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PRE 2010 DOCSBUILDING PERMIT Village of Fridley, Minn. N? 2329 Date`,,�! ... .................... Owner • •ri... Builder ............................ Address......................................... Address ......................................... LOCATION OF BUILDING No. .4'5.1 ... Street . e ?"�. 1�` .! e .............. Part of Lot ...................... . Lot ........ ;r...... Block .7 ............. Addition or Sub -Division �.. �............. Corner Lot ....... .. Inside Lot ............ Setback4jrt.. Sideyard @.�. " .......... DESCRIPTION OF BUILDING To be Used as: s .. Front .44Y.. Depth ., ... Height ......... Sq. Ft. ,Z,44.. Cu. Ft. ........ ......... Front ... Depth 02.... Height ......... Sq. Ft......... Cu. Ft. ........ Type of Constructio n * s;Jf ... Est. Cost dQ 0 ....... To be Completed Ir-*-f6"O. "tbfaCl.... . i In consideration of the issuance to me of a permit to construct the building described above, I agree to do the proposed work h accordance with the description above set forth and in compliance with all provisions of ordinances of the vil age of Fridley. ................................................... ,I �in consider on f the payment of a fee of $.,��' .:'.'� permit is hereby granted to I:: ..... .. to construct the building or ad dation as described above. This permit is/granted• upon the expresso that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and pon said building, or any part thereof, shall conform in all respects to the: ordinances of Fridley, Minnesota r garding location, construction, alteration, maintenance, repair and moving of buildings with- in the village limits this permit may be revoked at any time upon violatI.Qn of any of the provisions of said ordinances. r Of /I � j f4&{f*V7Ze ... Building Inspector V NOTICE: This permit d pes not cover the construction, installation or alteration for wiring, plumbing, gas heating, sewer or water. Be sure to seethe Building Inspector for separate permits for these Items. City of Fridley, Minn. N° 7621 BUILDING PERMIT • Date: Jame 1, 1965 • L� �.• .� • ;, P 11 r.r-73= 111 — { , i• ! =6d { lvo. 532 Int 7 Corner Lot Street . Block LOCATIION OF BUILDING 67th. Ave. N. . Part of Lot 7 Addition or sub-DivisioAISG Creek Terrace Inside Lot Setback Sideyard Sewer Elevation _ Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Front Depth Height Sq. Ft. Cu. Ft Front Depth Height Sq. Ft Cu. Ft. Type of Constriction f'r'ame Est. Cost .532-00 To be Completed Storm Damage Repair In consideration of the issuance to me of a permit to construct the buil g cribed above I agree to do the proposed work in accordance with the description above set f and p ce with a'll ons of ordinances of the city of Fridley. v %per In consideration of the payment of a fee of $ 10.00 , permit is hereby granted toSM=3j n Const, 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, Minnesotag location, construction, alteration, maintenance, repair and moving of buildings within the city limits andtthis permit may be revoked at any time upon violation of any of the provisions of said ordinances. Luen Jman Building Inspector NOTICE: Sh pwmh des no cffw thm coestroc8oe, t ahNatioe for wbhsg, phmbieg, gat hmatleg, ower or water. Be sore to smm the BoHAV pupa br for sopmft pwm8s Por them hems. APPLICATIOIQ FOR B ' ING .PERMIT CITY OF FRIDLEYy NNESOTA OWNER'S NAMED®nald 13r_2teA BUILDER T._ �. 