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AF - 44087City of Fridley APp�ic.,ation for P'lumbing c�nd Gas Fitting Perneit DESCRIPTION OF WORK Number, Kind and Location of Fixtures ��.. V� w yWj �' � Z � S} Z Z ;� � n� � �n 3� o� Base ( ist � � 2nd j - 3rd 4th _ • FuYUrs Consiection Opeaings * New Fixlure, Old Opeaings � K '^ �n u�i w ? • • p Z 3 OSn �7 �� `�a �Z `�a F N � �0 5m <3 c�< c�� c�o � with PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: Np. RA7 Number E`ixtures . . . . . . . — � x $1.50 Future EYxture Opening ................ —�- x 1.20 New Fixture Old Opening . . . . . . . . . . . . . . x 1.00 WATER HTR. Dept. of Bldgs. Phone SU 4-7470 Lo�a:�on .S"'�-1 Ci � �c,e:.�r'I�,�.r�.,�►.�..� �� City of Fridley: � ! l� , e�EC. The undersigned hereby makes application for a permit for the work herein — specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts — and representations stated in this application are true and correct. -- ' / / Fridley, Minn/J. O '" �� , 19�! _ $ewer"�� Cesspool n TOTAL $—a�-�- �—� � O $ Catch Basin ...... ..................... x 3.25 $ Water Heater (Up to 200,000 BT[J) ......� x 2.00 $� New Ground Run Old Bldg. . . . . . . . . . . . . x 3.25 $ GAS FITTING FEE3: PIO. RATE TOTAL lst 3 Fixtures ..................... .. ... � x $1.50 $ � �� Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU . ............. REPAIRS 8c ALTERATIONS—Refer !o Code _ x 2.00 � Owner Kind of Building � f Used as �� To be completed about � �'C-J / � � / llUv�`' Estimated Cost, $� Old—�ve�. Building Permit No. ��L� Pe�it No. I Signe ` � / ' `" � ��►v� By ..� Business Phone No. �C � � ��;�--- �6�5-C�I ROUGH FINAL Description................................................$ •1•D•l•a�.� �'L•I�,+ �_�� az 2M 7-59 a City of Friclley, Mirm.. BUILDING PEI��.MIT N� 51� nate: .._.��"'' �:,.,,,'.�'�,..;�._._._._._.._._....__._____ : Owner: ._.L ...__ .._.�. .$uilder __ ..._.._____�_��_.��_ , ...�i�� , Address.._._.__.__.._....:__._._._..�_._...�..._._..�...._.__.._._.__.�......_.._ Address ___..___._w...._._::._:_....�.._....�..�...._._.Y.._.._ �:. L A'f10N OF 1 � No. � .fwe.� 5treet _ . � , , r , , � , , ._ ... Lot .._.._._._�..._ � . , . �.� . Lot . „ . ...._....._. Block ___�.�_''..,� ...._..._..._ Addition or Sub- iyisi �.. .w Corner Lot ..�__.__.._....... Inside Lot _.__.:� .._.____ Setback �' _ Sideyard _ .� , • •�� , Sewer Elevation .._._..__. Foux�datia� Elevatfon ____.:.._. .� , .. �,.. _ _.. �.... _.. _. _. �.. _.. Fc '�, +s , . , , '�'4 QESCRlPTIQN .OF BUILDINts ;: • 3. �_� �': "� .�� Q . . y� ,.� � . ,.: . , To �Tsed , , . � ,F �;;. . i' �+ � �� +�+' a �_ ` �t . �epth .. Height al�� SQ• Ft+ ` Gut. F'ro�}t ..._ Depth � Scl• Ft. ?" �W. . F� ' . i i of Cofistructi �st Co s.. o be ComPlet�d , . . � ;'� � �' ;` �+� , � *'�' ^, `.7s ° - � a> , �� _ � �'� � n �'` In considera#%n of the issuance to me of a permft to construct the buildfi�g d�cribed abave, � e�+ee� te �o the propoeed work in accordance with the description above set fc�rth and in o�pliaaoe witis all; � tIt ordinances of the city of Fridley. !�:......_....__ , In consiideration of the AaYment of a fee of $ .... -, Permit is hereby granted W..._:_ .:.,..:.: _ -�-. _._ . .. _:.._.......�.._..__...._._.._:..._._M...__. to construct the building or addition as described above. This permit ia gi�ated upoa the express condition that the person to whom it is granted and his agents, empioyees and work�n, in all �9c �one in, around and upon said building; or anv gart thereof, shall cwnform in ali respects to the' � oE dley, Minnesota regardinS location, construchon, alteratfon, maintenance, 1�epetir and mpving oR � Within the city limits and thie pex7nit may be r�voked at anY time up� viadatt,�n of an`Y ot ti� pra�osrt-oi :ordinances. ' , ., . , � 8ui1�3t�' Im�peetce'' , NGTICE: ,;, ' 7his p�nnii doa not eovK tla wnsiwetioo, t�,t� b� w�nw P�a aa;�,�ww� or wM�r. h srn 1� �r � � �M 6uiMin� laip�stor for s�parah paa�ils for th�M It�au. ��" � -: , � �� i . . _ .:.. - � r... . r. � � - .. . .,�,r . APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, �'iINY�TESOTA /.� -- � �� __..,,_,I ', _ owner's Name -,�-�f . yL,- l_,�.,,��„�,; �:% Builder .�r�.c.,-r..,,,..,.�..�.----- - ___._... .._._ ._._. Addre�s Address LOCATTODT OF BUILDING ^ � , No. „�� " �� Street ��`.•��- •�?��. a'� d�►� Part of Lot 1 � Lot �,,,� ,_„__, Block � Addition or Subdivision i Corner Lot Inside Lvt ,��'/ Setback�Side-Yard SEFi�ER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of T,ot and proposec� building location. DESCRIPTION OF BUILDZNG To�,be used as o �� l� �� , ,� , :.