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AF - 36410� BUILI)ING PERMIT Village of Fridley, Minn. No Date �� /f._....r. ;� ....................... � /b v � Owner �� Builder . . . . . . � 'C i � . .�` . . . . . . . . . . . �,�� jC�(.�i7 r/' . ��%/w i•i �-�''` CYt �.- _ " i Address .• . ...... ../.... ...�... .. . Address ............................ LOCATION OF' BUlLDING La4a No. ........ Street c�,i, - � . ;. � j�E"� Lot ... ..... .. �� L=. '."'4,�'.L',AGi%t. Loi ................ Block ................ Addition or Sub-Division .. .................. �f� . Corner Lot . ..�. . . . . . Inside Lot . . . . . . . . . . . . Setback .��„ i ! . Sideyard �„?,�. � 3 %y' DESCRIPTION OF BUILDiNG To be Used as: . . . ' . . . Front . „�..! . Depth .� r/. . . . Fieight . . . . . . . . . Sq. Ft. . . . Cu - �r'�K; ' � �� '-� lt�'�- . . . . . . . . . . . . . . . . . . . . Front . .�� . . . Depth y� %. . . . . Height . . . . . . . . . Sq. Ft. . � �,�. Cu Type of Construction . . . . � . . . . � Est. Cost�i � � . . , .G.,6. . . . . . To be Completed . . . . . . �%, �s� �'1„� �.: ...._ �T" a �� 0 g x�o„ �, t�__ -�• /7'�*'�+`� - � gX Jb •�� -� t/ In consideration of the issuance to me of a permit to construct the building described above, : the proposed work in accordance with the description above set forth 1nd in compliance with all ordinances of the village of Fridley. �"l'4'i'-- -�?'! �• I•%••�'� - .... � y � - � --�-� 4 - ; ,� j°r�-. J __ In consideration of the payment of a fee of $. . permit is hereby granted to - ��'� to construct the buildin�%� r ad dition as described above. Thi��i°tt#� ....... .......... ./V ..., p�CPid�e��iif�iat the person to whom it is granted and his agents, employees and workme� done in, around and upon said building, or any part thereof, shall conform in all respects to the � F'ridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of b in the village limiis and this permit may be revoked at any tiine upon violation of any of the prov ordinances. �...�_ , ` . . �"'� �, _ , ., : / , I�y. 'l" %�l�l�Y/�!�'�'.#rC�IYXi . .�. . . . Builc iVOTICE: This permit does not cover the construction, installation or alteration for wiring, plumbing, g sewer or water. Be sure to see the Building Inspector for separate permits for these items. � • _ _ ; .: � ..: _ . ;_ _, r-: , . --.�. - -- -.- _ � . , . -- - - : :_ _ ._ _ .�. :, . . . _. r ., � . - - - _'_ . . .. ._. __.. .-: _ . ,.:- ,_ �.... ... . ... _. ia.� __ _ .N ' i � _ ". '_ } _. . �. . .. . . , . . .. ; : . . :�. ... .'�:: . _ . . . . , . .,5�. . ... . . . . . ,. . . . .. � � _ ��fi �7 � �� .� �r4 - a . �' r... , '- � a _ _ __ �... _ — ti , - : � ... .. :�� . . .n w �, _ n:� .. . ,. _ _ .. �. . . . - r .... .. . . ! � . .. , _ . . �' �.'. . _ � , . .�•'. i ' _ � , - . . , '. � . . . . .: .: '.� . .,.. .,.� � . . . . , _ .. ... .. ... . �',. �; . Y ' .... . .' - ._ . .. , . ,. :+a ,. '._� ,�. . _ .� �. , -.. _ , _ . . _ _ _ ' . . . ;6 �'ti . . . .. . . . . . . _ :,_, . . ., .� . . ,. . . , . . .. .... .., . . . . .. � .�. .. �.�.._ . .- . , .. .. .�.. .�.�.:.,, `,.� . � . ,.:... . ..��..r.�. . '..� .�.�:,..'' ._... . ,_�p . , . _ _ ' / sue�ecT MIT NO. City of Fridley , 1424 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r � � RECEIPT NO. � • COMMUNITY DEVELOPMENT DIV. ' j L'--"'-, - r � � PROTECTIVE INSPECTION SEC. � i �' � /'-�1 � CITY HALL FRIDLE� 55432 NUMBER REV. DATE PAGE OF APPROVED BY __-'11•• `.