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PRE 2010 DOCS*City of Fridley, Minn. BUILDING PERMIT N® 4046 Date: .............. - - - . -•-•••••-...1--...... _. ........... - ................ Owner: ...... .................................. .... -................. ......... _........................ _....... ----------- Builder Address....._............._......._...._......_..._.._.._..._......_..___.._....._......_................. Address /"TION OF BUILDING No. P _........ Street ........... .Y......_... - ..J�� ..............-.............. Part t .........._.....-............_........... ........ _.. _..._.._.._ Lot f_ .....Z............ Block ....., ,3 ............................... Addition or Sub-Divisio .................... Corner Lot ......A ...................... Inside Lot .....-................................ Setback ...:.-�........... yard ..... ..® .'... ...... - .................... Sewer Elevation-ifrLr!�s,2�P.......... Foundation Elevation .................................. ............................ .................. .......... DESCRIPTION OF BUILDING To be Used as: ....... .... Front ..7.. Depth �`...�. Height L...'_ Sq. Ft. Cu. Ft. _ .............. -............. - ........ ............... Front ........................ Depth .................... Height ........................ Sq. Ft ........................ Cu. Ft ..................... .. Type of Construction........................................................... Est. Co ................—""ro be Completed ..... .............. _....... ......-----•----....... 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 forth and in compliance with all provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $.........�---------- - ---- ., permit is hereby granted to ................... .............. - ............. - ....... ... ....._............._.-.......-.._............._.............-........ to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any time upon violation of any of the provisioxls of said ordinances. / _ Building Inspector NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these items. 4 370MVsissffi.SBf.E 'Landplanniny Minnwpofi 21. lffdSLrvelvlfl,q so I ilikstl;5 ENGINEERING, -INC. Civil fi Af&?,Wpl 4 SlImellf-O" Engineers -c Sur vectors certificate of SU*VeT RAY 116 A V.LA_ IV, Z-7. u Ly/ V Is)vn l hereby �rfi�y. /his rs o true and aorrecf represenfof ron o�'o survey �'!ln 6owrdoryes �'fl a oborr ofesuy/�d /w As 5 &. locationtkmv, y.W,,eya by me fti-l-A .p �Af ful A.19 dIYI' SUBURBAN ENGINEERING , INC. Eno 5 6- 5ur 1p y33 City of Fridley Application for Plumbing and Gas Fitting Permit DESCRIPTION OF WORK Number. Kind and Location of Fixtures PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... x $1.50 $ Future Fixture Opening ................ x 1.20 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin ............................ x 3.25 $ Water Heater (Up to 200,000 BTI) ...... x 2.00 $ A d C New Ground Run Old Bldg. ........... x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 $ Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ Dept. of Bldgs. Phone SII 4-7470 Location o& -7 -746C: City of Fridley: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. Fridley, 2 6 Owner 19— Kind of Building 19 w; Used as To be completed about Estimated Cost, $ Old—New. Building Permit No Signed Business Phone No. m 4'r -5-9,91 AUG 11 11j Rough REPAIRS & ALTERATIONS—Refer to Code Description.(�L.......................... $ 570 AU G 18 1959I111l TOTAL Fm 11 POST IM -12-58 m OQ�p � so (9 P N WATER HTR. GAS ELEC. 3 i3 � � ? � e � O S < � °d t�'� 4a (�% O Base 1st 4 ► 1 2nd 3rd 4th • Future Connection Openings Connected with New Fixture, Old Openings I Sewer Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... x $1.50 $ Future Fixture Opening ................ x 1.20 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin ............................ x 3.25 $ Water Heater (Up to 200,000 BTI) ...... x 2.00 $ A d C New Ground Run Old Bldg. ........... x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 $ Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ Dept. of Bldgs. Phone SII 4-7470 Location o& -7 -746C: City of Fridley: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. Fridley, 2 6 Owner 19— Kind of Building 19 w; Used as To be completed about Estimated Cost, $ Old—New. Building Permit No Signed Business Phone No. m 4'r -5-9,91 AUG 11 11j Rough REPAIRS & ALTERATIONS—Refer to Code Description.(�L.......................... $ 570 AU G 18 1959I111l TOTAL Fm 11 POST IM -12-58 Application for Power Plants and Heating, Coaling, Ventilation, Refrigeration and z Air Conditioning Systems and Devices r PARTIAL RATE SCHEDULE GRAVITY WARM AIR: Furnace Shell & Duct Work .......................... Replacement of Furnace ............................. Repairs & Alterations—up to $500.00 .................. Repairs & Alterations each add. $500.00 ............... RATE TOTAL 8.00 $ 5.00 $ 5.00 $ 2.50 $ MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $ each add. 60,000 BTU ....................... 2.00 $ _ Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 5.00 $ Repairs & Alterations each add. $500.00 .............. 2.50 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. IDR Steam ...... 8.00 $ Furnace Shell & Line --to 640 sq. ft. EDR Hot Water ... 8.00 $ Each add. 200 sq. ft. EDR Steam ...................... 2.50 $ Each add. 320 sq. ft. EDR Hot Water .................. 2.50 $ OIL BURNER—to 3 gal. per hour ........................ 5.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 400,000 BTU) ....................... 5.00 $ GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ...................... x $1.50 $. Additional Fixtures ................. x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ AIR CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM ALTERATIONS & REPAIRS TOTAL FEE $ REMARKS: Dept. of Bldgs. Phone SII 4-7470 Location—2" /7n Ze -L � >/, . City of Fridley: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. �+ Fridley, 195..,E Owner 195 Kind of Building 9 195_ a Estimated Cost, $ V ? �� Old-( Ce5.-1Building Permit No.� DESCRIPTION OF WORK HEATING or POWER PLANTS—Ste`am_, Hot �Wa, arm —No Trade Name -1 - d - / y1-2� Size No -L,6 60 Capacity./O Sq. Ft. E.D.R BTU H.P. Total Connected Load Kind of Fue BURNER — Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P. f Sign By 11 POST IM -12-58 Business Phone Not— — � � Windows and Doors—Crackage and Area 7- —�g-�-J —9 .�56 z._F _ Width Height No. of Lineal ft. Area No. of panned of pane lights of crack I eq. ft. �% ,� 7 ' 10T LO C LC AT DEPARTMENT OF BUILDINGS FRIDL Y, INN d Infiltration / 9 I t Weatherstrips Glass A.S.H.V.E. Guide Construction No. —VO Insulation Windows 1 Reference Out. Wall Int. Wall Ceiling Roof I Floor Kind How Applied e No IDoors es No 19_ i Fl.l ) 4./ Room I Lenath /9P Width %.2 Height Y ®II F1.1 RoomI Length Width A& Height D Windows and Doors—Crackage and Area 7- Heights U Width Height No. of Lineal ft. Area No. of pane of pane llghte of crack sq. ft. SAO y Width Height No. of Lineal ft. Area No. of panned of pane lights of crack I eq. ft. c�6 S Coef.1 Btu Infiltration / 9 / S—b` Glass p —VO ,� a Exp. wall 1 Ceiling 911 4L7 t Net exp. wall Floor 1 x $ /a Int. wall Ceiling .r 12- LO -Za Floor 1 of Z SZ 71 s' Total Btu. I, Required sq. ft. E.D.R. or sq. ins. WA. Leader area F1.1 , � Room I Lengthy Width // Height 1(' rJ�' Windows and Doors--Crackage and Area 7- Heights U Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. d r,!