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AF - 36428C � � City of Fridley, Minn. BUILDING PERMIT Date: _..__Apri1 28, 1967 N'� 9211 -� ��j � Owner: .._Rodnex. Bil�:man .._.._._..._..._.._..._..._.._._.___..._ Builder ._..__Rodney Billman . . Address 3000 36th Ave . N. E. Address ....._ ................_.._..----__.._---•--•._.__.._...._...__..•-•--....................._.-�---••--•---- -•---......._.._._----�--•�---•--...---._.._..._-•----_......__._.._.._._._.._.....____._. LOCATION OF BUILDING No. ....1518 _._.._..... Street -.-----------Berne_Road...._.._- -. ----- -- ---- Part of Lot ....................___.---...._..__.__.._......_. _.._.___ Lot .._.._.........11....._....__ Block .--•--_2............_ ............._..........._. Addition or Sub-Division __Innsbruck_�th._Aac��___---...._.__.._._ � CornerLot ....._------�•---•----•--•-- Inside Lot ------ X-----�------.._---•�- -•�---. Setback ----� 35--•--...------�------�--- Sideyard ---...._.._ 10..._..__.._..._.•--•--__._.._____._._. SewerElevation .....----...--�--�---983_.89--------------��----_...._ .............-- ---�--�-----�.$�..s.�.�.�.._.._.._._..-----__.._..�.. Top of Footing To be Used as: � . Dwe 11 ing .._........---�__ Front 64.. .._.----•----..__.........._ .............._........ Front __._ Frame Type of Construction .....- ............._....---- DESCRIPTION OF BUILDING 2� i � Depth ....._..26... & i3r2ight .....20 Depth _...___........._.. Height ._.._.. Est. Cost $�5_,_000 Sq. Ft 17 24.._._._ Cu. Ft Sq. Ft. ._..__....._...._.. Cu. F't. ._..__......_._ To be Completed ..... 8.� l.� 6!.__._...__._._ SEWER LOCATION - 42' West of Ma.nhole WATER LOCATION -10.8 West of Sewer Service In consideration of the issuance to me of a pernut to construct the building described above, I agree to do the proposed work in accordance with the description above set forth and in compliance with all pravisions of ordinances of the city of Fridley. '� ��..�� --�-�--�� $100.00 NSSSD In consideration of the payment of a fee of $.... 5 2Y. 00 � pe�t is hereby granted to Rodne� ��Y Billman, Inc. ._.._._,........_.....---_.._............__._.:._.----.... to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances o� Fridley, Minnesota regardfng lceation, construction, alteration, maintenance, repair and moving of bufldings within the city limits and this permit may be revoked at ax�y time upo� violation of any of the provisions of said ordinancea ____CLARENCE BELISLE g�� NOTICE: Thb p�emh dou no1 twv�r fh� eonshudion, install�don for wirin�, plumbiny, yas h�aftny, s�w�� or wat�r. M wn to sN �ho BuiWing Insp�efor fo� s�parah p�rmftt fo� fhm H�ms. i� w APP'I.ICATION FOR St[ILDING PERMIT CITY OF FRIIiLEY, MINNESOTA � OWNER' S NAME / �G- - � UTLDLR ��p` � �� Gl�u'� ��C� .��1�`� l ADDRESS J ADDRESS.�K-�s -- � � ..,� �T, ��-�—� � , LOCATION OF BUILDING _ -� N0, % � I '( STREET., . �y �:' '�C ►.i �' �`',�_,,,� _PART OF LOT LOT ,�BLOCK � ADDIZ`ION OR SUBDiVISION ��,�� L.� ��%�% �� %'��- CORNER LOT INSIDE LOT �SETBACK �� SIDE-YARD f�% SEWER ELEVATION /�3 • S9 7�� `� �� Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. �z -- '�� . �. � . � �� . � �` C'�T ��RIPTION OF BUILDING To be used as; 2 s ` O � � � p "s � �� G Height i �'�i � �-� Front � �. De th�� Sq. Ft. J"J 2� Cu, Ft. T '�'�' Front Depth Height Sq. Ft. Cu. Ft. Type of Construction_�j��,-�_. Estimated Cost�� U l To be completed �, l '�? % � � The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. ,� f� �.z-�L c.�-�- 0�:�/G�L.�_<r./ ?}-G � , DATE � — --L__ � � SIGNATURE ` � z-� t-�--� � �--L —7-- (Schedule of Fee Costs can be found on, Reverse Side). , �;. <,s F '�. � , � .�3 / hf ! �. �, � f �:' '�=;� % nf � �� " � � �� .......�.�..w. .�,..-.�-�.-- `�'�. {. � . - � . . � , BUILDING PERMIT FEE SCH�'DULB SECTION 2. The Inspector of Buildings shall, before isauing any permit f or the erection of any building or structure., or for any addition to any existing building or structure, or for any alterationa or repair� to any exi,sting_. . building or structure, upon application therefore, require the payment by the applicant for such permit of £ees to the amount herein below set forth �nd in _ the manner herein provided to-wit; 2.1. For any such permit for the erection of any fire-proof bullding, other than a garage, warehouae, factory or grain elevator, or for the erection of any fire-proof addition, for similar occupancy, to.any existing building, shall be at the rate of $1.40 for each one thousand cubic feet, or fraction thereof, in such cubical conteats. 