� '�`"�? �.r �; �,� Front Depth Heigh� G �� . � � 'J�� s �t �� ; �C,j v.t�a • F� • � �� / � ��A�.�.�f�.+.� / Front-,�= f----DeptYi� �-,,,�Ieight /� � Sq . Ft . �,,�� Cu . Ft . y�� d � Type of Constructio�Q=_��,� �� Estimated Cos� %�D� �, To be Completed .�s�� 3CJ The undersigned hereby makes application for a permit for the work herein specified� agreeing to do all work in strict accordance with �he City of Fridley Ordinances and ruling oi the Department of Suild- ings, and hereby declares that all the facts and represen�ations stated in thia application are true and correct. DATE �" � � � (c� / SIGNATURE T (Schedule of Fee Costs can be found on the Reverse Side). • • f + Appiicution for Pawe� Ptants t�nd. He�ating. Coding. Yentilation, Refrigercei�ion and Air Conditioning Systems and Device�s PARTIAL RATE SCHEDULE GRAYITY WARM AIR: RATE TOTAL . Furnace Shell & Duct Work . . . . . . . . . . . . . . . . . . . . . . . . . . 8.00 � Replacement of Furnace . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5.00 � Repairs & Alterations—up to �500.00 . . . . . . . . . . . . . . . . . . 5.00 $ Repairs & .Alterations each add. �500.00 . . . . . . . . . . . . . . . 2.50 � MECH. WARM AIR Furxiace Shell & Duct Work to 1�0,000 BT(T . . . . . . . . . . . . t each add. 60,000 BTU . . .......... . ..... . . . . . Replacement o4 Furnace ............................. � Repairs & Alterations—up to $500.00 .. . ... . . . . ... . . . . . Repairs & Alterations each add. $500.00 . . . . . . .: . . . . . . 8.00 � L�� 2.00 ; V_____ 5.00 $ 5.00 $ 2.50 $ 3TEAM or HOT WATER SYSTEM F�rnace 5hell & Lines—to 400 sq. ft. EDR, Steam ...... 8.00 $ F�Zrnace SheIl & Line--to 640 sq. ft. EDR Hot Water ... 8.00 $ Each add. 200 sq. ft. EDft Steam . . . . . . . . . . . . . . . . . . . . . . 2.50 $ Each add. 320 sq. ft. EDft Hot Water . . . . . . . . . . . . . . . . . . 2.50 $ OIL $URNER—to 3 gal, per hour . . . . . . . . . . . . . . . . . . . . . . . . 5.00 $ over 3 gal. per hour--See Fee Schedule __�_ GAS BURNER (up ta 400,000 BTLJ) . . . . . . . . . . . . . . . . . . . . . . . 5.00 $ � GAS FITTING FEES: NO RATE TO/TAL lst 3 E�xtures ...................... x �1.5d $ �% Additional Fixtures ................. x .50 $ Gas Range to 200,000 BTU . . . . . . . . . . . a 2.00 $ AIR CONDITIONING � FAN HEATING SYSTEM See Fee Schedule VENTILATIMG SY3TEDR ALTERATIONS & REPAIRS TOTAL FEE � � '�>� . ROUGH FINAL Dept. af Bldgs. Phone $U 4-7470 '� � - �5 ° j7 �'�i.��, — _ L%/ - /�!/ � /, T_ti.afinr� c�� i� %J/ /-L.,:. � .�, .•c t . '11. City of Fridley: The undersigned hereby makes applica.tion for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. , , �.�,�y, ��. 0 CT 3. - i961 , 19 ` Owner ,��%-/-�-�, <G'/�� ' _r� ��/ Kind of BuiIding � Used as To be completed about � V�� (�0 � t �-. Estimated Cost, $t'' ^—� � f y- i O1ti�New.� �uildin¢ Permit No. �`�� Permit No._ � U 7 0 DESCRIPTION OF WORK HEATING �t�t��, Warm Air—No. � i �.. Trade Nam '��'-2?-' c' � f-� Size No. o-�� Capacity Sq. Ft. E.D.R: � �l`�''�'�' BTU H.P. Total Connected Loa '`� � y �G"� Kind of Fuet -�'�Gt <? � / �e� � � _. � BURNER� — Trade Na � � Size No Capacity Sq. Ft• �•D• GE . �� • ��p� �� v 1001 Xenia Av. S. "j�) . � � Minneapolis 16, Minn. ✓ Signe sy � �. ��<2 2M 7-59 Business Pho e No (REMARKS—OVER) � _ , , ; %�o �¢.�a v �C+ ✓'�C � _-�ef'S' - '"'' � . �.ss �,9 �l f �n � C.r f S �•,� !!7 �aci y/ . - _ ; ' H�AT LOSS CALCULATTONS DEPARTMENT OF BUILDINGS 1Vg1�kVEAPOLI5, MIrQV. Weatherstrips A.S.H.V. , Construction No. • Itiaulation Guide Windowa Doors Reference Out. Wall Int. Wall Ceiling Roof F1oor Kind How.Applied � ea No � e No 19._ '/ F1•i �v l�°i Room Length Width 11/ Height FI. ` Room Length 1 Width // He'tght Wirtdows and Doors—Crackage and Area Windows and Doora—Crackage and Ana � SVidth Hetght No. 01 Lfnes! ft. Area VS�ldth Hef�ht No. ot Llneal !w Area � No. of qane ot pane liBhte ot crack sq. ft. �. 1\� � No. ot pe ot pane 8ghts � 01 crack p. St. � � / r�" r= � �./ � i / 3 I / (� � v v ��` �-� . / � /� ! � Coef. Btu Coe#. 8tu In6ltration (p 6 In6ltration 1 �/ Glasa � rQ 3 f/fi O Glasa / 5' Zt Qi i► F.�cp. wall "� � k b Net eap. wall ��/ `7 /j Int, wall Ceiling / >C (� 6 8" `j -nj 7Y Floor / �"K !1/ L ' J'/Y Total Btu. nj �''7 Required sq, ft. E.D.R. or aq. ins. W.A. Leader area FI.� � Room � L.engt}i Width Height Windows and Doora--Crackage and Area Wldth Hefeht No. o[ Liaeai It. Area No. o! pane f pa e 11`hts o[ crack p. tt. � / �' � 13 ?,�r� �.-� Y S'" 3 Y ? v �-G Cocf. Btu In6ltration �<{ 38" 3y (oo Glaas (� � �j a -� Exp. wal! �--7 �. 