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AF - 43556- I�T° 2 91 �'i€Ila�e �� Fg•idIley, l�.iimn. �iJ�H,D�T� P��1�IT ��ce of �TS��CTO� ��' ��J�LI)F1�TGS o�vne� �71� Architect Frid?ey, Niinn., �—� � � � � 1� Builder � � Co �/D O�CATIQN OF '3�Li3ITv�G No. �� +�'�'�"`� Street k Pzrt of Lot Lot Block Addition or Sub-D'avision ��v��i�.��''�`��l 7 E�� 1"�a � f#.�'�M °� R.� � f'�- T+ �� ,�f�g;:A� d� Front " �7ep�h °�- o F3ei�ht �'� Stoiie�_ �Ian�er o� Con,str�.cticn —�# To be usecl as �r `�'�� r�� `'� ' To �e ,completed ��'�a''�t "a � �' Esiimated Cos t '�`? �z t,�,�,� y -,�-i—'—��j-'---� � , �i �( p� t � '��'F �. ''' . ,h i Y. . �` t .. � �' � A ,( .!�', r+'�,��•�,rma� �3,�,o-�,a�;�„�,�� 1� �',,�r�:��'`�. �`,;��' �� a' �' ,�m. .F+�,�r�. S`"� x° � � Permit is hereby granted to � tO ,:t, ,. , the building ""�' °}�► _ described in the above statement. This permit is granted � upon the expres condition tP at the person to whom it is �ranted, a,nd his agents, employees and workmen, in alI i the work done in, around and upon said building, or any part thereof, sha.11 conform in all respects to the ordi- ; nances of Fridley, Minn., regarding the construction, a,lterat?on, maintenance, repair and moving of building� f within the city limits, and this permit may be revoked at any time upon violation of any of the provisions of said } ordinances. � � i 1�` ��'i��+!�"'�.+ Inspector of Buildings. I ! A�FdEEMEN� �1�TI3 SW�1R.N STA3'E�,?�NT � i In cansideration of the issue and delivery to ane icy t�:e FnCp3ectox c�f L�ilc3inbs of �'radley �f. � the above per�nit, I hereb,y agree to do the pro�s�uer� �7aor�i ia1 wccor�lance w�t� the c�escription above set forth and according to the provisions of the ore�i.i�anee^ c�f F'ric�.Pey, and, beizig first duly I sworn, I. hereby state and say that the facts stated by �ne a.nd con ained in the a ve ��ermit are � true as therein stated. ; �. � ; ,�.: _ . , � �� * i :�__ - - � . ; � ; Subscribed and sworn to before me at Fridley, I�7inne� �,a, h�s ' i � � ; ' ��`��"�`�`� A.D. 19�. � �: , day of — I �,: ' � _ " 4 , : �ity of Fridley, 1Vlinn. BUII�DING PERll�IIT �°• 3 � 2 � IIate: .!. . . .�.�. . . ��. . �c�'.�� . .� . . . . . . . . . . . . . . . . Owner ..��:�!'..�'�.�;'. �`':."��:•''�'�`. Builder ......•:"�'�r+"w";F.,;`"•"` .......................... Addre�ss ...#�' �.�..�..... . .. .. ....... Address ............................................. LC�CATIO�V OF BUILD[I�I� No. �y�/ � ��'f,., . � „ j.,� . Street .��. ....... .......... Part of Lot ............................... Lot ....�...... Block .....��......... Addition.or Sub-Division ..�.':�!'''.''`' •�•• ��'��. ".�--. � 'a� . � +�, / c Corner Lot ............ Inside Lot ... ....... Setback ..� .... Sideyard ..................... DESC�3IP'f'ION OF �UILvDIi'�6� 'P�b be Used as �; s�� r �` � �r„��..,. . "' � �. � '�'" C'" fi`� � �ix,--" � 1 t � �,r.� -u �n ��' �� ;: � Depth . . . . . . . Height a;' �, � ,. � Sq. Ft. :� . . .'.�. � Cu. F't. �,+- � .... ..... .... .... . •.2f .... .. ..:.. .. .... .. .. ..... Front .... Depth .. eigh x. � Sq. Ft. . .. ..... .. � H t F . , , � � _ Type of Construction . ,��K,;�'�. ..xK . ; : :�,.... . . . Est. Cost. . . .:�: .. . . . :'. . .��'.`. . . . ., To be Completed . . . . . . . :'�. .�; �`-'"a '°'�-'�:'�"'".. P' ,�� X . f �� 1 r ,,� ,.° "x�t `�`.+'r��+�'9� . .: �i.�.�P'��" "s2rR..+.t . : . . . . � � .� ��:1,.`;:;. . . _ In consideration of tlze issuance to me of a permit to construct the building desribed above, I agree to do the proposed t�vork in accordance with the description above set forth and ' compliance with �� provisions of ordinances of 'thE city of Fridley. 'R � � �� ..__-�° � .. ........ . ... ..... �.1�f..°t''�,,�G�''.'.�'.'.'�.�.'�� Ny.. In consideration of the payment of a fee of $. . �.`...��"". . ":r, �Permit is hereby granted to . : : .. .. . �.` . . : . � ',, ,,,,,,,,,,,,, ta 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 1us agents, employees and worl�nen; in all work _:;. done in, around and upon said buiiding, or any part thereof, shall conform in all respects to the ordinances of ," ' Fridley, Minnesota regarding loc�`tion, construction, alteration, maintenance, repair and moving of buildings witYi-. _ :in the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. ,�:' „ .� "r.��.� � ��.�LJi":.�� . . . . . . . . Building�.Inspector f';',r'i NOTICE: �` � � � �,� This permit does not cover. the constrtiction; installation or alte�ation for wiring, pl sewer or water, Be sure to see the �uilding inspector for separate permits for thesa � CITY OF FRIDLEY APPLICATION FOR POWER PLANTS AND HEATIN6. COOLING, VENTILATION� REFRIGERATION AND .AIR CONDITIONING $YSTEMS AND DEVICES PARTIAL RATE SCHEDULE GRr1VITY WARM AI R: RATE TOTAL Job Address `; �%�L,! t%��"l _.