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AF - 43607� ?;r � r: Village of ]Fradley, l�inn. , �' �U�ING PlER1b�IT ,� � [e of YNS ,ECTOR OF B� ILIDINGS � � �. 19��' �i� � � �, DESCRII'TIOT�T O�' BUILDING � ,- � ,.� �,, ,,, , Front_ i� Depth Height Stories_ Manner of Construction To be used as To be completed Estimated Cost �� _ - � , �` . ~r�, ,�;�. �''�j .��r,,, .,�- ,i; � � ,�: ,. ,� �., r., .�f . , •h,i,��., ,� � �.....r re_..d t F �a�., � � s�`i�:.�a.,�+i',�""`� y� � + � . 2T2bjy g'PB,rite$ LO ' t0 �rssi� . '` ��re'�l"'Y,�d1,.A! ��+ - described ia ihe above statement. This permit is granted press ondition th �t the person to whom it is graitefl, a,ni hi� a,�ents, emrl�yees anfl w�rkmen, in all ine in,' around and upom< said building,. or any part thereof, shall conform in all respects to the ordi- 'r'idley, Minn, regarding the construction, alteration, maintenance, repair and moving of buildings :ity lixnits, and thia permit may be revoked at any time upon violation of any of the provisions of said `�, � �� `'�� Lnspector of Buildin s. � g AGREEMENT AND SWORIV STATEP�dENT isidera,tion of the issue and delivery to `me by the Inspector of Bui�din�s of Fridley of perinit; I hereby agree to do the proposed work in accordance with the description Forth and according to the provisions of the ordinances of Fridley, and, being first duly ereby state and say that the facts stated by me and contained in the above permit are . �reiri stated. ' � + �.""' , _ ed: and sworn, to .before me at Fridley, Minne ota, this - �:- + ; _ � � .y y �?��.�,a�,� A.D.19��. � � s � , � f ti vy , ^ • . . . � ;';.,. . . . .. ... ..... . .. . .. .. . . . .. . � .. :1:.. .. . . ... .. v . ... .. ... . � � Application �or Power Plants and Heating, Cooling. Ventilation� Refrigerafion and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GAAVITY WARM AIR: RATE Furnace Shell & Duct Work . . . . . . . . . . . . . . . .. . . . . . . . . . . $10.00 Replacement of Furnace ............................. 6.00 Repairs & Alterations—up to $500.00 . . . . . . . . . . . . . . . . . 6.00 Repairs & Alterations each add. �500.00 . . . . . . . . . . . . . . . 3.00 MECH. WARM AIR Furnace Shell & L?uct Work to 120,000 BTU . . . . . . . . . . . . $10.00 each add. 60,000 BTU ....................... 3.00 Replacement of Furnace ............................. 6.00 Repairs & Alteraiions—up to $50d.00 . . . . . . . . . . . . . . . . . 6.00 Repairs & Alterations each add. $500.00 . . ... . . . . . .. . . 3.00 TOTAI. $ � $ $ $ � $ $ 3TEAM or HOT WA1'ER SYSTEM Furnace Shell & Lines—ta 400 sq. ft. EDR Steam .... $10.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water .. 10.00 $ Each add. 200 sq. ft. EDR Steam . . . . . . . . . . . . . . . . . . . . . 3.00 $ Each add. 320 sq. ft. EDR Hot Water . . . . . . . . . . . . . . . . . . 3.00 $ OIL BURIvER—to 3 gal. per hour . . . . . . . . . . . . . . . . . . . . 6.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 199,000 BTU) . . . . . . . . . . . . . . . . . . . . . . 5.00 $ �! over 199,000 BTU See Fee Schedule GAS FITTING FEES: NO RATE TOTAL lst 3 Fixtures ...................... x$ 2.00 $ vr� O-� Additional Fixtures ................. x .75 $ Gas Range to 199,000 , x$ 5.00 $ AIR CONDITIONING FAN HEATING SYSTEM VENTILATING SYSTEM ALTERATIONS & HEPAIRS ROUGH FINAL � See Fee Schedule $ TOTAL FEE � � '� Dept. of Bldgs. Phone 560-3450 LocaYio�_ ��✓� �!��'.''