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PRE 2010 DOCS01 SUBJECT City of Fridley FT�ro AT THE TOP OF THE TWINS BUILDING PERMIT r RECE NO. • COMMUNITY DEVELOPMENT DIV. f PROTECTIVE INSPECTION SEC. 1 = � CITY HALL FRIDLEY 55432 NUMBERDATE PAGE OF APPR VED BY 612-571-3450 910-F157RE 10/17/89 JOB ADDRESS 125 - 76th Way N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 5 1 Oak River Estates SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Charles Westling 5536 - 7th Street N.E., Fridley 572-0823 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. 8 USE OF BUILDING Residential 7 CLASS OF WORK NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 381.x 261 Dwelling (61x121 Foyer); a 34' x 24' Garage; and a 16' x eS/�lEPARAT�pE g �a 9 CHANGE OF USE FROM NYIRING,T6-'IEATINGs PLUMBING AND SIGNS. STIPULATIONS Provide Sod in the front and side yards. Provide a hard surface driveway. Provide City with copy of verifying survey before capping. Paid $1500.00 Park Fee. See notations on plan, SEWER LOCATION: 98' West of Manhole at center of cul-de-sac. Inv. Elev: 852.38 WATER LOCATION: 90' West of Manhole measured along sewer line. Mini mv.,-�> 856.00 (of finished floor, lower level) e`r,nS Before dig";i n( C211 for THE CITY OF FRtI a .h' '-I_I,�>";'+N T FE TH" all utility locations ACCURACY OF UTIL_IT`i I -I ---: .�_) '_E''ATIOINS). 41541-0002 THIS DATA iS t FOR INFR-0; ;r�ON,' f 1�;� USES ONL'Y' @ B�/ LAW W AND PERSONS, IJ5'.ING INI OMOvIai10N SHOU'LE VERIFY !T ON' T'1-112: 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 HEREBY CERTIFY THAT 1 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 $80 000 $40 00 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $549.50 $575.00 STRUCT N OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE 02,3 -i E (0-2,3- i A 1 $1164.50 + PF SIGN URE OF CONTRACTOR OR AUTH ENT IDATEI` N W EN PR PE V LI ED THIS IS YOUR PERMIT /04 9 LOG INSP SATE SIGNATURE OF OWNER IIF OWNER BUILDER I IDATEI 01 NEW [ ] Attach Permit Fee Effective 5/1/88 ADDN [ ] $ /7/0,00 I-1 AND R-2 ALTER [ ] $ Building Piermit Application $ A, OD , 06 Construction Address: A)w,, legal Description: 40-r Y7f K I Q'&x KrJli� �TS�°flTs�� - Owner Name & Address: Contractor: _—ill tag tJ L; - Address: Address: 1,;% n-t'f - S 3 6 - '? i � ST- T Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. nuc aN OF nM)VEM r 2- �F7sK . ISVIlaG AREA: length _ _ Width Heid 2 Sq. Ft. i Lo 16 GARAM AREA: length- 3 L( width 2- L/ Height q Sq. Ft. F/ 4o DECK AREA: length tp Width _� Hgt/Grm-d Sq. Ft. 1-( Z oma• Conner Lot [ ] Inside lot [ 4 Ft. Yd Setback 5'0. Side Yard Setbacks ' 4 / z Type of Constniction: o F,, -,g ms-- Estimated Cost: Approx. CmPletion Date: ;rAj l S 1 v Proposed Driveway Width If New opening Is Desired: _LL—Ft. $ $. `'� Width + 6' See Back Page DATE: �IAPPLICANI': +FiS . ly� S T` �f &, Tel. # 19-% 2 -oa Z 3 $-2.L' IZ Permit Fee $ State Sur&arge $ /7/0,00 SAC Marge Driveway Ess=ow $ Park Fee $ A, OD , 06 Sewer Main Qzarge $ --0- - O $a . S0 S'I'IPULATIMS: CITY USE Oi�II�Y Fee Schedule on Reverse Side $.50/$1,000 Valuation $575 per SAC Unit Alt. "A" or Alt. "B" Above Fee Determined by Emjineer; n + *r* Necessary [ ] Not Necessary [ ] LOT SURVEYS COMPANY, INC. LAND SURVEYORS REGISTERED UNDER LAWS OF STATE OF MINNESOTA 7601 -73rd Ave. No. 560-3093 INDUSTRIAL— JUDICIAL Minneapolis. Minnesota 55428 COM MERC IAL —TOPOGRAPHICAL ur12EDrs C�Er#ifirtt#r CITY LOTS — PLATTING DOUG PETERSON 5ety" SVC qg W oF ftlamvie G+Cen►cr df -Ae. iAv e)-ou: 8S'2.38 ''••tt oo�� �" p Vt/4�W �c(V17G 90 W ,�F /hPP�1OlL /►iFosW-ed aB®-.