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PRE 2010 DOCSCity of Fridley SUBJECT'ROWFT NO. ®13'769 AT THE TOP OF THE TWINS BUILDING PERMIT r � RE `L ------COMMUNITY DEVELOPMENT DIV.�� PROTECTIVE INSPECTION r SEC. 1 � NUMBER REV. DATE PAGE OF APPROVED BY i CITY HALL FRIDLEY 55432 L J` 6312-560-3450 910-F15 9/21/76 JOB ADDRESS n= 5140 - 3rd Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 2 1 Carlson's Summit Manor Annex 2nd Addn. SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE James Lund Construction 2417 - 148th Avenue N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK QA NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK IN9, Construct a 42' x 24' Dwelling and a 201• x';22' Garage An Before digging c8 Oc8 U I I o - •SEpERATF PERMITS REQUIRED. FOR TRIM , TELEPHONE - ELECTRIC GAS 9 CHANGE OF USE TING, PLUMBING AND SIG zw REQUIRED BY tAM STIPULATIONS provide a hard surface driveway. Provide sod in the front and side yards. Provide a verifying survey before capping. Provide truss design. Provide vapor barrier in ceiling. Set house back 19 36.5' to allow for cantilever. SEWER LOCATION: (Approx. 8' Deep) 60' North of Manhole (Inv. 832.33) WYE ELEV: 832.45 TOP OF FOOTING: 835.45 Minimum WATER LOCATION: 10' North of Sewer service �rM�®RT/Q�iT-- THE CITY OF FRIDLEY DOES NOT GUARANIM TRE AC-'W. ACY OF UTILITY LOCATIONS AND ELEVATIONS. 14C)TlFY .THE FRIDLEY ENGR, Ti- ;i i DATA IS FOR INFORAhA]TON PUPPCiS_IIES ONLY AND DIVISION REGARDING CURB PERSONS,. USING n SHOULD VtM THE INFORMA`i ION REMOVAL AND REPLACCM ' ,�1T ON THE-SITE AT DRIVEwAy OREfVjfj1 TYPE OF CONST. PA OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, Wood Frame VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION R-1 1008 + 440 OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING 'HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 ISTALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED. $31,340 $15.67 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- $93.38 $350.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. CHECK FEE TOTALFEE yPLAN �c 4,--:1 , X 6-7,- 9-2. 1 $23.35 $482.40 SL,GNATURE FCO TRACTOR OR AUTHORIZED AGENT IDATEIWHEN. PROPERLY VALIDATED HIS IS YOUR PERMIT BLDG INSP DATE SIGNATURE OF OWNER IIF OWNERBUILDERI IDATEI APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME �() BUILDER: �211x", ADDRESS: aP4f /7 — ADDRESS: NO:. J O --STREET: LOT • ,3 BLOCK • ADDITION• •yri/dlx CORNER LOT: INSIDE LOT: SETBACK: 35 / SIDEYARD: Z,s /D• 55 � Applicant attach to this form Ttvo Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: Front: Depth: _;2 Height Square Feet • _/D _ Cubic Feet Front: o2D Depth: �� 1 Height: I? Square Feet; Cubic Feet: Type of Construction: Estimated Cost: $ o37,4AJ, 00 To Be Completed: 4e ,Z27 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: � 1 SIGNA (See Reverse Side For Additional Info ation.) P; �3. 36 WC 0,* .