2.2 For any such permit for the erection of any fire-proof garage, warehouse, faetory or grain elevator, or for the erection of any fire�proof addition, for similar occupancy, to any esisting building.shall be.at the rate of $1.25 for each one thousand cubic feet, classified as "fireproof!' by Section 502 of the Minneapolis Buildiag Code, HOIISES 2.3. For any such permit for the erection of any non-fireproof building, other than a garage, warehouse, factory or grain elevator, or any non-fireproof addition, for similar.occupancy, to aay existing building permit $1.00 £or each one thousand cubic feet. GARAGES 2.4. For any such permit for th� erection of aay non-fireproof garage, warehouse, factory or gxain elevator, or for the erection of any non-fire-proof additioa, for similar occupancy, to any existing buildiag or far each such building or addition - ninety cents ($U..901 for each one thous.and cubic feet or fraction thereof, in the cubical contents thereof with the minimum of $4.Q0. For the purpose of connputing fees for building permits; the cubical contents " of any building or addition to a uniform height throughout by mult�.plying the ground area covered from a point six (6). inches below.the f;�,00r �.ine of the basement or cellar to the awerage h�tght of the uppe�r.surf�::e or to the ayerage height of the roof sur.face of the main.gable.of a pitched roof. 2.5. For repairs or alterations to an existing struct�.ire, the fee,�ha11 ' �_ be at the rate of $3.00 per each,Five H=jndred Dollars ($5(�O.GO) or fraction thereof in the cost of all proposed worlc. 2.6. In no case ahall the fee charged for Section 2 be less than $4.00. STQRM RFPAIR_DAMAGE ^rFS: an�vr�i�di� as set forth in �_ , . � ,.,;=. -� r ; , -- � f � M � • ; ��, � �i i� � N �„� _ � * � ' � �,, � � �-.� � � � :,c �., � �- zs �� ... ;� � � ' U i*' ' � r',� � s Residenti�l: Estimated Cost of work ug to $500.00 -$5,00 �,�,.. �1�, Esticuated Coat of work over $��.d� -�i0.00 p, a � �-� Co�excial; Estim.a*_e ost of work up�to Y�?�.00 -$1 0 � � � Estimate�ost of work over $500.00 - $2�0 . � CITY OF FRIDLEY APPLICATION FO R PLUMBING AND GAS FITTING PERMIT y ?� �n m u • K d Water ,� y �n � �� N q � n, w � Heater N 1� �-i tn E.+ N m b Sa W 3a N N G � N .� �� 3 O U��-1 O.� � U N +°� ro.°� �s`�+ ro ro � ro�� o.°a .° rt ro� ro ro �' ro � u� U � w m m 3 t] w m w c� m a 3 � � c7 o as lec lst 2nd 3rd 4th (R) = Future Connection Opening Connected with Sewer (*) = New Fixture, Old Opening Water RATE SCHEDULE PLUMBING FIXTURE RATES: N0. RATE New Fixtures Future Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Hydraulic Valve Sump or Receiving Tank Water Treating Appliance Hot Water Heater Gas Range Gas Dryer g 5.00 $ 3.50 _ S 1. 50 _ S 4.00 $ 5. 00 g 5.00 � S 5.00 � S 5.00 S 5.00 g 7.00 g 5.00 g 10.00 $ 10. 00 TOTAL S S S S S $ $ S S S $ S Back Flow Preventer Fdequired. .. Yes () No () � 'r�e S s. oo .S /.5 , � U ALL OTtii:��S AND/OR REPAIRS AND ALTERATIONS 18 of Value of Fixture or Appliance $ State Surcharge $ .50 Reinspection FQe $ � �j %� ($15.00) TOTAL FEE $ /5��(d �� Effective Date May 1, 1988 Job Address --��—��_'P%_� 6�-�_.��. Department of Buildings City of Fridley Tel. #571-3450 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 Department of Buildings, and hereby declares that all the facts and representations stated in this a 'cation are t e and r t Fridley, Mn. ��, 1g � � _ � � OWNER KIND OF BUILDING USED AS r� � TO BE CObIPLETED � (p d'/ ESTIMATED COST �.� � OLD - NEW BUILDING PERMIT NO. PERMIT NO. ! V IO'�`� Company i c �U � • n � . Signed By ��--0' Tel. No. � (� ��- � ROIIGH INSP. Date FINAL INSP. Date APPROVAL FOR PERMITI�"��:i! ., PIINIMUM FEE FOR ANI PLUMBING PERMIT IS $15.00 PLUS THE $.50 ST?�TE SURCHARGE sue�ec1 P City of Fridley 3 0 7 5 7 A7 THE TOP Of THE TWINS g � f L D I N G P E R M I T r ' ' R � � • • COMMUNITY OEVELOPMENT DIV. � � �.