�"�'. �+1': �U • � City of Fridley: The undersigned hereby makes application for a permit for the work hereir. specified, agreeing to do all work in strict accordance with the City Ordinance: and ruling of the Department of BuiIdings, and hereby declares that all the facts and representations stated in this application are true and correct. E�idley, Minn. ��_, 19� _ „ ...� , � Owner ✓ Kind of Building ��mpi � hi% � Used as To be completed about �`� '° G�/l e–� � Estimated Cost, $ ��J � ld New. Building Permit No. Permit No. `7� �� DESCRIPTION OF WORK HEATING or POWER PI.ANTS�team, Hot Water, Warm Air—No. Trade N ame Size Capacity Sq. Ft. E.D.R. BTLJ H,p, ; Total Connected Load �,{,l��J�� Kind of Fue BURNER — Trade Name Size No..lL/�-�� ✓ Capacity Sq. Ft. E.D.R O BT[.T g,p, (REMARKS-OVER) .: • � • . �.�- �/_v �� 3.�-��.' � � � .�iia j , � �r%� I � �� !',� / �� i City of Fridley Applic4tion for P'lumbing and C trs Fitting Permit Dept. of Bidqs. Phone 560-3450 DESCRIPTION OF WORK 6431 NE Baker Number, Kind and Location of Fixtures Location < O� � I �6 � I � I Z I� °, °e O I ; I j aC I t `� Oj < I< ny�� Z< I u1 ? I F I N I G STER ELEC. 3 � � IA ; F- � IL N LL 0 V m < �i (� ` i� 4' i� o Base lst 2nd 3rd 4th ` Puture ConaecYion Openings * Nevv Fix2ure, Old Openings PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: Number Fixtures ...... ... Future Fixture Opening ............... New Fixture Old Opening . . . . . . . . . . . . . . Catch Basin . . . . Water Heater (Up to 99,000 BTIn . . . . . . New Ground Run Old Bldg. ............ Electric Water Heater GAS FITTING FEES: lst 3 Fixtures .......................... Additional Fixtures .................... Gas Range to 199,000 BTU . . . . . . . . . . . . . . 3emer � Cesspool n NO. RA'1"E TOTAi. x $2.00 $ X $1.50 $ x $1.50 $ x $3.25 $ x $3.00 $ x $3.25 $ s $2.00 S NO. RATE TOTAL x �2.00 $ x$.75 � 1 X $5.00 � 3. 00 REPAIRS 8c ALTERATIONS—Refer to Code Description ................................................$ To�rai. � � 3 • o0 City of Fridley: 8 T9.01 The undersigned hereby makes application for a permit for the work herei. specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the facl and representations stated in this application are true and correct. Fridley, Minn 1' �� 68 , 19_. Owner �drew +� 3.3 ChID� Kind of Building Used as To be completed about Estimated Cost, $ re� 1f Old—�Building Permit No. Per� No. � .a' ,• ,�� , ,'' ' Signe - �,��f� �� By v J/Jl/�1J :��•:� `�� ' �� a9�� ......�r Business Phune No. ROUGH FINAL 42 SUBJECT City of Fridley AT THE TOP OF THE TWINS g � I L D I N G P E R M I T� � � � � � � ; L___�__ COMMU�IITY DEVELOPMENT DIV. r � '� PROTECTIVE INSPECTION SEC. 1 � � � �"'� � CITY HALL FRIDLEY 55432 NuMaEa aev OATE VAGE oF �'"""�� ,�� 612-571-3450 910-F15 5/7/96 f / JOB ADDRESS 6431 Bake 1 LEGAL DESCR. Pt 13 2 PROPERTY OWNER Charles Hendric 3 CONTRACTOF TRACT OR AOOITION 1 Moore L� MAIL ADOFESS 6431 Baker Avi MAIL ADDRESS First Choice Exteriors 2405 4 ARCHITECT OR DESIGNER MAIL ADDRESS 5 ENGINEER 6 USE OF BUILDING Resident 7 CIASS OF WORK 8 DESCRIBE WORK MAIL ADDFiESS Hiehlands O NEW ❑ ADDITION ❑ ALTERATION ZIP PHONE v 55441 553- 21P PHONE ZIP PHONE - 1 �� 7 EIPT NO. �� ' avvRpvEO BV SEE AT7ACHED SHEET 9613 UCENSE NO 918 4266 LICENSE NO. UCENSE NO REPAIR ❑ MOVE O REMOVE _ � 9 CHANGE OF USE FROM --- - ----- - --- � _ TD----_ _ —___.--- -- —._— _— 1 _—�] �, HOUSE �HEATING TES7 RECORD � ��C ��.