�- �, Furnace Shell & Duct Work $12.00 $ , Replacement of Flarnace 7.00 $ Repairs & Alterations-up to 5500.00 �•�0 $ Department of Buildings Repairs & Alterations each add. $500.00 4.00 $�_ City of Fridley Tel. #571-3450 MECHANICAL WAFUi AIR: Furnace Shell & Duct Work to 100,000 BTU each add, 5�,Q00 BTU Replace�ent of Furnace Repairs & Alterations-up to 5500.00 Repairs & Alterations each add. $500.00 S`TF�ih! OR •HOT h:aTEFt SYSTEhi : Boiler & Lines up to 100,000 BTU each a3dn. 50,000 BTU Boiler only up to 100,000 BTU each addn. 50.000 BTU OIL BUR'VER- to 3 gal. per hour each add. 3 gal. per hour GAS BURNER- from 100,000 BTU to 199.999 BTU (over 199,999 STU see Fee SChedule) $12.00 4.00 7.00 7.00 4.00 $ �� $ S $ $ $12.00 $ 4.00 $ 7.00 $ 6.00 $ 510.00 S lo. oo S $10.00 $ J�" C+C% S GAS FITTING FEES: lst 3 Fixtures x$ 3.00 Additional Fixtures x $ 1.00 Gas Range to 199,000 BTU x$10.00 AIR COA'DITIONING � /�� -�;�,,� � FAN HEATING SYST�biS See Fea 5chedule VENTTLATING SYSTEMS ALTERATIONS $ REPAIRS State Surcharqe TOTAL FEE RAUGfi INSP. Date FINAL IKSP. ��- -tv - �% Date APPROVAL FOR PERMZT i2��'� REINSPECTION FEE iS10. 00 ) S . c�9c7 $ S g p o �� S S S $ 50 �� MINIMUM FEE FOR ANY FIEATING PERMIT IS $7.50 pLU3 $.50 STATE SURf�i1IRIGE The undersigned hereby makes application for a pezmit for the work herein specified agreeing to do all work in strict accordance with the City Cades •. and rulings of the Department of Buildinqs, and hereby declares that all the facts and representations stated in this application are true and correct. Fridley, Minn. '� ^ 3 j , 19�'' OWNER "�-"LlC-e.�-E=-E-'L (�t�--'Z-C-C�!L'l KIND OF BUILDYNG ''7 .-'2 C.L -� 2 z- � �,{ , USED AS �'c.<'. t�--1_,��' i. L--z�-�.-Lf TO BE COMPLETED ABOUT v�/ �� ~� J ESTIMATED COST � �C � � � � `� OLD NEW BUILDING PERMIT N0. PERMIT NO. DESCRZPTION OF F()RNACE/BURNER FiEATZNG or POWER PLANTS, Steam, Hot Water, Waxm Air- No. Trade Name (.�.�L r2"ii�,Zti Z-c'�7"u/ Size No. / � d r�� ! Capacity Sq. Ft. EDR BT[3 IiP �� Total Connected I,oad Kind of Fuel SURNER - Trade Name � �r�y�l�L-2L' Size No..�G` n� C�� Capacity Sq. Ft. EDR BTIJ Hp �ompany // / LG�-t�,,' • f. E,� �L �� Signed By '�/ � ��!' �G�-�-� Tel. No. �� ✓�`� Y� SUBJECT c�ty of Fridley ° 14929 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r ; � REC . � `L _ __ COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. �� 9� 1 . � �4 � r�"1 � CITY HALI FRIDLEY 55432 NUMBER REV. DATE PAGE OF � APPROVED BY � `••'•� � ,�� 612-560-3450 / / 910-F15 � 78 �os aooRess 6410 Baker Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. % 2 Moore Lake Highlands sHeET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Tnialter Luscian 6410 Baker Street N.E., Fridley, MN 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LIGENSE NO. Chas. E. Joha.nson, Inc. 424 Rice Creek Blvd., Fridley, MN 571-8021 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE UCENSE NQ. 5 ENGINEER MA4L ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDfNG Resi den tial 7 CLASS OF WORK ❑ NEW ❑ ADDITION � ALTERATION ❑ REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Finish bathroom in basement 9 CHANGE QF USE FROM TO STIPULATIONS SEPERATE PERMtTS RfQUIRED FOR WIRI(�G, HEAiIt�G, PLUMBING AND 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 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 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 $S �QOO y�`2. rJO DOES NOT PRESUME TO GIVE UTHORITY TO VIOLATE OR CANCEL THE pERMITfEE SACCHARGE PROVISIONS OF ANY OTHE S TE OR IOCAL LAW REGULATING CON- STRUCTIO HE P RF MA CE OF CONSTRUCTION. $30.00 PLAN CHECKFEE TOTALFEE , `�l yp��f $32.50 NATUPEO CONT nC AUTHORI2EDAGENT 1DnTE� � WHEN PROPERLY �IDATED THIS IS YOUR PERMIT �• � q`��'7� SiGNATUREOFOV ERUFOWNERBUILDERI IDATEI � BLOG.INSP DATE ,, � czTY or- r-cz�v�cY . .. .. .. ,� _ ._ . . ,� ' APf'LIC�TiOt� rOtZ RL"SIllt=�1TI/1L BUILDI��G PEftt�lITS . ' (��iL"W, �LTL•IZ/1TIU(dS, �DllIT10WS, OR �CP/i1RS) � � � � �HAS. �. JONANSON; ' IN�: owri�r�: �� l/�,L �� v %},� _�_C��ek �lyd. s� nvz�u��t: a24 R, A � Frid�l�y. _Minn: -.,b,5432 � r��ar�s� : S/l� /.3,�.Y�� Address : �/�/�'�'�% Tel. i1o. fl �'' (/� `� No. � �/� Street: !-�1��,,,_�L� �C�� (/, C� • � LOT: �J BIACY.: �_ ADDTTIOPJ: ��C12�' � f}��-G �fl�F�LR-�tI;QS CORNi:R I.�OT: I2�SZL�E 7AT: S;:,TBACY: SID�YI�RDS: _ A��licant attach 'ta this farm �ao Certiiicatcs of Survey of Lot and proposed bu�.Idinq locai:ion dra�rm on these Certificates. • DESCRI PTIOf'd OF BUI LDI �G .�, l ��y �� To Be Used As : � ,vi4-7`�i – �t 6 � � J � ��-� . �pl�' Front: Depth: � Height: ' Square Feet: Cubic Feet: IYont: � Depth: � Height:�_ ' 5quare P'eet: Cubic Feet: � l�Ll-.�f r 1 � o Type of Construction• Estimated Cost: $��,00 — 7;b }3e Completed: Alt. A Alt. B Proposed Ariveway Widt� If New Opening Is Desized $ S ' . (SE� R�VERSE SIDE OF SHEET) ?