2 elac�m :erre :r�Qti ng ADDRESS , -532 67th Ave N. E. ADDAkSS River Roe.d e 784-7980 LOCATION OF BING No. 532 Street 67th Ave. No. Part of.Lot_ Lot ( Block Addit.iotr or Subdivi9ion Corner Lot Inside Lot .getbmk Side -Yard SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to thio form, Two Certificates of• Survey of Lot and proposed build- ing ]:vocation. dtivn of these Wtificates. DESCRIPTION OF BUILDING To be used As: Rest ucco exterior • d .j _HOW 1 d GI'M MA Front 3.¢ Depth 22 Height Sq. Ft. Cu. Ft. -Glass Repair and sash Front Depth Height Std. Ft. Cu. Ft . Type of Construction Fpuae Estimated. Cost_ J40532_00 _-qty--be �omPLeted _gs �oA� Ae Possible The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work iii 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_- ZaT24, 1965 SIGNATURE iSchedule of Fee Costs can be found on the Reverse Side). SUBJECT PERMIT NO. City of Fridley 16 2 7 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. • COMMUNITY DEVELOPMENT DIV. r 1 PROTECTIVE INSPECTION SEC. 1 � i CITY HALL FRIDLEY 55432 NUMBER REV DATEF7; GE OF APPROVED BY L 612-571-3450 910-F15 7/9/81 / JOB ADDRESS 532 - 67th Avenue N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 7 7 Rice Creek. Terrace Plat 4 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE 1qE Ray Kostelecky 532 - 67th.Avenue N.E. 571-4417 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Miles Garage 4500 Lyndale Avenue North 588-9403 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 X ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 191611 x 30' Garage Addition to Back of Dwelling 9 CHANGE OF USE FROM TO STIPULATIONS Provide a hard surface driveway WARKIIIIN NING Before digging call local utilities SEPERATE PERMITS REQUIRED FOR WRING, TELEPHONE-ELECTRIC-GAS Etc. HEATIK PLUMBING AND SIGNS. REQUIRED BY L4,W TYPE OF CONST. 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 SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION 585 5850 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 Z 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 $5,500 $2.75 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 O HER STATE OR LOCAL LA REGULATING CON- $36.00 HEP�FORMANCE ONSTR�IN. PLAN CHECK FEE TOTAL FEE �TRU�CTION $38.75 SIGNA URE OONTRACTORORAUTHORIZED AGENT (DATE) WHEN PROPERLY ALIDATED THIS IS YOUR PERMIT % `�-t1 BLDG INSP pelp SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEI CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS (New, Alterations, Additions, or Repairs) • 0I111ER: /`I�� �' , l'i c+.5f vK BUILDER: cz E ADDRESS: �� � .- 6 7 atk. )U /,�. ADDRESS: A y ov tj c,,- R16 TEL NO: 7 TEL NO: 9 9 y 6N Construction Location ^ STREET NO: STREET: ®%lQ, A' LOT: - BLOCK: ADDITION: 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 Front: Squane. Feet: Front: Depth: Height: Cubic Feet: Depth: Height: Square- Feet:Cubic Feet: Type of Construction Lz� To Be Completed: Proposed Driveway Width If New Opening Is Desired: Estimated Cost: $ e? Alt. A Alt. B SEE REVERSE SIDE OF SHEET Mie 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 correc . Di%TE: 7 SIGNATURE: Stipulations: �a �e=a�Aa ,e '?i �. � °'�4�z'^ •.;- � s 'Q$' � ? iq +,'r *'�' _ ' r � " [ � 'SA •u s ; i..oil s �.ta'h rra - t �S � i ` .��. '-2e I"f t � r t �� N ~ � ��k! `�.7j".. , •� ' tt •F "cit X.4,� .' t,e c � ..r�'-w •� v<•�'-F.dq ��"r r � -` ' 1P rcx �`¢ >•r '4-'.: '� '` $; `"'- y:4j xY;' ..� ;qr }FKa.'ar r,,,,i R �„ � -. -•b+3-ar caa - (rv,,,.. J.E K •i�,3i: � }' i is 7'+a� SOW sTi` ° _ 56 v tr - cyf,., I �g .