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SUBJECT PERMIT City of Fridley 2 0 7 0 2 AT THE TOP OF THE TWINS BUILDING PERMIT R �- -------- COMMUNITY DEVELOPMENT DIV. - PROTECTIVE INSPECTION SEC. 38 741�"� r � 1 CITY HALL FRIDLEY 55432 NUMBER REV GATE PAGE OF APPROVED BY 612-571-34510 910-F15 1/17/91 JOB ADDRESS 101 - 71st Way N.E. 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 11& 11A 3 Ri.verwood Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. S.W. Wold Construction Inc. 16676 Valley Drive, Andover, MN 55304 421-5013 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 381 x 361 Dwelling and a 22� x 241 Garage SEPARATE PERMITS 9 CHANGE OF USE FROM,HEATING, pL�1MEIN �R D 2101111,11::. STIPULATIONS Provide a hard surface driyeway. Provide City with_ copy of verifying survey before capping. Provide sod in the front and side yards. WATER LOCATION. 39t ENE of Manhole. 891 E of Water service stop box serving lot to the north. SEWER LOCATION: 131 W of Water service. Sewer service is out of manhole. DRIVEWAY DEPRESSION: N/A 161 + 61= 22' x $13.50 = $297.00 Paid. WARNING THE CITY OF FRIDLEY DOES NOT GUARANTEE THE ACCURACY OF UTILITY LOCATIONS AND ELEVATIONS. Before digging call for ^THIS DATA IS FOR INFORMATION PURPOSES ONLY, all utility locations AND PERSONS USING THIS INFORMATION SHOULD 454.0002 VERIFY IT ON THEIT, REQUIRED BY LAVH TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD 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 $7B,100 $39.05 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRF M T GIV AUT ORITY TQ V LATE OR CANCEL THE PROVISIONS H STA O A LAW REGULATING CON- PERMIT FEE SAC CHARGE Credit from School STRUCTION R/ E F 6NS RUCTION. $545.00 PLAN CHECK FEE TOTAL FEE + DW Fire SC $78.10 $662.15 d' SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI WHEN PROPERLY VA (DATED THIS IS YOUR PERMIT i SIGNATURE OFOWNER IIF OWNER BUILDER) IDATEI B G INSA DA/E NSW ADEN [ ] ANTE'S [ ] R-1 AND 1-2 Building Permit Application _- I C f- Effective 1/1/91 legal Description: Owner' Name & Address: Contractor: S - UO VLJd l U` c Address: 16 )lD Od, tb N 'F®rLm � ty -?-1 2 Tel. # Tel. # L1-1- f -SO]75 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. IPTM OF IMMVEMM LIVING AREA: Length Width height Sq. Ft. / 0 CRMM AREA: Length Width Height Sq. Ft. Uffn DECK AREA: length Width Hgt/Ground Sq. Ft. . 6•1Di• Corner Lt&lctti: de Lot [ Ft. Yd Setback ��' Side Yard Setbacks �� S Type of Estimated Cost: $ 4Q' -v' 1 ' j 6 rw� y Approx. Ompletion Date:%8� J Proposed Driveway Width If New Opening Is Desired: --L—X1Ft. $ -L $ Wi + 6' See Back Page DATE: APPI�CANT: ca�Vd Tel. CI'T'Y USE Y Permit Fee $ `� �, Fee Sdmdule on Reverse Side Fire Surdkirge .001 x Permit Valuation (1/10th �) State Surcharge $�/, $.50/$1,000 Valuation SAC Charge $ 12-cR%A- $650 per SAC Unit Driveway Escrow $ Oft Md Alt. "A" or Alt. "B" Above Park Fee $' ' " Seo o Fee Determined by Engineering Sewer Main Charge $ Necessary [ ] Not Necessary [ ] TOMo /a� W�-y- C Jlfi�- L�c 3S ®o STIPUTATICNS : � _EXTERIOR ENVELOPE THERMAL TRANSMITTANC34iiQ; _- RULES FOR ENERGY CONSERVATION ALTERNATIVES C. 3N ONS LUICTION. V3 g k, 1 �7 ?NCAA 1.$0071.6008,`"_' (ADOPTS. 19 CABG MODEL ENERGr CODE BY REFERENCEV�kw. a L 83-- - s! Phone Date Owner ;K. 4� ip,,c Ell Site. Address Contractor 5 • LI i1 1A G6a Phone Building Classification: Type Al (single Family & Duplex) Type M (Residential 3 stories or less) (Other) Irwywr 'A StOriocl GENERAL INFORMATION 1. Building Perimeter I 2. Wall height (ground to top of top p: 3. 1. x 2. (above) gross wall area 4. Building dimensions (L)_x (W) sq. ft. roof floor area. 5. Square foot area of rim joist Floor joist + plate x perimeter + (1) sq. ft. x 12 6. Doors - Area U factor _d77 Model pl, - Area U factor .((X Model 6pIx,, I Manufacturer' 7. Windows: Manufacturer Type U Factor Size Area Sq. Ft. of Ea. No. of Units Total Sq. Ft. i4,7 A g1k, I;L 3 3L --a' CAAAIB�_ z4 I Jy,_w _01 -7 Ia- C_ .0og r ..:1 7 S. Total sq. ft. of -window !-Units - 7 9. Fixeplace area: Width xTheight + f b 1 • WALL Y SECTION u VIiLiJL ViiU..Uly1:1 Vl�:) Inside air film Interior wall Insulation Sheathing Siding Outside air film R Total R Value .68 .17 GRADE Pnpe 3 U Value (Wall) U 1/R (Framing) U= 1/R = .101 (Wall) U l/R (Rim joist) U = 1/R _ .04Y (Fdn.) U =.1/R Inside air film .68 STUD Interior wall ,y SECTION u" stud 1+.38 G 6" stud 6.88 .99B Sheathing c,7 Siding , C,,'7 Outside air film .17 R Total ? 