- - r � � PROTECTIVE INSPECTION SEC. �� . � � /"'1 � CITY MAL� FRIOLE� SS1�� NUMBEii REV O�TE VAGE Oi APCROVED B� �""'�� '� 612-571-3450 91Q-F15 3/22/00 / / J08 ADDRESS 1518 Berne Road NE 1 LEGAL LOT NO. BLOCK TRACT OR AbDITION SEE ATTACHEO DESCR. jj 2 Innsbruck 5th Addition SHEET 2 PROPERTY OWNER MAII AOORESS ZIP PMONE Peter/Joann Heryla 1518 Berne Road NE 571-1048 3 CONTRACTOR MAIL ADDRESS Z�P PNONE LICENSE NO Custom Remodelers Inc 474 Apollo Dr, Lino Lakes, MN 55014 651-784-2646 1748 d ARCHITECT OR OESIGNER MAIL AODRESS ZIP PHONE �ICENSE NO. 5 ENGINEER MAII ADDiiESS 21P PHONE LICENSE NO 6 USE OF BUILDING Residential T CLASS OF WORK O NEW O ADDITION O AITERATION �7 REPAIR O MOVE O REMOVE 8 OESCRIBE WOfiK Replacement windows 9 CHANGE OF USE FROM TO STIPULATIONS Provide smoke detectors in all sleeping rooms and on all levels of the dwelling per Section 310.9.1.2 of the 1997 Uniform Building Code. SEPARATE PERMI?`�� REaUiRED FOR: P�UMBINGG� qND SNG ��IS TYPEOFCONST. OCCUPANCYGROUP OCCUPANCvLOAO SEPARATE PERMITS ARE fiEOUIRED fOR EIECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONOITIONING THIS PERMIT BECOMES NULL AND VOID iF WORK OR CONS7RUCTION 20NING SO. FT CU fT AUTNOi;IZED IS NOT COMMENCED N/ITHIN 60 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANOONEO FOfi A PERIOD OF 120 DAYS A7 ANY TIME AfTER WOfiK IS COMMENCED. NO. OWLG. UNITS OfFSTREET PARKING I MEfiEBY CERTIFV THAT I HAVE READ ANO EXAMINEO THIS APPLICAtION 1 STA��S GARAGES AND KNOW THE SAME TO BE TRUE ANO CORRECT. A�L PROVISIONS OF LAWS VAIUATION SURTAX ANO ORDINANCES GOVERNING TMIS TVPE OF WORK WILI BE COMP�IED @ WITH WHETHER SPECIFIED MEREIN Ofi NOT. TNE GRANTING Of A PERMIT W2�467 $1.23 DOES NOT PRESUME TO G�VE AUTMORITY TO VIOLATE OF CANCEL TME pEqMIT fEE SAC CMARGE PFOVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON• @ $TRUCTION OR TME PERFORMANCE Of CONSTRUCTION W83.25 Fir SC �Z.�F% PLAN CMECK F E TOT EE Licen C $5.0 $91.95 S�GNATUAE OF CON'FACTOQOQ �UTMOp�ZED OGENT �OATEi E PROP VAUO TE � IS I OUR PERMIT � � � � $�GN4TUF7E OF OWNEQ ��: OwHEQ Bui�OEA� iDAiE� Bl G �hSo � qctE NEW [ ] ADDN ALTER Effective 5/10/99 � l CITY OF FRIDLEY (] SINGLE FA1�,Y A1�1D DUPLEXES R-1 AND R-2 BUII.DING PERMIT APPLICATION Construction Address: r � � $ Legal Description: Owner Narr Contractor: Address: �i LIVING AREA: GARAGE AREA: DECK A►REA: OTHER: �5� � �° 155 Te1. # � /d-- 5 1/—( D �� MN LICENSE # ) i � � Te1. # � �l -% �`f-�d �f� Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. � DESCRIPTION OF IMPROYEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. Construction Type: _ �,(jc.(/�� Estimated Cost: $_ � , � b ?� Driveway C�zrb C�t Width Needed: Ft. + 6 Ft = Ft x$ _$ - DATE: �J - r� 8 ' G � ApPLICA�r'T: VZ Tel. # b 5 � " ? �f � ' � � � � Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: � � �_ � 5 $ � . �h? � ��2�3 $ $ 5, 0 0 $ $ $ $ s � J.� 5 CITY USE ONLY Fee Schedule on Reverse Side .001 of Pernut Valuation (1/lOth%) $.50/$1,000 Valuation $1050 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 [ ] BUII,DI�i tG PER�vIIT FEE SCHEDULE The Chief Building O�cial shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to-wit: TOTAL VALUE $1 to $500 $501 to $2,000 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,001 to $500,000 $500,001 to $1,000,000 $1,000, 001 and up FEES $23.50 �23.50 for first $500 plus $3.05 for each additional $100 or fraction thereof, to and including $2,000 $69.25 for first $2,000 plus $14.00 f�r each addidonal $1,000 or fraction thereof, to and including $25,000 $391.25 for first $25,000 plus $10.10 for each additional $1,000 or fraction thereof, to and including $50,000 $643.75 for first $50,000 plus $7.00 for each additional $1,000 or fraction thereof, to and including $100,000 $993.75 for first $100,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $500,000 $3,233.75 for the first $500,000 plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,000,000 $5,608.75 for the first $1,000,000 plus $3.15 for each additional $1, 000 or fraction thereof DRIVEWAY DEPRE5SION ESCROW (Concrete C�rb Streets Only} Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $15.50. Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch dep�ti - Driveway width plus 6 feet times $23.25. VERIFICATION OF FOUNDATION Pemuts for construction will be issued a minimum of 24 hours from the time of application to aIlow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. �. . . . � � � � SUBJECT - .. � � � ' , City of Fridley AT TME TOP OF THE TWINS �� L D 1� G P E R M I T f � � � � � ' COMMUNITY DEVELOP�ENT OIV. VV�� r � � PROTECTIVE INSPECTION SEC. � , � , � � �"'1 � CITY HALL fFI�LE� 55132 NVMBEA REv �"""�"� �'' 612-57 �-3450 s�aF� 5 JOB ADDRESS 1518 Berne Road NE 1 LEGAL �OT NO. BLOCK TRACT OR ADDITION DESCR. 