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SUBJECT PERMIT NO. City of Fridley ® 13226 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO L.U-- _____ COMMUNITY DEVELOPMENT DIV. �' r PROTECTIVE INSPECTION SEC. 1 i � CITY HALL FRIDLEY 55432 �••� �'� %j NUMBER REV. DATE PAGE OF APPROVED BY 612-560-3450 910-F15 9/26/75 JOB ADDRESS 6440 Squire Drive N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 6 4 Harris Lake Estates SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Brickner Builders 6245 Ben More Drive N.E. 3 CONTRACTOR MAILADDRESS 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 8 DESCRIBE WORK e x 29-5 Dwelling and a 241 x 20' Garage 9 CHANGE OF USE FROM TO STIPULATIONS Provide a hard surface driveway. Provide a verifying survey before capping. Provide sod in the front and side yards. No basement below 866.00 SEWER LOCATION: (Approx. 8' Deep) 65' South of Manhole (Inv. 881.50) Wye Elevation: 881.18 Top of Footing: 884.18 Minimum WATER LOCATION: 31' South of Hydrant WARKi NG Before digging call local utilities TELEPHONE -ELECTRIC -GAS Etc. SEPERAi'E PERMITS REQUIRED ��R �lIRI6�G; REQUIRED B1( LAW BEATING, 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 R-1 1383+480 16,596+4800 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. $38,552 19.27 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERM IT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- � $50.41 $325.00 STRUCT OR THE PERFO NCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE ° I �2-�" �c� v $394.68 SIGNATURE OF CON CTOR OR AUTHORIZED AGENT (DATE) WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT BLDG INSP DAVE SIGNATURE OF OWNER IIF OWNER BUILDERI (DATE) APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER 1 S NAME: �� / �BiTILDERV16 / C Alt) G�,�_S //VC . ADDRES S • ��%�° '� ADDRESS :'/�-xr Se l� ADx a �✓%� NO: 7 �� STREET: LOT: BLOCK: "/ ADDITION: ! �f>�5 ��zwre-� CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD: Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: MmAlf Front: Depth: Height: Square Feet: _ Cubic Feet:_���� Front • Depth • Height Square Feet;- 430r Cubic Feet:_ Adid 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: / / s SIGNATURE (See Reverse Side For Additional Information.) /�� ®�'� o r aVF o' 3ff c a�J (� Ste' 3a a 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, -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. IM*Af&& AJ TOM -12-3 's 144 Do. ps SIC --_-_73-Z. ------x ao. CA . WRIW*, --- s %VXZO c to giftes I NO — ------ qmm� SMA 3 #4 '02 City of F?idloy : Application for Plumbing cnd Gas Nslfi*na N-renit N;d. of Bldgs. Phone SSO.3450 DESCRIPTION OF WOrM. Lo= t3 � ' • � � NumSor: Kmd Lnd Locvmoa of I ixlures . • Futuro Cc=ac:Scu G�airtgs Haw TIziuro. Old 0;4nings Sovar 19 Cc=spisol [j City of Fridley:. The undersigned hereby makes application for a permit for the• work her specified, agreeing to do all work In strict accordance with the City Ord rad sa and ruling of the Department of Buildings; and hereby declares that all the fact and representations stated is this application are true and correct' Fridley, Mina Owner zazdn Kind of Building Used as - -- �'— • To be completed about --- — PARTIAL. RATE S�`#HE;DULE EstSrr:atea cost. $ Old --New. Building Permit Ko. Pa:mtt No.� PLUMBING FIXTURE RATES: No. RATE TOTAL / Number Fixtures • .............. • r x $2.00. $ .0o Signed Future Fixture Opening a ......... • x $1.50 $ By •ti'ew Fixture Old Opening... • • .... • x $1.50 3_._.