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AF - 36284• Village of Fridley, Minn. BUILDING PERMIT • N° 930 O�ce of INSPEGTOR OF BUILDIN(�S , , , Owner - � ",i'"'t,,.''Ri�'=�'Lr... A , �� ' z--s.� % 19 � Architect Frid.ey, Minn., � �r.-- Builder � �� LOCATION OF B%TILDING ' ; �-�+�--� f- j:. �.�.-� No._�'��_�_ Street � ..G�c-- �-''•. .- . w. .:. �--4' J � " �-.._ _ Part of Lot Lot Block Addition or Sub-Division DESCRIPTI�N OF �UILDING , ! 7R'/ j' f. �.'"C �t_r''-t t..i-... 1 / :I ' �L..-�'�,+ h � ,".-Ir!'!.'a. +.—%�+" Front --� t-' Depth - ^' Height Stories� Manner�of Construction - To be used as �-+� ��—'r- �'`�`'` "�� To be completed� "' ��" � r Estimated Cost 7 �y t'•c..�..t";"^ ., �; � •-:-f ., ,� s �,.. �.., �''-° _ ,� �, � i � - �..� c f c= r'?��:: _.�e-u.....c, _ .-' . r ' '' % Permit is hereby granted to c-�� . ,i� — �>" `-' � ; to t � � - �. _ ' ; - the building `��' • described in the above statement. This permit is granted upon the express condition that the person to whom it is granted, and his agents, employees and workmen, in all the work done in, around and upon said building, or any part thereof, ehall conform in all respects to the ordi- nances of Fridley, Minn., regarding the construction, alteration, maintenance, repair and moving of buildings within the city limita, and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. 1 a � �_.� �..c�_ - ; ., � ` ..,:;y'�- Iri'speCtor of Buildings. AGREEMENT AND SWORN STATEMENT In consideration of the issue and delivery to me by the Inspector of Buildings of Fridley of the above permit, I hereby agree to do the proposed. work in accordance with the description above set forth and according to the provisions of the ordinances of Fridley, and, bein�; first duly sworn, I hereby state and say that the facts stated by me and contained in the above permit are true as therein stated. i Subscribed and sworn to before me at Frid�ey, Minnesota, this ' i ; � �. / i ._ b'�G�.L'�__i _ �"� / / 4- i.�'�....:+: ,.Z��ti._. ` L � day of��2L� A.D. 19�`_-: � � ` �v i r -�` City of Fridley Applicatian for P'lumbing and Gas Fitting Permit �. - Dept. of Bldgs. Phone SU 4-7470 DESCRIPTION OF WORK � / - - � . Number, Kind and Locaiion of Fixiures Location ��' � `� / � �N � (�'� WI,TER HTR. y, y� F.: tt� = v� w w ? • • '^ � Y OZ UZ O= C9 Z p 3 o Z-a, � j Zu! Z �� ; ��t~��< a �<� d F N GAS ELEC. � u � o F- m �n 3 r- o�, N � o 11 m < 3 (9 < (9 � (7 O Base ist 2nd 3rd 4th _ • Fuiure Connection Openings * New Fix2ure, Old Openiags wiih PARTIAL RATE SCHEDULE 3ewer � Cesspool j� PLUMBING FIXTURE RATES: NO. AATE TOTAL Number ESixtures . . . . . . . . . � x $1.50 $ n • U U Future Fixture Opening ................ x 1.20 $ New Fixture Old Opening . . . . . . . . . . . . . . x 1.00 $ Catch Basin . . . x 3.25 $ Water Fieater (Up to 200,000 BTL� ...... x 2A0 $ New Ground Run Old Bldg. . . . . . . . . . . . . x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL lst 3 Fixtures .......................... x $1.50 $ Additional Fixtures . .. ............ . . . x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ..... ..........................................