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PRE 2010 DOCSCity of Fridley, ,Minn.. o 6431 University Ave. N: E., Minneapolis, Minn. 55432 BUIELDING PERMIT Owner: _._,lames K. Morrison Builder Richard Miller Homes Address Address _160n Rice Cr, -P - Road nT >a 633-7464 LOCATION OF BUILDING No. 1fil5 Street Woodside Court N. E. Part of Lot Lot 6 Block 1 Addition or Sub -Division __B.x.iardale -Addition Corner Lot inside Lot X Setback Sideyard Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Dwe 11 ing Front 40' Depth 26' Height 201 Sq. Ft. Cu. Ft. ra_,rqgP Front 24' Depth 19' Height 10' Sq. Ft. _ Cu. Ft. Type of Construction Wood,Frame Ess Cost _$19,798__ To be Completed 6 months Stipulations: Provide a hard surface driveway. Provide a verifying survey before capping. $270.00 excrow must be paid before water meter can be pickedx up for this house. In consideration of the issuance to me of a permit to construct the building described above, I agree tp do the proposed work in accordance with the description above set rth and in compliance 'th all provisions of Ordinances of the city of Fridley. 9.90 State 4furcharge In consideration of the payment of a fee of $ 47 00 —, permit is hereby granted to Richard Miller Homes to construct the building or addition as described above. This permit is granted upon, the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects -to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings VIthIn n� city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinn CLARENCE $ELISLE .NOTICE - Ibis permit does not cover the construction, installation for wiring, plumbing, Bas heating, sewer or water. Be sure to we the Building Inspector for separate permits for these items. . 0 APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME: JAMES M ORR1SON BUILDER: RIc,�4 Rf-D MILLER HoMC.S ADDRESS • ADDRESS: /(o DD NO: _ 41 ��' STREET: �X/ Chop 5 1 OE C Ov RT LOT: BLOCK:— ADDITION: 13 R I A P D A L -E CORNER LOT: INSIDE LOT: ✓ SETBACK: SIDEYARD: Applicant attach to this form Two Certificates of Survey of Lot and proposed i building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: %yFront • 'U / Depth:. • �(� . ` F p p Height: o2U -C7 Square Feet; CubiiAc Feet: / 6 A QA G E Front: y� 7 U Depth: 9 7 �� Height: ! " U Square Feet; Cubic Feet: Type of Construction: Estimated Cost:.A `7 To Be Completed: �JJ The undersigned hereby makes application for a permit fa the work herein specified, agreeing to do all work in sttict 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: `�2_ 7 7,,2 SIGNATURE: (See Reverse Side For Additional Information.) -"�.._ ..rs2, •.g_� �u, Z..:r`.w"g�� = �.-1�3-vl�..ft .u'v-KGn L �itf.,.'.�.mv ...� � .. , c .aar j_/ � � ems_-•-�c�c wcar�.w-ms's mm_c..,��+e*e: _ m:.9 _, t_�� `YP*a�a- �..�_erwre= _ • ,..v�n v=im+. land Planning �JIIC'll �f�'ll�l / 6873 Highway No. 63 N.1. lond Surveying t ' ' 1 Minneapolis, • Soils Testing �/' (�/ Minn. 33632 Civil Ingineering (� Telephone 784-6066 Mwnklpal Engineering Engineer® & Surveyors Area Code 617 Certificate of Survey for -2c, � iy4x/P -1 1 L -R WO10-14FS N O O W I N OR -T N 75.00 WOOD SAW COURT L.. 6 BLOC K 1, BRIA DALE 0 )OW141 iron monument 4-\.&41no Q a4f UWAI EoitrnitnT 1 bereby sertity that this lira True and correct representation of o server of she boundaries of tie* obenie described land, and of ►lee location .of all berlldings, thereon, and all visible onareachments, it way. from or 00 said land. As wrveyed by nee this_day of A. 0. 19" "_�� }� SUOURGAN , ENGINEERING, INC. IIx ,O ftK linginewii liwrvorror• ...._� by 90 5, 6 6 �a 'F7 ea d -5o cxflowio�.-) Appleafts r !Codings Veofflaftne ReNgere0on and Air Conditioning S"em and Devices PARTIAL RATE SCHEDULE , GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work ...... ....................