1], 2 Innsbruck 5 Addition 2 PROPERTY OWNER MAIL AOORESS Pete Heryla 1518 Berne Road NE 3 CONTRACTOR MAII ADDRESS O�TE 10/30/O1 TimberCraft PO Box 120388, New Brighton, MN 5511'L 1 ARCHITECT OR DESIGNER MAIL AD�RESS 5 ENGINEER MAILADORESS 6 USE OF BUILDING Resider.tial 7 CLASS OF WOFiK p NEW C� ADDITION � ALTERATION B OESCRIBE WORK Construct a 32' x 12' Deck; Kitchen Remodel 9 CMANGE OF USE FROM STIPULATIONS See notations on plan. �'�`� � � � 8efore digging caii for ail utility locations 4540Q02 ��Q�lw�� X L�AV� TO TYPE OF CON SEPARATE PEFiMITS AFiE REOUIFEO FOR ELECTRICAL, P�UM9ING. FIEATING. VENTILATING OR Alq CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONS7RUCTION ZONING AUTHORIZED IS NOT COMMENCED WITH�N 60 OAYS, OR IF CONSTRUCTION r OR WORK IS SUSPENDED OR ABANQONEO FOR A PERIOD OF 120 OAYS A7 ANV TIME AfTER WOqK tS COMMENCED " NO OWLG. I HEfiEBV CERTIFV THAT I HAVE READ AND EXAMIN�D THIS APP�ICATION 1 AND KNOW THE SAME TO BE TRUE ANO CORRECi. A�L PROVISIONS OF LAWS VALUATION AND ORDINANCES GOVEFNING TMIS TYPE OF WORK WI�� BE COMPUEO � WITM WMETHEA SPECIfIED HEREIN OR NOT. THE GRANTING OF A PERMIT �32�J6: OOES NOT PRESUME TO GIVE AUTMORITV TO VIOLATE OR CANCEL THE pEqM1T FEE PROVISIONS NY OTH R STATE OR LOCAI LAW REGULATING CON- STqUCTlO NE Rf R NCE Of CONSTRUCTION ��FHZ . L PLAN CNECK �� Lice e NATUQE CON"aA�TOQOQAUTMOQ�ZE04GENi �D TE� WME S�GNATUAE O� OWNEQ �� OwNEp Bw�DERi iO�TEi � � m . / 32287 RECEIPT NO. 6/a� Qf APPROVEO BY / SEE ATTACHED SHEET 763-574-2538 ZIP PHONE IICENSE NO 651-633-8611 2624 ZIP PMONE LICENSE NO. tIP PMONE LICENSE NO O REPAIR O MOVE O FIEMOVE SEPqRA�"� ��;:�� `�,_ REaU1RE�3 �� WIRING ��A�1�G, PLUMBlN� �� UNITS C �PANCr T OCCUPANCVLOAD CU OFfSTREET PARKING STALLS GARAGES SURTA% $16.38 SAC CHARGE Fi e SC $32.77 TO L FEE 5. 0 36.30 VALIO TE THIS IS VOUR PEQMIT •�/� D-d°, nart NEw ( J ADDN ( j ALTER �] ,i Construction Address: Legal Description: Owner Name & Address: Contractor: _� Address: �-� � LIVING AREA: GARAGE AREA: DECK AREA: OTHER: _ �� Construction Type:_ 0 CITY OF FRIDLEY SING�E FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION � Effective 1/1/2001 .(763) 572-3604 Bidg Insp Te�. # -{�� ?6j � s�y_ �5 313 MN LICENSE # Z� �� Tel.# ��`��'�`�3'61( 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. r Length � Width 1�— HgUGround Z-� Sq. Ft. 3� % L� r�� .� � ��.�. �o�� /-�- � a o° 3 �`� � a� ��F ��S`�C� QN (,'L�1�6� . Estimated Cost: $ ��- �� Driveway Curb Cut Width Needed: Ft. + 6 Ft = t x� _� DATE: / � _� � y� ( APPLiCANT: '�`� Tel. # bsl - � � 3--�'� lr i ��-, c�:� CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: Call (763) 572-3604 for Permit Fees if mailing in application $��Sa, �s Fee Schedule on Reverse Side $ � .%7 .001 of Permit Valuation (1/10th%) $ /� - 3 � $.50/$1,000 Valuation $ $1150 per SAC Unit $ 5� � $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 [ ] � 5��p. �C� BUII..DING 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 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,001 to $500,000 $500,001 to $1,000,000 $1,000,001 and up FEES $23.50 $23.50 for first $500 plus $3.05 for each additional $100 or fraction [hereof, to and including $2,000 $69.25 for first $2,000 plus $14.00 for each additional $1,000 or fraction thereof, to and including $25,000 $391.25 for first $25,000 plus $10.10 for each additional $1,000 or fraction thereof, to and including $50,000 $643.75 for first $50,000 plus $7.00 for each additional $1,000 or fraction thereof, to and including $100,000 $993.75 for first $100,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $500,000 $3,233.75 for the tirst $500,000 plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,000,000 $5,608.75 for the first $1,000,000 plus $3.15 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $15.50. Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $23.25. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. New Houses Onlv � 1 � �� _. � � e �, � � �� - Zo�-o° -- ,!,°�O'� `�j� � �,,� - /� ! /v � "/`�E� - T -- - - - PANTRY OVEN -- HERYLA RESIDENCE 1518 BURNE ROAD FRIDLEY MN TIMBERCRAFT 9/20/01 _ �� ,��a � i � ---- - � �i� !�/� S/�p �'� C�� ISLAND - I- � I � �- � -- ��v �� s/�� ,�2a►� �.v� �'a� /�vE/��' �h�' �'��.�'� � �� S� 3/0, q,/�� /� �� DECK 31'-8" x 11'-6" 32'-0" � 1/4" SCALE g1'�C� xSd = � � �ivc� ��6s .a $-a 0 CV r- 0 , N � LIVING AREA e � � r _ _ ti �/h �,r� �iz�� . �� si �r�ir c.t �� a�� _ ��-y r�� . /�m� : /��/�Ec� ��r� C��v��,� ,�c�/ /o �'�,/!or'•v of' ��'� ��iv ��lo�P -�a _ � � ��-�'�� G � s � � e �'o . Siz�.