� s�2-56o-sa5o g10-F15 7/27/77 / / JOB ADDRESS 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 16'� � Of ZO't % Auditors Sl1�J # 92 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Andrew R. Evans same 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. T. M. Campion Co. 2139 Lowry Ave. No 55411 529-9216 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING 2nd Garage and deck. 7 CLASS OF WORK G NEW � ADDITION ❑ ALTERATION ❑ REPAIR � MOVE ❑ REMOVE 8 DESCRIBE WORK Garage addition to house/ ZO DAY NOTICE TO CITY ENG. 9 CHANGE OF USE FROM TO p'V. REQUIRED �� CURU STIPU�ATIONS �,.�.,; ,.. ,�T DRiVEWAY 4pfNINGS. l. Remove existing basement windows that �ae�f"into garage 2. Provide hard surfaced Drivewey Special Use Permit for second accesFp�„iau.i�i��gpxpv�ed�� /��RtNG. JC�'CKA � C C�ZMt � J NEATING,, P�.iiNtBfNG ANO S�GNS. w�H�H� �� Q�g�nB catl lacal utilitifs iEI,EPNONE - ELEGTRIC - GRS f t�, REQViREn �Y #.:• •i•'t TYPEOFCONST. OCCUPANCYGROUP OCCUPANCYLOAD SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, fY3Tlle 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 r-1 (L�H S�ZS4 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 6�000.00 $ 3.00 DOES NOT PFESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMITFEE SACCHARGE PROVISIONS OF ANY THER STATE OR LOCAL LAW REGULATING coN- 36.00 STRUCTION OR THE E FORMANCE OF CONSTRUCTION. � •` �� PLAN CHECK FEE TOTAL FEE / " $ 39.00 SIG ATURF9F ON RACTOROFAUTHORIZEDAGENT ID EI N PROP LY VAUDATED THIS IS YOUR ERMIT � `��e-- L�, % � � SIGNA7UREOF�O NER�IFOWNERBWLDERi �DATEi BLDG ir�SF Dp E . '�' �� ;. ::� Y:�:�'�t;i' >'a;:�l: �:i�i d .� ,. . `,;s:� � :;?�!��3� .1t"�:3 ,.t..S�A �-! tit'.- t � 61 ►��, Y:r �. � .,::� .�� .�� ,..�: .i.v�'�("`��i''�� ,1• f'V'`l�'K4 ,1'i: S`cCi S ± � , . �•. .. .,.. ., . �. >t�;, -,; �� :-=:.3'�.`��'�� ? �;Mar��c;; �;�;��:�� ;. ,1 . y. �'�'c�ii =' f'',�:A� c7��{��#i';�:� .:'xttf��;: . , � �, � • s��,� � ,St:.. ,� '�, � ?;r l q,, ,,� �" ;�v.v�' � � .,� •• �� ' - • .�..1 �.S • ';r��:''•�'�^� ��s � :.> . . . ... �i %7 l i � C± f � � t`",� -j �/f .' C.. . : .,, l,l I Y Ui I Itllll i_Y /1Pf'l_1(:/'•,TIOi� FOR REStI)i:f!TI/\L L'f111_DI(!G PEfll'IITS �i�E4�d, �L71=(�;l,-iIU;I.�, f�;.�I�ITIU�J:�, OR f�E{'l�If�S) Ul•;i11:1;: /_ / - - � F'LJZLIIEIZ: Acidr.c:�s:� : - - _ - = -- Jldciress : Iva.: �Q�l� _ Street:� TOT: - � - � F3L��CY.: CO3tIZL'iz L01': �_ III�IDE L/Ji' Te 1 . Ido . . . T.T�I)ITIOII: �— - � , � � � -:. " - _ �- - � - > . SL7'LE�CY.: SIDL:YI�I2liS: r, _ .``_, ApT>l.icant uttach to this form i�.JO Cer+.:ific�-�t:e; o£ S�,�rvey of Lot and proposed �L:1tC��::7 �.;JCc��t�i0!? C�r'i.i'vin pr; i_?�nSn CE.Yt1�1C�11:(_S. DESCRI PTIO('J OF BUI LDI P�G To Be Used As: •� Front: -�" De� th: -- Height: i.�. Sauare Feet: - C'ubic Feet: _ Front: Denth: Height: _ Square Feet: Cubic Feet: . � Type of Construction: ��',�1 �'� �' Estimated Cost: $ �- �!�-� To Be Completed: Proposed Driveway j4'idth If New Opening Ts Desired Alt. A Alt. E $ $ (SEE F�VERSE SIDE OF Siii;ET) The ut:dersicr�led lierek>y makes a?�t�lication for a permit for the work herein specified, agreeing to do all ��ork in strict accordance �,�ith the Ci�y ei Fridley Ordinunces ai�d rulitzgs oi the Departniezit of Euildings, and hereby declares that all tiZe facts and represen't-<�tions stated in this applicat:ion are true and correct. See reverse side for aciditi nal infos�nation. 