� i0 Width Height No. of Lineal ft. Area No. of panned of pane lights of crack I eq. ft. c�6 S Coef. Btu Infiltration / 9 / vo a Glass Exp. wall Exp. wall x Net exp. wall grr �-p d Net exp. wall 1 Ceiling 911 4L7 t Inc. wall Floor 1 x ®� Ceiling ,r Floor ).d) 7S mo SZb Total Btu. a9 Q") Required sq. ft. E.D.R. or sq. ins. WA. Leader area ► F1.1 err lel- Room I Length 7 Width S Heiaht Windows and Doors—trackage an Area 7- Heights U Width Height No. of Lineal ft. Area No* of pane of pane lights of crack sq. ft. Q ► I� Width Height No. of Lineal ft. Area No. of panned of pane lights of crack I eq. ft. c�6 S Coef. Btu Infiltration / 5=0 7 5 $ Glass Exp. wall x Net exp. wall grr �-p d Exp. wall Ceiling 911 4L7 Net exp. wall Floor 1 x ®� Int. wall Ceiling 7S mo SZb Floor SZ 71 Tbtal Btu. Required sq. ft. E.D.R. or sq. ins. WA. Leader area Winbows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of Dane llghte of Crack sq. 1t. I I Infiltration Glass Exp. wall --> 3 Net exp. wall Int. wall Ceiling IZ h I Btu Ea `► • 7''A 0 Floor 12,X I I7j 7 Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl.l 19- jnL ,eM Room I Length /Q Width d 7- Heights U Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of panned of pane lights of crack I eq. ft. c�6 S Coef. Btu Infiltration qS6 Glass / $ Exp. wall x Net exp. wall grr 3a Int. wall Ceiling 911 4L7 766 Floor 1 x 3 - Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area ,/Fl.jLnL,eARoom I Length /.�I- Width I Windows andDoom—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of -pans lights of crack sq. ft. Coei Infiltration ma 9290 Glass 152 Exp. wall Z A8 Net exp. wall j (os /o Int. wall Ceiling 112— M Floor 3, Total Btu. Required sq. ft. E.D.R. or sq. ins. WA. Leader area Btu r�ilm HOUSE HEATING TEST RECORD ADDRESS r �' A, A� APT.-FLPOR CITY SUB RB OCCUPANT OWN ER HEAT LOSS DATE HTG. INST. SOLD BY INSTALLED BY Electrical Work By Gas Line By T ' TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNIT HTR. OTHER GAS DESIGNCONVE SION MAKE �u MAKE OF BURNER Model Model I SerialMax. BTU Rating INPUT ® / MAKE OF FURNACE polls, Model 82"867 ONTROLS THERMOSTAT %lent Plus Vent Size Valve Limit Limit Setting Fan Setting _ Pilot Type Pilot Make KIND OF LIN E�� SIZE NONE Draft Hood Regularor Filters Size � Number Chimney Location In ds c--� Outside Chimney Construction - _,g Pilot Model oe Smoke Bomb a Wiring Pilot Timing dit' d —� Draft Test Tag C___ L.W. Cut Off „' Door Pressure Lighting Inst: Pressure Percent CO2 Date Tested Input CFH �® A - Percent 02.2 Company Testing Stack Temp. Percent CO Name of Tester Form 235 to r Application for Power Plants and Healing. Cooling. Ventilation. Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE Dept. of Bldgs. Phone SII 4-7470 GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work .......................... 8.00 Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 .................. 5.00 $ Repairs & Alterations each add. $500.00 ............... 2.50 $ MECH. WARM AIR Furn4ice Shell & Duct Work to 120,000 BTU ............ 8.00 $ each add. 60,000 BTU ...................... 2.00 Replacement of Furnace 5.00 $ Repairs & Alterations --up to $500.00 ................. 5.00 Repairs & Alterations each add. $500.00 .............. 2.50 $ STEAM or HOT WATER; SYSTEM 1 Furnace Shell & Lines—to 400.,sq. ft. EDR Steam ...... 8.00 $ Furnace Shell & Line --to 640 sq. ft. EDR Hot Water ... 8.00 $ Each add. 200 sq. ft. EDR Steam .................... 2.50 $ Each add. 320 sq. ft. EDR Hot Water .................. 2.50 $ OIL BURNER—to 3 gal. per hour 5.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 400,000 BTL) ....................... 5.00 $ GAS FITTING FEES: NO RATE TOTAL. 1st 3 Fixtures ...................... x $1.50 $. X Additional Fixtures x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ AIR CONDITIONING FAN HEATING SYSTEM YENTILATING SYSTEM ALTERATIONS & REPAIRS I See Fee Schedule $ TOTAL FEE $ Location City of Fridley: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. Fridley, 7Vf;nn- 195_ Owner 195— Kind of Building 195— Used as To be completed about Estimated Cost, Old—New. Building Permit No. DESCRIPTION OF WORK HEATING or POWER PLANTS --Steam, Hot Water, Warm Air—No Trade Name Size No Capacity Sq. Ft. EM.R BTU H.P. Total Cqnnected Load Kind of Fuer BURNER — Trade Name Size No Capacity Sq. Ft. E.D.R. BTU H.P. Signed 11 POST IM -12-58 , Business Phone No 1 City of Fridley, Minn.. BUILDING PERMIT N® Date: Owner:' _�L"'='. _.. s 1'��'Builder ...___.__.. _.r_'12 _ Address Address CATION F.BUILDING No.... ._-._ Street _ _d__.. /.............. Part 0gat Lot .,�'!4� ........... Block ...... .......... ........ _....... ......... PAddition or Sub-Divf..^..:� W-�.:_1�=,�---�...---•-----_ ... Sideyard ...... � Corner Lot ................................. Inside Lot .----- ............._. ................ Setback ....._-�............_.._........,.,�.......:......._....---•-----....._. ..... Sewer Elevation ........................................ __........ ......................... .......... Foundation Elevation DESCRIPTION OF BUILDING To be U as: ,r --- Front .. Depth ....__ Height ....._... Sq. Ft. cu. Ft. ..... .......................... . ---- ............. From r?... ............_.. Depth .................. ._.. ght ....._. Sq. Ft. -......_...._. Cu. Ft. - ................. Type of Construction .... ": ,o ..._.'. �..... _.�r.... Est. Cost................._........(.�:.`'..._........ To be Completed ............ _ ... _... .... .................... 1A�JTJON THIS PERMIT DOES N'O AUTHORIZE ORIZE VIOLAT- ION OF ANY Pi;IUATE LAND COVENANTS AND 6UILDINIG RESTRICTIONS. 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 forth and in compliance with all provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $....._"_........_.._...., permit is hereby granted to. ................ _................ _ . _....... _..__ ___..._._... to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any time olation-of any of the provisions of said ordinances. ,t 1 I Building Inspector NOTICE: This permit does not cover the construction, Installation for wiring, plumbing; gas heating, sewer or water. Be sure to see the Building Inspector for separate Permits for these hems. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA JOwners Namer17a jo iso"? Builder "27 Oe Address; Address_, 24100 �.. �— LOCATION OF BUILDING No. ON- Street 96 0'�� e Part of Lot � �l Lot ,/� Block Addition or Sub.Div. J4 _- Corner Lot.Inside Lot�,_,Set Back_ , �v a Side -Yard SEWER ELEVATION �� FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. DESCRIPTION OF BUILDING To be used a AA c �.0 Front /S' g0l Depth Height Sq. Ft. ® Cu.. Ft. Front Depth Height Sq. Ft. Cu. Ftr Type of Construction P0,9C Y -e �Pf ��iA� �i Estimated Cost -Ye To be completed _z u h e / S t l el - The undersigned hereby.makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares ,that all the facts end representa- tions stated in this application are true and correct. DATEJQ h f �19 4'C SIGNATURE (A Schedule of Fee costs can be found on the Reverse Side.) m 11 0 SUBJECT P IT N City of Fridley AT THE TOP OF THE TWINS PERMIT .12506 t BUILDING CEIPT ' ` `__ COMMUNITY DEVELOPMENT DIV. --, "L PROTECTIVE INSPECTION SEC. r � p 76 d? 7 = � NUMBER REV, DATE PAGE OF APPROVED BY i1 ��"' �,j CITY HALL FRIDLEY 55432 _.