--,fi* �. y:.:: r c G�'; a `, t e,:•: ,,.. g .. B. r � a '�L,':. r; 0. t �' a , ' 4. tstow Clown; {fir � j * •_a t -. .. �i ' -t; at w, 3 ,ii ` � J,+, v y •� �, t !a' j Fa 9 d- .. - t .,:G a - .. .r { ..`5 -�� ..ty •.. a,,, ft i 5 � $. s 1� ., � yh i �r "u t+f't.tAn � X >--r r r 1 ;. & y .: r' +r :r ,;t; rTi I �,..•d �, Y%'�1�G - g 1 _� 1�9 � Lf �J3 t � y-� � � h h r 'N ' 'FR� k' ii i < �; `"'/y� ,j I� ' n.R y R• yyL,Y4 F?r'� 9 'f �'1c q.. ' 4'. � } .' ` %. -nQ �$r�k� W 0. Iu� Ye k�'•T'Y K�t 4 ,�r '5. d 6 Y .'♦ A Y'.'� y' k �11 M,g1 ,'r' � �. -. j7 `moi �� S !� , .: � �i1�f 'brrl' q � P � �-'.... +.,�'a'�ir+ �•�w+• M ,yaZO �.'l► •,'' 3` l y,x�q, i .6, 9 1Y' it .•ee",x^IE YA'f" '�$F. ,! ^v -�4� t �aah' a-A.u:' ',� ..w T,,, n ''s a + '. d' t Wigy }YAW a ' �,. - �y,> 3 - �', �,,, ..: a 5 t c,.. x } ,�, "� n+'i c r }, n+ .�i ,+ �' -r- �• ' s L '-.�"t''� � GT ,� :i uc - fa:r ti R •: cs iAY II� ''� r ,, w'"L...��-k!t 4 �:-^�' ?*��F •4. -;A a �'.;�- � y _ �qF:� {., mi2.�i<.�,Y - �- 'L'�� �t�y: A n !a•ta ad.45� 5'y i t 6" ., F It n � `� ay+ { ;� s•.,r k I ;' � ,< aN'` •., '., ye . � Y, i� I k ac.�w "},u�` ia'>.Y s a', •,nxd��aJ r "*a��'�.M��'p,',-*t � --°k•� y'.v � `�''aw �' � , f )Fs 'e� _ .d ��Vs� �� t � }� .:.�,�s .:?'Y� 00't t°;-A >• tar `.�.T'RF' •:` .t. 4 -'*3' _' $ °"' r eai - i '� 'v 4'" :i P F.. t t '.�. i. ..�^ .i.'A' 1 �+ ��b,y� F, ,� +. t L S .f '•I+ii .. _ 3�d P ..i�.ty. d.: ;. � tYt s�� s�.•u �+-i d �*�a"PI' +�.}�e^AYe xi�ia� � �''� �^" ' H, R'� �a '�� 'u "i• `t '%�'+' S'�` �'y�[a$ y�, '$r.� o `^,. 9�^,jc,tp`$r 571 4417 MILES' GAP 332 2561 4500 Lyndale A Minneapolis, Minna Invoice oa Can Size of Garage 19 `6"x30 • Attached Apron 2 t Name Raymond V. Kostelecky S Address 532 — 67th Ave. N. E. S City or Building Area Fridley, MN S 4" Garage Slab and apron, Sq: Ft. Area .......................................... 4" Breezeway Slab, Sq, Ft. Area ...................................................... 4" Driveway, Sq. Ft. Area................................................................. 4" Sidewalk, Sq. Ft. Area t 6 x 6 10 -gauge Mesh Reinforcement, Sq. Ft. Area .......................... Numberof yards extra Concrete used ................................................ Number of yards Fill DirtSand.................................. 42" x 9" Footings, Lineal Footage .................................................. 12" x 12" Footings, Lineal Footage ................................................ Number of 8 x 8 x 16 Cement Blocks used ...................................... Number of Steps installed (Give Width of Step) .............................. Costof Building Permit ......................................................... �i���ou Obtained] Was Pipe Installed? Yes No ......................... % course Tbloc'ks on top of spot gs I11bTEie*ePQ rr sia8 after garage �si! 17ea�PPIT ;lit aoCtay.3._ eementf' y"Will TOTAL S Signature of Cement Man State somber of yards esed for entire job bore NOTE: Concrete Slips, Fill Slips, Building Permit and Work Order must be attached. GA910-0980 CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Effective On January 1, 1991 Fridley, MN 55432 APPLICATION F•3R POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATIOA AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner - Also Replacement Furnace Gas Piping (Ngeded with new furnace) Gas Range Gas Dryer Rade TOTAL $20.)0 $ $10.00 $— $10.00 $10.00 $ $10.00 $- a Air 'Air Conditioning - All Sizes $ 10.00 $ All Others/Repairs & Alterations (LIST ON BACK) 1 % of Value of Appliance or Work $ C� Commerc iaUlndustrial 1 % of Value of Appliance or Work $ State Surcharge $ .50— TOTAL FEE $�� MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $30.00 "Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. JOB ADDRESS 's -�> .Z- — ('C' --) Ay Nz'� 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 ruling of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. t — 11991 OWN 0 L -L. o - BUILDING USED AS �� L �-e_ r"—Q .