$ TOTAL FEE $s� 0 U 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 S,orrect. Fridley, Owner Kind of Building � Used as To be completed about �D�� ° .is— Estimated Cost, $ Old-1�Few. Building Permit No. Permit No. � Signed r, NA � � � " �""{ � � ROUGH FIN 4 z 2M 7-59 By Business Phone N . . . . � � y / ity of Fridley, Minn. , � , .� BUILDING PERMIT ��`�v� s 8 0 9 • . .. � �_�r Date: � _. -..._...`��. ��__.. ..,� ____...__.....___._.__ ._ _ � , , r ,T , f , Owner: �2�� 2 ._ � " L ' � . _.:.�_.:..__.�._.,/� � - 1- __�-�� Builder ...._.. ....-�� .y�:--....... .: p'� :.�,6 �.�_.... . ...�.. .�....._..._ _. Address....._......._...._._...._..._....__..__.___._...._.._._ ................_.._�.._...._....------_. Address _..._............_.__....._........--•----._.._............._......._......._.._...._.__....____..� i .. ........ st�t ..... __�. L CATIO. OP BUILDING rro. .� �.....�.� � , , �..�� _ .� -1 �" • .�• .� •_.� L-'�---..�...: _--� l�T."..1.........._..... Part of Lot ...---. ........__.._�i _--._...- _-_......�_� � � � � � ::_.:��_� :_.�t.�:< �r Lot �:�..�..21..�1s.t_ Block ._.. �--._......__.....__..---........._. Addition or Sub-D'vis'on ' � _ ..._..----..�... �i��,' / ......____.._..__ Corner Lot •----•---..._..._........ Inside Lot ....._1 ................_.._........- setback ...f:... :?�''r.`:!f.' Sideyard .---........_..�..__._._.......-- SewerElevation .._._......._....- ............._......._...._._..._...._...._.._.._......_------....._ Fo dation Flevatian ....._...._._..._._..._....__....._._.___.._.._.__..._....__� DESCRIPTION OF BUILDING To pq � as: ( . , ,_ _ Q _.k`.._.�..- __�.�s......�.�._ �ont -��._-_.:: Depth �..�......__ Height ...�...�.:._.. Sq. Ft..��.�r Cu. F�. ��L..�.. _/ _._.._._...__ ._._....._........__...._ t__.___.._..__ Depth _...__._..._. Height . C� Sq. Ft. _..___._...._. Cu. F� _._.____•- • -�---- � - �' -- Type of Construction �..._.�. L(....�.:.�::1.....� \_.....---- �t. co ,,l �... �. ��._......._........ To 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. � �__..�Y�%C �� r-�;.��.-- In consideratiott of the a _._ �:'_/. _. p yment of a fee of $...� ... .... ., pernut 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 ar�y time u�on, vi�on of any of the provisions of said ordinancea _ / / Building Inspector • NOTICE: Thk p�rmM doa not cowr tlu eonstrueHon, inthll�lion fer wlrin9. Phnnbina. oas h�Nin�, snw�r or wat�r. 8� wn to �w fh� Building Insp�cFo� for s�parab pMnits for fh� if�ms. r'�� -'-..,1`_.... . '�.�C.-��'✓% � U �� / �!S , . APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA Owner's Name Scyril P. Sizer Builder MIIES CONSTRUCTION COI�ANY Address 6561 Arthur St. N.E. Fridley �� 4500 Lyndale Ave. No. Mpls. LOC�iTION OF BUILDING No. 6561 Arthur Street Arthur St. N.E. part of �ot Lots 25 & 26 Block 4 Addition or Subdivision Oak Grove Addition__� no ca County Corner Lot Inside Lot Setback Side-Yard �EWER ELEVATION FOUNDATION ELEVATTON Applicant attach to this form Two Certificatea of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To be used as: Garage Front� 22 Depth 24 Height �� Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft.�� Type of Construction Frame Estimated Cost $1475.00 Ta be Completed As soon as possible. The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and re.preaentations stated in this application are true and correct. DATE October 23, 1963 BiGNAT�IRF ___. O (Schedule of Fee Costs can be found on the Reverse Side). .. . .. • � . . . • � .. - � � 4 BUILDING PERMIT FEE SCH�DULE Sertion 2. The Inspector of Buildings shall, before issuing any permit for the e�ection of any building or structure, or for any addition to any exist- in� building or structure, or for any alterations or repairs to any exis�ing building or structure, upon application therefor, require the payment by the applicant for such p�rmit of fees to the.amount herein below set forth and in the m�nner herein provided to-wite 2.1. For any such permit for the erection of any fire-proof building, other than a garage� warehouse, factory or grain elevator, or for the erection of any fire-proof addition,,for similar occupancy, to any existing building shall be at the rate of $1.40 for each one thousand cubic feet, or fraction thereof, in such cubical contents. 2.2. For any such permit for the erection of any fire-proof garage, warehouse, factory or grain elevator, or for the erection of any fire-proof addition, for similar occup�ncy, to any existing building shall be at the rate of $1.25 for each on� thousand cubic feet, classified as P/fireproof" by Section 502 of the Minneapolis Building Code. NOUS�S 2.3. For any such permit for the erection of any non-fireproof building other than a garage, warehouse, factory or grain elevator, or any non-fireproof a�dition, for similar occupancy, to any existing building - permit $1.00 for each one thousand cubic feet. GARAGES 2.4. For any such permit for the erection of any non-fireproof garage, warehouse, factory or grain elevator, or for the erection of any non-fireproof addition, for similar occupancy, to any existing building or for each such building or addition - ninety cents ($0.90) for each one thousand cu'�ic feet or f;.action thereof, in the cubical contents th2reof with a minimum of $4.00. For the purpose of computing fees for building permits, the cubical contents of any building or addition to a uniform height throughout by multiplying the ground area covered from a point six (6) inches below the floor line of the basement or cellar to the average heigh� of the upper surface or to the average height of the roof surface of the main gable of a pitched roof. 2.5. For repairs or alterations to an existing structure, the fee shall be at the rate of $3.00 per each Fiv2 Hundred Dollars ($500.00) or fraction thereof in the cost of all proposed work. 2.6. In no case shall the fee charged for any permit as set forth in Section 2 be less than $4.00. ,. . . _ • M . � • .. < . ,. SLAB LOCATION AND BUILDING PERMIT SLIP -� � �'� °~ � �"Z� ��'�'. ,..,; Name , . ,, �"�. `� _ a;,- °�✓� Address � .T'� - � '^ � � �'�� , Home ,,• . r� ,,R,. ,' '`: f City or Village � t, �� : � Phone �.� . � `3 '� ;� w' • < Work Home Home Phone Days Evenings ^ ,,,, ^+ �.. Salesman Garage Size �' � �' �' Countour of Lot At Garage Site Permit to be obtained by: Permit No. Add ition � I � N �. I � � �� I `� I � 'v I � ❑I I I ,��°'� Gradual Steep Flat Slope,__ Slope ��,.. . Miles " Customer _ _ Lot No. Block No. _ Lot Size STREET �.., ,� _, _�.. �_ w�,_.�,,. �,.�,�.......,..,.�.,--.�-- � '� � ; � t fi , . .�..___�,�.__ . -._.�...__.r ��_..__._,,.,w u___.:�.�,..... ...�,.� , . �. ..__._ � � I I I� I°' � I" � �D IN I� I I �M � Office Copy ❑ Cement Copy 3anusry 10, i�364 ��,�.