$10.00 $ Replacement of Furnace ............................. '6.00 $ Repairs & Alterations—up to $500.00 ................. 6.00 $ Repairs & Alterations each add. $500.00 ............... 3.00 $ CH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ $10.00 $ 10.00 each add. 60,000 BTU ....................... 3.00 $ Replacement of Furnace ............................1 6.00 $ Repairs & Alterations—up to $500.00 ................. 6.00 $ Repairs & Alterations each add. $500.00 .............. 3.00 $L— STEAM or HOT WATER SYSTEM STEAM Furnace Shell & Famines—to 400 sq. ft. EDR Steam .... . $10.00 $ Furnace Shell & Line—to 640 sq. ft. IDR Hot Water .. 10-00 $ Each add. 200 sq. ft. EDR Steam ...............:...... 3.00 ' $ Each add. 320 sq. ft. EDR Hot Water . ........... &W $ OIL BURNER to 3 gal. per hour .....:... ....... ..... 6.00 $ over 3 gal. per hour ---See Fee Schedule GAS BURNER (up to 199,000 BTU) .......:................. 8.00 $ 5.00 over 199,000 BTU See. Fee Schedule GAS FrrTING FEES. NO RATE TOTAL 1st 3 Fixtures ....................... x$ 100 $ 2 .00 Additional Fixtures ............. r.... x .78 $ Gas Range to 199,000 .......... x$' 8.00 $ AIR CONDITIONING FRN HEATING SYSTEM ATING SYSTEM ALTERATIONS is REPAIRS ROUGH nNAL C/4 See'Fes Schedule TOTAL FEE Dept. of Bldgm Phone SW -3450 City of Fridley: The undersigned hereby makes application for a permit for the work hereic specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. Fridley, Minim- 8/9/72 Owner Richard Miller Homes Kind of Building frame Used as residential . To be completed about 8/25.Z72 Estimated Cost, $ 5 9 0 .0 0 Old—New. Building Permit No. Permit No. �. DESCRIPTION OF WORK HEATING or POWER PLANTS --Steam, Hot Water, Warm Air—No1 Trade Name WESTINGHOUSE FGUB-110 Size No Capacity 8 8 , 0 0 0 Sq. Ft. ILD R. BTU H.P. Total Connected Load 56 , 241 Kind of gylet aas BURNER — Trade Name SAME AS ABOVE Size No Capacity -3-8 .0 0 0 Sq. Ft. E:D It BTU HF HEAT LOSS ATTACHED. $ .�50 SURCHGE $17.50 (REMARKS -OVER) SALESMAN: J.V. Borry Business Phone ED G" d' 8c cn 11EA11XG & AIR CONDITIONING =0Godu=AM ' 929-6767 X4 'Sub Pak eta $$426 PIIGASTER MTRC. ©EMM—M� MEMNON • MMMK PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ................ x $2.00 $ Future Fixture Opening ............ x $1.50 $ _ New Fixture Old Opening.......... . x $1.50 $___ Catch Basin .................... x $3.25 $ Water Heater ;Up to 99,000 BTU) . • • . x $3.00 $ New Ground Run Old Bldg. ........ x $3.25 $ Electric Water Heater .............. s $2.00 $ :;AS FITTING FEES: NO. RATE TOTAL. 1st 3 Fixtures • ...... • ... • . x $2.00 $ Additional Fixtures ..... .......... x $ .75 $ Gas Range to 199,000 BTU- , ....... x $5.00 $ REPAIRS & ALTERATIONS --Rotor 8® OOsI® Description ............. , .. ............................$ TOTAL FEE $ City of Fridley: The .undersigned hereby makes application for a permit for the work herei specified, agreeing to do All worts in strict accordance with the City Ck*nance and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated in this application are true and correct Fridley, NMmn Owner 91 tfu wo M&t' Kind of Building _J ird�DNrt Used as ✓t e, cf( I�C'r To be completed aboutGT' Q' Estimated Cost, $ y o'©rve— Okla+ -New. Building Permit No. �/' —Permit No. try Signed ��/e/�r�lvf / �iL.�#kms B,J Business Phone NoC yf ROUGH SUBJECT P City of Fridley ® 12341 WI AT THE TOP OF THE TNS BUILDING PERM i COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION r, SEC. 1 . � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-560-3450 910-1715 10/4/73 JOB ADDRESS 1615 Woodside Court N.E. 1 LEGAL LOT NO. BLOCK - TRACT OR ADDITION SEE ATTACHED DESCR. 