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PRE 2010 DOCSCity of Fridley SUBJECT ® 1340 AT THE TOP OF THE TWINS BUILDING PERMIT � REQ ` COMMUNITY DEVELOPMENT DIV. ------- L PROTECTIVE INSPECTION SEC. ifs/ / �f10 7 7® r 1 . � NUMBER REV. DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-560-3450 910-1715 3/33/76 JOB ADDRESS 1641 - 76th Avenue N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. l 1 Ouimette Terrace SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Village Builders, Inc. 6048 Lakeland Avenue North 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 8 DESCRIBE WORK Construct a 40' x 2516" Dwelling and a 20' x 24' Garage 9 CHANGE OF USE FROM TO STIPULATIONS Locate house back 35 feet from the front property line (36'2" from foundation wall). Provide truss design. Provide a hard surface driveway. Provide a verifying survey before capping. Provide sod in the front and side yards. SEWER LOCATION: (Approx. 11' Deep) 45' West of Manhole (Inv. 896.85) WYE ELEVATION: 896.36 TOP OF FOOTING: 899.36 Minimum WATER LOCATION: 10' east of sewer service. NOTE: The City of Fridley does not guarantee the accuracy of utility locations and elevations. This data is for information purposes only and persons using it should verify the information on the site. 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 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 R-1 24,816 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 $30,980 $15.49 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. yi`45.91 $350.00 PLAN CHECK FEE TOTAL FEE 411.40 SIGNATFCONTR C OR OR AUTHORIZED AGENT (DATE) HEN PROPERLY VA AT D THIS IS YOU,JPI P Epp MIT ♦- BLDG INSP DATE et SIGNATOREOF OWNER IIF OWNER BUILDER) (DATE) i or wY = f A 5U 5� 9 a o = i FT --T i i AL APPLICATION FOR RE:SIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY 017 FRIDLEY, MINNESOTA c? (V, OWNER' S NAME : Vill age Builders , Inc. BUILDER: same�� ADDRESS: 6048 Lakeland Ave. No. ADDRESS: NO:. 1641 STREET: 76th Avenue N.E. Fridley LOT; 1 BLOCK: 1 ADDITION: Ouimette Terrace CORNER LOT: INSIDE LOT: X SETBACK: SIMARD: Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: C� Resident Front: 40V Inrkcl Depth: 25' 6" Height: x Square Feet. -/4 7L. Cubic Feet: 46,9 Front: -'! -2,0 Depth: -PZ500e _ I•Ieight:—!/6 Square Feet;—, P'04�-_rCubi.c Feet: d5r �.� Type of Construction: � nn7p famjI3, Estimated Cost: To Be Completed: ` July 1. 19M,Fi 36 The undersigned hereby makes application for a permit for the work herein specified, aorceing to do all work in stxict accordance with the City of Fridley Ordinances and rulings of the Department: of uuildings, and hereby declares that all the facts and representations stated in this application are true and correct. DATE: 2/24/76 SICNA9.7ME : (See Reverse Sid- For Additional luformation.) 6��ot�.4iiON a I V1111 Sun. 45-1 5�G , 3;iro. 00 _ ,coc,+ra Acov& 84C -IC 3.f F IOM FjeeN r AeOA. •.'AJE L 3 4 '—.Z'4" ie,to� ,eoc�w vA-r�v� W N'LL ) . C.r) fi epaosp . 