��'w "r;I"`F.`J�;_... ,r'�.�.�w�7 �`aC1(�� ;1°;2�:�� `•.c,a�*�1.1@ I i.t'CSi%.i't. :�:E.EZIIG,��C7'�? B �.c.' y I"z?Yi:B��OtB �L; �'3r8�n K,::I� �.` Rt ".r?�J�. 't�'{'xiC..,'� ^r rqj F ..�_:� "_w.-.� ".� i '��'�' =2`Y* ?�)":t T r'�� c4^k :nr,�,s�.h "Iry•2 •i' *}�,2 . z"� n`��. ��",3Ri.' °.�F3 : "t:E' 3"OOL ��i;fl[�. p. �t +! .•T6,1R i. ) � p �V. `.L� � i.:t�.'1G'.`�4� � :'�:Lli. '�lr~ 4C�(� ftiyi�I-(}ti} ;"�.��E �A � "k.�� Et� :?gI � �!� '��k*:2 Ftr �.,.,�Ca� ?'f` t.?E� ^O'1C?'?fi'. 4�i ?€4 , 4��'4��"��"i` �lct„`�»:�.ei�..f.'t1' ?:�." !�c'.,'�'". i"io: p?'�.� °cit.�' i �:-Tt.c �il.':7..��'?�.p �:.C: {�{F2,'4 SE'?\' '`.'r''�� I4Cit�'Y , rY�c�s F:� ��-ji_�J� i�2� �'� n!-a t�?:tca r?��;P t't� tFl � G+ ?*1 � 43 a -r «, � p .r `,.i:�� I°.�'_l�e `5`r ,'.4 ,3rc.t_. e !,�`'..5 ��r�6'c 'rC;'te '�'I 5,2 �ti{"Ci`41Tt�L}r `�i.LStJ'?,• 'i'8;2�!�' � . � �. wilE r�ot rele�s� ti�is b�aiFdin� u;i�ig s�xc� �dz�,e M� ��,� �ao� :"��in��e� ��1�� t=.,e •��.i�.i.�a; �af t��e ;�s�:�.�:e i� ce*m�Ia`e�,-i. 7 ��.�.1 tit�*� c►nl?r r+�Le�se it o:� �o��i.r�c�n t� �* the �'�.i�.�ler �e t�z?�en c�re of by N:a;r ist, as yau e�via�zsiy canr,at ti•c�rk csa �hem f�t thi� c�Id �a�at��er. �.,�QUL� ��1.��;ese �i,&� `,y10'�? ;I�NE' V�JI3I' i;1c1Y) co��t�.ct ;r�e isi �tty �f�'z.ce �� r+��a:c�s to t?�� roa� framir�� ?�efa�e �.e de,�� ,a ; ri�� ;.yi.r.�: �.t , �•G,� : cks cc; �Ir. Sizer �'o�r� �r�ry rr�:i�, ALL� G. JEHSEN �._ ___._ Building Inspe�tc�r city af �'ridley c�ty ofFr�dley r aT TNE TOP 0� rME TYrINY i` r rL-'-"--� GOMw�NITY DEV[t..O�ENT OIV, � � i MtOTECTIVR IIHIItCTIQtI OLK, � � �--- � prv �� r+�iD�R� •Mt �.___.�.� �., N�-sw-3.so �oo eaaress ` � �"� � �� .� ner; , � � � , r y�. Contract ,...— i j ,, ��1 Kind of Build�ing Comp etion Date K I V i F W W � 3-�-7G i I �i� � �u��ccr PLUM�Ii�G PERf1IT aPPLIC�TI��iV — I 9a0-F18A L 0 12(15/73 1 1 1 I 800 ��, � �, s,, Ad ress n P one , �= G � � / <� � ,� � ��-�=- �-�'� � fC 5 -� A ress P one � S rr / �-'��:� .X / ' -S :'S % Use I (� I il , i,. � � — — - -- _ -- -- -- - --_ _ -- -- --- Plumbing Fixture Rates: N0. RATE TOTAL Number Fi.xtures x $2.00 �_ Future Fixtures x $1.50 New Fixture-Old Open. x $1.50 Catch Basfin x $3.25 Water Heater-99,000 BTU x $3.00 Ground Run Old Bldg. x$3.25 Elec. Water Heater x $2.00 Gas Fitting Fees: lst 3 Fixtures x $2.00 Additional Fixtures X $ ,75 Gas Ra ge-199,000 BTU x$5.00 ' �.1 � �,t� S�i!"�"-s �v �• ic . � Repairs Alterations + See IDescription; Code State Surchart�e .50 TOTAL FEE $ ~ � The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City �rdinances and rulin of the Department of Buildinga, and hereby declare that �11�the facta and repreaentationa stated in this 3pplication are true and correct. � � r ' �-�='�'� �' 1 � � % `� 'SiQnature� Date ! t . sue�ecT PERMIT . City of Fridley 18 4 AT TNE TOP OF THE 7WINS g � I L D I N G P E R M I T r ' ' RECEIPT NO. � � i • COMMUNITV OEVELOPMENT DIV. �� LV'�'�'� , r � � PROTECTIVE INSPECTION SEC. ' � 1 � � � �"'1 � CITY MALL FRIOLE� 55132 NuMBEA pEV D�TE PAGE Oi •PVROVEO Br �'""�"� �'� 612-571-3450 9i0-Ft5 7/14/00 / / JOB ADORESS 6561 Arthur Street NE t IEGAL LOT NO. BLOCK TRACT OF ADDITION SEE AT7ACHED oescR. 