3� Inside air film R = .68 2ND WALL Interior wall .4S SECTION C Insulation 1_ Sheathing , y Exterior wall covering G-7 Exterior air film R .17 R Total ? el . Interior air film R = .68 RIM Insulation .19 JOIST 1'•g inch soft wood- R = 1.88 Sheathing ,y 7 Exterior wall covering 0— Exterior air film R a .17 • R Total 7.-k-187 FOUNDATION Interior air film R = .68 WALL ABOVE i Insulation - inside GRADE or outside K Foundation f Exterior air film R = .17 R Total GRADE Pnpe 3 U Value (Wall) U 1/R (Framing) U= 1/R = .101 (Wall) U l/R (Rim joist) U = 1/R _ .04Y (Fdn.) U =.1/R ,, -, �• _ L :. :/ .:._ii�I7V WITH ATTIC SPACE A KOV-7 .z " 17 Air film .17 Roof a •��� Deck Fr a=ing =7. `-- Insulation 1 -Framing . Ceiling 61 _ Air film .61 Afe -: ►�� Total R Afc Area of Fra.-ing U = 1/R Area of Framing Edge of Roof Center of Roof Area of -Insulated Roof Edge of Roof Air film •17 Insulation " Ceiling 5 Air film • 51 Total R uS • 3s' Aic Area of Insulated Roof Center of Roof FLAT ROOF OR CATHEDRAL CEILING .17 Air film .I Roof Deck Framing Insulatioi Ceiling Air film •�j Total R K U = 1/R a INSULATED AREA FRAMING AREA Page 4 _v,. +r .+ n. �,.." a+, m s- y o `•X' L- .e.. "+yt 1 .x^` .r4^ a- -0, r4^ r! n �dy�ry}�-•'.?cam'; A. -M+►#n ,'�3�'1 ft.��°k���'�'j `� r .� tr ��+ `' g�-�rcr -a-__ +xila.�eri �.?.�_��=sv;,b 7r"�'�=' 3� s S' _ '_ . �. .eN-°ss� _ ._�.--h .:Y—• f ��d ,.. _� .i .�.r'M1•^' 3.1:� JFraming�area 104 of gross wall area 16" o% or~8$ of gross wall area 24"_o/c. 11A. Gross wall area (3)= 4...' :. r . .. Window area s ft. U windows - . 4 7 U x Am - . a� 14....�y.S"'x q. Rim Joist area ft. II rim joist- , �s y y U x A= S • 4 3 • 2� _b 77 t 1.37 Door area z7 sq. ft. U door area Ila II x A= 3.11 Fireplace area sq. ft. U fireplace= U x A= Exposed Fdn. area /OS '7 a sq. ft. U foundation= .d H c U x A= 7.50 Framing Area e211. /S sq. ft. U framing area= , [®7 U x A= Net wall area ig 0 a�. q ft. U wall = •x-17 U x A= loS. y ci 11B. Total - Must be less than or equal to (12) ............... U x A= '20Q. 1 12. Gross wall area x 0.11 (A-1 single family and duplex) (A-2 3 stories or less) Fill in "II" Values (Other buildings 3 stories or less) I-- Based on Degree Days (All buildings over 3 stories) & Figure No. 4 in Model Energy Code A (11A) x U/code , 11 = All_ BTUH 13. Ceiling framing area equals 10% of ceiling area 16" o/c or 8% of ceiling. area 24" o/c. 13A. Gross ceiling area = (L) 41 1(o x (W) = sq. ft. 13B. Net ceiling area U ceiling x AieX Z(6 x U ceiling x Aic x U framing x Afe_-(c�� x -04 ak U framing x Afcg_ $• (c� x 13C. Total U x A ........................... must be less than or equal to (1 14. Ceiling area (13A) x 0.026 (A-1 single family & duplex) Fill in "U" Valu x (A-2 3 stories or less) Based on Degree x__(other) Days &Figure ._ . No. 5 in Model Energy Code, . . oI-C A(13A)' x U(code) _ ,3 Lt. BTUH 15.`''� Alternate BuildingEnvelopeDesign.,, 15A: Total envelope to code = (12)"''�a.; a.F, t (14) ?,; a,'ai� _%fo. 15B' Total Calculated=(11B), ii=- (13C) jXJI'Q.6 = � �v� g must be less than or equal to a �:. (15A) . CERTIFICATE OF SURVEY rr : W. wo/w roosl. -4–ail —7a� T1 —671 7 Proposed Elevations: -T- f f Top of Block = 0 C3.4 - Garage Floor = 863.0.;` % Basement level 65G,o (Ica) Before digging call -for all Utility vocations Cb 454.0002 11—X .. -.0. REQUIRED BY LAW 7 3a. 0 ri \4 1% y 1`40T (11,n! TH�4'VJY Ut, C.0 4k P ( L 0 A T; ,(� U I: I � TtfIS DATA IS FOR INF; K -10IAT'i'Dil FIIXPP10y� -1 © '`! L-4arq6eA*J-ZF-RSQ N �1SING THIS INFORffl S R1 .THE',SITE. 2?.0 co, 0 %KV CAUTIUN-, ,VISION SAFETY CONTROL ZONE4 >/ OR PLACE ANY. 10 DAY N10710E NOT PLANT 14,, IN THIS AREA WITHOUT AP- I P -q N T' -4E (-ITY OF FR!DI EY. X J. Brod 20 -J/ A j ,8/o0 k -f /?I*verpv000l i0ark -,9noka 0111- Denotes proposed elevdtion. Anoka Co • mn Denotes direction of drainage. 0 Denotes wood hub at 11 foot offset. ria q0n,? 49- SCALE: i Inch =&-Feet 0 Denotes Iron Bearings shown are on' on assumed datum.1 Job WARN I Book � Page We hereby certify that this is a true and correct representation of "a survey of the boundaries of the above described land end of the location of all buildings, if any, E.G. RUD & SONS, INC. thereon, and all visible encroachments, if any, from or on said land. LAND SURVEYORS E. G. RUD a. SONS, INC. 9180 Lexington Avenue N. Dated this qday of J,611— raqL I Circle Pines, Minnesota 55014 by Telephone: 7B6-5556 Minn. Rag. No. -Zffzk.4z a% , -. q-3 v n Ge; /.