{�- ��%� %��I� APT. FLOOf.t CITY �� SUBURB----- ADDF2ES5 � 7 OWNER �` t,�w v OCCUPANT HEAT LOS , D TE H7G. IN T� ��,� �d ,- �°�� ' SOLD BY �r� '`'� � ��` : n ' INSTALLED BY � r� . �� Gas Line By `J i�- + Y d .i i' Electrical Work By TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNIT H�ONVERSIONE � GAS DESIGN MAKE � "�� MAKf OF BURNER _ Model � Q� Model �— � � � � Max. BTU Rating — 5�1°� �^j(j� MAKE OF FURNACE INPUT Model CON7ROLS / �� /47 `t i� +�liF{ ot P{ug t�7 Vent Size THERMOSTAi r.zt SIZE NONE_-- Volve � � � ��` `�' � KIND OF LIN R , , Draft Hood � " � � Regularor Limit �� t ` S1Ze /,�j Se IS ic' �Number C �, Fi lters Limit Settin9 r.Z� Chimney Location I�side----- Outside Fan $etting �� N : G � Pilot 7ype ''� � � ChimrteY ConstrucTion i�'� �7 f ' � "�- o�+� 'O `'� � %". Pilot Make Wiring Smoke 8omb �y � � , �. .� Pi{ot Model r �: Drafr �� f/�� r Test Tog Pilot Timing � Door Pressure Ligfiting Inst. ^'�0✓ L.W. Cut Off � _ � i7. �-� � Date Tested Y Prossure � � � Percent CO2 S ��•t �t.' G� l � `� ' " Percent O � Company Testing � Input CFH /J Z � r'� <C Name of Tester �'�2 $tack Temp. -T= � Percent CO Form 235 1 NEW ADDN ALTER CI [l � CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Effective 3/1/96 ConstructionAddress: __� � ,3 j �j Q k-�,r i� .�.P � /= Legal Description: Owner Name & Address: _�,_�Q,.l,o, �.��r ic� so�. .�4� Tel. #�S` 11 ' I 4s I-� Contractor: � s� C.� i z� �X f MN LICENSE # � d L' � Address:�, 0 3 7'�n �►.e �o �� L� /�• p�v,�,..e �,T(� ,r,�,fl.' Tel. # s�-3 -1 9 l� Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Length Length Length DESCRIPTION OF IlViPROVEMENT � Width Width 'Width Height Height Hgt/Ground �> Sq. Ft. Sq. Ft. Sq. Ft. " --T'L, .o,r i+�. ,e .07� .Q� r�-o s� Corner Lot [] Inside Lot [] Ft. Yd Setback Side Yard Setbacks ao Tyge of Construction: Estimated Cost: $��-c9-o�o Approx. Completion Date: (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: J�' 7'� 9'y APPLICANT: ` ` Tel. # Sv~ 3- l 4 C Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: z � � / � 7` $ �, �'�v � � � ��, iZ $ � ;�-. `'Z' $ $ $ $ / � 2 ,z � CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.50/$1,000 Valuation $900 per SAC Unit $5.00 (State Licensed Residential Contractors) A1t. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary ( ] Not Necessary [ ] SUBJECT P City of Fridley 2 5 9 6 4�' ' , AT THE TOP OF TNE TWINS g � 1 L D I N G P E R M I T R r � � COMMUNITY DEVELOPMENT D1V. , � � �.� v PROTECTIVE INSPECTION SEC. / ��_) � � r ; '____; � � �"'1 � CITY HALL FRIDLE� SS43P NUMBER REV O�TE PAGE Of APPROVEO BY �"'"'�' ,'' 612-571-3450 9t0-Ft5 4/22/98 � � �oe n�oRess 6431 Baker Avenue 1 LEGAI �OT NO. 9LOCK TRACT OR ADDITION SEE ATTACHED DESCR. SHEET 13 1 Moore Lake Hi 2 PROPERTY OWNER MAIL AODRESS ZIP PHONE Charles Hendrickson 6431 Baker ven 571-9613 3 CONTqACTOR MAIL ADDRESS ZIP PHONE UCENSE NO. Charles Hendrickson (same as above) 4 ARCHITECT OR OESIGNER MAIL A�DRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WOHK O NEW ❑ ADDITION ❑ ALTERATION [�I REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Re-roof (tear-off) 9 CHANGE OF USE FROM T� STIPULATIONS Underlayment must comply with State Building Code. TVPEOFCONST. OCCUPANCYGROUP OCCUPANCVIOAD SEPARATE PEFiMITS ARE REOUIRED FOF ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID If WORK OR CONSTRUCTION ZONING S�. FT. CU. fT. AUTHOFiIZED IS NOT COMMENCED WITHIN 60 DAVS, OR IF CONSTqUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WpRK IS COMMENCED. NO. DWLG. UNITS OFFSTHEET PAfiKING 1 HEREBY CERTIFY TMAT 1 HAVE READ AND EXAMINED THIS APPLICATION STALLS GAfiAGES AND KNOW THE SAME TO BE TRUE AND CORREC7. ALL PROVISIONS OF LAWS VALUATION SURTAX AND OFDINANCES GOVERNING THIS TYPE OF WORK WIIL 8E COMPLIED WITH WHETF4ER SPEC�FIED HEREVN OR NOT. TNE GRANTING OF A PERMIT �}1].LFO .SO DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pEfiM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR �HE PERFORMANCE OF CONSTRUCTION. 