1 n� D71TE: j� �Z�� SIGNATU}:E: l � �� ' �1,�-1,2� Stipulations: � �/��'�`� -y -' „ � ', � : . /, r� � ��.r�r.!�G -, _ . . � c' - � ,�� `� Q�' �� I OC ��Q� � - . ` '- _ I' �' (�� • �T°'�"�' '_, -' . - . . �r_� �� `� � � �� <�' �: 1 � _ _ S �'��J'J�� . ��ilc��//.�� it � ,1 ( �i`'( f d_�i' L . �t i �-� �,° • � � ' � ��_C� � � �j `��1 y . , l 3 � . . L i 1 1 � i � � � . � � � I � � _ i _ .. � . , � . . . . SI;C7':If.)Id 2. 7'l�c ]t�r;�>��c:t��r. c�f: P.u_ilcl�ti�(r. ::iic�]_.1., l,<�)��c .i.:.:�uiny {�ennil:s, for. th<� c,rccl.iun (�� ,�.,'� ,1111 �.'�1!,"f ��1 .:� f.11�', 1:1 .•� ��1� !(�j" . 'i'y� �,'.� i. i , i`� + , <.� i�.. I :t. 111�� llll �(jl,"��J !it .,�.:�i� .� „ (�L ��.1) ��ii'� �tl._ ��i} 1_'�11 C>> t ,,,., 1.�) il:i'f (.._1 ,�._i_ll', I;'ll�_l:.11'j ��Y" .;�]`UC�.UY�!'� ll�.!�li �1��1-��... :� , ,. t:l�'1�'1(.iJ.�'� l�C.'�1.1.1_rl: �.:Li, ��1'/i;7�•it�_ f�'� t.�tC: iij!j!�.1c,clliL iC�f ;;1.'::Il j,��_'Y-C;.IL U1_ :.CC!:� t.0 �.�i't ill:lC�ll::�_ ti�'�� Ill tir_•.�U'rJ .`:Ci: 1(�I-l.}1 F);��i JIt i_fiU I(l�1LL<.1= IIC.]"i.ltl j�1"<�'✓�C:�'CI t.t�-�J.Lt.: i:L":� Ci�SI!:;'1`]�_Ur„TI�J:]: ;;�nylr� I�'r,�;�il-/ }I��rnc,�, �,.r;cl (;�-�rac�c,�,: ,�4.00�]_,f)C)0 cui�ic f.cct�- I��LT,t� Cili�;C};: "l.`� j,crc�•nt. c>f l.0 i_lciir�c� ��ci�rut i�.c. Lit7VJ;�71:Y DL'}':'�I:SS7:C�:I. (Cc�:ZCrct�: Cur.b �tre�_�Ls On].y) �1i_�.(_�1"1:�:1.�� 1�.: };•.i';C�V�:� c7lic� 2"(_•j;�;:CC'::l('lit Gi COI1C]'Ct:C? CL1Yr) �1?iC� —�------- gutter_ onl�� I)Y].VC'r;a�,� �vic:th )�lu:� 6 fcct r:;1.1.75 A_l_te,�;i�ate_}s: i:e�;,�.val a.':cl rc:j�l�:�:r.;:;:•�,t oi cone�`�te Ct�rb �it:c: T guttcr ancl inst�:].l a 3 fvc�t •v�idc al�pro�ach �r�i t}1 6 ir�c;i c:�}�t.ii; Li�i-✓�-:Jay �•�ic::.i� ��lus G fc:�L i�].�.��=� ADpI T IC�;��L I�FO��_I,�I 10f! For tlie purZ�o:�e of ccm;�utii�� fc.es for k;uilding p�rrnit.s, the cubical content� of any buildiri�7 o.r �.dditicn, i.s det��iized b;� r.iu].tiplyii.n t?ZC gr_ound -area covered fr_om a ��iri� si}. (6j inci�cs i�eic:� �::e �loor lire o� the b�:sc:ncilt or the ccllar to tl:c averag� heigh�s of �he ui��er sur`ace or to the average height of the roof sur`ac� of i�lie ;�iain gable :" a pitchecl roof . For repairs or alterations to an existiz�g structure, the fee shall be at t.'ie rnte of $3.00 per eacl� �ive hundred dollars ($500.00) or fraction thereof in the cost o= all proposeci work. In no case shall t�e fee charged for any permit as set forth in Section 2 be less than $7.50 plus $.50 s�ate surc'.�arge. VERIFICATION OF FOU��DATIOI` i�'Gi'r: Permits �or con�truction will be issued a minimum of 24 hours from the tir�e c�f �,�plicatioii to allow for proper revie�•: of the proposed structure and of tl:e construction site. A Certificate of SuL-vey of tiic lot, sho�aing ttie location of t}ie fOU]lG�3i=10I1 0:�� e it }ia� beezZ co�ist.ructed eaill �e required bcioi�e proceec.it:c7 witn tlie framing. �'r�:TTFTCl1�"F �1F �_rriip,A,Nr�' Anplic�tio:i for a Certifi.cate of O::cur�aiicy sliall lie made ten (lG) days prior to th�. use or occtij>ancy of anj✓ :;truct�i�-e for �;:iich a build��ig ��ennit has been issu�.d; ai�;i 5.11.C� Si:'"UCilli'C' :�;i.ii1 IlOt ��' L:S�': 01- OCCll;�1CC� U`.ltll d CCYt1f1C:i'i_C Of OCCL1i�:i1;C�' 17:?S becn issued. 0 0 0 � �.� ' �� 0 4`T � ° � � �,._:.�� z �� ,� � �.