-•� L 612-560-3450 910-F15 4/25/74 JOB ADDRESS 876 - 76th Avenue N.E. 1 LEGALLOT NO. BLOCK TRAC T OR ADDITION SEE ATTACHED DESCR. Pt. 1, 2 3 /$)if$ Shaffers .chid. #1 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Richard Becker 876 - 76th Avenue N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ADDITION -Q__-ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Add a 15' x 22' Family Room to the back of existing dwelling 9 CHANGE OF USE FROM TO STIPULATIONS SEPERATE PERMITS REQUIRED FOR WIRING, HEATING, PLUMBING AND SIGNS. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. Wood Frame 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, WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $3,500 1.75 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. 8.00 PLAN CHECK FEE TOTAL FEE $9.75 SIGNATUR CONTRACTOR OR AU RIZEDAGENT (DATE) WHEN PROPERLY ALIDA D THIS IS YOUR PERMIT \ U&OWP BLDG. INSP DATE �+ ER IIF 'NE DERI ID APPLICATION FOR RESIDENTIAL, Ai;TERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME: ` BUILDER:_ ADDRESS: &C -76 ADDRESS: NO:. % STREET: GUe 9"' LOT: , Z BLOCK: 3 ADDITION: ��� CORNER LOT: INSIDE LOT: X SETBACK: SIDEYARD: Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. To Be Used As: DESCRIPTION OF BUILDING Front: Depth: Height: Square Feet: Cubic Feet: vA �P n lj<c c M Front: /,57 Depth: Z 2,Height : ? S ��� Square Feet;ASC) Cubic Feet:_ . / Q Type of Construction: Estimated Cost: $ CTO_ To Be Completed: C,�/a �` J' ] -� 3) 5 The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in sttict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations -stated in this application are true and correct. DATE: SIGNATURE: e (See Reverse Side For Additional Information.) P ---- ------ 06 Lr 6-S c' --- %oi9,a kcs{Lc%N--- --i-- o� SUBJECT`PERMIT City of Fridley 7265 AT THE TOP OF THE TWINS BUILDING PERMIT rp R '' • COMMUNITY DEVELOPMENT DIV. V I i �.���� 9 r 1 � PROTECTIVE INSPECTION SEC. /G{� ' l S0 1 � NUMBER REV. DATE PAGE OF APPROVED BY i CITY HALL FRIDLEY 55432 L 612-571-3450 910-F15 9/28/83 JOB ADDRESS 876 - 76th Avenue N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. W], 1,2 3 Shaffer's SMD.. #1 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE John Bernardson 876-76th-Avenue N.E. 786-6222 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Pane.lcraft Inc. 2309 Snelling Avenue South 721-6628 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 % 8 DESCRIBE WORK Install steel siding & aluminum trim 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. 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 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 CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $44.50 PLAN CHECK FEE TOTAL FEE $46.50 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT i - BLDG INSP ATE SIGNATURE OF OWNER I IF OWNER BUILDER) IDATEI CITY OF FRIDLEY APPLICATIM FOR RESIDENTIAL BUMMING PERMITS (Hrum, Alterations, Additions, or Repairs) OWNER: ADDRESS: F-2 „ 2 ��'��•e , TEL NO: ;??Co – 6,22-,-2 Effective Aug. 1, 1981 BUILDER: ADDRESS: TEL 110: - Construction Location STJT NO: W STMET: l IAT: LA) �� BLOCK: ? ADDITION: � S Corner Lot: Inside Lot: i Setback: Sideyards: Applicant attach to this form ta-o Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTION OF COI;STFIJCTION Front: Depth: Height: Square Feet: Cubic Feet: Front: Depth: Height: Square Feet: Cubic Feet: Type of Construction: cl f//c/«a-, ,�,,,� Estimated Cost:�— Rb Be Cbr. pleted: Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: $ $ SEE PF.VF:R+L' SIDE OF SHEET Mie undersigned hereby makes application for a permit for the :ork herein specified, agreeing to do .all work in strict accordance with the City of I'ridley Ordinances and rulings of the Department. of Buildings, and hereby declares that all the facts and representations stated in this application are true and corr t. DATE: SIGNATU.'... : Stipulations: FIRE DEPARTMENT MEMO TO: BUILDING INSPECTION ASSESSING SUBJECT: FIRE DAMAGED STRUCTURE FIRE HAS OCCURRED AT 876 - 76th Ave. N.E. (ADDRESS) Dec. 26, 1988 DATE OF FIRE .FD- 7 DATE: Jan. 9, 1989 / ` r SUBJECT PER City of Fridley o g 4 AT THE TOP OF THE TWINS BUILDING P E R M I T _ rp RECEIPT NO. 16 COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 1 . � 1 CITY HALL FRIDLEY 55432 NUMBER qEV. DATE PAGE OF APPROVED BY 612-571-3450 910415 2/9/89 JOB ADDRESS 876 - 76th Avenue N.E. 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED Shaffer's Subdivision #1 DESCR. W' 1&2 3 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE John Bernardson 876 - 76th. Avenue N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Lindstrom's Cleaning & Construction 9621 -10th Avenue N., Plymouth 55441 544-8761 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 REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Fire Repair 9 CHANGEOFUSEFROM TO STIPULATIONS Inspection after demolition and before repair commences. Provide smoke alarms on both levels. Post address on exterior of dwelling. SEPARATE Pl_-Me'�VTS REQUIRED FOR VARING, HCA "f "IG, PLUMBING ARP SIGNS. 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 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 $12.50 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $25,000 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. $252.00 PLAN CHECK FEE TOTAL FEE $264.50 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) WHE PROP A D D THIS IS YOUR PERMIT -S)A G )NSP BATE SIGNATURE OF DWNER IIF OWNER BUILDER) IDATEI NEW I ] ADON I ] ALTER [ ] Construction Address Legal Description: City of Fridley R-1 AMID R-2 Building Permit Application - -& EEfective 5/1/88 Owner Name & Address (6 1. • • / �I�� _ _111 , Tel r/ i Attach to this applications a Certificate of Survey of the lot, with the proposoed construction drawn on it to scale. Width Width Width Height Height Hgt/Ground Std. Ft. Sg. Ft. Sg. Ft. turner Lot [ ] Inside Lot [ l Ft. Yd Setback Side Yard Setbacks Type of Construction: '25--J/- - '*>/L Estimated Cost: S^ Z �nn6=" Approx. Completion Date: Proposed Driveway Width If New Opening Is Desired: Width + 6' DATE: 2 A-SE)APPLICRM: La=' CITY USE CNLY Permit Flee State Surcharge SAC Charge Driveway Escrow Park Flee Sewer Dain Charge TOTAL Alt. A Alt. B See Back Page Tel. # $ 251.60 Flee Schedule on Reverse Side $.50/$1,000 Valuation $ S17SOM per SAC Unit $ Alt. nAn or Alt. 'B" Above 5 Flee Determined by Engineering $ Agreement Necessary [ ] Not Necessary [ I � 2G�so ZS,aoL— ZSL CITY OF FRIDLEY Effective Date May 1, 1988 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE uv aTnvwmTs r. Furnace Shell and Duct Work, Burner (Also replacement furnace) Gas Piping (piping needed with new furnace) Gas Range Gas Dryer • 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 State Surcharge TOTAL FL+E Keinspection Fee ($15.00) Rough Insp. Date Final Insp. Date Approval for Permit MINIMUM FEE FOR ANY HEATING PERMIT IS $15.00, PLUS $.50 STATE SURCHARGE *Air Conditioners can not be placed in side yard without written permission from adjoining neighbor. $ .50 ESTIMATED COST OLD - NEW BUILDING PERMIT NO. PERMIT NO. DESCRIPTION OF FURNACE/BURNER U j HEATING or POWER �PLANTS, Steam, Not Water,��No. Trade Name ff 11 /1 f.