+y a�ewyr l�v`�. O G Lot 5f.Block 1, OAK RIVER ESTATES llrILrr-f 4 P=iwh e i C-1-14 ,T 1 0 1 INVOICE NO. F. B. NO. SCALE 1" 30F O — DENOTES IRON We hereby certify that this is a true and correct representa- tion of a survey of the boundaries of the above described land and the location of all buildings and visible encroachments, if any, from or on said land. Surveyed by us this 23rdday of t!'n G' 19 86 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 RESIDENTIAL RATE TOTAL Furnace Shell and Duct Work, Burner (Also replacement furnace) $ 20.00 $ 20 Gas Piping $ 10.00 S l a (piping needed with new furnace) Gas Range $ 10.00 S Gas Dryer $ 1Q.00 S %6 • Air Conditioning (all sizes) $ 10.00 $ 0 All Others/Repairs and Alterations 11 of Value of Appliance or Work S COMMERCIAL/INDUSTRIAL 11 of Value of Appliance or Work State Surcharge TOTAL FEE Reinspection Fee ($15.00) Rough Inap. Date Final Insp. / _ 6 Q 19 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. S $ .50 $ Job Address Z 7 — I `^' A, Department of Buildings, 6431 University Ave. N.E., Fridley. MN 55432 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.p p Fridley,Minn. ( O- 2- 7 . 19 0 1 ` 1 OWNER `�A�l �'S V • `�'E ST 1 ,-a Cr KIND OF BUILDING 'n l-1 oM E — �2V +k V - USED AS {2 S + a L L TO BE COMPLETED ABOUT ESTIMATED COST OLD - NEN BUILDING PERMIT NO. Z a (' O PERMIT NO. DESCRIPTION OF FURNACE/BURNER HEATING or POWER PLANTS, Steam, Not Water, (ears Air No. P Trade Name 44� 1 L. / q J 9% E f F Size No. S 5 M (>T U Capacity Sq. Ft. EDR BTU !�S (U HP Total Connected Wad Kind of Fuel , (o F1S BURNER - Trade Name Capacity Sq. Ft. EDR Size No. BTU HP CompanyAJ L -/ r ✓/ ,, QI Signed By ( / v GU.L ! 4tL— Tel. No. -�--7Z'O0 Z3 Fill out back side for stack verification on replacement furnaces CHIM14EY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack; 1. Has been carefully examined Yes (,] No ( ) 2. Is free from rust or deterioration Yes ( ) No ( ) 3. Has no foreign objects lodged within Yes ( ) No ( ) 4. Is securely supported Yes ( ) No ( ) 5. Meets all current Code requirements for size and total BTU connected Yes ( ) No ( ) 6. Has Total heating BTU's of All other BTU's TOTAL Remarks Company Signed By Da to CITY OF FRIDLEY APPLICATION FOR PWMBING AND GAS FITTING PERMIT RATE SCHEDULE PLUMBING FIXTURE RATES: 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 Back Flow Preventer Required. Type NO. 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 TOTAL $ DD $ oo Yes ( ) No ( ) $ 5.00 $ ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1% of Value of Fixture or Appliance Reinspection Fee $ State Surcharge ($15.00) TOTAL FEE Effective Date May 1, 1988 Job Address 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 (� `Fr1idley, Mn. (o 2 , 19� OWNER \ 1-EPr2 L 6_'5 V W f ST (_ -J& KIND OF BUILDING 4- O Vti %r� — �2�rrti� T USED AS (c & G, 0 C- 0 G eS TO BE COMPLETED ABOUT ( 1 9 b ESTIMATED COST OLD - BUILDING PERMIT NO. Z ( 6 PERMIT NO. Company ()(J awl IC IC Signed By� Tel. No. S Z C-) D Z- 3 ROUGH INSP. Date FINAL INSP. (/ Da e APPROVAL FOR PERMIT PIINIMU-M FEE FOR ANY PLUMBING PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE W b U K N Water mm E d .11 tP Heater .0) N yy.�� N WO N m N al p po a ani m m �• O 8 +� m43 e a .G itl u a m 3 a w° boi w v an a c� o s lec vi 1st t Z 2nd 3rd 4th (R) = Future Connection Opening Connected with Sewer (*) = New Fixture, Old Opening Water RATE SCHEDULE PLUMBING FIXTURE RATES: 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 Back Flow Preventer Required. Type NO. 