-IU �ruC7, S S1jee/&c m 5<p iNSti� O `aX 3-5 19s t,u„ i �.195X.0� fCeoa� xe9�) i j 0007 f . oao = i rt / /7 s fes✓/ . // i~iv $. o I #F �OFr �. 6,02 "R 1 ./14 "w'. (,1)6 X . o -q51) (. 0 Y5' n .7*(, Ge; /.-IU �ruC7, S S1jee/&c m 5<p iNSti� O `aX 3-5 19s t,u„ i �.195X.0� fCeoa� xe9�) i j 0007 f . oao = 9rosS w�lr R 3a w.yv dot 302, fu e4 IVA /15 'goo iN X CMFX /.OYA.6Z i IV W /'GO/✓) I .D� � 9rosS wr1/� $'l rN; Ndew 5 a0 r-, Neo wRIIS t B� � g iogg w � %/ Z97 F' • p a WAl/S 7 / N � IV aa' 134 3 Qro SS t✓�1 H a0sNdow.3 ao �. NeI k" a05 fl/ je; y.ql� 13,4 f�. wti // 9.ass w1ti� ti s fAl Cell: r S h"/a/"", 4/R�� olia5s N � w• Ns lvp Ce i Dj,v1 nl6 WALL- c905 �MOW" S HA �L WAV GE(LIN(r �IPLL s AtDowf qET wAtL I IrJFILL 1)7p, 4101 eo X ' Ya D, /2 ,7 1 0606 f Gl y N5o " >o Z3 �A�/d pJ�LKvr.r wwt3dwS lt72 13 ru . Gass Liv/n/( 2ooM LEI�.injG- W7 43ru t a f W&I'LS 5ZF I Flc z 7s 322- 22>top 'Fop w lNnows 6,37 Jq zY 3�0�vrk Z IVItjodw3 137 CEI,W'N tr` 26? "jqLL: Y -L1 % 5"'- .2 5 e 'Z 63-7 �E.T4. G- yP. w A -t-4 3 1 S/ /NF a 83b 7orA� r�ra �n�5 y�,3'75 4vI.v44,rS f ry po. a z o �ASt~rtit3IJ7 �: ,oU(2_ 2q7 [3T 11 LOSS Ase��r,�r I,acG )3FtLx-+ G�c�o� ll,� (Lr cry Loss ffv1��1 CfILI�!(T ��$ 3rj Lof I Dotcfis 11 S OpO 0 13rq LOS E ji-Moy &SR 1NFK , aval- )10.31 &,nA Lo34 pool S 7&q i I �1ir.Jdfnt wIfutoWS e2,G30 jjru LOSS WALLS /NF1L ,i 0111- 3 e 8 ' --7 G,4riJ Dlnf,f✓(f 1,01,vovaj .2,go7 13TH Laif 6.0rG(-s /to " /NFIL /203 �EfL1rj -- 32S , 1, 615 ILlei G) HftuwIty 30_ jjr9rl rNi w 1nsDoNf S 319 3) 1:ziry Goss 1�C v� GkAA•>r /,�yr�LS /17/7 r , 1rvG,� 3,a30 P��� :-35/`� CITY OF FRIDLEY Effective Date January 1, 1991 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE RESIDZKTIAL RATE TOTAL Job Address 101 WA Furnace Shell and.Duct work, Burner (Also replaclement furnace) $ 20.00 $ ��%�� Building Inspection Div. 6431 University Ave NE Fridley MN 55432 Tel. No. 572-3604 Gas Piping $ 10.00 (piping needed with new furnace) $ 10.00 $ The undersigned hereby makes application fora permit for the work herein Gas Range specified agreeing to do all work in strict accordance with the City Codes Gas Dryer $ 10.00 $ and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. • Air Conditioning (all sizes) $ 10.00 All Others/Repairs and Alterations OWNER - 1• of Value of Appliance or work S KIND OF BUILDING \ 'yM \ " �� )�Jc COMMERCIAL/INDUSTRIAL USED AS is of Value of Appliance or work $ To BE COMPLETED ABOUT M 0 ESTIMATED COST State Surcharge $ .50 OLDILDING PERMIT NO. - PERMIT NO. -DEW TOTAL FEE $ REINSPECTION FEE $30.00. $� DESCRIPTION OF FURNACE/BURNERRough Insp. Steam, Hot Water,--rm Air - HEATING or POWER PLANTS, � Date Trade Name C gAR tr A-ItF A- size No. Final Insp. Date >> !� Capacity l Sq. Ft. EDR BTU NP Approval for Permit l AA Total Connected Load Kind of Fuel j%�7�� t BURNER - Trade Name �r7� Size No. J Capacity Sq. Ft. EDR BTU NP MINIMUM FEE FOR ANY HEATING/COOLING/VENTING PERMIT Company NC i12 IS $15.00 PLUS THE $.50 STATE SURCHARGE Signed By - 5 Tel. No- •Air Conditioners can not be placed in side yard without c written permission from adjoining neighbor. Fill out back side for stack verification on replacement furnaces CHIM14EY 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. Meets all current Code requirements for size and total BTU connected Yes ( ) No 6. Has Total heating BTU's of All other BTU's TOTAL Rema rk s Company Signed By Da to CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 Effective On January 1, 1991 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures �eE� $ 7.00 � P00 Old Opening, New Fixture $ 4.00 Beer Dispenser $ 5.00 Blow Off Basin $ 7.00 Catch Basin $ 7.00 Rain Water Leader $ 7.00 Sump/Receiving Tank $ 7.00 Water Treating Appliance $10.00 Water Heater -Electric $ 7.00 1� Water Heater - Gas $10.00 Gas Range $10.00 Z0, Gas Dryer $10.00 Back Flow Preventer Required ( )Yes () No Type $5.00 Reinspection Fee $30.00 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1 % of Value of Fixture or Appliance State Surcharge .50 6T, JOB ADDR The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the city codes and rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. 