� V L// 7 ESTIMATED COST (9-9 PERMIT NO. DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Trade Name Size No. BTU HP EDR Fuel Total Connected Load — Burner Trade Name Size No. BTU HP EDR AO"i Jgd HEATING COMPANY Minn~yas^'n el e�AIS 700 W. Linden Avenue Signed By P_ n_ Rex 11 hTo1 No. Minneapolis, MN 55440-1165 Approved By C-t✓� J Rough -In Date Final Date -��-j2- FILL OUT BAC IDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE CRIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes ( ) No ( ) 2. Is free from rust or deterioration Yes ( ) No ( ) 3. Has no foreign objects lodged within Yes ( ) No ( ) 4. Is securely supported Yes ( ) No ( ) 5. Meats all current Code requirements for size and total BTU's connected Yes ( ) No ( ) 6. Has total heating BTU's of _ All other BTU's TOTAL BTU's Remarks List Alterations Being Drone: HEATING COMPANY R A. Attno .Jud Signed By 900 W Linden A enu6 ox 1165 Date Minneapolis, MN 554 � '�-? 1 ti5 A INNEGASCO SUBJECT PER City of Fridley 2 0 9 3 2 AT THE TOP OF THE TWINS BUILDING PERMIT i RECEIPT NO. COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY t "'j 612-571-3450 910415 7/10/91 JOB ADDRESS 532 - 67th Avenue NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 7 7 Rice Creek Terrace 4th Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Ray Kostelecky 532 - 67th.Avenue NE 571-4417 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Showplace Exteriors 3862 Crestwood Place, White Bear Lake 55110 429-1317 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 jP ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Aluminum soffit/fascia 9 CHANGE OF USE FROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SO. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT NO. DWLG. UNITS OFFSTREET PARKING ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES VALUATION SURTAX AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED$2,700 $1.35 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT PERMIT FEE SAC CHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STAT O LOCAL LAW REGULATING CON- $54.00 Fire SC $2.70 ,yTRyJCT10 R THE PERFORMAN E O CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $58.05 /\J�f/ 9 4RTO SIGNATURE OFC O A THORIZED AGENT (DATE) WHEN PROPERLY VA ATED THI IS YOUR PERMIT .BLDG INSP f)ATE SIGNATURE OF OWNER OF OWNER BUILDER) IDATEI NEW [ ] Effective 1,/1/91 ADDN [ ] R-1 AND R-2 ALTER [ ] Building Permit Application 7 LY- Legal Description: � �—c-4% Owner Name & Address: ���� ��� Teel. # S7/ — ewy Contractor: �6zcro lle°c°� C X-I-e�►U{ S Tel. Attach to this application, a Certificate of Survey of the lot, with the proposed oonstxuctian drawn on it to scale. CRE "IIPPIM CW MCM LTVM AREA: Length Width Height sq. Ft. GUM= AREA: Length Width Height sq. Ft. EEM AREA: length Width HOt/Growid sq. Ft. Corner Lot [ ] Inside Int [ ] Ft. Yd Setback Side Yard Setbacks Type of tion: Estimated Cost: $ 7JU s,01) Approx. Completion Date: Proposed Driveway Width If New Opening Is Desired: Ft. $. $. Width + 6' See Back Page HATE: - fl' AP�rircarrr: �� s/� i Tel. # �a 9- /3 / ^7 Permit Fee oo Fee Schedule an Reverse Side Fire Surcharge '2C .001 x Permit