6 l 1 Briardale Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE James Morrison 1615 Woodside Court N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Custom Pools, Inc. 701 Excelsior Avenue 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 CK NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBEWORK Install a 20' x 32' Swimming Pool 9 CHANGE OF USE FROM TO STIPULATIONS See Health Inspector's Memo dated October 3, 1973. 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 STALLSGARAGES 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 $4, 000 00 2.00 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT • DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMITFEE SAC CHARGE PROVISIONS OF AV OTHER STATE OR LOCAL LAW REGULATING CON- $24.00 STRUCTION . PERFORMANCE OF CONSTRU TION. PLAN CHECK FEE TOTAL FEE $26.00 SIG U F ONTRACTOR ORAUTHORIZED AGENT IDATEI EN PROPERLY VALIDATE THIS IS YOUR PERMIT r17 SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) BLDG INSP DATE APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, 111NNESOTA ?3_3_�,���.- OWNER I S NAME: a /4 5' „yS/ B1J IL DER : �&S V�164 ADDRESS ADDRESS IW/r, z�`�cs/%6x 9 C P NO.. STREET :a'Z=O S°j�F LOT; 41a�_ BLOCK: / ADDITION:,C� I�CUa��i ��`>��• CORNER. LOT:INSIDE LOT: SETBACK: SIDEYARD: Applicant attach to this form Two Certificates of Survey of Lot and proposed buildirig location drawn on these Certificates. To Be Used As: DESCRIPTION OF BUILDING Front• ,,:-,f�1 Depth: �zp` Square Feet: gi'�L, Cubic Feet: Front: Height: Depth: Height: Square Feet; Cubic Feet: Type of Construction: 694/ Estimated Cost: $�� To Be Completed: n,/ IS:! ./77--'3 The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in sttict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that .311 the facts and representations stated in this application are true and corr,-ct. DATE: �� ^ 73 SIGNATURE: (See Reverse Side For Additional Information.) 0 V Plan Review For Private Pool 1615 Woodside Court N.E. Plan Review: 1. Yard or pool shall be surrounded with a minimum of a 4 foot fence with self closing and self latching gates. 2. Provide a backflow preventer on water line on interior of house to outside faucet used to fill or add water to pool. 3. All electrical work must be approved by the Electrical Inspector. 4. Diving board, if provided, shall not be over 11 inches above water line with the eight foot depth. 5. Provide a minimum diving overhang of pool edge of two feet, especially with this pool contour. The pool is too narrow at diving end to get required distance from center of tip of diving board to sidewall. It would appear to me to be about 5 to 6 feet with a two foot overhang. This is not sufficient. 6. All equipment, including pump, filter, and skimmers, must be N.S.F. approved. 7. A positive means of chlorination of pool water must be provided. 8. Provide a minimum of a three foot deck sloped away from the pool around the pool. 9. Provide ladders at deep end of pool and steps at shallow end. If steps are recessed in shallow end, one inlet should be located in step area. 10. Provide some safety equipment such as a life buoy with rope and a pole. 11. Use test kit and keep chemicals adjusted in pool and operate filter 24 hours a day. Plan approved subject to Final Inspection October 3, 1973 HARVEY J. MCPHEE Plan Review For Private Pool 1615 Woodside Court N.E. Plan Review: 1. Yard or pool shall be surrounded with a minimum of a 4 foot fence with self closing and self latching gates. 2. Provide a backflow preventer on water line on interior of house to outside faucet used to fill or add water to pool. 3. All electrical work muse be approved by the Electrical Inspector. 4. Diving board, if provided, shall not be over 11 inches above water line with the eight foot depth. 5. Provide a minimum diving overhang of pool edge of two feet, especially with this pool contour.. The pool is too narrow at diving end to get required distance from center of tip of diving board to sidewall. It would appear to me to be about 5 to 6 feet with a two foot overhang. This is not sufficient. 