3 Net exp. wall -r'j �-7 �'� Int. watl Ceiling Floor J x- � 7 / y- Q Total Btu. Required sq. ft. E.D.R. or sq. ina. W.A. Leader area Fi. Room � Length 1 V Width 7 He;ght Windows and Doors--Crackage and Area Wlath He(ght No. o[ Llneai tt. Area No. ot yans ot pane Ifghts ot crack sq, ft. �v L I S" 4 7i� Infiltration � J j Glaaa °) Exp. wall ,^(o Net exp. wall � Int. wall Ceiling �loor �� % ?(f Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. I.eader area stu s—fs�r Exp. wall �-3 � Net e:p. wall Int. wall Ceiling Floor / )/� /t I Total Btu. �� :quired aq. ft. E.D.R. or aq. ins. W.A. Leader at�es � F7.I tL` itoom (1.eAgctz � W�ch t�i Windows and Doora--Crackage aad Area Width Heitht No. oi L/n�a1 [t. Are� ot pane of Dan� S�hb ot crack . YA 3� � L � � r�r �� Infiltration Glaaa Exp. wall ZCo Net ezp. wal) Int. walt Ceiling � Floor / Total Btu. - 1 �� Or� � �� Required aq. ft. E.D.R. or sq. ins. W.A. l.ea�cie� area - - Ft.� Room ( Length t��Width / Heigh Windows and Doors—Crackagc and Area Wfdth Hetsdt Na ot Ltnut ft. Ar�s No. o[ pane ot.p�n� lt6ht� of cnck p. tQ 3� � G r c� s-- � o� Y L �a �.- t c��.. stu Glaaa F�cp. wall � ---- Net exp. wall Int. wa[I Ceilin Floor _ .. ._ � _ Tota) Btu. Required sq. ft. E.D.R. or aq. ias. W.A. Ltatkr attai �� 52-8l�-s915.51 City of Fridley Applicatioe for P�trmbing and Gas Fitting Penriit Dept. of Bldqs. Phone 560.3450 DESCRIPTIOid OF WORK Jr21� N E Bq.Ch1ri�,Ti St Number, Kind and LocaYion of Fixtures Location <� I � I �5 � I � I Z I` °C I� � I ; I J� I 5 �Z I O � I� d I� Z I u� ? I R I N I G STER HT EC. 3 J �n 3� o LL �/I LL G m t 3 Ci � U' �a U' O Base '� lst 2nd 3rd 4th _ • Fuiuze ConaecYfon Openings * New iixture, Old Opoaings PARTIAL RATE SCHEDULE City of Fridley: 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 bhat all the facl and representations stated in this application are true and correct. 6-25-68 Fridley Minn 19— . -- Owner R �'� — Kind of Building frame Sewer � Used as rCs Cesspool � To be completed about 6-3��8 PLUMBING FIXTURE RATES: NO. RATE TOTAi. Number Fixtures . . . . . . . . . . . . . . . . . . . . . . x $2.00 $ Future Fixture Opening . . . . . . . . . . . . . . . . x $1.50 $ New Fixture Old Opening ............. x$1.50 $ Catch Basin .... . ..................... x $3.25 $ Water Heater (Up to 99,000 BTLT) . . . . . . x $3.00 $ New Ground Run Old Bldg. . . . . . . . . . . . . x $3.25 $ Electric Water Heater z$2.00 a GAS FITTING FEES: NO. RATE TOTAL lst 3 Fixtures .......................... x $2.00 $ Additional Fixtures . . . . . . . . . . . . . . . . . . . . x $ .75 � Gas Range to 199,000 BTLT . . . . . . . . . . . . . . x $5.00 � Gas Dryer 1 5.04 REPAIRS 8c ALTERATIONS—Refer to Code Description ................................................$ Tarai. �E g 5.00 Estimated Cost, $ 1�-� Old—New. Building Permit No Permit No. �� r% ROUGH FINAL �.Z Si �: � � > >'" �.�' `-/ ,�-.. ''° > > Business Phone sue�ecT PERMIT c�ty of Fr�aley �- � 5 4� � AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r ; � RE IPT . � • COMMUNITY DEVELOPMENT DIV. � j L' - r � � PROTECTIVE INSPECTION SEC. � J��G 1 ; � ( � ��1 � CITY HAL! FRIDLE� 55432 NUMBER REV. OATE PAGE OF APPROVED BY 4'----� • •�� 612-571-3450 910-F15 / / 9/24/79 JOB ADDRESS 5210 Buchanan Street N.E. 1 LEGAL LOT NO. BLOCK 7RACT OR ADDITION SEE ATTACHED DESCR. 2( 1 Marian Hl1�.S SHEET 2 PROPERTY OWNER MAII AODRESS ZIP PHONE Sidney Dahl 5210 Buchanan Street N.E. 3 CONTRACTOR MAIL AD�RESS Z�P PHONE LICENSE NO. Metro Aluminum 4244 Madison Street N.E. 786-7766 4 ARCHITECT OR pESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. • 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW CJ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK Alumi.num trim 9 CHANGE QF USE FROM TO STIPULATIONS SEPERAtE PERMfTS REQtltRED FOR WERtN(;, NEATING, PLLIMBING AND SIGNS. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. 7HIS 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 OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY 71ME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKlNG I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS CaARAGES AND KNOW THE SAME TO BE TRUE AND COFiREC7. ALL PROVtSIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED c c� WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT y3 � 2OQ y�..6O DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pEFMITFEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- ST UC71 OR T`E PE ORMANCE CONSTRUC yS`ZZ.00 PLAN CHECK FEE TOTAL FEE .:- r $22.60 NATUAEOP oNiRACTOROR THORIZEDAGE �D/+TE� WHEN PROPERL VALIDATED THIS IS YO'�UR PERMIT I• S�iGNATUREOFOWNER�IFOWNER8UILDERi IDATEI ' �BLDG iNSP CITY OF FRIDLEY • • � APPLICIITION FOR RESIDE�ITIAL QUILDIPdG PEf��ITTS - �; ' . (t�ew, Alterations, Additions, or Repairs) , � • . .'