�'he undersigned hereby makes application for a permit for the work herein s�secified, agzeeing to do a11 �.ork in strict accordance with the City of Fxidley Ordina��ces and rulings of the Deoartment oi Euildings, and hereby declares that all tlic facts and representations stated i�i t}iis applicaL-ion are true and corxect. See reverse side ior aclditional iniozmation. D11TE: SIGNATUI'.E: 5tipulations: ,� `� �`j, � a �- _ . a , � �, �v , . � ��_ _ 0 0 0 � . J � � �k. `� ,,. �v'1i " iy ��I g +.I� "� > �u� _, � ,.,._-....-_...r._ �. �....,o ;,�.�_ - --�...,., _,,.� �.. .....,��....� � , .,._.:.. _«,. ��i_ �U,. , . —� � — — __�_____--- ; _ __._. -- f� / � ..___.... -_ ` , �� ___ _'_...�-----.._._. f` " :/'"�� . � _ _ � ! _�� -- ----- � � _ � � ; �,� ��-�---_-�-_- _ �� / : � ___-��-_��, _-__.. _ � .� ,�.�� , � �-_ � ; i a � _ ; � ,! ;' r� �. , � �= • ii - , . � t � � '; � �; , `� �; , � �!� o� i � � �� . � � • C.`=-� ---�-xV ; ', .i � : !�� . x. s,;.,,� � �� 1 ; �_ J „ - _- � , �� ,' � i��T �� ,. - c� , �' ' . � �, . . c c,\ r�c/,� -:� ,}; �1'��C ��+' ,i � v--, '_ i ' `� '. `I i , , i' . �, i�, ,�/�r� � � i. � � �� h� - ,,� \ � i 1 � \ � t i ? : � : � i � �'. ,. . � ; ; ��'; ' , ; �� ? �' � j �,', . � � ��; „ ' ; - � Ll i�:1 i � ' �i , i �h, I � ; , ,� . �tt 7r� � `' \ + � ..�� ! I i ��,,; `�`��C. 0� j � --�-----�---�.-.�;�....�:�� i i �►: �;_ I ,�✓�.';:� � �' � � _� \ °- ' ;�j . '- � .`�' I �,'� ( i "i ! � rx. r ��. Ke; : : �� _.. ' ' � r�sc� �w , � � ! . , �_ , � X !.-� � ` �' ,,,, � : � � _.. � %l�T'�" , % . T<',_ -•�. ,�� - , , f �� . _ ��.: � / . -r . ,�x > � � ; �-, !��i-� ,� :: � � � 'r � . ' ; .'�. � � *� / �`J i 1 � . , . ' �.c �� 1 \ , � C�ltc�c � � ``�:� _� ._.�.. . . ,.. �c✓%_� �-, i � '_.� . . c: G•� ., i ,.� — . �, ,-_ �_._____ . f � , , `� �; _ -� , �" �--`\ � _ , , r� !, \1 � "�'�,�� /�� ✓ �_ n� , ,' `1- �5,�`,��.1 F«y;". � ^�'� /( t� l�/ ( C �.,✓'!R��,; i �:Yfry ! ,l'� �-''n � ,°'�vi �+`� � ! .✓ � f� L �� : �^ M � / Q ��___ _-`..,.__ ._... a. ♦ 0 �'- , i . � CITY OF FRIDLEY � � . APPLICATION FOf� PUJMBING �ND GAS FI�?ING P�RMIT c� � � m �y u �• a� I Water �1 m ��, s�+ c a m q � a. w � Heater � i+ .� m E+ .� r, � H r� s+ w � w t�', c�, M .c •.�i x .c 'c� e 3 u U� d.°�c Q ci a�i .°u F° w � `" � n�,�', o.°c g �� d m ro y ro � cn r c.� � c c� �n 3 a w y w u w� r c� � c� o as leo i . p 2sL 2 r.3 � 3z3 4 L� iR? = FUt�re Connection Opening Connected with Sewer ('} = Ne++ Fixture, Old Opening Water PARTIAL RATE SCHEDULE � ' FLUAiBING FIXTURE RATES: N0. RATE r".��er Fixtutes _� x 53.00 F�ture F±xture Opening x $2.00 New Ffx:uze, Old Opaning • x $2.00 � Catch Basin x $5.00 water Heater - to 99,000 B2V x $5.00 100.000 BTU to 199.000 8T0 x$L0.00 � Kater Scftener x $7.00 l3ew Grourtd fnil Old Buildiflg x $5.00 ElectriC Water Heater �C $5.00 GAS FITTI:�G FEES: • . , . lst 3 fixtures x '$3.00 Additional Fixtures x $1.00 Gas Range to 199,000 BT[J x S10.00 FcE?AIRS F, ALTERATIOA'S First 5200.00 $5.0� each add. 5100.00 or fraction $2.00 State Surcharge . TOT�1L FEE TOTAL S� S S S $ S S S S S S S $ S $ .50 S �� • � Job Address � � 1 � � �,q.�K��_ �. . . . . .`.�. .�.�..,��., Degar�,.nent of Suildinqs City of Fridley . Tel. #571-3450 . The undersiqned hereby makea applicetion Lor a petmit !or !he aosk hereia specified agreeinq to do all work in etriet accordance with the Ciky Codea , and rulings oF the Department of Huildings, and hezeby declaze9 that all the facts and representationa stated in this applicatio aze true and correCt Fridley, Mn. �l%% , 19� OWNER � � � � ICIND OF BUILDING USED AS � TO BE COMPLETED ABOUT ESTIMATED COST OLD - NEW BUILDING PERMZT NO. Compan Siqr►ed 2e1. N ItOUGFt ZNSP. Date FINAL INSP. �^ 2 ^ [ � � �dte APPROVAL FOR PERMIT �(� j?� MI33IMUM FEE FOR AN7C PLUMBZNG PERMIT IS s7.50 FLS� a.SO ST11TE S0�".E REZN�P�CTION FEE � tsio.ao� � 0 � 0 SUBJECT R . City of Fridley _� 16 5 0 2 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T � i � � � • • COMMUtJITY DEVEIOPMENT DIV. r � L � PROTECTIVE INSPECTION SEC. ��$' � � � � � �'��1 � CITY HALL FRIDLEY 55432 NUMBER REV. DATE . PAGE OF APPROVED BY : �_�_�.i �.J 612-571-3450 910-F15 3 18 82 � � JOB ADDRESS 6410 Baker Avenue N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED oESCR. pt. 7 Parcel 62 �I� Moore Lake Hi hlands SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Walter Lusian 6410 Baker Avenue N.E. 3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO. 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE �ICENSE NO. 5 ENGINEER MAIL ADDRESS Z�P PHONE IICENSE NO. 6 USE OF BUILDING 7 CLASS OF WORK ❑ NEW O ADDITION � ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Install aluminwu siding on dwelling 9 CHANGE QF USE FROM TO STIPULATIONS ^JF�� ,'��Y,�,', �'�'f"��T�� C�r ��.�.� ,.. �% L , , �"� �_ t�1 i i�d'':, i;' i. i,i y� i�`7' i i�° 4i �1 �1I� :x ��.i.l�, . TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE RE�UIRED 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 OFFSTfiEET PARKING I HEREBY CERTIFY 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 WORK WILL BE COMPLIED �S`2�SOO $1.25 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OF CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- tiS`3HaSO �UCTION OR THE PERFORM NCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE 's, $39. 