6. All equipment, including pump, filter, and skimmers, must be N.S.F.'approved. 7. A positive means of chlorination of pool water must be provided. 8. Provide a minimum of a three foot deck sloped away from the pool around the pool. 9. Provide ladders at deep end of pool and steps at shallow end. If steps are recessed in shallow end, one inlet should be located in step area. 10. Provide some safety equipment such as a life buoy with rope and a pole. '11. Use test kit and keep chemicals adjusted in pool and operate filter 24 hours a day. Plan approved subject to Final Inspection October 3, 1973; HARVEY J. 1,1CPHEE HEALTH AND SAFETY INSPECTION BUSINESS NAM: TE: OPERATOR: TEL. # ADDRESS: ®� n ���' t p v—�� _ PE OF BUS. On this date, the health authority made an investigation of the subject facility. The deficiencies noted at this time and the necessary corrective measures are given below. If you have any questions concerning this matter, please feel free to call on us at our offices (City Ball, 6431 University Avenue N.E., Fridley) Telephone No. 560-3450, Ex. 41. e Received by; Health Authorityzz City of Fridley SUBJECT PERMIT NO. ®12983 AT THE TOP OF THE TWINS BUILDING PERMIT r L ______ COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 1 . � CITY HALL FRIDLEY 55432 612-560-3450 RECEIPTNO. NUMBER 910-F15 7v-� DATE 6-2-75 PAGE OF APPROVED BY JOB ADDRESS 1 LEGAL LOT NO. BLOCK TRACT OR A (TIONnneso+ SEE ATTACHED DESCR. 6 1 Briardale SHEET -F-PROPERTY OWNER MAILADDRESS ZIP PHONE James Morrison, 1615 Woodside Court Fridley 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Nedecfaard Construction 111 --,45th 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS j ZIP PHONE LICENSE NO. f 6 USE OF BUILDING Residence 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION qx REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Repair Roof & Garage 9 CHANGE QF USE FROM TO STIPULATIONS SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. 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 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 ETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $4,000.00 $2.00 D SNOT ESUME TO VE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE P OVISIONS F ANY OT ER TATE OR LOC AW REGULATING CON- S OR THE $24.00 jPOR,'=CTION. // (o-�� PLAN CHECK FEE TOTALFEE $26.00 SIGNATURE OF CON RACTOR OR AUT vRIZEDAGENT (DATE) WHEN PROPERLY VALIDATED HIS IS YOUR PERMIT June 2, 1975 BLDG INSP DATE SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA ' S NAME : ZF} 0 0y.. BUILDER: (F0E 6 fiP0 l 01' S OWNER MI' S 2 P 1 S /� ADDRESS: (S- l�o�psl�� (2ogy.ADDRESS: ///-q�""f AaE N NO:. STREET: LOT: (y BLOCK: ADDITION: CORNER LOT: INSIDE LOT: 1✓ SETBACK: 3S r SIDEYARD: S 0 5 - Applicant -attach Applicant attach to this form Two Certificates of Survey of Lot and propos I building location drawn on these Certificates. To Be Used As: DESCRIPTION OF BUILDING Front: Depth: Height: Square Feet: Cubic Feet: Front: Depth: Height: Square Feet; Cubic Feet: 69 60 Type of Construction: EEEPA if- �Koe� (D 60 Estimated Cost: 0 0 0, To Be Completed: 6 N! LP©u-rg The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in stiict 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: SIGNATURE: -(See Reverse Side For Additional Information.) V a`( ()1 ;Z. C) v �. A'oG.' '0 c) 01/ SUBJECT City ®f Fridley 1567 3 AT THE TOP OF THE TWINS BUILDING PERI ZREC r COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 4/21/80 JOB ADDRESS 1615 Woodside Court N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 6 1 Briardale SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE James Morrison 1615 