1 , 1991 Owner Building Used As EstimatedCost PERMIT NO. PLUMBING CO PANY �� ��Z'� \�-ar 9 SIGNED BY TEL N0. `7'j J �f Approved By - &_Z) Rough -In Date Final Date -/ y -9/ MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15.00 TOTAL FEE PLUS THE $.50 STATE SURCHARGE aw CINOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (612) 571-3450 • FAX (612) 571-1287 April 24, 1991 S.W. Wold Construction Inc. 16676 Valley Drive Andover, MN 55304 Re: Final Inspection at 101 - 71st Way N.E., Fridley Dear Sirs: A final inspection was conducted on April 23, 1991 of the above address and the following items were noted which must be completed before the structure can be finaled: 1. Provide sod in the front and side yards by June 1, 1991. 2. Provide d surface , 15V 7 -d-5-cll( We will expect these items to be completed by the scheduled date I and a reinspection called for. Occupancy of the structure is approved. If you have any questions on this matter, please feel free to contact me at 571-3450. unser builaing urricial DGC/mh CITY OF FRIDLEY Effective Date January 1, 1991 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE RESIDENTIAL Furnace Shell and Duct Work, Burner (Also replacement furnace) Gas Piping (piping needed with not furnace) Gas Range Gas Dryer RATE TOTAL $ 20.00 $ $ 10.00 $ $ 10.00 $ $ 10.00 $ * Air Conditioning (all sizes) All Others/Repairs and Alterations li of Value of Appliance or Work COMMERCIAL/INDUSTRIAL 1% of Value of Appliance or Work REINSPECTION FEE $30.00: $ 10.00 $ 10.00 State Surcharge TOTAL !EE j Rough Insp. - Date Final Inap.�� Date Approval for Permit S S MINIMUM FEE FOR ANY HEATING/COOLING/VENTING PERMIT ' IS $15.00 PLUS THE $.50 STATE SURCHARGE *Air Conditioners can not be placed in side yard without written permission from adjoining neighbor. k Job Address 101 71st Way NE, Fridley, Minnesota 55432 Building Inspection Div. 6431 University Ave NE Fridley MN 55432 Tel. No. 572-3604 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. April 26, . '19 91 OWNER Bhoi & Utra Premsuk KIND OF BUILDING Frame USED AS Residence TO BE COLLETED ABOUT ESTIMATED COST $1448.00 n OLD - NEW BUILDING PERMIT NO. PERMIT NO. DESCRIPTION OF FURNACE/BURNER HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No. Trade Name Size No. Capacity Sq. Ft. EDA BTU HP Total Connected Load Kind of Fuel BURNER - Trade Name Size No. Capacity Sq. Ft. EDR BTU HP Company Depe,44able I rQu ty Signed By Tel. No. 57-5040 Fill out back side for stack verification on replacement furnaces DNIAUI-� RESIDENTIAL AND COMMERCIAL HEATING AND AIR CONDITIONING 2619 COON RAPIDS BLVD. COON RAPIDS, MN 55433 757-5040 CITY OF FRI DLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 554332 TO WHOM IT MAY CONCERN, APRIL 26TH I APPLIED FOR A PERMIT FOR THE PREMSUKH PROPERTY AT 101 71 ST WAY NE, FRI DLEY, MI NNESOTA. WE RECI EYED A TELEPHONE CALL TODAY, NOTI FYI NG US THAT THE CHECK SENT FOR THE PERMIT WAS SHORT $5.00. ENCLOSED YOU WILL FIND THE REMAINING FEE OF 55.00. WE WOULD APPRECIATE IT IF YOU WOULD MAIL US AN UPDATED PERMIT FEE SCHEDULE- IF CHEDULE. 1F YOU HANE ANY FURTHER QUESTIONS, PLEASE CALL US AND ASK FOR MARY LOU. THANK YOU. SINCERELY, MAR LOU KINNAMON r TO 1 FROM v y SUBJECT i Vl Vu�% -C/ DATE MESSAGE Y � CAIV "An sl No 4Vl vX,4-� _sem .REPLY .... � � � � LJ l'(� ct. /'tom P,�l» LA) � r jl"w Ando\*_lr MQ SIGNED TE Redlfprm® 45 471 SEND WARTS 1 AND 3 WITH CARBON INTACT. -"PART 3 WILL BE RETURNED W Lr. ((( PURCHASE ORDER PURCHASED BY THIS DOCUMENT GOOD FOR PURCHASES UNDER $1,000.00 ONLY F 22374 THIS NUMBER MUST APPEAR ON ALL CORRESPONDENCE SENT TO US c SUPPLIER � . `—) L cS 67®o�cT /Ale _ ADDRLESS �� / /I J P1 i1i A CITY OF FRIDLEY PHONE ND. "�� r . -.�C�r 8431 UNIV. AVE. N.E. u). G ���� FRIDLEY, MN 55432-4384 CONTACT �' 812-571-3450 PAYMENT VOUCHER BY SIGNING THIS DOCUMENT BELOW I HEREDO AUTHORIZE PAYMENT AND THAT THE GOODS AND SERVICES HAVE BEEN RECEIVED OR RENDERED AND ALL CITY GUIDELINES HAVE BEEN FOLLOWED IN THE PROCUREMENT OF THE BELOW STATED ITEMS. �', :•. DATE RECEIVED C 1 PAYMENT AUTHORIZED BY ACCOUNTTY UNIT PLEASE ENTER OUR ORDER FOR THE FOLLOWING UNIT PRICE AMOUNT -.