-3®3 r.,. Ai d c S S AVE,s f �N • J 2 am. Ito czle- r L ON FOR: Luna Consirvc�-ion, Inc. \JAWNG No ftm- asww OMW "IE�EEPNA�E " �1,�► IR�p � o�eno�s WBA4 Q) N 7 i a 0 L a 118.14 N r,%is rf ON Iron monument LegcLl descriptio" = Lo+ 3, Block 2 , CAPLSWNS SUMMIT MANOR ANNEX SECOND ADDITION, Anoka. Coun mjj Minnesota Im MY OF MW am His GUAWM Iwo; ACCULAM OF 016"' WrA%" AM *0 DATA 0 PM OPOWA** 1 NOW OWY AW me" U60 R 4wxo04 ra oft vrlr�lr 'Me Mo�w►taN ry TW 0W EMM ERB •p0100N k,I1ENT MOYAL ANO REP NEM AT DIRK' OPE1 MI I hereby certify that this is a true and correct representation of a survey of GABRIEL the boundaries of the above described land and of the location of all buildings, DENL4PS if any, thereon, and all visible encroachments, if any, from or on said land. LAND SURVEYORS INC. 3010 Harbor Lane As surveyed by me this %} day of Sept , 19-7(o. Plymou'h, MN 55441 ��,! Z J y!%aA-c Minn. Reg. No. 10944 - Job No. G41S Book — Page Scale v = 7z I E I �4 0 I I �°- + I o a� l o s I I .. I I I \JAWNG No ftm- asww OMW "IE�EEPNA�E " �1,�► IR�p � o�eno�s WBA4 Q) N 7 i a 0 L a 118.14 N r,%is rf ON Iron monument LegcLl descriptio" = Lo+ 3, Block 2 , CAPLSWNS SUMMIT MANOR ANNEX SECOND ADDITION, Anoka. Coun mjj Minnesota Im MY OF MW am His GUAWM Iwo; ACCULAM OF 016"' WrA%" AM *0 DATA 0 PM OPOWA** 1 NOW OWY AW me" U60 R 4wxo04 ra oft vrlr�lr 'Me Mo�w►taN ry TW 0W EMM ERB •p0100N k,I1ENT MOYAL ANO REP NEM AT DIRK' OPE1 MI I hereby certify that this is a true and correct representation of a survey of GABRIEL the boundaries of the above described land and of the location of all buildings, DENL4PS if any, thereon, and all visible encroachments, if any, from or on said land. LAND SURVEYORS INC. 3010 Harbor Lane As surveyed by me this %} day of Sept , 19-7(o. Plymou'h, MN 55441 ��,! Z J y!%aA-c Minn. Reg. No. 10944 - Job No. G41S Book — Page Scale v = 7z (,o0' /0, ®F 6c) Ix, — FoO-17 C.�.0✓, g.3 ?,, 3 3 g3CZ 1/ -5 1-11 i4A, 3014VA"A. pir j.4*fP, *%Aw- V, air nig We 'v,,We *,; IV'* �%Wp, * `00* 1 IIW"M JAV a" AV CMY OF E}- RIOR ENTEi101YEE AVERAC;E "U" Matlr-TIM (To be si h-ni.tted with building permit a�2icatim) kL .r t family avelling X Owroer jamm Lund nn -,P Inc. Site Address -.--5140 NE )ntractcr Jama Lund Cm6t.,, Inc. Date q®1676 Phone 434-6854 / 434-7109 `-` :-' r . OF13 ft. above grade = 1664.0 j' 24 + 40 + 24 + 40 + + + + X TGF,-, . EXPOSED ALL AREA SQ. FT. r. ►'7.LL CCNSrRJGTI0N: "U" value x area Bla, ,btu" "U" f594 x sq. ft. 1055.15 = 62.68 (U) (A) Studh "Td�' . x sq. ft. 160.0 19.54 (U) (A) e`=-� reference Rim jov5 "U" . x sq. ft. 84.48 - 4.63 (U) (A) from Block "U' 694 x sq. ft. 148.48 = 69.696 (U) (A) 1_ ^� atu" x sq. ft. _ (U) (A) _ --ched sheets {U) (A) —null x sq. ft. _ nu" x sq. ft. _ (U) (A) _`+;•;s : "U" value x area _-w & type Weathers Shietd P,fjq., Inc "U" .50 x sq. ft. 175.89 = 87.95 (U) (A) ® n 1tU„ x sq. ft. _ (U) (A) " n ttUrl X sq. ft. _ (U) (A) n n t'u" x sq. ft. _ (U) (A) "U" value x area 0 = -5.12 (U) (A) & Type Pea6e "U" .128 x sq. ft. 40• n u null x sq. ft. - (U) (A) a n "U" x sq. ft. _ (U) (A) TILS 1664.0 