Woodside Court N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. D. W. Johnson Co., Inc. 14506 Tonka Downs Drive 938-5905 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 [IALTERATION ElREPAIR [IMOVE ElREMOVE xO 8 DESCRIBE WORK Construct a 12' x 1018" addition to back of dwelling 9 CHANGE OF USE FROM TO STIPULATIONS SEPERATE PERMITS RL ' UiRED FOR w PLUMBING AND SIGNS. ,HEATING, WARMS Before digging Cell 1=1 utiiifies TELEPHONE - ELECTRIC - G4 Eta: REQUIRED BY LAS' 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 6 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 MO. $1.85 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $3, DOES NOT PRESUME TO GIVE AUTHORI TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE OVISION OF ANY THE ST E RLAW REGULATING CON- NONE S R ION R THE P F N F ION. $24.00 PLAN CHECK FEE TOTAL FEE -2- $ 6.00 $31.85 I TUREOF ONTR CTO ORAUT.HORIZEDA NT BATE)HEN PROPERLY -VALIDATED THIS IS YOUR PERMIT �'-WLDGi. " INSP DATE SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEI 01/ CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL HILDING PERMITS (New, Alterations, Additions, or Repairs) OWNER: � � � � J �"r �i'c���-. S" ��. GUILDER: or a ADDRESS: O - S" d�`P d S.�ze cci4t.J- ADDRESS: TEL NO: � TEL NO: �� � S�/� ® S -- Construction Location STRTff-3T NO: lS� STREET: o cr 11 '�,/� T�c,zA !- LOT: BLOCK: / e 4.� Corner Lot: Inside Lot: Setback: Sideyards: Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTION OF CONSTRUCTION // ��. fil dc,, Cis► Front: Depth: /0Height: ' C� —r Squane Feetz �p�� Cubic Feet: Front: Depth: Height: Square Feet: Cubic Feet: (J Type of Construction: Estimated Cost: $ s �C Tb Be Completed- �� 10rf .1-0;76 e-7 Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: $ $ SEE REVERSE SIDE OF SHEET 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: �^ � %- c � SIGNTiTUrs : Stipulations: 0 P SS 3l .r. -NERGY CONSERVATION SUPPLEMENT TO 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 DESIG14 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: OWNER/CONTRACTOR : ADDRESS : ® >6���e '�r �° PHONE: A. Determine the Total Exposed Wall Area as follows: 1. Total wall window area .� 2. Total door area01 3. Total sliding glass door area N 4. Total fireplace wall area NZA 5. Total wall framing area (average .10 0) IC5- 3 6. Total net wall area above floor (average 90%) 9 Z • 7® 7. Total rim joist area 1(y-519 Subtotal: Total exposed wall area above floor 8. Total foundation window area WA 9. Total net foundation area above grade Subtotal: Total exposed foundation area P/ GRAND TOTAL EXPOSED WALL AREA B. Multiply the GRAND TOTAL EXPOSED WALL AREA X .17 = Item I C. Determine the Total Exposed Roof/Ceiling Area as follows: LATZ- 10. Total skyylliighht area I ®3 •® 11. Total roof/ceiling framing area (10a) Io.� _ 12. Total net insulated roof/ceiling area 412 -7 Q GRAND TOTAL EXPOSED ROOF/CEILING AREAC(+ `® D. Multiply the GRAND TOTAL EXPOSED ROOF/CEILING AREA X .05 = Item II - ,, E. Determine the "U" value of each segment (1-9) and multiply by the area as follows: 1. `Up. Zo x fluff 2. '�e5 ® x $full �� _ � •G� 3. tJ/6 x "Urr — 4. Nll� x $$u" 5. 4 . aj x $furl ® _ 6. (o x four$ 7. 1 tD . 5 $ x lour$ .©(y = • —1� 8. x 'furl = 9. _ L-l1L_ x foU $r = -- — — — ADD 1-9 FOR TOTAL WALL SEGMENTS - �-I . �I ITEM III F. Determine the "U" value of each segment (10-12) and multiply by the area as follow=s : 10. C35 11. ( e5.3 12. qS.