�`"� 1- 111496 U AJA a.k A � �C: J- " �r i u Lil.)o r Z,014, 7— i TOTAL THIS AGENCY HAS AGREED NOT ; O DISCRIMINATE IN HIRING PRACTICES ON THE BASIS OF RACE, SEX, COLOR, CREED, MARITAL STATUS, RELIGION, OR NATIONAL ORIGIN AND HAS A REED TO TAKE AFFIRMATIVE ACTION TO RECRUIT MINORITIES AND WOMEN INTO EMPLOYMENT. IT ENCOURAGES FIRMS AND OTHER AGENCIES WITH WHOM IT PURCHASES PRODUCTS OR SERVICES TO DO LIKEWISE. EXEMPT FROM SALES TAX AS A POLITICAL SUBDIVISON OF THE STATE OF MINNESOTA CITY OF FRIDLEY NO. 8030301 WHITE VENDOR — YELLOW, PURCHASING — PINK, ACCOUNTING — GOLDEN ROD, DEPT. HD. G7YOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (612) 571-3450 • FAX (612) 571-1287 June 6, 1991 S E C O N D N O T I C E S. W. Wold Construction Inc. 16676 Valley Drive Andover, MN 55304 Re: Final Inspection at 101 - 71st Way NE, Fridley Dear Sirs: A final reinspection was conducted on June 5, 1991 to note compliance with our letter of April 24, 1991. It was noted the sod in the front and side yards has not been provided. We will expect you to complete this work on or before July 1, 1991 and to call for a reinspection. Failure to complete the sodding may result in this matter being turned over to the City Prosecutor for his legal consideration. If you have any questions on this matter, please feel free to call me at 571-3450. Sincerely, CD-Cov D G. CLARK Chief Building Official DGC/mh CC: Owner/Occupant -- t,_jj • �j tz ; Y. T 0 r i/ Oft June 28,1991 1 Fridley Building Inspector 6431 University Avenue NE Fridley MN 55432 Dear Sir: At this time we would like to formally no 'fy you and file a complaint regarding the difficulties we hav exper'enced with a building Company, S.W. Wold. When first starting construction on the lot at 1 71-50-f-lWay in Fridley, the builder covered a portion of the side of our lot, 111 71st Way with the dirt from the hole dug for the new homes basement. It remained there for some time without any communication received from the builder. We then contacted your office at that time to discuss our options and received the builders name and address. Your office indicated they would contact the builder to inform them of our concerns. We manually removed the dirt off our sod. Next the builder met with us to discuss the situation. Since the new home elevation brought the ground level up from its original status, run off from the lot at 101 71st Way would come onto our lot. We agreed that a bobcat could be used to correct this problem in that area under the following condition. Replacement of black dirt and sod would be laid in a professional manner to the damaged areas within a reasonable time frame. We were informed that the closing of the house at 101 71st Way would occur in mid-April. The builder agreed to this arrangement. In early April the bobcat come and completd that portion of the agreement. Now our difficulties with S.W. Wold continued. The new owners of the home at 101 71st Way moved in. The end of April came without completion of the agreement. From that time on we phoned and spoke with the builders weekly to get our damaged property replaced. Promises were made by the builders but still no action. Finally, early the week of June 2, 1991; we called the building company and indicated our frustration. During this conversation it was reconfirmed with Scott that both black dirt and sod would be laid correctly that day. Arriving home we found sod without the black dirt laid poorly. Some sod was overlapping existing sod which would die as a result. A call was then placed to Scott at S.W. Wold that evening to complain of the inadequate job. Scott Wold informed us he would come and assess the work the following day. Terry stayed home from work awaiting Scott's arrival. No one from the builders company came that day or over the following days. By Sunday, June 9th, the sod laid as replacement was turning brown and dying. We realized the limited water retention of the sandy soil below played a significant role in the sods deteriation and we purchased black top soil from Malmborgs Garden Center on University and Osborne Road. The sod was pulled up, black dirt spred and sod re-laid. Monday, June 10, 1991, Terry called and spoke with an associate of S.W. Wold to indicate the work completed to save the sod. Scott's associate indicated to send them copies of the receipts. This was sent to the builders on June 13, 1991. A copy of the letter and receipts are attached for your records. In addition to this problem we had allowed the builders to use our outdoor outlet and hook up to our electricity while building the home at 101 71st Way. During that time the outlet was damaged. We conveyed this to the building company, were promised replacement without success. To date we have not received reimbursement or any response from S.W. Wold on either matter. Therefore we are writing this letter of complaint to your office. Thank you for your time. Ter Oltmanns and Nanc Thole 111 71st Way Fridley MN 55432 June 13, 1990 S.W. Wold 16676 Valley Drive Andover MND` Y Dear Sir: As you