�� ,� - '`�`' � y �1NDOOR AIR QUALITY INC. :�° �� ; RESIDENTIAL • COMMERCIAL HEATING & AIR CONDITIONING 2619 Coon Rapids Bivd., Coon Rapids, MN 55433 757-5040 • Fax 757-5751 May 20, 1997 City of Fridley 6431 University Ave NE Fridley, MN 55432 Dear Inspection Department, l- ---- � � � � � �1 �-�- - � -� �' �t� �� ; �� . �� , � - �- , � � ., � � _ � � -_ � �� `� We would like to cancel two 2 ermit a lications for a customer who has canceled the work to be slane: , me arrd address is as follows: _ , , '� " -, ' � ' Sue Sawyer �� /1 � � i �_ � 6040 Benjamin Street NE � , � Fridley, MN 55432 - '� n-�� _ ---------' , , t�- 1 �''"�' � c- /� -� ' - / j ��.� We sent the mechanical permit on OS/16/97 and the Stat ctrical Form (#474-533) on- —_ �5/ 16/97 as well The proposed �zlork �!_�t�, -t}r�i►istallatio►1 of a�u�naee– cen�ra�ir conditioner. The refunded amount can be sent to: Dependable Indoor Air Quality, Inc. 2619 Coon Rapids Blvd. NW Coon Rapids, MN 55433 Thank you for your help in this matter. Siilcerely, Kimberly L. Patrow Dependable Indoor Air Quality, �nc. �_ - Original �� PERMIT for Powe�r Plants and Heating, Cool- ing� Ven�ilafion� R�efrigeration and Air Conditioning Syst�ems and Devices DESCRIPTIOlJ Of WORK No. of -- � Heating Plants �( ��l !� �� to be installed—sltered—re�aired i ,% � Make � ( i � ZI� �( l �� 1 ! �. ( ^ , t�_i L.� ' � - , Si.ze (`'', � - t �� . Oil f�red ' Ca Remarks Approved by. Final Inspection Da Gas �red ° .; Gas Authonzation N ,19 0 Inspector Surchar e . � � �� g $ �< 7 � Permit F� �'-� �� .�, 1 2 7 2=� OfFce of th� Inspector of Buildings City of Fridley � `�� C/�/ City of Fridley, Minn. _, 19_L_L Owner _ � - � l' — I,occ:tion � -- -- ' -T- l � Kind of Building � ��li�� Hocv Occupied �Jl�r �� l_i:� �=' Work to be Commenced , 19 To be Completed , 19_ Estimated Cost, $ �� J Okl-11�'ew, Building Permit No. Permission is here6y granted to - � � 1�.� l G� �('� c° .� 6 i��l Ol ^' I�(��'(to install—erect—use the material and devices described in the aboue statement. This permit is granted upon the ,press condition that the �erson to whom it is granted, and his ap,ents, empioyees and cvorkmen, in aIl the work done and materials used under this permit, and in the operation of the deuices herein mentione� shall conform in all rr.spects to the ordinances of the City of F�idley relating to or goaerning the u�ork to be done and the o�eration of the deUices herein named, and to ihe spe ' ations set forth in the approved application for this permit on file in the of�ice of the Inspector of Buildings. / ' . _ �-�� / i � �� C � � C�'l_ i - � �� (� , Inspectnr �� CITY OF FRIDLEY INSPECTION DIV. Effective On January 1, 1997 6431 Universiry Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner — Also Replacement Furnace (Side Vent — Fill Out Back) Gas Piping (Needed with new furnace) Gas Range Gas Dryer *Air Conditioning — All Sizes All Others/Repairs & Afterations (LIST ON BACK) 1% of Value of Appliance or Work Commercial/I ndustrial 1,25% of Value of Appliance or Work Rate $ 30, 00 $ 10.00 $ 10.00 $ 10,00 $ 25.00 State Surcharge TOTAL FrE •:'��' �I • :.�_ ! ii. I . � The undersigned hereby makes application for a permit forthe work herein TOTAL 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 co/rr_ect, `� ! `�-1�- � C.! " ,1997 � N � $ $ $ o�.�� OWNER �0 BUILDING USED AS �� ESTIMATED COST `Y�o� PERMITNO. � �" � � � DESCRIPTION OF FURNACE AND OR BURNER $ No. of Heating Units � Circle One (Steam) (Hot Water) arm Air Trade Name ��, Size No. U�p$OQ.