-7lc7 x fluff . ® 3 x Hurt s ® '2- x $furl ADD 10-12 FOR TOTAL ROOF/CEILING SEGMENTS = �,j/a ITEM IV 5,lg{___ G. If Item III is ttie same as, or less than Item I, you have met the intent of State Building Code 6006 (c) 2. H. If Item IV is the same as, or less than Item II, you have met the intent of State Building Code 6006 (c) 1. I. Add Item I 36-49 + Item II J. Add Item III I + Item IV K. If the svm of Items III and IV are less than Items I and II, you have met the intent of the Code for total envelope system. The undersigned, as applicant for a building permit, hereby affirms the above information has been prepared and submitted by himself or under_ his direction, hereby acknoraledges the information to be correct and accurate; and hereby presents the information with required plans in support of the building permit application. By: DATE: sue�Ecr T NO. City ®� �rial�y 716 IR AT THE TOP OF THE TWINS BUILDING PERMIT r PT NO. �• ______ COMMUNITY DEVELOPMENT DIV. I L PROTECTIVE INSPECTION SEC. or e I NUMBER REV DATE 12/5/97 PAGE OF APPROVED BY = CITY HALL FRIDLEY 55432 612-571-3450 910-F15 JOB ADDRESS 1615 Woodside Ct E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 6 1 Briardale Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Connie Autum., 1615 Woodside Ct., Fridley, MN 55432 572-0213 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Trendy Construction, 3845 Park Lane, Spring Lake Park, MN 55384 471-8979 20027543 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 O NEW 0 ADDITION O ALTERATION] REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Re-roof (tear-off) 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with State Building Code. SEPARATE PERMITS ARE REOUIREO FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 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 $29085,00 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1.04 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- $1M $74.75 Fire $2.86 STRUCTION PERFORMANCE OF CONSTRUCTION. !KRTHE PLAN CHECK FEE TOTAL FEE License SC $5.00 $83.65 SIVAATURE NTRACTORORAUTHORIZED AGENT IDArEI .WHEN PROPERLY,^jIDATED THIS IS YOUR PERMIT �' N'" , BLaE (NSP / /�s /)—f—fl GATE SIGNATURE OF OWNERUF OWNER BUILDER( IDATEI NEW [ ] Effective 1/1/97 ADDN [ J CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION LO ConstructionAddress: Legal Description: Owner Name & Address: Q -L 'NV S, ���� �� Tel. # Jr' of — oCj Contractor: C S -V MN LICENSE #��'7S Address:�gS0 . �6���1< �� s'�Tel. # Attach to this application, a Cerftficate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Construction Type:_72R;�Z!--[' A Estimated Cost: $ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: APPLICANT: Tel. CITY USE ONLY Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ ?4/. 7-5- Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.501$1,000 Valuation $950 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] CITY OF FRIDLEY INSPECTION DIVISION vo Effective On January 1, 2002 6431 University Ave NES Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, (763) 572.3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS 1 U' vv®Dd sl d -C., RATE SCHEDULE OWNER Residential Rate TOTAL Furnace Shell and Duct Work, Burner - BUILDING USED AS Also Replacement Furnace $ 30.00 $ IM (Side Vent.- Fill Out Back) ESTIMATED COST ��b®• U PERMIT N0. Gas Piping (Needed with new furnace, $ 10.00 $ but not replacement) DESCRIPTION OF FURNACE AND OR BURNER'.-, ', Gas Range $ 10.00 $ No. of Heating Un i Circle One (Steam) (Hot Water) ( arm r) Gas Dryer $ 10.00 $ Trade Name Size No. // BTU �a/D, 67C0 HP EDR *Air Conditioning - All,Sizes $ 25.00 $ ��-Fuel A]. (1® Total Connected Load All Others/Repairs & Alterations (LIST ON BACK) Burner Trade Name Size No. 1% of Value of Appliance or Work $ BTU HP EDR Commercial/Industrial 1.25% of Value of Appliance or Work $ 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 State Surcharge $ .50 rulings of the Building Division, and hereby declares that all the facts and 5 representations stated in this application are true and correct. TOTAL FEE $ f DATE RI-AINE HTG. A/C ELECT.. IN 13562 CEN 13562 