Valuation (1/10th �) State Surcharge $ % , 3 S $.50/$1,000 Valuation SAC Charge $ $650 per SAC Unit Driveway Escrow $ Alt. "A" or Alt. "B" Above Park Fee $ Fee Determined by Sewer Main Qkarge $ Agri*+* Necessary [ ] Not Necessary [ 7 Tam srlP[ MATICNS: City of Fridley SUBJECT 1184 AT THE TOP OF THE TWINS BUILDING PERMIT( r RECEIPT NO. _ COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 763-571-3450 i" 12/4/02 JOB ADDRESS 532 67 Avenue NE I LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 7 7 Rice Creek Terrace 4th SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Ray Kostelecky 532 67 Avenue NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Raj Meister Development 3778 30 St SE, Delano, MN 55328 703-972-9408 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 20243944 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential T CLASS OF WORK O NEW ADDITION O ALTERATION O REPAIR p MOVE O REMOVE 8 DESCRIBE WORK Construct an 18' x 18' Addition to Dwelling 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. SEPARATE PERMITS REQUIRED WARNINGMIRING AND ®fore dieein PWMBINd SIGNS all ubhty 1® 9 cell for cations 454-0002 '"QUIRED By t SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING 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 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 $31,500 $15.75 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 - $461.95 Fire SC $31.50 STRUCTIO E P F RMANCE OF N TRUCTION PLAN CHECK FEE TOT LFEE Licens $5.0 514.20 ATu EOFCON•RACTORORAUTHORi2EDAGENT iDATEi MEN PROP VALIDATE THIS IS YOUR P MIT _ S.GNATURE OF OVVNER,IF OWNER BUILDER- JDATE, E NEW [ ] CITY OF FRIDLEY Effective 1/1/2002 ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: Z u -7 Z 11 //- F -e - Legal Description: Owner Name & Address: Contractor. Tel. # _MN LICENSE # C—'�Zq39 �(� `� Tel.# 7�� .`%�� b Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft GARAGE AREA: Length Width Height Sq. Ft DECK AREA: Length Width Hgt/Ground Sq. Ft OTHER: X " % ' _ / ✓ z'z n F 5� fid' C.T,J CZ5XIIrrmD e;" 1-y "Q Y� T Construction Type: Cts' ��� Estimated Cost: $ 3 � S0 3 Driveway Curb Cut Width Needed: Ft + 66 Ft = F;t x $ _ $ DATE: APPLICANT. V /' �` Tel. # Call (763) 572-3604 for Permit Fees if mailln n application or Fax to 763-571-1287 if using credit card/and e will call you for card number. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge $- /-/&/. 96" CITY USE ONLY - Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1200 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 [ ] TOTAL $ .5/ r -c;�® STIPULATIONS: :.H!' .t a ,• a"�� ... .'� ... 1�1. ��}.. 3k 4 • �. t tti: �`: � � Syr1 � �• _e ` m: 1f `'' , M Y,.• {C '� 1. Y ,� l .y J �f 4 O''.� .j. ... .• .. . - � I y t. ;T Y� op Ob L°X -t SLP � `�t •� � .. ' . 1 • _ �� 3 �."M +Y W r��� . 71- �.::i!''�.a�gT.d,� s--.. $� b , i - ., ..... .any....•.:. �.• � -.6 ,�,��'� - '. ' � •yam . q .�'- {A.i:' �' �. '{x9 t'' ii'.rt �t 1 , t .�. f ,/� � , . _ 1 .t • �r�� f {Jif F-��jtr .t.. !` t +ft.•r - w - ink x _ . aj t ay ?,,,•. S� ': zvAa' .. yw4 > .} ,WL- y��•, � � A ,;, a t s •'e'. a� �'> i i*. ,g� ,.� � `"P•i +- �'riA.al� A� :. h i Y ,�•� t•� n Jj iM{ f fi4 °�� ' * ' yi'�� .. � ',� � �' .z G ' '� t 4' f ;{ -t9'.t u l Y �';y:�+E 3•=,j •• � ��r"r�sv i� v=!1q?{'e f.b• 6 � ti r.. t t: :. .w rd,.., a',�r r a v f! 1 >a.' C'7D yy :Jr n - r.;�•yt••. i+' 'n S � Y ��" x .T t.i� l4 �--r' t... \j(`� q'xP'•'v� na I�i�+ it'd•*t.n.y� fu { -4%+ �� �X; - <'�. ^S t', !it' 9 r t T�'..,Ca • 7 v �` '4r4 -Q•+. �_'q*. ,�,�' � .ny*' x�g,2 .r•,..,.: n %�.. r - _ .. y + [SSC � �g v� ry �,11 -�' %.p �;$" y�;y ,� rR'� .. T�' •tp. . P & ', �la+ I , �. ��: .i � " 4i yy���� d�.."P :. .