3L}. J.S .92 Fire SC PLAN CNECKFEE TOTALFEE $36.17 S�GNATUAEOFCON'RACTOROAA.UTMOA�ZEDAGENT iDniEi WHEN PROP Y VALIDATED THIS IS YOUR PERMIT „�;� � ��.c�� t -� - � �s ,� `�=�3--�y�_ SiGNATUREOFpWr�ERUFOWNERBUiLDERi �DATEi OG �NS� qpTE NEW ADDN ALTER [J [l [l ConstructionAddre; Legal Description: Effective 1i 1198 CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Owner Name & Address: � �_��;- ��.5 N��; ; �,(c..� �,,., Tel. #�-11 - G la l 3 Contractor: -��.t,� ��o ,�„-,s n„1 MN LICENSE # Address: LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Construction Type: Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. Length Length Length DESCRIPTION OF IMPROVEMENT Width Height Sq. Ft. Width Height Sq. Ft. Widtl�, Hgt�Ground Sq. Ft. Driveway Curb Cut Width Needed: Ft. + 6 Ft = Estimated Cost: $ f � S (� = �l � �, `�C� (Fee Schedule on Back) Ft x $ _ $ DATE: �� -�-� g APPLICANT: -��c�-c- � c�:ti �--�,,r�� r' C_ks�,� Tel. #�—� t-� lP I 3 Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee 3�wer Main Charge TOTAL �TIPULATIONS: CITY USE ONLY $ G. %� Fee Schedule on Reverse Side $ , �Z .001 of Permit Valuation (1/lOth%) $ , � $.50/$1,000 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 [ ] $ � �%�� i GITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572— 3604 �- I D � r��(��.� APPLICATION FOR PLUMBING AND GAS FtTfING PERMI7 MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR Effective On January 1, 1998 1 N � � �' �1 �� PLUMBING FIXTURE RATES: li(/L�t New Fixtures Old Opening, New Fixture Beer Dispenser Biow Off 8asin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater —Electric Water Heater — Gas** NO. RATE TOTAL Gas Range** ` Gas Dryer** _ Back Flow Preventer Required ()Yes () No Type _ $ 7.00 � � � $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 $15.00 JOBADDRESS �%LI 3 I ��--k.e_s C�� . I�l _� . 4-i-i C� ��-�, 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. ��,- � 1 1 , , � s9s Owner �� L: � v` �--� � � �- �i C.%S v,� � � � � / b � � Building Used As �� ,�:F _ Estimated Cost �' ( �-�% PLUMBING COMPANY PERMITNO. �,;_� �� / Reinspection Fee $42.00/Hr SIGNED BY �� ,�.�.�.�;;,�, TEL N0. � 1 1-��c I� ALL OTHERS AND/OR REPAIRS AND ALTERATIONS � 1.5°� of Value of Fixture or Appliance � Q� Approved By Rough—In Date Final Date �G i/ OG� State Surcharge $ .50 MINIMUM FEE FO ANY PI.UMBING/GAS PERMIT IS $20.00 TOTAL FEE �� pLUS THE $.50 STATE SURCHARGE **COMBUS110N AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6—A. MINIMUM SIZE 9 SQ INCHES. sue�ecr P N O. City of Fridley 6 372 AT THE TOP OF THE TWINS g � I L D I N G P E R M I T r � �` �� COMMUNITY DEVELOPMENT DIV. � � f� r � L � PROTECTIVE INSPECTION SEC. L7 1 . � � � �'�'1 � C17Y HALL FRIDLE� 55432 NUMBEP REV OATE PAGE OP APVROVED BV �'.