75 SiGrvnTUaeoFCON� cTOao UTHORIZEDAGENT ion7ei WHEN PROPERLY VALtOATED THIS IS YOUR PERMIT t � 1.��.�.a.2X1 3 �8 �' SIGNATURE OF OWNERUF OWNER BUILDERI IDATEI BLDG �NSP � D TE CITY OF FRIDLEY Effective Aug. 1, 1981 APPLICIITIO'1 FOf� RCSIDLi�TI/li I3U1LDIi�G PEFL'�ITS (��e��r, Alterations, AddiLions, or Repairs) Ol•J(�ER: �/(� �( L�l'�1--� `;1 A aU ADDRESS : � �i f � �� jl�` ��, TEL N0: - STRI�T NO: � ( O QUI LDER : �,A�2LZ�1V C o,x1 � . �.. I►DDRESS: �(Z�f� J£�'��ti0� s %,I� „ TEL ��0: �� ( �-. ( � C� � Construction Location STREET: � � ' � �_ cj � _ � ) � r L07.': . �_ BLOCK: Z O ADAITION : �_�.�p .i L.��. -�! �,.� Lf� �1 � Corner Lot; Znside Lot: �� SetbacY.: Sideyards: ---T�— Ap�licant attach to t]iis form two Certificates of S�rvey of lot and pzoposed building location drawn on certificates to scale. DESCRIPTIOi� OF C0�•JSTP,UCTIO�� 1� � �, I'ront: Depth: Height: Square Feet: Aabic Feet: Front: Depth: Height: • Squar.e Fe�t: Gl�bic I'eet: 7�ype of Cor,struction : S � T� l/�J � Zb Be Cbr,�pleted: �j -^ � � -�- � 2_ Estimated Cost: $ Z- ��— Alt. A Alt. B Proposed Drive�•�ay Width If New Opening Is Desired: $�, $ . , SEE REVERSE SIDE OF SHEET . �'i�e undezsianed hereby ma3:e� application for a permit fcr the �:vrk hexein specified, agreein3 to do,all work in strict accordar,cc with the City of TYidley Ordinances and rulings of tl�e Dep��rtm��t of Builc3ings, and hereby declares that all tl�e facts and rcprescnkaticns stated :n this applica ' D.'�T�: 3 '- I �S �' �2.-- SIGNATUIic,: SLipulations: � �� .�� / . �� 5�� ,--° � �_�� .� L � � t � s � `�' �� , _ , �( �r � i '� ' sua�ecT P City of Fridley � ,� � -�g � AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r - ; � RECEIPT NO. i ` COMMUNITY DEVELOPMENT DIV. r � y � PqOTECTIVE INSPECTION SEC. �(� � � � . � � /'��1 � CITY HALL FRIOLE� SS43Z NUMBEH REV DATE PAGE OF APPROVED B� �'""�"� �'' 612-571-3450 910-F15 8/17/95 / / J08 ADDRESS 6410 Baker Avenue NE t LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. Pt 7 2 Moore Lake Highlands SHEET 2 PROPERTV OWNER MAIL AODRESS Z�P PHONE LEROY PECHACEK 6410 Baker Avenue NE 574-2305 3 CONTRACTOR MAIL ADORESS Z�P PHONE UCENSE NO Same 4 AFiCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS Z�P PNONE IICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK C� NEW ❑ ADDITION p ALTERATION ❑ REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Construct a 12' x 20' Shed 9 CHANGEOFUSEFROM TO STIPULA710NS Shed must not be attached to structure unless frost footings are installed. TYPEOFCONST. OCCUPANCYGROUP OCCUPANCVLOAD SEPARATE PERMITS ARE REQUIRED FOF ELEC7RICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZpNING SO. FT. CU. FT. AUTHOR�ZED IS NOT COMMENCED WITHIN 60 DAYS, Oii IF CONSTRUCTION OR WORK IS SUSPENOED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TfiUE AND CORRECT. ALl PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TVPE OF WOFK WILL BE COMPLIED @ @ WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT W 1� 2OO yr . GO OOES NOT PRESUME TQ GIYE AUTHORITY TO VIOIATE OR CANCEL THE pERMITFEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERfORMANCE OF CONSTRUCTION. ��FO.ZS Fire SC �L.ZO PLAN CHECK FEE TOTAL FEE $42.05 S�GNATUFlEOFCON'FACT0�70RAlJTHOAIZEDAGENT IDATEI WHEN PAOPER VALIDATED THIS IS V UR PERMIT � /• � � � �� F,,.l� � -/�A y�' � e � SiGNATUAEOFOWNEAi�FOWNE�:BU�LDER� IDATEi BL G �NSP 1�.iE NEW ADDN ALTER [l (1 fI Construction Address: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Builciing Permit Application � �/o g� r< F,� /� �� Effective 8/ 1 /95 Legal Descripdon: �1 'r ! � � -� � £ � • Owner Name & Address: l. F - F � I-1 � c E'� � G Y/o BH �.� w� ��- Tel. #�% �" 2 3� 5 Contractor: Address: MN LICENSE # Attach to this application, a Certificate of Survey of the lot, with the proposed conshuction 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: � �5 � ; k� S l�F � 2 0 ' / � � ( 2 � Tel. �t Sq. Ft. . Sq. Ft. Sq. Ft. � �o'k1�,�Z Comer Lot [] Inside Lot [] Ft. Yd Setback Side Yard Setbacks Type of Construction: {,v G b 1� Estimated Cost: $ � � �0 �.-. Approx. Completion Date: /►� o v l S/ 9 9 5' (cost on Backj Driveway Curb Cut Width Needed: Q Ft. + 6 Ft = Ft x$ _$ DATE: -I S' � `t � APPLICANT: � . � - ��'� �� p cE �4 Tel. # �7Y� 2 3 a.S� Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL � ya, z� $ %i � $ �� $ _ $ $ $ $ $ $ y2 ,o� _ CITY USE OAiLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.SO!$1,000 Valuation $850 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 [ ] STIPULATIONS: , DRAWN BY L.A. PECHACEK ON 8-13-95 AT 6410 BAKER AVE NE. FRIDLEY, MN 55432 LQT IS 150 X 125 FEET. /� � �. r' � ♦ �� • :::�-. �. 1�, '� 1 �-� ,� ,+ ��-, .. � e r, ,_. �. �„�� _ e _. __ ... ___._ _ _ __ . _.