will recall the original agreement witty �you-tr com pany E included both black dirt and sod. Since the sod wae.reglaeed 44'` without the black dirt and it was dying we falt.it wae';w, necessary to complete the work ourselves. Fr; As discussed in our recent phone conversation -please find enclosed a copy of the receipts for the black,lirt we purchased for the replacement sod your company;, -laid. As you can see, we needed to make two trips tow obtain -they-,' correct amount of dirt needed for the job. ` It would also be appreciated if you would reimburse Terry for the time he spent completing your job. It took three. _ hours. Whatever wage you pay your employees would be , satisfactory. Thank you for your quick response.Nd k ! ,1 x J 1 ,R yp4yf- Terry Oltmanns and Nancy Thole 111 71st Way "{ Fridley Mn 55432 " F ,s # MALMBORG s S MALNRORG s AT THE RANCH AT THE RANCHOT 12 OT i @1.49 01.9 F= ��,r• MCHIISET $23.88 HCHME T $23.8-01 y ST $25.31 S T $�5.3i TA $23.88' TA $23.86 TX $1.43 T; $1.43 ST $25. S T^5. Ta CASH $30.31 C1-i�f � $26.0 CG $5.00 C� $U.,i 12' IT 1 IT 06-09-91 20122 201 770 C2 0002 0.9:003 C2 0002 10:-58 M 01 SUBJECT City of Fridley (, 4 5 AT THE TOP OF THE TWINS BUILDING PERMIT r � NO. COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. r 39Y7 , I NUMBER REV DATEPAGE OF APPROVED BV 1 = 1 CITY HALL FRIDLEY 55432 612-571-3450 910-F15 8/16/96 JOB ADDRESS 101 71 Way NE 1 LEGAL LOT NO. TRACTOR ADDITION SEE ATTACHED DESCR. 11,11A JBLOCK 3 Riverwood Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Bhoj Premsukh 101 71 Way NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Ken Handyman Service 3028 EDgerton St, Little Canada MN 55117 7089 7089 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 0 NEW ❑ ADDITION Ek ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Remove window, install patio door 9 CHANGE OF USE FROM TO STIPULATIONS Submit to City the header size for 8' door. 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 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 1 I HEREBY CERTIFY THAT 1 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 $1,300 $.65 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. �P n PLAN CHECK FEE TO q FEE Li ens SC .00 49.95 SIGNATURE CONTRACTOR OR AUTHORIZED AGENT IDATEI fp LY VALI INS T HIS IS YOUR PERMIT FATE SIGNATURE OF OWNER]]F OWNER BUILDER] IDATEIG M 01 NEW [ ] ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application ConstructionAddress : Legal Description: Owner Name & Address: Contractor:„u ? Address: c� 0 a i — LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Sem,/ i c t- Effective 3/1/96 Tel. # MN LICENSE #_7o602 Tel. Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF EWPROVEMENT Length Width Length Width Comer Lot [ ] Inside Lot [ ] Type of Construction: Approx. Completion Date: — ;th Width zc K o Ft. Yd Setback Height Sq. Ft. Height Sq. Ft. Hgt/Ground Sq. Ft. Side Yard Setbacks4/ Estimated Cost: $ (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: APPLICANT: Tel. #�2 V ® ? Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge 0 04111110 CITY USE ONLY $ Fee Schedule on Reverse Side $ % .001 of Permit Valuation (1/10th%) $ $.50/$1,000 Valuation $ $900 per SAC Unit $ —D • 00 $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 [ ] G � STIPULATIONS: /(��� �����Sl Z �o '� Cj ���` . SUBJECT IT NO.24724 City of Fridley i AT THE TOP OF THE TWINS BUILDING PERMIT f RECEIPT NO. COMMUNITY DEVELOPMENT DIV. 1 v PROTECTIVE INSPECTION SEC. r � , CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910415 10/28/96 JOB ADDRESS 101 71 Way NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 11,11A 3 Riverwood Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Premsukh, Bhoj 101 71 Way NE 571-9173 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Modeen Company 6572 Meadowlark Lane, Maple Grove MN 55369 425-3600 3867 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 Cj ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Remove 8 foot window - install patio door; Install 8 foot window in side of home 9 CHANGE OF USE FROM TO STIPULATIONS New opening, 2- 2x10's. Install smoke detectors per 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 $1, 935 $.97 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- re SC $1.93 STRUCTION O FOR OF CONSTRUCTION. PLAN CHECK F E T AL FEE L i CAA LIS SC . 