Sq. ft 249.62 (U) )'-,---'T' (U) (A) VP.LU---S 249.62 AVG. "U" V BY TOTAL h'1? �L AREA . l 5 "U" .17 or less for 1 & _-� ings •.22 or less for all other b- cgs a / I.rnG: YZ-L-L Ate: - 960 sq. null ft. sq. tt• - 31.28 (U) (A) =tpil reference Jo" 0362 "Ull x ��12 (U) (A) mom �oc�5 1164 �; sq. ft. 96.'0 _ ' 1.22 ached sheets, No o 'lull sq x o ft. (U) (A) -pen .nay _z-=ibe openings null x sq. ft. — (U) (A) Z roof "U" x sq. ft. - - (U) (A) SOTAIS 960 Scr. ft. 42.50 (U) Jr -M (U) (A) VALUES 42.5 = M By TOML ROOF/ 960. .04 - AREA .�' nU" .05 for ventilat s . .10 for all other constructiontsg t ME: if average nun values as calculated above do not Meet the orgy �? regmrer "Alternate Envelop- Design" as outlined in SRC 6006(g) ray be wed. Additional she :rav be zj4z,-,4 +r c - ,y calculations. t- E=-ERIOR X7=2, AVF-PA .'''^'. "U" M•� � TICI1 Can be sLS.;.itted with building permit a.p.OIicatica) i X +.i c`.�ha Site ALdress _ 5140_34d -S. NF _ _ �a� ,r Jars Lund Cci:z t.. Inc. _ Date 9- 16-7F P ' � 434-6854 J 434-7109 TOF r24 + 40 + 24+ 40 + + + + X 13 .f t. above grad166 .; 1C7irT. EeCiSED MIS APEA SQ. FT. -_ T, CG:S'C�iCr'_�: =-_- "U►' vales �. �a = o rerere� sa 4 . �od.S 0362 % s�. ft. Sh4. Q 37 -2& �'' +r; Ch #iS 1169 Bctd sfLud/s "U" .0594 X sq. ft. 1055.15 = 62.68 (U) (A) ttutt x s�. Stu�✓r "U" . x s;. ft. 160.0 = 19.54 (U) U..) -_--=� reference � - �fCt,S null�f �.48 4.63 (U) (H) null .4694 x sq. ft. 144.48 = G9.696 (U) (A) -1- =--d shits ttUtt x sq. ft. - (U) (A) null "U" X sqz ft. - (U) (til Lt�S'n7 : "U"Z G I i � X GYe.a Weal c.-. S,uetd "4a., 1{:c U" .50 x sqe fro 115.89 - 87.95 (U) (P _-... h t'jl" x sq, i%. _ (ti) (1 i n h ttu" i a ✓-! • fr. _ (U) (A) i "U" va.l- a x -eJ& Type area 1'eC.3�? "U" .128 x s;:;. 5.12 (U) (F) " It nullX Sq f _ (U) (A) a n Ituu x sj. _�. _ (U1 1614.0 w. ft. 249.62 (U; '-` (U) (A) %,-,-: iS 249.62- -'- = AVG. "u" : Ey ice_ 1, j,�T�T, A � .75 : 2-=, "U" .1? or less for 1 & 2 fa -lily cx.aellLngs •.22 or less for all other buildings Dc:-7Vc.=T-\G: 960 sq. f t. IIU,t = (U) (A) rerere� sa 4 . �od.S 0362 % s�. ft. Sh4. Q 37 -2& �'' +r; Ch #iS 1169 "U" }: sa. ft. 96.'0 = 1 1 ?9 {U) (A) ,mac: sheets, Neck• 'rt t� U ��' �? c�e7ings ttutt x s�. - ft, - (U) (A) =:-as 960 Sq, ft. 42.50 {U'; (T.%) (A) '%7-=,:,S42.5 = - �2D BY =1 11-L ROrFi 960. .04 j • nU" .05 n–,r-v--ntilated. roofs �. .10 for t other canstruz-tim : If averaze "U" %,azu-s as c3Iculated cL��2 too not ?.y--- _ th-- M-4--rg' corle rE—,aIre--r-i sv tin r'–;—" ac in sc 6"` O!G (0) Z b-- @i-'%. Pe-dZticna sh- CITY OF FRIDLEY -APPLICATION FOR PLUMBING AND GAS FITTING PERMIT • PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: Number Fixtures Future Fixture Opening New Fixture, Old Opening Catch Basin Water Heater - to 99,000 BTU 100,000 BTU to 199,000 BTU Water Softener New Ground Run Old Building Electric Water Heater GAS FITTING FEES: 1st 3 fixtures Additional Fixtures Gas Range to 199,000 BTU REPAIRS $ ALTERATIONS First $100.00 each add. $100.00 or fraction NO. RATE TOTAL $3.00 $_�M� x $2.00 (d $2.00 $ x $5.00 $ �x Water S J� x $10.00 $ x $7.00 $ r N $4Aaa Q x $5.00 $ x $3.00 $ Heater Q L .