-9✓ BTU �Q�CLp HP EDR $ Fuel �. (,��5 T�tal Connected Load $ , 50 � 5550 MINIMUM FEE FOR ANY HEATING/COOLIN�ENTILATION REFRIGERATION/AIR CONDITIONING PERh41T IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr *Air Cond�ioners can not be placed in a side yard without ', written permission from adjoining property owner. Burner Trade Name BTU HEATING COMPANY Signed Approved By FILL OUT BACK SIDE REPLACEMENT FURf Size No. HP EDR G�P�NDABLE INDOOR AIR QUALITY, INC, ^619 COON RAPIDS BOULEVARD � ` -- I- • U'lUU i �10�, Rough--In Date �I No. ��7��'��T� R STACK VERIFICATION ON Final Date CHIlVfNEY AND STACK VERIFICATION ; , The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes () No () 2. Is free from rust or deterioration Yes () No () i 3. Has no foreign objects lodged within Yes () No () ' ( 4. Is securely supported Yes () No () ! 5. Meets all current Code requirements for size � and total B'1'U's connecte� Y"r�s (} Nu (� 6 Has total heating BTU's of All other BTU's TOTAL BTU's 7. Has a liner been provided for water heater Yes O No O 8. Has combustion air been provided for water heater Yes () No () � Remarks: List ALTERATIONS Being Done: HEATING CO: Signed By: Datc: Jun-13-97 06:26P �' P_Ol -��,� 1�� T�: ` G� ` r �- ,F`AX: � ATTN: DATE: ,� 1 : •'.� �3 �d Gns Deoa�tment \o�l�� `l�7 �o�ss b `� � l �' �T. cirr t (X OWNEIi PERMIT � l r�- � � . �� FURNAC INSTAI.�.ED Make �/�l �- �� Model �U�%�� . 4_ dy! � Serial � � L3 ?i �,�� %' Input .,�U �vv �� TEST Input Low �� CFH at %' 7 `1� Input High,_ �� CFH at � Ftame Safety Timing �. C� Limit Setting ,� D ° -- Heat Anticipator Setting ' ' W.C. Pressure ' W.C. Pressure 6� Stack Temp. Percent Co= G ' �" Percent 02 �� /J Percent CO d'U � D/�G �'/�/d�J Combustion air is adequacely supplied per UMC Sec. 606 Input v Name o( Tester Date �f Test (D '�� /� — Location of Orsat Tag: A-abc Appliance and Heating, Inc. Z638 Lyndaie Avenue South - � Minneapolis, MN 55408 Phone: 871-1491 Faa: 871�-b354 .. .. . . ,w;.. � . _�� - _ CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner — Also Replacement Furnace (Side Vent — Fill Out Back) Gas Piping (Needed with new furnace) Gas Range Gas Dryer *Air Conditioning — All Sizes All Others/Repairs & Afterations (LIST ON BACK) 1% of Value of Appliance or Work Commercial/I ndustriat 1,25% of Value of Appliance or Work Rate TOTAL $ so.00 $ ' �, ; $ 10,00 $ $ 10.00 $ $ 10.00 $ $ 25, 00 State Surcharge TOTAL FF_E $ �� ,'1-j ��,�� Effective On January 1, 1997 �"'�, �� ,,,;'-��,,�1�� i � JOB ADDRESS 1.�� I_ _ , � , �,-��,. �� , � �`1 � The undersigned hereby makes application for a permit forthe 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. `� f l, j" ,1997 OWNER �,C�:�, �.1��.�11 ��,1, "- S 6 'a � eZ%�ri � � BUILDING USED AS ;A�, _ ) � �`��,,, �a_� ESTIMATED COST � , ` �'� ; '.�,� PERMIT N0. � ' � ---' �� _ lC ��C � ,�_ - DESCRIPTION C�F FURNACE AND OR BURNER $ No. of Heating Units � Circle One (Steam) (Hot Water) tlNarm Airj Trade Name�i� r; �� Size No. �� .;;u � S� r,(Z�1\t � BTU `"�<� , ��1 �� HP EDR $ Fuel � P�� Total Connected Load $ .50 �'�...?�� ' � MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr '�Air Cond�ioners can not be placed in a side yard without written permission from adjoining property owner. Burner Trade Name BTU HEATING COMPANY HP Size No. EDR � Signed By � �,� � ��,��: Tel Na `� — � Approved By Rough—In Date Final Date /�-` FILL OUT BACK SIDE R STACK VERIFICATION ON I REPLACEMENT FURNACE CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: l. Has been carefully examined Yes (�) No () 2. Is free from rust or deterioration Yes �� ) No O 3. Has no foreign objects lodged within Yes �.