__ _ /'� A+� j ___ _. � � - 1��-�� :�= -� - ' ,� : � � `,.G �--- i------ � �, i L. �sM/S � ^` 7 G�� C `�' ' � ' 1 �'x�L � � . . . �:.. � � i� ��x <�L�� . ,� � t'� � � � �- , _ , . . __ ,,-:� . , - - .. .` � . � ,�r . ,r � ,-�/�/ � � 1 a:� � ,,. � � .�- � � �'�� , �� - �F� }� } ► �,� r✓ F r ��i � r1.!�.. . t �'�T 3;� " V �:� �' Gzr.mE �'o ��ssrsNr You WiTS YouR � ,.� �� EZ� FR�IME �HED � ib.�..�! Pi.. a. . r,i. Miri�w I�t trst�i� Mli a� a� O�ti�. Ya� osy'eed mae ar les mr�eri�kdqpeadiog� tiow yon b�d Y'w �eed mo�e we7 rllrw ra� r7o'a hve Idta�s �ring It 6�ci! �. GENERAL Prior to beginning construction, the area selected for the shed location must be leveled and cleared of obstructions. Z. INVENTOItY Separate all lumber, hardware, etc. into individual stacks of like items. 3• FRAME PREPARAI'IOI�t Unfold each frame; setting aside two frames to be used as end walls. From 1"x4" Pine boards,� cut Gusset plates 6" long--24 for a 12' building, 32 for a 16' building or 40 for a 20' building. Apply gusset plates on each side of the top and bottom fold locations. Frames to be used as end walls require only one gusset plate top and bottom on the side opposite of the metal plate, and to the inside of the building: Use four 8d nails on each plate. See Figure 1. i. �c s� �` st�s.'t � ^� � v� a�a �.e� �a i,.�►.� � �..t F�ra�.• x�� sxa a�a. w�.n " Fyr.�w l�iMr . . ' .-. �� ~�~ s~�~�~ . �OttO� FliM! jp�i iy�t �1� p1at� at lwttwt - l.td 3eo.wa i1'-O" ��~ � BZ �JQ.D i,A�N l�RA1�fB �� :_� ' . ., �r � u� 4. BACK WALL �rRAMING Using one frame selected as an end wall, measure and mark stud locations accordin to dimensions shown in Figure 2. �lace the proper leng'th 2x4 studs at those locations. Mark required length and angles and cut to fit. Toe nail studs into place using (2) 8d nails top and bottom. See Figure 2. Cut 2x4 nailers and install at dimensions shown in Figure 2. - � � z g'IGURE 3. a.�ta- � "Iw wiawy areas brildiwg pe��its are wot nq�cired for s�otl storqga buildi�gs, but yo�r best ektck witR yo++r Jocol o,�''icials.•� E ;� �� +1 �� =� ss/s" s1-s/4" s"�c4" Q�atii� styds art b !it st ioa:atiMS �1►�a s►a/s' s►s/�s• �-s/s" "Yoa're in charge, n�+e�nber com�non sense goes a long way.,, s":s"�s• ...a ..au alwL euc ti. �t. �M�. i M� � •� a� to �t. s"au�"xse' Ba�i wati sty.aa, �t ti. St Ti� isil s�ds iwt� �1�. (t7►p) s"ar4"a��• s. FRONT WALL TRAMING 8••d•r � Using the remaining end wall frame, repeat �+ � Step 4, using Figure 3 as a guide. , NOTE: When using a roll-up door, the door opening must be framed to the exact size of 4s" �r"�� the door. Example: 8x7 Roll-up door will have �� a finish opening of 96"x84". =-i/r� 6. SIDING BACIt WALL Cut two 4'x8' sheets of siding into four 48"x48" pieces. Use three full 4'x8' sheets and three of the 48"x�8" pieces. Cut each piece as required. Nail siding pieces onto back wall frame with 8d nalls every 8" on center. (Fig. 4) mtorr�r wwu, �c_t n z-�4s"x4s" � pa. cut to St Cut sctap � pieaes to iit Z-�4"ac96" � P� cat to E'rt NOiFs L ea�d�r to IcK� �eishas� fi� wicicin� ieb tiw �iiir�,lcKp t6� iwtto� �E tbt sidia� s" aLor� tl�e wtbr oi tL� tr�ted botto� �ra�e ��b�r. swcx wwu. �� •� - ,, . � �� ,�- fr : ,� � ti � ,�- ��a� �� ,� � ��>�� `" . � ��_ ��i� t� � � 3'*- It �r� 37Y�`�# F .-� �.� �� i� �� : -. - 3,,,4s«Y9i,» �. pca. svrt ss ihowb 7• SIDING FRONT WALL Cut one 4'x8' sheet of siding into two pieces 48"x48". Cut one 4'x8' sheet into two pieces 24"x96". Cut each piece as required. Nail siding pieces onto front wall frame with �d nails every 8" on center. (Fig. 5) 8�. FRAMII�iG �Yom two treated 2x4's, cut two rim joists: 11'-11" for a 12' building.l5'-11" for a 16' building or 19' -11 " for a 20' building. Place the cut rim joists 12' apart in the area selected for the barn location. Stand the front and back w�alls up at the proper ends of the rim joists. Nail rim joists to the end wall frames using lOd nails. Temporarlly brace each end. Stand the re:maining frames up, 5 for an 13' building. 7 for a 16' building or 9 for a 20' building. Nail to rim joists at dimensions shown in Figure 6. Install a temgorary brace across low roof inember. See Figure 6. k Pa+fi�ilt l�e�� tia+.« Faras ..i w►a�t .r.+ra/ '`ul w�/Oj� T-s-== �:/i� r a..�..i �� k�.. .T.s.e /,�J;,�i� � At base of building, measure diagonally . Adjust building until AC=BD. Building is then square. so. FLOOR SUPPORTS From the remaining treated 2x4's. cut four 21-1/4" floor supports and the required amount of 22-1 /2" floor supports.