-�1 E N H-1 4 ii $4 C) w m c r $4 s d� W a H —fd 4 U W a C �C e ••1 m Y� .0 C C •.7 3 O .0 U' B N O 11 N M U y N U .0 +•I 11 N -.4 ff: •.i Q O vi O w q 3 s rd o as lec y v 0 oiOa A 3 uo. c`tli 20 1st 2nd ff t I I L — (R) = Future Connection Opening Connected with Sewer (*) = New Fixture, Old Opening Water PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: Number Fixtures Future Fixture Opening New Fixture, Old Opening Catch Basin Water Heater - to 99,000 BTU 100,000 BTU to 199,000 BTU Water Softener New Ground Run Old Building Electric Water Heater GAS FITTING FEES: 1st 3 fixtures Additional Fixtures Gas Range to 199,000 BTU REPAIRS $ ALTERATIONS First $100.00 each add. $100.00 or fraction NO. RATE TOTAL $3.00 $_�M� x $2.00 x $2.00 $ x $5.00 $ �x $5.00 S J� x $10.00 $ x $7.00 $ x $5.00 $ x $5.00 $ x $3.00 $ x $1.00 $ x $10.00 $ $5.00 $ $2.00 $ State Surcharge $ .50 TOTAL FEE $ �—i') REINSPECTIQN FEE ($30.00) Job Address S -/ /- g) ` Department of Buildings City of Fridley Tel. #571-3450 The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct Fridley, Nn. C�� . 197(,l OWNER KIND OF BUILDING /�1 a USED AS TO BE COMPLETED ABOUT (p LLQ ESTIMATED COST OLD - NEW BUILDING PERMIT NO. PERMIT NO. Company ' Signed By /1.-. - - ^ ,✓ ��•}`� Tel. No. ROUGH INSP. Date FINAL INSP. � - ;z 5 " 7 7 Date APPROVAL FOR PERMIT MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 CITY OF FRIDLEY APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES PARTIAL RATE SCHEDULE GRAVITY WARIM AIR: RATE TOTAL Job Address _.._nace Sell & Duct Bork $12.00 $ Replacement of EL•rrace 7.00 7.00 $ $ Department of Buildings Rapairs & Alterations -up to $500.00 4.00 $ City of Fridley Repairs & Alterations each add. $500.00 Tel. x{571-3450 MECHANICAL iiAR?I AIR: The undersigned hereby makes application for a permit for the work herein $12.00 S� specified agreeing to do all work in strict accordance with tae Cit/ Cedes Elarnace Shell & Duct :Cork to 100,000 BTL' 4.00 $ and rulings of the Department of Buildings, and hereby declares that all the Baca ad i. SJ,GJO BT:J each 7.00 $ facts and representations stated in this application are true and correct. Replacement of Furnace Re.airs & Alterations -up to $500.00 7.00 $ r> Fridley, Minn./ Gf cam w� , 19� R e: sirs & Alterations each add. $500.00 4.00 $ STE.k\: OR HJT 'ITER SYSTEM,: 047\ER Boiler & :.....esto 100,000 BTJ y53,000 $12.00 $ KIND OF BUILDING eacad n. BTU 4.00 $ �L f h Boiler only up to 100,000 BTU 7.00 $ USED AS +(�"% A�� ' 2Z each ad dn. 50,030 BTU 6.00 $ TO BE COMPLETED ABOUT OIL BURNER- to 3 gal. per hour $1.0.00 $ ESTIt+IATED COST / DB each add. 3 gal. per hour 10.00 $ NO. GAS BURNER- from 100,000 BTU w 199,999 BTU $10.00 $�_ OLD BUILDING PERMIT NO. PEi2,IT (over 139,999 BT'J see Fee Schedule) $ GAS FITTING FEES: ist 3 Fixtures x" $ 3.00 'y $ 3 DESCRIPTION OF FURNACE/BURNER Additional Fixtures x $ 1.00 $ Gas Range to 199,000 BTU x $10.00 $ HEATING or POWER PLANTS, Steam, Hot Water Warm Air)- No. �! AIR CONDITIONI\G $ Trade Name`s"� Size No. _� FAX HEATING SYSTEMS See Fee Schedule $ VENTILATING SYSTEMSl $ Capacity Sq. Ft. EDR BTU Y.? ALTERATIONS $ REPAIRS _ J State Surcharge $ $ .50 Total Connected Load .