�� x ��"��a� _ 'o, ,��/1� �� s��s� C' �rd T ,� a �'! /N �/��►t�'o�i'� _ `?n� 12A. � � �, r �0 �' � � �IN, � a- a.Xia . . �1C.Z �Pi� C �t2�s .Les S �`%aiV . �� , C, y "�J,vX. �Ev�v�� b �c��N� . ��/,y �'/��o,�/�; io�v �,D��i.� `- aX/o �n�l�`_ I6" o, � . ,��a�er�3�,�N��' o.�,��s � `f y —� ,�i�%d ct�f ) x jo a,�c� ��5�'/� � G 2a C`4N G� 7 �'! rd/ __ �2� � i�d� J ' � � �S�j��v �'�'.1 �'rr`3�� " vyai � v .,ti��'� ��.�/ �, � Y ,�� ,A � �� '. ��,�� , _ � � ' ��. ,,� ..�'; � d �c�'�. _ . -�' ! �� s'G �..�_ . _ - _ _ - _� � __ � _ �__ ,� , C�,�'� .y.s _ -f.� . _ _. _ _ __ _-- _ _ __ ___ _ - _ � ESTIblATE #101843 TIMBERCR.AFT 215 OLD HIGHWAY 8 SW NEW BRIGHTON, MINNESOTA 55112 PHONE 651-633-8611 PETER J. MURLOWSKI ITEM DESCRIPTION 1 KITCHEN 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 10/Ol/Ol PAGE 1 MR. & MRS. PETE HERYLA 1518 BIIRN ROAD FRIDLEY , bII�T 55436 PHONE H 763-574-2538 W 651-785-7850 JOB LOCATION 1518 BIIRN ROAD FRIDLEY, bIl�T 55436 12 X 20 X 8 DEMO WORK FRAME FOR PATIO DOOR FRAME FOR EXISTING DOOR PATCH IN SIDING MOVE SINK WINDOW FRAMING INSTALL 6'-0 PATIO DOOR SCHERER BRO UNIT INSTALL MARVIN WINDOW OVER SINK SHEETROCK REPAIRS INSTALL 6 PANEL HEMFIR BIFOLD OAK PRINCETON CASING 1/2" OAK PRINCETON BASE OAK SHOE INSTALL BASE CABINETS-CUSTOM INSTALL UPPER CABINETS-CUSTOM INSTALL LAM CNTRTP-POSTFORMED PLUMBING: NEW SINK & DISPOSAL,, DIHWASHER & ICE LINE HOOK UPS FINISH MOLDINGS , FINISH CABINETS FINISH DOOR/SIDE SEAL WALLS & CEILINGS PAINT WALLS 2W2L PAINT CEILING CERAMIC TILE WALL(S) 4" STD INSTALL LAMINATE FLOORING CLEAN UPS, COVER UPS, AND DEBRIS HAUL OFF 2 DECK 12 X 32 X 8 1 REMOVE CONCRETE STOOP 2 RAISE GRADE 12" UNDER DECK 3 INSTALL POST FOOTINGS 4 BUILD DECK • IST— &-�'��- CEDAR 5 /4 B "- "� 5 INSTAL RAIL SYSTEM � 0 QTY UM 1 EA 1 EA 1 EA 1 EA 1 EA 1 EA 1 EA 1 LS 1 EA 50 LF 64 LF 64 LF 28 LF 26 LF 22 LF 1 EA 178 LF 46 LF 2 EA 752 SF 512 SF 240 SF 30 SF 240 SF 1 LS 1 EA 1 EA 5 EA 384 SF 56 LF , 3 4 5 6 7 8 7 � ,� ESTIblATE #101843 ITEM DESCRIPTION EXTERIOR REAR 1 INSTALL GLASS BLOCK BASEMENT WINDOW UNITS 2 FINISH WINDOW/SIDE 3 PAINT SIDING 4 PAINT SOFFIT & FACIA EAST EXTERIOR 1 FINISH WINDOW/SIDE 2 PAINT SIDING 3 PAINT SOFFIT & FACIA EXTERIOR FRONT 1 MIN CHG TUCK POINT BRICK 2 REPLACE BRICK MOLD ON FRONT DOOR 3 REPLACE CEDAR UNDER FRONT DOOR 8' X 1' 4 FINISH WINDOW/SIDE 5 PAINT SHUTTERS 6 REPLACE WROUGHT IRON RAIL 7 PAINT OVERHEAD GARAGE DOOR 8 PAINT SIDING 9 PAINT BRICK 10 PAINT SOFFIT & FACIA WEST EXTERIOR 1 MISC BRICK REPAIR ON CHIMNEY 2 REPLACE FASCIA 3 PAINT SIDING 4 PAINT BRICK 5 P�INT SOFFIT & FACIA FOYER 1 REMOVE WROUGHT IRON; INSTALL WOOD SPINDLE RAIL SYSTEM 2 FINISH NEW RAIL SYSTEM BASMENT 1 FINISH WINDOW/SIDE ELECTRICAL WIRING 1 WIRING PER FRANDSEN PROPOSAL MISCELLANEOII5 1 TAX - 2 PERMIT 10/O1/O1 PAGE 2 QTY UM 3 EA 10 EA 704 SF 160 SF 2 EA 308 SF 78 SF 1 EA 1 EA 1 EA 14 EA 10 EA 9 LF 1 EA 576 SF 512 SF 90 SF 1 EA 6 LF 260 SF 200 SF 78 SF 19 LF 19 LF 3 EA 1 EA CITY OF FRIDLEY INSPECTION DIViSION ��,J �� -�" %� 1��`�1�� Effective On January 1, 200( 6431 Univer�ity Ave NE � �� o� Fri�ley, MN 554:32 APPLICATION FOR POWER PLANT AND EATING, COOLING, VE�ITILATION, 572•3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS � ��6 �j� (ZiV��o A'p RATESCHEDULE Residential Furnace Shell and Duct Work, Burner Also Replacement Furnace (Side Vent - Fill Out Back) Gas Piping (Needed with new furnace, but not replacement) Gas Range Gas Dryer *Air Conditioning - All Sizes All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work CommerciaVlndustria) 1.25% of Value of Appliance or Work OWN Rate TOTAL $ 30.00 $ 0 . �0 $ 10.00 $ $ 10.00 $ $ � 0.00 $ 25.00 � �:►�`' tate Surcharge v ��J`� - P�`�� OTAL FEE P� MINIMUM FEE FOR ANY HEATING/COOLING/VCNTILATION REFRIGERATION/AIR CONDITIONING PERMIT �S $25 00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $47.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. BUILDING USED AS _� uJ�� v ESTIMATED COST a,So� •� o PERMIT N0. S� DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units�_ Circle One (Steam) (Hot Water) Warm Air $ Trade Name Ca �t..2�,(2_ Size No. BTU \\O_ o 0o HP EDR $ Fuel �g� ,� p�� Total Connected Load $ $ $ .50 � 3a • S� Burner Trade Name Size No. BTU HP EDR The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes an rulings of the Building Divi�ion, and hereby declares that al1 the facts and ��t�h�e��i�tN�application are true and correct. gg2g Bluebird St. N.W. Coon Rapids, MN 55433 DATE `+ — ar1_p I HEAT��CQ4-2199 Signed � TEL # �� Approved By Rough•In Date Finaf Date �� t�� s �� Be�.