__ Business Phane No ! Catch Basin .... • ............. ♦ . x $3.25 Water Beater !Up, to 99.000 BTUs... • x $3.00 $ ROUGi.TI New Ground Run Old Bldg......... x $3.25 $ Voctrite Plater i3aat.ar.............. x S2.00 $ FINAL, i1.5 FITTING TEES: No. R.; TE TOTAL 13t 3 Fixtures A' x $2.00 $ moi• ®C) Additional Fixtures .........:..... x $ .75 S Gas R.saye to 199.000 BTU ..........• z $5,00 5 1sr?A1:iS ! ALTERATIONS••—R&Ior to Cod* .50 State Surcharge ' . Description ................:.................:......$ TOTALS ; �� pN WATER MTA. ` g=Iu•�z O uU u z GAS UEC. a Base 1st 2nd _. 3rd t _ :EL4 _ ... • Futuro Cc=ac:Scu G�airtgs Haw TIziuro. Old 0;4nings Sovar 19 Cc=spisol [j City of Fridley:. The undersigned hereby makes application for a permit for the• work her specified, agreeing to do all work In strict accordance with the City Ord rad sa and ruling of the Department of Buildings; and hereby declares that all the fact and representations stated is this application are true and correct' Fridley, Mina Owner zazdn Kind of Building Used as - -- �'— • To be completed about --- — PARTIAL. RATE S�`#HE;DULE EstSrr:atea cost. $ Old --New. Building Permit Ko. Pa:mtt No.� PLUMBING FIXTURE RATES: No. RATE TOTAL / Number Fixtures • .............. • r x $2.00. $ .0o Signed Future Fixture Opening a ......... • x $1.50 $ By •ti'ew Fixture Old Opening... • • .... • x $1.50 3_._.__ Business Phane No ! Catch Basin .... • ............. ♦ . x $3.25 Water Beater !Up, to 99.000 BTUs... • x $3.00 $ ROUGi.TI New Ground Run Old Bldg......... x $3.25 $ Voctrite Plater i3aat.ar.............. x S2.00 $ FINAL, i1.5 FITTING TEES: No. R.; TE TOTAL 13t 3 Fixtures A' x $2.00 $ moi• ®C) Additional Fixtures .........:..... x $ .75 S Gas R.saye to 199.000 BTU ..........• z $5,00 5 1sr?A1:iS ! ALTERATIONS••—R&Ior to Cod* .50 State Surcharge ' . Description ................:.................:......$ TOTALS ; �� �el"�x J € edY�7 Kd C3 ty.i jj((����11 b'G•....va tae rah t+w-41 o�v'.ppp...1 w►�'d'04I'i('a�'.�� {`�Tai7��SS Lo �i 'r#roti D' eOtlaj i1'Y�. didC�Vb �b +dsi [/•'nJJ ca M1,C F.irz'@ djr =� C C '�i+`Yi'.r� t� U 1Sd.y.•fy.aY PARTIAL IQLATE SCit s� DUI.E GRAVM WARM AIR: RA a A: TOTAL F'Irnare Shell & Duet.WOrk $10.00 $ Replacement of e^urnare 6.00 $ P.rpatrs & Alterations-- up to $500.00 600 $ Repairs & A.it.^rations each add. S¢00.00 3 v $ Furnace Shcll & Duct Wor'A to 120,040 BTU e*ch add. 60,004 BTU Rep t,ct-*yes: of Furnace 6.00 S Repairs & Alterations --up to $500.00 6.00 S Repairs & Alterations each add. $500.00 3.00 $ ETZAM o: HOT WATER SY'STEX Furnace Shell & Lines --to 440 sq. ft F.DR Stemm. $10.00 3 Furnace Shell & Line --to 640 sq ft. EDR Not Water 2000 $, Each add 400 sq. ft El)It Steam a rA $ Each add. 320 sq. ft EDR Hot 'Water 3.00 S OIL BURNZP—to 3 gal. per hour 6.00 S. over 3 gal. per hour—See ree Schedule GAS BURNER (up to 199,000 BTU) 5.00 S � dV over I9*3.CQ0 BMU Ser Foe Eckedule GAS FITTING FZFS: 90 RATE TOTAL lit 3 Fixtures _ x$, zoo $ 7 ' .-03 Additional Flztures _ x .75 $-_. —_ Gas Rar_ge to M.M xS b.CO 3 State Surcharge .50 AIR C13a+:,ri`i`YOIiII:t4,r �— l?'s_n =A=.140 573 i=3 tom F� Ss VExTn-AT=G Syr.—A u �8i0/�- lli rl eAlrlt'/ 00 RL GMP. hTa C,":8 & REP.i1:RS ' 8 ' o O ��.UTOTAL r= z Mum- .9- /V- 7 i icpt. of Bl'1gaa. I hwto SM—Ma v City of Fridley: The undersigned hereby makes application for a permit for the work here& specified age•. -ting to de all work ,n strict accordance with the City Ordin=cer- and riling of the Depa: tment.of Buildings, and hereby declares that all the fac4a and rvpresentatiuns stated in this appbcation are true and correct. Fridley. Mian %/ - V Owner _ aef z "�Ul4j elex JAI C Kind of. Building _- ��•� Used as To be completed about / Estimated Cost:, S /6®� Old New. wilding Permit No. _.