� ) No () 4. Is securely supported Yes'�(� ) No () 5. Meets all current Code requirements for size and tutal �iTY3's connecteci Y'es�(,� ) i10 () 6 Has total heating BTiJ's of �� , ; ) ._� �, �> All other BTU's TOTAL BTU's � �� ., � ;� -� 7. Has a liner been provided for water heater Yes ��) No O 8. Has combustion air been provided for water heater Yes'�, ) No () Remarks: List ALTERATIONS Being Done: !� °�, r�� n ... �� f� 0 1�� ¢ c� HEATING CO: Signed By: ��re: � � a �� -�- �� CITY OF FRIDLEY INSPECTION DIViSION Effective On January 1, 1998 6431 University Ave NE Fridley, MN 55432 APPUCATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS � D C"�� ,� � J�� j �v �( RATE SCHEDULE � Residential Furnace Shell and Duct Work, Burner - Also Repiacement Furnace (Side Vent - Fill Out Back) Gas Piping (Needed with new furnace) f r<<' E �ics�'- ,�� l�f Gas Range � / 1��'l. Gas Dryer *Air Conditioning - All Sizes All Others/Repairs & Afterations (LIST ON BACI� 1% of Value of Appliance or Work Commercial/I ndustrial 1.25% of Value of Appliance or Work Rate TOTAL � $ 30.00 $ $ 10.00 $ $ 10.00 $ $ 10.00 $ $ 25.00 $ The undersigned hereby makes application for a permit forthe 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. � � � ( ,1998 OWNEft S ✓�� J (,LJ . ✓�- �� __ BUILDING USED AS �-�'��SZ ESTIMATED COST PERMIT N0. - � - �' DESCRIPTION OF FURNACE AND OR BURNER $ No. of Heating Units �-- Circle One (Steam) (Hot Water)� arm Ai Trade Name /V1 �} ;) e S� � Size No. BTU �Z � ��-�, HP EDR $ Fuel ,� !'� t- Total Connected Load _S �, C--�� /, �% v State Surcharge $ .50 TOTAL FEE $ �,.�� S � � MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION �"�' '� �� REFRIGERATIONJAIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr Burner Trade Name Size No. B� HP EDR � HEATING COMPANY �� ti� t�' �/ C-�> ;7 Signed By Tei No. �S'�%0 � S b�-� Approved By -��'(`� Rough-In Date Final Date 0,�� -`��' *Air Conditioners can not be placed in a side yard without FILL OUT BACK SIDE FOR STACK VERIFICATION ON ?�"�J written permission from adjoining property owner. REPLACEMENT FURNACE CHIlVINEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes ,(i�No () 2. Is free from rust or deterioration Yes (.� No O 3. Has no foreign objects lodged within Yes (.� No () 4. Is securely supported Yes (.� No () 5. Meets all current Code requirements for size and total BTU's connected Yes �No () 6 Has total heating BTU's of All other BTU's TOTAL BTU's 7. Has a liner been provided for water heater Yes () No () 8. Has combustion air been provided for water heater Yes () No () Remarks: �—` �� -� �-(? / � �� ' List ALTERATIONS Bein�,Done: HEATING CO: Signed By: Date: ) � �� , ��Q r' c// C� �� f' � / �- / ` � � �J sue�ecr PERMIT NO. City of Fridley 2702 1 AT THE TOP OF THE TWINS g � I L D I N G P E R M I T =-% r � . � � T NO. � • COMMUNITY DEVELOPMENT DIV ,r) � ; L'_"'�'� �T �' l� � PROTECTIVE INSPECTION SEC. ' �(t..