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 TOTAL $ DD $ oo Yes ( ) No ( ) $ 5.00 $ ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1% of Value of Fixture or Appliance Reinspection Fee $ State Surcharge ($15.00) TOTAL FEE Effective Date May 1, 1988 Job Address 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 (� `Fr1idley, Mn. (o 2 , 19� OWNER \ 1-EPr2 L 6_'5 V W f ST (_ -J& KIND OF BUILDING 4- O Vti %r� — �2�rrti� T USED AS (c & G, 0 C- 0 G eS TO BE COMPLETED ABOUT ( 1 9 b ESTIMATED COST OLD - BUILDING PERMIT NO. Z ( 6 PERMIT NO. Company ()(J awl IC IC Signed By� Tel. No. S Z C-) D Z- 3 ROUGH INSP. Date FINAL INSP. (/ Da e APPROVAL FOR PERMIT PIINIMU-M FEE FOR ANY PLUMBING PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE CiTYOF FRIDLEY CIVIC CENTER - 6431 UNIVERSITY AVE. N.E. FRIDLEY, MINNESOTA 55432 - PHONE (612) 571-3450 February 27, 1990 Mr. Charles Westling 125 - 76th Way N.E. Fridley, MN 55432 Re: Final Inspection at 125 - 76th Way N.E., Fridley Dear Mr. Westling: A final inspection was conducted on February 22, 1990 of the above address and the following items were noted which must be completed before the structure can be finaled: 1. Provide sod in the front and side yards by June 1, 1990. 2. Provide a hard surface driveway by June 1, 1990. We will expect these items to be completed by the scheduled date and a reinspection called for. If you have any questions on this matter, please feel free to contact me at 571-3450. Sincerely, C::" alo DARR L G. CLARK Chief Building Official DGC/mh I / SUBJECT PER City of Fridley 314 0 AT THE TOP OF THE TWINS BUILDING PERMIT t RECEIPT NO _ COMMUNITY DEVELOPMENT DIV. t INSPECTION SEC. r � PROTECTIVE t 1 . t �•� CITY HALL FRIDLEY 55432 IL NUMBEA qEv DATE Of AvagOvEO BY .... J%, L 612-571-3450 910-F15 10/ 13/00 FPAGE / JOB ADDRESS 125 76 Way NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 5 1 Oak River Estates SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Fred/Shirley Arbour 125 76 Way NE 763-574-2408 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Lundy & Company 6561 Fawn Lake Dr NE, Stacy, MN 55079 651-462-4637 7555 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 0 NEW ER ADDITION 0 ALTERATION 0 REPAIR 0 MOVE 0 REMOVE 8 DESCRIBE WORK Construct a 12' x 8' & 16' x 10' Deck 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. WARNIMm- RATE PERMITS Before digging cell for REQUIRED FOR: all utility locations WIRING HEATING4540002 PLUMSINd AND SIGNS REQUIRELD Ina IV LAW SEPARATE PERMITS ARE REOUIRED 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 A INED THIS APPLICATION 1 STALLS GARAGES SAME TO BE TRUE AND FIRE T. LL PROVISIONS OF LAWS VALUATION SURTAX CES GOVERNING THI TYPE OF ORK WILL BE COMPLIED $2,816 $1.40 PECIFIED HEREI OR N T. E GRANTING OF A PERMIT U TO G VIOLATE OR CANCEL THE PERMIT FEE SA HARGE FS O LOCAL W REGULATING CON. $83.25 F e SC $2.82 THE P F CONSTRUCT N RS�GN PLAN CME E O AL FEELic L FEEACT se SC $ 0 92.47 AOR AUTHORIZEDAGENT iDATE, H PR LY VA ED THIS IS YOUR PERMIT J! -64 B �NSPDAtE SIGNATURE OF OWNER IIF OWNEA BUILDER. iOATE, I / NEW [] ADDN [] ALTER [ ] Construction Address: `� 5 Legal Description: Owner Name & Contractor: LIVING AREA: GARAGE AREA: DECK AREA: OTHER: (0(763)572 /1/2000 CITY OF FRIDLEY dg Insp SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION J .5' 5 J % Ll'r'4 v d` Tel. # 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 IMPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length T� , -6 Width Hgt/Ground ,,__�__ Sq. Ft. 450W(6 01),yy Construction Type:% W AF Z) Estimated Cost: $1 Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ =$ DATE: O 4APPLICANT: Zd` r8a o CITY USE ONLY - Call (763)) 672-3604 for Permit Fees if mailing In application Permit Fee $ ?