^. ::{.q . d •j�,.rt u `fes y" , , Y �y�.a, � '°+� T `r • '� � !' ' �'� .. ... 3��...,�, .�'xvTr {�° alp` � . t ^� W m A.3# w. s �'�': W �.•�, f a p.... �_+i M'd 4 , � z' � -f r �' 4{ �Di. Y •�}'S.�Lr�'t' ��'F � �3 "� � .' ::;A a - ,�I•_ i. ;aA: .fa.; •A �' 01 ;. Y Jt;n Y OWNER i!�aSI* P1P 1�1C�PLAN NO. Ole sin ADDRESS S���'7`�' Vs MVL�AA , DATE OkI._2 4 UV Z CONTRACTOR PHONE Detarains wa dni square fboftr of a wk 1. Total exposed wall area. ....... 2. Total rooVwding um.......... 3. Tota], SooNaatt. am .......... sq. & x Total a omd wall arae above Door .- 4rv*J • 4 L Tonal 'WAU window wm ..............................S�"• +'� b. ToW door mea ....................................... c. Total sliding Mass door ares ........................ d. Told lirepM vnatl eros..... •- e. TOW waft t=rot ma (10'Y. )................... f Taal eat wadi sres abm ltor...................... S. ToW rim joist va ........................... Total ogmod fov+ Wmdon area h. Total fouavdstiom window ares i. Total east Mwas as aba+vo ®rade ......... '. •o "'U" valeta of emb wall sa®uant: a. 5(e.o xmr b. b. x `1J" o • L x "U" 4 . ......................................................Total = �O• o4i 18saia+ r4 i. ebr ,rare .., cv � than !f l , ei�m infant of 60tlfi (a Yt ltsa Man aaat. TRIM STUD W/ lnWor Air .68 THRU INSUL. WAIL it"lor Air 0 S.R. t SIDING 'A" SJR. 45 W/ S.R. R. SIDING %" S.R. .45 Studd (i." 5 iQ - baud. to], i0 2932" Bildrite 2.06 2Y32" 8ildrift 2.06 )V7 Siding.�7 Exwkir Air .17 Exterior Air .17 fatal %R" 10 Tow "R" - 1111 - "U" _ .OqZ• uR � "U" � d�3 THRU RIM JOIST latmrim Air 69t THRU CONC. BLOCK bdwior Air 6i (O" b"L 11.0 GB. (1v) 1.1b, Opt. Styrofoam o opt. Maui.�j,p 1 %10 Woad 1.149 Edwiar Air .17 --------- 25W Bildern 2.06 '; Opt. Sidinll ' G? • opt Siwkg 1 Extmtlor Air .17 opt. Brick n .. ! TOW "R" " `7i (t3 Total mr T*+7 i • l «U. . , p. ,fes THRU CEILING itttrior Air .61 THRU CEILING bumrior Air .61 M EMER (�.►,`tt�MM") ��(, INSULATION $-itA Sb /S�..K veil. l�llli.:�%' .'�. ( 4) 41rp.o baud. Still Air .61 6m Still Air -o---- Tow -w .61 Tow "IR." - S1.1.5 UR - °'U" ir.I �.e.... VR • "Vr. • f3 ,O Tmu mEmm ® buwior Air .92 TRU MUL. Inswior Air .92 TUCKUNDEW cwpd pwd TUCK-UNDEW Cwrpot/f W CANTILEVER Vinyl CANTILEVER Vho 5/S" Under. .92 S/r Under. .82 %- plyjl ow .62 '/a" 1'i j/1 oW .62 joist D"m ~ laval. .. Sltl" S.R. .36 54r S.R. .36 Stili Air .92 Still Air .92 Total' r - Tow V'R" Total exposed "Croeiling veva j. Total skylight was .....................................................— k. Total roo0oeiling @sting area (av=gp) (.10@ 16" OO....... (.o62s� �a„ dc). I. Total osteo 'vtsotlatod root%eiiing area ................................. Odarmine "U" value for each roofloeiling segment; x` r k. :w— X"U" -G 1. �• X"U" _ . .... 5....................................................................................... Total If total of #S is the suae as. or loins than 02, the intent of SOC 6006 (e )1 his bean tt>rt Trial =pond floor/ate. was on. Total floodcant. framing ares (average A0%) ................ n. Total net insulated floor/cant. area ........................... _ Detemdne "U" valuc for tach fluor/wnt. segment: M. x "U" a. x "U" '� 6. .................. ............................. ................... I ..... .............. Total = J If total of #6 is the ssme as, or less than 03, the int+am of SOC 6006 (03 has bean rico. ALTERNATE BUILDING ENVELOPE DESMON To tatiliee the total envelope systan aaethvd, the: values Otttblished by the &M of kaw 04, #S and #6 shall 11g be gresw then the sum of items #1, #2, and M3.' 