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PRE 2010 DOCS"Lf4 City of Fridley, Minn. 1 2 0 4 6431 University Ave. N. E., Minneapolis, Minn. 55432 BUILDING PERMIT Date: February 21, 1973 Owner: _B611 Ekstrom Builder James R. Lund Address Address 7709 Woodlawn Drive N.E. .—.�— LOCATION OF BUILDING 1330 75th Avenue N.E. No. ___... Street �.__ Part of Lot Lot ..._... ...a_ Block — 1_______ Addition or Sub -Division . Jim Lund Acres Corner Lot ___ Inside Lot X Setback 351 Sideyard 131 & 18' Sewer Elevation To be Used as: Dwelling Front 24' Att . Garage — Front 25' Foundation Elevation DESCRIPTION OF BUILDING Depth 40' Height 20' Sq, Ft. Cu. Ft. 19,200 Depth 22' Height 10Sq. Ft. 55 0 Cu. Ft. , 5 00 Type of Construction Wood Frame Est. Cost 22,240.62 To be Completed I months Provide verification survey and hard surface drive Sewer Location Water Location (Wye Only - Service is Plugged) 200' E. of M.S. (Inv. 881.92) Wye Elev. 882.72 Top of Footing 885.72(Minimum Sac Charge $275.00 Paid Must be tapped 6" Watermain 10' N. of CL 75th St. In consideration of the issuance to me of a permit to construct the building described above, I agree to do the proposed work in accordance with the description above set forthand in compliance with all provisions of ordinances of the city of Fridley. 11.12 State Stmeharge In consideration of the payment of a fee of $ 46 .00 , permit is hereby granted to James R. Lund 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 ordinanew of Fridley, Minnesota regarding location, construction, alteration maintenanc epair and moving of buildings 30thin the city limits and this permit may be revoked at a upon vi ati n y of the provisions of said ordinances. Building Inspector DARREL CLARK NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas beating, sewer or water. Be sure to we thw Building Inspector for separate permits for these items. a e APPLICATION FOR RESIDENTIAL, ALTERATIONS OR ADDITION BUILDING PERMIT CITY Of FRIDLEYj MINN9SOTA OWMIS BUILDER ADMSS Ov- )J, & 3 3 D WT 4— BLWY,; t _AMTTION CORNER LOT: jWIDE LOT; Sea SEMCKI— SIMARD:13� -4- (1' AntiLeant gttgah to 0" Com Two■ Certificates of Survey of Lot and proposed %jjdftS J0C&tj*U drag 4= tbWW COVitifiCAteS. DESCRIPTION OF BUILDING Vo Be U4*4 As: j v 4 -Depth-. �Roight: Square Fact; /]Zb �' Cubic Feeti Fronts -,1 —Depth; -ileight, < t Cubic Feet: Square Yee -11 Ty" of Constructions Estimated cost:- $ 'Z77 ffw 7M undarpiped hereby ="s, application for. a Permit for the work herein #p"Itime,do agreeing to do all work im stftct accordance with the City of Fs AIvW Ord$*mwes and VUUW of the Department of BU444ASSS &1W hereby doclavm tW all the facts and representations stated in this application we true and correct, DAT91 ZA 81(;xATURz -4- wvvv--, (0ee Ravem We For AddWomal lnformls�) y �� d� ��' � s" 6-0 WILLIAM A. CARLSON, FRES. CERTIFICATE OF SURVEY 2324 WEST 11Oth STREET 888-2084 55431 & ALS W Ana ansa+ SURVEY FOR: - .JAMES LUND CONST. Coo LAND SURVEYORS Licensed, Insured & Bonded 1336 N Ih o- 24.1 ►5.2 1 "= 30 N C..ov+3 r�1G� tph a 25. a QG S .9 0 1 d DESCRIPTIONS LOT 3, BLOCK 1-, .Jim LUND ACRES. !VE HEREBY CERTIFY THAT.ON THE 17TH DAY OF MARCH, 1973, WE LOCATED THE BUILDING ON THE ABOVE DESCRIBED PROPERTY AND THAT THE ABOVE REPRESENTATION IS TRUE AND CORRECT. MINN. REG. No. 5648 !'A SAI to C�� - � iiia MENEM momomm ommoom molloup mollon !'A SAI to C�� Application for Power P1=ft sed Walk% Cooling, Veetilafte. Re/rigerolioe and Air Coeditioelnq Sys and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIA: RATE TOTAL. Furnace Shell & Duct Work ................ .. $10.00 $ Replacement of Furnace .... 6.00 $ Repairs & Alterations—up to $500.00 600 $ Repairs & Alterations each add. $500.00 3.00 IL--- MECH. WARM AIB FLrnace Shell & Duct Work to 190,000 BTU ........ ..$10.00 it each add. 60,000 BTU .................... .. 3.W $ Replacement of Furnace .. .... .. .... 6.00 $ Repairs & Alterations—up to $500.00 .. .. 