` '� 041P�ER: `� �� N t— BUI l.DER :-��"+2v �1.. v�.Yvl 1� u Lt:�. ADDRESS: �� SL�c��• AODRESS: .� �'��-I_N_�. �lf��a� �� TEL N0: TEL N0: �� '� � Cs� C� • - � ' Construction Location . �� - STRF�T NO : STREET: �' +� � IAT: �� BLOCK: �_____ ADDITION : / � I�,(.�k� 1 X Corner Lot: � Inside Lot: Setback: Sideyards: � - Applicant attach to this form two Certificates of Survey of lot and _ � propased building location drawn on certi.ficates to scale. ' DESCRIPTION OF CONSTRUCTION - . . . , . Front: � Depth: • . Hei.ght: � . . - Squa�e. Feet: Ctiibic Feet: Front: Depth: Height: � � Square• Feets Cubic Feet: • ' . . ' • _ _ . � �� Type of Construction :�L�N� �� t.�M^- �a21 � Estimated Cost: $ i 7b Be Cbmpleted: . ' , Alt. A Alt. B . Proposed Driveway Width If New Openinq Is Desaxed: $� $ - ' . . . SEE REVERSE SIDE OF SHEET . ,.The undersigned hereby makes application for a permit for the t�aork herein specified, agreeing to c3r� a17. work i.n strict accordance with the City of FridZey Ordinances and rul�ngs of the llepartment of Buildings, and I�ereby declares tliat aTl the facts and representations stated in this app�icat' a e true and correct. � . DATE: e� � SIGNATURE:. ' . Sta.pulations : . � � /. �� /. �o ��.�� 0 � .. . . . _ _. . . . _ . . _ . .. . _ _ . . __ _ ._ .._ � SUBJECT P City of Fridley � 15 6 i AT THE TOP OF THE TWINS g U I L D I N G P E R M I T� -� � � „ , � RECEIPT NO. � • COMMUNITY OEVELOPMENT OIV. � ; .: ------. 3 r � � PROTECTIVE INSPECTION SEC. j% � i 1 f � r��'1 � CITY HALL FFIDLE� 55432 NUMBER REV. DATE PAGE OF APPROVED BV : ��__�.� �.J 612-571-3450 g10-F15 4/21/80 � � JOB ADDRESS 5210 Buchanan Street N,E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. ZG 1 Ma.rion Hills SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Sid Dahl 5210 Bucha.nan Street N.E. 571-0059 3 CONTqACTOR MAIL ADDRESS ZIP PHONE UCENSE N0. Emanerich Constr.uction 2439 So. Coon Creek Drive 757-4922 4 ARCHITECT OR DESIGNER MAIL ADDRESS 21P PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE �ICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW Q_ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK Construct a 4'6" x 11'6" Dormer 9 CHANGE QF USE FROM TO STIPULATIONS Vent attic spa.ce. Check existi.ng joist and rafters for structural SEpEi�A't'E PERMITS RE�fiilRED FOR VV'IRI�rG, NEArI�IG, PL"UMBING AND SIGIVS, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICA�, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPUED �`Fj�OQO $3.QO WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING coN- $36.OQ STRUC OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE .f�_ 1 �-�19 $9.Q0 $48.00 q fx NATUREOFCONTRAC I AGENT -T IDATEI WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT �� , � ,Sl_�! z4o SiGNATUREOFpWNERIIFOWNERBUILDERI IDATEI BL�G INSP �PTE CITY Of� �RIDLGY - /�f'I'1.rC11'1�I�;J F01�t Iti��I;�L:f�TIl11.. (�UILDIP�JG PE(ti��1I7S � � . f,ilc�c�r, Altcr��f:�ons, Addii;io��s, or f�c�pairs) QWIdER: ��Q. �1!� ;�_!_� LIfILUi�R: �.L.1�/�1 ��'�'� /C� �n�.s % � Aa«Fir_ss: _ � �Id '�,��,,�.�� s 1` _ �,n�acss: �l/�� P,� �daj✓ �«%'��- Tc�. r�r0. ,.5° 7/- ��``,l Tcl_ I�a: �� 7- r�1�� ZS"7-�� Cons�ruciion Location sTZZ1:��S t��o: _ Ss;�/Q STI2�LT. M �� Lr ��y �9/� �� i✓ � LOT: � r� � �_ BLOC'K: f ADDITION: �d•�,�'�.s,r ��C� Corncr. I,ot: _ Inside Lot: �' Setback: `_ Sideyards: Applicant attach ta this form two Certi�icates o� Sux-vey of �ot anc� proposed building location dra;a7� on cextificates to scale. Q�SCRIPTIOi�� Or CONSTRUC�ION G:.��r� i'ront: ` I�epth: � � • �! X// � Sgua�e Feet_ ^ Cizb�c Peet;.: H eighf:: Front : Depth : H eight: Squar.� I'eet: Cubic I'eet: oG3 2a?pe ��= Co�zstruct�ion : � � � �, � Q.� Estimated Cost: $ �� d � � it� Be CbmpZeted. �� '+-�� " Alt. A I�tt. B Px�op�sed Dri��eway Wa.dth :Lf Pdew Openinq Is beszred: � $� $ S�� FcEVER.SE SIDE OF SH�ET �.iZe ur�d:�r_signed k�xereby ma;:es applicai�ion �or a p�yr�it i��r tlle F�orlc hes:ein sPeci�ied, agi'�ex.nc3 to do z1.J. jac�i-b: in st.i-:ict �iccord�zce wit�i �Iie Ci.ty of i'ri.dley Ordinaxlces and �'izlings oi tli�: Dep�rL^1<:i�t of I3ui].d�ng>, ai�d liereby declares i:hat al.l the fact:s and �'epreseiit.atiori�; st:�z�cc3 ii� this application �:e-�trtze and c�,x'�-ect. , D21�'E� �_.� � � SIGNF17:iJRT.;: S�l��u�.cit.1.0]1S : ��. G � � � R� �-�r�7 e��'L?if_� 3�,Od U��,t'. �'�'��' �'��. ' . . 9. oa C�,�. .� �,�'° � � 3•"' �� , U. � � _ ,. _ ..� ,. _ . ..#..�....._,.,.. �..,.� , , . � � � .d j � j � � � �� 3 �i S '� �' .., � v i � i � � � � �� .. � t i � � � "� �' � w r €�� ` �y� o ; � L� Q � � �y y �. � � i .