1. too.5t7 2. Qy. So 3. _ &01, o� 4. NoTr,: k, tome„ Paf-wYS NFVJ APOIT'lot,-i 0141-y- MU heck COMPLIANCE REPORT Minnesota Energy Code MNcheck Software Version 3.0 COUNTY: Anoka STATE: Minnesota ZONE: 2 CONSTRUCTION TYPE: Single Family DATE: 10-21-2002 COMPLIANCE: PASSES Required UA = 77 Your Home - 75 2.7% Better Than Code y Permit 1 1 1 Checked by ate 1 ! ! Area or Cavity Cont. Glazing/Door Perimeter R -value R -Value `J -Value UA -------------------------------------------------------------------------------- CEILINGS 328 45.0 2.0 9 WALLS: Wood Frame, 16" 0.C. 550 19.0 2.0 31 GLAZING: Windows or Doors, Above Grade 56 0.250 14 DOORS 40 0.310 12 CRAWT.: Concrete 42" ht/ 36' bgr/ 24" insul. 55 5.0 9 ------------------------------------------------------------------------------- COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications. and other calculations suboutted with the permit application. The proposed building has been designed to meet the requirements of the Minnesota Energy Coae. Date i OTY OF FRIDLEY INSPECTION DIViSION 6431 University Ave NE Ridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 763.572.3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE Residential �U, ruJoi Furnace Shell and Duct Work, Burner Also Replacement Furnace (Side Vent - Fill Out Back) Gas Piping (Needed with new furnace, but not replacement) Gas Range Gas Dryer `.Air Conditioning - All Sizes Effective On January 1, 2001 JOB ADDRESS�� ! �IZ� � L, A4bd OWN Rate TOTAL All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work Commercial/Industrial 1.25% of Value of Appliance or Work $ 30.00 $ 361 $ 10.00 $ $ 10.00 $ $ 10.00 $ $ 25.00 $ 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. $ .50 $ ;0.50 BUILDING USED AS / ESTIMATED COSASOUr ,00 PERMIT NO. DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Trade Name Size No. BTU 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 rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. HEATING CO Signed Approved Byz� Rough -In Date DATE TEL N Final Date BACK SIDE MUST BE FILLED IN ON VENT SIZE, VENT CONNECTORS AND COMBUSTION AIR VERIFICATION COMMON VENT. VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing furance, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and 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 manufacturers specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes ( ) No ( ) The existing combustion air is sized and installed to meet the current codes and manufacturers specifications. Yes () No 00 When required to install a new combustion air, it will be sized and installed to meet the current codes and manufacturers specifications. Yes 00 No ( ) When installing a new venting system, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturers specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes (7) No ( ) Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. Yes( ) No ( ) Appliance Type and Size/Common Vent and Vent Connector Information Appliance #1 Type BTU Input Fan Assisted or Nat Appliance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input Common Vent Type Vent Height Diameter inches Appliance #1 Vent Connector Height ft Length ft Diameter in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type ALTERATIONS: (Describe) a1 HEATING CO: V PIC, Signed By: ; Date : (-DO-03 ,Y'