��, I F R► D 1e� � j1r�� COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When re_placina an existinq furance, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes (�. No () The veniing system is plastic/PVC and meets afl current codes and manufacturer n specifications including sizing, length, number of elbows and te�mination. Yes () No () ��rt The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. The existinq combustion air is sized and installed to meet the current codes and manufacturer's specifications. When required to instatl a new combustion air, it wiil be sized and insta(led To meet the current codes and manufacturer's specifications. Yes (� No ( ) Yes ( ) No ( ) � �� Yes�No() When installing a new ventina svstem, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central 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 separately as per current codes. Yes �) No () Appliance Tvpe and Size/Common Vent and Vent Connector Information Appliance #1 Type ��ivv�,n,c,� BTU Input Bro �r Fan Assisted or Nat __�r"/7iv Appliance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances _�_ Total Btu Input / e� Common Vent Type �' Vent Height 1�1'' Diameter � inches Appliance #1 Vent Connector Height �_ft Length �ft Diameter,�in Type � Appliance #2 Vent Connector Height ft Length ft Diameter in Type �� Appliance #3 Vent Connector Height ft Length ft Diameter in Type ALTERATIONS: (Describe) �ii�� 4�., ati ..•� lo y G�m� `��' � HFATING CO: t Signed By: ' Date : b Lir — a''7 -- 6 � _ _ C[TYOF FR[DLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(763) 571-3450 • FAX (763) 571-1287 March 29, 2002 Mr. Peter Heryla 1518 Berne Rd NE Fridley, MN 55421 Re: Final Inspection at 1518 Berne Road NE Contractor: River City Sheet Metal Inc. Dear Mr. Heryla: A mechanical permit was issued on May 4, 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 request�ed. The permit fee that was paid covers the inspection to make sure the work was completed according to the Cales. We will keep your pernut 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 643 U�n eRs ty Ave NE ECTION DIV. `�� r�S�S Effective On Jan 1, 2001 �.� 1 Fridley, MN 55432 I� �U APPLICATION FOR PLUMBING AND GAS FITTING PERMIT 763-572-3604 MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR PLUMBING FIXTURE RATES 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 Range"" Gas Dryer** Back Flow Preventer Required ()Yes () Nc Type NO. RATE --� $ 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 TOTAL JOB ADDRESS,. '`'`-.��c� �,��i2-�� 7L� 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. / � - �� , 20GI'� Owner �� Building Used As �5� d�.-� c�� Estimated Cost PERMIT NO. � � � PLUMBING COMPANY �r -�� '�' � _ „ Reinspection Fee $47.00/Hr SIGNED BY/� =r�� -�. TEL N0: ��'�' ,•�'-o�' ALL OTHERS AND/OR REPAIRS AND ALTERATIONS s�, � 1.5% of Value of Fixture or Appliance �v ` ��' Approved By Rough-In Date Final Date "� �� State Surcharge $ .50 v TOTAL FEE $ J` �/ PLUS THE $.50 STATE SURCHARGE COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE COMMON VENT VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacin� an existing furance, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes () No () The venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes () No () The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. The existing combustion air is sized and installed to meet the current codes and manufacturer's specifications. When required to install a new combustion air, it will be sized and installed to meet the current codes and manufacturer's specifications. Yes ( ) No ( ) Yes ( ) No ( ) Yes ( ) No ( ) When installin� a new ventina svstem, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer"s specifications. This does include AGA-GAMA Category ! Central Furnace 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 separately as per current codes. Yes () No () Appliance Tvpe and Size/Common Vent and Vent Connector Information Appliance #1 Type BTU Input ' Fan Assisted or Nat Appliance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input Common Vent Type Vent Height Diameter inches Appliance #1 Vent Connector Height ft Length ft Diameter in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type ALTERAT{ONS• (Describe) HEATING CO: . Signed By: Date : _ _ CITYOE