� -� ^' } � � � �� ;, ° `� � � ° �' � t� N -"a � � � -�c L � � � � � � � � � � � � ��{a � � � i .� ' � � � M � �� ' J� /� Q ' ` l�, �,I *[ � � � � \ 'V � s �� s�, � �- c,� � cb �, � �`� �Q' � � � � � � � � � � ; , ' �� Ev, x� � � �: Z � � � � � � � � P�� 4 � -, -�o _ �, ,� � '�, �-. 'GYo ��ti��` `�"1 y1 b� � � r i � � � , � { .,�, = 4 E � � tp �' � j � 7 �� 7¢ � I � �^ 1 -� �; � r_ � � 4 . 3� �� ,} vr. c%- _ �_ ` �� ( t t � � i � i, , i � � ! • I � ' I -' � 9 �, �-------=—'�r i �� / �-�-�-_ mo,n. ri Ssvj� �'x .J � % ,! �`' � . � � � �`Q. � � �s� jv j� � I i �I 1, j '! �'• �� ; �� L�vo �� `/ � � s, � 1 ;i II I' ��` i v � � ; ,� ' �IIr �il �!' + - - . . . . . . ... . . . ..:.:«...:...; , �... ��.... :. il♦.. , .,.... �: ,.:.......:.� �y�0 ��d 4> ! Vp ` ��" �. G i �� G -; I �I � � ��\ jjj f =1 7 � � � V � � � �� . , � � ` � ( '�� i � 0 .� _� + '_ �� t''S' . 3 � e v �'O r � � �� '��, t'i � � { � ; � � ; � _ 4 i `` � � ? � �D �P s� � �` � .. . . . .. . .. W y � . _ _ ,f . � �� I � C� Z � il � � � I il !I( I II � i �;� ��I I �;;� I!.I � � f I ;� � l' N � t�� 0 SUBJECT City of Fridley o - - � AT THE TOP OF THE TWINS g U I L D I N G P E R M I T � i � i � • � • COMMU%11TY DEVELOPMENT DIV. � `ti: ------ [� � 0 � � � PROTECTIVE INSPECTION SEC. f � , i 1 -�; ��1,'� CITY HALL FRIDLE� 55432 NUMBER REV. DATE PAGE OF APPROVED BV �'"' 612-571-3450 9�0-F15 5/12/83 / / JOB ADDRESS 5210 Buchanztn Stxeet N. E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2Fj 1 MdY'1dI1 H13.I.S SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE Syd Dahl 5210 Buchanan Street N.E. 3 CONTRACTOR MAiL ADDRESS Z�P PHONE IICENSE NO. Metro Alnminum 2312 Lowry Avenue N.E. 533-1793 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL AODRESS Z�P PHONE LICENSE NO. 6 USE OF BUiLDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK Reroof S:tructure 9 CHANGE QF USE FROM TO STIPULATIONS Roof can be 2nd layer but not 3rd. Install galvanized valleys. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR E�ECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOI� IF WORK OR CONSTRUCTION ZONING S0. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS A7 -� ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO 6E TRUE AND CORRECT. ALL PROVISIONS OF IAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WIIL BE COMPUED $2,500 �I..ZS WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMITFEE SACCHARGE ROVISIO OF ANY THER STATE OR LOCAL LAW EGULATING `CON- $3S. SO RUC71 N OR 7HE RF ANCE OF CONSTRUC O. � PLAN CHECK FEE TOTAL FEE - .- F $39.75 I ATUREOF ONTRAC70ROA UTHORIZEDAGENT ton7ei � .�FiEN PFOPEFiLV L�OATED,7HIS tS YOUR PERMI7 �� SiGNA7URE OF OWNER �IF OWNER BUILDER� IDATEI BLDG iNSP OA7E CiTY Or FRIDL[Y Eff��ct�e �u9, i, 1981 A�Pl1U1Tla� FOk RESIDLNT111� BUILOliJ6 PLRi11TS (Nc,,r. Alterations. Additions. or Repai�sj , ONUER: �-c��J �ra ri-L dUI lOER: (Yl,�. � �� AL.c� rt� _ __ ADDP.ESS: b`�o C 8 ��. � l-•a �-4,J AODRLSS: 312 L6 c� -� t�i-c-�c , ,� TEL A0: ' ' TEL N0: ��`3 --I ��i3 . — , Construction Location • sT�r No: crr�.-r: LOT: 1IAOC: „� ADnSTIO�I: Gornez Lot: �_ Inside L�t: `� ktbacY.: �_ Sideyards: 11p�licant attacA tfl tl�is foz� bw� Certificates of SLzvey of lot ar�d pzoposed buil�ing locatian erawn on certificates to scale. , ' OESCRIPTIO�t OF C01�lSTP,UCT10t� � — �c ` , — Front: Depth: Heig�t: aquare Feet: . Cubic Feet: , Front: � DeptA: Bei9ht: Square fe�t: A�bic Peet: 4ype of O�r.stzuction: (` Estia►attd CosL: `: ��7 Zb B� Q�r.,plete8: � 5�� - Alt. A 7►lt. B pzoposed Drivc�++ay i►idt?� If Nev Opening Is Desired: j" : ___---.__._._ ..__ . . . 6EL RiVERSE SIDE OF SHEET zi�e undessioned ?�ereby ma1;c� arplic�tion for a perrait tcz the werk hezein specified, sgreeinq to cb ,a21 vork 3r, striet accozdsr�ee with the tity of Fridley Ozdi»�nces snd n��in9s of the Dei�►�:ta+c�t of Duildingt, and hereby declazes t?�rt all Uie facts and represr.�Gtiens stated ir� this applicati aze rue and correct. AITFs S �/ � � � S I GNrTU� : stipulatio�s: .�� -z� � ` �S_ � �. �s- 3=- .� y � s Y.... _ � C�IY OF FRlDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(612) 571-3450 • FAX (612) 571-1287 March 28, 1995 Mr. Bruce Haberman, Mgr Budget Power Store #8 198 Northtown Dr. NE Blaine, MN 55434 Re: 5210 Buchanan Street NE, Fridley, MN Dear Mr. Haberman: While acting on a complaint, an inspection was conducted on March 24, 1995 at 5210 Buchanan Street NE, Fridley. My investigation has determined that the homeowner contacted your firm to purchase and install a water heater. The homeowner has allowed me to copy the receipts of this purchase (copies attached). The gas utility, Minnegasco, was contacted on March 20, 1995 for a gas smell at the water heater. My inspection has determined that the following corrections are necessary to be in compliance with the manufacturer's listing; 1) Outside combustion air shall be provided per Chapter 6, 1991 UMC and Section 504(A) 1991 UMC. 2) Pipe on temperature and pressure relief valve shall extend not less than 18 inches from the floor per MN Rules 4715.2210. 