- 8 for� an 12' building, 12 for a 16' building or 16 for a 20' building. Install using lOd nails, at dimensions shown in Figure 8. ii. F�AOR SHEATH�NG iZ' Bnildina�-P7om two 4'x8' sheets of floor sheathing. cut three pieces 48" wide by 47-1 /2" long. Cut three 4'x8' sheets to 95-1 /2" long. �6' Bnildin�s--Cut six 4'x8' sheets of floor sheathing to 55-1/2" long. z,o' Bniidir�s--From two 4'x8' sheets of floor sheathing. cut fliree pieces 48"x47-1 /2" long. Cut three 4'x8' sheets to 95-1/2" long. Use three full 4'x8' sheets. NOTE: Pieces rnust be notched to fit around side wall frame members. Stagger and butt end joints front to back. Nail in place with 8d nails every 8" on center.Verify all measurements before cutting. LZ. SIDING SIDE WALL �t• Bnildin�s—Cut six.4'x8' sheets of siding to 71" i6�Su31dit�--Cut eighf 4'x8' sheets of siding to 71" lOng z,o' Buildin�;s-- Cut ten 4'x8' sheets of siding to 71" long. Make certain end walls. and frames ar�e plumb (vertically level.) Then. apply siding using 6d nails. NOTE: Place cut edge"s at corners. Check and verify all measurements before cutting. .; 'Z9un's �wn tha�t oru u�ay to iJNn u cc,t dE , lob of a�yr to . ; cn►�at�vct a b�ldi�g, . an kani ae �nuch aa you cma fi'°'n °a »uny ao�nc+es m you cm�." � w` C.I. . 13. FACIA TRIM ----=Z• Build.ing;---Use two 1"x6"x12' trim boards. i6• Buiiding:---Use two 1"x6"x16' trim boards. to' Building:---Use four 1"x6"x10' trim boards. Nail to exposed ends of roof overhang usin 8d nails. Top edge of fa�ia board should be 1/2" above the top of the roof frame mem�er. This will cover the exposed edge of the roof sheathing. s4.ROOF ----�C' Buitding:--Overhang--�- from one 4'x8' sheet of roof sheathing, cut two 8"�96" 9' 4 pea. 6dlon 48�� Pieces, leaving a piece 24" wide by 4 L "�.�, ,� .ssl:�» « � .g 7Z" Low Roogs Using the 24"x96" piece, cut r�. �:;::::::>:::>:>::�;::>;:;::: ::::::.: :.:: ::.::;::::::::::;:::: � two 24"x48" pieces. kYom one 4'x8' sheet, cut �'�✓_• - "=�i`" two pieces 48"x48". Cut another 4'x8' sheet into s¢+il�" two pieces 24"x96". Use two full sheets. 4S-s/2" High Aoo�: Cut three 4'x8' sheets to �_=�I`N �-�n» �•�: 45-1 j2" wide. �-om one of those pieces cut two =. „ 'n z� w 45-1 /2" wide by 48" long pieces: ..... .. . ... s6' Building:--O�erhang---- from one 4'x8' I,,�=`,. �:: ::: :: � :: � :: �„�s,. sheet of roof sheathing, cut four gieces 8" wide ss" by 96" lon ?Z•' I.ow �oo�: From two 4'x8' sheets, cut s�s. rwa- »,�» f o u r p i e ce s 2 4" w i de by 9 6" long. Use two f u ll sheets. » � 45-I/Z•• High Roo�s Cut four 4'x8' sheets to �� '`�` 45-1 /2" wide by 96" long. ,� `:`�` ;:��"�;`:� ::; ` � :.: ...... .. : :� �:<.. , : Zo' Building:--Overhan ---- from one 4'x8' �� g ��:: �,,,�� sheet of roof sheathin,g, cut four pieces 8" x96" <!�:� �.� ..M lon� and two pieces 8 x48 . � 7Z' Low Roof: FYom two 4'x8' sheets, cut ��`' � d' ' four pieces 24" wide by 96" long. FYom one 4'x8' sheet, cut two pieces 24"x48". Use four full 4'x8' sheets. 45-Il2" High Roof: Cut flve 4'x8' sheets to 45-1 /2" wide by 96" long. FYorn one of those G =Q� _« pieces, cut two 45-1/2"x48" long pieces. Nail roof � � sheathing in place using 6d nails every 8" on �-s�s �s''� _~ � center. Stagger sheathing end joints from frame to ,i,l frame when�ev�er possible. IS• DOOR FRAMING b � . . Cut two 4'x8' sheets of siding to 48" wide by 94" � long. Cut frame members as shown in Figure 9. � Attach to door siding pieces and attach hasp and � hinges: =6. TRIM-- From 1"x4" trim boards, measure and � � -�1 � cut 8 corner trim pieces. Place (2) 94"-1 "x6" on o eaeh outer side of door opening. Mark and cut (1� � 1"x6"x12' running across the top of the door � � opening and extending out to meet the lower roof trim. Nail to building and hang doors. FYom lx6 �$ a - Pine boards, measure and cut remaining trim to —�- • fit Gable Fascia. Attach to building. NOTE: Tack ��--�" --�{ ar� �� gable end trim into place and check fit. Make any $wxN nooa D�, required adjustments in the cuts prior to nailing , ��.r„_ in place. �7• FINISHING ROOF CAPP1Y Roog f� Feet As Per Instrurtion Oa Bundla� Apply shingles using 3/4" roofing nails as per manufacturer's instructions (on �bundles). r I8. FII�iISHING BUILDiNG Paint and/or stain as desired. ..+ ra n�M�uw av�e) w p�y�7oC slOp71 [IIM17lO�E at [O OR! Of W! �J� a fYeA �� b! � �rials availsble from Mendards. We mggest you check with �our {ocai bniWin� Wfkiab tr�ardlaj �ite bcatlaM Pe�k P�'ooedwa. �atet7 � spedticaUons of materials used to coe�truct your aewstora�e s6ed. Bullders wNo uqllu Wb aid a�wt p�oteed at Weir owu �ik sed are �naible for complylnY with �II building coda whkh pertsia fe thelr comwuelt�. MenaMa haYb� dbdabu aM Ilablit� tor aa� daatsea wl eaumtlal, incidental. soecial or e�h��. :.a.�..�. ..... .....�. w,..._ ..�....�_ ...� .- ■•----_--.- - • • sue�ecT PERMI City of Fridley �.