� i � ' /'��1 � CITY HALI FRIDLE`/ SS032 NUMdER REV DATE PAGE OF APPROVED B� �'""�"� �'' 612-571-3450 910-F15 8/6/98 � � J08 ADDRESS 6040 Ben'amin St t LEGAL LOT NO BLOCK TRACT OR ADDITION SEE ATTACHEO DESCR. E 165 F't f] A�}d�ty�'s SNEET 2 PROPERTY OWNER MAIL ADOFESS ZIP PHONE Saw er 502-0266 3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO Viking Home Improv 4832 2 1/2 St NE 572-1820 4772 4 ARCHITECT OR DESIGNER MAIL AODRESS ZIP PHONE LICENSE NO 5 ENGINEER MAIL ADDRESS ZIP PMONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION � REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Reroof house and ara e(22 S) Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with State Building Code. TYPEOPCONST OCCUPANCYGROUP OCCUPANCVLOAD SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PIUMBING, HEATING, VENTIIATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU FT AUTHORI2ED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OFi ABANDONED FOFi A PERIOD OF 120 DAYS AT ANV TIME AFTER WORK tS COMMENCED NO DWLG UNITS OFFSTREET PARKING I HEREBY CERTIFV THAT I HAVE REAO AND EXAMINED THIS APPLICATION STALLS GAfiAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF �AWS VAIUATION SURTAX AND ORDINANCES GOVERNING TNIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT THE GRANTING OF A PERMIT 1834.80 . 9Z DOES NOT PRESUME TO GIVE AUTHORITV TO VIOIATE OR CANCEL THE pEAMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OF THE PERFORMANCE OF CONSTRUCTION 59. SO Fire SC 1. H3 PLAN CHECKFEE TOTALFEE ��!-��✓� � �-�� SiGti/+ruREOF Oti'RaCTOAORAUTHORiZEDAGENi �DA7Ei WHEN PROPERLV IDATED THIS IS VO R PERMI�T/ C' � ��,�?� � ��L' , fl S�GNnTUAE OF OWNEA��F OWNEP BU�LDEAi iDATEi ��p, +pc? r��iE NEW [ ] ADDN [ ] CITY OF FRIDLEY ALTER [] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: � � �� /� � �" �A "`-TV' �S � � ''�' E ' Legal Description: Effective 1/1/98 � �� 3 ,, ,�, ��' ,.�,,�� ', _ �;} � Owner Name & Address: •Sf�w' j'�� Tel. �# S�' z•-oz� � Contractor: G�/c3 r 4 jy� .�.._F r,.,. ,� �� . MN LICENSE #- ' y7?'L Address: �/ �S 3� :Z % s r. ti� . Tel. #�% z/X z� LIVING AREA: GARAGE AREA: DECK AREA: OTHER: 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 TiVIPROVEMENT Construction Type: �� d � � �` � G � W idth W idth Width Driveway Curb Cut Width Needed: Ft. + 6 Ft = H�ight Height Hgt/Ground Sq. Ft. Sq. Ft. Sq. Ft. Estimated Cost: $ �j 0 � � � (Fee Schedule on Back) Ftx $ _$• DATE: �- � `rv �(' k APPLICANT: � �Z� -- Tel. # 5 ? � —/6'' `Z- � Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: CITY USE ONLY $ �� r �, �v Fee Schedule on Reverse Side $ �• �� .001 of Permit Valuation (1/lOth%) „ $ `�L $.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 [ ] $ � 2� � . . . BUILDING PERMIT FEE SCHEDULE The Chief Building Official 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,C�01 to $25,000 $25,OOlto $50,000 $50,001 to $100,000 $100,001 to $500,000 $500,001 to $1,000,000 $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 $100,000 $887.25 for first $100,000 plus $S.QO for each additional $1,000 or fraction thereof, to and including $SOO,OQO $2887.25 for the first $500,000 plus $4.25 for each ad.ditional $1,000 or fraction thereof, to and including $1,000,1)OEi $5012.25 for the first $1,0OO,OUO plus $2.75 for each �dditional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - llriveway width plus 6 f�et ��nes $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 allc��j Aor �xoper review of the proposed structure and of the construction site. � A Certificate of Survey of the lot, showing the lacatior� of the foundation once it has it has b�c:f �};.:�?