3) Gas shut-off valve shall be of an approved type per 1991 UMC Section 503(A). 4) The required permit was not obtained per 1991 UMC Section 301(A). All corrections shall be performed by an approved agency within 14 days of this notice. Thank you in advance and if you have any questions, I can be contacted at 572-3602 or in writing at 6431 University Ave NE. Sincerely, ��- / / �� Lr�� ---�f% .-(�' ME� COLL VA -- Mechanical Inspector Mc/mh ENC: 2 CC: Roger/Sue Ungemach, 5210 Buchanan St NE, Fridley Minnegasco � � ` '�,�� - HOURS •, ;� ,: �� . , {� �4. -.:a-• � 3 MON. - FRI. 8:00 - 9:00 pm NO . . n ` , �, 3��. ;�' , ,; SATURDAYS 8:00 - 6:00 pm ' .Y.J `�r� L O �� r�,"~� �' � � �� . x��i' y�.:: -::.�� , SUNDAYS 7 0:00 - 6:0o pm � � PKG'': � r s:.`, t"-k «: • � ` i. �� , � y�,� s � '•:` " . � , ., ��3�� y i `� f�- 10001 Minnetonka Blvd,, Minnetonka 55343 � Phone 938-3133 ',�� .'��`M��V �- ?• •�- ..ra�:�r.r`kt" . � til�- t07 W. Littie Canada Rd., Little Canada 55117 :Phone 483-0612 V •. •��;.. .,. a.•....: : '� �j- 401 West 84th Street, Bloomington 55420' Phone 881'-7891 �f � '�`` ~�f� ' ' ` `c e�'��, �4 - • �- 198 Northtown Dr., Blaine 55434 � Phone 780-171 T � {'-•�;��;.'}r"t`i7 s��` (� - Apple Valley Square, Apple Valley 55124 Phone 432 1636 ��rF � t��,'�� .. , ; �- ; �,�+��,, : �'`�i�� s'�. . ' { �'�` � '� � �. st. ` - . l �� _ " ;#,�,��r,��,�! dfeSS _ • •, � ->� it�a�,ry�� Date . . , � �.• � �. :�r y�a y- � �s � � � � Yl� 1 1t e �� . �. S . .`��'�'y3� ,.' � � r~. y, State Zip � �, Employee • • .� `- �ne Work # , � ,`'�` =:f��,;r; . �'� ; ^�" -- � -- .. �.+:.Ri_ 'q, ,:r• �'� �r,.sr ',v�� . . � — luaii '„ ��s �� . �CV.# � .�°`' � � .s rip on � ,: .. 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"�� .� � • „ . � � �F''�� ; t � iN �y'�4. �:� . . .� �� . � �. � ,�/ //� � -M : Qil. �u '�/'' ,�/torr�.�.� Q� � VJCL�e� -� U/e/' :'' 1 a :t 'tZ7; . O •,.aL. '.�� . . , , . . . .._ .._� .. M� '� :.. . , h:} �. t! , i_ia1' ��, + ..,,. . . '- fl�Uf15 � . . .. �� ' ' . _� .✓ � .0 . ��_ .w. ,� . � ? � � :� MON. - FRI. 8:00 - 9:00 prn . . NO. : 5 5�2 2 0 �'� SATURDAYS 8:00 - 6:00 pm , _. t.. �.,: �•;"�. .,. r: -- ,.::��` SUNDAYS 7 0:00 - 6:0o pm � . PKG ��{�4, • . . . . �lFb � F} � �'r, . V� �• : . . . ' � . ! YYi . . . . � . . � .. �Z. , . . . ! � J�. ,� I�- 10001 Minnetonka Blvd., Minnetonka 55343 ,- Phone 938-3133 '•., �J ;;, �':�- y07 W. Little Canada Rd., Little Canada 55117 �`.�:Phone 483-0612 . 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I,1. � � ' . �j'� �^Fy� � E , ,�� .,^i.� i:�r��it� � o (:i ' '- ( . 1 � �� I.rc ai 3c�� ' ��' ' .�.F -� :` . I � � ' :;�~ �y'' ., ,.,.� s �, t4,F} . �•. i4�� S ' 1 V � ��S y 'ri� �... r .. Fy' 3 ,: y �:.�. .-r��;�- '-{ :,.�. ,- - , ,�_> . � �� ° f � , � •} ;,!t�?�k.}y�. � � M . t �.� ` ' • .�,l. �Q*' 1, f }i{�.` . I �..� �,,. . . r " a `j cFd, "�/��h'f � � - I' � t 5'=�WC � �� .s.. . , �b,,: �' ry� .:� � "��z �..� ;,;�� t�°'z?, � F "�. fRn f�'' �•�1 ' . I t. 1' � ':'f R �!'7• / :s. ;!�•.I.=..` I� • I ..�'. � ... '_ `I.� �I � .ti_.; :r' r. . , Y� , . . . e, � , ._ . • �,` . . :,L,at , � .,,, ::;. t�. ;,t } ; {. . �.�, �se Save This�Receipt For Retums or nts; "' f t�; �r,� � "'� "�" " °" :ck terms #hat apply. . ' � °;k7az � This order. is�non-cancellable . i • +`'"':�'��:: ' ' This order:is�non-retumabie , � . �;. This o�der �s subjecf to restocking charge of ' �, �.� 1 ;; �' �� . . . ;;� t� . r,� 3 :. . .��.�g �� ment Recerved bY � / t :' . � #� ; EMPLOYEE � - r .�y+�1�+' a . • .. _ � , . � ' . ' . i",�'c. �'_� '. ' . _ . : ACCepted By_rs.:� � " ' " �' ,�l� �. ' ._lhanh �ou �r.`��liorrin.� aE-(/�uc�eE � � � ?::-:t' 4 a. Yr � � �r a . `�{t, t .� , . , c � s ..,,:. ••�.+'; 'r;s: � �•'' n ,. . �itr:+F% �� t �� ., � .� uier � ` + .:ti "�rt .