�2 Size No. Capacity Sq. Ft. EDRSTU �T HP Total Connected Load ® Kind of Fuel k BURNER - Trade Name A Size No. Z�J,/�%�� Capacity Sq. Ft. EDR BTU ©� HP company i Signed By. , Tel. No. Fill out back side for stack verification on replacement furna--s Job Address �/' - ? �Pe RATE TOTAL 'q $ 20e00 $ D" Department of Buildings, 6431 University Ave. N.E., Fridley, MN 55432 &� City of Fridley $ 10.00 $ Tel. #571-3450 $ 10.00 $ 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 $ 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. $ 10.00 $ Fridley Minn. yq OWNER�C $ KIND OF BUILDING USED ASS, ��f� $ TO BE COMPLETED ABOUT //��✓� r d /a' State Surcharge TOTAL FL+E Keinspection Fee ($15.00) Rough Insp. Date Final Insp. Date Approval for Permit MINIMUM FEE FOR ANY HEATING PERMIT IS $15.00, PLUS $.50 STATE SURCHARGE *Air Conditioners can not be placed in side yard without written permission from adjoining neighbor. $ .50 ESTIMATED COST OLD - NEW BUILDING PERMIT NO. PERMIT NO. DESCRIPTION OF FURNACE/BURNER U j HEATING or POWER �PLANTS, Steam, Not Water,��No. Trade Name ff 11 /1 f.�2 Size No. Capacity Sq. Ft. EDRSTU �T HP Total Connected Load ® Kind of Fuel k BURNER - Trade Name A Size No. Z�J,/�%�� Capacity Sq. Ft. EDR BTU ©� HP company i Signed By. , Tel. No. Fill out back side for stack verification on replacement furna--s CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack; I. 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 ( ) S. 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 —11 Rema rk s L 2 � / ' J 0 1 CITY OF FRIDLEY APPLICATION FOR PWMBING AND GAS FITTING PERMIT PLUMBING FIXTURE RATES: RATE SCHEDULE NO. New Fixtures• Future Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Hydraulic Valve Sump or Receiving Tank Water Treating Appliance Hot Water Heater Gas Range Gas Dryer I RATE $ 5.00 $ 3.50 $ 1.50 $ 4.00 $ 5.00 $ 5.00 $ 5.00 $ 5.00 $ 5.00 $ 7.00 $ 5.00 $ 10.00 $ 10.00 Back Flow Preventer Required. . . Yes ( ) No ( ) Type S 5.00 TOTAL $ S ALL OTH1:!�S AND/OR REPAIRS AND ALTERATIONS 1% of Value of Fixture or Appliance $ Reinspection Fee $ State Surcharge $ .50 ($15.00) TOTAL FEE Effective Date May 1, 1988 Job Address C� / �e '710 I,,- /'/)' !* Department of Buildings City of Fridley Tel. #571-3450 The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct C0Npi.� Fridley, Mn. �� , 19� USED AS TO BE COMPLETED ABOUT %.:;, —/ ESTIMATED COST / OLD - NEW BUILDING PERMIT NO. PERMIT NO. Company s E/ A1. Signed By Tel. No. ROUGH INSP. Date FINAL INSP. Date % APPROVAL FOR PERMIT MINIMUM FEE FOR ANY PLUMBING PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE Water � A m E tp �X m p q: H a w Beater b 3 N m 19-S -.ci .0 C� g 49 o d u a m-9 ai m 3 -.40 o o m w +�m+3m U M 3 m Mme t7 0 lec U)) ama c� w° t5 1st ` 2nd 3rd 4th (R) = Future Connection Opening Connected with Sewer (*) = New Fixture, Old Opening Water PLUMBING FIXTURE RATES: RATE SCHEDULE NO. New Fixtures• Future Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Hydraulic Valve Sump or Receiving Tank Water Treating Appliance Hot Water Heater Gas Range Gas Dryer I RATE $ 5.00 $ 3.50 $ 1.50 $ 4.00 $ 5.00 $ 5.00 $ 5.00 $ 5.00 $ 5.00 $ 7.00 $ 5.00 $ 10.00 $ 10.00 Back Flow Preventer Required. . . Yes ( ) No ( ) Type S 5.00 TOTAL $ S ALL OTH1:!�S AND/OR REPAIRS AND ALTERATIONS 1% of Value of Fixture or Appliance $ Reinspection Fee $ State Surcharge $ .50 ($15.00) TOTAL FEE Effective Date May 1, 1988 Job Address C� / �e '710 I,,- /'/)' !* Department of Buildings City of Fridley Tel. #571-3450 The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct C0Npi.� Fridley, Mn. �� , 19� USED AS TO BE COMPLETED ABOUT %.:;, —/ ESTIMATED COST / OLD - NEW BUILDING PERMIT NO. PERMIT NO. Company s E/ A1. Signed By Tel. No. ROUGH INSP. Date FINAL INSP. Date % APPROVAL FOR PERMIT MINIMUM FEE FOR ANY PLUMBING PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE CITY OF FRIDLEY 3 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE New Fixtures Future Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Hydraulic Valve Sump or Receiving Tank Water Treating Appliance Hot, Water Heater Gas Range Gas Dryer $ 5.00 $ 3.50 $ 1.50 $ 4.00 $ 5.00 $ 5.00 $ 5.00 $ 5.00 $ 5.00 $ 7.00 $ 5.00 $ 10.00 $ 10.00 TOTAL $ Back Flow Preventer Required. . . Yes ( ) No ( ) Type $ 5.00 S ALL OTH1:�'S AND/OR REPAIRS AND ALTERATIONS Is of Value of Fixture or Appliance $ Reinspection Fee $ State Surcharge $ .50 ($15.00) TOTAL FEE $ .tib Effective Date May 1, 1988 Job Address 5i 7 & _ _ 7(o M OA -4 �V A— Department of Buildings City of Fridley Tel. #571-3450 .. The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct I /� Fridley, Nn. � Z OWNER � O n4 /c7 KIND OF BUILDING USED AS LZ� TO BE COMPLETED ABOUT ESTIMATED COST OLD - NEW BUILDING PERMIT NO. PERMIT NO. Z� Company Signed By Tel. No. �/3/-91C 7 ROUGH INSP. Date FINAL INSP. Date APPROVAL FOR PERMIT (o© - /J -,-;Lf fqd E- . so. ,P K„os, lhu ,ss3z�3 MINIMUM FEE FOR ANY PLUMBING PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE Water 91 m w m �p _ .0w 54 rye Heater +�t0 [pyI .0C�ayp .Uy Phi pM Oy�� i► leC O s Map - lot 2nd 3rd 4th (R) a Future Connection Opening Connected with Sewer (*) = New Fixture, Old Opening Water RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE New Fixtures Future Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Hydraulic Valve Sump or Receiving Tank Water Treating Appliance Hot, Water Heater Gas Range Gas Dryer $ 5.00 $ 3.50 $ 1.50 $ 4.00 $ 5.00 $ 5.00 $ 5.00 $ 5.00 $ 5.00 $ 7.00 $ 5.00 $ 10.00 $ 10.00 TOTAL $ Back Flow Preventer Required. . . Yes ( ) No ( ) Type $ 5.00 S ALL OTH1:�'S AND/OR REPAIRS AND ALTERATIONS Is of Value of Fixture or Appliance $ Reinspection Fee $ State Surcharge $ .50 ($15.00) TOTAL FEE $ .tib Effective Date May 1, 1988 Job Address 5i 7 & _ _ 7(o M OA -4 �V A— Department of Buildings City of Fridley Tel. #571-3450 .. The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct I /� Fridley, Nn. � Z OWNER � O n4 /c7 KIND OF BUILDING USED AS LZ� TO BE COMPLETED ABOUT ESTIMATED COST OLD - NEW BUILDING PERMIT NO. PERMIT NO. Z� Company Signed By Tel. No. �/3/-91C 7 ROUGH INSP. Date FINAL INSP. Date APPROVAL FOR PERMIT (o© - /J -,-;Lf fqd E- . so. ,P K„os, lhu ,ss3z�3 MINIMUM FEE FOR ANY PLUMBING PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE � t CITYOF FRIDLEY CIVIC CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MINNESOTA 55432 • PHONE (612) 571-3450 April 28, 1989 Lindstrom's Cleaning & Construction 9621 - 10th Avenue North Plymouth, MN 55441 Re: Final Inspection on Fire Repair at 876 - 76th Avenue N.E., Fridley Dear Sirs: A final inspection was conducted on the fire repair on April 28, 1989 and the following items were noted which must be completed before the construction can be finaled: 1. Post house number on structure by May 15, 1989. 2. Install a closer on the door between the house and garage by May 15, 1989. We will expect these items to be completed by the scheduled date when a reinspection will be conducted to determine compliance. If you have any questions on these items, please contact me at 572-3602. Sincerely, DARREL . CLARK Chief Building Official DGC/mh SUBJECT City of Fridley 2 5100 AT THE TOP OF THE TWINS BUILDING PERMIT ' � � RECEIPT NO. COMMUNITY DEVELOPMENT DIV L r PROTECTIVE INSPECTION SEC iCITY HALL FRIDLEY 55432 NUMBER REV DATEP AGE OF APPROVED Br �----� �'' 612-571-3450 910-F15 5/27/97 10B ADDRESS 876 76 AVENUE NE LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED 1 LEGAL DESCR. W # 1,2 3 SHAFFER'S SUBDIVISION #1 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE GEORGE SCOTT 876 76 Avenue NE 785-8945 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 X ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 12' x 16' Shed 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. 