6.00 $ Repairs & Alterations each add. $500.00 .... .. 3.00 $ STEAM or HOT WATER SYSTEM Fkrnace Shell & Lines—to 400 sq. ft. EDR Steam $10.00 $ Pinnace Shell & Line --to 640 sq. ft. IDR Hot Water 10.00 $ Each add. 200 sq. ft. EDR Steam $.(Ni Each add. 320 sq. ft. EDR Hot Water &W $_ OIL BURNER—to 3 gal. per hour 6,0D $ over 3 gal, per hour --See Fee Schedule GAS BURNER (up to 198.000 BTU) ... ...... 600 L $ S� over 199.000 BTU See Fee Schedule GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures .. . ..... x$ 7.00 $ Additional Fixtures = .7 $ Gas Range to 198,000 :$ SAO $ AIR CONDPL'LONLNG FAN HEATING SYSTM V nm ATLNG SYSTEM ALTERATIONS t REPAIRS ROUGH FINAL ®^ ,;2 3 -7T1 (SURCHARGE $_.50) i O See FM Schedule TOTAL. FEE $ 77 2 Dept of BldvL Mums leu -3= Lonam City of Fridley: The undersigned hereby makes application for a permit for the work hereir specified, agreeing to do all work in strict accordance with the City Orditancea and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. `� Fridley, Minn 3 97,3? Kind of Used as To be completed about _ -/� Estimated Cost, $J. 7 /^tea �_7_ f 6 01 New. wilding Permit No. Permit No. LfESCBIPTLON OF WORK HEATING or POWER PLANTS --Steam, Hot Water, Warm Air—No Trade Nam Sire No O , c9d7b Capacity Sq. Ft. E.D R- BTU— Total TU Total Connected Lead- 2 d Kind of F1re BURNER — Trade Names Size 1w 600, CBMdty Sq. Ft ED BTO l� (ONAaaf—OVU) I D•56 42 HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS FRIDLEY, MINN. Weatherstrips A.S.H. .E. Construction No. Insulation Guide WindowsI Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How Applied Yes—No Yes—No 19_ I F1.1 �1vTR j., Room I Length I ff Width 57— Height II Fl.l Room I Length Width Height Windows and Doors—Crackage and Area 10 itl rONt<I�1 Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. r� / Xes Co✓✓ef. Btu Infiltration Coef. Btu Infiltration b ®t? tQ 0 Glass Net exp. wall 3 551 Int. wall Exp. wall Net exp. wall 1401 Net exp. wall 11 Ceiling Int. wall ' a Floor13 Ceiling 7a b G ®� Floor 15-0 —771 1 otal Utu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area V F1.1 6?&1 Room I Length 1 G. Width l 2 Height Windows and Doors—Crackage and Area 10 itl rONt<I�1 Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Width Height No. of Lineal et. Area No. of pane of pane lights of crack eq. ft. r� Co✓✓ef. Btu Infiltration Btu Infiltration / ®t? Glass Int. wall Net exp. wall Exp. wall Floor Int. wall Net exp. wall 11116 Int. wall Ceiling Floor13 7a I otat tstu. 1 7 F-1 G Required sq. ft. E.D.R. or sq. ins. WA. Leader area F1.1 Room I Length Width Height Windows and Doors—Crackage and Area 10 itl rONt<I�1 Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Co✓✓ef. Btu Infiltration Glass Glass Net exp. wall Exp. wall Int. wall Net exp. wall Floor Int. wall Ceiling Floor , i btal utu. Required sq.4t. E.D.R. or sq. ins. W.A. Leader area I Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu Llfiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl.l Room I Length Width Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack eq. ft. Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. iris. WA. Leader area I F1.1 Room I Length Width Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of Dane of pane lights of crack sq. ft. Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area 1:d6 ..x'..42 HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS FRIDLEY, MINN. Weatherstrips A.S.H.V.E, Construction No. Insulation n Guide Windows I Doors Reference Out. Wall Int. Wall Ceiling I Roof Floor Kind How Applied r. Yes -4% Yeses 19_ J F1.1 G,/ u)jyo Room I Length Width P Height K II / Fl.l RA --4, Roo—I1---,h Width Height Windows antl Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of/Dane of pane lights of crack sq. ft. Width Height No. of Lineal ft. Area No. of pane of pane lights of crack eq. ft. Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. L � L j Infiltration Coef. Coef. Btu Infiltration 5 1401ra 02S Glass Glass Ceiling4�4 Exp. wall Exp. wall 7 Y yg, Exp. wall Net exp. wall Net exp. wall Windows and Doors--Crackage and Area Int. wall Int. wall % Ceiling Ceiling Infiltration p� 174 ®PZC Floor Ceiling e5% / 7 Z L f otal btu. y Required sq. ft. E.D.R. or sq. ins. W.A. Leader area H-1 / A witoom I Length q Width 1-1 Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of/Dane of pane lights of crack sq. ft. Width Height No. of Lineal ft. Area No. of pane of pane lights of crack eq. ft. �7 • V L j Infiltration Coef. Btu Infiltration r�a d oZ®O Glass 1/0 Glass Ceiling4�4 Exp. wall 169, 7 Y yg, Exp. wall Net exp. wall I;gtk Windows and Doors--Crackage and Area Int. wall ` a % Ceiling D Infiltration p� 174 Floor ® Ceiling e5% 1 otal btu. g Required sq. ft. E.D.R. or sq. ins. W.A. Leader area / F1.1 k "T Rmm If math M W A#,h l s-, N.:et.e I Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of/Dane of pane lights of crack sq. ft. Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. 6 L j Infiltration o� Coef.1 Btu Infiltration d Net exp. wall 6101 400 Glass Ceiling4�4 ( ` Floor 7 Y yg, Exp. wall Required sq. ft. E.D.R. or sq. ins. W.A. Leader area I Ll B Room I Length Width Height Windows and Doors--Crackage and Area Net exp. wall 8' C2 1 7 % J? Int. wall Infiltration 6 0tj Glass S Ceiling ! ' Int. wall t 7 S Floor Ceiling AyjJ.2a y 7 10 p g - t btal 15tu. Required sq- ft. E.D.R. or sq. ins. W.A. Leader area Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of/Dane of pane lights of crack sq. ft. 19V i� 3 --z-- F Coef. Btu Infiltration o� Glass S 1 Exp. wall IV I Net exp. wall 1 %,S Int, wall 60 Ceiling4�4 ( ` Floor 7 Y yg, Total Btu. 998 91 Required sq. ft. E.D.R. or sq. ins. W.A. Leader area I Ll B Room I Length Width Height Windows and Doors--Crackage and Area Width Height No. of Lineal ft. Area No, of Dane of pane lights of crack sq. ft. 8' C2 1 7 Net exp. wall Coef. Btu Infiltration 6 0tj Glass S Exp. wall icy 9, Net exp. wall / S Int. wall t 7 S Ceiling AyjJ.2a Floor lid 7 16 a 9/ Total Btu. Required sq. ft. E.D.R. or sq. itis. W.A. Leader area j i F1.1 Q .%� Room I Length f Ce Width Z :� Heiaht 1 Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of Dane llghta of crack sq. ft. i� 3 --z-- F Coef. Btu Infiltration 1 %,S 60 Glass17 �' Exp. wall L Net exp. wall Int. wall Ceiling ' 474- 3S -a Floor ! 6 ! 37 " t otal otu. 1 -7 9S C j Required sq. ft. E.D.R. or sq. ins. WA. Leader area SUBJECT PE City of Fridley 18412 AT THE TOP OF THE TWINS BUILDING PERMIT r EGEIPT NO. • COMMUNITY DEVELOPMENT DIV. D r PROTECTIVE INSPECTION SEC. 1 � � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY L 612-571-3450 910-F15 5/5/86 JOB ADDRESS 1330 - 75th Avenue N. E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 3 1 Jim Lund Acres SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE William H.. Ekstrom 1330 - 75th Avenue N.E. 784-8139 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 ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK Finish Basement 9 CHANGE OF USE FROM TO STIPULATIONS WARNING SEPARATE PERMITS REQUIRED FOR Before digging call io�cai uttjjtjnWRING, HEATING, PLUMBING AND SIGNS. TELEPHONE - ELECTRIC - GAS £t, REQUIRED By LAW 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 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 '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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $4,000 $2.00 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING COW STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $44.50 PLAN CHECK FEE TOTAL FEE $46.50 SIG TU E CONTRACT ORI AGENT ID El WHEN PROPER VALIDAT D THIS IS YOUR PERMIT ®® ®� BLDG INSP nAYE 14' SI NATURE OF OWNER II OVAW BUILDER) IID EI NEW [ ] ADDN. [ ] ALTER. DLJ Construction Address: .. �,L< Legal Description: 07 - Owner 7 - Owner Name & Address Contractor Address: City of Fridley R-1 AND R-2 Building Permit Application ? �l Jfw�1L'Md fDcK / i� S ovUSl yevC7`/o V_ - Effective 4/1/86 R ES Attach to this application, a