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AF - 35247SUBJECT c�ty of Fridley ""'T "°. AT THE TOP OF THE TWINS g U I L D I N G P E R M I T �� o�� RECEIPT NO. � ��.-- COMMUNITY DEVELOPMENT DIV. r j � PROTECTIVE INSPECTION SEC. �� ` � l---.� �r'��,•J CITY HALL FRIDLEV 85432 NUb1BER REV DATE PAGE OF APPqOVED BY L . 612-571-3450 910-F15 8/10/98 / / JOB ADDRESS 6301 Baker Ave NE t LEGAL LOT NO. BLOCK TRACT OR ADOITION SEE ATTACNED DESCR. SHEET 2 PROPERTY OWNER MAIL ADORESS 21P PNONE 3 CONTqACTOR MAIL ADDRESS 21P PHONE UCENSE NO. Gates Roofin 4640 Ln P1 outh 4 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 O MOVE ❑ REMOVE 8 DESCRIBE WOHK Reroof house and ara e 24S Tea -off 8 CHAN(iE OF USE FROM TO STIPULATIONS Underlayment must comply with State Building Code. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATIN(3, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORI2ED 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 CERTIFV THAT I 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 WOHK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT LOOI I.00 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pEfiMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OFi THE PERFORMAN E OF CONSTRUCTION ]L�.. ]S Fire SC 2. OO �� PLAN CHECK FEE TOTAL FEE � ,� License SC 5.0 82.75 S�GNATURE OF CONTRAC OR AUTNOA�2E0 AGENT � IDATEI WHEN PROPERI ALIDATED THIS IS YOUF P RMIT �� SiGNATURE OF OWNEA iif OWNEA BUILDEF:1 IDATEI 8 G �NSP ppTE NEw ADDN ALTER [] �l [] ConstructionAddress: � Legal Description: Owner Name & Address: Contractor: p�Q Address: N6�f0 ,�71ti►�vlaS � CITY OF FRIDLEY SINGLE FAMILY A1vD DITpLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION i Tel. # Effective 1/1/98 �� * � �� MN LICENSE #�%�I� Tel. # SS4 -OC7 y� 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 GARAGE AREA: Length Width Height DECK AREA: Length Width Hgt/Ground OTHER: Sq. Ft. Sq. Ft. Sq. Ft. ��y - /�' �� Construction Type: �C(I�TD� � -t'��,� �stimated Cost: $ � (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: - � -Q D APPLICANT: Tel. � �6� - y6,� � Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ %� $ ' — $ /. � $ $ -�,-� T--�-- $ $ $ $ i $ >� CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.50/$1,OQ0 Valuation $1000 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 [ J e � z e BUII..DING PERMIT FEE SCHEDULE The Chief Building O�cial shall, before issuing permits 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 $SOQ,000 $500,001 to $1,000,0� $1,000,001 and up FEES $21 (Minimum Fee is $21 plus surcharge) $21 for first $500 plus $2.75 for each additional $100 or fraction thereof, to and including $2,000 $62.25 for first $2,000 plus $12.50 for each additional $1,000 or fraction thereof, to and including $25,000 $349.75 for first $25,000 plus $9.00 for each additional $1,000 or fraction thereof, to and including $50,000 $574.75 for first $50,000 plus $6.25 for each additional $1, 000 or fraction thereof, to and including $100, OUO $887.25 for first $100,000 plus $5.00 for each addi�ional $1,000 or fraction thereof, to and including $500,000 $2887.25 for the first $500,000 plus $4.25 for each additional $1,000 or fraction thereof, to and including $1,000,000 $5012.25 for the first $1,000,000 plus $2.75 for each additional $1,000 or fraction thereof DRIVEWA� DEPRESSION ESCROW (Concrete Curb Streets Only) Altemate "A" : Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50. 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 $15.75. 