---'�•' �•' 612-571-3450 910-F15 6/29/98 / / J08 ADDRESS 6431 Baker Avenue NE t LEGAL LOT NO. BIOCK TRACT OR ADDITION SEE ATTACHED DESCR. Pt 13 1 Moore Lake Highlands SMEET 2 PROPERTY OWNER MAIL ADORESS ZIP PHONE Charles Hendrickson 6431 H� Baker Avenue NE 571-9613 3 CONTRACTOR MAIL ADORESS Z�F PHONE LICENSE NO. Same 4 ARCHITECI OR DESIGNER MAIL ADORESS ZIP PHONE UCENSE NO. 5 ENGtNEER MAIL ADDRESS ZIP PMONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WOf;K ❑ NEW ❑ ADDITION ❑ ALTEFiATION Q REPAIR 0 MOYE � REMOVE X 8 DESCRIBE WORK Reside House 9 CHANGE OF USE FROM TO STIPULATIONS Install building wrap and call for inspection before covering. TYPEOfCONST. OCCUPANCYGROUP OCCUPANCVLOAO SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAI, PIUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OH CONSTRUCTION ZpNING SO. FT. CU. fT. AUTHORI2ED IS NOT COMMENCED WITHIN 60 pAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOO OF I20 OAYS AT AtJY TIME AFTER WORK IS COMMENCED. NO. OWLG. UNITS OFfSTREET PARKING 1 HEREBY CERTIFY �HAT 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 COMP�IEQ $2�SOO �1.ZS WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMITFEE 5ACCMARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- �74 • 75 Fire SC �2 . SO STRUCTION OF THE PERFORMANCE OF CONSTRUCTION VLAN CHECK FEE TO L PEE 78.50 NATU�7E OF CON7RACT0�70R AUTMOFlQED AGENT IDATEI EN R P VA�ID THIS IS yjUUR PE IT � . l.�-C� � C� l0 -�1- 48 c� ' S�GNATUAE OF OWNE �IF OWNER BU�LDERI IOATEI g� • SP 1FTE NEW ADDN ALTER [l [l [l ConstructionAddress: Legal Description: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION � . � �-c- i Effective 1 / 1/98 �-j��,�� D �n Owner Name & Address: ( 4,�-�..�- I�S }—Ir�-�.�� c�(�� Tel. # S��-�� I 3 Contractor: S ��. �-�~ 1VIN LICENSE # Address: LIVING AREA: GARAGE AREA: DECK AREA: OTHER: 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. �-- � S,�c� e. l-�o,�.� �. Construction Type: Estimated Cost: $�� v c� o r� (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ =$ DATE: (.c. _ �c � - c� � APPLICANT: � �_.� �� _1 a , �� .�.. � ci � .c; �.. Tel. # � 7 ( - Gi Lc, ( 3 Permit Fee Fire Surcharge State Surcharge 5AC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ ?�!• 7S' $ .fo $ �• Z� $ $ $ $ $ $ $ S�4 CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.50/$1,000 �aluation $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 [ ] � .. � SUBJECT City of Fridley 27 � 2 g ' , AT THE TOP OF THE TWINS B U I L D I N G P E R M I T R f T{ �Q � l �:.lS � ' COMMUNITY DEVELOPMENT DIV. r � L � PROTECTIVE INSPECTION SEC. � � 1 1 /'��1 � CITY MALI FRIDLE� 55432 NUMBEP REV OATE PAGE Oi APPROVEO B`I �-•-•�'� ,'' 612--571-3450 910-F15 9/11/98 / / JOB ADDRESS 6431 Baker Ave NE t LEGAL LOT NO. BIOCK TRACT OR ADDITION SEE ATTACHEO DESCR. Pt . 13 1 Moore Lake Hi hlands SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Charles & Patricia Hendrickson Same 571-9613 3 CON7RACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Total Home Im rovement 775 Torchwood Dr New Bri ht - d ARCHITECT OR DESIGNER MAIL ADOFESS 21P PNONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUIIDING Residential 7 CIASS OF WORK ❑ NEW ❑ ADDITION O ALTERATION ❑ REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Remove resent 14x20 ara e• concret slab onl 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. TVPE OF CONST. OCCUPANCV GROUP OCCUPANCV lOAO SEPARATE PEF;MITS ARE REOUIRED FOR ELECTAICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZpNING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR If CONSTRUCI'ION 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 TMAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GAFiAGES AND KNOW THE SAME TO BE TRUE AND CORREC7. ALL PROVISIONS OF LAWS yALUATION SUFTAX AND OROINANCES GOVERNING THIS TVPE OF WORK WILL BE COMPLIED $2�SOO.00 �Z.ZS WITH WHETHER SPECIFIE� HEREIN OR NOT. THE GRANTING Of A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pEqMIT FEE SAC CMARGE PfiOVISIONS OF ANY THER STATE OR OCA LAW REGUTATING CON- �](F.7S Fire SC �Z.SO T CTIOAY R THE RFORMANCE OF ON RUCTION. j' P4AN CHECK FEE TOTAL F � / �.w�, $83.50 I ATUREO CON�FACTOAO AUTHOA�2EOAGENT IDATEI N P PEA ID 7ED . S;S PERMIT �/ - 'S�GNATUREOfOWNEAi�fOWNERBU�LOEAi IDATEI BLD �NSP ppTE �i ♦ NEW ADDN ALTER �� [l �� ConstructionAddress: Legal Description: Owner Name & Address: Contractor: CTTY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Effective 1 / 1 /98 , ��.