� � �3 AT THE TOP OF THE TWINS B U I L D I N G P E R M I T r � � � � � COMMUNITV DEVELOPMENT DIV. ' ` � 1 r �~ � PROTECTIVE INSPECTION SEC. 3� i � � . , _ ' � �'�'1 � CITY HALL FRIDLE� 55432 NUMBEF AEV DATE PAGE Of APPROVED BV � """�"� �'' 612-571-3450 910-F15 10/10/9 / / JOB ADDRESS 6410 Baker Avenue NE 1 LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. Pt 7 2 Moore Lake Highlands SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PNONE Lee August 6410 Baker Avenue NE 574-9298 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Vern's Complete Home Services 12641 63 Ave N, Maple Grove 55369 559-9332 5869 4 ARCHITECT OR DESIGNER MAII ADORESS ZIP PHONE LICENSE NO 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CIASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION � REPAIR ❑ MOVE O REMOVE B DESCRIBE WOFiK Reroof Dwelling (19 Sq) Tear-off 9 CHANGEOFUSEFROM TO STIPULATIONS Ur.derlayment must comply with the State Building Code. TYPEOFCONST. OCCUPANCYGROUP OCCUPANCYLOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NUIL AND VOID IF WORK OR CONSTfiUCTION ZONING SO. FT CU. FT. AUTHORIZED IS NOT COMMENCED W�THIN 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. UN17S OFFSTFEET PARKING I HEREBY CERTIFV 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 TVPE OF WOfiK WIIL BE COMP�IED WITH WHETHER SPECIFIEO HEREIN OR NOT. THE GRANTING Of A PERMIT 1 SZO . 76 DOES NOT PRESUME TO GIVE AUTHORITV TO VIOIATE OR CANCEL THE pERMITFEE SACCHAPGE PROVISIONS F ANY OTHER STAT LO AL LAW REGUTATING CON- STRUCTION THE PERfOAMA OF C STRUCTION rj1.2„rj Fire SC 1.52 PLAN CHECKfEE TOTALfEE ,f' _.. �'�� ').. '._ �-� 'c n 0 58.53 SIGNATU�7EOFCONTRA(;T RORAUTHORIZEDAGENT ionrEi WHEN PAOPERLV V IDATED THIS IS VOUR PERMIT � ./A/i ✓1/ i � i" / l!/'� S�GNaTUAEOFOWNERiiFOWNEROU�LDERi �OATEi '��r,�SP narE, NEW ADDN ALTER [l �� Lfi°.. . ConstructionAddress: Legal Description: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Owner Name & Address: � r% Contractor: �'��`y /� � Address � ��r� .� , Effective 8/1/95 � � . Tel. # S-..� �l' � �2s�� MN LICENSE # `� �''� � �, Tel. # �S � �- y' 3� S 7� �� y Attach to this application, a Certi�icate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: GARAGE AREA: �ECK AREA: OTHER: Length Length Length DESCRIPTION OF IMPROVEMENT Width Width Width Height Height Hgt/Ground Sq. Ft. Sq. Ft. Sq. Ft. Comer Lot [] Inside Lot [ � Ft. Yd Setback Side Yard Setbacks Tj� Of COI1StfUCL10II: EStllllai� COSt: $ ��r� �� , Approx. Completion Date: (Cost on Back) Driveway Curb Cut Width Needed: Ft. +;.�t = Ft x$ , _$ DATE: _ -/G" G�� APPLICANT: F �.�... Tel. # '? `�'�� Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: �ITY USE ONLY $ ��- ��- Fee Schedule on Reverse Side $ /. .�. � .001 of Permi�t Valuation (1/1()th%) $ , rJ �� $.50/$1,000 Valuation $ $850 per SAC Unit $ � - C» $5.00 (State Licensed Residential Contractors) $ Alt. "A" or Alt. "B" Above $ $45U.00 Conservation Plan Review $ Fee Determiaed by Engineering $ Agreement Necessary [ ] Not Necessary [ ) $ -� �� -� 0 �� ' �l�Ytective ,January .1, 't�U3 CITY OF FRIDLEY INSPEC710N DIViSION 6431 University Ave NE Fridicy, MN 55432 APPLICATICiN FOR POWER PLANTS AND HEATING, COOLING, VE:NTILATiON, (763) 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND �EVICE� FAX (763) 571-1287 1�l�� JOB ADDR�.SS_�1)�t" !(l ( RATE SCHEDULE Residential. Furnace Sheli and Duct Work, Burner - A1so Repfacement Furnace (Side Vent - Fill Out Back) Gas Piping (Needed with new furnace, -but not replacement) Gas Range Gas Dryer *Air Conditioning • All Sizes Rate TOTAL �3Sdo � .��99 $31�. $ 10.00 $ All Others/Repairs & Alterations (LIST ON BACK) l�jo ofValue of Appliance or Work Commercial/Industrial 1.25°J of Value of Appliance or Work $ 10.00 $ 10.00 $ 25.00 State Surchr,rge TOTA� FEE OWN BUILDING USED � �- ESTIMATED COST�__�� PERMIT N0. L' _�pv�% DESCRIP'�'JOf�! OF FURNACE AND OR BURNER $ No. of Heating S,J,nits_. _ Circle One (Steam) (Hot Water) arm Ai $ Trade Name � Size Na C � BTU f-iP _ EDR �� Fuel __ ToYal Connected Load__��t� a,r,,,•�-�- Burner Trade Name ._ Size No�,� �}�3�� $ BTU ��;� _ HF _ EDR $ — � � ,a-'�' , �� r � MINIMUM FEE FOR ANY HEATING/COOLING/VERiTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS 25.00 PLUS THE $.50 STATE SURCHARGE • -- i �� REINSPECTION FEE $47.00/Hr *Air Conditioners can nat be placed in a side yard without written permission from adjoining property owner. The undersigned hereby makes application for a permit for the work herein specified agreeing to do al! wo��1< in strict accordance with the City Codes an rulings of the Building �ivision, and hereby declares that all the facts and representations stated in this application are true and correct. HEATI Q � Sig FAX # � Approved By /` �� I i � � ��t►. �' � �f!!��►_ti � -' ��%1� i�� _ � � �- .. : --- ---- � _ R��ugh�ln Date J !