7'&4s ie or two family�Wellfng V' .1 Other owner ! -Site Address 641 -76th Ave. NE. Fxidlev. MN' Plan 950- aeior Date Phone ft. / 4 ��'� J (U) (A) Q3`; Hul' x e§q. ft. �(� `C,S = � � L Fr. of • . ® MALL , . + + + + + + + X/ ;Sfit. above grade =J X Sq. ft. _ TOTAL EXPOSED ALL AREA SQ. FT. (A) E OOi�TSTRUCl'I�T: "U" value xarea "U"x / 3, 3 ? g , y (U). '(A) (A) in roof x sq. 1 reference "U" �i V1, 13� "U" x sq. x sq. ft � _ _,,__ (U) ft. e_ �G (U) (A (A) from hed sheets = 'U" /, "U" x sq. p x sq. ft. _ (U) = (U) (A) (A) "U" —sluffg X sq ft. _ (U) (U) (A) (A) sq ft _ lwimms:r(,.�t"U" value x area 1 type J!✓'� �� " " U n� _ 4� x ►O ft. / 4 ��'� J (U) (A) Q3`; Hul' x e§q. ft. �(� `C,S = x sq. _ ft. (U) (A) ft. X Sq. ft. _ .�O (U) (A) A n ` " "U"x sq. ft. _ (U). '(A) (A) DOORS "U" value x area MMM & Type 00A "U" . ,5 ti X sq. 5�X sq. " null X sq. _ TOTALS �G' 90. TOTAL (U) (A) VALUES �� _ , a 9 AVG. "U" DrTMED BY TOTAL MM AREA r. , - I G eo "U" .17 or lesg for 1 & 2 family dwellings .22 or less for all other buildings ft. _ . (U) (A) �a Sq. ft. ZUTAL AREA: 2 C) sq. ft. Detail reference '-^r�i� A Q3`; Hul' x e§q. ft. �(� `C,S = '� , Vo (U) (U) (A) (A) from"Ua° X 5q. ft. attached sheets, "U" x sq. '-(U) ft.. _ _ (U) (A) ( (A)"U" Describe openings x sq, flu" ft. (U) (A) in roof x sq. ft. - --- T`7TAL.S ft. TOTAL (U) (A) VALUES DrTMM BY TOTAL ROOF/ CEILIl\G %' 2,0v AREA AVERAGE "U" .05 for ventilated roofs .10 for all other construction NOTE: If average "U" values as calculated above do not meet the Energy Code requirements,, the "Alternate Envelope Design" as outlined in SBC 6006(g) may be used. Additional sheets aragi be used to show calculations. . Applicatim for Feww Maids mW He ng, Ventiiatian, Refdgefulloll and Air CAmd1tioning S and Devices PARTIAL RATE SCHEDULE Dept, of Bldge. Phone neo -3490 ORAVLTT WARM AIR: PNnMaee Shell & Duct Work Replacement of Furnace Repairs & Alt( -rations-- up to $500.00 Repairs & A iterations each add 8.500.00 M19M WAM AIR Furnace Shell & Duct Work to 130,000 BTU each add. 60,000 BTU Replacement of Furnace Repairs do Alterations --up to $500.00 Repairs & Alterations each add. $500.00 STEAM or HOT WATER SYSTEM RATE TOTAL $10.00 $ 6.00 $ 600 S. -- 3 00 $— _ 31000 3AX) 600 S 6.00 $..- _ _-- 300 $-_ - - Furnace .shell & Lines-- to 400 sq !t F.DR Steam 4.I000 $ --.- _ Furnace Shod & bine.. to 640 sq ft. EDR Not Water 1000 $ 4 Each add 200 xq ft EDR Steam '400 $ — Each add 320 sq ft FDR Hot Water 3.00 • OIL BURNER-- to 3 gal per hour 6.00 over 3 gal. per hour -See Fee Schedule _ GAS BURNER (up to 199,000 BTU) 11.00 MOT 199.000 BTU Soo Fee Schedule aA6 rITT1NG vir.S: IIO RATE TOTAL lel :1 Flxturea . x$ 200 3 '9"00 Additional FIxtureas —_ x .76 Gas Range to 199.000 _ x$ 5.00 3_ — Alli GONDITIOXMG FAX IMTIIIG SYST= V EN rEL lTWO BYST111 w ALTERA770112 f3 REPAJM MAI. t� Sae Fee sched as TOTAL TIM , Locatknat _C-7 City of FYtdley: 7 19 The undersigned hereby makes application for a permit for the work herein specified agr(reing to du all work in strict accordance with the City chdinancet and ruling of the Department of BmIdings, and hereby declares that all the facia and representations