� � s� �4 , � l�' , � � . ,�� : � Tel. #_ ,�"�%- � 6 ! � MN LICEN5E # Address: �� u? �� h r d�-- �-- ,r/.�-w -Kr r� ��o.� Tel. #� 3 3-�-( l�� 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 Sq. Ft. g �� . . _ . .. _ GARAGE AREA: =-�e�g�ir.-- _ . _ ...��. i ,..... -- �..� -� - � � - DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: t� .-» dv� �n .� � .J � / � k � o � t� i► .9 g ° - C 2: w c�.�"-�� s� p-� fi �ti L�/ Construction Type: .�- �` �stimated Cost: $ �.; oo • �" (Fee Schedule on Back) Driveway Curb Cut Width Needed: � Ft. + 6 Ft = Ft x$ =$ DATE: $� APPLICANT: Tel. # C�3-- �/. i C CITY USE ONLY Permit Fee Fire 5urcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee 5ewer Main Charge $ �7 $ `� $ i� Z $ $ $ $ $ TOTAL $ ? <.' ,�, �.. STIPULATIONS : . j/v.S7� Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.50/$1,000 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 [ ] � � � �`�� I �� l�.�r ANCHOR BOIT — SILL 7' a 6" •— 6" BLOCK � �' � WIREMESH I ��'/�I / e-� � i � � r /— 57UD � ANCHOR BOLTX �— SILL 1 � � �..�., �' , � • j ,� i�� O • w •� WIRE MESH � 8.. � . Free Estimates • Garage removal service • Driveways• �1ect�ical work • Complete Financing with no money down 16" Construction r 54' Plywood SheaNtirg ��s (Rool) Hardboard 2 x 6 RaRetB Sidinp qendi w� Insulated Sa^'� � Ovemsad Door � Double WaM ConcrMe Floor Conslruction 2' Apron � ,� �� . �. , � ��Q�� (` ' r� '� • 1 � � � I � ,,� � y�� 1 � ii �� v ��.� � C . RIDGE BOARO GABLE TRIM CORNERBRACE 4000# SESf' j � CONCRETE � f DOUBLE HEADER 2•2:12 2'�0" APRON , � � i, ( �J � 1`� h" EXTERIOR SHEATHING �005TON RIDGE ASPHALT SHINGLES � � 15• FELT PAPER BOXEDEAVES COLLAR TIES � \\ 48" O C � 2" ■ 6" \ RAFTERS 16" O C � �/ SIDING WITH j\ METAL CORNER � �ii' INSULATED SHEATHING Tp£ATEO BO7TOM P� �. C'..e.,�":- ... 4" CONCRETE SLAB STUDS � , . . �� CITY OF FRIDLEY INSPECTION O1V. Eltedive On January 1. 1997 6a3t University Ave NE � Fndley, MN 55432 APPLICATION FOR PLUMBING AND GAS FITIING PERMIT 572- 3604 ' Stories Basement F�oor 1 Floor 2 Floor 3 Floor 4 MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR Water 8ath Wash Orink. Floor Catch Auto. Gas Gas Misc. Water Heate� Closet Urinal Yub Shower Sink Tray Fount. Orain Basin Washer Appl. Range F'ixL .' : Gas Elec PLUMBING FIXTURE RATES: � NO. RATE TOTAL 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 Fiange•• Gas Oryer•• Back Flow Preventer Required ()Yes () No Type $ 7.00 a a.00 S 5.00 a �.00 $ 7.00 $ 7.00 s �.00 $10.00 S 7.00 $10.00 a� o.00 $ t 0.00 $15.00 Reinspection Fee $42.00/H� ALL OTHERS AND/OR REPAIRS ANO ALTERATIONS � t.596 of Vatue of Fixture or Apptiance � State Surcharge $ .50 � / ��s =�a�� --_ JOB ADDRESS (�l�� /v� — 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 8uitding Division, and hereby declares that all the facts and representations stated in this application are true and correct. � G6 � � 9� Owner �� `2 _ _ .5�� 9121.3 Building Used As Estimated Cost � PERMIT NO. / �(G /G� � PLUMBIfVG COMPANY /�G�� i� SIGNED BY TEL N0. / � Approved By Rough—In Date Final Date /� �� MINIMUM FEE