00 $70.15 N RE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI N P LY VA IDfrED THIS IS YOURPERMIT/ 1 G INS W C/ E SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI NEW [ ] Effective 3/1/96 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2� zJ Building Permit Application ConstructionAddress: / 0 f 7/ Legal Description: Owner Name & Ad``drJ�ess: Prete Sy k (-� 6891 l of 71"' wiiy Tel. # �S` z/ - Z 23 Contractor: �,L'! ��j s? MN LICENSE # 3 % Address: %� �. �� &ke r-, Tel. # %j -- j6 00 Attach to this application, a Certificate of Survey of the y lot, with the proposed construction drawn on it to scale. DESCRIPTION OF EMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: % 0 boop , J Comer Lot [ ] Inside Lot ] Ft. Yd Setback Side Yard Setbacks Type of Constructio , Estimated Cost: $ 15F 35 Approx. Completion Date: / -30 (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: APPLICANT: e-�ne j`Z, �if,��,i, Tel. #s 3Gf= c7 CITY USE ONLY Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ 93 .001 of Permit Valuation (1/10th%) �K � State Surcharge $ 9 f $.50/$1,000 Valuation SAC Charge $ $900 per SAC Unit License Surcharge $, QCT $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 $ �' • S STIPULATIONS: 14 SUBJECT City of Fridley sn 9 AT THE TOP OF THE TWINS BUILDING PERMIT f RECEIPT NO. COMMUNITY DEVELOPMENT DIV. r ' PROTECTIVE INSPECTION SEC ,376 NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 L.__.�' '•� 612-571-3450 910-F15 4/2/97 JOB ADDRESS 101 71 Way NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 11'1 3 Riverwood Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Utra Premsukh 101 71 Way NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Wayne Brekken Construction 3836 Harriet S, Mpls., MN 55409 823-9128 4978 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 Ek ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construction of a 12' x 10' Deck 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. digging calla' before all Utility locations 404-0002 PY LAW Rr-Q U1RED 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 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 $1,064 $.53 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 CAL LAW REGULATING CON- . $37.50 Fire SC $1.06 STR CTIO OR THE PERFOR CE OF TRUCTION. PLAN CHECK FEE TOTAL FEE y- /T License SC $5.00 $44.09 GNATUR F CON RACTOR OR AUTHORIZED AGENT IDATEI HEN PROPERVALIDATED THIS IS YOUR PERMIT 1. 48,L DAINSP c — TATE SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI NEW [ ] ADDN [ ] ALTER [ J ConstructionAddress: Legal Description: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Effective 1/ 1/97 4137-C Owner Name & Address: Tel. # Contractor: ,cJ o %/�� �lC ,�K�`�t./ MN LICENSE Address: D J� �s��! �%� s _ G.� Tel. # 0-3 lql� Attach to this application, a Certificate of Survey of the 411-31q lot, with the proposed construction drawn on it to scale. ,o DESCRIPTION OF IlVIPROVEMENT LIVING AREA: Length Width Height GARAGE AREA: Length Width Height K3 60 DECK AREA: Length _ Width /0 Hgt/Ground I'Xvn-- OTHER: = IOGy V6 Construction Type: �G� a Estimated Cost: $ 06 y (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft =. Ft x $ _ $ DATE: r l APPLICANT: jj Tela CITY USE ONLY Permit Fee $ % Fee Schedule on Reverse Side �� 4 C At Fire Surcharge $ Z ® .001 of Permit Valuation (1/10th%) -V State Surcharge $.13- -$.50/$1,000 Valuation Q Q 2 - SAC Charge $ $950 per SAC Unit / ` Ci-- �? License Surcharge $ $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.0 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL STIPULATIONS: $ -24-1'+'x+1 081: CERTIFICATE Of if A� or S W W61d: Const 1, SURVEY EAST /22-37 N z Lot ll and Lot iiA, Block 3, RIVERWOOD PARK, Anoka County, Minnesota... ilhigs shown •ore. assumed Pg. SCALE I in O.Denot*ei I ion Beo -Job i4o.1-&9k A51 Sk. We hereby certify that 'this ,ls a true and correct representation of a survey of the boundaries of the above doicrIbed lord ond.,';.' the location of all buildings, -if any, E.G. RUD & SONS, INC. thereon, and oil visible #!-rroochmtnis, if on; . from or on said land. LAND SURM'DRS L4)C AvenVe N. E. G. RUD a SONS, INC. 91$"ington 1, Mai , fill —rhy Al 6ircle Pines, MInnesois 9% by _;M= Telephone: 786-5556 Who. Ree. No._Zfi7V2__ -2 -Z, � c � � o g I_` � x g I_` L suejed? P O. City of Fridley29 866 AT THE TOP OF THE TWINS ?