� Fee Schedule on Reverse Side Fire Surcharge $ 001 of Permit Valuation (1/10th% State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $1100 per SAC Unit License Surcharge $ S, $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 $ STIPULATIONS: I SUBJE& I City of Fridley 7�' 3 662 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. J r�J j PROTECTIVE E � _ I 1 CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY ''j 612-571-3450 910415 3/6/01 JOB ADDRESS 125 76 Way NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 5 1 Oak River Estates SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Frederick & Shirley Arbour 125 76 Way NE 763-574-2408 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Wellington Windows 3938 Meadowbrook Rd, St Louis Park, MN 55426 952-933-6300 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. City License 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW O ADDITION O ALTERATION j7 REPAIR O MOVE ❑ REMOVE 8 DESCRIBE WORK Replace windows within existing openings 9 CHANGE OF USE FROM TO STIPULATIONS Provide smoke detectors in all sleeping rooms and on all levels of the dwelling per Section 310.9.1.2 of the 1997 Uniform Building Code. Permit Inspection Cards Will Be Mailed To Homeowner To Post 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 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 $4,204 $2.10 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- 111.25 Fire $@4.05 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION Ali PLAN CHECK F TOTA FEE 117.40 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT iDATE, HEN OP ALIDAT THIS IS UR P IT //j �O BLDG NSP r)ATE S-GNATURE OF OWNEROF OWNER SUILDERi J ATEi NEW[ ] Effective 5/10/99 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FANIILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: 2 �1` -+� Legal Description: Owner Name & iA__d''dres : lz Contractor: Address:9 n�i i1o, rr Tel. # MN LICENSE # H/VTel. # Attach to this application, a Certificate of Survey owe lot, with the proposed construction drawn on it to scale. DESCRIPTION OF I NIPROVEMENT 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: ReAc",-M�MrX(I�U,� Estimated Cost: Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: ;1PFOl APPLICANT: C Tel. # 4� CITY USE ONLY Permit Fee $ `/ e Fee Schedule on Reverse Side Fire Surcharge t-/05' $ d .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $1050 per SAC Unit License Surcharge $ _. r�- $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 [ ] TOTALS - 11 -7", $ -- I= STIPULATIONS: If .NE ■o LOT SURVEYS COMPANY, INC. ^ LAND SURVEYORS REGISTERED UNDER LAWS OF STATE OF MINNESOTA 7801 -73rd Ave. No. U0-3093 INDUSTRIAL —JUDICIAL Minneapolis. Minnesota 55428 COMMERCIAL—TOPOGRAPHICAL 4,uriaegars Cler#ifirtt#e CITY LOTS — PLATTING 1 Top of Block Elev. = 864. Lot 51,Block 1, OAK RIVER ESTATES LJTI L. i T`f # VP1�11 ld�C . �(�l`i ElJI Sb•0 1 1 .eA a 1.4 ':Z' f elr=> * . I— INVOICE NO. 8543 F. B. NO. SCALE 1" _ 301 O — DENOTES IRON , �/ " °tpo-000 4ild We hereby certify that this is a true and correct representa- / tion of a survey of the boundaries of the above described land and the location of all buildings and visible encroachments, If any, from or on said land. Signed Surveyed by us this 44thday of 19 —Raylond A Prasch, Minn. Reg. No. 6743 Custom Home Builders Residential AV%I Uc. # 7555 Design & Build 651) 462 - 4637 Company 5/4 x 6 Custom Decking Hand Rai Cedar 2 x 4 Nailer Q 2 x 2 Cedar Pickets 4 x 4 Cedar Posi 5/4 x 6 Custom Decking Ce Lag Bolts - 2 x 8 Floor Joists 1 1(9'e6 e - 4x4 Treated Posts Post Brackets-------- Grade racketsGrade �<< a v Frost Ftg 42" Below Grade a 119 T Uuu[.1 u u Dbl 2 x 10 Beam ( Treated ) 4x4 Treated Cross Braces (if needed) I= 0 M 107 �eof6 r Beveled End on 2x2 Pickets (bottom only) ( Less than 4" Spacing ) Q� �0 l Custom Home Builders Residential Lic. # 7555 Design & Build (651) 462 - 4637 Company i� 9 i1° - .- Ll n B_ 9 Lundy and Compal'U %wo Design & # 7555 DECK l 8, %�►rLli / c ...-. MIN I v Custom Home Builders Lic. # 7555 651 462 - 4637 Residentialfm Design & Build Company Cwll Go .... c& 3 of 6 �asP 2 SZO le �2-,<I. Ooag -�-' Aeowye u4F NAIIS /X// helef 0 S CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 (763) 572-3604, FAX (763) 571-1287 MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR Effective April 1, 2004 I'd APPLICATION FOR PLUMBING AND GAS FITTING PERMIT - ��$I. ILS PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS New Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater -Electric Water Heater - Gas** Gas Range"" Gas Dryer Back Flow Preventer Required ( )Yes () No Type $10.00 $10.00 $10.00 $10.00 $10.00 $10.00 $10.00 $35.00 $35.00 $35.00 $10.00 $10.00 $15.00 Reinspection Fee $50.