FR[DLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(763) 571-3450 • FAX (763) 571-1287 August 16, 2002 Mr. Peter Heryla 1518 Berne Road NE Fridley, MN 55421 Re: Finai Inspection at 1518 Berne Road NE Contractor: Gateway Mechanical Inc Dear Mr. Heryla: A plumbing permit was issued on December 4, 2001 to install two fixtures at your address. According to 5ection 4715.2800 of the State Plumbing Code, a final inspection shall be conducted on the work authorized by this pernut. As of this date the final inspecdon has not been requested. The permit fee that was paid covers the inspection to make sure the work was completed according to the Codes. We will keep your pernut 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 :,ITY OF FRIDLEY iNSPECTiON DIV. 3431 University Ave NE Fridley, MN 55432 572-3604 APPLICATION FOR PLUMBING AND GAS FI7TING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR Effective On Jan 1, 2000 PLUMBING FIXTURE RATES: 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 Range" NO. R,ATE � Gas Dryer*" _ Back Flow Preventer Required ()Yes () No Type $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.d0 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 $15.00 Reinspection Fee $47.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance State Surcharge TOTAL FEE TOTAL �� VFW•� JOB ADDRESS _ �`7"d� �s dtit�� . The undersigned hereby makes application for a permit for the work herein specified agree+ng to do a!! work in strict accordance with the city codes and rulings of the �,uilding Divisi�n, and hereby declares that a!I the facts and representations stated in this application are true and correct. HERYLA,PETER 1518 BERNE ROAD NORTHEAST ��I ZD�Z FRIDLEY, MN 55421 (763)574-2538 Owner _ Building Used As ��1 �N' C�, 00 Estimated Cost PERMIT NO. J�-� �� , PLUMBINGCOMPANY CQIZ�iL.�I� Z.U/✓I�7J/�(i ,,,��_ SIGNED BY TEL N0. Z' �` O Approved By � Rough-In Date Fina! Date "�� 1! ► u 11 �� :\ 11• ► � 11 I II ■ � _ : ._: COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE COMMON VENT VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When reqlacina an existins� furance, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes (� No O The venting ,system is plastic/PVC and meets all current codes and manufacturer specifications inciuding sizing, length, number of elbows and termination. Yes O No O The undersigned also verifies that the replacement unit is a listed assembfy and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes () No () The existing combustion air is sized and installed to meet the current codes and manufacturer's specifications. Yes () No () When required to instali a new combustion air, it will be sized and installed To meet the current codes and manufacturer's specifications. Yes () No () When installinu a new ventin� svstem, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural d�aft appliances. Yes () No () ls the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as' per current codes. Yes O No O A�pliance Tvae and Size/Common Vent and Vent Connector Information Appliance #1 Type BTU Input Fan Assisted or Nat� Appliance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Tota1 Appliances Total Btu Input Common Vent Type Vent Height Diameter inches Appliance #1 Vent Connector Height ft Length ft Diameter in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type ALTERATiONS• tDescribe) , HEATING CO: Signed By: Date : CITY OF FRIDLEY �NSPECTION DIViSION 6431 University Ave NE Fridley, MN 55432 (763) 572•3604 RATE SCHEDULE APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVtCES Residentiai Furnace Shell and Duct Work, Burner - Also Replacement Furnace (Side Vent - Fill Out Back) Gas Piping (Needed with new furnace, but not replacement) Gas Range Gas Dryer ��-z.�-t5 �� *� *Air Conditioning - Afl Sizes Ali Others/Repairs & Alterations (LIST ON BACK) 1°Jo o{Value of Appliance or Work Commercia!/Industrial 1.25% of Value of Appliance or Work Rate 70TAL $ 30.00 $ $ 10.00 $ $ 10.00 $ 10.00 $ 25.00 State Surcharge TOTAL FEE MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATtON/AIR CONDtTIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $47.00/Hr Effective On January 1, 2002 JOB ADDRESS /� /� ��rir � X � OWN E R_ �� /7'_,��' V /�. BUILDING USED AS ��3•� d�� ESTIMATED COST ��• � PERMIT N0. f��c�`� DESCRIPTION OF FURNACE AND OR BURNER $ No. of Heating U its Circle/� ne (Steam) (Hot Water) (Warm Air) $ Trade Name z�c�j / �'u�t.Size No. � �� BTU �3,�,�zsr.