— ._ _ permit No.t X; :CRIMGI'7 OF WORX HEATING or POWER 2?'a.ANTS-,Sten-A Flet Water•�No Trade Name (5 Z� Size NoZC/ /21 " Capacity!93az"_. _ Sq. FL E.D.R BTU H3' Total Connected Loved 1-2°3 12f—' ef cruel dkfT. BURNER — Tirwde Marne Size No— CAN. o CAN. city Sq. IFE. EM BTU (2MAatts.-oYsa) SUBJECT NO. City of Fridley -15.5.6 8 AT THE TOP OF THE TWINS BUILDING PERM I T r RECEIPT N • COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. "1 CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 ` 910-F15 11/20/79 JOB ADDRESS 6440 Squire Drive N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 6 4 Harris Lake Estates SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE Jim Iverson 6440 Squire Drive N.E. 574-9329 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. The Lauden Company 2493 E. 13th Avenue, N. St. Paul, MN 55109 777-2931 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 17' x 20' Addition to rear of structure 9 CHANGE OF USE FROM TO STIPULATIONS SEPERATE PEWITS RLQUIRED F®f? HEATING, PLU"BING ' AtQ SIGiNS» Before digging call local utilities TELEPHONE - ELE TRIC - GAS Etc. REQUIREb, BY LAW TYPE OF CONST. OCCUPANCY ROUP 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 PERIOD OF 120 DAYS AT 340 6800 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_ WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $10,800 $5.40 DOES PRESUME TO GIVE AUTHORITY TO VIOLATE OR C NCEL THE PERMIT FEE SAC CHARGE PROVI ION OF ANY OTH STATE OR LOCAL LAW REGUL NG CON- STRU TION OR THE PER O MANC F CONS RU TION. � 66.00 NONE PLAN CHECK FEE 1 TOTALFEE 87.90 rJ t WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT SIGNATURE OF CONTRA OR OR AUTHORIZED AGENT (DATE) SIGNATUREOF OWNERIIF OWNERBUILDERI (DATE) BLDG INSP TE • CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS (New, Alterations, Additions; or Repairs) OWNER: �ff 1 _T'd/�`i �� BUILDER: r f F L vl u'6c �J ADDRESS: jQ 5 P-6- 2 ADDRESS: A.$ ter. VGO nmAJ ss,®� TEL NO:- 13 a9 TEL NO: -2`Z`? -29 3/ Construction Location STREET NO: STREET:-542W-1Z6_- LOT: W f iZ6_ ®/� •..� LOT: BLOCK: ADDITION: Corner Lot: Inside Lot: Setback: Sideyards: ' rr PCo 9' PL4P Applicant attach to this form two Certificates of .Su ey o£ lot and proposed building location drawn on certificates to scale. 2` DESCRIPTION OF CONSTRUCTION Front: /-7/--0 Depth: a ®p -� , Height: Squane. Feet: Cubic Feet: 3 Front: p " Depth: " Height: Square- Feet: Cubic Feet: Type of Construction: Estimated Cost: $ • /0.0 o+ 9b Be Completed: A10 tJ I cY 7 Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: '00/w-- SEE %0/ SEL' REVERSE SIDE OF SHEET .Tie 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: 4Q j( ia%, P 01%22 SIGNATURE.-. Stipulations: 04,e-� p • . 101800 P.e . 1 (o . Std IJUI LDIIgG PERMIT FEL SCHEDULE* SECTION 2. The Inspector. of Buildings shall, before issuing permits for the erection of any building or ,truct:ure, or for any addition to any existing building or structure, 6r 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 thb amount herein below set forth and in the manner herein provided to -wit: my CONSTRUCTION: Single Family Home's and Gara es: $4.00/1,000 cubic feet. . PLAN CHECK: 25 percent of building permit fee. DRIVEWAY DEPRESSION: (Concrete,Curb Streets Only) ° Alternate A: Removal and replacement of concrete curb and gutter only; Driveway width plus 6 feet x Y15,75 Alternate B: Removal and replacement of concrete curb and gutter and install a 3 foot wide approach with ° - 6 inch depth; Driveway width plus 6 feet x $17.85 _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 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 $7.50 plus $.50 state surcharge. • - _�__... _ ..