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. _ � \V � 7 � O �� a; 0 Yi', m o v, � n O � 3 0 Q " o m 7 "Q (Q A � a �� ¢1 � N � m � � � � :� � 0 � � m Z �-p n � Z m m � O 2 -� �� T � rr- � O C rn �. �a D CA m � � � � D C v < n. � � rn � Z � � mO pD � h. � m � � � � O Z O Z 0 � � .� I � v � m � z 0 � � � v �� ;t� \ 0 n � 0 a r m rn � � � � c � � m cn m �i O � � o � � � � � o � � � � �; _• - A � 0 O � � D \ � O � c � m �m o �, � � � � � � A � � o � � O O � �� --i O z a c� � � � � � � W �� ; m �, � O � � z �' ,� �� z- �� m � � a � Z 3 _� 2I -D m v � � m z 0 c � � p m a' — �o � � � � cQ C � � z � � c� � � n � o � � m � � � � � o m �-- a � o = 0 � � � w � � � D O � � 0 � � (Q I v_ v_� m N � N v � m � � N 37 � c� m � � � ,c�i� o a � � � tfl t� tfl m � r�i v 0 � � � v � � --i 0 � � � � C 6 � c m v � O � m � � � ND � y � o � �. � �� ; �� sw m ,. 3 � a I � Q a?�= v � = c � � � � � � m � � cs'i "'c' �% W � A f�D �� "[ � cfl t� o ,`b' � g g � t� s� � O � D r C m 2 a � � � � � �N�= � o � � ... g N��. � S.Sa �Q�� Q� o � � � o .a ��'�' � No'�� w � o �. �•a.,�� '� o � � � � m � � �' '< c�i � =� °- o 0 � '� � � c�i m �. n- ,� � �o�� , � o �� ., r. m s �� n � � o "' o 'z` m Q � � a � m s� 5. °� a � � n _ rn v C � O �. v � m � � � � a � �,��. N (Z -+ � `G C Q � � Z �� T � � � �� N � zZ m � m � O Z v � m � Z -� ma � � `��.�., z Z � �'- �Z � ��. D � � � Z � � � � � O � Z � Z � � �n v v�i = �� Z '� v�v � O n C z �� O Z � � � O � � c w Z � m T � 4: . J v � . ��' i �u �}io�a �' fV '3n�d i�'kl1N31� Z9S£� '�NI ''13�13 �:'tl'OJ.H 3NItJlB �, �, � � :a��Q � :�Cg pau�is •Q✓ �1�11.Ldai1 _ _ :auoQ utaS S1�IOI,L�d2I�.L'I� �si'I 11� i t � � 1 �S � � � � � � 11� � 0 y�`� U� � :sx.��tuag () oN Q() sa� ia��aq ia�Enn zo� papino.zd uaaq n� uoi�snquio� s�g 'g r� � () oN {j() sa� .�a1�a� ia��m �03 Papino�d uaaq �auii � s�g ' L o �. S�nig �ioi � � S�I1ZS �Ta�o Iid �� o s�lLLS �ut��a� j�o� �H 9 — � �--o�'�-� � — --- _ _ - . - }�a�a�a s�fl�� o� pa�- - azcs �o� sivauzaitnbai apo� �uaun� i� s�aaa� ' S ( ) oN (� sa� pa�oddns �itam�as sI '� () oN � sa� ut�inn pa�poi s��aCqo u�taio� ou s�g '£ () oH � sa� uot��.zoua�ap io lsru tuol� aa�3 sI 'Z () oN � sa� pautuz�xa �Ctin�a.z��' uaaq s�g ' I :x��s, io �auunq� �ut�sTxa aqi 1E� saguan �Cqa.�a� ;pau�isiapun a�, I�IOIZ�'�I�I�A �I��ZS Ql�i� 1i�1�II�IIH� �.. _ _ � � H�4TING AiR coNUmowin�� AND ELECTRIC. INC. ADDRESS f ., 7,['9 \ �� OCCUPANT HEAT LOSS DATE HTG. WST. SOLD BY c� Elecorical Work By �.v� TYPE OF HEAT G�_ Fq �/ ��yy S7EAM__ gpACE HTR. HOIJSE HEATING TEST RECORD �� APT. FLOQR CITY � SUBURB ��r� INSTALLED BY ��a., �na _ � (3as Line By �ics� �.a �� UNR HTq. OTHER alS DESItiN MAKE �uaY� CONVEtiS1ON Modsl �-t�1 GIA V i�. Zto% serial FfSS 1�. 2. F l4�go��, _ v_enc �ze :� 4 ' INPUT 7S CX�� KINDOFLINER� SIZE,�_ NONE DrailHood_ yvn�+t.¢a� Regulator Fihers � �,ia � CONTROLS THERMOS�TAT� �,1� Heat Plua Value�ti.ts,p �.OJ(, � Umit�L.r ty Umtt Settlno l��`� Fan Settlrm i1�.a4 PilotType � ScJq��, . Ptlot AAake �� . .�.�i Pilot Model PilotT(mUw �iO S-¢e. L.W. Cut OI'f Prassure .� Peroent COZ cv Input CFH `�5. � Peroent Qa� Smck Temp. �`�S Percent CO� ze � 9e 1 Number 1 Chimn�r Locatlon Instde Outside Chimney Conatruction � Srttoke Bomb Wiring �_ � Teat Tag�l �OOr �� Li�htlng Inst �ce resced 4- `- �Pe�Y Tesung �a.ws. Name of Tescer _ P►essure P��m �2 Input CFH Percent Oa Stack Temp. Peraer�t CO � _ CIIYOF FR[DLE,Y A FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(763) 571-3450 • FAX (763) 571-1287 March 12, 2001 Rudy Hernandez & Marlis Klein 6301 Baker Avenue NE Fridley, MN 55432 Re: Final Inspection at 6301 Baker Avenue NE Contractor: Blaine Heating AC Electric Inc. Dear Mr. Hernandez & Ms. Klein: A