�� <9 _ Final Date � THE BELOW MUST BE FILLED tN WHEN REPLACING FUEL BURNING APPUANCES OR THE APPLlCATION WILL BE RETURNED S`i']tl�ti"OR t�(LT ��RT C`QI�I�EC'TnR AI`D C�MHl1ST QN IR V RIFIGATInN When :r�1I �� an eYistinQ f,�rance, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstnactions, and is securely supported and firestopped where required. Yes �i No () The venting system is plastiGPVC and meets all current codes and manufacturer speaflcations including s'izing, 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 manufacturers specifications. This does indude AGA-GAMA Category I Central Fumace Venting Tables for fan assisted and natural draft appliances. The EY�� r_emb ��en air is sized and installed to meet the current codes and manufacturers specfications. WI1@11 f�Ul�2d t0 ��all a nev+t cemh�c_tien air it will be sized and installed to meet the current codes and manufaciurers specifications. Yes � No ( ) Yes ( ) No (� Yes j�tj No ( ) When ipstaWn� a np�•: �entina syc,.t�, 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 Fumace Venting Tables for fan assisted and natural draft appliances. Yes � No () Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separatety as per cuRent codes. Yes � No O ` �eT Ii ncp T�q and Si7 /Gemmon �! nt and Vent C_� n_c+er lnfermatian �� y Appliance #1 Type BTU Input �� Q� - Fan Assisted or Nat �� A(iance #2 Type BTU InpU�;.?x-�11[�2-- Fan Assisted or PJat � pP Appli�r►� #3 Type B?'U !nr!s± Fan Assisted or N�t __ t��.__�,_;.� Total Appliances � Total Btu Input �a. .c� �� 1 �i Co�;:ie� R�An± Ty�� '. FG�.� e-- �/ent He��ht �.� C�iameter 3�w.. inches Appliance #1 Vent Connector Height ft Length ft Diameter in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type App(ia�ce #3 Vent Connector Height ft Length ft Diameter in Type __ � � - � r • ► �,- . ..- HEATtNG CO: 0 Signed By: Date : � CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 57"1-36U4 r'AX: ADDRESS : 6410 BAKER AVE NE PIN : 133Q24320038 LEGAL DESC : MOORE LAKE HIGHLANDS : LOT 7 BLOCK 2 PERMIT TYPE : HEATING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION 571-12ii7 PERMIT NO.: 2004-01621 DATE ISSUED: 09/21/2004 • VALUATION : $ 4,000.00 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 A FURNACE (WARM AIR, GOODMAN, 70,000 BTUS) AND AN AIR CONDITIONER. # A/C UNITS 1 VALUE OF APPL OR WORK 0 #FURNACES # GAS RANGES APPLICANT ANDERSON HEATING & AIR COND 4347 CENTRAL AVE NE COLUMBIA HEIGHTS, MN 55421 OWNER LEE AUGUST 6410 BAKER AVE NE FRIDLEY, MN 55432 1 # GA5 DRYERS 0 VALUE (FOR MINIMUM CALC) 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 ardinances 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 regul,�irtg-sc�►s ion or the performance of construction. Applicant� Date Bldg Insp Da e f' � 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 # 24284 CRPAR ATR PFRMTTC RF(1TTTRRiI FC1R WCIRK CITNRR THAN 1�RCCRTRF.17 AR(�VF. � n 4000 0.00 35.00 0.00 0.00 25.00 0.00 0.50 60.50 B�ilding Inspections 763-572-3604 DATE o dl �� SITE ADDRESS I O THIS APPLICANT IS: PROPERTY OWNER/ TENANT BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY , YOUR E-MAIL ADDRESS f� oI� L�t� rti �' ❑ OWNER �CONTRACTOR t 1 U �.� - �lq,-9 r� CONTRACTOR NAME: �Co�,� � ��' K�ti �r �-I._ r. t_ SUBMIT A COPY OF STATE LICENSE #� O i S.S l�� EXP DATE 3 3� C) YOUR STATE LICENSE ADDRESS: �i o 1� �� L/l/� ��1 CITY WITH APPLICATION pHONE %�??G `7 ` � 3`% �, FAX 3 � .�/ " �'! PROPERTY TYPE ❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE O TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ��DITION 0 GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH 'BJ200F � DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE O�' WORK: ❑ NEW ❑ ADDITION ❑ MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: o v ; � r. r�n r'�e- Permit No�� "�1��'-' Received By: , Date Rec'd: Cc'� �� , a, Ir q a ��c� � C�+ I'r ATE�II�IP. h A�a ZIPS�Cf� SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT S. Ft. ROOFING 0 HOUSE ONLY NUMBER OF SQUARES �� iOUSE & GARAGE C{��.} A��( \ BASEMENT REMODELING SUBMIT: I GARA►GES �ATTACHBD GARAGE � L Existing Floor Plan ' PROPOSED SIZE: ❑ DETACHED GARAGE 2• Proposed floor plan i PROPOSED HEIGHT: SIDING ❑ Vinyl �Soffit ❑ Aluminum ❑ Trim ❑ Other ❑ Fascia WINDOWS IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS OR FOR NEW OPENINGS-DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINAOW TO BE INSTALLED NUMBER OF \ 3. List of structural members to be used FOR NEW CONSTRi1CTION INCLUDING DECKS, ADDITIONS. & PORCHES SU$MIT: 1. Site Plan/Survey showing the existing structures and proposed project. 2. Two sets of construction plans 3. Energy Calculations ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (LTSING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ OCCUPANCY TYPE Permit Fee ��— $ ls'3, -� 3ee Back Page for Fee Schedule Plan Review $ �] � s / 65% of Bui(ding Permit Fee __Fsr��urchazg�_ � ' DQLtimes_the�oiaLj�b valuation — Surcharge � ,� � $ . �� .0005 x Permit Valuation Minimum $.50 License Surcharge r�— � $ S;� o $5.00 (State Licensed Residential Contractors) SAC Charge $ $1675 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft+ 6 ft= ft x$21 =$ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary O Non Necessary O Total Due �, $' / Make checks a able to: Cit of Fridle Attach Sti ulations THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I aclrnowledge 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 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 which r ' es review and approva f plans. 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