` BUILDING PERMiT RECEIPT NO. : v -------COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. �� ^ (/•% r PROTECTIVE NUMBER REV DATE PAGE Of APPROVED BY I = "1 - CITY HALLFRIDLEY 55432 612-571-3450 910-F15 7/14/99 10B ADDRESS 101 71St Way NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 111, 11A 3 lRiverwood Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Bhoj Premsukh 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO All American Roofing & Rem. 4112 97th Lane NE Blainp 55014 M6-6676-- 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 RX REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and garage 25 Sq) Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the 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 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 $2185 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1.09 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 PERFO OF CONSTRUCTION $83.25 Fire SC $2.19 e 4 PLAN CHECK FEE FEE 2 7 -Is' 9� Li cens C 5.00 7.53 E O ON'AACTOp OR AUTHORIZED AGENT tDATE. 7 EN ROP 8LD -NSP ALIDA THIS�i9�'9OUj BATE S,GPTATUREOFOWNEROFOWNERSURDERi iDATE- NEW [ "] ADDN ALTER Effective 5/10/99 [ l CITY OF FRIDLEY [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: 1 0 Legal Description: SO E - Owner Name & Address: g �ko� N4 ms u h Tel. # Contractor: i►u. ikR-c9te-NO izoal�trf, - Rewaodek!!3 MN LICENSE # SLS Address: 4 ( (2- et'l{ " L,- 0 f , Tel. #(tz '7 V. -(4 -7 LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Construction Type: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. Length DESCRIPTION OF IMPROVEMENT Width Height Sq. Ft. Length Width Height Sq. Ft. Estimated Cost: $l� Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: APPLICANT: AAkUA Tel. # -?S(e CITY USE ONLY Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee $ Sewer Main Charge TOTAL STIPULATIONS: $ Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1050 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 [ ] Building MECHANICAL Permit No.. 1� Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date Rec'd: 763-502-4977 FAX EFFECTIVE 2-19-09 DATE 0YOUR E-MAIL ADDRESS SITE ADDRESS O THIS APPLICANT IS: 0 OWNER ACONTRACTOR PROPERTY NAME: I 0 u ADDRESS: 1'1'19 CITY STATE ZIP OWNER/ TENANT PHONE:, &3 S 7 1 5' 17 3 CONTRACTOR COMPANY NAME. LIlA74Yf! 'TINA INC. SUBMIT A COPY OF CONTACT PERSON: 1/l4iRARd. BZ YOUR STATE STATE LICENSE # Made finers: �bx>-9231 LICENSE WITH ADDRESS: IQc (7=4284677CITY s STATE ZIP APPLICATION PHONE FAX PERMIT TYPE SINGLE FAMILY ❑ TWO FAMILY O TOWNHOUSE TYPE OF WORK: ❑ NEW REPLACEMENT ❑ ALTERATION/REMODEL DETAILED DESCRIPTION OF WORK fb i klL— FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES:INDICATES TOTAL NUMBER OF EACH B F LLOV4 ) Equipment Installed MFG: �YAi MODEL: SIZEIBTU LC] q MFG: MODEL: I oZ N SIZE/BTU -2.0 d MFG: MODEL: SIZE/BTU �( A/C $25.00 _FIREPLACE (GAS) $15.00 _GAS RANGE/OVEN $10.00 TO AIR EXCHANGEER $15 FIREPLACE (WOOD) $35.00 _NEW GAS GRILL $10.00 _AIR $35.00 $35.00 _GAS UNIT HTR $10.00 _BOILER _FURNACE LINER $10.00 DRYER $10.00 _POOL HEATER $35.00 _CHIMNEY _GAS DUCT WORK $10.00 GAS PIPING $10.00 VENTILATOR $15.00 Number of fixtures @ $10.00 x $10.00 = $ Number of fixtures @ $.15,00 x $15.00 = $ Number of fixtures @ $25.00 x $25.00 = $ Number of fixtures @ $35.00 x $35.00= $ State Surcharge = $ .50 MINIMUM FEE $35.50 Total = $ 4flu_ 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 and with the Minnesota 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 permit; that the work will be in accordance with the approved plan in the case of all work which requires review and approval of plans. SIGNATURE OF APPLICANT �. ��` PRINT NAME ����DATE PLEASE NOTE: SEPARATE PERMITS ARE, RE UIRED;FOR BUILDING ELECTRICAL AND: MECHANICAL WORK City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 City of Fridley Residential Mechanical Application Page 2 REQUIRED INFORMATION NEEDED TO PROCESS PERMIT RESIDENTIAL PERMIT APPLICATION HVAC ❑ NEW HOMES/ADDITIONS ❑ EXISTING HOME ❑ MAKE-UP AIR REQUIRED FOR NEW/EXISTIP65YW,) 1. Combustion Air (See note below) a. Oil or solid fuel IMC 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 5 with MN Amendments b. Fuel other than gas IMC Chapter 8 with MN Amendments REQUIRED FOR NEW HOMES 4. Heat loss & cooling load per room a. Required on new construction IMC 1346.0312 5. Ventilation a. Per MN Energy Code 7670 or 7672 6. Duct Design Per IMC 1346.0603.2 a. ACCA Manual D NOTE: Centerpoint Energy Mechanical Code Guidelines software may be used for combustion and make-up air calculations.