mechanical permit was issued on July 12, 1999 for the installation of a furnace at your address. According to Section 305(a) of the 1991 Uniform Mechanical Code, a final inspection shall be perFormed on the mechanical permit. As of this date no inspection has been called for. The permit fee that was paid covers the inspector's time to check to make sure the appliance was installed correctly. We also need to check for the installation of combustion air, vent and connector sizing. You will be given thirty (30) days from receipt of this notice to respond. If we do not hear from you, your permit will expire and any inspections on this installation will require a new permit. Any questions can be.addressed to myself at (763) 572-3603. rely, DAV�JEJVSEN Build �/�nspector DJ/mh Co ��. 3 3 Building Inspections 763-572-3604 763-502-4977 FAX �' / � `r' � � SITE ADDRESS �0 3 O THIS APPLICANT IS: BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY EFFECTIVE 7-1-2010 7R E-MAIL ADDRESS �. N E ❑ owNm 1�corrrx�,crox Permit No.: Received Byti Da��'c� PROPERTY OWNER/ x.�:_ i"� a r( y 5 K I e � n �N`� nnnxESS: Co3o/ 3a1�► !4u-e. NE crrY �rsdLQ�,, STATE �J z� 5 3a PHONE: % �0 3 5 �� a � CONTRACTOR N,�: l,`1 � h d 0 w C o n c e,� -}5 SUBMIT A COPY OF STATE LICENSE # o� B l Cp ,3 �l 9' 3 EXP DATE _ 3' 3 I—// YOUR STATE LICENSE AND CERTIFICATE OF AnnxESS: 9 90 L oi..e D a IL �2 c+Q ,,# // y �� EQ � a n sTa� MNz� b'S/a I INSURANCE pHONE �0 5/ 9' o� o/ 05 Fax � 5/ 9a5 /�/5 PROPERTY TYPE �SINGLE FAMII,Y/NEW CONSTRUCTION SIZE ❑ TWO FAMII.,Y/NEW CONSTRUCI'ION STORIES PERMIT TYpE ❑ �DTT�ON ❑ GARAGE/SHED �nnwc TYPE OF WORK: DESCRIBE WORK BEING SIZE OF Il1�IPROVEMF.nTT � NUMBER OF SQUARES _ GARAGES PROPOSED SIZE: PROPOSED HEIGHT: SIDING ❑ Vuryl ❑ Aluminum ❑ Other � BASIIVIENT FINLSH ❑ ROOF � D� � SIDING ❑ SWIlVIlI�IING POOL ❑ NEW HOME CONSTRUCTION ❑ ADDITION � M'°'INTENANCF✓REPAIR ❑ REMODELING r'�P�0.CQ `+J11't�� ih ❑ HOUSE ONLY � HOUSE 8c GARAGE ❑ ATTACf�D GARAGE ❑ DETACI�D GARAGE � DRAIN TII,E ❑ OTf�R -e.x;sf�na c��¢r„n5 _ HEIGHT cn BASEMENT REMODELING SUBNIIT• 1. Existing Floor Plan 2. Proposed floor plan 3. List of structurai members to be used FOR NEW CONSTRUCfION INCLUDING DECKS, ❑Soffit ADDTiTONS_ & PORCf�S UBNIIT• ❑ T� 1. Site Plan/Survey showing the existin� siructures ❑ Fascia �d ProPosed project. 2 WINDOWS . Two sets of construcUon plans IN EI�STING OPENINGS 1�Yes ❑No L�ATIO OF WINDOWS 3• Energy CalculaYions OR FOR NEW OPENINGS-DESCRIBE SIZE OF FOR WINDOWS — PROVIDE U-VALUE AND dra o j•r� MANUFqCTURE STICKER ON WINDOW, OPENING CHANGES & TYPE OF WIldDOW TO BE INSTALLED � NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS; (USING TIIE 1997 U.B.0 FEE SCHEDULE) 'OTAL JOB VALUATION $ ��/�. D D nrrl rn s rrrv �� Permit Fee Plan Review Fire Surchazge Surcharge License Surcharge SAC Charge G�ub 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 valua.tion .0005 x Permit Valuation Minimum $5.00 $5.00 (State Licensed Residential Contractors) ��06�er-SAC Uni�{�'lanst�ll�'V��EE-for determiraaxioa) ft+6ft= ftx$24=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks pa able to: City of Fridley Attach THIS IS AN APPLICATION FOR A PERNIIT-NOT VALID UNTII, 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 permit d work is not to start without a permit on site; that the work will be in accordance with the approved plan in the case of ork which r review and approval of plans. SIGNATURE OF APPLICANT � � PRINT NAME �4 y�.C'�y S� �►'I I'C�/�ATE /�� O l C� APPROVAL INSPECTOR SIGNATURE � PLEASE NOTE: SEPARATE PERMITS REQUIRED FOR PLUMBING, ELECTRICAL AND ME C WnRK