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.25% of Value of Fixture or Appliance�� State Surcharge $ .50 TOTAL FEE $ LS. The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the city codes and rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. DATE: '!� 4a10 , 20,0'5_ OWNER l_/' -cc.(' /-t, c3 _ e -- BUILDING BUILDING USED AS /C s � J h G---� ESTIMATED COST PLUMBING COMPANY. SIGNED BY Approved By Rough -In Date PERMIT NO. TEL N0. 70 Final Date COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. "PROVIDE COMMON VENT INFO ON BACK SIDE 777- Wash Floor:::: Auto. :::::;:: Gas Mit:_;:::>.: Water Heater stories !. -....... : Drain s .....Ran a ....'`•.,.........G s E ecShower Basement Floor 1 Floor 2 Floor 3 Floor 4 PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS New Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater -Electric Water Heater - Gas** Gas Range"" Gas Dryer Back Flow Preventer Required ( )Yes () No Type $10.00 $10.00 $10.00 $10.00 $10.00 $10.00 $10.00 $35.00 $35.00 $35.00 $10.00 $10.00 $15.00 Reinspection Fee $50.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.25% of Value of Fixture or Appliance�� State Surcharge $ .50 TOTAL FEE $ LS. The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the city codes and rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. DATE: '!� 4a10 , 20,0'5_ OWNER l_/' -cc.(' /-t, c3 _ e -- BUILDING BUILDING USED AS /C s � J h G---� ESTIMATED COST PLUMBING COMPANY. SIGNED BY Approved By Rough -In Date PERMIT NO. TEL N0. 70 Final Date COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. "PROVIDE COMMON VENT INFO ON BACK SIDE 4 FILL IN COMPLETELY FOR REPLACEMENT FUEL BURNING APPLIANCE PERMITS COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing furnace, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstru6tions, and is securely supported and firestopped where required. i Yes () No( ) The venting system is plastic/PVC and meets all current codes and manufacturer Appliance #2 Type specifications including sizing, length, number of elbows and terminatidn. Yes (} No( ) The undersigned also verifies that the replacement unit is a listed assembly BTU Input and meets the current codes and manufacturer's specifications. This does Total Appliances include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes () No ( ) Tf►e existing combustion air is sized and installed to meet the current codes Appliance #1 Vent Connector Height and manufacturer's specifications. Yes () No( ) When required to install a new combustion air, it will be sized and installed ft Length to meet the current codes and manufacturers specifications. Yes () No ( ) When installing a new venting system, the undersigned hereby verifies that ft Diameter in Type R is a listed assembly and meets the current codes and manufacturer's: specifications. This does include AGA-GAMA Category I Central Fumice V6nting Tables for fan assisted and natural draft appliances. Yes () No ( ) 15 the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. Yes () No( ) Appliance Type and Size/Common Vent and Vent Connector Information Appliance #1 Type BTU Input Fan Assisted or Nat Appliance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Tctal Btu Input Common Vent Type Vent Height Diameter inches Appliance #1 Vent Connector Height ft Length ft Diameter. in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type ALTERATIONS: (Describe) HEATING CO: Signed By: Date :