� B !� Kind of Fue17 a TOTAL FEE $ BURNER -Trade Name Size No. / L9� Capacity Sq. Ft. EDR BTU H? ROUGH INSP. REINSPECTION FEE Date ($10.00) ] ✓�e�(� ' i•L\AL I\SP. % Comp7By Date Sign APPROVAL FOR PER.KIT Awed Tel. No. / 0 X::XI,%:'w''d F= FOR ANY HEATING PMKIT IS $7.50 sueJEcr ERMIT NO. City of Fridley 2 6121 AT THE TOP OF THE TWINS BUILDING PERMIT Ir � RECEIPT NO. _ COMMUNITY DEVELOPMENT DIV. tr PROTECTIVE INSPECTION SEC. �� y�y f 19Y( NUMBER REV DATE PAGE OF APPROVED BY i A ��,'� CITY HALL FRIDLEY 55432 A.4 L --_• 612-571-3450 910415 6/2/98 JOB ADDRESS 5140 3 Street NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 3 2 Carlson's Summit Manor Annex 2nd Addn SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Bob/Ramona Stranberg 5140 3 Street NE 572-9556 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Panelcraft of MN 3118 Snelling Ave S, Mpls., MN 55406 721-6628 2179 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 ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Install siding, soffit, & trim 9 CHANGE OF USE FROM TO STIPULATIONS Install building wrap and have inspection of same. Install soffit ventilation to meet 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 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 ] ISTALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $10,665 $5.33 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- $174.75 Fire SC $10.66 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE License SC $5.00 $195.74 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI WHIN,PROPEW VALIDATED THIS IS YOUR PERMIT ALI(k8 BL G INSP BATE SIGNATURE OF OWNERIIF OWNER BUILDERI IDATEI NEW I I ADDN I I CITY OF FRIDLEY A1�1'ER I I SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: 5/y0 - .3 rd 5+ -r -e -(Z,+- �JF- LAICCLIVC 1/1/94 Legal Description: Owner Na1ne & Address: ob d t?aYY o -no , Sj%a Tel. // 57,5? - GIsS�o_— Contractor:f [ Fi`�'1 ..� C1?�GZ or- _ MP MN LICENSE // Address: � l l g, Sn e uc S Tel. !f Attach to this application, a Certificate of Survey of the Iot, 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 t.DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Corner Lot I I Inside Lot [ I Ft. Yd Setback Side Yard Setbacks — 'Type of Construction: S j d i nn 5 c)F F 4 Estimated Cost: 00 Approx. Completion Date: _"7 +-r i M (Cost on Back) Driveway Curt) Cut Width Needed: Ft. + G 't = Ft x $ -_- = $--- DATE: --DATE: S- /3 --9 Cr APPLICANT: Tel. # % j - CITY USE ORLY X1344 b(5,50 JPermit Fee $ 171-1,-76- Fee Schedule on Reverse Side Fire Surcharge $__ _/ O . &(o .001. of Permit Valuation (1/ 10th l ) State Surcharge $_ _ _S- 3i $.50/$1,000 Valuation SAC Charge $ $800 per SAC Unit License Surcharge $ _5 -O0 $5.00 (State Licensed Residential Contractors) -Driveway Escrow $- -- All. "A" or Alt. "I3" Above Erosion Control $ — $4.50.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charf;e $ _ . .-----.------.-_-- Agreement Necessary I I Not Necessary TOTAL $ /� / -7z STIPULATIONS: SUBJECT O. City of Fridley2 6 6 3 2 AT THE TOP OF THE TWINS BUILDING PERMIT/( r `y __��_ COMMUNITY DEVELOPMENT DIV. 14 �� r PROTECTIVE INSPECTION SEC. 1 � NUMBER REV DATE 7/16/98 PAGE OF APPROVED BY ` CITY HALL FRIDLEY 55432 612-571-3450 910-F15 JOB ADDRESS 5140 3rd St. NE I LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 3 2 Carlson's Summit Manor Annex 2nd Addn. SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Bob and Romona Strandberg 572-9556 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Panelcraft of MN 3118 Snelliniz Ave. S. M is MN 55406 21-662179 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 X3 REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and garage 18 S Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL. PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1501 $.75 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $51.25 Fire SC $1.50 PLAN CHECK FEE TOTAL FEE License SC $5.00 1$58.50 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI WHEN PROPER ALIDATED THIS IS YOUR PERMIT r BL9G IN P ` DATE SIGNATURE OF OWNER OF OWNER BUILDERI IDATEI N L W I I LIledlve 1/1/94 ADDN I I CITY OF I-RIDLEY AL; E.iz I I SINGLE FAMILY AND DUPLEXES R-1 AND R-2 t" Building Permit Application C Construction Address:—_.— Legal Description: ---_-_—_ — Owner Name & Address: —(3U� 4 R,Q vh onCt ��j-Cn ��+^ Tel. // S-7 a- Contractor: ��e1 tri-c�� ®��i� --- MN LICENSE # Address: -?-? //X �� ,� �� S /(�, S DIS fd�i✓ S �/d %� Tel. !1 LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Length Width Height Length Width Hgt/Ground Sy. Ft. Sq. Ft.- Sq. t.Sq. Ft. Corner Lot Inside Lot Ft. Yd Setback aside Yard Setbacks _ Type of Construction: -e - %f © v Estimated Cost: $ Approx. Completion Date: (Cost on Back) Driveway Curt) Cut Width Needed: Ft. -I- G Ft = Ft x /$ DATE: 413o yj& APPLICANT: ,e,Tel. 11 -2,;?-1 CITY USE ONLY Permit Fee $�1 Fee Schedule on Reverse Side Fire Surcharge $__� 5-0 .001 of Permit Valuation (1/10th%) State Surcharge $__75 $.50/$1,000 Valuation SAC Cliarl;e $ - -- $800 her SAC Unit License Surcharge $5.00 (State Licensed Residential Contractors) Driveway Escrow $_ __ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $...____._____..