Certificate of Survey of the lot, with the proposedconstructiondrawn on it to scale. DESCRIPTION OF IMPROVEMENT Tel. # Tel. # ` S _ 1 l LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: T71 yo LS 4 6 d- ZK4 V0_ Corner Lot [ ] Inside Lot [ ] Ft. Yd. Setback Type of Construction: Approx. Completion Date: Side Yard Setback o� Estimated Cost: $ Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation 2 9 2�iw DATE: 'S APPLICANT: Tel. CITY USE ONLY Permit Fee $ .S'3 Plan Check $ State Surcharge $ y SAC Charge $ Park Fee $ Sewer Main Charge TOTAL / $ r S-0 STIPULATIONS• Fee Schedule on Reverse Side 25% of Building Permit Fee $.50/$1,000 Valuation $475 per SAC Unit Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] 0Civ Cvv— 301,6Z) SUBJECT P MIT -NO. City of Fridley 2 3 '63 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. COMMUNITY DEVELOPMENT DIV. v r PROTECTIVE INSPECTION SEC. U2 i I NUMBER REV DATE PAGE OF APPROVED BY ` CITY HALL FRIDLEY 55432 612-571-3450 910-F15 8/12/97 JOB ADDRESS 1330 75 Avenue NE 1 LEGAL LOT N0. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 1 Jim Lund Acres SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE William Ekstrom 1330 75 Avenue NE 784-8189 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 ❑ NEW ❑ ADDITION ❑ ALTERATION Ck REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House & Garage (21.5 Sq) Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING 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 1 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 $1,793 $.90 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO IOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISI S OF ANY OTHER ATE OR C LAW REGULATING CON- $56.75 Fre SC $1.79 STR CTI N HE PERFO N CTION. l PLAN CHECK FEE TAL FEE OCA $59.44 SIGNATURE FCONVAORO UT ORIZEDAGENT I ATEI HE PR #LOG INS Y VA ED THIS IS YOUR PERMIT BATE SIGNATURE OF OWNER OF OWNER BUILDER) IDATEI NEW [ ] ADDN [ ] ALTER [ ] ConstructionAddress:- Legal Description: Owner Name & Address: Contractor: Address: Effective 1/1/97 CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING P RMIT APPLICATION 133 d 7J 4�x /e MN LICENSE # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Tel. # LIVING AREA: Length Width Hei;;ht Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Construction Type: ,�� (, t� Estimated Cost: $ —(� �S X = Q % (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + G Ft = Ft �x $ _ $ r DATE: - t- _ qz APPLICANT: Tel. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee $ Sewer Main Charge $ TOTAL $ �, CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $950 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [) Not Necessary [ ] STIPULATIONS: ��LSA AuTt+-4:;- Is SuBjECT NO. City of Fridley 32675 AT THE TOP OF THE TWINS BUILDING P E R M I T 1 1 RECEIPT NO. COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. �^ r E (JJ� 1 � NUMBER REV DATE PAGE OF APPROVED BY � CITY HALL FRIDLEY 55432 612-571-3450 910-F15 6/10/02 JOB ADDRESS 1330 75 Avenue NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 1 Jim Lund Acres SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Bill Eckstrom 1330 75 Avenue NE 763-784-8139 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Pro Tec 2101 105 Avenue NE, Blaine, MN 55449 763-792-6704 20263065 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 O ADDITION O ALTERATION C11 REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Reside House & Garage 9 CHANGEOFUSEFROM TO STIPULATIONS Per Section 1402, 1997 Uniform Building Code, requires that a weather resistive barrier be placed over exterior sheathing to protect the interior wall covering. Exceptions for this provision would be if sheathing is an approved weatherproof panel or when the siding is an approved weather barrier. Vinyl siding is not a weatherproof covering unless the manufacturer states this in their application guidelines. Call for inspection of wrap before covering. Caulk and flash all exterior openings. 