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 60 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 $1,000 $ .50 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 STATE OR LOCAL LAW REGULATING CON- $34.75 Fire SC $1.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION, PLAN CHECK FEE TOTALFEE $36.25 ORAUTN ED AGENT IDATEi WHEN PROPERLY V (DATED THIS IS YOUR PERMIT rG/7EOFCONTRACT - 0 S,G#AYURE OF NE OWNER BU ERDATEi -Y fond Planning fond Surveying . Soils Test1bV17M50k y ENGINEERING*. -1-N1Uw';. Cl'vll f- Municipal SUnsef /1-6066 ,ci;yff icerm Eny1ners SUPeve ;..1 4 .1 0 cemptificafe of su, rve)r P111, V'' p Al, r L) cerhry 6ai 66 a five wd corried repre5entahOn 0�0 surveybWndor�ff oboe 06Cr;h6d 1017d, atd 4761;e /:7/ n ;!'all twildt�15, Arreen , xdod ris/ble elicroqcbmed; , !rod . from or an said land AS s ur wyed by me lh� A.D. /9-:L7 SUB U26" INC. /3 3 2' X 6' RAFTERS s I6' O.C. 235' SELF SEAL ROOF iSHINGLES 15' ROOF FELT iz CDC. PLYWOOD RRAFTTERSSFFORX6' s 16' O.C. 30' SNOW LOAD. I' X 8' FASCIA (CEDAR) I' X 8' SOFFIT 4' X 8' Till SIDING -� I x 4 CROSS BRACING 2' X 4' WD. STUDS CUT Tcl 18-21&M 2' X 4' TREATED PLATE W/ tie' X 15' LONG ANCHOR BOLTS. FIBERGLASS SILL SEALER SEE FDTN. PLAN I 2' X 6' RAFTERS 30. OR 40• SNOW LOAD: 2' X 6' is I6' o=. RAFTERS WITH s ibO.G. 12 2' X 8' RIDGE BOARD. 2 - 2' X 6' HEADER 5 W/ V2' SPACERS VX 6' FR�IA BD. --- J 1' X 8' SOFFIT 12 WINDOW 2 x 6 COLLAR s8'-0' O.G. 110 12 2 - 2 x 4 TIE PLATE \\ 2' X 6' RAFTERS s 16' O.• 5 i "�7/y r3o�ft 3rpc % Al b 62x4016'O.C. 2 x 4 BOTTOM PLATE N I x 8 FASCIA BOARD CEILL,ING1JOIST 2 - 2'X 4' TIE PLATES 4' CONC. SLAB W/ 6'X6' 910 WIRE MESH OVER 4' MIN. GRAVEL BASE. 4' GRAVEL BASE 12'-0' SECTION SCALE: 1/2' • 1'-0' I x 8 SOFFIT BOARD 2' X 4'-0' SCREENED SOFFIT VENT 1' X 4' DIAGONAL BRACT` NOTCHED INTO r STUDS AT ALL CORNERS SIDING (Till) 8' PRECUT 2+4 -Tum (CUT TO Y- V&") ANCHOR BOLT —� GRADE 0 C. FOUNDATION 10-11& 1 _ 04 IrS+"7"Z1--sem 1201 rx,'� G NEW ADDN ALTER ConstructionAddress: e Legal Description: Le> Owner Name & Address: Contractor: Address: Effective 1/1/97 CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION 76, 7(o 'K4JC �- Z&ALZs i51L'X- A)zk, _ Tel. # `7 MN LICENSE # Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF E"ROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: 1:-57/�t 12- Construction z STIPULATIONS: Construction Type:-'/')' ' Estimated Cost: $ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: Z APPLICANT: r Tel. # CITY USE ONLY Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ 41 .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $950 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ -$450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $(0 Z< STIPULATIONS: SUBJECT PER City of Fridley I- -- -~ 2,0 AT THE TOP OF THE TWINS BUILDING PERMIT r R PT NO. I COMMUNITY DEVELOPMENT DIV. t. PROTECTIVE INSPECTION SEC. 3� / r 1 � ' 1 "'1 CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY I'' 612-571-3450 910-F15 7/22/9 JOB ADDRESS 876 76 Avenue NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. Wi 1,2 3 Shaffer's Subdivision #1 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE George Scott 876 76 Avenue NE 785-8745 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Sussel Corp 1852 Como Ave, St Paul, MN 55108 645-0331 1934 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 Cj NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 36' x 24' Garage 9 CHANGE OF USE FROM TO STIPULATIONS See notatins on plan. Provide a hard surface driveway. WARNING Before digging 60 ,for all utility locations 454.0002 , 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 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 $15,975 $7.99 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESU E TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISION OF AffiY OTHER S ATE O LOCAL LAW REGULATING CON- $237.25 Fire SC $15.98 STRUCTIO ORT E PERFORM NCE O CONSTRUCTION. jf PLAN CHECK FEE TOT FEE SC 15/& $266.22 IGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI EN R VA IDA T THIS IS YOUR PERMIT BLjr6 INSP gaTE SIGNATURE OF OWNER of OWNER BUILDERI (DATE) NEW ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction.Address: (6 7(p ✓V i. Legal Description: Effe'cti've 1/ /97 V U W Owner Name & Address: M Z_ jpj[S e -7,a .,ftf �- � Tel. # Contractor: �� s� �� ��,o MN LICENSE # Address: —, /&S T 4�" )qu 7r S i -95ja — Tel. # ���Cg 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 3CO A Width o2 Height '-e- r Sq. Ft. DECK AREA. Length Width Hgt/Ground Sq. Ft. f MOTHER: Construction Type:c� a r Estimated Cost: $ f �r e (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ftx $ _ $ DATE: APPLICANT: ^ �'c ,,� a Tel. # 6.9 —6 7S STIPULATIONS: 1 31 CITY USE ONLY Permit Fee s-23-7.24' Fee Schedule on Reverse Side Fire Surcharge $—ZT 9 Y .001 of Permit Valuation (1/10th%) State Surcharge $ -2 y� $.50/$1,000 Valuation SAC Charge $ $950 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ Z� STIPULATIONS: 1 31 c Iq I,9ti l 4) �tp U 674 ;Z ' 9c f. n ti �0 4 I 4' joop 1610 qRPidt5m),�J A166 t Mr. & Mrs. George Scott l40V 876 -76TH Ave. NE AJIMES Fridley, Mn. 55432 785-8945 1852 COMO AVENUE NAME_ ST. PAUL, MN 55108 JOB ADDR 24X36 Allbilt Det. Garage W/Conc. Permit by 6/23/97 Legal Descripti n_ Lot. BLDG COO Dennis Jarnot Blk Add'n SALESMAf Value ype SLAB: ❑BySUSSEL- - ❑ By Owner Approx. � _ __ _ ❑ In 1 2 -STARTING POINTS ONLY -� - ----.-.KZ S.P.L. S.S.P.L. Alley - -- House F Stree F Str � - -- i � -- - - - T - -_ ❑ Square With i _ r _ _ _ _ _ - -- - Y i ❑ Sod Rem. -By- ❑A.B.U. 0 Grade Point--er T "— - - -- /`l --.' __, Blocks: y Owny Sussel ❑ Wtr.proof: ❑By Own. ❑By Sus. Backfill: 0 By Own. ❑By Sussel _ _ Maintain 8' Total Wall Height Including Blocks OR -- - - _ ....... ❑ Maintain 8' Wall Height on Top of Blocks Block Size (Top course) Wall Height other than 8' --�X" � , I O - r�_ ❑ ❑ _ _ �_ _� � �.; .�.` _T=. — �' � � `fib -----fie - _ _ ��, r l V! I A I Ck Existing g 9 ara . No ❑ - r f ; O Detached Attached Yes - - - LI Size of existing: x -- - 1_ Existing garage will be: 8cemoved eft as is onverted to L.S. By ow _ _ + By: Owner I I-- ___ 4- -• 1 - Sussel ❑ Junk Must Be Removed By Owner Stakes visible - ❑ Yes ❑ No - --- i Survey available - ❑ Yes ❑ No - 0Special �nructions from Cement _ T- F- IACCESS ❑ Good ❑ Fair ❑ Poor DIRECTION PURCHASER'S INITIALS: MS ROOF: GABLE REVERSE GABLE HIP EAVE OVERHANG:. I-V" RAKE OVERHANG: 2e� SEAL DOWN SHINGLES WITH PLYWOOD OR `.-2— WAFERBOARD ROOF SHEATHING AND 15 LB. FELT ENGINEERED TRUSS DESIGNS AND LAYOUTS SHALL BE MADE AVAILABLE ON THE JOB SITE Roof Sheathing FOR THE FRAMING INSPECTION �-- Seal Down Shingles Manufactured Trusses --/ 2" x 4" Double Top Plate NOTE: 1) Roof approved by Minn. State Building Dept. as meeting Minn. State Code Requirements of 30# snow load. 2) ip of co sist ��&ed.� 4 O 8" V r n pl oTI RAFTERS: Trusses®24" O.0 STUDS: 2" x 4" 16" O.0 24" O.C. WALL SHEATHING: SIDING:��0'�T OVERHEAD DOOR HEADER: utile 2" x 12" >r- 2- Micro ams x Slab on grade construction approved per Minnesota State Code. Refer to State Building Code Letter Number 11. SLAB: 4" WITH MESH 6" x 6-#10 Gauge 45 4' Trim 1"x4' Sub Fascia Fascia �— Soffit 3X' Cove 2" x 4" Studs Siding 41/2- x 7" Anchor Bolt i�v q aw �''��C, avo; / `c�� [ . �-- 2" x 4" Treated Bottom Plate Grade WSIGN INFORNIA110N his design is fir an individual building .mrmrnt amf hs. hen based — in finnatiin y -.led by Ibe client. 