�� F r �� CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 Effective On January 1, 1995 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR PLUMBING FIXTURE RATES: NO. RA7E 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 {) 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 $5.00 Reinspection Fee $30.00 ALL O7HERS AND/OR REPAIRS AND ALTERATIONS 1% of Value of Fixture or Appliance State Surcharge TOTAL FEE TOTAL l0, ��U .50 $�O,S� %l/�/ JOB ADDRESS �,,Z /C� �G�G6�ln� �.i��. The undersigned hereby makes application for a permit for the work herein specfied agreeing to do all work in strict accordance with the city codes and rulings of the Building Division, and hereby declares that al� the facts and representations stated in this application are true and correct. _� ,199� Owner Building Used As J�"0�� Estimated Cost �S7%- �O PERMIT NO. / 1� l�/ PLUMBING COMPANY %�G�h�6 �� SIGNED BY�,�/�'%N /-+'i^' �'� � TEL N0. ,z�'%�� Approved 8y Rough—In Date Final Date a MINIMUM FEE FOR ANY PLUMBING/GAS PERMlT !S $15.00 P�US THE $.50 STATE SURCHARGE �� ' ' � SUB�ECT � . � � � " . � N . � c�cy of Fridley 3 i 8 0 3 AT TME TOP OF TME TWINS � u � L D I 1 \ G P� 1\ /• 1 I T � ; � RECEIPT NO. � • COMMUNITY OEVEIOP�ENT DIV. �� 0� � �ryn , �,; _____ , � Y r � � PROTECTIVE INSPECTION SEC. � � � � l_-_- �;��;'� CITY NALL FRIOIE� SS+�Z NUMBEF pEV OATE PAGE Oi APPROVEO B� i 1� 612-571-3450 9t0-F15 517/O1 / j 108 ADDRESS 5210 Buchanan Street NE � � t IEGAL l0T NO. BLOCK TRACT Op AODITION SEE ATTACHED DESCR. 2(� 1 Marian Hills SNEET 2 PROPEi;TY OWNER MAIL ADDFESS 21P PMONE Sue Burgmeier 5210 Buchanan Street NE 763-586-9119 3 CONTRACTOR MAIL ADORESS ZIP PHONE IICENSE NO American Building Contractors Inc 12247 Nicollet Ave S, Burnsvil�e, MN 55337 4 ARCHITECT OR DESIGNER MAII. AOORESS 21P PHONE UCENSE NO. 952-707-6959 20169383 5 ENGINEER MAII ADORESS 21P PMONE LICENSE NO 6 USE OF BUILDING Residential 7 CIASS OF WORK ❑ NEW O ADDITION ❑ ALTERATION C� REPAIR p MOVE O REMOVE B OESCRI6E WORK Reroof House & Garage (26 Sq) Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. SEPARAT� PEfiMITS ARE REOUIqED FOR ELECTRICAL, PLUMBING. NEATING, TYPE OF GONST. OCCUPANGV GROUP OCCUPANCV LOAD VENTILATING OR AIR CONDITIONING. � � � � THIS PERMIT BECOMES NULL ANO VOID IF WORK OR CONSTHUCTION 20NING SO. fT CU FT AUTHORIZED IS NOT COMMENCEO WiTMIN 60 OAYS. OFi IF CONStRUCT10N OR WORK IS SUSPENOED OR ABANDONEO fOfi A PERIOO OF 120 DAV5 A? ANY TIME AFTER WORK IS COMMENCED. ' NO DWLG. UNITS OffSTREE? PARKING I HEREBY CERTIFV THAT I HAVE READ ANO EXAMIN�O THI$ APPlICA710N 1 STA�LS GARAGES AND KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF �AWS VALUATION SURTA% ANO OROINANCES GOVEFiNING TMIS 7VPE OP WORK WILL BE COMPUED WiTH WHETMEA SPECIFIEO MEREIN Oii NOT. THE GRANTING OF A PERMIT �2�659 $1 .33 DOES NOT PRESUME TO GIVE AUTMOFITY TO VIOIATE OR CANCEL THE pEqMIT FEE SAC CHARGE PROVISIONS Of ANY OTHEFi STATE Oii LOCAI LAW REGU�ATING CON• $83.25 �ire SCi �2.66 STfiUCT10N OR �HE f4RA 'Of�-CQ(JSTRUCTION P1,AN CMECK FEE TA� FEE License $5.00 $92 4 $�GNATUQEO�CON'A OAOA�UTMOQ�2ED�GENT �OATEi N P OPERLY � ATED THIS VOUR PERM ♦ � D S�GN4�UAEO�OWNEQ��cOwNEpBu��OEA� i�ATEi . ' BL N � � - /iblE � �o�-� �3�b� � NEW [ ] � ADDN [ ] ALTER [ J Effective 5/10/99 CITY OF FRIDLEY SINGLE FAMII.Y AND DUPLEXES R-1 AND R-2 BUII.,DING PERNIIT APPLICATION Construction Address: � �,1b �j(,��'10�,j`1�iYl � IU�i Legal Description: ��-� Owner Name & Address: �I�l e�j1�l.f �h'1�,(, QX' Tel. #'rl(Q3 -''rJ�- a� �� Contractor: �I(iL�I�1`1 �(,l,(,�i� CO(L�;f'�b(� �r,j/�,e , MN LICENSE # � � ��3 Address: �`ZZ�� iCO�� , ��.I(i'�l/t/��L�, �,i� ��.3� Tel. #�i,�2�,D�'��Cj Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: GA.RAGE AREA: DECK AREA: OTHER: Length Length Length DESCRIP'i'ION OF IMPROVEMENT Width Width Width Height � Height Hgt/Ground Sq. Ft. Sq. Ft. Sq. Ft. ��_�I1 � D� Construction Type:��%V � �1p1�15�� G'�%�R�G�e o�D� Estimated Cost: $ ; , ��os9 � Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ � DATE: "rJ�� ^ �� APPLICANT: \ � ^ Tel. # � '��'"l��] Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ �• � � a - (a(o $ � - �j� $ • C�O $ $ $ $ $ $ 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 Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [] Not Necessary L 1 ..�,. �'�� r ur rt�1U�tY INSNECTION�ViSION , 6431 University Ave NE ' Fridley, MN 55432 �'��,� APPUCATInN FOR POWER F'LANT5 ANO NEAT;NG, COOLING, VENTILATION� 572•3604 � REFRIGERATION AND AtR CANDITIONING SYSTEMS .4ND DEYICES RATE SCHEDULE Residential Furnace Sheil and Duct Work, Burner • Also Replacement Furnace (Side Vent - Fill Out Back) Gas Piping (Needed with new furnace, but not repfacement) Gas Range Gas Dryer '�Air Conditioning • All Sizes All Others/Repairs 8� Alterations (LIST ON BACK) lqo of Value of Appliance or Work Commercial/Industrial 1.25q of Value of Appliance or Work Rate TOTAL $ 30.00 $ �� $ 10.00 $ �0_OC� $ 10.00 $ $ 10.00 $ $ 25.00 $. $ $ State Surcharge TGTaL FEE MINIMUM FEE FOR ANY NEATING/COOLING/VEI�TILATtON �3EFRIGERATION/AIR CONDITIONING PERMIT tS$5.00 �LU._S THE .50 STATE SURCHARGE REINSPECTION FEE $47.00/Hr "Air Conditioners can not be placed in a side yard without written permission irom adjoining property owner. .