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 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 1 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 @@ $5.65 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $11,297 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS ANY OTHER STATE OR LOCAL LAW REGULATING CON- %HE $209.25 Fir SC $11 ST UCTIO PE O MANCE OF CONSTRUCTION .3O XJETOT PLAN CHECK FEE EE Licens $5 $231.20 SIGNATURE Of N•RACTOR OR AUTHORIZED AGENT IDATEI-e49HEN ROP VALIOA, THIS IS V UR PERMIT SIGNATURE O� OWNEROWNER BUILDER, IDATEI Bl0 INSP - �-a TiATE Is NEW (J CITY OF FRIDLEY Effective 1/1/2002 ADDN (] 6431 University Ave NE, Fridley, MN 55432 (763) 5722604 Bldg Insp ALTER (] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: 1-33o —7 /V E Legal Description: Owner Name & Address: Ec- Tel. # Contractor. 0?Yy fie- MN LICENSE # �, D a lP 3 0 Y Address: ' 4 D 1 1 r) � Tel. # 7 l0 3 — 79 � — (07 ®L/ 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: Leng Width Hgt/Ground Sq. Ft OTHER: Y - Construction Type: ! ` Estimated Cost: $ - L Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ _ $ �7 �-�70 DATE: /0 -0'2 -APPLICANT: Tel. Call (763) 5722604 for Permit Fees if mailing in appl' ation or Fax to 763-571-1287 if using credit card and we 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 CITY USE ONLY- Permit NLY- 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 $ C2,31'.2 STIPULATIONS: CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-36:04 Effective On January 1, 1997 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 Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader SumplReceiving Tank Water Treating Appliance Water Heater —Electric Water Heater — Gas** Gas Range** Gas Dryer** _ Back Flow Preventer Required ( )Yes () No $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 ^� $10.00 $ 7.00 $10.00 2-o4m m $10.00 $10.00 Type $15.00 Reinspection Fee $42.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance a.. 0 c u'0 State Surcharge .50 TOTAL FEE $d 0, 00 ,JOB ADDRESS__ / 3 .? B -7 S 44� e ev, If 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 fads and representations stated in this application are true and correct. Owner— Building _ Gy G �� -•ti (�/ e �� . Building Used As e 11a I&„� e -'- Estimated Estimated Cost S7d �oi.) PERMIT NO. 3 / PLUMBING COMPANY_ SIGNED BY �� TEL N0. 76,3 Approved z .� Appy d By _____^__ Rough—In Date Final Date MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $2000 PLUS THE L50 $TATE SURCHARGE **COMBUSTION AIR SHALL BE PRgVIDED PER UMC SECTION 504(A) AND TABLE 6—A, MINIMUM SIZE 9 SO INCHES. Building Inspections 763-572-3604 763-502-4977 FAX SITE ADDRESS _I -, THIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE, BOND AND CERTIFICATE OF INSURANCE PLUMBING Permit No.:LUIU-UUU`P RESIDENTIAL APPLICATION Received By CITY OF FRIDLEY D °dJAN EFFECTIVE 2-19-09 YOUR E-MAIL ADDRESS ❑ OWNER ADDRESS: 1 �J �ll� —�'S /%YY !V C CITY PHONE: 1"(v3' IN W -I STATE LICENSE # STATE BOND # ADDRESS: PHONE IU S EXP DATE EXP DATE STATEPl.P ZIP F FAX _116 3 5 L/ PERMrr TYPE SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK- ❑ NEW tEPLACEMENT DETAILED DESCRIPTION OF WORK FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW). MINIMUM FEE $35.50. BATH SINK/LAV DRAINS _ WATER PIPING _ _FLOOR GAS PIPING (NEED CITY LIC) —SHOWER SWIMMING POOL —WATER SOFTNER ($35) —BATHTUB CLOTHES WASHER _ SINK_ _ WATER CLOSET _ BACKFLOW PREV. ($15) _ —KITCHEN LAUNDRY TRAY aWATER HEATER ($35) FOR IRRIGATION —DISHWASHER _ _ WATER METER —OTHER THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a plumbing 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 on site; that the work will be in accordance with the approved plan in thee case of all work which requires review and approval of planes.o,�/ g SIGNATURE OF APPLICANT %(� � PRINT NAME Moe- j DATE City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, N N 55432 763-572-3604 FAX: 763-5024977