1 he designer disclaims iy reirs nibilby for dmmagges ns a result if ally er in -me' (nferm-tion, specirrdatimts d/ir designs famished to the Irma desbg9er the client and the cormcaesa er accarory this information as It may relate to a ape - lie project and accepts an mspomibilily or :etches no control with regard to fabria- m, handling. shipment end imtallalfon of ams. This truss has been designed as an dlvMusl building component In Accordance th 'TPI -85' and "NDS -91' to be Incorporated part of the building design by a Building afgner tregstered architect or professional gbneer). When reviewed far epPon" by the iildleg dalgver the design lodmgs shown sit be ebeekd I be sure that the dau shown e in agreement with the Meal building ads. ml elMatit records far wind or snow loads• a nes ficedons or special applied leas. I ass wn, trap bre not been designed for Inge or occupancy lads. The design assumes repression chords (lop or boltam) aro conebm• sly Mudd by sheathing unless otherwise reified. where bottom thonh In tentless ere t Poly braced latemib by a properly applied lid telling. they than fd be braced at a --imam spacing of 10'-0' o.e. ABRICATION NOTES Mr to fabrication. that rebrieator shall review a drawing to vett that this dowing Is In aformaeee uft the febriamr's pleis and to tine a continuing responibiny for such Veri- stMn. Any discrepancies are to be put In iting before em1Mg or fthrieallmt. Connector da shall be manofatiured from 20 gauge pi- nked steel meeting ASTM A446-72.Orade A. 1 dipped gahansd unless otherwise shown. ties shall not be Installed over knotholes, os or distorted grain. Members shall be cat light fhdng wood to woodbaring. Con. dor plates be Mated on both faces of r trans with anis IbQy imbedded and shell be m. about the joint unless otherwise shown. A 4 plate Is 3' wide g 4" long. A US plate Is 6" de g 8' long. Sins (hods) ran parallel to plate length specified. Double cuts on web !mben shell meet at the centroid of the webs lea otherwise shown. Connector plate sizes i minimum sizes based on the forces shown I may had to be Increased for certain hand - 6 and/or erection stresses. This truss Is not be fabricated with fire, retardant treated abet unless otherwise shown. For additional armed= an Quality Control read 'Quality retard for Metal Plate Connected Wood uses. QSr-86 sod TTI Recommended Cale Standard Practice'. RECAUTIONARY NOTES beating and mention reeom seadedom aro be followed In accordance with 'Handling miring & Bracing% HIB -91. Trusses aro to handled with particular can during beading I handling, delivery and IesmBalioe to avoid nage. Temporary and permanent bracing holdloamuses Ina straight "plumb plumb pes- o afor resting lateral force shall be Igaed ed installed by ethers. Cerefal bavd- 1 Is essential and erection lvacfuaa Is always aired. Normal precautionary action for se requires such temporary bracing during utllatlo t between trusses to avoid toppling I druniveiag. The sopervhia" of erection of urs shall be under the control if persons criencod in the installation of trusses. fessienal advice shall be siught if needed. icentratism of constmctirn loads gre-tcr a The design lea& shall nm I. applied In "n At any time. No mads ether than the fight of the erectors shall be applied it, nes will alter all fastening and bracing ampler . 'I.ICE,S rate 'imp -nal' splices al npp,ns. 114 M Irl tcngth from ndjoccat joint ns sb..wu an cs &-sing. Isla' _..,.. ._.�.... .�„�... TOP C9)ORDSt 2x4 SPF #1/#2 (N) BOT CHORDS: 2x4 SPF 1650F -1.5C WEBS: 2x4 SPF STAND (N) MAX LIVE LOAD DEFLECTION s L/999 Ls -0.23” D=-0.10" Te -0.320 I hereby certify that this plan, specification, or report was prepared by me or under my direct supervision and that I am a duly Registered Professional Engineer under ills -laws of rile State of Knnesota . �ir�:�L✓`ti►i�ir� (L��JPeg. No. 12469 T 17,0-Q 12- 1 5 0 TL20-4X4 TL20-3X8 A LAV -JAY A LAV -JAY TL20-3X8 TL20-3X5 T 4-3-15 0-3-15 '110 9 8 3 61 �.�1462# 3.50" 14629 3.50"" 1 10-0 (R1--011 -10) 1!411 24-0-0 (I R1_0.10) EXCEPT WHERE SHOWN, ALL PLATES TO BE TEE-LOK 20 -GA ST scale = 0.2500 WARNING: READ ALL NU'1'ES ON'1'II1S SHL'L"1'. A COPY Of THIS DRAWING TO 1313 GIVEN TO ERECTING CONTRACTOR. BRACING WARNING Eng. Joh: DWg: Dsgnr: J0DY Clik: WO: '1'rt)ss Ill: Date: 4-15-96 TC Live 40.0 psf Durhac - Lbr: 1.15 Bracing6 wn aboon this drawing s sat ereclim binning, wind bmcing portal bracing or similar bracing by TC Dead 7.0 psi All COMPRESSION Chords are assumed to be --Joint .aQ=aJoint Locations-----Qoeso�n=an continuously braced unless noted otherwise. 1) 0- 5) 24- 0- 0 9) 0- 3- 4 Imu hmciog resluimonenis. c.mind building designee (,ruse Plate Institute. TPI, is lecatodm 583 Wotn,frie Drive, h7ndismt. Wisconsin 57719). 1 TOTA 1. 57.0 psf 2) 6- 4-14 6) 24- 0- 0 10) 0- 0- 0 ..TC ... FORCE ... CSI .BC ... FORCE ... CSI 3) 12- 0- 0 7) 15- 8-12 1- 2 -3215 0.92 10- 9 2980 0.70 4) 17- 7- 2 8) 14- 0- 0 2- 3 -2821 0.76 9- 8 1995 0.50 3- 4 -2821 0.76 8- 7 1995 0.50 4- 5 -3215 0.92 7- 6 2980 0.70 I hereby certify that this plan, specification, or report was prepared by me or under my direct supervision and that I am a duly Registered Professional Engineer under ills -laws of rile State of Knnesota . �ir�:�L✓`ti►i�ir� (L��JPeg. No. 12469 T 17,0-Q 12- 1 5 0 TL20-4X4 TL20-3X8 A LAV -JAY A LAV -JAY TL20-3X8 TL20-3X5 T 4-3-15 0-3-15 '110 9 8 3 61 �.�1462# 3.50" 14629 3.50"" 1 10-0 (R1--011 -10) 1!411 24-0-0 (I R1_0.10) EXCEPT WHERE SHOWN, ALL PLATES TO BE TEE-LOK 20 -GA ST scale = 0.2500 WARNING: READ ALL NU'1'ES ON'1'II1S SHL'L"1'. A COPY Of THIS DRAWING TO 1313 GIVEN TO ERECTING CONTRACTOR. BRACING WARNING Eng. Joh: DWg: Dsgnr: J0DY Clik: WO: '1'rt)ss Ill: Date: 4-15-96 TC Live 40.0 psf Durhac - Lbr: 1.15 Bracing6 wn aboon this drawing s sat ereclim binning, wind bmcing portal bracing or similar bracing by TC Dead 7.0 psi Durrac - Pit: 1.15 which b A pan of the building design and which mmr be considered the building designer. Bracing ts be 6 for truss m lateral buckling length. Provisions n(• L1VC n.n f O.C. Spacing: 24.()0 she" support of members only reduce most made to anchor lateral bracing at ends and specilled locallons determined b• the building designer. Design Criteria: UBC Additimtnl hmcing of the overall structure may he regnircd. (See I lin-91 of Tm. rat a —me BC Dead 10.0 IIsi Code Desc: Imu hmciog resluimonenis. c.mind building designee (,ruse Plate Institute. TPI, is lecatodm 583 Wotn,frie Drive, h7ndismt. Wisconsin 57719). 1 TOTA 1. 57.0 psf r• 5 11CS. 0I.rf.9✓, PURCHASE ORDER -- F60475 THIS NUMBER MUST APPEAR ON ALL CORRESPONDENCE SENT TO US THIS DOCUMENT GOOD FOR PURCHASES UNDER $1,000.00 ONLY _ CIT/ OF � 1("� FRIDLEY 6431 UNIV. AVE. N.E. FRIDLEY, MN 65432-4384 612-571-3450 PRINTED ON RECYCLED PAPER. SUPPLIER ADDRESS PHONE NO. CONTACT L Vi U) 117q LAml&00 � A . 11 y��� Jl1 J (� `72 ���©� N 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 PAYMENT AUTHORIZED BY ACCOUNT OTY. UNIT PLEASE ENTER OUR ORDER FOR THE FOLLOWING UNIT PRICE AMOUNT m I --�su or - .3 lood Yxu ch., ��. $ 5% to --, S 0O TOTAL THIS AGENCY HAS AGREED NOT TO DISCRIMINATE IN HIRING PRACTICES ON THE BASIS OF RACE, SEX, COLOR, CREED, MARITAL STATUS, RELIGION, OR NATIONAL ORIGIN AND HAS AGREED 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. WHITE, VENDOR - YELLOW, PURCHASING - PINK, ACCOUNTING - GOLDEN ROD, DEPT. HD. ,:;� , C�, )� LA SUBJECT City of Fridley 2 7633 AT THE TOP OF THE TWINS BUILDING PERMIT r 1 , o COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. 1 . � CITY HALL FRIDLEY 55432 NUMBER REV GATE 9 / 9/98 PAGE OF APPROVED BY 612-571-3450 910415 JOB ADDRESS 876 76th Ave NE 1 LEGAL . BLOCK TRACT OR ADDITION SEE ATTACHED JILS0"o 2(wjOf bo h) 3 Shaffer's Subdivision No. 1 SHEET DESCR. 2 PROPERTY OWNER MAIL ADDRESS ZIP George Scott 876 76th Ave NE 55432 PHONE 785-8945 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Eagleview Construction Inc 2937 174th In NW Andover 55304 753-5469 20076043 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 Cjj REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house & garage (20SQ) 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 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 $1,714.00 $.86 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- $56.75 Fire SC $1.71 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE License SC $5.00 $64.32 IGNATURf OF CONTRACTOR OR AUTHORIZED AGENT ID TEI HEN PROPERLY IDATED AAr BIDG SR THIS IS YOIR PERMIT '_ /%.�� paTE SIGNATURE OF OWNER OF OWNER SUILDERI �DATEI NEW [ ] ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: 76 Legal Description: Owner Name & Address: Contractor: c0# Effective 1/1/98 Tel. # ? S5-- 3? VS - MN LICENSE # -2 o 0 7& o il3 Address: ?q3 7 Tel. # 7 SYG� 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: Construction Type: (Aez4 �� Estimated Cost: $ 1911-1 (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: APPLICANT: Tel. # TOTAL $ 643� STIPULATIONS: 0 %7--= / s—Y'e) CITY USE ONLY Permit Fee $ �. %�^ Fee Schedule on Reverse Side Fire Surcharge $ /. '% .001 of Permit Valuation (1/10th%) State Surcharge $ (o $.50/$1,000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ 643� STIPULATIONS: 0 %7--= / s—Y'e) �QtEVWW CONSTRUCRON, WC. 2937 - 174TH LANE N.W., ANDOVER MN 55304 (612) 753-5469 May 24, 1999 City of Fridley Building Permits Division 6431 University Ave NE Fridley, MN 55432 Dear..Sir or Madam: Enclosed please find the permit of George Scott of 876 - 86th Avenue NE for a reroof of that address. The homeowner has, subsequently decided not to reroof his home. We request that you refund the permit fee of $64.32. If you have any questions, please feel free to contact Jim at (612) 753-5469. Thank you. Sincerely, Eagleview Construction, Inc. im 3zyplinski JS:mas Enclosure r 0 CITY OF FRIDLEY PERMIT. 22004-00894 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 DATE ISSUED: 06/14/2004 (763) 572-3604 FAX: (763) 571-1287 ADDRESS : 876 76TH AVE NE PIN : 113024110072 LEGAL DESC : UNAVAILABLE : LOT BLOCK PERMIT TYPE : BUILDING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION VALUATION : $ 17,438.00 NOTE: SEE NOTATIONS ON PLAN. CALL GOPHER STATE ONE AT 651-454-0002 FOR UTILITY LOCATIONS. PROVIDE SMOKE DETECTORS IN ALL SLEEPING ROOMS AND ON ALL LEVELS OF THE DWELLING PER R317 OF THE 2000 INTERNATIONAL RESIDENTIAL CODE. CONSTRUCT A 12'X 20' ADDITION TO DWELLING; CHANGE LOCATION OF EXISTING BOW WINDOW; ADD TWO EGRESS WINDOWS PER PLAN. STATE LICENSED CONTRACTOR 1 APPLICANT BUILDING PERMIT FEE 293.25 MANN VALLEY CONSTRUCTION (3849) PLAN CHECK FEE 190.61 50-B COUNTY RD E FIRE SURCHARGE 17.44 HOULTON, WI 54082- STATE SURCHARGE, VALUE 8.72 LICENSE SURCHARGE 5.00 TOTAL 515.02 PAID WITH CHECK # 2713 OWNER SCOTT GEORGE D & PATRICIA 876 76TH AVE NE FRIDLEY, MN 55432 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the pr ion other state or local la regulating c ornan a of constructio . Applic ate O t Bldg Ins Dat t� ' SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. NEW [ ADDN ALTER [ ) Construction Address: c Legal Description: Owner Name & Address: Contractor. Andress- 70 — e CITY OF FRIDLEY P # ,%17Effective 4/1/2004 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763)5,71-1287 Fax BUILDING PERMIT APPLICATIONge, 00 o/T%� Tel. # 4�l - -21¢ MN LICENSE # i3(-' .-: —v— _ _'5- z - Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ =$ DATE: APPLICANT: Tel. # z!¢- Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will call you for card number. CITY USE ONLY - Permit Fee Plan Review Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Cha TOTAL $ at�.ZS 17, Width ��' d -l" Height. Sq. Ft. LMNGAREA: Length $ P, 72- $.50/$1,000 Valuation GARAGE AREA: Length _ Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft $ ��r.�N�zE Zz-, Gf �zQnc Agreement Necessary [ ] Not Necessary [ ] OTHER: Z'e) t-�S•f�6X',�. !off Construction Type:� t✓ Estimated Cost: $ Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ =$ DATE: APPLICANT: Tel. # z!¢- Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will call you for card number. CITY USE ONLY - Permit Fee Plan Review Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Cha TOTAL $ at�.ZS Fee Schedule on Reverse Side $ 65% of Permit Fee $ .001 of Permit Valuation (1/10th%) $ P, 72- $.50/$1,000 Valuation $ a� $1350 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 [ ] 's) &. �� 00S. Ste. eta STIPULATIONS: George Scott 876 76th Ave NE Fridley, MN 55432 David Jensen Building Inspector Municipal Center 6431 University Avenue NE Fridley, MN 55432-4384 Mr. Jensen, Per our conversation on Tuesday June 21, 2005 1 am submitting a request for an extension on my building permit #2004-00894. 1 have not finished siding the addition at this time, but don't have much left to do. My construction company finished last fall with the agreement that I would complete the siding. I did complete the front of the house but as you are aware this included hand cutting shake shingles for Arts and Crafts style posts at the corners of the house. I finished those, trimmed the bay window and the front doors, and painted then cold weather set in. It was my intention to finish up this spring but as you remember we had one of the rainiest Mays in history. I did, however get the side porch done which includes hand cut shingles for four more of those Arts and Crafts columns. I also laid the block for two of the three egress windows. am now working on the remainder of the east side of the house. It is my intention to have all of the remainder of the outside done, plus painting and including stuccoing the foundation, sometime this fall ... The end of September. Thank -you for stopping by and providing me the procedures for extending the permit. Sincerely, George Scott Ek 61/2-4" OS -q+1e W {{. �37(v 76 fh AVE REScheck Compliance Certificate 2000 Minnesota Energy Code REScheck Software Version 3.5 Release le Data filename: gscotLrck PROJECT TITLE: George Scott Residence COUNTY: Anoka STATE: Minnesota ZONE: 2 CONSTRUCTION TYPE. Single Family DATE OF PLANS: 05-27-2004 PROJECT DESCRIPTION: Addition to front living room DESIGNER/CONTRACTOR: Mann Valley Construction COMPLIANCE: Passes Maximum UA = 70 Your Home UA = 52 25.7% Better Than Code (UA) Ceiling 1: Flat Ceiling or Scissor Truss Wall 1: Wood Frame, 16" o.c. Wall 2: Wood Frame, 16" o.c. Window 1: Above-Grade:Wood Frame:Double Pane with Low -E Door 1: Solid Window 2: Above-Grade:Wood Frame -.Double Pane with Low -E Wall 3: Wood Frame, 16" o.c. Basement Wall 1: Insulated Concrete Forms Wall height: 8.1' Depth below grade! 