stated in this .ipiAication are true and correct. Fridley. Minn. _19 Kind of Building._-_ - -- -- _-- _-_ tJsed as �_7? V./ /_ e�r — -. _ TO he eompleltA about .t - Estimated e'o�t, $ /®fv aS 1_01- ew. uilding Permit No _._ Permit DESCRIP 7ON OF WORK HEATING or POWER PLANTS -Steam, Hot Water, Warm Air No_� _ Trade Name_fC��%9 -. ___-- _- Sts, _/.vim RV 7' t apacily Sq R FIlRf�'O" 1 -_ RP Total r iginerted Load RIM of 11re1 e5;, 'V'-0 BURNER — Trade Name_ dam �! -._._ .__-. 412.0 No.._ Capacity 4481MAaata-OY1a) Sq. Ft. E.D.R. GE . G17AN ZIN-1NG CO. 1001 XENIA AVE, SOUTH M -NNEAPOLIS, MN. 55416 - StVwd_- —_ 545.161.1: >ST 9ntadnas Psaaia cii-i of r7181Ay Dept. of Bldcz. Phono S:'0 -3M DESCRIPTION OF V on— � � � � %' �• ��;, 1:umS.r, Y.ird n'nd Lecrtic•n o! Flmh.7e3 Lo:: t:11 'a NO. RATE TOTAL .q' i< N'�< R 7 7<�7 U ► N WAT[4 NTIl. r,As tuc. 1<b < ..ew Fixture Old Opening.......... x 51.50 3 .._. z �i v� <tiu __. x $3.25 3 ua;up - 0 b •. •• ' Water Beater 'Up to x3.000 BTU). • • • x 53.00 $ • ROUGH • New Ground Run Old Bldg....:.... x ;3.25 5----- �'•c:rrc z $2.CJ sAS l:TTI:1G FEES: N0. Fin TE TOTAL 1x3:2 1 x $2.00 . Addlticnal Fixtures ............... ------ x $35 5 Cs R%_e to 193.060 BTU .........:. ____-_-- x $5.03 r . State StarCharge ALTI:RATIOY.S—P.o!er to Coda .50 .1?e:cri jtlOn ................ ........ • .............. • TO -AAL FTSE .s: 3rd Old CJrs:lrss PARTIAL RATE SCOHEDULE Sonar Cc-zpaol City of Fridley:. The undersigned hereby :rakes appllcation for a permit fcr the' cork here! speciVed, ag;ccing to do a'1 %vc:k in strict accorda-te with the Cid and ruling of the Department of Build.'ngs, and hereby declares that ZU L`:e fae • and mpresmtations stated in this application are true znd correct' G Fridley, Minn 1j7 1 n , Owner .1�`r; o U g2-� � a Kind of Building �si dX �re•aQ-_ Used as To be completed about %�� Estimated Cost, $_..,/ `3 eo Old New. u': ding Permit No. L'v'F+iBII 0 f 1XTU; E RATES: NO. RATE TOTAL c�GO �� x S Sirncd Number Fixtures ................ . ! ..-• - Future Fixture Opening ..........'. x 51.50 � S '�:� By '7446 Businums Phone No ..ew Fixture Old Opening.......... x 51.50 3 .._. Catch Basin .................... __. x $3.25 3 - 0 b •. •• ' Water Beater 'Up to x3.000 BTU). • • • x 53.00 $ • ROUGH • New Ground Run Old Bldg....:.... x ;3.25 5----- �'•c:rrc z $2.CJ sAS l:TTI:1G FEES: N0. Fin TE TOTAL < .................. . I_t 3 Fixtures x $2.00 . Addlticnal Fixtures ............... ------ x $35 5 Cs R%_e to 193.060 BTU .........:. ____-_-- x $5.03 r . State StarCharge ALTI:RATIOY.S—P.o!er to Coda .50 .1?e:cri jtlOn ................ ........ • .............. • TO -AAL FTSE • • 53-84-9915 51 • Cj 'j G4 r—didICY ' • ; larlic:sii�n uet Plurri:s j: �.�� — n m*aiau P -emit . • 6666 . Dop't. of 13ldaa, Phone Sc"J•3450 DESCRIPTI02{ 0: 470111: LOCAL HumSsT. Mkid and Lecr:it`n of Flxtures WATt� NYC of ridley: ' I= 2 The undersigned hereby nukes app'1caGon for z permit for t!:r 'work o I'<<Ti t g i M o 7 7 7' ► w aas nta N is a IS 3 a ,s • a C specified, a� Being to do aU ��ork fa strict acco:Carce with the CiCI 0:�: _ I t IIuila'aZr and hereby declare•$ that all to Es:r ` I I . mrnar c r 2 .i.Ja 3:d • FVt. ::o C4r.."d5ca Crrdlm s Raw Futuro. Old Op-sr.Ln;s PARTIAL RATE SCHEDULE ua'war 0 cca.spaol 0 L {BItiG FIXTU?E RATES: KO. RATE TOTAL x .,-. S Number Fixtures • • • . • .. • ........ •�--- Future Fixture Opening • • • • • •'• • • • • ---- x 51.50 S , -••-- New Fixture Old pyrninr. •,• • • •'• • • • x 51.50 i._. -:--- x53.25 S Catch Basin .................... _.�—. Water 1{ester 'Up' to i'r9.000 BTU) .. • . ...�..- x .3600 S • %tw Ground Runt Old Bidg.:..:..:. _------ x :1.25 5 Vecte.c Water H.atar... x Mco S TOTAL 1AS ;'1TT11G TEES:K0. Rl+:':: 5•. - • Ist3Flxturei '••••' -"-'x32.0 X .75 s (1dr1t1Nnil Fixtures ... • 6 0 4 4.• • . • • • �•� G:s Ft:=;e to 199.000 BTU ........... ------ x SS.CO 5. ------- and ruling of the "pa:tmeat o • and rep:escrtatlons stated is Lhis appUcaion are true asd co - Fridley, Man 7-26-76 Owner Village Bl s Kind at Building frame res. Used as To be completed about i-246 . ' 10.00 • Estimated Cost. 3 Patai Old—M= Building Permit No. 7 ® ^`�•" - Sizncd , ' MINNEGASCO • By Businu s Phare No . ROUGH o 50 State Surcha: ge ALTERxT20NS—R&-oar fo cods 6 • TOTAL M5---5 -- . • 560-3450 Cit 'y of 7riAe'y ANOKA COUNTY 6431 UNIVERSITY AVENUE NE July 28, 1976 FRIDLEY, MINNESOTA 55432 Village Builders 6048 Lakeland Avenue North Crystal, Mn. 55428 Re: Final Inspection at 1641 - 76th Avenue N.E. Dear Sirs: A final inspection was made on July 28, 1976 of the above address. The following items were noted and must be completed before the construction can be finaled out; 1. Install door closer on door between house and garage by August 6, 1976. 2. Install hanger on joist for foyer by August 6, 1976. Is any problems arise that will prevent you from completing these items by the appointed date, please contact us. A reinspection will be conducted on or about August 6, 1976 to determine compliance. Sincerely, DARREL G. CLARK Community Development Adm. DGC/mh CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR Effective On Jan 1, 2000 � IQ Q _ �� The undersigned hereby makes application for a permit for the work herein � � R .. ® .•sem x ® • �g WYi[r� and rulings of the Building Division, and hereby declares that all the facts Blow Off Basin 'fid. �®�li Catch Basin $ 7.00 GUSTAFSON, LARRY Rain Water Leader $ 7.00 1641 76TH AVENUE NORTHEASTb . 200 Sump/Receiving Tank $ 7.00 FRIDLEY, MN 55432 (763)786-4003 Water Treating Appliance $10.00 Owner Water Heater -Electric $ 7.00 Water Heater - Gas'" —j—$10.00 Building Used As &6kovi Cet, Gas Range'" Gas Dryer** $10.00 $10.00 _ Estimated Cost PERMIT NO. A,? Back Flow Preventer Required ( )Yes O No r� Type $15.00 PLUMBING COMPANY o c�i� C"7� r✓1Ca11�1 C Reinspection Fee $47.00/Hr SIGNED BY TEL N0.Z` - 0 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance Approved By Rough -In Date Final Date State Surcharge $ •50 TOTAL FEE $- MNMWM FEE FO ANY PLUMBINGIGAS PERMIT IS S20.00 PLUS THE S.50 STATE SURCHARGE COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE PLUMBING FIX"i