- 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 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. 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. -ENERGY CONSERVATION SUPPLEMENT.`O BUILDING PERMIT APPLICATION PLANNING AND INSPECTION DEPARTMENT CITY OF FRIDLEY, MINNESOTA This supplement is provided to assist the applicant in computing EXTERIOR ENVELOPE AVERAGE "U" FACTOR INFORMATION. This information is required so the BUILDING OFFICIAL can determine that submitted plans comply with the ENERGY CONSERVATION DESIGN CRITERIA of the STATE BUILDING CODE (Section 6000). It is the APPLICANT'S responsibility to accurately compute the data; reflect the proper DESIGN CRITERIA in the plans; submit product specifications, if needed to support the "R" and "U" factors used; and to assure construction is per approved plans. JOB LOCATION: S426///?c w) A Z OWNER/CONTRACTOR: �.1ltc / 41-IAr-4) <�Oxq-nl4 y' ADDRESS: C� 9.J iUS% �1�U� f"//) PHONE: 22 'Z©✓ I _ A. Determine the Total Exposed Wall Area as follows: 1. Total wall window area 2. Total door area 3. Total sliding glass door area 4. Total fireplace wall area 5. Total wall framing area (average .10%) 6. Total net wall area above floo.r(average 90%) 7. Total rim joist area Subtotal: Total exposed wall area above floor 8. Total foundation window area 9. Total net foundation area above grade Subtotal: Total exposed foundation area GRAND TOTAL EXPOSED WALL AREA '%9.67 ,be) //C r /5'1.")a B. Multiply the GRAND TOTAL EXPOSED WALL AREA X .17 = C. Determine the Total Exposed Roof/Ceiling Area as follows: 10. Total skylight area /0®°U 6- 11. Total roof/ceiling framing area (10%) Q,'70 12. Total net insulated roof/ceiling area �2Q GRAND TOTAL EXPOSED ROOF/CEILING AREA D. Multiply the GRAND TOTAL EXPOSED ROOF/CEILING AREA X .05 = 3 7-va Item I Item II Ze'?0 w @` 10 E. Determine the "U" value of each segment (1-9) and multiply by the area as follows: 3. t/ 3 7 x "U" G _ 7 r ay 4. ✓yam x -flUll 5. 9/• laS x fluff 1,13 6. ,� �_ X "U 'l ® z - 7. 7 7. -73, ® d x "U" 3 � 8. fi.11-AZ x "Ull _ - ® — ADD 1-9 FOR TOTAL WALL SEGMENTS - ITEM III F. Determine the "U" value of each segment (10-12) and multiply by the area as follows: 10. 4L -r ?' x Buff _ 11. 57, 9J x 12. �� x fluff , 17 fluff „U” ,6311'� = 9,&0 ADD 10-12 FOR TOTAL ROOF/CEILING SEGMENTS - ITEM IV 7 • . C ®I�ec If Item III is the same as, or less than Item I, you have met the intent ®o'® of State Building Code 6006 (c) 2. ®��i. If Item IV is the same as, or less than Item II, you have met the intent \S� S of State Building Code 6006 (c) 1. d I. Add Item I + Item IT J. Add Item III + Item IV 27 r 6 = g K. If the sum of Items III and IV are less than Items I and II, you have met the intent of the Code for total envelope system. 01,� S The undersigned, as applicant for building permit, hereby affirms the above information has been prepared and submitted by himself or under his direction, hereby acknowledges the information to be correct and accurate; and hereby presents the information with required plans in support of the building permit applica By: DATE: L 00, ?V72�V --z/: ?'��2 s C 41 S � Io I TPLAN PAP 17-0 20'0 ROOM AMMON � , S � Io I r GARAGE EX HDUgE cf-) 20.0'. -0 LOT 6 BLOCK q HARRIS LAK[ ESTATES R AMr- MRS. T))vl IVERSON SQUIRE DR. NE 'RIOLEY, M.N. -F 55'}21 BY: PLOT PLAN THE -LAUDENJ CO. SCALE : 1;=30I • -DRAWN BY DATE: OCTOBER. 