F R ANY PLUMBING/GAS PERN'T � n� ��w T��r � rw f�r�Tr' ��nru�nr�r ■ � ;. _ _ CITYOF FRlDLEY . '� FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(612) 571-3450 • FAX (612) 571-1287 " October 2, 2000 Patricia Hendrickson 6431 Baker Avenue NE Fridley, MN 55432 Re: Final Reinspection at 6431 Baker Avenue NE Contractor: Owner & Mr. Rooter Plumbing Dear Ms. Hendrickson: Plumbing permits were issued to install a water softener and 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 plumbing authorized by these permits. As of this date, no inspections have been called for. You will be given thirty (30) days from receipt of this notice to respond. If we do not hear from you, we will expire the permits and any inspections on the installations will require new permits. Any questions can be addressed to me at (763) 572-3603. , J � ( I � ,��'� �I�SQ :17Y OF FRfDL�Y INSPECTfON D1ViSlON �� Effective On January 1, 2000 i431 University Rve NE =ridley, MN 55432 ItPPLlCATION FOR �QWER PLAN75 AND HEATING, COt?lING, VENi1LA710Pi, 763) 572-3604 REFRIGERATION AND AfR CO[�DITIONING SYSTEMS AND DEYICES JO$ RDDRESS� _��U A 'j��_ RATE SCHEQULE \,, OWNER��C � �.`� � �� f/t'1(�p � 1 , t tesicfentiat Furnace ShelE and Duc't Work, Burner � Also Replacement Furnace (SideVent • Fill Cut Back) Gas piping tNeeded wi±fl hew furnace, bu! not replacement) Gas Range Gas Drysr �Air Conditioning • R�f Sizes All Others/Repairs & Alterations (LIST ON SACK) lqo 01 Value of Appliance or Work :omrnerciat/ lndustrial 1.25aj of Value of Appliance or Work Rate TOTAL $ 30.00 $,��"'D $ 10.U0 $.^--�_... BUILRIfYG USED AS < � � ES7JMATED COST _ PERMIT N0. /�� -��'' DESCRIP'fION �� fURNAG� AfVD OR AURNER $ 10.00 $___.__ ---- No. of Heating Units�_.��__ Circle One (Steam) (Hot Waier) (Warrn Air) $ i0.00 $ _._ Trade Name_�__ _.�___i Size No._T,^ __ 87U _, NP __, EDR---_ �-- $ 25.OD $ _ �uel . .�_ Tota! Cor,nected �.oad State Surcharge TaTAL FEE � �: ' . . .. �� i ' ._ .; � i . : � ►'.► � �� ' 3: �t ��.� � � :.. ._ ;EINSPECTION FEE $47.Q0lHr Air Conditivners can not be pfaced in a side yard without rritten permiss�on f�om adjoining property owner. F� $ $__.___,�2 $�1.. :�,1.� Bumer irade �lame__,,, _. Size 9Vo. 8TU _ _ HP _.�_��_ EDR,_ ►. . .. M � m � 0 � � � � a � � � � ihe undersigned hereby rnakes appl�cation 'or a pefrnit tor ihe work tterein specified agreeing to do alt woric in strict accordance w�th the City Codes an rulings of the Building Division, anci hereby declares that all the facts and representations stated rn this appiication are true and correct. d �ATF TEI. #��.� -�—�� ) r � �� Rough-En Oate Fina! Daie � Q1 m � � m F+ � N z� ' d �ti101 COMMON VENT. VC-Ni C4NNECTOR ANa COMBUSTION AIR VERiFICATiON When replacin� an eYist;n�a furance #he uhdersigned heceby verifies that the venting has been examined and is free from rust, detetioration, obstrudians. and is securely supported and f�restopped whe�e requfred. Yes (+�Na () 7he venting system is plastic/PVC and meets ail current codes and manufacturer specificaiions including sizing, fength, number of elbows and termination. Yes (Vj�o () The under�signed a(so verifies tS-�at the replacement unit is a listed �ssem��y and meets the curr@nt code5 and manufacture�s specifications. This does include AGA-GAMA Categoiy 1 Centrai Fumace Veniing Tabies fo� fan assisted and natural drdft appiianc�s. The existin�cvmbustion air i•s sized and installec! to meet the curreni codes and manufaeturer's specific�tions. When required to insta,ll a new combustian air, it