7.5 Insulation depth: 8.1' Window 3: Basement> 5.6 ft2:Wood Frame:Double Pane with Low -E Basement Wall 2: Insulated Concrete Forms Wall height: 8.1' Depth below grade: 7.5 Permit Number Checked By/Date Gross Glazing Area or Cavity Cont. or Door Perimeter R Value -V u U -Factor UA 240 44.0 0.0 96 22.0 0.0 160 22.0 0.0 32 0.294 21 0.090 14 0.150 96 19.0 0.0 96 22.0 15 0.294 160 22.0 6 5 5 9 2 2 6 3 4 6 Insulation depth: 8.1' Basement Wall 3: Insulated Concrete Forms 96 22.0 4 Wall height; 8.1' Depth below grade: 7.5' Insulation depth: 8.1' Furnace 1: Forced Hot Air, 80 AFUE Air Conditioner 1: Electric Central Air, 10 SEER Proposed and Maidmum U -Factor Averages Proposed Maximum Average U -Factor Allowed U -Factor Above -Grade Windows and Glass Doors 0.261 0.370 Includes Foundation Windows > 5.6 ft2 COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the 2000 Minnesota Energy Code requirements in REScheck Version 3.5 Release le (formerly _ Ccheck) and to comply with mandatory requirements listed in the REScheck Inspection Ch ist. Builder/Designer Date b REScheck Inspection Checklist 2000 Minnesota Energy Code REScheck Software Version 3.5 Release le PROJECT TITLE: George Scott Residence PLAN REVIEW AND INSPECTION ISSUES This list of items may be helpful for Plan Reviewers and Building Inspectors to use as a guide for enforcing the Minnesota Energy Code. The items apply to Group R, Division 3 Occupancies, one- and two-family residential dwellings. The items marked with * apply only to detached one - and two-family residential dwellings. PLAN REVIEW ISSUES FOUNDATION INSPECTION [ ] foundation wall insulation R-5 minimum [ ] foundation insulation extends from top of wall down to top of the footing [ ] exterior foundation insulation is covered by a protective coating finish CONCRETE SLAB OR UNDER -SLAB INSPECTION [ ] slab on grade perimeter insulation R-5 minimum [ ] slab insulation extends from top of slab to design frost line or top of footing [ ] floors over unheated space R-30 minimum WINDOWS / DOORS / SKYLIGHTS [ ] average U -value is 0.37 maximum for windows and glass doors (excludes foundation windows) [ ] window U -values consistent with building plan and REScheck Certificate [ ] window and door areas consistent with building plan and REScheck Certificate MECHANICAL VENTILATION ISSUES [ ] residential mechanical ventilation system provides adequate ventilation per code requirements* [ ] furnace efficiency is consistent with REScheck Certificate or building plan [ ] protection against excessive depressurization is installed per code requirements* ENVELOPE INSULATION FOR PLAN REVIEW [ ] interior basement insulation R-5 minimum (if no exterior insulation) [ ] ceilings with attics R-38 minimum or consistent with building plan and REScheck Certificate [ ] wall framing and insulation level is consistent with building design and REScheck Certificate INSPECTION ISSUES CONCEALED INSULATION Framing and Sheathing [ ] wind wash barrier installed at attic edge [ ] exterior wall corners framed so that insulation can be installed after exterior sheathing is installed [ ] intersections of interior partition walls and exterior walls framed so that insulation can be installed between the partition and exterior sheathing after exterior sheathing is installed [ ] gaps between framing less than one-half inch are eliminated by securing framing together or are insulated at the time of assembly * all penetrations between conditioned and unconditioned spaces made prior to framing inspection are sealed * Interior Air Barrier [ ] all fire stops are air sealed [ ] pipes, ducts, wires, equipment and flues and chimneys through the interior air barrier are sealed [ ] a sealed continuous interior air barrier is installed on the warm side of the building envelope at ceilings, walls, and floor rim joist areas * [ ] air barrier behind tub and shower is sealed and protected [ ] recessed light fixtures are sealed Envelope Insulation [ ] basement insulation R-5 minimum [ ] wind wash barrier on wall separating house and garage is sealed [ ] loose fill insulation is prevented from entering the eaves [ ] insulation on skylight shafts and walls exposed in attics is supported on the unconditioned side Attic Insulation [ ] attic access panel insulated to R-38 for ceiling panel and R-19 for wall panel [ ] attic card attached to framing near access opening [ ] notification of attic R -value and date of installation posted near building permit inspection card This is a summary only. Other requirements may apply. See the Minnesota Energy Code. Questions? Call the Department of Public Service Information Center at 651-296-5175 or 1-800- 657-3710. CITY OF FRIDLEY PERMIT NO.: 2004-01520 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 DATE ISSUED: 09/01/2004 571-36U4 k'AX: (763) 571-1287 ADDRESS : 876 76 AVE NE PIN : 113024110072 LEGAL DESC : UNAVAILABLE : LOT BLOCK PERMIT TYPE : ELECTRICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION VALUATION NOTE: ELECTRICAL PERMIT BECOMES VOID 12 MONTHS AFTER PERMIT ISSUE DATE. INSTALL SAVERS SWITCH. # INSPECTIONS 1 APPLICANT HUNT ELECTRIC CORPORATION 2300 TERRITORIAL RD ST PAUL, MN 55114 - OWNER SCOTT GEORGE D & PATRICIA 876 76TH AVE NE FRIDLEY, MN 55432 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of wort will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. Applicant Date Bldg Insp Date, ELEC PERMIT FEE - MIN (RESI) 20.00 STATE SURCHARGE, ELEC FLAT 0.50 TOTAL 20.50 PAID WITH CHECK # 117431 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 572-3604 tAX: (763) 571-1287 PERMIT NO.: 2004-01576 DATE ISSUED: 09/13/2004 ADDRESS : 876 76 AVE NE PIN : 113024110072 LEGAL DESC : UNAVAILABLE : LOT BLOCK PERMIT TYPE : ELECTRICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION VALUATION NOTE: ELECTRICAL PERMIT BECOMES VOID 12 MONTHS AFTER PERMIT ISSUE DATE. # 0-100 AMP CIRCUITS 13 APPLICANT SCOTT GEORGE D & PATRICIA 876 76TH AVE NE FRIDLEY, MN 55432 OWNER SCOTT GEORGE D & PATRICIA 876 76TH AVE NE FRIDLEY, MN 55432 ELEC CIRCUIT FEE (0-100 AMPS) ELECTRIC FORM FEE STATE SURCHARGE, ELEC FLAT TOTAL AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of wort will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. Applicant Date Bldg Insp Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 85.00 1.00 0.50 86.50 3uilding BUILDING Permit No.: 241005 U nspections RESIDENTIAL APPLICATION Received B - r63 -572-3604 CITY OF FRIDLEY Date Rec'd: >ATEI ZGi�? YOUR E-MAIL ADDRESS - d ITE ADDRESS' IUS APPLICANT IS: OWNER ❑CONTRACTOR PROPERTY OWNER/ NAME; TENANT ADDRESS:CITY �' _ STATE ZIP PHONE: g5a:/ — �OI CONTRACTOR NAME: STATE LICENSE # EXP DATE SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS: CITY STATE ZIP WITH APPLICATION PHONE FAX PROPERTY TYPE ASINGLE FAMILY/NEW CONSTRUCTION SIZE EftWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING >&HER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW ADDITION ❑ MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE:60E&% d SIZE OF IMPROVEMENT LENGTH WIDTH DIGHT S . Ft. ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: 1. Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION MCLUDING DECKS, ❑ Vinyl ❑Soffit ADDITION& & PORCHES SUBMIT: ❑ Aluminum ❑ Trim I . Site Plan/Survey showing the existing struohm ❑ Other ❑ Fascia and proposed project. 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIAIL'b: (USINTHE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ 0/®� OCCUPANCY TYPE Permit Fee Fire Surcharge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $1550 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$21=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks payable to: City of Fridley Attach 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 nnit 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 whi vires rev' and a al Tans. //!! 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