___ Agreement Necessary I I Not Necessary I 1 TOTAL $ STIPULATIONS: From: 9528814491 Page: 4/5 Date: 5/4/200710:00:52 AM Building MECHANICAL Permit No.: InspectionsRESIDENTIAL APPLICA'T'ION ReCe! ed 13 : 763-572-3604 CITY OF FRIDLEY D DATE !7 - O YOUR E-MATT,ADDREss SIDEADDRESS. O /U e - THIS APPLICANT IS: 0 OWNER XONTRA.CTOR PROPERTY NANNIE O OWNER/ ADDRFSS51,-i a � c1TY STATE ►vZLp ! TENANT PHONE -W3 3- SI2 - S 6 - a.vt. ■ tea, i vJM COMPANY NAME: HEAM SUBNUT A COPY OF CONTACT PERSON: 89 10 WfflhW9b Avg YOUR STATE STATE LICENSE # LICENSE WrM ADDRESS: 1952► S TY STATE Z!P APPLICATION PHONE FAX PER1VMff TYPE e�;rNGLE FAMILY 0 TWO FAMILY TYPE OF WORK: 0 NEW �RE.PLACEMENT AETIULED DESCRIPTION OF WORK L#jkCe.,AA.Vo% tip_It r 41/A✓1te L—Zri_ r+1 a— ,n.,r O TOWNIdOUSE 0 ALTERATIONMEMODEL r.ZR PER MS 168.665 the permit fee is a minimum of 515.00 or 59/9 of the total cost up to $500.00, wbichover is greater, for the Improvement, lnstallation or replacement of residential fixture, excluding the fixtures. (This should reflect only the cost of labor) Labor cost under 5300 = $15.00, Labor Dost between $300 to $500 = Dost of labor x .05 -4 2007 FOR PROJECTS WHWE LABOR EXCET;:TjS $500, FEES ARE RASED ON $10,00 PER FDnURE, EXCEPT WHERE NOTED, FLYrURES: (INDICATE TOTAL NUMBER, OF EACH BELOW) Eguipmmtrealsued MFO:.�j_nox MODEL. eo v A -?0 SIZE/BTU -70. poo MFG.i� ,� n t��_ MOD.EL: 13 LSIM13TU wo. MODEL: SIZE/BTU A/C $2$,00 FIREPLACE (GAS) $15.00 _GAS RANOE/OVEN $10.00 AIR TO AIR EXCHANGEER $1 S FIREPLACE (WOOD) 535.00 NL• w GAS GRILL $10.00 _H01LER $35.00 L FURNACE $15.00 GAS UNIT HTR $10.00 iCHIMNEY LINER 910.00 CTAS DRYER $10,00 POOL HEATER $35,00 aTrrmne.ra,nn., _.------ _ -- z=nvvici :rr✓ iG7YrCCil'CYtC flr.�( ..4tJB'" `•. sa9i $51)U Permit Fee $ Number of fixtures @ $10.00 x $10.00 = $_ TAL, DUE $ SO Number of fixtures $15.00 x $15.00 = $ TO Number of fixtures (& $25,00 1 x $25.00 = $ ZS - t� Number of fixtures @ $35.00 x $35.00 = $?�5 - o o State Surcharge = $ .50 Total = $ Q • S'd THIS IS AN APPLICATION FOR A PERMIT NOT VALID UNTIL PROCESSED I hereby apply far 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 and with the Hnnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a per 1t; that the work will be In accordanac with the approved plan In the a!1 work whin review and approval of�pllans, r SIONATURBOFAPPLICANT C PRTNTNAME It^r.Ylnn\-.)�PMnln/rr ,a 13Ifn City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX. 763-5024977 11 --- . From: 9528814491 Page: 5/5 Date: 5/4/200710:00:53 AM City of Fridley Residential Mechanical Application Pagc 2 REQUIRED INFORMAT>(ON NEEDED TO PROCESS PERMIT RESIDENTIAL PERMIT APPLICATION HVAC O NEW HOMES/.ADDITIONS I EXISTING HOME 0 MAKE-UP AIR ERE UIRED FOR NEW STING HOMES I. Combustion Air (See note below) a. Oil or solid f4e11MC Chapter 7 with MN Amendments b. Natural Gas or Propane/IFGC Chapter 3 with MN Amendments 2. Make-up Air (See note below) a. IMC Chapter 5 with MN Amendments 3. Venting a. Gas appliances IFGC Chapter S with MN Amendments b. Fuel other than gas IMC Chapter 8 with MN Amendments RE©UIREb FOR NEW HOMES 4. Heat loss & cooling load per room a. Required on new construction IMC 1346.0312 S. Ventilation a. Per MN Energy Code 7670 or 7672 6, Duct Design Per IMC 1346.0603.2 a. ACCA Manual D NOTE.' Centerpoint Enemy Mechanical Code Guideflues software may be used for combustion and make-up air calculations.