3, I" t CITY OF FRIDLEY 10, APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Furnace Shell c Duct Work $12.00 $ :a lac�i:a :a of : 11rRa' co 7.OU y Repairs & Alteraticrs-up to $500.00 7.00 $ Repairs & Alterations each add. $500.00 4.00 $ MECHANICAL 'NARNI AIR: $12.00 Furnace Shell & Duct Work to 100,000 BTU each add. 50,000 BTU 4.00 $ iep'ace ent of Fu-,nac,� 7.00 $ Repairs & Alterations -up to $500.00 7.00 $ Reairs & Alterations each add. $500.00 4.00 $ STEa}I OR HJT WATE.R SYS T LNI : Boiler S Lines up to 100,000 BTU ea:.h ad -4n. 50,000 BT;: Boiler only up to 100,000 BTU each addn. 50,000 BTU OIL BURNER- to 3 gal. per hour each add. 3 gal. per hour GAS BURNER- from 100,000 BT:7 to 199,999 BTU (over 199,999 BTU see Fee Schedule) GAS FITTING FEES: 1st 3 Fixtures _ L_ Additional Fixtures Gas Range to 199,000 BTU AIR CONDITIONING - FAN HEATING SYSTEMS See Fee Schedule VENTILATING SYSTEMS ALTERATIONS $ REPAIRS ROUGH INSF. FINAL INSP. Date APPROVAL FOR PERMIT $12.00 $ 4.00 $ 7.00 $ 6.00 $ $10.00 $ 10.00 $ $10.00 $10. x $ 3.00 $ z'oc) X $ 1.00 $ x $10.00 $ State Surcharge TOTAL FEE REINSPECTION FEE (.$10.00) XINLNSUM FEE FOR ANY HEATING PERMIT IS $7.50 $ Job Address 6440 Squire Dr. NE Department of Buildings City of Fridley Tel. 8571-3450 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, Minn.1-21 , 1979 OWNER Lauden Co. KIN19 OF BUILDING frame USED AS res. TO BE COMPLETED ABOUT 12-31-79 ESTIMATED COST $1000.00 00 OLD - NEW BUILDING PERMIT NO. PERMIT NO. DESCRIPTION OF FURNACE/BURNER HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No. Trade Name LEMOX Size No. D2E-055 Capacity 55M S Ft EDR BTU HP Total Connected Load q. 20 069 Kind of Fuel gas BURNER - Trade Name same as above Size No: Capacity Sq. Ft. EDR BTU HP Company /11 Signed By Tel. No.���- • WATING I AIR CONDITIONIN13 D260 Cham. Aye; 929.69 • HEAT LOSS CAL.CUI.ATIONS Lea Weatherstrips Construction No. Insulation _ Guide Windows I Doors Reference Out. Wall Int. Wall Ceiling Roof Floor hind How Applied __ _ es��o es— 0 19 __ _--- - II Fl—T^ Room Length ? Width ) Height. •" II FIA ^^ Fi nom I Length Width Height Windows and Doors—Crackage and Area , 'Vld{{..h Height No of Lineal ft. Area 1 0 pahe of pane lithto of Brack sq. ft. G' a i' bPv 4, .b Coef. Btu Coef. Btu Infiltration Coef. Btu lnfiltratiotl Exp. wall _E!E. wall ? Glass Int. •rall Int. wall 9 Exp. wall �-a ✓ Floor di cI Net exp. wall Int. wall Ceiling Fl -.)or I oval Htu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Room l Length ?c) Width Height ' Windows and Doors—Crackage and Area Wldth eight No- of Lineal rt. Area wN�o. nt pane of pane lights of crack W. rt. 1 I 41, 1 1 1 -? ? I I f„ ICoef. Btu Infiltration G ;i?1, Glass 9 Exp. wall t ,7 Net exp. wall r Int. wall Ceiling s r,1�� n u t� Floor Total Btu. Required sq, ft. E.D.R. or sq. ins. W.A. Leader area F1.1 Room I Length Width Height Windows and Doors—Crackage and Area , Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft, Coef. Btu Coef. Btu Infiltration Glass y Gla" Exp. wall _E!E. wall Net exp. wall ^ Net exp. wall Int. •rall Int. wall Ceiling Ceiling Floor Floor 10191 0[u. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area 41.1 - Room I U-nath Width lFleisht Windows and Doors—Crackage and Area —Btu— Wldth Height No. of Lineal ft. Area No. of pane or pane lights of crack A. it. Coef. Btu Coef. Btu Infiltration Glass y Glass Exp. wall Exp. wall Net exp. wall ^ Net exp. wall Int. •rall Int. wall Ceiling Ceiling Floor Floor fatal tsttt. or sq. ins. W.A. Leader area Windows and Doors—Crackage and Area —Btu— Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq ft. Coef. Btu Infiltration Infiltration_ Glass y Glass Exp. wall _ Exp. wall Net exp. wall ^ Net exp. wall Int. •rall Int. wall Ceiling _ Ceiling Floor Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area FI.I f Room I Length Width Heijtht Windows and Doors—Crackage and Area —Btu— Width Height No. of Lineal ft. Area No. of pan" of pane lights of crack sq ft. f. Infiltration_ Glass _ Exp. wall Net exp. wall Int. wall _ Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.I Room I Length Width Height Windows and Darr&--Crackage and Area s Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Ctuf. Btu _ Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor 1 otal btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area FI.I Rfsnrtt I laength Width Height Windows and Doors—Crackage and Area s Width Height No. of Lineal ft. Area No. of Dane of pane lights of crack sq. ft. Coef. Btu • Infiltration Glass Exp, wall _ Net exp. wall Int. wall Ceiling t, Floor 1 otai titu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area 1 S�eria lI �3' Niode� I -- .p"—��� Max. BTU Rating INPUT --� MAKE OF FURNACE Model CONTROLS THERMOSTAT e Heat Plug Vent Size Valve KIND OF LINER C4_45;moi SIZE —NONE Limit - CJ1 �' /% a47 Draft Hood U -__Regulator Limit Setting s Filters Size -M k G �_ x I slumber P Fan Setting Ir's o -,-J Chimney Location Inside Outside Pilot Type /e0c C.3 C Chimney Construction Zt Pilot Make Pilot Model Smoke Bomb0 Wiring Pilot Timing Draft Test Tag L.W. Cut Off Door Pressure Lighting Inst. Pressure t7e®Percent CO2 Date Tested " f Input CFH Percent 0 Company Testing Stack Temp. Percent CO2 Name of Tester e9 Form 235 SUBJECT PER ` City of Fridley 4-53� AT THE TOP OF THE TWINS BUILDING PERMIT r ` CEIPT NO. 1r "_____ COMMUNITY DEVELOPMENT DIV PROTECTIVE INSPECTION SEC -3153-3 r CITY HALL FRIDLEY 55432 NUMBER -J REV DATE PAGE OF APPROVED BY 612-571-3450 910-F15 8/21/95 10B ADDRESS 6440 Squire Drive NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 6 4 Harris Lake Estates SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Jim Iverson 6440 Squire Drive NE 574-9329 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO D & D Home Improvement Inc 7401 Central Ave NE, Fridley MN 55432 784-7543 4840 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 Cj REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House (26 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 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 $2'080 $1.04 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 SC $2.08 STRUCTI THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTAL FEE License C $5.00 $82.87 1 NATURE OFCON�RACTORORAUTHORIZEDAGENT (DA E) E Y ALD 7z.7LDG' TED THIS IS YOUR PER T , z +C r�ATE - SiGNATU RE OF OWNER iiF OWNER BUILDERi (DATrF,) - NEW j) Effective 8/1/95 CITY OF FRIDLEY ADDN l .-- ALTER (] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: - Legal Description: — Owner Name & Address: ; �/ Tel. # D & D Home Improvement, Inc MN LICENSE # 4840 Contractor: — AddresS: 7401 Central Ave NE, Fridley, MN 55432 Tel. # 784-7543 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: GARAGE AREA: DECK AREA: OTHER: Length Width Height Sq. Ft. Length Width' Height Sq. Ft. Length Width', Hgt/Ground Sq. Ft. Comer Lot [ ] Inside Lots(] Ft. Yd Setback Side Yard Setbacks Type of Construction: &gfLLL9 Estimated Cost: $ Approx. Completion Date: (Cost on Back) Driveway 00 Cut' Width Needed: Ft. + fift = Ft x $ _ $ DATE: APPLICANT: Tel. # CITY USE ONLY Permit Fee $ ��. ®%�� Fee Schedule on Reverse Side Fire Surcharge $ D c .