� �. .�0 ,� �� Effective On May 10� 1999 JOD ADUI2ESS___'"�Ja� �,C )(/lC.Y1 Q-l�Q. j/� S� ` UWh'ER �r,�SCL-Y1 N. Yl�llY�Q-C.r � BUII.DING USED AS_ �� ESTIMATED COST ��bD'C� pERMIT N0. /� DESCRIPTION OF FURNACE AND OR gURNER No. of Heatin Units�._ Circle One (Steam) (Hot Water) arm Air) Trade Name ��,i ✓'Q� Size No.�utti4 �� f3TU �7,, C�oC� HP EDR Fuel�lc�� ( �� _ Total Connected Load Burner Trade Name Size No. BTU _ HP EDR The undersigned hereby makes application for a permit for the work herein specitied agreeing to do a�ll work in strict accordance with the City Codes a� rulings of the Building Division, and hereby declares that all the facts'and representations stated in this application are�true and correct. Rough•In Date Final Da - _ C[lYOF F'R(DLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(763) 571-3450 • FAX (763) 571-1287 February 23, 2001 Susan Ungemach 5210 Buchanan St NE Fridley, MN 55421 Re: Final Inspection at 5210 Buchanan Street NE Contractor: St Marie Sheet Metal Inc Dear Ms. Ungemach: A mechanical permit was issued on October 19, 2000 for the installation of a gas furnace for your atldress. According to Section 305(a) of the 1991 Uniform Mechanical Code, a final inspection shall be performed on the mechanical permit. As of this date no inspection has been called for. The permit fee that was paid covers the inspector's time to check to make sure the furnace was installed correctly. We also need to check for the installation of combustion air, vent and connector sizing. You will be given thirty (30) days from receipt of this notice to respond. If we do not hear from you, your permit will expire and any inspections on this installation will require a new permit. Any questions can be addressed to myself at (763) 572-3603. Si Build�'n,� Inspector DJ/mh Building Inspections 763-572-3604 BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY Permit No��:�'� � Received By: ^ Date Rec'd: �� l��l DATE ��' �� '� d 7 YOUR E-MAIL ADDRESS � C S/ C� N%� (U � O I r L�•n SITE ADDRESS S�- I D �� THIS APPLICANT IS: ❑ OWNER L�ONTRACTOR PROPERTY OWNER/ NqMg. SteSu ►� �e� �-k �t � , � .'^ L TENANT ADDRESS: �01 J f) 'a u G�i�.. rJ Gt.rJ CITY %�" �'"� � P�� STATFl�Y'GIP `�� tl ZI PHONE: J�' � - � E3G -- `�/ � 1 CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WIT'H APPLICATION PROPERTY TYPE PERMIT TYPE TYPE OF WORK: NAME: L t I u rn STATE LICENSE #_ .e.DDxESS: � /3 PHONE � � — S �'X 7'L'P'!bt�. %I�ci j�� `% EXP DATE • � / ! l °'`t' � I-1 /`� �3 ��..�L- �`l' fZ�F.�x 7(��- �'SINGLE FAMILY/PF� ❑ TWO FAMILY/NEW ❑ BASEMENT FINISH ❑ DECK DESCRIBE WORK BEING DONE: SIZE OF IMPROVEMENT ___ ROOFING f NUMBER OF SQUARES � � ❑ GAR.AG �ROOF �'SIDING L] SWIMM ❑ ADDITI AIR ❑ REMOI ..- Ey ct r c� %< �- �! LENGTH ❑ HOUSE ONLY ❑ HOUSE & GARAGE � � v 6 CITY �N leq-P�Qj STAT� ZTP 5 s�-�� 8y— �`�2-� SIZE STORIES ED ❑ WINDOWS ❑ DRAIN TILE ❑ OTHER POOL 1G v�OV )' �- C�S��o��' WIDTH HEIGHT GARAGES ❑ ATTACHED GARAGE PROPOSED SIZE: � � ❑ DETACHED GARAGE PROPOSED HEIGHT: ��E�"� �� r� �- ,� UI `�� SIDING �;� Ih.�t. � T'� ( lny� `�o�ffit �.__�c% _... ❑ Aluminum , 3 1`rim ❑ Other �scia WINDOWS IN EXISTING OPENINGS ❑Yes ❑No LACATION OF WINDOWS OR FOR NEW OPENINGS-DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDO BASEMENT REMODELING SUBMIT: 1. Existing F1oor Plan 2. Proposed floor plan 3. List of structural members to be used Ft. FOR NEW CONSTRUCTION INCLUDING DECKS, ADDITIONS & PORCHES SUBMIT: 1. Site Plan/Survey showing the existing structures and proposed project. 2. Two sets of construction plans 3. Energy Calculations ALL FEES ARE BASED ON VALUATION, INCLUDING TAE COST OF LABOR AND MATERIALS: n (USING 1997 U.B.0 FEE SCHEDULE) ��iS /� TOTAL JOB VALUATION $��"' OCCUPANCY TYPE Pernut Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due ��• �� $� $ �� $ � (� $ $ $ $ See Back Page for Fee Schedule 65% of Building Pernut Fee .001 times the total job valuation .0005 x Pernzit Valuation Minimum $.50 $5.00 (State Licensed Residenrial Contractors) $1550 per SAC Unit (Plans to MVJCC for determination) ft+6ft= ftx$20=$ $450 Conservation Plan Review Fee Deternuned by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks payable to: City of Fridley Attach THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I aclaiowledge 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 pemut but only an applicarion for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all work wluc requires r�ew and approval of plans. SIGNATURE OF APPLICANTC�� "C'��"-3 PRINT NAME "G I%`� �7I U/116Gt f DATE /� �'� 6