25 � 26 4 Oak Grove Addition SHEET 2 PROPERTY OWNER MAIL AODRESS ZIP PHONE Michael � Kelsie Nygren 6561 Arthur St NE Fridley, MN 55432 502-8865 3 CONTRACTOR MAIL ADDRESS ZIP PHONE �ICENSE NO Owner 4 AHCHITECT OR OESIGNER MAIL ADDRESS ZIP PHONE IICENSE NO 5 ENGINEER MAIL ADOfiESS ZIP pHONE LICENSE NO 6 USE OF BUILDING Residential 7 CIASS OF WORK ❑ NEW O ADDITION O ALTERATION C� REPAIR p MOVE O REMOVE 8 DESCRIBE WORK Tear Off and Reroof House and Garage 13 sq 9 CHANGEOFUSEFROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPEOFCONST OCCUPANCVGROUP OCCUPANCVLOAD SEPARATE PERMITS AfiE REOUIREO FOF ELECTRICA�, P�UMBING, NEATING. VENTILATING OR AIR CONDITIONING. TMIS PERMIT BECOMES NUI.L ANO VOID IF WORK OR CONSTFUCTION ZpNING SO. FT CU FT AUTNORIZED IS NOT COMMENCED WITHIN 60 OAYS, OF IF CONSTRUCTION OA WOAK IS SUSPENDED OR ABANDONED FOR A PERIO� OF 120 DAYS AT ANY TIME AFTEF WOFK IS COMMENCED NO DWLG. UNITS OFfSTREET PARKING 1 HEREBV CERTIfV THAT I MAVE READ ANO E%AMINED THIS APPLICATION 1 STA�LS GARAGES AND KNOW THE SAME TO 8E TRUE AND CORRECT. ALL PROVISIONS Oi LAWS yq�VATION SURTAX AND ORDINANCES GOVERNING THIS TVPE OF WORK WILL BE COMPLIED WiTH WHETMEF SPECIFIED HEREIN OR NOT TNE GiiANTiNG OF A PERMIT �1,136.00 �.S% DOES NOT PRESUME TO GIVE AUTMORITY TO VIOLATE OR CANCEL THE pEqMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCA� LAW fiEGUTATING CON• STRUCTIpN OR TME PERfORMANCE OF CONSTRUCTION �44.85 F� 2 SC �1.14 PLAN CHECK F E ?O AL FEE 46.56 a p �CON- C OaOaa tiOQiZEDeGEtii � i�i� HE PROP VALID T THIS IS VO�PEQ T�,A"1 � • f � �� S RE 0 O N �if p U E� �p�Tf� Bl iNS� ��<<f NEW ADDN ALTER [] �l Il Construction Address: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION � S C� I �'(� (,� �� , Legal Description: Owner Name & Address: 1 v t( �� °�-� �'i. ��S ��°ilV� Contractor: yt-�. � Address: LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Construction Ty Effective 1/1/2000 (763) 572�604 Bldg Insp �� , . �� , � � __ , ��Tel. # �ia'� 0�1) � JIN 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 Width Hgt/Ground Sq. Ft. �CIY ��' Estimated Cost: $ �� Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ � DATE: � l Y� �� APPLICANT: Tel. #�� O OC� � CITY USE ONLY - Call (763) 572-3604 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 $ $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: $ �!� � �� BUII.,DING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing pernuts for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to-wit: TOTAL VALUE $1 to $500 $501 to $2,000 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,001 to $500,000 $500,001 to $1,000,000 $1,000,001 and up FEES $23.50 $23 .50 for first $500 plus $3 .OS for each additional $100 or fraction thereof, to and including $2,000 $69.25 for first $2,000 plus $14.00 for each additional $1,000 or fraction thereof, to and including $25,000 $391.25 for first $25,000 plus $10.10 for each additional $1,000 or fraction thereof, to and including $50,000 $643.75 for first $50,000 plus $7.00 for each additional $1,000 or fraction thereof, to and including $100,000 $993.75 for first $100,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $500,000 $3,233.75 for the first $500,000 plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,000,000 $5,608.75 for the first $1,000,000 plus $3.15 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete C�Zrb Streets Only) Alternate "A" : Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $15.50. Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $23.25. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. New Houses Onlv 0 CITY OF FRIDLEY INSPECTION DIV. �� l� � �� 1� �� Effective On January 1, 1999 6431 University Ave NE � )QI I � Fridley, MN 55432 � APPLICATION FOR PLUMBING AND GAS FITTING PERMIT 572-3604 Stories C Basement Floor 1 Floor 2 Floor 3 Floor 4 � PLUMBING FIXTURE RATES MARK NUMBER OF FIXTURES TO BE INSTALLED CiN EACH FLOOR Bath ': Wash Drink. ' Floor Catch Auto. Urinal Tub' ! Shower Sink Tray Fount. Drain 13asin : Washer NO. RQTE TOTAL New Fixtures Old Opening, New Fixture Bee� Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater —Electric Water Heater — Gasi* Gas Range** Gas Dryer•* Back Flow Preventer Required ()Yes () No Type $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ �.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 $15.00 Reinspection Fee $42.00/Hr ALI.OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance 0 � State Surcharge TOTAL FEE Gas Ran �a - � -� Misc. : <: Water Heater Fixt. ! > Gas Elec x .,�'- ; JOB ADORESS �- ��, . 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 ccrrect. / C � �� , ��. „1�,�'� / Owner Building Used As Fstimated Cost � � PERMIT NO. ( ��/ Pd�eGUfRE & S��S PLUMBIN�OMPAPJY 6D512th Avenue So�±h SIGNED BY Approved By�(`J/ Rough—In Date $ .50 � MINIMUM FEE OR ANY PL�IMBIN� $ a� PLUS THE $.50 STATE SURCHARGE N0. �t�-� Final Date —��,�C� � ��/,'?.� ; �'> NIT IS $20.00 ' �'"COMBUSTION AIR SHALL BE PROVIOED PER UMC SECTION 504(A) AND TABLE 6—A. MINIMUM SIZE 9 SQ INCHES. _ _ UTYOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(763) 571-3450 • FAX (763) 571-1287 August 16, 2002 Mr. Michael Nygren 6561 Arthur St NE Fridley, MN 55432 Re: Final Inspection at 6561 Arthur St NE Contractor: McGuire & Sons Dear Mr. Nygren: A plumbing pernut was issued on October 9, 2001 to install a water heater at your address. According to Section 4715.2800 of the State Plumbing Code, a final inspection shall be conducted on the work authorized by this permit. As of this date the inspection has not been requested. The pernut fee that was paid covers the inspection to make sure the work was completed according to the Codes. We will keep your petmit open for another 30 days and if we do not hear from you within this time to set up the inspection, we will mark the permit "no inspection called for by homeowner after notification" and take no further action. To set up the inspection or to have any questions answered, please contact the Building Inspection Division at (763) 572-3604. DJ/mh CITY OF FRIDLEY BUILDING INSPECTION 6431 University Ave NE Fridley, MN 55432 763-572-3604 FAX 763-571-1287 RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner & also Replacement Furnace Gas Piping (New Furnace, Fireplace, Insert) Gas Range Gas Dryer � ,. *�4ir Conditioning - All Sizes All Other Repairs or Alterations (List on Back) 1% of Value of Appliance or Work Minimum Fee $15.00 for Residential or 5% of cost of Improvement whichever is greater �� 4�58 Effective 4/1/2004 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES Fee Total JOB ADDRESS �D"7li/ ` f?Y��,fiJ/ � � J`1L� Owner / �, u v $35.00 $ Building Used As ��hF��Jf�r� ��'i�%/jj $10.00 $ ESTIMATED COST ��• �' PERMIT NO '�� I — � �S (p� $10.00 $ DESCRIPTION OF FURNACE AND BURNER $10.00 $ # of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Trade Name Size No. $25.00 $ BTU HP EDR Fuel Total Connected Load Commercia flndustrial/Institutional 125% of Value of Appliance or Work (List on Back) Minimum Fee $35.00 for Commercial/Industrial/Institutional State Surcharge TOTAL FEE REINSPECTION FEE $50.00/HOUR $ Burner Trade Name Size No. BTU H P 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 $ and rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. $ $ l�'�'. '*Air Conditioners can not be placed in side yard without written approval from adjoining property owner - copy to City FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE HEATING CO ' � ,/ /� �� , Signed � Tel # ��` � `��U FAX # �,%�� b�j�� ,� Date / � � �� ,1� ��G�� C//�2'�.� v��tl�c� � �li',� Li�iiy' �'J s.��f� ,�� r�d L�� ;� � ��L��,- Approved by Rough-in Date Final Date FILL IN COMPLETELY FOR REPLACEMENT FUEL BURNING APPLIANCE PERMITS COMMON VENT�VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacinq an existinq furnace, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes () No () The venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes () No () The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. The existinq combustion air is sized and installed to meet the current codes and manufacturer's specifications. When required to install a new combustion air, it will be sized and installed to meet the current codes and manufacturer's specifications. Yes ( ) No ( ) Yes ( ) No ( ) Yes ( ) No ( ) When installinq a new ventinq svstem, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes () Is 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. No ( ) Yes ( ) No ( ) Appliance Tvpe 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 Tatal 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 ALTERATtONS: (Describe) HEATING CO: Signed By: Date : ADDRESS PIN LEGAL DESC PERMIT TYPE PROPERTY TYPE CONSTRUCTION TYPE CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 57Z-3604 r'AX: : 6561 ARTHIJR ST NE : 133024140090 : UNAVAILABLE : LOT BLOCK : HEATING : RESIDENTIAL : ADDITION/ALTERATION 571-1Z2i7 PERMIT 1�0.: 2004-01564 DATE ISSUED: 09/09/2004 VALUATION . NOTE: AIR CONDITIONERS CAN NOT BE PLACED IN A SIDE YARD WITHOUT WRITTEN PERMISSION FROM ADJOINING PROPERTY OWNER. COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. INSTALL RANGE WITH HEAT SHIELD, FLEX CONNECTOR, SHUT-OFF VALVE AND ANTITIP BRACKET. # A/C UNITS 0 VALUE OF APPL OR WORK 0 # FURNACES 0 # GAS DRYERS 0 # GAS RANGES APPLICANT CENTERPOINT ENERGY/MINNEGASCO 13562 CENTRAL AVE NE ANOKA, MN 55304- OWNER NYGREN MICHAEL L& KELSIE A 6561 ARTHUR ST NE FRIDLEY, MN 55432 0 VALUE (FOR MINIMUM CALC) HEATING PERMIT MINIMUM FEE FURNACE SHELL/DUCT WORK GAS RANGE FEE GAS DRYER FEE AIR CONDITIONING FEE HEATING REPAIRS/ALTERATIONS STATE SURCHARGE, MECH FLAT TOTAL PAID WITH CHECK # 1017409 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 provisions of any other state or local law regulating construction or the performance of construction. A p ican Date Bldg Insp Date � SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 89 15.00 0.00 0.00 0.00 0.00 0.00 0.50 15.50