AVE. N.E. MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION HEATING CO AN K8, ,MN 65304REFRt,, PLUSTHE$T 0 STATE SURCHARGED PERMIT IS $25.00 Signed �- TEL #-i�3 -�57-( 0 FAX # REINSPECTION FEE $47.00/Hr *Air Conditioners can not be placed in a side yard without Approved By Rough In Date Final Date. �1 written permission from adjoining property owner. THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNED COMMON VENT, VENT CONNECTOR ANn COMBUSTION AIR VERIFICATION When replaning an exkting furance, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes)\ No ( The venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes �>( No( ) The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. ,Yes ( No ( ) The pxic ing combustion air is sized and installed to meet the current codes and manufacturer's specifications. Yes (� No ( ) When required to instar a new combustion air, it will be sized and installed to meet the current codes and manufacturer's specifications. Yes No( ) When int alli g 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 ciurrent codes. Yesq*No ( ) Appliance Type and Si7p/Cmmman Vent and Vent Genn _ctor Information Appliance #1 Type =�r-�Y V1&U BTU Input co� Fan Assisted or Nat Mat - 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 ELECT., .y 1s5 CENTRAL CO: AwMN 4 Signed By: e^. Date : %��,o 2 CITY OF FRIDLEY INSPECTION 6431 University Ave NE Fridley, MN 55432, (763) 572-3604 FAX (763) 571-1287 RATE SCHEDULE DIViSION APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES Residential Rate Furnace Shell and Duct Work, Burner - Also Replacement Furnace $ 30.00 (Side Vent - Fill Out Back) Gas Piping (Needed with new furnae, fee $ 10.00 but not replacement) )A f Gas Range $ 10.00 Gas Dryer $ 10.00 *Air Conditioning - All Sizes $ 25.00 All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work Commercial/Industrial 1.25°J of Value of Appliance or Work 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 written permission from adjoining property owner. Effective January 1, 2003 JOB ADDRESS 161 t' OWNER iC TOTAL BUILDING USED ASES,�. ESTIMATED COST /)jC 0, e)o PERMIT NO. DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units / Circle One (Steam) (Hot Water)arm ' ) $ Trade Name PrOAC,4e- .P nkl Size No. BTU 30 0 HP EDR $ Fuel Total Connected Load Burner Trade Name Size No. $ BTU ,_ HP EDR $ The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes an $ .50 rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. ADW FxesM DATE f -O6 , � dM Fireskia ►O1n a Hme HEATING CO ' 4200"l1 Z100 It Fwmi- " meq@ MW 55113 Signed 651'1 TEL # FAX # Approved By Rough -In Date' Final Date o�9 FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNED s`nmmnN VENT yFNT CnNNFGTnR ANn mmBl1SToN AIR VFRIFICAMN When roIn acinn an axhMng furanep, the undersigned hereby verifies that the venting has been examined and is free fro, ust, deterioration, obstructions, and is securely supported and firestopped where required. Yes (i No ( ) The venting system is plastictPVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes () No ( ) The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes( ) No( ) The Amin inn rnmbu_eti®n air is sized and installed to meet the current code°=- and manufacturer's specifications. Yes () No( ) When required to Install a new cnmhisfinn air. It will be sized and installed to meet the current codes and manufacturer's specifications. Yes( ) No( ) When installing a new ventina 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( ) Appliance #1 Type BTU Input Fan Assisted or Nat Appliance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input Common Vent Type Vent Height Diameter inches Appliance #1 Vent Connector Height ft Length ft Diameter in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type HEATING CO: Signed By: Date