URE RATES: NO. RATE TOTAL JOB ADDRESS 541YI - Ite- a4>.) IE� 12- - New Fixtures $ 7.00 The undersigned hereby makes application for a permit for the work herein Old Opening, New Fixture $ 4.00 specified agreeing to do all work in strict accordance with the city codes Beer Dispenser $ 5.00 and rulings of the Building Division, and hereby declares that all the facts Blow Off Basin $ 7.00 and rel and correct. Catch Basin $ 7.00 GUSTAFSON, LARRY Rain Water Leader $ 7.00 1641 76TH AVENUE NORTHEASTb . 200 Sump/Receiving Tank $ 7.00 FRIDLEY, MN 55432 (763)786-4003 Water Treating Appliance $10.00 Owner Water Heater -Electric $ 7.00 Water Heater - Gas'" —j—$10.00 Building Used As &6kovi Cet, Gas Range'" Gas Dryer** $10.00 $10.00 _ Estimated Cost PERMIT NO. A,? Back Flow Preventer Required ( )Yes O No r� Type $15.00 PLUMBING COMPANY o c�i� C"7� r✓1Ca11�1 C Reinspection Fee $47.00/Hr SIGNED BY TEL N0.Z` - 0 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance Approved By Rough -In Date Final Date State Surcharge $ •50 TOTAL FEE $- MNMWM FEE FO ANY PLUMBINGIGAS PERMIT IS S20.00 PLUS THE S.50 STATE SURCHARGE COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE CIT' OF FRIDLEY INSPECTION 6431 University Ave NE Fridley, MN 55432 572-3604 RATE SCHEDULE DIViSION APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB JOB ADDRESS 14 l 1 Residential Furnace Shell and Duct Work, Burner - Also Replacement Furnace (Side Vent - Fill Out Back) Gas Piping (Needed with new furnace, but not replacement) Gas Range Gas Dryer *Air Conditioning - All Sizes All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work Commercial/Industrial 1.25% of Value of Appliance or Work Rate $ 30.00 $ 10.00 $ 10.00 $ 10.00 $ 25.00 State Surcharge TOTAL FEE MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $47.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. Effective On May 10, 1999 N� OWNER L��t lrr C�� .1 /? �^_ "� TOTAL �J BUILDING USED AS (�'S 'Ce"6"- $�� ESTIMATED COST PERMIT N0. DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units_ Circle One (Steam) (Hot Water) arm Air) $ Tradeame c.9 Size No.:)a BTU ® 6� HP EDR $©� Fuel Total Connected Load Burner Trade Name Size No. $ BTU HP EDR $ The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes an $ .50 rulings of the Building Division, and hereby declares that all the facts and S� representations stated in this application are*true and correct. t0MG P.M AIR ,590 WEST LAS STREIF V�WWApous, mm VAMM HEATING CO Y� Approved By Rough -In Date Final Date FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes () No ( ) 2. Is free from rust or deterioration Yes () No ( ) 3. Has no foreign objects lodged within Yes () No ( ) 4. Is securely supported Yes () No ( ) 5. R Meets all current Code requirements for size and total BTU's connected Has total heating BTU's of Yes ( ) No ( ) All other BTU's TOTAL BTU's 7. Has a liner been provided for water heater Yes () No ( ) 8. Has combustion air been provided for water heater Yes () No ( ) Remarks: List ALTERATIONS Being Done: HEATING CO: Signed By: Date: