'� . !� Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Length Length Corner Lot [ ] Inside Lot [ ] Type of Construction: Approx. Completion Date: _ DESCRIPTION OF MPROVEMENT Ft. Yd Setback Driveway Curb Cut Width Needed: DATE: APPLICANT: Width Height Sq. Ft. Width Height Sq. Ft. Width Hgt/Ground Sq. Ft. Side Yard Setbacks Estimated Cost: $ o2,)'/O (Cost on Back) Ft. + 6 Ft = Ft x $ Tel. # CITY USE ONLY Permit Fee $ ��`% `%� _ Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ /, $.50/$1,000 Valuation SAC Charge $ $900 per SAC Unit License Surcharge $ _ - 6'�O $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ l STIPULATIONS: ' 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 $4000 or fraction thereof, to and including $500,000 $500,001 to $1,000,000 $2887.25 for the first $500,000 plus $4.25 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 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. N SUBJE& PER City of Fridley 316 0 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC.1�w i CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED By L J` 612-571-3450 910-F15 1/4/01 / / JOB ADDRESS 6420 SQUIRE DRIVE NE I LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 7 4 Harris Lake Estates SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Tom Rogers 6420 Squire Drive NE 586-0203 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Advance Aluminum Supply Inc 7701 Main St NE, Fridley, MN 55432 571-3440 7983 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 ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reside House; aluminum soffit/fascia & trim 9 CHANGEOFUSEFROM TO STIPULATIONS Per Section 1402, 1997 Uniform Building Code, requires that a weather resistive barrier be placed over exterior sheathing to protect the interior wall covering. Exceptions for this provision would be if sheathing is an approved weatherproof panel or when the siding is an approved weather barrier. Vinyl siding is not a weatherproof covering unless the manufacturer states this in their application guidelines. Call for inspection of wrap before covering. permit 10 Ian Care Ill00 iaidd To To pos, SEPARATE PERMITS ARE REOUIRED 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 1 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 $ 15,400 $9.20 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- $307.25 Fire SC $18.40 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FE TOT FEE Licen C $5.0 $ 39.85 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI HE PROP OF, VALIDATE THIS IS VQIJR PE MIT G IMSA QATE S.GNATURE OF OWNER I IF OWNER BUILDER) IDATEI N 01/03/2001 00:36 NEW [ ADDN [ ALTER ConstructionAddress : 7635712260 ADVANCE ALUMINUM SUP PAGE 01 a alga CITY OF FRIDLEY SINGLE FAMI]Ly AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION �i•) Legal Description: Owner Name &Address: Tel. #NJ ��n„i Contractor: A A1,,9i L4- A c. v �,•V� �. d �'�- Y, r -mac. MN LICENSIE # Address: 720 1 Tel. # S-71— 3 ,'OYD Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF BIPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height � Sq. Ft. DECK AREA: Length Width � Hgt/Ground Sq. Ft. OTHER: Construction Type:_ Estimated Cost: $ , 4&. (J j +'rrCrn (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: I=-� -_i2i.. APPLICANT: � %.�-.-�.� Tel. # Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL $ S--00 $ CITY USE 0N'LY Fee Schedule on Reverse Side .001 of Permit Valuation (1110th%) $.50/$1,000 Valuation $1000 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 J Not Necessary �i huh -t^"- ��-'`'� ►0-3 � STIPULATIONS- P\wy XA ii lvi CITY OF FRIDLEY PERMIT NO.: 2004-02075 6431 UNIVERSITY AVENUE NE • FRIDLEY, MN 55432 DATE ISSUED: 1W6 3 7 763 572-3604 FAX: 763 571-1287 ��JJ ADDRESS 6420 SQUIRE DR NE PIN 133024410061 LEGAL DESC HARRIS LAKE ESTATES LOT 7 BLOCK 4 PERMIT TYPE HEATING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION VALUATION NOTE: AIR CONDITIONERS CAN NOT BE PLACED IN A SIDE YARD WITHOUT WRITTEN PERMISSION FROM ADJOINING PROPERTY OWNER. COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. # A/C UNITS 1 VALUE OF APPL OR WORK 0 # FURNACES 1 # GAS DRYERS 0 # GAS RANGES 0 VALUE (FOR MINIMUM CALC) 300 APPLICANT HEATING PERMIT MINIMUM FEE FURNACE SHELL/DUCT WORK 0.00 35.00 HOME ENERGY CENTER 15200 25 AVE N #128 GAS RANGE FEE 0.00 PLYMOUTH, MN 55447 GAS DRYER FEE 0.00 (763) 476-1990 AIR CONDITIONING FEE 25.00 HEATING REPAIRS/ALTERATIONS 0.00 STATE SURCHARGE, MECH FLAT TOTAL PAID WITH CHECK # 55961 0.50 60.50 OWNER ROGERS THOMAS H & DIANNA L 6420 SQUIRE DR NE FRIDLEY, MN 55432 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violat cancel thF visions of any other state or local law regulating onstrucor the performance of constructio Applicant Date Bldg Insp Date �44Z; SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. CITY OF FRIDLEY BUILDING INSPECTION 6431 University Ave NE Fridley, MN 55432 763-572-36`04 FAX 763-571-1287 RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner & also Replacement Furnace Gas Piping (New Furnace, Fireplace, Insert) Gas Range Gas Dryer *Air Conditioning -AII Sizes All Other Repairs or Alterations (List on Back) 1% of Value of Appliance or Work Minimum Fee $15.00 for Residential or 5% of cost of Improvement whichever is greater. on work less than $500.00 Commercial/Industrial/Institutional 1.25% of Value of Appliance or Work (List on Back) Minimum Fee $35.00 for Commercial/Industrial/Institutional State Surcharge TOTAL FEE REINSPECTION FEE $50.00/HOUR $ Burner Trade Name BTU HP Size No. 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 $ and rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. $ .50 HEATING CO RbMG EAMm &A $ wsu Signe Tel # 1103 it FAX # S Date I1' 0. *Air Conditioners can not be placed in side yard without written approval from adjoining property owner - copy to City FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE 01 Rough -in Date Final Date Effective 4/1/2004 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS Ld t -L& t,yr Fee Total Owner �-t f3rax*o1, Rmu�o _ 1" $35.00 O® $ Building Used As asa*d C -P' $10.00 $ ESTIMATED COST PERMIT NO " t $10.00 $ DESCRIPTION OF FURNACE AND BURNER $10.00 $ # of Heating Units Circle One (Steam) (Hot Water) $25.00 a $a5 Trade Name_ - _ Size No. BTU -Ut -000 HP EDR Fuel NA+.'&QS Total Connected Load All Other Repairs or Alterations (List on Back) 1% of Value of Appliance or Work Minimum Fee $15.00 for Residential or 5% of cost of Improvement whichever is greater. on work less than $500.00 Commercial/Industrial/Institutional 1.25% of Value of Appliance or Work (List on Back) Minimum Fee $35.00 for Commercial/Industrial/Institutional State Surcharge TOTAL FEE REINSPECTION FEE $50.00/HOUR $ Burner Trade Name BTU HP Size No. 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 $ and rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. $ .50 HEATING CO RbMG EAMm &A $ wsu Signe Tel # 1103 it FAX # S Date I1' 0. *Air Conditioners can not be placed in side yard without written approval from adjoining property owner - copy to City FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE 01 Rough -in Date Final Date FILL IN COMPLETELY FOR REPLACEMENT FUEL BURNING APPLIANCE PERMITS COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing furnace, 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 (V No( ) The venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes (V� 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 (V No( ) The existing combustion air is sized and installed to meet the current codes and manufacturer's specifications. Yes ( No( ) 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-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( ) ADDliance Tvpe and Size/Common Vent and Vent Connector Information Appliance #1 Type &triq,t'e 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 ALTERATIONS: (Describe) HOME ENERGY CENTER PLYMOUTH, MN 55447 HEATING CO: Signed By: Date: l 1• I •® Project Summary Entire House Home Energy Center 15200 25th Avenue North, Plymouth, MN 55447 Phone: 763.476.1990 Fax: 763.476.1143 MW tF' 3 5 For: Rogers 6420 Squire Drive Fridley, MN 55432 Phone: 763.586.003 Notes: Weather: Minneapolis -St. Paul, MN, US Job: Date: Mar 15, 2004 By: Winter Design Conditions Summer Design Conditions Outside db -22 OF Outside db 91 OF Inside db 70 OF Inside