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $850 per SAC Unit License Surcharge $ S, c) D $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 $� STIPULATIONS: POO; R C A41r. ST IG lTI The jjjatierr.So tied h�rehy parr 3es that tha l0Xb#1c,#li ey or stick' il Haa n caxe if awn I y' Yes 04 bt �: Is tir : frapn^rust or'etenai~atton , . •Y;es � � Aio 3; Hai a FOfei gzt 0qis lozi ed witttiii Yo .fico ( ) 4. Is ezy supported 5: IV%� current �C oche requirements for sig rtai � t $'1"F's cont Yds lea (• } has t tit $4'I'U's du TOT BTUPS f 7. bias a incr inn prove#.or vt+atr heater 'des No } 8 sunion b air been ro video dor water heater �t'es i Ido ketn' irks. ,i r - ; ist A 'I' C3 fin:Tin, ; 1 iEATING CO: { Signed B,y .I Daft• I �. � l G TOTFIL P.02 I ,Y. OW OF FRIDLEY FRIDLEY MUNICIPAL CENTER - 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 - (612) 571-3450 - FAX (612) 571-1287 June 22, 2001 Ms. Doty Iverson 6440 Squire Drive NE Fridley, MN 55432 Re: Final Inspection at 6440 Squire Drive NE Contractor: Daves Appliance Heating & Air Dear Ms. Iverson: A mechanical permit was issued on August 9, 1999 to install a furnace and air conditioner at your address. According to section 305 (a) of the 1991 Uniform Mechanical Code, a final inspection shall be conducted on the mechanical work 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 Mechanical 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 expire 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. Sincerely, F- a.,0au4`7 DA NSEN Build'Buildio Inspector DJ/mh CITY OF FRIDLEY PERMIT NO.: 2004-01488 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 DATE ISSUED: 09/01/2004 572-3604 YAX: (763)571-1287 ADDRESS : 6440 SQUIRE DR NE PIN : 133024410060 LEGAL DESC : HARRIS LAKE ESTATES : LOT 6 BLOCK 4 PERMIT TYPE : ELECTRICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION VALUATION NOTE: ELECTRICAL PERMIT BECOMES VOID 12 MONTHS AFTER PERMIT ISSUE DATE. INSTALL SAVERS SWITCH. # INSPECTIONS 1 APPLICANT HUNT ELECTRIC CORPORATION 2300 TERRITORIAL RD ST PAUL, MN 55114- ONDER ULUYOL 6440 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. ELEC PERMIT FEE - MIN (RESI) 20.00 STATE SURCHARGE, ELEC FLAT 0.50 TOTAL 20.50 PAID WITH CHECK # 117431 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. Building Inspections 763-572-3604 DATE�_w SITE ADDRESS THIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOURSTATE LICENSE WITH APPLICATION PERYHT TYPE TYPE OF WORK: PLUMBING RESIDENTIAL APPLICATION CITY OF FRIDLEY YOUR E-MAIL ADDRESS I . Permit No.: Received B ' I `� hl( Date ed: A NAME: STATE LICENSE�" A �A n EXP DATE ADDRESS; 3670 Dodd Rd #100 CITY STATE ZIP PHONE Eagan, MN 5512&FW9 ,SINGLE FAN41LY 0 NEW DETAILED DESCRIPTION OF WORK 0 TWO FAMILY 0 TOWNHOUSE er, for th PER MS 16B.665 the permit fee is a minimum of $1n5n.00 oar S°eo ofthe �total ec°sP S° �Ohowhichever only the cost of labor) improvement, installation or replacement of a reside X .05 = __ Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor . KATE TOTAL FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE• EXCEPT WHERE NOTED. FIXTUREWATES: EN NUMBER OF EACH BELOW) FLOOR DRAWS _ SHOWER -FWATER SOFTNER ($35) _ BATH SWK/LAV — GAS PIPING (x� cn'YLtCVrA ._ SSG POOL _BACKFLOW PREV. ($15) _ BATHTUB — KITCHEN SINK — WATER CLOSET FOR IRRIGATION CLOTHES WASHER LAUNDRY TRAY ATER HEATER ($35) _ OTHER _. —DISHWASHER WATER METER $10.00 = $ $ Number of fixtures @ $10.00 $15.00 = $__ Permit Fee Number of fixtures @ $15.00 x surcharge 50 Number of fixtures @ $35.00 x $35.00 = $,__ TOTAL DUE $ — State Surcharge = $_ •50 Total = $ THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley o to startwith without Minnesota perm; thax the work Construction Codes; b outs understand dan�withis is not a permit but only an application for a permit and work Is n approved plan in the case of all work whi requ' s rev' and approval of plans. ntr "Til AMR SIGNATURE OF APPLICANT City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977