wilt be sized and it�sta�led To meet the current codes and manufacture�s specifiCatior�s. Yes(�No( j Yes�o( ) Yes (�o ( ) When instatling a new ventino� system, tlte undersigned hereby verifies that it is a listed assembiy and meets the cuRent codes and manufacture�'s specifications. This does indude AGA-GAMA Category i Centrat Fumace Venting Tables for fan assisted and naturat draft appiiances. Yes (:�'I�to () Is the common veni and ver�t cnnnectors sized and installed coRectfy af�er an appfiance has been �emoved from the ;,�mmon vent and vent�d segarately as per cuRent codes. Yes (✓f No () Annliance Type and SizelCommon Vent and Yent Connector Irtformation Appliance #1 Type �(��_ BTU lnput i� �an Assisted or Naf Apptiance #2 Type 8TU lnput Fan Assisted or Nat ____�, Appliance #3 Type �, BTU Input Fan Assisted or Nat Totat Appliances � Totat Btu tnput Common Ver�t Type Vent Height Diameter ` inches Appliance #1 Vent Connectoi• H4ighf �_ � Length ft piameter in Type Appliance #2 Vent Connector NeigM ft Length it Dfameter in Type �,,,,^, Appliance #3 Vent Connector Height f� Length tt Diameter _ in Typa HEATING CO� Signed By: �� Z6iz0'd 509868L Ol ,13�6i23� �0 J.11� W02l� BS:Z� 060z-jZ-ftON ,� _ _ UlYOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(763) 571-3450 • FAX (763) 571-1287 Augusi 23, 2002 Charles & Pat Hendrickson 6431 Baker Avenue NE Fridley, MN 55432 Re: Final Inspection at 6431 Baker Avenue NE Contractor: Daves Appliance Heating & Air Cond Dear Charles & Pat Hendrickson: A mechanical permit was issued on November 13, 2001 to install a furnace at your address. According to the 1991 Uniform Mechanical 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 pertnit fee that was paid covers the inspection to make sure the work was completed according to the Codes. We will keep your permit 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 Building PLUMBING Inspections RESIDENTIAL APPLICATION 763-572-3604 CITY OF FRIDLEY 763-502-4977 FAX EFFECTTVE ]-1-2010 DATE Z � SITE ADDRESS l� THIS APPLICANT IS: PROPERTY OWNER/ TENANT Permit No.: Received By Dat@�e�d!�p 2 � 2� � d YOUR E-MAIL ADDRESS C�'( � K�✓ 1 C Y,� p v� L � C°' yr1 �y� . C� 1N� ��-1 C��Gtv vt /�l� �vi��cy /�%N n�s�i3� . --r� k�OWNER ❑CONTRACTOR NAME: Ch�c+'(�S �CV� �% � /c So�n ADDRESS:��3f dJU�P✓ �✓� iV� CITY �✓i Py STATF��%�IZIP�5��2 PHONE: % G � " S r% l "' � � � 3 � CONTRACTOR SUBMIT A COPY OF YOURSTATE LICENSE, BOND AND CERTIFICATE OF INSURANCE PERMIT TYPE TYPE OF WORK: STATE LICENSE # STATE BOND # _ ADDRESS: PHONE �SINGLE FAMILY ❑ NEW DETAILED DESCRIPTION OF WORK �e CITY_ FAX ❑ TWO FAMILY ❑ TOWNHOUSE � REPLACEMENT G c c .S -✓Pe'r �9 � Va EXP DATE EXP DATE STATE ZIP FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. F[XTURES: (INDICATE TOTAL NUMBER OF EACH BELOW). MINIMUM FEE $35.50. BATH SINK/LAV FLOOR DRAINS SHOWER WATER PIPTNG BATHNB GAS PIPING (NEED CITY LIC) SWIMMfNG POOL WATER SOFTNER ($35) CLOTHES WASHER KITCHEN SINK WATER CLOSET BACKFLOW PREV. ($15) _ DISHWASHER _ LAUNDRY TRAY _WATER HEATER ($35) FOR IRRIGATION _ WATER METER �C OTHER THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hPreby apply for a plumbing permit and I acknowtedge 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 on site; that the work will be in accordance with the approved plan in the c e of all w rk w'ich r quires review and approval of plans. � C�t�,r (es Cvt�f�v�t// suv� l SIGNATURE OF APPLICANT -0� PRINT NAME ( I� �* �" DATE ,S 2�/ �� City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977