db 75 OF Design TD 92 OF Design TD 16 OF Daily range M Relative humidity 50 % Moisture difference 30 gr/Ib Heating Summary Sensible Cooling Equipment Load Sizing Building heat loss Ventilation air Ventilation air loss Design heat load Infiltration Method Construction quality Fireplaces 43836 Btuh Structure 14528 Btuh 26 cfm Ventilation 451 Btuh 2592 Btuh Design temperature swing 3.0 OF 46428 Btuh Use mfg. data n Rate/swing multiplier 0.96 Total sens. equip. load 14380 Btuh Simplified Average 0 2 Heating Coolin Area (ft) 1248 124 Volume (ft) 14976 14976 Air changes/hour 0.75 0.35 Equiv. AVF (cfm) 187 87 Heating Equipment Summary Make Total equipment load Trade Btuh Model 1.7 Efficiency Heating Input Heating output Temperature rise Actual air flow Air flow factor Static pressure Space thermostat 80 AFUE 0 Btuh 00 Btuh 717 cfm 0.016 cfm/Btuh 0.00 in H2O Latent Cooling Equipment Load Sizing Internal gains 1200 Btuh Ventilation 521 Btuh Infiltration 1724 Btuh Total latent equip. load 3445 Btuh Total equipment load 17824 Btuh Req. total capacity at 0.70 SHR 1.7 ton Cooling Equipment Summary Make Trade Cond Coil Efficiency Sensible cooling Latent cooling Total cooling Actual air flow Air flow factor Static pressure Load sensible heat ratio 0 EER 0 Btuh 0 Btuh 0 Btuh 717 cfm 0.049 cfm/Btuh 0.00 in H2O 81 % Printout certified by ACCA to meet all requirements of Manual J 8th Ed. 1 WrlghtsOft Right -Suite Residendal5.9.11 RSR20001 2004 -Oct -1411:29:58 Ak C:\Documents and Settings\J Scott Woolery\My Documents\WdghtSott\2004\aadefault.rrp Calc = MJ8 Page 1 Right -,J Worksheet . Entire House Home Energy Center 15200 25th Avenue North, Plymouth, MN 55447 Phone: 763.476.1990 Fax: 763.476.1143 Job: Date: Mar 15, 2004 By: 1 Room name 18379 1 1492 Entire House Rogers 2 Exposed wail b) Ventilation 148.0 ft 0 148.0 ft 3 Ceiling height 13 Internal gains: Occupants @ 230 6 12.0 ft d 12.0 ft heattcool 4 Room dimensions Appliances @ 1200 2 2400 48.0 x 26.0 ft 5 Room area Less external load 1248.0 ft' 0 0 1248.0 ft' 0 Ty Construction Less transfer U -value Or HTM Area (ft-) Load 0 Area (ft2) Load Redistribution Subtotal number 0 43836 (Btuh/ftz °F) (Bt 2) or perimeter (ft) 0 43836 (Bt h) 15 or perimeter (ft) (Btuh) 0% 0 0 0% 0% Heat Cool Gross NIP/S Heat Cool Gross N/P/S Heat Cool 6 - 12C-0bw Air required (cfm) 0.091 s 8.37 1.22 1568 1446 . 12106 1770 156€ 1445. _ _ 12106; 1770 1C c1pwS R.90b ' s 52.44 35.15 80 0 414)5. .. 2812 80 (% 4195 2812 11E0 0.260 s ; 7.27 42 42 1005 ' 305 42 42 ,I - 305' C 16A-1 gal 0.049, - ,..23,92 4.51 3.50 1248 1248 5626 4369 1248 1248 5626 4369 21A -28t 0:022 - 2.02' y0:00 124$ 148 2526 0 1201148 Z20 0' Envelope loss/gain 25458 9257 25458 9257 12 a) infiltration 18379 1 1492 18379 1492 b) Ventilation 0 0 0 0 13 Internal gains: Occupants @ 230 6 1380 6 1380 Appliances @ 1200 2 2400 2 2400. Less external load 0 0 0 0 Less transfer 0 0 0 0 14 Redistribution Subtotal 0 43836 0 14528 0 43836 0 14528 15 Duct loads 0% 0% 0 0 0% 0% 0 0 Total room load 1 43836 1 14528 1 43836 14528 Air required (cfm) 717 717 717 717 Printout certified by ACCA to meet all requirements of Manual J 8th Ed. w"o C)Htsaft RightSufte Residential 5.9.11 RSR20001 2004 -Oct -14 11:29:58 C:\Documents and Settings\J Scott Woolery\My Documents\WrightSoft\2004\aadefault.rrp Calc = MJ6 Page 1 CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FR1D1 XV_ MN 55412 572-3604 FAX: (763) 571-1287 PERMIT NO.: 2004-02082 DATE ISSUED: 11/17/2004 ADDRESS : 6420 SQUIRE DR NE PIN : 133024410061 LEGAL DESC : HARRIS LAKE ESTATES : LOT 7 BLOCK 4 PERMIT TYPE : ELECTRICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION VALUATION NOTE: ELECTRICAL PERMIT BECOMES VOID 12 MONTHS AFTER PERMIT ISSUE DATE. # INSPECTIONS 1 APPLICANT HARRISON ELECTRIC INC 3440 KILMER LANE N PLYMOUTH, MN 55441 - OWNER ROGERS THOMAS H & DIANNA L 6420 SQUIRE DR NE FRIDLEY, MN 55432 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of worl will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. Applicant Date Bldg Insp Date. STATE SURCHARGE, ELEC FLAT 0.50 ELEC PERMIT FEE - MIN (RESI) 20.00 TOTAL 20.50 PAID WITH CHECK # 027909 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.