-ucted will be required before proceeding with the framing. sue�ecT PERM , c�cy of Fridley 3 2 9 � � , AT THE TOP OF TME TWINS g U I L D I N G P E R M I T � ` RECEIPT NO. � ` _____ COMMUNITV DEVEIOPMENT DIV %) r � v � PFOTECTIVE INSPECTION SEC �SVo � � i � � � �'�'1 • CITY MAL� FRIOLEr 55132 NUMBER pEV O�TE PAGE O� AGPHOVEO Bv �'"-'�"� ,�' 763-571-3450 9t0-F15 8/8/02 / / JOB ADDRESS 6040 Benjamin Street NE 1 IEGAL LOT NO BLOCK Tf;ACT OR ADDITION SEE ATTACHEO DESCR. Pt 7 Auditor`s Subdivision ��92 SHEET 2 PROPERTY OWNER MAIL ADDRESS 21P PHONE Susan Sawyer 6040 Benjamin Street NE 763-502-0266 3 CONTRACTOR MAIL ADDRESS ZIP PMONE LICENSE NO RMA Home Services Inc 3200 Cobb Galleria Pkw STE 200, Atlanta, GA 30339 4 ARCHITECT OR DESIGNER MAIL ADORESS ZIP PHONE LICENSE NO 763-542-8826 20268257 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WOfiK O NEW ❑ ADDITION O ALTERATION � REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Replace patio door within existing opening 9 CHANGE OF USE FROM TO STIPULATIONS Provide smoke detectors in all sleeping rooms and on al� Ievels of the dwelling per Section 310.9.1.2 of the 1997 Uniform Bui�ding Code. Caulk and flash all exterior openings. �err�it Insp,�ction Cards i��l! �� N�aiEed To ��n�eowner To Post TYPEOFCONST OCCUPANCVGROUP OCCUPANCVLOAD SEPARA7E PEAMITS ARE REOUIRED FOF E�ECTRICAL. PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING TMIS PEFMIT BECOMES NUIL ANO VOID IF WORK OA CONSTpUCTION ZpNING SQ FT CU FT AUTHORiZEO IS NOT COMMENCED WITMIN 60 OAVS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONEO FOR A PERIOD OF 120 DAVS AT ANV TIME AfTER WORK IS COMMENCEO NO OWLG. UNITS OFfSTFEET PARKING � HEREBV CERTIFV THAT I HAVE AEAD AND EXAMINEO THIS APP�ICATION 1 STA�LS GAfiAGES ANO KNOW TNE SAME TO BE TRUE AND CORRECT ALL PROVISIONS Of LAWS yq�UAT10N SURTAX AND ORDINANCES GOVERNING TMIS TVPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED MEREIN Of: NOT THE GpANTING OF A PERMIT �3 � OOO �1 . SO DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pEqMIT FEE SAC CMARGE PROVISIONS OF ANV OTHER STATE OR �OCAL LAW REGULATING CON� $83.25 Fire SC �3.00 STRUCiION OF THE PERFOAMANCE OF CONSTFUCTION PLAN CHECK FEE TOTAI FEE L ense SC $5.00 $92.75 S�GN4fUQEO�CON�AACTOQOROUT�OQ�ZEOOGENT iO�TE� W N PROPERLY VAL�OATED THIS IS VOUR ERMii 1 S�Gtio�uAE O� OwaEA �� pwr+EQ BUi�OEA� �D�tEi - g i 5 icr r�w � � ADDN [ ] ALTER ( ] �onstruction Address: Legal Description: � Effective 5/10/99 CITY OF FRIDLEY SINGLE FAMII,Y AND DUPLEXES R-i AND R-2 BUII�DING PERMIT APpLICATION �� Owner Name & Address: ��Q,,N c��Wu �_ '� Tel. #�(p 3. �a . � a(p�p Contractor:. �A HOME SERVICES INC. � j�jCENSE # ' Home Depot Installed Sales AddieSS: 3200 Cobb Galleria Pkwy., Ste. #200 Tel. # Atlanta, GA 30339 A 763-542-8826 urvey of the 1c Bc-2o26s2s� .. �n it to scale. • r--r---- -�-��-_".,�....». DESCItIF`.�ION QF ,�MP�QVEMENT . LIVING AREA: Length Wi�th Height GARAGE AREA: Length Width Height DECK AREA: Length Width H�t/Ground OTHER: Construction Type: Sq. Ft. Sq. Ft. Sa_ Ft_ Estimated Cost: $ �j , Q(�0 0 Driveway Ci�rb C�t Width Needed: Ft. + ti Ft =_ Ft x$_ _$ . DATE: . v• C� APPLICANT: Tel. #/Sr�• �yS• CD�� Permit Fee Fire Surcharge State Surcharge SAC Charge Lic�nse S�Zrcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ 8 .a $ 3.00 $ 1�5� $ $ S, 00 $ $ $ $ � `�a �% CITY USE ONLY Fee Schedule on Reverse Side � � .001 of Permit Valuation (1/lOth%) $.50/$1,000 Valuation $1050 per SAC Unit $5.00 (State Lxcensed Residential Gontractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering _ Agreement Necessary [ ] Not Necessary [ ] . /