� HP `�� EDR $ Fuel �',. Total Connected Load $ $ $ .50 � .�;�?1 *Air Conditioners can not be placed in a side yard without written permission fro�^ adjoining property owner. yyt� � �;�c�•a�G Gvv-he�' . �,� �° �9 i�. O � d� t?�5.5fo ��✓ 5��'�� 8urner Trade Name Size No. BTU HP ED 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 an rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. HEATING CO lj� ��"c Signed FAX # Approved By� Rough-In Date DATE /1—��—cj.Z.. TEL # G.�S�'— G�'3— ��.Si'o l Fina! Date � �v �,� THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNED �C�MMnN V NT, VFNT C(�NN .TnR Af`D COMB ISTInt� AIR �/FRIFI ATlnll When re In ar_ing an pxis in�,fi,rancg, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes () No () The venting system is plastic/PVC and meets ali current codes and manufacturer specifications including sizing, length, number of elbows and termination. The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category 1 Central Fumace Venting Tables for fan assisted and natural draft appliances. The pxic ing comh ,�t+on air is sized and installed to meet the current codes and manufacturers specifications. Wher1 requit'ed to install a new cemh ,� �en air,,it wil4 be sized and installed to meet the current codes and manufacturer's specifications. Whe11 in�tallin� a nPw �• _n ing�c Pm, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturers specifications. This does include AGA-GAMA Category I Central Fumace Venting Tables for fan assisted and natural draft appliances. {s the common vent and vent connectors sized and installed correctly after an app{iance has been removed from the common vent and vented separately as per current codes. Yes( ) No( ) Yes ( ) No ( ) Yes ( ) No ( ) Yes( ) No( ) Yes( ) No( ) Yes( )No( ) �.. .. .- .�. - .��.. -. ... -. ...-«. . ..��, .. Appliance #1 Type BTU lnput Fan Assisted or Nat Appliance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input Common Vent Type Vent Height Diameter inches Appliance #1 Vent Connector Height ft Length ft Diameter in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type � : � •► .- ..- HEATING CO: Signed By: Date : J . Building PLUMBING Permit No.: -� Inspections � RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY z�at��:��'(' 4 2� � DATE YOUR E-MATL ADDRESS SITE ADDRESS Se.wt�_ _ aa.s ��v�c�' THIS APPLICANT 1S: ❑ OWPIER �ONTRACTOR Peter Heryla PROPERTY N,�: 1518 Berne Road OW�� ADDRESS: TE ZIP T�NANT Fridley,lVlN 55421 ' � rxorrE: 7635742538 CONTRACTOR NAME: SUBMIT A COPY OF STATE LICENSE #_ C> EXP DATE YOUR STATE ADDRESS• fvC� / C1TY �' r1 iS STATE�LIP S�S�YO� LICENSE WITH , PHONE %— y03 FqX APPLICATION - ' PERMIT TYPE �SINGLE FAMILY ❑ TWO FAMILY O TOWNHOUSE TYPE OF WORK: � �W ��1'LACEMENT DETAILED DESCRIPTION OF WORK PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to �500.00; whichever is greater, for the : impro�ement, installation or replacernent of a residential fixture, excluding the fixtures. (This.shouldrBflect only.the cost of labor ) Labor cost under $300 =$15.00. Labor cost between $300 to $500 = cost of labor x.OS = ° FOR:EROJEGTS WHERE LA$OR EXCEEDS ��SUO;-FEES ARE BASED ON $10.00 PER FTXT[J1tE, EXCEP'i' �Kf�RE NQ'[:�D..:RI�CT'�II��:.{IriDIC�ATE TQTAL NUMBER OF EACH BELOt� BATH SINK/LAV FLOOR DRAINS SHOWER WATER PTPING ^ BATHTUB GAS PIPING �nr� cirrrrcErrsE) SWIMMING POOL WATER SOFTNER ($35) CLOTHES WASHER KITCHEN SINK ~ WATER CLOSET BACKFLOW PREV. ($15) ^. DISHWASHER =.LAUNDRY TR.AY �WATER HEATER (S35) FOR IRR7GAT30N , WATER METER _ OTHER Permit Fee $ Number of fixtures LrJ $10.00 x$10.00 =$ Surchar e .50 Number of fixtures @$15.00 x$1 S:DO =$ TOTAL DUE $ Number of fixtures @$35.00 � x$35,00 =$ 3S.Oo _ , State Surcharge = $ .50 Tota1= $ . O THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTtL PROCESSED ' I hereby apply for a building permit and I acknowledge that the informatfon above is complete and accurate; that the work will be in conformairce with the ordinances and cndes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an appIic " n for a permit and work is not to start without a permit; that the work wilI be in accordance with the approved plan in the case 1 o w' r uires review and approval of plans. I � SIGNATURE OF APPLICANT PRINT NAME J� NO/�IDN�I DATE Z V City of Fridley Building Inspections Department 6431 University Av�nue NE, Fridley, MN 55432 763-572-3604 �AX: 753-502-49?7